Trial | Phase | Enrollment | Study Type | Start Date | Status |
Phase II Randomized Open-Label Trial of the EGFR Tyrosine Kinase Inhibitor OSI-774 (Tarceva™) in Combination With Paclitaxel and Carboplatin Prior to Surgery in Resectable Stage IIIA (N2) and IIIB (T4 N2) NSCLC: A Clinical Outcome and Biological Endpoint [NCT00063258] | Phase 2 | 5 participants (Actual) | Interventional | 2003-06-30 | Terminated(stopped due to Low accrual rate) |
Phase III Study of Gemcitabine/Oxaliplatin (GEMOX) With or Without Erlotinib in Unresectable, Metastatic Biliary Tract Carcinoma [NCT01149122] | Phase 3 | 266 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Randomized, Phase III Trial of Prophylactic Cranial Irradiation (PCI) in Patients With Advanced Non-small Cell Lung Cancer (NSCLC) Who Are Effective on Erlotinib or Gefitinib(RT1001) [NCT01158170] | Phase 3 | 200 participants (Anticipated) | Interventional | 2010-06-30 | Recruiting |
A Phase II Study of OSI-774 in Combination With Bevacizumab in Patients With Stage IV Breast Cancer [NCT00054132] | Phase 2 | 38 participants (Actual) | Interventional | 2002-12-31 | Completed |
Hormone Receptor Positive Disease Across Solid Tumor Types: A Phase I Study of Single-Agent Hormone Blockade and Combination Approaches With Targeted Agents to Provide Synergy and Overcome Resistance [NCT01197170] | Phase 1 | 277 participants (Actual) | Interventional | 2010-09-07 | Completed |
A Phase I Study of ARQ 197 in Combination With Erlotinib in Patients With Advanced/Recurrent Non-Small-Cell Lung Cancer [NCT01069757] | Phase 1 | 16 participants (Actual) | Interventional | 2010-02-28 | Completed |
A Randomized, Open-label, Controlled, Multi-Center Phase II/III Study to Assess the Efficacy and Safety of AZD3759 vs. a Standard of Care EGFR TKI, as First Line Treatment to EGFR Mutation Positive Advanced NSCLC With CNS Metastases [NCT03653546] | Phase 2/Phase 3 | 492 participants (Actual) | Interventional | 2018-10-29 | Completed |
Randomized Study of Erlotinib vs Observation in Patients With Completely Resected Epidermal Growth Factor Receptor (EGFR) Mutant Non-Small Cell Lung Cancer (NSCLC) [NCT02193282] | Phase 3 | 450 participants (Anticipated) | Interventional | 2015-02-11 | Active, not recruiting |
A Phase II-R and a Phase III Trial Evaluating Both Erlotinib (Ph II-R) and Chemoradiation (Ph III) as Adjuvant Treatment for Patients With Resected Head of Pancreas Adenocarcinoma [NCT01013649] | Phase 2/Phase 3 | 545 participants (Anticipated) | Interventional | 2009-11-17 | Active, not recruiting |
Phase I Study of Chemoprevention With Green Tea Polyphenon E (PPE) and the Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor Erlotinib (OSI-774, Tarceva) in Patients With Premalignant Lesions of the Head and Neck [NCT01116336] | Phase 1 | 25 participants (Actual) | Interventional | 2010-03-31 | Completed |
Tratamiento Individualizado en función de Las Mutaciones en EGFR y Del Nivel de expresión de BRCA1 en Pacientes Con Adenocarcinoma de pulmón Avanzado [NCT00883480] | | 153 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Phase 1 Study of LY2875358 in Patients With Advanced Cancer [NCT01287546] | Phase 1 | 117 participants (Anticipated) | Interventional | 2010-04-13 | Completed |
A Phase 3, Randomized, Double-Blinded, Placebo-Controlled Study of ARQ 197 Plus Erlotinib Versus Placebo Plus Erlotinib in Previously Treated Subjects With Locally Advanced or Metastatic, Non-Squamous, Non-Small-Cell Lung Cancer With Wild-type Epidermal G [NCT01377376] | Phase 3 | 0 participants | Interventional | 2011-07-31 | Terminated |
A Phase I Study of Preoperative Chemoradiation With Oxaliplatin, 5-Fluorouracil, Erlotinib and Radiation Followed by Resection and Consolidative Erlotinib for Patients With Locally Advanced Cancer of the Esophagus and Gastroesophageal Junction [NCT01561014] | Phase 1 | 9 participants (Actual) | Interventional | 2007-04-30 | Completed |
A Biomarker-Driven Master Protocol for Previously Treated Squamous Cell Lung Cancer (Lung-Map) [NCT02154490] | | 1,864 participants (Actual) | Observational | 2014-07-08 | Completed |
Phase II Study of Erlotinib Plus Carboplatin and Paclitaxel in Patients With Ovarian, Fallopian Tube, or Primary Peritoneal Carcinoma [NCT00059787] | Phase 2 | 56 participants (Actual) | Interventional | 2003-04-30 | Completed |
A Phase II, Randomized, Placebo Controlled Study to Evaluate the Efficacy of the Combination of Gemcitabine, Erlotinib and Metformin in Patients With Locally Advanced and Metastatic Pancreatic Cancer [NCT01210911] | Phase 2 | 120 participants (Actual) | Interventional | 2010-08-31 | Completed |
Bevacizumab, Pemetrexed and Cisplatin, or Erlotinib and Bevacizumab for Advanced Non-Squamous NSCLC Stratified by EGFR Mutation Status. A Multicenter Phase II Trial Including Biopsy at Progression (BIO-PRO Trial). [NCT01116219] | Phase 2 | 149 participants (Anticipated) | Interventional | 2010-06-30 | Completed |
A Single Arm, One Center, Phase Ⅱ Study of Erlotinib as Neoadjuvent Treatment in Patients With Endobronchial Ultrasound Confirmed Stage ⅢA N2 NSCLC With EGFR Mutation in Exon 19 or 21 [NCT01217619] | Phase 2 | 25 participants (Actual) | Interventional | 2011-03-02 | Completed |
Survival Analysis of A Chinese Randomized Crossover Study Comparing Erlotinib to Docetaxel/Cisplatin in Previously Untreated Stage IIIB/IV Lung Adenocarcinoma With EGFR Mutations [NCT01131429] | Phase 2 | 60 participants (Anticipated) | Interventional | 2010-06-30 | Not yet recruiting |
A Phase II Trial of Erlotinib Plus Bevacizumab in Advanced Hepatocellular Carcinoma as a Second-line Therapy in Patients Who Have Received First-line Sorafenib Therapy (AVF4572) [NCT01180959] | Phase 2 | 45 participants (Actual) | Interventional | 2011-04-14 | Completed |
A National, Multi Center, Randomized, Open-label, Phase II Trial of Tarceva Versus Combination of Gemcitabine Plus Cisplatin as Neoadjuvant Treatment in Stage IIIA-N1,N2 NSCLC With Activating EGFR Mutation in Exon 19 or 21 [NCT01297101] | | 0 participants | Expanded Access | | Temporarily not available |
Targeted Therapy Selection Based on Tumor Tissue Kinase Activity Profiles for Patients With Advanced Solid Malignancies, an Exploratory Study [NCT01190241] | | 45 participants (Actual) | Interventional | 2010-08-31 | Terminated |
A Phase I Dose Escalation Study of the mTOR Inhibitor Everolimus (RAD001) and Erlotinib Concurrently With Radiation Therapy in the Re-Irradiation Setting for Head and Neck Cancer [NCT01332279] | Phase 1 | 0 participants (Actual) | Interventional | 2011-04-30 | Withdrawn(stopped due to Pharmaceutical co. withdrew support. Study was never activated and did not accrue any patients.) |
Phase II Trial of Carboplatin/Paclitaxel and Cetuximab, Followed by Carboplatin/Paclitaxel/Cetuximab and Erlotinib, With Correlative Studies in Patients With Metastatic or Recurrent Squamous Cell Carcinoma of the Head and Neck. [NCT01316757] | Phase 2 | 24 participants (Actual) | Interventional | 2011-02-16 | Completed |
A Phase 1/2 Study of LY3499446 Administered to Patients With Advanced Solid Tumors With KRAS G12C Mutation [NCT04165031] | Phase 1/Phase 2 | 5 participants (Actual) | Interventional | 2019-11-28 | Terminated(stopped due to The study was terminated due to an unexpected toxicity finding.) |
Phase II, Open-label Study of Erlotinib (Tarceva®) Treatment in Patients With Locally Advanced, Metastatic or Recurrent Non-small Cell Lung Cancer Who Present Activating Mutations in the Tyrosine Kinase Domain of the Epidermal Growth Factor Receptor [NCT01372384] | Phase 2 | 6 participants (Actual) | Interventional | 2012-01-31 | Completed |
Comparative Clinical Trial of Erlotinib and Pemetrexed for Maintenance Treatment in Lung Adenocarcinoma [NCT02399566] | Phase 4 | 300 participants (Anticipated) | Interventional | 2015-05-31 | Not yet recruiting |
SAMSUNG MEDICAL CENTER [NCT03110484] | Phase 2 | 44 participants (Anticipated) | Interventional | 2021-07-09 | Recruiting |
A Phase II/III Randomized Study of Rilotumumab Plus Erlotinib Versus Erlotinib as Second Line Therapy for C-Met Positive Patients With Stage IV Squamous Cell Lung Cancer (Lung-Map Sub-Study) [NCT02926638] | Phase 2/Phase 3 | 9 participants (Actual) | Interventional | 2014-06-16 | Terminated(stopped due to Drug company decided to terminate all sponsored clinical studies involving rilotumumab.) |
Phase II Trial of Weekly Erlotinib Dosing to Reduce Duodenal Polyp Burden Associated With Familial Adenomatous Polyposis [NCT02961374] | Phase 2 | 46 participants (Actual) | Interventional | 2017-10-27 | Completed |
A Multicenter Phase II Trial of Carboplatin, Pemetrexed, and Bevacizumab Followed By Pemetrexed and Bevacizumab Maintenance Therapy in Patients With a Light or Never Smoking History [NCT01344824] | Phase 2 | 38 participants (Actual) | Interventional | 2010-03-31 | Completed |
Pilot Study on the Determination of Tumor Concentrations of Protein Kinase Inhibitors in Patients With Newly Diagnosed High-grade Glioma [NCT02239952] | | 15 participants (Anticipated) | Interventional | 2014-11-30 | Recruiting |
A Phase IIb Randomized Study to Evaluate the Efficacy of Gemcitabine-erlotinib Versus Gemcitabine-erlotinib-capecitabine in Patients With Metastatic Pancreatic Cancer [NCT01303029] | Phase 2 | 120 participants (Actual) | Interventional | 2011-02-28 | Completed |
Real Life Experience of Erlotinib in Patients With Advanced Non-Small Cell Lung Cancer in the Middle Eastern Countries (REALME) [NCT01320501] | Phase 4 | 100 participants (Anticipated) | Interventional | 2009-10-31 | Suspended(stopped due to Difficulty in enrolling patients) |
A Multi-center, Open-labeled Phase 2 Study of First Line Intermittent and Maintenance of Erlotinib in Combination With Pemetrexed/Carboplatin in ⅢB/IV Non Small Cell Lung Cancer With Epidermal Growth Factor Receptor (EGFR) Mutation [NCT02066038] | Phase 2 | 60 participants (Anticipated) | Interventional | 2014-01-31 | Active, not recruiting |
A Phase I, Single-center, Non-randomized, Open-label Study to Determine the Lowest Effective Theophylline Dose That Decreased Erlotinib's Diarrhea at the Standard Dose of 150 mg/Day and to Determine the Highest Erlotinib Dose in Combination With Theophyll [NCT02080078] | Phase 1 | 15 participants (Actual) | Interventional | 2014-09-30 | Terminated(stopped due to REB decision) |
A Phase II Randomized Study of OSI-774 (Erlotinib) (NSC #718781) With or Without Carboplatin/Paclitaxel in Patients With Previously Untreated Adenocarcinoma of the Lung Who Never Smoked or Were Former Light Smokers [NCT00126581] | Phase 2 | 188 participants (Actual) | Interventional | 2005-08-15 | Completed |
A Randomized, Phase III, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Onartuzumab (MetMAb) in Combination With Erlotinib as Second- or Third-Line Treatment for Patients With MET-Positive Incurable Stage IIIB/IV [NCT02031744] | Phase 3 | 530 participants (Anticipated) | Interventional | 2014-01-22 | Completed |
Randomized Open Non Comparative Multicenter Phase II Study of Sequential Erlotinib With Docetaxel Versus Docetaxel Alone in Second Line of Treatment in Patients With Non Small Cell Lung Cancer After Failure of First Line Chemotherapy [NCT01350817] | Phase 2 | 156 participants (Actual) | Interventional | 2011-05-31 | Completed |
Anlotinib-based Combination as First-line Treatment in Advanced Non-small Cell Lung Cancer: a Single Center, Three Arms and Exploratory Study [NCT03628521] | Phase 1 | 80 participants (Anticipated) | Interventional | 2018-07-20 | Recruiting |
A Phase I/Pharmacokinetic Study of Erlotinib for Advanced Non-small Cell Lung Cancer in Persons With HIV Infection [NCT02134886] | Phase 1 | 48 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to No Accrual) |
A Phase I/II Study of MK-3475 (SCH900475) in Combination With Chemotherapy or Immunotherapy in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Carcinoma [NCT02039674] | Phase 1/Phase 2 | 267 participants (Actual) | Interventional | 2014-02-21 | Completed |
Phase III, Multicenter, Open-label, Randomized Trial of Tarceva® vs Chemotherapy in Patients With Advanced NSCLC With Mutations in the TK Domain of the EGFR [NCT00446225] | Phase 3 | 174 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Phase II Study to Assess Efficacy of Combined Treatment With Erlotinib (Tarceva) and Silybin-phytosome (Siliphos) in Patients With EGFR(Epidermal Growth Factor Receptor) Mutant Lung Adenocarcinoma [NCT02146118] | Phase 2 | 42 participants (Anticipated) | Interventional | 2014-04-30 | Recruiting |
A Phase I Study of ARQ 197 in Combination With Erlotinib in CYP2C19 Poor Metabolizer Patients With Advanced/Recurrent Non-Small-Cell Lung Cancer [NCT01251796] | Phase 1 | 9 participants (Actual) | Interventional | 2010-12-31 | Completed |
Phase II Trial Evaluating the Combination of Gemcitabine, Trastuzumab and Erlotinib as First-line Chemotherapy in Patients With Metastatic Pancreatic Adenocarcinoma [NCT01204372] | Phase 2 | 63 participants (Actual) | Interventional | 2010-06-30 | Completed |
Phase III Randomized, Controlled Trial of Erlotinib (Tarceva) as Maintenance Therapy in Patients With Squamous Cell Carcinoma of the Head and Neck Treated With Resection and Radiotherapy With or Without Concomitant Chemotherapy With Curative Aim [NCT00412217] | Phase 3 | 94 participants (Actual) | Interventional | 2006-11-30 | Terminated(stopped due to The study was terminated because recruitment was too slow.) |
Phase II Open-Label Trial of Erlotinib (Tarceva) and Bevacizumab in Women With Advanced Ovarian Cancer [NCT00130520] | Phase 2 | 40 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Phase III, Multicenter, Placebo-Controlled, Double-Blind, Randomized Clinical Trial to Evaluate the Efficacy of Bevacizumab in Combination With Tarceva (Erlotinib) Compared With Tarceva Alone for Treatment of Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00130728] | Phase 3 | 636 participants (Actual) | Interventional | 2005-06-08 | Completed |
Phase I/II Study of OSI-774 (Erlotinib) and CCI-779 (Temsirolimus) in Patients With Recurrent Malignant Glioma [NCT00112736] | Phase 1/Phase 2 | 69 participants (Actual) | Interventional | 2005-04-30 | Completed |
Erlotinib Prevention of Oral Cancer (EPOC) [NCT00402779] | Phase 3 | 303 participants (Actual) | Interventional | 2006-11-03 | Completed |
A Randomized Phase II Study of Bevacizumab (NSC# 704865) and Gemcitabine in Combination With Either Cetuximab (NSC# 714692) or OSI-774 (NSC# 718781) in Patients With Advanced Pancreatic Cancer [NCT00091026] | Phase 2 | 143 participants (Actual) | Interventional | 2004-07-31 | Completed |
A Phase II Study of Erlotinib Combined With Radiotherapy in Patients With Non-resectable Locally Advanced Non-small Cell Lung Cancer [NCT01091376] | Phase 2 | 75 participants (Anticipated) | Interventional | 2010-01-31 | Recruiting |
A Phase III, Double-blind, Randomised Study to Assess the Safety and Efficacy of AZD9291 Versus a Standard of Care Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor as First Line Treatment in Patients With Epidermal Growth Factor Receptor Mutatio [NCT02296125] | Phase 3 | 674 participants (Actual) | Interventional | 2014-12-03 | Active, not recruiting |
Clinical Pilot to Evaluate the Accuracy of FDG-/FLT-PET and DCE-MRI for Early Prediction of Non-Progression in Patients With Advanced Non Squamous Cell Non Small Cell Lung Cancer (NSCLC) Treated With Erlotinib and Bevacizumab and to Associate Imaging Find [NCT01047059] | Phase 2 | 40 participants (Actual) | Interventional | 2010-01-31 | Completed |
Phase I-II Trial of Erlotinib in Higher Risk Myelodysplastic Syndrome [NCT01085838] | Phase 1/Phase 2 | 30 participants (Actual) | Interventional | 2010-07-31 | Completed |
A Phase I/II Trial of OSI-774 in Patients With Recurrent Malignant Gliomas and Malignant Gliomas Post Radiation Therapy [NCT00045110] | Phase 1/Phase 2 | 136 participants (Actual) | Interventional | 2002-08-31 | Completed |
A Phase 1 Study of Gemcitabine, Dasatinib and Erlotinib in Patients With Advanced Pancreatic Carcinoma [NCT01660971] | Phase 1 | 19 participants (Actual) | Interventional | 2012-07-30 | Active, not recruiting |
Phase I Trial of OSI-774 and CPT-11 in Patients With Advanced Solid Tumors [NCT00045201] | Phase 1 | 60 participants (Actual) | Interventional | 2002-06-13 | Active, not recruiting |
A Randomized Open-label Phase 3 Trial Comparing Bevacizumab + Erlotinib vs Erlotinib Alone as First Line Treatment of Patients With EGFR Mutated Advanced Non Squamous Non Small Cell Lung Cancer [NCT02633189] | Phase 3 | 200 participants (Anticipated) | Interventional | 2016-04-30 | Active, not recruiting |
Phase II, Open-label Study of Erlotinib (Tarceva®) Treatment in Patients With Locally Advanced or Metastatic Non-small-cell Lung Cancer Who Present Activating Mutations in the Tyrosine Kinase Domain of the Epidermal Growth Factor Receptor (EGFR) - (TRIGGE [NCT01378962] | Phase 2 | 50 participants (Actual) | Interventional | 2011-03-31 | Completed |
An Open Label Study to Evaluate the Effect of First Line Treatment With Tarceva in Combination With Gemcitabine on Disease Progression in Patients With Unresectable Advanced and/or Metastatic Non-small Cell Lung Cancer [NCT00701558] | Phase 2 | 20 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Randomized Phase 2 Study of Erlotinib Plus ARQ 197 Versus Erlotinib Plus Placebo in Previously Treated Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) [NCT00777309] | Phase 2 | 167 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Phase 2 Study Comparing Sequential Satraplatin and Erlotinib to Single-Agent Erlotinib in Patients ≥ 70 Years of Age With Unresectable Stage 3 OR 4 Non-Small Cell Lung Cancer as 1st-Line Therapy [NCT00370383] | Phase 2 | 100 participants (Actual) | Interventional | 2006-07-31 | Completed |
A Phase IIIb Study of Tarceva (Erlotinib) in Patients With Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT02694536] | Phase 3 | 80 participants (Actual) | Interventional | 2006-08-01 | Completed |
An Open-label, Multicenter Extension Study of Onartuzumab in Patients With Solid Tumors on Study Treatment Previously Enrolled in an F.Hoffmann-la Roche- and/or Genentech- Sponsored Study [NCT02488330] | Phase 3 | 12 participants (Actual) | Interventional | 2015-08-27 | Completed |
A Phase II Study to Evaluate Foretinib in Genomic Subpopulations of Subjects With Non-Small-Cell Lung Cancer (NSCLC) [NCT02034097] | Phase 2 | 0 participants (Actual) | Interventional | 2014-04-30 | Withdrawn(stopped due to GSK has decided to terminate the Product Development of foretinib and conclude our Development Agreement with Exelixis) |
A Multicenter, Phase 1/1b, Open-Label, Dose-Escalation Study of ABBV-399, an Antibody Drug Conjugate, in Subjects With Advanced Solid Tumors [NCT02099058] | Phase 1 | 237 participants (Actual) | Interventional | 2014-01-15 | Active, not recruiting |
A Phase II Trial of Preoperative Concurrent Chemotherapy/Radiation Therapy Plus Bevacizumab/Erlotinib in the Treatment of Localized Esophageal Cancer [NCT00393068] | Phase 2 | 62 participants (Actual) | Interventional | 2007-02-28 | Completed |
Intercalated Combination of Chemotherapy and Erlotinib in 1st Line Setting for Patients Advanced Stage Non-small-cell Lung Cancer With Low Abundant Activating EGFR Mutation(INNOVATE) [NCT02095782] | Phase 2 | 10 participants (Actual) | Interventional | 2014-03-31 | Terminated(stopped due to Because of the very slow enrollment, this study was stopped.) |
A Randomized, Controlled Phase 2 Study Evaluating LY2875358 Plus Erlotinib Versus Erlotinib as First-Line Treatment in Metastatic Non-Small Cell Lung Cancer Patients With Activating EGFR Mutations Who Have Disease Control After an 8-Week Lead-In Treatment [NCT01897480] | Phase 2 | 150 participants (Anticipated) | Interventional | 2013-08-28 | Active, not recruiting |
A Multicenter, Open-label, Randomized Phase III Study to Evaluate the Efficacy and Safety of Erlotinib (Tarceva®) Versus Gemcitabine/Cisplatin as the First-line Treatment for Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC) Patients With Mutations in the [NCT01342965] | Phase 3 | 217 participants (Actual) | Interventional | 2011-03-31 | Completed |
Pilot Study of EGFR Inhibition With Erlotinib in Cirrhosis to Inhibit Fibrogenesis and Prevent Hepatocellular Carcinoma [NCT02273362] | Phase 1/Phase 2 | 25 participants (Actual) | Interventional | 2014-11-24 | Active, not recruiting |
A Phase I Study of Ixazomib and Erlotinib in Advanced Solid Tumor Patients [NCT02942095] | Phase 1 | 9 participants (Actual) | Interventional | 2017-03-06 | Completed |
A Phase II Trial of Adjuvant Bevacizumab and Erlotinib in Patients at High Risk for Early Relapse Following Radical Prostatectomy for Prostate Cancer [NCT00203424] | Phase 2 | 23 participants (Actual) | Interventional | 2006-01-31 | Completed |
A Phase II Study Of The Weekly Administration Of Docetaxel In Combination With The Epidermal Growth Factor Receptor Inhibitor OSI-774 In Recurrent And/Or Metastatic Breast Cancer [NCT00054275] | Phase 2 | 39 participants (Actual) | Interventional | 2002-12-31 | Completed |
A Double-Blind, Randomized, Parallel Two-Arm Phase II Trial of BMS-690514 Versus Erlotinib in Previously Treated NSCLC Patients [NCT00743938] | Phase 2 | 141 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Randomized, Open-label, Phase III Study of Single Agent Nazartinib Versus Investigator's Choice (Erlotinib or Gefitinib) as First-Line Treatment in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Harboring EGFR Activating Mutatio [NCT03529084] | Phase 3 | 0 participants (Actual) | Interventional | 2018-07-24 | Withdrawn(stopped due to Decision by Sponsor not to continue with the trial.) |
The Continuation of Erlotinib Treatment in Non-small Cell Lung Cancer Patients Whose Brain Lesion is the Only Site of Progression : Pilot Study [NCT01130779] | Phase 2 | 23 participants (Anticipated) | Interventional | 2009-08-31 | Enrolling by invitation |
Development of an Integrated Molecular Biomarker ofEarly Prediction of Therapeutic Response to Targeted Therapy in Stage IIIB/IV or Recurrent Lung Cancer Patients Using Imaging Assessments and Genomic Modeling [NCT00708448] | Phase 1 | 26 participants (Actual) | Interventional | 2008-03-28 | Completed |
A Phase I Single Arm Open Label Study of Erlotinib and 13-cis-Retinoic Acid (CRA) in Patients With Recurrent Malignant Gliomas [NCT01103375] | Phase 1 | 5 participants (Actual) | Interventional | 2010-05-31 | Terminated(stopped due to Slow accrual) |
An Multicenter,Phase II Trial of EGFR-TKIs Combine With Anlotinib as First-line Treatment for Patients With Advanced EGFR Mutation-positive NSCLC [NCT03720873] | Phase 2 | 90 participants (Anticipated) | Interventional | 2018-10-31 | Recruiting |
Addition of the Gamma-Secretase Inhibitor RO4929097 to Erlotinib in Patients With Advanced Non-small Cell Lung Cancer (NSCLC) [NCT01193881] | Phase 1 | 16 participants (Actual) | Interventional | 2010-08-31 | Terminated |
An Open-Label, Phase I/Ib Dose Escalation Study to Assess the Safety and Tolerability of GSK1120212 in Combination With Docetaxel, Erlotinib, Pemetrexed, Pemetrexed + Carboplatin, Pemetrexed + Cisplatin, or Nab-Paclitaxel in Subjects With Advanced Solid T [NCT01192165] | Phase 1 | 169 participants (Actual) | Interventional | 2010-09-14 | Completed |
A Phase II Trial of Neoadjuvant Erlotinib (Tarceva®) Followed by Surgery for Selected Patients With Stage IIIA, N2-positive Non-Small Cell Lung Cancer [NCT01130753] | Phase 2 | 43 participants (Anticipated) | Interventional | 2007-01-31 | Completed |
Randomized Multicenter Study to Compare the Effectiveness and Safety of Erlotinib and Pemetrexed as Maintenance Therapy of Advanced Non-Squamous Non-Small Cell Lung Cancer [NCT03460678] | Phase 4 | 9 participants (Actual) | Interventional | 2018-02-28 | Terminated(stopped due to Difficulty recruiting) |
[NCT01229813] | Phase 3 | 233 participants (Actual) | Interventional | 2010-10-31 | Completed |
β-elemene Combine With EGFR-TKI for Advanced EGFR-TKI-resistant Non-Small Cell Lung Cancer [NCT03123484] | Phase 2 | 80 participants (Anticipated) | Interventional | 2017-04-30 | Not yet recruiting |
A Clinical Phase I / II Trial of Belinostat in Combination With Erlotinib in Patients With Non-small Cell Lung Cancer [NCT01188707] | Phase 1/Phase 2 | 5 participants (Actual) | Interventional | 2010-10-01 | Terminated(stopped due to Dose over MTD reached) |
Phase Ⅱ Study of Induction Erlotinib Therapy in Stage III A(N2) Non-small Cell Lung Cancer Proceeding to Mediastinoscopy/PET and Thoracotomy/Radiotherapy [NCT00600587] | Phase 2 | 24 participants (Actual) | Interventional | 2007-09-30 | Completed |
CCCWFU 60307 - Pilot Study to Evaluate the Anti-tumor Effect of Erlotnib Administered Befor Surgery in Operable Patients With Squamous Cell Carcinoma of the Head and Neck (HNSCC) [NCT00601913] | Early Phase 1 | 24 participants (Actual) | Interventional | 2008-03-31 | Completed |
Phase II Study of Sorafenib (NSC-724772) and Erlotinib (NSC-718781) in Patients With Advanced Gallbladder Carcinoma or Cholangiocarcinoma [NCT01093222] | Phase 2 | 40 participants (Actual) | Interventional | 2010-04-30 | Completed |
Phase II Trial of Erlotinib in Patients With JAK-2 V617F Positive Polycythemia Vera [NCT01038856] | Phase 2 | 5 participants (Actual) | Interventional | 2009-12-31 | Terminated(stopped due to The study was terminated by the sponsor) |
A Randomized, Phase 2 Study of Single-agent Erlotinib Versus Oral Etoposide in Patients With Recurrent or Refractory Pediatric Ependymoma [NCT01032070] | Phase 2 | 25 participants (Actual) | Interventional | 2010-09-27 | Terminated(stopped due to In a pre-planned interim analysis, OSI-774-205 met futility for efficacy with no safety concerns. As a result, it has been stopped.) |
A Phase I/II Trial of AMG 102 and Erlotinib in Previously Treated Patients With Advanced Non-Small Cell Lung Cancer [NCT01233687] | Phase 1/Phase 2 | 49 participants (Actual) | Interventional | 2011-08-31 | Completed |
A Phase II Trial of Endocrine Therapy in Combination With OSI-906 (an IGF-1R Inhibitor) and Erlotinib (Tarceva®, an EGFR Inhibitor) in Patients With Hormone-sensitive Metastatic Breast Cancer [NCT01205685] | Phase 2 | 11 participants (Actual) | Interventional | 2010-05-31 | Terminated(stopped due to PI closed study early, all patients experienced severe toxicities and progressed) |
A Phase II Study of Erlotinib and Radiation Therapy in Patients With Locally Advanced Squamous Cell Cancer of the Head and Neck [NCT01192815] | Phase 2 | 2 participants (Actual) | Interventional | 2011-01-31 | Terminated(stopped due to Funding unavailable) |
First-Line Erlotinib Therapy and the Subsequent Development of Mechanisms of Secondary Resistance in Patients With Non-Small Cell Lung Cancer and Known Sensitizing EGFR Mutations [NCT00997334] | Phase 2 | 60 participants (Actual) | Interventional | 2010-02-28 | Completed |
Phase I Study of LBH589 in Combination With Erlotinib for Advanced Aerodigestive Tract Cancers (CLBH5889CUS11T) [NCT00738751] | Phase 1 | 44 participants (Actual) | Interventional | 2008-11-30 | Completed |
A Phase I Dose-escalation Study of OSI-906 and Erlotinib (Tarceva®) in Patients With Advanced Solid Tumors [NCT00739453] | Phase 1 | 95 participants (Actual) | Interventional | 2008-10-23 | Completed |
Phase I/II Dose Escalation Trial of Induction and Concomitant Erlotinib and Celecoxib With Radiation Therapy for Treatment of Poor Prognosis Head and Neck Cancer, Including Reirradiation [NCT00970502] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2007-02-28 | Completed |
Combined Targeted Therapies for Triple Negative Advanced Breast Cancer - A Phase II Trial of Weekly Nab-Paclitaxel and Bevacizumab Followed by Maintenance Targeted Therapy With Bevacizumab and Erlotinib [NCT00733408] | Phase 2 | 59 participants (Actual) | Interventional | 2008-04-23 | Completed |
An Expanded Access Program of Tarceva (Erlotinib) in Patients With Advanced Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00949910] | Phase 4 | 6,586 participants (Actual) | Interventional | 2004-11-30 | Completed |
A Phase 1 Dose Escalation Study of Daily Oral OSI-930 and Erlotinib (Tarceva) in Patients With Advanced Solid Tumors [NCT00603356] | Phase 1 | 60 participants (Anticipated) | Interventional | 2007-11-30 | Completed |
A Randomized Phase II Study of Dual Epidermal Growth Factor Receptor Inhibition With Erlotinib and Panitumumab With or Without Irinotecan as Second Line Therapy in Patients With Metastatic Colorectal Cancer [NCT00940316] | Phase 2 | 28 participants (Actual) | Interventional | 2010-01-18 | Completed |
Phase II Clinical Trial of the Combination of RAD001 and Erlotinib in Patients With Recurrent Squamous Cell Carcinoma of the Head and Neck [NCT00942734] | Phase 2 | 49 participants (Actual) | Interventional | 2009-07-31 | Completed |
Phase I Study of Erlotinib and Temsirolimus in Resistant Solid Malignancies [NCT00770263] | Phase 1 | 46 participants (Actual) | Interventional | 2009-05-31 | Completed |
A Randomized Open-Label Multi-Institution Phase II Study of the Combination of Bevacizumab and Erlotinib Compared to Sorafenib in the First-Line Treatment of Patients With Advanced Hepatocellular Carcinoma (HCC) [NCT00881751] | Phase 2 | 95 participants (Actual) | Interventional | 2009-03-31 | Completed |
Comparison of Biomarker Modulation by Inhibition of EGFR and/or Src Family Kinases Using Erlotinib and Dasatinib in Head and Neck Lung Cancers [NCT00779389] | Phase 1 | 58 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Phase II Single-Arm Trial Assessing the Use of an Ex Vivo Sensitivity Assay to Predict Response of Relapsed Metastatic Non-Small Cell Lung Cancer Patients to Erlotinib [NCT00673569] | Phase 2 | 40 participants (Anticipated) | Interventional | 2006-09-30 | Completed |
A Multicenter, Open-label, Phase II Study of Sorafenib in Combination With Erlotinib in Non-small Cell Lung Cancer (NSCLC) Refractory to One or Two Prior Chemotherapy Regimens [NCT00801385] | Phase 2 | 47 participants (Anticipated) | Interventional | 2008-09-30 | Recruiting |
A Phase II Study of Combination Therapy of Carboplatin -Gemcitabine Plus Bevacizumab Beyond Progression in Patients With Locally Advanced and/or Metastatic Non-small Cell Lung Cancer (NSCLC) Who Have Not Received Prior Systemic Therapy [NCT00702975] | Phase 2 | 35 participants (Actual) | Interventional | 2008-09-30 | Completed |
University of Alabama at Birmingham(UAB 0808), A Phase II Study of Short-course Preoperative Erlotinib Followed by Post-operative Erlotinib-gemcitabine in Patients With Resectable Pancreatic Adenocarcinoma [NCT00841035] | Phase 2 | 6 participants (Actual) | Interventional | 2009-02-28 | Terminated(stopped due to Sponsor stopped due to slow enrollment) |
Phase Ib Study To Evaluate The Safety Of Combining IGF-1R Antagonist R1507 With Multiple Standard Chemotherapy Drug Treatments In Patients With Advanced Malignancies [NCT00811993] | Phase 1 | 104 participants (Actual) | Interventional | 2009-02-28 | Terminated |
Optimization of Erlotinib for the Treatment of Patients With Advanced Non Small Cell Lung Cancer: an Italian Randomized Trial [NCT00637910] | Phase 3 | 850 participants (Anticipated) | Interventional | 2007-11-30 | Recruiting |
[NCT00830245] | Phase 2 | 20 participants (Anticipated) | Interventional | 2009-01-31 | Terminated(stopped due to low accrual rate) |
A Randomized Phase II Study of Erlotinib Compared to Single Agent Chemotherapy-erlotinib Combination in Pretreated Patients With Advanced NSCLC (NVALT10 Study) [NCT00835471] | Phase 2 | 195 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Randomized, Open-Label, Phase 2 Study to Evaluate OBI-833/OBI-821 in Combination With First-Line Erlotinib in Patients With EGFR-Mutated, Globo H-Positive, Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT05442060] | Phase 2 | 60 participants (Anticipated) | Interventional | 2022-07-27 | Recruiting |
A Phase I/II Study of Foretinib in Patients With Previously Treated Non-Small Cell Lung Cancer Receiving Standard Erlotinib Therapy [NCT01068587] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2010-01-21 | Completed |
A Phase I Study of Adjuvant OSI-774 (Tarceva®) in Patients Following Combined Chemo-Radiotherapy for Locally Advanced Squamous Cell Carcinoma of the Head and Neck [NCT00079053] | Phase 1 | 19 participants (Actual) | Interventional | 2004-03-02 | Completed |
A Randomized, Double-Blind, Placebo-controlled Phase 2 Study of Maintenance OSI-906 Plus Erlotinib (Tarceva®), or Erlotinib Plus Placebo in Patients With Nonprogression Following Four Cycles of 1st-line Platinum-based Chemotherapy for Advanced NSCLC [NCT01186861] | Phase 2 | 205 participants (Actual) | Interventional | 2011-03-04 | Completed |
A Phase I, Open-label, Dose Escalation Study of Gemcitabine and Pulse Dose Erlotinib in Second Line Treatment of Advanced Pancreatic Cancer [NCT02154737] | Phase 1 | 24 participants (Anticipated) | Interventional | 2013-07-31 | Completed |
An Open-label, Randomized, Phase II Study of Erlotinib Monotherapy Versus Docetaxel and Cisplatin as Neoadjuvant Therapy in Patients of Stage IIIA Lung Adenocarcinoma With Epidermal Growth Factor Receptor Gene Mutation. [NCT02036359] | Phase 2 | 76 participants (Anticipated) | Interventional | 2012-05-31 | Recruiting |
Chemotherapy in Combination With Erlotinib, or Sequential Chemotherapy for Erlotinib for Treatment, EGFR - TKI Resistance of EGFR Mutations in Patients With NSCLC Randomized Controlled Phase II Clinical Study [NCT02037997] | Phase 2 | 80 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting |
A Phase Ib/II, Open-label, Multicenter Trial With Oral cMET Inhibitor INC280 Alone and in Combination With Erlotinib Versus Platinum With Pemetrexed in Adult Patients With EGFR Mutated, cMET-amplified, Locally Advanced/Metastatic Non-small Cell Lung Cance [NCT02468661] | Phase 1 | 23 participants (Actual) | Interventional | 2015-09-23 | Terminated(stopped due to Major challenge for enrollment of participants.) |
Intercalated Combination of Erlotinib and Radiotherapy for Patients With EGFR-mutant, Unresectable, Locally Advanced Non-small-cell Lung Cancer [NCT03074864] | Phase 2/Phase 3 | 90 participants (Anticipated) | Interventional | 2017-02-27 | Active, not recruiting |
Phase 3 Study of Erlotinib 100mg or 150mg in Treating EGFR Mutated Patients With Non-small Cell Lung Cancer [NCT02140333] | Phase 3 | 220 participants (Anticipated) | Interventional | 2013-08-31 | Recruiting |
Erlotinib Treatment Beyond Progression in EGFR Mutant or Patients Who Have Responded EGFR TKI in Stage IIIB/IV NSCLC [NCT02064491] | Phase 2 | 18 participants (Actual) | Interventional | 2014-02-28 | Completed |
Multicentre Perspective Non-interventional Study of Survival Benefits of iCAGES-guided Therapy in Contrast to Standard Therapy or IHC-guided Therapy for Advanced Cancers [NCT03192501] | | 250 participants (Anticipated) | Observational | 2017-07-01 | Recruiting |
A Multicenter Randomized Phase III Study Comparing Second-line Treatment With Chemotherapy Associated or Not to Erlotinib in NSCLC Patients With Secondary Resistance to TKI-EGFR [NCT02178397] | Phase 3 | 6 participants (Actual) | Interventional | 2014-06-30 | Terminated(stopped due to lack of recruitment) |
A Phase I Clinical Study of Erlotinib (Tarceva) and Bexarotene (Targretin) Oral Capsules in Advanced Cancers of the Aerodigestive Tract [NCT01116622] | Phase 1 | 24 participants (Actual) | Interventional | 2003-04-30 | Completed |
A Randomized, Placebo-Controlled, Phase 2 Study of Docetaxel and Cisplatin/Carboplatin With or Without Erlotinib in Patients With Metastatic or Recurrent Squamous Cell Carcinoma of the Head and Neck [NCT01064479] | Phase 2 | 123 participants (Actual) | Interventional | 2010-02-05 | Completed |
Phase II Study of Erlotinib and RAD001 (Everolimus) in Patients With Previously Treated Advanced Pancreatic Cancer [NCT00640978] | Phase 2 | 16 participants (Actual) | Interventional | 2008-03-31 | Terminated(stopped due to Significant Adverse Effects - Futility) |
Phase II Study of Erlotinib (Tarceva®) and Radiotherapy for Elderly Patients With Esophageal Carcinoma [NCT00524121] | Phase 2 | 22 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase II Clinical Study of Erlotinib (Tarceva) and Bexarotene (Targretin) Oral Capsules in Patients With Advanced Non-small Cell Lung Cancer [NCT00125359] | Phase 2 | 42 participants (Actual) | Interventional | 2005-08-31 | Completed |
A Phase I/II Trial of a New Tyrosine Kinase Inhibitor (Tarceva; Erlotinib Hydrochloride; OSI-774) During and After Radiotherapy in the Treatment of Patients With Newly Diagnosed High Grade Glioma and Unfavorable Low-Grade Glioma [NCT00124657] | Phase 1/Phase 2 | 62 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Phase II Study of Erlotinib and Sorafenib in Patients With Locally Advanced and/or Metastatic (Stage IIIb or IV) Non Small Cell Lung Cancer Who Have Not Received Prior Chemotherapy [NCT00722969] | Phase 2 | 48 participants (Anticipated) | Interventional | 2007-11-30 | Active, not recruiting |
Phase II, Multicenter, Randomized, Open Label Study of a Sequential Treatment of Intermittent Erlotinib and Docetaxel Versus Erlotinib in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer After Failure of a Prior Chemotherapy Regimen [NCT00908336] | Phase 2 | 70 participants (Anticipated) | Interventional | 2009-03-31 | Recruiting |
An Umbrella Protocol for Histology-Independent, Phase I Modular Study Based on Epidermal Growth Factor Receptor (EGFR) Mutation Status: Using Erlotinib Alone or in Combination With Cetuximab, Bortezomib, or Dasatinib to Overcome Resistance [NCT00903734] | Phase 1 | 16 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase III Trial Comparing Whole Brain Radiation and Stereotactic Radiosurgery Alone Versus With Temozolomide or Erlotinib in Patients With Non-Small Cell Lung Cancer and 1-3 Brain Metastases [NCT00096265] | Phase 3 | 126 participants (Actual) | Interventional | 2004-10-06 | Terminated |
A Pilot Study of the Effect of Erlotinib (Tarceva®) on Biomarkers in Estrogen Receptor Negative Breast Cancer Expressing the Epidermal Growth Factor Receptor and Interleukin 1α [NCT00503841] | | 44 participants (Actual) | Interventional | 2007-12-31 | Terminated(stopped due to All enrolled participants were screen failures, no data were collected for outcome measures.) |
Phase I Study of Erlotinib (Tarceva) in Combination With AT-101 in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00934076] | Phase 1 | 0 participants (Actual) | Interventional | 2010-02-28 | Withdrawn(stopped due to Study was never activated) |
A Phase I Open-Label, Dose-Finding Study to Evaluate the Safety and Efficacy of Concurrent Radiosurgery and Erlotinib Administration in Non-Small Cell Lung Cancer Patients With Brain Metastases [NCT00738335] | Phase 1 | 0 participants (Actual) | Interventional | 2009-01-31 | Withdrawn |
Combination of Erlotinib (Tarceva®) and Bevacizumab (Avastin®) as Second-line Treatment in Locally Advanced / Metastatic, Non-squamous, Non-small Cell Lung Cancer (NSCLC) Patients: A Phase II Study [NCT00749567] | Phase 2 | 13 participants (Actual) | Interventional | 2008-07-31 | Terminated(stopped due to Poor accrual) |
KOrean Precision Medicine Networking Group Study of MOlecular Profiling Guided Therapy Based on Genomic Alterations in Advanced Solid Tumors II [NCT05525858] | | 1,000 participants (Anticipated) | Observational | 2022-09-28 | Recruiting |
A Phase Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacology of GDC-0941 in Combination With Erlotinib in Patients With Advanced Solid Tumors [NCT00975182] | Phase 1 | 58 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Phase II Study on the Safety and Efficacy of Radiation Therapy and Concurrent Erlotinib in Locally Advanced Non-small-cell Lung Cancer [NCT00973310] | Phase 2 | 50 participants (Anticipated) | Interventional | 2009-10-31 | Recruiting |
Randomized, Open Label, Phase 3 Trial Of Erlotinib Alone Or In Combination With CP-751,871 In Patients With Advanced Non Small Cell Lung Cancer Of Non Adenocarcinoma Histology [NCT00673049] | Phase 3 | 583 participants (Actual) | Interventional | 2008-05-31 | Terminated(stopped due to See termination reason in detailed description.) |
Randomized Proteomic Stratified Phase III Study of Second-Line Erlotinib Versus Chemotherapy in Patients With Inoperable Non Small Cell Lung Cancer [NCT00989690] | Phase 3 | 275 participants (Anticipated) | Interventional | 2008-02-29 | Recruiting |
IMRT Combined With Erlotinib Compared With Whole-brain Radiotherapy for EGFR Wild Type Non-small Cell Lung Cancer With 4-10 Brain Metastases [NCT02556593] | Phase 2 | 12 participants (Actual) | Interventional | 2015-09-30 | Terminated |
Dual Inhibition of EGFR Signalling Using the Combination of Cetuximab (Erbitux) and Erlotinib (Tarceva) in Patients With Chemotherapy-refractory Colorectal Cancer [NCT00784667] | Phase 2 | 50 participants (Anticipated) | Interventional | 2008-10-31 | Active, not recruiting |
Phase I Study of Combined Temsirolimus, Erlotinib and Cisplatin in Advanced Solid Tumors [NCT00998036] | Phase 1 | 9 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Phase II Selection Design of Pharmacodynamic Separation of Carboplatin/Paclitaxel/OSI-774 (Erlotinib; NSC-718781) or OSI-774 Alone in Advanced Non-Small Cell Lung Cancer (NSCLC) Patients With Performance Status 2 (PS-2) [NCT00661193] | Phase 2 | 59 participants (Actual) | Interventional | 2008-12-31 | Completed |
A Phase II Trial Assessing Metronidazol Actavis 1% Topical Cream in the Prevention and Treatment of Erlotinib Associated Rash [NCT00642473] | Phase 2 | 34 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Phase 2 Study of Pemetrexed Versus Pemetrexed Plus Erlotinib in Second-Line Treatment in Patients With Nonsquamous NSCLC [NCT00447057] | Phase 2 | 204 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Randomized, Controlled Phase III Trial to Evaluate the Efficacy of Elortinib vs Gefitinib in Advanced Non-small-cell Lung Cancer With EGFR Exon 19 or 21 Mutations [NCT01024413] | Phase 3 | 256 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Randomized, Open-label Study Comparing the Anti-tumor Effect of Treatment With Tarceva Plus Avastin Versus Chemotherapy Plus Avastin in Patients With Advanced Non-small Cell Lung Cancer [NCT00531960] | Phase 2 | 124 participants (Actual) | Interventional | 2008-01-31 | Completed |
A Phase 1b Dose Escalation/Phase 2 Randomized, Non-Comparative, Multiple Center, Open Label Study Of CP 751,871 In Combination With Paclitaxel And Carboplatin And Of Paclitaxel And Carboplatin Alone As First Line Treatment For Advanced Non-Small Cell Lung [NCT00147537] | Phase 1/Phase 2 | 282 participants (Actual) | Interventional | 2005-02-28 | Completed |
Phase I/II Study Of Herceptin Combined With OSI-774 In The First-Line Treatment Of Metastatic Breast Cancer Associated With HER2/Neu Overexpression [NCT00033514] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2001-08-31 | Completed |
A Phase 1b Study of Erlotinib and Momelotinib for the Treatment of Epidermal Growth Factor Receptor (EGFR) Mutated EGFR Tyrosine Kinase Inhibitor (TKI) Naïve Metastatic Non-Small Cell Lung Cancer (NSCLC) [NCT02206763] | Phase 1 | 11 participants (Actual) | Interventional | 2014-10-16 | Terminated |
A Randomized Phase III Study of Docetaxel Versus Intercalated Erlotinib Docetaxel Combination Therapy in Patients With Relapsed EGFR (Epidermal Growth Factor Receptor) Wild Type, ALK(Anaplastic Lymphoma Kinase) Negative Non Squamous Cell Carcinoma. (NVALT [NCT02775006] | Phase 3 | 45 participants (Actual) | Interventional | 2016-10-14 | Terminated(stopped due to accrual to slow, target not achievable) |
Phase I Multicenter, Open-label, Dose-escalating Clinical and Pharmacokinetic Trial of PM02734 Administered in Combination With Erlotinib in Patients With Advanced Malignant Solid Tumors [NCT00884845] | Phase 1 | 35 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Phase I Dose-Escalation Study of Erlotinib in Combination With Bortezomib in Subjects With Advanced Cancer. Companion Study to Umbrella Protocol 2007-0638. [NCT00895687] | Phase 1 | 24 participants (Actual) | Interventional | 2009-04-30 | Completed |
Phase 1 Study of Tarceva and Rapamycin For Recurrent Low-Grad Gliomas in Children With or Without Neurofibromatosis Type 1 (NF1) [NCT00901849] | Phase 1 | 21 participants (Actual) | Interventional | 2007-05-31 | Completed |
Phase II Study of TARCEVA (Erlotinib) as Adjuvant Treatment for Locally Advanced Head and Neck Squamous Cell Carcinoma With Evaluation of Neoadjuvant Biomarker Modulation With TARCEVA vs. TARCEVA Plus Sulindac [NCT01515137] | Phase 1 | 47 participants (Actual) | Interventional | 2005-11-30 | Completed |
An Open Label Study to Evaluate the Safety and Effect on Disease Progression of Triple Combination Treatment With Erlotinib (Tarceva), Bevacizumab (Avastin), and Capecitabine (Xeloda) in Patients With Locally Advanced and/or Metastatic Pancreatic Cancer ( [NCT00925769] | Phase 1 | 32 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Randomized, Placebo-controlled, Double-blind Phase III Study of the Effect of First-line Treatment With Intercalated Tarceva Versus Placebo in Combination With Gemcitabine/Platinum on Progression-free Survival in Patients With Stage IIIB/IV Non-small Ce [NCT00883779] | Phase 3 | 451 participants (Actual) | Interventional | 2009-04-30 | Completed |
ERLOTINIB, A TYROSINE KINASE INHIBITOR OF EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) AS FIRST LINE TREATMENT, IN PATIENTS WITH LOCALLY ADVANCED/METASTATIC NON SMALL CELL LUNG CANCER (NSCLC). A PHASE II STUDY [NCT00615758] | Phase 2 | 50 participants (Anticipated) | Interventional | 2006-10-31 | Completed |
A Phase I Study of Pazopanib in Combination With Either Erlotinib or Pemetrexed in Patients With Advanced Solid Tumors [NCT00619424] | Phase 1 | 58 participants (Actual) | Interventional | 2007-11-15 | Completed |
A Phase III Randomized, Placebo Controlled, Double Blind Trial of Sorafenib Plus Erlotinib vs. Sorafenib Plus Placebo as First Line Systemic Treatment for Hepatocellular Carcinoma (HCC) [NCT00901901] | Phase 3 | 732 participants (Actual) | Interventional | 2009-05-21 | Completed |
A Randomized, Placebo-controlled, Double-blind, Multicenter Phase 2 Study With a Lead in Phase of Erlotinib With or Without SNDX-275 in Patients With NSCLC After Failure In Up to Two Prior Chemotherapeutic Regimens for Advanced Disease [NCT00602030] | Phase 1/Phase 2 | 141 participants (Actual) | Interventional | 2008-01-08 | Completed |
A Phase II Study to Determine the Efficacy of Tarceva® (Erlotinib Hydrochloride) With Concurrent Whole Brain Radiation Therapy in Patients With Brain Metastases From Non-Small Cell Lung Cancer (NSCLC) [NCT00871923] | Phase 2 | 44 participants (Actual) | Interventional | 2009-03-26 | Completed |
A Phase II, Open Label, Multicenter Study of Bevacizumab in Combination With Erlotinib Versus Erlotinib Alone in Patients With EGFR Mutant Non-small Cell Lung Cancer Who Have Brain Metastases [NCT02655536] | Phase 2 | 109 participants (Anticipated) | Interventional | 2017-08-01 | Recruiting |
A Phase II Study of the Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor, Erlotinib, in Combination With Docetaxel and Radiation in Locally Advanced Squamous Cell Cancer of the Head and Neck [NCT00720304] | Phase 2 | 37 participants (Actual) | Interventional | 2007-11-30 | Completed |
Efficacy and Safety of Afatinib in Patients With EGFR-mutated Metastatic Non-small-cell Lung Cancer Previously Responsive to First-generation Tyrosine-kinase Inhibitors and Chemotherapy [NCT02625168] | Phase 2 | 25 participants (Actual) | Interventional | 2013-01-31 | Completed |
A Phase II Open-Label Study Designed to Evaluate the Efficacy and Safety, of Erlotinib in Combination With Docetaxel in Selected Non Small Cell Lung Cancer Patients Eligible for First Line Treatment [NCT00840125] | Phase 2 | 4 participants (Actual) | Interventional | 2009-02-28 | Completed |
An Open Non-randomized Multicenter Phase II Trial to Evaluate the Efficacy and Safety of Tarceva in Combination With Capecitabine in Patients With Advanced Pancreatic Cancer [NCT00873353] | Phase 2 | 32 participants (Actual) | Interventional | 2008-03-31 | Completed |
Randomized, Placebo-Controlled, Phase 2 Study Of Induction Chemotherapy With Cisplatin/Carboplatin, And Docetaxel With Or Without Erlotinib In Patients With Head And Neck Squamous Cell Carcinomas Amenable For Surgical Resection [NCT01927744] | Phase 2 | 105 participants (Anticipated) | Interventional | 2013-12-16 | Recruiting |
Pilot Study of Erlotinib for the Treatment of Patients With de Novo Acute Myeloid Leukemia [NCT01174043] | Phase 2 | 11 participants (Actual) | Interventional | 2010-07-31 | Completed |
Phase Ib Study of Erlotinib Prior to Surgery in Patients With Head and Neck Cancer [NCT00954226] | Phase 1 | 48 participants (Actual) | Interventional | 2009-08-05 | Active, not recruiting |
Neoadjuvant Chemotherapy With Docetaxel, Cisplatin Followed by Maintenance Therapy With the EGFR Inhibitor Erlotinib (Tarceva) in Patients With Stage I, II and III Non-Small Cell Lung Cancer Following Definitive Surgical Resection [NCT00254384] | Phase 1 | 50 participants (Actual) | Interventional | 2005-10-05 | Active, not recruiting |
Phase I/II Studies of BAY 43-9006 (Sorafenib) in Combination With OSI-774 (Erlotinib), R115777 (Tipifarnib) or CCI-779 (Temsirolimus) in Patients With Recurrent Glioblastoma Multiforme or Gliosarcoma [NCT00335764] | Phase 1/Phase 2 | 92 participants (Actual) | Interventional | 2006-04-30 | Completed |
A Phase II Trial of Adjuvant Erlotinib in Patients With Resected, Early Stage Non-Small Cell Lung Cancer (NSCLC) With Confirmed Mutations in the Epidermal Growth Factor Receptor (EGFR) [NCT00567359] | Phase 2 | 100 participants (Actual) | Interventional | 2007-12-31 | Completed |
A Multi-center, Randomized, Double-blind, Placebo-controlled, Phase 3 Study of Single-agent Tarceva® (Erlotinib) Following Complete Tumor Resection With or Without Adjuvant Chemotherapy in Patients With Stage IB-IIIA Non-small Cell Lung Carcinoma Who Have [NCT00373425] | Phase 3 | 1,252 participants (Actual) | Interventional | 2006-09-30 | Completed |
Effect of COX-2 (Cyclooxygenase-2) and EGFR (Epidermal Growth Factor Receptor) Suppression on Molecular Markers of Angiogenesis and Proliferation in Squamous Cell Carcinoma of Oral Cavity - Prospective Randomized Study. [NCT02748707] | Phase 2 | 64 participants (Actual) | Interventional | 2015-08-18 | Active, not recruiting |
A Phase I/II Study of MGCD265 in Combination With Erlotinib or Docetaxel in Subjects With Advanced Malignancies and in Subjects With Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00975767] | Phase 1 | 126 participants (Actual) | Interventional | 2009-08-31 | Terminated(stopped due to The study was terminated due to a need for a reformulation of the study drug. Phase 1 completed, no patients enrolled in Phase 2.) |
Phase II Study Investigating the Efficacy and Activity of Single Agent Erlotinib in Chemotherapy-Naive Androgen Independent Prostate Cancer [NCT00272038] | Phase 2 | 29 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Multicenter, Randomized, Double-Blind, Controlled Phase 3, Efficacy And Safety Study Of Sunitinib (SU011248) In Patients With Advanced/Metastatic Non-Small Cell Lung Cancer Treated With Erlotinib [NCT00457392] | Phase 3 | 960 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Phase II Trial of the Combination of OSI-774 (Erlotinib; NSC-718781) and Bevacizumab (RHUMAB VEGF; NSC 704865) in Never-Smokers With Stage IIIB and IV Primary NSCLC Adenocarcinomas [NCT00445848] | Phase 2 | 89 participants (Actual) | Interventional | 2007-07-31 | Completed |
Phase I/II Trial of Induction Carboplatin/Paclitaxel With Bevacizumab Followed by Concurrent Thoracic Conformal Radiation Therapy With Carboplatin/Paclitaxel, Bevacizumab and Erlotinib in Stage IIIA/B Non-Small Cell Lung Cancer [NCT00280150] | Phase 1/Phase 2 | 46 participants (Actual) | Interventional | 2006-01-31 | Completed |
A Phase II Trial of Bevacizumab and Erlotinib in Patients With Advanced Biliary Tumors [NCT00356889] | Phase 2 | 56 participants (Actual) | Interventional | 2006-05-31 | Completed |
MERIT - A Phase II Marker Identification Trial for Tarceva in Second Line NSCLC Patients [NCT02774278] | Phase 2 | 264 participants (Actual) | Interventional | 2005-07-31 | Completed |
A Phase II Trial of Cabozantinib and Erlotinib for Patients With EGFR and c-Met Co-expressing Metastatic Pancreatic Adenocarcinoma [NCT03213626] | Phase 2 | 7 participants (Actual) | Interventional | 2017-10-13 | Terminated(stopped due to There were no objective responses by patient 7.) |
Concurrent Chemoradiotherapy Containing Paclitaxel and Cisplatin With/Without Tarceva in Locally Advanced Esophageal Carcinoma: a Randomized Phase III Multi-center Trial. [NCT00686114] | Phase 3 | 344 participants (Anticipated) | Interventional | 2008-05-31 | Recruiting |
A Phase II Trial of Tarceva (Erlotinib) and Avastin (Bevacizumab) in the Treatment of Patients With Metastatic Melanoma [NCT00466687] | Phase 2 | 34 participants (Actual) | Interventional | 2004-09-30 | Completed |
Phase II Trial Evaluating Addition of Fulvestrant to Erlotinib in Patients With Stage IIIB/IV NSCLC Who Are Stable on Erlotinib and Exhibit Positivity for Estrogen or Progesterone Receptor [NCT00592007] | Phase 2 | 7 participants (Actual) | Interventional | 2007-09-30 | Terminated(stopped due to Study was terminated due to slow subject accrual) |
A Randomized, Placebo Controlled Study to Determine the Effect of Two Dose Schedules of R1507 or Placebo, Both in Combination With Erlotinib (Tarceva®), on Progression-free Survival in Patients With Advanced Non-small Cell Lung Cancer With Disease Progres [NCT00760929] | Phase 2 | 171 participants (Actual) | Interventional | 2008-11-10 | Terminated(stopped due to The study was terminated due to the termination of the clinical development program.) |
A Phase I Dose Escalation Study of MK-2206 in Combination With Standard Doses of Selected Chemotherapies or Targeted Agents in Patients With Locally Advanced or Metastatic Solid Tumors [NCT00848718] | Phase 1 | 77 participants (Actual) | Interventional | 2009-03-17 | Completed |
A Phase II Exploratory Study of Pre-Operative Treatment With Erlotinib (Tarceva) in Muscle Invasive or Recurrent Transitional Cell Carcinoma Requiring Cystectomy [NCT00749892] | Phase 2 | 34 participants (Actual) | Interventional | 2008-06-10 | Completed |
A Phase II Study of Erlotinib in Benefitted Patients With Asymptomatic Brain Metastases Advanced Non-Small Cell Lung Cancer By Chemotherapy. [NCT00663689] | Phase 2 | 45 participants (Anticipated) | Interventional | 2008-03-31 | Active, not recruiting |
A Phase II Trial of Erlotinib in Combination With Gemcitabine and Cisplatin in Metastatic Pancreatic Cancer [NCT00922896] | Phase 2 | 22 participants (Actual) | Interventional | 2009-06-30 | Completed |
Pharmacokinetic Trial of Sorafenib and Erlotinib in Patients With Refractory Solid Tumors [NCT00759928] | Phase 1 | 48 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Phase II Study of Preoperative Gemcitabine and Erlotinib Plus Pancreatectomy and Postoperative Gemcitabine and Erlotinib for Patients With Operable Pancreatic Adenocarcinoma [NCT00733746] | Phase 2 | 123 participants (Actual) | Interventional | 2009-04-30 | Completed |
Phase II Trial to Assess Target Oral Therapy as Adjuvant Chemoprevention in High-Risk Head and Neck Cancer [NCT00570232] | Phase 2 | 31 participants (Actual) | Interventional | 2007-12-31 | Completed |
A Phase 1/2 Trial of Enzastaurin and Erlotinib in Patients With Advanced Solid Tumors and Non-Small Cell Lung Cancer (NSCLC) After Prior Chemotherapy [NCT00452413] | Phase 1/Phase 2 | 65 participants (Actual) | Interventional | 2007-05-31 | Completed |
Phase 1 Study of Oral Vinorelbine in Combination With Erlotinib in Advanced Non-Small Cell Lung Cancer (NSCLC) Using Two Different Schedules [NCT00702182] | Phase 1 | 30 participants (Actual) | Interventional | 2008-04-30 | Completed |
Phase I/II Study of Polyphenon E in Addition to Erlotinib in Advanced Non Small Cell Lung Cancer [NCT00707252] | Phase 1 | 11 participants (Actual) | Interventional | 2008-01-31 | Terminated(stopped due to Phase II not initiated due to cancellation of supply of Poly E by collaborator.) |
A Randomized, Open-label, Dose-escalation to Rash Study to Assess the Effect of Tarceva in Combination With Gemcitabine on Overall Survival in Patients With Metastatic Pancreatic Cancer. [NCT00652366] | Phase 2 | 467 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Phase II Study of Erlotinib and Chemotherapy for Patients With Stage IB-IIIA NSCLC With EGFR Mutations (ECON) [NCT00577707] | Phase 2 | 9 participants (Actual) | Interventional | 2007-11-30 | Completed |
An Open Label Study to Assess the Effect of Avastin (Bevacizumab) Combined With First Line Paclitaxel-carboplatin or Second Line Tarceva (Erlotinib) on Progression-free Survival in Non-squamous Non-small Cell Lung Cancer Patients With Asymptomatic Untreat [NCT00800202] | Phase 2 | 91 participants (Actual) | Interventional | 2009-04-30 | Completed |
"A Phase I/II Trial of Cetuximab in Patients With Lung Adenocarcinoma Receiving Erlotinib That Have Developed Acquired Resistance to Erlotinib" [NCT00716456] | Phase 1/Phase 2 | 21 participants (Actual) | Interventional | 2008-07-31 | Completed |
A Phase II Study of Erlotinib in Combination With Capecitabine as First-line Treatment in Elderly Patients With Stage IIIB/IV Adenocarcinoma Non-small Cell Lung Cancer (NSCLC) [NCT00816868] | Phase 2 | 62 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Phase II Biomarker Identification Trial for Erlotinib (Tarceva®) in Patients With Advanced Pancreatic Carcinoma [NCT00674973] | Phase 2 | 207 participants (Actual) | Interventional | 2008-06-30 | Completed |
Docetaxel Combined With Pulsatile Erlotinib (Tarceva®) In Patients With Metastatic Non Small Cell Lung Cancer (NSCLC) (DOPERLO) [NCT00783471] | Phase 2 | 51 participants (Actual) | Interventional | 2008-11-30 | Terminated(stopped due to The low accrual rate of the study (30% of the expected accrual rate)/Low efficacy in both treatment arms.) |
Randomized Double-Blind Placebo Controlled Phase II Trial Evaluating Erlotinib in Non-Smoking Patients With (Bevacizumab-Eligible and Ineligible) Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00976677] | Phase 2 | 10 participants (Actual) | Interventional | 2010-01-31 | Terminated |
A Multi-Center, Phase 3, Double-Blind, Randomized, and Controlled Trial of KD019 vs Erlotinib in Subjects With Stage IIIB/IV Non-Small Cell Lung Cancer Who Have Progressed After First- or Second-Line Chemotherapy [NCT01487174] | Phase 3 | 8 participants (Actual) | Interventional | 2011-12-14 | Terminated(stopped due to Kadmon has made a business decision to terminate the study due to slow enrollment. Note the decision to terminate the study was not related to safety issues) |
A Phase 1 Study of AV-299 (Formerly SCH 900105) Administered by IV Infusion as Monotherapy in Advanced Solid Tumors, Lymphomas, or Multiple Myeloma or in Combination With Erlotinib in Advanced Solid Tumors [NCT00725634] | Phase 1 | 41 participants (Actual) | Interventional | 2008-09-30 | Completed |
Phase II Study Of Neoadjuvant Chemotherapy With Gemcitabine, Oxaliplatin And Erlotinib (Gemoxt) In Borderline Resectable Pancreatic Adenocarcinoma [NCT00728000] | Phase 2 | 0 participants (Actual) | Interventional | 2008-08-31 | Withdrawn(stopped due to study withdrawn due to lack of enrollment) |
A Randomized Phase 2 Study of SCH 727965 in Subjects With Advanced Breast and Non Small Cell Lung (NSCLC) Cancers [NCT00732810] | Phase 2 | 97 participants (Actual) | Interventional | 2008-07-31 | Completed |
A Phase 2 Study of Pertuzumab and Erlotinib for Refractory Pancreatic Adenocarcinoma [NCT01108458] | Phase 2 | 1 participants (Actual) | Interventional | 2010-07-31 | Terminated(stopped due to Extreme toxicity of Pertuzumab and Erlotinib combination) |
A Phase II Study of Gemcitabine and Erlotinib Plus Sorafenib (GES) in Metastatic Pancreatic Cancer [NCT00696696] | Phase 2 | 45 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Randomized, Phase 2b, Multi-center Study of Pralatrexate Versus Erlotinib in Patients With Stage IIIB/IV Non-small Cell Lung Cancer After Failure of at Least 1 Prior Platinum-based Treatment [NCT00606502] | Phase 2 | 201 participants (Actual) | Interventional | 2008-01-31 | Completed |
A Single Arm, Open Label Study of First Line Treatment With Tarceva Plus Avastin on Progression-free Survival in Patients With Advanced or Metastatic Liver Cancer [NCT00605722] | Phase 2 | 51 participants (Actual) | Interventional | 2008-03-31 | Completed |
[NCT02795884] | Phase 3 | 0 participants (Actual) | Interventional | 2016-06-30 | Withdrawn(stopped due to Because of reconsideration of using erlotinib(EGFR Tyrosine kinase inhibitor) as adjuvant aim) |
Phase I/II Study of Erlotinib (TARCEVA) and Cetuximab (ERBITUX) in Advanced Solid Tumors, With Emphasis on Non Small Cell Lung Cancer (NSCLC) [NCT00408499] | Phase 1/Phase 2 | 64 participants (Actual) | Interventional | 2006-08-31 | Completed |
Tailored Second Line Treatment by EGFR Mutation in Patients With Advanced Lung Adenocarcinoma [NCT00903292] | | 52 participants (Anticipated) | Interventional | 2009-03-31 | Recruiting |
Phase II Study of Erlotinib, An Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor, in the Treatment of Recurrent or Metastatic Squamous Cell Carcinoma of the Skin [NCT01198028] | Phase 2 | 42 participants (Actual) | Interventional | 2011-03-10 | Completed |
A Phase II Randomized Trial of Erlotinib or Vinorelbine in Chemo-naive, Advanced, Non-Small-Cell Lung Cancer Patients Aged 70 Years or Older in Taiwan [NCT01196078] | Phase 4 | 114 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Randomized, Open-label Study of the Effect of First Line Treatment With Tarceva in Sequential Combination With Gemcitabine, Compared to Gemcitabine Monotherapy, on Progression-free Survival in Elderly or ECOG PS of 2 Patients With Advanced Non-small Cel [NCT00940875] | Phase 2 | 54 participants (Actual) | Interventional | 2009-06-30 | Terminated(stopped due to Study was stopped due to slower than expected recruitment.) |
Randomized, Open-label, Controlled Multicenter Study to Compare Bevacizumab in Combination With Erlotinib Versus Erlotinib Alone in Chinese NSCLC Patients Harbouring Activating EGFR Mutations(Artemis) [NCT02759614] | Phase 3 | 311 participants (Actual) | Interventional | 2016-04-01 | Active, not recruiting |
Randomized Study of Bevacizumab/Tarceva and Tarceva/Sulindac in Squamous Cell Carcinoma of the Head and Neck [NCT00392665] | Phase 2 | 36 participants (Actual) | Interventional | 2006-10-31 | Terminated(stopped due to slow accrual) |
Phase II Study of Gemcitabine, Bevacizumab and Erlotinib in Locally Advanced and Metastatic Pancreatic Cancer [NCT00366457] | Phase 2 | 32 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase I/II Study of Combination Therapy of CG200745 PPA With Gemcitabine and Erlotinib to Determine the Maximum Tolerated Dose (MTD) and Evaluate the Safety and Efficacy for Locally Advanced Unresectable, or Metastatic Pancreatic Cancer [NCT02737228] | Phase 1/Phase 2 | 24 participants (Anticipated) | Interventional | 2016-03-31 | Active, not recruiting |
Concomitant Radiotherapy and Erlotinib in Advanced Lung Cancer [NCT02714530] | Phase 2 | 118 participants (Actual) | Interventional | 2014-04-01 | Terminated(stopped due to Slow accrual) |
A Phase 2 Study of Pemetrexed and Erlotinib for Metastatic Colorectal Cancer Refractory to Standard Chemotherapy [NCT02723578] | Phase 2 | 50 participants (Actual) | Interventional | 2015-12-01 | Completed |
Phase I Study of Dasatinib Plus Erlotinib in Recurrent Malignant Glioma [NCT00609999] | Phase 1 | 47 participants (Actual) | Interventional | 2008-01-31 | Completed |
Phase 2 Clinical Trial Treating Relapsed/Recurrent/Refractory Pediatric Solid Tumors With the Genomically-Targeted Agent Erlotinib in Combination With Temozolomide [NCT02689336] | Phase 2 | 0 participants (Actual) | Interventional | 2016-08-06 | Withdrawn(stopped due to Could not recruit any participants) |
A Phase III, International, Randomised, Double Blind, Parallel-Group Study to Assess the Efficacy of Zactima™ Versus Tarceva® in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer After Failure of at Least One Prior Chemotherapy [NCT00364351] | Phase 3 | 1,574 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase 2 Trial of Erlotinib Re-Challenge for Recurrent EGFR-mutant Lung Cancer in Patients Who Previously Received Adjuvant Erlotinib or Gefitinib [NCT01189435] | Phase 2 | 2 participants (Actual) | Interventional | 2010-08-31 | Terminated(stopped due to Lack of accrual) |
A Phase 1, Open Label Study of ABT-869 in Combination With Tarceva in Subjects With Advanced Non-hematologic Malignancy [NCT00754104] | Phase 1 | 0 participants (Actual) | Interventional | 2008-09-30 | Withdrawn |
Phase II Study Open, Not Randomized to Evaluate the Efficacy and Safety of Neoadjuvant Treatment With Gemcitabine and Erlotinib Followed by Gemcitabine, Erlotinib and Radiotherapy in Patients With Resectable Pancreatic Adenocarcinoma [NCT01389440] | Phase 2 | 24 participants (Actual) | Interventional | 2011-05-31 | Completed |
A Randomized, Open-label, Multi-center Phase III Study of Erlotinib Versus Gemcitabine/Carboplatin in Chemo-naive Stage IIIB/IV Non-Small Cell Lung Cancer Patients With EGFR Exon 19 or 21 Mutation (Optimal) [NCT00874419] | Phase 3 | 165 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Phase II Trial of Letrozole Plus OSI-774 (Tarceva) in Post-menopausal Women With ER and/or PR-Positive Metastatic Breast Cancer [NCT00611715] | Phase 2 | 48 participants (Actual) | Interventional | 2003-11-30 | Terminated(stopped due to low accrual) |
A Randomized Double-Blind Placebo-Controlled Phase II Trial of Sorafenib and Erlotinib or Erlotinib Alone in Previously Treated Advanced Non-Small Cell Lung Cancer [NCT00600015] | Phase 2 | 166 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Phase II Trial of Erlotinib Versus Combination of Vinorelbine Plus Cisplatin as Adjuvant Treatment in Stage IIIA Non-small-cell Lung Cancer After Complete Resection With Sensitizing EGFR Mutation in Exon 19 or 21 and Wild-type K-ras [NCT01410214] | Phase 2 | 80 participants (Anticipated) | Interventional | 2011-05-31 | Recruiting |
A Phase I, Dose Finding Study of the Combination of High-dose Statin Agent (Rosuvastatin) With Erlotinib in Patients With Advanced Solid Malignancies, With a Focus on Squamous Cell Carcinomas and NSCLC. [NCT00966472] | Phase 1 | 24 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase II Study of TARCEVA (Erlotinib) in Combination With Chemoradiation in Patients With Stage IIIA/B Non-Small Cell Lung Cancer (NSCLC) [NCT00563784] | Phase 2 | 68 participants (Actual) | Interventional | 2007-11-30 | Completed |
Phase I Trial of Cetuximab and Erlotinib (EGFR Inhibitors) and SIR-Spheres (Yttrium Microspheres) in Patients With Advanced Malignancies and Liver Metastases [NCT01432119] | Phase 1 | 0 participants (Actual) | Interventional | 2012-12-31 | Withdrawn |
Phase Ib Trial of Gemcitabine and Oxaliplatin (GEMOX) With Erlotinib in Patients With Advanced Biliary Tract Cancer. [NCT00987766] | Phase 1 | 28 participants (Actual) | Interventional | 2009-11-30 | Completed |
A Randomized, Phase II, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Activity of MetMAb, a Monovalent Antagonist Antibody to the Receptor Met, Administered to Patients With Advanced Non-Small Cell Lung Cancer, in Combinati [NCT00854308] | Phase 2 | 137 participants (Actual) | Interventional | 2009-04-30 | Completed |
Phase II Trial of Gemcitabine and Cisplatin/Carboplatin (GC) Plus Erlotinib in Patients With Recurrent and/or Metastatic Nasopharyngeal Cancer [NCT00603915] | Phase 2 | 20 participants (Actual) | Interventional | 2006-06-30 | Completed |
Dose-finding, Safety, Pharmacokinetic and Pharmacodynamic Study of AVE1642, an Anti-Insulin-like Growth Factor-1 Receptor (IGF-1R/CD221) Monoclonal Antibody, Administered as Single Agent and in Combination With Other Anti Cancer Therapies (Sorafenib or Er [NCT00791544] | Phase 1/Phase 2 | 13 participants (Actual) | Interventional | 2008-11-30 | Terminated(stopped due to Company decision to discontinue the AVE1642 development program, not due to any safety or efficacy concerns) |
An Open-label Study to Determine the Effect of R1507 Plus Tarceva (Erlotinib) on Progression-free Survival in Patients With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC) With Progressive Disease After Clinical Benefit to Second or Third Line Tarceva Mo [NCT00773383] | Phase 2 | 35 participants (Actual) | Interventional | 2008-11-30 | Terminated |
A Phase I/ Randomized Phase II Study of Gemcitabine Plus Erlotinib Plus MK-0646; Gemcitabine Plus MK-0646 and Gemcitabine Plus Erlotinib for Patients With Advanced Pancreatic Cancer (IISP#33337) [NCT00769483] | Phase 1/Phase 2 | 81 participants (Actual) | Interventional | 2008-11-13 | Completed |
Randomized Phase II Trial, Comparing Standard of Care Chemotherapy (Pemetrexed or Docetaxel) Plus Erlotinib to Standard of Care Chemotherapy (Pemetrexed or Docetaxel) Alone in EGFR TKI-Responsive Non-Small Cell Lung Cancer [NCT00660816] | Phase 2 | 46 participants (Actual) | Interventional | 2008-01-31 | Completed |
Randomized Multicenter Phase III Study in Patients With Locally Advanced Adenocarcinoma of the Pancreas: Gemcitabine With or Without Chemoradiotherapy and With or Without Erlotinib. Intergroup Study [NCT00634725] | Phase 3 | 820 participants (Anticipated) | Interventional | 2008-02-29 | Completed |
An Open Label, Randomized Phase I/IIa Trial Evaluating MK-0646 in Combination With Erlotinib (TARCEVA™) for Patients With Recurrent Non-Small Cell Lung Cancer [NCT00654420] | Phase 2 | 95 participants (Actual) | Interventional | 2008-03-19 | Completed |
A Randomized Phase 2 Trial Of Pf-00299804 Versus Erlotinib For The Treatment Of Advanced Non-small Cell Lung Cancer After Failure Of At Least One Prior Chemotherapy Regimen [NCT00769067] | Phase 2 | 188 participants (Actual) | Interventional | 2008-11-30 | Completed |
Study of Erlotinib, Small Molecule Targeting Epidermal Growth Factor Receptor (EGFR) in Treatment of Patients w/EGFR-overexpressing 'Triple Receptor-negative' Metastatic Carcinoma of Breast That Progressed on Anthracyclines and Taxanes [NCT00739063] | Phase 2 | 11 participants (Actual) | Interventional | 2008-07-31 | Terminated(stopped due to Poor Accrual) |
Phase II Randomized, Double-blind, Placebo-controlled, Two-arm Study to Evaluate the Safety and Efficacy of Erlotinib in the Treatment of Moderate to Severe Psoriasis [NCT01006096] | Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to IND not obtained) |
Tarceva With or Without Apatinib in the First-line Therapy of Advanced Lung Adenocarcinoma With Mutant EGFR:a Phase II Study. [NCT02704767] | Phase 2 | 60 participants (Anticipated) | Interventional | 2016-06-30 | Not yet recruiting |
Imaging With 11C-erlotinib PET/CT to Identify Responders to Erlotinib Treatment in NSCLC [NCT01889212] | | 4 participants (Actual) | Interventional | 2013-04-30 | Terminated(stopped due to Due to technical problems) |
Phase I Study of INC280 Plus Erlotinib in Patients With C-Met Expressing Non-Small Cell Lung Cancer [NCT01911507] | Phase 1 | 35 participants (Actual) | Interventional | 2013-08-27 | Completed |
Phase I, Open Label, Dose Escalating Study of Intravenous Ascorbic Acid in Combination With Gemcitabine and Erlotinib in the Treatment of Metastatic Pancreatic Cancer [NCT00954525] | Phase 1 | 14 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Randomized, Open Label Study to Evaluate the Effect of Doxycycline on Tarceva-induced Skin Rash in Patients With Non-small Cell Lung Cancer After Failure of First Line Chemotherapy [NCT00531934] | Phase 2 | 147 participants (Actual) | Interventional | 2007-10-31 | Completed |
An Open Label Pilot Trial of Erlotinib (Tarceva) in Primary Sclerosing Cholangitis With Trisomy 7 [NCT00955149] | Phase 1 | 6 participants (Actual) | Interventional | 2009-08-31 | Completed |
A Randomized, Phase III Trial of Prophylactic Cranial Irradiation (PCI) in Patients With Advanced Non-small Cell Lung Cancer (NSCLC) Who Are Nonprogressive on Gefitinib or Erlotinib [NCT00955695] | Phase 3 | 242 participants (Anticipated) | Interventional | 2009-05-31 | Not yet recruiting |
A Phase II Study of Bevacizumab and Erlotinib in Subjects With Advanced Hereditary Leiomyomatosis and Renal Cell Cancer (HLRCC) or Sporadic Papillary Renal Cell Cancer [NCT01130519] | Phase 2 | 83 participants (Actual) | Interventional | 2010-05-06 | Active, not recruiting |
Phase I/II Trial Using a Biomarker-Integrated Approach of Targeted Therapy for Lung Cancer Elimination Plus External Beam Radiation Therapy (BATTLE-XRT) [NCT02044601] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2014-06-30 | Withdrawn |
Phase I/II Study of Two Different Schedules of Pemetrexed (ALIMTA) and Erlotinib (TARCEVA) in Advanced Solid Tumors, With Emphasis on Non-Small Cell Lung Cancer (NSCLC) [NCT00387322] | Phase 1/Phase 2 | 42 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Randomized Phase II Study of Erlotinib Alone Versus Erlotinib Plus Bevacizumab for Advanced Non-small Cell Lung Cancer With Epidermal Growth Factor Receptor Activating Mutations [NCT03126799] | Phase 2 | 128 participants (Anticipated) | Interventional | 2016-11-01 | Active, not recruiting |
Safety and Efficacy of Anlotinib Hydrochloride Combined With Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors (EGFR TKIs) in Treating Advanced Non-small-cell Lung Cancer (NSCLC) Patients With Acquired Resistance to EGFR TKIs [NCT04007835] | | 120 participants (Anticipated) | Interventional | 2019-07-31 | Not yet recruiting |
MARVEL: Marker Validation of Erlotinib in Lung Cancer- A Phase III Biomarker Validation Study of Second-Line Therapy in Patients With Advanced Non-small Cell Lung Cancer (NSCLC) Randomized to Pemetrexed Versus Erlotinib [NCT00738881] | Phase 3 | 23 participants (Actual) | Interventional | 2008-10-31 | Terminated(stopped due to Slow accrual) |
Safety and Dose Finding Study of Oral MP470, a Multi-targeted Tyrosine Kinase Inhibitor, in Combination With Standard-of-Care Chemotherapy Regimens [NCT00881166] | Phase 1 | 101 participants (Actual) | Interventional | 2007-11-30 | Completed |
APRiCOT-L (Apricoxib in Combination Oncology Treatment - Lung) A Randomized, Double-Blind, Placebo-Controlled Multicenter Phase 2 Study of the Efficacy and Safety of Apricoxib in Combination With Erlotinib in Non-Small Cell Lung Cancer Patients [NCT00652340] | Phase 2 | 120 participants (Actual) | Interventional | 2008-04-30 | Completed |
Phase II Study of Erlotinib in Patients With Non-Metastatic Prostate Cancer With a Rising PSA on Hormone Therapy [NCT00148772] | Phase 2 | 29 participants (Anticipated) | Interventional | 2005-08-31 | Completed |
Phase II Study of Erlotinib (Tarceva) Alternating With Chemotherapy for Second-line Treatment of Metastatic Colorectal Cancer With Molecular Correlates for p53 Pathway [NCT00642746] | Phase 2 | 16 participants (Actual) | Interventional | 2008-03-31 | Terminated(stopped due to Terminated due to poor enrollment and grade 3 toxicities noted during an interim analysis.) |
A Phase I Dose-Escalation Study of Erlotinib in Combination With Dasatinib in Subjects With Advanced Cancer. Companion Study to Umbrella Protocol 2007-0638. [NCT00895128] | Phase 1 | 65 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase I Dose-Escalation Study of Erlotinib in Combination With Cetuximab in Subjects With Advanced Cancer. Companion Study to Umbrella Protocol 2007-0638. [NCT00895362] | Phase 1 | 65 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Randomized Phase 2 Study of Gemcitabine ± Erlotinib and DN-101 Versus Gemcitabine ± Erlotinib and Placebo in Subjects With Advanced Pancreatic Adenocarcinoma [NCT00536770] | Phase 2 | 132 participants (Anticipated) | Interventional | 2007-09-30 | Suspended(stopped due to DSMB) |
A Phase 2 Study of Tarceva for Untreated, Good Prognosis Patients With Advanced Non-Small Cell Lung Cancer [NCT00585533] | Phase 2 | 40 participants (Actual) | Interventional | 2004-06-30 | Completed |
A Phase 1 Protocol of 5-Azacytidine and Erlotinib in Advanced Solid Tumor Malignancies [NCT00996515] | Phase 1 | 30 participants (Actual) | Interventional | 2008-06-30 | Completed |
A Phase II Trial of the Combination of OSI-774 (ERLOTINIB; NSC-718781) and Bevacizumab (Rhumab VEGF; NSC-704865) in Stage IIIB and IV Bronchioloalveolar Carcinoma (BAC) and Adenocarcinoma With BAC Features (ADENOBAC) [NCT00436332] | Phase 2 | 84 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Phase 1 Study Evaluating the Safety and Pharmacokinetics of ABT-263 in Combination With Erlotinib and ABT-263 in Combination With Irinotecan, and Evaluating the Safety of ABT-263 Monotherapy in Subjects With Cancer [NCT01009073] | Phase 1 | 51 participants (Actual) | Interventional | 2009-10-31 | Completed |
Pilot Study of Changes in FDG- and FLT-PET Imaging in Patients With Non-Small Cell Lung Cancer Following Treatment With Erlotinib [NCT00453362] | Phase 1/Phase 2 | 88 participants (Actual) | Interventional | 2006-12-31 | Completed |
An Open Label Study of Tarceva in Combination With Gemcitabine in Unresectable and/or Metastatic Cancer of the Pancreas : Relationship Between Skin Rash and Survival [NCT00461708] | Phase 2 | 153 participants (Actual) | Interventional | 2007-05-31 | Completed |
Phase-2 Study of Tarceva in Patients With Recurrent EGFR Positive and Phosphatase and Tensin Homolog (PTEN) Wild Type Glioblastoma Multiforme and Gliosarcoma [NCT00387894] | Phase 2 | 6 participants (Actual) | Interventional | 2007-01-31 | Terminated(stopped due to Insufficient accrual of population likely to benefit; progression in 6 patients) |
A Randomized, Double-Blind, Placebo-Controlled, Phase IIIb Trial Comparing Bevacizumab Therapy With or Without Erlotinib After Completion of Chemotherapy With Bevacizumab for the First-Line Treatment of Locally Advanced, Recurrent, or Metastatic Non-Small [NCT00257608] | Phase 3 | 1,145 participants (Actual) | Interventional | 2006-01-31 | Completed |
A Phase 2, Exploratory Study of Erlotinib and SNDX-275 in Patients With Non-small Cell Lung Carcinoma Who Are Progressing on Erlotinib [NCT00750698] | Phase 2 | 8 participants (Actual) | Interventional | 2008-08-31 | Terminated(stopped due to Due to business reasons, enrollment on the study was halted and the study terminated. The decision to close enrollment was not due to any safety concern.) |
A Phase II Study of Erlotinib (Tarceva) in Combination With Bexarotene (Targretin) in Chemorefractory Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00411632] | Phase 2 | 37 participants (Actual) | Interventional | 2006-11-29 | Completed |
Phase II Study of Tarceva Plus Temodar During and Following Radiation Therapy in Patients With Newly Diagnosed Glioblastoma Multiforme and Gliosarcoma [NCT00187486] | Phase 2 | 66 participants (Actual) | Interventional | 2004-08-31 | Completed |
Randomized, Double-Blind, Phase 2 Study Of Erlotinib With Or Without SU011248 In The Treatment Of Metastatic Non-Small Cell Lung Cancer [NCT00265317] | Phase 2 | 162 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase I/II Clinical Trial of Oral Vorinostat (MK0683) in Combination With Erlotinib in Patients With Relapsed/Refractory Non-Small-Cell Lung Cancer [NCT00251589] | Phase 1/Phase 2 | 23 participants (Actual) | Interventional | 2006-01-31 | Terminated(stopped due to This trial is being closed based on lack of substantive efficacy, slow accrual and overall tolerance in patients treated to date.) |
INST 0601C: A Non-Randomized Phase II Protocol of Erlotinib for Patients With Newly Diagnosed, Advanced Non-Small Cell Carcinoma of the Lung [NCT00391586] | Phase 2 | 45 participants (Actual) | Interventional | 2006-07-31 | Terminated(stopped due to PI left institution.) |
A Randomized Phase II Trial of Avastin (A) or Avastin and Erlotinib (AE) as First Line Consolidation Chemotherapy After Carboplatin, Paclitaxel, and Avastin (CTA) Induction Therapy for Newly Diagnosed Advanced Ovarian, Fallopian Tube, Primary Peritoneal C [NCT00520013] | Phase 2 | 60 participants (Actual) | Interventional | 2007-08-31 | Completed |
A Phase Ib Study of Erlotinib in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Previously Untreated Advanced Pancreatic Cancer [NCT01010945] | Phase 1 | 19 participants (Actual) | Interventional | 2010-02-03 | Completed |
A Phase I Study of Erlotinib in Patients With Premalignant Lesions of the Lung [NCT01013831] | Phase 1 | 60 participants (Actual) | Interventional | 2009-10-31 | Terminated |
Phase I/II Study of Chemoprevention With Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor Erlotinib (OSI-774, Tarceva) and Cyclooxygenase-2 (COX-2) Inhibitor (Celecoxib) in Premalignant Lesions of Head and Neck of Former Smokers [NCT00314262] | Phase 1/Phase 2 | 17 participants (Actual) | Interventional | 2006-10-31 | Completed |
Phase II Study of RADPLAT and Tarceva in Locally Advanced Head and Neck Squamous Cell Carcinoma (SCCA) [NCT00304278] | Phase 2 | 21 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase I/II Study of Bevacizumab, Erlotinib and 5-fluorouracil With Concurrent External Beam Radiation Therapy in Locally Advanced Rectal Cancer [NCT00307736] | Phase 1/Phase 2 | 32 participants (Actual) | Interventional | 2006-05-31 | Completed |
A Phase 2 Randomized Study of Tarceva (Erlotinib) as a Single Agent or Intercalated With Combination Chemotherapy in Patients With Newly Diagnosed Advanced Non-small Cell Lung Cancer Who Have Tumors With EGFR Protein Overexpression and/or Increased EGFR G [NCT00294762] | Phase 2 | 143 participants (Actual) | Interventional | 2006-01-31 | Completed |
[NCT01066884] | Phase 4 | 5 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase I/II Trial of Neoadjuvant Paclitaxel, Carboplatin and OSI-774 (Tarceva) With Concurrent Accelerated Hyperfractionation Radiation Followed by Maintenance Therapy With OSI-774 for Stage III Non-Small Cell Lung Cancer [NCT00278148] | Phase 1/Phase 2 | 32 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Feasibility Study for Individualized Treatment of Patients With Advanced Pancreatic Cancer [NCT00276744] | Phase 2 | 249 participants (Actual) | Interventional | 2005-10-31 | Terminated(stopped due to Because there was no longer an active laboratory component to this study.) |
Randomized Phase II Study of First-Line Treatment With Gemcitabine vs. Erlotinib vs. Gemcitabine and Erlotinib in Elderly Patients With Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00283244] | Phase 2 | 147 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase II Trial of Bevacizumab and Erlotinib in the Treatment of Patients With Carcinoma of Unknown Primary Site [NCT00193622] | Phase 2 | 50 participants | Interventional | 2004-04-30 | Completed |
A Phase II Study of OSI-774 (Tarceva) in Combination With Capecitabine in Previously Treated Patients With Metastatic Pancreatic Cancer [NCT00125021] | Phase 2 | 32 participants (Actual) | Interventional | 2003-10-31 | Completed |
[NCT01887795] | Phase 3 | 224 participants (Actual) | Interventional | 2013-08-31 | Completed |
A Phase I/Phase II Study of Nintedanib Plus EGFR TKI In EGFR-mutated Non-small Cell Lung Cancer Patients [NCT06071013] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2023-09-28 | Not yet recruiting |
A Phase I Study of Cetuximab in Combination With Erlotinib in Patients With Advanced Solid Malignancies [NCT00207077] | Phase 1 | 33 participants (Anticipated) | Interventional | 2005-08-31 | Completed |
A Phase I-II Study of OSI-774 (Tarceva, Erlotinib) With Docetaxel/Carboplatin Followed by Maintenance Therapy With Tarceva as Treatment for Newly Diagnosed Stage III/IV Epithelial Ovarian Cancer, Primary Peritoneal or Fallopian Tube Cancer [NCT00217529] | Phase 1/Phase 2 | 0 participants | Interventional | 2004-06-30 | Completed |
UpSwinG: Real World Study on TKI Activity in Uncommon Mutations and Sequencing Giotrif® [NCT04179890] | | 462 participants (Actual) | Observational | 2019-12-17 | Completed |
Pilot Study of EGFR Inhibition Using High Dose Administration of Erlotinib Weekly for Recurrent Malignant Gliomas With EGFR Variant III Mutation [NCT01257594] | Phase 1 | 22 participants (Actual) | Interventional | 2011-01-07 | Completed |
A Randomized, Open-label Phase II Trial of Erlotinib 100mg Daily Versus Gefitinib 250mg Daily in Patients With Advanced Non-small Cell Lung Cancer Who Harbor EGFR Mutations. [NCT01955421] | Phase 2 | 224 participants (Anticipated) | Interventional | 2013-07-31 | Recruiting |
An Open,Multi Center Trial to Evaluate the Efficacy and Safety of High-Dose,Pulsatile Erlotinib/Gefitinib for Advanced Non-Small Cell Lung Cancer Patients After Failure of Standard Dose EGFR-TKIs [NCT01965275] | Phase 2 | 20 participants (Anticipated) | Interventional | 2013-10-31 | Recruiting |
A Phase 1 Trial of Low Dose Daily Erlotinib in Combination With High Dose Twice Weekly Erlotinib in Patients With EGFR-Mutant Lung Cancer [NCT01967095] | Phase 1 | 53 participants (Actual) | Interventional | 2013-10-15 | Completed |
A Phase I Study of BAY 43-9006 (Sorafenib) in Combination With OSI-774 (Erlotinib; Tarceva) in Advanced Solid Tumors [NCT00126620] | Phase 1 | 17 participants (Actual) | Interventional | 2005-09-30 | Completed |
Chemoprevention Trial Using Erlotinib in Barrett's Esophagus With High-Grade Dysplasia [NCT00566800] | Phase 1 | 25 participants (Anticipated) | Interventional | 2007-07-31 | Recruiting |
Evaluation of Combination Checkpoint Inhibitor Plus Targeted Inhibitor (Erlotinib or Crizotinib) for EGFR or ALK Mutated Stage IV Non-small Cell Lung Cancer: Phase Ib With Expansion Cohorts [NCT01998126] | Phase 1 | 14 participants (Actual) | Interventional | 2013-12-02 | Completed |
A Randomized, Open-label Phase III Study of First-line Treatment With Erlotinib Intercalated With Gemcitabine/ Cisplatin or Carboplatin Therapy Versus Erlotinib in Stage IIIB/IV NSCLC Patients With EGFR Mutation [NCT02001896] | Phase 3 | 60 participants (Anticipated) | Interventional | 2013-12-31 | Not yet recruiting |
A Phase II, Open, Single Arm Trial to Evaluate Erlotinib Efficacy and Safety as the 2nd/3rd Line Treatment in Advanced or Recurrent NSCLC With EGFR Wild Type and Without C-met Expression [NCT02006043] | Phase 2 | 54 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting |
A Phase I/II Trial of an Oral MTOR Protein Kinase Inhibitor (Everolimus, RAD001) in Combination With an Oral EGFR Tyrosine Kinase Inhibitor (Erlotinib, Tarceva™) In Patients With Metastatic Breast Cancer [NCT00574366] | Phase 1 | 14 participants (Actual) | Interventional | 2005-12-31 | Completed |
Genetic Events Leading to APC-Dependent Colon Cancer in High-Risk Families; a Clinical Trial of COX and EGFR Inhibition in Familial Polyposis Patients [NCT01187901] | Phase 2 | 92 participants (Actual) | Interventional | 2010-04-30 | Completed |
EGFR-TKIs Combine Chemotherapy as First-line Therapy for Patients With Advanced EGFR Mutation-positive NSCLC [NCT02886195] | Phase 3 | 120 participants (Anticipated) | Interventional | 2016-07-31 | Enrolling by invitation |
Phase 1/2, Open Label, Randomized Study Of The Safety, Efficacy, And Pharmacokinetics Of Erlotinib With Or Without Pf 02341066 In Patients With Advanced Non Small Cell Adenocarcinoma Of The Lung. [NCT00965731] | Phase 1 | 27 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Phase 1b Study of the Safety and Pharmacology of Atezolizumab (Anti-PD-L1 Antibody) Administered With Erlotinib or Alectinib in Patients With Advanced Non-Small Cell Lung Cancer [NCT02013219] | Phase 1 | 52 participants (Actual) | Interventional | 2014-04-03 | Completed |
A Pilot Study of Genomic Sequencing Guided Individualized Therapy in Gastrointestinal Cancers [NCT02013089] | | 50 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting |
The Feasibility of Selecting Patient-Specific Biologically Targeted Therapy With Sorafenib, Everolimus, Erlotinib or Dasatinib for Pediatric Patients With Refractory Or Recurrent Brain Tumors [NCT02015728] | | 20 participants (Anticipated) | Interventional | 2013-12-31 | Active, not recruiting |
A Two-Stage Phase 1 Dose Escalation Pharmacokinetic Study of Tarceva® (Erlotinib) in Patients With Stage IIIB/IV Non-small Cell Lung Cancer Who Continue To Smoke After Failure of One or Two Prior Chemotherapy Regimens [NCT00294736] | Phase 1 | 57 participants (Actual) | Interventional | 2005-11-30 | Completed |
Phase 1 Umbrella Trial of Erlotinib In Combination With Select Tyrosine Kinase Inhibitors In Adult Patients With Advanced Solid Tumors [NCT06161558] | Phase 1 | 70 participants (Anticipated) | Interventional | 2024-01-03 | Not yet recruiting |
Phase II Study of Gemcitabine Plus Erlotinib Versus Erlotinib Plus Gemcitabine Plus Oxaliplatin, in Patients With Locally Advanced or Metastatic Pancreatic Cancer [NCT00564720] | Phase 2 | 140 participants (Actual) | Interventional | 2006-12-31 | Terminated(stopped due to Due to poor accrual of the study) |
Biomarkers Impact on the Response to Treatment With Erlotinib in First Line Non-small Cell Lung Cancer With EGFR Activating Mutations - BIOTEC [NCT01153984] | Phase 2 | 23 participants (Actual) | Interventional | 2011-06-30 | Completed |
Phase II of Erlotinib an Epidermal Growth Factor Receptor Inhibitor in the Treatment of Myelodysplastic Syndrome [NCT00570375] | Phase 2 | 0 participants (Actual) | Interventional | 2007-11-30 | Withdrawn(stopped due to PI left institution) |
Phase I Study of Combination of Capecitabine and Erlotinib Concurrent With Radiotherapy in Patients With Non-Operable Locally Advanced Pancreatic Cancer [NCT00565487] | Phase 1 | 15 participants (Actual) | Interventional | 2007-12-31 | Completed |
A Phase-II Clinical Trial to Evaluate the Accuracy of FDG-/FLT-PET for Early Prediction of Non-progression in Patients With Advanced NSCLC Treated With Erlotinib and to Associate PET Findings With Molecular Markers [NCT00568841] | Phase 2 | 40 participants (Anticipated) | Interventional | 2007-10-31 | Active, not recruiting |
An Open-label Study of the Effect of First-line Treatment With Avastin+Xelox, Followed by Avastin+Tarceva, on Progression-free Survival in Patients With Metastatic Colorectal Cancer [NCT01135498] | Phase 2 | 90 participants (Actual) | Interventional | 2006-11-30 | Completed |
Phase II Study of Erlotinib (Tarceva®) in Patients With Advanced Pancreatic Adenocarcinoma [NCT00470535] | Phase 2 | 18 participants (Actual) | Interventional | 2007-01-31 | Terminated(stopped due to This study was terminated earlier due to a phase III study that showed this drug inferior to sorafenib) |
Phase I Study of Indibulin in Combination With Erlotinib in Advanced Solid Tumors [NCT00591383] | Phase 1 | 10 participants (Actual) | Interventional | 2008-01-31 | Active, not recruiting |
Phase I Study of Erlotinib and Sunitinib in Non-small Cell Lung Cancer [NCT00581789] | Phase 1 | 11 participants (Actual) | Interventional | 2007-08-31 | Completed |
Phase 1b Study of CS-7017 in Combination With Erlotinib in Subjects With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer (NSCLC) Who Failed First-line Therapy [NCT01199068] | Phase 1 | 15 participants (Actual) | Interventional | 2010-06-30 | Completed |
A Randomized Phase II Study of Preoperative Chemotherapy (Gemcitabine and Erlotinib) With or Without Radiation Therapy for Patients With Resectable Adenocarcinoma of the Pancreas [NCT00766636] | Phase 2 | 5 participants (Actual) | Interventional | 2008-09-30 | Terminated(stopped due to Slow Accrual) |
Tyrosine-kinase Inhibitor (TKI) With or Without SBRT in Newly Diagnosed EGFRm Advanced Staged Lung Adenocarcinoma [NCT02893332] | Phase 3 | 200 participants (Anticipated) | Interventional | 2016-01-15 | Terminated(stopped due to After interim analysis, IRB recommend termination.) |
A Phase 1b/2 Study of XL184 With or Without Erlotinib in Subjects With Non-Small Cell Lung Cancer [NCT00596648] | Phase 1/Phase 2 | 92 participants (Actual) | Interventional | 2007-12-31 | Completed |
A Phase II Open-Label Trial to Evaluate the Efficacy and Toxicity of Tarceva (Erlotinib) in Women With Metastatic, Hormone Receptor Negative and Her2-Negative Breast Cancer [NCT00597597] | Phase 2 | 11 participants (Actual) | Interventional | 2007-04-30 | Terminated(stopped due to not enough patients enrolled) |
An Open-Label Multicenter Study of Erlotinib (Tarceva®) as First Line Therapy Until and Beyond RECIST Progression in NSCLC Patients Who Harbour EGFR Mutations [NCT01310036] | Phase 2 | 208 participants (Actual) | Interventional | 2011-04-30 | Completed |
Phase 2 Study of CS-7017 and Erlotinib in Subjects With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy [NCT01101334] | Phase 2 | 90 participants (Actual) | Interventional | 2010-03-31 | Completed |
A Phase II Study of Bevacizumab and Erlotinib After Radiation Therapy and Temozolomide in Patients With Newly Diagnosed Glioblastoma Without MGMT Promoter Methylation [NCT00720356] | Phase 2 | 115 participants (Actual) | Interventional | 2009-07-07 | Completed |
A Phase 1 Dose-Escalation Study of XL765 in Combination With Erlotinib in Subjects With Solid Tumors [NCT00777699] | Phase 1 | 80 participants (Actual) | Interventional | 2008-08-31 | Completed |
Second Line Erlitinib Combination With Gemcitabine Cisplatinum in Non-small Cell Lung Cancer Patients Who Harbored EGFR Sensitive Mutation Developed Resistance After First Line TKI Treatment [NCT02098954] | Phase 2 | 40 participants (Anticipated) | Interventional | 2014-07-01 | Recruiting |
Phase I Study of Gemcitabine, Capecitabine, and Erlotinib Together in Advanced Pancreatic Cancers [NCT00885066] | Phase 1 | 30 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Phase 1 Dose-Escalation Study of XL147 (SAR245408) in Combination With Erlotinib in Subjects With Solid Tumors [NCT00692640] | Phase 1 | 35 participants (Actual) | Interventional | 2008-05-31 | Completed |
Phase II Trial of Erlotinib in Combination With Docetaxel in Advanced Hepatocellular and Biliary Tract Carcinomas: Hoosier Oncology Group GI06-101 [NCT00532441] | Phase 2 | 25 participants (Actual) | Interventional | 2007-09-30 | Terminated(stopped due to Terminated due to funding issues.) |
A Phase 1b, Multicenter Trial to Evaluate Molecular Determinants of Response to Erlotinib and MK0646 in Advanced Non-Small-Cell Lung Cancer [NCT00729742] | Phase 1 | 49 participants (Actual) | Interventional | 2009-02-28 | Completed |
Phase I-II Study of Dasatinib and Erlotinib in Non-Small Cell Lung Cancer [NCT00826449] | Phase 1/Phase 2 | 53 participants (Actual) | Interventional | 2009-02-28 | Completed |
A Randomized, Open Label Study Comparing the Effect of First-line Therapy With Tarceva + Gemcitabine Versus Gemcitabine Monotherapy on Treatment Response in Treatment-naïve Patients With Advanced Non-small Cell Lung Cancer [NCT00518011] | Phase 2 | 17 participants (Actual) | Interventional | 2007-08-31 | Completed |
Phase I/II Clinical Trial Combining TUSC2-nanoparticles and Erlotinib in Stage IV Lung Cancer [NCT01455389] | Phase 1/Phase 2 | 25 participants (Actual) | Interventional | 2014-02-28 | Terminated(stopped due to Trial terminated by sponsor after decision to evaluate combination of quaratusugene ozeplasmid and osimertinib instead of further evaluating quaratusugene ozeplasmid and erlotinib.) |
An Open-label Phase II Multicenter Study of the Safety and Activity (as Measured by FDG-PET Imaging Changes) of the Combination of Erlotinib and Pertuzumab in Patients With Relapsed Non-small Cell Lung Cancer [NCT00855894] | Phase 2 | 41 participants (Actual) | Interventional | 2009-03-31 | Completed |
Thoracic Radiotherapy Combined With EGFR-TKI for Wild-type Non-small Cell Lung Cancer [NCT02738983] | Phase 2 | 22 participants (Anticipated) | Interventional | 2012-01-31 | Recruiting |
A Phase II Study of Temsirolimus (Torisel®) and Erlotinib (Tarceva®) in Platinum-Refractory or -Ineligible, Advanced, Squamous Cell Carcinoma of the Head and Neck [NCT01009203] | Phase 2 | 13 participants (Actual) | Interventional | 2009-12-31 | Terminated(stopped due to High patient withdrawal rate) |
Phase I Trial of Preoperative Radiotherapy With Concurrent Bevacizumab, Erlotinib and Capecitabine for Locally Advanced Pancreatic Cancer [NCT00614653] | Phase 1 | 17 participants (Actual) | Interventional | 2008-01-31 | Completed |
Randomized, Placebo-controlled, Double-blind Phase 1b/2 Study of U3-1287 (AMG 888) in Combination With Erlotinib in EGFR Treatment Naïve Subjects With Advanced Non-Small Cell Lung Cancer (NSCLC) Who Have Progressed on at Least One Prior Chemotherapy [NCT01211483] | Phase 1/Phase 2 | 222 participants (Actual) | Interventional | 2010-09-30 | Completed |
A Randomized Phase II Trial of Erlotinib or Intermittent Dosing of Erlotinib and Docetaxel in Male Former-smokers With Locally Advanced or Metastatic Squamous NSCLC in Second-line Setting After Failure on Chemotherapy [NCT01204697] | Phase 2 | 74 participants (Actual) | Interventional | 2010-11-30 | Completed |
A Randomized Phase II Study of Induction Chemotherapy Followed by Concurrent Chemoradiation Therapy According to EGFR Mutation Status in Patients With Unresectable Stage III NSCLC [NCT00620269] | Phase 2 | 212 participants (Anticipated) | Interventional | 2008-02-29 | Recruiting |
An Open Label Study to Evaluate the Effect of First Line Treatment With Tarceva in Combination With Gemcitabine on Overall Survival and Disease Progression in Patients With Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT00642733] | Phase 4 | 6 participants (Actual) | Interventional | 2007-08-31 | Terminated(stopped due to poor recruitment) |
"A Non-interventional Study to Follow and Evaluate Patients With Advanced NSCLC Who Are Treated in Second Line Setting With Tarceva (Erlotinib) in a Real Life Clinical Setting" [NCT01161173] | | 347 participants (Actual) | Observational | 2008-04-30 | Completed |
Phase II Trial of Molecularly Determined Treatment of Children and Young Adults With Newly Diagnosed Diffuse Intrinsic Pontine Gliomas [NCT01182350] | Phase 2 | 53 participants (Actual) | Interventional | 2011-09-30 | Terminated(stopped due to Per design: Stop if fewer than 3 cohorts by molecular classification were with 10 participants or only 1 cohort enrolled at least 15 participants of 50.) |
Phase II Study Evaluating the Role of Erlotinib an Epidermal Growth Factor Receptor (EGFR) Inhibitor in the Treatment of Myelodysplastic Syndrome [NCT00977548] | Phase 2 | 39 participants (Actual) | Interventional | 2009-09-30 | Completed |
Phase II Study of Erlotinib With or Without Hydroxychloroquine in Patients With Previously Untreated Advanced NSCLC and EGFR Mutations [NCT00977470] | Phase 2 | 76 participants (Actual) | Interventional | 2009-10-31 | Active, not recruiting |
Comparing Whole Brain Radiation With Hypofractionated Stereotactic RadioSurgery (HFSRS) in Patients With NSCL Brain Metastases [NCT02882984] | Phase 3 | 325 participants (Anticipated) | Interventional | 2015-03-31 | Recruiting |
Multicentre Randomised Phase II Trial of Erlotinib Versus Carboplatin/Vinorelbine in Elderly Patients (=/> 70 Years) With Advanced Non-Small Cell Lung Cancer [NCT00678964] | Phase 2 | 260 participants (Anticipated) | Interventional | 2006-06-30 | Recruiting |
A Prospective, Double-blind Randomized Phase III Study of 300 mg Versus 150 mg Erlotinib in Current Smokers With Locally Advanced or Metastatic NSCLC in Second-line Setting After Failure on Chemotherapy (CURRENTS) [NCT01183858] | Phase 3 | 315 participants (Actual) | Interventional | 2010-10-31 | Completed |
A Multi-centre, Open-label, Phase IV, Interventional Study to Evaluate the Efficacy of Erlotinib (Tarceva®) Following 4 Cycles of Platinum-based Chemotherapy in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) Who Have Not E [NCT01230710] | Phase 4 | 51 participants (Actual) | Interventional | 2011-03-31 | Completed |
Randomized Phase II Study of AZD6244 MEK-Inhibitor With Erlotinib in KRAS Wild Type and KRAS Mutant Advanced Non-Small Cell Lung Cancer [NCT01229150] | Phase 2 | 89 participants (Actual) | Interventional | 2010-10-26 | Completed |
A Randomised Phase II Double Blind Placebo Controlled Trial of Whole Brain Radiotherapy (WBRT) and Tarceva (OSI-774, Erlotinib) in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) With Multiple Brain Metastases [TACTIC] [NCT00554775] | Phase 2 | 80 participants (Actual) | Interventional | 2008-01-31 | Terminated(stopped due to IDMC made a recommendation to stop the trial as the target for continuing to the 2nd phase was not met.) |
Phase I/II Trial of Preoperative Radiotherapy With Concurrent Bevacizumab, Erlotinib and Capecitabine for Locally Advanced Rectal Cancer [NCT00543842] | Phase 1 | 19 participants (Actual) | Interventional | 2007-12-31 | Completed |
Cytochrom p450 3A4 and 1A2 Phenotyping for the Individualization of Treatment With Sunitinib or Erlotinib in Cancer Patients [NCT01402089] | Phase 4 | 54 participants (Actual) | Interventional | 2012-01-31 | Completed |
A National, Multi Center, Randomized, Open-label, Phase II Trial of Erlotinib Versus Combination of GC as (Neo)Adjuvant Treatment in Stage IIIA-N2 NSCLC With Sensitizing EGFR Mutation in Exon 19 or 21(EMERGING) [NCT01407822] | Phase 2/Phase 3 | 72 participants (Actual) | Interventional | 2011-12-05 | Active, not recruiting |
Pilot Trial of Molecular Profiling and Targeted Therapy for Advanced Non-Small Cell Lung Cancer, Small Cell Lung Cancer, and Thymic Malignancies [NCT01306045] | Phase 2 | 647 participants (Actual) | Interventional | 2011-02-08 | Active, not recruiting |
Phase II Trial of OSI-774 (NSC-718781) in Patients With Advanced Non-Small Cell Lung Cancer and a Performance Status of 2 [NCT00087412] | Phase 2 | 65 participants (Actual) | Interventional | 2004-09-30 | Completed |
A Multicenter, Open-Label, Phase IIIb Trial of Tarceva (Erlotinib Hydrochloride) in Patients With Advanced Non-Small Cell Lung Cancer [NCT00091663] | Phase 3 | 5,000 participants | Interventional | 2004-08-31 | Completed |
A Phase II Open-label Rollover Study for Subjects That Have Participated in an Astellas Sponsored Linsitinib Trial [NCT02057380] | Phase 2 | 13 participants (Actual) | Interventional | 2014-04-16 | Completed |
A Randomized, Phase III, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Onartuzumab in Combination With Erlotinib as First-Line Treatment for Patients With MET-Positive Unresectable Stage IIIb or IV Non-Small Cel [NCT01887886] | Phase 3 | 10 participants (Actual) | Interventional | 2013-12-31 | Completed |
A Phase II Trial of Endocrine Therapy in Combination With OSI-906 (an IGF-1R Inhibitor) With or Without Erlotinib (Tarceva, an EGFR Inhibitor) in Patients With Hormone-sensitive Metastatic Breast Cancer. [NCT01013506] | Phase 2 | 0 participants (Actual) | Interventional | 2009-08-31 | Withdrawn(stopped due to Study was abandoned before opening to accrual. Replaced by another study.) |
A Phase I and Randomized Phase II Trial of Gemcitabine + Erlotinib (NSC-718781) + IMC-A12 (NSC-742460) vs. Gemcitabine + Erlotinib as First-Line Treatment in Patients With Metastatic Pancreatic Cancer [NCT00617708] | Phase 1/Phase 2 | 134 participants (Actual) | Interventional | 2008-03-31 | Completed |
A Phase II Study of Erlotinib (OSI-774); Tarceva in Women With Previously Untreated Advance Adenocarcinoma of the Lung [NCT00137839] | Phase 2 | 84 participants (Actual) | Interventional | 2004-11-30 | Completed |
A Randomized, Open Label Study to Compare the Use of the Dermatological Creams Verutex, Eritex and Fisiogel in the Management of Skin Rash Associated With Tarceva Treatment in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer. [NCT00718315] | Phase 3 | 201 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase I/II, Dual-Center, Open-Label Trial of the Safety and Efficacy of Tarceva™ (Erlotinib Hydrochloride) Plus Sirolimus in Patients With Recurrent Malignant Glioma Not on P450-Inducing Anti-Epileptics [NCT00509431] | Phase 1 | 19 participants (Actual) | Interventional | 2006-08-31 | Completed |
Bevacizumab Plus EGFR Tyrosine Kinase Inhibitors in Chinese Patients With Stage IIIB-IV EGFR-mutant Non-small Cell Lung Cancer: a Prospective,Multicenter, Non-interventional,Real-world Study [NCT04575415] | | 272 participants (Anticipated) | Observational | 2020-10-07 | Recruiting |
Prospective Evaluation of Small Molecule EGFR-1 Tyrosine Kinase Inhibition as a First-Line Treatment in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) Harbouring a Mutant EGFR Gene [NCT00339586] | Phase 2 | 40 participants | Interventional | 2006-01-31 | Recruiting |
A Phase II Trial of Tarceva (Erlotinib) in Women With Squamous Cell Carcinoma of the Vulvar [NCT00476476] | Phase 2 | 41 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Phase II Study of OSI-774 (Tarceva) in Combination With Oxaliplatin and Capecitabine in Previously Treated Patients With Stage IV Colorectal Cancer [NCT00123851] | Phase 2 | 32 participants | Interventional | 2003-03-31 | Completed |
A Phase II Study of Erlotinib (Tarceva) and Hypofractionated Thoracic Radiotherapy for Patients With Advanced or Inoperable Non-Small-Cell Lung Cancer [NCT00983307] | Phase 2 | 17 participants (Actual) | Interventional | 2009-08-27 | Completed |
Randomized, Double Blind Multicenter Phase II Study of Time to Progression on Fulvestrant in Combination With Erlotinib or Placebo in Hormone Receptor-Positive Metastatic Breast Cancer (MBC) Subjects Who Progressed on First Line Hormonal Therapy [NCT00570258] | Phase 2 | 27 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to FDA approved higher dose of study drug. Dose used in protocol lower than SOC - enrollment stopped, those on treatment were given option to opt out.) |
A Phase III, Open Label, Randomised, Multi-centre, International Study of MEDI4736, Given as Monotherapy or in Combination With Tremelimumab Determined by PD-L1 Expression Versus Standard of Care in Patients With Locally Advanced or Metastatic Non-Small C [NCT02352948] | Phase 3 | 597 participants (Actual) | Interventional | 2015-01-13 | Completed |
A Phase I/II Trial to Assess Safety and Tolerability of an Oral Aurora Kinase A Inhibitor, MLN8237, In Combination With Erlotinib In Patients With Recurrent or Metastatic Non-Small Cell Lung Cancer [NCT01471964] | Phase 1/Phase 2 | 22 participants (Actual) | Interventional | 2011-10-20 | Terminated(stopped due to Phase I portion completed. Phase II will open pending amendment approval.) |
A Multi-Center, Phase 1/1b, Open-Label, Dose Escalation Study of ABT-700, a Monoclonal Antibody in Subjects With Advanced Solid Tumors [NCT01472016] | Phase 1 | 74 participants (Actual) | Interventional | 2011-10-06 | Completed |
A Phase II Study of Erlotinib and Bevacizumab in Patients With Advanced Upper Gastrointestinal Carcinomas, Refractory or Intolerable to Standard Systemic Therapy [NCT00350753] | Phase 2 | 126 participants (Anticipated) | Interventional | 2006-06-30 | Completed |
Phase II Trial of Tarceva Following Concurrent Chemo-Radiotherapy as First Line Therapy in Patients With Unresectable Non-Small Cell Lung Cancer [NCT00466284] | Phase 2 | 46 participants | Interventional | 2006-01-31 | Recruiting |
A Multicenter Randomized Phase III Study of Pemetrexed Versus Erlotinib in Patients With Pretreated Advanced Non-Small-Cell Lung Cancer (NSCLC) [NCT00440414] | Phase 3 | 320 participants (Anticipated) | Interventional | 2006-04-30 | Completed |
Phase I/II Trial of Erlotinib, Radiation Therapy, and Cisplatin in Patients With Complete Resected Squamous Cell Carcinoma of the Head and Neck [NCT00442455] | Phase 3 | 53 participants (Actual) | Interventional | 2006-01-31 | Completed |
A Combined Phase 1 and 2 Study Investigating the Combination of RAD001 and Erlotinib in Patients With Advanced NSCLC Previously Treated Only With Chemotherapy [NCT00456833] | Phase 1 | 248 participants (Actual) | Interventional | 2005-06-30 | Completed |
Phase I Trial Evaluating the Epidermal Growth Factor Receptor Inhibitor Erlotinib in Combination With the SRC Kinase Inhibitor Dasatinib for Patients With Recurrent Non-small Cell Lung Cancer (NSCLC) [NCT00444015] | Phase 1 | 34 participants (Actual) | Interventional | 2007-03-31 | Completed |
Surgery for Early Lung Cancer With Preoperative Erlotinib (Tarceva): A Clinical Phase II Trial [NCT00462995] | Phase 2 | 25 participants (Actual) | Interventional | 2006-05-31 | Completed |
A Phase I Trial of GemCap-T, Capecitabine in Combination With Gemcitabine and Erlotinib (Tarceva®) in Patients With Advanced Pancreatic Adenocarcinoma [NCT00480584] | Phase 1 | 20 participants (Actual) | Interventional | 2007-04-30 | Completed |
A Study of Pegylated Alfa Interferon, Sunitinib and Tarceva in Patients With Metastatic Renal Cell Carcinoma [NCT00522249] | Phase 1/Phase 2 | 10 participants (Actual) | Interventional | 2007-05-31 | Terminated(stopped due to PI decision) |
A Study of Erlotinib (Tarceva®) Treatment in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer Who Present Activating Mutations in the Tyrosine Kinase Domain of the Epidermal Growth Factor Receptor [NCT01287754] | Phase 4 | 24 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase II, Open-Label Study of Erlotinib (Tarceva®) Treatment in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Present Activating Mutations in the Tyrosine Kinase Domain of the Epidermal Growth Factor Receptor [NCT01260181] | Phase 2 | 30 participants (Actual) | Interventional | 2011-03-31 | Completed |
Avastin and Chemotherapy Followed by Avastin Alone or in Combination With Tarceva for the Treatment of Metastatic Colorectal Cancer. [NCT00598156] | Phase 3 | 249 participants (Actual) | Interventional | 2007-06-30 | Completed |
A Phase I Study of Radiotherapy Concurrent With Erlotinib (Tarceva®) in the Treatment of Brain Metastases From Non-Small Cell Lung Cancer (NSCLC) [NCT00536861] | Phase 1 | 11 participants (Actual) | Interventional | 2006-05-31 | Completed |
Inoperable Non-Squamous NSCLC Stage III/IV: A Randomised Phase II Study With Bevacizumab Plus Erlotinib Or Gemcitabin/Cisplatin Plus Bevacizumab [NCT00536640] | Phase 2 | 224 participants (Actual) | Interventional | 2007-11-30 | Completed |
"A Phase I/II Trial of Hsp 90 Inhibitor AUY-922 in Patients With Lung Adenocarcinoma With Acquired Resistance to EGFR Tyrosine Kinase Inhibitors" [NCT01259089] | Phase 1/Phase 2 | 38 participants (Actual) | Interventional | 2011-04-27 | Completed |
Assess the Incidence of Mutations in the Tyrosine Kinase Domain of the Endothelial Growth Factor Receptor in UK Patients With Newly Diagnosed Metastatic or Recurrent Non-small Cell Lung Cancer and to Investigate the Quality of Life of These Patients Under [NCT01250119] | Phase 2 | 688 participants (Actual) | Interventional | 2011-03-31 | Completed |
A Phase 1/2 Trial of Erlotinib and Onalespib Lactate in EGFR-Mutant Non-Small Cell Lung Cancer [NCT02535338] | Phase 1/Phase 2 | 11 participants (Actual) | Interventional | 2016-01-21 | Active, not recruiting |
A Phase 1 Study of Bevacizumab in Combination With 1) Sunitinib, 2) Sorafenib, 3) Erlotinib and Cetuximab, 4) Trastuzumab and Lapatinib [NCT00543504] | Phase 1 | 343 participants (Actual) | Interventional | 2007-10-10 | Completed |
Phase IIa Single-arm Clinical Trial of Hepatocellular Carcinoma Chemoprevention With Low-dose Erlotinib in Patients With Liver Cirrhosis [NCT04172779] | Phase 2 | 30 participants (Anticipated) | Interventional | 2024-07-31 | Not yet recruiting |
A Phase I Study to Assess the Food Effect on the Pharmacokinetics of Entinostat in Postmenopausal Women With Locally Recurrent or Metastatic ER+ Breast Cancer and Men and Women With Progressive Non-Small Cell Lung Cancer [NCT01594398] | Phase 1 | 14 participants (Actual) | Interventional | 2012-05-31 | Completed |
A Phase II Study to Evaluate the Safety and Efficacy of RAD001 Plus Erlotinib in Patients With Well- to Moderately-Differentiated Neuroendocrine Tumors [NCT00843531] | Phase 2 | 17 participants (Actual) | Interventional | 2009-06-25 | Terminated(stopped due to Low Accrual) |
A Non Interventional Trial of Tarceva Metastatic Non Small Lung Cancer. [NCT02595450] | | 299 participants (Actual) | Observational | 2008-09-30 | Completed |
Archer 1009:a Randomized, Double Blind Phase 3 Efficacy And Safety Study Of Pf-00299804 (Dacomitinib) Versus Erlotinib For The Treatment Of Advanced Non-small Cell Lung Cancer Following Progression After, Or Intolerance To, At Least One Prior Chemotherapy [NCT01360554] | Phase 3 | 878 participants (Actual) | Interventional | 2011-06-16 | Completed |
Multicenter Phase II Trial of OSI-774 (Erlotinib, Tarceva) In Patients With Advanced Bronchioloalveolar Cell Lung Cancer [NCT00590902] | Phase 2 | 81 participants (Actual) | Interventional | 2002-03-31 | Completed |
A Phase II Study of OSI-774 in Combination With Cisplatin and Docetaxel in Metastatic or Recurrent Head and Neck Squamous Cell Cancer [NCT00076310] | Phase 2 | 50 participants (Actual) | Interventional | 2004-01-28 | Active, not recruiting |
Phase II Quality of Life Study of Stereotactic RadioSurgery, Temozolomide and Erlotinib Chemotherapy for the Treatment of 1-3 Brain Metastases in Non-small Cell Lung Cancer [NCT00385398] | Phase 2 | 0 participants (Actual) | Interventional | 2008-07-31 | Withdrawn(stopped due to lack of funding and drug supply) |
Randomized Phase II Trial of Panitumumab, Erlotinib and Gemcitabine vs. Erlotinib and Gemcitabine in Patients With Untreated, Metastatic Pancreatic Adenocarcinoma [NCT00550836] | Phase 2 | 104 participants (Actual) | Interventional | 2009-03-31 | Completed |
Phase Ia/Ib, Open-Label, Multicenter, Dose-Escalation Study Followed by an Extension Phase to Evaluate the Safety, Pharmacokinetics and Activity of RO5479599, A Glycoengineered Antibody Against HER3, Administered Either Alone (Part A) or in Combination Wi [NCT01482377] | Phase 1 | 145 participants (Actual) | Interventional | 2011-12-31 | Completed |
A Phase I Study of OSI-774 in Combination With Gemcitabine and Radiation in Locally Advanced, Non-Operable Pancreatic Cancer [NCT00063947] | Phase 1 | 28 participants (Actual) | Interventional | 2003-05-31 | Completed |
A Randomized, Open-Label Phase II Clinical Trial of Combination Erlotinib (Tarceva®) and Fulvestrant (Faslodex®) Versus Erlotinib (Tarceva®) Alone in Advanced Non-Small Cell Lung Cancer Patients [NCT00100854] | Phase 2 | 108 participants (Actual) | Interventional | 2004-10-28 | Completed |
A Phase III Trial Comparing Whole Brain Radiation (WBRT) and Stereotactic Radiosurgery (SRS) Alone Versus With Temozolomide or Erlotinib in Patients With Non-Small Cell Lung Cancer and 1-3 Brain Metastases [NCT00268684] | Phase 3 | 381 participants | Interventional | 2005-05-31 | Recruiting |
Multicenter Phase II Trial of OSI-774 (Erlotinib, Tarceva) in Patients With Advanced Bronchioalveolar Cell Lung Cancer. [NCT00416650] | Phase 2 | 16 participants (Actual) | Interventional | 2002-07-31 | Completed |
Genotypic-Based Pharmacodynamic Evaluation of Erlotinib (Erlotinib (Tarceva™, OSI Pharmaceuticals, Uniondale, NY) in Patients With Squamous Cell Carcinoma of the Head and Neck (SCCHN) [NCT00281866] | Phase 2 | 37 participants (Anticipated) | Interventional | 2005-07-31 | Completed |
A Randomized Phase III Trial Assessing in Patients With Advanced Non-small Cell Lung Cancer Not Progressing on First Line Cisplatin-gemcitabine Chemotherapy Maintenance Chemotherapy With Gemcitabine or Sequential Treatment With Erlotinib [NCT00300586] | Phase 3 | 842 participants (Actual) | Interventional | 2006-06-30 | Completed |
Phase I Studies of TarcevaTM (Erlotinib Hydrochloride, OSI-774) as Single Agent in Children With Refractory and Relapsed Malignant Brain Tumors and in Combination With Irradiation in Newly Diagnosed Brain Stem Glioma [NCT00418327] | Phase 1 | 48 participants (Anticipated) | Interventional | 2005-06-30 | Completed |
A Phase II, Multicenter, Randomized, Double-Blind Clinical Trial to Evaluate the Efficacy and Safety of Tarceva (Erlotinib Hydrochloride) in Combination With Avastin (Bevacizumab) Versus Avastin Alone for Treatment of Metastatic Renal Cell Carcinoma [NCT00081614] | Phase 2 | 100 participants | Interventional | 2004-03-31 | Completed |
Phase I Study of Erlotinib and Celecoxib in Former Smokers With Advanced Non-Small Cell Lung Cancer [NCT00088959] | Phase 1 | 45 participants (Actual) | Interventional | 2003-12-31 | Completed |
A Pilot Study to Determine if Downstream Markers of EGFR Linked Signaling Pathways Predict Response to OSI-774 (Erlotinib) in the First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer [NCT00085280] | | 129 participants (Actual) | Interventional | 2004-09-30 | Completed |
Phase I Trial of R115777 and OSI-774 in Patients With Advanced Solid Tumors [NCT00085553] | Phase 1 | 29 participants (Actual) | Interventional | 2004-05-20 | Completed |
Randomized Phase II of TARCEVA™ (Erlotinib) Versus Temozolomide Or BCNU in Patients With Recurrent Glioblastoma Multiforme [NCT00086879] | Phase 2 | 110 participants (Actual) | Interventional | 2004-05-31 | Completed |
Phase II Trial Of TAXOTERE + TARCEVA™ To Treat HRPC In Men ≥ 65 Years Of Age [NCT00087035] | Phase 2 | 1 participants (Actual) | Interventional | 2004-05-31 | Completed |
Phase II Study to Evaluate the Tumor Biochemical Effects of the EGFR Tyrosine Kinase Inhibitor OSI-774 (Erlotinib) Administered Prior to Surgical Resection in Patients With Early Stage Non-Small Cell Lung Cancer [NCT00087269] | Phase 2 | 110 participants (Actual) | Interventional | 2004-12-31 | Terminated |
Parallel, Randomized, Double-Blind, Placebo Controlled Phase II Adjuvant Studies of Erlotinib and Polyphenon E to Prevent the Recurrence and Progression of Tobacco-Related, Superficial Bladder Cancer [NCT00088946] | Phase 2 | 17 participants (Actual) | Interventional | 2004-05-31 | Completed |
Erlotinib in Combination With Cisplatin as Radiosensitizing Agents in Women Receiving Radiation Therapy for Locally Advanced Squamous Cell Carcinoma of the Cervix; A Phase I Trial [NCT00428194] | Phase 1 | 0 participants (Actual) | Interventional | 2007-01-31 | Withdrawn(stopped due to Withdrawn due to lack of accrual) |
A Phase II, Multicenter, Randomized Clinical Trial to Evaluate the Efficacy and Safety of Bevacizumab in Combination With Chemotherapy (Docetaxel or Pemetrexed) or Tarceva (Erlotinib) Compared With Chemotherapy (Docetaxel or Pemetrexed) Alone for Treatmen [NCT00095225] | Phase 2 | 122 participants (Actual) | Interventional | 2004-07-31 | Completed |
A Phase I, and Biologic Correlative Study of Erlotinib, in Combination With Cetuximab and Bevacizumab in Patients With Metastatic Renal Cell Carcinoma [NCT00101348] | Phase 1/Phase 2 | 66 participants (Actual) | Interventional | 2005-01-31 | Completed |
Phase II Study of Bevacizumab (Avastin) and Erlotinib (Tarceva) in Previously Treated Malignant Mesothelioma [NCT00137826] | Phase 2 | 37 participants (Actual) | Interventional | 2004-02-29 | Completed |
Randomized Phase III Trial With Capecitabine/Erlotinib Followed of Gemcitabine Versus Gemcitabine/Erlotinib Followed of Capecitabine in Patients With Advanced Pancreatic Cancer [NCT00440167] | Phase 3 | 280 participants (Anticipated) | Interventional | 2006-06-30 | Active, not recruiting |
A Phase II, Multicenter, Open-Label Clinical Trial to Evaluate the Efficacy and Safety of OSI-774 in Patients With Advanced or Metastatic Breast Cancer and Disease Progression During or Following Chemotherapy [NCT00109265] | Phase 2 | 0 participants | Interventional | 2001-05-31 | Completed |
An International Randomized Phase III Study of First-line Erlotinib Followed by Second-line Cisplatin + Gemcitabine Versus First-line Cisplatin + Gemcitabine Followed by Second-line Erlotinib in Advanced Non Small Cell Lung Cancer [NCT00349219] | Phase 3 | 760 participants (Actual) | Interventional | 2006-12-31 | Completed |
Erlotinib (Tarceva) Given Intermittently During First Line Standard Platinum Containing Chemotherapy for Advanced Squamous Cell Carcinoma of the Head and Neck [NCT00448240] | Phase 2/Phase 3 | 6 participants (Actual) | Interventional | 2007-02-28 | Terminated(stopped due to Low Accrual, Funding) |
Phase II Trial of OSI-774 (Erlotinib, Tarceva™,) and Capecitabine for Patients With Previously Untreated Metastatic Colorectal Cancer [NCT00459901] | Phase 2 | 13 participants (Actual) | Interventional | 2004-06-30 | Terminated(stopped due to Study halted by drug manufacturer) |
A Phase II Trial of Bevacizumab (NSC# 704865) and OSI-774 (NSC# 718781) In Recurrent Ovarian Cancer, Fallopian Tube Carcinoma or Primary Peritoneal Carcinoma [NCT00126542] | Phase 2 | 35 participants (Actual) | Interventional | 2005-04-30 | Completed |
A Phase I Study of the Combination of Chemoradiotherapy With Biologic Therapy for Advanced Head and Neck Cancer [NCT00405405] | Phase 1 | 13 participants (Actual) | Interventional | 2006-12-31 | Completed |
Phase II Trial of Erlotinib in Advanced Pancreatic Cancer [NCT00497224] | Phase 2 | 51 participants (Actual) | Interventional | 2006-11-30 | Completed |
Sequential Phase I/II Trial of Oral Vorinostat in Combination With Erlotinib in Non-small-cell Lung Cancer Patients With Mutations at Epidermal Growth Factor Receptor With Disease Progression After Erlotinib Treatment [NCT00503971] | Phase 1/Phase 2 | 50 participants (Actual) | Interventional | 2007-12-31 | Terminated |
An Open-Label Study to Characterize the Pharmacokinetic Parameters of Erlotinib (Tarceva®, OSI-774) in Cancer Patients With Advanced Solid Tumors, With Adequate and Moderately Impaired Hepatic Function [NCT00139620] | Phase 1 | 39 participants (Actual) | Interventional | 2005-08-22 | Completed |
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of ARQ197 Plus Erlotinib Versus Placebo Plus Erlotinib in Previously Treated Subjects With Locally Advanced or Metastatic, Non-Squamous, Non-Small-Cell Lung Cancer (NSCLC) [NCT01244191] | Phase 3 | 1,048 participants (Actual) | Interventional | 2011-01-11 | Terminated(stopped due to Sponsor decision due to the protocol-defined stopping boundary for futility was met based on the interim OS data.) |
BATTLE-2 Program: A Biomarker-Integrated Targeted Therapy Study in Previously Treated Patients With Advanced Non-Small Cell Lung Cancer [NCT01248247] | Phase 2 | 334 participants (Actual) | Interventional | 2011-06-02 | Completed |
Real World Study to Evaluate the Efficacy and Resistant Mechanism of Erlotinib/Gefitinib Combined With Bevacizumab in First Line EGFR Mutation Positive Advanced Non-aquamous Non-small Cell Lung Cancer [NCT03647592] | | 30 participants (Anticipated) | Observational | 2018-06-01 | Recruiting |
A Phase I, Open-Label, Multi-center Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD6244 (ARRY-142886) When Given in Combination With Standard Doses of Selected Chemotherapies to Patients With Advanced Solid Tumors [NCT00600496] | Phase 1 | 140 participants (Actual) | Interventional | 2007-12-14 | Active, not recruiting |
Multicenter Randomized Phase II Study of Erlotinib, Cisplatin and Radiotherapy Versus Cisplatin and Radiotherapy in Patients With Stage III and IV Squamous Cell Carcinoma of the Head and Neck [NCT00410826] | Phase 2 | 204 participants (Actual) | Interventional | 2006-06-30 | Completed |
Randomized Phase II Trial of Sorafenib and Erlotinib or Sorafenib Alone in Patients With Advanced Non-Small Cell Lung Cancer Progressing on Erlotinib [NCT00609804] | Phase 2 | 53 participants (Actual) | Interventional | 2008-03-31 | Completed |
A Phase 1b Trial of LY2584702 in Combination With Erlotinib or Everolimus in Patients With Solid Tumors [NCT01115803] | Phase 1 | 29 participants (Actual) | Interventional | 2010-03-31 | Terminated(stopped due to Primary objective has been met; safety and pharmacokinetics have been characterized.) |
Phase II Trial of Bevacizumab Plus Erlotinib for Patients With Recurrent Malignant Glioma [NCT00671970] | Phase 2 | 57 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Phase I/II Trial of Radiation, Avastin and Tarceva for Resectable or Locally Advanced Pancreatic Adenocarcinoma [NCT00735306] | Phase 1 | 12 participants (Actual) | Interventional | 2008-07-31 | Completed |
A Phase IIa Randomized, Double-Blind Trial of Erlotinib in Inhibiting EGF Receptor Signaling in Aberrant Crypt Foci of the Colon [NCT00754494] | Phase 2 | 45 participants (Actual) | Interventional | 2008-07-31 | Completed |
Phase I/II Study of Bendamustine and Erlotinib for Metastatic or Locally Advanced Triple Negative Breast Cancer [NCT00834678] | Phase 1/Phase 2 | 11 participants (Actual) | Interventional | 2009-04-30 | Completed |
Continuous Infusion Topotecan With Erlotinib for Topotecan Pretreated Ovarian Cancer: Tumor Features and Phase II/Pharmacokinetic Evaluation [NCT01003938] | Phase 2 | 6 participants (Actual) | Interventional | 2009-08-31 | Terminated(stopped due to due to administrative issue and financial sponsor decision to suspend ovarian cancer studies) |
Phase I / II Adaptive Randomized Trial of Vorinostat, Erlotinib and Temozolomide in Adults With Recurrent Glioblastoma Multiforme [NCT01110876] | Phase 1/Phase 2 | 21 participants (Actual) | Interventional | 2011-06-30 | Terminated(stopped due to Unanticipated Toxicities) |
A Randomized Phase II Trial of Erlotinib Versus Pemetrexed as Second-Line Therapy in Treating Patients With Advanced EGFR Wild-Type and EGFR FISH-Positive Lung Adenocarcinoma [NCT01565538] | Phase 2 | 123 participants (Actual) | Interventional | 2008-12-31 | Completed |
A Phase II Trial of Tarceva (OSI-774) and Avastin (Bevacizumab) in the Treatment of Patients With Metastatic Renal Cell Carcinoma [NCT00193154] | Phase 2 | 63 participants (Actual) | Interventional | 2003-02-28 | Completed |
A Multi-Center Study Investigating the Correlation Between TARCEVA ®-Induced Rash and Efficacy Among EGFR-mutated NSCLC Patients Receiving First-line Therapy [NCT01174563] | Phase 2 | 60 participants (Actual) | Interventional | 2011-05-23 | Completed |
Study of Chinese Medicine Plus Targeted Therapy Maintenance Versus Targeted Therapy Maintenance in Advanced Pulmonary Adenocarcinoma: A Randomized Double-blind Controlled Clinical Trial [NCT02889692] | Phase 3 | 23 participants (Actual) | Interventional | 2013-03-31 | Completed |
A Phase II, Multicenter, Open-Label Trial of the Safety and Efficacy of Tarceva (Erlotinib Hydrochloride) in Patients With First Relapse of Grade IV Glioma (Glioblastoma Multiforme) [NCT00337883] | Phase 2 | 110 participants | Interventional | 2003-07-31 | Completed |
Phase II Randomized Trial of 3D Radiotherapy Versus the Combination of 3D Radiotherapy and Erlotinib (Tarceva®) in Patients With Localized-Unresectable Non-Small Cell Lung Cancer Non Susceptible for Chemotherapy Treatment. [NCT00466089] | Phase 2 | 90 participants (Anticipated) | Interventional | 2006-03-31 | Recruiting |
Phase II Trial of Neoadjuvant Erlotinib Plus Chemotherapy for Treatment of ER Negative, PgR Negative and HER-2 Negative Primary Breast Cancer [NCT00491816] | Phase 2 | 32 participants (Actual) | Interventional | 2007-07-31 | Active, not recruiting |
A Multi-Arm Complete Phase 1 Trial of Valproic Acid-Based 2-Agent Oral Regimens for Patients With Advanced Solid Tumor [NCT00495872] | Phase 1 | 204 participants (Actual) | Interventional | 2007-06-30 | Completed |
Open-label Phase 2 Study of Single-agent Erlotinib for Patients With Pediatric Ependymoma Previously Treated With Oral Etoposide in Protocol OSI-774-205 [NCT01247922] | Phase 2 | 4 participants (Actual) | Interventional | 2011-05-23 | Terminated(stopped due to In a pre-planned interim analysis, OSI-774-205 met futility for efficacy with no safety concerns. As a result, the companion trial, OSI-774-206 has been stopped) |
A Phase I-II, Multicenter, Open-label Trial of Co-administered CHR-2797 and Erlotinib in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer [NCT00522938] | Phase 1/Phase 2 | 2 participants (Actual) | Interventional | 2007-12-31 | Terminated(stopped due to Very poor recruitment of patients to the study) |
A Phase I Study of Erlotinib and Dovitinib (TKI258) in Advanced Non-small Cell Lung Cancer [NCT01515969] | Phase 1 | 9 participants (Actual) | Interventional | 2012-07-31 | Terminated(stopped due to Patient safety - Unacceptable toxicity) |
Whole Brain Radiation With or Without Erlotinib for Brain Metastases From Non-Small Cell Lung Cancer [NCT01518621] | Phase 2 | 25 participants (Actual) | Interventional | 2012-05-31 | Terminated(stopped due to Slow accrual) |
Phase II Study of Neoadjuvant Treatment With Gemcitabine, Tarceva and Oxaliplatin Followed by Chemotherapy With Tarceva and Gemcitabine in Patients With Pancreas Adenocarcinoma With Borderline Resectability. [NCT01531712] | Phase 2 | 6 participants (Actual) | Interventional | 2011-02-10 | Terminated(stopped due to Due to a low recruitment rate since start of recruitment period.) |
A Phase I Dose-Escalation Study of Erlotinib in Combination With Pralatrexate in Subjects With Advanced Cancer [NCT01532011] | Phase 1 | 72 participants (Actual) | Interventional | 2012-03-31 | Completed |
A PHASE 1B, MULTI-CENTER, OPEN-LABEL STUDY OF THE MTOR KINASE INHIBITOR CC-223 IN COMBINATION WITH ERLOTINIB OR ORAL AZACITIDINE IN ADVANCED NON-SMALL CELL LUNG CANCER [NCT01545947] | Phase 1 | 76 participants (Actual) | Interventional | 2012-05-01 | Completed |
Phase II Randomised Clinical Trial Evaluating an EGFR Tyrosine Kinase Inhibitor (EGFR-TKI) Versus an EGFR-TKI Combined With an Anti-oestrogen Treatment (Fulvestrant) in Women With Advanced Stage Non-squamous Lung Cancer [NCT01556191] | Phase 2 | 379 participants (Actual) | Interventional | 2012-05-15 | Completed |
