Table 1 Maximum tolerated doses of approved drugs in Japan, US, and EU

From: Impact of race on dose selection of molecular-targeted agents in early-phase oncology trials

Name of drug (references)

RP2D (Japan)

RP2D (Western)

Concordance (Phase I)

PMDA approved dose and date

FDA or EMA approved dose and date

Concordancea (approved)

Delay in approval in Japan (years)

Gefitinib

250 and 500 mg

250 and 500 mg

Concordant

250 mg QD 7/5/2002

250 mg QD 5/5/2003

Concordant

−0.8

Erlotinib

150 mg QD

150 mg QD

Concordant

150 mg QD 10/19/2007

150 mg QD 11/18/2004

Concordant

2.9

Sorafenib

400 mg BID

400 mg BID

Concordant

400 mg BID 1/25/2008

400 mg BID 12/20/2005

Concordant

2

Sunitinib

50 mg QD

50 mg QD

Concordant

50 mg QD 4/16/2008

50 mg QD 1/26/2006

Concordant

2.1

Crizotonib

250 mg BID

250 mg BID

Concordant

250 mg BID 3/20/2012

250 mg BID 8/26/2011

Concordant

0.5

Axitinib

5 mg BID

5 mg BID

Concordant

5 mg BID 6/29/2012

5 mg BID 1/27/2012

Concordant

0.4

Pazopanib

800 mg or 1000 mg QD

800 mg QD

Concordant

800 mg QD 9/28/2012

800 mg QD 10/19/2009

Concordant

2.9

Regorafenib

160 mg QD

160 mg QD

Concordant

160 mg QD 3/25/2013

160 mg QD 9/27/2012

Concordant

0.5

Afatinib

50 mg QD

50 mg QD

Concordant

40 mg QD 1/17/2014

40 mg QD 7/12/2013

Concordant

0.5

Vemurafenib

960 mg BID

960 mg BID

Concordant

960 mg BID 12/26/2014

960 mg BID 8/17/2011

Concordant

2.3

Lenvatinib

24 mg QD

25 mg QD

Concordant

24 mg QD 3/26/2015

24 mg QD 2/13/2015

Concordant

0.1

Vandetanib

300 mg QD

300 mg QD

Concordant

300 mg QD 9/28/2015

300 mg QD 4/6/2011

Concordant

4.5

Ceritinib

750 mg QD

750 mg QD

Concordant

750 mg QD 3/28/2016

750 mg QD 4/29/2014

Concordant

1.9

Lapatinib

1500 mg QD

1250 mg QD

Different

1250 mg QD 4/22/2009

1250 mg QD 3/13/2007

Concordant

2

Everolimus

10 mg QD

5 or 10 mg QD or 20–50 mg weekly

Different

10 mg QD 1/20/2010

10 mg QD 3/30/2009

Concordant

0.8

Temsirolimus

15 mg/m2 weekly

Weekly doses of 25, 75, and 250 mg

Different

25 mg weekly 7/23/2010

25 mg weekly 5/30/2007

Concordant

3.1

Osimertinib

Not done

80 mg QD

NA

80 mg QD 3/28/2016

80 mg QD 11/13/2015

Concordant

0.3

  1. RP2D recommended phase 2 dose.
  2. aIn early-phase and late-phase studies, drugs that had identical doses or where the maximum tolerated dose was not reached in both regions were designated as “concordant”, while those for studies where the final doses differed were “discordant”