LBA7024 Background: Targretin (bexarotene) is a rexinoid that selectively activates RXR receptors which modulate functions associated with differentiation, inhibition of cell growth, apoptosis and metastasis. Data from four Phase I and Phase II studies suggests that combining bexarotene with chemotherapy in patients with first-line NSCLC may prolong survival. A randomized Phase III trial was performed to determine if adding bexarotene to cisplatin/vinorelbine chemotherapy prolongs survival of NSCLC patients. Methods: 623 chemo-naive NSCLC patients who had Stage IIIb disease with pleural effusion or Stage IV disease, who were performance status ECOG 0–1, and who had normalized triglyceride levels at study entry were enrolled. This study size will allow detection of a 30% survival improvement in the bexarotene treatment arm. Patients were stratified by disease stage and gender prior to randomization to bexarotene (400mg/m2/day) with cisplatin/vinorelbine or cisplatin/vinorelbine alone. Overall survival distribution (primary endpoint) between the arms will be analyzed by stratified log-rank test. Secondary endpoint is the one-year survival rate. Safety assessments were conducted. Efficacy and safety data will be mature and available in March, 2005. Author Disclosure Employment or Leadership Consultant or Advisory Role Stock Ownership Honoraria Research Funding Expert Testimony Other Remuneration Ligand Ligand Ligand Ligand