Phase I Evaluation of Erlotinib and Docetaxel With Concomitant Boost Radiation for Locoregionally Advanced Squamous Cell Carcinoma of the Head and Neck [NCT00113347] | Phase 1 | 10 participants (Actual) | Interventional | 2005-04-30 | Completed |
A Phase II Study of Bevacizumab (Avastin™) and Erlotinib (Tarceva™) in Combination With FOLFOX for Patients With Untreated Metastatic Colorectal Cancer [NCT00116506] | Phase 2 | 35 participants | Interventional | 2005-01-31 | Completed |
A Phase IB Study in Patients With Metastatic Colorectal Cancer to Evaluate Pharmacodynamic Effects of Erlotinib and Safety and Efficacy of Erlotinib in Combination With Modified FOLFOX6 (mFOLFOX6) and Bevacizumab [NCT00118261] | Phase 1 | 17 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Phase II Trial of Erlotinib and Concurrent Palliative Thoracic Radiation Therapy for Patients With Non-small Cell Carcinoma of the Lung. (PEARL Trial) [NCT00391248] | Phase 2 | 40 participants (Actual) | Interventional | 2006-11-30 | Completed |
A Randomized Placebo Controlled Study Of OSI-774 (TARCEVA) Plus Gemcitabine In Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer [NCT00026338] | Phase 3 | 569 participants (Actual) | Interventional | 2001-10-29 | Completed |
A Phase II Evaluation Of OSI-774 (NSC #718781) In The Treatment Of Persistent or Recurrent Squamous Cell Carcinoma Of The Cervix [NCT00031993] | Phase 2 | 51 participants (Actual) | Interventional | 2002-03-31 | Completed |
A Phase II Study of OSI-774 in Metastatic Colorectal Cancer [NCT00032110] | Phase 2 | 30 participants (Actual) | Interventional | 2002-01-31 | Completed |
A Phase Ib Multicenter Trial To Determine The Safety, Tolerance And Preliminary Antineoplastic Activity Of Gemcitabine Administered In Combination With Escalating Oral Doses Of OSI-774 To Patient Cohorts With Recently Diagnosed, Gemcitabine-Naive, Advance [NCT00033241] | Phase 1 | 0 participants | Interventional | 2001-07-23 | Completed |
A Randomized Placebo Controlled Study of OSI-774 (Tarceva (TM)) Plus Gemcitabine in Patients With Locally Advanced, Unresectable or Metastatic Pancreatic Cancer [NCT00040183] | Phase 3 | 569 participants (Actual) | Interventional | 2001-11-29 | Completed |
A Phase I Study Of OSI-774 (NSC #718781)-Based Multimodality Therapy For Inoperable Stage III Non Small Cell Lung Cancer [NCT00042835] | Phase 1 | 48 participants (Actual) | Interventional | 2002-05-31 | Terminated(stopped due to Administratively complete.) |
A Phase I Clinical and Biological Evaluation of Combined EGFR Blockade With Erlotinib and Cetuximab in Patients With Advanced Cancer [NCT00397384] | Phase 1 | 43 participants (Actual) | Interventional | 2007-01-31 | Completed |
Phase II Study Of OSI-774 In Advanced Esophageal Cancer [NCT00045526] | Phase 2 | 48 participants (Anticipated) | Interventional | 2002-06-30 | Completed |
Phase II Study Trial Of Tarceva In Patients With Recurrent/Progressive Glioblastoma Multiforme [NCT00054496] | Phase 2 | 73 participants (Anticipated) | Interventional | 2002-08-31 | Recruiting |
A Phase II Study of OSI-774 (NSC-718781) in Patients With Locally Advanced or Metastatic Papillary Histology Renal Cell Cancer [NCT00060307] | Phase 2 | 40 participants (Anticipated) | Interventional | 2003-05-31 | Completed |
A Phase II Study of OSI 774 (IND Number 63383) in Combination With Celecoxib (Celebrex, Pharmacia) as Second-Line Therapy in Advanced Non-Small Cell Lung Cancer [NCT00062101] | Phase 2 | 80 participants (Actual) | Interventional | 2004-01-31 | Completed |
A Pharmacogenetic and Pharmacodynamic Study of Erlotinib (OSI-774) Toxicity in Patients With Advanced Solid Tumors [NCT00063895] | Phase 1/Phase 2 | 80 participants (Anticipated) | Interventional | 2003-04-30 | Completed |
A Phase II, Open-label, Intra-patient Dose-escalation Study of Erlotinib in Patients With Advanced Non-small Cell Lung Cancer Who Have Failed Prior Chemotherapy [NCT00072631] | Phase 2 | 43 participants (Actual) | Interventional | 2003-11-05 | Completed |
A Phase II Study of OSI-774 (Tarceva) in Elderly Subjects With Previously Untreated Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00137800] | Phase 2 | 82 participants (Actual) | Interventional | 2003-02-28 | Completed |
Phase I/II Study of Postoperative Adjuvant Chemoradiation for cSCCHN [NCT01465815] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2011-12-31 | Withdrawn(stopped due to Drug manufacturer, Astellas Pharma, informed us that safety and efficacy of Erlotinib and OSI-906 in other oncology studies was determined to be unfavorable.) |
A Phase II Study of Neo-adjuvant Erlotinib for Operable Stage IIB or IIIA Non-small Cell Lunc Cancer With Epidermal Growth Factor Receptor Activation Mutations [NCT01470716] | Phase 2 | 26 participants (Anticipated) | Interventional | 2012-01-31 | Active, not recruiting |
Phase I Study of OSI-774 (NSC 718781) for Solid Tumors in Patients With Hepatic or Renal Dysfunction [NCT00030498] | Phase 1 | 75 participants (Actual) | Interventional | 2001-12-31 | Completed |
A Pilot Study to Evaluate Epidermal Growth Factor Receptor Signaling After Treatment With Oral OSI-774 in Patients With Locally Advanced or Metastatic Breast Cancer [NCT00030537] | Phase 2 | 0 participants | Interventional | 2001-11-30 | Completed |
A Phase I/II Study Of OSI-774 In Combination With Cisplatin In Patients With Recurrent Or Metastatic Squamous Cell Cancer Of The Head And Neck [NCT00030576] | Phase 1/Phase 2 | 51 participants (Actual) | Interventional | 2001-11-30 | Completed |
A Phase II Trial of OSI-774 in Patients With Hepatocellular or Biliary Carcinoma [NCT00033462] | Phase 2 | 78 participants (Anticipated) | Interventional | 2002-03-31 | Completed |
Phase I Study of Bevacizumab in Combination With Everolimus and Erlotinib in Advanced Cancer [NCT00276575] | Phase 1 | 65 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Randomised, Placebo-Controlled Trial of Erlotinib in Patients With Advanced NSCLC Unsuitable for Chemotherapy [NCT00275132] | Phase 3 | 670 participants (Actual) | Interventional | 2005-04-30 | Completed |
A Phase I/II Study Of OSI-774 In Combination With Oxaliplatin, And 5-Fluourouracil In Patients With Metastatic Colorectal Carcinoma [NCT00049101] | Phase 1/Phase 2 | 0 participants | Interventional | 2002-08-31 | Completed |
A Phase I and Phase II Study of OSI-774 in Combination With Docetaxel in Squamous Cell Carcinoma of the Head and Neck [NCT00055770] | Phase 1/Phase 2 | 45 participants (Anticipated) | Interventional | 2002-10-31 | Completed |
A Phase II Study Of OSI-774 (NSC 718781) Given In Combination With Carboplatin In Patients With Recurrent Epithelial Ovarian Cancer [NCT00030446] | Phase 2 | 50 participants (Actual) | Interventional | 2002-01-10 | Completed |
A Phase II Study of OSI-774 (NSC 718781) in Patients With Locally Advanced and/or Metastatic Carcinoma of the Endometrium [NCT00030485] | Phase 2 | 0 participants | Interventional | 2002-01-31 | Completed |
A Phase II Study Of OSI-774 (NSC 718781) In Unresectable Or Metastatic Adenocarcinoma Of The Stomach And Gastroesophageal Junction [NCT00032123] | Phase 2 | 0 participants | Interventional | 2002-06-30 | Completed |
A Phase I, Pharmacological, and Biological Study of OSI-774 in Combination With FOLFOX 4 (5-FU, Leucovorin, and Oxaliplatin) and Bevacizumab (Avastin) in Patients With Advanced Colorectal Cancer [NCT00060411] | Phase 1 | 24 participants (Actual) | Interventional | 2003-06-30 | Completed |
A Randomized Placebo Controlled Study of OSI-774 (Erlotinib HCl, Tarceva[TM]) in Patients With Incurable Stage IIIB/IV Non-small Cell Lung Cancer Who Have Failed Standard Therapy for Advanced or Metastatic Disease [NCT00036647] | Phase 3 | 731 participants (Actual) | Interventional | 2001-11-01 | Completed |
Pilot Study, Without Direct Individual Benefice, of Biological Effect of Tarceva (OSI-774) at Posology of 150 mg by Day for Patients Stricken by ENT Epidermoid Carcinoma Waiting for First Surgical Picking up. [NCT00144976] | | 43 participants (Actual) | Interventional | 2003-10-31 | Completed |
A Phase I Trial Of A COX-2 Inhibitor (Celecoxib) In Combination With An EGFR Inhibitor (OSI-774) In Metastatic Non-Small Cell Lung Cancer [NCT00072072] | Phase 1 | 0 participants | Interventional | 2003-08-31 | Completed |
A Phase II Study of Oral EGFR Tyrosine Kinase Inhibitor OSI-774 (NSC-718781) in Patients With Malignant Pleural Mesothelioma [NCT00039182] | Phase 2 | 55 participants (Actual) | Interventional | 2002-05-31 | Completed |
A Pilot and Phase II Study of OSI-774 and Temozolomide in Combination With Radiation Therapy in Glioblastoma Multiforme [NCT00039494] | Phase 2 | 171 participants (Anticipated) | Interventional | 2002-12-31 | Completed |
A Phase I Study of Single Agent OSI-774 (Tarceva) (NSC# 718781, IND# 63383) Followed by OSI-774 With Temozolomide for Patients With Selected Recurrent/Refractory Solid Tumors, Including Brain Tumors [NCT00077454] | Phase 1 | 95 participants (Actual) | Interventional | 2004-02-29 | Completed |
Phase I Study To Determine The Safety, Tolerance And Preliminary Antineoplastic Activity Of Combined EGFR (erbB1) And HER2 (erbB2) Blockade, With OSI-774 And Trastuzumab, In Combination With Weekly Paclitaxel [NCT00042809] | Phase 1 | 40 participants (Actual) | Interventional | 2002-05-31 | Completed |
Safety and Efficacy of Recombinant Humanized Monoclonal Anti-VEGF Antibody rhuMAb VEGF and EGFR Tyrosine Kinase Inhibitor OSI-774 for Locally Advanced or Metastatic Non-Squamous Cell NSCLC in Patients Who Have Been Previously Treated [NCT00043823] | Phase 1/Phase 2 | 41 participants (Actual) | Interventional | 2002-08-01 | Completed |
A Phase 2 Open-Label Study Of OSI-774 (NSC 718781) In Unresectable Hepatocellular Carcinoma [NCT00047333] | Phase 2 | 80 participants (Actual) | Interventional | 2002-08-31 | Terminated(stopped due to Administratively complete.) |
Open-Label, Multicenter, Dose-Escalation Study in Subjects w/Advanced Colorectal Cancer to Evaluate the Safety, Efficacy, and Pharmacokinetics of Tarceva in Combination w/5-Fluorouracil, Leucovorin, and Irinotecan and of Bevacizumab in Combination w/Tarce [NCT00047762] | Phase 1 | 0 participants | Interventional | 2002-10-31 | Completed |
A Phase I Study of OSI-774 in Combination With Standard Fractionation Radiation Therapy in Patients With Oral Cavity or Oropharyngeal Cancer Stage II or III and in Combination With Standard Fractionation Radiation Therapy and Low Dose Daily Cisplatin in P [NCT00049166] | Phase 1 | 48 participants (Actual) | Interventional | 2002-10-31 | Completed |
A Phase I Study of the Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor, OSI-774, in Combination With Docetaxel and Radiation in Locally Advanced Squamous Cell Cancer of the Head and Neck [NCT00049283] | Phase 1 | 30 participants (Actual) | Interventional | 2002-09-30 | Completed |
Gemcitabine and Cisplatin With Erlotinib in Hepatocellular Carcinoma (HCC) and Biliary Tree Cancer (BTC) (Intra- and Extra-hepatic Cholangiocarcinoma, Bile Duct Cancer, Adenocarcinoma of the Ampulla of Vater and Gallbladder Carcinoma) [NCT00832637] | Phase 2 | 33 participants (Actual) | Interventional | 2007-08-31 | Terminated(stopped due to Low accrual) |
A Phase I/II Study Of Bevacizumab (rhuMAb VEGF) In Combination With OSI-774 For Patients With Recurrent Or Metastatic Cancer Of The Head And Neck [NCT00055913] | Phase 1/Phase 2 | 58 participants (Actual) | Interventional | 2003-03-31 | Completed |
A Dose-Finding, Safety, And Pharmacokinetic Study Of The Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor OSI-774 (NSC 718781) In Patients With Unresectable Hepatocellular Carcinoma And Moderate Hepatic Dysfunction [NCT00047346] | Phase 1 | 24 participants (Actual) | Interventional | 2002-08-31 | Completed |
A Phase II Study of OSI-774 (Tarceva) and Gemcitabine for Patients With Metastatic Breast Cancer [NCT00059852] | Phase 2 | 61 participants (Actual) | Interventional | 2003-06-30 | Completed |
A Phase III, Randomized, Double Blind, Multicenter Trial of Tarceva (Erlotinib) Plus Chemotherapy (Carboplatin and Paclitaxel) Versus Chemotherapy Alone in Patients With Advanced (Stage IIIb or IV) Non-Small Cell Lung Cancer Who Have Not Received Prior Ch [NCT00047736] | Phase 3 | 0 participants | Interventional | 2001-07-31 | Completed |
Phase II Study of OSI-774 (Erlotinib, Tarceva) in Elderly Patients With Advanced Stage or Inoperable Non Small Cell Lung Cancer (NSCLC) [NCT00200395] | Phase 2 | 30 participants (Actual) | Interventional | 2003-07-02 | Completed |
Phase I Study of Secondary Primary Tumor Prevention With Epidermal Growth Factor Receptor (EGFR), Tyrosine Kinase Inhibitor Erlotinib (OSI-774, Tarceva™), and Cyclooxygenase-2 (COX-2) Inhibitor (Celecoxib) in Early Stage (Stage I/II) Squamous Cell Carcino [NCT00400374] | Phase 1 | 10 participants (Actual) | Interventional | 2007-08-31 | Completed |
Phase I Study of Erlotinib Administered Every 72 Hours in Patients With Glioblastoma Multiforme With Pharmacokinetic/Pharmacodynamic Correlates [NCT00227032] | Phase 1 | 10 participants (Actual) | Interventional | 2005-09-30 | Terminated(stopped due to Loss of funding) |
A Randomized Phase 2 Study Comparing Erlotinib-Pemetrexed, Pemetrexed Alone, and Erlotinib Alone, as Second-Line Treatment for Non-Smoker Patients With Locally Advanced or Metastatic Nonsquamous Non-Small Cell Lung Cancer [NCT00550173] | Phase 2 | 247 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Phase II, Open Label Study of Erlotinib (Tarceva) in Previously Treated Subjects With Advanced Non-Small Cell Lung Cancer [NCT00410059] | Phase 2 | 59 participants (Actual) | Interventional | 2006-11-30 | Completed |
A Phase II Study of Erlotinib (Tarceva®) in Patients With Muscle-Invasive Bladder Cancer Undergoing Radical Cystectomy [NCT00380029] | Phase 2 | 27 participants (Actual) | Interventional | 2006-05-31 | Completed |
A Phase II Study of Erlotinib With Bevacizumab in Chemotherapy Naïve Performance Status (PS) 2 Patients With Advanced Non-Small Cell Lung Cancer [NCT00367601] | Phase 2 | 25 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase II Trial of Erlotinib and Avastin in Previously Treated Patients With Cancer of the Esophagus or Gastroesophageal Junction [NCT00442507] | Phase 2 | 6 participants (Actual) | Interventional | 2007-03-31 | Terminated(stopped due to Slow accrual) |
A Phase 2 Randomized Open-label Study of Erlotinib Plus Tivantinib (ARQ 197) Versus Single Agent Chemotherapy in Previously Treated KRAS Mutation Positive Subjects With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT01395758] | Phase 2 | 96 participants (Actual) | Interventional | 2011-07-31 | Completed |
A Phase II Trial of Erlotinib (Tarceva®) in Combination With Stereotactic Body Radiation Therapy (SBRT) for Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) [NCT00547105] | Phase 2 | 24 participants (Actual) | Interventional | 2007-06-25 | Completed |
A Single-Dose,ComparativeBioavailability Study ofTwo Formulations ofErlotinib150mgTabletsunderFastingConditions [NCT04145570] | Phase 4 | 24 participants (Actual) | Interventional | 2008-10-23 | Completed |
A Randomized, Placebo-Controlled Phase II Clinical Trial of Combination Erlotinib (Tarceva) and Celecoxib (Celebrex) Versus Erlotinib (Tarceva)/Placebo in Advanced Non-Small Cell Lung Cancer Patients [NCT00499655] | Phase 2 | 107 participants (Actual) | Interventional | 2007-11-30 | Completed |
Randomized Phase II Trial of Adjuvant Carboplatin, Docetaxel, Bevacizumab, and Erlotinib Versus Chemotherapy Alone in Patients With Resected Non-Small Cell Lung Cancer [NCT00621049] | Phase 2 | 112 participants (Actual) | Interventional | 2007-12-31 | Completed |
Phase I/II Clinical Trial of Combined Pre-Irradiation With Pemetrexed and Erlotinib Followed by Maintenance Erlotinib for Recurrent and Second Primary Squamous Cell Carcinoma of the Head and Neck [NCT00573989] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2008-03-31 | Terminated(stopped due to Drug Supply Issue) |
AVF4236s: Bevacizumab (Avastin®) + Erlotinib as First-line Therapy for Stage IIIB/IV or Recurrent, Non-squamous Cell Lung Cancer [NCT00585377] | Phase 2 | 50 participants (Actual) | Interventional | 2007-08-31 | Completed |
A Phase II Study of Chemotherapy Treatment Based on Molecular Profiling Diagnosis for Patients With Carcinoma of Unknown Primary Site [NCT00737243] | Phase 2 | 289 participants (Actual) | Interventional | 2008-08-31 | Completed |
Phase I Study of Low-Dose Fractionated Radiotherapy as a Chemosensitizer for Gemcitabine and Erlotinib in Patients With Locally Advanced or Limited Metastatic Pancreatic Cancer [NCT00761345] | Phase 1 | 27 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Phase II Study of Erlotinib and Modified FOLFOX-6 (5-Fluorouracil, Leucovorin and Oxaliplatin) in Previously Untreated Patients With Unresectable or Metastatic Adenocarcinoma of the Esophagus and Gastric Cardia [NCT00591123] | Phase 2 | 38 participants (Actual) | Interventional | 2007-12-31 | Completed |
Phase II Study of Gemcitabine and Intermittent Erlotinib in Advanced Pancreatic Cancer [NCT00810719] | Phase 2 | 30 participants (Actual) | Interventional | 2009-04-30 | Completed |
Concomitant Tarceva® and Irradiation in Patients in Local-regionally Advanced Non-small Cell Lung Cancer. A Phase II Study [NCT00888511] | Phase 2 | 15 participants (Actual) | Interventional | 2009-05-31 | Completed |
A Phase I Study of Erlotinib in Combination With Quinacrine in Patients With Advanced Non-Small-Cell Lung Cancer [NCT01839955] | Phase 1 | 12 participants (Actual) | Interventional | 2013-09-30 | Completed |
[NCT01727869] | Phase 1 | 56 participants (Actual) | Interventional | 2012-10-31 | Completed |
A Phase I/II Study of Tivozanib and Erlotinib as Initial Treatment for Metastatic Non-small Cell Lung Cancer Assigned by VeriStrat® Serum Proteomic Evaluation [NCT01728181] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2013-11-30 | Withdrawn(stopped due to Stopped before approval due to ineffective drug) |
Phase II Study of Bevacizumab and Erlotinib in Elderly Patients With Advanced Non-Small Lung Cancer [NCT00553800] | Phase 2 | 32 participants (Actual) | Interventional | 2007-07-05 | Completed |
Rapid Plasma Genotyping For Early Initiation Of Erlotinib In EGFR Mutant Lung Cancer [NCT02770014] | Phase 2 | 43 participants (Actual) | Interventional | 2016-06-30 | Terminated(stopped due to Terminated due to Osimertinib approval) |
Personalized Adaptive Radiation Therapy With Individualized Systemic Targeted Therapy (PARTIST) for Locally Advanced, Non-small Cell Lung Cancer With Genomic Driver Mutations [NCT02277457] | Early Phase 1 | 0 participants (Actual) | Interventional | 2015-09-30 | Withdrawn |
Phase III Study of an Optimized Chemotherapy Followed by Maintenance With Bevacizumab Strategy With or Without Erlotinib in Unresectable Metastatic Colorectal Cancer. DREAM OPTIMOX 3. C04-2 [NCT00265824] | Phase 3 | 700 participants (Actual) | Interventional | 2005-05-31 | Completed |
A Two-Part Phase I Study of the Addition of Oxaliplatin to Gemcitabine, and Then Erlotinib Plus Oxaliplatin to Gemcitabine as Radiosensitizers for Pancreatic and Biliary Adenocarcinoma [NCT00266097] | Phase 1 | 23 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Phase I-II Dose Finding and Early Efficacy Study of Combination Therapy With Erlotinib (Tarceva), Gemcitabine, Bevacizumab (Avastin), and Capecitabine in Advanced Pancreatic Cancer [NCT00260364] | Phase 1/Phase 2 | 44 participants (Actual) | Interventional | 2005-11-30 | Completed |
Pilot Study Using Neoadjuvant Chemo-Radiotherapy and EGFR-tyrosine Kinase Inhibitor for Potentially Resectable Pancreatic Cancer [NCT00243854] | Phase 1 | 8 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Phase II Trial of Erlotinib With Temozolomide and Concurrent Radiation Therapy Post-Operatively in Patients With Newly Diagnosed Glioblastoma Multiforme [NCT00274833] | Phase 2 | 27 participants (Actual) | Interventional | 2005-10-31 | Completed |
Phase II Open-Label Study of Volociximab (M200) in Combination With Erlotinib (Tarceva™) in Previously Treated Patients With Locally Advanced (Stage IIIb) or Metastatic (Stage IV) Non-Small Cell Lung Cancer [NCT00278187] | Phase 2 | 0 participants | Interventional | 2005-07-31 | Active, not recruiting |
A Prospective, Open-labelled, Randomized, Multicenter Phase II Study to Evaluate Efficacy and Safety of Erlotinib vs NP Chemotherapy as Adjuvant Therapy in Post Radical Operation NSCLC Patients With EGFR19 or 21 Exon Mutation [NCT01683175] | Phase 2 | 94 participants (Actual) | Interventional | 2012-08-31 | Active, not recruiting |
Phase I/II Trial of OSI-906 in Combination With Gemcitabine and Erlotinib in Patients With Metastatic Ductal Adenocarcinoma of the Pancreas [NCT01600807] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to Study was pending major changes and was on hold, pending activation; administratively withdrawn; will be submitted as a new protocol if study is revised.) |
The Role of Epidermal Growth Factor Receptor (EGFR) Mutations in Pancreatic Cancer Patients Receiving Gemcitabine With or Without Erlotinib [NCT01608841] | Phase 2 | 88 participants (Anticipated) | Interventional | 2005-07-31 | Recruiting |
A Phase 1 Study of LY2875358 in Japanese Patients With Advanced Malignancies [NCT01602289] | Phase 1 | 17 participants (Actual) | Interventional | 2012-06-30 | Completed |
A Phase I/II Study of Celecoxib and Erlotinib Hydrochloride as Adjuvant Therapy for High Risk Patients With a History of Hepatocellular Carcinoma [NCT00293436] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2005-01-31 | Withdrawn |
A Randomized, Multicenter, Phase III Study of Erlotinib Versus Observation in Patients With no Evidence of Disease Progression After First Line, Platinum-Based Chemotherapy For High-Risk Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer [NCT00263822] | Phase 3 | 835 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Multicenter Randomized Phase II Trial in NSCLC Stage IV and IIIB (T4 With Pleural Effusion) in Elderly Independent Patients the Schedule Docetaxel / Gemcitabine First Line Following by Erlotinib When Progression Versus Erlotinib First Line Following by/ [NCT00418704] | | 100 participants (Actual) | Observational | 2006-05-31 | Completed |
A Randomized, Non-comparative, Multicenter, Open-Label, Phase 2 Study of Tarceva™ (Erlotinib) Alone and of Tarceva Plus VELCADE* (Bortezomib) for Injection in Patients With Relapsed or Refractory, Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00283634] | Phase 2 | 0 participants | Interventional | 2005-08-31 | Terminated(stopped due to insufficient efficacy) |
A Two Arm Phase I Dose Escalation Trial of Vinflunine With Erlotinib or Pemetrexed in Refractory Solid Tumors [NCT00320073] | Phase 1 | 41 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase I Study of Hydroxychloroquine With or Without Erlotinib in Advanced NSCLC [NCT01026844] | Phase 1 | 27 participants (Actual) | Interventional | 2007-07-31 | Terminated(stopped due to slow enrollment) |
Pemetrexed Plus Tarceva as Salvage Treatment in EGFR Overexpressed Metastatic Colorectal Cancer Patients Who Were Failed After Standard Chemotherapy: A Phase II Single Arm Prospective Study [NCT03086538] | Phase 2 | 29 participants (Actual) | Interventional | 2017-05-30 | Completed |
Phase III Study of Monotherapy by Gemcitabine or Vinorelbine Comparing to Doublet by Carboplatin and Paclitaxel Among Elderly Patients With Stage IIIB/IV NSCLC (Obligatory Second-line by Erlotinib) [NCT00298415] | Phase 3 | 451 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase II Study of Erlotinib and Predictive Markers as First-line Treatment of Advanced Non-small Cell Lung Cancer for Patients Unfit for Chemotherapy [NCT00452075] | Phase 2 | 24 participants (Actual) | Interventional | 2007-03-31 | Terminated(stopped due to Poor recruitment) |
A Multicenter Randomized Phase II Trial in NSCLC Stage IV et IIIB in Elderly Dependent Patients With Evaluation of the Sequence Gemcitabine First Line Followed by Erlotinib When Progression Versus Erlotinib First Line Followed by Gemcitabine When Progress [NCT00419042] | | 100 participants (Actual) | Observational | 2006-07-31 | Completed |
Phase 2 Study of GEMOX-T in Previously Untreated Patients With Advanced Pancreatic Cancer [NCT01505413] | Phase 2 | 33 participants (Actual) | Interventional | 2011-01-31 | Completed |
Pilot Study on the Determination of Intratumoral Concentrations of Kinase Inhibitors in Patients With Advanced Solid Malignancies. [NCT01636908] | | 43 participants (Actual) | Interventional | 2011-08-31 | Completed |
Phase II Study of Bevacizumab Plus Erlotinib in Patients With Advanced Hepatocellular Cancer (HCC) [NCT00365391] | Phase 2 | 27 participants (Actual) | Interventional | 2006-08-31 | Completed |
Phase I Study of Erlotinib and Metformin in Triple Negative Breast Cancer [NCT01650506] | Phase 1 | 8 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Phase II Trial of Erlotinib and Radiotherapy in Patients With Stage III Cutaneous Squamous Cell Carcinomas [NCT00369512] | Phase 2 | 15 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase II Study of S-1 in Combination With Gemcitabine and Erlotinib in Patients With Advanced or Metastatic Pancreatic Cancer [NCT01693419] | Phase 2 | 37 participants (Actual) | Interventional | 2011-08-31 | Completed |
Phase II Individualized Therapies Selection Study for Patients With Metastatic Colorectal Carcinoma According to the Genomic Expression Profile in Tumor Samples. [NCT01703910] | Phase 2 | 29 participants (Actual) | Interventional | 2012-11-30 | Completed |
A Multicenter, Randomized, Open-label, Phase II Study to Evaluate the Efficacy and Safety of Erlotinib Versus Etoposide Plus Cisplatin With Concurrent Radiotherapy in Unresectable Stage III Non-small Cell Lung Cancer (NSCLC) With Activating Mutation of Ep [NCT01714908] | Phase 2 | 100 participants (Anticipated) | Interventional | 2012-12-14 | Active, not recruiting |
[NCT01717807] | | 30 participants (Anticipated) | Observational | 2013-04-30 | Not yet recruiting |
A Randomized Phase III Study: Paclitaxel Plus Radiation Therapy With or Without Erlotinib in Treating Patients With Esophageal Squamous Carcinoma [NCT01752205] | Phase 3 | 120 participants (Anticipated) | Interventional | 2012-11-30 | Recruiting |
Erlotinib With Concurrent Brain Radiotherapy and Secondary Brain Radiotherapy After Recurrence With Erlotinib in NSCLC Non-increased-intracranial-pressure Symptomatic Brain Metastases: A Prospective Multicenter Trial(TRACTS) [NCT01763385] | Phase 2 | 210 participants (Anticipated) | Interventional | 2012-11-30 | Recruiting |
Detection of Resistance Genes From Serially Collected Plasma DNA in Non-small Cell Lung Cancer Patients Harboring EGFR Activating Mutation Who Are Being Treated With EGFR TKIs [NCT01776684] | | 200 participants (Anticipated) | Interventional | 2012-06-30 | Recruiting |
A Phase II Trial of Gemcitabine and Erlotinib (GE) Plus Proton-chemotherapy (PCT) and Capox for Locally Advanced Pancreatic Cancer (LAPC) [NCT01683422] | | 9 participants (Actual) | Interventional | 2013-01-02 | Terminated(stopped due to Updated chemotherapy regimens currently evaluated in clinical trials due to lack of progress in treating this condition; analysis continues in the realm of patterns of failure and increasing quality of life) |
Phase II Trial of XL184 (Cabozantinib) Plus Erlotinib in Patients With Advanced EGFR-Mutant Non-small Cell Lung Cancer (NSCLC) Who Have Progressed on Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor (TKI) Therapy [NCT01866410] | Phase 2 | 37 participants (Actual) | Interventional | 2013-05-20 | Completed |
A Randomized, Double-blind Study to Evaluate the Effect of Tarceva or Placebo Following Platinum-based CT on Overall Survival and Disease Progression in Patients With Advanced, Recurrent or Metastatic NSCLS Who Have Not Experienced Disease Progression or [NCT00556712] | Phase 3 | 889 participants (Actual) | Interventional | 2006-01-31 | Completed |
An Open-label, Randomized Study to Evaluate the Effect of Tarceva, Compared With Alimta (Pemetrexed) or Taxotere (Docetaxel),on Survival in Patients With Advanced, Recurrent or Metastatic Non-small Cell Lung Cancer Who Have Experienced Disease Progression [NCT00556322] | Phase 3 | 424 participants (Actual) | Interventional | 2006-03-31 | Completed |
Phase II Study of Maintenance of Tarceva (Erlotinib) in Patients With Locally Advanced Head and Neck Cancer [NCT00750555] | Phase 2 | 4 participants (Actual) | Interventional | 2008-09-30 | Terminated(stopped due to PI Law left Geisinger-study terminated prematurely - 4 patients enrolled) |
Evaluation of Costs and Outcomes of the Implementation of Treatment Protocol Based on Rational Utilization of Anti-PD1 Agents in Patients With Non-small-cell Lung Cancer in the Brazilian Public Health System [NCT05081674] | Phase 2 | 154 participants (Actual) | Interventional | 2020-01-01 | Completed |
A Phase 1-2 Trial of MM-121 in Combination With Erlotinib in Three Groups of Patients With Non-Small Cell Lung Cancer [NCT00994123] | Phase 1/Phase 2 | 162 participants (Actual) | Interventional | 2010-02-28 | Completed |
Ensayo Fase II de selección Individualizada Del Tratamiento de Quimioterapia en Pacientes Con Carcinoma de páncreas Avanzado en función de la determinación de Dianas terapéuticas en el Tejido Tumoral [NCT01454180] | Phase 2 | 31 participants (Actual) | Interventional | 2011-10-31 | Completed |
A Phase 2, Multicenter, Randomized, Double-blind Study of Ficlatuzumab Plus Erlotinib Versus Placebo Plus Erlotinib in Subjects Who Have Previously Untreated Metastatic, EGFR-mutated Non-small Cell Lung Cancer (NSCLC) and BDX004 Positive Label [NCT02318368] | Phase 2 | 10 participants (Actual) | Interventional | 2014-11-30 | Terminated(stopped due to Sponsor's decision) |
A Phase I/II Study of Bevacizumab and Erlotinib in Combination With Docetaxel and Prednisone for Patients With Hormone Refractory Prostate Cancer [NCT00996502] | Phase 1/Phase 2 | 4 participants (Actual) | Interventional | 2006-07-31 | Terminated(stopped due to Poor enrollment; PI left the institution) |
Phase II Trial of Erlotinib, a Small Molecule Tyrosine Kinase Inhibitor of EGFR, Prior to Surgery or Radiation in Patients With Aggressive Squamous Cell Cancers (SCC) of the Skin [NCT01059305] | Phase 2 | 10 participants (Actual) | Interventional | 2011-02-28 | Terminated(stopped due to Lack of primary outcome efficacy.) |
Effect of an Early Therapeutic Permutation on the Tumoral Control of Patients Receiving in First Line a Specific Inhibitor of Tyrosin Kinase of EGFR (Erlotinib) or a Taxan-based Chemotherapy for the Treatment of Not Resecable Adenocarcinoma With Bronchiol [NCT00384826] | Phase 2 | 133 participants (Actual) | Interventional | 2006-09-30 | Completed |
A Clinical and Pharmacologic Study of the Combination of Erlotinib and Bexarotene in Resectable Clinical Stage I-II Non-Small Cell Lung Cancer [NCT00125372] | | 12 participants (Actual) | Interventional | 2005-12-31 | Completed |
Risk-Adapted Therapy for Young Children With Embryonal Brain Tumors, Choroid Plexus Carcinoma, High Grade Glioma or Ependymoma [NCT00602667] | Phase 2 | 293 participants (Actual) | Interventional | 2007-12-17 | Active, not recruiting |
A Phase 2 Study of AZD6244 Plus Erlotinib for the Second-Line Treatment of Advanced Pancreatic Adenocarcinoma [NCT01222689] | Phase 2 | 46 participants (Actual) | Interventional | 2010-11-30 | Completed |
A Phase II Trial of Erlotinib and AT-101 in Advanced Non-Small Cell Lung Cancer (NSCLC) Patients With EGFR Activating Mutations [NCT00988169] | Phase 2 | 6 participants (Actual) | Interventional | 2009-09-30 | Terminated |
A Phase II Clinical Trial of Bevacizumab Plus eRlotinIb in patientS With Advanced Cancer Having Genetic Alterations in Krebs Cycle (BRISK, KCSG AL22-16) [NCT05904457] | Phase 2 | 32 participants (Anticipated) | Interventional | 2023-01-02 | Recruiting |
A Randomized, Phase III, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating Efficacy and Safety of Onartuzumab (Metmab) in Combination With Tarceva (Erlotinib) in Patients With Met Diagnostic-Positive Non-Small Cell Lung Cancer Who Have Receiv [NCT01456325] | Phase 3 | 494 participants (Actual) | Interventional | 2012-01-31 | Completed |
A Multi-Center Open-Label Phase I/2 Study of BGB324(Bemcentinib) in Combination With Erlotinib in Patients With Stage IIIb or Stage IV Non-Small Cell Lung Cancer [NCT02424617] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 2015-03-31 | Completed |
A Multi-arm Phase I Safety Study of Nivolumab in Combination With Gemcitabine/Cisplatin, Pemetrexed/Cisplatin, Carboplatin/Paclitaxel, Bevacizumab Maintenance, Erlotinib, Ipilimumab or as Monotherapy in Subjects With Stage IIIB/IV Non-small Cell Lung Canc [NCT01454102] | Phase 1 | 472 participants (Actual) | Interventional | 2011-12-16 | Completed |
Phase IIIb, Open-Label Study of Erlotinib (Tarceva®) Treatment in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Present Activating Mutations in the Tyrosine Kinase Domain of the Epidermal Growth Factor Receptor [NCT01667562] | Phase 3 | 375 participants (Actual) | Interventional | 2012-01-20 | Completed |
A National Web-Based Randomized Phase III Study of Erlotinib or Placebo Following Concurrent Docetaxel, Carboplatin, and Thoracic Radiotherapy in Patients With Inoperable Stage III Non-Small Cell Lung Cancer (D0410). [NCT00153803] | Phase 3 | 245 participants (Actual) | Interventional | 2005-05-31 | Completed |
A Phase II, Pharmacokinetic And Biologic Correlative Study of OSI-774, An EGFR Tyrosine Kinase Inhibitor, In Patients With Advanced Renal Cell Carcinoma [NCT00045487] | Phase 2 | 41 participants (Actual) | Interventional | 2002-06-30 | Completed |
A Phase I Study of IRX4204 in Combination With Erlotinib in Patients With Previously Treated Advanced Non-Small Cell Lung Cancer [NCT02991651] | Phase 1 | 12 participants (Anticipated) | Interventional | 2016-05-31 | Suspended(stopped due to Limited IRX4204 Study Drug Supply) |
Phase II Trial of Second Line Erlotinib + Digoxin in Patients With Non-Small Cell Lung Cancer [NCT00281021] | Phase 2 | 26 participants (Actual) | Interventional | 2006-02-28 | Terminated(stopped due to Interim analysis revealed that only 1 patient had a partial response.) |
A Randomized Phase II Trial Comparing Two Doses of Pulsed Erlotinib Prechemotherapy (PEP-C) in Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer [NCT00287989] | Phase 2 | 86 participants (Actual) | Interventional | 2004-11-30 | Completed |
An Open-label, Randomized Phase 3 Efficacy Study of ASP8273 vs Erlotinib or Gefitinib in First-line Treatment of Patients With Stage IIIB/IV Non-small Cell Lung Cancer Tumors With EGFR Activating Mutations [NCT02588261] | Phase 3 | 530 participants (Actual) | Interventional | 2016-02-11 | Terminated(stopped due to Following recommendation by SOLAR Study IDMC, Astellas closed enrollment in ASP8273 studies) |
A Randomized Phase III Trial of Erlotinib Versus Docetaxel in Patients With Advanced Squamous Cell Non-small Cell Lung Cancer Who Failed First Line Platinum Based Doublet Chemotherapy Stratified by VeriStrat Good vs VeriStrat Poor [NCT01652469] | Phase 3 | 81 participants (Actual) | Interventional | 2012-08-31 | Completed |
Prospective, Open-label, Multicenter, National, Non-interventional Phase IV Trial of the Effectiveness, Safety and Tolerability of Tarceva as Second-line Treatment of Patients With Advanced Non-small Cell Lung Cancer (NSCLC), After Failure of First-line T [NCT01664533] | | 57 participants (Actual) | Observational | 2011-09-30 | Completed |
A Phase 1/2 Trial of Ruxolitinib and Erlotinib in Patients With EGFR-mutant Lung Adenocarcinoma With Acquired Resistance to Erlotinib [NCT02155465] | Phase 1/Phase 2 | 22 participants (Actual) | Interventional | 2014-06-30 | Completed |
A Prospective Phase I Clinical Trial of Carbon Ion Radiation Therapy for Locally Advanced, Unresectable Pancreatic Cancer [NCT03403049] | Phase 1 | 14 participants (Actual) | Interventional | 2016-04-01 | Completed |
A Phase II Study of Pertuzumab and Erlotinib for Metastatic or Unresectable Neuroendocrine Tumors [NCT00947167] | Phase 2 | 4 participants (Actual) | Interventional | 2009-03-31 | Terminated(stopped due to Extreme toxicity of Pertuzumab and Erlotinib combination) |
A Randomized Phase II Study of Schedule-Modulated Concomitant Pemetrexed (Alimta) and Erlotinib (Tarceva) vs Single Agent Pemetrexed (Alimta®) in Patients With Progressive or Recurrent Non-small Cell Lung Cancer (NSCLC) [NCT00950365] | Phase 2 | 79 participants (Actual) | Interventional | 2006-04-30 | Completed |
Phase 2 Study of Erlotinib Plus Pemetrexed/Cisplatin Treating Lung Adenocarcinoma With Brain Metastases [NCT01578668] | Phase 2 | 69 participants (Actual) | Interventional | 2012-01-31 | Completed |
A Phase I/IB Trial of MEK162 in Combination With Erlotinib in Non-Small Cell Lung Cancer (NSCLC) Harboring KRAS or EGFR Mutation [NCT01859026] | Phase 1 | 43 participants (Actual) | Interventional | 2013-12-30 | Completed |
Phase II Trial of OSI-774 (Tarceva), a Human Epidermal Growth Factor (HER) (erbB, Also Known as Epidermal Growth Factor Receptor, EGFR) Tyrosine Kinase Inhibitor, in Treatment-Naïve Operable Breast Cancer [NCT00633750] | Phase 2 | 50 participants (Actual) | Interventional | 2002-08-31 | Completed |
A Randomized Open-Label Phase II Trial of Pemetrexed and a Platinum (Carboplatin or Cisplatin) With or Without Erlotinib in Patients With Non-Small Cell Lung Cancer Harboring Activating Epidermal Growth Factor Receptor Mutations and Acquired Resistance to [NCT01928160] | Phase 2 | 0 participants (Actual) | Interventional | 2014-06-30 | Withdrawn(stopped due to study not accruing) |
A Phase II Study of the Combination of Bevacizumab and Erlotinib in Patients With Unresectable Hepatocellular Carcinoma [NCT00242502] | Phase 2 | 62 participants (Actual) | Interventional | 2005-10-31 | Completed |
Concurrent Angiogenic and EGFR Blockade in Conjunction With Curative Intent Chemoradiation for Locally Advanced Head and Neck Cancer [NCT00140556] | Early Phase 1 | 28 participants (Actual) | Interventional | 2005-08-31 | Completed |
A Phase II Study of Paclitaxel/Carboplatin Plus Bevacizumab/Erlotinib in the First Line Treatment of Patients With Carcinoma of Unknown Primary Site [NCT00360360] | Phase 2 | 60 participants (Actual) | Interventional | 2006-07-31 | Completed |
Phase II Study of Erlotinib (TarcevaTM) Combined With Chemoradiation and Adjuvant Chemotherapy in Patients With Resectable Pancreatic Cancer [NCT00313560] | Phase 2 | 48 participants (Actual) | Interventional | 2006-03-16 | Completed |
Almonertinib Vs. Erlotinib/Chemotherapy for Neo-adjuVant Treatment of Stage IIIA-N2 EGFR-mutated NSCLC: a Multicenter, Open-label, Phase II Randomized Controlled Trial [NCT04455594] | Phase 2 | 168 participants (Anticipated) | Interventional | 2020-10-31 | Not yet recruiting |
A Phase Ia/Ib Dose-Escalation and Dose-Expansion Study Evaluating the Safety, Pharmacokinetics, and Activity of GDC-6036 as a Single Agent and in Combination With Other Anti-cancer Therapies in Patients With Advanced or Metastatic Solid Tumors With a KRAS [NCT04449874] | Phase 1 | 498 participants (Anticipated) | Interventional | 2020-07-29 | Recruiting |
Bevacizumab and Erlotinib First-Line Therapy in Advanced Non-Squamous Non-Small-Cell Lung Cancer (Stage IIIB/IV) Followed by Platinum-Based Chemotherapy at Disease Progression. A Multicenter Phase II Trial [NCT00354549] | Phase 2 | 104 participants (Actual) | Interventional | 2006-01-31 | Completed |
Phase II Trial of the Akt Inhibitor MK-2206 Plus Erlotinib (OSI-774) in Patients With Advanced Non-small Cell Lung Cancer Who Have Progressed After Previous Response (Including Stable Disease) With Erlotinib Therapy [NCT01294306] | Phase 2 | 80 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Phase I/II Study of Erlotinib and Romidepsin in Advanced Non-Small Cell Lung Cancer [NCT01302808] | Phase 1 | 17 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Single-Arm, Phase II Study of Tarceva Plus FOLFOX6 in Patients With Unresectable or Metastatic Cancer of Esophagus or Gastroesophageal Junction [NCT00539617] | Phase 2 | 7 participants (Actual) | Interventional | 2007-10-05 | Terminated(stopped due to For slow accrual) |
A Phase 1b/2 Study of ASP2215 in Combination With Erlotinib in Subjects With EGFR Activating Mutation-Positive (EGFRm+) Advanced NSCLC Who Have Acquired Resistance to an EGFR Tyrosine Kinase Inhibitor (TKI) [NCT02495233] | Phase 1/Phase 2 | 10 participants (Actual) | Interventional | 2015-09-08 | Terminated(stopped due to Study terminated due to adverse events related to the combination therapy) |
TIGER 1: A Randomized, Open-Label, Phase 2/3 Study of CO-1686 or Erlotinib as First-Line Treatment of Patients With EGFR-Mutant Advanced/Metastatic NSCLC [NCT02186301] | Phase 2/Phase 3 | 100 participants (Actual) | Interventional | 2014-11-30 | Terminated(stopped due to Sponsor discontinued development of CO-1686 for NSCLC) |
Phase Ib, Open-label, Multi-center Study of the Combination of Pertuzumab and Erlotinib in Patients With Locally Advanced or Metastatic (Stage IIIb/IV) NSCLC After Failure of at Least One Prior Chemotherapy Regimen. [NCT02507375] | Phase 1 | 17 participants (Actual) | Interventional | 2006-09-30 | Completed |
An Open-label Study of the Effect of Tarceva Monotherapy on Treatment Response in Patients With Advanced Non-small Cell Lung Cancer for Whom Tarceva Monotherapy is Considered the Best Option [NCT01996332] | Phase 2 | 1,805 participants (Actual) | Interventional | 2004-04-30 | Completed |
Pilot Study of Local Therapies for Oligometastatic Non-Small Cell Lung Cancer Harboring Sensitizing EGFR Mutations [NCT02450591] | | 4 participants (Actual) | Interventional | 2015-05-14 | Completed |
An Open-label, Randomized, Phase IIIb Trial Evaluating the Efficacy and Safety of Standard of Care +/- Continuous Bevacizumab Treatment Beyond Progression of Disease (PD) in Patients With Advanced Non-squamous Non-small Cell Lung Cancer (NSCLC) After Firs [NCT01351415] | Phase 3 | 485 participants (Actual) | Interventional | 2011-06-25 | Completed |
Efficacy and Safety of Erlotinib (Tarceva® ) Therapy in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) , Subtype Adenocarcinoma, Who Have Good Performance Status (PS 0-1) - ELEMENT [NCT01836133] | | 70 participants (Actual) | Observational | 2013-05-31 | Completed |
A Feasibility Study Investigating Translational Science in Chemotherapy-Naive Patients With Stage IIIb or IV Non-Small Cell Lung Cancer (NSCLC) Treated With the EGFR-TKI, Erlotinib [NCT00550537] | Phase 2 | 116 participants (Actual) | Interventional | 2007-10-31 | Completed |
Phase I Studies of TARCEVA™ (ERLOTINIB HYDROCHLORIDE, OSI-774) as Single Agent in Children With Refractory and Relapsed Malignant Brain Tumors and in Combination With Irradiation in Newly Diagnosed Brain Stem Glioma [NCT00360854] | Phase 1 | 48 participants (Anticipated) | Interventional | 2005-05-31 | Active, not recruiting |
A Phase II Study of Erlotinib Plus Bevacizumab in the Treatment of Advanced Thymoma and Thymic Carcinoma [NCT00369889] | Phase 2 | 18 participants (Actual) | Interventional | 2006-08-31 | Completed |
LUX-Lung 8: A Randomized, Open-label Phase III Trial of Afatinib Versus Erlotinib in Patients With Advanced Squamous Cell Carcinoma of the Lung as Second-line Therapy Following First-line Platinum-based Chemotherapy [NCT01523587] | Phase 3 | 795 participants (Actual) | Interventional | 2012-03-05 | Completed |
Phase I/II Trial of Bevacizumab, Pemetrexed and Erlotinib in the First-Line Treatment of Elderly Patients With Advanced (Stage IIIB(With Malignant Pleural Effusion) or IV) Non-Squamous Non-Small Cell Lung Cancer (NSCLC) [NCT00351039] | Phase 1/Phase 2 | 8 participants (Actual) | Interventional | 2006-07-31 | Terminated(stopped due to slow accrual) |
A Phase II Single Arm Clinical Trial to Evaluate the Efficacy and Safety of the Combination of Tarceva™ (Erlotinib Hydrochloride) and Rapamune™ (Sirolimus) in the Treatment of Metastatic Renal Cell Carcinoma. [NCT00353301] | Phase 2 | 25 participants (Actual) | Interventional | 2006-07-31 | Completed |
Phase I/II Study of Docetaxel and OSI-774 (Erlotinib) in Solid Tumor Patients With an Emphasis on NSCLC Using Molecular Correlates as Potential Markers of Response [NCT00390429] | Phase 1/Phase 2 | 81 participants (Actual) | Interventional | 2002-07-31 | Completed |
A Randomized Phase II Trial of Erlotinib, Cabozantinib, or Erlotinib Plus Cabozantinib as 2nd or 3rd Line Therapy in Patients With EGFR Wild-Type NSCLC [NCT01708954] | Phase 2 | 125 participants (Actual) | Interventional | 2013-02-13 | Active, not recruiting |
Phase IIA Trial Testing Erlotinib as an Intervention Against Intraductal Pancreatic Mucinous Neoplasms [NCT00482625] | Phase 2 | 6 participants (Actual) | Interventional | 2007-06-30 | Terminated(stopped due to The protocol has been completed prematurely (e.g., due to poor accrual, insufficient drug supply, IND closure).) |
An Adaptive Randomized Trial Comparing Multiple Treatments for Ebola Virus (EBOV) Infected Children and Adults [NCT02380625] | Phase 1/Phase 2 | 150 participants (Anticipated) | Interventional | 2015-04-30 | Not yet recruiting |
A Randomized, Double-blind Phase 2 Study of Itacitinib in Combination With Erlotinib Versus Erlotinib Alone in Subjects With Stage IIIB/ IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) Whose Tumors Have Epidermal Growth Factor Receptor (EGFR) Activatin [NCT02355431] | Phase 2 | 0 participants (Actual) | Interventional | 2014-12-31 | Withdrawn(stopped due to Study withdrawn before enrolling first patient) |
A Phase I/II Study of Pacritinib in Patients With EGFR Mutant NSCLC After EGFR TKI [NCT02342353] | Phase 1 | 8 participants (Actual) | Interventional | 2015-05-18 | Terminated(stopped due to Drug shortage) |
The Purpose of This Study is to Investigate Two Different Dose Regimens of Eribulin Mesylate in Combination With Intermittent Erlotinib in Patients With Previously Treated, Advanced Non-small Cell Lung Cancer [NCT01104155] | Phase 2 | 123 participants (Actual) | Interventional | 2010-02-22 | Completed |
Randomised, Controlled Study Comparing Chemotherapy Plus Intercalated EGFR-Tyrosine Kinase Inhibitors Combination Therapy With EGFR-Tyrosine Kinase Inhibitors Alone Therapy as First-line Treatment for Patients With Non-Small-Cell Lung Cancer [NCT02031601] | Phase 4 | 250 participants (Anticipated) | Interventional | 2014-01-31 | Recruiting |
A Phase II Study of Bevacizumab Plus Temodar and Tarceva After Radiation Therapy and Temodar in Patients With Newly Diagnosed Glioblastoma or Gliosarcoma Who Are Stable Following Radiation [NCT00525525] | Phase 2 | 74 participants (Actual) | Interventional | 2007-09-30 | Completed |
Phase II Trial of Erlotinib Plus Sirolimus for Patients With Recurrent Malignant Glioma Multiforme [NCT00672243] | Phase 2 | 32 participants (Actual) | Interventional | 2007-04-30 | Completed |
Bevacizumab and Erlotinib in Inoperable and Metastatic Hepatocellular Carcinoma [NCT00287222] | Phase 2 | 21 participants (Actual) | Interventional | 2006-02-28 | Completed |
A Phase II Randomized Study of OSI-774 in African American Patients With Advanced and Previously Treated Non-Small Cell Lung Cancer (NSCLC) [NCT00230126] | Phase 2 | 57 participants (Actual) | Interventional | 2005-10-31 | Completed |
Phase I/II Trial of Oral Erlotinib (Tarceva, OSI-774) for Treatment of Relapsed/Refractory Glioblastoma Multiforme and Anaplastic Astrocytoma [NCT00301418] | Phase 1/Phase 2 | 11 participants (Actual) | Interventional | 2006-03-31 | Completed |
Phase II Study of Sequential Dose-Dense Chemotherapy and Dose-Intense Erlotinib for the Initial Treatment of Advanced Non-Small Cell Lung Cancer [NCT01557959] | Phase 2 | 45 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Pilot Phase II Study of Erlotinib for the Treatment of Patients With Refractory/Relapsed AML [NCT01664897] | Phase 2 | 29 participants (Actual) | Interventional | 2013-05-16 | Completed |
A Randomized Phase II Double-Blind Trial of Erlotinib and Pazopanib, or Erlotinib and Placebo in Patients With Previously Treated Advanced Non-Small-Cell Lung Cancer (NSCLC) [NCT01027598] | Phase 2 | 202 participants (Actual) | Interventional | 2010-01-31 | Completed |
My Pathway: An Open-Label Phase IIa Study Evaluating Trastuzumab/Pertuzumab, Erlotinib, Vemurafenib/Cobimetinib, Vismodegib, Alectinib, and Atezolizumab in Patients Who Have Advanced Solid Tumors With Mutations or Gene Expression Abnormalities Predictive [NCT02091141] | Phase 2 | 670 participants (Actual) | Interventional | 2014-04-14 | Completed |
A Randomized Phase II Study of Individualized Combined Modality Therapy for Stage III Non-small Cell Lung Cancer (NSCLC) [NCT01822496] | Phase 2 | 59 participants (Actual) | Interventional | 2013-11-04 | Terminated |
Parallel (Randomized) Phase II Evaluation of ARQ 197 and ARQ 197 in Combination With Erlotinib in Papillary Renal Cell Carcinoma [NCT01688973] | Phase 2 | 55 participants (Actual) | Interventional | 2012-08-20 | Completed |
A Phase II Trial of Bevacizumab Plus Erlotinib for Patients With Metastatic Gemcitabine-Refractory Pancreatic Cancer [NCT00365144] | Phase 2 | 36 participants (Actual) | Interventional | 2006-02-28 | Completed |
Phase II Trial of Erlotinib and BKM120 in Patients With Advanced Non Small Cell Lung Cancer Previously Sensitive to Erlotinib [NCT01487265] | Phase 2 | 37 participants (Actual) | Interventional | 2014-03-31 | Completed |
A Phase I/II Trial of Bevacizumab (Avastin), Erlotinib (Tarceva), and Imatinib (Gleevec) in the Treatment of Patients With Advanced Renal Cell Carcinoma [NCT00193258] | Phase 1/Phase 2 | 94 participants (Actual) | Interventional | 2004-06-30 | Completed |
A Phase II Study of Gemcitabine and Erlotinib As Adjuvant Therapy In Patients With Resected Pancreatic Cancer [NCT00336700] | Phase 2 | 25 participants (Actual) | Interventional | 2006-06-30 | Terminated(stopped due to Study published November 2010 and no further work will be done) |
A Phase II Trial of Neoadjuvant Chemotherapy Plus Bevacizumab Followed By Concurrent Chemotherapy/Bevacizumab/Erlotinib/Radiation Therapy in the Treatment of Locally Advanced Squamous Carcinoma of the Head and Neck [NCT00392704] | Phase 2 | 60 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Dose Escalation Phase II Study of Sunitinib Plus Erlotinib in Advanced Renal Carcinoma [NCT00425386] | Phase 2 | 60 participants (Actual) | Interventional | 2006-08-31 | Completed |
Phase II Trial of Novasoy®, Gemcitabine, and Erlotinib in Locally Advanced or Metastatic Pancreatic Cancer [NCT00376948] | Phase 2 | 20 participants (Actual) | Interventional | 2005-05-31 | Completed |
A Phase II Trial of Erlotinib (OSI-774) and Sorafenib (BAY 43-9006) for Patients With Progression or Recurrent Glioblastoma Multiforme [NCT00445588] | Phase 2 | 56 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Pilot Study of Preoperative Tarceva (Erlotinib) Monotherapy in Patients With Early Stage (I/II) Non-Small Cell Lung Cancer [NCT00385996] | Phase 2 | 22 participants (Actual) | Interventional | 2006-10-31 | Completed |
EValuation of Erlotinib as a Neoadjuvant Therapy in Stage III NSCLC Patients With EGFR Mutations (EVENT Trial) [NCT01857271] | Phase 2 | 3 participants (Actual) | Interventional | 2013-11-30 | Terminated(stopped due to low accrual) |
A Phase I Open Label, Multicenter, Dose-Escalation Study to Determine the Maximum Tolerated Dose, Dose Limiting Toxicity, Safety and Pharmacokinetics of CGC-11047 When Used in Individual Combinations With 1) Gemcitabine or 2) Docetaxel or 3) Bevacizumab o [NCT00705874] | Phase 1 | 172 participants (Actual) | Interventional | 2006-05-31 | Completed |
An Open-Label, Non-Randomized, Multicenter Phase I/II Trial of RO5424802 Given Orally to Non-Small Cell Lung Cancer Patients Who Have ALK Mutation and Who Have Failed Crizotinib Treatment [NCT01801111] | Phase 1/Phase 2 | 138 participants (Actual) | Interventional | 2013-06-20 | Completed |
Open Label Study of Erlotinib (Tarceva®) as Single Agent First Line Treatment of Patients With Locally Advanced or Metastatic Lung Adenocarcinoma With Activating Epidermal Growth Factor Receptor (EGFR) Mutations [NCT01609543] | Phase 4 | 62 participants (Actual) | Interventional | 2012-05-31 | Completed |
Ensure Extension Study to Assess the PFS of First-Line Erlotinib (Tarceva®) and Erlotinib After the Time of Disease Progression in Chinese Population Enrolled in the Ensure Trial [NCT02000531] | Phase 4 | 45 participants (Actual) | Interventional | 2014-01-31 | Completed |
Phase II Study of Erlotinib for Patients With Malignant Peritoneal Mesothelioma (MPeM) Exhibiting EGFR Mutations [NCT01592383] | Phase 2 | 2 participants (Actual) | Interventional | 2012-06-30 | Completed |
JUNIPER: A Randomized Phase 3 Study of Abemaciclib Plus Best Supportive Care Versus Erlotinib Plus Best Supportive Care in Patients With Stage IV NSCLC With a Detectable KRAS Mutation Who Have Progressed After Platinum-Based Chemotherapy [NCT02152631] | Phase 3 | 453 participants (Actual) | Interventional | 2014-10-03 | Active, not recruiting |
Dose Finding and Early Efficacy Study of Erlotinib in Treatment of Chronic Hepatitis C Virus infection_proof of Concept Study [NCT01835938] | Phase 1/Phase 2 | 12 participants (Anticipated) | Interventional | 2013-05-31 | Not yet recruiting |
The Survival of Non-Small Cell Lung Carcinoma EGFR Non-mutated (Wild Type) Patients Treated With Erlotinib (TARceva) After the Failure of at Least One Chemotherapy Regimen [NCT01990261] | | 33 participants (Actual) | Observational | 2013-05-31 | Terminated |
A Study of Apatinib Combine With EGFR-TKI for Advanced EGFR-TKI-resistant Non-Small Cell Lung Cancer [NCT03050411] | Phase 1 | 30 participants (Anticipated) | Interventional | 2016-05-31 | Recruiting |
Maintenance Systemic Therapy Versus Local Consolidative Therapy (LCT) Plus Maintenance Systemic Therapy for Limited Metastatic Non-Small Cell Lung Cancer (NSCLC): A Randomized Phase II/III Trial [NCT03137771] | Phase 2 | 218 participants (Actual) | Interventional | 2017-04-07 | Active, not recruiting |
The Value of Radiotherapy in the Oligometastatic Non-squamous Non-small Cell Lung Cancer With Clinical Benefits From Erlotinib as Second-line Treatment: a Randomized Controlled Phase II Clinical Trial [NCT01796288] | Phase 2 | 200 participants (Anticipated) | Interventional | 2012-10-31 | Recruiting |
A Randomized Phase II Trial of Erlotinib Alone or in Combination With Bevacizumab in Patients With Non-Small Cell Lung Cancer and Activating Epidermal Growth Factor Receptor Mutations [NCT01532089] | Phase 2 | 88 participants (Actual) | Interventional | 2012-03-16 | Completed |
A Phase I, Dosage-finding and Pharmacokinetic Study of Intravenous Topotecan and Oral Erlotinib in Adults With Refractory Solid Tumors [NCT00611468] | Phase 1 | 29 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase 1 Multicenter, Dose-escalation Study of LY573636-sodium in Combination With 1) Gemcitabine HCl or 2) Docetaxel or 3) Temozolomide or 4) Cisplatin, or 5) Erlotinib in Patients With Advanced Solid Tumors [NCT01284335] | Phase 1 | 234 participants (Actual) | Interventional | 2008-07-31 | Terminated(stopped due to Study was terminated due to the termination of tasisulam development.) |
APRiCOT-P (Apricoxib in Combination Oncology Treatment - Pancreas): Phase 2 Study of the Efficacy and Safety of Apricoxib in Combination With Gemcitabine and Erlotinib in the Treatment of Patients With Advanced Pancreatic Cancer [NCT00709826] | Phase 2 | 109 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Randomised, Placebo-controlled, Double-blind Phase II of Sequential Administration of Tarceva (Erlotinib) or Placebo in Combination With Gemcitabine/Platinum as First-line Treatment in Patients With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC). [NCT01998919] | Phase 2 | 154 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase II Study of Sirolimus and Erlotinib in Recurrent/Refractory Germ Cell Tumors [NCT01962896] | Phase 2 | 4 participants (Actual) | Interventional | 2014-01-08 | Terminated(stopped due to Low accrual) |
A Randomized, Open-Label Phase 2 Study Evaluating LY2875358 Plus Erlotinib and LY2875358 Monotherapy in MET Diagnostic Positive NSCLC Patients With Acquired Resistance to Erlotinib [NCT01900652] | Phase 2 | 111 participants (Actual) | Interventional | 2013-08-31 | Completed |
Phase II Study of Stereotactic Radiosurgery or Other Local Ablation Followed by Erlotinib for Patients With Epidermal Growth Factor Receptor(EGFR) Mutation Who Have Previously Progressed on an Epidermal Growth Factor Receptor-tyrosine Kinase Inhibitor (EG [NCT01573702] | Phase 2 | 32 participants (Actual) | Interventional | 2012-12-11 | Completed |
MEK114375: A Rollover Study to Provide Continued Treatment With GSK1120212 to Subjects With Solid Tumors or Leukemia [NCT01376310] | Phase 2 | 159 participants (Actual) | Interventional | 2010-11-02 | Terminated(stopped due to Company Decision) |
A Phase II Study of Induction Chemotherapy Followed by Thoracic Radiotherapy and Erlotinib in Poor-Risk Stage III Non-Small Cell Lung Cancer [NCT00553462] | Phase 2 | 78 participants (Actual) | Interventional | 2008-03-31 | Completed |
Impact on Survival of Cutaneous Reactions in Erlotinib Plus Gemcitabine Treated Patients With Metastatic Pancreatic Cancer Under Conditions of Daily Routine Practice [NCT01782690] | | 338 participants (Actual) | Observational | 2012-03-31 | Completed |
An Open-label Phase II Trial of Erlotinib and Bevacizumab in Patients With Advanced Non-small Cell Lung Cancer and Activating EGFR Mutations [NCT01562028] | Phase 2 | 109 participants (Actual) | Interventional | 2012-06-30 | Completed |
A Phase 1/2 Trial of Trametinib and Erlotinib in Patients With EGFR-Mutant Lung Adenocarcinomas and Acquired Resistance to Erlotinib [NCT03076164] | Phase 1/Phase 2 | 24 participants (Actual) | Interventional | 2017-03-01 | Completed |
Biological Medicine for Diffuse Intrinsic Pontine Glioma (DIPG) Eradication [NCT02233049] | Phase 2 | 250 participants (Anticipated) | Interventional | 2014-10-31 | Recruiting |
A Phase 1 Open-label Prospective Cohort Trial of Curcumin Plus Tyrosine Kinase Inhibitors for Epidermal Growth Factor Receptor (EGFR)-Mutant Advanced Non-small Cell Lung Cancer [NCT02321293] | Phase 1 | 20 participants (Anticipated) | Interventional | 2015-08-31 | Recruiting |
A Randomized, Double-Blind, Phase 2 Study of Erlotinib (Tarceva®) in Combination With OSI-906 or Placebo in Chemonaive Patients With Advanced NSCLC With Activating Mutations of the Epidermal Growth Factor Receptor (EGFR) Gene [NCT01221077] | Phase 2 | 88 participants (Actual) | Interventional | 2011-04-08 | Completed |
A Randomized Phase 2 Trial Of Erlotinib With Or Without PF-3512676 For The Treatment Of Patients With Advanced EGFR-Positive Non-Small Cell Lung Cancer After Failure Of At Least One Prior Chemotherapy Regimen [NCT00321815] | Phase 2 | 43 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Randomized, Double-Blind, Placebo-Controlled Phase III Study of First-Line Maintenance Tarceva Versus Tarceva at the Time of Disease Progression in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) Who Have Not Progressed Following 4 Cycles of P [NCT01328951] | Phase 3 | 643 participants (Actual) | Interventional | 2011-09-30 | Completed |
Phase I Trial of the Combination of Vismodegib GDC-0449 and Erlotinib +/- Gemcitabine [NCT00878163] | Phase 1 | 55 participants (Actual) | Interventional | 2009-03-31 | Active, not recruiting |
A Phase I/Randomized Phase II Study of the Anti-IGF-1R Monoclonal Antibody IMC-A12 in Combination With Erlotinib Compared With Erlotinib Alone in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT00778167] | Phase 1/Phase 2 | 18 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Phase 2, Multicenter, Randomized Study to Evaluate the Safety and Efficacy of Viagenpumatucel-L (HS-110) in Combination With Low Dose (Metronomic) Cyclophosphamide Versus Chemotherapy Alone in Patients With Non-Small Cell Lung Adenocarcinoma After Failu [NCT02117024] | Phase 2 | 66 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to Sponsor Decision; strategic - based on changing treatment landscape) |
A Multicenter, Randomized, Double-Blind Study of Erlotinib in Combination With Ramucirumab or Placebo in Previously Untreated Patients With EGFR Mutation-Positive Metastatic Non-Small Cell Lung Cancer [NCT02411448] | Phase 3 | 545 participants (Actual) | Interventional | 2015-05-06 | Active, not recruiting |
An Parallel Phase II Study of Tarceva (Erlotinib) in Patients With Advanced Non-small Cell Lung Cancer (Stage IIIB/IV) Not Pre-treated by Chemotherapy Including Dose Escalation to Toxicity in Current and Former Smokers [NCT02013206] | Phase 2 | 52 participants (Actual) | Interventional | 2006-09-30 | Completed |
U.S./Canada Sarcoma Intergroup Study of OSI-774 in Malignant Peripheral Nerve Sheath Tumors, Phase II [NCT00068367] | Phase 2 | 24 participants (Actual) | Interventional | 2003-12-31 | Completed |
A Randomized Phase II Study of Single Agent Erlotinib [Tarceva (TM), OSI-774] Versus Standard Chemotherapy in Patients With Previously Untreated Advanced NSCLC and a Poor Performance Status [NCT00085839] | Phase 2 | 103 participants (Actual) | Interventional | 2004-02-29 | Completed |
Phase 3, Randomized, Placebo-Controlled, Double-Blind, Multi-Center, Two-Part Study of Patritumab (U3-1287) In Combination With Erlotinib in EGFR Wild-type Subjects With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) Who Have Progressed [NCT02134015] | Phase 3 | 145 participants (Actual) | Interventional | 2014-03-31 | Terminated(stopped due to Pre-defined criteria for continuation were not reached) |
Phase II Clinical Chemoprevention Trial of Weekly Erlotinib Before Bladder Cancer Surgery [NCT02169284] | Phase 2 | 50 participants (Actual) | Interventional | 2014-10-01 | Terminated |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00033514 (5) [back to overview] | Duration of Objective Response |
NCT00033514 (5) [back to overview] | Serum Concentration of Herceptin at Specified Time-points. |
NCT00033514 (5) [back to overview] | Incidence of Adverse Events |
NCT00033514 (5) [back to overview] | Recommended Dose for Phase II |
NCT00033514 (5) [back to overview] | The Objective Response Rate as Defined as Stable Disease or the Rate of Complete and Partial Responses Determined on Two Consecutive Occasions Greater Than or Equal to 4 Weeks Apart. |
NCT00045110 (18) [back to overview] | Overall Survival Newly Diagnosed GBM Post RT |
NCT00045110 (18) [back to overview] | 6 Months Progression-free Survival in Recurrent Malignant Gliomas (Phase II) |
NCT00045110 (18) [back to overview] | Number of Dose Limiting Toxicity (DLT) Each Dose Level Phase I |
NCT00045110 (18) [back to overview] | Response Rate (Complete or Partial Response) Graded Using Modified RECIST Criteria Phase II |
NCT00045110 (18) [back to overview] | 1 Year Survival - Phase II Newly Diagnosed GBM Post RT |
NCT00045110 (18) [back to overview] | Estimation of the Area Under the Curve Per Dose Level Phase I (on Anticonvulsants) - |
NCT00045110 (18) [back to overview] | Define Maximum Tolerated Dose (MTD) of Erlotinib by Phase 1 Cohorts |
NCT00045110 (18) [back to overview] | Estimation of Area Under the Curve for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg- |
NCT00045110 (18) [back to overview] | Pharmacokinetics (Tissue) Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs |
NCT00045110 (18) [back to overview] | Trough Level Per Dose Level Phase I (on Anticonvulsants) - |
NCT00045110 (18) [back to overview] | Trough Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg - |
NCT00045110 (18) [back to overview] | Peak Plasma Concentration Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg - |
NCT00045110 (18) [back to overview] | Peak Plasma Concentration Per Dose Level Phase I (on Anticonvulsants) - |
NCT00045110 (18) [back to overview] | Percent of Participants With a Grade 3 or 4 Adverse Events Phase 1 |
NCT00045110 (18) [back to overview] | Percent of Patients With One or More Grade 3-5 Toxicity Described Based on the CTC Severity Grading Phase II |
NCT00045110 (18) [back to overview] | Pharmacokinetics (Plasma) Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs |
NCT00045110 (18) [back to overview] | Time of Peak Plasma Concentration Per Dose Level Phase I (on Anticonvulsants) - |
NCT00045110 (18) [back to overview] | Time to Peak Plasma Concentration for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg - |
NCT00045487 (1) [back to overview] | Number of Patients With Ani-tumor Activity After Taking OSI-774. |
NCT00054132 (6) [back to overview] | Duration of Response |
NCT00054132 (6) [back to overview] | Number of Patients Evaluated for Toxicity |
NCT00054132 (6) [back to overview] | Participants With Duration of Stable Disease Greater Than or Equal to 6 Months |
NCT00054132 (6) [back to overview] | Time to Progression |
NCT00054132 (6) [back to overview] | Level of EGFR Expression |
NCT00054132 (6) [back to overview] | Response Rate, Defined as Complete Response (CR) + Partial Response (PR), Using the Response Evaluation Criteria in Solid Tumors |
NCT00054275 (3) [back to overview] | Progression Free Survival(PFS) |
NCT00054275 (3) [back to overview] | Overall Survival as of 2008 |
NCT00054275 (3) [back to overview] | Disease Response (Tumor Measurements)Per RECIST Criteria v. 2000 |
NCT00059787 (5) [back to overview] | Pathologic Complete Response Rates |
NCT00059787 (5) [back to overview] | To Measure EGFR Gene Amplification in Tumor Specimens |
NCT00059787 (5) [back to overview] | To Determine the Tolerability of Twelve Months of Maintenance Treatment |
NCT00059787 (5) [back to overview] | To Determine Progession Free Survival With the Addition of OSI-774 (Tarceva) to the Combination of Paclitaxel and Carboplatin |
NCT00059787 (5) [back to overview] | The Percentage of Participants Experiencing Toxicty (Grade 2 and Grade 3/4) Associated With the Combined Regimen |
NCT00063258 (1) [back to overview] | Number of Patients With Response |
NCT00068367 (2) [back to overview] | Patients With Response (Confirmed Complete, and Partial) With Unresectable or Metastatic Malignant Peripheral Nerve Sheath Tumor When Treated With Erlotinib. |
NCT00068367 (2) [back to overview] | Toxicity |
NCT00085839 (3) [back to overview] | Progression-free Survival |
NCT00085839 (3) [back to overview] | Overall Survival |
NCT00085839 (3) [back to overview] | Best Tumor Response |
NCT00091026 (3) [back to overview] | Progression-free Survival |
NCT00091026 (3) [back to overview] | Overall Survival |
NCT00091026 (3) [back to overview] | Objective Response Rate (Complete or Partial Response) Evaluated Using the Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00096265 (6) [back to overview] | Quality-adjusted Survival as Measured by EuroQol 5-dimension Instrument |
NCT00096265 (6) [back to overview] | Rate of CNS Progression (One Year) |
NCT00096265 (6) [back to overview] | Overall Survival |
NCT00096265 (6) [back to overview] | Change in Steroid Dependence at Six Months |
NCT00096265 (6) [back to overview] | Change in Performance Status at Six Months |
NCT00096265 (6) [back to overview] | Change in Functional Assessment of Cancer Therapy-Brain (FACT-Br) Score at 3 Months |
NCT00112736 (5) [back to overview] | Efficacy - Response Phase 1 |
NCT00112736 (5) [back to overview] | Maximum Tolerated Dose (Phase I) |
NCT00112736 (5) [back to overview] | Pharmacokinetics (Phase I) |
NCT00112736 (5) [back to overview] | Progression-free Survival at 6 Months (Phase II) |
NCT00112736 (5) [back to overview] | Safety/Dose Limiting Toxities Phase I |
NCT00124657 (8) [back to overview] | Erlotinib Tmax |
NCT00124657 (8) [back to overview] | Cmax of Erlotinib and Its Metabolite OSI-420 |
NCT00124657 (8) [back to overview] | AUC Time 0-infinite (AUCinf) of Erlotinib and Its Metabolite OSI-420 |
NCT00124657 (8) [back to overview] | Number of Participants With Dose-limiting Toxicity (DLT) |
NCT00124657 (8) [back to overview] | Maximum Tolerated Dose (MTD) of Erlotinib |
NCT00124657 (8) [back to overview] | Progression Free Survival (PFS) |
NCT00124657 (8) [back to overview] | Number of Positive Mutations of EGFR and Downstream Pathways |
NCT00124657 (8) [back to overview] | Number of Participants Experiencing Grade 3 or 4 Toxicity Events |
NCT00125359 (3) [back to overview] | Radiographic Response Rates |
NCT00125359 (3) [back to overview] | Progression-free Survival and Overall Survival |
NCT00125359 (3) [back to overview] | Correlation of Early PET Responses With Objective Radiographic Responses. |
NCT00125372 (1) [back to overview] | Number of Participants With EGFR Mutations and Correlation of EGFR Mutations With Response |
NCT00126581 (8) [back to overview] | Overall Response Rate |
NCT00126581 (8) [back to overview] | Number of Participants With Grade 3, 4 or 5 Adverse Event at Least Possibly Related to Treatment. |
NCT00126581 (8) [back to overview] | 18 Weeks Progression Free Survival (PFS) Rate |
NCT00126581 (8) [back to overview] | Progression Free Survival With KRAS Mutation Status |
NCT00126581 (8) [back to overview] | Progression Free Survival (PFS) by Epidermal Growth Factor Receptor (EGFR) Mutation Status |
NCT00126581 (8) [back to overview] | Overall Response Rate by EGFR Mutation Status |
NCT00126581 (8) [back to overview] | Overall Survival |
NCT00126581 (8) [back to overview] | Overall Response Rate With KRAS Mutational Status |
NCT00130520 (3) [back to overview] | Progression Free Survival(PFS) |
NCT00130520 (3) [back to overview] | Objective Response (Complete Partial, Stable and Progression) |
NCT00130520 (3) [back to overview] | Median Response Duration (Weeks) |
NCT00130728 (4) [back to overview] | Overall Survival (OS) Among All Randomized Patients |
NCT00130728 (4) [back to overview] | Percentage of Participants With Objective Response |
NCT00130728 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00130728 (4) [back to overview] | Duration of Objective Response |
NCT00137839 (4) [back to overview] | Overall Response Rate (ORR) |
NCT00137839 (4) [back to overview] | Overall Survival (OS) |
NCT00137839 (4) [back to overview] | Overall Survival by EGFR Mutation Status |
NCT00137839 (4) [back to overview] | Overall Response Rate (ORR) by EGFR Mutation Status |
NCT00140556 (1) [back to overview] | Tumor Resolution |
NCT00147537 (22) [back to overview] | Progression-Free Survival (PFS): Phase 2 |
NCT00147537 (22) [back to overview] | Area Under the Curve From Time Zero to 504 Hours [AUC (0-504)] Post Infusion of CP-751,871 for Cycle 4 in Phase 1b |
NCT00147537 (22) [back to overview] | Plasma Concentration of CP-751,871 at the End of Infusion (Cendinf) for Cycle 1 in Phase 1b |
NCT00147537 (22) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration of CP-751,871 (AUClast) for Cycle 4 in Phase 1b |
NCT00147537 (22) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration of CP-751,871(AUClast) for Cycle 1 in Phase 1b |
NCT00147537 (22) [back to overview] | Number of Participants With Positive Human Anti-human Antibody (HAHA) Values: Phase 1b |
NCT00147537 (22) [back to overview] | Area Under the Curve From Time Zero to 504 Hours [AUC (0-504)] Post Infusion of CP-751,871 for Cycle 1 in Phase 1b |
NCT00147537 (22) [back to overview] | Area Under the Curve From Time Zero Extrapolated to Infinite Time [AUCinf] for CP-751,871 for Cycle 1 in Phase 1b |
NCT00147537 (22) [back to overview] | Accumulation of CP-751,871 Ratio (Cycle 4 AUC504 / Cycle 1 AUC504) (Rac) in Phase 1b |
NCT00147537 (22) [back to overview] | CP-751,871 Concentration at 504 Hours Post Dose (C504) for Cycle 1 (End of the 21-day Cycle) in Phase 1b |
NCT00147537 (22) [back to overview] | Maximum Observed Plasma CP-751,871 Concentration (Cmax) for Cycle 1 in Phase 1b |
NCT00147537 (22) [back to overview] | Maximum Observed Plasma CP-751,871 Concentration (Cmax) for Cycle 4 in Phase 1b |
NCT00147537 (22) [back to overview] | Maximum Tolerated Dose (MTD)of CP-751,871 in Combination With Paclitaxel and Carboplatin: Phase 1b |
NCT00147537 (22) [back to overview] | CP-751,871 Concentration at 504 Hours Post Dose(C504) for Cycle 4 (End of the 21-day Cycle) in Phase 1b |
NCT00147537 (22) [back to overview] | Number of Participants With Positive Human Anti-human Antibody (HAHA) Values: Phase 2 |
NCT00147537 (22) [back to overview] | Objective Response Rate in Non-Adenocarcinoma Participants: Phase 2 |
NCT00147537 (22) [back to overview] | Objective Response Rate: Phase 1b |
NCT00147537 (22) [back to overview] | Objective Response Rate: Phase 2 |
NCT00147537 (22) [back to overview] | Recommended Phase 2 Dose (RP2D): Phase 1b |
NCT00147537 (22) [back to overview] | Plasma Concentration of CP-751,871 at the End of Infusion (Cendinf) for Cycle 4 in Phase 1b |
NCT00147537 (22) [back to overview] | Plasma Decay Half-Life (t1/2) of CP-751,871 for Cycle 1 in Phase 1b |
NCT00147537 (22) [back to overview] | Plasma Decay Half-Life (t1/2) of CP-751,871 for Cycle 4 in Phase 1b |
NCT00153803 (5) [back to overview] | Percent of Participants Surviving 3 Years |
NCT00153803 (5) [back to overview] | Overall Survival |
NCT00153803 (5) [back to overview] | Progression Free Survival |
NCT00153803 (5) [back to overview] | Serious Adverse Event Profile Relating to Death, Disability, Life-threatening, Hospitalization, and Impairment/Damage for Concurrent Chemoradiation |
NCT00153803 (5) [back to overview] | Serious Adverse Event Profile Relating to Death, Disability, Life-threatening, Hospitalization, and Impairment/Damage for Erlotinib and Placebo |
NCT00187486 (2) [back to overview] | Progression Free Survival |
NCT00187486 (2) [back to overview] | Overall Survival |
NCT00193258 (3) [back to overview] | Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death |
NCT00193258 (3) [back to overview] | Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease |
NCT00193258 (3) [back to overview] | Objective Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment |
NCT00203424 (4) [back to overview] | To Evaluate the Efficacy of Bevacizumab Plus Erlotinib |
NCT00203424 (4) [back to overview] | Overall Survival |
NCT00203424 (4) [back to overview] | Time to Tumor Progression. |
NCT00203424 (4) [back to overview] | Time to Tumor Recurrence |
NCT00230126 (3) [back to overview] | Disease Control Rate at 12 Weeks |
NCT00230126 (3) [back to overview] | 1-year Survival Rate |
NCT00230126 (3) [back to overview] | Time to Progression |
NCT00242502 (1) [back to overview] | Progression-free Survival (PFS) Rate |
NCT00251589 (8) [back to overview] | Progressive Disease (PD) as Best Response Based on Response Criteria in Solid Tumors (RECIST) |
NCT00251589 (8) [back to overview] | Progression-free Survival |
NCT00251589 (8) [back to overview] | Unconfirmed Partial Response (UPR) Based on Response Criteria in Solid Tumors (RECIST) |
NCT00251589 (8) [back to overview] | Dose Limiting Toxicity Occurring in Cycles 2 and Beyond of the Phase II Portion of the Study |
NCT00251589 (8) [back to overview] | Dose Limiting Toxicity (DLT) Occurring in Cycle 1 of the Phase I Portion of the Study |
NCT00251589 (8) [back to overview] | Disease Progression After Week 8 Based on Response Criteria in Solid Tumors (RECIST) |
NCT00251589 (8) [back to overview] | Stable Disease (SD) as Best Response Based on Response Criteria in Solid Tumors (RECIST) |
NCT00251589 (8) [back to overview] | Dose Limiting Toxicity Occurring in Cycle 1 of the Phase II Portion of the Study |
NCT00257608 (7) [back to overview] | Incidence of Study Treatment Discontinuation |
NCT00257608 (7) [back to overview] | Progression-free Survival (PFS) |
NCT00257608 (7) [back to overview] | Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Post-Chemotherapy Phase |
NCT00257608 (7) [back to overview] | Overall Survival |
NCT00257608 (7) [back to overview] | Number of Participants With Any Adverse Events During Post-Chemotherapy Phase |
NCT00257608 (7) [back to overview] | Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Chemotherapy Phase |
NCT00257608 (7) [back to overview] | Incidence of Study Treatment Discontinuation for Reasons Other Than Disease Progression in Chemotherapy Phase |
NCT00265317 (57) [back to overview] | Percentage of Participants With KRAS (V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog) Gene Mutations |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by EGFR Expression (Using 0% Cutoff) |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by EGFR Expression (Using 10% Cutoff) |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by EGFR Gene Amplification |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by EGFR Gene Copy Number Increase |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by EGFR Gene Mutation |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by Germline PDGFRB Polymorphisms |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by Germline VEGFR2 Polymorphisms |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by KRAS Gene Mutation |
NCT00265317 (57) [back to overview] | PFS in Subgroups That Were Defined by RNA Expression Profile |
NCT00265317 (57) [back to overview] | sKIT Ratio to Baseline at Each Timepoint |
NCT00265317 (57) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) for Erlotinib |
NCT00265317 (57) [back to overview] | Tmax for SU-012662 (Metabolite of Sunitinib) |
NCT00265317 (57) [back to overview] | Tmax for Sunitinib |
NCT00265317 (57) [back to overview] | Tmax for Total Drug (Sunitinib + SU-012662) |
NCT00265317 (57) [back to overview] | VEGF-C Ratio to Baseline at Each Timepoint |
NCT00265317 (57) [back to overview] | VEGFR-2 Ratio to Baseline at Each Timepoint |
NCT00265317 (57) [back to overview] | VEGFR-3 Ratio to Baseline at Each Timepoint |
NCT00265317 (57) [back to overview] | Health Related Quality of Life (HRQoL) and Lung Cancer Related Symptoms as Assessed With European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) Score |
NCT00265317 (57) [back to overview] | Erlotinib Clearance at Steady State After Oral Administration (CL/F) |
NCT00265317 (57) [back to overview] | Number of Participants With Blood Pressure (BP) Greater Than 150/100 Millimeters of Mercury (mmHg) |
NCT00265317 (57) [back to overview] | Number of Participants With BP Greater Than 200/110 mmHg |
NCT00265317 (57) [back to overview] | Overall Survival (OS) |
NCT00265317 (57) [back to overview] | Percentage of Participants Surviving at 1 Year |
NCT00265317 (57) [back to overview] | Percentage of Participants With Objective Response |
NCT00265317 (57) [back to overview] | Plasma Concentration of Soluble KIT (sKIT) at Baseline |
NCT00265317 (57) [back to overview] | Plasma Concentration of Soluble VEGFR-2 at Baseline |
NCT00265317 (57) [back to overview] | Plasma Concentration of Soluble VEGFR-3 at Baseline |
NCT00265317 (57) [back to overview] | Plasma Concentration of VEGF-C at Baseline |
NCT00265317 (57) [back to overview] | Progression-Free Survival (PFS) |
NCT00265317 (57) [back to overview] | Sunitinib Clearance at Steady State After Oral Administration (CL/F) |
NCT00265317 (57) [back to overview] | Time to Tumor Progression (TTP) |
NCT00265317 (57) [back to overview] | Area Under the Curve From Time Zero to 24 Hours [AUC(0-24)] of Erlotinib |
NCT00265317 (57) [back to overview] | AUC(0-24) of SU-012662 (Metabolite of Sunitinib) |
NCT00265317 (57) [back to overview] | AUC(0-24) of Sunitinib |
NCT00265317 (57) [back to overview] | AUC(0-24) of Total Drug (Sunitinib + SU-012662) |
NCT00265317 (57) [back to overview] | Cmax of SU-012662 (Metabolite of Sunitinib) |
NCT00265317 (57) [back to overview] | Cmax of Sunitinib |
NCT00265317 (57) [back to overview] | Cmax of Total Drug (Sunitinib + SU-012662) |
NCT00265317 (57) [back to overview] | Dose-Corrected Ctrough for Erlotinib on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized) |
NCT00265317 (57) [back to overview] | Dose-Corrected Ctrough for SU-012662 (Metabolite of Sunitinib) on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized) |
NCT00265317 (57) [back to overview] | Dose-Corrected Ctrough for SU-012662 (Metabolite of Sunitinib) on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized) |
NCT00265317 (57) [back to overview] | Dose-Corrected Ctrough for Sunitinib on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized) |
NCT00265317 (57) [back to overview] | Dose-Corrected Ctrough for Sunitinib on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized) |
NCT00265317 (57) [back to overview] | Dose-Corrected Observed Plasma Trough Concentrations (Ctrough) for Erlotinib on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized) |
NCT00265317 (57) [back to overview] | EORTC-QLQ-C30 Lung Cancer Module (LC13) Score |
NCT00265317 (57) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Erlotinib |
NCT00265317 (57) [back to overview] | OS in Subgroups That Were Defined by Germline PDGFRB Polymorphisms |
NCT00265317 (57) [back to overview] | Overall Survival (OS) in Subgroups That Were Defined by Germline VEGFR2 Polymorphisms |
NCT00265317 (57) [back to overview] | Percentage of Participants by Ribonucleic Acid (RNA) Expression Profile |
NCT00265317 (57) [back to overview] | Percentage of Participants With EGFR Expression by IHC (Using 10% Cutoff) |
NCT00265317 (57) [back to overview] | Percentage of Participants With EGFR Gene Amplification |
NCT00265317 (57) [back to overview] | Percentage of Participants With EGFR Gene Copy Number Increase |
NCT00265317 (57) [back to overview] | Percentage of Participants With EGFR Gene Mutation |
NCT00265317 (57) [back to overview] | Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Expression by Immunohistochemistry (IHC) Using 0 Percent [%] Cutoff |
NCT00265317 (57) [back to overview] | Percentage of Participants With Germline Platelet-derived Growth Factor Receptor Beta (PDGFRB) Polymorphisms |
NCT00265317 (57) [back to overview] | Percentage of Participants With Germline Vascular Endothelial Growth Factor Receptor 2 (VEGFR2) Polymorphisms |
NCT00272038 (3) [back to overview] | Time to Disease Progression |
NCT00272038 (3) [back to overview] | Overall Clinical Benefit of Tarceva in CRPC. |
NCT00272038 (3) [back to overview] | Overall Survival |
NCT00276744 (1) [back to overview] | 6-month Overall Survival |
NCT00278148 (4) [back to overview] | Pathological Complete Response Rate |
NCT00278148 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00278148 (4) [back to overview] | Overall Survival |
NCT00278148 (4) [back to overview] | Maximum Tolerated Dose of Erlotinib Hydrochloride (Phase I) |
NCT00280150 (6) [back to overview] | Progression-free Survival (PFS) |
NCT00280150 (6) [back to overview] | Feasibility and Tolerability of Administering Consolidation Therapy |
NCT00280150 (6) [back to overview] | Maximum Dose of Erlotinib When Given Together With Carboplatin, Paclitaxel, and Thoracic Conformal Radiotherapy (Phase I [Closed to Accrual as of 1/3/2008]) |
NCT00280150 (6) [back to overview] | Response Rate to Induction Therapy (Phase I [Closed to Accrual as of 1/3/2008] and II) |
NCT00280150 (6) [back to overview] | Overall Response Rate and Survival Profile |
NCT00280150 (6) [back to overview] | Safety and Toxicity Profile of Combining Both Bevacizumab and Erlotinib Hydrochloride With Carboplatin, Paclitaxel, and Thoracic Conformal Radiotherapy |
NCT00281021 (1) [back to overview] | Therapeutic Response, Evaluated by Computed Tomography (CT) Scans of Chest & Abdomen. |
NCT00283244 (5) [back to overview] | Toxicity |
NCT00283244 (5) [back to overview] | Quality of Life (QOL)- Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Trial Outcome Index-L (TOI-L) |
NCT00283244 (5) [back to overview] | Response Rate |
NCT00283244 (5) [back to overview] | Progression-free Survival |
NCT00283244 (5) [back to overview] | Overall Survival |
NCT00287222 (1) [back to overview] | Number of Participants Who Remained Free of Progression at the 27th Week. |
NCT00287989 (2) [back to overview] | Overall Response Rate |
NCT00287989 (2) [back to overview] | Time to Progression |
NCT00294762 (6) [back to overview] | Progression-free Survival |
NCT00294762 (6) [back to overview] | Overall Survival at 12 Months |
NCT00294762 (6) [back to overview] | 6-month Progression-free Survival |
NCT00294762 (6) [back to overview] | Duration of Tumor Response |
NCT00294762 (6) [back to overview] | Overall Survival |
NCT00294762 (6) [back to overview] | Best Tumor Response |
NCT00301418 (3) [back to overview] | Safety of Twice a Day Oral 150 mg Erlotinib Dosing |
NCT00301418 (3) [back to overview] | Overall Survival (OS) |
NCT00301418 (3) [back to overview] | 6-month Progression Free Survival (PFS) |
NCT00304278 (1) [back to overview] | Survival Post Treatment |
NCT00307736 (5) [back to overview] | Summary of Grade 3 or Greater Toxicity |
NCT00307736 (5) [back to overview] | Maximum Tolerated Dose (MTD) of Erlotinib When Administered in Combination With 5-fluorouracil (5-FU), Bevacizumab, and External Beam Radiation Therapy |
NCT00307736 (5) [back to overview] | Pathologic Complete Response |
NCT00307736 (5) [back to overview] | Percentage of Participants With Disease-free Survival |
NCT00307736 (5) [back to overview] | Post-operative Complications After Resection of Rectal Cancers Following Preoperative 5-FU, Bevacizumab, Erlotinib, and External Beam Radiation Therapy. |
NCT00313560 (5) [back to overview] | Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0) |
NCT00313560 (5) [back to overview] | Change in QoL as Assessed by QLQ-PAN 26 |
NCT00313560 (5) [back to overview] | Time to Death as Assessed by Median Overall Survival (Months) |
NCT00313560 (5) [back to overview] | Recurrence Free Survival |
NCT00313560 (5) [back to overview] | Number of Participants Experiencing Adverse Events |
NCT00314262 (3) [back to overview] | Clinical Outcome: Documented Progression |
NCT00314262 (3) [back to overview] | Dose Escalation and Toxicity: Toxicities Including Grades 1 to 4 |
NCT00314262 (3) [back to overview] | Clinical Outcome: Progression to a Higher-grade Dysplasia or Carcinoma |
NCT00335764 (14) [back to overview] | Plasma Time Curve (AUC) of Group 2 Sorafenib and Temsirolimus (Phase I) |
NCT00335764 (14) [back to overview] | Pharmacokinetic Max Concentration (Cmax) of Group 2 Sorafenib and Temsirolimus (Phase I) |
NCT00335764 (14) [back to overview] | Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg QD (Level -1) |
NCT00335764 (14) [back to overview] | Pharmacokinetic Cpmax Group 3 Sorafenib and Tipifarnib (Phase I) 100 mg QD (Level -1) |
NCT00335764 (14) [back to overview] | Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg BID (Level 1) |
NCT00335764 (14) [back to overview] | Trough Concentration Group 2 Sorafenib and Temsirolimus (Phase I) |
NCT00335764 (14) [back to overview] | Pharmacokinetic cMax Group 1 Sorafenib and Erlotinib (Phase I) |
NCT00335764 (14) [back to overview] | Pharmacokinetic AUC 0-12 Group 1 Sorafenib and Erlotinib (Phase I) |
NCT00335764 (14) [back to overview] | Pharmacokinetic CpMax Concentration of Group 3 Sorafenib and Tipifarnib (Phase I) 100mg BID |
NCT00335764 (14) [back to overview] | Objective Response Rate in Patients With Measurable Disease (Phase II) |
NCT00335764 (14) [back to overview] | Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase I) |
NCT00335764 (14) [back to overview] | Number of High Grade (3 and 4) Related Adverse Events of Each Combination Agent Combined With BAY 43-9006 (Phase 2) |
NCT00335764 (14) [back to overview] | Progression-free Survival at 6 Months (Phase II) |
NCT00335764 (14) [back to overview] | Maximum Tolerated Dose (MTD) of the Each Combination Agent Combined With a Fixed Dose of BAY 43-9006 Determined by Dose-limiting Toxicities (DLT) (Phase I) |
NCT00336700 (6) [back to overview] | 1-year Recurrence Free Survival (RFS) |
NCT00336700 (6) [back to overview] | 2-year Recurrence Free Survival (RFS) |
NCT00336700 (6) [back to overview] | KRAS Mutational Status |
NCT00336700 (6) [back to overview] | Recurrence Free Survival (RFS) |
NCT00336700 (6) [back to overview] | Estimated 1&2 Year Overall Survival (OS) |
NCT00336700 (6) [back to overview] | Percentage of Participants With Expression of Epidermal Growth Factor Receptor (EGFR) |
NCT00351039 (1) [back to overview] | Number of Participants With Grade 3 and Grade 4 Adverse Events |
NCT00353301 (2) [back to overview] | Progression-free Survival |
NCT00353301 (2) [back to overview] | Overall Survival |
NCT00356889 (4) [back to overview] | Time to Disease Progression |
NCT00356889 (4) [back to overview] | Survival Time |
NCT00356889 (4) [back to overview] | Duration of Response |
NCT00356889 (4) [back to overview] | Number of Confirmed Tumor Responses. |
NCT00360360 (2) [back to overview] | Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death |
NCT00360360 (2) [back to overview] | Progression-free Survival |
NCT00364351 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT00364351 (7) [back to overview] | Overall Survival (OS) |
NCT00364351 (7) [back to overview] | Objective Response Rate (ORR) |
NCT00364351 (7) [back to overview] | Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Cough |
NCT00364351 (7) [back to overview] | Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Dyspnoea |
NCT00364351 (7) [back to overview] | Disease Control Rate (DCR) |
NCT00364351 (7) [back to overview] | Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Pain |
NCT00365144 (5) [back to overview] | Time to Tumor Progression |
NCT00365144 (5) [back to overview] | Proportion of Patients With ≥ 25% Decline in Serum CA19-9 Biomarker |
NCT00365144 (5) [back to overview] | Overall Survival Rate at 6 Months |
NCT00365144 (5) [back to overview] | Objective Response as Measured by RECIST Criteria |
NCT00365144 (5) [back to overview] | Safety and Toxicity |
NCT00365391 (4) [back to overview] | Survival Time |
NCT00365391 (4) [back to overview] | Time to Treatment Failure |
NCT00365391 (4) [back to overview] | Time to Disease Progression |
NCT00365391 (4) [back to overview] | Number of Patients With Confirmed Tumor Response Defined to be Either a Complete Response (CR) or Partial Response (PR). |
NCT00366457 (3) [back to overview] | Toxicity Profile |
NCT00366457 (3) [back to overview] | Time to Tumor Progression |
NCT00366457 (3) [back to overview] | Overall Survival |
NCT00367601 (3) [back to overview] | Overall Survival |
NCT00367601 (3) [back to overview] | Time to Progression |
NCT00367601 (3) [back to overview] | To Establish Rate of Non-progressive Disease at 4 Months in Patients With Advanced NSCLC Who Have Been Designated PS2 by Their Treating Physician |
NCT00369512 (3) [back to overview] | Median Time to Cancer Recurrence |
NCT00369512 (3) [back to overview] | Number of Patients With Recurrence at 2 Years |
NCT00369512 (3) [back to overview] | Toxicities Associated With Combined Radiotherapy and Erlotinib Treatments. |
NCT00373425 (9) [back to overview] | Overall Survival in Participants With EGFR Mutation - Positive Tumors |
NCT00373425 (9) [back to overview] | Overall Survival in Participants With EGFR Mutation - Positive Tumors |
NCT00373425 (9) [back to overview] | Overall Survival (OS) |
NCT00373425 (9) [back to overview] | Disease-free Survival in Participants With EGFR Mutation - Positive Tumors |
NCT00373425 (9) [back to overview] | Disease-free Survival in Participants With EGFR Mutation - Positive Tumors |
NCT00373425 (9) [back to overview] | Overall Survival (OS) |
NCT00373425 (9) [back to overview] | Disease Free Survival (DFS) |
NCT00373425 (9) [back to overview] | Disease Free Survival (DFS) |
NCT00373425 (9) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00376948 (7) [back to overview] | Median Overall Survival Estimate |
NCT00376948 (7) [back to overview] | Grade 3 or Higher Toxicity Evaluation |
NCT00376948 (7) [back to overview] | Time to Treatment Failure |
NCT00376948 (7) [back to overview] | Time to Progression |
NCT00376948 (7) [back to overview] | Response Duration |
NCT00376948 (7) [back to overview] | Patients Alive |
NCT00376948 (7) [back to overview] | Overall Objective Response Rate (Complete and Partial Response) |
NCT00380029 (5) [back to overview] | Pathological Complete Response Rate |
NCT00380029 (5) [back to overview] | Number of Subjects Experiencing Adverse Events |
NCT00380029 (5) [back to overview] | Overall Survival Rate |
NCT00380029 (5) [back to overview] | Disease Recurrence and Progression Rates After Cystectomy |
NCT00380029 (5) [back to overview] | EGFR Activation Signal (AKT2) Expression to Predict Sensitivity to Erlotinib |
NCT00385996 (4) [back to overview] | Time-to-progression (TTP) |
NCT00385996 (4) [back to overview] | Response Rate Defined as the Percentage of Subjects Achieving at Least 50% Tumor Volume Reduction. |
NCT00385996 (4) [back to overview] | Number of Participants With Grade 3, 4, or 5 Treatment Related Adverse Events as Assessed by CTCAE v3.0. |
NCT00385996 (4) [back to overview] | Disease-free Survival (DFS) |
NCT00387894 (2) [back to overview] | Duration of Progress-free Survival (PFS) |
NCT00387894 (2) [back to overview] | Disease Response Measured Objectively by MRI of Brain |
NCT00390429 (7) [back to overview] | Safety and Toxicity of Erlotinib Hydrochloride and Docetaxel as Measured by NCI CTC v3.0 on Day 8 of Course 1 and on Day 1 of Every Subsequent Course (Phase I [Completed as of 12/01/2004]) |
NCT00390429 (7) [back to overview] | Response Rate (Phase II) |
NCT00390429 (7) [back to overview] | Overall Survival (Phase II) |
NCT00390429 (7) [back to overview] | Comparison of Toxicity of Two Different Schedules of Erlotinib Hydrochloride and Docetaxel (Phase I [Completed as of 12/01/2004]) |
NCT00390429 (7) [back to overview] | Progression-free Survival (Phase II) |
NCT00390429 (7) [back to overview] | Frequency and Severity of Toxicities (Phase II) |
NCT00390429 (7) [back to overview] | Maximum Tolerated Dose of Two Different Schedules of Erlotinib Hydrochloride and Docetaxel (Phase I [Completed as of 12/01/2004]) |
NCT00391586 (1) [back to overview] | Toxicity Profile |
NCT00392665 (4) [back to overview] | Number of Participants With Toxicities According to Severity |
NCT00392665 (4) [back to overview] | Duration of Overall Survival |
NCT00392665 (4) [back to overview] | Efficacy of Erlotinib Plus Bevacizumab (Arm A) or Erlotinib Plus Sulindac (Arm B) as Measured by Progression-free Survival. |
NCT00392665 (4) [back to overview] | Overall Response Rate (ORR) |
NCT00392704 (2) [back to overview] | Overall Survival (OS)Probability, the Percentage of Patients Estimated to be Alive Two Years After Beginning Protocol Treatment |
NCT00392704 (2) [back to overview] | Two-Year Progression Free Survival (PFS) Probability, the Percentage of Patients Estimated to be Alive Without Worsening of Their Disease Two Years After Beginning Protocol Treatment |
NCT00393068 (3) [back to overview] | Progression-Free Survival |
NCT00393068 (3) [back to overview] | Pathologic Complete Response (pCR) Rate |
NCT00393068 (3) [back to overview] | Overall Survival |
NCT00402779 (1) [back to overview] | Oral Cancer-free Survival in Participants Receiving Erlotinib as Compared With the Control Arm or Placebo Group. |
NCT00408499 (1) [back to overview] | Number of Patients Experiencing a DLT |
NCT00410059 (1) [back to overview] | 8 Week Progression-Free Survival Rate (i.e. Disease Control Rate) |
NCT00410826 (2) [back to overview] | Comparison of the Percentage of Participants With a Complete Response in Each Treatment Arm |
NCT00410826 (2) [back to overview] | Progression Free Survival of Patients With Locally Advanced Head and Neck Cancer Treated With Cisplatin and Radiotherapy, With and Without Erlotinib Hydrochloride |
NCT00411632 (1) [back to overview] | Number of Participants With 8-week Progression-Free Survival (i.e. Disease Control Rate) Stratified by Cancer Mutation Type |
NCT00412217 (4) [back to overview] | Number of Participants With Disease Progression |
NCT00412217 (4) [back to overview] | Number of Participants Who Died |
NCT00412217 (4) [back to overview] | Time to Progression (TTP) |
NCT00412217 (4) [back to overview] | Overall Survival (OS) |
NCT00425386 (6) [back to overview] | To Determine the Safety of Sunitinib in Combination With Erlotinib |
NCT00425386 (6) [back to overview] | Proportion of Patients Whose Best Overall Response is Complete Response, Partial Response, Stable Disease, or Progressive Disease |
NCT00425386 (6) [back to overview] | Maximum Tolerated Dose (MTD) of Erlotinib Hydrochloride When Used in Combination With Sunitinib. |
NCT00425386 (6) [back to overview] | Progression-free Survival at 8 Months |
NCT00425386 (6) [back to overview] | Median Time to Progression |
NCT00425386 (6) [back to overview] | Maximum Percent Change in Tumor Measurement |
NCT00436332 (3) [back to overview] | Progression-free Survival |
NCT00436332 (3) [back to overview] | Overall Survival |
NCT00436332 (3) [back to overview] | Frequency and Severity of Toxicities |
NCT00442507 (4) [back to overview] | Time to Progression (TTP) |
NCT00442507 (4) [back to overview] | Overall Survival Rate (OS) |
NCT00442507 (4) [back to overview] | Incidence and Severity of Toxicities |
NCT00442507 (4) [back to overview] | Response Rate (Complete Response (CR), Partial Response (PR), and CR+PR) |
NCT00445588 (2) [back to overview] | Overall Survival |
NCT00445588 (2) [back to overview] | 6months -Progression-free Survival Rate |
NCT00445848 (4) [back to overview] | Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs |
NCT00445848 (4) [back to overview] | Progression-free Survival |
NCT00445848 (4) [back to overview] | Overall Survival |
NCT00445848 (4) [back to overview] | Response Rate (Complete and Partial) |
NCT00447057 (7) [back to overview] | Percentage of Participants Surviving at 1 Year |
NCT00447057 (7) [back to overview] | Percentage of Participants With Best Response of Complete Response (CR) or Partial Response (PR) (Response Rate) |
NCT00447057 (7) [back to overview] | Percentage of Participants With Best Response of Stable Disease (SD), Partial Response (PR) or Complete Response (CR) (Disease Control Rate) |
NCT00447057 (7) [back to overview] | Progression Free Survival (PFS) |
NCT00447057 (7) [back to overview] | Time to Treatment Failure (TTTF) |
NCT00447057 (7) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00447057 (7) [back to overview] | Overall Survival (OS) |
NCT00452413 (10) [back to overview] | Phase 2: Overall Survival (OS) |
NCT00452413 (10) [back to overview] | Recommended Phase 2 Dose for Enzastaurin Plus Erlotinib Combination Therapy (Assess the Tolerated Dose of the Combination Erlotinib and Enzastaurin) |
NCT00452413 (10) [back to overview] | Phase 2: Progression-Free Survival (PFS) With the Enzastaurin Plus Erlotinib Combination Regimen |
NCT00452413 (10) [back to overview] | Phase I: Pharmacokinetic (PK) Interactions Between Enzastaurin and Erlotinib: Apparent Oral Clearance of Erlotinib Under Steady State Conditions During Multiple Dosing (CLss/F) |
NCT00452413 (10) [back to overview] | Phase 2: Percentage of Participants With Tumor Response |
NCT00452413 (10) [back to overview] | Phase 2: Number of Participants Who Experienced TEAEs (Safety and AE Profile) |
NCT00452413 (10) [back to overview] | Phase I: PK Interactions Between Enzastaurin and Erlotinib: Maximum Observed Plasma Concentration at Steady State (Cmax,ss) |
NCT00452413 (10) [back to overview] | Phase I: Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) (Safety and AE Profile for Enzastaurin/Erlotinib Combination) |
NCT00452413 (10) [back to overview] | Phase I: PK Interactions Between Enzastaurin and Erlotinib: Area Under the Plasma Concentration Time Curve at Steady State [AUC(Tau,ss)] |
NCT00452413 (10) [back to overview] | Phase 2: Duration of Response |
NCT00453362 (13) [back to overview] | Progression Free Survival (PFS) of Groups by FDG Response at Day 56 |
NCT00453362 (13) [back to overview] | Progression Free Survival of Groups by FLT Response at Day 56 |
NCT00453362 (13) [back to overview] | Progression Free Survival of Patients With FLT CR/PR Versus FLT PD in Patients With CT SD at Day 56 |
NCT00453362 (13) [back to overview] | FDG Response in Subgroups by CT Response at Day 56 |
NCT00453362 (13) [back to overview] | FLT Response in Subgroups by CT Response at Day 56 |
NCT00453362 (13) [back to overview] | Percentage of Patients With FLT-PET Responses |
NCT00453362 (13) [back to overview] | PFS of Patients With FDG-PET Complete Response (CR)/Partial Response (PR) Versus FDG-PET Progressive Disease (PD) in Patients With Computed Tomography (CT) Stable Disease (SD) at Day 56 |
NCT00453362 (13) [back to overview] | Number of Participants With Adverse Events Due to FLT-PET Imaging |
NCT00453362 (13) [back to overview] | Percentage of Patients With FDG-PET Responses |
NCT00453362 (13) [back to overview] | Overall Survival of Groups by FDG Response at Day 56 |
NCT00453362 (13) [back to overview] | Overall Survival of Groups by FLT Response at Day 56 |
NCT00453362 (13) [back to overview] | Overall Survival of Patients With FDG CR/PR Versus FDG PD in Patients With CT SD at Day 56 |
NCT00453362 (13) [back to overview] | Overall Survival of Patients With FLT CR/PR Versus FLT PD in Patients With CT SD at Day 56 |
NCT00457392 (6) [back to overview] | EuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility Score |
NCT00457392 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT00457392 (6) [back to overview] | Duration of Response (DR) |
NCT00457392 (6) [back to overview] | One-year Survival Probability |
NCT00457392 (6) [back to overview] | Overall Survival (OS) |
NCT00457392 (6) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00461708 (10) [back to overview] | Percentage of Participants With Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) According to RECIST |
NCT00461708 (10) [back to overview] | OS At 6 Months |
NCT00461708 (10) [back to overview] | Percentage of Participants With Disease Control According to RECIST |
NCT00461708 (10) [back to overview] | PFS |
NCT00461708 (10) [back to overview] | OS By Rash Grade |
NCT00461708 (10) [back to overview] | Number of Participants Who Died During the Study By Rash Grade |
NCT00461708 (10) [back to overview] | Number of Participants With Disease Progression or Death |
NCT00461708 (10) [back to overview] | Number of Participants Who Died at 6 Months |
NCT00461708 (10) [back to overview] | Number of Participants Who Died During the Study |
NCT00461708 (10) [back to overview] | Overall Survival (OS) During the Study |
NCT00466687 (4) [back to overview] | Number of Patients With Response |
NCT00466687 (4) [back to overview] | Time to Disease Progression. |
NCT00466687 (4) [back to overview] | Progression-free Survival at 6 Months |
NCT00466687 (4) [back to overview] | Number of Patients With Each Worst-grade Toxicity Response |
NCT00470535 (1) [back to overview] | Progression-free Survival |
NCT00476476 (1) [back to overview] | Response Rate |
NCT00482625 (6) [back to overview] | Number of Participants Reported at Least 1 Adverse Event With a Grade of 3 and Above |
NCT00482625 (6) [back to overview] | Reduction in Number of Positive IPMN Celss and Staining Intensity After Treatment |
NCT00482625 (6) [back to overview] | Plasma Calculated Concentration - OSI-774 (ng/mL) |
NCT00482625 (6) [back to overview] | Plasma Calculated Concentration - OSI-420 (ng/mL) |
NCT00482625 (6) [back to overview] | Pancreas Calculated Concentration - OSI-774 (ng/g) |
NCT00482625 (6) [back to overview] | Pancreas Calculated Concentration - OSI-420 (ng/g) |
NCT00499655 (5) [back to overview] | Progression-free Survival - EGRF |
NCT00499655 (5) [back to overview] | Progression-free Survival - Elevated PGEM |
NCT00499655 (5) [back to overview] | Progression-free Survival - Low PGEM |
NCT00499655 (5) [back to overview] | Progression-free Survival |
NCT00499655 (5) [back to overview] | Number of Participants With Overall Response |
NCT00518011 (8) [back to overview] | Disease Control Rate |
NCT00518011 (8) [back to overview] | Mean Change in Body Temperature From Baseline |
NCT00518011 (8) [back to overview] | Progression Free Survival |
NCT00518011 (8) [back to overview] | Duration of Response |
NCT00518011 (8) [back to overview] | Mean Change in Blood Pressure From Baseline |
NCT00518011 (8) [back to overview] | Mean Change in Pulse Rate From Baseline |
NCT00518011 (8) [back to overview] | Overall Survival |
NCT00518011 (8) [back to overview] | Objective Response Rate |
NCT00520013 (3) [back to overview] | Consolidation Progression-Free Survival |
NCT00520013 (3) [back to overview] | Consolidation Treatment-related Toxicity Rate |
NCT00520013 (3) [back to overview] | Consolidation Objective Response Rate |
NCT00524121 (8) [back to overview] | Response by Epidermal Growth Factor Receptor (EGFR) Expression |
NCT00524121 (8) [back to overview] | Response by EGFR Mutation Status |
NCT00524121 (8) [back to overview] | Progresssion-Free Survival |
NCT00524121 (8) [back to overview] | Overall Survival |
NCT00524121 (8) [back to overview] | Effect of Study Therapy on Overall Quality of Life as Assessed by FACT-E Scale |
NCT00524121 (8) [back to overview] | Correlation of Smoking Status With Overall Survival |
NCT00524121 (8) [back to overview] | Complete Response |
NCT00524121 (8) [back to overview] | Response by Phosphor Epidermal Growth Factor Receptor (pEGFR) Expression |
NCT00525525 (3) [back to overview] | Unexpected Toxicities During First 2 Cycles of Study Drug |
NCT00525525 (3) [back to overview] | Progression-free Survival |
NCT00525525 (3) [back to overview] | Overall Survival (OS) |
NCT00531934 (32) [back to overview] | Percentage of Participants With Erlotinib Dose Reduction by Reason for Reduction |
NCT00531934 (32) [back to overview] | Time Free From Skin Rash (Folliculitis) During the First 4 Months of Treatment - Time to Event |
NCT00531934 (32) [back to overview] | Percentage of Participants Estimated to be Event Free at 12 Months |
NCT00531934 (32) [back to overview] | Percentage of Participants With Doxycycline Dose Reduction by Reason for Reduction |
NCT00531934 (32) [back to overview] | Number of Participants With Skin Rash (Folliculitis) After the First 4 Months of Treatment By Type |
NCT00531934 (32) [back to overview] | Percentage of Participants by Best Global Response Under Treatment |
NCT00531934 (32) [back to overview] | Percentage of Participants by DLQI Global Score Classification of Disease Effect on Quality of Life |
NCT00531934 (32) [back to overview] | Percentage of Participants Estimated to be Alive at 4 and 12 Months |
NCT00531934 (32) [back to overview] | Percentage of Participants Estimated to be Progression Free at 4 and 12 Months |
NCT00531934 (32) [back to overview] | Number of Skin Rash (Folliculitis) Events During the First 4 Months of Treatment |
NCT00531934 (32) [back to overview] | Percentage of Participants With Global Disease Control by Visit |
NCT00531934 (32) [back to overview] | Percentage of Participants With Other Skin Lesions During the First 4 Months of Treatment By Maximal Intensity |
NCT00531934 (32) [back to overview] | Dermatology Life Quality Index (DLQI) Global Score |
NCT00531934 (32) [back to overview] | Number of Skin Rash (Folliculitis) Events After the First 4 Months of Treatment |
NCT00531934 (32) [back to overview] | Overall Survival (OS) - Percentage of Participants With an Event |
NCT00531934 (32) [back to overview] | Overall Survival (OS) - Time to Event |
NCT00531934 (32) [back to overview] | Time Free From Skin Rash (Folliculitis) During the First 4 Months of Treatment - Number of Participants With an Event |
NCT00531934 (32) [back to overview] | Progression-Free Survival (PFS) - Time to Event |
NCT00531934 (32) [back to overview] | Duration of Skin Rash (Folliculitis) During the Whole Treatment Period |
NCT00531934 (32) [back to overview] | Percentage of Participants With Other Skin Lesions During the First 4 Months of Treatment By Type |
NCT00531934 (32) [back to overview] | Number of Participants With Skin Rash (Folliculitis) After the First 4 Months of Treatment By Intensity |
NCT00531934 (32) [back to overview] | Percentage of Participants With Skin Rash (Folliculitis) During the First 4 Months of Treatment By Maximal Intensity |
NCT00531934 (32) [back to overview] | Percentage of Participants With at Least One Skin Rash (Folliculitis) of Any Grade During the First 4 Months of Treatment |
NCT00531934 (32) [back to overview] | Progression-Free Survival (PFS) - Percentage of Participants With an Event |
NCT00531934 (32) [back to overview] | Percentage of Participants With Skin Rash (Folliculitis) During the First 4 Months of Treatment By Type |
NCT00531934 (32) [back to overview] | Quality of Life Score as Assessed by Visual Analog Scale (VAS) |
NCT00531934 (32) [back to overview] | Duration of Skin Rash (Folliculitis) During the First 4 Months of Treatment |
NCT00531934 (32) [back to overview] | Percentage of Participants With Other Skin Lesions of Any Grade During the First 4 Months of Treatment |
NCT00531934 (32) [back to overview] | Percentage of Participants With at Least One Skin Rash (Folliculitis) of Any Grade After the First 4 Months of Treatment |
NCT00531934 (32) [back to overview] | Percentage of Participants Estimated to be Event Free at 4 Months |
NCT00531934 (32) [back to overview] | Time Free From Skin Rash (Folliculitis) During the Whole Treatment Period - Time to Event |
NCT00531934 (32) [back to overview] | Time Free From Skin Rash (Folliculitis) During the Whole Treatment Period - Number of Participants With an Event |
NCT00531960 (6) [back to overview] | OS |
NCT00531960 (6) [back to overview] | PFS |
NCT00531960 (6) [back to overview] | Percentage of Participants Who Died |
NCT00531960 (6) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT00531960 (6) [back to overview] | Percentage of Participants With Disease Control According to RECIST V 1.0 |
NCT00531960 (6) [back to overview] | Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST V 1.0 |
NCT00532441 (3) [back to overview] | 16 Weeks Progression-free Survival |
NCT00532441 (3) [back to overview] | Overall Survival |
NCT00532441 (3) [back to overview] | Response Rate |
NCT00547105 (7) [back to overview] | 6 Month Progression-Free Survival |
NCT00547105 (7) [back to overview] | In-field Local Control |
NCT00547105 (7) [back to overview] | Number of Participants Without Serious Adverse Events Related to Radiation |
NCT00547105 (7) [back to overview] | Out-of-field Disease Progression |
NCT00547105 (7) [back to overview] | Overall Survival |
NCT00547105 (7) [back to overview] | Duration of Erlotinib Use and Time to Initiation of Third-line Systemic Therapy |
NCT00547105 (7) [back to overview] | Progression-free Survival |
NCT00550173 (8) [back to overview] | Overall Survival (OS) |
NCT00550173 (8) [back to overview] | Percentage of Participants With CR, PR, and Stable Disease (SD) - Disease Control Rate (DCR) |
NCT00550173 (8) [back to overview] | Number of Participants With Adverse Events |
NCT00550173 (8) [back to overview] | Number of Participants With Mutated or Non-Mutated Epidermal Growth Factor Receptor (EGFR) Genotype Status |
NCT00550173 (8) [back to overview] | Time to Worsening of Symptoms (TWS) on Lung Cancer Symptoms Scale (LCSS) |
NCT00550173 (8) [back to overview] | Progression-Free Survival (PFS) |
NCT00550173 (8) [back to overview] | Probability of OS at 12 Months |
NCT00550173 (8) [back to overview] | Percentage of Participants With a Tumor Response of Complete Response (CR) or Partial Response (PR) [Tumor Response Rate (TRR)] |
NCT00550537 (4) [back to overview] | Progression-free Survival (PFS) for Erlotinib Initial Therapy in Chemotherapy-naïve Patients With Advanced NSCLC |
NCT00550537 (4) [back to overview] | Overall Survival for Erlotinib Initial Therapy in Chemotherapy-naïve Patients With Advanced NSCLC |
NCT00550537 (4) [back to overview] | Number of Patients With Worst-grade Toxicities Per Grade |
NCT00550537 (4) [back to overview] | Response Rate for Erlotinib Initial Therapy in Chemotherapy-naïve Patients With Advanced NSCLC |
NCT00550836 (5) [back to overview] | Confirmed Response Rate |
NCT00550836 (5) [back to overview] | Frequency and Severity of Observed Adverse Effects |
NCT00550836 (5) [back to overview] | Time to Treatment Failure |
NCT00550836 (5) [back to overview] | Progression-free Survival |
NCT00550836 (5) [back to overview] | Overall Survival |
NCT00553462 (3) [back to overview] | Overall Survival at 12 Months |
NCT00553462 (3) [back to overview] | Progression-free Survival |
NCT00553462 (3) [back to overview] | Response Rate |
NCT00553800 (1) [back to overview] | Progression Free Survival (PFS) |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants Remaining Without Deterioration in Quality of Life at 6 Months as Assessed by FACT-L |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants Remaining Alive and Progression Free at 6 Months |
NCT00556322 (22) [back to overview] | Percentage of Participants With Symptomatic Progression Using FACT-L |
NCT00556322 (22) [back to overview] | Percentage of Participants With Disease Progression or Death (All Participants; Data Cut Off 07 September 2010) |
NCT00556322 (22) [back to overview] | Percentage of Participants With Deterioration in the Trial Outcome Index (TOI) |
NCT00556322 (22) [back to overview] | Percentage of Participants With Deterioration in Quality of Life Determined Using Functional Assessment of Cancer Therapy - Lung (FACT-L) |
NCT00556322 (22) [back to overview] | Percentage of Participants Who Died (All Participants; Data Cutoff: 07 September 2010) |
NCT00556322 (22) [back to overview] | Percentage of Participants Achieving a Best Overall Response of Confirmed Complete Response (CR) or Partial Response (PR) as Assessed by the Investigator Using RECIST |
NCT00556322 (22) [back to overview] | Duration of Overall Survival in All Participants (Data Cutoff 07 September 2010) |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants With Deterioration in the TOI at 6 Months as Assessed by FACT-L |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants Remaining Alive at 1 Year |
NCT00556322 (22) [back to overview] | Time to Deterioration in Quality of Life Using FACT-L |
NCT00556322 (22) [back to overview] | Time to Deterioration in the TOI |
NCT00556322 (22) [back to overview] | Duration of OS in EGFR Positive and Negative Population |
NCT00556322 (22) [back to overview] | Percentage of Participants Who Died in Epidermal Growth Factor Receptor (EGFR) Positive and Negative Population |
NCT00556322 (22) [back to overview] | Percentage of Participants With Disease Progression or Death in EGFR Positive and Negative Population (Data Cut Off 07 September 2010) |
NCT00556322 (22) [back to overview] | PFS in EGFR Positive and Negative Population (Data Cutoff 07 September 2010) |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants Remaining Alive and Progression Free at 6 Months in EGFR Positive and Negative Population |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants With Symptomatic Progression at 6 Months as Assessed by FACT-L |
NCT00556322 (22) [back to overview] | Progression-Free Survival (PFS) in All Participants (Data Cutoff 07 September 2010) |
NCT00556322 (22) [back to overview] | Time to Symptomatic Progression Using FACT-L |
NCT00556322 (22) [back to overview] | Probable Percentage of Participants Remaining Alive at 1 Year in the EGFR Positive and Negative Population |
NCT00556712 (36) [back to overview] | Change From BL in FACT-L Scores (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Time to Symptom Progression (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Time to Progression (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Time to Deterioration in TOI (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Time to Deterioration in QoL (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of EGFR IHC Negative Participants Who Died (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of All Participants Who Died (Data Cutoff 12 January 2012) |
NCT00556712 (36) [back to overview] | Overall Survival (OS) in All Participants (Data Cutoff 12 January 2012) |
NCT00556712 (36) [back to overview] | OS in EGFR IHC Positive Population (Data Cutoff 12 January 2012) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants Remaining Without Symptom Progression at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants Remaining Alive and Free of Disease Progression at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants Remaining Alive at 1 Year (Data Cutoff 12 January 2012) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants Remaining Progression-Free in the TTP Analysis at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With Symptom Progression Assessed Using the Lung Cancer Subscale (LCS) (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants Remaining Without Deterioration in TOI at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | OS in EGFR IHC Negative Participants (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | PFS in All Participants (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Epidermal Growth Factor Receptor (EGFR) Immunohistochemistry (IHC) Positive Participants With PD or Death (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With a Response Upgrade From BL According to RECIST (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With Deterioration Assessed Using the Trial Outcome Index (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of EGFR IHC Negative Participants With PD or Death (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | PFS in EGFR IHC Negative Participants (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants Remaining Without Deterioration in QoL at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | PFS in EGFR IHC Positive Population (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants in the EGFR IHC Negative Population Remaining Alive and Free of Disease Progression at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants in the EGFR IHC Negative Population Remaining Alive at 1 Year (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants in the EGFR IHC Positive Population Remaining Alive and Progression Free at 6 Months (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Probable Percentage of Participants in the EGFR IHC Positive Population Remaining Alive at 1 Year (Data Cutoff 12 January 2012) |
NCT00556712 (36) [back to overview] | Percentage of Participants With CR, PR, or SD or With SD [Maintained For Greater Than (>) 12 Weeks] or CR or PR (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With a CR, PR, Stable Disease (SD), or PD According to RECIST (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With a Change of PR to CR or SD to PR or CR From BL to End of Treatment According to RECIST (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Functional Assessment of Chronic Illness Therapy - Lung (FACT-L) Scores (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With Deterioration in Quality of Life Assessed Using TOI, SWB, and EWB (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of Participants With PD According to Response Evaluation Criteria in Solid Tumors (RECIST) or Death (Data Cutoff 17 May 2008) |
NCT00556712 (36) [back to overview] | Percentage of EGFR IHC Positive Participants Who Died (Data Cutoff 12 January 2012) |
NCT00563784 (2) [back to overview] | Overall Survival and Disease Local Control Rate |
NCT00563784 (2) [back to overview] | Time To First Disease Progression |
NCT00567359 (4) [back to overview] | 2-year Disease-free Survival |
NCT00567359 (4) [back to overview] | Median Disease Free Survival |
NCT00567359 (4) [back to overview] | Median Overall Survival |
NCT00567359 (4) [back to overview] | Number of Participants With Treat Related Serious Adverse Events |
NCT00570232 (3) [back to overview] | Number of Participants Demonstrating the Safety and Tolerability of Long Term Erlotinib Treatment |
NCT00570232 (3) [back to overview] | Percentage of Participants Demonstrating Survival at 12 Months and 24 Months. |
NCT00570232 (3) [back to overview] | Percentage of Participants With Disease Free Status at 12 Months and 24 Months |
NCT00573989 (10) [back to overview] | Median Overall Survival |
NCT00573989 (10) [back to overview] | Overall Survival |
NCT00573989 (10) [back to overview] | Objective Tumor Response |
NCT00573989 (10) [back to overview] | Evaluation of Acute and Chronic Toxicity |
NCT00573989 (10) [back to overview] | Change in Quality of Life: PSS-HN |
NCT00573989 (10) [back to overview] | Change in Quality of Life: MDADI |
NCT00573989 (10) [back to overview] | Change in Quality of Life- FACT H&N |
NCT00573989 (10) [back to overview] | Progression-free Survival (PFS) at 1 Year (Phase II) |
NCT00573989 (10) [back to overview] | Median Progression Free Survival |
NCT00573989 (10) [back to overview] | Maximum Tolerated Dose of Erlotinib Hydrochloride (Phase I) |
NCT00577707 (1) [back to overview] | Number of Patients With Pathologic Complete Response Rate |
NCT00585377 (3) [back to overview] | Evaluation of Response Rate |
NCT00585377 (3) [back to overview] | Evaluation of Progression-free Survival |
NCT00585377 (3) [back to overview] | Evaluation of Overall Survival |
NCT00585533 (2) [back to overview] | Overall Survival |
NCT00585533 (2) [back to overview] | Survival Rate at 6-months Chemotherapy-progression-free (CP-free) |
NCT00590902 (1) [back to overview] | Overall Objective Response of OSI-774 |
NCT00591123 (2) [back to overview] | Toxicity of the Combination of FOLFOX, 5-FU, and Erlotinib |
NCT00591123 (2) [back to overview] | Overall Response Rate of Previously-untreated Patients With Unresectable or Metastatic Adenocarcinomas of the Upper Gastrointestinal Tract When Treated With the Combination of 5-fluorouracil, Leucovorin, Oxaliplatin, and Erlotinib. |
NCT00597597 (5) [back to overview] | Safety of Erlotinib |
NCT00597597 (5) [back to overview] | The Primary Objective of the Study is Progression Free Survival. |
NCT00597597 (5) [back to overview] | Clinical Benefit, Consisting of Complete and Partial Responses, and Stable Disease for Six Months |
NCT00597597 (5) [back to overview] | Number of Participants With Rash |
NCT00597597 (5) [back to overview] | Overall Response Rate, Consisting of Complete and Partial Responses According to RECIST Criteria |
NCT00600015 (6) [back to overview] | Progression Free Survival (PFS) |
NCT00600015 (6) [back to overview] | 6-month PFS |
NCT00600015 (6) [back to overview] | Disease Control Rate (DCR) |
NCT00600015 (6) [back to overview] | Duration of Response |
NCT00600015 (6) [back to overview] | Overall Objective Response Rate (ORR) |
NCT00600015 (6) [back to overview] | Overall Survival (OS) |
NCT00602030 (16) [back to overview] | Tmax: Time to Cmax of Entinostat in the Lead-in Phase |
NCT00602030 (16) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) by Severity in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Number of Participants With Grade 3 or 4 Laboratory Variables in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Cmax: Maximum Plasma Concentration of Entinostat in the Lead-in Phase |
NCT00602030 (16) [back to overview] | AUC(0-last): Area Under the Concentration-time Curve From Time 0 to Last Quantifiable Concentration in the Lead-in Phase |
NCT00602030 (16) [back to overview] | AUC(0-24): Area Under the Concentration-time Curve From Time 0 to 24 Hours in the Lead-in Phase |
NCT00602030 (16) [back to overview] | Objective Response Rate (ORR) in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Identification of Safe-dose for the Phase 2 Double-blind Phase in the Lead-in Phase |
NCT00602030 (16) [back to overview] | 6-Month PFS Rate in the Double-blind Phase |
NCT00602030 (16) [back to overview] | 4-Month Progression-free Survival (PFS) Rate in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Vital Sign Values: Heart Rate in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Vital Sign Values: Respiration Rate in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Vital Sign Values: Systolic Blood Pressure in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Vital Sign Values: Temperature in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Vital Sign Values: Weight in the Double-blind Phase |
NCT00602030 (16) [back to overview] | Vital Sign Values: Diastolic Blood Pressure in the Double-blind Phase |
NCT00602667 (62) [back to overview] | Methotrexate Volume of Central Compartment in Induction Cycle 2 |
NCT00602667 (62) [back to overview] | 4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1 |
NCT00602667 (62) [back to overview] | Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 4 |
NCT00602667 (62) [back to overview] | Methotrexate Volume of Central Compartment in Induction Cycle 1 |
NCT00602667 (62) [back to overview] | Methotrexate Volume of Central Compartment in Induction Cycle 3 |
NCT00602667 (62) [back to overview] | Methotrexate Volume of Central Compartment in Induction Cycle 4 |
NCT00602667 (62) [back to overview] | OSI-420 AUC0-24h |
NCT00602667 (62) [back to overview] | Overall Survival (OS) Compared to Historical Controls |
NCT00602667 (62) [back to overview] | Participants With Empirical Dosage Achieving Target System Exposure of Intravenous Topotecan |
NCT00602667 (62) [back to overview] | Methotrexate AUC0-66h in Induction Cycle 2 |
NCT00602667 (62) [back to overview] | Participants With PK-guided Dosage Adjustment Achieving Target System Exposure of Intravenous Topotecan |
NCT00602667 (62) [back to overview] | 4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2 |
NCT00602667 (62) [back to overview] | 4-OH Cyclophosphamide AUC0-24h in Induction Chemotherapy |
NCT00602667 (62) [back to overview] | Percent of Patients With Sustained Objective Responses Rate After Consolidation |
NCT00602667 (62) [back to overview] | 4-OH Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1 |
NCT00602667 (62) [back to overview] | Percent of PET Scans With Loss of Signal Intensity |
NCT00602667 (62) [back to overview] | Percent Probability of Event-free Survival (EFS) for Medulloblastoma Patients |
NCT00602667 (62) [back to overview] | Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients |
NCT00602667 (62) [back to overview] | Percentage of Patients With Objective Responses Rate to Induction Chemotherapy |
NCT00602667 (62) [back to overview] | Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1 |
NCT00602667 (62) [back to overview] | Rate of Distant Disease Progression |
NCT00602667 (62) [back to overview] | Rate of Local Disease Progression |
NCT00602667 (62) [back to overview] | Topotecan Apparent Oral Clearance in Maintenance Chemotherapy |
NCT00602667 (62) [back to overview] | CEPM AUC0-24h in Consolidation Chemotherapy Cycle 1 |
NCT00602667 (62) [back to overview] | CEPM AUC0-24h in Consolidation Chemotherapy Cycle 2 |
NCT00602667 (62) [back to overview] | CEPM AUC0-24h in Induction Chemotherapy |
NCT00602667 (62) [back to overview] | CEPM AUC0-24h in Maintenance Chemotherapy Cycle A1 |
NCT00602667 (62) [back to overview] | Cyclophosphamide Apparent Oral Clearance in Maintenance Chemotherapy Cycle A1 |
NCT00602667 (62) [back to overview] | Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1 |
NCT00602667 (62) [back to overview] | Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2 |
NCT00602667 (62) [back to overview] | Topotecan AUC0-24h in Consolidation Chemotherapy |
NCT00602667 (62) [back to overview] | Topotecan AUC0-24h in Maintenance Chemotherapy |
NCT00602667 (62) [back to overview] | Topotecan Clearance in Consolidation Chemotherapy |
NCT00602667 (62) [back to overview] | Concentration of Cerebrospinal Fluid Neurotransmitters |
NCT00602667 (62) [back to overview] | Number and Type of Genetic Polymorphisms |
NCT00602667 (62) [back to overview] | Number of Participants With Chromosomal Abnormalities |
NCT00602667 (62) [back to overview] | Number of Successful Collections for Frozen and Fixed Tumor Samples |
NCT00602667 (62) [back to overview] | Numbers of Patients With Gene Alterations |
NCT00602667 (62) [back to overview] | Numbers of Patients With Molecular Abnormalities by Tumor Type |
NCT00602667 (62) [back to overview] | Pharmacogenetic Variation on Central Nervous System Transmitters |
NCT00602667 (62) [back to overview] | Feasibility and Toxicity of Administering Oral Maintenance Therapy in Children <3 Years of Age as Measured by the Percentage of Total Scheduled Maintenance Doses Received |
NCT00602667 (62) [back to overview] | Cyclophosphamide AUC0-24h in Induction Chemotherapy |
NCT00602667 (62) [back to overview] | Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 1 |
NCT00602667 (62) [back to overview] | Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 2 |
NCT00602667 (62) [back to overview] | Cyclophosphamide Clearance in Induction Chemotherapy |
NCT00602667 (62) [back to overview] | Erlotinib Apparent Oral Clearance |
NCT00602667 (62) [back to overview] | Erlotinib Apparent Volume of Central Compartment |
NCT00602667 (62) [back to overview] | Erlotinib AUC0-24h |
NCT00602667 (62) [back to overview] | Event-free Survival (EFS) Compared to Historical Controls |
NCT00602667 (62) [back to overview] | Feasibility and Toxicity of Administering Consolidation Therapy Including Cyclophosphamide and Pharmacokinetically Targeted Topotecan to Patients With Metastatic Disease Based on the Percentage of Courses Delayed for More Than 7 Days Due to Toxicity |
NCT00602667 (62) [back to overview] | Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation Subgroup |
NCT00602667 (62) [back to overview] | Feasibility and Toxicity of Administering Vinblastine With Induction Chemotherapy for Patients With Metastatic Disease as Measured by the Percentage of Courses Delayed for More Than 7 Days Due to Toxicity |
NCT00602667 (62) [back to overview] | Methotrexate AUC0-66h in Induction Cycle 1 |
NCT00602667 (62) [back to overview] | Methotrexate AUC0-66h in Induction Cycle 3 |
NCT00602667 (62) [back to overview] | Methotrexate AUC0-66h in Induction Cycle 4 |
NCT00602667 (62) [back to overview] | Methotrexate Clearance in Induction Cycle 1 |
NCT00602667 (62) [back to overview] | Methotrexate Clearance in Induction Cycle 2 |
NCT00602667 (62) [back to overview] | Methotrexate Clearance in Induction Cycle 3 |
NCT00602667 (62) [back to overview] | Methotrexate Clearance in Induction Cycle 4 |
NCT00602667 (62) [back to overview] | Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 1 |
NCT00602667 (62) [back to overview] | Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 2 |
NCT00602667 (62) [back to overview] | Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 3 |
NCT00603915 (2) [back to overview] | Progression Free Survival. |
NCT00603915 (2) [back to overview] | Number of Participants With the Responses Outlined |
NCT00605722 (7) [back to overview] | Time to Tumor Progression |
NCT00605722 (7) [back to overview] | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT00605722 (7) [back to overview] | Disease Control Rate (DCR) |
NCT00605722 (7) [back to overview] | Overall Survival (OS) |
NCT00605722 (7) [back to overview] | Percentage of Participants With Progression-free Survival (PFS) |
NCT00605722 (7) [back to overview] | Overall Response Rate (ORR) |
NCT00605722 (7) [back to overview] | Progression-free Survival (PFS) |
NCT00606502 (4) [back to overview] | Overall Survival (OS) of Patients Receiving Pralatrexate vs. Erlotinib |
NCT00606502 (4) [back to overview] | Progression-free Survival (PFS) of Patients Receiving Pralatrexate vs. Erlotinib |
NCT00606502 (4) [back to overview] | Adverse Events of Patients Receiving Pralatrexate vs. Erlotinib |
NCT00606502 (4) [back to overview] | Response Rate (RR) to Treatment of Patients Receiving Pralatrexate vs. Erlotinib |
NCT00609804 (3) [back to overview] | Number of Participants With Treatment-emergent Adverse Events as a Measure of Safety and Tolerability |
NCT00609804 (3) [back to overview] | Overall Response Rate |
NCT00609804 (3) [back to overview] | Progression-free Survival (PFS) |
NCT00611468 (7) [back to overview] | Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Renal Clearance) |
NCT00611468 (7) [back to overview] | Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Mean Clearance) |
NCT00611468 (7) [back to overview] | Pharmacogenetic Analysis (CYP3A4/5 Polymorphisms, UGT1A1, BCRP, and MDR1 Genotypes) |
NCT00611468 (7) [back to overview] | Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Dose-Normalized AUC) |
NCT00611468 (7) [back to overview] | Objective Response (as Determined Using RECIST 1.0 Criteria) |
NCT00611468 (7) [back to overview] | Dosage Limiting Toxicities |
NCT00611468 (7) [back to overview] | Maximum Tolerated Dosage (MTD) of Intravenous Topotecan When Given in Combination With Oral Erlotinib |
NCT00611715 (4) [back to overview] | Number of Patients With Anti-tumor Activity: Complete Response (CR) and Partial Response (PR) |
NCT00611715 (4) [back to overview] | Number of Patients With Pathological Complete Response. |
NCT00611715 (4) [back to overview] | Number of Patients With Worst-grade Toxicities Per Grade |
NCT00611715 (4) [back to overview] | Median Time to Progression of Target Lesions |
NCT00617708 (5) [back to overview] | Toxicity |
NCT00617708 (5) [back to overview] | Maximum Tolerated Dose Determination |
NCT00617708 (5) [back to overview] | Overall Survival |
NCT00617708 (5) [back to overview] | Progression-Free Survival |
NCT00617708 (5) [back to overview] | Response |
NCT00621049 (4) [back to overview] | Overall Survival (OS) |
NCT00621049 (4) [back to overview] | Disease-free Survival |
NCT00621049 (4) [back to overview] | Safety |
NCT00621049 (4) [back to overview] | 2-year Survival |
NCT00633750 (3) [back to overview] | Average Post-treatment Plasma Level of Erlotinib Hydrochloride |
NCT00633750 (3) [back to overview] | Number of Participants Experiencing in Situ Anti-tumor Effect of Tarceva |
NCT00633750 (3) [back to overview] | Molecular Profile of Participants Who Are Responsive to Tarceva |
NCT00640978 (1) [back to overview] | Number of Participants Surviving at 6 Months |
NCT00642473 (2) [back to overview] | Percentage of Participants With Erlotinib Associated Rash Stratified by Severity Grade at Week 4 |
NCT00642473 (2) [back to overview] | Percentage of Participants With Erlotinib Associated Rash Stratified by Severity Grade at Week 2 |
NCT00642746 (3) [back to overview] | Second-line Progression Free Survival |
NCT00642746 (3) [back to overview] | Time to Second Progression (From Start of First-Line Regimen) |
NCT00642746 (3) [back to overview] | Response Rates of Radiographically Measurable Disease |
NCT00652340 (2) [back to overview] | Overall Survival |
NCT00652340 (2) [back to overview] | Time to Disease Progression (TDP) |
NCT00652366 (11) [back to overview] | Percentage of Participants Who Died Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | Percentage of Participants Who Died as Assessed From Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | OS Assessed From Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | OS Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | Percentage of Participants With Disease Progression or Death as Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | Percentage of Participants With Disease Progression or Death as Assessed From the Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | Percentage of Participants With a CR, PR, Stable Disease (SD), or PD According to RECIST |
NCT00652366 (11) [back to overview] | PFS Assessed From Point of Randomization |
NCT00652366 (11) [back to overview] | PFS Assessed From the Start of 4-Week Run-In |
NCT00652366 (11) [back to overview] | Percentage of Participants With SD (Maintained for at Least 8 Weeks) or CR or PR (Maintained for at Least 4 Weeks) According to RECIST |
NCT00652366 (11) [back to overview] | Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST |
NCT00654420 (4) [back to overview] | Phase II: Median Overall Survival (OS) in Participants Receiving Dalotuzumab Plus Erlotinib Treatment |
NCT00654420 (4) [back to overview] | Phase II: Median Progression Free Survival (PFS) in Participants Receiving Dalotuzumab Plus Erlotinib Treatment |
NCT00654420 (4) [back to overview] | Phase I: Number of Participants Experiencing at Least One Dose-Limiting Toxicity (DLT) Adverse Event (AE) During the First Four Weeks of Dalotuzumab Plus Erlotinib Treatment |
NCT00654420 (4) [back to overview] | Phase II: Percentage of Participants With Complete Response (CR) or Partial Response (PR) After Dalotuzumab Plus Erlotinib Treatment (Objective Response Rate [ORR]) |
NCT00660816 (4) [back to overview] | Overall Survival |
NCT00660816 (4) [back to overview] | Progression-free Survival |
NCT00660816 (4) [back to overview] | Response Rate |
NCT00660816 (4) [back to overview] | Disease Stabilization Rate (e.g., Complete Response, Partial Response, and Stable Disease) |
NCT00661193 (2) [back to overview] | Response Rate (Confirmed and Unconfirmed, Complete and Partial Response) in a Subset of Patients With Measurable Disease |
NCT00661193 (2) [back to overview] | Selection of One of Two Treatment Regimens (Erlotinib Hydrochloride With or Without Carboplatin and Paclitaxel) for Further Study in a Phase III Trial, Based on Median Progression-free Survival for ≥ 3 Months |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - Phosphorylated Mitogen-activated Protein Kinase (pMAPK) |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - Phosphatase and Tensin Homologue (PTEN) |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - Epidermal Growth Factor (EGFR) |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - EGFR vIII |
NCT00671970 (11) [back to overview] | 6 Month Progression-free Survival |
NCT00671970 (11) [back to overview] | Pharmacokinetics of Erlotinib: Cmax |
NCT00671970 (11) [back to overview] | Radiographic Response |
NCT00671970 (11) [back to overview] | Pharmacokinetics of Erlotinib: AUC |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - VEGFR-2 |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - Vascular Endothelial Growth Factor (VEGF) |
NCT00671970 (11) [back to overview] | Association of Biomarkers and One-year Survival - Phosphorylated Protein Kinase B (pAKT) |
NCT00672243 (5) [back to overview] | Median Progression Free Survival (PFS) |
NCT00672243 (5) [back to overview] | Number of Participants Experiencing a ≥ Grade 3, Treatment-related, Non-hematologic Toxicity. |
NCT00672243 (5) [back to overview] | Best Radiographic Response |
NCT00672243 (5) [back to overview] | 6-month Progression-free Survival (PFS) |
NCT00672243 (5) [back to overview] | Median Overall Survival (OS) |
NCT00673049 (4) [back to overview] | Percentage of Participants With Objective Response |
NCT00673049 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00673049 (4) [back to overview] | Percentage of Participants Reporting Positive for Total Anti-drug Antibodies (ADA) |
NCT00673049 (4) [back to overview] | Overall Survival |
NCT00674973 (5) [back to overview] | Percentage of Participants With Best Overall Response Rate |
NCT00674973 (5) [back to overview] | Overall Survival |
NCT00674973 (5) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00674973 (5) [back to overview] | Percentage of Participants With Disease Control Rate (DCR) |
NCT00674973 (5) [back to overview] | Progression-Free Survival |
NCT00696696 (3) [back to overview] | 4-month Progression Free Survival (PFS) Rate |
NCT00696696 (3) [back to overview] | Objective Response Rate |
NCT00696696 (3) [back to overview] | Median Overall Survival (mOS) |
NCT00701558 (3) [back to overview] | Time to Disease Progression |
NCT00701558 (3) [back to overview] | Overall Survival |
NCT00701558 (3) [back to overview] | Overall Response Rate (ORR) |
NCT00705874 (1) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT00709826 (2) [back to overview] | Overall Survival |
NCT00709826 (2) [back to overview] | Progression Free Survival |
NCT00716456 (1) [back to overview] | The Maximum Tolerated Dose (MTD) of Cetuximab Given Every 2 Weeks |
NCT00718315 (9) [back to overview] | Percentage of Participants With Pain |
NCT00718315 (9) [back to overview] | Percentage of Participants Who Develop Skin Rash |
NCT00718315 (9) [back to overview] | Percentage of Participants With Erythema |
NCT00718315 (9) [back to overview] | Percentage of Participants With Pain Stratified by Severity Grade |
NCT00718315 (9) [back to overview] | Percentage of Participants With Erythema Stratified by Severity Grade |
NCT00718315 (9) [back to overview] | Time to Appearance of Skin Rash |
NCT00718315 (9) [back to overview] | Percentage of Participants With Pruritus |
NCT00718315 (9) [back to overview] | Percentage of Participants With Skin Rash Stratified by Severity Grade |
NCT00718315 (9) [back to overview] | Percentage of Participants With Pruritus Stratified by Severity Grade |
NCT00720356 (7) [back to overview] | Overall Survival at 12 Months |
NCT00720356 (7) [back to overview] | Overall Survival at 24 Months |
NCT00720356 (7) [back to overview] | Progression Free Survival at 6 Months |
NCT00720356 (7) [back to overview] | Progression-free Survival at 12 Months |
NCT00720356 (7) [back to overview] | Safety of the Combination of Erlotinib and Bevacizumab in This Patient Population |
NCT00720356 (7) [back to overview] | Median Progression Free Survival |
NCT00720356 (7) [back to overview] | Overall Survival |
NCT00733408 (6) [back to overview] | Percentage of Participants With Response |
NCT00733408 (6) [back to overview] | Incidence of Adverse Events as Assessed by National Cancer Institute CTCAE Version 3.0 |
NCT00733408 (6) [back to overview] | Changes in Levels of Circulating Tumor Cells |
NCT00733408 (6) [back to overview] | Changes in Levels of Circulating Endothelial Cells |
NCT00733408 (6) [back to overview] | Progression-free Survival (PFS) |
NCT00733408 (6) [back to overview] | Overall Survival |
NCT00733746 (5) [back to overview] | Number of Participants Experiencing Grade 3 or Higher Adverse Events as Graded by the NCI's Common Toxicity Criteria for Adverse Events |
NCT00733746 (5) [back to overview] | Response Rate |
NCT00733746 (5) [back to overview] | Resection Rate |
NCT00733746 (5) [back to overview] | Relapse/Progression-free Survival |
NCT00733746 (5) [back to overview] | Overall Survival at 2 Years |
NCT00735306 (3) [back to overview] | Number of Dose Limiting Toxicities |
NCT00735306 (3) [back to overview] | Tarceva Maximum Tolerated Dose in mg |
NCT00735306 (3) [back to overview] | One Year Overall Survival From Time of Diagnosis |
NCT00737243 (2) [back to overview] | Number of Participants With a Tissue of Origin Successfully Predicted by the Assay |
NCT00737243 (2) [back to overview] | Overall Survival |
NCT00738881 (1) [back to overview] | Progression-free Survival (PFS) |
NCT00749892 (1) [back to overview] | Response Rate |
NCT00754494 (11) [back to overview] | Plasma Erlotinib Concentration (ng/mL) |
NCT00754494 (11) [back to overview] | Number of Participants Reported at Least 1 Side Effect During the Study |
NCT00754494 (11) [back to overview] | Number of Participants Reported at Least 1 Rash Side Effect During the Study |
NCT00754494 (11) [back to overview] | Number of Participants Reported at Least 1 Diarrhea Side Effect During the Study |
NCT00754494 (11) [back to overview] | Plasma OSI-420 Concentration (ng/mL) |
NCT00754494 (11) [back to overview] | Normal Mucosa OSI-420 Concentration (ng/mg) |
NCT00754494 (11) [back to overview] | Normal Mucosa Erlotinib Concentration (ng/mg) |
NCT00754494 (11) [back to overview] | Change in EGF-inducible Markers - Total EGFR in ACF |
NCT00754494 (11) [back to overview] | Change in EGF-inducible Markers - pEGFR in Normal Mucosa |
NCT00754494 (11) [back to overview] | Change in EGF-inducible Markers - pEGFR in ACF |
NCT00754494 (11) [back to overview] | Change in EGF-inducible Markers - Total EGFR in Normal Mucosa |
NCT00760929 (5) [back to overview] | Objective Response Rate |
NCT00760929 (5) [back to overview] | Number of Participants With Progression Free Survival (PFS) |
NCT00760929 (5) [back to overview] | Time to Response |
NCT00760929 (5) [back to overview] | Duration of Response |
NCT00760929 (5) [back to overview] | Overall Survival (OS) |
NCT00761345 (1) [back to overview] | To Determine the Dose Limiting Toxicities |
NCT00769067 (11) [back to overview] | Trough Plasma Concentration (Ctrough) of Dacomitinib (PF-00299804) |
NCT00769067 (11) [back to overview] | Best Overall Response (BOR) |
NCT00769067 (11) [back to overview] | Number of Participants With Kirsten Rat Sarcoma (KRAS) and Epidermal Growth Factor Receptor (EGFR) Status and EGFR T790M Mutation |
NCT00769067 (11) [back to overview] | Dermatology Life Quality Index (DLQI) |
NCT00769067 (11) [back to overview] | Categorical Summary of Overall Scale Change in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) |
NCT00769067 (11) [back to overview] | Categorical Summary of Overall Scale Change in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module (EORTC QLQ-LC13) |
NCT00769067 (11) [back to overview] | Progression-Free Survival (PFS) |
NCT00769067 (11) [back to overview] | Percentage of Participants With Objective Response |
NCT00769067 (11) [back to overview] | Soluble Protein Biomarkers Level |
NCT00769067 (11) [back to overview] | Duration of Response (DR) |
NCT00769067 (11) [back to overview] | Overall Survival (OS) |
NCT00769483 (5) [back to overview] | Progression Free Survival |
NCT00769483 (5) [back to overview] | Overall Survival |
NCT00769483 (5) [back to overview] | Overall Response Rate |
NCT00769483 (5) [back to overview] | Treatment Toxicity |
NCT00769483 (5) [back to overview] | MK-0646 Maximum Tolerable Dose |
NCT00773383 (4) [back to overview] | Electrocardiogram (ECG) |
NCT00773383 (4) [back to overview] | Percentage of Participants With Progression Free Survival (PFS) |
NCT00773383 (4) [back to overview] | Number of Participants With Positive Results for Human Anti-human Antibody (HAHA) Testing |
NCT00773383 (4) [back to overview] | Fasting Glucose, Highest Post-Baseline Value |
NCT00778167 (1) [back to overview] | Safety and Tolerability of IMC-A12 in Combination With Erlotinib Hydrochloride as Graded by Common Terminology Criteria for Adverse Event (CTCAE) Version 3.0 (DLTs During Cycle One) |
NCT00800202 (7) [back to overview] | Time to Disease Progression or Death |
NCT00800202 (7) [back to overview] | Time to Death |
NCT00800202 (7) [back to overview] | Probability of Being Alive at 12 and 18 Months |
NCT00800202 (7) [back to overview] | Percentage of Participants Achieving Progression-Free Survival (PFS) Without Disease Progression or Death at 6 Months |
NCT00800202 (7) [back to overview] | Percentage of Participants Achieving a Best Overall Response of Complete Response or Partial Response as Assessed by the Investigator Using RECIST |
NCT00800202 (7) [back to overview] | Percentage of Participants Who Died |
NCT00800202 (7) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT00810719 (3) [back to overview] | Response Rate |
NCT00810719 (3) [back to overview] | Progression Free Survival |
NCT00810719 (3) [back to overview] | Overall Survival |
NCT00826449 (3) [back to overview] | Phase II: Progression-Free Survival (PFS) Rate |
NCT00826449 (3) [back to overview] | Phase I: Maximum Tolerable Dose (MTD) of Dasatinib Given With Erlotinib Hydrochloride |
NCT00826449 (3) [back to overview] | Phase II: Number of Participant With Response According to Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00832637 (5) [back to overview] | Time to Tumor Progression (TTP) |
NCT00832637 (5) [back to overview] | Overall Response Rate |
NCT00832637 (5) [back to overview] | Tumor Control Rate |
NCT00832637 (5) [back to overview] | Median Survival Time (MST) |
NCT00832637 (5) [back to overview] | Toxicity |
NCT00834678 (7) [back to overview] | Progression-free Survival at 6 Months and 12 Months (Phase II) |
NCT00834678 (7) [back to overview] | Dose-limiting Toxicity (Phase I) |
NCT00834678 (7) [back to overview] | Objective Response Rate (ORR) |
NCT00834678 (7) [back to overview] | Maximum-tolerated Dose of Erlotinib Hydrochloride (Phase I) |
NCT00834678 (7) [back to overview] | Duration of Response (DR) |
NCT00834678 (7) [back to overview] | Maximum-tolerated Dose of Bendamustine Hydrochloride (Phase I) |
NCT00834678 (7) [back to overview] | Overall Survival (OS) |
NCT00843531 (3) [back to overview] | Objective Response Rate (ORR) |
NCT00843531 (3) [back to overview] | Number of Patients With Dose-limiting Toxicity (DLT) |
NCT00843531 (3) [back to overview] | Duration of Objective Response |
NCT00848718 (12) [back to overview] | MTD of MK-2206 Administered QOD in Combination With Docetaxel |
NCT00848718 (12) [back to overview] | Time to Maximum Plasma Concentration of MK-2206 (Tmax) |
NCT00848718 (12) [back to overview] | Number of Participants Who Had a Tumor Response of Complete Response (CR) or Partial Response (PR) |
NCT00848718 (12) [back to overview] | Number of Participants Who Experienced a Dose Limiting Toxicity (DLT) During Cycle 1 |
NCT00848718 (12) [back to overview] | MTD of MK-2206 Administered QOD in Combination With Erlotinib |
NCT00848718 (12) [back to overview] | MTD of MK-2206 Administered Q3W in Combination With Docetaxel |
NCT00848718 (12) [back to overview] | MTD of MK-2206 Administered Once Every Week (QW) in Combination With Erlotinib |
NCT00848718 (12) [back to overview] | MTD of MK-2206 Administered Every Three Weeks (Q3W) in Combination With Carboplatin and Paclitaxel |
NCT00848718 (12) [back to overview] | Minimum Plasma Concentration of MK-2206 (Ctrough) |
NCT00848718 (12) [back to overview] | Maximum Tolerated Dose (MTD) of MK-2206 Administered Every Other Day (QOD) in Combination With Carboplatin and Paclitaxel |
NCT00848718 (12) [back to overview] | Maximum Plasma Concentration of MK-2206 (Cmax) |
NCT00848718 (12) [back to overview] | Area Under the MK-2206 Concentration Versus Time Curve From Time Zero to 48 Hours Postdose (AUC 0-48h) |
NCT00854308 (4) [back to overview] | Percentage of Participants With Objective Response in Patients With Met Diagnostic-Positive Tumors |
NCT00854308 (4) [back to overview] | Progression-free Survival |
NCT00854308 (4) [back to overview] | Progression-free Survival in Patients With Met Diagnostic-Positive Tumors |
NCT00854308 (4) [back to overview] | Percentage of Participants With Objective Response |
NCT00855894 (5) [back to overview] | Percentage of Patients With a 2-deoxy-2-[18F]Fluoro-D-glucose-positron Emission Tomography (FDG-PET) Response at Day 56 in All Patients and in Epidermal Growth Factor Receptor (EGFR) Mutant and Wild-type Subgroups |
NCT00855894 (5) [back to overview] | Overall Survival (OS) |
NCT00855894 (5) [back to overview] | Percentage of Patients With an Objective Response (OR) |
NCT00855894 (5) [back to overview] | Percentage of Patients With Disease Control (DC) at Day 56 |
NCT00855894 (5) [back to overview] | Progression-free Survival (PFS) |
NCT00871923 (2) [back to overview] | Median Survival |
NCT00871923 (2) [back to overview] | Number of Participants With Overall Survival |
NCT00881751 (4) [back to overview] | Number of SAEs Experienced |
NCT00881751 (4) [back to overview] | Overall Survival |
NCT00881751 (4) [back to overview] | Response Rate |
NCT00881751 (4) [back to overview] | Event-free Survival |
NCT00883779 (16) [back to overview] | Percentage of Participants With Deterioration in Quality of Life (QOL) Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Time to Deterioration in QOL Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Percentage of Participants Alive at the End of Study-Overall and Among Different Subgroups |
NCT00883779 (16) [back to overview] | Percentage of Participants With Symptomatic Progression Assessed Using the Lung Cancer Subscale (LCS) |
NCT00883779 (16) [back to overview] | Median PFS Time Based on Different Subgroups |
NCT00883779 (16) [back to overview] | Median Overall Survival (OS) Time-Overall and Among Different Subgroups |
NCT00883779 (16) [back to overview] | Time to Symptomatic Progression |
NCT00883779 (16) [back to overview] | Time to Progression |
NCT00883779 (16) [back to overview] | Time to Deterioration in TOI Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Percentage of Participants With Deterioration in Trial Outcome Index (TOI) Using FACT-L Version 4.0 |
NCT00883779 (16) [back to overview] | Objective Response Rate: Percentage of Participants With a Confirmed Best Overall Response of CR or PR |
NCT00883779 (16) [back to overview] | Non-Progression Rate: Percentage of Participants With a Confirmed Best Overall Response of Either Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) for At Least 16 Weeks |
NCT00883779 (16) [back to overview] | Median Progression Free Survival (PFS) Time |
NCT00883779 (16) [back to overview] | Median Follow-up Time During the Study |
NCT00883779 (16) [back to overview] | Duration of Response |
NCT00883779 (16) [back to overview] | Percentage of Participants Alive and Free From Disease Progression |
NCT00888511 (1) [back to overview] | Progression Free Survival |
NCT00901901 (8) [back to overview] | Overall Survival |
NCT00901901 (8) [back to overview] | Time to Radiological Tumor Progression (TTP) |
NCT00901901 (8) [back to overview] | Disease Control |
NCT00901901 (8) [back to overview] | Duration of Response |
NCT00901901 (8) [back to overview] | Time to Response |
NCT00901901 (8) [back to overview] | Health-related Quality of Life and Utility Values as Measured by EQ-5D - Index |
NCT00901901 (8) [back to overview] | Health-related Quality of Life and Utility Values as Measured by EQ-5D - VAS |
NCT00901901 (8) [back to overview] | Tumor Response |
NCT00925769 (10) [back to overview] | Part 1: Maximum Serum Concentration (Cmax) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-Deoxy-5-Fluorocytidine [5'-DFCR] and 5'-Deoxy-5-Fluorouridine [5'-DFUR]) |
NCT00925769 (10) [back to overview] | Part 1: Last Quantifiable Drug Concentration (Clast) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-DFCR and 5'-DFUR) |
NCT00925769 (10) [back to overview] | Part 1: PRD of Bevacizumab for Part 2 |
NCT00925769 (10) [back to overview] | Part 1: PRD of Erlotinib for Part 2 |
NCT00925769 (10) [back to overview] | Part 1: Preliminary Recommended Dose (PRD) of Capecitabine for Part 2 |
NCT00925769 (10) [back to overview] | Part 1: Maximum Tolerated Dose (MTD) of Capecitabine |
NCT00925769 (10) [back to overview] | Part 1: MTD of Bevacizumab |
NCT00925769 (10) [back to overview] | Part 1: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Measurable Concentration (AUClast) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-DFCR and 5'-DFUR) |
NCT00925769 (10) [back to overview] | Part 1: MTD of Erlotinib |
NCT00925769 (10) [back to overview] | Part 1: Time to Reach Cmax (Tmax) of Erlotinib and Its Metabolite OSI-420 (CP373420), Capecitabine and Its Metabolites (5'-DFCR and 5'-DFUR) |
NCT00940316 (4) [back to overview] | Tumor Response Rate Based on Complete Response (CR)+ Partial Response (PR) + Stable Disease (SD) |
NCT00940316 (4) [back to overview] | Toxicity of the Combination of Study Drugs |
NCT00940316 (4) [back to overview] | Median Overall Survival |
NCT00940316 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00940875 (6) [back to overview] | Overall Survival (OS) |
NCT00940875 (6) [back to overview] | Percentage of Participants Who Achieved Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST V 1.0 |
NCT00940875 (6) [back to overview] | Percentage of Participants Who Died |
NCT00940875 (6) [back to overview] | Percentage of Participants With Non-Progression at Weeks 8 and 16 |
NCT00940875 (6) [back to overview] | PFS |
NCT00940875 (6) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT00942734 (1) [back to overview] | 12-Week Progression-Free Survival (PFS) |
NCT00947167 (2) [back to overview] | Toxicities Assessed by CTCAE Grading Criteria and Assigned Attributions Accordingly |
NCT00947167 (2) [back to overview] | Response Rate (RR) for All Patients Treated With This Strategy (Simon Design) |
NCT00949910 (7) [back to overview] | Percentage of Participants With Death or Disease Progression According to RECIST |
NCT00949910 (7) [back to overview] | Progression-Free Survival (PFS) According to RECIST |
NCT00949910 (7) [back to overview] | Percentage of Participants With Objective Response According to Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00949910 (7) [back to overview] | Percentage of Participants With Disease Control According to RECIST |
NCT00949910 (7) [back to overview] | Percentage of Participants by Best Overall Response According to RECIST |
NCT00949910 (7) [back to overview] | Percentage of Participants Who Died |
NCT00949910 (7) [back to overview] | Overall Survival (OS) |
NCT00950365 (3) [back to overview] | Overall Survival |
NCT00950365 (3) [back to overview] | Objective Response Rate (CR +PR) Evaluated Using RECIST |
NCT00950365 (3) [back to overview] | PFS (Progression Free Survival) |
NCT00965731 (16) [back to overview] | PF-02341066 (Crizotinib) Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1) |
NCT00965731 (16) [back to overview] | PF-06260182 Maximum Observed Plasma Concentration (Cmax) (Phase 1) |
NCT00965731 (16) [back to overview] | Erlotinib Apparent Oral Clearance (CL/F) (Phase 1) |
NCT00965731 (16) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLT) (Phase 1) |
NCT00965731 (16) [back to overview] | Percentage of Participants With Objective Response (Phase 1) |
NCT00965731 (16) [back to overview] | PF-02341066 (Crizotinib) Apparent Oral Clearance (CL/F) (Phase 1) |
NCT00965731 (16) [back to overview] | Ratio of Adjusted Means of Erlotinib AUCtau (Crizotinib + Erlotinib / Erlotinib Alone) (Phase 1) |
NCT00965731 (16) [back to overview] | Ratio of Adjusted Means of Erlotinib Cmax (Crizotinib + Erlotinib / Erlotinib Alone) (Phase 1) |
NCT00965731 (16) [back to overview] | Erlotinib Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1) |
NCT00965731 (16) [back to overview] | Erlotinib Maximum Observed Plasma Concentration (Cmax) (Phase 1) |
NCT00965731 (16) [back to overview] | PF-06260182 Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1) |
NCT00965731 (16) [back to overview] | Recommended Phase 2 Dose (RP2D) of PF-02341066 When Administered in Combination With Erlotinib (Phase 1) |
NCT00965731 (16) [back to overview] | Plasma Level of Soluble Marker: c-Met Ectodomain (Phase 1) |
NCT00965731 (16) [back to overview] | Maximum Tolerated Dose (MTD) of PF-02341066 When Administered in Combination With Erlotinib (Phase 1) |
NCT00965731 (16) [back to overview] | Molecular Weight Adjusted PF-06260182-to-PF-02341006 Ratio of AUCtau (Phase 1) |
NCT00965731 (16) [back to overview] | PF-02341066 (Crizotinib) Maximum Observed Plasma Concentration (Cmax) (Phase 1) |
NCT00970502 (4) [back to overview] | Locoregional Control, Progression-free Survival, Overall Survival and Late Toxicity |
NCT00970502 (4) [back to overview] | Clinical Response |
NCT00970502 (4) [back to overview] | Toxicity |
NCT00970502 (4) [back to overview] | Locoregional Progression |
NCT00976677 (1) [back to overview] | Progression-free Survival (PFS) |
NCT00977470 (5) [back to overview] | Treatment Related Toxicity, > 10% Frequency, Any Grade |
NCT00977470 (5) [back to overview] | Median Progression Free Survival |
NCT00977470 (5) [back to overview] | Nine-month Progression-free Survival Rate |
NCT00977470 (5) [back to overview] | Percent of Participants in Which FMISO-PET ([18F]-Fluoromisonidazole-positron Emission Tomography) is Able to Detect and Quantify Changes in Tumor Hypoxia After Erlotinib. |
NCT00977470 (5) [back to overview] | Objective Tumor Response Rate Following Treatment With Erlotinib and With Erlotinib/HCQ. |
NCT00977548 (4) [back to overview] | Leukemia Free Survival (LFS) |
NCT00977548 (4) [back to overview] | Median Overall Survival (OS) |
NCT00977548 (4) [back to overview] | Median Progression Free Survival (PFS) |
NCT00977548 (4) [back to overview] | Combined Overall Response Rate (ORR) |
NCT00983307 (1) [back to overview] | Number of Participants That Experience Progression-free Survival. |
NCT00988169 (1) [back to overview] | Radiographic Objective Response Rate |
NCT00994123 (4) [back to overview] | Phase 1: Determine the Maximum Tolerated Dose Dependent on Reports of Dose-limiting Toxicities |
NCT00994123 (4) [back to overview] | Phase 1: To Determine the Recommended Phase 2 Dose of the MM-121 + Erlotinib Combination Based Upon Either the Maximum Tolerated Dose (MTD) or the Maximum Feasible Dose of the Combination in Patients With NSCLC. |
NCT00994123 (4) [back to overview] | Phase 2: Progression-free Survival of the MM-121 + Erlotinib Combination |
NCT00994123 (4) [back to overview] | To Explore the Utility of an EGFR Family Receptor-ligand (Heregulin, HRG) as a Predictor of Response to MM-121 and /or Erlotinib in Formalin Fixed (FFPE) Tumor Samples |
NCT00997334 (4) [back to overview] | Feasibility Rate |
NCT00997334 (4) [back to overview] | Resistance Mechanism |
NCT00997334 (4) [back to overview] | Time to Repeat Biopsy |
NCT00997334 (4) [back to overview] | Progression-Free Survival |
NCT01003938 (2) [back to overview] | CA125 Response Rate With Continuous-infusion Topotecan and Erlotinib |
NCT01003938 (2) [back to overview] | Toxicity Profile |
NCT01009203 (4) [back to overview] | Overall Survival (OS) |
NCT01009203 (4) [back to overview] | Progression Free Survival (PFS) |
NCT01009203 (4) [back to overview] | Overall Response Rate (ORR) |
NCT01009203 (4) [back to overview] | Toxicity Profile |
NCT01026844 (3) [back to overview] | Describe the Number and Type of Observed Dose Limiting Toxcities |
NCT01026844 (3) [back to overview] | Objective Tumor Response Rate |
NCT01026844 (3) [back to overview] | Determine the Pharmacokinetic (PK) Parameters of Hydroxychloroquine (HCQ) Plus Erlotinib. |
NCT01027598 (3) [back to overview] | Progression-free Survival |
NCT01027598 (3) [back to overview] | Objective Response Rate (ORR) |
NCT01027598 (3) [back to overview] | Overall Survival |
NCT01032070 (14) [back to overview] | Apparent Body Clearance (CL/F) of Erlotinib |
NCT01032070 (14) [back to overview] | Apparent Volume of Distribution (Vz/F) of Erlotinib |
NCT01032070 (14) [back to overview] | Safety Assessed Through Evaluation of Physical Exams, Vital Signs, Clinical Laboratory Tests and Adverse Events (AEs) |
NCT01032070 (14) [back to overview] | Time to Maximum Observed Plasma Concentration of Erlotinib (Tmax) |
NCT01032070 (14) [back to overview] | Percentage of Participants With Prolonged Stable Disease |
NCT01032070 (14) [back to overview] | Percentage of Participants With Disease Control |
NCT01032070 (14) [back to overview] | Percentage of Participants With an Objective Response |
NCT01032070 (14) [back to overview] | Percentage of Participants With a Minor Response |
NCT01032070 (14) [back to overview] | Overall Survival (OS) |
NCT01032070 (14) [back to overview] | Maximum Observed Plasma Concentration of Erlotinib (Cmax) |
NCT01032070 (14) [back to overview] | Progression Free Survival (PFS) |
NCT01032070 (14) [back to overview] | Duration of Response |
NCT01032070 (14) [back to overview] | Area Under the Curve From Time 0 to 24 Hours Post-dose for Erlotinib |
NCT01032070 (14) [back to overview] | Duration of Stable Disease |
NCT01038856 (4) [back to overview] | Improvement in Splenomegaly Size |
NCT01038856 (4) [back to overview] | Incidence of Toxicities |
NCT01038856 (4) [back to overview] | Overall Response Rate to Include Complete Hematological Response, Complete Molecular Response, Partial Hematological Response, and Minimal Hematological Response |
NCT01038856 (4) [back to overview] | Decrease of Mutant JAK2V617F Allele Burden |
NCT01064479 (5) [back to overview] | Number of Participants With Tumor Response (Complete Response [CR] + Partial Response [PR]) |
NCT01064479 (5) [back to overview] | Rash Rates |
NCT01064479 (5) [back to overview] | Progression Free Survival (PFS) |
NCT01064479 (5) [back to overview] | Overall Survival (OS) |
NCT01064479 (5) [back to overview] | Disease Control (CR + PR + Stable Disease [SD]) |
NCT01093222 (4) [back to overview] | Progression-free Survival |
NCT01093222 (4) [back to overview] | Overall Survival |
NCT01093222 (4) [back to overview] | Objective Response |
NCT01093222 (4) [back to overview] | Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug |
NCT01101334 (4) [back to overview] | Analysis of Overall Survival Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy |
NCT01101334 (4) [back to overview] | Summary of Treatment-Emergent Adverse Events (TEAEs) Occurring in ≥10% of Participants Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy |
NCT01101334 (4) [back to overview] | Summary of Analysis of Progression-Free Survival Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy |
NCT01101334 (4) [back to overview] | Overall Response Rate Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy |
NCT01104155 (5) [back to overview] | Objective Response Rate (ORR) |
NCT01104155 (5) [back to overview] | Duration of Response (DOR) |
NCT01104155 (5) [back to overview] | Overall Survival (OS) |
NCT01104155 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT01104155 (5) [back to overview] | Disease Control Rate (DCR) |
NCT01108458 (6) [back to overview] | No. of Events of Drug-related Toxicity |
NCT01108458 (6) [back to overview] | Overall Response Rate by RECIST Criteria |
NCT01108458 (6) [back to overview] | Overall Survival (OS) |
NCT01108458 (6) [back to overview] | Progression-free Survival (PFS) |
NCT01108458 (6) [back to overview] | Proportion of Participants With 50% Decrease in Tumor Marker |
NCT01108458 (6) [back to overview] | Quality of Life (QoL) |
NCT01110876 (1) [back to overview] | Maximum Tolerated Dose (MTD) of Vorinostat in Combination With Escalating Doses of Erlotinib and Temozolomide |
NCT01115803 (7) [back to overview] | Pharmacokinetics, Maximum Observed Plasma Concentration (Cmax) of LY2584702 |
NCT01115803 (7) [back to overview] | Recommended Dose for Phase 2 Studies |
NCT01115803 (7) [back to overview] | Number of Participants Who Died Due to Progressive Disease Within 30 Days of Study Drug Discontinuation |
NCT01115803 (7) [back to overview] | Number of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) [Best Overall Response (BOR) (CR+PR+SD)] |
NCT01115803 (7) [back to overview] | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) [Response Rate (RR)] |
NCT01115803 (7) [back to overview] | Pharmacokinetics, Area Under the Concentration Time Curve (AUC) |
NCT01115803 (7) [back to overview] | Clinically Significant Effects (Number of Participants With Adverse Events) |
NCT01130519 (5) [back to overview] | Duration of Response |
NCT01130519 (5) [back to overview] | Overall Survival (OS) |
NCT01130519 (5) [back to overview] | Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0) |
NCT01130519 (5) [back to overview] | Overall Response Rate |
NCT01130519 (5) [back to overview] | Progression-free Survival |
NCT01135498 (6) [back to overview] | Overall Survival (OS) |
NCT01135498 (6) [back to overview] | Percentage of Participants Achieving Disease Control (CR, PR, or No Change [NC]) |
NCT01135498 (6) [back to overview] | Percentage of Participants Achieving Objective Response (Complete Response [CR] or Partial Response [PR]) |
NCT01135498 (6) [back to overview] | Percentage of Participants Who Died |
NCT01135498 (6) [back to overview] | Progression-Free Survival |
NCT01135498 (6) [back to overview] | Percentage of Participants With Disease Progression or Death |
NCT01153984 (7) [back to overview] | Time to Disease Progression, as Assessed by Investigator Using RECIST v1.1 |
NCT01153984 (7) [back to overview] | Progression-Free Survival (PFS), as Assessed by Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
NCT01153984 (7) [back to overview] | Percentage of Participants Who Were Alive One Year After Study Treatment Initiation |
NCT01153984 (7) [back to overview] | Number of EGFR Positive Participants Classified Based on Type of EGFR Mutations |
NCT01153984 (7) [back to overview] | Percentage of Participants With Complete Response (CR) And Partial Response (PR) as Assessed by the Investigator Using RECIST v1.1 |
NCT01153984 (7) [back to overview] | Percentage of Participants by Localization of PD, as Assessed by Investigator Using RECIST v1.1 |
NCT01153984 (7) [back to overview] | Number of EGFR Positive Participants Classified Based on Smoking Status |
NCT01161173 (6) [back to overview] | Progression-free Survival |
NCT01161173 (6) [back to overview] | Percentage of Participants Who Developed Rash |
NCT01161173 (6) [back to overview] | Change From Baseline in the Lung Cancer Symptom Scale (LCSS) Scores |
NCT01161173 (6) [back to overview] | Overall Survival |
NCT01161173 (6) [back to overview] | Time to Disease Progression |
NCT01161173 (6) [back to overview] | Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD) |
NCT01174043 (3) [back to overview] | Treatment Related Adverse Events Grade 3 or Higher |
NCT01174043 (3) [back to overview] | Duration of Response (up to One Year Follow up) in Patients Who Achieve a Complete Remission |
NCT01174043 (3) [back to overview] | Overall Response Rate (Defined as Partial Remission or Better) to 3 Months of Treatment With Erlotinib |
NCT01174563 (3) [back to overview] | Progression-Free Survival (PFS) in Participants With Erlotinib Dose Reductions Due to Rash Grade 3-4 |
NCT01174563 (3) [back to overview] | Percentage of Participants With Erlotinib Dose Reductions Due to Rash Grade 3-4 |
NCT01174563 (3) [back to overview] | Progression-free Survival (PFS) According to Grade of Rash |
NCT01180959 (3) [back to overview] | Progression Free Survival (PFS) |
NCT01180959 (3) [back to overview] | Overall Survival (OS) |
NCT01180959 (3) [back to overview] | Time to Progression (TTP) |
NCT01182350 (8) [back to overview] | Feasibility Rate of Molecular Approach to Therapy |
NCT01182350 (8) [back to overview] | Grade 3-4 Post-Procedural Surgery-Related Toxicity Rate |
NCT01182350 (8) [back to overview] | Median Progression Free Survival (PFS) |
NCT01182350 (8) [back to overview] | Rate of Lethal Complications From Surgery |
NCT01182350 (8) [back to overview] | 9-month Overall Survival (OS) Rate by Molecular Cohort |
NCT01182350 (8) [back to overview] | 9-month Overall Survival (OS) Rate |
NCT01182350 (8) [back to overview] | Number of Participants With Grade 3-4 Treatment-Related Toxicity Over Chemoradiation Therapy |
NCT01182350 (8) [back to overview] | Delay in Radiation Therapy Start |
NCT01183858 (8) [back to overview] | Number of Participants With Adverse Events (AEs) at the End of the Study |
NCT01183858 (8) [back to overview] | Overall Response Rate (ORR) |
NCT01183858 (8) [back to overview] | Overall Survival (OS) |
NCT01183858 (8) [back to overview] | Disease Control Rate (DCR) |
NCT01183858 (8) [back to overview] | Overall Survival (OS) at the End of Study |
NCT01183858 (8) [back to overview] | Progression-Free Survival (PFS) |
NCT01183858 (8) [back to overview] | Progression-Free Survival (PFS) at the End of Study |
NCT01183858 (8) [back to overview] | Time to Progression (TTP) |
NCT01187901 (6) [back to overview] | Change in Number of Duodenal Polyps From Baseline to 6 Months in Attenuated FAP Participants |
NCT01187901 (6) [back to overview] | Change in Number of Duodenal Polyps From Baseline to 6 Months in Classic FAP Participants |
NCT01187901 (6) [back to overview] | Change in Number of Duodenal Polyps From Baseline to 6 Months |
NCT01187901 (6) [back to overview] | Change in Duodenal Polyp Burden From Baseline to 6 Months |
NCT01187901 (6) [back to overview] | Change in Duodenal Polyp Burden From Baseline to 6 Months in Classic Familial Adenomatous Polyposis (FAP) Participants |
NCT01187901 (6) [back to overview] | Change in Duodenal Polyp Burden From Baseline to 6 Months in Attenuated FAP Participants |
NCT01192815 (2) [back to overview] | Toxicities, Number of Persons With Adverse Events |
NCT01192815 (2) [back to overview] | Time to Disease Progression |
NCT01196078 (12) [back to overview] | Overall Survival: Time to Event |
NCT01196078 (12) [back to overview] | Percentage of Participants Achieving a Best Overall Response of Complete Response (CR) or Partial Response (PR) |
NCT01196078 (12) [back to overview] | Percentage of Participants Achieving Disease Control |
NCT01196078 (12) [back to overview] | Changes in Quality of Life as Assessed by FACT-L (Lung Symptoms) Questionnaire |
NCT01196078 (12) [back to overview] | Duration of Response Among Participants Who Achieved Either a CR or PR |
NCT01196078 (12) [back to overview] | Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT) Questionnaire |
NCT01196078 (12) [back to overview] | Time to Disease Progression |
NCT01196078 (12) [back to overview] | Percentage of Participants With Changes in Quality of Life as Measured by FACT Questionnaire Scores by Category of Change |
NCT01196078 (12) [back to overview] | Percentage of Participants With Changes in FACT-L (Lung Symptoms) by Category of Change |
NCT01196078 (12) [back to overview] | Percentage of Participants With Disease Progression |
NCT01196078 (12) [back to overview] | Changes in Quality of Life as Measured by the FACT Questionnaire |
NCT01196078 (12) [back to overview] | Overall Survival: Percentage of Participants With an Progressive Disease or Death |
NCT01198028 (6) [back to overview] | Overall Survival |
NCT01198028 (6) [back to overview] | Overall Response Rate |
NCT01198028 (6) [back to overview] | Duration of Stable Disease |
NCT01198028 (6) [back to overview] | Progression-free Survival |
NCT01198028 (6) [back to overview] | Duration of Response |
NCT01198028 (6) [back to overview] | Number of Participants With Safety and Tolerability of Erlotinib |
NCT01199068 (7) [back to overview] | Progression-free Survival Time Following Administration of CS-7017 in Combination With Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer (NSCLC) Who Failed First-line Therapy |
NCT01199068 (7) [back to overview] | Pharmacokinetic Parameter Area Under the Concentration Versus Time Curve of Serum Free Form of CS-7017 (R-150033) After CS-7017 and Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer |
NCT01199068 (7) [back to overview] | Erlotinib-Related Treatment-Emergent Adverse Events Occurring During the Study of Administration of CS-7017 Combined With Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer Who Failed First-line Therapy |
NCT01199068 (7) [back to overview] | CS-7017-Related Treatment-Emergent Adverse Events Occurring During the Study of Administration of CS-7017 Combined With Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer Who Failed First-line Therapy |
NCT01199068 (7) [back to overview] | Best Overall Response and Response Rate Following Administration of CS-7017 in Combination With Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer (NSCLC) Who Failed First-line Therapy |
NCT01199068 (7) [back to overview] | Pharmacokinetic Parameter Time of Maximum Plasma Concentration (Tmax) of Serum Free Form of CS-7017 (R-150033) After CS-7017 and Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer |
NCT01199068 (7) [back to overview] | Pharmacokinetic Parameter Observed Serum Concentration (Cmax) of Serum Free Form of CS-7017 (R-150033) After CS-7017 and Erlotinib in Participants With Metastatic or Unresectable Locally Advanced Non-small Cell Lung Cancer |
NCT01204697 (6) [back to overview] | Duration of Response (DoR) |
NCT01204697 (6) [back to overview] | Progression-free Survival (PFS) |
NCT01204697 (6) [back to overview] | Percentage of Participants With Disease Control |
NCT01204697 (6) [back to overview] | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) |
NCT01204697 (6) [back to overview] | Overall Survival (OS) |
NCT01204697 (6) [back to overview] | Percentage of Participants Free From Disease Progression or Death at 6 Months |
NCT01205685 (3) [back to overview] | Anti-tumor Activity of OSI-906 |
NCT01205685 (3) [back to overview] | Number of Participants With Tumor Response Per RECIST |
NCT01205685 (3) [back to overview] | Safety Profile Based on Number of Patients With Each Worst-grade Toxicity |
NCT01211483 (14) [back to overview] | Time to Objective Response Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Erlotinib Concentrations at Cycle 3 Day 1 Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Pharmacokinetic Parameter of Erlotinib Trough (Cmin) Concentrations From Participants Receiving 150 mg Erlotinib Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Treatment-Emergent Adverse Events Occurring in ≥10% of Participants Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Progression-Free Survival in Participants With Low Heregulin-Expressing Tumors Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Progression-Free Survival in Participants With High Heregulin-Expressing Tumors Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Progression-Free Survival Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Pharmacokinetic Parameter of Cycle 3 Patritumab Concentration End of Infusion (CEOI) and Minimum (Trough) Concentration (Cmin) Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Overall Survival Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Objective Response Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Pharmacokinetic Parameter of Cycle 3 Patritumab Area Under the Concentration-time Curve Over the Dosing Interval 0 to τ (AUC) Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Duration of Stable Disease Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Time to Disease Progression Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01211483 (14) [back to overview] | Pharmacokinetic Parameter of Erlotinib Trough (Cmin) Concentrations From Participants Receiving 150 mg Erlotinib Following U3-1287 (AMG 888) in Combination With Erlotinib |
NCT01222689 (8) [back to overview] | Progression-free Survival (PFS) |
NCT01222689 (8) [back to overview] | Plasma Biomarkers Potentially Predictive of Dual MEK/EGFR Inhibition |
NCT01222689 (8) [back to overview] | Number of Patients With Dose Modifications and Reason for Dose Modification. |
NCT01222689 (8) [back to overview] | Overall Survival (OS) |
NCT01222689 (8) [back to overview] | CA19-9 Biomarker Response (Defined as a 50% Decline in Serum CA19-9 Level From Baseline in Patients With > 2 x ULN CA19-9 Measurement) |
NCT01222689 (8) [back to overview] | Incidence of Toxicities Graded Using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 |
NCT01222689 (8) [back to overview] | Survival at 24 Weeks |
NCT01222689 (8) [back to overview] | Objective Radiographic Response by RECIST Criteria |
NCT01229150 (11) [back to overview] | Change in T Cell Immunoglobulin Mucin 3 (TIM-3) on Tregs |
NCT01229150 (11) [back to overview] | Number of Participants With a Reduction in Phosphorylated Extracellular Signal-Regulated Kinases (p-ERK) in Lymphocytes |
NCT01229150 (11) [back to overview] | Percentage of Th17 in Cluster of Differentiation 4 (CD4)+T Cells at Baseline in Relation to Response |
NCT01229150 (11) [back to overview] | Progression Free Survival |
NCT01229150 (11) [back to overview] | Change in Cytotoxic T-lymphocyte Associated Protein 4 (CTLA-4) Expression on Tregs |
NCT01229150 (11) [back to overview] | Change in Programmed Cell Death-1 (PD-1) Expression on Cluster of Differentiation 8 (CD8)+T Cells |
NCT01229150 (11) [back to overview] | Percentage of Participants With Disease Control/Stabilization |
NCT01229150 (11) [back to overview] | Change in Programmed Cell Death-1 (PD-1) Expression on Tregs |
NCT01229150 (11) [back to overview] | Number of Participants With Adverse Events |
NCT01229150 (11) [back to overview] | Objective Response |
NCT01229150 (11) [back to overview] | Overall Survival |
NCT01230710 (5) [back to overview] | Progression-free Survival (PFS) |
NCT01230710 (5) [back to overview] | Percentage of Participants With Progression-free Survival at Week 52 |
NCT01230710 (5) [back to overview] | Percentage of Participants With Disease Control |
NCT01230710 (5) [back to overview] | Overall Survival |
NCT01230710 (5) [back to overview] | Percentage of Participants With a Complete Response (CR) or a Partial Response (PR) |
NCT01233687 (5) [back to overview] | Percentage of Participants That Experienced a Dose Limiting Toxicity |
NCT01233687 (5) [back to overview] | Progression-free Survival (PFS) |
NCT01233687 (5) [back to overview] | Disease Control Rate (DCR) |
NCT01233687 (5) [back to overview] | Overall Survival (OS) |
NCT01233687 (5) [back to overview] | Objective Response Rate (ORR/Clinical Response) |
NCT01244191 (8) [back to overview] | Overall Survival Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Locally Advanced or Metastatic, Non-Squamous, Non-Small-Cell Lung Cancer |
NCT01244191 (8) [back to overview] | Best Overall Tumor Response Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Locally Advanced or Metastatic, Non-Squamous, Non-Small-Cell Lung Cancer |
NCT01244191 (8) [back to overview] | Duration of Response Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Locally Advanced or Metastatic, Non-Squamous, Non-Small-Cell Lung Cancer |
NCT01244191 (8) [back to overview] | Treatment-Emergent Adverse Events Related to Tivantinib/Placebo Experienced by ≥5% of Participants Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Non-Squamous NSCLC |
NCT01244191 (8) [back to overview] | Treatment-Emergent Adverse Events Reported in ≥5% of Participants Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Non-Squamous, Non-Small-Cell Lung Cancer |
NCT01244191 (8) [back to overview] | Progression-free Survival in the Epidermal Growth Factor Receptor (EGFR) Gene Wild-Type Subpopulation Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants Non-Squamous NSCLC |
NCT01244191 (8) [back to overview] | Progression-free Survival Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Locally Advanced or Metastatic, Non-Squamous, Non-Small-Cell Lung Cancer |
NCT01244191 (8) [back to overview] | Overall Survival in the Epidermal Growth Factor Receptor Gene Wild-Type Subpopulation Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Non-Squamous NSCLC |
NCT01247922 (3) [back to overview] | Safety Assessed Through Evaluation of Physical Examinations, Vital Signs, Clinical Laboratory Tests, and Adverse Events (AEs) |
NCT01247922 (3) [back to overview] | Best Overall Response |
NCT01247922 (3) [back to overview] | Median Treatment Duration |
NCT01248247 (2) [back to overview] | 8-Week Disease Control Rate (DCR) |
NCT01248247 (2) [back to overview] | Median Progression-free Survival |
NCT01250119 (11) [back to overview] | Probability of Being Alive and Free of Progression by Timepoint |
NCT01250119 (11) [back to overview] | Percentage of Participants With Problems With Usual Activities as Assessed Using the EQ-5D |
NCT01250119 (11) [back to overview] | Percentage of Participants With Problems With Self-Care as Assessed Using the EQ-5D |
NCT01250119 (11) [back to overview] | Percentage of Participants With Problems With Mobility as Assessed Using the EQ-5D |
NCT01250119 (11) [back to overview] | Survival Time in Months |
NCT01250119 (11) [back to overview] | Percentage of Participants Who Tested Positive for EGFR Mutations |
NCT01250119 (11) [back to overview] | Quality of Life Assessment Using EuroQol(EQ) 5D Visual Analog Score (VAS) Instrument |
NCT01250119 (11) [back to overview] | Percentage of Participants With Pain/Discomfort as Assessed Using the EQ-5D |
NCT01250119 (11) [back to overview] | Percentage of Participants With EGFR Mutations by Subgroup |
NCT01250119 (11) [back to overview] | Percentage of Participants With Anxiety/Depression as Assessed Using the EQ-5D |
NCT01250119 (11) [back to overview] | Percentage of Participants With a Response by Best Objective Tumor Response |
NCT01259089 (6) [back to overview] | Overall Survival (Phase II) |
NCT01259089 (6) [back to overview] | Progression-free Survival (Phase II) |
NCT01259089 (6) [back to overview] | Incidence of Reported Adverse Events in Phase I |
NCT01259089 (6) [back to overview] | Maximally Tolerated Dose (MTD) of AUY922 and Erlotinib Treatment Combination (Phase I) |
NCT01259089 (6) [back to overview] | Overall Response Rate (ORR), Defined as Complete Response(CR) + Partial Response (PR) Using the Modified RECIST 1.1 Criteria for All Patients Treated at Dose of 70mg/m2 AUG922 |
NCT01259089 (6) [back to overview] | Toxicity as Assessed by NCI CTCAE Version 4.00 When AUG922 Administered at Its MTD (Phase I and II) |
NCT01260181 (6) [back to overview] | Median Time Taken From the First Response Until Disease Progression Based on RECIST v 1.1 as Determined by the Investigator |
NCT01260181 (6) [back to overview] | Percentage of Participants With Objective Response (Complete Response [CR]/Partial Response [PR]) Based on Computer Tomography (CT) or Magnetic Resonance Imaging (MRI) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 |
NCT01260181 (6) [back to overview] | Percentage of Participants With Adverse Events |
NCT01260181 (6) [back to overview] | Overall Survival |
NCT01260181 (6) [back to overview] | Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Mutation in Study Population |
NCT01260181 (6) [back to overview] | Progression Free Survival (PFS) Based on CT or MRI According to RECIST v 1.1 |
NCT01284335 (8) [back to overview] | Number of Participants With a Clinically Significant Effects |
NCT01284335 (8) [back to overview] | PK: Area Under the Curve Albumin (AUCalb) |
NCT01284335 (8) [back to overview] | Pharmacokinetic (PK): Concentration Maximum (Cmax) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response) |
NCT01284335 (8) [back to overview] | Number of Participants With Dose-Limiting Toxicities Cycle 1 |
NCT01287754 (5) [back to overview] | Number of Erlotinib-Treated Participants With the EGFR Mutation With an Objective Response Per RECIST v1.1 |
NCT01287754 (5) [back to overview] | Percentage of Participants Alive at 6 and 12 Months |
NCT01287754 (5) [back to overview] | Progression-Free Survival (PFS) Among Erlotinib-Treated Participants With the EGFR Mutation |
NCT01287754 (5) [back to overview] | Percentage of Participants With EGFR Mutation at Screening |
NCT01287754 (5) [back to overview] | Overall Survival (OS) Among Erlotinib-Treated and Untreated Participants |
NCT01294306 (5) [back to overview] | Toxicity of Akt Inhibitor MK2206 Plus Erlotinib Hydrochloride |
NCT01294306 (5) [back to overview] | Disease-control Rate |
NCT01294306 (5) [back to overview] | Median Overall Survival |
NCT01294306 (5) [back to overview] | Median Progression-free Survival |
NCT01294306 (5) [back to overview] | Objective Response |
NCT01302808 (2) [back to overview] | Area Under the Concentration-time Curve (AUC0 t) of Romidepsin in Combination With Erlotinib |
NCT01302808 (2) [back to overview] | Number of Participants With Dose Limiting Toxicities and Maximum Tolerated Dose (MTD) |
NCT01306045 (10) [back to overview] | Percentage of Enrolled Participants Testing Positive for Genomic Abnormality |
NCT01306045 (10) [back to overview] | Number of Evaluable Participants With a Response Based on Molecular Profile Directed Treatments in Non-Small Cell Lung Cancer, (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies |
NCT01306045 (10) [back to overview] | Number of Evaluable Participants With a Response Based on Molecular Profile Directed Treatments in Non-Small Cell Lung Cancer, (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies |
NCT01306045 (10) [back to overview] | Number of Evaluable Participants With a Response Based on Molecular Profile Directed Treatments in Non-Small Cell Lung Cancer, (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies |
NCT01306045 (10) [back to overview] | Here is the Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0) |
NCT01306045 (10) [back to overview] | Percentage of Enrolled Participants Testing Positive for Genomic Abnormality |
NCT01306045 (10) [back to overview] | Percentage of Evaluable Participants Overall Response Rate (ORR) Based on the Drug Selected for Their Particular Profile |
NCT01306045 (10) [back to overview] | Percentage of Enrolled Participants Testing Positive for Genomic Abnormality |
NCT01306045 (10) [back to overview] | Percentage of Evaluable Participants Overall Response Rate (ORR) Based on the Drug Selected for Their Particular Profile |
NCT01306045 (10) [back to overview] | Percentage of Evaluable Participants Overall Response Rate (ORR) Based on the Drug Selected for Their Particular Profile |
NCT01310036 (7) [back to overview] | Progression-free Survival Per Investigator (PFS2) |
NCT01310036 (7) [back to overview] | Progression-free Survival Per RECIST, v. 1.1 (PFS1) |
NCT01310036 (7) [back to overview] | Disease Control Rate (DCR) for All Participants and Participants With EGFR Mutation E19del or L858R |
NCT01310036 (7) [back to overview] | Objective Response Rate (ORR) for All Participants and Participants With EGFR Mutation E19del or L858R |
NCT01310036 (7) [back to overview] | Overall Survival (OS) for All Participants and Participants With EGFR Mutation E19del or L858R |
NCT01310036 (7) [back to overview] | Number of Participants With Adverse Events |
NCT01310036 (7) [back to overview] | Progression-free Survival for Participants With EGFR Mutation E19del or L858R Per RECIST, v. 1.1 (PFS1) |
NCT01328951 (9) [back to overview] | Percentage of Participants by Best Overall Response According to RECIST During Blinded Treatment |
NCT01328951 (9) [back to overview] | Overall Survival (OS) as Median Time to Event During the Overall Study |
NCT01328951 (9) [back to overview] | Percentage of Participants Event-Free (Alive) at 1 Year During the Overall Study |
NCT01328951 (9) [back to overview] | Percentage of Participants Who Died During the Overall Study |
NCT01328951 (9) [back to overview] | Percentage of Participants Who Died or Experienced Disease Progression During Blinded Treatment |
NCT01328951 (9) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) According to RECIST During Blinded Treatment |
NCT01328951 (9) [back to overview] | Percentage of Participants With CR, PR, or SD According to RECIST During Blinded Treatment |
NCT01328951 (9) [back to overview] | Progression-Free Survival (PFS) as Median Time to Event During Blinded Treatment |
NCT01328951 (9) [back to overview] | Percentage of Participants Event-Free (Alive and No Disease Progression) at 6 Months During Blinded Treatment |
NCT01342965 (5) [back to overview] | Duration of Response |
NCT01342965 (5) [back to overview] | Investigator-assessed Duration of Progression-free Survival |
NCT01342965 (5) [back to overview] | Percentage of Participants With Disease Control |
NCT01342965 (5) [back to overview] | Overall Survival |
NCT01342965 (5) [back to overview] | Percentage of Responders as Assessed by the Investigator |
NCT01344824 (3) [back to overview] | Subjects Experiencing Toxicity |
NCT01344824 (3) [back to overview] | Overall Survival |
NCT01344824 (3) [back to overview] | Progression-free Survival |
NCT01351415 (8) [back to overview] | Time to Progression (TTP) According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Percentage of Participants With Disease Control According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Duration of Response (DoR) According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Overall Survival (OS) |
NCT01351415 (8) [back to overview] | Percentage of Participants With Objective Response According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT01351415 (8) [back to overview] | Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
NCT01351415 (8) [back to overview] | Percentage of Participants Who Are Alive at Month 6, 12, and 18 |
NCT01360554 (17) [back to overview] | PFS Based on Investigator Review in KRAS-WT Participants. |
NCT01360554 (17) [back to overview] | PFS Based on Investigator Review. |
NCT01360554 (17) [back to overview] | Progression-Free Survival (PFS) Per Independent Radiologic Review in KRAS Wild-type (WT) Participants. |
NCT01360554 (17) [back to overview] | Progression-Free Survival (PFS) Per Independent Radiologic Review. |
NCT01360554 (17) [back to overview] | Time to Deterioration (TTD) in Pain, Dyspnea, Fatigue or Cough Patient Reported Disease Symptoms. |
NCT01360554 (17) [back to overview] | Best Overall Response (BOR) Per Independent Radiologic Review. |
NCT01360554 (17) [back to overview] | BOR Per Investigator Review. |
NCT01360554 (17) [back to overview] | Mean and Difference in Mean in Lung Cancer Symptom Scores as Assessed by the EORTC QLQ- LC13. |
NCT01360554 (17) [back to overview] | Mean and Difference in Mean in QLQ-C30 Symptoms as Assessed by the EORTC-QLQ-C30. |
NCT01360554 (17) [back to overview] | Trough Concentrations (Ctrough) of Dacomitinib. |
NCT01360554 (17) [back to overview] | Trough Concentrations (Ctrough) of PF-05199265. |
NCT01360554 (17) [back to overview] | Mean and Difference in Mean in Functioning and Global Quality of Life (QOL) as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30) |
NCT01360554 (17) [back to overview] | DR Based on Investigator Review. |
NCT01360554 (17) [back to overview] | Duration of Response (DR) Based on Independent Radiologic Review. |
NCT01360554 (17) [back to overview] | Mean and Difference in Mean of the EuroQoL-5 Dimensions (EQ-5D) Visual Analogue Scale (VAS) Score |
NCT01360554 (17) [back to overview] | OS in KRAS-WT Participants. |
NCT01360554 (17) [back to overview] | Overall Survival (OS). |
NCT01372384 (4) [back to overview] | Progression-free Survival (Tumour Assessments According to RECIST Criteria) |
NCT01372384 (4) [back to overview] | Safety: Incidence of Adverse Events |
NCT01372384 (4) [back to overview] | Objective Response Rate (Investigator Assessed) |
NCT01372384 (4) [back to overview] | Overall Survival |
NCT01376310 (1) [back to overview] | Number of Participants With Adverse Events |
NCT01378962 (10) [back to overview] | Overall Survival (OS) |
NCT01378962 (10) [back to overview] | Percentage of Participants With Primary and Secondary Resistance |
NCT01378962 (10) [back to overview] | Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Mutation by Mutation Type |
NCT01378962 (10) [back to overview] | Percentage of Participants Who Died |
NCT01378962 (10) [back to overview] | Percentage of Participants Achieving CR, PR, or SD as Best Overall Response |
NCT01378962 (10) [back to overview] | Percentage of Participants With a Response by Best Overall Response |
NCT01378962 (10) [back to overview] | Progression-Free Survival (PFS) |
NCT01378962 (10) [back to overview] | Probability of Being Progression Free 12 Months After Baseline |
NCT01378962 (10) [back to overview] | Percentage of Participants With Objective Response |
NCT01378962 (10) [back to overview] | Percentage of Participants With Disease Progression or Death at 12 Months After Baseline |
NCT01395758 (4) [back to overview] | Objective Response Rate (ORR) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy. |
NCT01395758 (4) [back to overview] | Progression-free Survival (PFS) Among Subjects With KRAS Mutation Positive NSCLC (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Single Agent Chemotherapy. |
NCT01395758 (4) [back to overview] | Overall Survival (OS) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy. |
NCT01395758 (4) [back to overview] | ORR Among Subjects in the Crossover Period Treated With Erlotinib Plus Tivantinib |
NCT01454102 (6) [back to overview] | Number of Participants Who Experienced Selected Adverse Events |
NCT01454102 (6) [back to overview] | Progression-Free Survival Rate (PFSR) at Week 24 |
NCT01454102 (6) [back to overview] | Number of Participants With Abnormalities in Selected Thyroid Clinical Laboratory Tests |
NCT01454102 (6) [back to overview] | Objective Response Rate (ORR) |
NCT01454102 (6) [back to overview] | Number of Participants With Abnormalities in Selected Hepatic Clinical Laboratory Tests |
NCT01454102 (6) [back to overview] | Number of Participants Who Experienced Serious Adverse Events (SAE), Adverse Events (AE) Leading to Discontinuation, or Death |
NCT01487265 (5) [back to overview] | Duration of Response |
NCT01487265 (5) [back to overview] | Number of Participants With Serious and Non-serious Adverse Events as a Measure of Safety. |
NCT01487265 (5) [back to overview] | Progression Free Survival at 3 Months |
NCT01487265 (5) [back to overview] | Overall Survival |
NCT01487265 (5) [back to overview] | Objective Response Rate |
NCT01523587 (8) [back to overview] | Number of Participants With Disease Control According to RECIST 1.1 |
NCT01523587 (8) [back to overview] | Number of Participants With Objective Response According to RECIST 1.1 |
NCT01523587 (8) [back to overview] | Overall Survival |
NCT01523587 (8) [back to overview] | Progression-free Survival, Based on Central Independent Review as Determined by Response Evaluation Criteria in Solid Tumours 1.1 |
NCT01523587 (8) [back to overview] | Summary of Time to Deterioration in Coughing, Dyspnoea and Pain. |
NCT01523587 (8) [back to overview] | Number of Participants With Status Change in Cough, Dyspnoea and Pain Related Items Over Time in Health Related Quality of Life Questionnaire |
NCT01523587 (8) [back to overview] | Change in Score Over Time in Coughing,Dyspnoea and Pain |
NCT01523587 (8) [back to overview] | Tumour Shrinkage |
NCT01532089 (5) [back to overview] | Progression Free Survival of Patients With Different Mutation Types (Exon Deletion 19 Versus Exon 21 L858R) |
NCT01532089 (5) [back to overview] | Overall Survival |
NCT01532089 (5) [back to overview] | Number of Patients Experiencing Toxicity |
NCT01532089 (5) [back to overview] | Progression Free Survival (PFS) |
NCT01532089 (5) [back to overview] | Response Rate (Complete or Partial) to Each Treatment, Evaluated Using the New International Criteria Proposed by the Revised Response Evaluation Criteria in Solid Tumors Guidelines (Version 1.1) |
NCT01557959 (3) [back to overview] | Response Rate Among Subgroups of Patients According to Molecular Profiles Including Tumor Characteristics and Genetic Polymorphisms From Peripheral Blood |
NCT01557959 (3) [back to overview] | Time to Progression |
NCT01557959 (3) [back to overview] | Median Survival Among Subgroups of Patients According to Molecular Profiles Including Tumor Characteristics and Genetic Polymorphisms From Peripheral Blood |
NCT01562028 (5) [back to overview] | Duration of Response |
NCT01562028 (5) [back to overview] | Adverse Events |
NCT01562028 (5) [back to overview] | Time to Treatment Failure |
NCT01562028 (5) [back to overview] | Progression Free Survival |
NCT01562028 (5) [back to overview] | Overall Survival |
NCT01565538 (3) [back to overview] | Progression-Free Survival |
NCT01565538 (3) [back to overview] | Best Tumor Response |
NCT01565538 (3) [back to overview] | Overall Survival |
NCT01573702 (5) [back to overview] | Toxicity Rate Attributed to Erlotinib |
NCT01573702 (5) [back to overview] | Percentage of Participants With Progression Free Survival |
NCT01573702 (5) [back to overview] | Percentage of Participants With Local Control of Sites on Erlotinib Following Stereotactic Radiosurgery (SRS) |
NCT01573702 (5) [back to overview] | Median Overall Survival |
NCT01573702 (5) [back to overview] | Toxicity Rate From Stereotactic Radiosurgery (SRS) |
NCT01609543 (3) [back to overview] | Percentage of Participants With Best Overall Response (BOR) |
NCT01609543 (3) [back to overview] | Percentage of Participants Who Were Alive at 1 Year |
NCT01609543 (3) [back to overview] | Progression-Free Survival (PFS) |
NCT01652469 (3) [back to overview] | Overall Survival |
NCT01652469 (3) [back to overview] | Progression-free Survival |
NCT01652469 (3) [back to overview] | Number of Participants With Adverse Events |
NCT01664533 (5) [back to overview] | Percentage of Participants Who Developed Rash |
NCT01664533 (5) [back to overview] | Progression-free Survival |
NCT01664533 (5) [back to overview] | Best Overall Response |
NCT01664533 (5) [back to overview] | Percentage of Participants Who Developed Diarrhea |
NCT01664533 (5) [back to overview] | Overall Survival |
NCT01664897 (4) [back to overview] | Overall Survival |
NCT01664897 (4) [back to overview] | Event-free Survival |
NCT01664897 (4) [back to overview] | Participants With a Response |
NCT01664897 (4) [back to overview] | Incidence of Clinically Significant, Non-hematologic Grade 3 or 4 Toxicities at Least Possibly Related to Erlotinib Hydrochloride |
NCT01667562 (6) [back to overview] | Proportion of Participants With Disease Control as Assessed by RECIST v 1.1 |
NCT01667562 (6) [back to overview] | Proportion of Participants With Objective Response as Assessed by RECIST v 1.1 |
NCT01667562 (6) [back to overview] | Proportion of Participants With Epidermal Growth Factor Receptor (EGFR) Mutations |
NCT01667562 (6) [back to overview] | Progression-Free Survival as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v 1.1) |
NCT01667562 (6) [back to overview] | Change From Baseline to End of Study in Quality of Life Score Using The Functional Assessment of Cancer Therapy Lung (FACT-L) |
NCT01667562 (6) [back to overview] | Percentage of Participants With Adverse Events |
NCT01683422 (1) [back to overview] | One-year Survival Rate |
NCT01688973 (2) [back to overview] | Frequency and Severity of Toxicities, Graded by the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 |
NCT01688973 (2) [back to overview] | Progression-free Survival (PFS) |
NCT01708954 (5) [back to overview] | Proportion of Patients With Worst Grade Toxicities of Grade 3 or Higher |
NCT01708954 (5) [back to overview] | Proportion of Patients With Objective Response |
NCT01708954 (5) [back to overview] | Proportion of Patients With MET Positivity |
NCT01708954 (5) [back to overview] | Progression-free Survival (PFS) |
NCT01708954 (5) [back to overview] | Overall Survival (OS) |
NCT01782690 (13) [back to overview] | Score in Patient Questionnaire: Possible Side Effects |
NCT01782690 (13) [back to overview] | Score in Participant Questionnaire: What to Do in Case of Side Effect |
NCT01782690 (13) [back to overview] | Score in Participant Questionnaire: Quality of Life |
NCT01782690 (13) [back to overview] | Score in Participant Questionnaire: Actual Side Effects of Therapy Compared to Expectation |
NCT01782690 (13) [back to overview] | Overall Survival Time Stratified by Eastern Cooperative Oncology Group Performance Status (ECOG-PS) |
NCT01782690 (13) [back to overview] | Overall Survival Stratified by Rash |
NCT01782690 (13) [back to overview] | Number of Participants With Rash by Severity |
NCT01782690 (13) [back to overview] | Time to Disease Progression |
NCT01782690 (13) [back to overview] | Time of Onset of Rash After Start Erlotinib Treatment |
NCT01782690 (13) [back to overview] | Percentage of Participants With Best Overall Response |
NCT01782690 (13) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT01782690 (13) [back to overview] | Number of Dose Modifications and Dose Withdrawals of Gemcitabine |
NCT01782690 (13) [back to overview] | Number of Dose Modifications and Dose Withdrawals of Erlotinib |
NCT01801111 (34) [back to overview] | Trough Plasma Concentration (Ctrough) of Alectinib |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by IRC in Chemotherapy-Pretreated Participants |
NCT01801111 (34) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to Tlast (AUC[0-last]) of Alectinib |
NCT01801111 (34) [back to overview] | Ctrough of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | Duration of Response (DoR) as Assessed by IRC in RE Population |
NCT01801111 (34) [back to overview] | AUC(0-10) of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | AUC(0-last) of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | Peak to Trough Ratio of Alectinib |
NCT01801111 (34) [back to overview] | Overall Survival (OS) |
NCT01801111 (34) [back to overview] | Area Under the Plasma Concentration-Time Curve From Time 0 to 10 Hours Post-dose (AUC[0-10]) of Alectinib |
NCT01801111 (34) [back to overview] | Cmax of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Alectinib |
NCT01801111 (34) [back to overview] | Metabolite to Parent Ratio Based on AUC(0-10) |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Central Nervous System (CNS) Objective Response as Assessed by IRC According to RECIST v1.1 |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving CNS Objective Response as Assessed by IRC According to Radiology Assessment in Neuro-Oncology (RANO) Criteria |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Objective Response (Complete Response [CR] or Partial Response [PR]) as Assessed by Independent Radiological Review Committee (IRC) in Response Evaluable (RE) Population |
NCT01801111 (34) [back to overview] | Tmax of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by Investigator in Chemotherapy-Naive Participants |
NCT01801111 (34) [back to overview] | Time to Last Measurable Plasma Concentration (Tlast) of Alectinib |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by Investigator in Chemotherapy-Pretreated Participants |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by Investigator in RE Population |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by IRC in Chemotherapy-Naive Participants |
NCT01801111 (34) [back to overview] | Percentage of Participants Who Died of Any Cause |
NCT01801111 (34) [back to overview] | Metabolite to Parent Ratio Based on AUC(0-last) |
NCT01801111 (34) [back to overview] | Percentage of Participants With CNS Progression as Assessed by IRC According to RECIST v 1.1 |
NCT01801111 (34) [back to overview] | Tlast of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | Percentage of Participants With PD as Assessed by IRC According to RECIST v1.1 or Death From Any Cause in Safety Population |
NCT01801111 (34) [back to overview] | Progression Free Survival (PFS) as Assessed by IRC in Safety Population |
NCT01801111 (34) [back to overview] | Time to Cmax (Tmax) of Alectinib |
NCT01801111 (34) [back to overview] | Percentage of Participants Achieving CR, PR or Stable Disease (SD) According to RECIST v1.1 in RE Population |
NCT01801111 (34) [back to overview] | CNS Duration of Response (CDoR) as Assessed by IRC According to RECIST v1.1 |
NCT01801111 (34) [back to overview] | CDoR as Assessed by IRC According to RANO Criteria |
NCT01801111 (34) [back to overview] | Accumulation Ratio of Alectinib Metabolite |
NCT01801111 (34) [back to overview] | Accumulation Ratio of Alectinib |
NCT01822496 (6) [back to overview] | Percentage of Patients With Complete or Partial Response |
NCT01822496 (6) [back to overview] | Progression-free Survival |
NCT01822496 (6) [back to overview] | Overall Survival |
NCT01822496 (6) [back to overview] | Distant Progression-free Survival |
NCT01822496 (6) [back to overview] | Local-regional Progression-free Survival |
NCT01822496 (6) [back to overview] | Number of Patients With Grade 3-5 Adverse Events |
NCT01836133 (3) [back to overview] | Percentage of Participants With Overall Response |
NCT01836133 (3) [back to overview] | Proportions of Participants With Adverse Events (AEs), Serious AEs, and AEs of Special Interest (AESIs) |
NCT01836133 (3) [back to overview] | Progression-Free Survival (PFS) |
NCT01866410 (8) [back to overview] | Percentage of Patients With a Greater Than 30% Increase in Tumor Doubling Time |
NCT01866410 (8) [back to overview] | Overall Survival |
NCT01866410 (8) [back to overview] | Objective Response Rate |
NCT01866410 (8) [back to overview] | Number of Adverse Events |
NCT01866410 (8) [back to overview] | Progression-free Survival by T790M Mutation Status |
NCT01866410 (8) [back to overview] | Best Response Patient Count |
NCT01866410 (8) [back to overview] | Progression-free Survival |
NCT01866410 (8) [back to overview] | Overall Survival by T790M Mutation Status |
NCT01900652 (10) [back to overview] | Time to Progressive Disease |
NCT01900652 (10) [back to overview] | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) |
NCT01900652 (10) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) |
NCT01900652 (10) [back to overview] | Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)] |
NCT01900652 (10) [back to overview] | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) |
NCT01900652 (10) [back to overview] | Overall Survival (OS) |
NCT01900652 (10) [back to overview] | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) |
NCT01900652 (10) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration (AUC) of Emibetuzumab |
NCT01900652 (10) [back to overview] | Progression Free Survival (PFS) |
NCT01900652 (10) [back to overview] | Number of Participants With Anti-Emibetuzumab Antibody (ADA) Response |
NCT01962896 (1) [back to overview] | The PFR, Defined as the Proportion of Patients With Refractory Germ Cell Tumors Free of Objective Disease Progression After 4 Cycles (16 Weeks) of Therapy With Erlotinib and Sirolimus |
NCT01990261 (7) [back to overview] | Overall Survival (OS) |
NCT01990261 (7) [back to overview] | Percentage of Participants With Adverse Events (AEs) |
NCT01990261 (7) [back to overview] | Progression Free Survival (PFS) at Month 12 |
NCT01990261 (7) [back to overview] | Progression Free Survival (PFS) at Month 6 |
NCT01990261 (7) [back to overview] | Survival Rate at Month 6 |
NCT01990261 (7) [back to overview] | Survival Rate at Month 12 |
NCT01990261 (7) [back to overview] | Overall Survival According to Prior Chemotherapy Treatment. |
NCT01996332 (3) [back to overview] | Time to Disease Progression or Death by Line of Treatment |
NCT01996332 (3) [back to overview] | Overall Survival (OS) by Line of Treatment |
NCT01996332 (3) [back to overview] | Percentage of Participants Achieving Clinical Benefit by Line of Treatment |
NCT01998919 (7) [back to overview] | Overall Survival |
NCT01998919 (7) [back to overview] | Duration of Response |
NCT01998919 (7) [back to overview] | Percentage of Participants With Confirmed CR or PR as Assessed by RECIST |
NCT01998919 (7) [back to overview] | Percentage of Participants With Non-Progression at Week 8 as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT01998919 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT01998919 (7) [back to overview] | Percentage of Participants With Non-Progression at Week 16 as Assessed by RECIST |
NCT01998919 (7) [back to overview] | Time to Progression |
NCT02000531 (2) [back to overview] | Participants With Adverse Events |
NCT02000531 (2) [back to overview] | Progression Free Survival (PFS) Based on Well-documented and Verifiable Progression Events |
NCT02013206 (8) [back to overview] | Duration of Response |
NCT02013206 (8) [back to overview] | Non-Progression Rate (NPR) at 8 Weeks |
NCT02013206 (8) [back to overview] | Objective Response Rate |
NCT02013206 (8) [back to overview] | Overall Survival |
NCT02013206 (8) [back to overview] | Progression-Free Survival |
NCT02013206 (8) [back to overview] | Disease Control Rate |
NCT02013206 (8) [back to overview] | Safety: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE) |
NCT02013206 (8) [back to overview] | Time to Progression |
NCT02039674 (6) [back to overview] | Part 2 Cohorts G+ and G-: Objective Response Rate (ORR) |
NCT02039674 (6) [back to overview] | Part 2 Cohorts G+ and G-: Duration of Response (DOR) |
NCT02039674 (6) [back to overview] | All Cohorts: Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) |
NCT02039674 (6) [back to overview] | Part 2 Cohorts D4 and H: Objective Response Rate (ORR) |
NCT02039674 (6) [back to overview] | Part 2 Cohorts G+ and G-: Progression-Free Survival (PFS) |
NCT02039674 (6) [back to overview] | Part 2 Cohorts G+ and G-: Overall Survival (OS) |
NCT02117024 (6) [back to overview] | Overall Survival (OS) |
NCT02117024 (6) [back to overview] | Survival at 6 Months |
NCT02117024 (6) [back to overview] | Frequency of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events (TEAE) |
NCT02117024 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT02117024 (6) [back to overview] | Time to Progression (TTP) |
NCT02117024 (6) [back to overview] | Survival at 12 Months |
NCT02134015 (6) [back to overview] | Part A: Objective Response Rate (ORR) in HRG Low Participants |
NCT02134015 (6) [back to overview] | Part A: Objective Response Rate (ORR) in HRG High Participants |
NCT02134015 (6) [back to overview] | Part A: Key Secondary Efficacy Endpoint: Overall Survival in HRG Low Participants |
NCT02134015 (6) [back to overview] | Part A: Overall Survival in HRG High Participants |
NCT02134015 (6) [back to overview] | Part A: Progression Free Survival (PFS) in Heregulin-low Participants |
NCT02134015 (6) [back to overview] | Part A: Progression Free Survival (PFS) in Heregulin-high Participants |
NCT02152631 (7) [back to overview] | Overall Survival (OS) |
NCT02152631 (7) [back to overview] | Change From Baseline in European Quality of Life - 5 Dimensions - 5 Level (EQ-5D-5L) Score |
NCT02152631 (7) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR]) |
NCT02152631 (7) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve During 1 Dosing Interval at Steady State |
NCT02152631 (7) [back to overview] | Progression Free Survival (PFS) |
NCT02152631 (7) [back to overview] | Resource Utilization: Percentage of Participants Who Are Hospitalized |
NCT02152631 (7) [back to overview] | Change From Baseline in MD Anderson Symptom Inventory-Lung Cancer (MDASI-LC) Score |
NCT02154490 (1) [back to overview] | Screen Success Rate |
NCT02155465 (4) [back to overview] | Number of Participants With NCI CTCAE Toxicity |
NCT02155465 (4) [back to overview] | Maximally Tolerated Dose (MTD) (Phase I) |
NCT02155465 (4) [back to overview] | Progression-free Survival |
NCT02155465 (4) [back to overview] | Assess Overall Response Rate |
NCT02169284 (9) [back to overview] | Difference Between Normal and Neoplastic Tissue of p53 |
NCT02169284 (9) [back to overview] | Difference Between Normal and Neoplastic Tissue Phosphorylated ERK |
NCT02169284 (9) [back to overview] | EGFR Phosphorylation in Neoplastic Bladder Epithelium 9-18 Hours Post-study Dose |
NCT02169284 (9) [back to overview] | Frequency of Urination Symptoms in Men Only, Graded According to International Prostate Symptom Score (I-PSS) |
NCT02169284 (9) [back to overview] | EGFR Phosphorylation in Normal Appearing Bladder Epithelium Adjacent to Tumor |
NCT02169284 (9) [back to overview] | Expression of E-cadherin |
NCT02169284 (9) [back to overview] | Percentage of Cells Expressing Ki67 |
NCT02169284 (9) [back to overview] | Pharmacokinetic Parameters: Erlotinib in Blood |
NCT02169284 (9) [back to overview] | Pharmacokinetic Parameters: OSI-420 in Blood |
NCT02186301 (3) [back to overview] | Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by Investigator Review (invPFS) |
NCT02186301 (3) [back to overview] | Confirmed Response Rate |
NCT02186301 (3) [back to overview] | Duration of Response |
NCT02273362 (2) [back to overview] | Adverse Event Profile |
NCT02273362 (2) [back to overview] | Response (at Least a 50% Reduction in Liver Phospho-EGFR Staining) |
NCT02296125 (13) [back to overview] | Median Progression Free Survival (PFS) (Months) |
NCT02296125 (13) [back to overview] | Objective Response Rate (ORR) |
NCT02296125 (13) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13) |
NCT02296125 (13) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30) |
NCT02296125 (13) [back to overview] | Overall Survival (OS)- Number of Participants With an Event |
NCT02296125 (13) [back to overview] | Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire) |
NCT02296125 (13) [back to overview] | Plasma Concentrations of AZD9291 |
NCT02296125 (13) [back to overview] | Plasma Concentrations of Metabolite AZ7550 |
NCT02296125 (13) [back to overview] | Percentage of Participants in Progression Free Survival at 6, 12, and 18 Months |
NCT02296125 (13) [back to overview] | Depth of Response |
NCT02296125 (13) [back to overview] | Disease Control Rate (DCR) |
NCT02296125 (13) [back to overview] | Duration of Response (DoR) |
NCT02296125 (13) [back to overview] | Plasma Concentrations of Metabolites AZ5104 |
NCT02318368 (1) [back to overview] | Number of Participants With Adverse Events |
NCT02352948 (10) [back to overview] | Objective Response Rate (ORR) |
NCT02352948 (10) [back to overview] | OS, Contribution of the Components Analysis of Sub-study B |
NCT02352948 (10) [back to overview] | Overall Survival (OS) |
NCT02352948 (10) [back to overview] | Percentage of Participants Alive and Progression Free at 12 Months (APF12) |
NCT02352948 (10) [back to overview] | Percentage of Participants Alive and Progression Free at 6 Months (APF6) |
NCT02352948 (10) [back to overview] | Progression-Free Survival (PFS) |
NCT02352948 (10) [back to overview] | Percentage of Participants Alive at 12 Months (OS12) |
NCT02352948 (10) [back to overview] | PFS, Contribution of the Components Analysis of Sub-study B |
NCT02352948 (10) [back to overview] | Time From Randomisation to Second Progression (PFS2) of Sub-study B |
NCT02352948 (10) [back to overview] | Duration of Response (DoR) |
NCT02411448 (12) [back to overview] | Part B: Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score |
NCT02411448 (12) [back to overview] | Part B: Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score |
NCT02411448 (12) [back to overview] | Part B: Duration of Response (DoR) |
NCT02411448 (12) [back to overview] | Part B: Number of Participants With Anti-Ramucirumab Antibodies |
NCT02411448 (12) [back to overview] | Part B: Overall Survival (OS) |
NCT02411448 (12) [back to overview] | Part B: Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR]) |
NCT02411448 (12) [back to overview] | Part B: Percentage of Participants With CR, PR, or Stable Disease (SD) (Disease Control Rate [DCR]) |
NCT02411448 (12) [back to overview] | Part B: Progression Free Survival (PFS) |
NCT02411448 (12) [back to overview] | Part B: Best Change From Baseline on the Lung Cancer Symptom Scale (LCSS) |
NCT02411448 (12) [back to overview] | Part B: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab |
NCT02411448 (12) [back to overview] | Part B: Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score |
NCT02411448 (12) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events |
NCT02488330 (1) [back to overview] | Percentage of Participants With Serious Adverse Events Considered Related to Onartuzumab |
NCT02495233 (12) [back to overview] | Concentration Immediately Prior to Dosing at Multiple Dosing (Ctrough) of Gilteritinib |
NCT02495233 (12) [back to overview] | Concentration Immediately Prior to Dosing at Multiple Dosing (Ctrough) of Gilteritinib |
NCT02495233 (12) [back to overview] | Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT02495233 (12) [back to overview] | Number of Participants With Adverse Events |
NCT02495233 (12) [back to overview] | Maximum Concentration (Cmax) for Gilteritinib |
NCT02495233 (12) [back to overview] | Ctrough of Erlotinib |
NCT02495233 (12) [back to overview] | AUC24 of Erlotinib |
NCT02495233 (12) [back to overview] | Cmax of Erlotinib |
NCT02495233 (12) [back to overview] | Objective Response Rate (ORR) in Phase 1b |
NCT02495233 (12) [back to overview] | Tmax of Erlotinib |
NCT02495233 (12) [back to overview] | Area Under the Concentration-time Curve at 24 Hours (AUC24) for Gilteritinib |
NCT02495233 (12) [back to overview] | Time After Dosing When Cmax Occurs (Tmax) for Gilteritinib |
NCT02507375 (9) [back to overview] | Time of Cmax (Tmax) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC |
NCT02507375 (9) [back to overview] | Percentage of Participants With a Complete Response or Partial Response at the End of Cycles 1, 2, 3, 4, and 6 |
NCT02507375 (9) [back to overview] | Area Under the Plasma Concentration Versus Time Curve (AUC) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With Non-small Cell Lung Cancer (NSCLC) |
NCT02507375 (9) [back to overview] | Volume of Distribution at Steady-state (Vss) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC |
NCT02507375 (9) [back to overview] | Terminal Phase Plasma Half-life (t ½) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC |
NCT02507375 (9) [back to overview] | Percentage of Participants With Dose Limiting Toxicities (DLTs) |
NCT02507375 (9) [back to overview] | Percentage of Participants Classified as Responders |
NCT02507375 (9) [back to overview] | Peak Plasma Concentration (Cmax) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC |
NCT02507375 (9) [back to overview] | Clearance (CL) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC |
NCT02535338 (6) [back to overview] | Recommended Phase II Dose |
NCT02535338 (6) [back to overview] | Progression-free Survival |
NCT02535338 (6) [back to overview] | Number of Subject With Overall Response (Recommended Phase II Dose) |
NCT02535338 (6) [back to overview] | Number of Subject With Overall Response |
NCT02535338 (6) [back to overview] | Number of Participants With Dose Limiting Toxicities. |
NCT02535338 (6) [back to overview] | Number of Participants With at Least One Dose Limiting Toxicity (DLT) |
NCT02588261 (11) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT02588261 (11) [back to overview] | PFS as Assessed by the Investigator |
NCT02588261 (11) [back to overview] | Progression Free Survival (PFS) as Assessed by Independent Radiologic Review (IRR) |
NCT02588261 (11) [back to overview] | EuroQol 5-Dimension 5-Level Questionnaire (EQ-5D-5L) |
NCT02588261 (11) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT02588261 (11) [back to overview] | European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC-QLQ-C30) |
NCT02588261 (11) [back to overview] | Duration of Response (DOR) |
NCT02588261 (11) [back to overview] | European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 (EORTC-QLQ-LC13) |
NCT02588261 (11) [back to overview] | Functional Assessment of Cancer Therapy - EGFR Inhibitors Subscale (FACT-EGFRI-18) Questionnaire |
NCT02588261 (11) [back to overview] | Percentage of Deaths |
NCT02588261 (11) [back to overview] | Percentage of Participants With Disease Control |
NCT02595450 (3) [back to overview] | Percentage of Participants With Best Overall Response |
NCT02595450 (3) [back to overview] | Progression-free Survival (PFS) Time |
NCT02595450 (3) [back to overview] | Overall Survival (OS) Time |
NCT02694536 (6) [back to overview] | European Organisation for Research and Treatment of Cancer (EORTC) 30-Item Quality of Life Questionnaire (QLQ-C30) Item Scores |
NCT02694536 (6) [back to overview] | Overall Survival (OS) |
NCT02694536 (6) [back to overview] | Percentage of Participants Who Died |
NCT02694536 (6) [back to overview] | Percentage of Participants With Adverse Events (AEs) |
NCT02694536 (6) [back to overview] | Percentage of Participants With Death or Disease Progression According to Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT02694536 (6) [back to overview] | Progression-Free Survival (PFS) According to RECIST |
NCT02770014 (3) [back to overview] | Positive Predictive Value (PPV) And False Negative Rate Of Plasma Genotyping |
NCT02770014 (3) [back to overview] | Turnaround Time |
NCT02770014 (3) [back to overview] | Overall Response Rate |
NCT02774278 (5) [back to overview] | Number of Epidermal Growth Factor Receptor (EGFR) Mutation Participants Who Achieved Clinical Benefit |
NCT02774278 (5) [back to overview] | Percentage of Participants With Clinical Benefit (CR, PR, or Stable Disease [SD] for at Least 12 Weeks After Study Entry) Using RECIST |
NCT02774278 (5) [back to overview] | Percentage of Participants With Overall Response of Complete Response (CR) or Partial Response (PR) Using Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT02774278 (5) [back to overview] | Number of KRAS Mutation Participants Who Achieved Clinical Benefit |
NCT02774278 (5) [back to overview] | Number of Differentially Expressed Genes Associated With Clinical Benefit |
NCT02961374 (8) [back to overview] | Mean Percent Change in Duodenal Polyp Burden |
NCT02961374 (8) [back to overview] | Percent Change in Lower Gastrointestinal Polyp Number |
NCT02961374 (8) [back to overview] | Absolute Change in Lower Gastrointestinal Polyp Burden |
NCT02961374 (8) [back to overview] | Absolute Change in Lower Gastrointestinal Polyp Number |
NCT02961374 (8) [back to overview] | Change in Duodenal Polyp Number |
NCT02961374 (8) [back to overview] | Number of Participants With Any Adverse Events |
NCT02961374 (8) [back to overview] | Number of Participants With Grade 2/3 Adverse Event (AE) |
NCT02961374 (8) [back to overview] | Percent Change in Lower Gastrointestinal Polyp Burden |
NCT03076164 (2) [back to overview] | Participants Response Rate |
NCT03076164 (2) [back to overview] | Number of Participants Evaluated for Toxicities |
NCT03213626 (5) [back to overview] | Overall Survival |
NCT03213626 (5) [back to overview] | Progression Free Survival |
NCT03213626 (5) [back to overview] | Objective (Radiographic) Response |
NCT03213626 (5) [back to overview] | Disease Control Rate |
NCT03213626 (5) [back to overview] | Treatment Related Adverse Events Grade 3 or Above |
NCT04165031 (2) [back to overview] | Phase 1: Pharmacokinetics (PK): Average Concentration of LY3499446 |
NCT04165031 (2) [back to overview] | Phase 1: Number or Participants With Dose Limiting Toxicities (DLTs) |
NCT04179890 (16) [back to overview] | Uncommon Mutation Cohort: Time on Treatment Until Failure of Second-line (TTF2) |
NCT04179890 (16) [back to overview] | Uncommon Epidermal Growth Factor Receptor (EGFR) Mutation Cohort: Overall Response Rate to Index Line Treatment |
NCT04179890 (16) [back to overview] | Number of Participants for Each Type of Biological Samples Used for Mutation Detection at First Line Treatment Start |
NCT04179890 (16) [back to overview] | Uncommon Mutation Cohort: Number of Participants for Each Type of Methodology Used for Mutation Detection at Index Therapy Start |
NCT04179890 (16) [back to overview] | Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Second Line Treatment Stop/End of Observation |
NCT04179890 (16) [back to overview] | Uncommon Mutation Cohort: Number of Participants for Each Type of Methodology Used for Mutation Detection at Start of First-line Chemotherapy Before Index Line |
NCT04179890 (16) [back to overview] | Time on Treatment With Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI) |
NCT04179890 (16) [back to overview] | Uncommon Mutation Cohort: Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Start of First-line Chemotherapy Before Index Line |
NCT04179890 (16) [back to overview] | Number of Participants for Each Type of Methodology Used for Mutational Testing at Second-line Treatment Start |
NCT04179890 (16) [back to overview] | Number of Participants for Each Type of Methodology Used for Mutational Testing at Second-line Treatment Stop/End of Observation |
NCT04179890 (16) [back to overview] | Uncommon Cohort: Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Index Therapy Start |
NCT04179890 (16) [back to overview] | Number of Participants for Each Category of Methodology Used for Mutational Testing at First Line Treatment Start |
NCT04179890 (16) [back to overview] | Overall Survival |
NCT04179890 (16) [back to overview] | Sequencing Cohort: Overall Response Rate to First Line Afatinib |
NCT04179890 (16) [back to overview] | Sequencing Cohort: Overall Response Rate to Second-line Treatment Osimertinib |
NCT04179890 (16) [back to overview] | Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Second Line Treatment Start |
Duration of Objective Response
(NCT00033514)
Timeframe: 5 years
Intervention | participants (Number) |
---|
| greater than 6 months | greater than 2 years |
---|
Treatment Phase 1 Plus Phase 2 | 4 | 2 |
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Serum Concentration of Herceptin at Specified Time-points.
(NCT00033514)
Timeframe: 4 months
Intervention | mcg/mL (Mean) |
---|
| Day 7 peak | Day 7 trough | Day 14 peak | Day 14 trough | Day 21 peak | Day 21 trough |
---|
Treatment Phase 2 | 98.4 | 46 | 86 | 46.9 | 88.3 | 50.8 |
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Incidence of Adverse Events
(NCT00033514)
Timeframe: 5 years
Intervention | participants affected by SAEs (Number) |
---|
Treatment Phase 1 Plus Phase 2 | 16 |
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Recommended Dose for Phase II
(NCT00033514)
Timeframe: treatment period
Intervention | participants receiving each dose (Number) |
---|
| 50 dose mg/day | 100 dose mg/day | 150 dose mg/day |
---|
Treatment Phase 1 | 6 | 3 | 5 |
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The Objective Response Rate as Defined as Stable Disease or the Rate of Complete and Partial Responses Determined on Two Consecutive Occasions Greater Than or Equal to 4 Weeks Apart.
"Complete Response:~The disappearance of all signs of cancer in response to treatment. This does not always mean the cancer has been cured. Also called complete remission.~Partial Response:~A decrease in the size of a tumor, or in the extent of cancer in the body, in response to treatment. Also called partial remission." (NCT00033514)
Timeframe: 5 years
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease |
---|
Treatment Phase 1 Plus Phase 2 | 4 | 1 |
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Overall Survival Newly Diagnosed GBM Post RT
Overall Survival defined as Time from Start of treatment to time of death due to any cause (NCT00045110)
Timeframe: 2 years
Intervention | months (Median) |
---|
Phase 2 Newly Diagnosed GBM Post RT | 14 |
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6 Months Progression-free Survival in Recurrent Malignant Gliomas (Phase II)
Progression: 25% increase in the sum of products of all measurable lesions over smallest sum observed (over BL if no decrease), OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). (NCT00045110)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
| Recurrent GBM | Recurrent Anaplastic Glioma |
---|
Phase 2 Recurrent Malignant Gliomas | 2 | 14 |
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Number of Dose Limiting Toxicity (DLT) Each Dose Level Phase I
DLT Definition: any grade 3 thrombocytopenia and grade 4 anemia and neutropenia; any non-hematologic grade 3 toxicity; failure to recover from toxicities to be eligible for re-treatment with erlotinib within 2 weeks of the last dose of erlotinib. (NCT00045110)
Timeframe: 28 days
Intervention | dose limiting toxicities (Number) |
---|
| Dose 150mg (Rash) | Dose 200mg | Dose 275mg | Dose 400mg | Dose 525mg | Dose 650mg (DVT/PE) | Dose 775mg (Rash [2]) |
---|
Phase 1 Dose Escalation | 1 | 0 | 0 | 0 | 0 | 1 | 2 |
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Response Rate (Complete or Partial Response) Graded Using Modified RECIST Criteria Phase II
"Measurable: Bidimensionally measurable lesions w/ clearly defined margins by MRI~Evaluable: Unidimensionally measurable lesions, masses w/margins not clearly defined.~Complete Response (CR): Complete disappearance of all measurable/evaluable disease. No new lesions. No evidence of non-evaluable disease. Patients on minimal/no steroids.~Partial Response (PR): >/= to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. Responders must be on same/decreasing doses of dexamethasone.~Stable/No Response: Does not qualify for CR, PR, or progression.~Progression: 25% increase in the sum of products of all measurable lesions over smallest sum observed (over BL if no decrease), OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer)." (NCT00045110)
Timeframe: At 1 year
Intervention | participants (Number) |
---|
| complete response | Partial response | stable disease | Progression |
---|
Phase 2 Recurrent Malignant Gliomas | 1 | 1 | 5 | 41 |
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1 Year Survival - Phase II Newly Diagnosed GBM Post RT
12 month survival for newly diagnosed stable GBM post RT treated with erlotinib post RT (NCT00045110)
Timeframe: At 1 year
Intervention | % of participants (Number) |
---|
Phase 2 Newly Diagnosed GBM Post RT | 57 |
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Estimation of the Area Under the Curve Per Dose Level Phase I (on Anticonvulsants) -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: baseline, 1,2,4,6,8,12,24h post administration day 1 cycle 1. One sample on day 8 cycle 1 and day 1 of cycle 2,3 and 5
Intervention | ug* h/mL (Mean) |
---|
Phase 1 Dose Escalation - 150 mg | 5.33 |
Phase 1 Dose Escalation - 200 mg | 7.28 |
Phase 1 Dose Escalation - 275 mg | 13.58 |
Phase 1 Dose Escalation - 400 mg | 21.09 |
Phase 1 Dose Escalation - 525 mg | 25.94 |
Phase 1 Dose Escalation - 650 mg | 15.77 |
Phase 1 Dose Escalation - 775 mg | 18.83 |
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Define Maximum Tolerated Dose (MTD) of Erlotinib by Phase 1 Cohorts
standard 3+3 dose escalation design 3 patients in each dose level, observed for 28 days before enrollment to next level. if none of the patients experienced DLT dose escalated, if 1 of 3 experienced DLT 3 more enrolled at that level, if none of the 3 additional pts had DLT escalate to next level, if one or more of the additional pts experienced DLT, the MTD was exceeded and 3 more patients were treated at the next lower dose (if only 3 pts treated at the lower dose). The MTD is the dose at which 0/3 or 1/6 patients have experienced a DLT with the next higher dose having at least 2/3 or 2/6 patients encountering DLT. (NCT00045110)
Timeframe: cycle 1 - 28 days
Intervention | mg (Number) |
---|
Phase 1 Dose Escalation | 650 |
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Estimation of Area Under the Curve for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg-
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: baseline, 1,2,4,6,8,12,24h post administration day 1 cycle 1. One sample on day 8 cycle 1 and day 1 of cycle 2,3 and 5
Intervention | ug * h/mL (Mean) |
---|
Phase 2 Recurrent Malignant Gliomas | 11.86 |
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Pharmacokinetics (Tissue) Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs
Drug administered 6 days prior to surgery (NCT00045110)
Timeframe: Pre-surgery and time of resection
Intervention | tumor/tissue concentration ng/g dry weig (Mean) |
---|
Phase 2 Newly Diagnosed GBM Post RT | 497 |
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Trough Level Per Dose Level Phase I (on Anticonvulsants) -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: cycle 1 day eight
Intervention | ng/mL (Mean) |
---|
Phase 1 Dose Escalation - 150 mg | 412 |
Phase 1 Dose Escalation - 200 mg | 227 |
Phase 1 Dose Escalation - 275 mg | 821 |
Phase 1 Dose Escalation - 400 mg | 634 |
Phase 1 Dose Escalation - 525 mg | 1356 |
Phase 1 Dose Escalation - 650 mg | 591 |
Phase 1 Dose Escalation - 775 mg | 942 |
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Trough Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: One sample on day 8 cycle 1
Intervention | ng/mL (Mean) |
---|
Phase 2 Recurrent Malignant Gliomas | 975 |
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Peak Plasma Concentration Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: baseline, 1,2,4,6,8,12,24h post administration day 1 cycle 1. One sample on day 8 cycle 1 and day 1 of cycle 2,3 and 5
Intervention | ng/mL (Mean) |
---|
Phase 2 Recurrent Malignant Gliomas | 872 |
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Peak Plasma Concentration Per Dose Level Phase I (on Anticonvulsants) -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: baseline, 1,2,4,6,8,12,24h post administration day 1 cycle 1. One sample on day 8 cycle 1 and day 1 of cycle 2,3 and 5
Intervention | ng/mL (Mean) |
---|
Phase 1 Dose Escalation - 150 mg | 603 |
Phase 1 Dose Escalation - 200 mg | 722 |
Phase 1 Dose Escalation - 275 mg | 1075 |
Phase 1 Dose Escalation - 400 mg | 487 |
Phase 1 Dose Escalation - 525 mg | 2327 |
Phase 1 Dose Escalation - 650 mg | 1351 |
Phase 1 Dose Escalation - 775 mg | 2009 |
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Percent of Participants With a Grade 3 or 4 Adverse Events Phase 1
CTCAE (NCT00045110)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Phase 1 Dose Escalation | 4 |
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Percent of Patients With One or More Grade 3-5 Toxicity Described Based on the CTC Severity Grading Phase II
Summarized by descriptive statistics. (NCT00045110)
Timeframe: Up to 1 year
Intervention | percent of participants (Number) |
---|
Phase 2 Recurrent Malignant Gliomas and Stable Disease Post RT | 29 |
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Pharmacokinetics (Plasma) Level for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs
Drug administered 6 days prior to surgery (NCT00045110)
Timeframe: Pre-surgery and time of resection
Intervention | plasma concentration ng/mL (Mean) |
---|
Phase 2 Newly Diagnosed GBM Post RT | 761 |
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Time of Peak Plasma Concentration Per Dose Level Phase I (on Anticonvulsants) -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: baseline, 1,2,4,6,8,12,24h post administration day 1 cycle 1.
Intervention | h (Mean) |
---|
Phase 1 Dose Escalation - 150 mg | 2.3 |
Phase 1 Dose Escalation - 200 mg | 2.8 |
Phase 1 Dose Escalation - 275 mg | 3.3 |
Phase 1 Dose Escalation - 400 mg | 6 |
Phase 1 Dose Escalation - 525 mg | 3.5 |
Phase 1 Dose Escalation - 650 mg | 2.2 |
Phase 1 Dose Escalation - 775 mg | 2.4 |
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Time to Peak Plasma Concentration for Recurrent Patients Not on Enzyme-inducing Antiepileptic Drugs - Phase 2 - Dose 150mg -
plasma concentrations relative to erlotiniab administration and sample time and dose level (NCT00045110)
Timeframe: baseline, 1,2,4,6,8,12,24h post administration day 1 cycle 1. One sample on day 8 cycle 1 and day 1 of cycle 2,3 and 5
Intervention | h (Mean) |
---|
Phase 2 Recurrent Malignant Gliomas | 3.0 |
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Number of Patients With Ani-tumor Activity After Taking OSI-774.
Antitumor activity is measured with conventional techniques such as CT, MRI or X-ray. Scans are done at baseline then evaluated for response every 2 months. All tumor measurements must be recorded millimeters (or decimal fractions of centimeters). (NCT00045487)
Timeframe: Disease progression or 52 weeks duration
Intervention | participants (Number) |
---|
OSI-774 | 7 |
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Duration of Response
The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started).Evaluation of Target Lesions Complete Response (CR):Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD (NCT00054132)
Timeframe: From the time measurement criteria are met for CR and PR until the first date that recurrent or progressive disease is objectively documented, assessed up to 12 years
Intervention | months (Number) |
---|
Treatment (Erlotinib Hydrochloride, Bevacizumab) | 52 |
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Number of Patients Evaluated for Toxicity
graded according to the National Cancer Institute Common Toxicity Criteria version 4.0 (NCT00054132)
Timeframe: up to 12 years
Intervention | Participants (Count of Participants) |
---|
Treatment (Erlotinib Hydrochloride, Bevacizumab) | 38 |
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Participants With Duration of Stable Disease Greater Than or Equal to 6 Months
Duration of stable disease greater than or equal to 6 months (NCT00054132)
Timeframe: From the start of treatment until the first date that recurrent or progressive disease is objectively documented, assessed up to 12 years
Intervention | Participants (Count of Participants) |
---|
Treatment (Erlotinib Hydrochloride, Bevacizumab) | 0 |
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Time to Progression
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00054132)
Timeframe: From the start of treatment until the first date that recurrent or progressive disease is objectively documented, assessed up to 12 years
Intervention | weeks (Median) |
---|
Treatment (Erlotinib Hydrochloride, Bevacizumab) | 11 |
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Level of EGFR Expression
"Estimated at the end of the trial Immunoreactivity will be evaluated qualitatively with regard to intensity as follows: Measured on a scale, ranging from 0-3+ 0=negative (no immunoreactivity)~1+ - 3+ = positive:~faint immunoreactivity (weak staining)~intense immunoreactivity (strong staining) Immunohistochemical studies will be performed on the tumor specimen to correlate the anti-tumor efficacy of OSI-774 and bevacizumab with pre-treatment molecular characteristics." (NCT00054132)
Timeframe: Up to 12 years
Intervention | participants (Number) |
---|
| EGFR 0 | EGFR 1+ | EGFR 2+ | EGFR 3+ | Insufficient tumor tissue |
---|
Treatment (Erlotinib Hydrochloride, Bevacizumab) | 24 | 8 | 4 | 0 | 2 |
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Response Rate, Defined as Complete Response (CR) + Partial Response (PR), Using the Response Evaluation Criteria in Solid Tumors
Estimated at the end of the trial. Complete Response (CR):Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD 55 Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started (NCT00054132)
Timeframe: Up to 12 years
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progression of Disease |
---|
Treatment (Erlotinib Hydrochloride, Bevacizumab) | 0 | 1 | 17 | 19 |
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Progression Free Survival(PFS)
Progression free survival was defined as time from the start of treatment to the date of cancer progression, or death, and censored at the date of last follow-up for those without disease progression and still alive. Stable disease is measured from the start of the treatment until progression, taking as reference the smallest measurements recorded since the treatment started. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. (NCT00054275)
Timeframe: 3 years
Intervention | months (Median) |
---|
Docetaxel and OSI-774 | 8.4 |
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Overall Survival as of 2008
Overall survival (OS) was defined as time from the start of treatment to death, and censored at the time of last assessment for survivors. (NCT00054275)
Timeframe: 5 yrs
Intervention | months (Median) |
---|
Docetaxel and OSI-774 | 22.3 |
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Disease Response (Tumor Measurements)Per RECIST Criteria v. 2000
Response and progression will be evaluated in this study using the criteria by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions are used in the RECIST criteria. Partial Response: At least a 30% decrease in the sum of the longest diameter (LD) of target lesions. Progressive Disease: At least a 20% increase in the sum of the LD of target lesions. Stable Disease: Neither sufficient shrinkage nor sufficient increase. (NCT00054275)
Timeframe: after 6 course (6 months) of combination therapy
Intervention | participants (Number) |
---|
| Partial response | Disease progression | Stable disease |
---|
Docetaxel and OSI-774 | 11 | 14 | 3 |
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Pathologic Complete Response Rates
Pathologic complete response was defined as having no pathologic or cytologic evidence of disease following surgical reassessment. (NCT00059787)
Timeframe: Up to 7 years
Intervention | participants (Number) |
---|
Treatment (Paclitaxel, Carboplatin, Erlotinib Hydrochloride) | 8 |
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To Measure EGFR Gene Amplification in Tumor Specimens
(NCT00059787)
Timeframe: The duration of the study for up to 7 years
Intervention | number of tumor specimens (Number) |
---|
| No amplification | Low-level amplification | moderate high amplification |
---|
Paclitaxel, Carboplatin, Erlotinib | 11 | 6 | 3 |
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To Determine the Tolerability of Twelve Months of Maintenance Treatment
(NCT00059787)
Timeframe: Twelve months of maintenance
Intervention | participants (Number) |
---|
| No recurrence | Recurrence |
---|
Treatment (Paclitaxel, Carboplatin, Erlotinib Hydrochloride) | 12 | 4 |
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To Determine Progession Free Survival With the Addition of OSI-774 (Tarceva) to the Combination of Paclitaxel and Carboplatin
(NCT00059787)
Timeframe: The duration of the study
Intervention | months (Median) |
---|
Treatment (Paclitaxel, Carboplatin, Erlotinib Hydrochloride) | 34.3 |
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The Percentage of Participants Experiencing Toxicty (Grade 2 and Grade 3/4) Associated With the Combined Regimen
Adverse event assessment (NCT00059787)
Timeframe: For the duration of the study up to 7 years
Intervention | percentage of participants (Number) |
---|
| Grade 3-4 neutropenia | Grade 3-4 skin rash | Grade 3-4 thrombocytopenia | Grade 3-4 infection | Grade 3-4 fatigue | Grade 3 diarrhea | Grade 2 skin rash | Grade 2 diarrhea |
---|
Paclitaxel, Carboplatin, Erlotinib | 18 | 17 | 7 | 7 | 5 | 4 | 21 | 7 |
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Number of Patients With Response
Response defined by tumor assessment using Response Evaluation Criteria In Solid Tumors (RECIST) to learn effectiveness of Tarceva (OSI-774) when combined with standard chemotherapy before surgery. (NCT00063258)
Timeframe: 5 Years to collect outcome information
Intervention | Participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Chemotherapy + Tarceva | 0 | 0 | 1 | 0 |
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Toxicity
Only adverse events that are possibly, probably or definitely related to study drug are reported. (NCT00068367)
Timeframe: Up to 25 weeks
Intervention | Participants (Number) |
---|
| Anorexia | Diarrhea | Dyspnea (shortness of breath) | Fatigue (asthenia, lethargy, malaise) | Hemoglobin | Nausea | Pain - Abdomen NOS | Pruritus/itching | Rash/desquamation | Somnolence/depressed level of consciousness | Vision-blurred vision |
---|
Arm I (OSI-774) | 1 | 1 | 1 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Progression-free Survival
Median time until disease progression. Disease progression defined as radiological and/or symptomatic disease progression or death in absence of progression. (NCT00085839)
Timeframe: Until time of disease progression (maximum 5 months)
Intervention | months (Median) |
---|
Erlotinib | 1.91 |
Standard Chemotherapy | 3.52 |
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Overall Survival
Median number of months from first study treatment until time of death (NCT00085839)
Timeframe: From first study treatment until time of death (maximum 26.8 months)
Intervention | months (Median) |
---|
Erlotinib | 6.57 |
Standard Chemotherapy | 9.53 |
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Best Tumor Response
Change in size of tumor: Complete Response (CR) = no measurable tumor; Partial Response (PR) = 30% decrease in size of measurable tumor; Stable Disease (SD) = measurable tumor size has not changed; Progressive Disease (PD) = measurable tumor 20% larger than at baseline. (NCT00085839)
Timeframe: While receiving study treatment (maximum 60 weeks)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Unable to Determine/Not Evaluable |
---|
Erlotinib | 0 | 2 | 19 | 23 | 8 |
,Standard Chemotherapy | 0 | 6 | 23 | 10 | 12 |
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Progression-free Survival
Median progression-free survival time (time from randomization to disease progression or death from any cause). Analyzed using the Kaplan-Meier (1958) estimator and their associated 95% confidence intervals determined using the method described in Brookmeyer and Crowley. (NCT00091026)
Timeframe: 36 months
Intervention | months (Median) |
---|
Arm I (Cetuximab, Gemcitabine Hydrochloride, Bevacizumab) | 5.0 |
Arm II (Gemcitabine Hydrochloride, Bevacizumab, Erlotinib) | 5.1 |
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Overall Survival
Time from randomization until death from any cause. Analyzed using the Kaplan-Meier (1958) estimator and their associated 5% confidence intervals determined using the method described in Brookmeyer and Crowley. (NCT00091026)
Timeframe: 36 months
Intervention | Months (Median) |
---|
Arm I (Cetuximab, Gemcitabine Hydrochloride, Bevacizumab) | 7.9 |
Arm II (Gemcitabine Hydrochloride, Bevacizumab, Erlotinib) | 7.1 |
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Objective Response Rate (Complete or Partial Response) Evaluated Using the Response Evaluation Criteria in Solid Tumors (RECIST)
(NCT00091026)
Timeframe: Up to 6 months
Intervention | percentage of participants (Number) |
---|
Arm I (Cetuximab, Gemcitabine Hydrochloride, Bevacizumab) | 21 |
Arm II (Gemcitabine Hydrochloride, Bevacizumab, Erlotinib) | 21 |
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Quality-adjusted Survival as Measured by EuroQol 5-dimension Instrument
Quality-adjusted life years (QALY) incorporate the societal-based utilities of health states into expected life years for a health condition. The QALY model is QALY(h,y) where h is a health state and y is the years of life. Higher quality-adjusted life year values represent a better outcome. A patient's health state will be determined from the index score of the EQ-5D-5L patient questionnaire.The EQ-5D-5L is a 2-part self-assessment questionnaire, a 5-item index score and a visual analogue scale, but only the index score is used for quality-adjusted survival. The index score has 5 items (mobility, self care, usual activities, pain/discomfort, anxiety/depression) each with 5 problem levels (1-none to 5-extreme). The 5-item index score is transformed into a utility score between 0 (worst health state) and 1 (best health state). (NCT00096265)
Timeframe: From randomization to last follow-up, up to 48.1 months. Analysis occurs after all patients have been potentially followed for 9 months.
Intervention | Quality-adjusted life years (Mean) |
---|
WBRT + SRS | 16.9 |
Temozolomide + WBRT + SRS | 15.9 |
Erlotinib + WBRT + SRS | 14.4 |
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Rate of CNS Progression (One Year)
CNS progression is defined as any increase in perpendicular bi-dimensional tumor area for any of the 1-3 tracked brain metastases, by any amount, or the appearance of any new brain metastasis on a follow-up MRI (SRS planning scan will not be used to evaluate CNS progression). For lesions smaller than 1 cm in maximum diameter, a maximum increase of 50% in perpendicular bi-dimensional treatment area is necessary to score as progression. This caveat is included to account for potential variability in measurement, which is most susceptible to proportionate errors at smaller sizes. For greater than 1 cm lesions, the definition uses a 25% rule for change. Rates of CNS progression estimated by the cumulative incidence method, with death treated as a competing risk. (NCT00096265)
Timeframe: From randomization to last follow-up, up to 48.1 months. Analysis occurs after all patients have been potentially followed for 9 months.
Intervention | percentage of participants (Number) |
---|
WBRT + SRS | 34.1 |
Temozolomide + WBRT + SRS | 47.4 |
Erlotinib + WBRT + SRS | 27.4 |
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Overall Survival
Survival time is defined as time from randomization to date of death from any cause and estimated by the Kaplan-Meier method. Patients last known to be alive are censored at date of last contact. (NCT00096265)
Timeframe: From randomization to date of death or last follow-up, up to 48.1 months. Analysis occurs after all patients have been potentially followed for 9 months.
Intervention | months (Median) |
---|
WBRT + SRS | 13.4 |
Temozolomide + WBRT + SRS | 6.3 |
Erlotinib + WBRT + SRS | 6.1 |
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Change in Steroid Dependence at Six Months
Daily steroid dose will be collected at baseline and follow-up, as one of the following: 0-4 mg, >4 to ≤ 8 mg, >8 to ≤12 mg, and >12 mg. Change from baseline at six months will be evaluated to have decreased, remained stable, or increased, based on these categories. (NCT00096265)
Timeframe: From randomization to six months.
Intervention | Participants (Count of Participants) |
---|
| Decrease | Stable | Increase |
---|
Erlotinib + WBRT + SRS | 10 | 6 | 1 |
,Temozolomide + WBRT + SRS | 10 | 4 | 4 |
,WBRT + SRS | 12 | 10 | 4 |
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Change in Functional Assessment of Cancer Therapy-Brain (FACT-Br) Score at 3 Months
The Functional Assessment of Cancer Therapy-Brain (FACT-Br) is a 19-item self-report instrument designed to measure multidimensional quality of life in patients with brain cancer. It is to be administered with the FACT-General. There are 5 responses options, with 0=Not a lot and 4=Very much. All items are added together to obtain a total score, which ranges from 0 to 76. Certain items must be reversed before it is added by subtracting the response from 4. It requires at least 50% of the items to be completed while the overall response rate of the FACT-Br including the FACT-G must be greater than 80%. If items are missing, the subscale scores can be prorated. A higher score indicates better QOL. A change of 5 points will be considered a minimal clinically meaningful change. Change from baseline at three months (3 month score - baseline score) will be categorized as improvement if increased, stable if no change, or deterioration if decreased. (NCT00096265)
Timeframe: From randomization to three months.
Intervention | Participants (Count of Participants) |
---|
| Deterioration/Decrease | Stable | Improvement/Increase |
---|
Erlotinib + WBRT + SRS | 11 | 6 | 1 |
,Temozolomide + WBRT + SRS | 10 | 2 | 4 |
,WBRT + SRS | 12 | 8 | 6 |
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Efficacy - Response Phase 1
"pt must have at least 8 weeks of treatment to receive MRI scan, scans are every other cycle (every 2 months). Response measured by a bidimensionally measured leison and clearly defined margins by CT or MRI scan.~Complete Response (CR): complete disappearance of all measurable and evaluable disease. No new lesions, not on any steroids Partial Response (PR): >= 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. No new lesions. Steriod dose must be no greater than max used in 1st 8wks of therapy Stable: not qualify for CR, PR, or progression. Steriod dose must be no greater than max used in 1st 8wks of therapy Progression (PD): 25% increase in the sum of products of all measurable lesions over smallest sum observed, OR clear worsening or failure to return for evalution due to death or deteriorating condition (unless clearly unrelated to brain cancer)." (NCT00112736)
Timeframe: at least 8 weeks of treatment
Intervention | participants (Number) |
---|
| Complete Response | Partial response | Stable | Progressive Disease |
---|
Phase I 15mg Temsirolimus (MTD Dose) | 0 | 1 | 2 | 9 |
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Maximum Tolerated Dose (Phase I)
"Oral erlotinab at 150mg constant dose, 3 pts will be treated with temsirolimus IV with escalating doses, starting at 50mg. Doses will increase or decrease based on toxicity observed.~3 pts will be treated at each dose level - 3 dose levels were observed: 50mg, 25mg, and 15mg" (NCT00112736)
Timeframe: based on first 4 weeks of treatment - cycle 1
Intervention | mg (Number) |
---|
Phase I - Dose Escalation | 15 |
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Pharmacokinetics (Phase I)
"Tersirolimus Cmax (ng/mL) for cycle 1 is presented in the outcome measure table below for the 3 dose levels~blood samples (5ml) was collected in EDTA containing tubes on days 1 and 2 of cycle 1~Collection time points: prior to dosing of both drugs, at end of temsirolimus infusion and at 1,2,4,6, and 24 hr after erlotinib administration" (NCT00112736)
Timeframe: Days 1, 2 of cycle 1, prior to dosing of both drugs, at end of temsirolimus infusion and at 1,2,4,6, and 24 hr after erlotinib administration
Intervention | ng/mL (Mean) |
---|
Phase 1 - 15mg | 460 |
Phase 1 - 25 mg | 428 |
Phase 1 - 50mg | 451 |
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Progression-free Survival at 6 Months (Phase II)
"Progression (PD): 25% increase in the sum of products of all measurable lesions over smallest sum observed, OR clear worsening or failure to return for evalution due to death or deteriorating condition (unless clearly unrelated to brain cancer).~Responses had to be present on 2 consecutive scans and were centrally reviewed." (NCT00112736)
Timeframe: Evaluated at baseline and every other cycle, till Month 6
Intervention | participants (Number) |
---|
Phase II n=43 | 6 |
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Safety/Dose Limiting Toxities Phase I
"Dose limiting toxities defined as: grade 3 thrombocytopenia, grade 4 anemia and neutropenia, grade >/= nonhematologic toxicity, and failure to recover from toxicites to be eligible for retreatment in 2 weeks of the last dose of either drug. Also grade 3 nonhematologic toxicities only if they wre refractory to maxiaml medical therapy.~MTD defined as dose at which fewer than one-third of patients experienced a DLT~Outcome measure defines number of participants who had a defined dose limiting toxicity." (NCT00112736)
Timeframe: first 4 weeks of treatment
Intervention | participants (Number) |
---|
Phase 1 - 50mg | 2 |
Phase 1 - 25 mg | 3 |
Phase 1 - 15mg | 3 |
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Erlotinib Tmax
Although the calculated dose of erlotinib was rounded to the nearest 25 mg, the actual dosage administered to patients was within 12% of the prescribed dosage in all but 1 patient. The latter patient received erlotinib at the lowest dosage level and the actual dosage was 19% higher than the calculated dose. (NCT00124657)
Timeframe: After first dose of therapy
Intervention | hours (Median) |
---|
| Erlotinib, after first dose of therapy | Erlotinib, Day 8 of therapy |
---|
120 mg/m^2 | 2.2 | 1.75 |
,160 mg/m^2 | 2.2 | 2.2 |
,70 mg/m^2 | 4 | 2.1 |
,90 mg/m^2 | 3.1 | 2.6 |
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Number of Participants With Dose-limiting Toxicity (DLT)
DLT was defined as any of the following toxicities attributable to erlotinib therapy: thrombocytopenia grade 3 and 4; neutropenia grade 4; or any grade 3 and 4 non-hematologic toxicity except for grade 3 diarrhea and grade 3 nausea and vomiting lasting ≤48 hours in participants not receiving optimal supportive therapy, grade 3 skin rash, which did not affect normal daily activities, grade 3 fever or nonneutropenic infection, grade 3 seizures, grade 3 weight gain or loss, and grade 3 transaminase elevation that returned to grade 1 or baseline within 7 days. After enrollment of the first 4 participants, grade 3 and 4 electrolyte abnormalities that resolved to ≤grade 2 within 7 days were excluded as DLT. Toxicities were graded according to the Common Terminology Criteria for Adverse Events version 3.0. (NCT00124657)
Timeframe: During the first 8 weeks of therapy
Intervention | participants (Number) |
---|
70 mg/m^2 | 0 |
90 mg/m^2 | 0 |
120 mg/m^2 | 1 |
160 mg/m^2 | 2 |
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Maximum Tolerated Dose (MTD) of Erlotinib
MTD was defined as the highest dosage level in which no more than one of six assessable participants experienced dose-limiting toxicities (DLT). The dosage of erlotinib was increased by approximately 30% in each dosage level starting at 80% of the MTD in adults with solid tumors. A traditional 3+3 dose escalation scheme was used to estimate the MTD. (NCT00124657)
Timeframe: During the first 8 weeks of therapy.
Intervention | mg/m^2 (Number) |
---|
Phase I | 120 |
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Progression Free Survival (PFS)
"Progression-free survival (PFS) distributions for the Phase II participants with anaplastic astrocytoma (AA) and glioblastoma multiforme (GBM) were calculated using Kaplan-Meier estimates (n=41). PFS was defined as the interval between treatment start and initial failure, including clinical or radiologic progression or death from any cause.~PFS was not calculated for the other disease types." (NCT00124657)
Timeframe: 1 and 2 years after end of therapy
Intervention | years (Mean) |
---|
| 1-year PFS | 2-year PFS |
---|
Phase I AA | 0.75 | NA |
,Phase I GBM | 0.33 | NA |
,Phase II AA | 0.45 | 0.15 |
,Phase II GBM | 0.19 | 0.19 |
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Number of Positive Mutations of EGFR and Downstream Pathways
"Statistical analyses of genomic changes, expression profiles and validation studies should be considered in an exploratory and hypothesis-generating context.~Fresh frozen tumor tissue was obtained at the time of tumor resection and diagnosis. DNA was extracted from formalin-fixed, paraffin-embedded tissue. The entire PTEN coding sequence (exons 1-9), exons 1, 9 and 20 of PIK3CA, and exons 17-24 of EGFR were evaluated using exon-specific PCR amplification, and immunohistochemistry was done. Tumor lesions were considered positive if >25% cells were immunoreactive." (NCT00124657)
Timeframe: Once at tumor resection and diagnosis
Intervention | participants (Number) |
---|
| Positive for PTEN (R130*) | Positive PIK3CA (H1047R) | Positive EGFR kinase domain |
---|
Phase I | 1 | 1 | 0 |
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Number of Participants Experiencing Grade 3 or 4 Toxicity Events
Adverse events were collected systematically for each of the 44 Phase II participants from the time of enrollment to the completion of therapy (approximately 2 years from start of therapy). (NCT00124657)
Timeframe: From start of therapy through 2 years.
Intervention | Participants (Number) |
---|
| Blood: Hemoglobin | Blood: Lymphopenia | Blood: Neutrophils | Blood: Platelets | Dermatologic: Pruritus | Dermatologic: Rash/Desquamation | Dermatologic: Rash/acne | Gastrointestinal: Anorexia | Gastrointestinal: Diarrhea | Gastrointestinal: Dysphagia | Gastrointestinal: Mucositis | Gastrointestinal: Nausea | Gastrointestinal: Vomiting | Metabolic: ALT/AST | Metabolic: Hypokalemia | Metabolic: Bilirubin | Pain: Headache | Constitutional: Fatigue | Constitutional: Weight Loss |
---|
Grade 3 Toxicity | 2 | 7 | 2 | 0 | 3 | 1 | 2 | 3 | 5 | 1 | 1 | 2 | 4 | 2 | 2 | 1 | 1 | 1 | 2 |
,Grade 4 Toxicity | 1 | 8 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
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Radiographic Response Rates
Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT00125359)
Timeframe: Through study completion, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Single Arm Erlotinib + Bexarotene | 19 |
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Progression-free Survival and Overall Survival
(NCT00125359)
Timeframe: Through study completion, an average of 1 year
Intervention | Weeks (Median) |
---|
| Time to progression | Overall survival |
---|
Single Arm Erlotinib + Bexarotene | 7 | 22 |
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Correlation of Early PET Responses With Objective Radiographic Responses.
PET response is assessed based on the guidelines of the European Organization for Research and Treatment of Cancer (EORTC) PET Study Group (Eur J Cancer 1999; 35(13):1773-82). PET response refers to the presence and measurement of the most current PET scan imaging when compared to baseline imaging. The amount of reduction in the disease from baseline to current imaging determines the extent to which the cancer has responded to treatment. Radiographic response is per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT00125359)
Timeframe: Through study completion, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
| Computed tomography complete response72422520 | Computed tomography partial response72422520 | Computed tomography stable disease72422520 | Computed tomography disease progression72422520 |
---|
| Early PET progression | Early PET metabolic response | Early PET metabolic progression | Early PET stable disease |
---|
Single Arm Erlotinib + Bexarotene | 0 |
Single Arm Erlotinib + Bexarotene | 1 |
Single Arm Erlotinib + Bexarotene | 5 |
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Number of Participants With EGFR Mutations and Correlation of EGFR Mutations With Response
(NCT00125372)
Timeframe: Baseline and 9 days
Intervention | Participants (Count of Participants) |
---|
| Wild-type EGFR72125196 | EGFR Mutation at Exon 2172125196 | EGFR not assessed at baseline72125196 |
---|
| Therapeutic Response | No Therepeutic Response |
---|
Erlotinib and Bexarotene | 4 |
Erlotinib and Bexarotene | 1 |
Erlotinib and Bexarotene | 0 |
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Overall Response Rate
"The proportion of patients who respond (completely or partially) to each combination regimen will be estimated. An exact binomial confidence interval will be computed for these estimates.~Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria:~Complete Response (CR): disappearance of all target lesions; Partial Response (PR) 30% decrease in sum of longest diameter of target lesions" (NCT00126581)
Timeframe: Duration of Study (up to 3 years)
Intervention | percentage of participants (Number) |
---|
Arm A: Erlotinib | 35 |
Arm B: Erlotinib/Carboplatin/Paclitaxel | 46 |
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18 Weeks Progression Free Survival (PFS) Rate
"The product limit estimator developed by Kaplan Meier will be used to graphically describe progression free survival for patients randomized to each study arm.~The 18 week progression-free survival rate was defined as the proportion of patients that were alive progression-free 18 weeks after registration into the study. Disease progression was assessed per modified RECIST criteria, and defined as at least a 20% increase in the sum of the longest diameters of target lesions, in either primary or nodal lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, or the appearance of new lesions. Kaplan-Meier estimate of 18-week progression-free survival was calculated." (NCT00126581)
Timeframe: At 18 weeks
Intervention | percentage of participants (Number) |
---|
Arm A: Erlotinib | 52 |
Arm B: Erlotinib/Carboplatin/Paclitaxel | 69 |
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Progression Free Survival With KRAS Mutation Status
Progression free survival is defined in previous outcome measures. GIven the small number of KRAS mutant participants, the analysis combines data from both arms. (NCT00126581)
Timeframe: Duration of study (up to 3 years)
Intervention | months (Median) |
---|
Mutant | 4 |
Wild Type | 6.7 |
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Progression Free Survival (PFS) by Epidermal Growth Factor Receptor (EGFR) Mutation Status
"PFS was defined as the time from registration until disease progression or death, whichever occurs first. The median PFS with 95% CI was estimated using the Kaplan-Meier method. Progression is defined as in the primary outcome measure.~EGFR mutations were performed at the Dana-Farber Cancer Institute using a sensitive heteroduplex method coupled with enzymatic digestion as previously reported (Janne PA, et al: A rapid and sensitive enzymatic method for epidermal growth factor receptor mutation screening. Clin Cancer Res 12:751-758, 2006). All positive findings were independently verified and subjected to sequencing. The mutation analyses were blinded to the participants' clinical outcome." (NCT00126581)
Timeframe: Duration of treatment (up to 3 years)
Intervention | months (Median) |
---|
| EGFR Mutant | EGFR Wild Type |
---|
Arm A: Erlotinib | 14.1 | 2.6 |
,Arm B: Erlotinib/Carboplatin/Paclitaxel | 17.2 | 4.8 |
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Overall Response Rate by EGFR Mutation Status
Response and EGFR mutation status are defined in previous outcome measures. (NCT00126581)
Timeframe: Duration of study (up to 3 years)
Intervention | percentage of participants (Number) |
---|
| EGFR Mutant | EGFR Wild Type |
---|
Arm A: Erlotinib | 70 | 9 |
,Arm B: Erlotinib/Carboplatin/Paclitaxel | 73 | 30 |
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Overall Survival
Overall survival (OS) is defined as the time from patient randomization (arm assignment) to death from any cause. The median OS with 95% CI was estimated using the Kaplan-Meier method. (NCT00126581)
Timeframe: Time from randomization to death (up to 3 years)
Intervention | months (Median) |
---|
Arm A: Erlotinib | 24.6 |
Arm B: Erlotinib/Carboplatin/Paclitaxel | 19.8 |
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Overall Response Rate With KRAS Mutational Status
Overall response is defined in previous outcome measures. GIven the small number of KRAS mutant participants in each treatment arm, the analysis combines data from both arms. (NCT00126581)
Timeframe: Duration of study (up to 3 years)
Intervention | percentage of participants (Number) |
---|
Mutant | 29 |
Wild Type | 42 |
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Progression Free Survival(PFS)
PFS was defined as the time from the start of therapy to the time of the first documentation of progression(progression=20% increase in sum of longest diameters of target measurable lesions over smallest sum observed or baseline, progression of non-measurable disease in the opinion of treating physician, appearance of new lesion/site, Death due to disease), symptomatic deterioration (global deterioration of health status requiring discontinuation of treatment without objective evidence of progression), or death due to any cause; (NCT00130520)
Timeframe: June 2005 to October 5, 2009
Intervention | months (Median) |
---|
Bevacizumab and Erlotinib | 4 |
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Objective Response (Complete Partial, Stable and Progression)
Objective response was defined using standard RECIST criteria. CR(complete response)= disappearance of all target lesions PR(partial response)=30% decrease in the sum of the longest diameter of target lesions PD(progressive disease)=20% increase in the sum of the longest diameter of target lesions SD(stable disease)= small changes that do not meet above criteria (NCT00130520)
Timeframe: 06.16.2005 to 10.05.2009
Intervention | Participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Disease Progression |
---|
Bevacizumab and Erlotinib | 1 | 8 | 10 | 20 |
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Overall Survival (OS) Among All Randomized Patients
Overall Survival was defined as the period from the date of randomization until the date of patient death from any cause. For patients who had not died, survival data was censored at the date of last contact. (NCT00130728)
Timeframe: From the date of randomization until the date of patient death from any cause, or the date of last contact. (Up to 3.1 years)
Intervention | months (Median) |
---|
Erlotinib HCl + Bevacizumab | 9.3 |
Erlotinib HCl + Placebo | 9.2 |
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Percentage of Participants With Objective Response
Objective response was defined as a complete or partial response determined by RECIST on two consecutive occasions >= 4 weeks apart. (NCT00130728)
Timeframe: The median duration of Objective response was up to 9.7 months
Intervention | Percentage of participants (Number) |
---|
Erlotinib HCl + Bevacizumab | 12.6 |
Erlotinib HCl + Placebo | 6.2 |
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Progression-free Survival (PFS)
PFS was defined as the time from randomization to documented disease progression, as determined by the investigator using the Response Evaluation Criteria in Solid Tumors (RECIST), or death on study treatment, whichever occurred first. (NCT00130728)
Timeframe: From randomization to documented disease progression or death on study treatment, whichever occurred first. (Up to 3.1 years)
Intervention | months (Median) |
---|
Erlotinib HCl + Bevacizumab | 3.4 |
Erlotinib HCl + Placebo | 1.7 |
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Duration of Objective Response
Duration of objective response was defined as the period from the date of the initial partial or complete response until the date of disease progression or death on study treatment from any cause. For patients who had not died, data was censored at the date of last contact. (NCT00130728)
Timeframe: Period from Objective response until disease progression or death on study treatment. (Up to 29.5 months)
Intervention | months (Median) |
---|
Erlotinib HCl + Bevacizumab | 9.7 |
Erlotinib HCl + Placebo | 8.4 |
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Overall Response Rate (ORR)
ORR is defined as the percentage of participants who achieve partial response (PR) or better on treatment based on RECIST 1.0 criteria: For target lesions, complete response (CR) is disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD (both require a minimum of 4 weeks). Progressive disease (PD) is at least a 20% increase in sum LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started, or appearance of one or more new target lesions. Stable disease (SD) is neither PR nor PD. For non-target lesions, PD is the appearance of one or more new non-target lesions and/or unequivocal progression of existing non-target lesions. (NCT00137839)
Timeframe: In this study cohort, treatment duration which parallels the maximum observation time was up to 39 months.
Intervention | percentage of participants (Number) |
---|
Erlotinib | 27.7 |
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Overall Survival (OS)
OS is defined as the time from study entry to death or date last known alive. (NCT00137839)
Timeframe: In this study cohort, participants were followed for survival up to 155 months.
Intervention | months (Median) |
---|
Erlotinib | 22.9 |
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Overall Survival by EGFR Mutation Status
OS is defined as the time from study entry to death or date last known alive. (NCT00137839)
Timeframe: In this study cohort, participants were followed for survival up to 155 months.
Intervention | months (Median) |
---|
EGFR Mutant | 32.6 |
EGFR Wild Type | 9.9 |
Unevaluable EGFR | 15.7 |
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Overall Response Rate (ORR) by EGFR Mutation Status
ORR is defined as the percentage of participants who achieve partial response (PR) or better on treatment based on RECIST 1.0 criteria: For target lesions, complete response (CR) is disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD (both require a minimum of 4 weeks). Progressive disease (PD) is at least a 20% increase in sum LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started, or appearance of one or more new target lesions. SD is neither PR nor PD. For non-target lesions, PD is the appearance of one or more new non-target lesions and/or unequivocal progression of existing non-target lesions. (NCT00137839)
Timeframe: In this study cohort, treatment duration which parallels the maximum observation time was up to 39 months.
Intervention | percentage of participants (Number) |
---|
EGFR Mutant | 56.4 |
EGFR Wild Type | 2.9 |
Unevaluable EGFR | 0.0 |
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Tumor Resolution
Complete response (resolution) of tumor on clinical exam. (NCT00140556)
Timeframe: Within 30 days of completing RT
Intervention | Participants (Number) |
---|
Entire Study Population | 25 |
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Progression-Free Survival (PFS): Phase 2
Time in months from start of study treatment to first documentation of objective tumor progression or death due to any cause whichever comes first. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 30.44. Tumor progression was determined from radiological image (where data meet the criteria for progressive disease [PD]). (NCT00147537)
Timeframe: Every 2 cycles (7 to 10 days prior to the planned start of the next cycle, each cycle was 21 days) from start of treatment until either death or a total of 2 years from the date of randomization
Intervention | months (Median) |
---|
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 2) | 4.4 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 2) | 4.5 |
Paclitaxel + Carboplatin (Phase 2) | 4.3 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 2 NR) | 5.1 |
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Area Under the Curve From Time Zero to 504 Hours [AUC (0-504)] Post Infusion of CP-751,871 for Cycle 4 in Phase 1b
AUC (0-504)= Area under the plasma concentration versus time curve from time zero (pre-dose) to the end of the 21-day cycle, 504 hours(0-504) (NCT00147537)
Timeframe: Cycle 4 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 5 pre-infusion (which is the end of Cycle 4)
Intervention | mg.hr/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 77.60 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2410 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 23200 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 52500 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 94360 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 214000 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 133200 |
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Plasma Concentration of CP-751,871 at the End of Infusion (Cendinf) for Cycle 1 in Phase 1b
(NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | milligram/liter (mg/L) (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1.510 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 17.34 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 37.47 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 75.17 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 147.3 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 261.3 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 415.7 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 485.0 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration of CP-751,871 (AUClast) for Cycle 4 in Phase 1b
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) (NCT00147537)
Timeframe: Cycle 4 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 5 pre-infusion (which is the end of Cycle 4)
Intervention | mg.hr/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 64.70 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2255 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2670 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 23400 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 70300 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 82930 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 116200 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 114000 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration of CP-751,871(AUClast) for Cycle 1 in Phase 1b
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) (NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | mg.hr/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 16.60 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1235 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 5137 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 11350 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 25630 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 49260 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 71200 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 87680 |
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Number of Participants With Positive Human Anti-human Antibody (HAHA) Values: Phase 1b
HAHA are indicators of immunogenicity to CP-751,871. (NCT00147537)
Timeframe: Day 1 pre-infusion of each cycle up to Cycle 17 (each cycle was 21 day), 150 days after the last CP-751,871 infusion, and last follow up visit (one year post last study dose)
Intervention | number of participants (Number) |
---|
CP-751,871 + Paclitaxel + Carboplatin (Phase 1b) | 1 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 0 |
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Area Under the Curve From Time Zero to 504 Hours [AUC (0-504)] Post Infusion of CP-751,871 for Cycle 1 in Phase 1b
AUC (0-504)= Area under the plasma concentration versus time curve from time zero (pre-dose) to the end of the 21-day cycle, 504 hours(0-504) (NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | milligram.hour/Liter (mg.hr/L) (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 22.30 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2011 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 5320 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 12810 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 30500 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 54650 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 79820 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 85240 |
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Area Under the Curve From Time Zero Extrapolated to Infinite Time [AUCinf] for CP-751,871 for Cycle 1 in Phase 1b
AUCinf = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) extrapolated to infinite time. (NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | mg.hr/L (Mean) |
---|
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1434 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 16750 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 41200 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 69180 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 12100 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 107400 |
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Accumulation of CP-751,871 Ratio (Cycle 4 AUC504 / Cycle 1 AUC504) (Rac) in Phase 1b
Accumulation ratio (Cycle 4 AUC504 / Cycle 1 AUC504) (Rac) (NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1). Cycle 4 pre-infusion, 1 and 24 hour and 4 and 8 days post infusion, Cycle 5 pre-infusion (which is the end of Cycle 4).
Intervention | ratio (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 3.480 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1.009 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1.830 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1.550 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1.984 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2.260 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 1.962 |
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CP-751,871 Concentration at 504 Hours Post Dose (C504) for Cycle 1 (End of the 21-day Cycle) in Phase 1b
Concentration at 504 hours post dose (NCT00147537)
Timeframe: Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | mg/L (Mean) |
---|
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 0.1610 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 4.550 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 9.820 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 28.20 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 61.11 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 95.20 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 86.73 |
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Maximum Observed Plasma CP-751,871 Concentration (Cmax) for Cycle 1 in Phase 1b
Maximum Observed Plasma Concentration (NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | mg/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 1.510 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 17.34 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 38.60 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 75.17 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 147.3 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 275.2 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 415.7 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 483.1 |
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Maximum Observed Plasma CP-751,871 Concentration (Cmax) for Cycle 4 in Phase 1b
Maximum Observed Plasma Concentration (NCT00147537)
Timeframe: Cycle 4 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 5 pre-infusion (which is then end of Cycle 4)
Intervention | mg/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2.975 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 20.25 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 40.70 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 100.7 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 327.0 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 369.1 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 611.3 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 535.5 |
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Maximum Tolerated Dose (MTD)of CP-751,871 in Combination With Paclitaxel and Carboplatin: Phase 1b
The maximum tolerated dose of CP-751,871 in combination with paclitaxel and carboplatin is the highest dose level below the Maximum Administered Dose (the dose level at which 2 or more out of 3 to 6 patients experience a Dose Limiting Toxicity at a dose level in Cycle 1) at which none or one out of 6 patients experience a Cycle 1 Dose Limiting Toxicity. (NCT00147537)
Timeframe: Start of treatment (baseline) up to the end of Cycle 1 (Day 21)
Intervention | mg/kg (Number) |
---|
CP-751,871 + Paclitaxel + Carboplatin (Phase 1b) | NA |
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CP-751,871 Concentration at 504 Hours Post Dose(C504) for Cycle 4 (End of the 21-day Cycle) in Phase 1b
Concentration at 504 hours post dose (NCT00147537)
Timeframe: Cycle 5 pre-infusion (which is the end of Cycle 4)
Intervention | mg/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 0.0000 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 0.4630 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 27.70 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 21.20 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 125.3 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 357.0 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 158.6 |
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Number of Participants With Positive Human Anti-human Antibody (HAHA) Values: Phase 2
HAHA are indicators of immunogenicity to CP-751,871 (NCT00147537)
Timeframe: Day 1 pre-infusion of each Cycle (each cycle was 21 day) up to Cycle 17 and 150 days after the last CP-751,871 infusion
Intervention | number of participants (Number) |
---|
CP-751,871 + Paclitaxel + Carboplatin (Phase 2) | 0 |
Paclitaxel + Carboplatin + Additional CP-751,871 (Phase 2) | 0 |
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Objective Response Rate in Non-Adenocarcinoma Participants: Phase 2
Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST). Confirmed CR defined as disappearance of all target lesions. Confirmed PR defined as ≥30% decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response. (NCT00147537)
Timeframe: Every 2 cycles (7 to 10 days prior to the planned start of the next cycle, each cycle was 21 days) from start of treatment until either death or a total of 2 years from the date of randomization
Intervention | percentage of participants (Number) |
---|
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 2) | 37.0 |
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Objective Response Rate: Phase 1b
Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST). Confirmed CR defined as disappearance of all target lesions. Confirmed PR defined as ≥30% decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response. (NCT00147537)
Timeframe: Every 2 cycles (7 to 10 days prior to the planned start of the next cycle, each cycle was 21 days) from start of treatment until either death or a total of 2 years from the date of randomization
Intervention | percentage of participants (Number) |
---|
CP-751,871 + Paclitaxel + Carboplatin (Phase 1b) | 33.3 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 25.0 |
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Objective Response Rate: Phase 2
Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST). Confirmed CR defined as disappearance of all target lesions. Confirmed PR defined as ≥30% decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response. (NCT00147537)
Timeframe: Every 2 cycles (7 to 10 days prior to the planned start of the next cycle, each cycle was 21 days) from start of treatment until either death or a total of 2 years from the date of randomization
Intervention | percentage of participants (Number) |
---|
CP-751,871 + Paclitaxel + Carboplatin (Phase 2) | 37.4 |
Paclitaxel + Carboplatin (Phase 2) | 27.5 |
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Recommended Phase 2 Dose (RP2D): Phase 1b
(NCT00147537)
Timeframe: Start of treatment (baseline) up to the end of Cycle 1 (Day 21)
Intervention | mg/kg (Number) |
---|
CP-751,871 + Paclitaxel + Carboplatin (Phase 1b) | 20 |
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Plasma Concentration of CP-751,871 at the End of Infusion (Cendinf) for Cycle 4 in Phase 1b
(NCT00147537)
Timeframe: Cycle 4 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 5 pre-infusion (which is the end of Cycle 4)
Intervention | mg/L (Mean) |
---|
CP-751,871 0.1 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2.975 |
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 19.15 |
CP-751,871 1.5 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 40.70 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 100.7 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 327.0 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 331.1 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 440.3 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 447.3 |
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Plasma Decay Half-Life (t1/2) of CP-751,871 for Cycle 1 in Phase 1b
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00147537)
Timeframe: Cycle 1 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 2 pre-infusion (which is the end of Cycle 1)
Intervention | Day (Mean) |
---|
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 2.84 |
CP-751,871 3 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 10.81 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 8.350 |
CP-751,871 10 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 9.56 |
CP-751,871 20 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 11.10 |
CP-751,871 + Paclitaxel + Carboplatin + Erlotinib (Phase 1b) | 9.89 |
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Plasma Decay Half-Life (t1/2) of CP-751,871 for Cycle 4 in Phase 1b
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT00147537)
Timeframe: Cycle 4 pre-infusion, 1 and 24 hours and 4 and 8 days post infusion, Cycle 5 pre-infusion (which is the end of Cycle 4)
Intervention | Day (Median) |
---|
CP-751,871 0.8 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 5.360 |
CP-751,871 6 mg/kg + Paclitaxel + Carboplatin (Phase 1b) | 15.40 |
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Percent of Participants Surviving 3 Years
(NCT00153803)
Timeframe: 36 months
Intervention | percentage of participants (Number) |
---|
Tarceva | 37 |
Placebo | 41 |
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Overall Survival
(NCT00153803)
Timeframe: From date of randomization until the date of death from any cause, assessed up to 50 months
Intervention | Months (Median) |
---|
Tarceva | 16.5 |
Placebo | 20.3 |
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Progression Free Survival
Progression Free Survival is defined as time from randomization until documented disease progression or death from any cause. The Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.0) was used to determine disease progression. Irradiated target lesions were considered non-measurable disease. Symptomatic radiographic changes of irradiated non-measurable disease required pathologically confirmation or positive FDG-PET scan 6 months following completion of concurrent chemoradiation to be considered locoregional disease progression. Global deterioration of health status requiring discontinuation of treatment without objective evidence of progression was considered distant disease progression. (NCT00153803)
Timeframe: 5 years
Intervention | Months (Median) |
---|
Tarceva | 7.4 |
Placebo | 8.1 |
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Serious Adverse Event Profile Relating to Death, Disability, Life-threatening, Hospitalization, and Impairment/Damage for Concurrent Chemoradiation
Number of participants with treatment-related serious adverse events (SAEs) observed in each SAE category for each arm relating to death, disability, life-threatening, hospitalization, and impairment/damage is reported. For participants with multiple SAEs, the SAE report having the strongest relationship to study drug is summarized. (NCT00153803)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
| Death | Disability | Life-threatening | Hospitalization | Impairment/damange | Other |
---|
Placebo | 6 | 0 | 4 | 36 | 3 | 0 |
,Tarceva | 7 | 0 | 2 | 26 | 3 | 1 |
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Serious Adverse Event Profile Relating to Death, Disability, Life-threatening, Hospitalization, and Impairment/Damage for Erlotinib and Placebo
Number of participants with treatment-related serious adverse events (SAEs) observed in each SAE category for each arm relating to death, disability, life-threatening, hospitalization, and impairment/damage is reported. For participants with multiple SAEs, the SAE report having the strongest relationship to study drug is summarized. (NCT00153803)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
| Death | Disability | Life-threatening | Hospitalization (initial or prolonged) | Impairment/damange | Other |
---|
Placebo | 6 | 0 | 1 | 23 | 1 | 0 |
,Tarceva | 10 | 0 | 1 | 30 | 2 | 1 |
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Progression Free Survival
Progression based on MR imaging using the Modified McDonnald Criteria defined as 25% increase in sum of products of all measured lesions or any new lesion (NCT00187486)
Timeframe: every 2 months measure by MR imaging, up to 39 months
Intervention | months (Median) |
---|
Temodar Plus Tarceva Plus Radiotherapy | 8.2 |
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Overall Survival
Patients were monitored until death (NCT00187486)
Timeframe: assessment of survival was every 2 months, up to 181 weeks
Intervention | months (Median) |
---|
Temodar Plus Tarceva Plus Radiotherapy | 19 |
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Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
(NCT00193258)
Timeframe: 24 months
Intervention | months (Median) |
---|
Bevacizumab/Erlotinib/Imatinib | 17.2 |
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Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
(NCT00193258)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab/Erlotinib/Imatinib | 8.9 |
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Objective Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00193258)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|
Bevacizumab/Erlotinib/Imatinib | 17 |
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To Evaluate the Efficacy of Bevacizumab Plus Erlotinib
(NCT00203424)
Timeframe: Determined by time to tumor recurrence, as measured by rising prostate specific antigen (PSA) after radical prostatectomy.
Intervention | participants (Number) |
---|
| completed study without tumor progression | lost to follow-up unaffected by tumor recurrence | withdrawal by subjects unaffected by recurrence | affected by tumor recurrence |
---|
Bevacizumab+Erlotinib | 9 | 1 | 2 | 7 |
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Overall Survival
(NCT00203424)
Timeframe: Survival status was assessed every 3 months after completion of study treatment for a maximum of 3 years after administration of first study treatment
Intervention | participants (Number) |
---|
| Deceased | Alive | Lost to Follow-up | Withdrawal by subject |
---|
Bevacizumab+Erlotinib | 0 | 15 | 1 | 6 |
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Time to Tumor Progression.
Measured once for participants who experienced tumor recurrence per protocol. Imaging done to measure tumor progression only after documented tumor recurrence (NCT00203424)
Timeframe: Tumor progression assessed every 3 months during Follow-up Period for a maximum of 3 years after administration of first study treatment
Intervention | days (Number) |
---|
Bevacizumab+Erlotinib | 314 |
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Time to Tumor Recurrence
(NCT00203424)
Timeframe: Tumor progression assessed every 3 months during Follow-up Period for a maximum of 3 years after administration of first study treatment
Intervention | days (Mean) |
---|
Bevacizumab+Erlotinib | 285 |
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Disease Control Rate at 12 Weeks
no progression of disease at 12 weeks from starting treatment (NCT00230126)
Timeframe: 12 weeks
Intervention | participants (Number) |
---|
Erlotinib: Arm A: 150 mg/Day Cycles 1 - 3. | 6 |
Arm B: Cycle 1 - 175 or 200 mg/Day Depending on Body Weight; C | 6 |
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1-year Survival Rate
(NCT00230126)
Timeframe: 12 months
Intervention | percentage of patients (Number) |
---|
A Erlotinib 150 mg/Day Cycles 1 - 3 | 30 |
B Erlotinib Cycle 1 Dose Modified According to Weight | 26 |
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Time to Progression
(NCT00230126)
Timeframe: Every 12 weeks
Intervention | months (Median) |
---|
A Erlotinib 150 mg/Day Cycles 1 - 3 | 2.8 |
B Erlotinib Cycle 1 Dose Modified According to Weight | 2.4 |
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Progression-free Survival (PFS) Rate
Progression free survival (PFS) at 16 weeks of treatment with the combination of Avastin and erlotinib where participant said to be failure free at 16 weeks if they are alive, and their disease has not progressed. PFS Rate is number of participants with PFS at 16 weeks out of total participants. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00242502)
Timeframe: Baseline to 16 weeks
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Erlotinib | 64 |
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Progressive Disease (PD) as Best Response Based on Response Criteria in Solid Tumors (RECIST)
Progressive disease is defined as a ≥20% increase in the sum of the longest diameter, the appearance of one or more new lesions and/or unequivocal progression of non-target lesions by conventional or spiral CT or MRI (NCT00251589)
Timeframe: Every 57 days beginning with Cycle 3, or more frequently if appropriate
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 7 |
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
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Progression-free Survival
Progression-free survival was measured from the start of the treatment to the time when the criteria for progression was met or death due to any cause (whichever is first recorded). (NCT00251589)
Timeframe: Day 1 to disease progression or death
Intervention | Days (Mean) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 57 |
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Unconfirmed Partial Response (UPR) Based on Response Criteria in Solid Tumors (RECIST)
An unconfirmed partial response is defined as a partial response that has not been confirmed by a follow up CT scan (or MRI) at least 4 weeks after the criteria for response are first met. (A partial response is defined as an at least 30% reduction in the sum of the longest diameter of the target lesions. Non-target lesions must be at least stable) (NCT00251589)
Timeframe: Every 57 days beginning with Cycle 3, or more frequently if appropriate
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
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Dose Limiting Toxicity Occurring in Cycles 2 and Beyond of the Phase II Portion of the Study
Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycles 2 and beyond of the Phase II portion of the study. (NCT00251589)
Timeframe: After day 28 in the Phase II portion of the study
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 3 |
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Dose Limiting Toxicity (DLT) Occurring in Cycle 1 of the Phase I Portion of the Study
Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycle 1 of the Phase I portion of the study. (NCT00251589)
Timeframe: Day 1 to 28 in the Phase I portion of the study
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 2 |
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 2 |
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk | 1 |
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Disease Progression After Week 8 Based on Response Criteria in Solid Tumors (RECIST)
First documentation of Progressive Disease (PD) occurring > 8 weeks on study. (NCT00251589)
Timeframe: Every 57 days beginning with Cycle 3 (Week 8), or more frequently if appropriate
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 3 |
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk | 0 |
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Stable Disease (SD) as Best Response Based on Response Criteria in Solid Tumors (RECIST)
Stable disease is defined as less than a radiographic partial response, but not progressive disease (NCT00251589)
Timeframe: Every 57 days beginning with Cycle 3, or more frequently if appropriate
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 6 |
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 1 |
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 1 |
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk | 1 |
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Dose Limiting Toxicity Occurring in Cycle 1 of the Phase II Portion of the Study
Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycle 1 of the Phase II portion of the study. (NCT00251589)
Timeframe: Day 1 to 28 in the Phase II portion of the study
Intervention | Participants (Number) |
---|
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk | 3 |
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Incidence of Study Treatment Discontinuation
Participants in post-chemotherapy phase were discontinued from the study for the reasons other than disease progression. Data presented Up to data cutoff 18 July 2008. (NCT00257608)
Timeframe: Approximately 3 years
Intervention | participants (Number) |
---|
| Bevacizumab: AE | Bevacizumab: Concomitant/ancillary therapy | Bevacizumab: Patient's Decision to Discontinue | Bevacizumab: Investigator's Decision | Bevacizumab: Unwillingness or inability to comply | Bevacizumab: Unrelated intercurrent illness | Bevacizumab: Sponsor's decision | Bevacizumab: Lost to follow-up | Erlotinib/placebo: AE | Erlotinib/placebo: Concomitant/ancillary therapy | Erlotinib/placebo:Patient's Decision | Erlotinib/placebo: Investigator's Decision | Erlotinib/placebo:Unwillingness/inability comply | Erlotinib/placebo: Unrelated intercurrent illness | Erlotinib/placebo: Sponsor's decision | Erlotinib/placebo: Lost to follow-up |
---|
Bevacizumab + Erlotinib | 38 | 5 | 8 | 11 | 5 | 1 | 0 | 1 | 48 | 7 | 10 | 12 | 2 | 2 | 0 | 1 |
,Bevacizumab + Placebo | 34 | 5 | 4 | 8 | 4 | 0 | 1 | 0 | 22 | 4 | 5 | 6 | 4 | 0 | 1 | 0 |
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Progression-free Survival (PFS)
PFS was defined as the length of time from randomization until documented disease progression or death from any cause, whichever occurred earlier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Data presented until cut-off date 18 July 2008. (NCT00257608)
Timeframe: Approximately 3 years
Intervention | months (Median) |
---|
Bevacizumab + Placebo | 3.7 |
Bevacizumab + Erlotinib | 4.8 |
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Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Post-Chemotherapy Phase
Treatment-related adverse events are defined as new events that occur following subject entry into the study or events that worsen following study entry state and are judged by the investigator to be possibly, probably or definitely related to study medication. Pulmonary hemorrhage, GI perforation, ATE events, proteinuria, CHF, and hypertension were prospectively identified TEAEs of grade >=3. Data presented until cut-off date 28 January 2009. (NCT00257608)
Timeframe: Approximately 3 years
Intervention | participants (Number) |
---|
| Pulmonary hemorrhage | GI perforation | ATE events | Proteinuria | CHF | Hypertension |
---|
Bevacizumab + Erlotinib | 3 | 1 | 8 | 7 | 3 | 23 |
,Bevacizumab + Placebo | 2 | 0 | 5 | 7 | 1 | 22 |
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Overall Survival
Overall survival was defined as the length of time from randomization to death. (NCT00257608)
Timeframe: Approximately 3.5 years
Intervention | months (Median) |
---|
Bevacizumab + Placebo | 13.3 |
Bevacizumab + Erlotinib | 14.4 |
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Number of Participants With Any Adverse Events During Post-Chemotherapy Phase
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event. Data presented up to data cutoff 19 June 2009. (NCT00257608)
Timeframe: Approximately 3.5 years
Intervention | participants (Number) |
---|
Bevacizumab + Placebo | 319 |
Bevacizumab + Erlotinib | 353 |
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Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Chemotherapy Phase
Treatment-emergent adverse events were events between administration of study drug and up to 30 days after last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.. Number of participants who had Grade >=3TEAEs of pulmonary hemorrhage, gastrointestinal (GI) perforation, arterial thromboembolic (ATE) events, proteinuria, congestive heart failure (CHF), and hypertension were presented. Data presented up to data cutoff 18 July 2008. (NCT00257608)
Timeframe: Approximately 3 years
Intervention | participants (Number) |
---|
| Pulmonary hemorrhage | GI perforation | ATE events | Proteinuria | CHF |
---|
Carboplatin + Docetaxel | 3 | 2 | 2 | 2 | 1 |
,Carboplatin + Gemcitabine | 2 | 0 | 6 | 5 | 1 |
,Carboplatin + Paclitaxel | 6 | 6 | 8 | 1 | 3 |
,Cisplatin + Gemcitabine | 1 | 0 | 1 | 2 | 0 |
,Other | 2 | 0 | 0 | 0 | 0 |
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Incidence of Study Treatment Discontinuation for Reasons Other Than Disease Progression in Chemotherapy Phase
Participants who experienced disease progression were discontinued from the study. Data presented up to data cutoff (18 July 2008). (NCT00257608)
Timeframe: Approximately 3 years
Intervention | participants (Number) |
---|
| Adverse Event | Concomitant/ancillary therapy | Patient's Decision to Discontinue | Investigator's Decision | Unwillingness or inability to comply with study | Unrelated intercurrent illness |
---|
Carboplatin + Docetaxel | 22 | 5 | 8 | 7 | 0 | 1 |
,Carboplatin + Gemcitabine | 40 | 6 | 6 | 5 | 0 | 0 |
,Carboplatin + Paclitaxel | 54 | 13 | 16 | 13 | 4 | 1 |
,Cisplatin + Gemcitabine | 14 | 1 | 5 | 3 | 1 | 1 |
,Other | 8 | 2 | 0 | 0 | 1 | 0 |
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Percentage of Participants With KRAS (V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog) Gene Mutations
Mutations in exons 2-3 of the KRAS gene (including codons 12, 13, and 61) were analyzed by high-performance liquid chromatography using DNA from tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. The percentage of participants with KRAS mutations categorized as mutated, wild type or indeterminate was reported. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Mutated | Wild Type | Indeterminate |
---|
Erlotinib + Placebo | 6 | 28 | 66 |
,Sunitinib + Erlotinib | 9 | 34 | 57 |
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PFS in Subgroups That Were Defined by EGFR Expression (Using 0% Cutoff)
PFS defined as time in weeks from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in the following subgroups: positive, negative, or unmeasured EGFR expression. EGFR expression was analyzed using a 0% cutoff where positive was greater than 0% of cells demonstrating membranous staining for EGFR. PFS calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Positive | Negative | Unmeasured |
---|
Erlotinib + Placebo | 11.7 | 8.5 | 8.4 |
,Sunitinib + Erlotinib | 16.0 | 8.1 | 12.3 |
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PFS in Subgroups That Were Defined by EGFR Expression (Using 10% Cutoff)
PFS defined as time in weeks from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in the following subgroups: positive, negative, or unmeasured EGFR expression. EGFR expression was analyzed using a 10% cutoff where positive was greater than 10% of cells demonstrating membranous staining for EGFR. PFS calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Positive | Negative | Unmeasured |
---|
Erlotinib + Placebo | 10.4 | 8.1 | 8.4 |
,Sunitinib + Erlotinib | 16.0 | 8.1 | 12.3 |
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PFS in Subgroups That Were Defined by EGFR Gene Amplification
PFS, defined as time from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in subgroups that were defined by EGFR gene amplification (defined as greater than 15) and reported as no or unmeasured. PFS was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| No | Unmeasured |
---|
Erlotinib + Placebo | 11.7 | 8.1 |
,Sunitinib + Erlotinib | 12.3 | 12.0 |
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PFS in Subgroups That Were Defined by EGFR Gene Copy Number Increase
PFS, defined as time from date of randomization to the date of the first documentation of PD or death on-study due to any cause, whichever occurred first, in subgroups that were defined by EGFR gene copy number increase (reported as yes, no, or unmeasured). The number of copies corresponding to exon 19 of the EGFR gene was determined and an increase was defined as greater than 4 copies. PFS was calculated as (first event date minus randomization date plus 1)/7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Yes | No | Unmeasured |
---|
Erlotinib + Placebo | NA | 8.8 | 8.1 |
,Sunitinib + Erlotinib | NA | 12.3 | 12.0 |
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PFS in Subgroups That Were Defined by EGFR Gene Mutation
PFS, defined as time from date of randomization to date of first documentation of PD or to death on-study due to any cause, whichever occurred first, in subgroups that were defined by EGFR gene mutation (reported as mutated, wild type, or indeterminate). PFS was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Mutated | Wild Type | Indeterminate |
---|
Erlotinib + Placebo | NA | 11.7 | 8.1 |
,Sunitinib + Erlotinib | 19.1 | 9.0 | 12.0 |
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PFS in Subgroups That Were Defined by Germline PDGFRB Polymorphisms
PFS, defined as time from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in subgroups that were defined by PDGFRB polymorphisms. PFS was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Locus: PDGFRB/rs2304060 Genotype: C/C | Locus: PDGFRB/rs2304060 Genotype: C/A | Locus: PDGFRB/rs2304060 Genotype: A/A | Locus: PDGFRB/rs17656204 Genotype: C/C | Locus: PDGFRB/rs17656204 Genotype: C/T | Locus: PDGFRB/rs17656204 Genotype: T/T | Locus: PDGFRB/rs2304061 Genotype: G/G | Locus: PDGFRB/rs2304061 Genotype: G/A | Locus: PDGFRB/rs2304061 Genotype: A/A | Locus: PDGFRB/rs1077724 Genotype: A/A | Locus: PDGFRB/rs1077724 Genotype: A/T | Locus: PDGFRB/rs1077724 Genotype: T/T | Locus: PDGFRB/rs919751 Genotype: A/A | Locus: PDGFRB/rs919751 Genotype: A/G | Locus: PDGFRB/rs919751 Genotype: G/G | Locus: PDGFRB/rs2304058 Genotype: G/G | Locus: PDGFRB/rs2304058 Genotype: G/C | Locus: PDGFRB/rs2304058 Genotype: C/C | Locus: PDGFRB/rs1864975 Genotype: G/G | Locus: PDGFRB/rs1864975 Genotype: G/A | Locus: PDGFRB/rs1864975 Genotype: A/A | Locus: PDGFRB/rs3733678 Genotype: G/G | Locus: PDGFRB/rs3733678 Genotype: G/A | Locus: PDGFRB/rs246396 Genotype: T/T | Locus: PDGFRB/rs246396 Genotype: T/C | Locus: PDGFRB/rs246396 Genotype: C/C | Locus: PDGFRB/rs34586048 Genotype: C/C | Locus: PDGFRB/rs11740355 Genotype: T/T | Locus: PDGFRB/rs11740355 Genotype: T/G | Locus: PDGFRB/rs11740355 Genotype: G/G | Locus: PDGFRB/rs740751 Genotype: C/C | Locus: PDGFRB/rs740751 Genotype: C/T | Locus: PDGFRB/rs740751 Genotype: T/T | Locus: PDGFRB/rs4705415 Genotype: G/G | Locus: PDGFRB/rs4705415 Genotype: G/A | Locus: PDGFRB/rs4705415 Genotype: A/A | Locus: PDGFRB/rs3776075 Genotype: T/T | Locus: PDGFRB/rs3776075 Genotype: T/G | Locus: PDGFRB/rs3776075 Genotype: G/G | Locus: PDGFRB/rs17708574 Genotype: G/G | Locus: PDGFRB/rs17708574 Genotype: G/A | Locus: PDGFRB/rs10063714 Genotype: T/T | Locus: PDGFRB/rs10063714 Genotype: T/A | Locus: PDGFRB/rs3776081 Genotype: A/A | Locus: PDGFRB/rs3776081 Genotype: A/G | Locus: PDGFRB/rs3776081 Genotype: G/G | Locus: PDGFRB/rs2007637 Genotype: G/G | Locus: PDGFRB/rs2007637 Genotype: G/A | Locus: PDGFRB/rs2007637 Genotype: A/A | Locus: PDGFRB/rs2302273 Genotype: G/G | Locus: PDGFRB/rs2302273 Genotype: G/A | Locus: PDGFRB/rs2302273 Genotype: A/A |
---|
Erlotinib + Placebo | 19.20 | 8.00 | 7.90 | 8.00 | 8.00 | NA | 7.80 | 8.10 | NA | 8.00 | 7.85 | 19.20 | 11.70 | 7.85 | 7.70 | 6.35 | 8.00 | 8.50 | 7.85 | 8.00 | 8.10 | 8.00 | NA | 8.00 | 8.10 | 8.00 | 8.00 | 8.50 | 7.40 | NA | 8.00 | 8.00 | 8.10 | 11.70 | 7.90 | 7.70 | 7.50 | 8.05 | 10.10 | 8.05 | 7.90 | 8.00 | 19.20 | 7.70 | 8.10 | 10.10 | 8.00 | 12.80 | 52.00 | 10.15 | 8.00 | 10.10 |
,Sunitinib + Erlotinib | 12.30 | 9.00 | 12.00 | 16.00 | 17.00 | 8.65 | 19.50 | 7.80 | 10.90 | 12.00 | 17.00 | 12.30 | 9.50 | 12.00 | 19.50 | 19.50 | 9.00 | 12.30 | 20.10 | 8.10 | 12.30 | 12.00 | 20.50 | 16.00 | 7.80 | 12.30 | 12.30 | 12.30 | 16.00 | 7.80 | 20.10 | 8.10 | 12.30 | 19.10 | 8.10 | 19.50 | 16.00 | 12.00 | NA | 12.30 | 9.00 | 12.00 | 20.50 | 19.50 | 12.00 | NA | 16.00 | 12.30 | 4.30 | 19.50 | 9.50 | NA |
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PFS in Subgroups That Were Defined by Germline VEGFR2 Polymorphisms
PFS, defined as time from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in subgroups that were defined by VEGFR2 polymorphisms. PFS was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Locus: VEGFR2/rs1531289 Genotype: C/C | Locus: VEGFR2/rs1531289 Genotype: C/T | Locus: VEGFR2/rs1531289 Genotype: T/T | Locus: VEGFR2/rs2305945 Genotype: G/G | Locus: VEGFR2/rs2305945 Genotype: G/T | Locus: VEGFR2/rs2305945 Genotype: T/T | Locus: VEGFR2/rs1870377 Genotype: T/T | Locus: VEGFR2/rs1870377 Genotype: T/A | Locus: VEGFR2/rs1870377 Genotype: A/A | Locus: VEGFR2/rs2305948 Genotype: C/C | Locus: VEGFR2/rs2305948 Genotype: C/T | Locus: VEGFR2/rs2305948 Genotype: T/T | Locus: VEGFR2/rs7692791 Genotype: C/C | Locus: VEGFR2/rs7692791 Genotype: C/T | Locus: VEGFR2/rs7692791 Genotype: T/T | Locus: VEGFR2/rs35636987 Genotype: C/C | Locus: VEGFR2/rs7667298 Genotype: C/C | Locus: VEGFR2/rs7667298 Genotype: C/T | Locus: VEGFR2/rs7667298 Genotype: T/T | Locus: VEGFR2/rs41408948 Genotype: G/G | Locus: VEGFR2/rs41408948 Genotype: G/A | Locus: VEGFR2/rs41408948 Genotype: A/A | Locus: VEGFR2/rs2071559 Genotype: G/G | Locus: VEGFR2/rs2071559 Genotype: G/A | Locus: VEGFR2/rs2071559 Genotype: A/A |
---|
Erlotinib + Placebo | 8.10 | 8.00 | 13.00 | 12.30 | 7.80 | NA | 8.00 | 8.00 | 20.40 | 8.00 | 8.00 | 12.10 | 7.70 | 8.50 | 7.70 | 8.00 | 8.05 | 7.80 | 12.80 | 11.70 | 7.75 | 13.60 | 12.80 | 7.80 | 8.00 |
,Sunitinib + Erlotinib | 9.00 | 17.00 | NA | 17.00 | 9.00 | 20.50 | 8.10 | 17.00 | NA | 12.00 | 12.30 | NA | 12.00 | 9.00 | 16.00 | 12.30 | 12.00 | 17.00 | 9.50 | 12.00 | 17.00 | 13.45 | 9.50 | 17.00 | 8.10 |
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PFS in Subgroups That Were Defined by KRAS Gene Mutation
PFS, defined as time from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in subgroups that were defined by KRAS gene mutation (reported as mutated, wild type, or indeterminate). PFS was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| Mutated | Wild Type | Indeterminate |
---|
Erlotinib + Placebo | 7.5 | 12.1 | 8.3 |
,Sunitinib + Erlotinib | 20.1 | 9.5 | 12.3 |
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PFS in Subgroups That Were Defined by RNA Expression Profile
PFS, defined as time from date of randomization to date of first documentation of PD or death on-study due to any cause, whichever occurred first, in subgroups that were defined by RNA Gene expression (CSF-1R, PDGFRalpha, PDGFRbeta, VEGF, VEGF-C, VEGFR1, VEGFR2, VEGFR3, FGF, FLT-3, KIT, and RET). PFS was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
| CSF-1R/High | CSF-1R/Low | CSF-1R/Indeterminate | PDGFRalpha/High | PDGFRalpha/Low | PDGFRalpha/Indeterminate | PDGFRbeta/High | PDGFRbeta/Low | PDGFRbeta/Indeterminate | VEGF/High | VEGF/Low | VEGF/Indeterminate | VEGF-C/High | VEGF-C/Low | VEGF-C/Indeterminate | VEGFR1/High | VEGFR1/Low | VEGFR1/Indeterminate | VEGFR2/High | VEGFR2/Low | VEGFR2/Indeterminate | VEGFR3/High | VEGFR3/Low | VEGFR3/Indeterminate | FGF/Detected | FGF/Not Detected | FGF/Indeterminate | FLT3/Detected | FLT3/Not Detected | FLT3/Indeterminate | KIT/Detected | KIT/Not Detected | KIT/Indeterminate | RET/Detected | RET/Not Detected | RET/Indeterminate |
---|
Erlotinib + Placebo | 10.9 | 12.3 | 8.1 | 52.0 | 7.7 | 8.1 | 11.7 | 12.3 | 8.1 | 10.1 | 11.7 | 8.1 | 12.1 | 8.5 | 8.1 | 11.2 | 11.7 | 8.1 | 12.3 | 8.8 | 8.1 | 12.3 | 8.8 | 8.0 | 7.7 | 12.3 | 8.1 | 12.1 | 8.5 | 8.1 | 10.1 | 11.7 | 8.1 | 10.1 | 11.7 | 8.1 |
,Sunitinib + Erlotinib | 19.1 | 12.3 | 9.5 | 12.3 | 16.0 | 9.5 | 12.3 | 16.0 | 9.5 | 16.0 | 19.1 | 9.5 | 12.3 | 16.0 | 9.5 | 12.5 | 19.1 | 9.5 | 17.0 | 16.0 | 9.5 | NA | 12.3 | 9.5 | 11.7 | 12.3 | 9.5 | 16.0 | 17.0 | 9.5 | 19.5 | 16.0 | 9.5 | 10.4 | 12.3 | 9.5 |
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sKIT Ratio to Baseline at Each Timepoint
Plasma sKIT concentration at each time point divided by sKIT concentration at baseline (ratio to baseline) (NCT00265317)
Timeframe: Baseline to Cycle 2 (Day 1) and Cycle 3 (Day 1)
Intervention | Ratio (Median) |
---|
| Cycle 2, Day 1 (n=43, 47) | Cycle 3, Day 1 (n=36, 36) |
---|
Erlotinib + Placebo | 1.00 | 0.95 |
,Sunitinib + Erlotinib | 0.76 | 0.58 |
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Time to Reach Maximum Observed Plasma Concentration (Tmax) for Erlotinib
(NCT00265317)
Timeframe: Days 1 and 22 (Cycle 1) at 0, 1, 2, 4, 6, 8, and 24 hours postdose
Intervention | Hours (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 22 |
---|
Sunitinib + Erlotinib (Amended Lead-In Arm A) | 2.00 | 2.00 |
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Tmax for Sunitinib
(NCT00265317)
Timeframe: Days 1 and 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, 24 and 48 hours postdose
Intervention | Hours (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 15 |
---|
Sunitinib + Erlotinib (Amended Lead-In Arm B) | 6.00 | 6.00 |
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Tmax for Total Drug (Sunitinib + SU-012662)
(NCT00265317)
Timeframe: Days 1 and 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, 24 and 48 hours postdose
Intervention | Hours (Median) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 15 |
---|
Sunitinib + Erlotinib (Amended Lead-In Arm B) | 6.00 | 5.00 |
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VEGF-C Ratio to Baseline at Each Timepoint
Plasma VEGF-C concentration at each time point divided by VEGF-C concentration at baseline (ratio to baseline) (NCT00265317)
Timeframe: Baseline to Cycle 2 (Day 1) and Cycle 3 (Day 1)
Intervention | Ratio (Median) |
---|
| Cycle 2, Day 1 (n=41, 46) | Cycle 3, Day 1 (n=36, 35) |
---|
Erlotinib + Placebo | 1.02 | 0.95 |
,Sunitinib + Erlotinib | 0.86 | 0.95 |
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VEGFR-2 Ratio to Baseline at Each Timepoint
Plasma VEGFR-2 concentration at each time point divided by VEGFR-2 concentration at baseline (ratio to baseline) (NCT00265317)
Timeframe: Baseline to Cycle 2 (Day 1) and Cycle 3 (Day 1)
Intervention | Ratio (Median) |
---|
| Cycle 2, Day 1 (n=43, 46) | Cycle 3, Day 1 (n=36, 36) |
---|
Erlotinib + Placebo | 0.98 | 0.99 |
,Sunitinib + Erlotinib | 0.71 | 0.67 |
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VEGFR-3 Ratio to Baseline at Each Timepoint
Plasma VEGFR-3 concentration at each time point divided by VEGFR-3 concentration at baseline (ratio to baseline) (NCT00265317)
Timeframe: Baseline to Cycle 2 (Day 1) and Cycle 3 (Day 1)
Intervention | Ratio (Median) |
---|
| Cycle 2, Day 1 (n=43, 47) | Cycle 3, Day 1 (n=36, 36) |
---|
Erlotinib + Placebo | 0.98 | 0.92 |
,Sunitinib + Erlotinib | 0.60 | 0.57 |
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Erlotinib Clearance at Steady State After Oral Administration (CL/F)
(NCT00265317)
Timeframe: Day 15 (Cycle 1) at 0, 1, 2, 4, 6, 8, and 24 hours postdose
Intervention | Liters (L)/hr (Mean) |
---|
Sunitinib + Erlotinib (Original Lead-In) | 5.52 |
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Number of Participants With Blood Pressure (BP) Greater Than 150/100 Millimeters of Mercury (mmHg)
Systolic/diastolic BP measured in triplicate (separated by approximately 2 minutes [min]) using validated electronic device (same device for all measurements), recorded to nearest mmHg. Dominant arm used (same one each time) with appropriate cuff size encircling at least 80% of arm. BP measured after 5 min rest and before invasive procedures, while seated in a chair with back supported, arms bared, supported at heart level. No smoking or caffeine use allowed during 30 min before measurement. Number of participants with systolic BP >150 mmHg/diastolic BP >100 mmHg at any timepoint postbaseline. (NCT00265317)
Timeframe: Randomization up until Month 17
Intervention | Participants (Number) |
---|
Sunitinib + Erlotinib | 10 |
Erlotinib + Placebo | 8 |
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Number of Participants With BP Greater Than 200/110 mmHg
Systolic/diastolic BP measured in triplicate (separated by approximately 2 minutes [min]) using validated electronic device (same device for all measurements), recorded to nearest mmHg. Dominant arm used (same one each time) with appropriate cuff size encircling at least 80% of arm. BP measured after 5 min rest and before invasive procedures, while seated in a chair with back supported, arms bared, supported at heart level. No smoking or caffeine use allowed during 30 min before measurement. Number of participants with systolic BP >150 mmHg/diastolic BP >100 mmHg at any timepoint postbaseline. (NCT00265317)
Timeframe: Randomization up until Month 17
Intervention | Participants (Number) |
---|
Sunitinib + Erlotinib | 1 |
Erlotinib + Placebo | 0 |
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Overall Survival (OS)
OS was defined as time from date of randomization to date of death due to any cause. OS was calculated as (date of death minus date of randomization plus 1) divided by 30.4. For participants still alive at the time of analysis, OS time was censored on last date that participants were known to be alive. (NCT00265317)
Timeframe: From randomization until death (up to Month 17)
Intervention | Months (Median) |
---|
Sunitinib + Erlotinib | 8.2 |
Erlotinib + Placebo | 7.6 |
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Percentage of Participants Surviving at 1 Year
Percentage of participants alive at 1 year after date of first administration of study medication. (NCT00265317)
Timeframe: From randomization until death (up until Month 17)
Intervention | Percentage of Participants (Number) |
---|
Sunitinib + Erlotinib | 32 |
Erlotinib + Placebo | 42 |
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Percentage of Participants With Objective Response
Objective Response Rate (ORR)=participants with confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST,Version 1.0) based on third party independent imaging review laboratory assessment. A CR was defined as the disappearance of all target lesions that persisted on repeat imaging study at least 4 weeks after initial documentation of response. A PR was defined as a ≥30% decrease in sum of longest dimensions of target lesions taking as a reference the baseline sum longest dimensions. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Percentage of Participants (Number) |
---|
Sunitinib + Erlotinib | 4.62 |
Erlotinib + Placebo | 2.99 |
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Plasma Concentration of Soluble KIT (sKIT) at Baseline
(NCT00265317)
Timeframe: Baseline (Cycle 1, Day 1)
Intervention | pg/mL (Median) |
---|
Sunitinib + Erlotinib | 49520 |
Erlotinib + Placebo | 47242.50 |
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Plasma Concentration of Soluble VEGFR-2 at Baseline
(NCT00265317)
Timeframe: Baseline (Cycle 1, Day 1)
Intervention | pg/mL (Median) |
---|
Sunitinib + Erlotinib | 10904.50 |
Erlotinib + Placebo | 10027 |
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Plasma Concentration of Soluble VEGFR-3 at Baseline
(NCT00265317)
Timeframe: Baseline (Cycle 1, Day 1)
Intervention | pg/mL (Median) |
---|
Sunitinib + Erlotinib | 23190 |
Erlotinib + Placebo | 23350 |
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Plasma Concentration of VEGF-C at Baseline
(NCT00265317)
Timeframe: Baseline (Cycle 1, Day 1)
Intervention | picograms (pg)/mL (Median) |
---|
Sunitinib + Erlotinib | 474.15 |
Erlotinib + Placebo | 502.10 |
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Progression-Free Survival (PFS)
PFS=time from randomization date to date of first documentation of progressive disease (PD; defined as greater than or equal to [≥]20% increase in sum of longest dimensions of target lesions taking as a reference smallest sum of longest dimensions recorded since first dose or appearance of ≥1 new lesions) or death on-study due to any cause, whichever occurred first based on third party independent imaging review laboratory assessment. PFS calculated as (first event date minus randomization date plus 1) divided by 7.02. Used 7.02 days as it equals 365 days per year divided by 52 weeks per year. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
Sunitinib + Erlotinib | 12.3 |
Erlotinib + Placebo | 8.5 |
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Sunitinib Clearance at Steady State After Oral Administration (CL/F)
(NCT00265317)
Timeframe: Day 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, 24 and 48 hours postdose
Intervention | L/hr (Mean) |
---|
Sunitinib + Erlotinib (Original Lead-In) | 63.28 |
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Time to Tumor Progression (TTP)
TTP was defined as the time from date of randomization to first documentation of PD based on third party independent imaging review laboratory assessment. TTP was calculated as (first event date minus randomization date plus 1) divided by 7.02. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Weeks (Median) |
---|
Sunitinib + Erlotinib | 12.3 |
Erlotinib + Placebo | 10.1 |
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Area Under the Curve From Time Zero to 24 Hours [AUC(0-24)] of Erlotinib
AUC0-24=Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours (0-24) of erlotinib (NCT00265317)
Timeframe: Days 1 and 22 (Cycle 1) at 0, 1, 2, 4, 6, 8, and 24 hours postdose
Intervention | micrograms (mcg)*hour(hr)/milliliter (mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 22 |
---|
Sunitinib + Erlotinib (Amended Lead-In Arm A) | 12.96 | 11.87 |
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AUC(0-24) of Sunitinib
AUC0-24=Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours (0-24) of sunitinib (NCT00265317)
Timeframe: Days 1 and 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, and 24 hours postdose
Intervention | nanograms (ng)*hr/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 15 |
---|
Sunitinib+Erlotinib (Amended Lead-In Arm B) | 372.76 | 231.61 |
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AUC(0-24) of Total Drug (Sunitinib + SU-012662)
AUC0-24=Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours (0-24) of total drug (sunitinib + SU-012662) (NCT00265317)
Timeframe: Days 1 and 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, and 24 hours postdose
Intervention | ng*hr/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 15 |
---|
Sunitinib+Erlotinib (Amended Lead-In Arm B) | 422.93 | 331.45 |
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Cmax of Sunitinib
(NCT00265317)
Timeframe: Days 1 and 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, 24 and 48 hours postdose
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 15 |
---|
Sunitinib+Erlotinib (Amended Lead-In Arm B) | 21.61 | 13.59 |
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Cmax of Total Drug (Sunitinib + SU-012662)
(NCT00265317)
Timeframe: Days 1 and 15 of Cycle 1 at 0, 1, 2, 4, 6, 8, 24 and 48 hours postdose
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 15 |
---|
Sunitinib+Erlotinib (Amended Lead-In Arm B) | 24.51 | 20.09 |
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Dose-Corrected Ctrough for Erlotinib on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
Ctrough = plasma concentration of erlotinib prior to study drug administration. Dose correction was made to the initial intended dose in Cycle 1. Assessed in the Original Cohort predose on Day 15 (Cycle 1, Time Zero) and Day 1 (Cycle 3), in the Amended Lead-In Cohort (Arms A and B) predose on Day 1 (Cycle 3) and in the Randomized Cohort (Sunitinib + Erlotinib treatment group only) predose on Day 1 of Cycles 1-18. (NCT00265317)
Timeframe: predose Day 15 (Cycle1); predose Day 1 (Cycle 3); predose Day 1 (Cycles 1-18)
Intervention | mcg/mL (Mean) |
---|
| Cycle 1, Day 15 (n=6) | Cycle 2, Day 1 (n=45) | Cycle 3, Day 1 (n=44) | Cycle 4, Day 1 (n=20) | Cycle 5, Day 1 (n=16) | Cycle 6, Day 1 (n=12) | Cycle 7, Day 1 (n=8) | Cycle 8, Day 1 (n=3) | Cycle 9, Day 1 (n=6) | Cycle 10, Day 1 (n=4) | Cycle 11, Day 1 (n=3) | Cycle 12, Day 1 (n=4) | Cycle 13, Day 1 (n=3) |
---|
Sunitinib + Erlotinib (All Combined) | 1.14 | 1.46 | 1.07 | 0.99 | 0.98 | 1.09 | 1.08 | 0.80 | 0.94 | 1.71 | 0.53 | 1.31 | 0.75 |
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Dose-Corrected Ctrough for Sunitinib on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
Ctrough = plasma concentration of sunitinib prior to study drug administration. Dose correction was made to the initial intended dose in Cycle 1. Assessed in the Original and Amended Lead-In (Arms A and B) Cohorts predose on Day 1 (Cycles 3-13) and in the Randomized Cohort (Sunitinib + Erlotinib treatment group only) predose on Day 1 of Cycles 1-18. (NCT00265317)
Timeframe: predose Day 1 (Cycles 3-13); predose Day 1 (Cycles 1-18)
Intervention | ng/mL (Mean) |
---|
| Cycle 2, Day 1 (n=44) | Cycle 3, Day 1 (n=43) | Cycle 4, Day 1 (n=28) | Cycle 5, Day 1 (n=22) | Cycle 6, Day 1 (n=19) | Cycle 7, Day 1 (n=15) | Cycle 8, Day 1 (n=8) | Cycle 9, Day 1 (n=9) | Cycle 10, Day 1 (n=6) | Cycle 11, Day 1 (n=6) | Cycle 12, Day 1 (n=4) | Cycle 13, Day 1 (n=3) |
---|
Sunitinib + Erlotinib (All Combined) | 22.94 | 21.48 | 19.93 | 18.58 | 22.07 | 24.85 | 18.44 | 14.81 | 17.17 | 21.42 | 11.67 | 19.79 |
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Dose-Corrected Ctrough for Sunitinib on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
Ctrough = plasma concentration of sunitinib prior to study drug administration. Dose correction was made to the initial intended dose in Cycle 1. Assessed in the Original Cohort predose on Day 15 (Cycle 1, Time Zero) and Day 1 (Cycle 3), in the Amended Lead-In Cohort (Arms A and B) predose on Day 1 (Cycle 3) and in the Randomized Cohort (Sunitinib + Erlotinib treatment group only) predose on Day 1 of Cycles 1-18. (NCT00265317)
Timeframe: predose Day 15 (Cycle 1) and Day 1 (Cycle 3); predose Day 1 (Cycle 3); predose Day 1 (Cycles 1-18)
Intervention | ng/mL (Mean) |
---|
| Cycle 1, Day 15 (n=7) | Cycle 2, Day 1 (n=44) | Cycle 3, Day 1 (n=43) | Cycle 4, Day 1 (n=19) | Cycle 5, Day 1 (n=16) | Cycle 6, Day 1 (n=13) | Cycle 7, Day 1 (n=8) | Cycle 8, Day 1 (n=4) | Cycle 9, Day 1 (n=6) | Cycle 10, Day 1 (n=4) | Cycle 11, Day 1 (n=3) | Cycle 12, Day 1 (n=3) | Cycle 13, Day 1 (n=3) |
---|
Sunitinib + Erlotinib (All Combined) | 18.80 | 22.94 | 21.48 | 20.58 | 17.26 | 20.16 | 21.97 | 13.56 | 15.17 | 15.61 | 15.24 | 11.99 | 19.79 |
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Dose-Corrected Observed Plasma Trough Concentrations (Ctrough) for Erlotinib on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
Ctrough = plasma concentration of erlotinib prior to study drug administration. Dose correction was made to the initial intended dose in Cycle 1. Assessed in the Original and Amended Lead-In (Arms A and B) Cohorts predose on Day 1 (Cycles 3-13) and in the Randomized Cohort (Sunitinib + Erlotinib treatment group only) predose on Day 1 of Cycles 1-18. (NCT00265317)
Timeframe: predose Day 1 (Cycles 3-13); predose Day 1 (Cycles 1-18)
Intervention | mcg/mL (Mean) |
---|
| Cycle 2, Day 1 (n=45) | Cycle 3, Day 1 (n=44) | Cycle 4, Day 1 (n=31) | Cycle 5, Day 1 (n=22) | Cycle 6, Day 1 (n=18) | Cycle 7, Day 1 (n=15) | Cycle 8, Day 1 (n=8) | Cycle 9, Day 1 (n=10) | Cycle 10, Day 1 (n=6) | Cycle 11, Day 1 (n=6) | Cycle 12, Day 1 (n=5) | Cycle 13, Day 1 (n=3) |
---|
Sunitinib + Erlotinib (All Combined) | 1.46 | 1.07 | 1.11 | 1.00 | 1.00 | 1.16 | 0.57 | 0.90 | 1.52 | 1.94 | 1.21 | 0.75 |
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EORTC-QLQ-C30 Lung Cancer Module (LC13) Score
The EORTC-QLQ-C30 LC13 is a self-administered questionnaire assessing specific lung cancer disease related symptoms (dyspnea, coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in the chest, arm/shoulder or other parts of the body). Recall period: past week; response range: not at all (1) to very much (4). Scale score range: 0 to 100. Higher symptom score = greater degree of symptoms. (NCT00265317)
Timeframe: Baseline (Cycle 1 [Day 1]) to Cycle 18 (Day 1)
Intervention | score on a scale (Mean) |
---|
| Dyspnea Symptom (C1, D1) (n=48, 53) | Dyspnea Symptom (C2, D1) (n=38, 46) | Dyspnea Symptom (C3, D1) (n=26, 32) | Dyspnea Symptom (C4, D1) (n=18, 22) | Dyspnea Symptom (C5, D1) (n=12, 18) | Dyspnea Symptom (C6, D1) (n=8, 14) | Dyspnea Symptom (C7, D1) (n=6, 10) | Dyspnea Symptom (C8, D1) (n=4, 6) | Dyspnea Symptom (C9, D1) (n=4, 3) | Dyspnea Symptom (C10, D1) (n=3, 4) | Dyspnea Symptom (C11, D1) (n=3, 3) | Dyspnea Symptom (C12, D1) (n=3, 4) | Dyspnea Symptom (C13, D1) (n=3, 3) | Dyspnea Symptom (C14, D1) (n=2, 3) | Dyspnea Symptom (C15, D1) (n=1, 2) | Dyspnea Symptom (C16, D1) (n=1, 2) | Dyspnea Symptom (C17, D1) (n=1, 2) | Dyspnea Symptom (C18, D1) (n=1, 2) | Coughing Symptom (C1, D1) (n=49, 53) | Coughing Symptom (C2, D1) (n=41, 46) | Coughing Symptom (C3, D1) (n=27, 32) | Coughing Symptom (C4, D1) (n=19, 22) | Coughing Symptom (C5, D1) (n=14, 18) | Coughing Symptom (C6, D1) (n=9, 14) | Coughing Symptom (C7, D1) (n=7, 10) | Coughing Symptom (C8, D1) (n=4, 7) | Coughing Symptom (C9, D1) (n=4, 4) | Coughing Symptom (C10, D1) (n=3, 4) | Coughing Symptom (C11, D1) (n=3, 3) | Coughing Symptom (C12, D1) (n=3, 4) | Coughing Symptom (C13, D1) (n=3, 3) | Coughing Symptom (C14, D1) (n=2, 3) | Coughing Symptom (C15, D1) (n=1, 2) | Coughing Symptom (C16, D1) (n=1, 2) | Coughing Symptom (C17, D1) (n=1, 2) | Coughing Symptom (C18, D1) (n=1, 2) | Haemoptysis Symptom (C1, D1) (n=49, 54) | Haemoptysis Symptom (C2, D1) (n=41, 46) | Haemoptysis Symptom (C3, D1) (n=27, 32) | Haemoptysis Symptom (C4, D1) (n=19, 22) | Haemoptysis Symptom (C5, D1) (n=14, 18) | Haemoptysis Symptom (C6, D1) (n=9, 14) | Haemoptysis Symptom (C7, D1) (n=7, 10) | Haemoptysis Symptom (C8, D1) (n=4, 6) | Sore Mouth Symptom (C1, D1) (n=49, 54) | Sore Mouth Symptom (C2, D1) (n=41, 46) | Sore Mouth Symptom (C3, D1) (n=27, 32) | Sore Mouth Symptom (C4, D1) (n=19, 22) | Sore Mouth Symptom (C5, D1) (n=14, 18) | Sore Mouth Symptom (C6, D1) (n=9, 14) | Sore Mouth Symptom (C7, D1) (n=7, 10) | Sore Mouth Symptom (C8, D1) (n=4, 6) | Sore Mouth Symptom (C10, D1) (n=3, 4) | Sore Mouth Symptom (C13, D1) (n=3, 3) | Sore Mouth Symptom (C14, D1) (n=2, 3) | Dysphagia Symptom (C1, D1) (n=49, 54) | Dysphagia Symptom (C2, D1) (n=41, 46) | Dysphagia Symptom (C3, D1) (n=26, 32) | Dysphagia Symptom (C4, D1) (n=19, 22) | Dysphagia Symptom (C5, D1) (n=14, 18) | Dysphagia Symptom (C6, D1) (n=9, 14) | Dysphagia Symptom (C7, D1) (n=7, 10) | Dysphagia Symptom (C8, D1) (n=4, 6) | Dysphagia Symptom (C9, D1) (n=4, 3) | Dysphagia Symptom (C10, D1) (n=3, 4) | Dysphagia Symptom (C11, D1) (n=3, 3) | Dysphagia Symptom (C12, D1) (n=3, 4) | Dysphagia Symptom (C13, D1) (n=3, 3) | Dysphagia Symptom (C14, D1) (n=2, 3) | Peripheral Neuropathy Symptom (C1, D1) (n=49, 54) | Peripheral Neuropathy Symptom (C2, D1) (n=41, 46) | Peripheral Neuropathy Symptom (C3, D1) (n=27, 32) | Peripheral Neuropathy Symptom (C4, D1) (n=19, 22) | Peripheral Neuropathy Symptom (C5, D1) (n=14, 18) | Peripheral Neuropathy Symptom (C6, D1) (n=9, 14) | Peripheral Neuropathy Symptom (C7, D1) (n=7, 10) | Peripheral Neuropathy Symptom (C8, D1) (n=4, 6) | Peripheral Neuropathy Symptom (C9, D1) (n=4, 3) | Peripheral Neuropathy Symptom (C10, D1) (n=3, 4) | Peripheral Neuropathy Symptom (C11, D1) (n=3, 3) | Peripheral Neuropathy Symptom (C12, D1) (n=3, 4) | Peripheral Neuropathy Symptom (C13, D1) (n=3, 3) | Peripheral Neuropathy Symptom (C14, D1) (n=2, 3) | Peripheral Neuropathy Symptom (C15, D1) (n=1, 2) | Peripheral Neuropathy Symptom (C16, D1) (n=1, 2) | Peripheral Neuropathy Symptom (C17, D1) (n=1, 2) | Peripheral Neuropathy Symptom (C18, D1) (n=1, 2) | Alopecia Symptom (C1, D1) (n=49, 54) | Alopecia Symptom (C2, D1) (n=41, 46) | Alopecia Symptom (C3, D1) (n=27, 32) | Alopecia Symptom (C4, D1) (n=19, 22) | Alopecia Symptom (C5, D1) (n=14, 18) | Alopecia Symptom (C6, D1) (n=9, 14) | Alopecia Symptom (C7, D1) (n=7, 10) | Alopecia Symptom (C8, D1) (n=4, 6) | Alopecia Symptom (C9, D1) (n=4, 3) | Alopecia Symptom (C10, D1) (n=3, 4) | Alopecia Symptom (C11, D1) (n=3, 3) | Alopecia Symptom (C12, D1) (n=3, 4) | Alopecia Symptom (C13, D1) (n=3, 3) | Alopecia Symptom (C14, D1) (n=2, 3) | Pain in Chest Symptom (C1, D1) (n=49, 53) | Pain in Chest Symptom (C2, D1) (n=41, 46) | Pain in Chest Symptom (C3, D1) (n=27, 32) | Pain in Chest Symptom (C4, D1) (n=18, 22) | Pain in Chest Symptom (C5, D1) (n=14, 18) | Pain in Chest Symptom (C6, D1) (n=9, 14) | Pain in Chest Symptom (C7, D1) (n=7, 10) | Pain in Chest Symptom (C8, D1) (n=4, 6) | Pain in Chest Symptom (C9, D1) (n=4, 3) | Pain in Chest Symptom (C10, D1) (n=3, 4) | Pain in Chest Symptom (C11, D1) (n=3, 3) | Pain in Chest Symptom (C12, D1) (n=3, 4) | Pain in Chest Symptom (C13, D1) (n=3, 3) | Pain in Chest Symptom (C14, D1) (n=2, 3) | Pain in Chest Symptom (C16, D1) (n=1, 2) | Pain in Chest Symptom (C17, D1) (n=1, 2) | Pain in Arm or Shoulder (C1, D1) (n=49, 54) | Pain in Arm or Shoulder (C2, D1) (n=41, 46) | Pain in Arm or Shoulder (C3, D1) (n=27, 32) | Pain in Arm or Shoulder (C4, D1) (n=19, 22) | Pain in Arm or Shoulder (C5, D1) (n=14, 18) | Pain in Arm or Shoulder (C6, D1) (n=9, 14) | Pain in Arm or Shoulder (C7, D1) (n=7, 10) | Pain in Arm or Shoulder (C8, D1) (n=4, 6) | Pain in Arm or Shoulder (C9, D1) (n=4, 3) | Pain in Arm or Shoulder (C10, D1) (n=3, 4) | Pain in Arm or Shoulder (C11, D1) (n=3, 3) | Pain in Arm or Shoulder (C12, D1) (n=3, 4) | Pain in Arm or Shoulder (C13, D1) (n=3, 3) | Pain in Arm or Shoulder (C14, D1) (n=2, 3) | Pain in Arm or Shoulder (C15, D1) (n=1, 2) | Pain in Arm or Shoulder (C16, D1) (n=1, 2) | Pain in Arm or Shoulder (C17, D1) (n=1, 2) | Pain in Arm or Shoulder (C18, D1) (n=1, 2) | Pain in Other Parts of Body (C1, D1) (n=48, 51) | Pain in Other Parts of Body (C2, D1) (n=40, 43) | Pain in Other Parts of Body (C3, D1) (n=26, 31) | Pain in Other Parts of Body (C4, D1) (n=18, 20) | Pain in Other Parts of Body (C5, D1) (n=13, 18) | Pain in Other Parts of Body (C6, D1) (n=9, 14) | Pain in Other Parts of Body (C7, D1) (n=6, 10) | Pain in Other Parts of Body (C8, D1) (n=4, 6) | Pain in Other Parts of Body (C9, D1) (n=4, 3) | Pain in Other Parts of Body (C10, D1) (n=3, 4) | Pain in Other Parts of Body (C11, D1) (n=3, 3) | Pain in Other Parts of Body (C12, D1) (n=3, 4) | Pain in Other Parts of Body (C13, D1) (n=3, 3) | Pain in Other Parts of Body (C14, D1) (n=2, 3) | Pain in Other Parts of Body (C16, D1) (n=1, 2) |
---|
Erlotinib + Placebo | 25.56 | 26.08 | 26.03 | 23.73 | 32.71 | 21.41 | 29.99 | 22.22 | 22.20 | 33.33 | 29.60 | 22.20 | 22.20 | 25.90 | 11.10 | 22.20 | 22.20 | 16.65 | 37.10 | 31.87 | 30.20 | 15.14 | 29.62 | 26.17 | 16.67 | 28.56 | 8.33 | 25.00 | 33.33 | 41.65 | 33.33 | 11.10 | 16.65 | 16.65 | 16.65 | 33.35 | 6.17 | 4.34 | 5.21 | 1.51 | 5.56 | 2.38 | NA | 5.55 | 1.23 | 7.97 | 6.25 | 7.58 | 12.96 | 2.38 | 6.67 | 5.55 | 8.33 | 11.10 | 11.10 | 6.17 | 10.14 | 14.58 | 12.12 | 11.11 | 7.14 | 10.00 | NA | NA | 16.65 | NA | 8.33 | 22.20 | 11.10 | 17.28 | 20.28 | 34.37 | 25.75 | 22.22 | 23.81 | 23.33 | 22.20 | 33.30 | 33.30 | 44.43 | 41.65 | 44.43 | 44.43 | 16.65 | 16.65 | 33.30 | 33.30 | 12.96 | 5.79 | 5.20 | 13.63 | 22.22 | 19.04 | 16.67 | 11.10 | 22.23 | 25.00 | NA | 25.00 | 33.33 | 33.33 | 15.09 | 14.48 | 18.75 | 10.60 | 20.37 | 11.90 | 16.66 | 5.55 | NA | 16.65 | 11.10 | 8.33 | 22.20 | 11.10 | 16.65 | 16.65 | 11.72 | 16.66 | 17.71 | 21.21 | 25.92 | 26.19 | 23.33 | 5.55 | 11.10 | 8.33 | 11.10 | 8.33 | 22.20 | 11.10 | 16.65 | 16.65 | 16.65 | 16.65 | 35.29 | 28.68 | 29.03 | 20.00 | 31.48 | 21.43 | 33.34 | 27.77 | 22.20 | 8.33 | 11.10 | 8.33 | 22.20 | NA | 16.65 |
,Sunitinib + Erlotinib | 21.05 | 25.71 | 24.77 | 27.16 | 22.21 | 18.04 | 14.80 | 8.33 | 11.10 | 11.10 | 18.50 | 14.80 | 7.40 | 16.65 | 22.20 | NA | NA | NA | 36.72 | 31.70 | 32.09 | 29.81 | 38.08 | 33.31 | 33.33 | 24.98 | 24.98 | 22.20 | 22.20 | 22.20 | 22.20 | 16.65 | NA | NA | NA | NA | 2.04 | 6.50 | 2.47 | 1.75 | 2.38 | 3.70 | 4.76 | NA | 6.12 | 19.50 | 16.04 | 12.27 | 23.79 | 11.10 | 4.76 | NA | NA | NA | NA | 6.80 | 13.00 | 7.68 | 7.01 | 11.91 | 3.70 | 4.76 | 8.33 | 8.33 | 22.23 | 11.10 | 22.23 | NA | NA | 18.37 | 14.63 | 16.04 | 22.81 | 26.18 | 18.51 | 33.33 | 24.98 | 16.65 | NA | 22.20 | 22.23 | 11.10 | 16.65 | NA | NA | NA | NA | 12.92 | 4.87 | 7.40 | 10.52 | 16.66 | 14.80 | 14.27 | 8.33 | 16.65 | 11.10 | 33.30 | 33.33 | 33.30 | 33.35 | 19.72 | 11.38 | 8.64 | 11.11 | 16.66 | 11.10 | 19.03 | 8.33 | 8.33 | NA | NA | NA | 11.10 | 16.65 | NA | NA | 21.08 | 10.56 | 14.81 | 12.27 | 19.04 | 14.80 | 23.80 | 16.65 | 16.65 | 11.10 | 11.10 | 11.10 | 22.20 | 16.65 | NA | NA | NA | NA | 26.38 | 14.17 | 16.67 | 14.81 | 35.90 | 18.51 | 16.67 | NA | NA | NA | NA | NA | NA | 16.65 | NA |
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Maximum Observed Plasma Concentration (Cmax) of Erlotinib
(NCT00265317)
Timeframe: Days 1 and 22 (Cycle 1) at 0, 1, 2, 4, 6, 8, and 24 hours postdose
Intervention | mcg/mL (Mean) |
---|
| Cycle 1, Day 1 | Cycle 1, Day 22 |
---|
Sunitinib + Erlotinib (Amended Lead-In Arm A) | 0.99 | 0.86 |
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OS in Subgroups That Were Defined by Germline PDGFRB Polymorphisms
OS, defined as time from date of randomization to date of death due to any cause, in subgroups that were defined by PDGFRB polymorphisms. OS was calculated as (date of death minus date of randomization plus 1) divided by 30.4. (NCT00265317)
Timeframe: From randomization to Weeks 8 and 12, then every 8 weeks until disease progression or death (up to Month 17)
Intervention | Months (Median) |
---|
| Locus: PDGFRB/rs2304060 Genotype: C/C | Locus: PDGFRB/rs2304060 Genotype: C/A | Locus: PDGFRB/rs2304060 Genotype: A/A | Locus: PDGFRB/rs17656204 Genotype: C/C | Locus: PDGFRB/rs17656204 Genotype: C/T | Locus: PDGFRB/rs17656204 Genotype: T/T | Locus: PDGFRB/rs2304061 Genotype: G/G | Locus: PDGFRB/rs2304061 Genotype: G/A | Locus: PDGFRB/rs2304061 Genotype: A/A | Locus: PDGFRB/rs1077724 Genotype: A/A | Locus: PDGFRB/rs1077724 Genotype: A/T | Locus: PDGFRB/rs1077724 Genotype: T/T | Locus: PDGFRB/rs919751 Genotype: A/A | Locus: PDGFRB/rs919751 Genotype: A/G | Locus: PDGFRB/rs919751 Genotype: G/G | Locus: PDGFRB/rs2304058 Genotype: G/G | Locus: PDGFRB/rs2304058 Genotype: G/C | Locus: PDGFRB/rs2304058 Genotype: C/C | Locus: PDGFRB/rs1864972 Genotype: G/G | Locus: PDGFRB/rs1864972 Genotype: G/A | Locus: PDGFRB/rs1864972 Genotype: A/A | Locus: PDGFRB/rs3733678 Genotype: G/G | Locus: PDGFRB/rs3733678 Genotype: G/A | Locus: PDGFRB/rs246396 Genotype: T/T | Locus: PDGFRB/rs246396 Genotype: T/C | Locus: PDGFRB/rs246396 Genotype: C/C | Locus: PDGFRB/rs34586048 Genotype: C/C | Locus: PDGFRB/rs11740355 Genotype: T/T | Locus: PDGFRB/rs11740355 Genotype: T/G | Locus: PDGFRB/rs11740355 Genotype: G/G | Locus: PDGFRB/rs740751 Genotype: C/C | Locus: PDGFRB/rs740751 Genotype: C/T | Locus: PDGFRB/rs740751 Genotype: T/T | Locus: PDGFRB/rs4705415 Genotype: G/G | Locus: PDGFRB/rs4705415 Genotype: G/A | Locus: PDGFRB/rs4705415 Genotype: A/A | Locus: PDGFRB/rs3776075 Genotype: T/T | Locus: PDGFRB/rs3776075 Genotype: T/G | Locus: PDGFRB/rs3776075 Genotype: G/G | Locus: PDGFRB/rs17708574 Genotype: G/G | Locus: PDGFRB/rs17708574 Genotype: G/A | Locus: PDGFRB/rs10063714 Genotype: T/T | Locus: PDGFRB/rs10063714 Genotype: T/A | Locus: PDGFRB/rs3776081 Genotype: A/A | Locus: PDGFRB/rs3776081 Genotype: A/G | Locus: PDGFRB/rs3776081 Genotype: G/G | Locus: PDGFRB/rs2007637 Genotype: G/G | Locus: PDGFRB/rs2007637 Genotype: G/A | Locus: PDGFRB/rs2007637 Genotype: A/A | Locus: PDGFRB/rs2302273 Genotype: G/G | Locus: PDGFRB/rs2302273 Genotype: G/A | Locus: PDGFRB/rs2302273 Genotype: A/A |
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Erlotinib + Placebo | 9.60 | 6.20 | 5.60 | 5.90 | 7.60 | NA | 4.75 | 9.60 | NA | 5.90 | 6.20 | NA | 6.80 | 10.00 | 8.20 | 8.45 | 7.20 | 6.20 | 11.50 | 6.35 | 7.90 | 7.00 | 5.90 | 5.40 | 14.95 | 6.20 | 6.80 | 6.20 | 14.40 | NA | 11.50 | 6.80 | 7.90 | 6.70 | 6.80 | 8.20 | 14.35 | 7.20 | 4.70 | 6.20 | 6.80 | 7.20 | 5.90 | 12.95 | 6.80 | 4.80 | 5.40 | 13.40 | NA | 11.50 | 6.20 | 4.80 |
,Sunitinib + Erlotinib | 12.80 | 8.20 | 5.70 | 8.00 | 8.20 | 6.40 | 6.65 | 8.40 | 9.00 | 6.30 | 9.70 | 7.25 | 8.00 | 8.20 | 6.40 | 6.05 | 8.20 | 12.05 | 6.65 | 8.00 | 11.30 | 6.30 | 14.00 | 8.00 | 7.30 | NA | 8.00 | 8.20 | 6.90 | 1.80 | 6.65 | 8.00 | 11.30 | 11.30 | 8.20 | 5.60 | 6.35 | 9.30 | 14.00 | 9.30 | 5.40 | 6.40 | 14.00 | 6.30 | 11.30 | 11.60 | 6.90 | 8.20 | 8.40 | 7.55 | 11.30 | 4.80 |
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Overall Survival (OS) in Subgroups That Were Defined by Germline VEGFR2 Polymorphisms
OS, defined as time from date of randomization to date of death due to any cause, in subgroups that were defined by VEGFR2 polymorphisms. OS was calculated as (date of death minus date of randomization plus 1) divided by 30.4. (NCT00265317)
Timeframe: From randomization until death (up to Month 17)
Intervention | Months (Median) |
---|
| Locus: VEGFR2/rs1531289 Genotype: C/C | Locus: VEGFR2/rs1531289 Genotype: C/T | Locus: VEGFR2/rs1531289 Genotype: T/T | Locus: VEGFR2/rs2305945 Genotype: G/G | Locus: VEGFR2/rs2305945 Genotype: G/T | Locus: VEGFR2/rs2305945 Genotype: T/T | Locus: VEGFR2/rs1870377 Genotype: T/T | Locus: VEGFR2/rs1870377 Genotype: T/A | Locus: VEGFR2/rs1870377 Genotype: A/A | Locus: VEGFR2/rs2305948 Genotype: C/C | Locus: VEGFR2/rs2305948 Genotype: C/T | Locus: VEGFR2/rs2305948 Genotype: T/T | Locus: VEGFR2/rs7692791 Genotype: C/C | Locus: VEGFR2/rs7692791 Genotype: C/T | Locus: VEGFR2/rs7692791 Genotype: T/T | Locus: VEGFR2/rs35636987 Genotype: C/C | Locus: VEGFR2/rs7667298 Genotype: C/C | Locus: VEGFR2/rs7667298 Genotype: C/T | Locus: VEGFR2/rs7667298 Genotype: T/T | Locus: VEGFR2/rs41408948 Genotype: G/G | Locus: VEGFR2/rs41408948 Genotype: G/A | Locus: VEGFR2/rs41408948 Genotype: A/A | Locus: VEGFR2/rs2071559 Genotype: G/G | Locus: VEGFR2/rs2071559 Genotype: G/A | Locus: VEGFR2/rs2071559 Genotype: A/A |
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Erlotinib + Placebo | 6.20 | 5.30 | 16.50 | 5.50 | 7.60 | NA | 10.00 | 4.70 | NA | 10.00 | 4.90 | NA | 7.60 | 5.80 | 10.00 | 6.80 | 13.40 | 4.90 | 9.60 | 8.40 | 4.40 | 9.55 | 8.60 | 4.90 | 13.40 |
,Sunitinib + Erlotinib | 8.20 | 6.40 | 11.60 | 8.00 | 6.25 | NA | 6.40 | 8.00 | NA | 8.40 | 5.80 | NA | 6.40 | 9.30 | 6.30 | 8.00 | 9.30 | 6.65 | 11.30 | 6.40 | 8.00 | 11.30 | 11.30 | 6.90 | 9.30 |
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Percentage of Participants by Ribonucleic Acid (RNA) Expression Profile
Includes colony-stimulating factor 1 receptor (CSF-1R), PDGFRalpha, PDGFRbeta, vascular endothelial growth factor (VEGF), VEGF C (VEGF-C), VEGF receptor 1 (VEGFR1), VEGF receptor 2 (VEGFR2), VEGF receptor 3 (VEGFR3), fibroblast growth factor (FGF), FLT-3, KIT (stem cell factor receptor), and RET (rearranged during transfection). Correlative analysis was conducted using tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| CSF-1R/High | CSF-1R/Low | CSF-1R/Indeterminate | PDGFRalpha/High | PDGFRalpha/Low | PDGFRalpha/Indeterminate | PDGFRbeta/High | PDGFRbeta/Low | PDGFRbeta/Indeterminate | VEGF/High | VEGF/Low | VEGF/Indeterminate | VEGF-C/High | VEGF-C/Low | VEGF-C/Indeterminate | VEGFR1/High | VEGFR1/Low | VEGFR1/Indeterminate | VEGFR2/High | VEGFR2/Low | VEGFR2/Indeterminate | VEGFR3/High | VEGFR3/Low | VEGFR3/Indeterminate | FGF/Detected | FGF/Not Detected | FGF/Indeterminate | FLT3/Detected | FLT3/Not Detected | FLT3/Indeterminate | KIT/Detected | KIT/Not Detected | KIT/Indeterminate | RET/Detected | RET/Not Detected | RET/Indeterminate |
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Erlotinib + Placebo | 44 | 41 | 15 | 48 | 41 | 11 | 44 | 44 | 11 | 41 | 41 | 19 | 41 | 52 | 7 | 44 | 33 | 22 | 48 | 41 | 11 | 48 | 30 | 22 | 19 | 67 | 15 | 19 | 78 | 4 | 30 | 67 | 4 | 30 | 59 | 11 |
,Sunitinib + Erlotinib | 45 | 52 | 3 | 45 | 52 | 3 | 45 | 48 | 6 | 39 | 39 | 23 | 52 | 45 | 3 | 35 | 48 | 16 | 45 | 52 | 3 | 35 | 55 | 10 | 10 | 84 | 6 | 26 | 71 | 3 | 39 | 58 | 3 | 10 | 84 | 6 |
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Percentage of Participants With EGFR Expression by IHC (Using 10% Cutoff)
Percentage of participants with EGFR Expression by IHC using a 10% cutoff; Reported as positive (positive values were defined as being greater than 10% of cells demonstrating membranous staining for EGFR), negative, or unmeasured. Correlative analysis of EGFR expression was conducted using tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Positive | Negative | Unmeasured |
---|
Erlotinib + Placebo | 54 | 18 | 28 |
,Sunitinib + Erlotinib | 45 | 29 | 26 |
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Percentage of Participants With EGFR Gene Amplification
The percentage of participants with EGFR gene amplification (defined as greater than 15) was determined and reported as yes, no, or unmeasured. Correlative analysis of EGFR gene amplification was conducted using tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Yes | No | Unmeasured |
---|
Erlotinib + Placebo | 0 | 43 | 57 |
,Sunitinib + Erlotinib | 0 | 48 | 52 |
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Percentage of Participants With EGFR Gene Copy Number Increase
The number of copies corresponding to exon 19 of the EGFR gene was determined by real-time quantitative polymerase chain reaction (PCR). The percentage of participants with EGFR Gene Copy Number Increase (defined as greater than 4 copies) was determined using deoxyribonucleic acid (DNA) from tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. Reported as yes, no or unmeasured. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Yes | No | Unmeasured |
---|
Erlotinib + Placebo | 1 | 42 | 57 |
,Sunitinib + Erlotinib | 0 | 48 | 52 |
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Percentage of Participants With EGFR Gene Mutation
Mutations in exons 18 through 21 of the EGFR gene were analyzed by high-performance liquid chromatography using DNA from tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. The percentage of participants with EGFR mutations categorized as mutated, wild type or indeterminate was reported. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Mutated | Wild Type | Indeterminate |
---|
Erlotinib + Placebo | 1 | 28 | 70 |
,Sunitinib + Erlotinib | 6 | 32 | 62 |
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Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Expression by Immunohistochemistry (IHC) Using 0 Percent [%] Cutoff
Percentage of participants with EGFR expression by IHC using a 0% cutoff; Reported as positive, negative, or unmeasured (where positive was greater than 0% of cells demonstrating membranous staining for EGFR). Correlative analysis of EGFR expression was conducted using tumor biopsy samples collected at the time of initial diagnosis (preferred) or at the time of most recent recurrence/progression, although any time was acceptable. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Positive | Negative | Unmeasured |
---|
Erlotinib + Placebo | 36 | 36 | 28 |
,Sunitinib + Erlotinib | 35 | 38 | 26 |
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Percentage of Participants With Germline Platelet-derived Growth Factor Receptor Beta (PDGFRB) Polymorphisms
Blood samples were collected at baseline for multiplex RT analysis of genes expressing proteins that are targets of sunitinib or involved in angiogenesis or tumor growth to determine expression levels. Percentage of participants with germline PDGFRB SNPs was reported for the following genotype frequencies: homozygous C alleles (C/C), T alleles (T/T), G alleles (G/G), or A alleles (A/A), and the following heterozygous genotypes C/T, A/T, A/G, T/C, T/G, G/C, C/A and G/A. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Locus: PDGFRB / rs2304060 Genotype:C/C | Locus: PDGFRB / rs2304060 Genotype: C/A | Locus: PDGFRB / rs2304060 Genotype: A/A | Locus: PDGFRB / rs17656204 Genotype: C/C | Locus: PDGFRB / rs17656204 Genotype: C/T | Locus: PDGFRB / rs17656204 Genotype: T/T | Locus: PDGFRB / rs2304061 Genotype: G/G | Locus: PDGFRB / rs2304061 Genotype: G/A | Locus: PDGFRB / rs2304061 Genotype: A/A | Locus: PDGFRB / rs1077724 Genotype: A/A | Locus: PDGFRB / rs1077724 Genotype: A/T | Locus: PDGFRB / rs1077724 Genotype: T/T | Locus: PDGFRB / rs919751 Genotype: A/A | Locus: PDGFRB / rs919751 Genotype: A/G | Locus: PDGFRB / rs919751 Genotype: G/G | Locus: PDGFRB / rs2304058 Genotype: G/G | Locus: PDGFRB / rs2304058 Genotype: G/C | Locus: PDGFRB / rs2304058 Genotype: C/C | Locus: PDGFRB / rs1864972 Genotype: G/G | Locus: PDGFRB / rs1864972 Genotype: G/A | Locus: PDGFRB / rs1864972 Genotype: A/A | Locus: PDGFRB / rs3733678 Genotype: G/G | Locus: PDGFRB / rs3733678 Genotype: G/A | Locus: PDGFRB / rs246396 Genotype: T/T | Locus: PDGFRB / rs246396 Genotype: T/C | Locus: PDGFRB / rs246396 Genotype: C/C | Locus: PDGFRB / rs34586048 Genotype: C/C | Locus: PDGFRB / rs11740355 Genotype: T/T | Locus: PDGFRB / rs11740355 Genotype: T/G | Locus: PDGFRB / rs11740355 Genotype: G/G | Locus: PDGFRB / rs740751 Genotype: C/C | Locus: PDGFRB / rs740751 Genotype: C/T | Locus: PDGFRB / rs740751 Genotype: T/T | Locus: PDGFRB / rs4705415 Genotype: G/G | Locus: PDGFRB / rs4705415 Genotype: G/A | Locus: PDGFRB / rs4705415 Genotype: A/A | Locus: PDGFRB / rs3776075 Genotype: T/T | Locus: PDGFRB / rs3776075 Genotype: T/G | Locus: PDGFRB / rs3776075 Genotype: G/G | Locus: PDGFRB / rs17708574 Genotype: G/G | Locus: PDGFRB / rs17708574 Genotype: G/A | Locus: PDGFRB / rs17708574 Genotype: A/A | Locus: PDGFRB / rs10063714 Genotype: T/T | Locus: PDGFRB / rs10063714 Genotype: T/A | Locus: PDGFRB / rs10063714 Genotype: A/A | Locus: PDGFRB / rs3776081 Genotype: A/A | Locus: PDGFRB / rs3776081 Genotype: A/G | Locus: PDGFRB / rs3776081 Genotype: G/G | Locus: PDGFRB / rs2007637 Genotype: G/G | Locus: PDGFRB / rs2007637 Genotype: G/A | Locus: PDGFRB / rs2007637 Genotype: A/A | Locus: PDGFRB / rs2302273 Genotype: G/G | Locus: PDGFRB / rs2302273 Genotype: G/A | Locus: PDGFRB / rs2302273 Genotype: A/A |
---|
All Participants | 21.3 | 52.9 | 25.7 | 48.5 | 44.1 | 7.4 | 51.9 | 44.4 | 3.7 | 43.4 | 46.3 | 10.3 | 46.3 | 39.0 | 14.7 | 25.7 | 49.3 | 25.0 | 41.2 | 41.9 | 16.9 | 80.1 | 19.9 | 70.6 | 27.2 | 2.2 | 100 | 80.9 | 18.4 | 0.7 | 41.2 | 41.2 | 17.6 | 36.0 | 44.1 | 19.9 | 22.8 | 56.6 | 20.6 | 79.4 | 17.6 | 2.9 | 76.5 | 22.1 | 1.5 | 39.0 | 47.1 | 14.0 | 79.4 | 19.1 | 1.5 | 56.0 | 38.1 | 6.0 |
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Percentage of Participants With Germline Vascular Endothelial Growth Factor Receptor 2 (VEGFR2) Polymorphisms
Blood samples were collected at baseline for multiplex reverse transcription (RT) analysis of genes expressing proteins that are targets of sunitinib or involved in angiogenesis or tumor growth to determine expression levels. Percentage of participants with germline VEGFR2 single nucleotide polymorphisms (SNPs) was reported for the following genotype frequencies: homozygous C alleles (C/C), T alleles (T/T), G alleles (G/G), or A alleles (A/A), and the following heterozygous genotypes C/T, G/T, T/A, and G/A. (NCT00265317)
Timeframe: Baseline
Intervention | Percentage of Participants (Number) |
---|
| Locus: VEGFR2 / rs1531289; Genotype: C/C | Locus: VEGFR2 / rs1531289; Genotype: C/T | Locus: VEGFR2 / rs1531289; Genotype: T/T | Locus: VEGFR2 / rs2305945; Genotype: G/G | Locus: VEGFR2 / rs2305945; Genotype: G/T | Locus: VEGFR2 / rs2305945; Genotype: T/T | Locus VEGFR2 / rs1870377; Genotype: T/T | Locus VEGFR2 / rs1870377; Genotype: T/A | Locus VEGFR2 / rs1870377; Genotype: A/A | Locus: VEGFR2 / rs2305948; Genotype: C/C | Locus: VEGFR2 / rs2305948; Genotype: C/T | Locus: VEGFR2 / rs2305948; Genotype: T/T | Locus: VEGFR2 / rs7692791; Genotype: C/C | Locus: VEGFR2 / rs7692791; Genotype: C/T | Locus: VEGFR2 / rs7692791; Genotype: T/T | Locus: VEGFR2 / rs35636987; Genotype: C/C | Locus: VEGFR2 / rs7667298; Genotype: C/C | Locus: VEGFR2 / rs7667298; Genotype: C/T | Locus: VEGFR2 / rs7667298; Genotype: T/T | Locus: VEGFR2 / rs41408948; Genotype: G/A | Locus: VEGFR2 / rs41408948; Genotype: A/A | Locus: VEGFR2 / rs41408948; Genotype: G/G | Locus: VEGFR2 / rs2071559; Genotype: G/G | Locus: VEGFR2 / rs2071559; Genotype: G/A | Locus: VEGFR2 / rs2071559; Genotype: A/A |
---|
All Participants | 44.9 | 45.6 | 9.6 | 44.1 | 47.1 | 8.8 | 53.7 | 39.7 | 6.6 | 81.6 | 17.6 | 0.7 | 19.9 | 50.7 | 29.4 | 100 | 27.2 | 50.0 | 22.8 | 57.4 | 36.0 | 6.6 | 26.5 | 47.8 | 25.7 |
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Time to Disease Progression
"Patients were evaluated for response biochemically and radiographically at each response assessment. RECIST 1.0 criteria were used for radiographic response. PSA measurement at a central laboratory was used to assess biochemical response. Patients must have had a baseline PSA of 5 ng/ml to be evaluated for PSA response. PSA was measured every 8 weeks.~For patients with measurable disease radiographically, PSA progression was not considered as having progressive disease. Refer to study publication for details." (NCT00272038)
Timeframe: 25 months
Intervention | months (Median) |
---|
Tarceva | 2 |
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Overall Clinical Benefit of Tarceva in CRPC.
Overall Clinical Benefit = percentage of partial responders (PR)+ the percentage of patients with stable disease (SD). Partial Response (PR) is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum. Stable Disease (SD)is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease, using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0). (NCT00272038)
Timeframe: 5 years
Intervention | percentage of pts w/clinical benefit (Number) |
---|
Tarceva | 36 |
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Overall Survival
One year survival rate. (NCT00272038)
Timeframe: during study
Intervention | % of partcipants alive at one year (Number) |
---|
Tarceva | 58 |
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6-month Overall Survival
Percentage of patients survived at 6 months for patients whose tumors were xenografted and treated in the mouse when treated with the most active agent identified in that model (NCT00276744)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Arm 1 | 53 |
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Pathological Complete Response Rate
"Number of participants with an pathological complete response rate using the RECIST criteria.~Complete response: Disappearance of all measurable and evaluable disease Partial response: A 30% or greater decline in the sum of the longest diameter of target lesions compared to the baseline measurement.~Progressive disease: A 20% or greater increase in the sum of the longest diameter of the target lesions compared to the baseline.~Stable disease: Disease that did not meet the criteria for a CR / PR or progressive disease." (NCT00278148)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Erlotinib, Paclitaxel, and Carboplatin With Radiation | 6 |
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Progression Free Survival (PFS)
Months from the date of study entry to the date of the corresponding event (recurrence of death) or the date of final follow-up (NCT00278148)
Timeframe: 3 years
Intervention | months (Median) |
---|
Erlotinib, Paclitaxel, and Carboplatin With Radiation | 41.8 |
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Overall Survival
Percent of participants still alive from the date of study entry to the date of the corresponding event (recurrence of death) or the date of final follow-up. (NCT00278148)
Timeframe: 3 years
Intervention | percentage of participants (Number) |
---|
Erlotinib, Paclitaxel, and Carboplatin With Radiation | 69 |
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Maximum Tolerated Dose of Erlotinib Hydrochloride (Phase I)
The Phase I portion of this study is to determine the Maximum Tolerated Dose (MTD) of combining OSI-774 with the paclitaxel-carboplatin chemoradiation protocol and to assess the safety and feasiblity of this combination. (NCT00278148)
Timeframe: 2 weeks after surgery
Intervention | mg daily (Number) |
---|
Erlotinib, Paclitaxel, and Carboplatin With Radiation | 150 |
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Progression-free Survival (PFS)
The length of time during and after the treatment of a stage IIIA/B NSCLC that a patient lives with the disease but it does not get worse. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00280150)
Timeframe: 5 years
Intervention | Months (Median) |
---|
Overall Study | 10.2 |
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Feasibility and Tolerability of Administering Consolidation Therapy
The proportion of patients who were able to complete consolidation therapy after induction therapy and chemoradiotherapy (NCT00280150)
Timeframe: 6 cycles
Intervention | Participants (Count of Participants) |
---|
Overall Study | 5 |
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Response Rate to Induction Therapy (Phase I [Closed to Accrual as of 1/3/2008] and II)
"Measurable lesions must be accurately measured in at least one dimension (longest diameter to be recorded) as > 20 mm with conventional techniques or as > 10mm with spiral CT scan or nonmeasurable, but evaluable. Evaluable is nonmeasurable disease that includes ascites, malignant pleural/pericardial effusion, bone lesions, or marrow involvement. The same method of assessment and the same techniques should be used to characterize each identified and reported lesion at baseline and during follow-up.~Complete Response (CR)- Disappearance of all target lesions" (NCT00280150)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Overall Study | 0 |
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Overall Response Rate and Survival Profile
The overall response rate (ORR) to the two cycles of induction therapy plus bevacizumab in stage IIIA/B NSCLC. ORR is the portion of patients with a tumor size reduction for a minimum time period. Response duration is measured from the time of initial response until documented tumor progression. (NCT00280150)
Timeframe: 5 years
Intervention | percentage of participants (Number) |
---|
Overall Study | 39 |
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Therapeutic Response, Evaluated by Computed Tomography (CT) Scans of Chest & Abdomen.
(NCT00281021)
Timeframe: Measured every 6 weeks after baseline until disease progression, an average of 3 months
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Erlotinib and Digoxin | 1 | 9 | 14 |
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Toxicity
Assessments for treatment toxicity will be done with each cycle according to CTCAE v3. Results listed here are grade >=3, treatment related hematologic events (all) and Grade>=3 treatment related non hematologic events that occurred in >=5% of patients in any arm. Adverse events (toxicities) are graded on a 5 point scale from 1 (mild) to 5 (lethal), with grades 3 and higher being severe or life threatening. (NCT00283244)
Timeframe: After each cycle/3 weeks, up to 3 years
Intervention | participants (Number) |
---|
| Anemia (Grade>=3; treatment related) | Neutropenia (Grade>=3; treatment related) | Thrombocyopenia (Grade>=3; treatment related) | Dehydration (Grade>=3; treatment related) | Diarrhea (Grade>=3; treatment related) | Dyspnea (Grade>=3; treatment related) | Fatigue (Grade>=3; treatment related) | Rash (Grade>=3; treatment related) |
---|
Arm A (Gemcitabine) | 1 | 4 | 3 | 0 | 0 | 2 | 4 | 1 |
,Arm B (Erlotinib) | 0 | 1 | 1 | 3 | 3 | 0 | 1 | 2 |
,Arm C (Gemcitabine + Erlotinib) | 4 | 1 | 2 | 2 | 3 | 3 | 5 | 3 |
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Quality of Life (QOL)- Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Trial Outcome Index-L (TOI-L)
"The FACT-L is the FACT-G and a lung cancer specific (LCS) subscale given at baseline, after each cycle and at end of treatment. The FACT-G is a 27 item measure of general QOL assessing function in 4 domains: physical well-being (PWB), social-family well-being (SFWB), emotional well-being (EWB) and functional well-being (FWB). Items are rated by patients on a Likert scale from 0 to 4. Higher scores represent better QOL. The TOI-L sums the PWB, FWB, and LCS subscale scores.~A best response for TOI-L scores is based on change from baseline and coded as:~a change >=+6 improved, <= -6 worsened and otherwise no change.~A best overall score response is coded as:~Improved (2 visit resp. of improved a min. of 28 days apart w/ no interim worsened) No change (not improved; 2 visit resp. of no change or improved a min. of 28 days apart w/ no interim worsened) Worsened (not improved or no change; 2 consecutive worsened) Other (none of the above)" (NCT00283244)
Timeframe: After each cycle/3 weeks
Intervention | participants (Number) |
---|
| Improved | No change | Worsened | Other |
---|
Arm A (Gemcitabine) | 5 | 12 | 11 | 16 |
,Arm B (Erlotinib) | 6 | 9 | 12 | 24 |
,Arm C (Gemcitabine + Erlotinib) | 7 | 9 | 9 | 26 |
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Response Rate
The best overall response (BOR) is the best response recorded from the start of the treatment until disease progression-recurrence (taking as reference for progressive disease the smallest measurement recorded since the treatment started. The response rate was defined as the percentage of patients achieving a BOR of complete response or partial response. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00283244)
Timeframe: Six months
Intervention | percentage of participants (Number) |
---|
Arm A (Gemcitabine) | 7 |
Arm B (Erlotinib) | 0 |
Arm C (Gemcitabine + Erlotinib) | 21 |
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Progression-free Survival
We would consider the combination of gemcitabine plus erlotinib or single agent erlotinib to be worthy of further study if there was an increased progressed-free survival. We would use an increase to 45% progression-free survival at 6 months as significant. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00283244)
Timeframe: Six months
Intervention | months (Median) |
---|
Arm A (Gemcitabine) | 3.7 |
Arm B (Erlotinib) | 2.8 |
Arm C (Gemcitabine + Erlotinib) | 4.1 |
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Overall Survival
Survival calculated from start of treatment to death from any cause for up to three years. (NCT00283244)
Timeframe: Up to 3 years
Intervention | Months (Median) |
---|
Arm A (Gemcitabine) | 6.8 |
Arm B (Erlotinib) | 5.8 |
Arm C (Gemcitabine + Erlotinib) | 5.6 |
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Number of Participants Who Remained Free of Progression at the 27th Week.
(NCT00287222)
Timeframe: 27 weeks
Intervention | participants (Number) |
---|
Bevacizumab and Erlotinib | 21 |
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Overall Response Rate
Percentage of patients who experienced complete or partial response as defined by RECIST (NCT00287989)
Timeframe: after 6 cycles of chemotherapy
Intervention | percentage of participants (Number) |
---|
150 PRE | 18 |
1,500 PRE | 34 |
1,500 POST | 28 |
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Time to Progression
Median number of months until disease progression (NCT00287989)
Timeframe: after cycle 6 of chemotherapy
Intervention | months (Median) |
---|
150 PRE | 4 |
1,500 PRE | 4 |
1,500 POST | 5 |
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Progression-free Survival
Median time until disease progression. Disease progression defined as radiological and/or symptomatic disease progression or death in absence of progression. (NCT00294762)
Timeframe: Until time of disease progression, as assessed every 21 days (maximum 28.8 months)
Intervention | months (Median) |
---|
Erlotinib | 2.69 |
Erlotinib + Chemotherapy (Intercalated) | 4.57 |
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Overall Survival at 12 Months
Percentage of patients alive after 12 months of study treatment (NCT00294762)
Timeframe: 12 months from 1st dose
Intervention | Percent of Patients (Number) |
---|
Erlotinib | 58.6 |
Erlotinib + Chemotherapy (Intercalated) | 46.4 |
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6-month Progression-free Survival
Percentage of patients who's disease had not progressed at 6 months. Disease progression defined as radiological and/or symptomatic disease progression or death in absence of progression. (NCT00294762)
Timeframe: 6 months after first dose
Intervention | Percentage of Patients (Number) |
---|
Erlotinib | 30.7 |
Erlotinib + Chemotherapy (Intercalated) | 26.4 |
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Duration of Tumor Response
Median length of time that tumor showed any type of response, ie, CR, PR, or SD (NCT00294762)
Timeframe: While receiving study treatment; assessed every 21 days until progression (maximum 28.8 months).
Intervention | Months (Median) |
---|
Erlotinib | 6.4 |
Erlotinib + Chemotherapy (Intercalated) | 4.1 |
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Overall Survival
Median number of months from first study treatment until time of death (NCT00294762)
Timeframe: From first study treatment until time of death (maximum 29.0 months)
Intervention | Months (Median) |
---|
Erlotinib | 16.72 |
Erlotinib + Chemotherapy (Intercalated) | 11.43 |
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Best Tumor Response
Change in size of tumor: Complete Response (CR) = no measurable tumor; Partial Response (PR) = 30% decrease in size of measurable tumor; Stable Disease (SD) = measurable tumor size has not changed; Progressive Disease (PD) = measurable tumor larger than at baseline (NCT00294762)
Timeframe: While receiving study treatment; assessed every 21 days until progression (maximum 28.8 months)
Intervention | Percent of Patients (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Unable to Determine/Not Evaluable |
---|
Erlotinib | 0 | 11.6 | 34.8 | 46.4 | 7.2 |
,Erlotinib + Chemotherapy (Intercalated) | 0 | 22.4 | 49.3 | 17.9 | 10.4 |
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Safety of Twice a Day Oral 150 mg Erlotinib Dosing
Greater than or equal to Grade 2 Adverse Event (NCT00301418)
Timeframe: duration of the trial
Intervention | participants (Number) |
---|
Tarceva (Erlotinib) | 9 |
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Overall Survival (OS)
(NCT00301418)
Timeframe: Duration of the trial
Intervention | days (Median) |
---|
Tarceva (Erlotinib) | 167 |
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6-month Progression Free Survival (PFS)
(NCT00301418)
Timeframe: Duration of the trial
Intervention | days (Median) |
---|
Tarceva (Erlotinib) | 56 |
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Survival Post Treatment
Overall Survival with a minimum follow up of 1year. Relapse/Persistent Disease Rates (NCT00304278)
Timeframe: 22 months
Intervention | participants (Number) |
---|
RADPLAT and Tarceva | 12 |
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Summary of Grade 3 or Greater Toxicity
"Summary of grade 3 or greater toxicity by grade and type. All adverse events were evaluated using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.~Grade 3: Severe or medically significant but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living.~Grade 4 Life-threatening consequences; urgent intervention indicated." (NCT00307736)
Timeframe: 3 years
Intervention | participants (Number) |
---|
| Lymphopenia | Diarrhea w/o prior colostomy | Hypophosphatemia | Rash: acne/acneiform | ALT-SGPT | AST-SGOT | Cardiac-ischemia | Colitis | Dehydration | Fatigue | Febrile neutropenia | Hypertension | Hyperuricemia | Hypokalemia | Hyponatremia | Muco/stomatitis (symptom) oral cavity | Muco/stomatitis by exam-oral cavity | Proteinuria | Radiation dermatitis | Rash/desquamation | Rectum-pain |
---|
Grade 3 | 16 | 6 | 3 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
,Grade 4 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Maximum Tolerated Dose (MTD) of Erlotinib When Administered in Combination With 5-fluorouracil (5-FU), Bevacizumab, and External Beam Radiation Therapy
MTD of Erlotinib was determined using a traditional 3 + 3 dose escalation scheme of three dose levels (50,100,150mg). Successive cohorts of 3-6 patients were enrolled into dose escalation cohorts for 14 day cycles. MTD reflects the highest dose of Erlotinib that had ≤1 out of 6 patients with Dose-Limiting Toxicity (DLT) at the highest dose level below the maximally administered dose. The maximally administered dose is the first dose that causes DLT in >33% of patients. DLT was defined as: Any grade 4 neutropenia, Any grade 3 thrombocytopenia, or Any ≥ grade 3 non-hematologic toxicity that results in greater than 7 days interruption in therapy. (NCT00307736)
Timeframe: 3 years
Intervention | mg (Number) |
---|
5-FU, Bevacizumab, Erlotinib and Radiation | 100 |
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Pathologic Complete Response
The number of subjects who achieved a pathologic complete response as determine by pathologist, following completion of the study therapy. Pathologic complete response represents the absence of residual invasive disease in the rectum and in the regional lymph nodes. (NCT00307736)
Timeframe: 3 years
Intervention | Participants (Count of Participants) |
---|
Completed Study Therapy | 9 |
Underwent Resection | 10 |
Treated at MTD | 7 |
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Percentage of Participants With Disease-free Survival
Summary of disease free survival at 1, 2, and 3 years. Disease free survival is the length of time after primary treatment for cancer ends that the participant survives without any clinical signs or symptoms of that cancer. The data is shown of the percentage of participants still in disease free survival at one, two, and three years. (NCT00307736)
Timeframe: 1, 2, 3 years
Intervention | percentage of participants (Number) |
---|
| 1 Year | 2 Years | 3 Years |
---|
5-fluorocuracil, Bevacizumab, Erlotinib and Radiation | 93.4 | 83.4 | 75.5 |
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Post-operative Complications After Resection of Rectal Cancers Following Preoperative 5-FU, Bevacizumab, Erlotinib, and External Beam Radiation Therapy.
Surgical morbidity following R0 resection with one of the following procedures: abdominal perineal resection, low anterior resection, and low anterior resection with coloanal anastomosis. (NCT00307736)
Timeframe: 3 years
Intervention | participants (Number) |
---|
| anastomotic leaks | intra-abdominal infection | wound infections | pulmonary embolus | small bowel obstruction | urinary obstruction/retention | fever |
---|
Surgery, 5-fluorocuracil, Bevacizumab, Erlotinib and Radiation | 4 | 2 | 2 | 1 | 1 | 5 | 1 |
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Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Quality of life (QOL) was assessed before chemoradiation therapy (CRT) was started or during the first week of its administration [baseline (BL)], between completion of CRT and starting maintenance chemotherapy [time 1 (t1)], and within 3 months after completion of maintenance chemotherapy [time 2 (t2)]. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) assesses quality of life on three domains: symptoms (score ranges from 7-14); function (score range 21-82); and global health status (score range 2-14). Higher or increasing scores mean worse outcomes; lower or decreasing scores mean better outcomes. (NCT00313560)
Timeframe: Up to 3 months after completion of maintenance chemotherapy
Intervention | score on a scale (Mean) |
---|
| Global (Time 1 vs. BL) | Global (Time 2 vs. BL) | Global (Time 2 vs. Time 1) | Functional (F) - Physical (Time 1 vs. BL) | F - Physical (Time 2 vs. BL) | F - Physical (Time 2 vs. Time 1) | F - Role (Time 1 vs. BL) | F - Role (Time 2 vs. BL) | F - Role (Time 2 vs. Time 1) | F - Cognition (Time 1 vs. BL) | F - Cognition (Time 2 vs. BL) | F - Cognition (Time 2 vs. Time 1) | F - Emotional (Time 1 vs. BL) | F - Emotional (Time 2 vs. BL) | F - Emotional (Time 2 vs. Time 1) | F - Social (Time 1 vs. BL) | F - Social (Time 2 vs. BL) | F - Social (Time 2 vs. Time 1) | Financial (Time 1 vs. BL) | Financial (Time 2 vs. BL) | Financial (Time 2 vs. Time 1) | General Symptoms (GS) - Fatigue (Time 1 vs. BL) | GS - Fatigue (Time 2 vs. BL) | GS - Fatigue (Time 2 vs. Time 1) | GS - Nausea/Vomiting (Time 1 vs. BL) | GS - Nausea/Vomiting (Time 2 vs. BL) | GS - Nausea/Vomiting (Time 2 vs. Time 1) | GS - Pain (Time 1 vs. BL) | GS - Pain (Time 2 vs. BL) | GS - Pain (Time 2 vs. Time 1) | GS - Dyspnea (Time 1 vs. BL) | GS - Dyspnea Time 2 vs. BL) | GS - Dyspnea (Time 2 vs. Time 1) | GS - Insomnia (Time 1 vs. BL) | GS - Insomnia (Time 2 vs. BL) | GS - Insomnia (Time 2 vs. Time 1) | GS - Appetite Loss (Time 1 vs. BL) | GS - Appetite Loss (Time 2 vs. BL) | GS - Appetite Loss (Time 2 vs. Time 1) | GS - Constipation (Time 1 vs. BL) | GS - Constipation (Time 2 vs. BL) | GS - Constipation (Time 2 vs. Time 1) | GS - Diarrhea (Time 1 vs. BL) | GS - Diarrhea (Time 2 vs. BL) | GS - Diarrhea (Time 2 vs. Time 1) |
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Erlotinib and EBRT After Pancreatectomy | 1 | -1.8 | 4.6 | 0.5 | -3.2 | -6.2 | -3.1 | -0.3 | -4.4 | -2.6 | 1.2 | -1.2 | -0.4 | 2.2 | -0.6 | 3.9 | 4.4 | -3.8 | 1.7 | 2.5 | 0 | 5.7 | 5.2 | 1.7 | 2.5 | 0 | 1.9 | 2.7 | 7.2 | 5 | 1.7 | 3.8 | 1.2 | -2.5 | 0 | 2.5 | -2.5 | -15 | -5 | -4.2 | -2.5 | 0 | 14.7 | 8.8 | -6.2 |
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Change in QoL as Assessed by QLQ-PAN 26
Quality of life (QOL) was assessed before CRT was started or during the first week of its administration (baseline [BL]), between completion of CRT and starting maintenance chemotherapy (time 1 [t1]), and within 3 months after completion of maintenance chemotherapy (time 2 [t2]). QLQ-PAN 26 questionnaire includes 26 questions, organized into 7 scales, with scores for each ranging from 0-100. Higher scores indicate worse health state. Therefore, decreasing (negative) scores indicate a better outcome. (NCT00313560)
Timeframe: 3 months
Intervention | score on a scale (Mean) |
---|
| Pancreatic Pain (t1 vs. BL) | Pancreatic Pain (t2 vs. BL) | Pancreatic Pain (t2 vs. t1) | Digestive (t1 vs. BL) | Digestive (t2 vs. BL) | Digestive (t2 vs. t1) | Altered Bowel Habits (t1 vs. BL) | Altered Bowel Habits (t2 vs. BL) | Altered Bowel Habits (t2 vs. t1) | Jaundice (t1 vs. BL) | Jaundice (t2 vs. BL) | Jaundice (t2 vs. t1) | Body Image (t1 vs. BL) | Body Image (t2 vs. BL) | Body Image (t2 vs. t1) | Satisfaction with healthcare (t1 vs. BL) | Satisfaction with health care (t2 vs. BL) | Satisfaction with health care (t2 vs. t1) | Sexual function (t1 vs. BL) | Sexual function (t2 vs. BL) | Sexual function (t2 vs. t1) |
---|
Erlotinib and EBRT After Pancreatectomy | -1.9 | -3.8 | 2.4 | -0.9 | -4.6 | -1.4 | 14.7 | 7.2 | -4.9 | -1.3 | -2 | 0 | -6.2 | -3.1 | -0.7 | 4.1 | 3.1 | 0 | -0.5 | 14.7 | 14.1 |
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Recurrence Free Survival
Time from surgery to recurrence (NCT00313560)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Erlotinib and EBRT After Pancreatectomy | 15.6 |
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Number of Participants Experiencing Adverse Events
Number of participants experiencing adverse events during chemoradiation and during adjuvant chemotherapy, Grade 2 or higher, as defined by National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0. This is used to determine the Toxicity profile. (NCT00313560)
Timeframe: up to 3 years
Intervention | Participants (Count of Participants) |
---|
| Grade 2 | Grade 3 | Grade 4 |
---|
Adjuvant Gemcitabine Plus Erlotinib | 15 | 14 | 3 |
,Chemoradiation Plus Erlotinib | 24 | 15 | 1 |
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Clinical Outcome: Documented Progression
Response evaluation was based on pathologic examination of the degree of dysplasia observed and recorded by an expert head and neck pathologist. Pathologic complete response was defined as complete disappearance of dysplasia from the epithelium. Pathologic partial response was defined as improvement of dysplasia by at least one degree (i.e., severe dysplasia becomes moderate dysplasia). Pathologic minor response or stable disease was defined as minor focal improvement without change of degree of dysplasia (i.e., focal improvement from moderate to mild dysplasia with still moderate dysplasia overall) or no pathologic changes after treatment. Pathologic progressive disease was defined as worsening by at least one degree of dysplasia (i.e., mild to moderate dysplasia) or development of invasive cancer on or following treatment. (NCT00314262)
Timeframe: 12 months from time of enrollment
Intervention | participants (Number) |
---|
| Complete remission (CR) | Partial remission (PR) | Progressive disease (PD) | Stable disease (SDi) |
---|
Erlotinib & Celecoxib | 3 | 1 | 1 | 2 |
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Dose Escalation and Toxicity: Toxicities Including Grades 1 to 4
Participants received a fixed dose of celecoxib 400 mg orally BID continuously for 6 months. Erlotinib was dose escalated at 3 dose levels of 50, 75, and 100 mg orally every day for 6 months. Dose escalation followed a standard 3+3 escalation design. (NCT00314262)
Timeframe: 12 months from time of enrollment
Intervention | participants (Number) |
---|
| Abdominal cramping, Grade 1 | Alopecia, Grade 1 | Anemia, Grade 1 | Anemia, Grade 2 | Anxiety, Grade 1 | Decreased protein, Grade 1 | Leukopenia, Grade 1 | Leukopenia, Grade 2 | Depression, Grade 1 | Diarrhea, Grade 1 | Dry eyes, Grade 1 | Dry skin, Grade 1 | Elevated LDH, Grade 1 | Elevated serum creatinine, Grade 1 | Elevated serum creatinine, Grade 2 | Elevated alkaline phosphatase, Grade 1 | Elevated ALT, Grade 1 | Elevated AST, Grade 4 | Fatigue, Grade 1 | Hyperbilirubinemia, Grade 1 | Hypercholesterolemia, Grade 1 | Hyperglycemia, Grade 1 | Hyperglycemia, Grade 2 | Hypoalbuminemia, Grade 1 | Hypoalbuminemia, Grade 2 | Hypocalcemia, Grade 1 | Hypoglycemia, Grade 1 | Hypoglycemia, Grade 2 | Hypokalemia, Grade 1 | Hyponatremia, Grade 1 | Mouth sores, Grade 1 | Mouth sores, Grade 2 | Mucositis, Grade 1 | Mucositis, Grade 3 | Nausea, Grade 1 | Neuropathy, Grade 1 | Pruritis, Grade 1 | Rash, Grade 1 | Rash, Grade 3 | Shortness of breath, Grade 1 | Strep throat, Grade 2 | Urosepsis, Grade 3 | Vomiting, Grade 1 |
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Erlotinib & Celecoxib | 2 | 2 | 2 | 1 | 2 | 2 | 1 | 1 | 3 | 5 | 4 | 6 | 3 | 4 | 1 | 3 | 5 | 4 | 6 | 2 | 2 | 7 | 2 | 3 | 1 | 4 | 1 | 1 | 2 | 3 | 9 | 3 | 3 | 1 | 4 | 3 | 2 | 8 | 2 | 3 | 1 | 1 | 2 |
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Clinical Outcome: Progression to a Higher-grade Dysplasia or Carcinoma
Response evaluation was based on pathologic examination of the degree of dysplasia observed and recorded by an expert head and neck pathologist. Pathologic complete response was defined as complete disappearance of dysplasia from the epithelium. Pathologic partial response was defined as improvement of dysplasia by at least one degree (i.e., severe dysplasia becomes moderate dysplasia). Pathologic minor response or stable disease was defined as minor focal improvement without change of degree of dysplasia (i.e., focal improvement from moderate to mild dysplasia with still moderate dysplasia overall) or no pathologic changes after treatment. Pathologic progressive disease was defined as worsening by at least one degree of dysplasia (i.e., mild to moderate dysplasia) or development of invasive cancer on or following treatment. (NCT00314262)
Timeframe: Up to 55 months from initiation of therapy. Median duration of follow-up was 36 months.
Intervention | participants (Number) |
---|
| Stage I invasive carcinoma | Stage II oral cavity carcinoma | Invasive squamous cell carcinoma | Recurrent moderate dysplasia | Recurrent severe dysplasia | Recurrent high-grade dysplasia | Complete remission |
---|
Erlotinib & Celecoxib | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Plasma Time Curve (AUC) of Group 2 Sorafenib and Temsirolimus (Phase I)
"Day 1 = 12 patients (1 sample not evaluable) Day 15 = 5 patients (8 samples not evaluable)~AUC - Area Under Curve~8 samples collected over 24 hours - 28 day PKs" (NCT00335764)
Timeframe: Cycle 1 (D1, D15, D28) (0,1,2,4,6,8,12,24hr post drug administration)
Intervention | mcg*hr/mL (Mean) |
---|
| AUC 0-12 Day 1 | AUC 0-12 Day 15 | AUC 0-12 Day 28 |
---|
Group 2 Phase I Sorafenib 200mg | NA | 35.45 | 29.0 |
,Group 2 Phase I Sorafenib 400mg | NA | 42.32 | 32.98 |
,Group 2 Phase I Temsirolimus 25mg QW | 1.53 | 1.35 | NA |
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Pharmacokinetic Max Concentration (Cmax) of Group 2 Sorafenib and Temsirolimus (Phase I)
Group 2: 13 patients received temsirolimus 25mg IV and 7 patients treated with 200mg Sorafenib and 6 patients treated with 400mg Sorafenib (NCT00335764)
Timeframe: cycle 1 ((Day1, Day15, Day28)
Intervention | ng/mL (Mean) |
---|
| Day 1 Cmax | Day 15 Cmax | Day 28 Cmax |
---|
Group 2 Phase I Sorafenib 200mg BID | NA | 4.04 | 3.26 |
,Group 2 Phase I Sorafenib 400mg BID | NA | 7.49 | 6.24 |
,Group 2 Phase I Temsirolimus 25mg QW | 530 | 616 | NA |
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Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg QD (Level -1)
"Group 3: PKs for Dose level -1 100mg QD~Note that although 9 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference" (NCT00335764)
Timeframe: Cycle 1 (D1, D15, D28) (0,1,2,4,6,8,12,24hr post drug administration)
Intervention | ng*hr/mL (Mean) |
---|
| AUC 0-12 Day 1 | AUC 0-12 Day 15 | AUC 0-12 Day 28 |
---|
Group 3 Phase I Sorafenib 200mg BID | NA | 30.59 | 41.43 |
,Group 3 Phase I Tipifarnib 100mg QD | 814.5 | 706 | NA |
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Pharmacokinetic Cpmax Group 3 Sorafenib and Tipifarnib (Phase I) 100 mg QD (Level -1)
Group 3: Only PKs for Dose level 1 and -1 were collected. (NCT00335764)
Timeframe: Cycle 1 = 28 day PKs D1, D15,D28 (0,1,2,4,6,8,12,24hr post drug administration)
Intervention | ng/mL (Mean) |
---|
| Cmax Day 1 | Cmax Day 15 | Cmax Day 28 |
---|
Group 3 Phase I Sorafenib 200mg BID | NA | 3.34 | 3.43 |
,Group 3 Phase I Tipifarnib 100mg QD | 209.5 | 169.5 | NA |
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Plasma Time Curve (AUC) of Group 3 Phase I Sorafenib and Tipifarnib 100mg BID (Level 1)
Group 3: PKs for Dose level 1 Tipifarnib 100mg BID (NCT00335764)
Timeframe: Cycle 1 = 28 day PKs D1, D15,D28 (0,1,2,4,6,8,12,24hr post drug administration)
Intervention | ng*hr/mL (Mean) |
---|
| AUC 0-12 Day 1 | AUC 0-12 Day 15 | AUC 0-12 Day 28 |
---|
Group 3 Phase I Sorefenib 200mg BID | NA | 12.17 | 36.45 |
,Group 3 Phase I Tipifarnib 100mg QD | 631.67 | 390.25 | NA |
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Trough Concentration Group 2 Sorafenib and Temsirolimus (Phase I)
Group 2: 12 patients were analyzed for Day 1 (1 patient not evaluable), 5 patients were analyzed for Day 15 (8 patients not evaluable) (NCT00335764)
Timeframe: 15 days
Intervention | ng/mL (Mean) |
---|
| Trough Day 1 | Trough Day 15 |
---|
Group 2 Phase I Sorafenib and Temsirolimus QW | 24 | 20 |
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Pharmacokinetic cMax Group 1 Sorafenib and Erlotinib (Phase I)
"8 samples collected over 24 hours on Day 1, day 15 and day 28~13 total patients treated 100mg Erlotinib and either 200mg or 400mg of Sorafenib" (NCT00335764)
Timeframe: 28days (D1, D15, D28) (0,1,2,4,6,8,12,24hr post administration)
Intervention | ng/mL (Mean) |
---|
| cMax Day 1 | cMax Day 15 | cMax Day 28 |
---|
Group 1 Phase I Erlotinib 100mg QD | 443 | 662 | 653 |
,Group 1 Phase I Sorafenib 200mg BID | NA | 5.51 | 4.67 |
,Group 1 Phase I Sorafenib 400mg BID | NA | 8.4 | 4.10 |
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Pharmacokinetic AUC 0-12 Group 1 Sorafenib and Erlotinib (Phase I)
"8 samples collected over 24 hours on Day 1, day 15 and day 28~16 patients Note that although 16 patients were accrued/analyzed some samples were incomplete or inevaluable or missing hence number analyzed difference AUC - Area Under Curve" (NCT00335764)
Timeframe: 28Days (D1, D15, D28) (0,1,2,4,6,8,12,24hr post administration) AUC 0-12
Intervention | ug xhr/mL (Mean) |
---|
| AUC0-12 Day1 | AUC0-12 Day 15 | AUC0-12 Day 28 |
---|
Group 1 Phase I Erlotinib 100mg QD | 6.3 | 6.9 | 7.7 |
,Group 1 Phase I Sorafenib 200mg | NA | 45.85 | 40.29 |
,Group 1 Phase I Sorafenib 400mg | NA | 62.4 | 38.7 |
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Pharmacokinetic CpMax Concentration of Group 3 Sorafenib and Tipifarnib (Phase I) 100mg BID
"Group 3: patients were studied for their day 1 Cmax, and day 15 Cmax Tipifanib and Day 15 and Day 28 sorafenib~Group 3: Only PKs for Dose level 1 and -1 were collected." (NCT00335764)
Timeframe: Cycle 1 = 28 day PKs D1, D15,D28 (0,1,2,4,6,8,12,24hr post drug administration)
Intervention | ng/mL (Mean) |
---|
| Day 1 Cmax | Day 15 Cmax | Day 28 Cmax |
---|
Group 3 Phase I Sorafenib 200mg BID | NA | 4.17 | 4.53 |
,Group 3 Phase I Tipifarnib 100mg BID | 132.17 | 233.60 | NA |
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Objective Response Rate in Patients With Measurable Disease (Phase II)
"Measurable: Bidimensionally measurable lesions w/ clearly defined margins by MRI Evaluable: Unidimensionally measurable lesions, masses w/margins not clearly defined.~Complete Response (CR): Complete disappearance of all measurable/evaluable disease. No new lesions. No evidence of non-evaluable disease. Patients on minimal/no steroids.~Partial Response (PR): >/= to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. Responders must be on same/decreasing doses of dexamethasone.~Stable/No Response: Does not qualify for CR, PR, or progression. Progression: 25% increase in the sum of products of all measurable lesions over smallest sum observed (over BL if no decrease), OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer)." (NCT00335764)
Timeframe: Up to 5 years
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Complete Response | Stable Response | Progressive Disease | Unevaluable |
---|
Group 1 Phase II Sorafenib and Erlotinib | 0 | 0 | 7 | 10 | 2 |
,Group 2 Phase II Sorafenib and Temsirolimus | 2 | 0 | 3 | 13 | 0 |
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Progression-free Survival at 6 Months (Phase II)
Patients with a scan at 6 months without progressive disease Progressive disease defined as Progressive neurological abnormalities not explained by other causes or greater than 25% increase in size of tumor or if new lesion. (NCT00335764)
Timeframe: 6 months
Intervention | weeks (Mean) |
---|
Group 1 Phase II Sorafenib and Erlotinib | 15.8 |
Group 2 Phase II Sorafenib and Temsirolimus | 8 |
Group 3 Phase I Sorafenib and Tipifarnib BID | 4.2 |
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Maximum Tolerated Dose (MTD) of the Each Combination Agent Combined With a Fixed Dose of BAY 43-9006 Determined by Dose-limiting Toxicities (DLT) (Phase I)
DLT defined as: any grade 4 hematologic toxicity; grade 3 thrombocytopenia > 7 days, any grade 3/4 non-hematologic toxicity (despite maximal medical therapy), any intolerable grade 2 non-hematological, ro grade 3 hematological toxicity requiring deduction during first 28 days of treatment, any toxicity resulting in delay of >1week during first 28 days of treatment (NCT00335764)
Timeframe: 28 days
Intervention | mg (Number) |
---|
Group 1 Phase I Sorafenib and Erlotinib QD | 100 |
Group 2 Phase I Sorafenib and Temsirolimus QW | 25 |
Group 3 Phase I Sorafenib and Tipifarnib BID | NA |
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1-year Recurrence Free Survival (RFS)
(NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 56 |
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2-year Recurrence Free Survival (RFS)
(NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 26 |
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KRAS Mutational Status
KRAS mutation status in resected tumor specimens. (NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 92 |
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Recurrence Free Survival (RFS)
The time interval between day 1, cycle 1, of adjuvant treatment to the first date of radiologic recurrence or death. (NCT00336700)
Timeframe: Up to 60 months
Intervention | months (Median) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 14 |
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Estimated 1&2 Year Overall Survival (OS)
Time from from date of first study therapy to to death from any cause. (NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
| Estimated 1-year OS | Estimated 2-year OS |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 84 | 53 |
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Percentage of Participants With Expression of Epidermal Growth Factor Receptor (EGFR)
Percentage of participants with expression of epidermal growth factor receptor (EGFR) expression in the resected tumors was assessed by fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC). (NCT00336700)
Timeframe: Up to 60 months
Intervention | percentage of participants (Number) |
---|
| EGFR FISH - Negative | EGFR FISH - Positive | EGFR IHC - 1+ (incomplete circumferential) | 2+ (complete circumferential) | 3+ (complete strong circumferential) |
---|
Gemcitabine (900-1500 mg/m^2) + Erlotinib (50-150 mg Daily) | 80 | 20 | 22 | 35 | 43 |
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Number of Participants With Grade 3 and Grade 4 Adverse Events
By Safety, the intent was to capture, tabulate, list all of the grade 3 and 4 adverse effects seen by this protocol. For each toxicity, we followed the Common Toxicity Criteria(NCI CTC)Version 2.0 Toxicity scale guidelines. (NCT00351039)
Timeframe: 26 Months
Intervention | Participants (Number) |
---|
Experimental: Bevacizumab, Erlotinib, Pemetrexed | 8 |
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Progression-free Survival
Time to progression was defined as the time from beginning of therapy until disease progression or death. For subjects who had not progressed at the time of statistical analysis, progression-free survival was censored at the date of their last tumor assessment. Kaplan-Meier method was used to estimate median progression-free survival. Progression was defined as radiographic progression according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria (year 2000 version), non-compliance in obtaining scans, unequivocal clinical progression or the initiation of another medication for the treatment of renal cell carcinoma. (NCT00353301)
Timeframe: Physical exam assessments were performed every 4 weeks during the treatment phase. Survival follow-up information was collected every 4 months following the termination visit until death, loss to follow-up, or study termination up to 275 weeks.
Intervention | Weeks (Median) |
---|
Erlotinib and Sirolimus | 12 |
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Overall Survival
For all subjects who had not died at the time of statistical analysis, duration of survival will was censored at the date of last contact. Kaplan-Meier methodology was used to estimate the magnitude of the treatment effect as described for progression-free survival. (NCT00353301)
Timeframe: Survival follow-up information was collected every 4 months following the termination visit until death, loss to follow-up, or study termination up to 275 weeks.
Intervention | Weeks (Median) |
---|
Erlotinib and Sirolimus | 40 |
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Time to Disease Progression
Estimated using the method of Kaplan-Meier (1958). (NCT00356889)
Timeframe: From registration to documentation of disease progression, assessed up to 3 years
Intervention | months (Median) |
---|
Bevacizumab and Erlotinib Hydrochloride | 4.4 |
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Survival Time
Estimated using the method of Kaplan-Meier (1958). (NCT00356889)
Timeframe: From registration to death due to any cause, assessed up to 3 years
Intervention | months (Median) |
---|
Bevacizumab and Erlotinib Hydrochloride | 9.9 |
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Duration of Response
Point estimates and 95% confidence intervals were calculated using the method of Duffy and Santner (1987). (NCT00356889)
Timeframe: From the date at which the patient's objective status is first noted to be either a CR or PR to the date progression is documented, assessed up to 3 years
Intervention | months (Median) |
---|
Bevacizumab and Erlotinib Hydrochloride | 8.4 |
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Number of Confirmed Tumor Responses.
"Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the target lesions.~A confirmed tumor response is defined to be either a Complete Response or a Partial Response noted as the objective status on 2 consecutive evaluations at least 4 weeks apart. Confirmed tumor responses will be evaluated using the first 6 cycles of treatment. All patients meeting the eligibility criteria who have signed a consent form and have begun treatment and had one post-baseline disease assessment will be evaluable for response. Forty-nine of the 53 eligible patients had at least one post-baseline disease assessment and were evaluable for this endpoint." (NCT00356889)
Timeframe: After 6 courses of treatment. Each course lasts 28 days.
Intervention | participants (Number) |
---|
| Partial Response (PR) | Complete Response (CR) |
---|
Bevacizumab and Erlotinib Hydrochloride | 6 | 0 |
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Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
(NCT00360360)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab/Paclitaxel/Carboplatin/Erlotinib | 12.6 |
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Progression-free Survival
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00360360)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab/Paclitaxel/Carboplatin/Erlotinib | 8 |
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Progression-Free Survival (PFS)
"Median time (in weeks) from randomisation until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable Response Evaluation Criteria In Solid Tumors (RECIST) assessment.~Progression was derived according to RECIST 1.0 and is defined as an increase of at least 20% in the total tumour size of measurable lesions over the nadir measurement, unequivocal progression in the non-target lesions or the appearance of one or more new lesions." (NCT00364351)
Timeframe: progressionRECIST tumour assessments carried out every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed.
Intervention | Weeks (Median) |
---|
Vandetanib | 11.3 |
Erlotinib | 8.9 |
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Overall Survival (OS)
Overall survival is defined as the time from date of randomization until death. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive (ie their status must be known at the censored date and should not be lost to follow up or unknown). (NCT00364351)
Timeframe: Time to death in months
Intervention | Months (Median) |
---|
Vandetanib | 6.9 |
Erlotinib | 7.8 |
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Objective Response Rate (ORR)
The ORR is the number of patients that are responders ie those patients with a confirmed best objective response of complete response (CR) or partial response (PR) as determined according to RECIST 1.0. CR is defined as the disappearance of all target lesions with no evidence of tumour elsewhere and PR is defined as at least a 30% reduction in the total tumour size of measurable lesions with no new lesions and no progression in the non-target lesions. (NCT00364351)
Timeframe: RECIST tumour assessments every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed up to 21 months
Intervention | Participants (Number) |
---|
Vandetanib | 75 |
Erlotinib | 74 |
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Disease Control Rate (DCR)
Disease control rate is defined as the number of patients who achieved disease control at least 8 weeks following randomisation. Disease control is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) >= 8 weeks as determined according to RECIST 1.0. CR is defined as the disappearance of all target lesions with no evidence of tumour elsewhere, PR is defined as at least a 30% reduction in the total tumour size of measurable lesions with no new lesions and no progression in the non-target lesions and SD >= 8 is assigned to patients who have not responded and have no evidence of progression at least 8 weeks after randomisation. (NCT00364351)
Timeframe: RECIST tumour assessments carried out every 4 weeks until week 16 then every 8 weeks thereafter (+/- 3 days) from randomisation until objective progression
Intervention | Participants (Number) |
---|
Vandetanib | 254 |
Erlotinib | 242 |
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Time to Tumor Progression
Time to tumor progression (TTP) was defined as the time from initial therapy to the first objective documentation of tumor progression (for patients with measurable disease) or to the data of death, if death was ascribed to progression of disease. (NCT00365144)
Timeframe: from initial therapy to the first objective documentation of tumor progression
Intervention | Days (Median) |
---|
Bevacizumab Plus Erlotinib | 40 |
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Proportion of Patients With ≥ 25% Decline in Serum CA19-9 Biomarker
(NCT00365144)
Timeframe: 21 weeks
Intervention | Participants (Count of Participants) |
---|
Bevacizumab Plus Erlotinib Hydrochloride | 4 |
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Overall Survival Rate at 6 Months
Number of participants alive at 6 months (NCT00365144)
Timeframe: 6 months
Intervention | participants (Number) |
---|
Bevacizumab Plus Erlotinib | 8 |
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Objective Response as Measured by RECIST Criteria
Participants experiencing objecting response, per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00365144)
Timeframe: 21 weeks
Intervention | participants (Number) |
---|
Bevacizumab Plus Erlotinib | 1 |
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Safety and Toxicity
Treatment associated toxicities. Adverse event assessments were performed on day 1 of each treatment cycle and at the end of treatment; the longest duration of treatment was 7 cycles (x 3 weeks) (NCT00365144)
Timeframe: 21 weeks
Intervention | participants (Number) |
---|
| Rash (Grades 1-3) | Diarrhea (Grades 1-3) | Hypertension (grade 3) | Gastrointestinal Bleeding (Grades 1 & 3) | Venous thromboembolic events (Grades 2-3) | Pulmonary embolism | Pancratogastic fistula | Suspected hemorrhage into intrapulmonic metastases |
---|
Bevacizumab Plus Erlotinib | 26 | 9 | 4 | 2 | 3 | 2 | 1 | 1 |
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Survival Time
Survival time is defined as the time from registration to death due to any cause. Estimated using the method of Kaplan-Meier. (NCT00365391)
Timeframe: From registration to death due to any cause, patients are followed up to 3 years after treatment
Intervention | months (Median) |
---|
Treatment (Bevacizumab and Erlotinib) | 9.5 |
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Time to Treatment Failure
Time to treatment failure is defined to be the time from the date of randomization to the date at which the patient is removed from treatment due to progression, toxicity, or refusal. (NCT00365391)
Timeframe: From the date of randomization to the date at which the patient is removed from treatment due to progression, toxicity, or refusal.
Intervention | months (Median) |
---|
Treatment (Bevacizumab and Erlotinib) | 2.0 |
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Time to Disease Progression
Time to disease progression is defined as the time from registration to documentation of disease progression. Estimated using the method of Kaplan-Meier. (NCT00365391)
Timeframe: From registration to documentation of disease progression, up to 3 years after treatment.
Intervention | months (Median) |
---|
Treatment (Bevacizumab and Erlotinib) | 3.0 |
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Number of Patients With Confirmed Tumor Response Defined to be Either a Complete Response (CR) or Partial Response (PR).
Responses to erlotinib and bevacizumab treatment were evaluated using Response Evaluation Criteria In Solid Tumors (RECIST). A Complete Response (CR) is defined as the disappearance of all target lesions. A Partial Response (PR) is defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum of the longest diameters. (NCT00365391)
Timeframe: Patients were able to continue treatment indefinitely and were evaluated every cycle until discontinued treatment.
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) |
---|
Treatment (Bevacizumab and Erlotinib) | 0 | 1 |
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Toxicity Profile
Grade 3-4 treatment-related toxicities (treatment-related = possible, probable, or definite) Grading system: 1= mild, 2 = moderate, 3 = severe, 4 = life-threatening (NCT00366457)
Timeframe: during and after first 28-day cycle of treatment
Intervention | Participants (Count of Participants) |
---|
| Neutrophils | ALT-SGPT | Fatigue | Leukocytes | Rash: acne/acneiform | Thrombosis/thrombus/embolism | Anorexia | AST - SGOT | Hemoglobin | Lymphopenia | Nonneuropathic generalized weakness | Upper GI-hemorrhage NOS | Vascular access-Thrombosis/embolism | Vessel injury - artery - Other NOS | Weight loss |
---|
Gemcitabine, Bevacizumab and Erlotinib | 4 | 3 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Time to Tumor Progression
"Time to tumor progression (TTP) = time from date of initial treatment to first objective documentation of progressive disease or death; patients who die without a reported prior progression will be considered to have progressed on the day of their death.~Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions." (NCT00366457)
Timeframe: all patients will be followed for a minimum of 4 months
Intervention | months (Median) |
---|
Gemcitabine, Bevacizumab and Erlotinib | 3.5 |
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Overall Survival
overall survival (OS) = time from study entry until death from any cause (NCT00366457)
Timeframe: 5 years
Intervention | months (Median) |
---|
Gemcitabine, Bevacizumab and Erlotinib | 6.7 |
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Overall Survival
(NCT00367601)
Timeframe: 12 months
Intervention | months (Median) |
---|
Single Arm Assignment | 5.1 |
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Time to Progression
(NCT00367601)
Timeframe: 12 months
Intervention | months (Median) |
---|
Single Arm Assignment | 3.4 |
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To Establish Rate of Non-progressive Disease at 4 Months in Patients With Advanced NSCLC Who Have Been Designated PS2 by Their Treating Physician
(NCT00367601)
Timeframe: 4 months
Intervention | percentage of participants (Number) |
---|
Single Arm | 28 |
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Number of Patients With Recurrence at 2 Years
Rate of recurrence at 2 years. (NCT00369512)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Erlotinib | 4 |
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Toxicities Associated With Combined Radiotherapy and Erlotinib Treatments.
Number of gradeable toxicities (via CTCAE manual) experienced by patients on this protocol--number of events (NCT00369512)
Timeframe: 2 years
Intervention | number of adverse events (Number) |
---|
| Dermatitis | Radiation Dermatitis | Tarceva Dermatitis | Mucositis | Esophagitis | Nausea/Vomitting |
---|
Erlotinib | 15 | 14 | 12 | 13 | 11 | 10 |
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Overall Survival in Participants With EGFR Mutation - Positive Tumors
"Overall survival is defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive.~Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected." (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months)
Intervention | months (Median) |
---|
Erlotinib | NA |
Placebo | NA |
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Overall Survival in Participants With EGFR Mutation - Positive Tumors
"Overall survival is defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive.~Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected." (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 11 June 2014 (maximum time on follow-up was 78 months)
Intervention | months (Median) |
---|
Erlotinib | NA |
Placebo | NA |
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Overall Survival (OS)
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive. (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months).
Intervention | months (Median) |
---|
Erlotinib | NA |
Placebo | NA |
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Disease-free Survival in Participants With EGFR Mutation - Positive Tumors
Disease-free survival (DFS) is the time from the date of randomization until the first day NSCLC relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected. (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 11 June 2014 (maximum time on follow-up was 78 months).
Intervention | months (Median) |
---|
Erlotinib | 47.8 |
Placebo | 28.5 |
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Disease-free Survival in Participants With EGFR Mutation - Positive Tumors
Disease-free survival (DFS) is the time from the date of randomization until the first day NSCLC relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected. (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months).
Intervention | months (Median) |
---|
Erlotinib | 46.4 |
Placebo | 28.5 |
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Overall Survival (OS)
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive. (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 11 June 2014 (maximum time on follow-up was 78 months).
Intervention | months (Median) |
---|
Erlotinib | NA |
Placebo | NA |
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Disease Free Survival (DFS)
DFS is the time from the date of randomization until the first day that non-small cell lung cancer (NSCLC) relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cutoff date of 11 June 2014 (maximum time on follow-up was 78 months).
Intervention | months (Median) |
---|
Erlotinib | 55.0 |
Placebo | 56.2 |
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Disease Free Survival (DFS)
DFS is the time from the date of randomization until the first day non-small cell lung cancer (NSCLC) relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. (NCT00373425)
Timeframe: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months).
Intervention | months (Median) |
---|
Erlotinib | 50.5 |
Placebo | 48.2 |
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Number of Participants With Adverse Events (AEs)
"An AE was defined as any untoward medical occurrence in a study participant and did not necessarily have a causal relationship with study treatment.~An AE was considered serious if it resulted in death, a life-threatening situation, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect in the offspring of a participant, other important medical events, or is on the Astellas Always Serious List.~A drug-related AE was any AE with at least a possible relationship to study treatment as assessed by the investigator. Severity was graded by the investigator according to the National Cancer Institute Common Terminology Criteria for Adverse Events, v3.0, where Grade 1=Mild AE; Grade=2 Moderate AE; Grade 3=Severe AE; Grade 4=Life-threatening or disabling; Grade 5=Death related to AE. AEs leading to death include deaths that occurred more than 30 days after the last dose of study drug." (NCT00373425)
Timeframe: From the date of first dose of study drug until 30 days after the last dose. The median time on treatment was 11.9 months for erlotinib and 21.9 months for placebo. Data are based off the 11 June 2014 data cut-off date.
Intervention | participants (Number) |
---|
| Any adverse event (AE) | Grade 3 or higher adverse event | Serious adverse event (SAE) | AE leading to discontinuation of study drug | AE leading to death | AE leading to dose reduction | AE leading to dose interruption | AE leading to dose interruption and reduction | Drug-related AE | Drug-related serious AE | Drug-related AE leading to discontinuation |
---|
Erlotinib | 599 | 279 | 118 | 205 | 14 | 150 | 114 | 156 | 572 | 15 | 163 |
,Placebo | 307 | 96 | 79 | 29 | 5 | 9 | 23 | 5 | 181 | 5 | 8 |
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Grade 3 or Higher Toxicity Evaluation
Toxicity evaluation using NCI-CTC (Common Terminology Criteria) v.3 criteria; CBC (complete blood count) with differential white cell and platelet counts; Serum sodium, potassium, chloride, bicarbonate, AST, ALT, alkaline phosphatase, total bilirubin, blood urea nitrogen, creatinine, and albumin; Serum CA 19-9 (NCT00376948)
Timeframe: First day of each cycle
Intervention | Participants (Count of Participants) |
---|
| diarrhea | fatigue | infection | nausea | neutrophil | pain | platelet | stomach mucostis | vomiting | wbc | other toxicity |
---|
Novasoy®, Gemcitabine & Erlotinib | 3 | 5 | 1 | 7 | 4 | 5 | 1 | 1 | 4 | 2 | 4 |
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Time to Treatment Failure
Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. (NCT00376948)
Timeframe: Every 8 weeks
Intervention | months (Median) |
---|
Novasoy®, Gemcitabine & Erlotinib | 2.04 |
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Time to Progression
Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. (NCT00376948)
Timeframe: Every 8 weeks
Intervention | moths (Median) |
---|
Novasoy®, Gemcitabine & Erlotinib | 2.07 |
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Response Duration
Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. Partial response is defined as greater than or equal to 30% reduction in the sum of the longest diameteres of target lesions, taking as reference the baseline sum of the longest diameters. (NCT00376948)
Timeframe: Every 8 weeks
Intervention | days (Number) |
---|
Novasoy®, Gemcitabine & Erlotinib | 73 |
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Patients Alive
(NCT00376948)
Timeframe: at 6 months
Intervention | participants (Number) |
---|
Novasoy®, Gemcitabine & Erlotinib | 10 |
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Overall Objective Response Rate (Complete and Partial Response)
Imaging tests (CT scan, CXR [Chest X-Ray], MRI or imaging studies as clinically indicated (NCT00376948)
Timeframe: Every 8 weeks
Intervention | proportion of patients (Number) |
---|
Novasoy®, Gemcitabine & Erlotinib | 0.056 |
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Pathological Complete Response Rate
Determine the pathological complete response rate (P0 rate) after undergoing radical cystectomy (RC). Evaluated using Response Evaluation Criteria In Solid Tumors (RECIST). Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00380029)
Timeframe: 4 weeks
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 5 |
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Number of Subjects Experiencing Adverse Events
The incidence of all toxicities observed during neoadjuvant and adjuvant treatment phase.Toxicity will be graded per the Common Terminology Criteria for Adverse Events (CTCAE) 2.0. (NCT00380029)
Timeframe: 4 weeks - 2 years following surgery
Intervention | Participants (Count of Participants) |
---|
| Rash | Anorexia | Diarrea | Fatigue | Lower urinary tract symptoms | Nausea | Cough | Dry skin | Haematuria | Vagal episode | Stomatitus | Pneumonitis | Deep vein thrombosis |
---|
Adjuvant Erlotinib | 6 | 0 | 1 | 2 | 0 | 0 | 2 | 1 | 0 | 1 | 2 | 1 | 1 |
,Neoadjuvant Erlotinib | 15 | 6 | 6 | 6 | 4 | 3 | 3 | 2 | 2 | 1 | 1 | 0 | 0 |
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Overall Survival Rate
The number of patients who remained alive and with no evidence of disease at the mean (range) follow-up of 24.8 months (3.0-36.6). (NCT00380029)
Timeframe: 25 months
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 10 |
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Disease Recurrence and Progression Rates After Cystectomy
To determine disease recurrence/progression rates after cystectomy in patients treated with erlotinib (NCT00380029)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 4 |
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EGFR Activation Signal (AKT2) Expression to Predict Sensitivity to Erlotinib
Determine the effect of neoadjuvant erlotinib hydrochloride on histopathological, molecular, and genetic correlates in patients undergoing radical cystectomy for muscle-invasive bladder cancer. Gene expression of pre-treatment and post-treatment tumor samples were analyzed to define molecular determinants of response or resistance to epidermal growth factor receptor (EGFR) inhibition. Both in vitro and in vivo EGFR-associated signatures were evaluated on pre-treatment bladder tumors. Candidate molecular determinants of sensitivity to EGFR inhibition were characterized and examined for their ability to predict sensitivity to EGFR inhibitors in vitro. (NCT00380029)
Timeframe: 4 weeks before treatment and 4 weeks post treatment
Intervention | fold change (Mean) |
---|
Downstaged Tumors | -0.29 |
Not-downstaged | 0.128 |
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Time-to-progression (TTP)
Defined as the time from surgical resection to the time of recurrent disease in the primary or in metastatic sites. (NCT00385996)
Timeframe: Every 3 months for the first 6 months, then yearly for 2 years.
Intervention | Months (Median) |
---|
Erlotinib | 13.9 |
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Response Rate Defined as the Percentage of Subjects Achieving at Least 50% Tumor Volume Reduction.
High resolution CT scans for response assessment were obtained at baseline and within 1 week after completion of erlotinib treatment. Volumetric and maximum diameter (RECIST) response criteria was determined by a radiologist blinded to the sequence of treatment. Response rate (RR) is defined as the percentage of subjects achieving at least 50% tumor volume reduction. (NCT00385996)
Timeframe: High resolution CT scans for response assessment will be obtained after 3 weeks of treatment with Tarceva®.
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 1 |
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Disease-free Survival (DFS)
Defined as the time from the start of treatment to the time of recurrent disease in the primary or in metastatic sites. (NCT00385996)
Timeframe: From date of erlotinib start date until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 25 months.
Intervention | Months (Median) |
---|
Erlotinib | 22.7 |
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Duration of Progress-free Survival (PFS)
Patients with stable or responding disease will continue treatment until tumor progression is determined (NCT00387894)
Timeframe: Until first observation of progressive disease, non-reversible neurologic progression or permanently increased steroid requirement (stable disease only), death due to any cause (up to 16 weeks)
Intervention | participants (Number) |
---|
| 2 weeks PFS | 3 weeks PFS | 6 weeks PFS | 12 weeks PFS |
---|
Oral Erlotinib Hydrochloride (Tarceva) Daily on Days 1-28 | 1 | 1 | 2 | 1 |
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Disease Response Measured Objectively by MRI of Brain
Lack of disease progression indicates response to treatment (NCT00387894)
Timeframe: Every 8 weeks or as indicated
Intervention | participants (Number) |
---|
| Disease progression prior to 8 weeks | Disease responsive at 8 Weeks | Disease responsive at 16 Weeks |
---|
Oral Erlotinib Hydrochloride (Tarceva) Daily on Days 1-28 | 4 | 1 | 0 |
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Safety and Toxicity of Erlotinib Hydrochloride and Docetaxel as Measured by NCI CTC v3.0 on Day 8 of Course 1 and on Day 1 of Every Subsequent Course (Phase I [Completed as of 12/01/2004])
(NCT00390429)
Timeframe: Up to 36 months
Intervention | Participants (Count of Participants) |
---|
Phase I, Arm A (Completed) | 17 |
Phase I, Arm B (Completed) | 25 |
Phase II | 39 |
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Response Rate (Phase II)
Per Response Evaluation Criteria In Solid Tumors Criteria for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00390429)
Timeframe: Up to 36 months
Intervention | Participants (Count of Participants) |
---|
Phase II | 11 |
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Overall Survival (Phase II)
(NCT00390429)
Timeframe: Up to 65 months
Intervention | months (Median) |
---|
Phase II | 18.2 |
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Comparison of Toxicity of Two Different Schedules of Erlotinib Hydrochloride and Docetaxel (Phase I [Completed as of 12/01/2004])
(NCT00390429)
Timeframe: up to 36 months
Intervention | participants (Number) |
---|
| Neutropenia | Febrile neutropenia | Hemoglobin | Diarrhea | Fatigue | Infection (without neutropenia) | Mucositis | Nausea | Rash |
---|
Phase I, Group A (Completed) | 10 | 3 | 0 | 0 | 0 | 1 | 0 | 1 | 0 |
,Phase I, Group B (Completed) | 16 | 4 | 1 | 3 | 1 | 3 | 1 | 0 | 1 |
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Progression-free Survival (Phase II)
(NCT00390429)
Timeframe: Completion of study (up to 65 months)
Intervention | months (Median) |
---|
Phase II | 4.1 |
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Frequency and Severity of Toxicities (Phase II)
Treatment-related adverse events Grade ≥3 by NCI CTCAE 2.0. (NCT00390429)
Timeframe: Completion of study (up to 36 months)
Intervention | participants (Number) |
---|
| Neutropenia | Febrile neutropenia | Platelets | Diarrhea | Dehydration | Fatigue | Hypokalemia | Hyponatremia | Infection (without neutropenia) | Myalgias | Nausea | Ocular | Pain | Stomatitis |
---|
Phase II | 14 | 4 | 1 | 7 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Maximum Tolerated Dose of Two Different Schedules of Erlotinib Hydrochloride and Docetaxel (Phase I [Completed as of 12/01/2004])
Maximum tolerated dose (MTD) defined as the highest dose level at which no more than one patient experienced DLT when at least 6 patients were treated at that dose level and were assessable for toxicity, graded according to NCI CTCAE 2.0. (NCT00390429)
Timeframe: up to 36 months
Intervention | mg (Number) |
---|
Phase I, Group A (Completed) | 600 |
Phase I, Group B (Completed) | 200 |
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Toxicity Profile
Toxicities are assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events, version 3.0. Toxicities are reported as the number of patients who experienced grade 3 or grade 4 adverse events after receiving at least one dose of on-study treatment. (NCT00391586)
Timeframe: 28 days after last on-study treatment
Intervention | participants (Number) |
---|
| Acne | Anorexia | Confusion | Dehydration | Diarrhea | Dyspnea | Fatigue | Nasal hemorrhage | Insomnia | Kidney pain | Lymphocyte count decreased | Muscle weakness | Neutrophil count decreased | Desquamating rash | Syncope | Thrombosis (clotting) |
---|
Erlotinib Followed by Chemotherapy | 1 | 1 | 1 | 1 | 2 | 3 | 8 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 |
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Number of Participants With Toxicities According to Severity
Toxicities by Grades 1 or 2 and Grades 3 or 4 in each arm. Grade 4 = life-threatening, Grade 3 = serious, Grade 2 = moderate, Grade 1 = Mild (NCT00392665)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
| Fatigue72408051 | Fatigue72408052 | Rash72408051 | Rash72408052 | Diarrhea72408051 | Diarrhea72408052 | Hypertension72408051 | Hypertension72408052 | Oral cavity pain72408051 | Oral cavity pain72408052 | Dry skin72408051 | Dry skin72408052 | Hearing problems72408051 | Hearing problems72408052 | Dyspepsia72408052 | Dyspepsia72408051 | Dry mouth72408051 | Dry mouth72408052 | Constipation72408051 | Constipation72408052 | Anorexia72408051 | Anorexia72408052 | Dehydration72408051 | Dehydration72408052 | Dyspnea72408051 | Dyspnea72408052 | Mucositis72408051 | Mucositis72408052 | Neuropathy-sensory72408052 | Neuropathy-sensory72408051 | Hemmorrhage72408051 | Hemmorrhage72408052 | Nausea72408051 | Nausea72408052 | Vomiting72408051 | Vomiting72408052 | Insomnia72408051 | Insomnia72408052 | Pruritus72408051 | Pruritus72408052 | Hypomagnesemia72408051 | Hypomagnesemia72408052 |
---|
| Did not have | Grades 1 or 2 | Grades 3 or 4 |
---|
Erlotinib + Bevacizumab | 10 |
Erlotinib + Sulindac | 8 |
Erlotinib + Bevacizumab | 14 |
Erlotinib + Sulindac | 15 |
Erlotinib + Bevacizumab | 4 |
Erlotinib + Sulindac | 1 |
Erlotinib + Sulindac | 2 |
Erlotinib + Sulindac | 0 |
Erlotinib + Sulindac | 9 |
Erlotinib + Bevacizumab | 18 |
Erlotinib + Sulindac | 3 |
Erlotinib + Bevacizumab | 6 |
Erlotinib + Bevacizumab | 12 |
Erlotinib + Sulindac | 18 |
Erlotinib + Bevacizumab | 2 |
Erlotinib + Bevacizumab | 16 |
Erlotinib + Bevacizumab | 8 |
Erlotinib + Bevacizumab | 0 |
Erlotinib + Sulindac | 16 |
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Duration of Overall Survival
Median overall survival (OS), determined by the Kaplan-Meier method. (NCT00392665)
Timeframe: 2 years
Intervention | months (Median) |
---|
Erlotinib + Bevacizumab | 9.38 |
Erlotinib + Sulindac | 8.82 |
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Efficacy of Erlotinib Plus Bevacizumab (Arm A) or Erlotinib Plus Sulindac (Arm B) as Measured by Progression-free Survival.
The primary outcome will be measured by median progression-free survival (PFS), determined by the Kaplan-Meier method for both Arm A and Arm B. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00392665)
Timeframe: 1 year
Intervention | months (Median) |
---|
Erlotinib + Bevacizumab | 9.38 |
Erlotinib + Sulindac | 7.01 |
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Overall Response Rate (ORR)
"Overall response rate (complete plus partial response=ORR), as determined by RECIST.~Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT00392665)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Erlotinib + Bevacizumab | 11.1 |
Erlotinib + Sulindac | 11.1 |
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Overall Survival (OS)Probability, the Percentage of Patients Estimated to be Alive Two Years After Beginning Protocol Treatment
The Percentage of Patients Estimated to be Alive Two Years After Beginning Protocol Treatment (NCT00392704)
Timeframe: 24 Months
Intervention | percentage of patients (Number) |
---|
Intervention | 90 |
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Two-Year Progression Free Survival (PFS) Probability, the Percentage of Patients Estimated to be Alive Without Worsening of Their Disease Two Years After Beginning Protocol Treatment
The percentage of patients estimated to be alive 2 years after beginning protocol treatment (NCT00392704)
Timeframe: 24 months
Intervention | percentage of participants (Number) |
---|
Intervention | 83 |
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Progression-Free Survival
Progression-free survival (PFS) was defined as the interval from the date of first treatment until the date of disease progression or death, whichever occurred first. Patients who did not progress were censored at the date of their last tumor assessment. (NCT00393068)
Timeframe: 36 months
Intervention | months (Median) |
---|
Treatment | 28.58 |
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Pathologic Complete Response (pCR) Rate
pCR was defined as no residual viable cancer found at the primary site or regional lymph nodes upon pathologic review of the surgical specimen for patients who went to surgical resection. (NCT00393068)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|
Treatment | 18 |
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Overall Survival
Overall Survival (OS) is defined as the time interval from the start of treatment until death. Patients who remained alive were censored at the date of their last tumor assessment. (NCT00393068)
Timeframe: 32 months
Intervention | months (Median) |
---|
Treatment | 30.16 |
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Oral Cancer-free Survival in Participants Receiving Erlotinib as Compared With the Control Arm or Placebo Group.
Cancer-free survival defined as time from randomization to the development of histologically confirmed oral cancer. (NCT00402779)
Timeframe: 3 years
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 55 |
Placebo | 18 |
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Number of Patients Experiencing a DLT
Patients will be followed during cycle 1 for the occurrence of a protocol defined dose limiting toxicity (NCT00408499)
Timeframe: baseline through cycle 1 of treatment
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 | 0 |
Dose Level 2 | 1 |
Dose Level 3 | 0 |
Dose Level 4 | 0 |
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8 Week Progression-Free Survival Rate (i.e. Disease Control Rate)
"Progression-free survival (i.e. disease control rate) defined as percentage of participants without progression at 8 weeks, evaluation after the second cycle of therapy (i.e., 8 weeks), with confirmation of efficacy 2 cycles after its initial assessment. A success or disease control to treatment is defined as a participant being progression free at 8 weeks after randomization." (NCT00410059)
Timeframe: Radiographic evaluation after cycle 2 (8 weeks of therapy)
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 20 |
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Comparison of the Percentage of Participants With a Complete Response in Each Treatment Arm
Complete response requires both a pathological complete response (independent of observer) and a complete response radiologically (RECIST 1.0). (NCT00410826)
Timeframe: 12 weeks after the completion of therapy
Intervention | percentage of participants (Number) |
---|
Arm A (Cisplatin and Radiotherapy) | 42 |
Arm B (Cisplatin, Radiotherapy, Erlotinib) | 51 |
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Progression Free Survival of Patients With Locally Advanced Head and Neck Cancer Treated With Cisplatin and Radiotherapy, With and Without Erlotinib Hydrochloride
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00410826)
Timeframe: Every 3 months for up to 5 years
Intervention | participants (Number) |
---|
Arm A (Cisplatin and Radiotherapy) | 25 |
Arm B (Cisplatin, Radiotherapy, Erlotinib) | 29 |
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Number of Participants With 8-week Progression-Free Survival (i.e. Disease Control Rate) Stratified by Cancer Mutation Type
The primary objective is to determine the 8 week progression-free survival rate (i.e. disease control rate) in patients with advanced NSCLC who have failed at least one prior chemotherapy regimen. A radiologist independently assessed DC, which was defined as a complete or partial response or stable disease according to the RECIST(29) at the end of 8 weeks (start of treatment to end of second treatment cycle). PFS was assessed from the date of randomization to the earliest sign of disease progression or death from any cause. OS was assessed from the date of randomization until death from any cause. Tumor response was assessed every 8 weeks until disease progression. Toxicity was assessed in accordance with the National Cancer Institute Common Terminology Criteria for Adverse Events, version 3.0. (NCT00411632)
Timeframe: 8 weeks
Intervention | participants (Number) |
---|
| EGFR | KRAS/BRAF | VEGF/VEGFR-2 | RXR/Cyclin D1 | None |
---|
Erlotinib + Bexatrtene | 11 | 1 | 0 | 1 | 5 |
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Number of Participants With Disease Progression
Tumor response was assessed by the Investigator according to standard-of-care criteria, as there were no protocol-specified criteria for the assessment of tumor response and the instrument for assessment was deferred to the Investigator. To ensure comparability, baseline radiological studies later used to verify progression must be performed using identical techniques. The number of participants who experienced disease progression was reported. (NCT00412217)
Timeframe: From inclusion in the study until disease progression (maximum up to 3 years overall)
Intervention | participants (Number) |
---|
Erlotinib | 15 |
Placebo | 11 |
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Number of Participants Who Died
The number of participants who died from any cause was reported. (NCT00412217)
Timeframe: From inclusion in the study until death from any cause (maximum up to 3 years overall)
Intervention | participants (Number) |
---|
Erlotinib | 7 |
Placebo | 5 |
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Time to Progression (TTP)
Tumor response was assessed by the Investigator according to standard-of-care criteria, as there were no protocol-specified criteria for the assessment of tumor response and the instrument for assessment was deferred to the Investigator. TTP was defined as the time from inclusion in the study to the time of disease progression, appearance of second tumor, or death from any cause, whichever occurred first. To ensure comparability, baseline radiological studies later used to verify progression must be performed using identical techniques. The median duration of TTP and corresponding 95% confidence interval (CI) were to be estimated by Kaplan-Meier analysis and expressed in months. (NCT00412217)
Timeframe: From inclusion in the study until disease progression, appearance of second tumor, or death from any cause (maximum up to 3 years overall)
Intervention | months (Median) |
---|
Erlotinib | NA |
Placebo | NA |
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Overall Survival (OS)
OS was defined as the time from inclusion in the study to date of death for any reason. The median duration of OS and corresponding 95% CI were to be estimated by Kaplan-Meier analysis and expressed in months. (NCT00412217)
Timeframe: From inclusion in the study until death from any cause (maximum up to 3 years overall)
Intervention | months (Median) |
---|
Erlotinib | NA |
Placebo | NA |
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To Determine the Safety of Sunitinib in Combination With Erlotinib
(NCT00425386)
Timeframe: For the duration of the study, up to 7 years
Intervention | participants (Number) |
---|
| Diarrhea | Rash | Fatigue | Dysguesia | Nausea | Anorexia | Vomitting | Hand-foot syndrome | Stomatitis | Weight loss | Constipation | Dyspepsia | Dry skin | Alopecia | Pruritus | Other skin/hair changes | Dehydration |
---|
Sunitinib and Erlotinib | 35 | 35 | 30 | 29 | 21 | 15 | 14 | 13 | 13 | 13 | 12 | 12 | 10 | 9 | 9 | 8 | 5 |
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Proportion of Patients Whose Best Overall Response is Complete Response, Partial Response, Stable Disease, or Progressive Disease
(NCT00425386)
Timeframe: From the start of treatment until the criteria for response is met.
Intervention | percentage of participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Sunitinib and Erlotinib | 22 | 59 | 11 |
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Maximum Tolerated Dose (MTD) of Erlotinib Hydrochloride When Used in Combination With Sunitinib.
The MTD is defined as the dose that produces dose limiting toxicity (DLT) in 33% of the patients. (NCT00425386)
Timeframe: Participants assessed for DLTs weekly during the first cycle of treatment and every 3 weeks in subsequent cycles until at least one DLT occurs in 33% or more of participants at that dose; participants assessed for the duration of the study, up to 7 years
Intervention | milligrams (Number) |
---|
| Sunitinib | Erlotinib |
---|
Sunitinib and Erlotinib | 50 | 150 |
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Progression-free Survival at 8 Months
Defined as the proportion of patients who are progression free (CR, PR and SD) at 8 months after initiating treatment with sunitinib in combination with erlotinib in patients with metastatic or unresectable clear cell or papillary carcinoma of the kidney. Complete Response (CR)= disappearance of all target lesions, Partial Response (PR)= At least a 30% decrease in the sum of the longest diameter of target lesions, and Stable Disease (SD)= Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (20% increase in the sum). (NCT00425386)
Timeframe: 8 months after initiating treatment with sunitinib in combination with erlotinib in patients with metastatic or unresectable clear cell or papillary carcinoma of the kidney
Intervention | percentage of participants (Number) |
---|
Sunitinib and Erlotinib | 40 |
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Maximum Percent Change in Tumor Measurement
The maximum percent change in Tumor Measurement is the greatest percent change in longest diameter (LD) for the target lesions from the baseline LD. For patients with no change in LD, the maximum percent change is the lowest increase in LD from the baseline LD. (NCT00425386)
Timeframe: Baseline through end of study, up to 7 years
Intervention | percent change in size (Mean) |
---|
Sunitinib and Erlotinib | 18 |
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Progression-free Survival
(NCT00436332)
Timeframe: From date of registration to maximum of 3 years
Intervention | months (Median) |
---|
Erlotinib and Bevacizumab | 5 |
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Overall Survival
(NCT00436332)
Timeframe: From date of registration to maximum of 3 years
Intervention | months (Median) |
---|
Erlotinib and Bevacizumab | 21 |
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Frequency and Severity of Toxicities
(NCT00436332)
Timeframe: From date of registration to maximum of 3 years
Intervention | participants (Number) |
---|
| AST, SGOT | Albumin, serum-low (hypoalbuminemia) | Anorexia | Ataxia (incoordination) | CNS cerebrovascular ischemia | Carbon monoxide diffusion capacity (DL(co)) | Creatinine | Dehydration | Diarrhea | Dry skin | Dyspnea (shortness of breath) | Extremity-lower (gait/walking) | Fatigue (asthenia, lethargy, malaise) | Hypertension | Hypoxia | Inf w/normal ANC or Gr 1-2 neutrophils - Lung | Left ventricular diastolic dysfunction | Left ventricular systolic dysfunction | Mucositis/stomatitis (clinical exam) - Oral cavity | Mucositis/stomatitis (functional/symp) - Oral cav | Muscle weakness, not d/t neuropathy - body/general | Nail changes | Nausea | Ocular/Visual-Other (Specify) | Pain - Chest wall | Pain - Extremity-limb | Pain - Head/headache | Potassium, serum-high (hyperkalemia) | Potassium, serum-low (hypokalemia) | Proteinuria | Pruritus/itching | Pulmonary/Upper Respiratory-Other (Specify) | Rash/desquamation | Rash: acne/acneiform | Rash: hand-foot skin reaction | Renal failure | Renal/Genitourinary-Other (Specify) | Retinal detachment | Sodium, serum-low (hyponatremia) | Speech impairment (e.g., dysphasia or aphasia) | Syncope (fainting) | Ulcer, GI - Duodenum | Ulcer, GI - Stomach | Ulceration | Vomiting | Weight loss | Wound complication, non-infectious |
---|
Erlotinib and Bevacizumab | 1 | 1 | 2 | 1 | 3 | 1 | 1 | 3 | 12 | 1 | 2 | 1 | 9 | 6 | 2 | 2 | 1 | 1 | 1 | 1 | 2 | 1 | 2 | 1 | 1 | 1 | 2 | 1 | 3 | 3 | 2 | 1 | 5 | 9 | 4 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 1 |
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Time to Progression (TTP)
"TTP is defined as the time from initiation of treatment to the date of documented progression.~The median of TTP with 95% confidence interval will be presented.~Progressive disease (target lesions) is defined as at least a 20% increase in the sum of the longest diameter of the target lesions taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.~Progressive disease (non-target lesions) is defined as appearance of one or more new lesions. Unequivocal progression of existing non-target lesions." (NCT00442507)
Timeframe: Median follow-up for TTP 6 weeks (6-18 weeks)
Intervention | months (Median) |
---|
Erlotinib and Avastin | 4.2 |
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Overall Survival Rate (OS)
OS is defined as the time from initiation of treatment to the date of death for any reason. (NCT00442507)
Timeframe: Median followup time from completion of treatment 325.5 days (44-401 days)
Intervention | months (Median) |
---|
Erlotinib and Avastin | 10.7 |
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Incidence and Severity of Toxicities
Grade 3 and higher toxicities using CTCAE Version 3.0. (NCT00442507)
Timeframe: Median follow-up time for toxicities 72 days (72 days-156 days)
Intervention | participants (Number) |
---|
| Coagulation: Other, IVC Clot | Death - Disease Progression NOS | Diarrhea | GI: Abdominal hemorrhage, NOS | Pneumonia | Hypernatremia | Confusion |
---|
Erlotinib and Avastin | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Response Rate (Complete Response (CR), Partial Response (PR), and CR+PR)
"CR = disappearance of all target lesions~PR = at least a 30% decrease in the sum of the LD of the target lesions taking as reference the baseline sum LD." (NCT00442507)
Timeframe: Median follow-up for response 6 weeks (6-18 weeks)
Intervention | participants (Number) |
---|
| Complete response | Partial response |
---|
Erlotinib and Avastin | 0 | 0 |
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Overall Survival
death. measured by time of first day of treatment until date of death, assessed up to 2 years. (NCT00445588)
Timeframe: Time of first day of the treatment to death, assessed up to 2 years
Intervention | months (Median) |
---|
Treatment | 5.7 |
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6months -Progression-free Survival Rate
defined patient started treatment is alive and progression free at the time of 26-week (6 months) follow-up (NCT00445588)
Timeframe: At 6 months- defined as patient started treatment is alive and progression free at the time of 26-week (6 months) follow-up
Intervention | percentage of participants (Number) |
---|
Treatment | 14 |
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Progression-free Survival
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at date of last contact. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v 1.0), as a 20% increase in the sum of longest diameters of target measurable lesions over smallest sum observed (over baseline if no decrease during therapy) using the same techniques as baseline, or unequivocal progression of non-measurable disease in the opinion of the treating physician (an explanation must be provided) or appearance of any new lesion/site, or death due to disease without prior documentation of progression and without symptomatic deterioration. (NCT00445848)
Timeframe: Disease assessment is performed every 6 weeks for 18 weeks, then every 9-12 weeks until progression up to 2 years. After disease progression, patients must be followed every 3 months for 1 year and then every 6 months for a maximum of 3 years.
Intervention | months (Median) |
---|
Erlotinib and Bevacizumab | 7.4 |
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Overall Survival
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00445848)
Timeframe: Disease assessment is performed every 6 weeks for 18 weeks, then every 9-12 weeks until progression up to 2 years. After disease progression, patients must be followed every 3 months for 1 year and then every 6 months for a maximum of 3 years.
Intervention | months (Median) |
---|
Erlotinib and Bevacizumab | 29.8 |
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Response Rate (Complete and Partial)
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0): Complete Response (CR), Disappearance of all measurable and non-measurable disease; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.~All target measurable lesions must be assessed using the same techniques as baseline." (NCT00445848)
Timeframe: Disease assessment is performed every 6 weeks for 18 weeks, then every 9-12 weeks until progression up to 2 years. After disease progression, patients must be followed every 3 months for 1 year and then every 6 months for a maximum of 3 years.
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Objective Response Rate (CR + PR) | Stable Disease (SD) | Non-Progression (ORR+SD) | Progressive Disease (PD) | Not Determinable/ Inadequate Assessment |
---|
Erlotinib and Bevacizumab | 2 | 31 | 33 | 23 | 56 | 8 | 2 |
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Percentage of Participants Surviving at 1 Year
Overall Survival (OS) rate at 1 year from the date of randomization was determined using the distribution of OS times and was estimated using the Kaplan-Meier method. (NCT00447057)
Timeframe: Baseline to date of death from any cause up to 1 year
Intervention | Percentage participants with OS ≥1 year (Median) |
---|
Pemetrexed (Nonsquamous) | 34.1 |
Pemetrexed + Erlotinib (Nonsquamous) | 49.4 |
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Percentage of Participants With Best Response of Complete Response (CR) or Partial Response (PR) (Response Rate)
"CR: Disappearance of all tumor lesions; PR: Either a) at least a 30% decrease in sum of LD of target lesions or b) complete disappearance of target lesions, with persistence (but not worsening) ≥1 nontarget lesions. In either case, no new lesions may have appeared.~SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum LD.~PD: ≤20% increase in the sum of LD of target lesions. Response Rate (%) = (CR+PR)/number of participants in arm*100." (NCT00447057)
Timeframe: Baseline to measured progressive disease. Maximum follow-up was from Baseline to 34 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed (Nonsquamous) | 10.8 |
Pemetrexed + Erlotinib (Nonsquamous) | 17.1 |
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Percentage of Participants With Best Response of Stable Disease (SD), Partial Response (PR) or Complete Response (CR) (Disease Control Rate)
"Per RECIST:~CR: Disappearance of all target lesions; PR: Either a) ≤30% decrease in sum of longest diameter (LD) of target lesions or b) complete disappearance of target lesions, with persistence (but not worsening) of ≥1 nontarget lesions. In either case, no new lesions may have appeared.~SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum LD.~PD: ≤20% increase in sum of LD of target lesions. Disease Control Rate (%) = (SD+PR+CR)/number of participants in arm*100." (NCT00447057)
Timeframe: Baseline to measured PD. Maximum follow-up was from Baseline to 34 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed (Nonsquamous) | 51.8 |
Pemetrexed + Erlotinib (Nonsquamous) | 55.3 |
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Progression Free Survival (PFS)
PFS per Response Evaluation Criteria in Solid Tumors (RECIST) 1.0 criteria using computed tomography (CT) or magnetic resonance imaging (MRI) for objective determination of progressive disease (PD: ≤20% increase in sum of longest diameter of target lesion). For participants alive as of data cut-off date who did not have PD, PFS was censored at date of last CT/MRI. For participants who received subsequent systemic anticancer therapy (after study discontinuation) prior to PD or death, PFS censored at date of last CT/MRI prior to initiation of post discontinuation systemic anticancer therapy. (NCT00447057)
Timeframe: Baseline to date of measured PD or death from any cause. Maximum follow-up was from baseline to 32.2 months
Intervention | months (Median) |
---|
Pemetrexed (Nonsquamous) | 2.9 |
Pemetrexed + Erlotinib (Nonsquamous) | 3.2 |
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Time to Treatment Failure (TTTF)
"Defined as the time from randomization to death from any cause, first observation of PD, or study treatment discontinuation due to any reason other than protocol complete or satisfactory response. For participants who discontinued due to protocol complete or satisfactory response, or for participants not known to have discontinued as of the data cut-off date, TTTF was censored at the last contact date." (NCT00447057)
Timeframe: "Baseline to first date among death from any cause, PD, or study treatment discontinuation for any reason other than protocol complete or satisfactory response. Maximum follow-up was from Baseline to 32.2 months"
Intervention | months (Median) |
---|
Pemetrexed (Nonsquamous) | 2.4 |
Pemetrexed + Erlotinib (Nonsquamous) | 3.0 |
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Number of Participants With Adverse Events (AEs)
Summaries of serious AEs (SAEs) and all other non-serious AEs are located in the Reported Adverse Event Module. (NCT00447057)
Timeframe: Baseline up to 42.2 months
Intervention | participants (Number) |
---|
| serious adverse events | other adverse events |
---|
Pemetrexed (Nonsquamous and Squamous) | 43 | 91 |
,Pemetrexed + Erlotinib (Nonsquamous and Squamous) | 53 | 98 |
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Overall Survival (OS)
OS time is the duration from randomization to the date of death from any cause. For each participant who was not known to have died as of the data inclusion cut-off date, OS was censored at the date of last contact. (NCT00447057)
Timeframe: Baseline to date of death from any cause. Maximum follow-up was from Baseline to 42.6 months.
Intervention | months (Median) |
---|
Pemetrexed (Nonsquamous) | 7.8 |
Pemetrexed + Erlotinib (Nonsquamous) | 11.8 |
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Phase 2: Overall Survival (OS)
OS was defined as the time from the date of study enrollment (baseline) to the date of death from any cause. For participants not known to have died as of the data cutoff date, OS was censored at the last contact date (last contact for participants in post discontinuation was equal to the last known alive date in mortality status). (NCT00452413)
Timeframe: Phase 2: Baseline to date of death from any cause (up to 23 months)
Intervention | months (Median) |
---|
Phase 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 8.3 |
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Recommended Phase 2 Dose for Enzastaurin Plus Erlotinib Combination Therapy (Assess the Tolerated Dose of the Combination Erlotinib and Enzastaurin)
The recommended Phase 2 daily dose level was to be either 1 dose level below that in which 2 of 6 participants experienced dose-limiting toxicities (DLTs) in Phase 1 or the full doses of both enzastaurin and erlotinib (Phase 1, Dose Level 2) in the event that no more than 1 DLT occurred at the highest dose level (Dose Level 2). DLTs were defined as any of the following events during Phase 1, Cycle 1 that were considered by the investigator to be attributable to enzastaurin or the combination of enzastaurin with erlotinib: Grade 4 hematologic events; Grade 3 or 4 nonhematologic events except toxicities explained by a coexisting condition such as glucose disturbances in a diabetic or electrolyte imbalances from diarrhea or vomiting, and toxicities of nausea, vomiting, diarrhea, or skin rash that were tolerable with appropriate treatment. (NCT00452413)
Timeframe: Phase 1: Predose through end of Cycle 1 (28 days/cycle)
Intervention | milligrams per day (mg/day) (Number) |
---|
| Enzastaurin | Erlotinib |
---|
Phase 1, Dose 1 and 2 (Enzastaurin and Erlotinib) | 500 | 150 |
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Phase 2: Progression-Free Survival (PFS) With the Enzastaurin Plus Erlotinib Combination Regimen
PFS was defined as the time from the date of study enrollment (baseline) to the first date of progressive disease (PD) (either objectively determined or clinical progression) or death from any cause. PD was defined by Response Evaluation Criteria in Solid Tumors [RECIST, version (v) 1.0] as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as references the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. For participants not known to have died as of the data cut-off date and who did not have PD, PFS was censored at the date of the last visit with adequate assessment. For participants who received subsequent anticancer therapy (after discontinuation from study treatment) prior to disease progression or death, PFS was censored at the date of last visit with adequate assessment prior to the initiation of post discontinuation anticancer therapy. (NCT00452413)
Timeframe: Phase 2: Baseline to measured PD (up to 20 months)
Intervention | months (Median) |
---|
Phase 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 1.7 |
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Phase I: Pharmacokinetic (PK) Interactions Between Enzastaurin and Erlotinib: Apparent Oral Clearance of Erlotinib Under Steady State Conditions During Multiple Dosing (CLss/F)
Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. CL obtained after an oral dose (apparent oral CL) is influenced by the fraction of the dose absorbed (F). Drug CL is a quantitative measure of the rate at which a drug substance is removed from the blood. Apparent oral CL of erlotinib over 10 hours at steady state (ss) on Day 22 was calculated. (NCT00452413)
Timeframe: Phase 1: Cycle 1, Day 22 [predose, 2 hours (h), 4 h, 6 h, 10 h postdose]
Intervention | Liters per hour (L/h) (Geometric Mean) |
---|
Phase 1, Dose 1 (Enzastaurin 250 mg, Erlotinib 150 mg) | 6.07 |
Phase 1, Dose 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 5.75 |
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Phase 2: Percentage of Participants With Tumor Response
Tumor response was defined using RECIST, v1.0 criteria. CR was the disappearance of all target lesions; PR was either a ≥30% decrease in sum of LD of target lesions or a complete disappearance of target lesions, with persistence (but not worsening) of ≥1 nontarget lesion. PD was a ≥20% increase in sum of LD of target lesions, taking as references the smallest sum LD recorded since treatment started or the appearance of ≥1 new lesion. Stable Disease (SD) was defined as small changes that did not meet the above criteria. Percentage of participants with tumor response=[(number of participants with a CR, PR, SD, PD, and unknown response)/(total number of participants assessed)]*100. (NCT00452413)
Timeframe: Phase 2: Baseline to date of PD (up to 18 months)
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Unknown |
---|
Phase 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 0 | 10.2 | 20.4 | 42.9 | 26.5 |
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Phase 2: Number of Participants Who Experienced TEAEs (Safety and AE Profile)
A TEAE is any untoward medical occurrence that either occurred or worsened any time after treatment baseline, which did not necessarily have a causal relationship with this treatment. A summary of serious and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module. (NCT00452413)
Timeframe: Phase 2: Baseline through 30 days post last dose (up to 24 Cycles, 28 days/cycle)
Intervention | participants (Number) |
---|
Phase 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 48 |
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Phase I: PK Interactions Between Enzastaurin and Erlotinib: Maximum Observed Plasma Concentration at Steady State (Cmax,ss)
Maximum observed plasma concentration at steady state (Cmax,ss) of enzastaurin, its active metabolite (LSN326020) and total analyte were reported. (NCT00452413)
Timeframe: Phase 1: Cycle 1, Day 22 (predose, 2 h, 4 h, 6 h, 8 h postdose)
Intervention | nanomoles per liter (nmol/L) (Geometric Mean) |
---|
| Enzastaurin | LSN326020 | Total Analyte |
---|
Phase 1, Dose 1 (Enzastaurin 250 mg, Erlotinib 150 mg) | 618 | 431 | 978 |
,Phase 1, Dose 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 1600 | 980 | 2620 |
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Phase I: Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) (Safety and AE Profile for Enzastaurin/Erlotinib Combination)
A TEAE is any untoward medical occurrence that either occurred or worsened any time after treatment baseline, which did not necessarily have a causal relationship with this treatment. A summary of serious and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module. (NCT00452413)
Timeframe: Phase 1: First dose through 30 days post last dose (up to 14 Cycles, 28 days/cycle)
Intervention | Participants (Number) |
---|
Phase 1, Dose 1 (Enzastaurin 250 mg, Erlotinib 150 mg) | 4 |
Phase 1, Dose 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 12 |
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Phase I: PK Interactions Between Enzastaurin and Erlotinib: Area Under the Plasma Concentration Time Curve at Steady State [AUC(Tau,ss)]
Area under the plasma concentration time curve AUC(Tau,ss) of enzastaurin, its active metabolite (LSN326020) and total analyte were reported. (NCT00452413)
Timeframe: Phase 1, Cycle 1, Day 22 (predose, 2 h, 4 h, 6 h, and 8 h postdose)
Intervention | nanomoles*hours per liter (nmol*h/L) (Geometric Mean) |
---|
| Enzastaurin | LSN326020 | Total Analyte |
---|
Phase 1, Dose 1 (Enzastaurin 250 mg, Erlotinib 150 mg) | 6590 | 7100 | 14000 |
,Phase 1, Dose 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 18000 | 18000 | 37100 |
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Phase 2: Duration of Response
Duration of response: time from first objective assessment of complete response (CR) or partial response (PR) to first observation of PD. Using RECIST v1.0 criteria, CR was the disappearance of all target lesions; PR was either a ≥30% decrease in sum of LD of target lesions or a complete disappearance of target lesions, with persistence (but not worsening) of ≥1 nontarget lesion; PD was a ≥20% increase in sum of LD of target lesions, taking as references the smallest sum LD recorded since treatment started or the appearance of ≥1 new lesion. For responding participants not known to have died and who did not have PD, duration of response was censored at date of the last visit with adequate assessment. For responding participants who received subsequent anticancer therapy (after discontinuation from study treatment) prior to PD, duration of response was censored at the date of last visit with adequate assessment prior to the initiation of post discontinuation anticancer therapy. (NCT00452413)
Timeframe: Phase 2: Date of first response to date of PD (up to 18 months)
Intervention | months (Median) |
---|
Phase 2 (Enzastaurin 500 mg, Erlotinib 150 mg) | 8.7 |
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Progression Free Survival (PFS) of Groups by FDG Response at Day 56
"PFS was defined as the time from the date of first erlotinib dose to disease progression or death, whichever occurs first.~PFS was compared between patients with FDG-PET response and patients without FDG-PET response, independent of CT response (per RECIST 1.0) at Day 56 of treatment with erlotinib.~Mean of the percent changes in maximal standard uptake values (mSUVmax) from FDG-PET scans was used to define FDG-PET response. Based on European Organization for Research on the Treatment of Cancer (EORTC) definitions, an objective FDG-PET response was defined an mSUVmax <-25%." (NCT00453362)
Timeframe: Time from first erlotinib treatment to disease progression on CT (per RECIST 1.0) or death, whichever occurs first, assessed up to 2 years
Intervention | weeks (Median) |
---|
Erlotinib_FDG Responders | 28.1 |
Erlotinib_ FDG Non-Responders | 12.1 |
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Progression Free Survival of Groups by FLT Response at Day 56
"PFS was defined as the time from the date of first erlotinib dose to disease progression or death, whichever occurs first.~PFS was compared between patients with FLT-PET response and patients without FLT-PET response, independent of CT response (per RECIST 1.0) at Day 56 of treatment with erlotinib.~FLT-PET response was defined as a mSUVmax from FLT-PET scans <-25%." (NCT00453362)
Timeframe: Time from first erlotinib treatment to disease progression on CT (per RECIST 1.0) or death, whichever occurs first, assessed up to 2 years
Intervention | weeks (Median) |
---|
Erlotinib_FLT Responders | 39.9 |
Erlotinib_ FLT Non-Responders | 13.1 |
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Progression Free Survival of Patients With FLT CR/PR Versus FLT PD in Patients With CT SD at Day 56
"PFS was defined as the time from the date of first erlotinib dose to disease progression or death, whichever occurs first.~PFS was compared between patients with FLT-PET response and patients without FLT-PET response, independent of computed tomography (CT) response (per RECIST 1.0) at Day 56 of treatment with erlotinib.~FLT-PET response was defined as a mSUVmax from FLT-PET scans <-25% and FLT-PET disease progression was defined as a mSUVmax from FLT-PET scans >+25% or the development of a new lesion with a mSUVmax above background not explained by another cause." (NCT00453362)
Timeframe: Time from first erlotinib treatment to disease progression on CT (per RECIST 1.0) or death, whichever occurs first, assessed up to 2 years
Intervention | weeks (Median) |
---|
Erlotinib_FLT Responders With CT SD at Day 56 | NA |
Erlotinib_FLT Progressive Disease With CT SD at Day 56 | 12.9 |
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FDG Response in Subgroups by CT Response at Day 56
"In patients with partial response or progressive disease on CT (per RECIST 1.0) after 56 days of erlotinib treatment, the percentage of patients who demonstrated FDG-PET responses on Day 56 defined as a mSUVmax from FDG-PET scans <-25%.~CT Partial Response defined as a 30% decrease in the sum of the longest diameter (LD) of target lesion taking as reference the baseline sum of the LD.~CT Progressive disease defined as a 20% increase in the sum of the longest diameter of target lesions taking as reference the smallest sum LD since treatment started or appearance of 1 or more new lesions." (NCT00453362)
Timeframe: Day 56
Intervention | Percentage of participants (Number) |
---|
| CT Partial response (n=4) | CT Progressive Disease (n=21) |
---|
Erlotinib | 75 | 0 |
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FLT Response in Subgroups by CT Response at Day 56
"In patients with partial response or progressive disease on CT (per RECIST 1.0) after 56 days of erlotinib treatment, the percentage of patients who demonstrated FLT-PET responses on Day 56 defined as a mSUVmax from FLT-PET scans <-25%.~CT Partial Response defined as a 30% decrease in the sum of the longest diameter (LD) of target lesion taking as reference the baseline sum of the LD.~CT Progressive disease defined as a 20% increase in the sum of the longest diameter of target lesions taking as reference the smallest sum LD since treatment started or appearance of 1 or more new lesions." (NCT00453362)
Timeframe: Day 56
Intervention | Percentage of participants (Number) |
---|
| CT Partial response (n=4) | CT Progressive Disease (n=20) |
---|
Erlotinib | 50 | 0 |
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Percentage of Patients With FLT-PET Responses
"In patients with CT-stable disease (according to RECIST 1.0) at 56 days of erlotinib treatment, the percentage of patients who demonstrated FLT-PET responses after the initial 14 days and 56 days of erlotinib treatment.~FLT-PET response was defined as a mSUVmax from FLT-PET scans <-25%. CT SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest diameter since the treatment started." (NCT00453362)
Timeframe: Day 14 and Day 56
Intervention | Percentage of Participants (Number) |
---|
| Day 14 response | Day 56 response |
---|
Erlotinib | 7.7 | 7.7 |
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PFS of Patients With FDG-PET Complete Response (CR)/Partial Response (PR) Versus FDG-PET Progressive Disease (PD) in Patients With Computed Tomography (CT) Stable Disease (SD) at Day 56
"PFS was defined as the time from the date of first erlotinib dose to disease progression or death, whichever occurs first.~PFS was compared between patients with FDG-PET response (Complete /Partial Responses) and patients with FDG-PET progression, within the subset of patients who demonstrated stable disease on CT (per RECIST 1.0) at Day 56 of treatment with erlotinib. FDG-PET response; defined as a mSUVmax from FDG-PET scans of <-25% and FDG-PET disease progression; defined as a mSUVmax >+25% or the development of a new lesion with a mSUVmax above background not explained by another cause." (NCT00453362)
Timeframe: Time from first erlotinib treatment to disease progression on CT (per RECIST 1.0) or death, whichever occurs first, assessed up to 2 years
Intervention | weeks (Median) |
---|
Erlotinib_FDG Responders With CT SD at Day 56 | 32.1 |
Erlotinib_FDG Progressive Disease With CT SD at Day 56 | 14.9 |
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Number of Participants With Adverse Events Due to FLT-PET Imaging
The number of participants who experienced an adverse event judged by the investigator to be related to FLT-PET. (NCT00453362)
Timeframe: From screening to Day 112 assessment visit or study discontinuation or termination, whichever is first. On visits after Day 112, only SAE were recorded.
Intervention | Participants (Number) |
---|
Overall Study Participants | 0 |
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Percentage of Patients With FDG-PET Responses
"In patients with computed tomography (CT)-stable disease (according to RECIST 1.0) at 56 days of erlotinib treatment, the percentage of patients who demonstrated FDG-PET responses after the initial 14 days and 56 days of erlotinib treatment.~FDG-PET response was defined as a mSUVmax from FDG-PET scans <-25%.~CT SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest diameter since the treatment started." (NCT00453362)
Timeframe: Day 14 and Day 56
Intervention | Percentage of Participants (Number) |
---|
| Day 14 response | Day 56 response |
---|
Erlotinib | 7.7 | 11.5 |
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Overall Survival of Groups by FDG Response at Day 56
"Overall survival (OS) was defined as the time from the date of first erlotinib dose to death.~Overall survival (OS) was compared between patients with FDG-PET response and patients without FDG-PET response, independent of Response Evaluation Criteria in Solid Tumors (RECIST 1.0) computed tomography (CT) response at Day 56 of treatment with erlotinib. FDG-PET response was defined as a mSUVmax from FDG-PET scans <-25%." (NCT00453362)
Timeframe: From first erlotinib treatment to death, assessed up to 2 years
Intervention | months (Median) |
---|
Erlotinib_FDG Responders | NA |
Erlotinib_ FDG Non-Responder | 7.8 |
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Overall Survival of Groups by FLT Response at Day 56
"Overall survival (OS) was defined as the time from the date of first erlotinib dose to death.~OS was compared between patients with FLT-PET response and patients without FLT-PET response, independent of CT response (per RECIST 1.0) at Day 56 of treatment with erlotinib.~FLT-PET response was defined as a mSUVmax from FLT-PET scans <-25%." (NCT00453362)
Timeframe: From first erlotinib treatment to death, assessed up to 2 years
Intervention | months (Median) |
---|
Erlotinib_FLT Responders | NA |
Erlotinib_ FLT Non-Responders | 8.4 |
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Overall Survival of Patients With FDG CR/PR Versus FDG PD in Patients With CT SD at Day 56
"Overall survival (OS) was defined as the time from the date of first erlotinib dose to death.~OS was compared between patients with FDG-PET response and patients with FDG-PET progression, within the subset of patients who demonstrated stable disease (SD) on CT (per RECIST 1.0) at Day 56 of treatment with erlotinib.~FDG-PET response was defined as a mSUVmax from FDG-PET scans <-25% and FDG-PET disease progression was defined as a mSUVmax from FDG-PET scans >+25% or the development of a new lesion with a mSUVmax above background not explained by another cause." (NCT00453362)
Timeframe: From first erlotinib treatment to death, assessed up to 2 years
Intervention | months (Median) |
---|
Erlotinib_FDG Responders With CT SD at Day 56 | 12.2 |
Erlotinib_FDG Progressive Disease With CT SD at Day 56 | 8.8 |
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Overall Survival of Patients With FLT CR/PR Versus FLT PD in Patients With CT SD at Day 56
"Overall survival (OS) was defined as the time from the date of first erlotinib dose to death.~OS was compared between patients with FLT-PET response and patients with FLT-PET progression, within the subset of patients who demonstrated SD on CT (per RECIST 1.0) at Day 56 of treatment with erlotinib.~FLT-PET response was defined as a mSUVmax from FLT-PET scans of <-25% and FLT-PET disease progression was defined as a mSUVmax from FLT-PET scans >+25% or the development of a new lesion with a mSUVmax above background not explained by another cause." (NCT00453362)
Timeframe: From first erlotinib treatment to death, assessed up to 2 years
Intervention | months (Median) |
---|
Erlotinib_FLT Responders With CT SD at Day 56 | NA |
Erlotinib_FLT Progressive Disease With CT SD at Day 56 | 8 |
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EuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility Score
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state." (NCT00457392)
Timeframe: Baseline and End of Treatment (EOT) or Withdrawal
Intervention | Units on a scale (Mean) |
---|
| Baseline | End of Treatment (n= 285, 301) |
---|
Erlotinib | 0.716 | 0.598 |
,Sunitinib + Erlotinib | 0.750 | 0.615 |
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Progression-Free Survival (PFS)
"Time in weeks from assignment to study medication to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was Death)." (NCT00457392)
Timeframe: Baseline to disease progression or death due to any cause or 28 days after last dose
Intervention | Weeks (Median) |
---|
Sunitinib + Erlotinib | 15.5 |
Erlotinib | 8.7 |
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Duration of Response (DR)
Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. (NCT00457392)
Timeframe: Baseline to disease progression or death or discontinuation from study or 28 days after last dose
Intervention | Weeks (Median) |
---|
Sunitinib + Erlotinib | 39.6 |
Erlotinib | 32.3 |
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One-year Survival Probability
The 1 year survival probability was defined as the probability of survival at one year after the date of the start of the study treatment based on the Kaplan Meier estimate. (NCT00457392)
Timeframe: Baseline until death or until 28 days after last dose for the last participant
Intervention | Percent chance of survival (Number) |
---|
Sunitinib + Erlotinib | 40.0 |
Erlotinib | 37.0 |
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Overall Survival (OS)
Overall survival is the duration from assignment to study medication to death. For participants who are alive, overall survival is censored at the last contact. (NCT00457392)
Timeframe: Baseline to death or 28 days after last dose for the last participant
Intervention | Months (Median) |
---|
Sunitinib + Erlotinib | 9.0 |
Erlotinib | 8.5 |
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Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.0. Confirmed response are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as disappearance of all lesions (target and/or non target). PR are those with at least 30% decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent. (NCT00457392)
Timeframe: Baseline to disease progression or discontinuation from study or 28 days after last dose
Intervention | Percentage of participants (Number) |
---|
Sunitinib + Erlotinib | 10.60 |
Erlotinib | 6.90 |
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Percentage of Participants With Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) According to RECIST
As per RECIST V 1.0: for TLs, a CR was defined as the disappearance of all TLs; and a PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the baseline (BL) SLD. For NTLs, a CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. Participants for whom no assessment of response was available and who had finalized the study due to disease progression or tumor-related death, disease progression was considered the BOR. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months.
Intervention | percentage of participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 7.0 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 21.1 |
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OS At 6 Months
OS was defined as the time, in months, from the date of enrollment to the date of death due to any cause. Participants whose last recorded status was not death were censored. OS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment through Cycle 6 (4-week cycles), up to 6 months.
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 4.468 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | NA |
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Percentage of Participants With Disease Control According to RECIST
Disease control was defined as BOR of CR, PR, or stable disease (SD). As per RECIST V 1.0: for TLs, a CR was defined as the disappearance of all TLs; and a PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD; SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD. For NTLs, a CR was defined as the disappearance of all NTLs and normalization of tumor marker levels; SD was defined as the persistence of one or more NTLs and/or maintenance of tumor marker level above the normal limits. Participants for whom no assessment of response was available and who had finalized the study due to disease progression or tumor-related death, disease progression was considered the BOR. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months.
Intervention | percentage of participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 42.6 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 84.2 |
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PFS
The time, in months, from enrollment to PFS event. Participants whose last recorded status was not progression or death were censored. PFS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 2.497 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 6.439 |
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OS By Rash Grade
OS was defined as the time, in months, from the date of enrollment to the date of death due to any cause. Participants whose last recorded status was not death were censored. OS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade 0 | 3.318 |
Erlotinib, Gemcitabine: Rash Grade 1 | 6.571 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 10.546 |
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Number of Participants Who Died During the Study By Rash Grade
(NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade 0 | 65 |
Erlotinib, Gemcitabine: Rash Grade 1 | 37 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 27 |
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Number of Participants With Disease Progression or Death
Progression-free survival (PFS) was defined as the time from the date of enrollment to the date of document disease progression or death due to any cause. As per Response Evaluation Criteria in Solid Tumors (RECIST) V 1.0, progressive disease (PD) was defined for target lesions (TLs) as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded since the start of treatment, and for non-target lesions (NTLs) as unequivocal progression of NTLs. Participants whose last recorded status was not PD or death were censored. (NCT00461708)
Timeframe: Enrollment, every 2 treatment cycles (4-week cycles) until disease progression, death, or end of study, for up to 24 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 110 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 33 |
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Number of Participants Who Died at 6 Months
(NCT00461708)
Timeframe: Enrollment through Cycle 6 (4-week cycles), up to 6 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 69 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 8 |
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Number of Participants Who Died During the Study
(NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | participants (Number) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 102 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 27 |
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Overall Survival (OS) During the Study
OS was defined as the time, in months, from the date of enrollment to the date of death due to any cause. Participants whose last recorded status was not death were censored. OS was estimated using Kaplan-Meier methodology. (NCT00461708)
Timeframe: Enrollment through Cycle 24 (4-week cycles), up to 24 months.
Intervention | months (Median) |
---|
Erlotinib, Gemcitabine: Rash Grade < 2 | 4.468 |
Erlotinib, Gemcitabine: Rash Grade ≥ 2 | 10.546 |
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Number of Patients With Response
Per Response Evaluation Criteria in Solid Tumor (RECIST): Progressive disease (PD): >=20% increase in sum of longest diameter (LD) of target lesion(s), taking as reference smallest sum LD recorded since treatment started. Complete response (CR): disappearance of all target lesions. Partial response (PR): >=30% decrease in sum of LD of target lesion(s), taking as reference baseline sum LD. Stable disease (SD): neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD. (NCT00466687)
Timeframe: At 6 months
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Tarceva/Avastin | 0 | 2 | 14 | 15 |
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Time to Disease Progression.
Time from on study date to date of progression in months, if the progression happened in the patient. Disease progression is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions with reference to the smallest sum LD since treatment began or the appearance of one or more new lesions. (NCT00466687)
Timeframe: up to one year after off-study date
Intervention | Months (Median) |
---|
Tarceva/Avastin | 3 |
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Progression-free Survival at 6 Months
Patients with Progression-free survival at 6 months (NCT00466687)
Timeframe: 6 months
Intervention | participants (Number) |
---|
Therapeutic Intervention | 7 |
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Number of Patients With Each Worst-grade Toxicity Response
Number of patients with worst-grade toxicity at each of five grades following National Cancer Institute Common Toxicity Criteria with grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = life-threatening/disabling, 5 = death. (NCT00466687)
Timeframe: Day 1 of each 28-day cycle for 6 cycles (168 days)
Intervention | participants (Number) |
---|
| No. of patients with worst-grade toxicity of 1 | No. of patients with worst-grade toxicity of 2 | No. of patients with worst-grade toxicity of 3 | No. of patients with worst-grade toxicity of 4 | No. of patients with worst-grade toxicity of 5 |
---|
Tarceva/Avastin | 3 | 12 | 7 | 1 | 0 |
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Progression-free Survival
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesion (NCT00470535)
Timeframe: Every cycle for up to 52 weeks
Intervention | months (Median) |
---|
Erlotinib (Tarceva) | 1.4 |
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Response Rate
Response is defined as achieving complete or partial response.Complete response (CR) for both cohorts was defined as resolution of all identified tumor masses on the vulva or disappearance of all target and non-target lesions with no evidence of new lesions documented by two disease assessments at least 4 weeks apart. For cohort 1 pts, a partial response (PR) was defined as a 30% reduction in the product of all diameters of the vulva tumor/tumors compared to baseline measurements. For cohort 2 pts, PR defined according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) was at least a 30% decrease in the sum of the longest diameter (LD) of all target measurable lesions (baseline sum LD reference). (NCT00476476)
Timeframe: Assessed prior to definitive surgery or chemoradiation therapy (cohort 1 pts) or after 2 cycles of therapy (cohort 2 pts).
Intervention | proportion of participants (Number) |
---|
Erlotinib-Cohort 1 | .35 |
Erlotinib-Cohort 2 | .22 |
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Number of Participants Reported at Least 1 Adverse Event With a Grade of 3 and Above
The worst grade of pre-listed toxicity will be summarized by participant and by visit for each treatment group. Descriptive statistics (frequencies and percents) will be used to summarize data and hypotheses about group differences will be tested where appropriate. (NCT00482625)
Timeframe: Up to 20 weeks
Intervention | participants (Number) |
---|
Treatment (Enzyme Inhibitor Therapy) | 0 |
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Reduction in Number of Positive IPMN Celss and Staining Intensity After Treatment
Number of participants showed a reduction in number of positive IPMN cells and staining intensity after treatment (NCT00482625)
Timeframe: Pre-treatment and post-treatment
Intervention | participants (Number) |
---|
Treatment (Enzyme Inhibitor Therapy) | 2 |
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Plasma Calculated Concentration - OSI-774 (ng/mL)
Plasma concentration levels of Erlotinib (OSI-774) (NCT00482625)
Timeframe: 20 weeks
Intervention | ng/mL (Mean) |
---|
Treatment (Enzyme Inhibitor Therapy) | 428.5 |
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Plasma Calculated Concentration - OSI-420 (ng/mL)
Plasma concentration levels of Erlotinib (OSI-420) (NCT00482625)
Timeframe: 20 weeks
Intervention | ng/mL (Mean) |
---|
Treatment (Enzyme Inhibitor Therapy) | 27.6 |
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Pancreas Calculated Concentration - OSI-774 (ng/g)
Pancreatic tissue concentration levels of Erlotinib (OSI-774) (NCT00482625)
Timeframe: 20 weeks
Intervention | ng/g (Mean) |
---|
Treatment (Enzyme Inhibitor Therapy) | 188.7 |
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Pancreas Calculated Concentration - OSI-420 (ng/g)
Pancreatic tissue concentration levels of Erlotinib (OSI-420) (NCT00482625)
Timeframe: 20 weeks
Intervention | ng/g (Mean) |
---|
Treatment (Enzyme Inhibitor Therapy) | 17.3 |
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Progression-free Survival - EGRF
Estimated using the product-limit method of Kaplan and Meier.Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions. (NCT00499655)
Timeframe: Until disease progression, up to 5 years.
Intervention | Months (Median) |
---|
ErlotinibPlacebo | 1.8 |
ErlotinibCelecoxib | 3.2 |
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Progression-free Survival - Elevated PGEM
Estimated using the product-limit method of Kaplan and Meier.Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions. (NCT00499655)
Timeframe: Until disease progression, up to 5 years.
Intervention | Months (Median) |
---|
ErlotinibPlacebo | 2.2 |
ErlotinibCelecoxib | 5.4 |
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Progression-free Survival - Low PGEM
Estimated using the product-limit method of Kaplan and Meier.Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions. (NCT00499655)
Timeframe: Until disease progression, up to 5 years.
Intervention | Months (Median) |
---|
ErlotinibPlacebo | 5.4 |
ErlotinibCelecoxib | 6.8 |
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Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier.Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions. (NCT00499655)
Timeframe: Until disease progression, up to 5 years.
Intervention | Months (Median) |
---|
ErlotinibPlacebo | 3.5 |
ErlotinibCelecoxib | 5.4 |
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Number of Participants With Overall Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT00499655)
Timeframe: 16 weeks post start of treatment
Intervention | Participants (Count of Participants) |
---|
ErlotinibPlacebo | 17 |
ErlotinibCelecoxib | 12 |
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Disease Control Rate
Disease control rate was defined as the percentage of participants who have any evidence of confirmed objective CR or PR or Stable disease (SD) (where SD was maintained for 8 weeks), as assessed by the RECIST version 1.0 criteria. As per the RECIST Version 1.0 CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum of the LD. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum of the LD since the treatment started. PD is defined as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum of the LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Percentage of participants (Number) |
---|
Gemcitabine | 50 |
Erlotinib + Gemcitabine | 85.7 |
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Mean Change in Body Temperature From Baseline
Mean change in body temperature from Baseline for each cycle calculated as Day 1 of each cycle value minus baseline value. (NCT00518011)
Timeframe: Baseline (Day -14 to Day 0), Cycle 1 (Days 1, 8, 15 and 22), Cycle 2 (Days 1, 8, 15 and 22), Cycle 3 (Days 1, 8, and 15), Cycle 4 (Days 1, 8, and 15), Cycle 5 (Days 1, 8, and 15), Cycle 6 (Days 1, 8, and 15)
Intervention | Fahrenheit (Mean) |
---|
| Cycle 1 (n=8, 8) | Cycle 2 (n=7, 6) | Cycle 3 (n=4, 5) | Cycle 4 (n=1, 5) | Cycle 5 (n=1, 3) | Cycle 6 (n=1, 2) |
---|
Erlotinib + Gemcitabine | -0.012 | -0.30 | -0.32 | -0.24 | -0.46 | -0.20 |
,Gemcitabine | -0.02 | 0.14 | -0.07 | -0.60 | -0.70 | -0.20 |
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Progression Free Survival
Progression free survival was defined as the interval between the day of randomization and the date of the first documentation of disease progression or date of death (from any cause), whichever occurs first. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Week (Median) |
---|
Gemcitabine | 23.3 |
Erlotinib + Gemcitabine | 24.4 |
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Duration of Response
Duration of response was defined as the interval between the date of CR or PR was first recorded to the date on which progressive disease was first noted or date of death. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Week (Mean) |
---|
Erlotinib + Gemcitabine | 16.3 |
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Mean Change in Blood Pressure From Baseline
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded as vital parameters in this study. Mean change in SBP and DBP from Baseline for each cycle calculated as Day 1 of each cycle value minus baseline value. (NCT00518011)
Timeframe: Baseline (Day -14 to Day 0), Cycle 1 (Days 1, 8, 15 and 22), Cycle 2 (Days 1, 8, 15 and 22), Cycle 3 (Days 1, 8, and 15), Cycle 4 (Days 1, 8, and 15), Cycle 5 (Days 1, 8, and 15), Cycle 6 (Days 1, 8, and 15)
Intervention | mm Hg (Mean) |
---|
| SBP at Cycle 1 (n=8, 8) | DBP at Cycle 1 (n=8, 8) | SBP at Cycle 2 (n=7, 6) | DBP at Cycle 2 (n=7, 6) | SBP at Cycle 3 (n=4, 5) | DBP at Cycle 3 (n=4, 5) | SBP at Cycle 4 (n=1, 5) | DBP at Cycle 4 (n=1, 5) | SBP at Cycle 5 (n=1, 3) | DBP at Cycle 5 (n=1, 3) | SBP at Cycle 6 (n=1, 2) | DBP at Cycle 6 (n=1, 2) |
---|
Erlotinib + Gemcitabine | -0.87 | -5.37 | -17.83 | -9.50 | -17.20 | -9.20 | -10.20 | -1.60 | -1.66 | 0.66 | 5.00 | -0.50 |
,Gemcitabine | 3.00 | -6.87 | -4.85 | -10.71 | -9.00 | -8.25 | -18.00 | -4.00 | 28.00 | 12.00 | 10.00 | 5.00 |
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Mean Change in Pulse Rate From Baseline
Mean change in pulse rate from Baseline for each cycle calculated as Day 1 of each cycle value minus Baseline value (NCT00518011)
Timeframe: Baseline (Day -14 to Day 0), Cycle 1 (Days 1, 8, 15 and 22), Cycle 2 (Days 1, 8, 15 and 22), Cycle 3 (Days 1, 8, and 15), Cycle 4 (Days 1, 8, and 15), Cycle 5 (Days 1, 8, and 15), Cycle 6 (Days 1, 8, and 15)
Intervention | beats per minute (Mean) |
---|
| Cycle 1 (n=8, 8) | Cycle 2 (n=7, 6) | Cycle 3 (n=4, 5) | Cycle 4 (n=1, 5) | Cycle 5 (n=1, 3) | Cycle 6 (n= 1, 2) |
---|
Erlotinib + Gemcitabine | 3.00 | -3.00 | -1.80 | 1.80 | -9.00 | 6.00 |
,Gemcitabine | 2.37 | 3.00 | 2.75 | 18.00 | -6.00 | 4.00 |
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Overall Survival
Overall survival was defined as the interval between the date of randomization to the date of death from any cause. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Week (Median) |
---|
Gemcitabine | 21.1 |
Erlotinib + Gemcitabine | 39.0 |
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Objective Response Rate
Objective response rate was defined as the percentage of participants who have any evidence of confirmed objective of complete response (CR) + partial response (PR), as assessed by the Response Evaluation Criteria In Solid Tumors (RECIST version 1.0) criteria. As per the RECIST Version 1.0 CR is defined as disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum of the LD. (NCT00518011)
Timeframe: Up to 2 years
Intervention | Percentage of participants (Number) |
---|
Gemcitabine | 0 |
Erlotinib + Gemcitabine | 28.6 |
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Consolidation Progression-Free Survival
Consolidation PFS based on the Kaplan-Meier method was defined as the time from the first day of consolidation therapy to documented disease progression (PD) or disease-specific death. Based on RECIST 1.1, radiographic PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum since beginning consolidation, the appearence of one or more new lesions and/or unequivocal progression of existing non-target lesions. Based on Rustin criteria, serlogic PD was a rise in CA125 since beginning of consolidation or previously normal CA125 that rises to >/= 2xULN with either event documented on 2 occasions. Patients who were event-free were censored at the date of their last disease evaluation. (NCT00520013)
Timeframe: Assessments occurred every cycle (serologic) and every 3 cycles (radiologic) on consolidation treatment. Pts were allowed on consolidation therapy for up to 1 year and upon treatment discontinuation were followed for another year.
Intervention | months (Median) |
---|
Carboplatin/Paclitaxel/Bevacizumab Then Bevacizumab | 13.3 |
Carboplatin/Paclitaxel/Bevacizumab Then Bevacizumab/Erlotinib | 18.9 |
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Consolidation Objective Response Rate
Consolidation objective response (OR) was based on RECIST 1.0 criteria with OR defined as achieving partial response (PR) or complete response (CR). Per RECIST 1.0 for target lesions, CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. For CR or PR, changes in tumor measurements must be confirmed by repeat assessments performed no fewer than 4 weeks after the response criteria are first met. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. If CA125 disease then OR based on Rustin criteria is a 50% decrease in serum CA125 level from two initially elevated samples confirmed by a 4th sample. (NCT00520013)
Timeframe: Assessments occurred every cycle (serologic) and every 3 cycles (radiologic) on consolidation treatment. Pts were allowed on consolidation therapy for up to 1 year.
Intervention | proportion of patients (Number) |
---|
Carboplatin/Paclitaxel/Bevacizumab Then Bevacizumab | 0.65 |
Carboplatin/Paclitaxel/Bevacizumab Then Bevacizumab/Erlotinib | .60 |
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Response by Epidermal Growth Factor Receptor (EGFR) Expression
(NCT00524121)
Timeframe: Radiologic evaluation every 3 months, up to 5 years
Intervention | participants (Number) |
---|
| Non-responder | Responder |
---|
EGFR<=120 μg/ml | 6 | 2 |
,EGFR>120 μg/ml | 5 | 3 |
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Response by EGFR Mutation Status
(NCT00524121)
Timeframe: Radiologic evaluation every 3 months, up to 5 years
Intervention | participants (Number) |
---|
| Nonresponder | Responder |
---|
EGFR Mutation | 2 | 2 |
,No EGFR Mutation | 9 | 3 |
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Progresssion-Free Survival
Progression is defined as at least a 20% increase in the sum of long distance of target lesions taking as reference the smallest sum long distance recorded since the treatment started or the appearance of one or more new lesions, or appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT00524121)
Timeframe: Every 3 months, up to 5 years
Intervention | months (Median) |
---|
Erlotinib in Combination With Radiotherapy | 4.5 |
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Overall Survival
(NCT00524121)
Timeframe: 5 years
Intervention | months (Median) |
---|
Erlotinib in Combination With Radiotherapy | 7.3 |
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Effect of Study Therapy on Overall Quality of Life as Assessed by FACT-E Scale
Functional Assessment of Cancer Therapy-Esophagus (FACT-E) is a health-related quality of life instrument validated in esophageal cancer patients. All of the scales and single-item measures range in score from 0 to 4. The ranges of average quality of life scores was from 0 to 4 and was adjusted as lower scores indicate better outcomes (NCT00524121)
Timeframe: Baseline and Week 3
Intervention | FACT-E Score (Median) |
---|
Erlotinib in Combination With Radiotherapy at Baseline | 1.05 |
Erlotinib in Combination With Radiotherapy at Week 3 | 1.36 |
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Correlation of Smoking Status With Overall Survival
(NCT00524121)
Timeframe: 5 years
Intervention | months (Median) |
---|
Current Smokers | 2.4 |
Former Smokers | 7.2 |
Never Smokers | 16.6 |
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Complete Response
"Response assessment by CT scans and upper endoscopy performed between 4-8 weeks after completion of radiation.~Complete Response (CR) is defined as absence of viable tumor in endoscopic evaluation post chemoradiation, with four-quadrant biopsies taken at 1 cm intervals throughout length of original tumor." (NCT00524121)
Timeframe: 4-8 weeks after completion of radiation.
Intervention | percentage of participants (Number) |
---|
Erlotinib in Combination With Radiotherapy | 11.76 |
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Response by Phosphor Epidermal Growth Factor Receptor (pEGFR) Expression
(NCT00524121)
Timeframe: Radiologic evaluation every 3 months, up to 5 years
Intervention | participants (Number) |
---|
| Non-responder | Responder |
---|
pEGFR<=20 μg/ml | 5 | 3 |
,pEGFR>20 μg/ml | 6 | 2 |
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Unexpected Toxicities During First 2 Cycles of Study Drug
Unexpected severe study-related adverse events (NCT00525525)
Timeframe: Within 8 weeks of initiating study therapy
Intervention | Events (Number) |
---|
Safety Lead-in Group | 0 |
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Progression-free Survival
Progression-free survival was defined from the date of diagnosis to the date that progressive disease was first observed on imaging, or the date at which nonreversible neurologic progression or permanently increased corticosteroid requirement, death from any cause, or early discontinuation of treatment. Imaging guidelines were used to evaluate progression: (i) 25% increase in the sum of products of all measurable lesions over the smallest sum observed (over baseline if no decrease) using the same techniques as baseline; (ii) clear worsening of any assessable disease; (iii) appearance of any new lesion/site; and (iv) clear clinical worsening or failure to return for evaluation as a result of death or deteriorating condition (unless clearly unrelated to this cancer). (NCT00525525)
Timeframe: Approximately 6 months to 1 year
Intervention | months (Median) |
---|
Efficacy Group | 13.5 |
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Overall Survival (OS)
Overall survival was defined from the date of diagnosis to date of death from any cause (NCT00525525)
Timeframe: Approximately 6-24 months
Intervention | months (Median) |
---|
Efficacy Group | 19.8 |
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Percentage of Participants With Erlotinib Dose Reduction by Reason for Reduction
Erlotinib dose adjustment was done in case of toxicity occurrence. Keratitis, diarrhea, interstitial lung disease, and other toxic occurrences determined erlotinib dose reduction. If erlotinib was previously discontinued for skin rash or diarrhea of Grade 2 and if these symptoms of Grade 2 recurred OR if the symptoms were intolerable for the participants, erlotinib was discontinued until recovery/Grade 1 then the dose was reduced of one level of 50 mg. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
| Adverse event | Investigator's decision | Other |
---|
Erlotinib | 85.7 | 2.4 | 11.9 |
,Erlotinib + Doxycycline | 80.0 | 0 | 20.0 |
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Time Free From Skin Rash (Folliculitis) During the First 4 Months of Treatment - Time to Event
Period without occurrence was determined as the number of days from the first dose of medication until the first appearance of folliculitis, analyzed using Kaplan-Meier analysis. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | days (Median) |
---|
Erlotinib + Doxycycline | 14 |
Erlotinib | 13 |
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Percentage of Participants Estimated to be Event Free at 12 Months
Percentage of participants estimated to be without skin rash (folliculitis) at 12 months. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 19.8 |
Erlotinib | 11.2 |
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Percentage of Participants With Doxycycline Dose Reduction by Reason for Reduction
Occurrence of folliculitis-type skin rash of Grade greater than or equal to (≥)2 led to dose modification. Continuation of treatment with doxycycline after occurrence of folliculitis-type skin rash of Grade ≥2 was upon the investigator's opinion. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
| Adverse event | Other |
---|
Erlotinib + Doxycycline | 50.0 | 50.0 |
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Number of Participants With Skin Rash (Folliculitis) After the First 4 Months of Treatment By Type
A cutaneous rash as folliculitis can be defined with several types including erythema, papulo-pustule, nodule, and crust. (NCT00531934)
Timeframe: Months 7, 10, and 12
Intervention | participants (Number) |
---|
| Erythema | Papulo-pustule | Nodule | Crust |
---|
Erlotinib | 1 | 1 | 0 | 0 |
,Erlotinib + Doxycycline | 1 | 1 | 0 | 0 |
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Percentage of Participants by Best Global Response Under Treatment
Response was determined according to the RECIST criteria for evaluation and was defined as participants with either CR, PR, SD, or progression. No CR was reported. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
| PR | SD | Progression |
---|
Erlotinib | 10.3 | 48.3 | 41.4 |
,Erlotinib + Doxycycline | 15.5 | 36.2 | 48.3 |
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Percentage of Participants by DLQI Global Score Classification of Disease Effect on Quality of Life
Quality of life was assessed by participant's responses to a DLQI questionnaire. The DLQI is a 10-item questionnaire assessing quality of life; questions were assessed on a 4-point scale (0=not at all; 1=a little; 2=a lot; and 3=very much). The DLQI was calculated by summing the score of each question resulting in a maximum of 30 (extremely large effect on participant's life) and a minimum of 0 (no effect at all on participant's life). The higher the score, the more quality of life is impaired. The DLQI global score was classified into 5 levels: 0-1 (no effect at all), 2-5 (small effect), 6-10 (moderate effect), 11-20 (very large effect) and 21-30 (extremely large effect). (NCT00531934)
Timeframe: Baseline, Days 14 and 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
| Baseline, no effect (n=67,69) | Baseline, small effect (n=67,69) | Day 14, no effect (n=63,62) | Day 14, small effect (n=63,62) | Day 14, moderate effect (n=63,62) | Day 14, very large effect (n=63,62) | Day 14, extremely large effect (n=63,62) | Day 28, no effect (n=60,56) | Day 28, small effect (n=60,56) | Day 28, moderate effect (n=60,56) | Day 28, very large effect (n=60,56) | Day 28, extremely large effect (n=60,56) | Month 2, no effect (n=35,37) | Month 2, small effect (n=35,37) | Month 2, moderate effect (n=35,37) | Month 2, very large effect (n=35,37) | Month 2, extremely large effect (n=35,37) | Month 3, no effect (n=29,27) | Month 3, small effect (n=29,27) | Month 3, moderate effect (n=29,27) | Month 3, very large effect (n=29,27) | Month 4, no effect (n=19,24) | Month 4, small effect (n=19,24) | Month 4, very large effect (n=19,24) |
---|
Erlotinib | 97.1 | 2.9 | 41.9 | 30.6 | 21.0 | 6.5 | 0.0 | 41.1 | 35.7 | 19.6 | 1.8 | 1.8 | 40.5 | 27.0 | 21.6 | 8.1 | 2.7 | 37.0 | 44.4 | 11.1 | 7.4 | 50.0 | 41.7 | 8.3 |
,Erlotinib + Doxycycline | 98.5 | 1.5 | 69.8 | 27.0 | 0.0 | 1.6 | 1.6 | 66.7 | 25.0 | 8.3 | 0.0 | 0.0 | 65.7 | 22.9 | 5.7 | 5.7 | 0.0 | 69.0 | 27.6 | 0.0 | 3.4 | 78.9 | 15.8 | 5.3 |
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Percentage of Participants Estimated to be Alive at 4 and 12 Months
(NCT00531934)
Timeframe: Months 4 and 12
Intervention | percentage of participants (Number) |
---|
| 4 Months | 12 Months |
---|
Erlotinib | 69.7 | 33.5 |
,Erlotinib + Doxycycline | 68.5 | 27.1 |
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Percentage of Participants Estimated to be Progression Free at 4 and 12 Months
(NCT00531934)
Timeframe: Months 4 and 12
Intervention | percentage of participants (Number) |
---|
| 4 Months | 12 Months |
---|
Erlotinib | 31.0 | 10.8 |
,Erlotinib + Doxycycline | 30.1 | 6.3 |
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Number of Skin Rash (Folliculitis) Events During the First 4 Months of Treatment
A cutaneous rash as folliculitis can be defined with several types including erythema, papulo-pustular and nodules. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | rash events (Number) |
---|
Erlotinib + Doxycycline | 57 |
Erlotinib | 62 |
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Percentage of Participants With Global Disease Control by Visit
Disease control was determined according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria for evaluation and was defined as participants with either complete response (CR), partial response (PR), or stable disease (SD). (NCT00531934)
Timeframe: Months 2, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
| Month 2 (n=34,33) | Month 4 (n=19,25) | Month 7 (n=11,17) | Month 10 (n=7,12) | Month 12 (n=7,10) |
---|
Erlotinib | 93.9 | 80.0 | 76.5 | 66.7 | 40.0 |
,Erlotinib + Doxycycline | 88.2 | 89.5 | 72.7 | 100.0 | 71.4 |
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Percentage of Participants With Other Skin Lesions During the First 4 Months of Treatment By Maximal Intensity
Other skin lesions included xerosis and paronychia. Intensity was classified according to CTCAE grading. Grade 1=Macular or papular eruption or erythema without associated symptoms; Grade 2=Macular or papular eruption or erythema with pruritus or other associated symptoms; localized desquamation or other lesions covering <50% of BSA; Grade 3=Severe, generalized erythroderma or macular, papular, or vesicular eruption; desquamation; Grade 4=Generalized exfoliative, ulcerative, or bullous dermatitis. If a participant had several skin lesions, the maximal intensity was taken into account. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 |
---|
Erlotinib | 29.0 | 51.6 | 16.1 | 3.2 |
,Erlotinib + Doxycycline | 69.0 | 24.1 | 6.9 | 0 |
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Dermatology Life Quality Index (DLQI) Global Score
Quality of life was assessed by participant's responses to a DLQI questionnaire. The DLQI is a 10-item questionnaire assessing quality of life; questions were assessed on a 4-point scale (0=not at all; 1=a little; 2=a lot; and 3=very much). The DLQI was calculated by summing the score of each question resulting in a maximum of 30 (extremely large effect on participant's life) and a minimum of 0 (no effect at all on participant's life). The higher the score, the more quality of life is impaired. Analysis was performed by visit well as at the last available value after baseline (Endpoint); change from baseline to endpoint was also determined. (NCT00531934)
Timeframe: Baseline, Days 14 and 28 and Months 2, 3, and 4
Intervention | units on a scale (Mean) |
---|
| Baseline (n=67,69) | Day 14 (n=63,62) | Day 28 (n=60,56) | Month 2 (n=35,37) | Month 3 (n=29,27) | Month 4 (n=19,24) | Endpoint (n=65,63) | Change at Endpoint (n=35,37) |
---|
Erlotinib | 0.2 | 3.7 | 3.4 | 4.3 | 3.2 | 2.6 | 3.4 | 3.2 |
,Erlotinib + Doxycycline | 0.2 | 1.7 | 1.7 | 2.3 | 1.7 | 1.6 | 2.0 | 1.9 |
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Number of Skin Rash (Folliculitis) Events After the First 4 Months of Treatment
A cutaneous rash as folliculitis can be defined with several types including erythema, papulo-pustular and nodules. (NCT00531934)
Timeframe: Months 7, 10, and 12
Intervention | rash events (Number) |
---|
Erlotinib + Doxycycline | 2 |
Erlotinib | 1 |
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Overall Survival (OS) - Percentage of Participants With an Event
OS was defined by the time between first intake of treatment with erlotinib and death for any cause; analyzed using Kaplan-Meier method. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 71.2 |
Erlotinib | 67.6 |
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Overall Survival (OS) - Time to Event
OS was defined by the time between first intake of treatment with erlotinib and death for any cause; analyzed using Kaplan-Meier method. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | days (Median) |
---|
Erlotinib + Doxycycline | 227.0 |
Erlotinib | 251.0 |
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Time Free From Skin Rash (Folliculitis) During the First 4 Months of Treatment - Number of Participants With an Event
Period without occurrence was determined as the number of days from the first dose of medication until the first appearance of folliculitis, analyzed using Kaplan-Meier analysis. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | participants (Number) |
---|
Erlotinib + Doxycycline | 52 |
Erlotinib | 59 |
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Progression-Free Survival (PFS) - Time to Event
PFS was defined by the time between first intake of treatment with erlotinib and disease progression or death for any cause; estimated using Kaplan-Meier method. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | days (Median) |
---|
Erlotinib + Doxycycline | 63.0 |
Erlotinib | 70.0 |
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Duration of Skin Rash (Folliculitis) During the Whole Treatment Period
If the end of cutaneous rash was missing, the duration of cutaneous rash was calculated between start of folliculitis and last evaluation date. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | days (Median) |
---|
Erlotinib + Doxycycline | 86.7 |
Erlotinib | 99.3 |
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Percentage of Participants With Other Skin Lesions During the First 4 Months of Treatment By Type
Other skin lesions included xerosis and paronychia. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
| Xerosis | Paronychia |
---|
Erlotinib | 41.1 | 8.2 |
,Erlotinib + Doxycycline | 37.0 | 6.8 |
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Number of Participants With Skin Rash (Folliculitis) After the First 4 Months of Treatment By Intensity
Intensity of skin rashes was classified according to CTCAE grading. Grade 1=Macular or papular eruption or erythema without associated symptoms; Grade 2=Macular or papular eruption or erythema with pruritus or other associated symptoms; localized desquamation or other lesions covering <50% of BSA; Grade 3=Severe, generalized erythroderma or macular, papular, or vesicular eruption; desquamation. (NCT00531934)
Timeframe: Months 7, 10, and 12
Intervention | participants (Number) |
---|
| Initial intensity: Grade 1 | Maximal intensity: Grade 1 |
---|
Erlotinib | 1 | 1 |
,Erlotinib + Doxycycline | 2 | 2 |
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Percentage of Participants With Skin Rash (Folliculitis) During the First 4 Months of Treatment By Maximal Intensity
Intensity of skin rashes was classified according to CTCAE grading. Grade 1 equals (=) Macular or papular eruption or erythema without associated symptoms; Grade 2=Macular or papular eruption or erythema with pruritus or other associated symptoms; localized desquamation or other lesions covering less than (<)50 percent (%) of body surface area (BSA); Grade 3=Severe, generalized erythroderma or macular, papular, or vesicular eruption; desquamation. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 |
---|
Erlotinib | 18.6 | 62.7 | 18.6 |
,Erlotinib + Doxycycline | 61.5 | 34.6 | 3.8 |
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Percentage of Participants With at Least One Skin Rash (Folliculitis) of Any Grade During the First 4 Months of Treatment
Description of skin rash (folliculitis, including erythema, papulo-pustules, nodule, and crust) was according to Common Terminology Criteria for Adverse Events (CTCAE) version 3 scale. Medical pictures of the face (front and sides views) systematically, and of any region presenting with skin lesions were obtained. The pictures were reviewed by a centralized committee of evaluation. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 71.2 |
Erlotinib | 80.8 |
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Progression-Free Survival (PFS) - Percentage of Participants With an Event
PFS was defined by the time between first intake of treatment with erlotinib and disease progression or death for any cause; estimated using Kaplan-Meier method. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 91.8 |
Erlotinib | 87.8 |
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Percentage of Participants With Skin Rash (Folliculitis) During the First 4 Months of Treatment By Type
A cutaneous rash as folliculitis can be defined with several types including erythema, papulo-pustule, nodule, and crust. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
| Erythema | Papulo-pustule | Nodule | Crust |
---|
Erlotinib | 70.7 | 72.4 | 0 | 25.9 |
,Erlotinib + Doxycycline | 55.8 | 65.4 | 1.9 | 9.6 |
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Quality of Life Score as Assessed by Visual Analog Scale (VAS)
Quality of life was assessed by participant's responses to a VAS questionnaire - (evaluation of satisfaction with skin status). VAS was measured on a 100 millimeter (mm) scale where 0 = not at all satisfied and 100 = very satisfied. Participants were asked to mark the line corresponding to their satisfaction at each visit and the distance from the left edge was measured. A negative change from baseline indicates improvement. Analysis was performed by visit well as at the last available value after baseline (Endpoint). (NCT00531934)
Timeframe: Baseline, Days 14 and 28, and Months 2, 3, and 4
Intervention | mm (Mean) |
---|
| Baseline (n=64,68) | Day 14 (n=62,63) | Change at Day 14 (n=59,61) | Day 28 (n=59,56) | Change at Day 28 (n=55,54) | Month 2 (n=36,36) | Month 3 (n=28,27) | Month 4 (n=18,24) | Endpoint (n=65,64) | Change at Endpoint (n=60,62) |
---|
Erlotinib | 87.8 | 51.0 | -39.2 | 54.8 | -35.1 | 52.6 | 56.1 | 59.9 | 58.3 | -30.4 |
,Erlotinib + Doxycycline | 81.4 | 68.8 | -16.2 | 66.5 | -15.5 | 68.9 | 63.5 | 71.8 | 64.0 | -18.1 |
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Duration of Skin Rash (Folliculitis) During the First 4 Months of Treatment
If the cutaneous rash was ongoing at the last visit or Month 4, the duration of cutaneous rash was calculated between start of folliculitis and Visit Month 4 or premature withdrawal visit or death. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | days (Mean) |
---|
Erlotinib + Doxycycline | 59.6 |
Erlotinib | 60.6 |
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Percentage of Participants With Other Skin Lesions of Any Grade During the First 4 Months of Treatment
Other skin lesions included presence or absence of xerosis and paronychia. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 39.7 |
Erlotinib | 42.5 |
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Percentage of Participants With at Least One Skin Rash (Folliculitis) of Any Grade After the First 4 Months of Treatment
(NCT00531934)
Timeframe: Months 7, 10, and 12
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 2.7 |
Erlotinib | 1.4 |
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Percentage of Participants Estimated to be Event Free at 4 Months
Percentage of participants estimated to be without skin rash (folliculitis) at 4 months. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, and 4
Intervention | percentage of participants (Number) |
---|
Erlotinib + Doxycycline | 24.7 |
Erlotinib | 11.2 |
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Time Free From Skin Rash (Folliculitis) During the Whole Treatment Period - Time to Event
Period without occurrence was determined as the number of days from the first dose of medication until the first appearance of folliculitis, analyzed using Kaplan-Meier analysis. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | days (Median) |
---|
Erlotinib + Doxycycline | 14 |
Erlotinib | 13 |
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Time Free From Skin Rash (Folliculitis) During the Whole Treatment Period - Number of Participants With an Event
Period without occurrence was determined as the number of days from the first dose of medication until the first appearance of folliculitis, analyzed using Kaplan-Meier analysis. (NCT00531934)
Timeframe: Days 0, 14, 28 and Months 2, 3, 4, 7, 10, and 12
Intervention | participants (Number) |
---|
Erlotinib + Doxycycline | 53 |
Erlotinib | 59 |
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OS
The median time, in months, from randomization to OS event. Participants were censored at final analysis at the date the participant was last known to be alive. (NCT00531960)
Timeframe: Screening, Days 1, 8, and 21 of Cycles 1-8 (21-day cycles), and every 12 weeks thereafter until the end of study and final analysis up to a maximum of 42 months.
Intervention | months (Median) |
---|
Bevacizumab + Chemotherapy | NA |
Bevacizumab + Erlotinib | 16.4 |
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PFS
The median time, in weeks, from randomization to PFS event. Participants were censored at the date of last post-BL tumor assessment where non-progression was documented. If no post-BL tumor assessment was available, the participant was censored at date of randomization. PFS was estimated using Kaplan-Meier methodology. (NCT00531960)
Timeframe: Screening, end of every 2nd cycle through Cycle 8 (21-day cycles), and every 12 weeks thereafter until the end of study and final analysis up to a maximum of 42 months.
Intervention | weeks (Median) |
---|
Bevacizumab + Chemotherapy | 34.6 |
Bevacizumab + Erlotinib | 23.4 |
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Percentage of Participants Who Died
Overall survival (OS) was defined as the time from randomization to the date of death, due to any cause. Participants were censored at final analysis at the date the participant was last known to be alive. (NCT00531960)
Timeframe: Screening, Days 1, 8, and 21 of Cycles 1-8 (21-day cycles), and every 12 weeks thereafter until the end of study and final analysis up to a maximum of 42 months.
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Chemotherapy | 45.9 |
Bevacizumab + Erlotinib | 52.4 |
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Percentage of Participants With Disease Progression or Death
Progression-free survival (PFS) was defined as the time from randomization to disease progression or death, from any cause. Progressive disease (PD) was defined according to Response Criteria in Solid Tumors (RECIST) version (V) 1.0. For target lesions (TLs), progressive disease (PD) was defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded since the start of treatment. For non-target lesions (NTLs), PD was defined as unequivocal progression of existing NTLs. Participants were censored at the date of last post-baseline (BL) tumor assessment where non-progression was documented. If no post-BL tumor assessment was available, the participant was censored at date of randomization. (NCT00531960)
Timeframe: Screening, end of every 2nd cycle through Cycle 8 (21-day cycles), and every 12 weeks thereafter until the end of study and final analysis up to a maximum of 42 months.
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Chemotherapy | 72.1 |
Bevacizumab + Erlotinib | 76.2 |
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Percentage of Participants With Disease Control According to RECIST V 1.0
Disease control was defined as a BOR of CR, PR, or SD according to RECIST V 1.0 for at least 4 weeks at any time during randomized treatment or disease stabilization, after study entry. Participants without a post-BL assessment of response were considered as having no disease control. The 95% CI for the one sample binomial was calculated using the Pearson-Clopper method. (NCT00531960)
Timeframe: Screening, end of every 2nd cycle through Cycle 8 (21-day cycles), and every 12 weeks thereafter until the end of study and final analysis, 12 months after the last participant's 1st visit
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Chemotherapy | 85.2 |
Bevacizumab + Erlotinib | 73.0 |
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Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST V 1.0
BOR was defined as the best response recorded from randomization until disease progression/recurrence or death, taking as reference for PD the smallest measurement (nadir) recorded since treatment started. Assignment of PR of CR required confirmation of tumor measurement changes by repeat assessments performed no less than 4 weeks after criteria for response was first met. For TLs, CR was defined as the disappearance of all TLs; and PR was defined as at least a 30% decrease in the SLD of the TLs, taking BL SLD as reference. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. The 95% CI for one sample binomial was calculated using the Pearson-Clopper method. (NCT00531960)
Timeframe: Screening, end of every 2nd cycle through Cycle 8 (21-day cycles), and every 12 weeks thereafter until the end of study and final analysis up to a maximum of 42 months.
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Chemotherapy | 44.3 |
Bevacizumab + Erlotinib | 27.0 |
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16 Weeks Progression-free Survival
To determine the rate of progression-free survival (PFS) at 16 weeks for the combination therapy of erlotinib and docetaxel for subjects in the Biliary stratum, per RECIST criteria. Progressive disease is defined as at least a 20% increase in the sum of the longest diameter of target lesions taking as reference the smallest sum recorded since the treatment started or the appearance of one or more new lesions. (NCT00532441)
Timeframe: Start of treatment until disease progression per RECIST criteria up to 16 weeks
Intervention | months (Median) |
---|
Biliary | 4.7 |
Hepatocellular | 3.5 |
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Overall Survival
Determine Overall Survival (NCT00532441)
Timeframe: 18 Months
Intervention | months (Median) |
---|
Hepatocellular | 6.7 |
Biliary | 5.7 |
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Response Rate
Determine the Response Rate Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) (NCT00532441)
Timeframe: 18 months
Intervention | participants (Number) |
---|
| Complete Response or Partial Response | Stable Disease | Progressive Disease |
---|
Erlotinib and Docetaxel: Biliary | 0 | 7 | 4 |
,Erlotinib and Docetaxel: Hepatocellular | 0 | 6 | 7 |
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6 Month Progression-Free Survival
"For liver lesions treated with SBRT, RECIST (Response Evaluation Criteria in Solid Tumors) criteria will be used for evaluation of progression. Progression (PD) is at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.~Evaluation of lung lesions at any time after SBRT is difficult in view of the expected fibrotic reaction. Bone lesions seen only on PET are also not well scored by RECIST criteria and will not be evaluated in that manner. In this study progressive disease (PD) will be defined as residual increased metabolic PET scan in combination with expanded parenchymal opacity that retains mass-like discrete borders and extends outside the volume of lung that received at least 18 Gy." (NCT00547105)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
SBRT Combined With Erlotinib | 69 |
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In-field Local Control
In-field local control is defined as number of treated lesions that did not grow in size or increase in metabolic activity. (NCT00547105)
Timeframe: 9 months
Intervention | lesions treated with SBRT (Count of Units) |
---|
SBRT Combined With Erlotinib | 44 |
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Out-of-field Disease Progression
Number of Participants with Disease Progression Outside the Radiation treated field at 9 Months (NCT00547105)
Timeframe: 9 months
Intervention | Participants (Count of Participants) |
---|
SBRT Combined With Erlotinib | 10 |
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Overall Survival
evaluate overall survival after SBRT in combination with erlotinib (NCT00547105)
Timeframe: up to 5 years
Intervention | months (Median) |
---|
SBRT Combined With Erlotinib | 20.4 |
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Duration of Erlotinib Use and Time to Initiation of Third-line Systemic Therapy
To evaluate the duration of erlotinib usage and time to initiation of third line systemic agent (chemotherapy or biologic agent) (NCT00547105)
Timeframe: 3 years
Intervention | days (Median) |
---|
SBRT Combined With Erlotinib | 183 |
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Progression-free Survival
"For liver lesions treated with SBRT, RECIST (Response Evaluation Criteria in Solid Tumors) criteria will be used for evaluation of progression. Progression (PD) is at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.~Evaluation of lung lesions at any time after SBRT is difficult in view of the expected fibrotic reaction. Bone lesions seen only on PET are also not well scored by RECIST criteria and will not be evaluated in that manner. In this study progressive disease (PD) will be defined as residual increased metabolic PET scan in combination with expanded parenchymal opacity that retains mass-like discrete borders and extends outside the volume of lung that received at least 18 Gy." (NCT00547105)
Timeframe: up to 5 years
Intervention | months (Median) |
---|
SBRT Combined With Erlotinib | 14.7 |
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Overall Survival (OS)
OS is defined as the time from randomization to the date of death from any cause. (NCT00550173)
Timeframe: Baseline to date of death from any cause up to 45.5 months
Intervention | months (Median) |
---|
Pemetrexed + Erlotinib | 20.5 |
Erlotinib | 22.8 |
Pemetrexed | 17.7 |
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Percentage of Participants With CR, PR, and Stable Disease (SD) - Disease Control Rate (DCR)
DCR was defined as the percentage of participants with CR, PR, or SD divided by the number of randomized and treated participants as assessed using the RECIST criteria. CR was defined as the disappearance of all target lesions; PR was defined as 1) at least a 30% decrease in sum of longest diameter of target lesions or 2) complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions; PD was defined as at least a 20% increase in sum of longest diameter of target lesions; SD was defined as small changes that did not meet the above criteria. (NCT00550173)
Timeframe: Randomization to disease progression up to 38 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Erlotinib | 64.5 |
Erlotinib | 52.4 |
Pemetrexed | 56.3 |
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Number of Participants With Adverse Events
A summary of serious and all other non-serious adverse events (AEs), which include AEs reported for pharmacological toxicity, is located in the Reported Adverse Event module. (NCT00550173)
Timeframe: Randomization up to 39 months
Intervention | participants (Number) |
---|
| Serious Adverse Events | Other Non-Serious Adverse Events |
---|
Erlotinib | 18 | 76 |
,Pemetrexed | 22 | 67 |
,Pemetrexed + Erlotinib | 25 | 72 |
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Number of Participants With Mutated or Non-Mutated Epidermal Growth Factor Receptor (EGFR) Genotype Status
EGFR mutation status was defined as: participants with any mutations detected were categorized as mutated and participants without any mutations detected were categorized as non-mutated. (NCT00550173)
Timeframe: Randomization to date of PD or death up to 38 months
Intervention | participants (Number) |
---|
| Mutated | Non-mutated | Mutation status unknown (treated as missing) |
---|
Erlotinib | 8 | 6 | 2 |
,Pemetrexed | 9 | 3 | 3 |
,Pemetrexed + Erlotinib | 7 | 10 | 5 |
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Time to Worsening of Symptoms (TWS) on Lung Cancer Symptoms Scale (LCSS)
TWS assessed using the LCSS a participant rated lung cancer instrument which consisted of 9 disease related symptoms and quality of life (QoL) items, with 6 subscales related to major lung cancer symptoms (appetite, cough, fatigue, dyspnea, hemoptysis, and pain) and 3 summation items related to QoL (activity status, symptomatic distress, and overall QoL). Each item is marked on a visual analog scale (VAS) 0 (low symptoms/QoL items) to 100 (high symptoms/QoL items). The mean of the 6 subscales is used to calculate the average symptom burden index. TWS was measured from the date of study enrollment to the first date of a worsening in any 1 of the 6 LCSS symptom-specific items (as defined by a VAS 15-mm increase from baseline in the patient-reported score for any of these 6 items). (NCT00550173)
Timeframe: Randomization to first date of worsening of any of 6 LCSS symptom specific items or up to 12.4 months
Intervention | months (Median) |
---|
Pemetrexed + Erlotinib | 1.0 |
Erlotinib | 0.8 |
Pemetrexed | 1.5 |
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Progression-Free Survival (PFS)
PFS is defined as the time from randomization to the first date of progressive disease (PD; either objectively determined or clinical progression) or death from any cause. PD was defined as at least a 20% increase in sum of longest diameter of target lesions as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0 guidelines. Time to disease progression was censored at the date of death. (NCT00550173)
Timeframe: Randomization to measured PD up to 38 months
Intervention | months (Median) |
---|
Pemetrexed + Erlotinib | 7.4 |
Erlotinib | 3.8 |
Pemetrexed | 4.4 |
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Probability of OS at 12 Months
OS time is censored at the date of last contact for participants who were still alive or lost to follow-up. (NCT00550173)
Timeframe: Month 12
Intervention | percent chance of survival (Number) |
---|
Pemetrexed + Erlotinib | 40.2 |
Erlotinib | 26.2 |
Pemetrexed | 18.1 |
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Percentage of Participants With a Tumor Response of Complete Response (CR) or Partial Response (PR) [Tumor Response Rate (TRR)]
TRR was defined as the number of responders (complete or partial) divided by the number of participants qualified for tumor response, as assessed using the RECIST version 1.0 guideline, multiplied by 100. RECIST guidelines: CR was defined as the disappearance of all target and non-target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm) and normalization of tumor marker level of non-target lesions; PR was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT00550173)
Timeframe: Randomization to measured disease progression up to 38 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Erlotinib | 44.7 |
Erlotinib | 29.3 |
Pemetrexed | 10.0 |
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Progression-free Survival (PFS) for Erlotinib Initial Therapy in Chemotherapy-naïve Patients With Advanced NSCLC
PFS is defined as the time from on erlotinib treatment date to progression or death (whichever comes first) before cross-over to PC or PC+B. For those did not progressed nor died, they were censored at the last follow up (either the off erlotinib treatment date or lost follow up date). The median survival time and 95% confidence interval were estimated using Kaplan-meier method. (NCT00550537)
Timeframe: Through study completion, an average of 1 year
Intervention | months (Median) |
---|
Patients on Erlotinib Segament | 3.16 |
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Overall Survival for Erlotinib Initial Therapy in Chemotherapy-naïve Patients With Advanced NSCLC
The overall survival time is defined as the time from on treatment to death. Patients were censored of they were alive at the last follow up date. The median survival time and its confidence interval were estimated using Kaplan-meier method. (NCT00550537)
Timeframe: Through study completion, an average of 1 year
Intervention | months (Median) |
---|
Erlotinib Followed by PC | 12.53 |
Erlotinib Followed by PC+B | 17.23 |
Erlotinib | 6.08 |
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Number of Patients With Worst-grade Toxicities Per Grade
"The intensity of the AE will be graded according to the Common Toxicity Criteria (CTC) of the (US) National Cancer Institute (NCI) - Cancer Therapy Evaluation Program (CTEP) [version 3.0 of December 2003] (Appendix B).~Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE" (NCT00550537)
Timeframe: Through study completion, an average of 1 year
Intervention | participants (Number) |
---|
| worst-grade 1 | worst-grade 2 | worst-grade 3 | worst-grade 4 |
---|
Erlotinib Segament | 18 | 51 | 15 | 1 |
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Response Rate for Erlotinib Initial Therapy in Chemotherapy-naïve Patients With Advanced NSCLC
Number of patients in each response category, per RECIST v1.1, summarized as follows for target lesion criteria (see RECIST v1.1 for additional details): complete response (CR),disappearance of target lesions; partial response (PR), >=30% decrease in sum of longest diameter of target lesions; progressive disease (PD), >=20% increase in sum of LD of target lesions or appearance of new lesions; stable disease (SD), insufficient change in target lesions or new lesions to qualify as either PD or SD. The response rate is calculated as the percentage of PR+CR among patients assessed for response. (NCT00550537)
Timeframe: Through study completion, an average of 1 year
Intervention | percentage of patients assessed (Mean) |
---|
Patients on Erlotinib Segament | 18.8 |
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Confirmed Response Rate
Evaluated using RECIST version 1.0. Confirmed tumor response rate was defined as achieving partial response (PR) or complete response (CR) in two consecutive assessments at least 6 weeks apart. CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. The confirmed response rate is reported as the number of participants with confirmed responses divided by the number of evaluated participants. (NCT00550836)
Timeframe: Up to 2 years
Intervention | rate of confirmed response (Number) |
---|
Arm A: GE | 0.087 |
Arm B: PGE | 0.065 |
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Frequency and Severity of Observed Adverse Effects
"Patients are assessed for Adverse events each cycle using the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0). The maximum grade for each type of adverse event will be recorded for each patient, and tables will be reviewed to determine adverse event patterns. The number of patients in each arm that reported a grade 3 or higher adverse event and a grade 4 or higher adverse event are reported.~A complete listing of all adverse events is reported in the Adverse Events section." (NCT00550836)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
| Grade 3+ Adverse Event | Grade 4+ Adverse Event |
---|
Arm A: GE | 41 | 15 |
,Arm B: PGE | 41 | 14 |
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Time to Treatment Failure
Time to treatment failure is defined to be the time from the date of randomization to the date at which the patient is removed from treatment due to progression, adverse events, or refusal. If the patient is considered to be a major treatment violation or is taken off study as a nonprotocol failure, the patient will be censored on the date they are removed from treatment. The time to treatment failure will be estimated using the method of Kaplan-Meier. (NCT00550836)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm A: GE | 2.0 |
Arm B: PGE | 3.8 |
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Progression-free Survival
Progression-free survival is defined as the time from randomization to documentation of disease progression or death, whichever comes first. Progression is defined as at least a 20% increase in the sum of longest dimension (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. The distribution of progression-free survival will be estimated using the method of Kaplan-Meier. The progression-free survival curves will be compared between the 2 arms using a log-rank test. (NCT00550836)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm A: GE | 2.0 |
Arm B: PGE | 3.6 |
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Overall Survival
Overall Survival is defined as the time from registration to death due to any cause. The estimate will be done using the Kaplan-Meier method. The primary goal of this trial is to compare the experimental arm (Arm B) to the standard arm (Arm A). The primary analysis will be a comparison of Arm A to Arm B using a one-sided log-rank test between the 2 Kaplan-Meier curves. (NCT00550836)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Arm A: GE | 4.2 |
Arm B: PGE | 8.3 |
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Overall Survival at 12 Months
Percentage of participants who were alive at 12 months. (NCT00553462)
Timeframe: At 12 months
Intervention | percentage of participants (Number) |
---|
Paclitaxel + Carboplatin + Radiation + Erlotinib | 57 |
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Progression-free Survival
Progression free survival (PFS) is defined as the time from registration to disease progression or death of any cause, which ever comes first. The median PFS with 95% CI was estimated using the Kaplan-Meier method. (NCT00553462)
Timeframe: Duration of study (up to 2 years)
Intervention | months (Median) |
---|
Paclitaxel + Carboplatin + Radiation + Erlotinib | 11 |
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Response Rate
"Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria:~Complete Response (CR): disappearance of all target lesions;~Partial Response (PR) 30% decrease in sum of longest diameter of target lesions;~Progressive Disease (PD): 20% increase in sum of longest diameter of target lesions;~Stable Disease (SD): small changes that do not meet above criteria.~Response rate is reported as the percentage of participants who achieved each response." (NCT00553462)
Timeframe: Duration of study (up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) |
---|
Paclitaxel + Carboplatin + Radiation + Erlotinib | 8 | 59 | 27 | 7 |
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Progression Free Survival (PFS)
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00553800)
Timeframe: 3 years
Intervention | months (Median) |
---|
Bevacizumab & Erlotinib | 6.6 |
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Probable Percentage of Participants Remaining Without Deterioration in Quality of Life at 6 Months as Assessed by FACT-L
The FACT-L measures health related QOL and composes of five domains: the four domains (physical well being, emotional well being, social well being, functional well being) from the FACT-G and the LCS. The FACT-L total score ranges from 0 to 136, higher scores represent better QOL. Kaplan Meier estimates were used for analysis. (NCT00556322)
Timeframe: 6 Months
Intervention | percentage of participants (Number) |
---|
Comparator | 25.0 |
Erlotinib | 19.0 |
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Probable Percentage of Participants Remaining Alive and Progression Free at 6 Months
Tumor response was evaluated according to RECIST criteria (version 1.0). Progressive Disease was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Event free estimates were determined using Kaplan-Meier estimates. (NCT00556322)
Timeframe: 6 Months
Intervention | percentage of participants (Number) |
---|
Comparator | 17.0 |
Erlotinib | 13.0 |
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Percentage of Participants With Symptomatic Progression Using FACT-L
Participants' responses on the FACT-L were scored according to the Functional Assessment of Chronic Illness Therapy (FACIT) measurement system manual. Time to symptom progression is the time from randomization until the earlier of a clinically meaningful decline from baseline in LCS score, or death on study. A change in 2 to 3 points on the LCS is a clinically meaningful change. Meaningful declines in scores as measured by the FACIT instruments have been found to be larger than improvements. Thus, deterioration in disease-related symptoms was defined by the upper bound (3 points) of the range of clinically meaningful change. However, participants who demonstrated early lung cancer progression demonstrated smaller changes from baseline score on the LCS. Therefore, the clinically meaningful decline that was used to determine progression of symptoms in this study was at least 1.5-point decline in LCS score from baseline. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | percentage of participants (Number) |
---|
Comparator | 60.6 |
Erlotinib | 62.0 |
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Percentage of Participants With Disease Progression or Death (All Participants; Data Cut Off 07 September 2010)
Tumor response was evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria (version 1.0). Progressive Disease was defined as at least a 20 percent (%) increase in the sum of the Longest Diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. The primary analysis of PFS used objective progression (RECIST) plus clinical progression (based on relevant clinical findings - if any). A further assessment of PFS was made on objective (radiological) progression. If clinical progression was diagnosed first, the participant was censored at the date of the last tumor assessment, where non-progression was documented. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity or Until Data Cut off (07 September 2010) up to 52 months
Intervention | percentage of participants (Number) |
---|
Comparator | 83.3 |
Erlotinib | 92.6 |
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Percentage of Participants With Deterioration in the Trial Outcome Index (TOI)
TOI is defined as the sum of the scores of the Physical Well- Being (PWB), Functional Well-Being (FWB), and LCS of the FACT-L instrument. Trial Outcome Index measures the physical functioning of participants. Time to deterioration in TOI is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in TOI or death on study. The clinically meaningful decline used to determine deterioration in TOI was ≥6-point decline from baseline. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | percentage of participants (Number) |
---|
Comparator | 60.0 |
Erlotinib | 63.3 |
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Percentage of Participants With Deterioration in Quality of Life Determined Using Functional Assessment of Cancer Therapy - Lung (FACT-L)
The FACT-L measures health related QOL and composes of five domains: the four domains (physical well being, emotional well being, social well being, functional well being) from the Functional Assessment of Cancer Treatment-General scale (FACT-G) and the lung cancer subscale (LCS). The FACT-L total score ranges from 0 to 136, higher scores represent better QOL. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | percentage of participants (Number) |
---|
Comparator | 66.1 |
Erlotinib | 66.9 |
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Percentage of Participants Who Died (All Participants; Data Cutoff: 07 September 2010)
Overall survival (OS) was determined from the date of randomization to the date of death irrespective of the cause of death. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 or Death and Every 12 Weeks until Death or Data Cut off (07 September 2010) up to 52 months
Intervention | percentage of participants (Number) |
---|
Comparator | 81.0 |
Erlotinib | 77.8 |
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Percentage of Participants Achieving a Best Overall Response of Confirmed Complete Response (CR) or Partial Response (PR) as Assessed by the Investigator Using RECIST
Best overall response was defined as the best response according to RECIST recorded from the date of randomization until disease progression or recurrence. CR: disappearance of all target lesions; PR: reduction by at least 30% of the sum of the longest diameters of each target lesion, taking the initial sum of the longest diameters as a reference; Stable disease (SD): insufficient tumor reduction to define partial response and/or tumor increase less than that necessary to define tumor progression, taking as a reference the smallest sum of the longest diameter since the start of treatment; Progressive Disease (PD): increase by at least 20% in the sum of LD of each target lesion, taking as a reference the smallest sum of the longest diameters, reported since the start of treatment, or appearance of one or more new lesions. 95% Confidence Interval (CI) for one sample binomial using Pearson-Clopper method. Participants with a missing response were considered non-responders. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity or Death or up to 52 months
Intervention | percentage of participants (Number) |
---|
Comparator | 6.3 |
Erlotinib | 7.9 |
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Duration of Overall Survival in All Participants (Data Cutoff 07 September 2010)
OS was determined from the date of randomization to the date of death irrespective of the cause of death. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Death or Until Data Cut off (07 September 2010) up to 52 months
Intervention | months (Median) |
---|
Comparator | 5.5 |
Erlotinib | 5.3 |
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Probable Percentage of Participants With Deterioration in the TOI at 6 Months as Assessed by FACT-L
TOI is defined as the sum of the scores of the PW, FWB, and LCS of the FACT-L instrument. Trial Outcome Index measures the physical functioning of participants. Time to deterioration in TOI is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in TOI or death on study. The clinically meaningful decline used to determine deterioration in TOI was ≥6-point decline from baseline. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: 6 Months
Intervention | percentage of participants (Number) |
---|
Comparator | 28 |
Erlotinib | 21 |
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Probable Percentage of Participants Remaining Alive at 1 Year
OS was determined from the date of randomization to the date of death irrespective of the cause of death. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: 1 Year
Intervention | percentage of participants (Number) |
---|
Comparator | 24.0 |
Erlotinib | 26.0 |
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Time to Deterioration in Quality of Life Using FACT-L
The FACT-L measures health related QOL and composes of five domains: the four domains (physical well being, emotional well being, social well being, functional well being) from the FACT-G and the LCS. The FACT-L total score ranges from 0 to 136, higher scores represent better QOL. Time to deterioration of QoL or symptom progression is defined as time from randomization until either a clinically meaningful decline from baseline in Total FACT-L or, death on study, whichever occurs first. The clinically meaningful decline that was used to determine deterioration in QoL was ≥6-point decline from baseline. Participants without deterioration in QoL at the time of analysis were censored at the time of the last FACT-L assessment. Kaplan-Meier estimate was used to determine time to event. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | weeks (Median) |
---|
Comparator | 9.0 |
Erlotinib | 6.3 |
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Time to Deterioration in the TOI
TOI is defined as the sum of the scores of the PW, FWB, and LCS of the FACT-L instrument. Trial Outcome Index measures the physical functioning of participants. Time to deterioration in TOI is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in TOI or death on study. The clinically meaningful decline used to determine deterioration in TOI was ≥6- point decline from baseline. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | weeks (Median) |
---|
Comparator | 9.3 |
Erlotinib | 6.7 |
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Duration of OS in EGFR Positive and Negative Population
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR was determined by IHC. OS was determined from the date of randomization to the date of death irrespective of the cause of death in EGFR positive and negative populations. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Death or Until Data Cut off (07 September 2010) up to 52 months
Intervention | months (Median) |
---|
| EGFR Positive (n=149,143) | EGFR Negative (n=39,32) |
---|
Comparator | 5.5 | 6.7 |
,Erlotinib | 5.6 | 5.4 |
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Percentage of Participants Who Died in Epidermal Growth Factor Receptor (EGFR) Positive and Negative Population
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR was determined by immunohistochemistry (IHC). OS was determined from the date of randomization to the date of death irrespective of the cause of death in EGFR positive and negative populations. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Death or Until Data Cut off (07 September 2010) up to 52 months
Intervention | percentage of participants (Number) |
---|
| EGFR Positive (n=149,143) | EGFR Negative (n=39,32) |
---|
Comparator | 79.9 | 79.5 |
,Erlotinib | 76.9 | 75.0 |
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Percentage of Participants With Disease Progression or Death in EGFR Positive and Negative Population (Data Cut Off 07 September 2010)
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR was determined by IHC.Tumor response was evaluated according to RECIST criteria (version 1.0). Progressive Disease was defined as At least a 20 % increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | percentage of participants (Number) |
---|
| EGFR Positive (n=149,143) | EGFR Negative (n=39,32) |
---|
Comparator | 79.9 | 89.7 |
,Erlotinib | 93.7 | 90.6 |
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PFS in EGFR Positive and Negative Population (Data Cutoff 07 September 2010)
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR was determined by IHC. PFS was defined as time from randomization to the date of documented disease progression or death, whichever occurred first in EGFR positive and negative populations. Participants without progression were censored at the date of last tumor assessment where non progression was documented. If a participant receives a second anti-cancer therapy without prior documentation of disease progression, the participant was censored at the date of last tumor assessment before starting new chemotherapy. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity or Until Data Cut off (07 September 2010) up to 52 months
Intervention | weeks (Median) |
---|
| EGFR Positive (n=149,143) | EGFR Negative (n=39,32) |
---|
Comparator | 8.9 | 11.5 |
,Erlotinib | 6.3 | 6.7 |
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Probable Percentage of Participants Remaining Alive and Progression Free at 6 Months in EGFR Positive and Negative Population
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR was determined by IHC. Tumor response was evaluated according to RECIST criteria (version 1.0). PFS was defined as time from randomization to the date of documented disease progression or death, whichever occurred first in EGFR positive and negative populations. Participants without progression were censored at the date of last tumor assessment where non progression was documented. If a participant receives a second anti-cancer therapy without prior documentation of disease progression, the participant was censored at the date of last tumor assessment before starting new chemotherapy. Event free estimates were determined using Kaplan-Meier estimates. (NCT00556322)
Timeframe: 6 Months
Intervention | percentage of participants (Number) |
---|
| EGFR Positive (n=23,18) | EGFR Negative (n=4,5) |
---|
Comparator | 20.0 | 11.0 |
,Erlotinib | 13.0 | 16.0 |
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Probable Percentage of Participants With Symptomatic Progression at 6 Months as Assessed by FACT-L
Participants' responses on the FACT-L were scored according to FACIT measurement system manual. Time to symptom progression is the time from randomization until the earlier of a clinically meaningful decline from baseline in LCS score, or death on study. A change in 2 to 3 points on the LCS is a clinically meaningful change. Meaningful declines in scores as measured by the FACIT instruments have been found to be larger than improvements. Thus, deterioration in disease-related symptoms was defined by the upper bound (3 points) of the range of clinically meaningful change. However, participants who demonstrated early lung cancer progression demonstrated smaller changes from baseline score on the LCS. Therefore, the clinically meaningful decline that was used to determine progression of symptoms in this study was at least 1.5-point decline in LCS score from baseline. Kaplan Meier estimated were used for analysis. (NCT00556322)
Timeframe: 6 Months
Intervention | percentage of participants (Number) |
---|
Comparator | 27 |
Erlotinib | 27 |
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Progression-Free Survival (PFS) in All Participants (Data Cutoff 07 September 2010)
Tumor response was evaluated according to RECIST criteria (version 1.0). Progressive Disease was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PFS was defined as time from randomization to the date of documented disease progression or death, whichever occurred first. Participants without progression were censored at the date of last tumor assessment where non progression was documented. If a participant receives a second anti-cancer therapy without prior documentation of disease progression, the participant was censored at the date of last tumor assessment before starting new chemotherapy. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity or Until Data Cut off (07 September 2010) up to 52 months
Intervention | weeks (Median) |
---|
Comparator | 8.6 |
Erlotinib | 6.3 |
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Time to Symptomatic Progression Using FACT-L
Participants' responses on the FACT-L were scored according to FACIT measurement system manual. Time to symptom progression is the time from randomization until the earlier of a clinically meaningful decline from baseline in LCS score, or death on study. A change in 2 to 3 points on the LCS is a clinically meaningful change. Meaningful declines in scores as measured by the FACIT instruments have been found to be larger than improvements. Thus, deterioration in disease-related symptoms was defined by the upper bound (3 points) of the range of clinically meaningful change. However, participants who demonstrated early lung cancer progression demonstrated smaller changes from baseline score on the LCS. Therefore, the clinically meaningful decline that was used to determine progression of symptoms in this study was at least 1.5-point decline in LCS score from baseline. Kaplan Meier estimated were used for analysis. (NCT00556322)
Timeframe: Baseline, Weeks 3 and 6, Every 3 Weeks until Week 48 and Every 12 Weeks until Disease Progression or unacceptable toxicity up to 52 months
Intervention | weeks (Median) |
---|
Comparator | 9.0 |
Erlotinib | 7.1 |
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Probable Percentage of Participants Remaining Alive at 1 Year in the EGFR Positive and Negative Population
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR was determined by IHC. OS was determined from the date of randomization to the date of death irrespective of the cause of death in EGFR positive and negative populations. Kaplan-Meier estimates were used for analysis. (NCT00556322)
Timeframe: 1 Year
Intervention | percentage of participants (Number) |
---|
| EGFR Positive (n=30,32) | EGFR Negative (n=8,4) |
---|
Comparator | 27.0 | 28.0 |
,Erlotinib | 30.0 | 20.0 |
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Change From BL in FACT-L Scores (Data Cutoff 17 May 2008)
"Total FACT-L score=sum of TOI, SWB, and EWB of FACT-L questionnaires. TOI (PWB+FWB+LCS), SWB, and EWB scores obtained from 7-item (6-item for EWB) questionnaires from FACT-L V4. Participants responded to questions assessing symptoms (scale 0-4; 0=not at all and 4=very much). Higher score=more severe symptoms. The 7-item LCS assessed symptoms such as shortness of breath, loss of weight, tightness in chest. Participants responded to questions assessing symptoms (scale: 0-4; 0=not at all and 4=very much). Scores from 0-35; higher score=more severe symptoms. The 27 items of FACT-G were scored in the following domains: PWB (7 items, total score 0-28), SWB (7 items; total score 0-28), EWB (6 items, total score 0-24), and FWB (7 items; total score 0-28), higher scores=better QoL. Participants responded to items on 5-point Likert scale (0=Not at all to 4=Very much; total score: 0-108). Higher score=better QOL. TOI score=PWB+FWB+LCS; Total TOI score: 0-92; higher scores=better QOL." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | score on a scale (Mean) |
---|
| Week 6: Physical Well-Being (n=274,303) | Week 6: Social Well-Being (n=274,303) | Week 6: Emotional Well-Being (n=274,302) | Week 6: Functional Well-Being (n=275,302) | Week 6: FACT-L Subscale Score (n=275,298) | Week 6: Lung Cancer Subscale Score (n=275,298) | Week 6: Total FACT-G Score (n=273,299) | Week 6: Trial Outcome Index (n=274,296) | Week 6: Total FACT-L Score (n=273,294) | Week 12: Physical Well-Being (n=144,193) | Week 12: Social Well-Being (n=143,194) | Week 12: Emotional Well-Being (n=144,194) | Week 12: Functional Well-Being (n=144,196) | Week 12: FACT-L Subscale Score (n=144,196) | Week 12: Lung Cancer Subscale Score (n=144,196) | Week 12: Total FACT-G Score (n=144,191) | Week 12: Trial Outcome Index (n=144,193) | Week 12: Total FACT-L Score (n=144,191) | Week 18: Physical Well-Being (n=86,143) | Week 18: Social Well-Being (n=86,143) | Week 18: Emotional Well-Being (n=86,143) | Week 18: Functional Well-Being (n=86,143) | Week 18: FACT-L Subscale Score (n=86,143) | Week 18: Lung Cancer Subscale Score (n=86,143) | Week 18: Total FACT-G Score (n=86,143) | Week 18: Trial Outcome Index (n=86,143) | Week 18: Total FACT-L Score (n=86,143) | Week 24: Physical Well-Being (n=59,101) | Week 24: Social Well-Being (n=59,101) | Week 24: Emotional Well-Being (n=59,100) | Week 24: Functional Well-Being (n=59,100) | Week 24: FACT-L Subscale Score (n=59,101) | Week 24: Lung Cancer Subscale Score (n=59,101) | Week 24: Total FACT-G Score (n=59,99) | Week 24: Trial Outcome Index (n=59,100) | Week 24: Total FACT-L Score (n=59,99) | Week 30: Physical Well-Being (n=37,66) | Week 30: Social Well-Being (n=37,66) | Week 30: Emotional Well-Being (n=37,66) | Week 30: Functional Well-Being (n=37,66) | Week 30: FACT-L Subscale Score (n=37,66) | Week 30: Lung Cancer Subscale Score (n=37,66) | Week 30: Total FACT-G Score (n=37,66) | Week 30: Trial Outcome Index (n=37,66) | Week 30: Total FACT-L Score (n=37,66) | Week 36: Physical Well-Being (n=25,47) | Week 36: Social Well-Being (n=25,47) | Week 36: Emotional Well-Being (n=25,47) | Week 36: Functional Well-Being (n=25,47) | Week 36: FACT-L Subscale Score (n=25,47) | Week 36: Lung Cancer Subscale Score (n=25,47) | Week 36: Total FACT-G Score (n=25,47) | Week 36: Trial Outcome Index (n=25,47) | Week 36: Total Fact-L Score (n=25,47) | Week 42: Physical Well-Being (n=19,35) | Week 42: Social Well-Being (n=19,35) | Week 42: Emotional Well-Being (n=19,35) | Week 42: Functional Well-Being (n=19,35) | Week 42: FACT-L Subscale Score (n=19,35) | Week 42: Lung Cancer Subscale Score (n=19,35) | Week 42: FACT-G Score (n=19,35) | Week 42: Trial Outcome Index (n=19,35) | Week 42: FACT-L Score (n=19,35) | Week 48: Physical Well-Being (n=13,29) | Week 48: Social Well-Being (n=13,29) | Week 48: Emotional Well-Being (n=13,29) | Week 48: Functional Well-Being (n=13,29) | Week 48: FACT-L Subscale Score (n=12,29) | Week 48: Lung Cancer Subscale Score (n=12,29) | Week 48: Total FACT-G Score (n=13,29) | Week 48: Trial Outcome Index (n=12,29) | Week 48: Total FACT-L Score (n=12,29) | Week 60: Physical Well-Being (n=9,17) | Week 60: Social Well-Being (n=9,17) | Week 60: Emotional Well-Being (n=9,17) | Week 60: Functional Well-Being (n=9,17) | Week 60: FACT-L Subscale Score (n=9,17) | Week 60: Lung Cancer Subscale Score (n=9,17) | Week 60: Total FACT-G Score (n=9,17) | Week 60: Trial Outcome Index (n=9,17) | Week 60: Total FACT-L Score (n=9,17) | Week 72: Physical Well-Being (n=6,8) | Week 72: Social Well-Being (n=6,8) | Week 72: Emotional Well-Being (n=6,8) | Week 72: Functional Well-Being (n=6,8) | Week 72: FACT-L Subscale Score (n=6,8) | Week 72: Lung Cancer Subscale Score (n=6,8) | Week 72: Total FACT-G Score (n=6,8) | Week 72: Trial Outcome Index (n=6,8) | Week 72: Total FACT-L Score (n=6,8) | Week 84: Physical Well-Being (n=1,0) | Week 84: Social Well-Being (n=1,0) | Week 84: Emotional Well-Being (n=1,0) | Week 84: Functional Well-Being (n=1,0) | Week 84: FACT-L Subscale Score (n=1,0) | Week 84: Lung Cancer Subscale Score (n=1,0) | Week 84: Total FACT-G Score (n=1,0) | Week 84: Trial Outcome Index (n=1,0) | Week 84: Total FACT-L Score (n=1,0) | Off Trtmt: Physical Well-Being (n=264,214) | Off Trtmt: Social Well-Being (n=263,216) | Off Trtmt: Emotional Well-Being (n=264,216) | Off Trtmt: Functional Well-Being (n=264,216) | Off Trtmt: FACT-L Subscale Score (n=263,212) | Off Trtmt: Lung Cancer Subscale Score (n=263,212) | Off Trtmt: Total FACT-G Score (n=260,213) | Off Trtmt: Trial Outcome Index (n=261,210) | Off Trtmt: Total FACT-L Score (n=258,209) |
---|
Erlotinib, 150 mg/Day | -0.47 | 0.23 | 0.29 | -0.09 | 0.24 | -0.03 | 0.01 | -0.73 | 0.14 | -0.14 | -0.43 | 0.20 | -0.38 | -0.06 | -0.48 | -0.84 | -1.04 | -0.90 | 0.40 | -0.51 | 0.60 | 0.18 | 0.27 | -0.26 | 0.68 | 0.32 | 0.95 | 0.16 | 0.04 | -0.05 | 0.42 | 0.50 | -0.12 | 0.52 | 0.43 | 1.10 | 0.49 | -0.19 | 0.74 | 0.83 | 0.99 | 0.38 | 1.88 | 1.70 | 2.86 | 0.77 | -0.16 | 0.65 | 1.10 | 0.43 | -0.06 | 2.37 | 1.82 | 2.79 | 0.27 | 0.28 | 0.59 | 0.65 | 0.87 | 0.51 | 1.80 | 1.44 | 2.67 | 1.37 | -0.68 | 0.41 | 0.55 | 0.82 | 0.34 | 1.64 | 2.26 | 2.46 | 1.82 | 0.06 | 0.28 | -0.53 | 0.43 | 0.47 | 1.64 | 1.76 | 2.07 | 2.63 | 0.30 | -0.13 | -1.13 | 1.03 | 1.78 | 1.67 | 3.28 | 2.70 | NA | NA | NA | NA | NA | NA | NA | NA | NA | -2.19 | 0.09 | -1.56 | -1.98 | -1.32 | -1.78 | -5.71 | -6.05 | -7.10 |
,Placebo | 0.22 | -0.24 | -0.41 | 0.24 | -0.06 | -0.32 | -0.20 | 0.16 | -0.20 | 1.00 | -0.43 | 0.25 | 1.00 | 0.88 | 0.19 | 1.83 | 2.20 | 2.72 | 1.31 | -0.01 | 0.59 | 1.06 | 1.48 | 0.49 | 2.95 | 2.86 | 4.43 | 1.29 | -0.25 | 0.21 | 1.64 | 1.45 | 0.48 | 2.89 | 3.42 | 4.34 | 1.61 | 0.00 | -0.07 | 2.17 | 1.79 | 0.69 | 3.71 | 4.47 | 5.50 | 2.21 | -0.36 | 0.86 | 1.31 | 0.67 | -0.10 | 4.02 | 3.42 | 4.68 | 1.82 | -1.14 | -0.11 | 0.05 | 1.40 | 0.42 | 0.62 | 2.29 | 2.03 | 0.46 | -1.96 | -0.08 | -2.00 | 0.03 | -0.79 | -3.57 | -1.79 | -1.60 | 1.89 | -0.57 | -1.56 | -0.56 | 1.61 | -0.22 | -0.79 | 1.11 | 0.82 | 1.33 | 0.31 | -1.50 | -1.67 | -0.50 | -1.17 | -1.53 | -1.50 | -2.03 | 1.33 | -2.00 | -3.00 | -1.00 | 6.0 | 2.0 | -4.67 | 2.33 | 1.33 | -1.07 | -0.66 | -2.04 | -1.20 | -1.27 | -1.74 | -4.91 | -4.03 | -6.26 |
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Time to Symptom Progression (Data Cutoff 17 May 2008)
"The median time, in weeks, from the date of randomization to the date of documented clinically meaningful decline in LCS from BL or death, whichever occurred first. LCS scores were obtained from a 7-item questionnaire from the FACT-L V 4. Participants responded to questions assessing symptoms commonly reported by lung cancer patients; such as shortness of breath, loss of weight, and tightness in chest; on a scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, where a higher score indicated more severe symptoms. A change of 2 to 3 points in score was determined to be a clinically meaningful decline. The 95% CI was determined using Kaplan-Meier methodology." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 17.6 |
Erlotinib, 150 mg/Day | 18.3 |
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Time to Progression (Data Cutoff 17 May 2008)
The median time, in weeks, between randomization and TTP event. Participants without PD were censored at the date of last tumor assessment where non-progression was documented. If a participant received a second anti-cancer therapy without prior documentation of PD, the participant was censored at the date of last tumor assessment before starting new chemotherapy. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 11.3 |
Erlotinib, 150 mg/Day | 12.3 |
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Time to Deterioration in TOI (Data Cutoff 17 May 2008)
"The median time, in weeks, from the date of randomization until a clinically meaningful decline from BL in TOI or death, whichever occurred first. TOI was defined as the sum of PWB, FWB, and LCS scores, which were obtained from 7-item questionnaires from the FACT-L V 4. Participants responded to questions assessing symptoms on a scale from 0-4, where 0 = not at all and 4 = very much. Higher score indicated more severe symptoms. A clinically meaningful decline in TOI score was defined as at least a 6 point decline from BL Participants without a clinically meaningful decline in TOI at the time of analysis were censored at the time of the last FACT-L assessment. The 95% CI was determined using Kaplan-Meier methodology." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 18.9 |
Erlotinib, 150 mg/Day | 18.1 |
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Time to Deterioration in QoL (Data Cutoff 17 May 2008)
"The median time, in weeks, from the date of randomization until a clinically meaningful decline from BL in total FACT-L or death, whichever occurred first. Total FACT-L score was defined as the sum of the TOI, SWB and EWB of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L V 4. Participants responded to questions assessing symptoms on a scale from 0-4, where 0 = not at all and 4 = very much. Higher score indicated more severe symptoms. A clinically meaningful decline in FACT-L score was defined as at least a 6 point decline from BL. Participants without a clinically meaningful decline in TOI at the time of analysis were censored at the time of the last FACT-L assessment. The 95% CI was determined using Kaplan-Meier methodology." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 12.3 |
Erlotinib, 150 mg/Day | 12.6 |
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Percentage of EGFR IHC Negative Participants Who Died (Data Cutoff 17 May 2008)
(NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 50.8 |
Erlotinib, 150 mg/Day | 41.9 |
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Percentage of All Participants Who Died (Data Cutoff 12 January 2012)
(NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 12 January 2012 (up to 71 months).
Intervention | percentage of participants (Number) |
---|
Placebo | 87.1 |
Erlotinib, 150 mg/Day | 82.0 |
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Overall Survival (OS) in All Participants (Data Cutoff 12 January 2012)
OS was defined as the median time, in months, from the date of randomization to the date of death, due to any cause. Patients who have not died at the time of the final analysis will be censored at the date the patient was last known to be alive. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: Screening, BL (≤ 21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 12 January 2012 (up to 71 months)
Intervention | months (Median) |
---|
Placebo | 11.0 |
Erlotinib, 150 mg/Day | 12.4 |
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OS in EGFR IHC Positive Population (Data Cutoff 12 January 2012)
OS was defined as the median time, in months, from the date of randomization to the date of death, due to any cause. Patients who have not died at the time of the final analysis will be censored at the date the patient was last known to be alive. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 12 January 2012 (up to 71 months)
Intervention | months (Median) |
---|
Placebo | 11.0 |
Erlotinib, 150 mg/Day | 12.8 |
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Probable Percentage of Participants Remaining Without Symptom Progression at 6 Months (Data Cutoff 17 May 2008)
"LCS scores were obtained from a 7-item questionnaire from the FACT-L V 4. Participants responded to questions assessing symptoms commonly reported by lung cancer patients; such as shortness of breath, loss of weight, and tightness in chest; on a scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, where a higher score indicated more severe symptoms. A change of 2 to 3 points in score was determined to be a clinically meaningful decline. The 95% CI was estimated using Kaplan-Meier methodology." (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 35.0 |
Erlotinib, 150 mg/Day | 41.0 |
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Probable Percentage of Participants Remaining Alive and Free of Disease Progression at 6 Months (Data Cutoff 17 May 2008)
PFS was defined as the time from randomization to PD or death, whichever occurred first. For TLs, PD was defined at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from BL more the appearance of one or more new lesions. For NTLs, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 15.0 |
Erlotinib, 150 mg/Day | 25.0 |
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Probable Percentage of Participants Remaining Alive at 1 Year (Data Cutoff 12 January 2012)
OS was defined as the median time, in months, from the date of randomization to the date of death, due to any cause. Patients who have not died at the time of the final analysis will be censored at the date the patient was last known to be alive. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Placebo | 45.0 |
Erlotinib, 150 mg/Day | 50.0 |
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Probable Percentage of Participants Remaining Progression-Free in the TTP Analysis at 6 Months (Data Cutoff 17 May 2008)
TTP was defined as the time from the date of randomization to the first date PD was recorded. For TLs, PD was defined at least a 20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions. For NTLs, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD were censored at the date of last tumor assessment where non-progression was documented. If a participant received a second anti-cancer therapy without prior documentation of PD, the participant was censored at the date of last tumor assessment before starting new chemotherapy. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 15.0 |
Erlotinib, 150 mg/Day | 26.0 |
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Percentage of Participants With Symptom Progression Assessed Using the Lung Cancer Subscale (LCS) (Data Cutoff 17 May 2008)
"LCS scores were obtained from a 7-item questionnaire from the Functional Assessment of Cancer Therapy - Lung (FACT-L) version (V) 4. Participants responded to questions assessing symptoms commonly reported by lung cancer patients; such as shortness of breath, loss of weight, and tightness in chest; on a scale from 0-4, where 0 equaled (=) not at all and 4 = very much. The participants' responses were summed to result in an overall score, where a higher score indicated more severe symptoms. A change of 2 to 3 points in score was determined to be a clinically meaningful decline." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 44.1 |
Erlotinib, 150 mg/Day | 47.7 |
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Probable Percentage of Participants Remaining Without Deterioration in TOI at 6 Months (Data Cutoff 17 May 2008)
"TOI was defined as the sum of the scores of the PWB, FWB, and LCS. PWB, FWB, and LCS scores were obtained from 7-item questionnaires from the FACT-L V 4. Participants responded to questions assessing symptoms on a scale from 0-4, where 0 = not at all and 4 = very much. Higher score indicated more severe symptoms. A clinically meaningful decline in TOI score was defined as at least a 6 point decline from BL. Participants without a clinically meaningful decline in TOI at the time of analysis were censored at the time of the last FACT-L assessment. The 95% CI was estimated using Kaplan-Meier methodology." (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 41.0 |
Erlotinib, 150 mg/Day | 39.0 |
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OS in EGFR IHC Negative Participants (Data Cutoff 17 May 2008)
OS was defined as the median time, in months, from the date of randomization to the date of death, due to any cause. Patients who have not died at the time of the final analysis will be censored at the date the patient was last known to be alive. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | months (Median) |
---|
Placebo | 10.2 |
Erlotinib, 150 mg/Day | 8.6 |
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PFS in All Participants (Data Cutoff 17 May 2008)
The median time, in weeks, from randomization to PFS event. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. The 95% confidence interval (CI) was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 11.1 |
Erlotinib, 150 mg/Day | 12.3 |
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Percentage of Epidermal Growth Factor Receptor (EGFR) Immunohistochemistry (IHC) Positive Participants With PD or Death (Data Cutoff 17 May 2008)
PFS was defined as the time from randomization to PD or death, whichever occurred first. For TLs, PD was defined at least a 20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions. For NTLs, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 89.4 |
Erlotinib, 150 mg/Day | 79.5 |
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Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST (Data Cutoff 17 May 2008)
BOR was defined as CR or PR confirmed by repeat assessments performed no less than 4 weeks after the criteria for response was first met. For TLs, CR was defined as the disappearance of all TLs, and PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the baseline (BL) SLD. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 5.4 |
Erlotinib, 150 mg/Day | 11.9 |
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Percentage of Participants With a Response Upgrade From BL According to RECIST (Data Cutoff 17 May 2008)
Response upgrade was defined by a change of PR to CR or of SD to PR or CR from BL to the end of treatment. For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD; SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD; and PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels; SD/incomplete response was defined as the persistence of 1 or more NTLs and/or maintenance of tumor marker levels above normal limits; and PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 1.3 |
Erlotinib, 150 mg/Day | 5.5 |
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Percentage of Participants With Deterioration Assessed Using the Trial Outcome Index (Data Cutoff 17 May 2008)
"The Trial Outcome Index (TOI) was defined as the sum of the scores of the Physical Well-Being (PWB), Functional Well-Being (FWB), and LCS. PWB, FWB, and LCS scores were obtained from 7-item questionnaires from the FACT-L V 4. Participants responded to questions assessing symptoms on a scale from 0-4, where 0 = not at all and 4 = very much. Higher score indicated more severe symptoms. A clinically meaningful decline in TOI score was defined as at least a 6 point decline from BL. Participants without a clinically meaningful decline in TOI at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 43.1 |
Erlotinib, 150 mg/Day | 50.9 |
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Percentage of EGFR IHC Negative Participants With PD or Death (Data Cutoff 17 May 2008)
PFS was defined as the time from randomization to PD or death, whichever occurred first. For TLs, PD was defined at least a 20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions. For NTLs, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 71 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 89.8 |
Erlotinib, 150 mg/Day | 77.4 |
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PFS in EGFR IHC Negative Participants (Data Cutoff 17 May 2008)
The median time, in weeks, from randomization to PFS event. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 9.0 |
Erlotinib, 150 mg/Day | 11.0 |
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Probable Percentage of Participants Remaining Without Deterioration in QoL at 6 Months (Data Cutoff 17 May 2008)
"Deterioration in QoL was defined as a clinically meaningful decline in the total FACT-L score, the sum of the TOI, SWB and EWB of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L V 4. Participants responded to questions assessing symptoms on a scale from 0-4, where 0 = not at all and 4 = very much. Higher score indicated more severe symptoms. A clinically meaningful decline in FACT-L score was defined as at least a 6 point decline from BL. Participants without a clinically meaningful decline in TOI at the time of analysis were censored at the time of the last FACT-L. The 95% CI was estimated using Kaplan-Meier methodology." (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 34.0 |
Erlotinib, 150 mg/Day | 32.0 |
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PFS in EGFR IHC Positive Population (Data Cutoff 17 May 2008)
The median time, in weeks, from randomization to PFS event. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: Screening, BL (≤ 21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | weeks (Median) |
---|
Placebo | 11.1 |
Erlotinib, 150 mg/Day | 12.3 |
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Probable Percentage of Participants in the EGFR IHC Negative Population Remaining Alive and Free of Disease Progression at 6 Months (Data Cutoff 17 May 2008)
PFS was defined as the time from randomization to PD or death, whichever occurred first. For TLs, PD was defined at least a 20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions. For NTLs, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 11.0 |
Erlotinib, 150 mg/Day | 22.0 |
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Probable Percentage of Participants in the EGFR IHC Negative Population Remaining Alive at 1 Year (Data Cutoff 17 May 2008)
OS was defined as the median time, in months, from the date of randomization to the date of death, due to any cause. Patients who have not died at the time of the final analysis will be censored at the date the patient was last known to be alive. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Placebo | 20.0 |
Erlotinib, 150 mg/Day | 42.0 |
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Probable Percentage of Participants in the EGFR IHC Positive Population Remaining Alive and Progression Free at 6 Months (Data Cutoff 17 May 2008)
PFS was defined as the time from randomization to PD or death, whichever occurred first. For TLs, PD was defined at least a 20% increase in the SLD, taking as reference the smallest SLD recorded since treatment started or the appearance of one or more new lesions. For NTLs, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Placebo | 16.0 |
Erlotinib, 150 mg/Day | 27.0 |
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Probable Percentage of Participants in the EGFR IHC Positive Population Remaining Alive at 1 Year (Data Cutoff 12 January 2012)
OS was defined as the median time, in months, from the date of randomization to the date of death, due to any cause. Patients who have not died at the time of the final analysis will be censored at the date the patient was last known to be alive. The 95% CI was estimated using Kaplan-Meier methodology. (NCT00556712)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Placebo | 47.0 |
Erlotinib, 150 mg/Day | 52.0 |
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Percentage of Participants With CR, PR, or SD or With SD [Maintained For Greater Than (>) 12 Weeks] or CR or PR (Data Cutoff 17 May 2008)
Disease control was defined as a best response of CR or PR or SD or a best response of SD for more than 12 weeks, or CR or PR. For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD; SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels; SD/incomplete response was defined as the persistence of 1 or more NTLs and/or maintenance of tumor marker levels above normal limits. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
| CR Plus (+) PR + SD | CR + PR + SD >12 Weeks |
---|
Erlotinib, 150 mg/Day | 60.6 | 40.8 |
,Placebo | 50.8 | 27.4 |
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Percentage of Participants With a CR, PR, Stable Disease (SD), or PD According to RECIST (Data Cutoff 17 May 2008)
For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD; SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD; and PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels; SD/incomplete response was defined as the persistence of 1 or more NTLs and/or maintenance of tumor marker levels above normal limits; and PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD |
---|
Erlotinib, 150 mg/Day | 0.9 | 11.0 | 48.6 | 35.6 |
,Placebo | 0.7 | 4.7 | 45.4 | 47.6 |
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Percentage of Participants With a Change of PR to CR or SD to PR or CR From BL to End of Treatment According to RECIST (Data Cutoff 17 May 2008)
For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD; SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD; and PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels; SD/incomplete response was defined as the persistence of 1 or more NTLs and/or maintenance of tumor marker levels above normal limits; and PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
| PR to CR | SD to PR | SD to CR |
---|
Erlotinib, 150 mg/Day | 0.5 | 4.8 | 0.2 |
,Placebo | 0.4 | 0.9 | 0.0 |
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Functional Assessment of Chronic Illness Therapy - Lung (FACT-L) Scores (Data Cutoff 17 May 2008)
"Total FACT-L score=sum of TOI, SWB, and EWB of FACT-L questionnaires. TOI (PWB+FWB+LCS), SWB, and EWB scores obtained from 7-item (6-item for EWB) questionnaires from FACT-L V4. Participants responded to questions assessing symptoms (scale 0-4; 0=not at all and 4=very much). Higher score=more severe symptoms. The 7-item LCS assessed symptoms such as shortness of breath, loss of weight, tightness in chest. Participants responded to questions assessing symptoms (scale: 0-4; 0=not at all and 4=very much). Scores from 0-35; higher score=more severe symptoms. The 27 items of FACT-G were scored in the following domains: PWB (7 items, total score 0-28), SWB (7 items; total score 0-28), EWB (6 items, total score 0-24), and FWB (7 items; total score 0-28), higher scores=better QoL. Participants responded to items on 5-point Likert scale (0=Not at all to 4=Very much; total score: 0-108). Higher score=better QOL. TOI score=PWB+FWB+LCS; Total TOI score: 0-92; higher scores=better QOL." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | score on a scale (Mean) |
---|
| BL: Physical Well-Being (n=397,392) | BL: Social Well-Being (n=397,392) | BL: Emotional Well-Being (n=397,393) | BL: Functional Well-Being (n=397,393) | BL: FACT-L Subscale Score (n=397,391) | BL: Lung Cancer Subscale Score (n=397,391) | BL: Total FACT-General (FACT-G) Score (n=396,391) | BL: Trial Outcome Index (n=396,390) | BL: Total FACT-L Score (n=395,389) | Week 6: Physical Well-Being (n=274,304) | Week 6: Social Well-Being (n=274,303 | Week 6: Emotional Well-Being (n=275,302) | Week 6: Functional Well-Being (n=275,302) | Week 6: FACT-L Subscale Score (n=275,300) | Week 6: Lung Cancer Subscale Score (n=275,300) | Week 6: Total FACT-G Score (n=274,300) | Week 6: Trial Outcome Index (n=274,299) | Week 6: Total FACT-L Score (n=274,297) | Week 12: Physical Well-Being (n=144,194) | Week 12: Social Well-Being (n=143,194) | Week 12: Emotional Well-Being (n=144,194) | Week 12: Functional Well-Being (n=144,196) | Week 12: FACT-L Subscale Score (n=144,196) | Week 12: Lung Cancer Subscale Score (n=144,196) | Week 12: Total FACT-G Score (n=144,192) | Week 12: Trial Outcome Index (n=144,194) | Week 12: Total FACT-L Score (n=144,192) | Week 18: Physical Well-Being (n=86,143) | Week 18: Social Well-Being (n=86,143) | Week 18: Emotional Well-Being (n=86,143) | Week 18: Functional Well-Being (n=86,143) | Week 18: FACT-L Subscale Score (n=86,143) | Week 18: Lung Cancer Subscale Score (n=86,143) | Week 18: Total FACT-G Score (n=86,143) | Week 18: Trial Outcome Index (n=86,143) | Week 18: Total FACT-L Score (n=86,143) | Week 24: Physical Well-Being (n=59,101) | Week 24: Social Well-Being (n=59,101) | Week 24: Emotional Well-Being (n=59,100) | Week 24: Functional Well-Being (n=59,100) | Week 24: FACT-L Subscale Score (n=59,101) | Week 24: Lung Cancer Subscale Score (n=59,101) | Week 24: Total FACT-G Score (n=59,99) | Week 24: Trial Outcome Index (n=59,100) | Week 24: Total FACT-L Score (n=59,99) | Week 30: Physical Well-Being (n=37,66) | Week 30: Social Well-Being (n=37,66) | Week 30: Emotional Well-Being (n=37,66) | Week 30: Functional Well-Being (n=37,66) | Week 30: FACT-L Subscale Score (n=37,66) | Week 30: Lung Cancer Subscale Score (n=37,66) | Week 30: Total FACT-G Score (n=37,66) | Week 30: Trial Outcome Index (n=37,66) | Week 30: Total FACT-L Score (n=37,66) | Week 36: Physical Well-Being (n=25,47) | Week 36: Social Well-Being (n=25,47) | Week 36: Emotional Well-Being (n=25,47) | Week 36: Fuctional Well-Being (n=25,47) | Week 36: FACT-L Subscale Score (n=25,47) | Week 36: Lung Cancer Subscale Score (n=25,47) | Week 36: Total FACT-G Score (n=25,47) | Week 36: Trial Outcome Index (n=25,47) | Week 36: Total FACT-L Score (n=25,47) | Week 42: Physical Well-Being (n=19,35) | Week 42: Social Well-Being (n=19,35) | Week 42: Emotional Well-Being (n=19,35) | Week 42: Functional Well-Being (n=19,35) | Week 42: FACT-L Subscale Score (n=19,35) | Week 42: Lung Cancer Subscale Score (n=19,35) | Week 42: FACT-G Score (n=19,35) | Week 42: Trial Outcome Index (n=19,35) | Week 42: FACT-L Score (n=19,35) | Week 48: Physical Well-Being (n=13,29) | Week 48: Social Well-Being (n=13,29) | Week 48: Emotional Well-Being (n=13,29) | Week 48: Functional Well-Being (n=13,29) | Week 48: FACT-L Subscale Score (n=12,29) | Week 48: Lung Cancer Subscale Score (n=12,29) | Week 48: FACT-G Score (n=12,29) | Week 48: Trial Outcome Index (n=12,29) | Week 48: FACT-L Score (n=12,29) | Week 60: Physical Well-Being (n=9,17) | Week 60: Social Well-Being (n=9,17) | Week 60: Emotional Well-Being (n=9,17) | Week 60: Functional Well-Being (n=9,17) | Week 60: FACT-L Subscale Score (n=9,17) | Week 60: Lung Cancer Subscale Score (n=9,17) | Week 60: Total FACT-G Score (n=9,17) | Week 60: Trial Outcome Index (n=9,17) | Week 60: Total FACT-L Score (n=9,17) | Week 72: Physical Well-Being (n=6,8) | Week 72: Social Well-Being (n=6,8) | Week 72: Emotional Well-Being (n=6,8) | Week 72: Functional Well-Being (n=6,8) | Week 72: FACT-L Subscale Score (n=6,8) | Week 72: Lung Cancer Subscale Score (n=6,8) | Week 72: Total FACT-G Score (n=6,8) | Week 72: Trial Outcome Index (n=6,8) | Week 72: Total FACT-L Score (n=6,8) | Week 84: Physical Well-Being (n=1,0) | Week 84: Social Well-Being (n=1,0) | Week 84: Emotional Well-Being (n=1,0) | Week 84: Functional Well-Being (n=1,0) | Week 84: FACT-L Subscale Score (n=1,0) | Week 84: Lung Cancer Subscale Score (n=1,0) | Week 84: Total FACT-G Score (n=1,0) | Week 84: Trial Outcome Index (n=1,0) | Week 84: Total FACT-L Score (n=1,0) | Off Trtmt: Physical Well-Being (n=265,215) | Off Trtmt: Social Well-Being (n=263,216) | Off Trtmt: Emotional Well-Being (n=265,216) | Off Trtmt: Functional Well-Being (n=265,216) | Off Trtmt: FACT-L Subscale Score (n=264,214) | Off Trtmt: Lung Cancer Subscale Score (n=264,214) | Off Trtmt:Total FACT-G Score (n=261,214) | Off Trtmt:Trial Outcome Index (n=263,213) | Off Trtmt:Total FACT-L Score (n=260,212) |
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Erlotinib, 150 mg/Day | 20.96 | 20.98 | 16.77 | 16.84 | 24.46 | 20.07 | 75.52 | 57.90 | 100.02 | 20.69 | 21.43 | 17.17 | 16.87 | 24.80 | 20.13 | 76.14 | 57.64 | 100.95 | 20.78 | 20.04 | 16.85 | 16.35 | 24.19 | 19.50 | 74.06 | 56.57 | 98.30 | 21.40 | 19.94 | 17.14 | 16.83 | 24.52 | 19.64 | 75.31 | 57.87 | 99.83 | 21.21 | 20.49 | 16.54 | 17.23 | 25.13 | 19.94 | 75.50 | 58.37 | 100.69 | 21.77 | 20.74 | 17.23 | 17.93 | 25.86 | 20.61 | 77.66 | 60.30 | 103.52 | 22.26 | 20.15 | 17.54 | 18.06 | 25.83 | 20.55 | 78.02 | 60.87 | 103.86 | 22.19 | 20.40 | 17.43 | 18.57 | 26.67 | 21.21 | 78.59 | 61.97 | 105.25 | 23.23 | 20.24 | 17.59 | 18.48 | 26.80 | 21.21 | 79.53 | 62.92 | 106.33 | 23.65 | 21.31 | 19.12 | 18.65 | 25.99 | 20.47 | 82.73 | 62.76 | 108.71 | 23.25 | 21.44 | 18.25 | 16.50 | 26.48 | 21.40 | 79.44 | 61.15 | 105.92 | NA | NA | NA | NA | NA | NA | NA | NA | NA | 18.50 | 20.68 | 15.11 | 14.58 | 22.88 | 18.16 | 68.94 | 51.34 | 91.89 |
,Placebo | 20.85 | 20.84 | 16.92 | 16.15 | 24.17 | 19.82 | 74.68 | 56.83 | 98.85 | 21.44 | 20.62 | 16.53 | 16.41 | 24.45 | 19.78 | 74.82 | 57.59 | 99.27 | 21.93 | 20.38 | 17.21 | 17.04 | 25.15 | 20.22 | 76.42 | 59.19 | 101.56 | 21.60 | 21.08 | 17.33 | 16.89 | 25.44 | 20.28 | 76.89 | 58.76 | 102.33 | 21.78 | 20.79 | 16.86 | 17.14 | 25.18 | 20.07 | 76.58 | 58.99 | 101.75 | 21.74 | 20.50 | 16.37 | 17.92 | 25.90 | 20.66 | 76.54 | 60.32 | 102.44 | 21.60 | 20.02 | 17.31 | 16.06 | 24.48 | 19.36 | 74.99 | 57.02 | 99.27 | 21.76 | 18.45 | 16.95 | 15.32 | 24.63 | 19.50 | 72.74 | 56.58 | 97.11 | 21.38 | 17.23 | 18.69 | 14.15 | 23.35 | 18.75 | 71.46 | 54.58 | 96.19 | 22.67 | 17.78 | 16.78 | 15.11 | 23.43 | 17.89 | 72.34 | 55.67 | 95.77 | 22.17 | 19.00 | 17.17 | 15.22 | 21.23 | 17.17 | 73.67 | 54.67 | 94.90 | 20.00 | 14.00 | 13.00 | 18.00 | 17.00 | 13.00 | 65.00 | 51.00 | 82.00 | 19.57 | 20.01 | 14.76 | 14.90 | 22.80 | 18.06 | 69.29 | 52.61 | 92.14 |
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Percentage of Participants With Deterioration in Quality of Life Assessed Using TOI, SWB, and EWB (Data Cutoff 17 May 2008)
"Deterioration in quality of life (QoL) was defined as a clinically meaningful decline in the total FACT-L score, the sum of the TOI, Social/Family Well-Being (SWB) and Emotional Well-Being (EWB) of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L V 4. Participants responded to questions assessing symptoms on a scale from 0-4, where 0 = not at all and 4 = very much. Higher score indicated more severe symptoms. A clinically meaningful decline in FACT-L score was defined as at least a 6 point decline from BL. Participants without a clinically meaningful decline in TOI at the time of analysis were censored at the time of the last FACT-L." (NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 51.7 |
Erlotinib, 150 mg/Day | 55.3 |
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Percentage of Participants With PD According to Response Evaluation Criteria in Solid Tumors (RECIST) or Death (Data Cutoff 17 May 2008)
Progression-free survival (PFS) was defined as the time from randomization to PD or death, whichever occurred first. For target lesions (TLs), PD was defined at least a 20 percent (%) increase in the sum of the largest diameter (SLD), taking as reference the smallest SLD recorded from baseline (BL) more the appearance of one or more new lesions. For non-target lesions (NTLs), PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing NTLs. Participants without PD or death were censored at the date of last tumor assessment where non-progression was documented. (NCT00556712)
Timeframe: Screening, BL [≤21 days after randomization], every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 17 May 2008 (up to 27 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 89.5 |
Erlotinib, 150 mg/Day | 79.9 |
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Percentage of EGFR IHC Positive Participants Who Died (Data Cutoff 12 January 2012)
(NCT00556712)
Timeframe: Screening, BL (≤21 days after randomization), every 6 weeks thereafter until Week 48, every 12 weeks thereafter until PD, discontinuation of study treatment, or end of survival follow-up, up to data cutoff of 12 January 2012 (up to 71 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 87.5 |
Erlotinib, 150 mg/Day | 80.5 |
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Overall Survival and Disease Local Control Rate
"The Secondary Endpoints is Overall Survival (OS)and Disease Local Control (DLC)Rate. All patients will be followed up to evaluate Overall Survival and Disease Local Control by one month after treatment, once a month until recovery from treatment related toxicities, then every 3 months for 2 years, then every 4 months for 2 years (total of 4 years), then annually up to 5 years.~CT scan of the chest/upper abdomen, MRI of brain or CT, and/or PET scan images are recommended to confirm the recurrence.~Survival endpoints were estimated using the Kaplan-Meier method." (NCT00563784)
Timeframe: OS: From date of registration until the date of first documented death or lost to follow up, whichever came first, accessed up to 5 years. DLC: From date of registration until the date of first documented local disease recurrence, accessed up to 5 years.
Intervention | percentage of participants (Number) |
---|
| Overall Survival:5-year | Disease Free Survival:5-year | Local Regional Survival:5-year | Distant Metastasis Free Survival:5-year |
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Phase II TARCEVA (Erlotinib) With Chemoradiation in Stage IIIA | 35.9 | 25.8 | 55.8 | 36.5 |
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Time To First Disease Progression
Primary Endpoints is efficacy of concurrent erlotinib and chemoradiation as measured by time to progression. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions. All patients will be evaluated by followed up one month after treatment, once a month until recovery from treatment related toxicities, then every 3 months for 2 years, then every 4 months for 2 years (total of 4 years), then annually up to 5 years. (NCT00563784)
Timeframe: From date of registration until the date of first documented progression or death from any cause, or lost to follow up, whichever came first, assessed up to 5 years.
Intervention | Month (Median) |
---|
Phase II TARCEVA (Erlotinib) With Chemoradiation in Stage IIIA | 14 |
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2-year Disease-free Survival
The number of participants alive and free from disease recurrence 2 years after enrollment. Participants were monitored for disease recurrence with the use of surveillance radiographs. When possible and medically appropriate, tissue biopsies were obtained to prove recurrence. (NCT00567359)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 88 |
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Number of Participants Demonstrating the Safety and Tolerability of Long Term Erlotinib Treatment
Number of participants who had the most frequently observed undesirable effects after exposure to study drug (NCT00570232)
Timeframe: 12 - 24 months
Intervention | participants (Number) |
---|
| rash | diarrhea | fatigue | nausea | vomiting | headache |
---|
Tarceva | 26 | 22 | 22 | 6 | 6 | 4 |
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Percentage of Participants Demonstrating Survival at 12 Months and 24 Months.
Percentage of participants who were still alive at 12 months following completion of study drug therapy and at 24 months following completion of study drug therapy (NCT00570232)
Timeframe: 12 - 24 months
Intervention | percentage of participants (Number) |
---|
| survival rate at 12 months | survival rate at 24 months |
---|
Tarceva | 61 | 56 |
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Percentage of Participants With Disease Free Status at 12 Months and 24 Months
Percentage of participants who were disease free at 12 months (12 months after initiation of study drug treatment) and 24 months (12 months after completion of study drug treatment) (NCT00570232)
Timeframe: 12 - 24 months
Intervention | percentage of participants (Number) |
---|
| disease free rate at 12 months | disease free rate at 24 months |
---|
Tarceva | 54 | 45 |
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Overall Survival
Overall survival of participants reported after 2 years. (NCT00573989)
Timeframe: 1 and 2 years
Intervention | Participants (Count of Participants) |
---|
| 1 year | 2 years |
---|
Erlotinib | 9 | 7 |
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Objective Tumor Response
Objective Tumor Response reported on participants at 1 year (complete, partial, progression, or stable response). (NCT00573989)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Complete | Partial | Progression | Stable |
---|
Erlotinib | 7 | 5 | 4 | 2 |
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Evaluation of Acute and Chronic Toxicity
Evaluate acute and chronic toxicity of the combined re-irradiation with radiosensitizing drugs: Pemetrexed and Erlotinib. Adverse events with Common Toxicity Criteria grades of 4 and 5 are reported for phase I and II. (NCT00573989)
Timeframe: 1 year
Intervention | events (Number) |
---|
| phase I | phase II |
---|
Erlotinib | 18 | 6 |
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Change in Quality of Life: PSS-HN
The Performance Status Scale for Head & Neck Cancer Patients (PSS-HN) is s designed to evaluate performance in areas of functioning most likely affected by head and neck cancer and its treatment, specifically Normalcy of Diet, Eating in Public, and Understandability of Speech. Each subscale is rated from 0 to 100, with higher scores indicating better performance (NCT00573989)
Timeframe: baseline and 6 months
Intervention | units on a scale (Mean) |
---|
| Eating Baseline | Eating 6 months | Speech Baseline | Speech 6 months | Diet Baseline | Diet 6 months |
---|
Erlotinib | 56.25 | 43.75 | 81.25 | 75.0 | 44.44 | 25.0 |
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Change in Quality of Life: MDADI
The M.D. Anderson Dysphagia Inventory (MDADI) was used to assess effects of dysphagia on the quality of life of patients with head and neck cancer. It incorporates 3 domains (emotional, functional, and physical) as well as 1 global question. Each subscale with five possible responses scored on a scale of 1 to 5 (strongly agree, agree, no opinion, disagree and strongly disagree). Scores range from 0 (extremely low functioning) to 100 (higher functioning). Higher MDADI score represents better day-to-day functioning and better quality of life. (NCT00573989)
Timeframe: baseline and 12 months
Intervention | units on a scale (Mean) |
---|
| baseline- global | 12 months- global | baseline- emotion | 12 months- emotion | baseline- function | 12 months- function | baseline- physical | 12 months- physical |
---|
Erlotinib | 64.44 | 90.0 | 70.37 | 78.33 | 65.78 | 84.0 | 60.0 | 73.75 |
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Change in Quality of Life- FACT H&N
The Functional Assessment of Cancer Therapy-Head and Neck (FACT H&N) consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for head and neck related symptoms. Each item is rated on a 0 to 4 Likert type scale, and then combined to produce subscale scores for each domain. Score range is 0-156. Higher scores denotes better outcomes (NCT00573989)
Timeframe: baseline and 12 months
Intervention | units on a scale (Mean) |
---|
| baseline | 12 months |
---|
Erlotinib | 84.87 | 88.61 |
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Progression-free Survival (PFS) at 1 Year (Phase II)
Determine Progression Free Survival at 1 year defined as the percentage of patients who are alive at 1 year after beginning of their concurrent re-irradiation and chemotherapy without loco-regional progression of their disease as measured by CT scan or MRI. (NCT00573989)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 5 |
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Maximum Tolerated Dose of Erlotinib Hydrochloride (Phase I)
Dose at which 100% of participants tolerated the dose (NCT00573989)
Timeframe: 56 Days
Intervention | mg (Number) |
---|
Erlotinib | 125 |
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Number of Patients With Pathologic Complete Response Rate
Complete Response (CR): Disappearance of all clinical evidence of tumor. Partial Response (PR): A 50% or greater decrease in the sum of the products of measured lesions. No simultaneous increase in the size of any lesion or the appearance of new lesions may occur. Non-measurable lesions must remain stable or regress for this category. Minor Response (MR): A > 25% and < 50% decrease in the sum of the products of measured lesions. No simultaneous increase in the size of any lesion or the appearance of new lesions may occur. Non-measurable lesions must remain stable or regress for this category. Stable Disease (SD): A less than 25% decrease. This includes a decrease of less than 25% in the sum of the products of the measured lesions, and any increase of less than 25% in the sum of the products of the measured lesions. There may be no appearance of new disease sites for this category. Progressive Disease (PD): A ≥25% increase in one or more lesions, or appearance of new lesions. (NCT00577707)
Timeframe: Patients will undergo a CT scan of chest every 3 months for year 1 and every 4 months for year 2. In years 3 and 4, a chest CT or chest x-ray every 6 months.
Intervention | participants (Number) |
---|
| Minor Response (MR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (POD) |
---|
Patients With Stage IB-IIIA NSCLC With EGFR Mutations | 1 | 1 | 2 | 2 |
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Evaluation of Response Rate
The percentage of patients in which response (CR + PR) was observed: Per Response Evaluation Criteria In Solid Tumors (RECIST v1.0) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions (NCT00585377)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Arm 1:Bevacizumab and Erlotinib | 24 |
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Evaluation of Progression-free Survival
The length of time during and after bevacizumab-erlotinib that a patient lives with the disease but does not progress according to RECIST 1.0 Criteria. Per Response Evaluation Criteria In Solid Tumors (RECIST v1.0) for target lesions and assessed by CT: Progressive Disease (PD), >=20% increase in the sum of the longest diameter of target lesions (NCT00585377)
Timeframe: 2 years
Intervention | weeks (Median) |
---|
Arm 1:Bevacizumab and Erlotinib | 15.5 |
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Evaluation of Overall Survival
The length of time from the start of treatment for a disease that patients are still alive. (NCT00585377)
Timeframe: 2 years
Intervention | weeks (Median) |
---|
Arm 1:Bevacizumab and Erlotinib | 50.4 |
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Overall Survival
Estimated via a Kaplan-Meier curves. Survival will be counted from the first dose of Tarceva. (NCT00585533)
Timeframe: 24 months
Intervention | weeks (Median) |
---|
All Participants | 50.1 |
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Survival Rate at 6-months Chemotherapy-progression-free (CP-free)
Will determine if 6-month chemotherapy-progression-free (CP-free) survival rate (using RECIST) is significantly higher than the historically observed 31%. A one-sided binomial test at a 5% nominal significance was used. (NCT00585533)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
All Participants | 55 |
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Overall Objective Response of OSI-774
(complete and partial responses) Response and progression will be evaluated in this study using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. A complete response is the disappearance of all target lesions, and a partial response (PR) is defined as at least a 30% decrease in the sum of the target lesions. Stable disease is defined as fitting the criteria neither for progressive disease nor a PR. (NCT00590902)
Timeframe: 53 weeks
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progression of Disease (POD) |
---|
1 - OSI-774 | 1 | 18 | 31 | 30 |
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Toxicity of the Combination of FOLFOX, 5-FU, and Erlotinib
Adverse event assessment by investigators and as reported by subjects from time of consent to 30 days after last dose. Up to 3.5 years. (NCT00591123)
Timeframe: 3.5 years
Intervention | participants (Number) |
---|
| Diarrhea / dehydration | Anorexia | Nausea/Vomiting | Rash | Fatigue | Peripheral neuropathy | Neutropenia | Neutropenic Fever | Hypokalemia | AST / ALT Elevation |
---|
FOLFOX Plus 5-FU and Erlotinib | 9 | 5 | 4 | 3 | 4 | 3 | 5 | 1 | 2 | 2 |
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Safety of Erlotinib
Number of Participants With Adverse Events (NCT00597597)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Erlotinib: 150mg/Day | 2 |
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The Primary Objective of the Study is Progression Free Survival.
From the Day of Initial Treatment (Day 0) Until Documented Disease Progression or Death. (NCT00597597)
Timeframe: From the Day of Initial Treatment (Day 0) Until Documented Disease Progression or Death, whichever came first, assessed up to 6 months.
Intervention | years (Median) |
---|
A Phase II Open-Label Clinical Trial to Evaluate the Efficacy | 0.08 |
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Clinical Benefit, Consisting of Complete and Partial Responses, and Stable Disease for Six Months
We measured the clinical benefit, consisting of complete and partial responses, and stable disease for six months (NCT00597597)
Timeframe: very 8 weeks, up to 6 months
Intervention | participants (Number) |
---|
Erlotinib: 150mg/Day | 2 |
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Number of Participants With Rash
We evaluated the number of Participants with Rash (NCT00597597)
Timeframe: every 8 weeks, up to 6 months
Intervention | Participants (Count of Participants) |
---|
Erlotinib: 150mg/Day | 1 |
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Overall Response Rate, Consisting of Complete and Partial Responses According to RECIST Criteria
"Overall response rate, consisting of complete and partial responses according to RECIST criteria Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT00597597)
Timeframe: every 8 weeks, up to 6 months
Intervention | Participants (Count of Participants) |
---|
Erlotinib: 150mg/Day | 0 |
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Progression Free Survival (PFS)
"Progression-free survival is defined as the time from the first day of treatment until the day tumor progression was documented. Response was evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST).~Progressive Disease (PD): Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions" (NCT00600015)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Combination Therapy | 3.38 |
Placebo | 1.94 |
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6-month PFS
Progression free survival is defined as the time from the first day of treatment until the day tumor progression was documented. Response was evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST). Progressive Disease (PD): Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions (1). Percentage of participants who were progression free at 6 month from the start of treatment is reported here. (NCT00600015)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 29 |
Placebo | 22 |
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Disease Control Rate (DCR)
"Disease Control Rate (DCR) is defined as the percentage of patients who have a partial/complete/stable response to therapy. Responses were assessed by the Response Evaluation Criteria in Solid Tumors (RECIST; version 1.0).~Complete Response: Disappearance of all target lesions, and disappearance of all non-target lesions.~Partial Response: At least a 30% decrease in the sum of the longest diameter of target lesions (taking as reference the baseline sum of longest diameters) Stable Response: Neither sufficient shrinkage to qualify for partial response, nor sufficient increase to qualify for progressive disease (taking as reference the smallest sum of diameters since the treatment started)." (NCT00600015)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 54 |
Placebo | 38 |
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Duration of Response
Duration of response is defined as the time from when objective response is realized until time to first documented disease progression. Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Objective Response = CR + PR. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. (NCT00600015)
Timeframe: 18 months
Intervention | months (Mean) |
---|
Combination Therapy | 4.6430 |
Placebo | 5.2234 |
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Overall Objective Response Rate (ORR)
"Overall response rate (ORR) is defined as the percentage of patients who have a partial or complete response to therapy. Responses were assessed by the Response Evaluation Criteria in Solid Tumors (RECIST; version 1.0).~Complete Response: Disappearance of all target lesions, and disappearance of all non-target lesions.~Partial Response: At least a 30% decrease in the sum of the longest diameter of target lesions (taking as reference the baseline sum of longest diameters)" (NCT00600015)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|
Combination Therapy | 8.1 |
Placebo | 10.9 |
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Overall Survival (OS)
OS is defined as the time from the first treatment until date of death due to any cause. In the absence of confirmation of death or lack of data beyond follow-up period, the survival time was censored to last date the participant was known to be alive. (NCT00600015)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Combination Therapy | 7.62 |
Placebo | 7.23 |
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Tmax: Time to Cmax of Entinostat in the Lead-in Phase
(NCT00602030)
Timeframe: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
Intervention | hour (Mean) |
---|
| Day 1 (entinostat alone) | Day 15 (entinostat + erlotinib) |
---|
Lead-in Phase: Erlotinib + Entinostat 10 mg | 0.50 | 1.3 |
,Lead-in Phase: Erlotinib + Entinostat 5 mg | 0.83 | 1.0 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) by Severity in the Double-blind Phase
"An AE is defined as any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Worsening of a pre-existing medical condition was considered an AE if there was either an increase in severity, frequency, or duration of the condition or an association with significantly worse outcomes. A TEAE is an AE that starts after the administration of study drug.~A SAE is any AE that is fatal, life threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth effect or other significant medical hazard.~TEAE severity was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale where Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=Life-threatening and 5=Death." (NCT00602030)
Timeframe: First dose of study drug to within 30 days past last dose (Up to 7 months)
Intervention | Participants (Count of Participants) |
---|
| Any SAE | Any TEAE | Grade 1 TEAE | Grade 2 TEAE | Grade 3 TEAE | Grade 4 TEAE | Grade 5 TEAE |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 32 | 65 | 1 | 12 | 34 | 6 | 12 |
,Double-blind Phase: Erlotinib + Placebo | 29 | 63 | 7 | 16 | 20 | 5 | 15 |
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Number of Participants With Grade 3 or 4 Laboratory Variables in the Double-blind Phase
Laboratory tests included tests of Hematology and Chemistry. The individual laboratory values were graded by the investigator using the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale where Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=Life-threatening and 5=Death. (NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | Participants (Count of Participants) |
---|
| White Blood Count decreased | Absolute Neutrophil Count decreased | Lymphocytes decreased | Platelets decreased | Phosphorus decreased | Alanine aminotransferase increased | Sodium decreased | Glucose increased | Albumin decreased | Potassium decreased | Aspartate aminotransferase increased | Bilirubin increased | Creatinine abnormal | Magnesium decreased | Potassium increased | Calcium increased | Calcium decreased |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 1 | 2 | 18 | 2 | 6 | 6 | 4 | 3 | 2 | 2 | 2 | 0 | 1 | 1 | 1 | 0 | 0 |
,Double-blind Phase: Erlotinib + Placebo | 1 | 1 | 9 | 1 | 4 | 1 | 5 | 2 | 4 | 2 | 0 | 3 | 1 | 0 | 0 | 2 | 1 |
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Cmax: Maximum Plasma Concentration of Entinostat in the Lead-in Phase
(NCT00602030)
Timeframe: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
Intervention | ng/mL (Mean) |
---|
| Day 1 (entinostat alone) | Day 15 (entinostat + erlotinib) |
---|
Lead-in Phase: Erlotinib + Entinostat 10 mg | 123.1 | 99.4 |
,Lead-in Phase: Erlotinib + Entinostat 5 mg | 19.6 | 30.2 |
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AUC(0-last): Area Under the Concentration-time Curve From Time 0 to Last Quantifiable Concentration in the Lead-in Phase
(NCT00602030)
Timeframe: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
Intervention | ng*hr/mL (Mean) |
---|
| Day 1 (entinostat alone) | Day 15 (entinostat + erlotinib) |
---|
Lead-in Phase: Erlotinib + Entinostat 10 mg | 325.8 | 106.4 |
,Lead-in Phase: Erlotinib + Entinostat 5 mg | 152.1 | 51.7 |
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AUC(0-24): Area Under the Concentration-time Curve From Time 0 to 24 Hours in the Lead-in Phase
(NCT00602030)
Timeframe: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
Intervention | ng*hr/mL (Mean) |
---|
| Day 1 (entinostat alone) | Day 15 (entinostat + erlotinib) |
---|
Lead-in Phase: Erlotinib + Entinostat 10 mg | 133.3 | 110.2 |
,Lead-in Phase: Erlotinib + Entinostat 5 mg | 46.5 | 51.7 |
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Objective Response Rate (ORR) in the Double-blind Phase
ORR was defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) as assessed by the investigator. CR=disappearance of all target lesions; disappearance of non-target lesions and normalization of tumor marker level. PR=At least a 30% decrease in the sum of the longest diameter of target lesions, taking at reference the baseline sum longest diameter. (NCT00602030)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
Double-blind Phase: Erlotinib + Placebo | 9.2 |
Double-blind Phase: Erlotinib + Entinostat 10 mg | 3.0 |
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Identification of Safe-dose for the Phase 2 Double-blind Phase in the Lead-in Phase
Safe recommended Phase 2 dose was determined based on dose-limiting toxicities (DLT) in Cycle 1. A DLT was defined as any of the following occurring in Cycle 1: Grade 3 or greater nonhematologic toxicity that was considered related to either entinostat or erlotinib or a Grade 4 hematologic toxicity lasting more than 7 days and/or resulting in a dose delay. Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale was used where Grade 1=mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=life-threatening and 5=death. The dose that was found to be safe is reported. (NCT00602030)
Timeframe: Cycle 1 of Lead-in Phase
Intervention | milligrams (mg) (Number) |
---|
Lead-in Phase: Erlotinib + Entinostat | 10 |
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6-Month PFS Rate in the Double-blind Phase
PFS rate at 6 months is defined as the percentage of participants who are progression-free at 6 months. (NCT00602030)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
Double-blind Phase: Erlotinib + Placebo | 10.8 |
Double-blind Phase: Erlotinib + Entinostat 10 mg | 11.9 |
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4-Month Progression-free Survival (PFS) Rate in the Double-blind Phase
PFS rate at 4 months was defined as the percentage of participants who are progression-free at 4 months. (NCT00602030)
Timeframe: Month 4
Intervention | percentage of participants (Number) |
---|
Double-blind Phase: Erlotinib + Placebo | 24.0 |
Double-blind Phase: Erlotinib + Entinostat 10 mg | 20.8 |
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Vital Sign Values: Heart Rate in the Double-blind Phase
(NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | beats per minute (bpm) (Mean) |
---|
| Baseline | Minimum Post-Baseline Value | Maximum Post-Baseline Value |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 85.6 | 79.7 | 102.1 |
,Double-blind Phase: Erlotinib + Placebo | 87.5 | 78.5 | 98.2 |
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Vital Sign Values: Respiration Rate in the Double-blind Phase
(NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | breaths per minute (Mean) |
---|
| Baseline | Minimum Post-Baseline Value | Maximum Post-Baseline Value |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 17.9 | 16.6 | 20.1 |
,Double-blind Phase: Erlotinib + Placebo | 18.5 | 17.2 | 20.2 |
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Vital Sign Values: Systolic Blood Pressure in the Double-blind Phase
(NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | mm Hg (Mean) |
---|
| Baseline | Minimum Post-Baseline Value | Maximum Post-Baseline Value |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 126.0 | 105.0 | 132.5 |
,Double-blind Phase: Erlotinib + Placebo | 125.3 | 112.4 | 135.5 |
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Vital Sign Values: Temperature in the Double-blind Phase
(NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | degrees Celsius (C) (Mean) |
---|
| Baseline | Minimum Post-Baseline Value | Maximum Post-Baseline Value |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 97.6 | 97.0 | 98.5 |
,Double-blind Phase: Erlotinib + Placebo | 97.5 | 96.9 | 98.2 |
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Vital Sign Values: Weight in the Double-blind Phase
(NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | kilograms (kg) (Mean) |
---|
| Baseline | Minimum Post-Baseline Value | Maximum Post-Baseline Value |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 74.3 | 70.0 | 74.3 |
,Double-blind Phase: Erlotinib + Placebo | 77.9 | 73.5 | 77.6 |
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Vital Sign Values: Diastolic Blood Pressure in the Double-blind Phase
(NCT00602030)
Timeframe: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Intervention | mm Hg (Mean) |
---|
| Baseline | Minimum Post-Baseline Value | Maximum Post-Baseline Value |
---|
Double-blind Phase: Erlotinib + Entinostat 10 mg | 72.1 | 61.3 | 78.5 |
,Double-blind Phase: Erlotinib + Placebo | 72.5 | 64.7 | 78.8 |
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Methotrexate Volume of Central Compartment in Induction Cycle 2
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/m^2 (Median) |
---|
Low-Risk Group | 13.77 |
Intermediate-Risk Group | 13.73 |
High-Risk Group | 13.62 |
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4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1
4-OH cyclophosphamide plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 96.8 |
Intermediate-Risk Group | 48.7 |
High-Risk Group | 39.8 |
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Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 4
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX
Intervention | µmol/L (Median) |
---|
Low-Risk Group | 0.64 |
Intermediate-Risk Group | 0.64 |
High-Risk Group | 0.55 |
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Methotrexate Volume of Central Compartment in Induction Cycle 1
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/m^2 (Median) |
---|
Low-Risk Group | 11.63 |
Intermediate-Risk Group | 13.70 |
High-Risk Group | 13.25 |
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Methotrexate Volume of Central Compartment in Induction Cycle 3
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/m^2 (Median) |
---|
Low-Risk Group | 12.70 |
Intermediate-Risk Group | 13.55 |
High-Risk Group | 13.87 |
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Methotrexate Volume of Central Compartment in Induction Cycle 4
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/m^2 (Median) |
---|
Low-Risk Group | 12.64 |
Intermediate-Risk Group | 13.31 |
High-Risk Group | 13.68 |
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OSI-420 AUC0-24h
Erlotinib metabolite OSI-420 plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of OSI-420 AUC0-24h (area under concentration curve from 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 2.17 |
Intermediate-Risk Group | 1.81 |
High-Risk Group | 1.62 |
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Overall Survival (OS) Compared to Historical Controls
OS was measured from the date of initial treatment to date of death or to date of last contact for survivors. 1-year OS estimates were reported by risk group. OS was compared to St. Jude historical cohorts by risk group using hazard ratios with 95% confidence intervals. (NCT00602667)
Timeframe: 1 year after treatment initiation of last patient
Intervention | Percent probability (Number) |
---|
SJYC07 Low-risk Medulloblastoma Patients | 100 |
SJYC07 Intermediate-risk Medulloblastoma Patients | 84.4 |
SJYC07 High-risk Medulloblastoma Patients | 61.5 |
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Participants With Empirical Dosage Achieving Target System Exposure of Intravenous Topotecan
Number of participants who successfully achieve target systemic exposure of intravenous topotecan after an empiric dosage during consolidation phase of therapy are reported. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, and 3 hours from end of infusion
Intervention | participants (Number) |
---|
Intermediate-Risk Group | 0 |
High-Risk Group | 8 |
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Methotrexate AUC0-66h in Induction Cycle 2
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1900 |
Intermediate-Risk Group | 1902 |
High-Risk Group | 1879 |
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Participants With PK-guided Dosage Adjustment Achieving Target System Exposure of Intravenous Topotecan
Number of participants who successfully achieve target systemic exposure of intravenous topotecan after a pharmacokinetic-guided dosage adjustment during consolidation phase of therapy are reported. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, and 3 hours from end of infusion
Intervention | participants (Number) |
---|
Intermediate-Risk Group | 1 |
High-Risk Group | 20 |
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4-OH Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2
4-OH cyclophosphamide plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 95.9 |
Intermediate-Risk Group | 49.5 |
High-Risk Group | 43.5 |
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4-OH Cyclophosphamide AUC0-24h in Induction Chemotherapy
4-OH cyclophosphamide plasma concentration-time data are collected on day 9 in one cycle of induction chemotherapy. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 116.4 |
Intermediate-Risk Group | 111.3 |
High-Risk Group | 109.1 |
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Percent of Patients With Sustained Objective Responses Rate After Consolidation
For patients enrolled on the high-risk arm with measurable residual disease after induction treated with consolidation therapy, we will estimate the objective response (complete response (CR)/partial response (PR)) rate after consolidation therapy with a 95% confidence interval. Objective responses must be sustained for at least eight weeks. All patients who receive at least 1 dose of cyclophosphamide or topotecan during consolidation are evaluable for response. (NCT00602667)
Timeframe: 8 weeks after completion of consolidation therapy (up to 8 months after on-study date)
Intervention | percentage of participants (Number) |
---|
High-Risk Group | 13.2 |
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4-OH Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1
4-OH cyclophosphamide plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of 4-OH cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3, 6, and 24 hours post-dose
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1.98 |
Intermediate-Risk Group | 1.96 |
High-Risk Group | 1.82 |
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Percent of PET Scans With Loss of Signal Intensity
Measures will be analyzed for intermediate risk participants who receive proton beam therapy (PBT) and who consent. This objective aims to assess the feasibility of using post-proton beam therapy (PBT) positron emission tomography (PET) as an in-vivo dosimetric and distal edge verification system in this patient population. To quantify the decay in signal, 134 scans from 53 patients were analyzed by recording the mean activation value (MAV), the average recorded PET signal from activation, within the target volume. With each patient being given the same dose, the percent standard deviation in the MAV can serve as a quantitative representation of signal loss due to radioactive decay. (NCT00602667)
Timeframe: Up to 3 times during RT consolidation
Intervention | mean activation value (MAV) (Mean) |
---|
Intermediate Risk Group | 60 |
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Percent Probability of Event-free Survival (EFS) for Medulloblastoma Patients
Defined as the time interval from date on treatment until the date of first progression, second malignancy or death due to any cause; or date of last contact for patients who have not experienced an event. All eligible medulloblastoma patients who received any methotrexate are included in this analysis. (NCT00602667)
Timeframe: From date on treatment to date of first progression, relapse, second malignancy or death from any cause or to date of last contact, estimated at 1 year after
Intervention | Percent Probability (Number) |
---|
Low-Risk Group | 73.9 |
Intermediate-Risk Group | 46.9 |
High-Risk Group | 30.8 |
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Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients
Progression was defined as 25% increase in the size of any measurable lesion; the appearance of a new lesion; or the conversion of negative cerebrospinal fluid (CSF) cytology to positive. Defined as the time interval from date on treatment until the date of first progression, medulloblastoma-related death or date of last contact for patients who have not experienced an event. All eligible medulloblastoma patients who received any methotrexate are included in this analysis. (NCT00602667)
Timeframe: From date on treatment until date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment
Intervention | Percent Probability (Number) |
---|
Low-Risk Group | 73.9 |
Intermediate-Risk Group | 46.9 |
High-Risk Group | 30.8 |
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Percentage of Patients With Objective Responses Rate to Induction Chemotherapy
For patients treated in the intermediate and high risk strata with residual or metastatic disease we will estimate the stratum-specific objective response rate (complete response (CR) or partial response [ PR]). All patients who receive at least 1 -dose of methotrexate are evaluable for response. Objective responses must be sustained for at least eight weeks. (NCT00602667)
Timeframe: From on-study date to 2 months after completion of induction chemotherapy (up to 4 months after on-study date)
Intervention | Percentage of patients (Number) |
---|
Intermediate-Risk Group | 58.3 |
High-Risk Group | 21.1 |
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Cyclophosphamide AUC0-24h in Maintenance Chemotherapy Cycle A1
Cyclophosphamide plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of cyclophosphamide AUC0-24h are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3, 6, and 24 hours post-dose
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 39.9 |
Intermediate-Risk Group | 38.7 |
High-Risk Group | 42.2 |
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Rate of Distant Disease Progression
Distant failure was defined as the interval from end of RT to date of distant failure (or combined local + distant failure). Competing events were local failure or second malignancy. Patients without an event were censored at date of last contact. The 1-year cumulative incidence was estimated and reported with a 95% confidence interval. (NCT00602667)
Timeframe: 1 year after completion of radiation therapy for last patient
Intervention | percentage of participants (Number) |
---|
Intermediate-risk Patients Who Received Focal Radiation | 25.6 |
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Rate of Local Disease Progression
Local failure was defined as the interval from end of RT to date of local failure (or combined local + distant failure). Competing events were distant failure or second malignancy. Patients without an event were censored at date of last contact. The 1-year cumulative incidence was estimated and reported with a 95% confidence interval. (NCT00602667)
Timeframe: 1 year after completion of radiation therapy for last patient
Intervention | Percentage of participants (Number) |
---|
Intermediate-risk Patients Who Received Focal Radiation | 13.2 |
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Topotecan Apparent Oral Clearance in Maintenance Chemotherapy
Topotecan plasma concentration-time data are collected on day 1 of maintenance cycle A1 after a single oral dose. Individual estimates of topotecan apparent oral clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.25, 1.5 and 6 hours post-dose
Intervention | L/h (Median) |
---|
Low-Risk Group | 41.4 |
Intermediate-Risk Group | 41.0 |
High-Risk Group | 44.6 |
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CEPM AUC0-24h in Consolidation Chemotherapy Cycle 1
Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 128.9 |
Intermediate-Risk Group | 62.2 |
High-Risk Group | 51.8 |
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CEPM AUC0-24h in Consolidation Chemotherapy Cycle 2
Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 132.7 |
Intermediate-Risk Group | 46.8 |
High-Risk Group | 44.0 |
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CEPM AUC0-24h in Induction Chemotherapy
Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected on day 9 in one induction cycle. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 140.2 |
Intermediate-Risk Group | 137.8 |
High-Risk Group | 135.3 |
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CEPM AUC0-24h in Maintenance Chemotherapy Cycle A1
Carboxyethylphosphoramide mustard (CEPM) plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of CEPM AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3, 6, and 24 hours post-dose
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1.59 |
Intermediate-Risk Group | 1.65 |
High-Risk Group | 1.41 |
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Cyclophosphamide Apparent Oral Clearance in Maintenance Chemotherapy Cycle A1
Cyclophosphamide plasma concentration-time data are collected on day 1 of maintenance cycle A1. Individual estimates of cyclophosphamide apparent oral clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.5, 1.75, 3 and 6 hours post-dose
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 2.95 |
Intermediate-Risk Group | 2.83 |
High-Risk Group | 2.74 |
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Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 1
Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1968 |
Intermediate-Risk Group | 1504 |
High-Risk Group | 868 |
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Cyclophosphamide AUC0-24h in Consolidation Chemotherapy Cycle 2
Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1966 |
Intermediate-Risk Group | 799 |
High-Risk Group | 899 |
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Topotecan AUC0-24h in Consolidation Chemotherapy
Topotecan plasma concentration-time data are collected on day 1 of consolidation cycle 1 after a single IV dose. Individual estimates of topotecan AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, 3, and 24 hours from end of infusion
Intervention | µg·h/L (Median) |
---|
Intermediate-Risk Group | 117 |
High-Risk Group | 116 |
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Topotecan AUC0-24h in Maintenance Chemotherapy
Topotecan plasma concentration-time data are collected on day 1 of maintenance cycle A1 after a single oral dose. Individual estimates of topotecan AUC0-24h (area under concentration curve from time 0 to 24 hours post- dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 0.25, 1.5, 6, and 24 hours post-dose
Intervention | µg·h/L (Median) |
---|
Low-Risk Group | 10.90 |
Intermediate-Risk Group | 11.60 |
High-Risk Group | 10.33 |
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Topotecan Clearance in Consolidation Chemotherapy
Topotecan plasma concentration-time data are collected on day 1 of consolidation cycle 1 after a single IV dose. Individual estimates of topotecan clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, 5 min., 1, and 3 hours from end of infusion
Intervention | L/h/m^2 (Median) |
---|
Intermediate-Risk Group | 30.3 |
High-Risk Group | 26.40 |
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Concentration of Cerebrospinal Fluid Neurotransmitters
Concentrations of various neurotransmitters in cerebrospinal fluid were measured at 5 timepoints. The median concentration of each neurotransmitter at each time point was calculated and provided with a full range. (NCT00602667)
Timeframe: Baseline, at the completion of therapy, and every 12 months up to 36 months after off therapy date
Intervention | ng/ml (Median) |
---|
| Dopamine concentration at baseline | Dopamine concentration at completion of treatment | Dopamine concentration at 12 months off treatment | Dopamine concentration at 24 months off treatment | Dopamine concentration at 36 months off treatment | 3,4-dihydroxyphenylacetic acid concentration at baseline | 3,4-dihydroxyphenylacetic acid concentration at completion of treatment | 3,4-dihydroxyphenylacetic acid concentration at 12 months off treatment | 3,4-dihydroxyphenylacetic acid concentration at 24 months off treatment | 3,4-dihydroxyphenylacetic acid concentration at 36 months off treatment | Hydroxytryptamine concentration at baseline | Hydroxytryptamine concentration at completion of treatment | Hydroxytryptamine concentration at 12 months off treatment | Hydroxytryptamine concentration at 24 months off treatment | Hydroxytryptamine concentration at 36 months off treatment | Hydroxyindoleacetic acid concentration at baseline | Hydroxyindoleacetic acid concentration at completion of treatment | Hydroxyindoleacetic acid concentration at 12 months off treatment | Hydroxyindoleacetic acid concentration at 24 months off treatment | Hydroxyindoleacetic acid concentration at 36 months off treatment | Homovanillic acid concentration at baseline | Homovanillic acid concentration at completion of treatment | Homovanillic acid concentration at 12 months off treatment | Homovanillic acid concentration at 24 months off treatment | Homovanillic acid concentration at 36 months off treatment |
---|
Patients With Neurotransmitter Studies | 3.16 | 3.70 | 6.43 | 4.46 | 4.05 | 2.56 | 1.62 | 1.04 | 1.52 | 1.00 | 2.38 | 2.01 | 2.00 | 2.44 | 1.62 | 52.03 | 52.72 | 35.72 | 33.98 | 31.56 | 82.44 | 114.13 | 68.28 | 88.27 | 79.78 |
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Number and Type of Genetic Polymorphisms
Types of genetic polymorphisms of neurotransmitters were examined. We studied 3 genetic polymorphisms; these were types of genetic polymorphisms involved in dopamine metabolism. They were as follows: rs6323, rs4680, and rs6280. (NCT00602667)
Timeframe: At study enrollment (Day 0)
Intervention | Participants (Count of Participants) |
---|
| rs6323 | rs4680 | rs6280 |
---|
Number of Patients With Neurotransmitter Studies | 17 | 17 | 17 |
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Number of Participants With Chromosomal Abnormalities
Amplifications and deletions (gains and losses) for chromosomes of interest are shown in the table of measured values. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment
Intervention | Participants (Count of Participants) |
---|
| chr2p gain/amplification | chr2p loss/deletion | chr2q gain/amplification | chr2q loss/deletion | chr6p gain/amplification | chr6p loss/deletion | chr6q gain/amplification | chr6q loss/deletion | chr8p gain/amplification | chr8p loss/deletion | chr8q gain/amplification | chr8q loss/deletion | chr9p gain/amplification | chr9p loss/deletion | chr9q gain/amplification | chr9q loss/deletion | chr10p gain/amplification | chr10p loss/deletion | chr10q gain/amplification | chr10q loss/deletion | chr20p gain/amplification | chr20p loss/deletion | chr20q gain/amplification | chr20q loss/deletion |
---|
High-Risk Group | 6 | 0 | 6 | 0 | 3 | 2 | 3 | 2 | 0 | 8 | 0 | 7 | 3 | 3 | 1 | 5 | 0 | 7 | 0 | 9 | 0 | 5 | 0 | 5 |
,Intermediate-Risk Group | 1 | 2 | 1 | 2 | 3 | 0 | 3 | 0 | 2 | 6 | 3 | 5 | 6 | 0 | 1 | 5 | 0 | 5 | 0 | 7 | 0 | 4 | 0 | 3 |
,Low-Risk Group | 5 | 0 | 5 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 4 | 4 | 2 | 6 | 0 | 0 | 0 | 3 | 0 | 2 | 0 | 1 |
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Number of Successful Collections for Frozen and Fixed Tumor Samples
Successful collections will be defined as the number of patients who have frozen/fixed tumor samples available. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment
Intervention | Participants (Count of Participants) |
---|
| Number with frozen tumor tissue | Number with fixed tumor tissue |
---|
High-Risk Group | 32 | 71 |
,Intermediate-Risk Group | 73 | 153 |
,Low-Risk Group | 27 | 54 |
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Numbers of Patients With Gene Alterations
Gene alterations, which include single nucleotide variants (SNPs), amplifications, deletions, translocations, indels, and germline alterations are shown for specific genes of interest in the results table. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment
Intervention | Participants (Count of Participants) |
---|
| PTCH1 alteration | SUFU alteration | KMT2D alteration | SMO alteration | BCOR alteration | PTEN alteration | BRCA2 alteration | GLI2 alteration | SMARCA4 alteration | TP53 alteration | MYCN alteration |
---|
High-Risk Group | 3 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
,Intermediate-Risk Group | 4 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
,Low-Risk Group | 7 | 6 | 5 | 2 | 1 | 1 | 0 | 0 | 2 | 0 | 0 |
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Numbers of Patients With Molecular Abnormalities by Tumor Type
Alterations included single nucleotide variants (SNPs), amplifications, deletions, translocations, indels, and germline alterations. Cytogenetic information shows gains and losses as specified in the table of measured values. (NCT00602667)
Timeframe: Based on samples obtained at the time of initial surgery or repeat surgery prior to treatment
Intervention | Participants (Count of Participants) |
---|
| PTCH1 alteration | SUFU alteration | KMT2D alteration | SMO alteration | BCOR alteration | PTEN alteration | BRCA2 alteration | GLI2 alteration | SMARCA4 alteration | TP53 alteration | MYCN amplification | chr2p gain/amplification | chr2p loss/deletion | chr2q gain/amplification | chr2q loss/deletion | chr6p gain/amplification | chr6p loss/deletion | chr6q gain/amplification | chr6q loss/deletion | chr8p gain/amplification | chr8p loss/deletion | chr8q gain/amplification | chr8q loss/deletion | chr9p gain/amplification | chr9p loss/deletion | chr9q gain/amplification | chr9q loss/deletion | chr10p gain/amplification | chr10p loss/deletion | chr10q gain/amplification | chr10q loss/deletion | chr20p gain/amplification | chr20p loss/deletion | chr20q gain/amplification | chr20q loss/deletion |
---|
High-risk Group 3 Patients | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 3 | 2 | 3 | 2 | 0 | 7 | 0 | 6 | 0 | 3 | 0 | 3 | 0 | 7 | 0 | 8 | 0 | 4 | 0 | 4 |
,High-risk Group 4 Patients | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,High-risk SHH Patients | 3 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 1 | 2 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 |
,Intermediate-risk Group 3 Patients | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 2 | 0 | 2 | 0 | 1 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 5 | 0 | 5 | 0 | 3 | 0 | 3 |
,Intermediate-risk Group 4 Patients | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 4 | 0 | 4 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Intermediate-risk SHH Patients | 4 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 5 | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 0 |
,Low-risk SHH Patients | 7 | 6 | 5 | 2 | 1 | 1 | 0 | 0 | 2 | 0 | 0 | 5 | 0 | 5 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 4 | 4 | 2 | 6 | 0 | 0 | 0 | 3 | 0 | 2 | 0 | 1 |
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Pharmacogenetic Variation on Central Nervous System Transmitters
Frequencies of genetic polymorphisms were reported. (NCT00602667)
Timeframe: At study enrollment (Day 0)
Intervention | Participants (Count of Participants) |
---|
| Genetic Polymorphisms for monoamine oxidase A (MAOA) rs632372067969 | Genetic Polymorphisms for catecholamine-O-methyltransferase (COMT) rs468072067969 | Genetic Polymorphisms for dopamine receptor D (DRD3) rs628072067969 |
---|
| AG | CC | TC | TT | GG | AA | TG |
---|
Patients With Neurotransmitter Studies | 2 |
Patients With Neurotransmitter Studies | 13 |
Patients With Neurotransmitter Studies | 7 |
Patients With Neurotransmitter Studies | 5 |
Patients With Neurotransmitter Studies | 0 |
Patients With Neurotransmitter Studies | 6 |
Patients With Neurotransmitter Studies | 4 |
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Feasibility and Toxicity of Administering Oral Maintenance Therapy in Children <3 Years of Age as Measured by the Percentage of Total Scheduled Maintenance Doses Received
These data are based on patient diaries. For children <3 years of age, we will calculate the percentage of total scheduled doses each patient received per course for each of the oral maintenance courses and report the overall average number percentage of doses received per course across patients. If patients received all planned doses, their percentage would be 100%. If the average percentage was less than 75%, then feasibility would be in question. (NCT00602667)
Timeframe: From start of oral maintenance therapy (approximately 6 months after on-study date) to completion of oral maintenance therapy (up to 1 year after on-study date)
Intervention | Percentage of scheduled doses received (Mean) |
---|
Low-Risk Group | 96 |
Intermediate-Risk Group | 91 |
High-Risk Group | 98 |
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Cyclophosphamide AUC0-24h in Induction Chemotherapy
Cyclophosphamide plasma concentration-time data are collected on day 9 in one cycle of induction chemotherapy. Individual estimates of cyclophosphamide AUC0-24h (area under concentration curve from time 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 2070 |
Intermediate-Risk Group | 2150 |
High-Risk Group | 2105 |
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Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 1
Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 1. Individual estimates of cyclophosphamide clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 2.39 |
Intermediate-Risk Group | 2.08 |
High-Risk Group | 2.43 |
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Cyclophosphamide Clearance in Consolidation Chemotherapy Cycle 2
Cyclophosphamide plasma concentration-time data are collected in consolidation cycle 2. Individual estimates of cyclophosphamide clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 2.48 |
Intermediate-Risk Group | 2.55 |
High-Risk Group | 2.37 |
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Cyclophosphamide Clearance in Induction Chemotherapy
Cyclophosphamide plasma concentration-time data are collected on day 9 in one cycle of induction chemotherapy. Individual estimates of cyclophosphamide clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion, end of infusion, 3, 6, and 24 hours from end of cyclophosphamide infusion
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 2.40 |
Intermediate-Risk Group | 2.23 |
High-Risk Group | 2.25 |
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Erlotinib Apparent Oral Clearance
Erlotinib plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of erlotinib apparent oral clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 6.53 |
Intermediate-Risk Group | 7.79 |
High-Risk Group | 8.40 |
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Erlotinib Apparent Volume of Central Compartment
Erlotinib plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of erlotinib apparent volume of central compartment are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose
Intervention | L/m^2 (Median) |
---|
Low-Risk Group | 72.9 |
Intermediate-Risk Group | 61.7 |
High-Risk Group | 104.8 |
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Erlotinib AUC0-24h
Erlotinib plasma concentration-time data are collected on day 1 of maintenance cycle B2. Individual estimates of erlotinib AUC0-24h (area under concentration curve from 0 to 24 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 31.0 |
Intermediate-Risk Group | 23.5 |
High-Risk Group | 22.0 |
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Event-free Survival (EFS) Compared to Historical Controls
EFS was measured from the date of initial treatment to the earliest date of disease progression, second malignancy or death for patients who fail; and to the date of last contact for patients who remain at risk for failure. 1-year EFS estimates are reported by risk group. EFS was compared to St. Jude historical cohorts by risk group using hazard ratios with 95% confidence intervals. (NCT00602667)
Timeframe: From date on treatment until date of first event (progression, second malignancy or death) or until date of last contact, assessed up to 10 years
Intervention | Percent probability (Number) |
---|
SJYC07 Low-risk Medulloblastoma Patients | 73.9 |
SJYC07 Intermediate-risk Medulloblastoma Patients | 46.9 |
SJYC07 High-risk Medulloblastoma Patients | 30.8 |
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Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation Subgroup
Defined as the time interval from date on treatment until the date of first progression, medulloblastoma-related death or date of last contact for patients who have not experienced an event. Eligible medulloblastoma patients who received any methotrexate and had molecularly confirmed medulloblastoma are included in this analysis. Five patients were excluded as 3 had no archival tissue available and 2 were found to not be medulloblastoma by methylation profile. (NCT00602667)
Timeframe: From date on treatment to date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment
Intervention | Percent Probability (Number) |
---|
Low-risk SHH Patients | 73.9 |
Intermediate-risk SHH Patients | 50.0 |
High-risk SHH Patients | 54.5 |
Intermediate-risk Group 3 Patients | 30.8 |
High-risk Group 3 Patients | 9.1 |
Intermediate-risk Group 4 Patients | 62.5 |
High-risk Group 4 Patients | 50.0 |
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Methotrexate AUC0-66h in Induction Cycle 1
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1797 |
Intermediate-Risk Group | 1813 |
High-Risk Group | 1821 |
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Methotrexate AUC0-66h in Induction Cycle 3
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1872 |
Intermediate-Risk Group | 1879 |
High-Risk Group | 1831 |
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Methotrexate AUC0-66h in Induction Cycle 4
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate AUC0-66h (area under concentration curve from time 0 to 66 hours post-dose) are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | µmol·h/L (Median) |
---|
Low-Risk Group | 1804 |
Intermediate-Risk Group | 1841 |
High-Risk Group | 1886 |
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Methotrexate Clearance in Induction Cycle 1
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of Methotrexate (MTX)
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 5.69 |
Intermediate-Risk Group | 6.06 |
High-Risk Group | 5.65 |
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Methotrexate Clearance in Induction Cycle 2
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 5.47 |
Intermediate-Risk Group | 5.70 |
High-Risk Group | 5.70 |
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Methotrexate Clearance in Induction Cycle 3
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 5.68 |
Intermediate-Risk Group | 5.78 |
High-Risk Group | 5.81 |
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Methotrexate Clearance in Induction Cycle 4
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 4. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate clearance are obtained using post hoc analysis. (NCT00602667)
Timeframe: Pre-infusion and 6, 23, 42, 66 hours from start of MTX
Intervention | L/h/m^2 (Median) |
---|
Low-Risk Group | 5.75 |
Intermediate-Risk Group | 5.89 |
High-Risk Group | 5.79 |
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Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 1
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 1. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX
Intervention | µmol/L (Median) |
---|
Low-Risk Group | 0.49 |
Intermediate-Risk Group | 0.57 |
High-Risk Group | 0.61 |
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Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 2
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 2. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX
Intervention | µmol/L (Median) |
---|
Low-Risk Group | 0.75 |
Intermediate-Risk Group | 0.72 |
High-Risk Group | 0.69 |
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Methotrexate Concentration at 42 Hours Post-dose in Induction Cycle 3
Methotrexate plasma concentration-time data are collected after the start of methotrexate infusion in induction cycle 3. Population parameters and inter-subject variability are estimated. Individual estimates of methotrexate concentration at 42 hours post-dose are obtained using post hoc analysis. (NCT00602667)
Timeframe: 42 hours from start of MTX
Intervention | µmol/L (Median) |
---|
Low-Risk Group | 0.65 |
Intermediate-Risk Group | 0.70 |
High-Risk Group | 0.58 |
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Progression Free Survival.
From randomization to the first documented disease progression or death from any cause, whichever came first, assessed until all participants randomized to the study have progressed for died. (NCT00603915)
Timeframe: From the on-study date until the date of first documented progression or date of death from any cause any cause until all participants have progressed or died.
Intervention | Months (Mean) |
---|
GEMCITABINE AND CISPLATIN/CARBOPLATIN (GC) PLUS ERLOTINIB | 6.3 |
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Number of Participants With the Responses Outlined
"Complete Response (CR): disappearance of all clinical and radiological evidence of tumour.~Partial Response (PR): at least a 30% decrease in the sum of longest diameter (LD) of target lesions taking as reference the baseline sum LD.~Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.~Progressive Disease (PD): at least a 20% increase in the sum of LD of measured lesions taking as references the smallest sum LD recorded since the treatment started. Appearance of new lesions will also constitute progressive disease." (NCT00603915)
Timeframe: Measured every 2 cycles until the participant is off treatment.
Intervention | Participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Inevaluable |
---|
GEMCITABINE AND CISPLATIN/CARBOPLATIN (GC) PLUS ERLOTINIB | 0 | 7 | 11 | 1 | 1 |
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Time to Tumor Progression
Time to tumor progression was defined as the time period in months from the start of study drug treatment to disease progression. Progressive disease required at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00605722)
Timeframe: Event driven (median follow-up 12 months)
Intervention | Months (Median) |
---|
Bevacizumab + Erlotinib | 2.9 |
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Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study and laboratory or clinical tests that resulted in a change in treatment or discontinuation from study drug were reported as adverse events. A SAE was any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. (NCT00605722)
Timeframe: Up to 107 Weeks
Intervention | participants (Number) |
---|
| Serious Adverse Events | Adverse Events |
---|
Bevacizumab + Erlotinib | 19 | 51 |
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Disease Control Rate (DCR)
Disease Control Rate was defined as the percentage of participants with Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at least 8 weeks by Response Evaluation Criteria in Solid Tumours (RECIST). CR was defined as the disappearance of all target lesions; for non-target lesions disappearance of lesions and normal tumour marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using as reference the Baseline sum LD. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started; for non-target lesions persistence of one or more non-target lesion(s) and/or maintenance of tumour marker level above the normal limits. (NCT00605722)
Timeframe: Event driven (median follow-up 12 months)
Intervention | Percentage of participants (Number) |
---|
Bevacizumab + Erlotinib | 52.9 |
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Overall Survival (OS)
OS was defined as the time period in months from the start of study drug treatment to death. (NCT00605722)
Timeframe: Event driven (median follow-up 12 months)
Intervention | months (Median) |
---|
Bevacizumab + Erlotinib | 10.7 |
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Percentage of Participants With Progression-free Survival (PFS)
Percentage of participants who were alive and without documented progressive disease 16 weeks after their first dose of study drug. Diagnosis of Progressive Disease was made by objective criteria (RECIST criteria) on the target lesion(s), or by documenting, with Computerised Tomography/Magnetic Resonance Imaging (CT/MRI) scans, the presence of newly occurring lesion(s) arising outside the scanned areas of the target lesions. PD required at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00605722)
Timeframe: Week 16
Intervention | percentage of participants (Number) |
---|
Bevacizumab + Erlotinib | 35.3 |
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Overall Response Rate (ORR)
ORR was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR). Analysis of tumor response was based on the best overall response according to Response Evaluation Criteria in Solid Tumors (RECIST), which was defined as the best response recorded from the start of trial treatment until disease progression/recurrence (or death), taking as reference for progressive disease (PD) the smallest measurements recorded since the treatment started. CR was defined as the disappearance of all target lesions; for non-target lesions disappearance of lesions and normal tumour marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using as reference the Baseline sum LD. PD required at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00605722)
Timeframe: Event driven (median follow-up 12 months)
Intervention | percentage of participants (Number) |
---|
| Complete Response | Partial Response |
---|
Bevacizumab + Erlotinib | 0.0 | 5.9 |
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Progression-free Survival (PFS)
PFS was defined as the time period in months from the start of study drug treatment to the first of either progression or death. Progressive disease required at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT00605722)
Timeframe: Event driven (median follow-up 12 months)
Intervention | months (Median) |
---|
Bevacizumab + Erlotinib | 2.9 |
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Overall Survival (OS) of Patients Receiving Pralatrexate vs. Erlotinib
OS was defined as the length of time from randomization until death due to any cause. Patients who were alive at the time of the data cut-off date were censored at the last contact date. (NCT00606502)
Timeframe: Assessed from date of randomization no less frequently than every 16 weeks for up to 2 years after randomization.
Intervention | Months Survival (Median) |
---|
Pralatrexate | 6.7 |
Erlotinib | 7.0 |
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Progression-free Survival (PFS) of Patients Receiving Pralatrexate vs. Erlotinib
PFS was calculated as the number of days from randomization to the date of radiological evidence of PD or death due to any cause. (NCT00606502)
Timeframe: Assessed every 8 weeks for the first 24 weeks, then every 16 weeks for up to 2 years or until PD or start of subsequent treatment.
Intervention | months (Median) |
---|
Pralatrexate | 3.4 |
Erlotinib | 2.8 |
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Adverse Events of Patients Receiving Pralatrexate vs. Erlotinib
(NCT00606502)
Timeframe: Assessed every 2 weeks while on treatment through safety follow-up visit (35 +/-5 days post-last dose) or early termination visit (at time of withdrawal).
Intervention | Treated Participants (Number) |
---|
| At least one AE | Grade 3 AEs | Grade 4 AEs | At least one SAE |
---|
Erlotinib | 77 | 18 | 0 | 2 |
,Pralatrexate | 75 | 25 | 5 | 14 |
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Response Rate (RR) to Treatment of Patients Receiving Pralatrexate vs. Erlotinib
Number of patients whose tumors responded to Pralatrexate or Erlotinib, using the Response Criteria in Solid Tumors (RECIST). (NCT00606502)
Timeframe: Assessed every 8 weeks for the first 24 weeks, then every 16 weeks for up to 2 years or until PD or start of subsequent treatment.
Intervention | Participants (Number) |
---|
| Complete + Partial Response | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Disease Control (CR+PR+SD) | Unable to Evaluate | Missing (off or no treatment, not confirmed) |
---|
Erlotinib | 7 | 1 | 6 | 35 | 36 | 42 | 0 | 20 |
,Pralatrexate | 2 | 0 | 2 | 33 | 29 | 35 | 2 | 31 |
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Number of Participants With Treatment-emergent Adverse Events as a Measure of Safety and Tolerability
Defined as the number of participants with treatment-emergent grade 3/4 adverse events utilizing the National Cancer Institute Common Technology Criteria for Adverse Events (NCI CTCAE) v3.0 (NCT00609804)
Timeframe: 18 months
Intervention | participants (Number) |
---|
| Anemia | Fatigue | Diarrhea | Dehydration | Rash/Desquamation | Hand-foot skin reaction | Dyspnea | Hyponatremia | Hyperglycemia | Lipase increased | Anorexia | Atrial Fibrillation | Cognitive Disturbance | Confusion | Congestive Heart Failure | Constipation | Dysphagia | Extremity - upper (function) | Hypertension | Cardiac Ischemia/Infarction | Hypokalemia | Hypoxia | Ileus | Infection - Pneumonia | Infection - Wound | Malaise | Nausea | Obstruction, GI | Pain - abdomen | Pain - chest | Pain - musculoskeletal | Perforation, GI | Vomiting | Dizziness | Infection - urinary tract NOS | Neuropathy - cranial | Pain - back | Pain - head/headache | COPD exacerbation | Ocular surgery | Personality change | Respiratory failure | Pulmonary embolism |
---|
Sorafenib | 0 | 2 | 0 | 2 | 2 | 2 | 1 | 3 | 1 | 0 | 2 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 1 | 2 | 8 | 0 | 1 | 1 | 2 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 0 |
,Sorafenib and Erlotinib | 1 | 4 | 4 | 3 | 3 | 2 | 3 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 |
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Overall Response Rate
The Number of Patients Who Experience an Objective Benefit From Treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00609804)
Timeframe: 18 months
Intervention | participants (Number) |
---|
Sorafenib+Erlotinib | 2 |
Sorafenib | 1 |
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Progression-free Survival (PFS)
The Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00609804)
Timeframe: 18 months
Intervention | months (Median) |
---|
Sorafenib+Erlotinib | 3.1 |
Sorafenib | 1.9 |
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Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Renal Clearance)
(NCT00611468)
Timeframe: Day 1 Week 1 and Day 1 Week 3
Intervention | L/h/m^2 (Mean) |
---|
| Without Erlotinib | With Erlotinib |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 4.95 | 4.07 |
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Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Mean Clearance)
(NCT00611468)
Timeframe: Day 1 Week 1 and Day 1 Week 3
Intervention | L/h/m^2 (Mean) |
---|
| Without Erlotinib | With Erlotinib |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 9.41 | 8.60 |
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Pharmacogenetic Analysis (CYP3A4/5 Polymorphisms, UGT1A1, BCRP, and MDR1 Genotypes)
Each subgroup lists the gene on which a polymorphism occurred (e.g., CYP3A4), the name of the polymorphism (e.g., *1), whether it was heterozygous or a variant, the number of subjects with available data, and the number who had the polymorphism. (NCT00611468)
Timeframe: Baseline
Intervention | Participants (Number) |
---|
| CYP3A4 / *1 / Wild-type, N = (28) | CYP3A4 / *1 / Heterozygous, N = (28) | CYP3A4 / *1 / Variant, N = (28) | CYP3A5 / *3 / Wild-type, N = (28) | CYP3A5 / *3 / Heterozygous, N = (28) | CYP3A5 / *3 / Variant, N = (28) | CYP3A5 / *6 / Wild-type, N = (29) | CYP3A5 / *6 / Heterozygous, N = (29) | CYP3A5 / *6 / Variant, N = (29) | UGT1A1 / *28 / Wild-type N = (29) | UGT1A1 / *28 / Heterozygous, N = (29) | UGT1A1 / *28 / Variant, N = (29) | BCRP / 34G > A / Wild-type, N = (29) | BCRP / 34G > A / Heterozygous, N = (29) | BCRP / 34G > A / Variant, N = (29) | BCRP / 421C > A / Wild-type, N = (29) | BCRP / 421C > A / Heterozygous, N = (29) | BCRP / 421C > A / Variant, N = (29) | P-gp / 2677G > T / Wild-type N = (29) | P-gp / 2677G > T / Heterozygous, N = (29) | P-gp / 2677G > T / Variant, N = (29) | P-gp / 3435C> T / Wild-type, N = (29) | P-gp / 3435C> T / Heterozygous, N = (29) | P-gp / 3435C> T / Variant, N = (29) |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 20 | 0 | 8 | 19 | 3 | 6 | 27 | 2 | 0 | 15 | 14 | 0 | 26 | 3 | 0 | 25 | 4 | 0 | 13 | 12 | 4 | 13 | 7 | 9 |
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Pharmacokinetic Parameters of Intravenous Topotecan With and Without Erlotinib (Dose-Normalized AUC)
(NCT00611468)
Timeframe: Day 1 Week 1 and Day 1 Week 3
Intervention | ng*h/mL (Mean) |
---|
| Without Erlotinib | With Erlotinib |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 91.8 | 99.1 |
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Objective Response (as Determined Using RECIST 1.0 Criteria)
(NCT00611468)
Timeframe: Every 6 weeks until the end of study treatment
Intervention | Participants (Number) |
---|
| Dose Level 1 (N = 8) Complete Response (CR) | Dose Level 1 (N = 8) Partial Response (PR) | Dose Level 1 (N = 8) Stable Disease (SD) | Dose Level 1 (N = 8) Progressive Disease (PD) | Dose Level 1 (N = 8) Not Evaluable (NE) | Dose Level 2 (N = 14) Complete Response (CR) | Dose Level 2 (N = 14) Partial Response (PR) | Dose Level 2 (N = 14) Stable Disease (SD) | Dose Level 2 ( N = 14) Progressive Disease (PD) | Dose Level 2 ( N = 14) Not Evaluable (NE) | Dose Level 3 ( N = 6) Complete Response (CR) | Dose Level 3 ( N = 6) Partial Response (PR) | Dose Level 3 ( N = 6) Stable Disease (SD) | Dose Level 3 ( N = 6) Progressive Disease (PD) | Dose Level 3 ( N = 6) Not Evaluable (NE) |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 0 | 0 | 3 | 4 | 1 | 0 | 1 | 5 | 4 | 4 | 0 | 1 | 4 | 0 | 1 |
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Dosage Limiting Toxicities
(NCT00611468)
Timeframe: DLT were assessed during the first cycle of combination topotecan and erlotinib therapy (days 1-21)
Intervention | Participants (Number) |
---|
| Dose Level 1 (N = 8) | Dose Level 2 (N = 14) | Dose Level 3 (N = 6) |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 1 | 5 | 2 |
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Maximum Tolerated Dosage (MTD) of Intravenous Topotecan When Given in Combination With Oral Erlotinib
The MTD of topotecan was determined using a standard 3 + 3 dose escalation cohort design. The total sample and the number of patients who receive each dose in this design depends on the frequency of dose limiting toxicities (DLT) at each dosage. If 0 out of 3 patients experience a DLT at a given dosage level, 3 patients will be enrolled at the next dosage level. If greater than or equal to 2 patients experience a DLT at a given dosage level, dosage escalation will be stopped. If 1 out of 3 patients experience a DLT at a given dosage level, 3 patients are enrolled at the same dosage level. (NCT00611468)
Timeframe: MTD was assessed during the first cycle of combination topotecan and erlotinib therapy (days 1-21).
Intervention | mg/m^2 (Number) |
---|
Treatment Group: Intravenous Topotecan and Oral Erlotinib | 1.0 |
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Number of Patients With Anti-tumor Activity: Complete Response (CR) and Partial Response (PR)
Per RECIST criteria v. 1.0: measurable lesions: complete response (CR) disappearance of target lesions and partial response (PR) > 30% decrease in the sum of the longest diameter (LD) of target lesions. (NCT00611715)
Timeframe: at 24 weeks
Intervention | participants (Number) |
---|
First Line/Hormone-therapy Naive | 8 |
Second-line/Prev Hormone-therapy tx | 0 |
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Number of Patients With Pathological Complete Response.
Per RECIST criteria v. 1.0: measurable lesions: complete response (CR) disappearance of target lesions, partial response (PR) > 30% decrease in the sum of the longest diameter (LD) of target lesions, stable disease (SD) neither sufficient decrease nor increase of the sum of smallest sum of the LD of target lesions (NCT00611715)
Timeframe: at 24 weeks
Intervention | participants (Number) |
---|
Hormone Therapy Naive | 28 |
Previous Hormone Therapy | 0 |
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Number of Patients With Worst-grade Toxicities Per Grade
Number of patients with worst-grade toxicities following NCI Common Toxicity Criteria: 1 = mild, 2 = moderate, 3 = severe, 4 = life-threatening, disabling, 5 = death (NCT00611715)
Timeframe: at 24 weeks
Intervention | participants (Number) |
---|
| Worst grade toxicity Grade 1 | Worst grade toxicity Grade 2 | Worst grade toxicity Grade 3 | Worst grade toxicity Grade 4 | Worst grade toxicity Grade 5 |
---|
First Line/Hormone-therapy Naive | 11 | 21 | 8 | 1 | 0 |
,Second-line/Prev Hormone-therapy tx | 0 | 3 | 2 | 0 | 0 |
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Toxicity
Number of patients with Grade 3 through 5 adverse events that are related to study drug. Only adverse events that are possibly, probably or definitely related to study drug are reported. (NCT00617708)
Timeframe: Up to 3 years
Intervention | Participants (Number) |
---|
| ALT, SGPT (serum glutamic pyruvic transaminase) | AST, SGOT | Acidosis (metabolic or respiratory) | Adult respiratory distress syndrome (ARDS) | Albumin, serum-low (hypoalbuminemia) | Alkaline phosphatase | Allergic reaction/hypersensitivity | Anorexia | Bilirubin (hyperbilirubinemia) | Calcium, serum-low (hypocalcemia) | Cardiac troponin I (cTnI) | Cardiac-ischemia/infarction | Cardiopulmonary arrest, cause unknown (non-fatal) | Dehydration | Diarrhea | Dizziness | Dysphagia (difficulty swallowing) | Dyspnea (shortness of breath) | Edema: limb | Edema: trunk/genital | Fatigue (asthenia, lethargy, malaise) | GGT (gamma-glutamyl transpeptidase) | Glucose, serum-high (hyperglycemia) | Hemoglobin | Hypotension | Hypoxia | Inf (clin/microbio) w/Gr 3-4 neuts - Blood | Inf (clin/microbio) w/Gr 3-4 neuts - UTI | Inf w/normal ANC or Gr 1-2 neutrophils - Bil. tree | Inf w/normal ANC or Gr 1-2 neutrophils - Blood | Inf w/normal ANC or Gr 1-2 neutrophils - Lung | Inf w/normal ANC or Gr 1-2 neutrophils - Pancreas | Inf w/normal ANC or Gr 1-2 neutrophils - Skin | Inf w/normal ANC or Gr 1-2 neutrophils - UTI | Inf w/normal ANC or Gr 1-2 neutrophils -Up aerodig | Infection-Other (Specify) | Left ventricular systolic dysfunction | Leukocytes (total WBC) | Liver dysfunction/failure (clinical) | Lymphatics-Other (Specify) | Lymphopenia | Magnesium, serum-low (hypomagnesemia) | Mucositis/stomatitis (functional/symp) - Oral cav | Muscle weakness, not d/t neuropathy - Extrem-lower | Muscle weakness, not d/t neuropathy - body/general | Nausea | Neuropathy: sensory | Neutrophils/granulocytes (ANC/AGC) | Obstruction, GI - Duodenum | Opportunistic inf associated w/gt=Gr 2 lymphopenia | PTT (Partial thromboplastin time) | Pain - Abdomen NOS | Pain - Eye | Pain - Head/headache | Pain - Muscle | Pancreas, exocrine enzyme deficiency | Pancreatic endocrine: glucose intolerance | Pericardial effusion (non-malignant) | Personality/behavioral | Platelets | Pleural effusion (non-malignant) | Pneumonitis/pulmonary infiltrates | Potassium, serum-low (hypokalemia) | Pulmonary/Upper Respiratory-Other (Specify) | Rash/desquamation | Rash: acne/acneiform | Rash: erythema multiforme | SVT and nodal arrhythmia - Atrial fibrillation | Sodium, serum-low (hyponatremia) | Stricture/stenosis (incl anastomotic), Stomach | Syncope (fainting) | Thrombosis/embolism (vascular access-related) | Thrombosis/thrombus/embolism | Tremor | Uric acid, serum-high (hyperuricemia) | Ventricular arrhythmia - Ventricular fibrillation | Vision-blurred vision | Vision-photophobia | Vomiting | Weight loss |
---|
Ph I: Erlotinib + Gemcitabine + IMC-A12 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 3 | 2 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 4 | 0 | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 |
,Ph II: Erlotinib + Gemcitabine | 4 | 3 | 0 | 1 | 0 | 3 | 0 | 6 | 0 | 1 | 0 | 1 | 1 | 5 | 2 | 0 | 1 | 4 | 1 | 1 | 12 | 0 | 1 | 8 | 1 | 2 | 1 | 1 | 0 | 1 | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 5 | 1 | 1 | 5 | 0 | 0 | 0 | 3 | 6 | 0 | 10 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 7 | 1 | 2 | 1 | 1 | 1 | 2 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
,Ph II: Erlotinib + Gemcitabine + IMC-A12 | 9 | 6 | 1 | 0 | 3 | 4 | 0 | 7 | 5 | 1 | 3 | 0 | 0 | 6 | 3 | 1 | 0 | 2 | 0 | 0 | 16 | 1 | 16 | 9 | 3 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 9 | 0 | 0 | 4 | 1 | 1 | 1 | 5 | 9 | 1 | 21 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 6 | 0 | 1 | 16 | 0 | 1 | 1 | 1 | 0 | 3 | 1 | 1 | 5 | 0 | 3 | 1 | 4 | 1 | 1 | 1 | 1 | 1 | 5 | 2 |
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Maximum Tolerated Dose Determination
Maximum dose of IMC-A12 (in combination with erlotinib and gemcitabine) at which 3/10 or fewer patients have dose-limiting toxicities (DLT). Toxicities graded according to the NCI Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE 3.0). DLT apply only during cycle 1 and should be drug-related (possible, probable, or definite). (NCT00617708)
Timeframe: 28 days
Intervention | mg/kg IMC-A12 (Number) |
---|
Ph I: Erlotinib + Gemcitabine + IMC-A12 | 6 |
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Overall Survival
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT00617708)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine + IMC-A12 | 7.0 |
Erlotinib + Gemcitabine | 6.5 |
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Progression-Free Survival
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression free are censored at date of last contact. (NCT00617708)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine + IMC-A12 | 3.6 |
Erlotinib + Gemcitabine | 3.6 |
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Response
Confirmed response (CR) is two or more objective statuses of CR a minimum of four weeks apart documented before progression or symptomatic deterioration. Partial response (PR) is two or more objective statuses of PR or better a minimum of four weeks apart documented before progression or symptomatic deterioration. Unconfirmed CR is one objective status of CR documented before progression or symptomatic deterioration but not qualifying as CR or PR. Unconfirmed PR is one objective status of PR documented before progression or symptomatic deterioration but not qualifying as CR, PR or unconfirmed CR. (NCT00617708)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine + IMC-A12 | 13.7 |
Erlotinib + Gemcitabine | 15.3 |
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Overall Survival (OS)
The Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death (NCT00621049)
Timeframe: 18 months
Intervention | months (Median) |
---|
Docetaxel/Carboplatin/Bevacizumab/Erlotinib | NA |
Docetaxel and Carboplatin | NA |
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Disease-free Survival
The length of time, in months, that patients were alive from the end of their treatment without any signs or symptoms of their disease. (NCT00621049)
Timeframe: 1 year
Intervention | months (Median) |
---|
Docetaxel/Carboplatin/Bevacizumab/Erlotinib | NA |
Docetaxel and Carboplatin | 55.1 |
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Safety
Adverse Events occuring in >15% of patients (NCT00621049)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Fatigue | Nausea | Diarrhea | Anemia | Neutrophil count decreased | White blood cell decreased | Alopecia | Pain | Platelet count decreased | Constipation | Dyspnea | Anorexia | Hyperglycemia | Dysgeusia | Mucositis | Vomiting | Cough | Peripheral sensory neuropathy |
---|
Docetaxel and Carboplatin | 41 | 36 | 24 | 28 | 26 | 27 | 21 | 15 | 20 | 18 | 17 | 18 | 11 | 14 | 12 | 13 | 8 | 2 |
,Docetaxel/Carboplatin/Bevacizumab/Erlotinib | 37 | 32 | 26 | 18 | 20 | 18 | 21 | 23 | 13 | 14 | 14 | 12 | 18 | 12 | 12 | 10 | 12 | 15 |
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2-year Survival
Proportion of patients known to still be alive 2 years after coming on study (NCT00621049)
Timeframe: 24 months
Intervention | percentage of participants (Number) |
---|
Docetaxel/Carboplatin/Bevacizumab/Erlotinib | 78.2 |
Docetaxel and Carboplatin | 71.9 |
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Average Post-treatment Plasma Level of Erlotinib Hydrochloride
Post-treatment plasma level in µmol/L of erlotinib hydrochloride (NCT00633750)
Timeframe: After last dose of Tarceva, at 5-14 days, and before surgery
Intervention | µmol/L (Mean) |
---|
Tarceva | 8.8 |
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Number of Participants Experiencing in Situ Anti-tumor Effect of Tarceva
In situ anti-tumor effect of Tarceva as measured by a minimum 75% reduction in Ki67 compared to pre-treatment tumor cells in patients with operable breast cancer. (NCT00633750)
Timeframe: 5-14 days
Intervention | participants (Number) |
---|
Tarceva | 8 |
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Molecular Profile of Participants Who Are Responsive to Tarceva
Determined by estrogen receptor status (ER) and human epidermal growth factor receptor 2 (HER2) status, which are measured by staining of 200-500 tumor cells and noting the number stained. Positive = > 10% of cell show staining, negative = < 10% of cells show staining (NCT00633750)
Timeframe: at 5-14 days
Intervention | participants (Number) |
---|
| Estrogen receptor positive | Estrogen receptor negative | HER-2 positive | HER-2 negative |
---|
Tarceva | 6 | 2 | 1 | 7 |
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Number of Participants Surviving at 6 Months
Overall survival (OS) at 6 months in participants receiving a combination of Erlotinib and RAD001 who have received previous treatment for advanced pancreatic cancer. OS at 6 months is number of participants alive at 6 months. (NCT00640978)
Timeframe: 6 months
Intervention | Participants (Number) |
---|
Erlotinib + RAD001 | 15 |
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Percentage of Participants With Erlotinib Associated Rash Stratified by Severity Grade at Week 4
Severity of the rash was evaluated semi-quantitatively using the scale of CTCAE v3.0. Grade 0: no rash; Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening or disabling; Grade 5: Death related to rash. Same participant may be counted in more than one reported categories. (NCT00642473)
Timeframe: After 4 weeks of metronidazole treatment
Intervention | percentage of participants (Number) |
---|
| Facial Rash: Grade 0 (n=8,8,4,4) | Chest Rash: Grade 0 (n=8,8,4,4) | Facial Rash: Grade 1 (n=8,8,4,4) | Chest Rash: Grade 1 (n=8,8,4,4) | Facial Rash: Grade 2 (n=8,8,4,4) | Chest Rash: Grade 2 (n=8,8,4,4) | Facial Rash: Grade 3 (n=8,8,4,4) | Chest Rash: Grade 3 (n=8,8,4,4) | Facial Rash: Grade 4 (n=8,8,4,4) | Chest Rash: Grade 4 (n=8,8,4,4) | Facial Rash: Grade 5 (n=8,8,4,4) | Chest Rash: Grade 5 (n=8,8,4,4) |
---|
Left Side - Prevention (Erlotinib + Standard Procedures) | 13 | 75 | 63 | 0 | 13 | 13 | 0 | 0 | 13 | 13 | 0 | 0 |
,Left Side - Treatment (Erlotinib + Standard Procedures) | 0 | 25 | 50 | 25 | 25 | 25 | 0 | 0 | 0 | 0 | 0 | 0 |
,Right Side - Prevention (Erlotinib + Metronidazole Actavis) | 25 | 63 | 50 | 13 | 25 | 13 | 0 | 13 | 0 | 0 | 0 | 0 |
,Right Side - Treatment (Erlotinib + Metronidazole Actavis) | 25 | 50 | 50 | 25 | 50 | 25 | 0 | 0 | 0 | 0 | 0 | 0 |
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Percentage of Participants With Erlotinib Associated Rash Stratified by Severity Grade at Week 2
Severity of the rash was evaluated semi-quantitatively using the scale of Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0). Grade 0: no rash; Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening or disabling; Grade 5: Death related to rash. Same participant may be counted in more than one reported categories. (NCT00642473)
Timeframe: After 2 weeks of metronidazole treatment
Intervention | percentage of participants (Number) |
---|
| Facial Rash: Grade 0 (n=9,9,6,6) | Chest Rash: Grade 0 (n=9,9,6,6) | Facial Rash: Grade 1 (n=9,9,6,6) | Chest Rash: Grade 1 (n=9,9,6,6) | Facial Rash: Grade 2 (n=9,9,6,6) | Chest Rash: Grade 2 (n=9,9,6,6) | Facial Rash: Grade 3 (n=9,9,6,6) | Chest Rash: Grade 3 (n=9,9,6,6) | Facial Rash: Grade 4 (n=9,9,6,6) | Chest Rash: Grade 4 (n=9,9,6,6) | Facial Rash: Grade 5 (n=9,9,6,6) | Chest Rash: Grade 5 (n=9,9,6,6) |
---|
Left Side - Prevention (Erlotinib + Standard Procedures) | 11 | 56 | 33 | 33 | 22 | 11 | 33 | 0 | 0 | 0 | 0 | 0 |
,Left Side - Treatment (Erlotinib + Standard Procedures) | 0 | 33 | 50 | 17 | 33 | 33 | 17 | 17 | 0 | 0 | 0 | 0 |
,Right Side - Prevention (Erlotinib + Metronidazole Actavis) | 22 | 56 | 22 | 33 | 33 | 11 | 22 | 0 | 0 | 0 | 0 | 0 |
,Right Side - Treatment (Erlotinib + Metronidazole Actavis) | 33 | 50 | 33 | 17 | 17 | 17 | 17 | 17 | 0 | 0 | 0 | 0 |
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Second-line Progression Free Survival
Time to disease progression from start of second-line experimental regimen. Disease progression will be measured per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), >= 20% increase in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. (NCT00642746)
Timeframe: Upon completion of follow-up, for an average of 99 days following the initiation of study treatment.
Intervention | Days (Median) |
---|
FOLFIRI With Erlotinib | 83 |
FOLFOX With Erlotinib | 125 |
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Time to Second Progression (From Start of First-Line Regimen)
"Number of days from the initiation of first line treatment to first documented progression. Progression will be assessed per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), >= 20% increase in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease.~Progression free survival (time to progression or death, whichever occurs first) is the same as time to progression as all of the patients in this trial progressed." (NCT00642746)
Timeframe: Documented by Follow-up CT scans following first line treatment, average of 225 days.
Intervention | Days (Median) |
---|
FOLFIRI With Erlotinib | 83 |
FOLFOX With Erlotinib | 125 |
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Response Rates of Radiographically Measurable Disease
The primary outcome measure will be the response rates of radiographically measurable disease. Response rate of disease will be assessed per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT scan: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >= 30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), >= 20% increase in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. (NCT00642746)
Timeframe: Disease response assessed after every 2 Treatment Cycles, or around 8 weeks.
Intervention | Number of Patients (Number) |
---|
| Best Outcome - Complete Response | Best Outcome - Partial Response | Best Outcome- Stable Disease | Best Outcome - Progressive Disease |
---|
FOLFIRI With Erlotinib | 0 | 1 | 5 | 4 |
,FOLFOX With Erlotinib | 0 | 0 | 1 | 0 |
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Overall Survival
(NCT00652340)
Timeframe: Randomization and every cycle
Intervention | months (Median) |
---|
Apricoxib/Erlotinib | 5.90 |
Placebo/Erlotinib | 5.60 |
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Time to Disease Progression (TDP)
(NCT00652340)
Timeframe: Baseline and every other cycle.
Intervention | months (Median) |
---|
Apricoxib/Erlotinib | 1.80 |
Placebo/Erlotinib | 2.10 |
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Percentage of Participants Who Died Assessed From Point of Randomization
Overall survival (OS) assessed from the point of randomization was defined as the time from randomization to the date of death due to any cause. Participants still alive at the time of analysis were censored at the date they were last known to be alive. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 81.3 |
G+E Escalating Dose: Rash Grade < 2 | 85.7 |
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Percentage of Participants Who Died as Assessed From Start of 4-Week Run-In
OS assessed from the start of the 4-week run in period was defined as the time from BL to the date of death due to any cause. Participants still alive at the time of analysis were censored at the date they were last known to be alive. (NCT00652366)
Timeframe: BL and weekly thereafter for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E: Rash ≥ Grade 2 | 84.9 |
G+E Standard Dose: Rash Grade < 2 | 81.3 |
G+E Escalating Dose: Rash Grade < 2 | 85.7 |
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OS Assessed From Start of 4-Week Run-In
OS assessed from the start of the 4-week run in period was defined as the median time, in months, from BL to the date of death, due to any cause. Participants who were still alive at the time of analysis were censored at the date they were last known to be alive. The 95% CI was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: BL and weekly thereafter for up to 46 months.
Intervention | months (Median) |
---|
G+E: Rash ≥ Grade 2 | 7.9 |
G+E Standard Dose: Rash Grade < 2 | 9.3 |
G+E Escalating Dose: Rash Grade < 2 | 8.0 |
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OS Assessed From Point of Randomization
OS assessed from the point of randomization was defined as the median time, in months, from randomization to the date of death due to any cause. Participants still alive at the time of analysis were censored at the date they were last known to be alive. The 95 percent (%) confidence interval (CI) was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | months (Median) |
---|
G+E Standard Dose: Rash Grade < 2 | 8.4 |
G+E Escalating Dose: Rash Grade < 2 | 7.0 |
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Percentage of Participants With Disease Progression or Death as Assessed From Point of Randomization
Progression-free survival (PFS) as assessed from the point of randomization was defined as the time from randomization to the first occurrence of progressive disease (PD) according to the Response Evaluation Criteria in Solid Tumors (RECIST) or death due to any cause. For target lesions (TLs), PD was defined as at least a 20% increase in the sum of longest diameter (SLD) of TLs, taking as reference the smallest SLD recorded since the treatment started. For non-target lesions (NTLs), PD was defined as unequivocal progression of existing NTLs. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 90.7 |
G+E Escalating Dose: Rash Grade < 2 | 88.6 |
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Percentage of Participants With Disease Progression or Death as Assessed From the Start of 4-Week Run-In
PFS as assessed from the start of 4-week run-in was defined as the time from BL to the first occurrence of PD according to RECIST or death due to any cause. For TLs, PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. For NTLs, PD was defined as unequivocal progression of existing NTLs. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression or death for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E: Rash ≥ Grade 2 | 90.6 |
G+E Standard Dose: Rash Grade < 2 | 90.7 |
G+E Escalating Dose: Rash Grade < 2 | 88.6 |
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Percentage of Participants With a CR, PR, Stable Disease (SD), or PD According to RECIST
CR was defined as the disappearance of all TLs. PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the BL SLD SD was defined as neither sufficient decrease in SLD to qualify for PR nor sufficient increase in SLD to qualify for PD. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since the treatment started. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression for up to 46 months.
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Missing (no response assessment) |
---|
G+E Escalating Dose: Rash Grade < 2 | 1.4 | 7.1 | 72.9 | 12.9 | 5.7 |
,G+E Standard Dose: Rash Grade < 2 | 0.0 | 14.7 | 58.7 | 25.3 | 1.3 |
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PFS Assessed From Point of Randomization
PFS assessed from the point of randomization was defined as the median time, in weeks, from randomization to disease progression or death due to any cause. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. The 95% CI was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: Randomization [Day 1 of Cycle 2 (4-week cycles)] and weekly thereafter for up to 46 months.
Intervention | weeks (Median) |
---|
G+E Standard Dose: Rash Grade < 2 | 19.4 |
G+E Escalating Dose: Rash Grade < 2 | 15.3 |
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PFS Assessed From the Start of 4-Week Run-In
PFS assessed from the start of 4-week run-in was defined as the median time, in weeks, from BL to disease progression or death due to any cause. Participants who had neither progressed nor died at time of analysis were censored at the date of last tumor assessment. The 95% CI was determined using Kaplan-Meier methodology. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression or death for up to 46 months.
Intervention | weeks (Median) |
---|
G+E: Rash ≥ Grade 2 | 17.1 |
G+E Standard Dose: Rash Grade < 2 | 23.4 |
G+E Escalating Dose: Rash Grade < 2 | 19.3 |
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Percentage of Participants With SD (Maintained for at Least 8 Weeks) or CR or PR (Maintained for at Least 4 Weeks) According to RECIST
Disease control was defined as a participant with a response of CR or PR for at least 4 weeks at any time during treatment, or SD that was maintained for at least 8 weeks after the start of treatment. The 95% CI for one sample binomial was determined using the Pearson-Clopper method. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 62.7 |
G+E Escalating Dose: Rash Grade < 2 | 47.1 |
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Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST
BOR was defined as a confirmed CR or PR for at least 4 weeks. CR was defined as the disappearance of all TLs. PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the baseline (BL) SLD. The 95% CI for one sample binomial was determined using Pearson-Clopper method. (NCT00652366)
Timeframe: BL, Weeks 8, 16, 24, 32, 40, every 12 weeks thereafter until disease progression for up to 46 months.
Intervention | percentage of participants (Number) |
---|
G+E Standard Dose: Rash Grade < 2 | 14.7 |
G+E Escalating Dose: Rash Grade < 2 | 8.6 |
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Phase I: Number of Participants Experiencing at Least One Dose-Limiting Toxicity (DLT) Adverse Event (AE) During the First Four Weeks of Dalotuzumab Plus Erlotinib Treatment
"A DLT was an AE related (definitely, probably, or possibly) to study therapy and occurring within first 4 weeks of therapy.~Hematologic DLTs included Grade (Gr)4 neutropenia lasting for ≥7 days, Gr 3/Gr 4 neutropenia with fever >38.5 °C and/or infection requiring antibiotic or anti-fungal treatment, and Gr 4 thrombocytopenia (25.0 x 10^9/L).~Non-hematologic DLT defined as any ≥Gr 3 nonhematologic toxicity, except Gr 3 reversible rash; Gr 3 nausea, vomiting, diarrhea, dehydration, or hyperglycemia occurring in setting of inadequate compliance with supportive care; alopecia; anorexia; asthenia; inadequately-treated hypersensitivity reactions; Gr 3 elevated transaminases (≤1 week duration); or infusion reactions to dalotuzumab.~Any drug-related AEs that led to dose modification of dalotuzumab/erlotinib or any unresolved drug-related toxicity that caused a ≥3 week delay of next scheduled dose of study drug, regardless of Common Terminology Criteria grade, were DLTs." (NCT00654420)
Timeframe: Up to 4 weeks after initiation of treatment
Intervention | participants (Number) |
---|
Ph I: Dalotuzumab 5 mg/kg + Erlotinib | 0 |
Ph I: Dalotuzumab 10 mg/kg + Erlotinib | 1 |
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Phase II: Percentage of Participants With Complete Response (CR) or Partial Response (PR) After Dalotuzumab Plus Erlotinib Treatment (Objective Response Rate [ORR])
"ORR was defined as the percentage of participants in the Phase II analysis population having complete response (CR) or partial response (PR) during the course of the study.~RECIST criteria were used to quantify response rate. For evaluation of target lesions, CR was defined as disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum of the LD. For evaluation of non-target lesions, CR was defined as disappearance of all non-target lesions and normalization of tumor marker level.~Confirmation of response required a second assessment performed 4 weeks or more after the initial assessment. If the confirmation assessment contradicted the initial assessment, it was considered that a response had not been observed. If the confirmation assessment of a participant was not available, that participant was not considered as a responder in the response rate analyses." (NCT00654420)
Timeframe: Duration of time required to collect approximately 49 deaths or PFS events (assessed up to ~20 months total on this study from randomization to cut-off date)
Intervention | percentage of participants (Number) |
---|
Ph II: Dalotuzumab 10 mg/kg + Erlotinib | 2.8 |
Ph II: Erlotinib | 5.6 |
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Overall Survival
Measured from the date of randomization to the date of death, whichever occurs first and censored at the date of last followed for those survivors (NCT00660816)
Timeframe: 36 months after enrollment of last patient
Intervention | Months (Median) |
---|
Active Comparator | 16.4 |
Experimental | 14.2 |
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Progression-free Survival
From the date of randomization to the date of disease progression or the date of death, whichever occurs first and censored at the date of last followed for those survivors without disease progression. (NCT00660816)
Timeframe: 18 months after enrollment of last patient
Intervention | Months (Median) |
---|
Active Comparator | 5.5 |
Experimental | 4.4 |
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Response Rate
Estimated based on the number of responses by excluding the dropouts who are not evaluable for response using a binomial distribution (NCT00660816)
Timeframe: 36 months after enrollment of last evaluable patient
Intervention | participants (Number) |
---|
Active Comparator | 2 |
Experimental | 3 |
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Disease Stabilization Rate (e.g., Complete Response, Partial Response, and Stable Disease)
Estimated based on number of evaluable patients with complete response, partial response or stable disease (NCT00660816)
Timeframe: 36 months after enrollment of last patient
Intervention | participants (Number) |
---|
Active Comparator | 15 |
Experimental | 16 |
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Response Rate (Confirmed and Unconfirmed, Complete and Partial Response) in a Subset of Patients With Measurable Disease
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI:~Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT00661193)
Timeframe: From date of registration to 3 years or death, whichever comes first
Intervention | participants (Number) |
---|
Erlotinib Hydrochloride | 2 |
Erlotinib Hydrochloride, Paclitaxel, Carboplatin | 6 |
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Association of Biomarkers and One-year Survival - Phosphorylated Mitogen-activated Protein Kinase (pMAPK)
Archival tumor samples from grade IV participants were examined by immunohistochemistry for biomarkers. (NCT00671970)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Positive Expression | 5 |
Negative Expression | 1 |
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Association of Biomarkers and One-year Survival - Phosphatase and Tensin Homologue (PTEN)
Archival tumor samples from grade IV participants were examined by immunohistochemistry for biomarkers. (NCT00671970)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Intact | 1 |
Loss | 7 |
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Association of Biomarkers and One-year Survival - Epidermal Growth Factor (EGFR)
Archival tumor samples from grade IV participants were examined by immunohistochemistry for biomarkers. (NCT00671970)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Positive Expression | 7 |
Negative Expression | 0 |
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Association of Biomarkers and One-year Survival - EGFR vIII
Archival tumor samples from grade IV participants were examined by immunohistochemistry for biomarkers. (NCT00671970)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Positive Expression | 1 |
Negative Expression | 7 |
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6 Month Progression-free Survival
The proportion of patients alive and progression free at 6 months (NCT00671970)
Timeframe: 6 months
Intervention | proportion of participants (Number) |
---|
Who Grade III | .438 |
WHO Grade IV | .292 |
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Pharmacokinetics of Erlotinib: Cmax
Day 1 and Day 42 of Dosing Erlotinib in Cycle 1: Maximum Concentration (ng/mL) (Cmax) for subjects receiving 500 mg (Enzyme-Inducing Anti-epileptic Drug, EIAED) or 200 mg (non-EIAED) Erlotinib (NCT00671970)
Timeframe: Day 1 and 42 of Dosing Erlotinib
Intervention | ng/ml (Median) |
---|
| Day1 Cmax{ng/ml}200mg n=12 | Day1 Cmax{ng/ml}500mg n=10 | Day42 Cmax{ng/ml}200mg n=9 | Day42 Cmax{ng/ml}500mg n=9 |
---|
WHO Grade IV | 794 | 1323 | 1320 | 1400 |
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Radiographic Response
"The number of participants with complete or partial response as determined by the following criteria:~Complete response (CR): Disappearance of all enhancing tumor on contrast enhanced MRI scan. Patient must be off steroids or only on adrenal maintenance doses.~Partial response (PR): Greater than or equal to a 50% reduction in the size (products of the largest perpendicular diameters) for all enhancing lesions. No new lesions may arise. Steroids must be stable or decreasing dose." (NCT00671970)
Timeframe: Patients were followed for the duration of the study, with a median follow-up of 103 weeks for grade III participants and 141.8 weeks for grade IV participants
Intervention | participants (Number) |
---|
| Complete | Partial |
---|
Who Grade III | 1 | 9 |
,WHO Grade IV | 1 | 11 |
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Pharmacokinetics of Erlotinib: AUC
Day 1 and Day 42 of Dosing Erlotinib in Cycle 1: Area under the Curve (ng/mL.h) (AUC) for subjects receiving 500 mg (Enzyme-Inducing Anti-epileptic Drug, EIAED) or 200 mg (non-EIAED) Erlotinib (NCT00671970)
Timeframe: Day 1 and 42 of Dosing Erlotinib
Intervention | ng/ml.h (Median) |
---|
| Day1 AUC 0-24{ng/ml.h} 200mg n=12 | Day1 AUC 0-24{ng/ml.h} 500mg n=10 | Day42 AUC 0-24{ng/ml.h}200mg n=9 | Day42 AUC 0-24{ng/ml.h}500mg n=9 |
---|
WHO Grade IV | 11072 | 15611 | 26072 | 21421 |
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Association of Biomarkers and One-year Survival - VEGFR-2
Archival tumor samples from grade IV participants were examined by immunohistochemistry (IHC) for biomarkers. The IHC score is the product of the percentage of cancer cells positive for VEGFR-2 multiplied by the overall intensity of staining, ranging from 0 to 3+. This produces a score ranging from 0 to 300. (NCT00671970)
Timeframe: 1 year
Intervention | IHC Expression Score (Median) |
---|
Patients Who Survived At Least 1 Year | 50 |
Patients Who Survived Less Than 1 Year | 120 |
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Association of Biomarkers and One-year Survival - Vascular Endothelial Growth Factor (VEGF)
Archival tumor samples from grade IV participants were examined by immunohistochemistry (IHC) for biomarkers. The IHC expression score is the product of the percentage of cancer cells positive for VEGF multiplied by the overall intensity of staining, ranging from 0 to 3+. This produces a score ranging from 0 to 300. (NCT00671970)
Timeframe: 1 year
Intervention | IHC Expression Score (Median) |
---|
Patients Who Survived At Least 1 Year | 40 |
Patients Who Survived Less Than 1 Year | 60 |
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Association of Biomarkers and One-year Survival - Phosphorylated Protein Kinase B (pAKT)
Archival tumor samples from grade IV participants were examined by immunohistochemistry for biomarkers. (NCT00671970)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Positive Expression | 6 |
Negative Expression | 1 |
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Best Radiographic Response
Best radiographic response per modified Macdonald criteria. Complete response: disappearance of all enhancing tumor, no new lesions, and no steroids or only maintenance doses. Partial response: ≥ 50% reduction in the products of the perpendicular diameters of all enhancing lesions, no new lesions, & steroids must be at a stable/decreasing dose. Stable disease: does not qualify for complete or partial response or progression & is stable clinically. Progression: ≥ 25% increase in the sum of the products of perpendicular diameters of enhancing lesions, any new lesion or clinical deterioration. (NCT00672243)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not evaluable |
---|
Erlotinib + Sirolimus | 0 | 0 | 15 | 16 | 1 |
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6-month Progression-free Survival (PFS)
Percentage of participants surviving six months from the start of study treatment without progression of disease. PFS was defined as the time from the date of study treatment initiation to the date of the first documented progression according to the Macdonald criteria, or death due to any cause. Progression based on Macdonald criteria is defined as a ≥ 25% increase in the sum of the products of perpendicular diameters of enhancing lesions; any new lesion; or clinical deterioration. (NCT00672243)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Erlotinib + Sirolimus | 3.1 |
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Percentage of Participants With Objective Response
Percentage of participants with objective response (OR) based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0. CR are defined as complete disappearance of all lesions (target and/or non target). PR are those with at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. (NCT00673049)
Timeframe: Baseline, 6, 9, 12, 15, 18 weeks after randomization, thereafter assessed every 6 weeks until disease progression during treatment (or every 8 weeks until disease progression during off-treatment), up to 29.7 months
Intervention | percentage of participants (Number) |
---|
Figitumumab + Erlotinib | 5.5 |
Erlotinib | 3.8 |
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Progression Free Survival (PFS)
Time from randomization to date of first documentation of progression or death due to any cause, whichever came first. Participants last known to be alive and progression-free, who had a baseline and at least 1 on-study disease assessment, were censored at last disease assessment verifying lack of progression. Progression was determined by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0, as a 20% increase in the sum of the longest diameter of target lesions, or target lesions over nadir, unequivocal progression of non-target disease, or the appearance of new lesions. (NCT00673049)
Timeframe: Baseline, 6, 9, 12, 15, 18 weeks after randomization, thereafter assessed every 6 weeks until disease progression during treatment (or every 8 weeks until disease progression during off-treatment), up to 29.7 months
Intervention | months (Median) |
---|
Figitumumab + Erlotinib | 2.1 |
Erlotinib | 2.6 |
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Percentage of Participants Reporting Positive for Total Anti-drug Antibodies (ADA)
ADAs are immunogenicity indicators to figitumumab. Participants reporting positive for ADAs are indicated by an endpoint titer of no less than 6.64. (NCT00673049)
Timeframe: Cycles 1, 2, 4 (predose), End of Treatment ([EOT] 21-28 days after last dose), about 150 days after last figi dose for figi plus erlo group; Cycles 1, 2, 4 (predose), EOT, about 150 days after last figi dose for erlo, then figi group
Intervention | percentage of participants (Number) |
---|
Figitumumab + Erlotinib, and Erlotinib Then Figitumumab | 0.28 |
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Overall Survival
The time from date of randomization to date of death due to any cause. For participants who were alive, overall survival was censored at the last contact. (NCT00673049)
Timeframe: Baseline, assessed every cycle until disease progression and then every 4 weeks until death, up to 30.65 months
Intervention | months (Median) |
---|
Figitumumab + Erlotinib | 5.7 |
Erlotinib | 6.2 |
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Percentage of Participants With Best Overall Response Rate
Response rate was defined as Complete Response (CR) or Partial Response (PR), according to response evaluation criteria in solid tumors (RECIST) Version 1.0 criteria, for at least 4 weeks at any time during randomized treatment (confirmed response). CR was defined as the disappearance of all target lesions. PR was defined as at least a 30% decrease in the sum of the longest diameters of target lesions. (NCT00674973)
Timeframe: From the time of randomization until progression of disease or death (up to 30 months)
Intervention | percentage of participants (Number) |
---|
| CR | PR |
---|
Erlotinib | 0 | 1 |
,Placebo | 0 | 4 |
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Overall Survival
Overall survival was defined as the time from the date of randomization to the date of death, regardless of the cause of death. (NCT00674973)
Timeframe: From the time of randomization until or death (up to 30 months)
Intervention | months (Median) |
---|
Placebo | 3.1 |
Erlotinib | 4.0 |
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Number of Participants With Adverse Events (AEs)
An adverse event (AE) was defined as any untoward medical occurrence in a participant who was administered a study treatment, regardless of whether or not the event had a causal relationship with the treatment. An AE, therefore, could be any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the study treatment, whether or not related to the treatment. (NCT00674973)
Timeframe: Up to 28 days after discontinuation of study drug (up to 30 months)
Intervention | participants (Number) |
---|
Placebo | 71 |
Erlotinib | 90 |
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Percentage of Participants With Disease Control Rate (DCR)
Disease control rates (DCR) were measured according to RECIST Version 1.0 criteria. Disease control was defined as being a responder or as having stable disease for at least 6 weeks post-randomization. Stable disease was defined as having neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. (NCT00674973)
Timeframe: Randomization to Clinical Cutoff: 20 December 2010 (up to 30 months)
Intervention | percentage of participants (Number) |
---|
Placebo | 19 |
Erlotinib | 29 |
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Progression-Free Survival
Progression-free survival (PFS) was defined as the time from the date of randomization to the date of the first occurrence of PD or death whichever occurred first. Participants without event were censored at the date of last tumor assessment where non-progression was documented. Analysis was performed using Kaplan-Meier method. (NCT00674973)
Timeframe: From the time of randomization until progression of disease or death (up to 30 months)
Intervention | weeks (Median) |
---|
Placebo | 5.9 |
Erlotinib | 6.1 |
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4-month Progression Free Survival (PFS) Rate
The PFS rate at 4 months is defined as the percentage of patients whose disease is progression free at 4 months from the start of treatment. Disease progression is evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) (Therasse et al, 2000). Radiological measurements to determine progression is performed every 2 cycles. (NCT00696696)
Timeframe: 4 months
Intervention | percentage of patients (Number) |
---|
Combination GES | 49 |
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Objective Response Rate
The response rate is the percentage of the patients who have a complete response or partial response based on RECIST from the start of the treatment. The response is evaluated every 2 cycles by radiologic methods (e.g., computer tomography (CT)). (NCT00696696)
Timeframe: up to 1 year
Intervention | percentage of patients (Number) |
---|
Combination GES | 7 |
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Time to Disease Progression
Time to disease progression or progression free survival (PFS) was defined as the interval between the day of randomization and the date of the first documentation of disease progression or date of death (from any cause), whichever occurs first. (NCT00701558)
Timeframe: From the time of randomization until disease progression or death (up to 193 weeks)]
Intervention | weeks (Median) |
---|
Erlotinib + Gemcitabine | 15 |
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Overall Survival
Overall survival was defined as the interval between the day of randomization and the date of death from any cause. (NCT00701558)
Timeframe: From the time of randomization until death (up to 193 weeks)
Intervention | weeks (Median) |
---|
Erlotinib + Gemcitabine | 39 |
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Overall Response Rate (ORR)
Overall response rate was defined as the percentage of participants who had any evidence of confirmed objective complete response (CR) or partial response (PR), per the Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) and assessed by computed tomography imaging (CT): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00701558)
Timeframe: From the time of randomization until disease progression or death (up to 193 weeks)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 15.8 |
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Maximum Tolerated Dose (MTD)
"The MTD was defined as the dose below which one-third of at least 6 patients (2/6) experienced a dose limiting toxicity (DLT).~DLTs had to occur during cycle 1 of treatment and had to be considered related to PG-11047:~Any nonhematologic toxicity > Grade 3 lasting > 3 days~Grade 4 thrombocytopenia~Grade 4 Anemia on the next scheduled dosing day~Grade 4 Neutropenia (lasting > than 5 days~Any febrile neutropenia (Grade 3 or 4))~Inability to receive all scheduled doses of PG-11047 during the first dosing cycle due to drug related toxicity" (NCT00705874)
Timeframe: End of Study
Intervention | mg (Number) |
---|
PG11047/Gemcitabine | NA |
PG11047/Docetaxel | NA |
PG11047/Bevacizumab | 590 |
PG11047/Erlotinib | 590 |
PG11047/Cisplatin | 590 |
PG11047/5-Flurouracil | 590 |
PG11047/Sunitinib | NA |
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Overall Survival
(NCT00709826)
Timeframe: Randomization then every other cycle
Intervention | Months (Median) |
---|
Apricoxib/Gemcitabine/Erlotinib | 5.0 |
Placebo/Gemcitabine/Erlotinib | 4.8 |
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Progression Free Survival
Progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline. (NCT00709826)
Timeframe: Randomization then every other cycle
Intervention | Months (Median) |
---|
Apricoxib/Gemcitabine/Erlotinib | 3.0 |
Placebo/Gemcitabine/Erlotinib | 2.8 |
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The Maximum Tolerated Dose (MTD) of Cetuximab Given Every 2 Weeks
To determine the maximum tolerated dose (MTD) of cetuximab given every 2 weeks in patients with lung adenocarcinoma receiving erlotinib that have developed acquired resistance to erlotinib (phase I portion) (NCT00716456)
Timeframe: At conclusion of study, up to 24 weeks
Intervention | mg/m2 of CETUXIMAB (Number) |
---|
Cetuximab 250 mg/m2 | 500 |
Cetuximab 375 mg/m2 | 500 |
Cetuximab 500 mg/m2 | 500 |
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Percentage of Participants With Pain
Pain is defined as an unpleasant feeling often caused by intense or damaging stimuli (NCT00718315)
Timeframe: Days 0, 15, and 30
Intervention | percentage of participants (Number) |
---|
Fisiogel | 16.4 |
Stiemicyn | 25.4 |
Verutex | 13.4 |
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Percentage of Participants Who Develop Skin Rash
"Skin rash was assessed by the investigator and dermatologists (the latter ones only through pictures) and scored according to (National cancer Institute -Common Terminology Criteria for Adverse Events ) NCI-CTCAE ( version 3 (line Rash/desquamation - short name rash)." (NCT00718315)
Timeframe: 30 Days
Intervention | percentage of participants (Number) |
---|
Fisiogel | 60.0 |
Stiemicyn | 69.2 |
Verutex | 73.1 |
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Percentage of Participants With Erythema
Erythema is defined as redness of the skin or mucous membranes, caused by hyperemia of superficial capillaries (NCT00718315)
Timeframe: Days 0, 15, and 30
Intervention | percentage of participants (Number) |
---|
Fisiogel | 56.7 |
Stiemicyn | 56.7 |
Verutex | 43.3 |
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Percentage of Participants With Pain Stratified by Severity Grade
The severity of pain was graded on a 5 point scale where 0 (equals)= absent, 1= mile, 2=moderate, 3= severe, 4= life threatening and 5= Death; Severity graded by oncologist. (NCT00718315)
Timeframe: 30 Days
Intervention | percentage of participants (Number) |
---|
| Grade 0 | Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Fisiogel | 82.0 | 11.5 | 4.9 | 1.6 | 0 | 0 |
,Stiemicyn | 73.0 | 22.2 | 4.8 | 0 | 0 | 0 |
,Verutex | 85.2 | 6.6 | 6.6 | 1.6 | 0 | 0 |
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Percentage of Participants With Erythema Stratified by Severity Grade
The severity of skin rash was graded on a 5 point scale where 0 (equals)= absent, 1= mile, 2=moderate, 3= severe, 4= life threatening and 5= Death; Severity graded by oncologist. (NCT00718315)
Timeframe: 30 Days
Intervention | percentage of participants (Number) |
---|
| Grade 0 | Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Fisiogel | 37.7 | 39.3 | 23.0 | 0 | 0 | 0 |
,Stiemicyn | 39.7 | 36.5 | 22.2 | 1.6 | 0 | 0 |
,Verutex | 52.5 | 39.3 | 6.6 | 1.6 | 0 | 0 |
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Time to Appearance of Skin Rash
Time to occurence of skin rash was calculated as the number of days from Day 0 until the first appearance of skin rash as defined by NCI-CTCAE (NCT00718315)
Timeframe: Days 0, 15, and 30
Intervention | Days (Median) |
---|
Fisiogel | 16.0 |
Stiemicyn | 15.0 |
Verutex | 15.0 |
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Percentage of Participants With Pruritus
Pruritus is defined as intense localized itching (NCT00718315)
Timeframe: Days 0, 15, and 30
Intervention | percentage of participants (Number) |
---|
Fisiogel | 36.1 |
Stiemicyn | 47.6 |
Verutex | 29.5 |
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Percentage of Participants With Skin Rash Stratified by Severity Grade
The severity of skin rash was graded on a 5 point scale where 0 (equals)= absent, 1= mile, 2=moderate, 3= severe, 4= life threatening and 5= Death (NCT00718315)
Timeframe: 30 Days
Intervention | percentage of participants (Number) |
---|
| Grade 0 | Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Fisiogel | 29.8 | 21.1 | 49.1 | 0 | 0 | 0 |
,Stiemicyn | 25.0 | 18.3 | 56.7 | 0 | 0 | 0 |
,Verutex | 18.3 | 43.3 | 35.0 | 3.3 | 0 | 0 |
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Percentage of Participants With Pruritus Stratified by Severity Grade
The severity of skin rash was graded on a 5 point scale where 0 (equals)= absent, 1= mile, 2=moderate, 3= severe, 4= life threatening and 5= Death; Severity graded by oncologist. (NCT00718315)
Timeframe: 30 Days
Intervention | percentage of participants (Number) |
---|
| Grade 0 | Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Fisiogel | 63.9 | 19.7 | 14.8 | 1.6 | 0 | 0 |
,Stiemicyn | 52.4 | 31.7 | 14.3 | 1.6 | 0 | 0 |
,Verutex | 70.5 | 24.6 | 3.3 | 1.6 | 0 | 0 |
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Overall Survival at 12 Months
Overall Survival (OS) is measured from start of treatment until death from any cause. (NCT00720356)
Timeframe: At 12 months from start of treatment
Intervention | percentage of patients (Number) |
---|
Erlotinib and Bevacizumab Combination Treatment | 54.5 |
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Overall Survival at 24 Months
Overall Survival (OS) will be measured from start of treatment until death of any cause (NCT00720356)
Timeframe: At 24 months from first treatment
Intervention | percentage of patients (Number) |
---|
Erlotinib and Bevacizumab Combination Treatment | 32.8 |
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Progression Free Survival at 6 Months
Progression free survival (PFS) will be assessed by CT or MRI scan using McDonald criteria. Progressive disease (PD) is defined as 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). Stable or increased dose of steroids. PFS will be measured from the start of treatment until first documentation of PD or death. (NCT00720356)
Timeframe: At 6 months from start of treatment
Intervention | percentage of patients (Number) |
---|
Erlotinib and Bevacizumab Combination Treatment | 66.3 |
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Progression-free Survival at 12 Months
Progression free survival (PFS) will be assessed by CT or MRI scan using McDonald criteria. Progressive disease (PD) is defined as 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). Stable or increased dose of steroids. PFS will be measured from the start of treatment until first documentation of PD or death. (NCT00720356)
Timeframe: At 12 months from start of treatment
Intervention | percentage of patients (Number) |
---|
Erlotinib and Bevacizumab Combination Treatment | 32 |
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Safety of the Combination of Erlotinib and Bevacizumab in This Patient Population
"Toxicity data for combination treatment of erlotinib and bevacizumab will be collected on day 1 of every cycle (1 cycle = 28 days) during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0). In general adverse events (AEs) will be graded according to the following:~Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE" (NCT00720356)
Timeframe: From the start of treatment, at the beginning of every cycle (1 cycle = 28 days) during treatment until 30 days after completion of treatment for up to 49 cycles.
Intervention | patients (Number) |
---|
| Hyberbilirubinemia | Cerebrovascular ischemia | Dehydration | Dermatology/Skin | Hypertension | Fatigue | Leukocytes | Lymphopenia | Heartburn | Pain (not otherwise specified) | Pain abdomen | Pain head/headache | Bowel perforation | Hypophosphatemia | Rash/desqyamation | Rash/acneform | Syncope | Thrombosis/embolism | Wound complication |
---|
Erlotinib and Bevacizumab Combination Treatment | 1 | 1 | 1 | 1 | 3 | 3 | 1 | 12 | 1 | 1 | 1 | 1 | 1 | 1 | 5 | 2 | 1 | 2 | 1 |
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Overall Survival
Overall survival (OS) will be measured from the start of treatment until death from any cause. At data cut off patients remaining alive will be censored at the last known date of contact. (NCT00720356)
Timeframe: From start of treatment, during treatment and every 3 months following the end of treatment until death. Median follow up at time of OS data was 33 months.
Intervention | Months (Median) |
---|
Erlotinib and Bevacizumab Combination Treatment | 13.2 |
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Percentage of Participants With Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00733408)
Timeframe: Up to 8 years
Intervention | percentage of participants (Number) |
---|
| Partial Response | Stable Disease |
---|
Tx (Chemo, MoAb, and Enzyme Inhibitor) | 74 | 19 |
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Incidence of Adverse Events as Assessed by National Cancer Institute CTCAE Version 3.0
Adverse events that meet severity grade 2 or greater will be collected and reported. The number and percent of subjects reporting adverse events (all, severe or worse, serious and related) will be summarized for all patients, and stratified by center and other subgroups of interest. (NCT00733408)
Timeframe: Up to 30 days after treatment discontinuation
Intervention | Participants (Count of Participants) |
---|
| Grade 3, 4 Toxicities for Induction | Grade 3, 4 Toxicities for Maintenance |
---|
Tx (Chemo, MoAb, and Enzyme Inhibitor) | 34 | 14 |
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Changes in Levels of Circulating Tumor Cells
Descriptive statistics, such as mean, standard deviation, and range, will be summarized for circulating tumor cells at baseline and last visit. (NCT00733408)
Timeframe: Baseline to up to 8 years
Intervention | log10 of CTC per mL (Mean) |
---|
| log10(CTC) at baseline | log10(CTC) at last visit |
---|
Tx (Chemo, MoAb, and Enzyme Inhibitor) | 0.857 | 0.531 |
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Changes in Levels of Circulating Endothelial Cells
Descriptive statistics, such as mean and standard deviation, will be summarized for circulating endothelial cells at baseline and last visit. (NCT00733408)
Timeframe: Baseline to up to 8 years
Intervention | log10 of CEC per mL (Mean) |
---|
| log10(CEC) at baseline | log10(CEC) at last visit |
---|
Tx (Chemo, MoAb, and Enzyme Inhibitor) | 1.458 | 1.332 |
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Progression-free Survival (PFS)
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Kaplan-Meier survival curves will be used. A 95% confidence interval for the median PFS will be calculated. A lower bound greater than 8 months would be strong evidence that Nab-Paclitaxel- bevacizumab induction therapy followed by bevacizumab-erlotinib hydrochloride maintenance therapy is superior to paclitaxel and bevacizumab. However, a median PFS of 13 months or greater (regardless of whether the 95% confidence interval for the median extends below 8 months) could also indicate promising results. (NCT00733408)
Timeframe: Time from date of registration to date of first documentation of progression or symptomatic deterioration or death due to any cause, assessed up to 8 years
Intervention | Months (Median) |
---|
Tx (Chemo, MoAb, and Enzyme Inhibitor) | 9.1 |
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Overall Survival
Kaplan-Meier survival curves will be used. (NCT00733408)
Timeframe: Time from date of registration to date of death due to any cause, assessed up to 8 years
Intervention | Months (Median) |
---|
Tx (Chemo, MoAb, and Enzyme Inhibitor) | 18.1 |
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Number of Participants Experiencing Grade 3 or Higher Adverse Events as Graded by the NCI's Common Toxicity Criteria for Adverse Events
The maximum grade for each type of adverse event will be recorded for each patient, and frequency tables will be reviewed to determine adverse event patterns. These patterns will be summarized with descriptive statistics. The number of patients reporting grade 3 or higher adverse events as graded by the NCI's Common Toxicity Criteria (CTCAE) Version 4 are reported here. A complete list of all reported adverse events is reported in the Adverse Events section of this report. (NCT00733746)
Timeframe: Up to 4 years postoperative chemotherapy treatment
Intervention | Participants (Count of Participants) |
---|
| Grade 3+ Adverse Event | Grade 4+ Adverse Event |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 27 | 2 |
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Response Rate
The response rates to preoperative chemotherapy for patients treated with preoperative gemcitabine and erlotinib and rates of accurate pathologic assessment of the resected tumor specimen according to College of American Pathology guidelines will be estimated with a binomial point estimate and corresponding 95% confidence intervals. (NCT00733746)
Timeframe: Up to 4 years postoperative chemotherapy treatment
Intervention | proportion of patients (Number) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 0.06 |
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Resection Rate
"The resection rate is defined as the fraction of patients that proceed to planned surgery with removal of primary tumor (R0/R1) following neoadjuvant treatment with gemcitabine plus erlotinib.The resection rate will be estimated by the binomial point estimate, i.e. as the number of patients that undergo the planned surgery with removal of the primary tumor following neoadjuvant treatment with gemcitabine plus erlotinib divided by the number of evaluable patients. This quantity will also be estimated with a 95% binomial confidence interval.~Curative resection (R0) is defined as macroscopically and microscopically complete resection (with microscopic surgical margin assessment according to AJCC Staging Principles).~An R1 resection is defined as macroscopically complete tumor removal with any positive microscopic surgical margin (bile duct, pancreatic parenchyma, or SMA margins)." (NCT00733746)
Timeframe: Up to 4 years postoperative chemotherapy treatment
Intervention | proportion of patients (Geometric Least Squares Mean) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 0.76 |
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Relapse/Progression-free Survival
Relapse/progression-free survival is defined as the time from date of registration to the date of documentation of disease recurrence/progression. If a patient dies without documentation of disease recurrence/progression, the patient will be considered to have had disease recurrence/progression at the time of their death unless there is sufficient documented evidence to conclude no recurrence/progression occurred prior to death. If a patient is declared to be a major treatment violation, the patient will be censored on the date the treatment violation occurred. If a patient is lost to follow-up, s/he will be censored at the data of last contact. The distribution of disease-free survival will be estimated using the method of Kaplan and Meier. (NCT00733746)
Timeframe: At 2 years post-registration
Intervention | months (Median) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 11.9 |
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Overall Survival at 2 Years
The primary endpoint of this trial is 2-year overall survival, which will be evaluated as the proportion of treatment successes. A treatment success is defined to be an evaluable patient who is alive at two years from the date of registration. (NCT00733746)
Timeframe: At 2 years post-registration
Intervention | proportion of patients (Number) |
---|
Neoadjuvant Therapy + Surgery + Adjuvant Therapy | 0.54 |
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Number of Dose Limiting Toxicities
(NCT00735306)
Timeframe: Within 30 days of completing radiation
Intervention | Events (Number) |
---|
Chemoradiation | 0 |
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Tarceva Maximum Tolerated Dose in mg
Tarceva maximum tolerated dose in mg (NCT00735306)
Timeframe: 1 yr
Intervention | mg (Number) |
---|
Chemoradiation | 150 |
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One Year Overall Survival From Time of Diagnosis
One year survival from time of diagnosis for patients who completed this regimen (NCT00735306)
Timeframe: 1 year
Intervention | participants (Number) |
---|
Single Arm Avastin, Tarceva and Radiation Therapy | 6 |
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Number of Participants With a Tissue of Origin Successfully Predicted by the Assay
To evaluate the utility of the assay in identifying the tissue of origin in patients with carcinoma of unknown primary site (CUP), an archived tumor specimen was assayed upon study entry. If a tissue of origin was predicted by the assay, participants received standard site-specific therapy for that tumor type. When tissue of origin was not predicted by the assay, patients received standard empiric chemotherapy for CUP and were not followed further. If the assay was not completed due to inadequate amount of tumor in the biopsy specimen, patients were not treated on the study. (NCT00737243)
Timeframe: at baseline
Intervention | participants (Number) |
---|
| Biliary tract (gallbladder, bile duct) | Urothelium | Colorectum | Non-small cell lung | Pancreas | Breast | Ovary | Gastroesophageal | Kidney | Liver | Sarcoma | Cervix | Neuroendocrine | Prostate | Germ cell | Skin, squamous | Carcinoid, intestine | Mesothelioma | Thyroid | Endometrium | Melanoma | Skin, basal-cell | Lung, small-cell | Lymphoma | Head and Neck | Adrenal | unclassifiable |
---|
Patients With Successful Tumor Assays Performed | 52 | 31 | 28 | 27 | 12 | 12 | 11 | 10 | 9 | 8 | 6 | 6 | 5 | 4 | 4 | 4 | 3 | 3 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 5 |
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Overall Survival
Defined as the elapsed time from the start of treatment to the date of death from any cause or lost to follow-up. Participants lost to follow up were censored as of the last date known to be alive. (NCT00737243)
Timeframe: every 6-8 weeks (2 cycles) until death from any cause or lost to follow up, projected 18 months
Intervention | months (Median) |
---|
More Treatment Responsive | 13.43 |
Less Treatment Responsive | 7.62 |
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Progression-free Survival (PFS)
Estimated using the method of Kaplan-Meier survival curves to compare PFS between the erlotinib and pemetrexed arms using an intent-to-treat (ITT) analysis. Due to the small sample size (21 of the required 954 patients ~2%), analyses within the FISH(+) and FISH(-) groups were not performed, and no formal analyses for the primary or the secondary efficacy outcomes were performed. (NCT00738881)
Timeframe: Time from randomization to the first date of documented disease progression or death, assessed up to 5 years
Intervention | months (Median) |
---|
Arm I | 2 |
Arm II | 3.1 |
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Response Rate
The response rate is the number of patients with urothelial cancer treated with erlotinib prior to cystectomy. The response is defined as the absence of residual cancer in the surgical removed tissue (i.e., pT0). A responder is defined as a participant with the pathological stage of pT0 meaning that there is no evidence of disease. (NCT00749892)
Timeframe: Determined at the time of surgery or cystectomy
Intervention | Participants (Count of Participants) |
---|
| Number of Responders | Number of Non Responders |
---|
Pre-surgical Erlotinib Treatment | 8 | 18 |
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Plasma Erlotinib Concentration (ng/mL)
Will be quantified in biopsy samples using appropriate descriptive statistics (means and standard deviations). (NCT00754494)
Timeframe: Up to day 30
Intervention | ng/mL (Mean) |
---|
Arm I (25 mg) | 232.29 |
Arm II (50 mg) | 486.56 |
Arm III (100 mg) | 1280.84 |
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Number of Participants Reported at Least 1 Side Effect During the Study
Described for each arm using frequencies. The onset of adverse events is between randomization date and off-study date. (NCT00754494)
Timeframe: Up to 9 weeks
Intervention | participants (Number) |
---|
| At least 1 adverse event reported | No adverse event reported |
---|
Arm I (25 mg) | 12 | 3 |
,Arm II (50 mg) | 13 | 2 |
,Arm III (100 mg) | 13 | 2 |
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Number of Participants Reported at Least 1 Rash Side Effect During the Study
Described for each arm using frequencies. (NCT00754494)
Timeframe: Up to 9 weeks
Intervention | participants (Number) |
---|
| At least 1 rash AE reported | No rash AE reported |
---|
Arm I (25 mg) | 5 | 10 |
,Arm II (50 mg) | 6 | 9 |
,Arm III (100 mg) | 12 | 3 |
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Number of Participants Reported at Least 1 Diarrhea Side Effect During the Study
Described for each arm using frequencies. (NCT00754494)
Timeframe: Up to 9 weeks
Intervention | participants (Number) |
---|
| At least 1 diarrhea AE reported | No diarrhea AE reported |
---|
Arm I (25 mg) | 4 | 11 |
,Arm II (50 mg) | 4 | 11 |
,Arm III (100 mg) | 5 | 10 |
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Plasma OSI-420 Concentration (ng/mL)
Will be quantified in biopsy samples using appropriate descriptive statistics (means and standard deviations). (NCT00754494)
Timeframe: Up to day 30
Intervention | ng/mL (Mean) |
---|
Arm I (25 mg) | 17.77 |
Arm II (50 mg) | 33.87 |
Arm III (100 mg) | 117.98 |
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Normal Mucosa OSI-420 Concentration (ng/mg)
Will be quantified in biopsy samples using appropriate descriptive statistics (means and standard deviations). (NCT00754494)
Timeframe: Up to day 30
Intervention | ng/mg (Mean) |
---|
Arm I (25 mg) | 0.04 |
Arm II (50 mg) | 0.17 |
Arm III (100 mg) | 0.29 |
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Normal Mucosa Erlotinib Concentration (ng/mg)
Will be quantified in biopsy samples using appropriate descriptive statistics (means and standard deviations). (NCT00754494)
Timeframe: Up to day 30
Intervention | ng/mg (Mean) |
---|
Arm I (25 mg) | 0.36 |
Arm II (50 mg) | 1.38 |
Arm III (100 mg) | 3.25 |
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Change in EGF-inducible Markers - Total EGFR in ACF
Total EGFR expression levels were quantified by immunoblotting and calculated as the ratio of the total EGFR signals to reference signals. A log-transformation of total EGFR was utilized in primary analyses. The general linear model was used to estimate and compare the relative change in median total EGFR with adjustment for actin as a normalizing factor. The estimated relative change (post:pre) in the median, corresponding 95% confidence interval, and p-value for testing the null hypothesis of equal medians comparing pre- and post-measurements were reported. (NCT00754494)
Timeframe: From baseline to post-treatment (up to 30 days)
Intervention | expression level (Geometric Mean) |
---|
Arm I (25 mg) | 1.33 |
Arm II (50 mg) | 2.22 |
Arm III (100 mg) | 1.94 |
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Change in EGF-inducible Markers - pEGFR in Normal Mucosa
pEGFR expression levels were quantified by immunoblotting and calculated as the ratio of the pEGFR signals to reference signals. A log-transformation of pEGFR was utilized in primary analyses. The general linear model was used to estimate and compare the relative change in median pEGFR with adjustment for actin as a normalizing factor. The estimated relative change (post:pre) in the median, corresponding 95% confidence interval, and p-value for testing the null hypothesis of equal medians comparing pre- and post-measurements were reported. (NCT00754494)
Timeframe: From baseline to post-treatment (up to 30 days)
Intervention | expression level (Geometric Mean) |
---|
Arm I (25 mg) | 0.84 |
Arm II (50 mg) | 1.65 |
Arm III (100 mg) | 0.97 |
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Change in EGF-inducible Markers - pEGFR in ACF
pEGFR expression levels were quantified by immunoblotting and calculated as the ratio of the pEGFR signals to reference signals. A log-transformation of pEGFR was utilized in primary analyses. The general linear model was used to estimate and compare the relative change in median total EGFR with adjustment for actin as a normalizing factor. The estimated relative change (post:pre) in the median, corresponding 95% confidence interval, and p-value for testing the null hypothesis of equal medians comparing pre- and post-measurements were reported. (NCT00754494)
Timeframe: From baseline to post-treatment (up to 30 days)
Intervention | expression level (Geometric Mean) |
---|
Arm I (25 mg) | 1.19 |
Arm II (50 mg) | 1.93 |
Arm III (100 mg) | 1.40 |
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Change in EGF-inducible Markers - Total EGFR in Normal Mucosa
Total EGFR expression levels were quantified by immunoblotting and calculated as the ratio of the total EGFR signals to reference signals. A log-transformation of total EGFR was utilized in primary analyses. The general linear model was used to estimate and compare the relative change in median total EGFR with adjustment for actin as a normalizing factor. The estimated relative change (post:pre) in the median, corresponding 95% confidence interval, and p-value for testing the null hypothesis of equal medians comparing pre- and post-measurements were reported. (NCT00754494)
Timeframe: From baseline to post-treatment (up to 30 days)
Intervention | expression level (Geometric Mean) |
---|
Arm I (25 mg) | 2.02 |
Arm II (50 mg) | 1.91 |
Arm III (100 mg) | 1.23 |
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Objective Response Rate
Objective response rate (ORR) was defined by RECIST criteria as the best response achieved by a patient over the course of the trial, which includes a complete response (CR) or partial response (PR) that has been confirmed by a second tumor assessment no earlier than 4 weeks after the initial documentation, stable disease (SD), or progressive disease (PD). PR was defined as ≥ 30% decrease in sum of longest diameter of all target lesions, from baseline sum. CR was defined as disappearance of all target and non-target lesions. For CR or PR, tumor measurements must be confirmed by 2nd assessments within 4 weeks. PD = 20% increase in the sum of longest diameter of all target lesions, from smallest sum of longest diameter of all target lesions recorded at or after baseline; or a new lesion; or progression of non-target lesions. SD = Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on the study. (NCT00760929)
Timeframe: From baseline up to 20 months
Intervention | Percentage of Participants (Number) |
---|
Placebo | 8.8 |
R1507 (9mg/kg iv) | 7 |
R1507 (16mg/kg iv) | 7 |
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Number of Participants With Progression Free Survival (PFS)
PFS was defined as the time at which half of the participants have progressed (progressive disease [PD]) based on RECIST tumor response criteria or died from any cause, whichever occurred first. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Participants who had not died or progressed at the time of the final analysis were censored at the date of last contact. (NCT00760929)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
| Progression-Free & Alive | Progressed, Died, or Unknown |
---|
Placebo | 18 | 39 |
,R1507 (16mg/kg iv) | 21 | 36 |
,R1507 (9mg/kg iv) | 16 | 41 |
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Time to Response
This is defined for participants with objective response, as the date of randomization to the date of first CR or PR which will be the date the response is first radiographically documented following initiation of therapy (the date of the actual imaging modality). (NCT00760929)
Timeframe: From baseline up to 20 months
Intervention | days (Mean) |
---|
Placebo | 42.40 |
R1507 (9mg/kg iv) | 65.25 |
R1507 (16mg/kg iv) | 85.25 |
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Duration of Response
Duration of response was defined as the time from the first documented complete response (CR) or partial response (PR) to the first documented disease progression (PD) or death, whichever occurs first. A CR was defined as the disappearance of all target lesions (TL). A PR was defined as at least a 30% decrease in the sum of the longest diameter (SLD) of TLs taking as reference the Baseline SLD. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the unequivocal progression of existing non-TLs. (NCT00760929)
Timeframe: From baseline up to 20 months
Intervention | days (Mean) |
---|
Placebo | 260.40 |
R1507 (9mg/kg iv) | 215.50 |
R1507 (16mg/kg iv) | 257.75 |
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Overall Survival (OS)
OS was defined as the median time, in weeks, from the date of randomization to the date of death, due to any cause. Participants who have not died at the time of the final analysis will be censored at the date the participant was last known to be alive. The 90% CI was estimated using Kaplan-Meier methodology. (NCT00760929)
Timeframe: From baseline up to 20 months
Intervention | Weeks (Median) |
---|
Placebo | 35.1 |
R1507 (9mg/kg iv) | 35.1 |
R1507 (16mg/kg iv) | 52.4 |
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To Determine the Dose Limiting Toxicities
(NCT00761345)
Timeframe: weekly physician and nurse assessment and in between as needed until 30 days after treatment termination
Intervention | participants (Number) |
---|
Radiotherapy and Chemotherapy | 27 |
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Trough Plasma Concentration (Ctrough) of Dacomitinib (PF-00299804)
"Only participants from Dacomitinib treatment arm were planned to be analyzed for this outcome." (NCT00769067)
Timeframe: C1D10-14, C2D1, C3D1, C4D1
Intervention | ng/mL (Mean) |
---|
| C1D10-14 (n= 63) | C2D1 (n= 60) | C3D1 (n= 44) | C4D1 (n= 31) |
---|
Dacomitinib | 71.94 | 65.50 | 59.28 | 57.79 |
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Best Overall Response (BOR)
Number of participants with BOR according to RECIST version 1.0: CR= disappearance of all target and non-target lesions. PR= at least 30% decrease in sum of LDs of target lesion, taking as reference baseline sum LD. Stable/no response= neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of LDs since treatment started. Objective progression= at least a 20% increase in sum of LDs of target lesions, taking as reference the smallest sum of LDs recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. (NCT00769067)
Timeframe: Baseline until disease progression or death, assessed at Cycle 2, 3, 4, 5, 6, thereafter every other cycle up to end of treatment (121 weeks), followed by every 8 weeks >284 weeks
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable/No Response | Objective Progression | Indeterminate |
---|
Dacomitinib | 1 | 15 | 32 | 30 | 16 |
,Erlotinib | 0 | 5 | 37 | 49 | 3 |
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Number of Participants With Kirsten Rat Sarcoma (KRAS) and Epidermal Growth Factor Receptor (EGFR) Status and EGFR T790M Mutation
"Tumor tissue were analyzed at a sponsor-designated laboratory to investigate KRAS and EGFR status (wild type or mutated). Participants who did not provide samples for central laboratory analysis confirmation were classified as unknown. Additionally blood specimens were analyzed at a sponsor-designated laboratory for T790M mutation in EGFR." (NCT00769067)
Timeframe: Baseline
Intervention | participants (Number) |
---|
| EGFR Status: Wild Type | EGFR Status: Mutant | EGFR T790M Mutation | EGFR Status: Unknown | KRAS Status: Wild Type | KRAS Status: Mutant | KRAS Status: Unknown |
---|
Dacomitinib | 58 | 19 | 2 | 17 | 57 | 17 | 20 |
,Erlotinib | 65 | 11 | 0 | 18 | 64 | 14 | 16 |
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Dermatology Life Quality Index (DLQI)
DLQI: 10-item questionnaire to measure how much the participant's skin problem has impacted their life over the previous week on following 6 domains: symptoms/feelings (2 questions), daily activities (2 questions), leisure (2 questions), work/school (1 question), personal relationships (2 questions), and treatment (1 question). All questions were answered on a 4-point Likert scale ranging from 0 (not at all/not relevant) to 3 (very much/prevented work or studying). The DLQI total evaluable score was calculated by summing the score of each question and ranged from 0 to 30, where higher scores indicated more quality of life impairment. (NCT00769067)
Timeframe: Cycle (C) 1 Day (D) 1 (baseline), C1D10-14, D1 of subsequent cycles up to C44
Intervention | units on a scale (Mean) |
---|
| C1D1 (n= 87, 91) | C1D10-14 (n=68, 81) | C2D1 (n= 80, 82) | C3D1 (n= 63, 63) | C4D1 (n= 39, 43) | C5D1 (n= 25, 38) | C6D1 (n= 16, 27) | C7D1 (n= 13, 27) | C8D1 (n= 11, 24) | C9D1 (n= 11, 19) | C10D1 (n= 11, 17) | C11D1 (n= 10, 15) | C12D1 (n= 7, 14) | C13D1 (n= 7, 13) | C14D1 (n= 6, 12) | C15D1 (n= 6, 12) | C16D1 (n= 5, 11) | C17D1 (n= 4, 11) | C18D1 (n= 4, 10) | C19D1 (n= 4, 9) | C20D1 (n= 2, 10) | C21D1 (n= 2, 9) | C22D1 (n= 1, 7) | C23D1 (n= 1, 7) | C24D1 (n= 1, 7) | C25D1 (n= 1, 6) | C26D1 (n= 0, 6) | C27D1 (n= 0, 6) | C28D1 (n= 0, 6) | C29D1 (n= 0, 6) | C30D1 (n= 0, 5) | C31D1 (n= 0, 5) | C32D1 (n= 0, 4) | C33D1 (n= 0, 4) | C34D1 (n= 0, 2) | C35D1 (n= 0, 2) | C36D1 (n= 0, 2) | C37D1 (n= 0, 2) | C38D1 (n= 0, 2) | C39D1 (n= 0, 2) | C40D1 (n= 0, 2) | C41D1 (n= 0, 2) | C42D1 (n= 0, 2) | C43D1 (n= 0, 1) | C44D1 (n= 0, 0) |
---|
Dacomitinib | 0.88 | 3.06 | 3.91 | 5.52 | 5.95 | 5.37 | 5.37 | 4.93 | 5.33 | 4.84 | 5.88 | 6.73 | 5.50 | 5.08 | 6.00 | 5.92 | 5.36 | 5.55 | 7.30 | 7.22 | 6.50 | 7.33 | 2.14 | 3.71 | 2.57 | 2.83 | 2.67 | 3.33 | 3.17 | 5.33 | 4.20 | 4.20 | 2.75 | 3.00 | 4.00 | 12.50 | 1.50 | 1.50 | 0.50 | 0.00 | 0.50 | 0.00 | 0.50 | 3.00 | NA |
,Erlotinib | 0.70 | 4.35 | 5.16 | 4.08 | 3.97 | 3.56 | 4.13 | 4.38 | 4.64 | 3.82 | 3.36 | 5.60 | 6.71 | 5.57 | 6.00 | 4.67 | 5.40 | 5.00 | 3.00 | 4.50 | 3.50 | 3.50 | 1.00 | 1.00 | 3.00 | 8.00 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
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Categorical Summary of Overall Scale Change in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
EORTC QLQ-C30: included global health status/quality of life (QoL), functional (Fn) scales (physical, role, cognitive, emotional, and social), symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, and financial difficulties). Scores were averaged, transformed to 0-100 scale; higher score for Global Qol/Fn scales=better level of QoL/functioning or higher score for symptom scales/items=greater degree of symptoms. Overall scale change is categorized as Improved (if average scales change from baseline: for Global QoL/Fn scales >=10; for symptom scale/item <=-10), Worsened (if average scales change from baseline: for Global QoL/Fn scales <=-10; for symptom scale/item >=10), and Stable (if average scales change from baseline >-10 but <10 for Global QoL/Fn scales and symptom scale/item) and participants in each category are reported. (NCT00769067)
Timeframe: Baseline up to Cycle 44 (Week 188)
Intervention | participants (Number) |
---|
| Global QoL: Improved (n= 85, 85) | Global QoL: Worsened (n= 85, 85) | Global QoL: Stable (n= 85, 85) | Physical Functioning: Improved (n= 86, 88) | Physical Functioning: Worsened (n= 86, 88) | Physical Functioning: Stable (n= 86, 88) | Role Functioning: Improved (n= 86, 88) | Role Functioning: Worsened (n= 86, 88) | Role Functioning: Stable (n= 86, 88) | Cognitive Functioning: Improved (n= 86, 85) | Cognitive Functioning: Worsened (n= 86, 85) | Cognitive Functioning: Stable (n= 86, 85) | Emotional Functioning: Improved (n= 86, 85) | Emotional Functioning: Worsened (n= 86, 85) | Emotional Functioning: Stable (n= 86, 85) | Social Functioning: Improved (n= 86, 85) | Social Functioning: Worsened (n= 86, 85) | Social Functioning: Stable (n= 86, 85) | Fatigue: Improved (n= 86, 87) | Fatigue: Worsened (n= 86, 87) | Fatigue: Stable (n= 86, 87) | Pain: Improved (n= 86, 87) | Pain: Worsened (n= 86, 87) | Pain: Stable (n= 86, 87) | Nausea and Vomiting: Improved (n= 86, 87) | Nausea and Vomiting: Worsened (n= 86, 87) | Nausea and Vomiting: Stable (n= 86, 87) | Dyspnea: Improved (n= 86, 88) | Dyspnea: Worsened (n= 86, 88) | Dyspnea: Stable (n= 86, 88) | Loss of Appetite: Improved (n= 85, 87) | Loss of Appetite: Worsened (n= 85, 87) | Loss of Appetite: Stable (n= 85, 87) | Insomnia: Improved (n= 86, 87) | Insomnia: Worsened (n= 86, 87) | Insomnia: Stable (n= 86, 87) | Constipation: Improved (n= 86, 85) | Constipation: Worsened (n= 86, 85) | Constipation: Stable (n= 86, 85) | Diarrhea: Improved (n= 86, 85) | Diarrhea: Worsened (n= 86, 85) | Diarrhea: Stable (n= 86, 85) | Financial Difficulties: Improved (n= 85, 85) | Financial Difficulties: Worsened (n= 85, 85) | Financial Difficulties: Stable (n= 85, 85) |
---|
Dacomitinib | 11 | 34 | 40 | 14 | 24 | 50 | 22 | 31 | 35 | 15 | 21 | 49 | 21 | 26 | 38 | 30 | 19 | 36 | 21 | 35 | 31 | 19 | 34 | 34 | 13 | 26 | 48 | 25 | 25 | 38 | 19 | 43 | 25 | 22 | 33 | 32 | 32 | 13 | 40 | 4 | 67 | 14 | 17 | 17 | 51 |
,Erlotinib | 14 | 36 | 35 | 12 | 25 | 49 | 18 | 38 | 30 | 13 | 21 | 52 | 11 | 27 | 48 | 24 | 30 | 32 | 18 | 38 | 30 | 19 | 30 | 37 | 13 | 27 | 46 | 23 | 26 | 37 | 17 | 41 | 27 | 23 | 32 | 31 | 25 | 16 | 45 | 6 | 52 | 28 | 18 | 21 | 46 |
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Categorical Summary of Overall Scale Change in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module (EORTC QLQ-LC13)
QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Scores averaged, transformed to 0-100 scale; higher symptom score = greater degree of symptoms. Overall scale change is categorized as Improved (if average scales change from baseline <=-10), Worsened (if average scales change from baseline >=10), and Stable (if average scales change from baseline >-10 but <10) and participants in each category are reported. (NCT00769067)
Timeframe: Baseline up to Cycle 44 (Week 188)
Intervention | participants (Number) |
---|
| Dyspnoea: Improved (n= 85, 87) | Dyspnoea: Worsened (n= 85, 87) | Dyspnoea: Stable (n= 85, 87) | Coughing: Improved (n= 85, 87) | Coughing: Worsened (n= 85, 87) | Coughing: Stable (n= 85, 87) | Haemoptysis: Improved (n= 85, 86) | Haemoptysis: Worsened (n= 85, 86) | Haemoptysis: Stable (n= 85, 86) | Sore mouth: Improved (n= 85, 87) | Sore mouth: Worsened (n= 85, 87) | Sore mouth: Stable (n= 85, 87) | Dysphagia: Improved (n= 85, 87) | Dysphagia: Worsened (n= 85, 87) | Dysphagia: Stable (n= 85, 87) | Peripheral: Improved (n= 85, 87) | Peripheral: Worsened (n= 85, 87) | Peripheral: Stable (n= 85, 87) | Alopecia: Improved (n= 84, 87) | Alopecia: Worsened (n= 84, 87) | Alopecia: Stable (n= 84, 87) | Pain in chest: Improved (n= 85, 87) | Pain in chest: Worsened (n= 85, 87) | Pain in chest: Stable (n= 85, 87) | Pain in arm or Shoulder: Improved (n= 85, 87) | Pain in arm or Shoulder: Worsened (n= 85, 87) | Pain in arm or Shoulder: Stable (n= 85, 87) | Pain in other parts: Improved (n= 83, 86) | Pain in other parts: Worsened (n= 83, 86) | Pain in other parts: Stable (n= 83, 86) |
---|
Dacomitinib | 24 | 20 | 43 | 37 | 20 | 30 | 8 | 10 | 68 | 5 | 58 | 24 | 6 | 35 | 46 | 27 | 20 | 40 | 21 | 21 | 45 | 30 | 13 | 44 | 28 | 17 | 42 | 23 | 28 | 35 |
,Erlotinib | 18 | 29 | 38 | 24 | 20 | 41 | 5 | 10 | 70 | 3 | 38 | 44 | 7 | 24 | 54 | 22 | 23 | 40 | 20 | 13 | 51 | 26 | 21 | 38 | 19 | 27 | 39 | 26 | 27 | 30 |
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Progression-Free Survival (PFS)
PFS: Time in weeks from randomization to date of objective disease progression or death due to any cause, whichever occurred first. PFS was calculated as (first event date or last known event-free date [if the event date unavailable] minus the date of randomization plus 1) divided by 7. Objective progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST), as at least 20 percent (%) increase in the sum of longest dimensions (LDs) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. (NCT00769067)
Timeframe: Baseline until disease progression or death, assessed at Cycle 2, 3, 4, 5, 6, thereafter every other cycle up to end of treatment (121 weeks), followed by every 8 weeks >284 weeks
Intervention | weeks (Median) |
---|
Erlotinib | 8.3 |
Dacomitinib | 12.4 |
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Percentage of Participants With Objective Response
Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST version 1.0. CR: disappearance of all target and non-target lesions. PR: at least 30 % decrease in sum of the LDs of target lesion, taking as reference the baseline sum LD. Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. (NCT00769067)
Timeframe: Baseline until disease progression or death, assessed at Cycle 2, 3, 4, 5, 6, thereafter every other cycle up to end of treatment (121 weeks), followed by every 8 weeks >284 weeks
Intervention | percentage of participants (Number) |
---|
Erlotinib | 5.3 |
Dacomitinib | 17.0 |
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Soluble Protein Biomarkers Level
Blood specimens were analyzed at a sponsor-designated laboratory for analysis of shed proteins/receptors related to Human Epidermal Growth Factor Receptor (HER) signaling (EGFR, HER-2, Epithelial-cadherin [E-cadherin]). The data collection after C12D1 was not performed, as there were too few participants across both treatment arms after C12D1. (NCT00769067)
Timeframe: Cycle (C) 1 Day (D) 1 (baseline), D1 of each subsequent cycle up to end of treatment (up to 121 weeks)
Intervention | nanogram per milliliter (ng/mL) (Mean) |
---|
| EGFR, C1D1 (n= 65, 66) | EGFR, C2D1 (n= 76, 73) | EGFR, C3D1 (n= 43, 53) | EGFR, C4D1 (n= 26, 39) | EGFR, C5D1 (n= 16, 29) | EGFR, C6D1 (n= 15, 27) | EGFR, C7D1 (n= 13, 26) | EGFR, C8D1 (n= 10, 21) | EGFR, C9D1 (n= 8, 17) | EGFR, C10D1 (n= 10, 17) | EGFR, C11D1 (n= 7, 14) | EGFR, C12D1 (n= 6, 13) | HER2, C1D1 (n= 65,66) | HER2, C2D1 (n= 76,73) | HER2, C3D1 (n= 43,53) | HER2, C4D1 (n= 26,39) | HER2, C5D1 (n= 16,29) | HER2, C6D1 (n= 15,27) | HER2, C7D1 (n= 13,26) | HER2, C8D1 (n= 10,21) | HER2, C9D1 (n= 8,17) | HER2, C10D1 (n= 10,17) | HER2, C11D1 (n= 7,14) | HER2, C12D1 (n= 6,13) | E-cadherin, C1D1 (n= 65,66) | E-cadherin, C2D1 (n= 76,73) | E-cadherin, C3D1 (n= 43,53) | E-cadherin, C4D1 (n= 26,39) | E-cadherin, C5D1 (n= 16,29) | E-cadherin, C6D1 (n= 15,27) | E-cadherin, C7D1 (n= 13,26) | E-cadherin, C8D1 (n= 10,21) | E-cadherin, C9D1 (n= 8,17) | E-cadherin, C10D1 (n= 10,17) | E-cadherin, C11D1 (n= 7,14) | E-cadherin, C12D1 (n= 6,13) |
---|
Dacomitinib | 49.44 | 41.29 | 42.39 | 41.9 | 41.97 | 42.82 | 43.16 | 44.78 | 47.89 | 48.12 | 50.9 | 52.39 | 8.39 | 6.42 | 6.17 | 6.29 | 5.96 | 6.34 | 6.47 | 7.15 | 6.87 | 7.25 | 6.56 | 6.57 | 56.13 | 45.4 | 42.28 | 40.15 | 38.15 | 39.16 | 39.47 | 40.94 | 38.97 | 45.85 | 39.44 | 40.3 |
,Erlotinib | 49.88 | 48.87 | 51.28 | 49.49 | 48.58 | 50.32 | 52.16 | 54.74 | 55.38 | 54.57 | 59.63 | 57.65 | 10.89 | 9.17 | 9.26 | 9.51 | 7.7 | 7.45 | 8.07 | 7.28 | 7.32 | 7.49 | 7.76 | 7.15 | 51.71 | 41.46 | 42.58 | 40.51 | 37.58 | 36.78 | 38.33 | 43.6 | 40.26 | 40.29 | 35.9 | 35.48 |
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Duration of Response (DR)
Time in weeks from first documentation of objective tumor response to objective tumor progression or symptomatic deterioration or death due to any cause, whichever occurred first. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or symptomatic deterioration or death due to any cause or last known progression-free date [if none of the event dates available] minus the date of the first CR or PR [which ever occurred first] that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response. (NCT00769067)
Timeframe: Baseline until disease progression or death, assessed at Cycle 2, 3, 4, 5, 6, thereafter every other cycle up to end of treatment (121 weeks), followed by every 8 weeks >284 weeks
Intervention | weeks (Median) |
---|
Erlotinib | 40.1 |
Dacomitinib | 71.9 |
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Overall Survival (OS)
Time in weeks from randomization to date of death due to any cause. OS was calculated as (the death date or last known alive date (if death date unavailable) minus the date of randomization plus 1) divided by 7. (NCT00769067)
Timeframe: Baseline until end of treatment (15 August 2014); followed up every 8 weeks after discontinuation from study treatment.
Intervention | weeks (Median) |
---|
Erlotinib | 32.3 |
Dacomitinib | 41.4 |
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Progression Free Survival
Time interval (in months) from date of randomization until the date of first documented progression or date of death from any cause, whichever came first (NCT00769483)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
Intervention | months (Median) |
---|
Arm A / Phase II Randomization | 1.8 |
Arm B / Phase II Randomization | 1.8 |
Arm C / Phase II Randomization | 1.9 |
Phase II Expansion | 2.0 |
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Overall Survival
Time interval (in months) from date of randomization until the date of death from any cause (NCT00769483)
Timeframe: From date of randomization until the date of death from any cause, assessed up to 100 months
Intervention | months (Median) |
---|
Arm A / Phase II Randomization | 10.4 |
Arm B / Phase II Randomization | 7.1 |
Arm C / Phase II Randomization | 5.7 |
Phase II Expansion | 8.2 |
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Overall Response Rate
Complete response + Partial response using RECIST (Response Evaluation Criteria in Solid Tumors) (NCT00769483)
Timeframe: From start of the treatment until disease progression/recurrence; or through study completion (average of 1 year)
Intervention | Participants (Count of Participants) |
---|
Arm A / Phase I | 0 |
Arm B / Phase I | 0 |
Arm A / Phase II Randomization | 2 |
Arm B / Phase II Randomization | 1 |
Arm C / Phase II Randomization | 2 |
Phase II Expansion | 0 |
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Treatment Toxicity
Number of patients who developed toxicity from treatment according to the National Cancer Institute's Common Terminology Criteria (NCT00769483)
Timeframe: Through the treatment cycles
Intervention | Participants (Count of Participants) |
---|
Arm A / Phase I | 9 |
Arm B / Phase I | 12 |
Arm A / Phase II Randomization | 15 |
Arm B / Phase II Randomization | 15 |
Arm C / Phase II Randomization | 15 |
Phase II Expansion | 9 |
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MK-0646 Maximum Tolerable Dose
MK-0646 10 mg/kg was declared to be the MTD in combination with gemcitabine and 5 mg/kg the MTD in combination with Gemcitabine and erlotinib (NCT00769483)
Timeframe: up to 12 cycles
Intervention | participants (Number) |
---|
| MK 5mg +G: #DLT | MK 10mg +G: # DLT |
---|
Arm A / Phase I | 0 | 0 |
,Arm B / Phase I | 0 | 2 |
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Electrocardiogram (ECG)
12 lead ECG is required at baseline and will be measured during the trial as clinically indicated at the discretion of the investigators. For each reading, QTcF value will be calculated as the QT value (seconds) divided by the cube root of the RR interval in seconds (Fridericia correction). A listing will be generated showing, for each patient, the visits at which ECGs were taken and the results (normal or abnormal, as well as any comments provided). (NCT00773383)
Timeframe: baseline and thereafter as clinically indicated at the discretion of the investigator up to the time that the patient discontinued (up to 59 weeks)
Intervention | ms (millisecond) (Mean) |
---|
| Summary of QTcF Interval (n = 2) | Change from Baseline (n = 1) |
---|
R1507 | 421.5 | 24.0 |
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Percentage of Participants With Progression Free Survival (PFS)
The primary efficacy endpoint is progression-free survival at 12 weeks after start of therapy. A progression-free survival rate at 12 weeks will be calculated, with patients categorized in a dichotomous manner as alive and progression-free or in progression or dead at 12 weeks. (NCT00773383)
Timeframe: 12 weeks
Intervention | Percentage of participants (Number) |
---|
| Progression-Free & Alive | Progressed, Died, or Unknown |
---|
R1507 | 32.4 | 67.6 |
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Number of Participants With Positive Results for Human Anti-human Antibody (HAHA) Testing
"Number of participants who tested positive for Human anti-human antibody (HAHA) testing for immunogenicity.~To determine HAHA specificity, screened positive samples were tested in a confirmatory assay in the presence of 10 ug/mL R1507. Samples with > 19.7% inhibition were considered true positives, whereas those with < 19.7% inhibition were considered to be false positives." (NCT00773383)
Timeframe: prior to dosing on week 1 (day 1), week 4 (day 22), week 10 (day 64), final visit, follow up visit and 12 weeks post last dose (up to 71 weeks)
Intervention | participants (Number) |
---|
| POSITIVE | FALSE POSITIVE |
---|
R1507 | 1 | 5 |
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Fasting Glucose, Highest Post-Baseline Value
A fasting glucose was required at baseline, and random non-fasting glucose testing was performed weekly for the first 6 weeks followed by day 1 of each 3 week treatment phase. The number of participants with the highest post-baseline fasting glucose level at any time point post baseline relative to the participant's baseline glucose level is reported. (NCT00773383)
Timeframe: Baseline, Highest Post-Baseline value within the timeframe of post-baseline collection up to when patient discontinued (up to 59 weeks)
Intervention | participants (Number) |
---|
| Normal (< 140 mg/dL) | Impaired Fasting Glucose (≥ 140 to ≤ 200 mg/dL) | Diabetes Mellitus (> 200 mg/dL) | Missing |
---|
R1507_Baseline Diabetes Mellitus | 1 | 1 | 0 | 0 |
,R1507_Baseline Glucose Normal | 21 | 2 | 0 | 3 |
,R1507_Baseline Impaired Fasting Glucose | 3 | 1 | 0 | 0 |
,R1507_Baseline Missing | 0 | 0 | 0 | 2 |
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Safety and Tolerability of IMC-A12 in Combination With Erlotinib Hydrochloride as Graded by Common Terminology Criteria for Adverse Event (CTCAE) Version 3.0 (DLTs During Cycle One)
Patients were evaluable for cohort dose escalation/de-escalation decision making either if they experienced DLTs in cycle 1 or if they had completed 24 of the planned 28 days (85%) dosing of erlotinib and three of the four planned days of weekly dosing of cixutumumab (75%) in cycle 1 in cohorts 1 and 2 in the absence of DLTs. In cohort 3, patients were evaluable for tolerability if they had completed 18 days (85%) dosing of erlotinib and had received the planned day 1 dose of cixutumumab. (NCT00778167)
Timeframe: From time of first dose up to 28 days
Intervention | Participants (Number) |
---|
Cohort 1 | 4 |
Cohort 2 | 1 |
Cohort 3 | 2 |
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Time to Disease Progression or Death
Tumor progression was defined as increase by at least 20% in the sum of the longest diameters of each target lesion, taking as a reference the smallest sum of the longest diameters, reported since the start of treatment, or appearance of one or more new lesions. Time to event was determined as the number of months between the first dose of study treatment and the first event of progression or death by any cause. PFS was analyzed using the Kaplan-Meier method in each treatment arm. (NCT00800202)
Timeframe: Screening, Day 1 of Cycles 3 and 5 and every 2 cycles until end of treatment visit or disease progression or death up to 18 months after enrollment of last participant
Intervention | months (Median) |
---|
Bevacizumab+Paclitaxel+Carboplatin | 6.7 |
Bevacizumab+Erlotinib | 6.3 |
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Time to Death
Time to death was determined as the number of months between the first dose of study treatment and the event of death by any cause. Overall survival was analyzed using the Kaplan-Meier method. (NCT00800202)
Timeframe: Day 1 of Cycles 1, 2, 3, 4, 5, 6 and every 3 weeks up to 18 months or until death
Intervention | months (Median) |
---|
Bevacizumab+Paclitaxel+Carboplatin | 16.0 |
Bevacizumab+Erlotinib | 12.0 |
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Probability of Being Alive at 12 and 18 Months
(NCT00800202)
Timeframe: Months 12 and 18
Intervention | percent (Number) |
---|
| 12 Months | 18 Months |
---|
Bevacizumab+Erlotinib | 50.0 | 41.7 |
,Bevacizumab+Paclitaxel+Carboplatin | 64.2 | 43.3 |
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Percentage of Participants Achieving Progression-Free Survival (PFS) Without Disease Progression or Death at 6 Months
Tumor progression was defined according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.1 as increase by at least 20% in the sum of the longest diameters of each target lesion, taking as a reference the smallest sum of the longest diameters, reported since the start of treatment, or appearance of one or more new lesions. PFS (investigator assessed) was defined as the time between the first dose of study treatment and the first event of progression or death by any cause. Participants without an event were censored the last time they were known to be progression free. PFS was analyzed using the Kaplan-Meier method in each treatment arm. (NCT00800202)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Paclitaxel+Carboplatin | 56.5 |
Bevacizumab+Erlotinib | 57.2 |
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Percentage of Participants Achieving a Best Overall Response of Complete Response or Partial Response as Assessed by the Investigator Using RECIST
Overall response defined as best response according to RECIST recorded from date of randomization until disease progression or recurrence. Complete Response (CR): disappearance of all target lesions; Partial response (PR): reduction by at least 30 percent (%) of sum of the longest diameters of each target lesion, taking initial sum of longest diameters as a reference. Participants with a missing response were considered non-responders. 95% CI for one sample binomial using Pearson-Clopper method. (NCT00800202)
Timeframe: Screening, Day 1 of Cycles 3 and 5 and every 2 cycles until end of treatment visit or disease progression or death up to 18 months after enrollment of last participant
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Paclitaxel+Carboplatin | 62.7 |
Bevacizumab+Erlotinib | 12.5 |
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Percentage of Participants Who Died
(NCT00800202)
Timeframe: Day 1 of Cycles 1, 2, 3, 4, 5, 6 and every 3 weeks up to 18 months or until death
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Paclitaxel+Carboplatin | 83.6 |
Bevacizumab+Erlotinib | 91.7 |
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Percentage of Participants With Disease Progression or Death
Tumor progression was defined according to the RECIST criteria as increase by at least 20% in the sum of the longest diameters of each target lesion, taking as a reference the smallest sum of the longest diameters, reported since the start of treatment, or appearance of one or more new lesions. PFS (investigator assessed) was defined as the time between the first dose of study treatment and the first event of progression or death by any cause. Participants without an event were censored the last time they were known to be progression free. PFS was analyzed using the Kaplan-Meier method in each treatment arm. (NCT00800202)
Timeframe: Screening, Day 1 of Cycles 3 and 5 and every 2 cycles until end of treatment visit or disease progression or death up to 18 months after enrollment of last participant
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Paclitaxel+Carboplatin | 89.6 |
Bevacizumab+Erlotinib | 91.7 |
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Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00810719)
Timeframe: Up to 36 months
Intervention | percentage of participants (Number) |
---|
Gemcitabine and Erlotinib | 11 |
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Progression Free Survival
Defined as the time from first day of treatment to the first observation of disease progression or death due to any cause. If a patient has not progressed or died, progression-free survival is censored at the time of last follow-up. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00810719)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Gemcitabine and Erlotinib | 2.07 |
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Overall Survival
Overall survival will be followed for survival every three months until documented progression, death or study termination. If a participant is still alive, survival time is censored at the time of last follow-up. (NCT00810719)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Gemcitabine and Erlotinib | 5.67 |
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Phase II: Progression-Free Survival (PFS) Rate
A modified Thall, Simon, and Estey (1995) design used in the phase II study to monitor the proportion of patients with NSCLC who are alive and progression free (PFS) at twelve weeks after commencing treatment with dasatinib and erlotinib. (NCT00826449)
Timeframe: 12 Weeks
Intervention | Percentage of Participants (Number) |
---|
Dasatinib + Erlotinib | 53 |
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Phase I: Maximum Tolerable Dose (MTD) of Dasatinib Given With Erlotinib Hydrochloride
MTD defined as the highest dose level in which 6 patients have been treated with less than 2 instances of dose limiting toxicity (DLT). Dose-limiting toxicity (DLT) defined using NCI Common Terminology Common Terminology Criteria for Adverse Events (CTCAE) version 3 as: grade 3 or higher non-hematologic toxicity (excluding initial nausea and vomiting), grade 4 neutropenia, febrile neutropenia, or grade 4 thrombocytopenia. Grade 3-4 nausea and vomiting that cannot be controlled within 2 weeks with anti-emetics considered a DLT. (NCT00826449)
Timeframe: Baseline and at Day 21
Intervention | mg/day (Number) |
---|
Dasatinib + Erlotinib | 70 |
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Phase II: Number of Participant With Response According to Response Evaluation Criteria in Solid Tumors (RECIST)
Changes in only the largest diameter (unidimensional measurement) of the tumor lesions are used in the RECIST criteria. Patients who have a partial or complete response or stable disease are defined as progression free. Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least 30% decrease in sum of longest diameter (LD) of target lesions, reference baseline sum LD; Progressive Disease (PD): At least 20% increase in sum of LD of target lesions, reference smallest sum LD recorded since treatment started or appearance of one or more new lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase. (NCT00826449)
Timeframe: 12 Weeks
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Progressive Disease (PD) | Stable Disease (SD) |
---|
Dasatinib + Erlotinib | 0 | 5 | 13 | 15 |
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Time to Tumor Progression (TTP)
The time from treatment initiation to disease progression. Progression is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI): Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00832637)
Timeframe: 2 years
Intervention | weeks (Median) |
---|
Gemcitabine, Cisplatin, Erlotinib | 22 |
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Overall Response Rate
"Overall response rate is defined as the percentage of patients achieving a complete response (CR) + partial response (PR) at 24 weeks following treatment.~Response is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions." (NCT00832637)
Timeframe: 24 weeks
Intervention | percentage of evaluable participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | CR + PR |
---|
Gemcitabine, Cisplatin, Erlotinib | 0 | 7.1 | 7.1 |
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Tumor Control Rate
"Rate of tumor control is defined as the percentage of patients achieving a complete response (CR) + partial response (PR) + stable disease (SD) at 24 weeks following treatment.~Response is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions." (NCT00832637)
Timeframe: 24 weeks
Intervention | percentage of evaluable participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | CR + PR + SD |
---|
Gemcitabine, Cisplatin, Erlotinib | 0 | 7.1 | 53.6 | 60.7 |
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Toxicity
Toxicity will be evaluated per National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), version 4.0. Frequency and severity of adverse events will be tabulated using counts of frequently occurring, serious and severe events of interest (i.e. Grade 3 and Grade 4 adverse events). (NCT00832637)
Timeframe: Patients are followed for at least one month following end of on-study treatment. All patients who discontinue the trial secondary to an adverse event are followed until resolution, stabilization or return to a baseline condition. An average of 24 weeks
Intervention | participants (Number) |
---|
| Anemia | Neutropenia | Neutropenic Fever | Thrombocytopenia | Diarrhea | Abdominal Pain | Renal Failure | Dermatitis (acneiform) | Peripheral neuropathy | Metabolic syndrome | Cerebral hemorrhage |
---|
Gemcitabine, Cisplatin, Erlotinib | 2 | 7 | 2 | 6 | 4 | 2 | 1 | 3 | 1 | 2 | 1 |
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Progression-free Survival at 6 Months and 12 Months (Phase II)
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00834678)
Timeframe: Up to two years
Intervention | months (Mean) |
---|
Bendamustine and Erlotinib | 3.7 |
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Dose-limiting Toxicity (Phase I)
(NCT00834678)
Timeframe: Up to two years
Intervention | patients (Number) |
---|
| Dose level I, n=5 | Dose level II, n=6 |
---|
Bendamustine and Erlotinib | 0 | 1 |
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Objective Response Rate (ORR)
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00834678)
Timeframe: Up to two years
Intervention | patients (Number) |
---|
| Dose Level 1 | Dose Level 2 |
---|
Bendamustine and Erlotinib | 0 | 1 |
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Maximum-tolerated Dose of Erlotinib Hydrochloride (Phase I)
28 day cycle included intravenous erlotinib on days 15-21. (NCT00834678)
Timeframe: Up to two years
Intervention | mg (Number) |
---|
Bendamustine and Erlotinib | 150 |
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Duration of Response (DR)
(NCT00834678)
Timeframe: Up to two years
Intervention | months to progression (Median) |
---|
Bendamustine and Erlotinib | 3.7 |
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Maximum-tolerated Dose of Bendamustine Hydrochloride (Phase I)
28 day cycle included intravenous bendamustine on days 1 and 2. (NCT00834678)
Timeframe: Up to two years
Intervention | mg/m^2 (Number) |
---|
Bendamustine and Erlotinib | 120 |
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Overall Survival (OS)
(NCT00834678)
Timeframe: from time of study enrollment until death, for up to 2 years
Intervention | months (Median) |
---|
Bendamustine and Erlotinib | 10.8 |
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Objective Response Rate (ORR)
Objective response is defined as complete response (CR) or partial response (PR) assessed using Response Evaluation Criteria in Solid Tumors (RECIST) criteria. The primary analysis population is based on efficacy-evaluable patients, defined as those patients who receive at least one cycle of RAD001 plus erlotinib and undergo at least one post-baseline response assessment or die while on therapy. (NCT00843531)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
RAD001 Plus Erlotinib | 0 |
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Number of Patients With Dose-limiting Toxicity (DLT)
Primary safety analysis will be conducted after the first 16 patients have had potential for completion of two cycles of protocol therapy. All patients receiving at least one dose of protocol therapy will be included in the analyses. All patients with treatment-related, Grade 3 or higher adverse events according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3 resulting in a DLT will be reported. (NCT00843531)
Timeframe: Up to 9 months
Intervention | Participants (Count of Participants) |
---|
RAD001 and Erlotinib | 8 |
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Duration of Objective Response
Duration of objective response will be defined as the time from the initial documentation of response to documented disease progression or death from any cause on study (NCT00843531)
Timeframe: Up to 2 years
Intervention | months (Number) |
---|
RAD001 and Erlotinib | NA |
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MTD of MK-2206 Administered QOD in Combination With Docetaxel
Participants received MK-2206 45 mg administered PO on Days 1, 3, 5, and 7 in combination with Docetaxel 75 mg/m^2 administered IV on Day 1 of each 21-day cycle. Participants also received an oral corticosteroid PO daily. The MTD was determined by the number of participants who experienced a DLT. DLT was defined using the NCI CTCAE version 3.0 criteria. See primary DLT outcome measure for the DLT definition. The MTD was defined as the dose level, at which the percentage of patients who experienced a DLT rate in Cycle 1 that was closest to 30%. A minimum of 13 participants were required to be enrolled per dose to calculate DLT. If the DLT threshold or enrollment quota per dose were not reached then the MTD could not be determined. (NCT00848718)
Timeframe: Cycle 1 (up to 21 days)
Intervention | mg (Number) |
---|
MK-2206 Administered QOD+Docetaxel | NA |
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Time to Maximum Plasma Concentration of MK-2206 (Tmax)
Blood samples are to be collected at specified time points according to arm and schedule: QOD schedule for MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48 hours(h) postdose); Q3W schedule MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48, 96h postdose); QOD schedule for the MK-2206+erlotinib (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose); and QW schedule for MK-2206+erlotinib (Cycles 1 Day 1: predose and 2, 4, 6, 10, 24, 48, 96h postdose) for the determination of MK-2206 Tmax after Dose 1. The Tmax of MK-2206 after Dose 1 will be presented. (NCT00848718)
Timeframe: At designated time points on Cycle 1 Day 1 (Up to 96 hours)
Intervention | hours (Median) |
---|
MK-2206 45 mg QOD+Carboplatin+Paclitaxel | 4.0 |
MK-2206 60 mg QOD+Carboplatin+Paclitaxel | 8.0 |
MK-2206 90 mg Q3W+Carboplatin+Paclitaxel | 6.0 |
MK-2206 135 mg Q3W+Carboplatin+Paclitaxel | 10.0 |
MK-2206 200 mg Q3W+Carboplatin+Paclitaxel | 5.0 |
MK-2206 45 mg QOD+Docetaxel 75 mg/m^2 | 6.0 |
MK-2206 90 mg Q3W+Docetaxel 60 mg/m^2 | 4.0 |
MK-2206 135 mg Q3W+Docetaxel 60 mg/m^2 | 6.0 |
MK-2206 200 mg Q3W+Docetaxel 60 mg/m^2 | 6.0 |
MK-2206 45 mg QOD+Erlotinib 100 mg | 6.0 |
MK-2206 45 mg QOD+Erlotinib 150 mg | 7.0 |
MK-2206 135 mg QW+Erlotinib 100 mg | 6.0 |
MK-2206 135 mg QW+Erlotinib 150 mg | 4.0 |
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Number of Participants Who Had a Tumor Response of Complete Response (CR) or Partial Response (PR)
Tumor response was assessed using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) and was recorded from the start of the study treatment until the end of treatment. Response categories included: Complete Response (CR): disappearance of all target lesions and Partial Response (PR): at least a 30% decrease in the sum of diameters of target lesions. The number of participants who had a tumor response of either CR or PR is presented. (NCT00848718)
Timeframe: Up to approximately 4 months (6 cycles)
Intervention | Participants (Count of Participants) |
---|
MK-2206 45 mg QOD+Carboplatin+Paclitaxel | 1 |
MK-2206 60 mg QOD+Carboplatin+Paclitaxel | 3 |
MK-2206 90 mg Q3W+Carboplatin+Paclitaxel | 0 |
MK-2206 135 mg Q3W+Carboplatin+Paclitaxel | 1 |
MK-2206 200 mg Q3W+Carboplatin+Paclitaxel | 1 |
MK-2206 45 mg QOD+Docetaxel 75 mg/m^2 | 0 |
MK-2206 90 mg Q3W+Docetaxel 60 mg/m^2 | 0 |
MK-2206 135 mg Q3W+Docetaxel 60 mg/m^2 | 0 |
MK-2206 200 mg Q3W+Docetaxel 60 mg/m^2 | 0 |
MK-2206 45 mg QOD+Erlotinib 100 mg | 0 |
MK-2206 45 mg QOD+Erlotinib 150 mg | 0 |
MK-2206 135 mg QW+Erlotinib 100 mg | 0 |
MK-2206 135 mg QW+Erlotinib 150 mg | 0 |
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Number of Participants Who Experienced a Dose Limiting Toxicity (DLT) During Cycle 1
A DLT was any of the following deemed drug related by investigator and graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 criteria: Grade (G)4 hematologic toxicity lasting ≥7 days; G4 thrombocytopenia; G3 or 4 febrile neutropenia and/or infection requiring treatment; G3, 4, 5 non-hematologic toxicity(with the exception of G3 nausea, vomiting, diarrhea, dehydration, or hyperglycemia that as a result of inadequate compliance with supportive care measures; alopecia, inadequately treated hypersensitivity reactions G3 elevated transaminases of ≤1 week in duration); adverse experience (AE) leading to dose reduction; unresolved toxicity causing ≥3 week delay in treatment; ≥G3 hyperglycemia; persistent increases in QTc interval; clinically significant bradycardia; and missing MK-2206 doses due to toxicity. The number of participants who experienced a DLT is presented. (NCT00848718)
Timeframe: Cycle 1 (Up to 21 days)
Intervention | Participants (Count of Participants) |
---|
MK-2206 45 mg QOD+Carboplatin+Paclitaxel | 1 |
MK-2206 60 mg QOD+Carboplatin+Paclitaxel | 2 |
MK-2206 90 mg Q3W+Carboplatin+Paclitaxel | 1 |
MK-2206 135 mg Q3W+Carboplatin+Paclitaxel | 1 |
MK-2206 200 mg Q3W+Carboplatin+Paclitaxel | 2 |
MK-2206 45 mg QOD+Docetaxel 75 mg/m^2 | 3 |
MK-2206 90 mg Q3W+Docetaxel 60 mg/m^2 | 0 |
MK-2206 135 mg Q3W+Docetaxel 60 mg/m^2 | 0 |
MK-2206 200 mg Q3W+Docetaxel 60 mg/m^2 | 1 |
MK-2206 45 mg QOD+Erlotinib 100 mg | 2 |
MK-2206 45 mg QOD+Erlotinib 150 mg | 1 |
MK-2206 135 mg QW+Erlotinib 100 mg | 0 |
MK-2206 135 mg QW+Erlotinib 150 mg | 1 |
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MTD of MK-2206 Administered QOD in Combination With Erlotinib
Participants received MK-2206 45 mg administered PO every other day (Days 1, 3, 5, 7, 9, 11, 13, 15, 17, 19 and 21) in combination with Erlotinib (100 or 150 mg) administered PO once every day of each 21-day cycle. The MTD was determined by the number of participants who experienced a DLT. DLT was defined using the NCI CTCAE version 3.0 criteria. See primary DLT outcome measure for the DLT definition. The MTD was defined as the dose level, at which the percentage of patients who experienced a DLT rate in Cycle 1 that was closest to 30%. A minimum of 13 participants were required to be enrolled per dose to calculate DLT. If the DLT threshold or enrollment quota per dose were not reached then the MTD could not be determined. (NCT00848718)
Timeframe: Cycle 1 (up to 21 days)
Intervention | mg (Number) |
---|
MK-2206 Administered QOD+Erlotinib | NA |
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MTD of MK-2206 Administered Q3W in Combination With Docetaxel
Participants received MK-2206 (90, 135, or 200 mg) administered PO on Day 1 in combination with Docetaxel 60 mg/m^2 administered IV on Day 1 of each 21-day cycle. Participants also received an oral corticosteroid PO daily. The MTD was determined by the number of participants who experienced a DLT. DLT was defined using the NCI CTCAE version 3.0 criteria. See primary DLT outcome measure for the DLT definition. The MTD was defined as the dose level, at which the percentage of patients who experienced a DLT rate in Cycle 1 that was closest to 30%. A minimum of 13 participants were required to be enrolled per dose to calculate DLT. If the DLT threshold or enrollment quota per dose were not reached then the MTD could not be determined. (NCT00848718)
Timeframe: Cycle 1 (up to 21 days)
Intervention | mg (Number) |
---|
MK-2206 Administered Q3W+Docetaxel | NA |
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MTD of MK-2206 Administered Once Every Week (QW) in Combination With Erlotinib
Participants received MK-2206 135 mg administered PO on Days 1, 8 and 15 in combination with Erlotinib (100 or 150 mg) administered PO once every day of each 21-day cycle. The MTD was determined by the number of participants who experienced a DLT. DLT was defined using the NCI CTCAE version 3.0 criteria. See primary DLT outcome measure for the DLT definition. The MTD was defined as the dose level, at which the percentage of patients who experienced a DLT rate in Cycle 1 that was closest to 30%. A minimum of 13 participants were required to be enrolled per dose to calculate DLT. If the DLT threshold or enrollment quota per dose were not reached then the MTD could not be determined. (NCT00848718)
Timeframe: Cycle 1 (up to 21 days)
Intervention | mg (Number) |
---|
MK-2206 Administered QW+Erlotinib | NA |
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MTD of MK-2206 Administered Every Three Weeks (Q3W) in Combination With Carboplatin and Paclitaxel
Participants received MK-2206 (90, 135, or 200 mg) administered PO in combination with carboplatin AUC 6 and paclitaxel 200 mg/m^2 administered IV on Day 1 of each 21-day cycle. The MTD was determined by the number of participants who experienced a DLT. DLT was defined using the NCI CTCAE version 3.0 criteria. See primary DLT outcome measure for the DLT definition. The MTD was defined as the dose level, at which the percentage of patients who experienced a DLT rate in Cycle 1 that was closest to 30%. A minimum of 13 participants were required to be enrolled per dose to calculate DLT. If the DLT threshold or enrollment quota per dose were not reached then the MTD could not be determined. (NCT00848718)
Timeframe: Cycle 1 (up to 21 days)
Intervention | mg (Number) |
---|
MK-2206 Administered Q3W+Carboplatin+Paclitaxel | NA |
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Minimum Plasma Concentration of MK-2206 (Ctrough)
Blood samples are to be collected at specified time points according to arm and schedule: QOD schedule for MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48 hours(h) postdose); Q3W schedule MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose); QOD schedule for the MK-2206+erlotinib (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose); and QW schedule for MK-2206+erlotinib (Cycles 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose) for the determination of MK-2206 Ctrough after Dose 1. The Ctrough after Dose 1 is presented and is the 48-hour postdose concentration. (NCT00848718)
Timeframe: At designated time points on Cycle 1 Day 1 (Up to 48 hours)
Intervention | nmol/L (Mean) |
---|
MK-2206 45 mg QOD+Carboplatin+Paclitaxel | 24.9 |
MK-2206 60 mg QOD+Carboplatin+Paclitaxel | 40.6 |
MK-2206 90 mg Q3W+Carboplatin+Paclitaxel | 1.36 |
MK-2206 135 mg Q3W+Carboplatin+Paclitaxel | 4.67 |
MK-2206 200 mg Q3W+Carboplatin+Paclitaxel | 2.21 |
MK-2206 45 mg QOD+Docetaxel 75 mg/m^2 | 17.1 |
MK-2206 90 mg Q3W+Docetaxel 60 mg/m^2 | 2.27 |
MK-2206 135 mg Q3W+Docetaxel 60 mg/m^2 | 3.80 |
MK-2206 200 mg Q3W+Docetaxel 60 mg/m^2 | 3.24 |
MK-2206 45 mg QOD+Erlotinib 100 mg | 23.8 |
MK-2206 45 mg QOD+Erlotinib 150 mg | 36.8 |
MK-2206 135 mg QW+Erlotinib 100 mg | 96.6 |
MK-2206 135 mg QW+Erlotinib 150 mg | 95.5 |
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Maximum Tolerated Dose (MTD) of MK-2206 Administered Every Other Day (QOD) in Combination With Carboplatin and Paclitaxel
Participants received MK-2206 (45 or 60 mg) administered PO on Days 1, 3, 5, and 7 in combination with carboplatin AUC 6 and paclitaxel 200 mg/m^2 administered IV on Day 1 of each 21-day cycle. The MTD was determined by the number of participants who experienced a dose limiting toxicity (DLT). DLT was defined using the NCI CTCAE version 3.0 criteria. See primary DLT outcome measure for the DLT definition. The MTD was defined as the dose level, at which the percentage of patients who experienced a DLT rate in Cycle 1 that was closest to 30%. A minimum of 13 participants were required to be enrolled per dose to calculate DLT. If the DLT threshold or enrollment quota per dose were not reached then the MTD could not be determined. (NCT00848718)
Timeframe: Cycle 1 (Up to 21 days)
Intervention | mg (Number) |
---|
MK-2206 Administered QOD+Carboplatin+Paclitaxel | NA |
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Maximum Plasma Concentration of MK-2206 (Cmax)
Blood samples are to be collected at specified time points according to arm and schedule: QOD schedule for MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48 hours(h) postdose); Q3W schedule MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48, 96h postdose); QOD schedule for the MK-2206+erlotinib (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose); and QW schedule for MK-2206+erlotinib (Cycles 1 Day 1: predose and 2, 4, 6, 10, 24, 48, 96h postdose) for the determination of MK-2206 Cmax after Dose 1. The Cmax of MK-2206 after Dose 1 will be presented. (NCT00848718)
Timeframe: At designated time points on Cycle 1 Day 1 (Up to 96 hours)
Intervention | nmol/L (Mean) |
---|
MK-2206 45 mg QOD+Carboplatin+Paclitaxel | 57.7 |
MK-2206 60 mg QOD+Carboplatin+Paclitaxel | 88.3 |
MK-2206 90 mg Q3W+Carboplatin+Paclitaxel | 144 |
MK-2206 135 mg Q3W+Carboplatin+Paclitaxel | 247 |
MK-2206 200 mg Q3W+Carboplatin+Paclitaxel | 431 |
MK-2206 45 mg QOD+Docetaxel 75 mg/m^2 | 42.9 |
MK-2206 90 mg Q3W+Docetaxel 60 mg/m^2 | 106 |
MK-2206 135 mg Q3W+Docetaxel 60 mg/m^2 | 278 |
MK-2206 200 mg Q3W+Docetaxel 60 mg/m^2 | 287 |
MK-2206 45 mg QOD+Erlotinib 100 mg | 48.8 |
MK-2206 45 mg QOD+Erlotinib 150 mg | 65.6 |
MK-2206 135 mg QW+Erlotinib 100 mg | 212 |
MK-2206 135 mg QW+Erlotinib 150 mg | 244 |
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Area Under the MK-2206 Concentration Versus Time Curve From Time Zero to 48 Hours Postdose (AUC 0-48h)
Blood samples are to be collected at specified time points according to arm and schedule: QOD schedule for MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48 hours(h) postdose); Q3W schedule MK-2206+carboplatin+paclitaxel and MK-2206+docetaxel (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose); QOD schedule for the MK-2206+erlotinib (Cycle 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose); and QW schedule for MK-2206+erlotinib (Cycles 1 Day 1: predose and 2, 4, 6, 10, 24, 48h postdose) for the determination of MK-2206 AUC0-48h after Dose 1. The AUC0-48h after Dose 1 is presented. (NCT00848718)
Timeframe: At designated time points on Cycle 1 Day 1 (Up to 48 hours)
Intervention | nmol•hr/L (Mean) |
---|
MK-2206 45 mg QOD+Carboplatin+Paclitaxel | 1630 |
MK-2206 60 mg QOD+Carboplatin+Paclitaxel | 2700 |
MK-2206 90 mg Q3W+Carboplatin+Paclitaxel | 4130 |
MK-2206 135 mg Q3W+Carboplatin+Paclitaxel | 7420 |
MK-2206 200 mg Q3W+Carboplatin+Paclitaxel | 9730 |
MK-2206 45 mg QOD+Docetaxel 75 mg/m^2 | 1320 |
MK-2206 90 mg Q3W+Docetaxel 60 mg/m^2 | 3000 |
MK-2206 135 mg Q3W+Docetaxel 60 mg/m^2 | 8090 |
MK-2206 200 mg Q3W+Docetaxel 60 mg/m^2 | 7690 |
MK-2206 45 mg QOD+Erlotinib 100 mg | 1460 |
MK-2206 45 mg QOD+Erlotinib 150 mg | 2110 |
MK-2206 135 mg QW+Erlotinib 100 mg | 6420 |
MK-2206 135 mg QW+Erlotinib 150 mg | 6560 |
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Percentage of Participants With Objective Response in Patients With Met Diagnostic-Positive Tumors
"Objective response (OR); partial and complete response as determined using RECIST 1.0 in patients with Met Diagnostic-Positive Tumors as determined by immunohistochemistry.~Partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum longest diameter.~Complete response was defined as disappearance of all target lesions." (NCT00854308)
Timeframe: Start of treatment until disease progression/recurrence or death on study. (Up to 20 months)
Intervention | Percentage of participants (Number) |
---|
MetMAb + Erlotinib | 8.6 |
Placebo + Erlotinib | 3.2 |
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Progression-free Survival
Progression-free survival was defined as the time from randomization to the first occurrence of progression or relapse (as per Response Evaluation Criteria in Solid Tumors (RECIST 1.0) and assessed by the site radiologist or investigator) or death on study from any cause (within 30 days of last treatment). (NCT00854308)
Timeframe: Time from randomization to the first occurrence of progression/relapse or death on study. (Up to 20 months)
Intervention | months (Number) |
---|
MetMAb + Erlotinib | 2.2 |
Placebo + Erlotinib | 2.6 |
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Progression-free Survival in Patients With Met Diagnostic-Positive Tumors
"Progression-free survival (PFS) in participants with Met Diagnostic-Positive tumors as determined by immunohistochemistry.~PFS was defined as the time from randomization to the first occurrence of progression or relapse (as per Response Evaluation Criteria in Solid Tumors (RECIST 1.0) and assessed by the site radiologist or investigator) or death on study from any cause (within 30 days of last treatment)." (NCT00854308)
Timeframe: Time from randomization to the first occurrence of progression/relapse or death on study. (Up to 20 months)
Intervention | months (Median) |
---|
MetMAb + Erlotinib | 2.9 |
Placebo + Erlotinib | 1.5 |
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Percentage of Participants With Objective Response
"Objective response (partial and complete response as determined using RECIST 1.0).~Partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the baseline sum longest diameter.~Complete response was defined as disappearance of all target lesions." (NCT00854308)
Timeframe: Start of treatment until disease progression/recurrence or death on study. (Up to 20 months)
Intervention | Percentage of participants (Number) |
---|
MetMAb + Erlotinib | 5.8 |
Placebo + Erlotinib | 4.4 |
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Percentage of Patients With a 2-deoxy-2-[18F]Fluoro-D-glucose-positron Emission Tomography (FDG-PET) Response at Day 56 in All Patients and in Epidermal Growth Factor Receptor (EGFR) Mutant and Wild-type Subgroups
The assessment of FDG-PET response was performed by a central reading site. PET response was based on the maximum standard uptake value (SUVmax) of up to 5 regions of interest (ROI). The tumor ROIs were identified for each patient on pretreatment FDG-PET scans and corresponded to a subset of the target lesions identified for Response Evaluation Criteria for Solid Tumors (RECIST) analysis. Specifically, the SUVmax of each ROI on the on-treatment scans was compared with the SUVmax on the corresponding pretreatment scan and the percent change was calculated. When there was more than 1 ROI, the overall percent change in SUVmax was the arithmetic mean of the percent changes in SUVmax for each of the ROIs (mSUVmax). An PET response is defined as a decrease of ≥ 20% in mSUVmax. EGFR mutation status was assessed in tumor tissue samples taken from each patient. (NCT00855894)
Timeframe: Baseline to Day 56
Intervention | Percentage of patients (Number) |
---|
| In all patients | In patients with EGFR mutation(s), n=9 | In patients with wild-type EGFR, n=23 |
---|
Pertuzumab + Erlotinib | 19.5 | 66.7 | 8.7 |
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Overall Survival (OS)
Overall survival was defined as the time from the date of first dosing with pertuzumab and erlotinib until the date of patient death from any cause. (NCT00855894)
Timeframe: Baseline to the end of the study (up to 3 years)
Intervention | Months (Median) |
---|
Pertuzumab + Erlotinib | 8.7 |
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Percentage of Patients With an Objective Response (OR)
OR was defined as a complete response (CR) or a partial response (PR) as determined by the investigator and based on computed tomography (CT) using Response Evaluation Criteria in Solid Tumors (RECIST) on 2 consecutive occasions at least 4 weeks apart. A complete response was defined as the disappearance of all target and non-target lesions and normalization of tumor marker level. A partial response was defined as ≥ 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter, or the persistence of 1 or more non-target lesions and/or the maintenance of a tumor marker level above the normal limits. (NCT00855894)
Timeframe: Baseline to the end of the study (up to 3 years)
Intervention | Percentage of patients (Number) |
---|
Pertuzumab + Erlotinib | 7.3 |
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Percentage of Patients With Disease Control (DC) at Day 56
DC was defined as a CR, a PR, or stable disease (SD) as determined by the investigator and based on CT using RECIST. A CR was defined as the disappearance of all target (TL) and non-target lesions (nTL). A PR was defined as ≥ 30% decrease in the sum of the longest diameter (SLD) of TLs, taking as reference the baseline sum longest diameter, or the persistence of 1 or more nTLs and/or maintenance of a tumor marker level (TML) above normal limits. For TLs, SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum longest diameter (SSLD) since treatment started. For nTLs, SD was defined as the persistence of 1 or more lesions and/or maintenance of a TML above normal limits. PD was defined as ≥ 20% increase in the SLD of TLs, taking as reference the SSLD recorded since treatment started, the appearance of 1 or more new lesions, or the unequivocal progression of existing nTLs. (NCT00855894)
Timeframe: Baseline to Day 56
Intervention | Percentage of patients (Number) |
---|
Pertuzumab + Erlotinib | 31.7 |
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Progression-free Survival (PFS)
PFS was defined as the time from the first dosing with pertuzumab and erlotinib to the first occurrence of disease progression (PD), as determined by the investigator and based on computed tomography using Response Evaluation Criteria in Solid Tumors (RECIST), or death from any cause, whichever comes first. PD was defined as ≥ 20% increase in the sum of the longest diameter of target lesions (TL), taking as reference the smallest sum longest diameter recorded since treatment started, the unequivocal progression of existing non-target lesions (non-TL), or the appearance of 1 or more new lesions. TLs were selected on the basis of their size (those with the longest diameter) and their suitability for accurate repeated measurements by imaging techniques or clinically. All measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total, representative of all involved organs, were identified as TLs. All other lesions (or sites of disease) were identified as non-TLs. (NCT00855894)
Timeframe: Baseline to the end of the study (up to 3 years)
Intervention | Months (Median) |
---|
Pertuzumab + Erlotinib | 1.9 |
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Number of Participants With Overall Survival
Overall Survival will be estimated using the method of Kaplan and Meier (1958) using the intent-to-treat principle. The participants overall survival measured at 6 month, 1-year and 2 years. (NCT00871923)
Timeframe: From date of registration until the date of first documented death or lost to follow up, whichever came first, assessed up to 2 years.
Intervention | Participants (Count of Participants) |
---|
| 6-month | 1-year | 2-year |
---|
Phase II Tarceva for Brain Metastases in NSCLC | 27 | 20 | 7 |
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Number of SAEs Experienced
The study will report the number of SAEs experienced in each arm. All patients who receive any study drug will be evaluable for toxicity. (NCT00881751)
Timeframe: From day 1 of drug administration until 30 days after the last dose of study drug.
Intervention | serious adverse events (Number) |
---|
Arm I | 48 |
Arm II | 39 |
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Overall Survival
Overall survival is defined as the time from treatment day 1 until death from any cause. Patients still alive at the end of follow up,patients who withdrew consent from the trial and patients who were lost to follow up will have their survival time censored at the last date of contact. (NCT00881751)
Timeframe: from date of day 1 until the date of death
Intervention | Months (Median) |
---|
Arm I | 8.55 |
Arm II | 8.55 |
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Response Rate
Secondary outcome measures include response rate as assessed on restaging imaging studies utilizing RECIST 1.1. (NCT00881751)
Timeframe: From day 1 drug administration until 30 days after the last dose of study drug.
Intervention | percentage of participants (Number) |
---|
Arm I | 15 |
Arm II | 9 |
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Event-free Survival
EFS is defined as the time from randomization to any of the following three types of events: 1 - progression; 2 - withdrawal due to excessive toxicity; 3 - any other clinical event requiring withdrawal from the study. (NCT00881751)
Timeframe: From the time of randomization until progression, withdrawal due to toxicity or any other clinical event requiring withdrawal from the study.
Intervention | Months (Median) |
---|
Arm I | 4.37 |
Arm II | 2.76 |
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Percentage of Participants With Deterioration in Quality of Life (QOL) Using FACT-L Version 4.0
"Total FACT-L score was defined as the sum of the TOI, Social Well Being (SWB) and EWB of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 136; higher score indicates better QoL. A clinically meaningful decline used to determine deterioration in QoL was ≥6-point decline from baseline. Participants without deterioration in QoL at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | percentage of participants (Number) |
---|
Placebo | 79.6 |
Erlotinib | 70.4 |
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Time to Deterioration in QOL Using FACT-L Version 4.0
"Time to deterioration in QoL is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in Total FACT-L or death on study. Total FACT-L score was defined as the sum of the TOI, SWB and EWB of the FACT-L questionnaires. TOI (PWB + FWB + LCS), SWB and EWB scores were obtained from 7-item (6-item in the case of EWB) questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 136; higher score indicates better QoL. A clinically meaningful decline used to determine deterioration in QoL was ≥6-point decline from baseline. Participants without deterioration in QoL at the time of analysis were censored at the time of the last FACT-L assessment. Analysis was performed using Kaplan-Meier method." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | months (Median) |
---|
Placebo | 4.5 |
Erlotinib | 5.6 |
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Percentage of Participants Alive at the End of Study-Overall and Among Different Subgroups
(NCT00883779)
Timeframe: Randomization until death (assessed at baseline and every 8 weeks thereafter until death or end of study [up to approximately 5.5 years])
Intervention | percentage of participants (Number) |
---|
| Overall participants (n=225,226) | Adenocarcinoma (n=168,174) | Non-adenocarcinoma (n=57,52) | Never smoked (n=107,112) | Current/former smoker (n=118,114) | EGFR mutation (n=48,49) | EGFR wild-type (n=67,69) | KRAS mutation (n=11,10) | KRAS wild-type (n=101,101) | EGFR IHC positive (n=36,40) | EGFR IHC negative (n=25,12) | EGFR FISH positive (n=20,14) | EGFR FISH negative (n=23,25) |
---|
Erlotinib | 15.9 | 19.5 | 3.8 | 23.2 | 8.8 | 30.6 | 10.1 | 20.0 | 17.8 | 25.0 | 33.3 | 42.9 | 16.0 |
,Placebo | 13.3 | 14.9 | 8.8 | 13.1 | 13.6 | 22.9 | 7.5 | 0.0 | 14.9 | 11.1 | 8.0 | 10.0 | 13.0 |
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Percentage of Participants With Symptomatic Progression Assessed Using the Lung Cancer Subscale (LCS)
"LCS scores were obtained from a 7-item questionnaire from the Functional Assessment of Cancer Therapy - Lung (FACT-L) (version 4.0). Participants responded to questions such as shortness of breath, cough, tightness in chest, breathing difficulty, appetite loss, weight loss and unclear thinking; on a 5-point scale from 0-4, where 0 equaled (=) not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 (most symptomatic) to 28 (asymptomatic); higher score indicates fewer symptoms. A clinically meaningful decline used to determine symptomatic progression in this study was at least a three point decline in LCS score from baseline. Participants without symptomatic progression at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | percentage of participants (Number) |
---|
Placebo | 72.4 |
Erlotinib | 66.4 |
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Time to Symptomatic Progression
"Time to symptomatic progression was the time from randomization until the earlier of a clinically meaningful decline from baseline in LCS score, or death on study. LCS scores were obtained from a 7-item questionnaire from the FACT-L (version 4.0). Participants responded to questions such as shortness of breath, cough, tightness in chest, breathing difficulty, appetite loss, weight loss and unclear thinking; on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 (most symptomatic) to 28 (asymptomatic); higher score indicates fewer symptoms. A clinically meaningful decline used to determine symptomatic progression in this study was at least a three point decline in LCS score from baseline. Participants without symptomatic progression at the time of analysis were censored at the time of the last FACT-L assessment. Analysis was performed using Kaplan-Meier method." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | months (Mean) |
---|
Placebo | 6.6 |
Erlotinib | 7.2 |
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Time to Progression
Time to progression is defined as the time between the date of randomization and the date of the first documented disease progression. Participants who have not progressed at the time of study completion (or data cut off) or who were lost to follow up were censored at the date of the last tumor assessment where non-progression was documented or last date of follow-up for progression of disease, whichever was latest. PD was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. Participants with no post baseline tumor assessments were censored at the time of randomization. Analysis was performed using Kaplan-Meier method. (NCT00883779)
Timeframe: Randomization until PD (assessed at baseline and every 8 weeks thereafter until PD or end of study [up to approximately 1.5 years])
Intervention | months (Median) |
---|
Placebo | 6.5 |
Erlotinib | 7.9 |
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Time to Deterioration in TOI Using FACT-L Version 4.0
"Time to deterioration in TOI is defined as time from randomization until the earlier of a clinically meaningful decline from baseline in TOI or death on study. TOI is defined as the sum of the scores of the PWB, FWB, and LCS. PWB, FWB, and LCS scores were obtained from 7-item questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 84; higher score indicates better physical aspects of QoL. A clinically meaningful decline used to determine deterioration in TOI was ≥6-point decline from baseline. Participants without deterioration in TOI at the time of analysis were censored at the time of the last FACT-L assessment. Analysis was performed using Kaplan-Meier method." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | months (Median) |
---|
Placebo | 5.6 |
Erlotinib | 6.3 |
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Percentage of Participants With Deterioration in Trial Outcome Index (TOI) Using FACT-L Version 4.0
"TOI was defined as the sum of the scores of the Physical Well-Being (PWB), Functional Well-Being (FWB), and LCS. PWB, FWB, and LCS scores were obtained from 7-item questionnaires from the FACT-L (Version 4.0). Participants responded to questions on a 5-point scale from 0-4, where 0 = not at all and 4 = very much. The participants' responses were summed to result in an overall score, scores range on a scale of 0 to 84; higher score indicates better physical aspects of quality of life (QoL). A clinically meaningful decline used to determine deterioration in TOI was greater than or equal to (≥) 6-point decline from baseline. Participants without deterioration in TOI at the time of analysis were censored at the time of the last FACT-L assessment." (NCT00883779)
Timeframe: Baseline, Day 1 of Cycles 3 and 5, Day 1 of post-study Visits 1 and 2 until end of study medication administration or PD (up to approximately 1.5 years)
Intervention | percentage of participants (Number) |
---|
Placebo | 75.6 |
Erlotinib | 65.9 |
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Objective Response Rate: Percentage of Participants With a Confirmed Best Overall Response of CR or PR
Tumor response was evaluated according to RECIST (version 1.0). CR is defined as the disappearance of all target and non-target lesions and normalization of tumor marker level; PR is defined as at least a 30% decrease in the sum of the LD of target lesions, taking as reference the screening sum LD. Responses were confirmed with repeated assessment 4 weeks after initial response was observed. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | percentage of participants (Number) |
---|
Placebo | 17.8 |
Erlotinib | 42.9 |
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Non-Progression Rate: Percentage of Participants With a Confirmed Best Overall Response of Either Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) for At Least 16 Weeks
Tumor response was evaluated according to RECIST (version 1.0). CR is defined as the disappearance of all target and non-target lesions and normalization of tumor marker level; PR is defined as at least a 30% decrease in the sum of the LD of target lesions, taking as reference the screening sum LD; SD for target lesions is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started and SD for non-target lesions defined as persistence of 1 or more non-target lesion(s) or/and maintenance of tumor marker level above the normal limits. Responses were confirmed with repeated assessment 4 weeks after initial response was observed. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | percentage of participants (Number) |
---|
Placebo | 64.4 |
Erlotinib | 67.3 |
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Duration of Response
Duration of response is defined as the time between the date of first documented response (CR or PR, as determined by the RECIST criteria) and the date of first documented PD or death. Participants who did not progress or die after they had a confirmed response (CR or PR) were censored at the date of their last tumor assessment where non-progression was documented or last date of follow-up for progression of disease, whichever was last. CR and PR are defined in Outcome Measure 7. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | months (Median) |
---|
Placebo | 5.6 |
Erlotinib | 10.3 |
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Percentage of Participants Alive and Free From Disease Progression
Tumor response was evaluated according to RECIST (version 1.0). PD was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. (NCT00883779)
Timeframe: Randomization until PD or death (assessed at baseline and every 8 weeks thereafter until PD, death or end of study [up to approximately 1.5 years])
Intervention | percentage of participants (Number) |
---|
Placebo | 6.2 |
Erlotinib | 22.6 |
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Progression Free Survival
Progression free survival from registration according to RECIST 1.1 (NCT00888511)
Timeframe: 3 years
Intervention | months (Median) |
---|
Concurrent Tarceva and RT in LA-NSCLC | 9.4 |
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Overall Survival
Overall Survival (OS) was defined as the time from date of randomization to death due to any cause. (NCT00901901)
Timeframe: From randomization of the first patient until 34 months or date of death of any cause whichever came first
Intervention | Days (Median) |
---|
Sorafenib (Nexavar, BAY43-9006) + Erlotinib (Tarceva) | 289 |
Sorafenib (Nexavar, BAY43-9006) + Placebo | 259 |
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Time to Radiological Tumor Progression (TTP)
TTP was the time from randomization to radiological tumor progression. Participants without radiological tumor progression at the time of analysis were censored at their last date of tumor evaluation. Progressive disease (PD) was defined using Response Evaluation Criteria in Solid Tumors (RECIST version 1.0), as at least a 20% increase in the sum of longest diameter (LD) of measured lesions taking as references the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. Appearance of new lesions also constituted PD. (NCT00901901)
Timeframe: From randomization of the first participant until 34 months later (cut-off date), assessed every 6 weeks
Intervention | Days (Median) |
---|
Sorafenib (Nexavar, BAY 43-9006) + Erlotinib (Tarceva) | 97 |
Sorafenib (Nexavar, BAY 43-9006) + Placebo | 122 |
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Disease Control
Disease control was defined as the number of participants who had a best response rating of complete response (CR), partial response (PR), or stable disease (SD) according to RECIST assessed by magnetic resonance imaging (MRI) that was confirmed at least 28 days from the first demonstration of that rating. CR: disappearance of all clinical and radiological evidence of target and non-target tumors. PR: at least a 30% decrease in the sum of LD of target lesions taking as reference the baseline sum LD. SD: steady state of disease. Neither sufficient shrinkage for PR nor sufficient increase for PD. (NCT00901901)
Timeframe: From randomization of the first participant until 34 months later (cut-off date), assessed every 6 weeks
Intervention | Participants (Number) |
---|
Sorafenib (Nexavar, BAY 43-9006) + Erlotinib (Tarceva) | 159 |
Sorafenib (Nexavar, BAY 43-9006) + Placebo | 188 |
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Duration of Response
Duration of response - RECIST: number of days from the date that CR or PR is first documented to date that PD is first objectively documented or to death before progression. Note: the relevant date is that of the first documentation, not the confirmation date (if participant progressed or died then censored=no) or to last observation if participant did not progress or die then censored=yes note: this last observation date should be the same as that used for time to progression. (NCT00901901)
Timeframe: From randomization of the first participant until 34 months later (cut-off date), assessed every 6 weeks
Intervention | Days (Median) |
---|
Sorafenib (Nexavar, BAY 43-9006) + Erlotinib (Tarceva) | 297 |
Sorafenib (Nexavar, BAY 43-9006) + Placebo | 168 |
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Time to Response
Time to response was the number of days from randomization to the date the CR or PR was documented (with confirmation) (Note: the relevant date is that of the first documentation, not the confirmation date). (NCT00901901)
Timeframe: From randomization of the first participant until 34 months later (cut-off date), assessed every 6 weeks
Intervention | Days (Median) |
---|
Sorafenib (Nexavar, BAY 43-9006) + Erlotinib (Tarceva) | 84.5 |
Sorafenib (Nexavar, BAY 43-9006) + Placebo | 83.5 |
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Tumor Response
Tumor response was the proportion of participants with the best tumor response (ie, achieving either a confirmed complete response [CR] or partial response [PR], according to Response Evaluation Criteria in Solid Tumors [RECIST] criteria). (NCT00901901)
Timeframe: From randomization of the first participant until 34 months later (cut-off date), assessed every 6 weeks
Intervention | Participants (Number) |
---|
Sorafenib (Nexavar, BAY 43-9006) + Erlotinib (Tarceva) | 24 |
Sorafenib (Nexavar, BAY 43-9006) + Placebo | 14 |
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Part 1: PRD of Bevacizumab for Part 2
Once the MTD was reached then the preceding lower dose level was used as PRD. MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. If MTD was not defined for a drug treatment then the maximum planned dose of that particular drug was considered as PRD for Part 2. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/kg Q2W (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 10 |
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Part 1: PRD of Erlotinib for Part 2
Once the MTD was reached then the preceding lower dose level was used as PRD. MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. If MTD was not defined for a drug treatment then the maximum planned dose of that particular drug was considered as PRD for Part 2. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/day (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 150 |
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Part 1: Preliminary Recommended Dose (PRD) of Capecitabine for Part 2
Once the MTD was reached then the preceding lower dose level was used as PRD. MTD for each of the medications was defined as the lowest dose studied which resulted in dose limiting toxicity (DLT) in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. If MTD was not defined for a drug treatment then the maximum planned dose of that particular drug was considered as PRD for Part 2. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/m^2 BID (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 800 |
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Part 1: Maximum Tolerated Dose (MTD) of Capecitabine
MTD for each of the medications was defined as the lowest dose studied which resulted in dose limiting toxicity (DLT) in at least 33 percent (%) of participants of the same quality category. DLT was defined as any greater than or equal to (>=) Grade (G) 3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to adverse events (AEs). (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/m^2 BID (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | 900 |
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Part 1: MTD of Bevacizumab
MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/kg once every 2 weeks (Q2W) (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | NA |
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Part 1: MTD of Erlotinib
MTD for each of the medications was defined as the lowest dose studied which resulted in DLT in at least 33% of participants of the same quality category. DLT was defined as >= G3 or G4 toxicity; >= G3 non-hematological toxicities directly related to study treatment (other than untreated nausea/vomiting, alopecia, G3/G4 bilirubinemia for less than 7 days due to edema of the ductus choledochus and anemia); G4 thrombocytopenia, neutropenia lasting >= 7 days or G3 thrombocytopenia with complications, requiring transfusions, febrile neutropenia; stopping of oral CAP and/or ERL intake for >= 7 days, and/or cancellation of one or more BEV infusion(s) due to AEs. (NCT00925769)
Timeframe: Up to Week 6 (Cycle 1-3)
Intervention | mg/day (Number) |
---|
Triple Combination (Bevacizumab/Erlotinib/Capecitabine) | NA |
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Tumor Response Rate Based on Complete Response (CR)+ Partial Response (PR) + Stable Disease (SD)
"Tumor response rate will be measured by CT scan of the chest and CT scan or MRI scan of abdomen and pelvis every 8 weeks until disease progression response rate will be measured per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions evaluated using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions.~Complete Response (CR): Disappearance of all target lesions.~Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD)of target lesions, taking as reference the baseline sum LD.~Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions,taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.~Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started" (NCT00940316)
Timeframe: At baseline and every 8 weeks during treatment until progressive disease for maximum of 51 cycles where 1 cycle = 2 weeks.
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable disease |
---|
Arm A: Erlotinib + Panitumumab + Irinotecan | 0 | 4 | 6 |
,Arm B: Erlotinib + Panitumumab | 1 | 3 | 3 |
,Arm C: Erlotinib + Panitumumab | 0 | 0 | 2 |
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Toxicity of the Combination of Study Drugs
"Data on the toxicity of the combination of study drugs is assessed by laboratory blood draws done on day 1 of every treatment cycle and by patient report while on study treatment and up to 30 days after the last treatment. Grade 3 and grade 4 adverse events (AE) where the relationship between the AE and at least one of the study drugs were considered to be definite, probable or possible, were collected using National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0). AEs are graded as:~Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE" (NCT00940316)
Timeframe: Day 1 of every 2 week treatment cycle while on study treatment and 30 days after the last treatment for a maximum of 51 cycles.
Intervention | participants (Number) |
---|
| Hemoglobin decrease | Leukocyte decrease | Lymphopenia | Neutrophil decrease | Fatigue | Dry skin | Rash/desquamation | Rash: Hand-foot skin reaction | Anorexia | Diarrhea | Nausea | Infection | Alkaline phosphatase decrease | Magnesium decrease | Phosphate decrease | Sodium decrease | Syncope/fainting | Pruritus/itching |
---|
Arm A: Erlotinib + Panitumumab + Irinotecan | 3 | 7 | 1 | 7 | 1 | 1 | 0 | 4 | 1 | 6 | 1 | 1 | 0 | 5 | 2 | 1 | 1 | 0 |
,Arm B Cross Over - Erlotinib + Panitumumab + Irinotecan | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm B: Erlotinib + Panitumumab | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 2 | 4 | 1 | 0 | 0 | 1 |
,Arm C: Erlotinib + Panitumumab | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 2 | 0 | 1 | 1 | 0 | 0 | 1 | 3 | 0 | 0 | 0 |
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Progression Free Survival (PFS)
"Progression free survival will be measured every 8 weeks during treatment by CT or MRI scans. Progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST).~Progressive Disease (PD): At least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions." (NCT00940316)
Timeframe: At baseline and every 8 weeks during treatment until disease progression and for a maximum of 51 cycles where 1 cycle = 2 weeks
Intervention | Months (Median) |
---|
Arm A: Erlotinib + Panitumumab + Irinotecan | 4.6 |
Arm B: Erlotinib + Panitumumab | 3.8 |
Arm C: Erlotinib + Panitumumab | 2.4 |
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Overall Survival (OS)
OS was defined as the median time, in weeks, between randomization and death due to any cause. Participants without documented death were censored at the last date recorded in the drug log, or the last date of follow-up the participant was known to be alive, whichever was last. Participants without a post-BL assessment who were known to be alive were censored at the date of randomization. OS was estimated using Kaplan-Meier methodology. (NCT00940875)
Timeframe: BL, Days 1, 8, and 15 of Cycles 1-6 (28-day cycles), every 28 days thereafter until death, participant withdrawal, or study termination up to 2 years.
Intervention | weeks (Median) |
---|
Gemcitabine Monotherapy | 21.3 |
Gemcitabine + Erlotinib | 17.1 |
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Percentage of Participants Who Achieved Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST V 1.0
As per RECIST V 1.0: for TLs, CR was defined as the disappearance of all TLs, and PR was defined as at least a 30% decrease in the SLD of TLs taking as reference the BL SLD. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels. The 95% confidence interval (CI) for one-sample binomial was determined using the Pearson-Clopper Method. (NCT00940875)
Timeframe: BL, Day 22 of Cycle 2, 4, and 6 (28-day cycles), every 2 months thereafter until disease progression, participant withdrawal, or study termination (12 months after randomization of the last participant).
Intervention | percentage of participants (Number) |
---|
Gemcitabine Monotherapy | 7.1 |
Gemcitabine + Erlotinib | 3.8 |
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Percentage of Participants Who Died
(NCT00940875)
Timeframe: BL, Days 1, 8, and 15 of Cycles 1-6 (28-day cycles), every 28 days thereafter until death, participant withdrawal, or study termination up to 2 years.
Intervention | percentage of participants (Number) |
---|
Gemcitabine Monotherapy | 92.9 |
Gemcitabine+ Erlotinib | 76.9 |
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Percentage of Participants With Non-Progression at Weeks 8 and 16
Non-progression was defined as CR, PR, or stable disease according to RECIST V 1.0: for TLs, CR was defined as the disappearance of all TLs, PR was defined as at least a 30% decrease in the SLD of TLs taking as reference the BL SLD, and SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD recorded since the start of treatment. For NTLs, CR was defined as the disappearance of all NTLs and normalization of tumor marker levels, and SD was defined as the persistence of 1 or more NTLs and/or maintenance of tumor marker levels above the normal limits. The 95% CI for one-sample binomial was determined using the Pearson-Clopper method. (NCT00940875)
Timeframe: Weeks 8 and 16
Intervention | percentage of participants (Number) |
---|
| Week 8 | Week 16 |
---|
Gemcitabine + Erlotinib | 38.5 | 11.5 |
,Gemcitabine Monotherapy | 50.0 | 25.0 |
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PFS
The median time, in weeks, between randomization and PFS event. Participants without documented PD were censored at the date of last tumor assessment, the last date recorded in the drug log, or the last date of follow-up the participant was known to be progression free, whichever was last. Participants without a post-BL tumor assessment who were known to be alive were censored at the date of randomization. PFS was estimated by using Kaplan-Meier methodology. (NCT00940875)
Timeframe: BL, Day 22 of Cycles 2, 4, and 6 (28-day cycles), every 2 months thereafter until disease progression, participant withdrawal, or study termination (up to 2 years)
Intervention | weeks (Median) |
---|
Gemcitabine Monotherapy | 8.0 |
Gemcitabine + Erlotinib | 10.3 |
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Percentage of Participants With Disease Progression or Death
Progression-free survival (PFS) was defined as the time from randomization to the date of first documentation of progressive disease (PD), according to Response Evaluation Criteria in Solid Tumors (RECIST) version (V) 1.0, or date of death from any cause. PD was defined for target lesions (TLs) as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded since the start of treatment, and for non-target lesions (NTLs) as unequivocal progression of NTLs. Participants without documented PD were censored at the date of last tumor assessment, the last date recorded in the drug log, or the last date of follow-up the participant was known to be progression free, whichever was last. Participants without a post-Baseline (BL) tumor assessment who were known to be alive were censored at the date of randomization. (NCT00940875)
Timeframe: BL, Day 22 of Cycles 2, 4, and 6 (28-day cycles), every 2 months thereafter until disease progression, participant withdrawal, or study termination (12 months after randomization of the last participant).
Intervention | percentage of participants (Number) |
---|
Gemcitabine Monotherapy | 96.4 |
Gemcitabine + Erlotinib | 96.2 |
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12-Week Progression-Free Survival (PFS)
Tumor assessments performed by Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) after 4 weeks, 12 weeks, then every 8 weeks thereafter. Participants who received at least one dose of RAD001+erlotinib and who die before 12 weeks, counted as having progressive disease. Response Evaluation Criteria in Solid Tumors (RECIST) defined as Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): >30% decrease in sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. Progression-free survival defined as stable disease or better. Progressive Disease (PD): >20% increase in sum of LD of target lesions, taking as reference smallest sum LD recorded since treatment started or appearance of one or more new lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum LD since treatment started. (NCT00942734)
Timeframe: 12 weeks
Intervention | Percentage of Participants (Number) |
---|
RAD001 + Erlotinib | 48.57 |
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Toxicities Assessed by CTCAE Grading Criteria and Assigned Attributions Accordingly
by CTCAE (NCT00947167)
Timeframe: AEs are assessed every cycle (every 3 wks)
Intervention | Participants (Count of Participants) |
---|
Pertuzumab and Erlotinib | 4 |
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Response Rate (RR) for All Patients Treated With This Strategy (Simon Design)
RECIST v1.1 used (NCT00947167)
Timeframe: CT scans are done every 4 cycles (every 12 wks)
Intervention | Participants (Count of Participants) |
---|
Pertuzumab and Erlotinib | 0 |
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Percentage of Participants With Death or Disease Progression According to RECIST
Tumor response was assessed by RECIST during the study. Disease progression or PD was defined as ≥20% increase in sum LD in reference to the smallest on-treatment sum LD, or the appearance of new lesions. The percentage of participants (in nearest integer) who died or experienced PD was reported. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed at Baseline, according to institutional standards during treatment (up to 3.5 years), and every 6 months thereafter
Intervention | percentage of participants (Number) |
---|
Erlotinib | 93 |
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Progression-Free Survival (PFS) According to RECIST
Tumor response was assessed by RECIST during the study. Disease progression or PD was defined as ≥20% increase in sum LD in reference to the smallest on-treatment sum LD, or the appearance of new lesions. PFS was defined as the time from start of treatment to the first event of death or PD. The median duration of PFS and corresponding 95% confidence interval (CI) were estimated by Kaplan-Meier analysis and expressed in months. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed at Baseline, according to institutional standards during treatment (up to 3.5 years), and every 6 months thereafter
Intervention | months (Median) |
---|
Erlotinib | 3.3 |
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Percentage of Participants With Objective Response According to Response Evaluation Criteria in Solid Tumors (RECIST)
Objective response was defined as a best overall response of either complete response (CR) or partial response (PR) as assessed by RECIST during the study. CR was defined as disappearance of all clinical and radiographic evidence of target and non-target lesions, normal tumor markers, and absence of tumor-related symptoms. PR was defined as greater than or equal to (≥) 30 percent (%) decrease in sum of longest diameter (LD) of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥28 days after the initial assessment of CR or PR. The percentage of participants (in nearest integer) with objective response was reported. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed at Baseline, according to institutional standards during treatment (up to 3.5 years), and every 6 months thereafter
Intervention | percentage of participants (Number) |
---|
Erlotinib | 11 |
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Percentage of Participants With Disease Control According to RECIST
Disease control was defined as a best overall response of either CR, PR, or stable disease (SD) as assessed by RECIST during the study. CR was defined as disappearance of all clinical and radiographic evidence of target and non-target lesions, normal tumor markers, and absence of tumor-related symptoms. PR was defined as ≥30% decrease in sum LD of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥28 days after the initial assessment of CR or PR. SD was defined as neither sufficient shrinkage to qualify for PR but less than (<) 20% increase in sum LD. The percentage of participants (in nearest integer) with disease control was reported. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed at Baseline, according to institutional standards during treatment (up to 3.5 years), and every 6 months thereafter
Intervention | percentage of participants (Number) |
---|
Erlotinib | 56 |
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Percentage of Participants by Best Overall Response According to RECIST
Tumor response was assessed by RECIST during the study. CR was defined as disappearance of all clinical and radiographic evidence of target and non-target lesions, normal tumor markers, and absence of tumor-related symptoms. PR was defined as ≥30% decrease in sum LD of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥28 days after the initial assessment of CR or PR. SD was defined as neither sufficient shrinkage to qualify for PR but <20% increase in sum LD. Disease progression or progressive disease (PD) was defined as ≥20% increase in sum LD in reference to the smallest on-treatment sum LD, or the appearance of new lesions. The percentage of participants (in nearest integer unless the percentage is <1) with each type of best overall response was reported. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed at Baseline, according to institutional standards during treatment (up to 3.5 years), and every 6 months thereafter
Intervention | percentage of participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Evaluable | Not Done | Not Known | No Data |
---|
Erlotinib | 0.7 | 10 | 45 | 23 | 3 | 18 | 0.0 | 0.3 |
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Percentage of Participants Who Died
The percentage of participants (in nearest integer) who died from any cause was reported. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed continuously during treatment (up to 3.5 years) and every 6 months thereafter
Intervention | percentage of participants (Number) |
---|
Erlotinib | 81 |
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Overall Survival (OS)
OS was defined as the time from start of treatment to date of death for any reason. The median duration of OS and corresponding 95% CI were estimated by Kaplan-Meier analysis and expressed in months. (NCT00949910)
Timeframe: Up to approximately 4.5 years; assessed continuously during treatment (up to 3.5 years) and every 6 months thereafter
Intervention | months (Median) |
---|
Erlotinib | 7.9 |
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Overall Survival
Time to event endpoints will be analyzed using standard survival analytic methods, including the Kaplan-Meier approach for estimating the survival distributions. (NCT00950365)
Timeframe: Time from the date of randomization to date of death due to any cause, assessed up to 12 months
Intervention | Participants (Count of Participants) |
---|
Arm A (Pemetrexed) | 25 |
Arm B (Pemetrexed Disodium, Erlotinib Hydrochloride) | 50 |
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Objective Response Rate (CR +PR) Evaluated Using RECIST
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR~Response rates in each arm will be summarized by computing proportions and corresponding 95% confidence intervals." (NCT00950365)
Timeframe: Up to 12 months
Intervention | percentage of participants (Number) |
---|
Arm A (Pemetrexed) | 12 |
Arm B (Pemetrexed Disodium, Erlotinib Hydrochloride) | 28 |
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PFS (Progression Free Survival)
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00950365)
Timeframe: Time from randomization until documented tumor progression or death from any cause, assessed up to 12 months
Intervention | months (Median) |
---|
Arm A (Pemetrexed) | 8 |
Arm B (Pemetrexed Disodium, Erlotinib Hydrochloride) | 20 |
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PF-02341066 (Crizotinib) Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1)
AUCtau is a measure of the plasma exposure to PF-02341066. In this study, it is used to characterize PF-02341066 exposure after a single dose (Cycle 1 Day 1) and multiple doses (Cycle1 Day 15) of PF-02341066 were administered in combination of Erlotinib. (NCT00965731)
Timeframe: Cycle 1 (C1) Day 1 (D1) i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | ng*hr/mL (Geometric Mean) |
---|
| C1D1 Crizotinib (N=7, 19) | C1D15 Crizotinib (N=5, 14) |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 400.3 | 1720 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 581.9 | 2274 |
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PF-06260182 Maximum Observed Plasma Concentration (Cmax) (Phase 1)
Cmax is a measure of the plasma exposure to PF-06260182, a PF-02341066 metabolite. In this study, it is used to characterize the metabolite exposure after a single dose (Cycle 1 Day 1) and multiple doses (Cycle 1 Day 15) of PF-02341066 were administered in combination of Erlotinib. (NCT00965731)
Timeframe: C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | ng/mL (Geometric Mean) |
---|
| C1D1 PF-06260182 (N=7, 19) | C1D15 PF-06260182 (N=5, 14) |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 2.087 | 6.508 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 2.625 | 7.093 |
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Erlotinib Apparent Oral Clearance (CL/F) (Phase 1)
Apparent oral Clearance is a measure of combination of the rate at which a drug is removed from the blood (CL) and the bioavailability (F) after oral dose. In this study, it is used to characterize erlotinib CL/F after multiple doses in combination with PF-02341066 (Cycle 1 Day 15). (NCT00965731)
Timeframe: C1D15 i.e., 15 days of giving crizotinib and erlotinib
Intervention | L/hr (Geometric Mean) |
---|
PF-02341066 (200 mg) and Erlotinib (100 mg) | 2.395 |
PF-02341066 (150 mg) and Erlotinib (100 mg) | 2.572 |
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Number of Participants With Dose-Limiting Toxicities (DLT) (Phase 1)
Phase 1, first cycle DLT includes Grade (Gr) ≥4 hematologic possible drug-related toxicities and Gr ≥3 possible drug-related febrile neutropenia. Gr ≥3 non-hematological possible drug-related toxicities (except asymptomatic lab value elevation). Gr 3/4 nausea, vomiting or diarrhea. Gr 3 hypertension considered DLT if event unmanageable by approved pharmacologic agents or symptomatic sequelae despite medical intervention. Diagnosis of interstitial lung disease. Inability to deliver at least 80 percent (%) of planned dose during cycle 1 due to possible drug-related adverse events (AEs). (NCT00965731)
Timeframe: Baseline up to Day 28
Intervention | participants (Number) |
---|
PF-02341066 (200 mg) and Erlotinib (100 mg) | 2 |
PF-02341066 (150 mg) and Erlotinib (100 mg) | 3 |
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Percentage of Participants With Objective Response (Phase 1)
Percentage of participants during phase 1 with objective response based assessment of confirmed CR or confirmed PR according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1). Confirmed responses: persist on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis <10 mm). No new lesions and disappearance of all non-target lesions. PR was defined as >=30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of nontarget disease. No new lesions. (NCT00965731)
Timeframe: Baseline, every 42 days until disease progression or unacceptable toxicity
Intervention | percentage of participants (Number) |
---|
PF-02341066 (200 mg) and Erlotinib (100 mg) | 14.3 |
PF-02341066 (150 mg) and Erlotinib (100 mg) | 5.6 |
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PF-02341066 (Crizotinib) Apparent Oral Clearance (CL/F) (Phase 1)
Apparent oral Clearance is a measure of combination of the rate at which a drug is removed from the blood (CL) and the bioavailability (F) after oral dose. In this study, It is used to characterize PF-02341066 CL/F after multiple doses (Cycle 1 Day 15) of PF-02341066 were administered in combination of Erlotinib. (NCT00965731)
Timeframe: C1D15 i.e., 15 days of giving crizotinib and erlotinib
Intervention | L/hr (Geometric Mean) |
---|
PF-02341066 (200 mg) and Erlotinib (100 mg) | 88.02 |
PF-02341066 (150 mg) and Erlotinib (100 mg) | 87.20 |
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Ratio of Adjusted Means of Erlotinib AUCtau (Crizotinib + Erlotinib / Erlotinib Alone) (Phase 1)
Ratio of adjusted means of Erlotinib AUCtau (Crizotinib + Erlotinib / Erlotinib Alone) is a measure of the plasma exposure to erlotinib after erlotinib dosing with crizotinib compared with that after erlotinib dosing alone. In this study, it is used to characterize the effect magnitude of crizotinib on the erlotinib exposure after combinational use of crizotinib and erlotinib. (NCT00965731)
Timeframe: C1D-1 (i.e., 1 day prior to initiation of continuous dosing of crizotinib) to C1D15 (i.e., 15 days of giving crizotinib and erlotinib)
Intervention | Ratio in percentage (Geometric Mean) |
---|
PF-02341066 (200 mg) and Erlotinib (100 mg) | 184.80 |
PF-02341066 (150 mg) and Erlotinib (100 mg) | 149.41 |
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Ratio of Adjusted Means of Erlotinib Cmax (Crizotinib + Erlotinib / Erlotinib Alone) (Phase 1)
Ratio of adjusted means of Erlotinib Cmax (Crizotinib + Erlotinib / Erlotinib Alone) is a measure of the plasma exposure to erlotinib after erlotinib dosing with crizotinib compared with that after erlotinib dosing alone. In this study, it is used to characterize the effect magnitude of crizotinib on the erlotinib exposure after combinational use of crizotinib and erlotinib. (NCT00965731)
Timeframe: C1D-1 (i.e., 1 day prior to initiation of continuous dosing of crizotinib) to C1D15 (i.e., 15 days of giving crizotinib and erlotinib)
Intervention | Ratio in percentage (Geometric Mean) |
---|
PF-02341066 (200 mg) and Erlotinib (100 mg) | 160.15 |
PF-02341066 (150 mg) and Erlotinib (100 mg) | 134.60 |
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Erlotinib Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1)
AUCtau is a measure of the plasma exposure to erlotinib. In this study, it is used to characterize erlotinib exposure after multiple doses of erlotinib were administered alone (Day -1) and in combination of PF-02341066 (Cycle 1 Day 1 and Day 15). (NCT00965731)
Timeframe: C1D-1 i.e., 1 day prior to initiation of continuous dosing of crizotinib; C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | ng*hr/mL (Geometric Mean) |
---|
| C1D-1 Erlotinib Alone (N=7,19) | C1D1 Erlotinib+Crizotinib Single Dose (N=7,19) | C1D15 Erlotinib+Crizotinib Multiple Doses (N=5,14) |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 26880 | 30040 | 38910 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 23490 | 26520 | 41770 |
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Erlotinib Maximum Observed Plasma Concentration (Cmax) (Phase 1)
Cmax is a measure of the plasma exposure to erlotinib. In this study, it is used to characterize erlotinib exposure after multiple doses of erlotinib were administered alone (Day -1) and in combination of PF-02341066 (Cycle 1 Day 1 and Day 15). (NCT00965731)
Timeframe: C1D-1 i.e., 1 day prior to initiation of continuous dosing of crizotinib; C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | ng/mL (Geometric Mean) |
---|
| C1D-1 Erlotinib Alone (N=7,19) | C1D1 Erlotinib+Crizotinib Single Dose (N=7,19) | C1D15 Erlotinib+Crizotinib Multiple Doses (N=5,14) |
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PF-02341066 (150 mg) and Erlotinib (100 mg) | 1797 | 1723 | 2346 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 1593 | 1452 | 2546 |
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PF-06260182 Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1)
AUCtau is a measure of the plasma exposure to PF-06260182, a PF-02341066 metabolite. In this study, it is used to characterize the metabolite exposure after a single dose (Cycle 1 Day 1) and multiple doses (Cycle 1 Day 15) of PF-02341066 were administered in combination of Erlotinib. (NCT00965731)
Timeframe: C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | ng*hr/mL (Geometric Mean) |
---|
| C1D1 PF-06260182 (N=7, 19) | C1D15 PF-06260182 (N=5, 14) |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 14.03 | 57.77 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 16.48 | 60.36 |
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Recommended Phase 2 Dose (RP2D) of PF-02341066 When Administered in Combination With Erlotinib (Phase 1)
If no more than 1/6 participants presented with a DLT during Cycle 1 at the MTD, then this dose level was considered the RP2D. If >1/6 participants experienced a DLT, then the previous lower level was considered the MTD and RP2D. (NCT00965731)
Timeframe: Baseline up to 28 days (Cycle 1)
Intervention | mg (Number) |
---|
| PF-02341066 (BID) | Erlotinib (QD) |
---|
All Treated Participants (Phase 1) | 150 | 100 |
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Plasma Level of Soluble Marker: c-Met Ectodomain (Phase 1)
Levels of soluble protein biomarker c-MET was analyzed at Baseline and at Day 50. (NCT00965731)
Timeframe: Baseline and Day 50 (Cycle 3, Day 1)
Intervention | nanogram per milliliter (ng/mL) (Mean) |
---|
| Baseline | C3D1 0 Hour | C3D1 6 Hour |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 1454.6 | 1525.9 | 1600.0 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 1560.0 | 1870.0 | 1660.0 |
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Maximum Tolerated Dose (MTD) of PF-02341066 When Administered in Combination With Erlotinib (Phase 1)
MTD: the combination dose level of PF-02341066 and erlotinib in which 0/6 or 1/6 participants experienced DLT after 28 days of treatment (Cycle 1) with the next higher dose level having at least 2/3 or 2/6 participants with DLT during Cycle 1 of treatment. (NCT00965731)
Timeframe: Baseline up to 28 days (Cycle 1)
Intervention | mg (Number) |
---|
| PF-02341066 (BID) | Erlotinib (QD) |
---|
All Treated Participants (Phase 1) | 150 | 100 |
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Molecular Weight Adjusted PF-06260182-to-PF-02341006 Ratio of AUCtau (Phase 1)
Molecular weight adjusted PF-06260182-to-PF-02341006 ratio of AUCtau is a measure of how much PF-02341066 (parent drug) was converted to the metabolite PF-06260182 after PF-02341066 dosing. In this study, it is used to characterize the metabolite-to-parent ratio exposure after a single dose (Cycle 1 Day 1) and multiple doses (Cycle 1 Day 15) of PF-02341066 were administered in combination of Erlotinib. (NCT00965731)
Timeframe: C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | Ratio (Geometric Mean) |
---|
| C1D1 (N=7, 19) | C1D15 (N=5, 14) |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 0.03395 | 0.03258 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 0.02748 | 0.02574 |
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PF-02341066 (Crizotinib) Maximum Observed Plasma Concentration (Cmax) (Phase 1)
Cmax is a measure of the plasma exposure to PF-02341066. In this study, it is used to characterize PF-02341066 exposure after a single dose (Cycle 1 Day 1) and multiple doses (Cycle 1 Day 15) of PF-02341066 were administered in combination of Erlotinib (NCT00965731)
Timeframe: C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib
Intervention | ng/mL (Geometric Mean) |
---|
| C1D1 Crizotinib (N=7, 19) | C1D15 Crizotinib (N=5, 14) |
---|
PF-02341066 (150 mg) and Erlotinib (100 mg) | 65.31 | 185.9 |
,PF-02341066 (200 mg) and Erlotinib (100 mg) | 86.75 | 251.0 |
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Locoregional Control, Progression-free Survival, Overall Survival and Late Toxicity
At a median follow-up of 11 months, the 1 year locoregional control, progression-free survival, and overall survival rates. (NCT00970502)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
| locoregional control | progress-free survival | overall survival rates | long term toxicity |
---|
Erlotinib + Celecoxib | 60 | 37 | 55 | 0 |
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Clinical Response
Response to Concurrent Erlotinib, Celecoxib, and Reirradiation according to Response Evaluation Criteria in Solid Tumors - Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions (NCT00970502)
Timeframe: 20 months
Intervention | Participants (Count of Participants) |
---|
| Complete Response(CR) | Pathologic partial response (pPR) | Progressive disease (PD) | No evidence of disease (NED) |
---|
Erlotinib + Celecoxib | 6 | 1 | 5 | 2 |
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Toxicity
Number of participants with acute and late toxicity (NCT00970502)
Timeframe: 30 DAYS
Intervention | participants (Number) |
---|
Celecoxib 200mg | 0 |
Celecoxib 400mg | 1 |
Celecoxib 600mg | 2 |
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Locoregional Progression
Patients with locoregional and/or distant progression (NCT00970502)
Timeframe: 20 months
Intervention | participants (Number) |
---|
| free of disease | isolated locoregional progression | isolated distant progression | both locoregional and distant progression | no evidence of disease, died of comorbid illness |
---|
Erlotinib + Celecoxib | 4 | 4 | 2 | 1 | 3 |
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Progression-free Survival (PFS)
Progression-free survival (PFS) is defined to be the time from randomization to progression of disease or death, whichever occurs first. Progressive disease is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study, or appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT00976677)
Timeframe: Every 6 weeks during treatment and every 3 months in follow-up until disease progression or up to 5 years
Intervention | Months (Median) |
---|
Arm A | 4.5 |
Arm B | 15.5 |
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Nine-month Progression-free Survival Rate
This trial can detect a difference in proportions alive without progression at 9 months from 50% in the erlotinib arm to 77% in the erlotinib plus hydroxychloroquine (HCQ) arm, using an alpha of 0.15 and power of 85%, using the two-sided Likelihood Ratio test. Progression is defined as at least a 20% increase in the size of existing lesions or the appearance of one or more new lesions. (NCT00977470)
Timeframe: Nine months
Intervention | percentage of participants (Number) |
---|
Erlotinib | 71 |
Erlotinib and Hydroxychloroquine | 52 |
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Percent of Participants in Which FMISO-PET ([18F]-Fluoromisonidazole-positron Emission Tomography) is Able to Detect and Quantify Changes in Tumor Hypoxia After Erlotinib.
[18F]-FMISO-PET/CT was performed on a 64-slice PET/CT scanner and tracer uptake was assessed using SUV (standardized uptake value), normalizing the radioactivity measured in tissue by the injected dose and the body weight of the patient. Mean and maximum SUV and threshold volume of FMISO uptake were measured to quantify the extent of hypoxia in the primary tumor. Imaging was performed before and after initiation of therapy with erlotinib. (NCT00977470)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 2 |
Erlotinib and Hydroxychloroquine | 0 |
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Objective Tumor Response Rate Following Treatment With Erlotinib and With Erlotinib/HCQ.
"Response is assessed via spiral CT scan, done at baseline and after every 2 cycles of study treatment. Standard RECIST (Response Evaluation Criteria in Solid Tumors) was used. Complete Response (CR) = disappearance of all target lesions; Partial Response (PR) = at least a 30% decrease in the size of target lesions, as compared to baseline; Progressive Disease (PD) = at least at 20% increase in the size of target lesions, or the appearance of one or more new lesions; Stable Disease (SD) = neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease.~Response rate = CR + PR. Disease control rate = CR + PR + SD" (NCT00977470)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Response Rate | Disease Control Rate |
---|
Erlotinib | 1 | 23 | 10 | 3 | 24 | 34 |
,Erlotinib and Hydroxychloroquine | 2 | 19 | 10 | 6 | 21 | 31 |
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Leukemia Free Survival (LFS)
LFS: Survival without evidence of relapse at any time post-transplant. Kaplan-Meier estimates were used for secondary endpoint analysis. (NCT00977548)
Timeframe: Up to 21 Months
Intervention | months (Median) |
---|
Erlotinib Treatment | 5 |
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Combined Overall Response Rate (ORR)
Best Response Categories: Marrow complete response (CR), Bone marrow: ≤ 5% myeloblasts and decrease by ≥ 50% over pretreatment; Hematological improvement (HI), Hgb increase by ≥ 1.5 g/dL, Absolute increase of ≥ 30 x 10^9/L for patients starting with > 20 x 10^9/L, At least 100% increase and an absolute increase of > 0.5 x 10^9/L, as defined by the International Working Group (IWG) 2006 criteria. (NCT00977548)
Timeframe: Up to 21 Months
Intervention | participants (Number) |
---|
| Marrow Complete Response (CR) | Hematological Improvement (HI) | Combined Overall Response |
---|
Erlotinib Treatment | 3 | 2 | 5 |
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Number of Participants That Experience Progression-free Survival.
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00983307)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
Erlotinib and Radiotherapy | 1 |
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Radiographic Objective Response Rate
(CR+PR, by WHO Criteria for Standard Bidimensional Tumor Measurement) After One 21-day Cycle of Combination Therapy With Erlotinib and AT-101 (NCT00988169)
Timeframe: 21 days after cycle one
Intervention | participants (Number) |
---|
| Minor Response (MR) | Stable Disease (SD) | Partial Response (PR) |
---|
Oral Erlotinib and Pulsed Doses of Oral AT-101 | 1 | 3 | 1 |
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Phase 1: Determine the Maximum Tolerated Dose Dependent on Reports of Dose-limiting Toxicities
"Using a 3+3 dose escalation model, the maximum tolerated dose was determined by assessing dose-limiting toxicities in each cohort. If 3 patients were treated and passed the observation window, escalation to the next cohort was initiated. If a DLT was reported, 3-4 additional patients were enrolled and observed. If a DLT was observed in the expanded cohort, this dose was considered to be the maximum tolerated dose. The maximum tolerated dose was defined at the cohort in which two dose-limiting toxicities were observed, or as the highest target dose tested in the absence of DLTs.~The determined MTD was used as the recommended Phase 2 dose." (NCT00994123)
Timeframe: From date of first dose to 30 days after termination, the longest 175 weeks
Intervention | dose level of MTD (Number) |
---|
Phase 1: All Participants | NA |
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Phase 1: To Determine the Recommended Phase 2 Dose of the MM-121 + Erlotinib Combination Based Upon Either the Maximum Tolerated Dose (MTD) or the Maximum Feasible Dose of the Combination in Patients With NSCLC.
To establish the safety of escalating doses of MM-121 in combination with erlotinib in order to determine the recommended phase 2 dose of the combination for the second part of the study. Dose-escalation conducted using standard 3+3 model to determine maximum tolerated dose. Reports of Dose-Limiting Toxicities (DLTs) were assessed to determine the MTD. (NCT00994123)
Timeframe: From date of first dose to 30 days after termination, the longest 175 weeks
Intervention | participants reporting DLTs (Number) |
---|
Cohort 1 | 0 |
Cohort 2 | 0 |
Cohort 3 | 1 |
Cohort 4 | 1 |
Cohort 5 | 1 |
Cohort 6 | 0 |
Cohort 7 | 0 |
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Phase 2: Progression-free Survival of the MM-121 + Erlotinib Combination
"This was a time-to-event measure using Progression-Free Survival (PFS) comparing MM-121 + erlotinib vs.erlotinib alone. Progression of disease is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Progression free survival was defined as the number of weeks from the date of randomization to the date of death or progression. If neither death nor progression was observed during the study, PFS data was censored at the last non-progressive disease valid tumor assessment unless the patient was discontinued due to symptomatic deterioration. If this occurred, the patient was counted as having progressive disease (PD)." (NCT00994123)
Timeframe: Time from first dose to date of progression, with a median of 8.1 weeks
Intervention | weeks (Median) |
---|
MM-121 + Erlotinib | 8.1 |
Erlotinib | 7.7 |
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Feasibility Rate
Feasibility in this study is defined as the percentage of patients who completed a repeated biopsy per protocol after evidence of disease progression. (NCT00997334)
Timeframe: Disease was evaluated radiologically every 8 weeks on treatment (cycle duration=4 weeks). Participants were treated until evidence of disease progression or unacceptable toxicity. Progression follow-up was up to 3 years in this study cohort.
Intervention | percentage of participants (Number) |
---|
Erlotinib | 79.5 |
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Resistance Mechanism
Participants were classified into 4 potential resistant mechanism groups (4 genetic/ 1 histologic) based on evaluation of rebiopsy tissue: EGFR mutations (T790M mutation, exon 20 insertion), KRAS mutations, MET amplification or small-cell lung cancer (SCLC) transform using established methods. (NCT00997334)
Timeframe: Participants were evaluated for incidence of genetic mechanisms of secondary resistance at time of disease progression at which point participants stopped treatment. Progression follow up was up to 3 years in this study cohort.
Intervention | participants (Number) |
---|
| T790M mutation | MET amplification | SCLC Transformation | Unknown | Insufficient Tissue |
---|
Erlotinib | 23 | 1 | 3 | 4 | 4 |
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Time to Repeat Biopsy
Time to repeat biopsy is the duration of time from clinical determination of progressive disease to time of repeat biopsy. (NCT00997334)
Timeframe: At time of removal from study, patients were asked to undergo a repeat biopsy of their progressing or new tumor lesion. Progression follow up was up to 3 years in this study cohort.
Intervention | days (Median) |
---|
Erlotinib | 12 |
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Progression-Free Survival
Progression-free survival based on the Kaplan-Meier method is defined as the duration of time from study entry to documented disease progression (PD) or death. Per RECIST 1.1 criteria: progressive disease (PD) is at least a 20% increase in the sum of longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions. (NCT00997334)
Timeframe: Disease was evaluated radiologically every 8 weeks on treatment (cycle duration=4 weeks). Participants were treated until evidence of disease progression or unacceptable toxicity. Progression follow-up was up to 3 years in this study cohort.
Intervention | months (Median) |
---|
Erlotinib | 11.1 |
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CA125 Response Rate With Continuous-infusion Topotecan and Erlotinib
Response was assessed after every treatment cycle. Response rate is defined as number of the patients who experienced complete or partial CA125 response (CR or PR). CR: normalization of the CA125 value, determined by 2 observations not less than 4 weeks apart; PR: CA125 decreases by >50% and is confirmed to be 50% or greater on a subsequent determination at least one month later. (NCT01003938)
Timeframe: Up to 3 years
Intervention | participants (Number) |
---|
Topotecan and Erlotinib | 1 |
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Toxicity Profile
"Number of participants (patients) who experienced AEs.~Dry skin, dry eye, acne, erythema, rash, pruritus, and diarrhea were related erlotinib; dehydration, anemia, leukopenia, nausea, vomiting, platelets, and fatigue were realted to topotcan." (NCT01003938)
Timeframe: the whole treatment phase and 30 days post-treatment
Intervention | participants (Number) |
---|
| Dry skin (grade 1) | Dry skin (grade 3) | Dry eye (grade 1) | Acne (grade 1) | Erythema (grade 1) | Rash/ desquamation (grade 1) | Rash/ desquamation (grade 2) | Pruritis (grade 1) | Diarrhea (grade 1) | Diarrhea (grade 2) | Dehydration (grade 3) | Anemia (grade 2) | Anemia (grade 3) | Leukopenia (grade 2) | Leukopenia (grade 3) | Nausea (grade 1) | Nausea (grade 2) | Nausea (grade 3) | Vomiting (grade 1) | Vomiting (grade 2) | Vomiting (grade 3) | Platelets (grade 1) | Platelets (grade 2) | Platelets (grade 3) | Fatigue (grade 1) | Fatigue (grade 2) | Fatigue (grade 3) |
---|
Topotecan and Erlotinib | 2 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 2 | 2 | 3 | 1 | 4 | 1 | 1 | 3 | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 1 |
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Overall Survival (OS)
The time from treatment initiation to death by any cause (NCT01009203)
Timeframe: 3 years
Intervention | months (Median) |
---|
Erlotinib and Temsirolimus | 4 |
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Progression Free Survival (PFS)
The time from treatment initiation to disease progression or death by any cause. Progression is evaluated according to modified Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI): Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or unequivocal progression of existing non-target lesion, the appearance of new lesions, death due to disease without prior objective documentation of progression, or global deterioration in health status attributable to disease requiring a change in therapy without objective evidence of progression. (NCT01009203)
Timeframe: 3 years
Intervention | Months (Median) |
---|
Erlotinib and Temsirolimus | 1.9 |
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Overall Response Rate (ORR)
Tumor response is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by computerized tomography (CT) or magnetic resonance imaging (MRI:) Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. Overall response rate (ORR) is the sum of the percentages of patients achieving complete and partial responses (NCT01009203)
Timeframe: 3 years
Intervention | percentage of evaluable participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Overall response rate (CR + PR) |
---|
Erlotinib and Temsirolimus | 0 | 11.1 | 11.1 |
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Toxicity Profile
Toxicities (i.e. Adverse Events) are evaluated prior to each treatment and during any clinical visit. Toxicity will be evaluated per National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), version 3.0. The number of patients affected by adverse events of grade 3 or higher will be reported. (NCT01009203)
Timeframe: 3 years
Intervention | participants (Number) |
---|
| Diarrhea | Facial/neck edema | Laryngeal edema | Asthenia | Peritonitis / infection | Anorexia | Elevated triglycerides | Aspiration pneumonia | Dyspnea | Hypoxia |
---|
Erlotinib and Temsirolimus | 2 | 1 | 1 | 5 | 2 | 1 | 1 | 1 | 3 | 1 |
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Describe the Number and Type of Observed Dose Limiting Toxcities
HCQ doses tested included 400mg, 600mg, 800mg, and 1000mg. Dose-limiting toxicities (DLTs) were defined as CTC of grade 2 or higher retinopathy or keratitis, or CTC of grade 3 or higher hematologic, skin, CNS, neuropathic, cardiac, respiratory, gastrointestinal, or renal AEs in the first cycle considered at least possibly related to HCQ. If a DLT was observed, an additional three patients were enrolled at that dose level. The maximum tolerated dose for HCQ in each arm would be defined as one dose level below that at which two or more of 6 patients experienced a DLT, or if no DLTs were observed, the highest tested dose. (NCT01026844)
Timeframe: 2 years
Intervention | participants (Number) |
---|
Erlotinib Plus HCQ (Hydroxychloroquine) | 0 |
HCQ (Hydroxychloroquine) | 0 |
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Objective Tumor Response Rate
Number of Response Evaluation Criteria in Solid Tumors (RECIST) responses divided by number of patients treated. Per RECIST version 1.0 complete response (CR) is defined as disappearance of all target lesions; Partial Response (PR) is defined as >=30% decrease in the sum of the longest diameter of target lesions. The objective tumor response rate is the CR + PR divided by the total number of patients (NCT01026844)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
Erlotinib Plus HCQ (Hydroxychloroquine) | 5 |
HCQ (Hydroxychloroquine) | 0 |
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Determine the Pharmacokinetic (PK) Parameters of Hydroxychloroquine (HCQ) Plus Erlotinib.
PK parameter tested was dose normalized minimum steady state concentration (Cmin SS) of HCQ in micromolar per gram. Note this outcome was only analyzed for the first 21 patients enrolled, 13 on erlotinib/HCQ and 8 on HCQ arm. (NCT01026844)
Timeframe: 2 years
Intervention | micromolar per gram (Mean) |
---|
Erlotinib Plus HCQ (Hydroxychloroquine) | 5.93 |
HCQ (Hydroxychloroquine) | 9.40 |
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Progression-free Survival
The length of time, in months, that patients were alive from first date of protocol treatment until worsening of disease. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01027598)
Timeframe: 14 months
Intervention | months (Median) |
---|
Arm A | 2.6 |
Arm B | 1.8 |
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Objective Response Rate (ORR)
The percentage of patients having an objective benefit from treatment per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Objective Response (OR) = CR + PR. (NCT01027598)
Timeframe: 18 Months
Intervention | percentage of evaluated participants (Number) |
---|
Arm A | 12.12 |
Arm B | 5.36 |
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Overall Survival
The length of time, in months, that patients were alive from first date of protocol treatment until death. (NCT01027598)
Timeframe: 18 months
Intervention | months (Median) |
---|
Arm A | 6.76 |
Arm B | 6.7 |
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Apparent Body Clearance (CL/F) of Erlotinib
Pharmacokinetic parameters were determined from the serial plasma concentration data obtained for erlotinib. Apparent body clearance (CL/F) of erlotinib was measured at steady state on Day 14 using sparse sampling. (NCT01032070)
Timeframe: Day 14 predose and 0.5 to 1.5 hours, 2 to 3 hours and 4 to 8 hours post-dose.
Intervention | mL/h/m^2 (Geometric Mean) |
---|
Erlotinib | 2922.1 |
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Apparent Volume of Distribution (Vz/F) of Erlotinib
Pharmacokinetic parameters were determined from the serial plasma concentration data obtained for erlotinib. The apparent volume of distribution (Vz/F) of erlotinib was measured at steady state on Day 14 using sparse sampling. (NCT01032070)
Timeframe: Day 14 predose and 0.5 to 1.5 hours, 2 to 3 hours and 4 to 8 hours post-dose.
Intervention | mL/m^2 (Geometric Mean) |
---|
Erlotinib | 71628.5 |
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Safety Assessed Through Evaluation of Physical Exams, Vital Signs, Clinical Laboratory Tests and Adverse Events (AEs)
"An AE was defined as any untoward medical occurrence in a study participant and did not necessarily have a causal relationship with study treatment. Clinically significant vital sign assessments, findings on physical or neurological examination, and laboratory findings associated with signs and/or symptoms requiring withdrawal, dose modification or medical intervention were recorded as AEs.~An AE was considered serious if it resulted in death, a life-threatening situation, inpatient hospitalization or prolongation of an existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect in the offspring of a patient who received study drug or other important medical events. The relationship of each AE to study drug was assessed as either related or not related." (NCT01032070)
Timeframe: From the date of first dose of study drug until 30 days after the last dose. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | participants (Number) |
---|
| Any adverse event | Drug-related adverse event | Adverse event leading to death | Drug-related adverse event leading to death | Serious adverse event | Drug-related serious adverse event | AE leading to discontinuation | Drug-related AE leading to discontinuation | AE leading to dose interruption | Drug-related AE leading to dose interruption | AE leading to dose interruption and reduction | Related AE leading to dose interruption/ reduction |
---|
Erlotinib | 13 | 11 | 1 | 0 | 6 | 0 | 0 | 0 | 2 | 1 | 1 | 1 |
,Etoposide | 11 | 10 | 0 | 0 | 5 | 1 | 0 | 0 | 5 | 3 | 2 | 2 |
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Time to Maximum Observed Plasma Concentration of Erlotinib (Tmax)
Pharmacokinetic parameters were determined from the serial plasma concentration data obtained for erlotinib. Time to the maximum observed plasma concentration of erlotinib (Tmax) was measured at steady state on Day 14 using sparse sampling. (NCT01032070)
Timeframe: Day 14 predose and 0.5 to 1.5 hours, 2 to 3 hours and 4 to 8 hours post-dose.
Intervention | hours (Geometric Mean) |
---|
Erlotinib | 2.100 |
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Percentage of Participants With Prolonged Stable Disease
Prolonged stable disease (SD) was defined as SD with a duration of at least 16 weeks. The percentage of participants with prolonged SD was defined as participants who achieved a best overall response of CR or PR or MR or SD, and did not progress within 16 weeks from randomization. Progression was defined as a worsening of neurologic status that could not be explained by other causes, a > 25% increase in tumor size, the appearance of new lesions or CSF positivity, or increasing doses of corticosteroids required to maintain stable status. (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | percentage of participants (Number) |
---|
Erlotinib | 0 |
Etoposide | 41.7 |
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Percentage of Participants With Disease Control
"Disease control is a best overall response of CR or PR or MR or Stable disease (SD).~CR:~Complete disappearance of all enhancing tumor and mass effect~On a stable or decreasing dose of corticosteroids~Stable or improving neurologic examination sustained for ≥ 4 weeks~If CSF evaluation was positive, it must become negative (confirmed at least 2 times consecutively).~PR:~≥ 50% reduction in tumor size by bi-dimensional measurement~On a stable or decreasing dose of corticosteroids~Stable or improving neurologic examination sustained for ≥ 4 weeks.~MR:~≥ 25% to < 50% reduction in tumor size by bi-dimensional measurement~On a stable or decreasing dose of corticosteroids~Stable or improving neurologic examination sustained for ≥ 4 weeks.~SD:~Neurologic examination is at least stable~Maintenance corticosteroid dose is not increased~MRI meets neither the criteria for minor response nor for progressive disease~Sustained for ≥ 8 weeks." (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | percentage of participants (Number) |
---|
Erlotinib | 15.4 |
Etoposide | 41.7 |
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Percentage of Participants With an Objective Response
"Objective response is defined as a best overall response of complete response (CR) or partial response (PR), evaluated using modified International Society of Pediatric Oncology Brain, Tumor Subcommittee for the Reporting of Trials criteria. Response was confirmed at least 28 days after the first assessment where the response criteria were met. Response was assessed by magnetic resonance imaging (MRI) every 8 weeks.~CR:~Complete disappearance of all enhancing tumor and mass effect~On a stable or decreasing dose of corticosteroids (or receiving only adrenal replacement doses)~Stable or improving neurologic examination sustained for ≥ 4 weeks~If cerebral spinal fluid (CSF) evaluation was positive, it must become negative (confirmed at least 2 times at consecutive samplings).~PR:~≥ 50% reduction in tumor size by bi-dimensional measurement~On a stable or decreasing dose of corticosteroids~Stable or improving neurologic examination sustained for ≥ 4 weeks." (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | percentage of participants (Number) |
---|
Erlotinib | 0 |
Etoposide | 16.7 |
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Percentage of Participants With a Minor Response
"Participants with a best overall response of minor response (MR), defined as:~≥ 25% to < 50% reduction in tumor size by bi-dimensional measurement~On a stable or decreasing dose of corticosteroids~Stable or improving neurologic examination sustained for ≥ 4 weeks." (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | percentage of participants (Number) |
---|
Erlotinib | 0 |
Etoposide | 25.0 |
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Overall Survival (OS)
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive by the data cutoff date for analysis were censored on the last day the participant was known to be alive. (NCT01032070)
Timeframe: From randomization up to 12 months after the last dose. Median duration of follow-up was 12.9 months for erlotinib and 14.4 months for etoposide.
Intervention | days (Median) |
---|
Erlotinib | NA |
Etoposide | 261 |
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Maximum Observed Plasma Concentration of Erlotinib (Cmax)
Pharmacokinetic parameters were determined from the serial plasma concentration data obtained for erlotinib. Maximum observed plasma concentration of erlotinib (Cmax) was measured at steady state on Day 14 using sparse sampling. (NCT01032070)
Timeframe: Day 14 predose and 0.5 to 1.5 hours, 2 to 3 hours and 4 to 8 hours post-dose.
Intervention | ng/mL (Geometric Mean) |
---|
Erlotinib | 1969.5 |
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Progression Free Survival (PFS)
"Progression-free survival was defined as the time from randomization to disease progression based on central nervous system (CNS)-specific evaluation criteria as assessed by the investigator or death due to any cause, whichever occurs first.~Participants did not progress or die before the data cutoff date for analysis were censored at the date of last disease assessment (including both radiologic assessment and neurologic assessment) where non-progression was documented. If a participant received any further anticancer therapy without prior documentation of disease progression, the participant was censored at the date of last disease assessment before starting new anti-cancer treatment. Participants were also censored at the date of last disease assessment with no documented progression if patients discontinued treatment for undocumented progression, toxicity or other reason before the data cutoff date for analysis." (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | days (Median) |
---|
Erlotinib | 52 |
Etoposide | 65 |
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Duration of Response
"Duration of response (complete or partial response [CR/PR]) was defined as the time from the date of the first documented response (CR/PR) to the first documented progression or death due to underlying cancer. If a participant had not progressed or died, the duration of overall response was censored at the date of last adequate disease assessment. Duration of response was only defined for participants whose best overall response was CR or PR.~Progression was defined as a worsening of neurologic status that could not be explained by other causes, a > 25% increase in tumor size, the appearance of new lesions or CSF positivity, or increasing doses of corticosteroids required to maintain stable status." (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | days (Median) |
---|
Etoposide | NA |
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Area Under the Curve From Time 0 to 24 Hours Post-dose for Erlotinib
Pharmacokinetic parameters were determined from the serial plasma concentration data obtained for erlotinib. Area under the plasma concentration-time curve from time zero to 24 hours (the dosing interval) measured at steady state using sparse sampling. (NCT01032070)
Timeframe: Day 14 predose and 0.5 to 1.5 hours, 2 to 3 hours and 4 to 8 hours post-dose.
Intervention | h*ng/mL (Geometric Mean) |
---|
Erlotinib | 26716.7 |
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Duration of Stable Disease
"Duration of stable disease (SD; defined as participants with an overall best response of complete, partial or minor response or stable disease) was defined as the time from the date of randomization to the first documented progression or death due to underlying cancer. If a participant had not progressed or died, the duration of SD was censored at the date of last adequate disease assessment. Duration of SD was only defined for participants whose best overall response was CR or PR or MR or SD.~Progression was defined as a worsening of neurologic status that could not be explained by other causes, a > 25% increase in tumor size, the appearance of new lesions or CSF positivity, or increasing doses of corticosteroids required to maintain stable status." (NCT01032070)
Timeframe: From randomization until the end of treatment. The median time on treatment was 52 days for erlotinib and 58 days for etoposide.
Intervention | days (Median) |
---|
Erlotinib | 79 |
Etoposide | NA |
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Improvement in Splenomegaly Size
(NCT01038856)
Timeframe: 4 months, end of treatment and 12 months end of treatment
Intervention | Participants (Count of Participants) |
---|
+JAK2V61F Mutation | 0 |
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Incidence of Toxicities
Grade 3 or grade 4 toxicities as measured by CTCAE v3.0 (NCT01038856)
Timeframe: First assessment at day 15, subsequent assessments at 28 day intervals for an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 5 |
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Overall Response Rate to Include Complete Hematological Response, Complete Molecular Response, Partial Hematological Response, and Minimal Hematological Response
(NCT01038856)
Timeframe: Day 15
Intervention | participants (Number) |
---|
Single Arm Study | 0 |
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Decrease of Mutant JAK2V617F Allele Burden
(NCT01038856)
Timeframe: every 2 months until end of treatment and 12 months after end of treatment
Intervention | Participants (Count of Participants) |
---|
+JAK2V61F Mutation | 0 |
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Number of Participants With Tumor Response (Complete Response [CR] + Partial Response [PR])
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions (NCT01064479)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Progressive Disease | Stable Disease | Inevaluable |
---|
Arm A (Combination Chemotherapy and Erlotinib Hydrochloride) | 4 | 27 | 8 | 16 | 5 |
,Arm B (Combination Chemotherapy and Placebo) | 5 | 19 | 13 | 17 | 5 |
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Rash Rates
Participants with a Rash of at least grade 2 within cycle 1. (NCT01064479)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Arm A (Combination Chemotherapy and Erlotinib Hydrochloride) | 20 |
Arm B (Combination Chemotherapy and Placebo) | 4 |
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Progression Free Survival (PFS)
Kaplan-Meier methods will be used to summarize PFS. In the primary analysis, differences in PFS in Arm A versus Arm B will be tested using a stratified log-rank test with a two-sided alpha of 0.10. Hazard ratios for PFS will be presented using point estimates and 95% confidence intervals. (NCT01064479)
Timeframe: 5 years
Intervention | months (Median) |
---|
Arm A (Combination Chemotherapy and Erlotinib Hydrochloride) | 6.08 |
Arm B (Combination Chemotherapy and Placebo) | 4.4 |
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Overall Survival (OS)
Kaplan-Meier methods will be used to summarize OS. Hazard ratios for OS will be presented using point estimates and 95% confidence intervals. (NCT01064479)
Timeframe: 5 years
Intervention | months (Median) |
---|
Arm A (Combination Chemotherapy and Erlotinib Hydrochloride) | 16.95 |
Arm B (Combination Chemotherapy and Placebo) | 13.67 |
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Disease Control (CR + PR + Stable Disease [SD])
Complete Response (CR) + Partial Response (PR) + Stable disease (NCT01064479)
Timeframe: 5 years
Intervention | Participants (Count of Participants) |
---|
Arm A (Combination Chemotherapy and Erlotinib Hydrochloride) | 47 |
Arm B (Combination Chemotherapy and Placebo) | 41 |
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Progression-free Survival
From date of registration to date of first documentation of progression or symptomatic deterioration (as defined in protocol), or death due to any cause. Patients last known to be alive and progression free are censored at date of last contact. (NCT01093222)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Sorafenib and Erlotinib | 2 |
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Overall Survival
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact. (NCT01093222)
Timeframe: Up to 3 years
Intervention | months (Median) |
---|
Sorafenib and Erlotinib | 6 |
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Objective Response
Complete response (CR) is complete disappearance of all target and non-target lesions, no new lesions and no disease related symptoms. Partial response (PR) is a greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. Confirmed response is two or more objective statuses of CR a minimum of four weeks apart documented before progression or symptomatic deterioration. Partial response is two or more objective statuses of PR or better a minimum of four weeks apart documented before progression or symptomatic deterioration. Unconfirmed CR is one objective status of CR documented before progression or symptomatic deterioration but not qualifying as CR or PR. Unconfirmed PR is one objective status of PR documented before progression or symptomatic deterioration but not qualifying as CR, PR or unconfirmed CR. (NCT01093222)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Sorafenib and Erlotinib | 6 |
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Analysis of Overall Survival Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy
Overall survival (OS) was defined as the time from randomization until death from any cause. (NCT01101334)
Timeframe: Baseline to death, up to approximately 2.5 years
Intervention | months (Median) |
---|
CS-7017 Plus Erlotinib | 7.6 |
Erlotinib | 11.4 |
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Summary of Treatment-Emergent Adverse Events (TEAEs) Occurring in ≥10% of Participants Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy
A treatment-emergent adverse event (TEAE) was defined as an adverse event that had an onset date on or after the first dose of CS-7017 or erlotinib up to and including 30 days after the last dose of any study drug, or worsened in severity after the first dose of CS-7017 or erlotinib relative to the pre-treatment state. (NCT01101334)
Timeframe: Baseline to 30 days after last dose, up to approximately 2.5 years
Intervention | Participants (Count of Participants) |
---|
| Any TEAE | Blood and Lymphatic System Disorders | Anaemia | Cardiac Disorders | Eye Disorders | Gastrointestinal Disorders | Constipation | Diarrhea | Nausea | Stomatitis | General Disorders & Administration Site Conditions | Asthenia | Disease progression | Face edema | Fatigue | Noncardiac chest pain | Edema peripheral | Pyrexia | Infections and Infestations | Investigations | Weight increased | Metabolism and Nutrition Disorders | Decreased appetite | Hypokalemia | Musculoskeletal and Connective Tissue Disorders | Pain in extremity | Nervous System Disorders | Dizziness | Headache | Psychiatric Disorders | Respiratory, Thoracic, and Mediastinal Disoders | Cough | Dyspnea | Pleural effusion | Skin and Subcutaneous Tissue Disorders | Alopecia | Dermatitis acneiform | Dry skin | Pruritus | Rash | Swelling face | Vascular Disorders |
---|
CS-7017 Plus Erlotinib | 44 | 18 | 16 | 7 | 8 | 27 | 10 | 18 | 5 | 6 | 41 | 9 | 8 | 10 | 9 | 5 | 17 | 9 | 13 | 15 | 7 | 27 | 18 | 7 | 15 | 7 | 15 | 5 | 5 | 6 | 25 | 5 | 9 | 10 | 33 | 5 | 15 | 5 | 9 | 11 | 5 | 1 |
,Erlotinib | 43 | 4 | 3 | 2 | 3 | 25 | 3 | 19 | 7 | 6 | 19 | 8 | 5 | 0 | 5 | 2 | 1 | 3 | 16 | 12 | 1 | 15 | 10 | 1 | 10 | 0 | 6 | 2 | 1 | 5 | 17 | 3 | 7 | 0 | 30 | 0 | 9 | 7 | 11 | 15 | 1 | 5 |
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Summary of Analysis of Progression-Free Survival Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy
Progression-free survival (PFS) was defined as the time from randomization date of the first objective documentation of disease progression or death resulting from any cause, whichever comes first. (NCT01101334)
Timeframe: Baseline to disease progression or death, up to approximately 2.5 years
Intervention | months (Median) |
---|
CS-7017 Plus Erlotinib | 4.1 |
Erlotinib | 3.0 |
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Overall Response Rate Following Administration of CS-7017 and Erlotinib in Participants With Advanced Non-Small Cell Lung Cancer Who Failed First Line Therapy
The overall response rate (ORR) was defined as the proportion of participants who achieved best overall response of complete response (CR) or partial response (PR); ORR = CR + PR. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, CR was defined as the disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. (NCT01101334)
Timeframe: Baseline to disease progression or death, up to approximately 2.5 years
Intervention | Participants (Count of Participants) |
---|
CS-7017 Plus Erlotinib | 9 |
Erlotinib | 9 |
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Objective Response Rate (ORR)
ORR was defined as the percentage of participants whose best overall response (BOR) was either a confirmed complete response (CR) or a partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria for target lesions assessed by computed tomography (CT) or magnetic resonance imaging (MRI) and based on investigator assessment. CRs and PRs had to be confirmed by a repeat assessment of response (CR or PR) separated by at least 4 weeks (28 days). CR was defined as the disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to have a reduction in short axis to less than 10 millimeters. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR and the corresponding 95% two-sided confidence intervals (CI) were estimated for each treatment regimen using the Clopper-Pearson method for calculating the exact binomial CI. (CR + PR) (NCT01104155)
Timeframe: From date of first dose of study drug until, or up to the date of data cutoff (07 Apr 2011)
Intervention | Percentage of participants (Number) |
---|
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen | 12.7 |
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen | 16.7 |
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Duration of Response (DOR)
DOR was assessed for participants with a BOR of CR or PR, and was defined as the time from first documented evidence of CR or PR (whichever status was recorded first) until the first documented sign of disease progression or death (due to any cause), whichever was first. DOR was defined for participants with a confirmed CR or PR. For participants in the subset of responders who did not progress or die, duration of response was censored. DOR was analyzed using the Kaplan-Meier method. (NCT01104155)
Timeframe: From date of first document CR or PR (whichever was recorded first) until first documentation of disease progression or death due to any cause, or up to data cutoff (31 May 2013) up to 3.25 years
Intervention | Months (Median) |
---|
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen | 9.4 |
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen | 9.7 |
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Overall Survival (OS)
OS was defined as the length of time in months from the date of first administration of study drug until the date of death from any cause, and was based on the data cutoff date. In the absence of confirmation of death, participants were censored either at the date that the participant was last known to be alive or the date of study cutoff, whichever came first. OS and the corresponding 2-sided 95% CI was analyzed using the Kaplan-Meier method. (NCT01104155)
Timeframe: From date of first dose of study drug until date of death from any cause or up to data cutoff (31 May 2013), up to approximately 3.25 years
Intervention | Months (Median) |
---|
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen | 7.6 |
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen | 8.5 |
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Progression-Free Survival (PFS)
PFS was measured as the time from the date of first administration of study treatment until the first documentation of disease progression or death (due to any cause), whichever occurred first, as determined by investigator assessment based on RECIST v1.1. Disease progression per RECIST v1.1 was defined as at least a 20% relative increase and 5 mm absolute increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. For participants who did not have an event (i.e. those who had not progressed, and were alive at the date of data cut-off or lost to Follow-up), progression-free survival was censored. Participants who did not progress in their disease were censored on the date of their last tumor assessment preceding the start of any additional anticancer therapy. PFS was analyzed using the Kaplan-Meier method. (NCT01104155)
Timeframe: From date of first dose of study drug until documentation of disease progression or death from any cause (whichever occurred first), or up to data cutoff (31 May 2013) up to 3.25 years
Intervention | Months (Median) |
---|
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen | 3.5 |
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen | 3.8 |
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Disease Control Rate (DCR)
DCR was defined as the percentage of participants who had a BOR of CR or PR, or stable disease (SD; duration of SD lasted for at least 7 weeks). To be assigned a BOR of SD, the time from the first administration of study drug until the date of documented SD was to be greater than or equal to 7 weeks (49 days). A participant's tumor assessment had to be at least 7 weeks following the randomization date to be consider SD. DCR and the corresponding exact Clopper-Pearson 95% CI were computed by treatment regimen. (CR + PR + SD) (NCT01104155)
Timeframe: From date of first dose of study drug until documentation of disease progression or death from any cause (whichever occurred first) or up to data cutoff (31 May 2013), up to approximately 3.25 years
Intervention | Percentage of participants (Number) |
---|
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen | 47.6 |
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen | 63.3 |
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Overall Response Rate by RECIST Criteria
(NCT01108458)
Timeframe: CT imaging every 9 weeks while on protocol
Intervention | () |
---|
Pertuzumab Plus Erlotinib Hydrochloride | 0 |
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Overall Survival (OS)
(NCT01108458)
Timeframe: 1 year
Intervention | () |
---|
Pertuzumab Plus Erlotinib Hydrochloride | 0 |
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Progression-free Survival (PFS)
"Disease status evaluated by computed tomography (CT) scan and progression-free survival assessed per RECIST criteria.~Tumor response was assessed by the IRF according to RECIST v1.1. CR was defined as disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeters (mm). PR was defined as greater than or equal to (≥) 30 percent (%) decrease in sum of longest diameter (LD) of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥4 weeks after the initial assessment of CR or PR. The percentage of participants with a confirmed objective response of CR or PR was reported." (NCT01108458)
Timeframe: 9 weeks
Intervention | () |
---|
Pertuzumab Plus Erlotinib Hydrochloride | 0 |
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Proportion of Participants With 50% Decrease in Tumor Marker
Change in tumor marker CA19-9, assessed as a 50% decrease from baseline (NCT01108458)
Timeframe: 3 weeks
Intervention | () |
---|
Pertuzumab Plus Erlotinib Hydrochloride | 0 |
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Quality of Life (QoL)
Quality of life as assessed by EORTC QLQ-C30 questionnaire (NCT01108458)
Timeframe: 3 weeks
Intervention | () |
---|
Pertuzumab Plus Erlotinib Hydrochloride | 0 |
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Maximum Tolerated Dose (MTD) of Vorinostat in Combination With Escalating Doses of Erlotinib and Temozolomide
"Phase I assessment MTD Vorinostat in combination with escalating doses of Erlotinib and Temozolomide using conventional phase I design where 3 enrolled into first dose level, monitored for 3 weeks and if no dose-limiting toxicity (DLT) seen, 3 more enrolled at next dosage level. If 2/6 participants experience DLT, the previous (lower) dosage level declared MTD of vorinostat in combination with Erlotinib and Temozolomide.~A maximum of 4 dosage levels utilized with deescalation by 2 dose levels if DLT is seen at the starting dose level. If no DLT noted after dose escalation to Level 4, these doses utilized as MTD for phase II." (NCT01110876)
Timeframe: Evaluated with each 28 day (+2 days) cycle, up to 24 weeks
Intervention | mg (Number) |
---|
| Vorinostat (mg) twice/day | Erlotinib (mg) |
---|
Phase I Group 1: Vorinostat + Erlotinib + Temozolomide | 200 | 200 |
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Pharmacokinetics, Maximum Observed Plasma Concentration (Cmax) of LY2584702
(NCT01115803)
Timeframe: Cycle 1 Day 1 (C1 D1): predose, 0.5, 1, 2, 3, 5, 8 hours postdose and Cycle 1 Day 8 (C1 D8): predose, 0.5, 1, 2, 3, 5, and 8 hours postdose of 28-day cycle
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| C1 D1, single dose | C1 D8, steady state |
---|
Arm A - 100 mg LY2584702 BID + 150 mg Erlotinib QD | 2421.64 | 2709.61 |
,Arm A - 50 mg LY2584702 BID + 150 mg Erlotinib QD | 999.54 | 1636.71 |
,Arm A - 50 mg LY2584702 QD + 150 mg Erlotinib QD | 918.24 | 1125.46 |
,Arm A - 75 mg LY2584702 BID + 150 mg Erlotinib QD | 1768.59 | 1967.04 |
,Arm B - 100 mg LY2584702 QD + 10 mg Everolimus QD | 2286.22 | 2260.71 |
,Arm B - 50 mg LY2584702 BID + 10 mg Everolimus QD | 1569.24 | 2109.62 |
,Arm B - 50 mg LY2584702 QD + 10 mg Everolimus QD | 1192.46 | 1169.95 |
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Recommended Dose for Phase 2 Studies
The recommended dose for the Phase 2 (Dose Confirmation Phase) study was determined by safety assessment. Doses were escalated following the assessment for toxicity based on Common Terminology Criteria for Adverse Events (CTCAE v4.0). Any adverse events (AE) that were possibly related to LY2584702 were considered toxicities. The Phase 2 dose of LY2584702 was not determined due to unacceptable toxicities of LY2584702 in combination with erlotinib or everolimus in Phase 1 of the study. (NCT01115803)
Timeframe: Baseline up to 6 cycles of 28 days
Intervention | milligrams (mg) (Number) |
---|
LY2584702 + Erlotinib | NA |
LY2584702+Everolimus | NA |
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Number of Participants Who Died Due to Progressive Disease Within 30 Days of Study Drug Discontinuation
(NCT01115803)
Timeframe: Within 30 days of study drug discontinuation
Intervention | Participants (Count of Participants) |
---|
Arm A - 50 mg LY2584702 QD + 150 mg Erlotinib QD | 0 |
Arm A - 50 mg LY2584702 BID + 150 mg Erlotinib QD | 0 |
Arm A - 100 mg LY2584702 BID + 150 mg Erlotinib QD | 0 |
Arm A - 75 mg LY2584702 BID + 150 mg Erlotinib QD | 0 |
Arm B - 50 mg LY2584702 QD + 10 mg Everolimus QD | 1 |
Arm B - 100 mg LY2584702 QD + 10 mg Everolimus QD | 0 |
Arm B - 50 mg LY2584702 BID + 10 mg Everolimus QD | 0 |
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Number of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) [Best Overall Response (BOR) (CR+PR+SD)]
BOR was determined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1) criteria. CR was defined as the disappearance of all target and non-target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeters (mm) and normalization of tumor marker level of non-target lesions; PR was defined as at least a 30% decrease in sum of longest diameter (LD) of target lesions; Progressive Disease (PD) was defined as at least 20% increase in sum of LD of target lesions and minimum 5 mm increase over nadir. SD was defined as small changes that did not meet above criteria. (NCT01115803)
Timeframe: Baseline up to 112 Days
Intervention | Participants (Count of Participants) |
---|
Arm A - 50 mg LY2584702 QD + 150 mg Erlotinib QD | 1 |
Arm A - 50 mg LY2584702 BID + 150 mg Erlotinib QD | 1 |
Arm A - 100 mg LY2584702 BID + 150 mg Erlotinib QD | 1 |
Arm A - 75 mg LY2584702 BID + 150 mg Erlotinib QD | 1 |
Arm B - 50 mg LY2584702 QD + 10 mg Everolimus QD | 0 |
Arm B - 100 mg LY2584702 QD + 10 mg Everolimus QD | 2 |
Arm B - 50 mg LY2584702 BID + 10 mg Everolimus QD | 2 |
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Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) [Response Rate (RR)]
Response was determined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1) criteria. CR was defined as the disappearance of all target and non-target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeters (mm) and normalization of tumor marker level of non-target lesions; PR was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01115803)
Timeframe: Baseline to disease progression or death or up to 6 cycles of 28 days
Intervention | percentage of participants (Number) |
---|
Arm A - 50 mg LY2584702 QD + 150 mg Erlotinib QD | 0 |
Arm A - 50 mg LY2584702 (BID) + 150 mg Erlotinib QD | 0 |
Arm A - 100 mg LY2584702 BID + 150 mg Erlotinib QD | 0 |
Arm A - 75 mg LY2584702 BID + 150 mg Erlotinib QD | 0 |
Arm B - 50 mg LY2584702 QD + 10 mg Everolimus QD | 0 |
Arm B - 100 mg LY2584702 QD + 10 mg Everolimus QD | 0 |
Arm B - 50 mg LY2584702 BID + 10 mg Everolimus QD | 0 |
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Pharmacokinetics, Area Under the Concentration Time Curve (AUC)
AUC from time 0 to 8 hours (AUC0-8) and AUC from time 0 to infinity (AUC0-∞). (NCT01115803)
Timeframe: Cycle 1 Days 1 (C1 D1) and Cycle 1 Day 8 (C1 D8) of 28-day cycle
Intervention | nanograms*hours per milliliter (ng*h/mL) (Geometric Mean) |
---|
| AUC0-8, D1, single dose | AUC0-8, D8, steady state | AUC0-∞, D1, single dose |
---|
Arm A - 100 mg LY2584702 BID + 150 mg Erlotinib QD | 8610.54 | 15225.08 | 20813.83 |
,Arm A - 50 mg LY2584702 BID + 150 mg Erlotinib QD | 4308.98 | 7948.43 | 7627.50 |
,Arm A - 50 mg LY2584702 QD + 150 mg Erlotinib QD | 4436.60 | 5395.96 | 8699.54 |
,Arm A - 75 mg LY2584702 BID + 150 mg Erlotinib QD | 8091.93 | 13959.74 | 16254.07 |
,Arm B - 100 mg LY2584702 QD + 10 mg Everolimus QD | 11410.18 | 11327.33 | 22343.07 |
,Arm B - 50 mg LY2584702 BID + 10 mg Everolimus QD | 6097.44 | 10527.68 | 8764.13 |
,Arm B - 50 mg LY2584702 QD + 10 mg Everolimus QD | 5699.856 | 5460.80 | 11386.03 |
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Clinically Significant Effects (Number of Participants With Adverse Events)
Clinically significant events were defined as serious adverse events (SAEs) and other non-SAEs regardless of causality. A summary of serious and other non SAEs regardless of causality is located in the Reported Adverse Event module. (NCT01115803)
Timeframe: Baseline up to 7 months
Intervention | Participants (Count of Participants) |
---|
| SAEs | Non-SAEs |
---|
Arm A - 100 mg LY2584702 BID + 150 mg Erlotinib QD | 2 | 3 |
,Arm A - 50 mg LY2584702 BID + 150 mg Erlotinib QD | 2 | 5 |
,Arm A - 50 mg LY2584702 QD + 150 mg Erlotinib QD | 1 | 4 |
,Arm A - 75 mg LY2584702 BID + 150 mg Erlotinib QD | 3 | 5 |
,Arm B - 100 mg LY2584702 QD + 10 mg Everolimus QD | 2 | 3 |
,Arm B - 50 mg LY2584702 BID + 10 mg Everolimus QD | 2 | 6 |
,Arm B - 50 mg LY2584702 QD + 10 mg Everolimus QD | 2 | 3 |
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Duration of Response
Duration of overall response is measured from the time measurement criteria are met for Complete Response (CR) or Partial Response (PR) (whichever is first recorded) until the first date that recurrent or progressive disease (PD) is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started), measured by the Response Evaluation Criteria in Solid Tumors (RECIST). CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR is at least a 30% decrease in the sum of the diameters of target lesions. PD is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. The appearance of one or more new lesions is also considered progressions. (NCT01130519)
Timeframe: Time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented; a median of 19 months.
Intervention | Months (Median) |
---|
COHORT 1&3 Advanced Renal Cell Cancer Associated With Hereditary Leiomyomatosis & Renal Cell Cancer | 19.3 |
COHORT 2 and 4 - Sporadic Papillary Renal Cell Cancer | 18.4 |
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Overall Survival (OS)
Overall survival is defined as the duration of time from the date of study enrolment until time of death estimated using a Kaplan Meier analysis. Participants without a death event will be censored at the date survival assessment was last evaluated (e.g., clinic visit, phone call). (NCT01130519)
Timeframe: Time from the date of study enrolment until time of death; a median of 29.3 months.
Intervention | Months (Median) |
---|
COHORT 1&3 Advanced Renal Cell Cancer Associated With Hereditary Leiomyomatosis & Renal Cell Cancer | 44.6 |
COHORT 2 and 4 - Sporadic Papillary Renal Cell Cancer | 18.2 |
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Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT01130519)
Timeframe: Date treatment consent signed to date off study, approximately 133 months and 13 days; and 119 months and 2 days for the first and second group respectively.
Intervention | Participants (Count of Participants) |
---|
COHORT 1&3 Advanced Renal Cell Cancer Associated With Hereditary Leiomyomatosis & Renal Cell Cancer | 43 |
COHORT 2 and 4 - Sporadic Papillary Renal Cell Cancer | 40 |
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Overall Response Rate
Participants whose tumors regressed (Complete Response (CR) plus Partial Response (PR)) after therapy as measured by the Response Evaluation Criteria in Solid Tumors (RECIST). CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR is at least a 30% decrease in the sum of the longest diameters of target lesions. Progressive Disease (PD) is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. The appearance of one or more new lesions is also considered progressions. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Data shown with 95% confidence intervals. (NCT01130519)
Timeframe: Every 8 weeks during the first 32 weeks and every 12 weeks thereafter, a median of 64.3 months
Intervention | Percentage of participants (Number) |
---|
COHORT 1&3 Advanced Renal Cell Cancer Associated With Hereditary Leiomyomatosis & Renal Cell Cancer | 72 |
COHORT 2 and 4 - Sporadic Papillary Renal Cell Cancer | 35 |
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Progression-free Survival
Median amount of time subject survives without disease progression after treatment. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) and is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. The appearance of one or more new lesions is also considered progressions. (NCT01130519)
Timeframe: Amount of time subject survives without disease progression after treatment; a median of 15 months.
Intervention | Months (Median) |
---|
COHORT 1&3 Advanced Renal Cell Cancer Associated With Hereditary Leiomyomatosis & Renal Cell Cancer | 21.1 |
COHORT 2 and 4 - Sporadic Papillary Renal Cell Cancer | 8.9 |
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Overall Survival (OS)
Overall survival was defined as the time from the date of informed consent to the date of death (regardless of the cause of death). There was no restriction; survival was calculated until the date of death, even if another line of treatment was received, or until the date censored (last contact with the participant even if drugs different from the study treatment schedule were received). For all participants, survival information was collected until the date of death, the last contact, or the last follow-up. (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | months (Median) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 25.79 |
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Percentage of Participants Achieving Disease Control (CR, PR, or No Change [NC])
Percent of participants with confirmed CR, PR, or NC. Per RECIST version (v)1.0: CR was defined as disappearance of all target and non-target lesions. PR was defined as ≥30% decrease in sum of longest diameters of target lesions taking as reference baseline sum longest diameters associated to non-progressive disease response for non-target lesions. NC was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of longest dimensions since treatment started associated to non-progressive disease response for non-target lesions. (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 92.86 |
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Percentage of Participants Achieving Objective Response (Complete Response [CR] or Partial Response [PR])
Percentage of participants with objective response based assessment of CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must have decreased to normal (short axis less than [<]10 millimeters [mm]) and no new lesions. PR was defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 55.95 |
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Percentage of Participants Who Died
(NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 58.89 |
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Progression-Free Survival
Progression-free survival was defined as the time from the date of informed consent until the date when the participant had progression of disease or died from disease progression. Participants who received surgical treatment after treatment ended were censored at the time of surgery. Participants who left the study for reasons other than progression of the disease were censored on the date on which they received a later antitumor therapy (with the same or different drugs, radiotherapy, or surgery). (NCT01135498)
Timeframe: From study start up to approximately 4 years
Intervention | months (Median) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 9.18 |
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Percentage of Participants With Disease Progression or Death
Disease progression was defined according to Response Evaluation Criteria in Solid Tumors (RECIST) as a 20 percent (%) increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion, or the appearance of new lesions. (NCT01135498)
Timeframe: Start of study to approximately 4 years
Intervention | percentage of participants (Number) |
---|
Bevacizumab+Oxaliplatin+Capecitabine/Bevacizumab+Erlotinib | 61.1 |
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Time to Disease Progression, as Assessed by Investigator Using RECIST v1.1
Time to disease progression was defined as the time from baseline evaluation to the first date PD was recorded. Participants without progression were censored at the date of last tumor assessment where non-progression was documented. PD was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. (NCT01153984)
Timeframe: Baseline up to approximately 4 years
Intervention | days (Median) |
---|
Erlotinib | 193.00 |
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Progression-Free Survival (PFS), as Assessed by Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
PFS was the time from inclusion in the study to the date of first documented PD or death from any cause, whichever occurred first. Participants without event were censored at the date of the last tumor assessment where non-progression was documented. If a participant received a second anti-cancer therapy without prior documentation of disease progression, the participant was censored at the date of last tumor assessment before starting new chemotherapy. Analysis was performed using Kaplan-Meier method. PD was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. (NCT01153984)
Timeframe: Baseline up to approximately 4 years
Intervention | days (Median) |
---|
Erlotinib | 387.000 |
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Percentage of Participants Who Were Alive One Year After Study Treatment Initiation
(NCT01153984)
Timeframe: Year 1
Intervention | percentage of participants (Number) |
---|
Erlotinib | 85.7 |
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Number of EGFR Positive Participants Classified Based on Type of EGFR Mutations
Participants with NSCLC have tumor associated with EGFR mutations. These mutations occur within EGFR Exons 18-21, which encodes a portion of the EGFR kinase domain. (NCT01153984)
Timeframe: Day 1
Intervention | participants (Number) |
---|
| Exon 19 deletions | Exon 21 L858R mutations |
---|
Erlotinib | 20 | 3 |
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Percentage of Participants With Complete Response (CR) And Partial Response (PR) as Assessed by the Investigator Using RECIST v1.1
CR was defined as the disappearance of all target lesions, and PR was defined as at least a 30% decrease in the sum of the longest diameter compared to baseline. (NCT01153984)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
| CR | PR |
---|
Erlotinib | 0 | 8.7 |
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Percentage of Participants by Localization of PD, as Assessed by Investigator Using RECIST v1.1
PD was assessed using RECIST v1.1. PD was defined as at least a 20% increase in the sum of LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions. Percentage of participants by localization of PD were reported. Localization included: Left lung inferior lobe; Para-aortic; Left lung upper lobe; Right lung inferior lobe; and Infracranial. (NCT01153984)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) |
---|
| Left lung inferior lobe | Para-aortic | Left lung upper lobe | Right lung inferior lobe | Infracranial |
---|
Erlotinib | 24 | 14 | 10 | 14 | 38 |
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Number of EGFR Positive Participants Classified Based on Smoking Status
"Participants were asked: Have you smoked at least 100 cigarettes in your entire life? and Do you now smoke cigarettes every day, some days, or not at all? Responses were grouped into three categories: Current Smoker, Former Smoker, and Non-Smoker. Participants who reported smoking at least 100 cigarettes in their lifetime and who, at the time of survey, smoked either every day or some days were defined as 'Current smoker'. Participants who reported smoking at least 100 cigarettes in their lifetime and who, at the time of the survey, did not smoke at all were defined as 'Former smoker'. Participants who reported never having smoked 100 cigarettes were defined as 'Non-smoker'." (NCT01153984)
Timeframe: Day 1
Intervention | participants (Number) |
---|
| Non-smoker | Former smoker | Current smoker |
---|
Erlotinib | 17 | 3 | 3 |
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Progression-free Survival
Progression-free survival was defined as the time from Baseline until disease progression or death from any cause. Progressive disease was determined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Progressive disease was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01161173)
Timeframe: Baseline to the end of the study (up to 4 years, 4 months)
Intervention | Months (Median) |
---|
Erlotinib | 2.7 |
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Percentage of Participants Who Developed Rash
At each study visit, the presence of skin rash was graded using the Common Toxicity Criteria (CTC), with grade 0 = no rash, grade 1 = mild, grade 2 = moderate, grade 3 = severe, and grade 4 = life threatening or disabling rash. Reported is the percentage of participants who developed a grade ≥ 1 rash. (NCT01161173)
Timeframe: Baseline to the end of the study (up to 4 years, 4 months)
Intervention | Percentage of participants (Number) |
---|
Erlotinib | 63.5 |
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Change From Baseline in the Lung Cancer Symptom Scale (LCSS) Scores
Study participants and treating physicians completed the LCSS, a measure of Quality of Life (QoL), at Baseline and throughout the study. The patient LCSS measures 6 major symptoms, the Symptom Burden Index (SBI), associated with lung malignancies (3 thoracic [cough, dyspnea, haemoptysis] and 3 general symptoms [loss of appetite, fatigue, pain]) and 3 additional scores (overall symptomatic distress, interference with daily activities, global QoL), each on a 100 mm visual analogue scale (0=no impairment, 100=maximum impairment). The physician LCSS evaluates the 6 lung malignancy associated symptoms, the SBI, on an ordinal scale (100=none, 75=mild, 50=moderate, 25=marked, 0=severe). The average of the patient and physician SBI scores (6 symptoms) and the average of the patient total score (9 symptoms) ranged from 0 to 100, with a higher patient and a lower physician score indicating more impairment. A negative patient and a positive physician change score indicates improvement. (NCT01161173)
Timeframe: Baseline to the end of the study (up to 4 years, 4 months)
Intervention | Units on a scale (Mean) |
---|
| Patient SBI (n=283) | Patient total score (n=283) | Physician SBI (n=298) |
---|
Erlotinib | 0.15 | 0.20 | -0.09 |
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Overall Survival
Overall survival was defined as the time from Baseline until or death from any cause (NCT01161173)
Timeframe: Baseline to the end of the study (up to 4 years, 4 months)
Intervention | Months (Median) |
---|
Erlotinib | 7.1 |
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Time to Disease Progression
The time to disease progression was defined as the time from Baseline until disease progression as determined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Progressive disease was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01161173)
Timeframe: Baseline to the end of the study (up to 4 years, 4 months)
Intervention | Months (Median) |
---|
Erlotinib | 3.6 |
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Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)
"The best overall response to treatment was determined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. A CR was defined as the disappearance of all target lesions (TL) or the disappearance of all non-TLs. A PR was defined as at least a 30% decrease in the sum of the longest diameter (SLD) of TLs, taking as reference the baseline SLD. SD was defined as neither sufficient shrinkage to qualify for a PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD since treatment started for TLs and the persistence of 1 or more non-TL(s). PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. For the best overall responses of CR and PR, a response was confirmed if a subsequent RECIST evaluation also showed a CR or PR." (NCT01161173)
Timeframe: Baseline to the end of the study (up to 4 years, 4 months)
Intervention | Percentage of participants (Number) |
---|
| Complete response | Partial response | Stable disease | Progressive disease |
---|
Erlotinib | 0.8 | 3.7 | 48.2 | 47.3 |
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Duration of Response (up to One Year Follow up) in Patients Who Achieve a Complete Remission
The duration of response is from the time of response until failure or until the end of follow-up for the patients who received complete remission. Complete remission includes presence of less than 5% blasts in an aspirate sample with marrow spicules and with a count of at least 200 nucleated cells. (NCT01174043)
Timeframe: 1 year after treatment discontinuation
Intervention | months (Mean) |
---|
Erlotinib | 0 |
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Overall Response Rate (Defined as Partial Remission or Better) to 3 Months of Treatment With Erlotinib
The percent of patients were shown as having a partial remission or better based on definitions of response in AML. Partial remission includes a decrease of at least 50% in the percentage of blasts to 5% to 25% in the bone marrow aspirate. Complete remission includes presence of less than 5% blasts in an aspirate sample with marrow spicules and with a count of at least 200 nucleated cells. The percent and 95% exact confidence intervals will be calculated. (NCT01174043)
Timeframe: 3 months of treatment with erlotinib
Intervention | percentage of participants (Number) |
---|
Erlotinib | 0 |
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Progression-Free Survival (PFS) in Participants With Erlotinib Dose Reductions Due to Rash Grade 3-4
PFS was defined as the time from start of treatment to the date of the first documented progression according to revised Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1 or the date of death for any reason in the absence of progressive disease (PD). Disease progression was defined as at least a 20% increase in the sum of diameters of target lesions compared to smallest sum of diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. (NCT01174563)
Timeframe: Day 1 of treatment period until disease progression or death (approximately up to 67 months)
Intervention | months (Median) |
---|
| Rash grade III |
---|
Erlotinib | 13.72 |
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Percentage of Participants With Erlotinib Dose Reductions Due to Rash Grade 3-4
(NCT01174563)
Timeframe: Day 1 of treatment period until disease progression or death (approximately up to 67 months)
Intervention | percentage of participants (Number) |
---|
| Rash Grade III |
---|
Erlotinib | 8.5 |
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Progression-free Survival (PFS) According to Grade of Rash
PFS was defined as the time from start of treatment to the date of the first documented progression according to revised Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1 or the date of death for any reason in the absence of progressive disease (PD). Disease progression was defined as at least a 20% increase in the sum of diameters of target lesions compared to smallest sum of diameters on-study and absolute increase of at least 5 mm, progression of existing non-target lesions, or presence of new lesions. (NCT01174563)
Timeframe: Day 1 of treatment period until disease progression or death (approximately up to 67 months)
Intervention | months (Median) |
---|
| Grade 0 | Grade 1 | Grade 2 | Grade 3 |
---|
Erlotinib | 2.16 | 6.62 | 10.00 | 15.28 |
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Progression Free Survival (PFS)
Progression-free survival is defined as time from initiation of therapy until documented disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01180959)
Timeframe: 59 months
Intervention | months (Median) |
---|
Erlotinib + Bevacizumab | 43 |
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Overall Survival (OS)
Overall Survival is the time in months from start of study treatment to date of death due to any cause. (NCT01180959)
Timeframe: 24 months
Intervention | months (Median) |
---|
Erlotinib + Bevacizumab | 9.9 |
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Time to Progression (TTP)
TTP is defined as the time between treatment assignment and radiologic progression at 16 weeks as defined by the amendments of the Response Evaluation Criteria in Solid Tumors (RECIST).Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01180959)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 16 weeks
Intervention | months (Median) |
---|
Erlotinib + Bevacizumab | 3.9 |
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Feasibility Rate of Molecular Approach to Therapy
Feasibility rate of the molecular strategy is based on the percentage of participants either with inadequate tissue from surgical biopsy to confirm DIPG diagnosis and/or with uninterpretable results for identification of EGFR overexpression and MGMT methylation status. (NCT01182350)
Timeframe: 3 weeks
Intervention | percentage of participants (Number) |
---|
All Biopsied Participants | 92.0 |
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Grade 3-4 Post-Procedural Surgery-Related Toxicity Rate
Grade 3-4 post-procedural surgery-related toxicity rate is the percentage of participants experiencing at least one grade 3-4 adverse event (AE) during the post-procedural time frame of 14 days attributable to the surgical procedure based on NCI Common Toxicity Criteria for Adverse Events version 4 (CTCAEv4). (NCT01182350)
Timeframe: 2 weeks
Intervention | percentage of participants (Number) |
---|
All Biopsied Participants | 10.0 |
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Rate of Lethal Complications From Surgery
The rate of lethal complications from surgery is the percentage of participants dying as a result of surgery. (NCT01182350)
Timeframe: 2 weeks
Intervention | percentage of participants (Number) |
---|
All Biopsied Participants | 0.0 |
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9-month Overall Survival (OS) Rate by Molecular Cohort
9-month OS rate is the percentage of participants alive at 9 months from registration. (NCT01182350)
Timeframe: 9 months
Intervention | percentage of participants (Number) |
---|
Cohort 1: MGMT-/EGFR- | 66.7 |
Cohort 2: MGMT-/EGFR+ | 57.1 |
Cohort 3. MGMT+/EGFR- | 50.0 |
Cohort 4. MGMT+/EGFR+ | 100 |
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9-month Overall Survival (OS) Rate
9-month overall survival is the percentage of participants remaining alive 9 months from registration. (NCT01182350)
Timeframe: 9 months
Intervention | percentage of participants (Number) |
---|
All Patients Starting Assigned Chemoradiation | 64.4 |
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Delay in Radiation Therapy Start
The number of participants delaying the start of radiation therapy by more than 3 weeks due to complications as a result of surgical biopsy to obtain diagnostic tumor sample. (NCT01182350)
Timeframe: 3 weeks
Intervention | Participants (Count of Participants) |
---|
All Biopsied Participants | 1 |
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Number of Participants With Adverse Events (AEs) at the End of the Study
"An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events.~A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.~Adverse Events in the following categories are presented: Adverse Events, Serious Adverse Events, AEs leading to withdrawal from treatment and AEs leading to death." (NCT01183858)
Timeframe: Randomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)
Intervention | participants (Number) |
---|
| Adverse Events (AEs) | Serious Adverse Events | AEs leading to withdrawal | AEs leading to death |
---|
Erlotinib 150 mg | 130 | 29 | 18 | 12 |
,Erlotinib 300 mg | 141 | 35 | 15 | 13 |
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Overall Response Rate (ORR)
Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. A participant was defined as a responder if they sustained a complete response (CR) or partial response (PR) for at least 4 weeks during randomized treatment (confirmed response). Patients with no tumor assessment after the start of study treatment were to be considered as non-responders. The percentage of participants in each best response category is presented. (NCT01183858)
Timeframe: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)
Intervention | percentage of participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Evaluable |
---|
Erlotinib 150 mg | 0.0 | 7.1 | 33.1 | 44.8 | 14.9 |
,Erlotinib 300 mg | 0.0 | 2.5 | 34.0 | 45.9 | 17.6 |
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Overall Survival (OS)
OS defined as the time from randomization to the date of death due to any cause. (NCT01183858)
Timeframe: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)
Intervention | months (Median) |
---|
Erlotinib 150 mg | 6.77 |
Erlotinib 300 mg | 6.83 |
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Disease Control Rate (DCR)
Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans. Disease control rates were measured according to RECIST version 1.1 criteria. A participant was defined as having controlled disease if they sustained a Complete Response (CR) or Partial Response (PR) for at least 4 weeks during randomized treatment (confirmed response), or Stable Disease (SD) for at least 6 weeks. Patients with no tumor assessment after the start of study treatment were considered as having uncontrolled disease. The percentage of participants with Disease Control is presented. (NCT01183858)
Timeframe: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)
Intervention | percentage of participants (Number) |
---|
Erlotinib 150 mg | 40.3 |
Erlotinib 300 mg | 36.5 |
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Overall Survival (OS) at the End of Study
OS defined as the time from randomization to the date of death due to any cause. (NCT01183858)
Timeframe: Randomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)
Intervention | months (Median) |
---|
Erlotinib 150 mg | 7.00 |
Erlotinib 300 mg | 6.90 |
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Progression-Free Survival (PFS)
PFS is defined as the time from randomization to the date of first occurrence of disease progression or death. For target lesions, Progressive Disease (PD) was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01183858)
Timeframe: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 Months)
Intervention | weeks (Median) |
---|
Erlotinib 150 mg | 6.86 |
Erlotinib 300 mg | 7.00 |
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Progression-Free Survival (PFS) at the End of Study
PFS is defined as the time from randomization to the date of first occurrence of disease progression or death. For target lesions, Progressive Disease (PD) was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01183858)
Timeframe: Randomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)
Intervention | weeks (Median) |
---|
Erlotinib 150 mg | 6.86 |
Erlotinib 300 mg | 7.00 |
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Time to Progression (TTP)
Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. Time to progression (TTP) in weeks was defined as the time from randomization to the date of disease progression. Participants without event were censored at the date of the last tumor assessment when the patient was known to be progression free. (NCT01183858)
Timeframe: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)
Intervention | weeks (Median) |
---|
Erlotinib 150 mg | 9.86 |
Erlotinib 300 mg | 9.14 |
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Change in Number of Duodenal Polyps From Baseline to 6 Months in Attenuated FAP Participants
A comparison between the Sulindac-erlotinib and Placebo arm Attenuated FAP subgroups of the change in number of polyps in a 10-centimeter segment of the duodenum (6-month polyp count minus baseline polyp count) (NCT01187901)
Timeframe: Baseline and 6 months
Intervention | polyps (Median) |
---|
Sulindac-erlotinib | -4.3 |
Placebo | 4.9 |
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Change in Number of Duodenal Polyps From Baseline to 6 Months in Classic FAP Participants
A comparison between the Sulindac-erlotinib and Placebo arm Classic FAP subgroups of the change in number of polyps in a 10-centimeter segment of the duodenum (6-month polyp count minus baseline polyp count) (NCT01187901)
Timeframe: Baseline and 6 months
Intervention | polyps (Median) |
---|
Sulindac-erlotinib | -2.1 |
Placebo | 4.0 |
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Change in Number of Duodenal Polyps From Baseline to 6 Months
A comparison between the Sulindac-erlotinib and Placebo arms of the change in number of polyps in a 10-centimeter segment of the duodenum (6-month polyp count minus baseline polyp count). (NCT01187901)
Timeframe: Baseline and 6 months
Intervention | polyps (Median) |
---|
Sulindac-erlotinib | -2.8 |
Placebo | 4.3 |
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Change in Duodenal Polyp Burden From Baseline to 6 Months
A comparison between the Sulindac-erlotinib and Placebo arms of the change in polyp burden from a 10-centimeter segment of the duodenum, measured as the sum of the diameters of the polyps, in millimeters (mm), from the duodenal segment (6-month polyp burden minus baseline polyp burden). (NCT01187901)
Timeframe: Baseline and 6 months
Intervention | mm (Median) |
---|
Sulindac-erlotinib | -8.5 |
Placebo | 8.0 |
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Change in Duodenal Polyp Burden From Baseline to 6 Months in Classic Familial Adenomatous Polyposis (FAP) Participants
A comparison between the Sulindac-erlotinib and Placebo arm Classic FAP subgroups of the change in polyp burden from a 10-centimeter segment of the duodenum, measured as the sum of the diameters of the polyps, in millimeters (mm), from the duodenal segment (6-month polyp burden minus baseline polyp burden). (NCT01187901)
Timeframe: Baseline and 6 months
Intervention | mm (Median) |
---|
Sulindac-erlotinib | -8.5 |
Placebo | 8.5 |
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Change in Duodenal Polyp Burden From Baseline to 6 Months in Attenuated FAP Participants
A comparison between the Sulindac-erlotinib and Placebo arm Attenuated FAP subgroups of the change in polyp burden from a 10-centimeter segment of the duodenum, measured as the sum of the diameters of the polyps, in millimeters (mm), from the duodenal segment (6-month polyp burden minus baseline polyp burden). (NCT01187901)
Timeframe: Baseline and 6 months
Intervention | mm (Median) |
---|
Sulindac-erlotinib | -8.0 |
Placebo | 7.0 |
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Toxicities, Number of Persons With Adverse Events
Number of participants who experienced adverse events (AE's) and serious adverse events (SAE's) during the course of the trial according to CTCAE (4.0) (NCT01192815)
Timeframe: up to 2 yrs after treatment
Intervention | Participants (Count of Participants) |
---|
Arm I | 2 |
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Time to Disease Progression
"The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever status is recorded first) until the first date that recurrence or PD is objectively documented, taking as reference for PD the smallest measurements recorded since the treatment started. Disease progression free survival (PFS) is measured from start of treatment to the date of disease progression or protocol-designated outcome, whichever occurs first and censored at the date of last followed for those survivors without disease progression~Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Measured via Conventional CT and MRI" (NCT01192815)
Timeframe: 1 year and 10 months following study start
Intervention | months (Number) |
---|
Arm I | 6 |
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Overall Survival: Time to Event
Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Participants without follow-up assessment were censored at the day of last dose and participants with no post baseline information were censored at the time of randomization. Overall median time to event was assessed for the population that experienced an event. (NCT01196078)
Timeframe: Day 1 of Cycles 1 through 6 to date of death or date of last follow-up assessment
Intervention | months (Median) |
---|
Erlotinib | 11.21 |
Vinorelbine | 10.36 |
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Percentage of Participants Achieving a Best Overall Response of Complete Response (CR) or Partial Response (PR)
CR was defined as disappearance of all target lesions. PR was defined as at least a 30 percent (%) decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Participants experiencing either a CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST) were classified as responders. Participants with tumour assessment unevaluable were viewed as non-responders. (NCT01196078)
Timeframe: Screening, Day 1 of Cycles 3 and 5 and at End of treatment up to 1 year
Intervention | percentage of participants (Number) |
---|
Erlotinib | 22.81 |
Vinorelbine | 8.93 |
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Percentage of Participants Achieving Disease Control
Disease control was defined as achieving a best overall response of CR, PR, or stable disease (SD) according to RECIST criteria. Participants with tumor assessment unevaluable were viewed as uncontrolled. (NCT01196078)
Timeframe: Screening, Day 1 of Cycles 3 and 5 and at End of treatment up to 1 year
Intervention | percentage of participants (Number) |
---|
Erlotinib | 71.93 |
Vinorelbine | 57.14 |
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Changes in Quality of Life as Assessed by FACT-L (Lung Symptoms) Questionnaire
The LCS consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition) rated on a five-point scale from 0 (not at all) to 4 (very much). The LCS total score is the sum of the scores from the 7 items. For clear thinking and good appetite, the higher score represented 'Improved'; for other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. The change of FACT-L subscore was the change from baseline to endpoint. The LCS of FACT-L is an independently validated tool that measures the disease-related symptoms of lung cancer on an overall scale of 0 (most symptomatic) to 28 (asymptomatic). (NCT01196078)
Timeframe: Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study
Intervention | units on a scale (Mean) |
---|
| Shortness of breath, Baseline (n=52,48) | Shortness of breath, Endpoint (n=52,48) | Shortness of breath, Change (n=52,48) | Weight loss, Baseline (n=51,47) | Weight loss, Endpoint (n=51,47) | Weight loss, Change (n=51,47) | Clear thinking, Baseline (n=52,48) | Clear thinking, Endpoint (n=52,48) | Clear thinking, Change (n=52,48) | Coughing, Baseline (n=52,48) | Coughing, Endpoint (n=52,48) | Coughing, Change (n=52,48) | Hair loss, Baseline (n=52,48) | Hair loss, Endpoint (n=52,48) | Hair loss, Change (n=52,48) | Good appetite, Baseline (n=52,48) | Good appetite, Endpoint (n=52,48) | Good appetite, Change (n=52,48) | Tightness in chest, Baseline (n=52,48) | Tightness in chest, Endpoint (n=52,48) | Tightness in chest, Change (n=52,48) | Easy breathing, Baseline (n=52,48) | Easy breathing, Endpoint (n=52,48) | Easy breathing, Change (n=52,48) |
---|
Erlotinib | 1.4 | 1.6 | 0.2 | 0.6 | 0.7 | 0.1 | 2.4 | 2.2 | -0.2 | 1.3 | 1.4 | 0.1 | 0.3 | 0.4 | 0.1 | 1.9 | 1.7 | -0.3 | 1.3 | 1.4 | 0.1 | 1.7 | 1.7 | -0.1 |
,Vinorelbine | 1.4 | 1.3 | -0.1 | 0.8 | 0.6 | -0.2 | 2.3 | 2.4 | 0.1 | 1.4 | 1.4 | -0.0 | 0.6 | 0.4 | -0.1 | 2.0 | 1.7 | -0.4 | 1.2 | 1.3 | 0.1 | 1.7 | 1.6 | -0.0 |
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Duration of Response Among Participants Who Achieved Either a CR or PR
Duration of response was defined similarly for complete and partial responders. Complete response lasted from the date the complete response was first recorded to the date on which progressive disease was first noted or date of death. Partial response lasted from the date of partial response to the date of the first observation of progressive disease or date of death. (NCT01196078)
Timeframe: Screening, Day 1 of Cycles 3 and 5, every 4th cycle during post-study treatment, and every 3 cycles during follow-up
Intervention | months (Median) |
---|
Erlotinib | 10.89 |
Vinorelbine | 8.75 |
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Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT) Questionnaire
The FACT Questionnaire contains 4 general and 1 lung cancer symptom-specific subscale, including Physical Well-Being (PWB), Social/family Well-Being (SWB), Emotional Well-Being (EWB), Functional Well-Being (FWB), and the 8-item Lung Cancer Subscale (LCS) that assess symptoms commonly reported by participants with lung cancer. Each subscale was assessed by a five-point scale from 0 (not at all) to 4 (very much) to determine the quality of life. PWB, SWB and FWB scores ranged from 0-28 and EWB scores ranged from 0-24. LCS scores ranged from 0-36. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. The FACT-L score ranges from 0 to 136, with higher scores indicating better quality of life. (NCT01196078)
Timeframe: Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study
Intervention | units on a scale (Mean) |
---|
| PWB, Baseline (n=56,53) | PWB, Cycle 2 (n=52,42) | PWB, Cycle 3 (n=41,28) | PWB, Cycle 4 (n=37,28) | PWB, Cycle 5 (n=30,22) | PWB, Cycle 6 (n=25,20) | PWB, End of Study (n=52,48) | SWB, Baseline (n=55,53) | SWB, Cycle 2 (n=52,40) | SWB, Cycle 3 (n=42,30) | SWB, Cycle 4 (n=37,27) | SWB, Cycle 5 (n=28,21) | SWB, Cycle 6 (n=26,18) | SWB, End of Study (n=52,47) | EWB, Baseline (n=57,55) | EWB, Cycle 2 (n=52,43) | EWB, Cycle 3 (n=42,29) | EWB, Cycle 4 (n=37,27) | EWB, Cycle 5 (n=29,21) | EWB, Cycle 6 (n=25,20) | EWB, End of Study (n=52,50) | FWB, Baseline (n=56,55) | FWB, Cycle 2 (n=51,41) | FWB, Cycle 3 (n=41,27) | FWB, Cycle 4 (n=37,26) | FWB, Cycle 5 (n=29,22) | FWB, Cycle 6 (n=25,20) | FWB, End of Study (n=51,50) | LCS, Baseline (n=56,54) | LCS, Cycle 2 (n=50,45) | LCS, Cycle 3 (n=42,30) | LCS, Cycle 4 (n=37,27) | LCS, Cycle 5 (n=28,21) | LCS, Cycle 6 (n=26,20) | LCS, End of Study (n=52,50) |
---|
Erlotinib | 6.8 | 8.1 | 8.9 | 9.4 | 8.8 | 9.3 | 10.8 | 15.9 | 15.5 | 16.0 | 15.9 | 15.7 | 15.2 | 14.4 | 7.8 | 6.7 | 6.4 | 7.0 | 6.3 | 6.5 | 7.1 | 12.3 | 12.9 | 13.0 | 12.8 | 12.7 | 11.7 | 11.1 | 11.0 | 10.8 | 11.0 | 11.3 | 10.8 | 10.4 | 11.1 |
,Vinorelbine | 6.2 | 7.5 | 5.7 | 7.8 | 7.7 | 6.4 | 7.8 | 15.2 | 14.7 | 16.5 | 16.1 | 15.1 | 17.4 | 14.3 | 6.5 | 5.9 | 5.6 | 6.0 | 5.5 | 4.8 | 6.0 | 13.3 | 12.9 | 12.9 | 11.3 | 12.0 | 11.4 | 11.5 | 11.1 | 11.2 | 10.5 | 10.2 | 10.0 | 9.9 | 10.8 |
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Time to Disease Progression
Time to disease progression was defined as the interval between the day of randomization and the first documentation of progressive disease or death. (NCT01196078)
Timeframe: Day 1 of Cycles 1, 3, and 5 or first documentation of progressive disease or death
Intervention | months (Median) |
---|
Erlotinib | 6.66 |
Vinorelbine | 3.87 |
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Percentage of Participants With Changes in Quality of Life as Measured by FACT Questionnaire Scores by Category of Change
The FACT and the FACT-L contain 4 general and 1 lung cancer symptom-specific subscale, including PWB, SWB, EWB, FWB, and the 8-item LCS that assess symptoms commonly reported by participants with lung cancer. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented Worsened'. For PWB, FWB, SWB, and EWB scores and disease-specific subscale score, higher scores indicated a better outcome; a response of down, up, or no change was defined as a score change of ≤ -2 (score down), ≥ +2 (score up), or between these values. (NCT01196078)
Timeframe: Baseline and End of study
Intervention | percentage of participants (Number) |
---|
| PWB, Score Down (n=51,45) | PWB, No Change (n=51,45) | PWB, Score Up (n=51,45) | SWB, Score Down (n=50,45) | SWB, No Change (n=50,45) | SWB, Score Up (n=50,45) | EWB, Score Down (n=52,48) | EWB, No Change (n=52,48) | EWB, Score Up (n=52,48) | FWB, Score Down (n=51,48) | FWB, No Change (n=51,48) | FWB, Score Up (n=51,48) | LCS, Score Down (n=51,47) | LCS, No Change (n=51,47) | LCS, Score Up (n=51,47) |
---|
Erlotinib | 7.8 | 33.3 | 58.8 | 40.0 | 40.0 | 20.0 | 38.5 | 38.5 | 23.1 | 41.2 | 33.3 | 25.5 | 17.6 | 47.1 | 35.3 |
,Vinorelbine | 22.2 | 31.1 | 46.7 | 37.8 | 40.0 | 22.2 | 33.3 | 41.7 | 25.0 | 41.7 | 35.4 | 22.9 | 31.9 | 40.4 | 27.7 |
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Percentage of Participants With Changes in FACT-L (Lung Symptoms) by Category of Change
The LCS consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition). The LCS total score is the sum of the scores from the 7 items, each rated on a five-point scale from 0 (not at all) to 4 (very much). For clear thinking and good appetite, the higher score represented 'Improved'; for other subscales and questionnaires, the higher score represented 'Worsened'. For each FACT-L question, the response status was defined as down, up, or no change if the score at endpoint was smaller (score down), larger than (score up), or the same as (no change) that at baseline. (NCT01196078)
Timeframe: Baseline and End of study
Intervention | percentage of participants (Number) |
---|
| Shortness of breath, Score Down (n=52,48) | Shortness of breath, No Change (n=52,48) | Shortness of breath, Score Up (n=52,48) | Weight loss, Score Down (n=51,47) | Weight loss, No Change (n=51,47) | Weight loss, Score Up (n=51,47) | Clear thinking, Score Down (n=52,48) | Clear thinking No Change (n=52,48) | Clear thinking, Score Up (n=52,48) | Coughing, Score Down (n=52,48) | Coughing, No Change (n=52,48) | Coughing, Score Up (n=52,48) | Hair loss, Score Down (n=52,48) | Hair loss, No Change (n=52,48) | Hair loss, Score Up (n=52,48) | Good appetite, Score Down (n=52,48) | Good appetite, No Change (n=52,48) | Good appetite, Score Up (n=52,48) | Tightness in chest, Score Down (n=52,48) | Tightness in chest, No Change (n=52,48) | Tightness in chest, Score Up (n=52,48) | Easy breathing, Score Down (n=52,48) | Easy breathing, No Change (n=52,48) | Easy breathing, Score Up (n=52,48) |
---|
Erlotinib | 17.3 | 51.9 | 30.8 | 19.6 | 51.0 | 29.4 | 26.9 | 53.8 | 19.2 | 21.2 | 53.8 | 25.0 | 13.5 | 65.4 | 21.2 | 26.9 | 61.5 | 11.5 | 17.3 | 55.8 | 26.9 | 28.8 | 48.1 | 23.1 |
,Vinorelbine | 18.8 | 58.3 | 22.9 | 31.9 | 44.7 | 23.4 | 27.1 | 43.8 | 29.2 | 22.9 | 50.0 | 27.1 | 18.8 | 60.4 | 20.8 | 35.4 | 45.8 | 18.8 | 22.9 | 54.2 | 22.9 | 22.9 | 58.3 | 18.8 |
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Percentage of Participants With Disease Progression
Progressive disease was defined using RECIST as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT01196078)
Timeframe: Day 1 of Cycles 1, 3, and 5 or first documentation of progressive disease or death
Intervention | percentage of participants (Number) |
---|
Erlotinib | 63.16 |
Vinorelbine | 58.93 |
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Changes in Quality of Life as Measured by the FACT Questionnaire
The FACT Questionnaire contains 4 general and 1 lung cancer symptom-specific subscale, including PWB, SWB, EWB, FWB, and the 8-item LCS that assess symptoms commonly reported by participants with lung cancer. Each subscale was assessed by a five-point scale from 0 (not at all) to 4 (very much) to determine the quality of life. PWB, SWB and FWB scores ranged from 0-28 and EWB scores ranged from 0-24. LCS scores ranged from 0-36. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. For PWB, FWB, SWB, and EWB scores and disease-specific subscale score, response of down, up or no change were defined as score changes of less than or equal to (≤)2, greater than or equal to (≥)+2, or between these values. (NCT01196078)
Timeframe: Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study
Intervention | units on a scale (Mean) |
---|
| PWB, Baseline (n=51,45) | PWB, Endpoint (n=51,45) | Change in PWB (n=51,45) | SWB, Baseline (n=50,45) | SWB, Endpoint (n=50,45) | Change in SWB (n=50,45) | EWB, Baseline (n=52,48) | EWB, Endpoint (n=52,48) | Change in EWB (n=52,48) | FWB, Baseline (n=51,48) | FWB, Endpoint (n=51,48) | Change in FWB (n=51,48) | LCS, Baseline (n=51,47) | LCS, Endpoint (n=51,47) | Change in LCS (n=51,47) |
---|
Erlotinib | 6.5 | 10.8 | 4.3 | 15.8 | 14.3 | -1.5 | 7.9 | 7.1 | -0.8 | 12.6 | 11.1 | -1.5 | 10.9 | 11.2 | 0.3 |
,Vinorelbine | 6.0 | 7.8 | 1.8 | 15.4 | 14.4 | -1.0 | 6.2 | 6.0 | -0.2 | 13.4 | 11.7 | -1.7 | 11.2 | 10.7 | -0.4 |
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Overall Survival: Percentage of Participants With an Progressive Disease or Death
Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Participants without follow-up assessment were censored at the day of last dose and participants with no postbaseline information were censored at the time of randomization. Progressive disease was defined per RECIST as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT01196078)
Timeframe: Day 1 of Cycles 1 through 6 to date of death or date of last follow-up assessment
Intervention | percentage of participants (Number) |
---|
Erlotinib | 56.14 |
Vinorelbine | 48.21 |
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Overall Survival
Time from date of treatment start until date of death due to any cause or last Follow-up. (NCT01198028)
Timeframe: up to 6 years
Intervention | months (Median) |
---|
Erlotinib | 13 |
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Overall Response Rate
Overall response rate defined as the percentage of patients who achieve an overall response of complete response or partial response in the total number of evaluable patients, assessed by Response Evaluation Criteria in Solid Tumors 1.1A Bayesian design based on predictive probability will be implemented. (NCT01198028)
Timeframe: up to 6 years
Intervention | Participants (Count of Participants) |
---|
Erlotinib | 3 |
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Duration of Stable Disease
The date of stable disease to the date of loss of stable disease or last follow-up. (NCT01198028)
Timeframe: up to 6 years
Intervention | months (Median) |
---|
Erlotinib | 7.2 |
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Progression-free Survival
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT01198028)
Timeframe: up to 6 years
Intervention | months (Median) |
---|
Erlotinib | 4.7 |
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Duration of Response
The time from initial response during therapy to progression of disease evaluated using Kaplan-Meier estimation techniques. (NCT01198028)
Timeframe: up to 6 years
Intervention | months (Median) |
---|
Erlotinib | 5.3 |
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Number of Participants With Safety and Tolerability of Erlotinib
Frequency of adverse events according to the NCI Common Toxicity Criteria for Adverse Effects (CTCAE) v4.0. Standard reporting guidelines followed for adverse events. (NCT01198028)
Timeframe: Baseline start of treatment, up to 30 days after treatment or to death, up to 6 years
Intervention | Participants (Count of Participants) |
---|
| Dry eyes | Watery eyes | Constipation | Nausea/Vomitting | Oral Mucositis | Fatigue | Acneiform rash |
---|
Erlotinib | 4 | 10 | 5 | 10 | 8 | 14 | 22 |
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Duration of Response (DoR)
Duration of response (DoR) was defined as the interval (in days) from first documentation of a response (CR/PR depending on which occurred first) to the date of the first documentation of disease progression or death from any cause. Participants presenting a response were considered as censored at the date of the last assessment with a documentation of non-progression. DoR (days) = (Date of PD/death - Date of CR/PR) + 1. Assessments were performed according to RECIST Version 1.1. DoR was assessed using the Kaplan-Meier method. Detailed definitions of CR and PR are provided in Outcome Measure 4. (NCT01204697)
Timeframe: From randomization until progressive disease or death, assessed up to 18 months
Intervention | months (Median) |
---|
Erlotinib | NA |
Docetaxel and Erlotinib | 8.69 |
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Progression-free Survival (PFS)
Progression-free Survival (PFS) was defined as the interval (in days) between the date of randomization and the first documentation of progressive disease or death from any cause. Participants alive and progression-free were considered as censored at the date of the last tumor assessment when the participant was known to be progression-free. Participants without post-baseline tumor assessment, but known to be alive, were censored at the time of randomization. PFS (days) = (Date of Event - Date of Randomization) + 1. PFS was assessed using the Kaplan-Meier method. Detailed definition of PD is provided in Outcome Measure 1. (NCT01204697)
Timeframe: From randomization until progressive disease or death, assessed up to 18 months
Intervention | months (Median) |
---|
Erlotinib | 2.33 |
Docetaxel and Erlotinib | 2.82 |
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Percentage of Participants With Disease Control
Disease control was defined as PR, CR, or SD. Participants who did not achieve a CR or PR or SD were counted as non-responders in the analysis of disease control. According to RECIST Version 1.1, SD was defined as not qualifying for CR, PR, and PD. Detailed definitions of CR and PR are provided in Outcome Measure 4. (NCT01204697)
Timeframe: From randomization until progressive disease or death, assessed up to 18 months
Intervention | percentage of participants (Number) |
---|
Erlotinib | 41.7 |
Docetaxel and Erlotinib | 37.8 |
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Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR)
Best overall response (complete response [CR]/partial response [PR]) was defined as the best response recorded from the start of the treatment until disease progression (PD). Best response in this trial was defined as the best response observed at any post-treatment visits. According to RECIST Version 1.1, CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than [<] 10 mm). No new lesions. PR was defined as greater than or equal to [>=] 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. (NCT01204697)
Timeframe: From randomization until progressive disease or death, assessed up to 18 months
Intervention | percentage of participants (Number) |
---|
Erlotinib | 2.8 |
Docetaxel and Erlotinib | 8.1 |
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Overall Survival (OS)
Overall survival (OS) was defined as the interval (in days) between the date of randomization and death from any cause. Participants alive at the time of the analysis were censored at the date they were last known to be alive. OS was assessed using the Kaplan-Meier method. (NCT01204697)
Timeframe: From randomization until death, assessed up to 18 months
Intervention | months (Median) |
---|
Erlotinib | 5.61 |
Docetaxel and Erlotinib | 8.95 |
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Percentage of Participants Free From Disease Progression or Death at 6 Months
According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1, progressive Disease (PD) is defined as: for Target Lesions - At least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeter (mm). (Note: the appearance of one or more new lesions is also considered progression). For Non-Target Lesions - Unequivocal progression of existing non-target lesions. (Note: the appearance of one or more new lesions is also considered progression). (NCT01204697)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
Erlotinib | 8.3 |
Docetaxel and Erlotinib | 8.1 |
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Anti-tumor Activity of OSI-906
Time to progression measured in months from study entry to date of disease progression (NCT01205685)
Timeframe: From study entry to 6 months
Intervention | months (Median) |
---|
OSI-906 + Erlotinib + Letrozole + Goserelin | 2 |
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Number of Participants With Tumor Response Per RECIST
Per RECIST criteria v. 1.1: measurable lesions: complete response (CR) disappearance of target lesions, partial response (PR) > 30% decrease in the sum of the longest diameter (LD) of target lesions, progressive disease (PD) > 20% increase in the sum of the LD of target lesions or appearance of new lesions, stable disease (SD) neither sufficient decrease nor increase of the sum of smallest sum of the LD of target lesions (NCT01205685)
Timeframe: Every 12 weeks to tumor progression
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive disease |
---|
OSI-906 + Erlotinib + Letrozole + Goserelin | 0 | 0 | 0 | 10 |
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Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
According to National Cancer Institute Common Toxicity Criteria for Adverse Events with 1 = mild, 2 = moderate, 3 = severe, 4 = life threatening/disabling, and 5 = death. (NCT01205685)
Timeframe: Every 4 weeks up to 24 weeks
Intervention | participants (Number) |
---|
| Patients with worst grade toxicity of 1 | Patients with worst grade toxicity of 2 | Patients with worst grade toxicity of 3 | Patients with worst grade toxicity of 4 | Patients with worst grade toxicity of 5 |
---|
OSI-906 + Erlotinib + Letrozole + Goserelin | 2 | 6 | 3 | 0 | 0 |
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Time to Objective Response Following U3-1287 (AMG 888) in Combination With Erlotinib
Time to objective response was defined as the time from the date of randomization to the date of the first documentation of objective response (complete response [CR] or partial response [PR]). As per Response Evaluation Criteria in Solid Tumors Version 1.1, CR was defined as a disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. (NCT01211483)
Timeframe: Time from date of randomization up to date of first documentation of objective response of either CR or PR (whichever comes first), up to 3 years 2 months
Intervention | weeks (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 6.14 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 6.29 |
Phase 2: Placebo + Erlotinib | 12.00 |
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Erlotinib Concentrations at Cycle 3 Day 1 Following U3-1287 (AMG 888) in Combination With Erlotinib
(NCT01211483)
Timeframe: Cycle 3, Day 1: predose, 1 h, 2 h, 3 h, 6h, 24 h postdose (each cycle is 21 days)
Intervention | ng/mL (Mean) |
---|
| Predose | 1 h | 2 h | 3 h | 6 h | 24 h |
---|
Phase 1b and Phase 2: U31287 18 mg/kg + Erlotinib | 837.42 | 1115.50 | 1578.33 | 1573.17 | 1902.00 | 1144.00 |
,Phase 2: Placebo + Erlotinib | 1315.00 | 1754.00 | 1820.00 | 1855.00 | 1845.00 | 976.00 |
,Phase 2: U3-1287 9 mg/kg + Erlotinib | 1547.25 | 1954.00 | 1832.00 | 2041.25 | 2362.50 | 2300.00 |
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Pharmacokinetic Parameter of Erlotinib Trough (Cmin) Concentrations From Participants Receiving 150 mg Erlotinib Following U3-1287 (AMG 888) in Combination With Erlotinib
Trough concentrations (Cmin) was defined as minimum (trough) observed concentration within ± 15% of the prescribed dosing interval. Erlotinib Cmin was predose (or for participants with at least 2 prior doses, within 15% of nominal time after postdose) plasma erlotinib concentration. (NCT01211483)
Timeframe: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day1 | Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 5 Day 1 | Cycle 9 Day 1 |
---|
Phase 1b and Phase 2: U31287 18 mg/kg + Erlotinib | 0 | 943.09 | 912.42 | 394.80 | 161.00 |
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Treatment-Emergent Adverse Events Occurring in ≥10% of Participants Following U3-1287 (AMG 888) in Combination With Erlotinib
A treatment-emergent adverse event (TEAE) was defined as an adverse event (AE) that: emerged during treatment, having been absent at pretreatment; or reemerged during treatment, having been present at baseline but stopped prior to treatment; or worsened in severity since treatment relative to the pretreatment state, when the AE was continuous. (NCT01211483)
Timeframe: From the date of signing the informed consent form up to 53 days after the last dose of patritumab/placebo or up to 30 days after the last dose of erlotinib if patritumab/placebo was discontinued earlier, up to 3 years 2 months
Intervention | Participants (Count of Participants) |
---|
| Any TEAE | Blood and Lymphatic System Disorders | Anaemia | Gastrointestinal Disorders | Abdominal distension | Abdominal pain | Abdominal pain upper | Constipation | Diarrhoea | Faecal incontinence | Gastrooesophageal reflux disease | Glossitis | Lip dry | Nausea | Oral disorder | Oral pain | Vomiting | Stomatitis | General Disorders and Administration Site Conditions | Fatigue | Gait disturbance | General physical health deterioration | Non-cardiac chest pain | Oedema peripheral | Mucosal inflammation | Pain | Temperature intolerance | Pyrexia | Asthenia | Metabolism and Nutrition Disorders | Decreased appetite | Hypokalaemia | Hypomagnesaemia | Hyponatraemia | Skin and Subcutaneous Tissue Disorders | Alopecia | Decubitus ulcer | Dermatitis acneiform | Drug eruption | Dry skin | Ecchymosis | Erythema | Onychoclasis | Pruritus | Rash | Rash generalized | Skin exfoliation | Respiratory, Thoracic, and Mediastinal Disorders | Cough | Dyspnoea | Epistaxis | Hiccups | Nasal congestion | Oropharyngeal pain | Postnasal drip | Infections and Infestations | Candidiasis | Device related infection | Fungal skin infection | Oral candidiasis | Paronychia | Tinea cruris | Urinary tract infection | Investigations | Blood creatinine increased | Blood pressure increased | Blood urea increased | Weight decreased | Cardiac Disorders | Ventricular arrhythmia | Eye disorders | Dry eye | Ocular hyperaemia | Vision blurred | Musculoskeletal and connective tissue disorders | Back pain | Flank pain | Muscular weakness | Musculoskeletal chest pain | Myalgia | Injury, poisoning and procedural complications | Contusion | Fall | Sunburn | Thermal burn | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Tumour associated fever | Nervous system disorders | Ataxia | Dizziness | Dysgeusia | Headache | Hyperaesthesia | Hypoaesthesia | Paraesthesia | Peroneal nerve palsy | Presyncope | Psychiatric disorders | Anxiety | Confusional state | Depression | Insomnia | Libido decreased | Renal and urinary disorders | Haematuria | Incontinence | Nocturia | Pollakiuria | Proteinuria | Urinary hesitation |
---|
Phase 1b: U3127 18mg/kg + Erlotinib | 7 | 1 | 1 | 7 | 1 | 1 | 0 | 1 | 5 | 1 | 1 | 1 | 1 | 3 | 1 | 1 | 2 | 2 | 5 | 4 | 1 | 0 | 1 | 2 | 2 | 1 | 1 | 0 | 0 | 5 | 4 | 1 | 3 | 1 | 7 | 1 | 1 | 2 | 1 | 4 | 1 | 1 | 1 | 2 | 7 | 0 | 2 | 5 | 2 | 0 | 1 | 1 | 1 | 1 | 1 | 6 | 3 | 1 | 1 | 1 | 0 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 4 | 2 | 1 | 1 | 1 | 1 | 4 | 2 | 2 | 1 | 1 | 1 | 1 | 5 | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 4 | 1 | 1 | 1 | 1 | 2 | 1 |
,Phase 2: Placebo + Erlotinib | 69 | 8 | 5 | 38 | 1 | 3 | 8 | 4 | 23 | 0 | 2 | 0 | 0 | 14 | 0 | 0 | 5 | 0 | 34 | 13 | 0 | 7 | 1 | 4 | 1 | 0 | 0 | 4 | 6 | 20 | 14 | 3 | 0 | 3 | 48 | 2 | 0 | 1 | 0 | 6 | 0 | 0 | 1 | 2 | 28 | 4 | 1 | 32 | 11 | 12 | 2 | 1 | 0 | 3 | 0 | 16 | 0 | 0 | 1 | 0 | 1 | 0 | 2 | 16 | 0 | 0 | 0 | 8 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 1 | 3 | 0 | 2 | 0 | 1 | 0 | 0 | 12 | 0 | 3 | 1 | 0 | 1 | 2 | 0 | 0 | 2 | 0 | 0 | 12 | 4 | 1 | 3 | 1 | 0 | 2 | 0 | 0 | 1 | 0 | 0 | 0 |
,Phase 2: U3-1287 18 mg/kg + Erlotinib | 69 | 14 | 7 | 59 | 0 | 9 | 5 | 9 | 47 | 0 | 0 | 0 | 1 | 26 | 0 | 0 | 18 | 2 | 44 | 18 | 1 | 11 | 0 | 9 | 1 | 0 | 0 | 8 | 7 | 30 | 18 | 12 | 0 | 4 | 51 | 2 | 2 | 1 | 1 | 5 | 0 | 1 | 0 | 1 | 35 | 8 | 1 | 32 | 5 | 12 | 6 | 0 | 0 | 0 | 0 | 27 | 3 | 1 | 3 | 3 | 8 | 0 | 5 | 21 | 1 | 0 | 0 | 10 | 8 | 0 | 1 | 0 | 0 | 0 | 3 | 6 | 0 | 3 | 3 | 0 | 6 | 0 | 1 | 0 | 0 | 5 | 0 | 4 | 1 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 11 | 0 | 0 | 3 | 2 | 0 | 7 | 2 | 0 | 0 | 0 | 0 | 0 |
,Phase 2: U3-1287 9 mg/kg + Erlotinib | 70 | 12 | 6 | 58 | 0 | 9 | 5 | 10 | 50 | 0 | 0 | 0 | 0 | 17 | 0 | 1 | 7 | 1 | 45 | 22 | 0 | 10 | 0 | 9 | 5 | 0 | 0 | 6 | 4 | 34 | 17 | 11 | 4 | 1 | 60 | 2 | 0 | 2 | 1 | 12 | 0 | 0 | 1 | 2 | 38 | 8 | 0 | 32 | 11 | 17 | 6 | 0 | 0 | 1 | 0 | 26 | 6 | 0 | 0 | 6 | 5 | 0 | 4 | 24 | 2 | 0 | 0 | 16 | 7 | 0 | 0 | 0 | 0 | 2 | 1 | 3 | 1 | 1 | 4 | 1 | 9 | 2 | 2 | 0 | 0 | 7 | 0 | 2 | 0 | 1 | 2 | 3 | 0 | 0 | 1 | 0 | 0 | 12 | 1 | 0 | 3 | 4 | 0 | 2 | 0 | 1 | 0 | 1 | 0 | 0 |
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Progression-Free Survival in Participants With Low Heregulin-Expressing Tumors Following U3-1287 (AMG 888) in Combination With Erlotinib
Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression or death due to any cause (as per Response Evaluation Criteria in Solid Tumors [RECIST] Version 1.1). Heregulin (HRG) low is defined as a delta cycle threshold value ≥ 3.9. (NCT01211483)
Timeframe: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months
Intervention | months (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 1.4 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 2.1 |
Phase 2: Placebo + Erlotinib | 1.4 |
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Progression-Free Survival in Participants With High Heregulin-Expressing Tumors Following U3-1287 (AMG 888) in Combination With Erlotinib
Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression or death due to any cause (as per Response Evaluation Criteria in Solid Tumors [RECIST] Version 1.1). Heregulin (HRG) high is defined as delta cycle threshold value < 3.9. (NCT01211483)
Timeframe: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months
Intervention | months (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 3.4 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 3.0 |
Phase 2: Placebo + Erlotinib | 1.4 |
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Progression-Free Survival Following U3-1287 (AMG 888) in Combination With Erlotinib
Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression or death due to any cause (as per Response Evaluation Criteria in Solid Tumors [RECIST] Version 1.1). (NCT01211483)
Timeframe: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months
Intervention | months (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 1.4 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 2.5 |
Phase 2: Placebo + Erlotinib | 1.6 |
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Pharmacokinetic Parameter of Cycle 3 Patritumab Concentration End of Infusion (CEOI) and Minimum (Trough) Concentration (Cmin) Following U3-1287 (AMG 888) in Combination With Erlotinib
Concentration end of infusion (CEOI) was defined as the concentration within ± 5 minutes of the end of infusion. Cmin was defined as minimum (trough) observed concentration within ± 15% of the prescribed dosing interval. Preinfusion patritumab concentrations observed within 15% of nominal time after the start of the previous infusion (ie, 21 days ± 3.15 days) were considered trough concentrations (NCT01211483)
Timeframe: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 4, Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)
Intervention | ug/mL (Mean) |
---|
| CEOI | Cmin |
---|
Phase 1b and Phase 2: U31287 18 mg/kg + Erlotinib | 473.67 | 65.86 |
,Phase 2: U3-1287 9 mg/kg + Erlotinib | 183.90 | 17.67 |
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Overall Survival Following U3-1287 (AMG 888) in Combination With Erlotinib
Overall Survival (OS) was defined as the time from the randomization date to the date of death. (NCT01211483)
Timeframe: Time from the randomization date up to the date of death due to any cause, up to 3 years 2 months
Intervention | months (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 5.3 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 6.3 |
Phase 2: Placebo + Erlotinib | 7.2 |
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Objective Response Following U3-1287 (AMG 888) in Combination With Erlotinib
Objective response was defined as the best response of either complete response (CR) or partial response (PR). As per Response Evaluation Criteria in Solid Tumors Version 1.1, CR was defined as a disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. (NCT01211483)
Timeframe: Time from date of randomization up to date of first documentation of objective response of either CR or PR (whichever comes first), up to 3 years 2 months
Intervention | Participants (Count of Participants) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 6 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 9 |
Phase 2: Placebo + Erlotinib | 4 |
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Pharmacokinetic Parameter of Cycle 3 Patritumab Area Under the Concentration-time Curve Over the Dosing Interval 0 to τ (AUC) Following U3-1287 (AMG 888) in Combination With Erlotinib
AUC was calculated from the concentration-time data at Cycle 3 using a noncompartmental analysis (NCA) method. (NCT01211483)
Timeframe: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 4, Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)
Intervention | hour*ug/mL (Mean) |
---|
Phase 1b and Phase 2: U31287 18 mg/kg + Erlotinib | 61316.6 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 27713.6 |
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Duration of Stable Disease Following U3-1287 (AMG 888) in Combination With Erlotinib
Duration of stable disease (SD) was defined for participants whose best response is SD as the time from the date of randomization to the date of the first documentation of progressive disease. SD was defined as neither sufficient shrinkage to qualify for partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target lesions). (NCT01211483)
Timeframe: For participants whose best response is SD as the time from date of first documentation of stable disease up to the date of first documentation of progressive disease, up to 3 years 2 months
Intervention | weeks (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 25.14 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 17.29 |
Phase 2: Placebo + Erlotinib | 19.57 |
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Time to Disease Progression Following U3-1287 (AMG 888) in Combination With Erlotinib
Time to disease progression was defined as the time from the randomization date to the date of first objective documentation of disease progression. As per Response Evaluation Criteria in Solid Tumors Version 1.1, progressive disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions. (NCT01211483)
Timeframe: Time from date of randomization up to the date of first objective documentation of disease progression, up to 3 years 2 months
Intervention | weeks (Median) |
---|
Phase 2: U3-1287 18 mg/kg + Erlotinib | 9.29 |
Phase 2: U3-1287 9 mg/kg + Erlotinib | 11.14 |
Phase 2: Placebo + Erlotinib | 7.86 |
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Pharmacokinetic Parameter of Erlotinib Trough (Cmin) Concentrations From Participants Receiving 150 mg Erlotinib Following U3-1287 (AMG 888) in Combination With Erlotinib
Trough concentrations (Cmin) was defined as minimum (trough) observed concentration within ± 15% of the prescribed dosing interval. Erlotinib Cmin was predose (or for participants with at least 2 prior doses, within 15% of nominal time after postdose) plasma erlotinib concentration. (NCT01211483)
Timeframe: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day1 | Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 5 Day 1 | Cycle 7 Day 1 | Cycle 9 Day 1 |
---|
Phase 2: Placebo + Erlotinib | 0 | 1263.47 | 1084.58 | 540.75 | 627.00 | 646.50 |
,Phase 2: U3-1287 9 mg/kg + Erlotinib | 0 | 1490.18 | 1419.95 | 1333.45 | 1602.50 | 1850.00 |
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Progression-free Survival (PFS)
"Calculated according to the method of Kaplan and Meier. Actual and estimated probability of being alive and progression-free, along with a 95% confidence interval, will be calculated.~Response and progression are evaluated in this study using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee [JNCI 92(Macdonald et al.):205-216, 2000]. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions are used. Progressive Disease is defined as a 20% or higher increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions)." (NCT01222689)
Timeframe: From first dose of study treatment to the date of objective progression, or death due to cancer or unknown cause, or to the date of withdrawal from the trial from unknown reasons, assessed up to 2 years
Intervention | months (Median) |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 1.9 |
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Plasma Biomarkers Potentially Predictive of Dual MEK/EGFR Inhibition
"The association between candidate plasma biomarkers of interest, their longitudinal changes, and patient outcomes as measured by OS, PFS, and radiographic and biomarker response.~Specifically, correlation of the relative change in allelic frequency of mutations present in both pre-treatment and on-treatment blood samples versus percent change in CA19-9." (NCT01222689)
Timeframe: Up to 2 years
Intervention | R^2 (Number) |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 0.1369 |
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Number of Patients With Dose Modifications and Reason for Dose Modification.
Tabulation of the reasons for dose modification with number of patients (NCT01222689)
Timeframe: Up to final day of study treatment
Intervention | participants (Number) |
---|
| RASH | Diarrhea | NAUSEA/VOMITING | Fatigue | Hypertension | TRANSAMINITIS | UNKNOWN |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 8 | 7 | 5 | 3 | 1 | 1 | 1 |
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Overall Survival (OS)
Survival will be calculated according to the method of Kaplan and Meier. Both actual and estimated probability of being alive (along with a 95% confidence interval) at 24 weeks (6 months) and for any multiple of 6 months will be calculated for which the number of uncensored subjects is not smaller than 10. (NCT01222689)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 7.3 |
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CA19-9 Biomarker Response (Defined as a 50% Decline in Serum CA19-9 Level From Baseline in Patients With > 2 x ULN CA19-9 Measurement)
The proportion of patients with CA19-9 response. (NCT01222689)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 38 |
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Incidence of Toxicities Graded Using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0
Tabulation of type of adverse events (AE) and the incidence of grade 3 and 4 for each AE (NCT01222689)
Timeframe: Up to 30 days after completion of study treatment
Intervention | events (Number) |
---|
| Rash | Diarrhea | Nausea/vomiting | Fatigue | AST/ALT elevation | Anorexia | Anemia | Dysgeusia | Eye disorders | Pruritus | Hypertension | Thrombocytopenia | Leukopenia/neutropenia | Thromboembolic event (incl. cerebral) | Elevated creatinine |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 10 | 6 | 4 | 3 | 4 | 0 | 5 | 0 | 0 | 0 | 6 | 1 | 1 | 3 | 0 |
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Survival at 24 Weeks
Percent survival at 24 weeks (6 months) (NCT01222689)
Timeframe: 24 weeks
Intervention | percentage of participants (Number) |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 58 |
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Objective Radiographic Response by RECIST Criteria
"Patient's best overall response will be tabulated by level; proportions of complete response (CR) and of CR+partial response will be calculated along with 95% confidence intervals.~Per Response Evaluation Criteria In Solid Tumors (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR, >= 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR+PR." (NCT01222689)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
| Complete Response (CR) | Complete+Partial Response |
---|
Treatment (Erlotinib Hydrochloride, Selumetinib) | 0 | 0 |
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Change in T Cell Immunoglobulin Mucin 3 (TIM-3) on Tregs
Fold change from cycle 1 day 1 was determined by TIM-3 expression level on Tregs measured by the median channel number of fluorescence intensity. (NCT01229150)
Timeframe: Cycle 1 Day 1 pre-treatment with Cycle 1 Day 2 (1 day after starting treatment), and Cycle 1 Day 14 (2 weeks after starting treatment)
Intervention | Fold change (Mean) |
---|
| Cycle 1 Day 2 | Cycle 1 Day 14 |
---|
KRAS Mut 1 | 1.01 | 0.84 |
,KRAS Mut 2 | 1.01 | 0.98 |
,WT KRAS 2 | 1.11 | 0.96 |
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Number of Participants With a Reduction in Phosphorylated Extracellular Signal-Regulated Kinases (p-ERK) in Lymphocytes
Level of p-ERK was measured by the median channel cumber of fluorescence intensity. Data are relative to the level before therapy begins(C1D1).Then we see what the level was after therapy & compare. Every value after therapy is compared to pre-therapy, & every patient is their own control. To do that, we make C1D1 equal to 1 for every patient & then compare the pERK level after therapy by looking at the fold change in pERK level. (NCT01229150)
Timeframe: Cycle 1 Day 1 pre-treatment with Cycle 1 Day 2 (1 day after starting treatment), and Cycle 1 Day 14 (2 weeks after starting treatment)
Intervention | participants (Number) |
---|
| Cycle 1 Day 1 | Cycle 1 day 2 | Cycle 1 day 14 |
---|
KRAS Mut 1 | NA | 4 | 2 |
,KRAS Mut 2 | NA | 17 | 14 |
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Percentage of Th17 in Cluster of Differentiation 4 (CD4)+T Cells at Baseline in Relation to Response
First the number of T cells that are CD4+ is determined by staining with an antibody to CD4 and measured in a flow cytometer. Then the number of Th17+ cells is determined by staining with an antibody to IL-17 and measured in a flow cytometer. Then the percentage of CD4+ cells that are also Th17 cells is determined as a simple ratio, i.e. Th17cells/CD4 cells. This ratio is reported here for each category of KRAS mutation status for whom we had patients. (NCT01229150)
Timeframe: Pretreatment - Cycle 1 Day 1
Intervention | Percentage of Th17 in CD4+T Cells (Mean) |
---|
KRAS Mut 2 | 0.19 |
KRAS Mut 1 | 0.11 |
WT KRAS 2 | 0.34 |
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Progression Free Survival
Time between the first day of treatment to the day of disease progression. Progressive disease is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that's the smallest on study). In addition to the relative increase of 20% of at least 5mm. (Note: the appearance of one or more lesions is also considered progression). (NCT01229150)
Timeframe: 2.1 to 4 months
Intervention | Months (Median) |
---|
KRAS Mut 2 | 2.3 |
KRAS Mut 1 | 4.0 |
WT KRAS 1 | 2.4 |
WT KRAS 2 | 2.1 |
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Change in Cytotoxic T-lymphocyte Associated Protein 4 (CTLA-4) Expression on Tregs
The fold change from cycle 1 day 1 was determined by the level of CTLA-4 expression on Tregs measured by the median channel number of fluorescence intensity. (NCT01229150)
Timeframe: Cycle 1 Day 1 pre-treatment with Cycle 1 Day 2 (1 day after starting treatment), and Cycle 1 Day 14 (2 weeks after starting treatment)
Intervention | Fold change (Mean) |
---|
| Cycle 1 Day 2 | Cycle 1 Day 14 |
---|
KRAS Mut 1 | 0.85 | 0.89 |
,KRAS Mut 2 | 0.95 | 1.25 |
,WT KRAS 2 | 1.15 | 1.49 |
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Change in Programmed Cell Death-1 (PD-1) Expression on Cluster of Differentiation 8 (CD8)+T Cells
Fold change from cycle 1 day 1 was determined by programmed cell death-1 (PD-1) expression on CD8+ T cells measured by the median channel number of fluorescence intensity. (NCT01229150)
Timeframe: Cycle 1 Day 1 pre-treatment with Cycle 1 Day 2 (1 day after starting treatment), and Cycle 1 Day 14 (2 weeks after starting treatment)
Intervention | Fold change (Mean) |
---|
| Cycel 1 Day 2 | Cycle 1 Day 14 |
---|
KRAS Mut 1 | 1.09 | 1.14 |
,KRAS Mut 2 | 1.05 | 1.16 |
,WT KRAS 2 | 1.19 | 1.26 |
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Percentage of Participants With Disease Control/Stabilization
Disease control/stabilization is the percentage of participants with partial response (PR) + complete response (CR) + stable disease (SD). Partial response is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Complete response is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10mm. Stable disease is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. (Note: the appearance of one or more new lesions is also considered progressions.), taking as reference the smallest sum diameters. (NCT01229150)
Timeframe: 3 cycles or up to 84 days
Intervention | percentage of participants (Number) |
---|
KRAS Mut 2 | 43 |
KRAS Mut 1 | 89 |
WT KRAS 1 | 47 |
WT KRAS 2 | 35.3 |
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Change in Programmed Cell Death-1 (PD-1) Expression on Tregs
Fold change from cycle 1 day 1 was determined by the PD-1 expression level on Tregs measured by the median channel number of fluorescence intensity. (NCT01229150)
Timeframe: Cycle 1 Day 1 pre-treatment with Cycle 1 Day 2 (1 day after starting treatment), and Cycle 1 Day 14 (2 weeks after starting treatment)
Intervention | Fold change (Mean) |
---|
| Cycle 1 Day 2 | Cycle 1 Day 14 |
---|
KRAS Mut 1 | 0.96 | 0.98 |
,KRAS Mut 2 | 0.99 | 1.31 |
,WT KRAS 2 | 1.33 | 2.31 |
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Number of Participants With Adverse Events
Here is the number of participants with adverse events. For the detailed list of adverse events see the adverse event module. (NCT01229150)
Timeframe: 42 months
Intervention | Participants (Number) |
---|
KRAS Mut 2 & WT KRAS 2 | 49 |
KRAS Mut 1 | 9 |
WT KRAS 1 | 18 |
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Objective Response
Objective response is complete response + partial response. Complete response is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10mm. Partial response is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. (NCT01229150)
Timeframe: Up to 37 months
Intervention | participants (Number) |
---|
KRAS Mut 2 | 3 |
KRAS Mut 1 | 0 |
WT KRAS 1 | 1 |
WT KRAS 2 | 2 |
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Overall Survival
Time between the first day of treatment to the time of death. (NCT01229150)
Timeframe: Up to 26 months
Intervention | Months (Median) |
---|
KRAS Mut 2 | 21.8 |
KRAS Mut 1 | 10.5 |
WT KRAS 1 | 6.3 |
WT KRAS 2 | 12.9 |
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Progression-free Survival (PFS)
PFS was defined as the time from the date of enrolment to the date of disease progression (PD) or death, whichever occurred first. Tumor assessments were done by magnetic resonance imaging according to RECIST v1.1. PD was defined as at least a 20% increase in the sum of the longest diameter of target lesions (TL), taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-TLs. All measurable lesions up to a maximum of 2 lesions per organ and 5 lesions in total, representative of all involved organs, should be identified as TLs at Baseline. TLs should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all TLs will be calculated and reported as the Baseline sum longest diameter. (NCT01230710)
Timeframe: From the date of enrolment until the end of the study (up to 2 years, 6 months).
Intervention | Days (Median) |
---|
Erlotinib | 99 |
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Percentage of Participants With Progression-free Survival at Week 52
A participant had progression-free survival if they did not have disease progression and were alive. Tumor assessments were done by magnetic resonance imaging according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions. All measurable lesions up to a maximum of 2 lesions per organ and 5 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline. Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter. (NCT01230710)
Timeframe: From the date of enrolment in the study until the date of disease progression or death from any cause (up to 2 years, 6 months).
Intervention | Percentage of participants (Number) |
---|
Erlotinib | 22.5 |
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Percentage of Participants With Disease Control
A participant with disease control was defined as a participant with either a complete response (CR), a partial response (PR), or stable disease (SD), as determined using RECIST v1.1. A CR was defined as the disappearance of all target lesions (TL). A PR was defined as at least a 30% decrease in the sum of the longest diameter of TLs taking as reference the Baseline sum longest diameter (SLD). SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest SLD since treatment started. For non-TLs, SD was defined as the persistence of 1 or more lesions. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the unequivocal progression of existing non-TLs. A SLD for all TLs will be calculated and reported as the Baseline SLD. Tumor assessments were done by magnetic resonance imaging according to RECIST v1.1. (NCT01230710)
Timeframe: From the date of enrolment until the end of the study (up to 2 years, 6 months).
Intervention | Percentage of participants (Number) |
---|
Erlotinib | 55.3 |
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Overall Survival
Overall survival was defined as the time from the date of enrolment to the date of death from any cause. (NCT01230710)
Timeframe: From the date of enrolment until the end of the study (up to 2 years, 6 months).
Intervention | Days (Median) |
---|
Erlotinib | 671 |
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Percentage of Participants With a Complete Response (CR) or a Partial Response (PR)
A CR was defined as the disappearance of all target lesions. A PR was defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the Baseline sum longest diameter. All measurable lesions up to a maximum of 2 lesions per organ and 5 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline. All other lesions (or sites of disease) should be identified as non-target lesions. Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter. Tumor assessments were done by magnetic resonance imaging according to RECIST v1.1. (NCT01230710)
Timeframe: From the date of enrolment until the end of the study (up to 2 years, 6 months).
Intervention | Percentage of participants (Number) |
---|
| Complete response | Partial response |
---|
Erlotinib | 2.1 | 23.4 |
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Percentage of Participants That Experienced a Dose Limiting Toxicity
Determination of the safety and recommended phase II dose of AMG 102 when combined with erlotinib for the treatment of patients with advanced, previously-treated NSCLC. (NCT01233687)
Timeframe: During first cycle of treatment (3 weeks)
Intervention | percentage of participants (Number) |
---|
AMG 102 + Erlotinib | 0 |
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Progression-free Survival (PFS)
Progression-free survival is defined as the time from the start of treatment until first evidence of disease progression, death, or date of last contact. The (median) length of time that subjects with previously-treated advanced NSCLC, who were treated with the combination of AMG 102 and erlotinib, are both alive and free of disease progression as estimated by the Kaplan-Meier method. For participants not known to have died as of the data cut-off date and who did not have PD, the PFS date was censored at the last contact date (contacts considered in the determination of last progression free disease assessment). (NCT01233687)
Timeframe: Up to 24 months (after the first patient is accrued)
Intervention | months (Median) |
---|
AMG 102 + Erlotinib | 2.6 |
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Disease Control Rate (DCR)
Using RECIST v1.1 criteria, DCR was determined by following equation: the number of complete response (CR) participants + the number of partial response (PR) participants + the number of stable disease (SD) participants / the number of complete response (CR) participants + the number of partial response (PR) participants + the number of stable disease (SD) participants + the number of progressive disease (PD) participants. (NCT01233687)
Timeframe: Six weeks from initiation of treatment with AMG 102 + Erlotinib
Intervention | percentage of patients (Number) |
---|
AMG 102 + Erlotinib | 60 |
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Overall Survival (OS)
Overall Survival was computed for all participants and is defined as the time between start of treatment and death. The (median) length of time in months that subjects with previously-treated advanced NSCLC, treated with the combination of AMG 102 and erlotinib, remain alive estimated by the Kaplan-Meier method. (NCT01233687)
Timeframe: Up to 24 months (after the first evaluable patient is accrued)
Intervention | months (Median) |
---|
AMG 102 + Erlotinib | 6.6 |
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Objective Response Rate (ORR/Clinical Response)
Using RECIST v1.1 criteria, ORR was determined by following equation: the number of partial response (PR) participants / the number of partial response (PR) participants + the number of stable disease (SD) participants + the number of progressive disease (PD) participants. (NCT01233687)
Timeframe: Up to 6 months
Intervention | percentage of patients (Number) |
---|
AMG 102 + Erlotinib | 8.8 |
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Treatment-Emergent Adverse Events Reported in ≥5% of Participants Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Non-Squamous, Non-Small-Cell Lung Cancer
Treatment-emergent AEs (TEAEs) were defined as those AEs that occurred, having been absent before the study, or worsened in severity after the initiation of study treatment administration. (NCT01244191)
Timeframe: Baseline up to 30 days after last dose, up to 1 year 11 months postdose
Intervention | Participants (Count of Participants) |
---|
| Any TEAE | Diarrhea | Rash | Decreased appetite | Dyspnea | Fatigue | Nausea | Cough | Asthenia | Dermatitis acneiform | Vomiting | Anemia | Weight decreased | Constipation | Pyrexia | Back pain | Dry skin | Pruritus | Neutropenia | Headache | Edema, peripheral | Insomnia | Abdominal pain | Noncardiac chest pain | Pneumonia | Dyspepsia | Abdominal pain, upper | Mucosal inflammation | Stomatitis | Hemoptysis | General physical health deterioration | Pain in extremity | Dizziness | Alopecia |
---|
Placebo and Erlotinib | 503 | 212 | 193 | 149 | 117 | 113 | 123 | 91 | 90 | 98 | 81 | 51 | 58 | 54 | 41 | 47 | 56 | 44 | 10 | 28 | 29 | 29 | 27 | 24 | 22 | 24 | 19 | 24 | 27 | 19 | 18 | 19 | 16 | 14 |
,Tivantinib and Erlotinib | 513 | 180 | 172 | 151 | 136 | 136 | 121 | 110 | 100 | 90 | 73 | 83 | 57 | 57 | 60 | 54 | 41 | 31 | 62 | 41 | 37 | 33 | 34 | 34 | 35 | 30 | 33 | 27 | 22 | 30 | 29 | 28 | 26 | 26 |
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Progression-free Survival in the Epidermal Growth Factor Receptor (EGFR) Gene Wild-Type Subpopulation Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants Non-Squamous NSCLC
Progression-free Survival (PFS) was defined as the time from the date of randomization to the date of the first objective documentation of disease progression or date of death from any cause (whichever comes first). As per the Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1) criteria, progression was defined as at least a 20% increase in the sum of diameters of target lesions. (NCT01244191)
Timeframe: Date of randomization to disease progression or death (whichever comes first), up to 1 year 11 months postdose
Intervention | months (Median) |
---|
Tivantinib and Erlotinib | 2.7 |
Placebo and Erlotinib | 1.9 |
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Overall Survival in the Epidermal Growth Factor Receptor Gene Wild-Type Subpopulation Following Treatment With Tivantinib (ARQ 197) Plus Erlotinib Compared to Placebo Plus Erlotinib in Previously Treated Participants With Non-Squamous NSCLC
The overall survival (OS) was defined as the time from the date of randomization to the date of death from any cause. (NCT01244191)
Timeframe: Date of randomization up to date of death, up to approximately 1 year 11 months postdose
Intervention | months (Median) |
---|
Tivantinib and Erlotinib | 7.2 |
Placebo and Erlotinib | 7.1 |
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Safety Assessed Through Evaluation of Physical Examinations, Vital Signs, Clinical Laboratory Tests, and Adverse Events (AEs)
Safety is monitored through AEs, which includes abnormal or clinically significant vital sign assessments, laboratory test, physical examination findings associated with signs and/or symptoms requiring withdrawal, dose modification or medical intervention. A treatment-emergent adverse event (TEAE) was defined as an adverse event observed after starting administration of the study drug. An AE was considered serious (SAE) if it resulted in death, a life-threatening situation, inpatient hospitalization or prolongation of an existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect in the offspring of a patient who received study drug or other important medical events. (NCT01247922)
Timeframe: From first dose of study drug to 30 days after last dose of study drug (The mean treatment duration was 170.5 days)
Intervention | participants (Number) |
---|
| Any TEAE | With at least 1 SAE | With at least 1 treatment-related SAE | Discontinued study due to treatment-related AEs | Died on treatment or within 30 days |
---|
Erlotinib | 4 | 2 | 0 | 0 | 1 |
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Best Overall Response
Best overall response was derived from an integrated clinical assessment by the study investigator as per institutional standards. This included radiographic assessments deemed appropriate by the investigator in the normal care of the patient. A determination of best overall response at the end of study treatment (complete response, partial response, minor response or stable disease) was only made if (1) any disease-related neurologic symptoms were stable or improving over the interval of the radiographic assessment and (2) corticosteroid dosing for the control of tumor-related signs/symptoms was stable or decreasing.If the investigator deems that a radiographic assessment is not needed, then evidence of clinical improvement may be used to determine best response provided that corticosteroid dosing for tumor-related signs/symptoms is stable or decreasing. (NCT01247922)
Timeframe: End of treatment (The mean treatment duration was 170.5 days.)
Intervention | participants (Number) |
---|
| Complete response | Partial response | Minor response | Stable disease | Disease progression |
---|
Erlotinib | 0 | 0 | 0 | 2 | 2 |
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8-Week Disease Control Rate (DCR)
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01248247)
Timeframe: 8 weeks
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Arm 1 - Erlotinib | 0 | 6 | 13 |
,Arm 2 - Erlotinib + MK-2206 | 0 | 18 | 18 |
,Arm 3 - AZD6244 + MK-2206 | 3 | 34 | 33 |
,Arm 4 - Sorafenib | 3 | 25 | 33 |
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Probability of Being Alive and Free of Progression by Timepoint
Progression Free Survival (PFS) was defined as the interval (number of days) from the trial treatment start date to the earlier of the date of the first tumor response assessment of PD or the date of death by any cause. Participants who experienced neither of these events or who were lost to followup at the time of the analysis were censored at date of last contact. PFS was summarized according to the Kaplan-Meier method. (NCT01250119)
Timeframe: Months 0, 3, 6, 9, 12, 15, and 18
Intervention | probability of being alive (Number) |
---|
| 0 Months | 3 Months | 6 Months | 9 Months | 12 Months | 15 Months | 18 Months |
---|
Erlotinib 150 mg/Day | 1.00 | 0.97 | 0.94 | 0.73 | 0.54 | 0.37 | 0.22 |
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Percentage of Participants With Problems With Usual Activities as Assessed Using the EQ-5D
The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The participants were required to rate their ability to perform usual activities as the following categories: Category 1. I have no problems with performing my usual activities; Category 2. I have some problems with performing my usual activities; Category 3. I am unable to perform my usual activities. (NCT01250119)
Timeframe: Baseline (Visit 1), Days 10 to 14 (Visit 2), Day 1 of every 6 weeks until PD, Death, Unacceptable toxicity or Withdrawal of consent up to 34 months
Intervention | percentage of participants (Number) |
---|
| Screening Category 1 (n=41) | Screening Category 2 (n=41) | Screening Category 3 (n=41) | Visit 01 Category 1 (n=20) | Visit 01 Category 2 (n=20) | Visit 01 Category 3 (n=20) | Visit 02 Category 1 (n=33) | Visit 02 Category 2 (n=33) | Visit 02 Category 3 (n=33) | Visit 03 Category 1 (n=30) | Visit 03 Category 2 (n=30) | Visit 03 Category 3 (n=30) | Visit 04 Category 1 (n=29) | Visit 04 Category 2 (n=29) | Visit 04 Category 3 (n=29) | Visit 05 Category 1 (n=33) | Visit 05 Category 2 (n=33) | Visit 05 Category 3 (n=33) | Visit 06 Category 1 (n=31) | Visit 06 Category 2 (n=31) | Visit 06 Category 3 (n=31) | Visit 07 Category 1 (n=29) | Visit 07 Category 2 (n=29) | Visit 07 Category 3 (n=29) | Visit 08 Category 1 (n=27) | Visit 08 Category 2 (n=27) | Visit 08 Category 3 (n=27) | Visit 09 Category 1 (n=24) | Visit 09 Category 2 (n=24) | Visit 09 Category 3 (n=24) | Visit 10 Category 1 (n=21) | Visit 10 Category 2 (n=21) | Visit 10 Category 3 (n=21) | Visit 11 Category 1 (n=13) | Visit 11 Category 2 (n=13) | Visit 11 Category 3 (n=13) | Visit 12 Category 1 (n=11) | Visit 12 Category 2 (n=11) | Visit 12 Category 3 (n=11) | Visit 13 Category 1 (n=9) | Visit 13 Category 2 (n=9) | Visit 13 Category 3 (n=9) | Visit 14 Category 1 (n=8) | Visit 14 Category 2 (n=8) | Visit 14 Category 3 (n=8) | Visit 15 Category 1 (n=5) | Visit 15 Category 2 (n=5) | Visit 15 Category 3 (n=5) | Visit 16 Category 1 (n=4) | Visit 16 Category 2 (n=4) | Visit 16 Category 3 (n=4) | Visit 17 Category 1 (n=4) | Visit 17 Category 2 (n=4) | Visit 17 Category 3 (n=4) | Visit 18 Category 1 (n=3) | Visit 18 Category 2 (n=3) | Visit 18 Category 3 (n=3) | Visit 19 Category 1 (n=2) | Visit 19 Category 2 (n=2) | Visit 19 Category 3 (n=2) | Visit 20 Category 1 (n=2) | Visit 20 Category 2 (n=2) | Visit 20 Category 3 (n=2) | Visit 21 Category 1 (n=2) | Visit 21 Category 2 (n=2) | Visit 21 Category 3 (n=2) | Visit 22 Category 1 (n=1) | Visit 22 Category 2 (n=1) | Visit 22 Category 3 (n=1) | Visit 23 Category 1 (n=1) | Visit 23 Category 2 (n=1) | Visit 23 Category 3 (n=1) | Visit 24 Category 1 (n=1) | Visit 24 Category 2 (n=1) | Visit 24 Category 3 (n=1) | Visit 25 Category 1 (n=1) | Visit 25 Category 2 (n=1) | Visit 25 Category 3 (n=1) | Final visit/Withdrawal Category 1 (n=21) | Final visit/Withdrawal Category 2 (n=21) | Final visit/Withdrawal Category 3 (n=21) |
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Erlotinib 150 mg/Day | 39.0 | 46.3 | 14.6 | 40.0 | 50.0 | 10.0 | 36.4 | 60.6 | 3.0 | 40.0 | 53.3 | 6.7 | 51.7 | 44.8 | 3.4 | 51.5 | 48.5 | 0.0 | 45.2 | 54.8 | 0.0 | 48.3 | 51.7 | 0.0 | 40.7 | 59.3 | 0.0 | 33.3 | 66.7 | 0.0 | 38.1 | 61.9 | 0.0 | 30.8 | 69.2 | 0.0 | 27.3 | 72.7 | 0.0 | 22.2 | 77.8 | 0.0 | 37.5 | 62.5 | 0.0 | 20.0 | 80.0 | 0.0 | 25.0 | 75.0 | 0.0 | 25.0 | 75.0 | 0.0 | 33.3 | 66.7 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 33.3 | 61.9 | 4.8 |
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Percentage of Participants With Problems With Self-Care as Assessed Using the EQ-5D
The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The participants were required to rate their self-care as the following categories: Category 1. I have no problems with self-care; Category 2. I have some problems washing or dressing myself; Category 3. I am unable to wash or dress myself. (NCT01250119)
Timeframe: Baseline (Visit 1), Days 10 to 14 (Visit 2), Day 1 of every 6 weeks until PD, Death, Unacceptable toxicity or Withdrawal of consent up to 34 months
Intervention | percentage of participants (Number) |
---|
| Screening Category 1 (n=41) | Screening Category 2 (n=41) | Screening Category 3 (n=41) | Visit 01 Category 1 (n=20) | Visit 01 Category 2 (n=20) | Visit 01 Category 3 (n=20) | Visit 02 Category 1 (n=33) | Visit 02 Category 2 (n=33) | Visit 02 Category 3 (n=33) | Visit 03 Category 1 (n=29) | Visit 03 Category 2 (n=29) | Visit 03 Category 3 (n=29) | Visit 04 Category 1 (n=28) | Visit 04 Category 2 (n=28) | Visit 04 Category 3 (n=28) | Visit 05 Category 1 (n=33) | Visit 05 Category 2 (n=33) | Visit 05 Category 3 (n=33) | Visit 06 Category 1 (n=31) | Visit 06 Category 2 (n=31) | Visit 06 Category 3 (n=31) | Visit 07 Category 1 (n=29) | Visit 07 Category 2 (n=29) | Visit 07 Category 3 (n=29) | Visit 08 Category 1 Visit 08 Category 1 (n=27) | Visit 08 Category 2 (n=27) | Visit 08 - Category 3 (n=27) | Visit 09 Category 1 (n=24) | Visit 09 Category 2 (n=24) | Visit 09 Category 3 (n=24) | Visit 10 Category 1 (n=21) | Visit 10 Category 2 (n=21) | Visit 10 Category 3 (n=21) | Visit 11 Category 1 (n=13) | Visit 11 Category 2 (n=13) | Visit 11 Category 3 (n=13) | Visit 12 Category 1 (n=11) | Visit 12 Category 2 (n=11) | Visit 12 Category 3 (n=11) | Visit 13 Category 1 (n=9) | Visit 13 Category 2 (n=9) | Visit 13 Category 3 (n=9) | Visit 14 Category 1 (n=8) | Visit 14 Category 2 (n=8) | Visit 14 Category 3 (n=8) | Visit 15 Category 1 (n=5) | Visit 15 Category 2 (n=5) | Visit 15 Category 3 (n=5) | Visit 16 Category 1 (n=4) | Visit 16 Category 2 ((n=4)) | Visit 16 Category 3 (n=4) | Visit 17 Category 1 (n=4) | Visit 17 Category 2 (n=4) | Visit 17 Category 3 (n=4) | Visit 18 Category 1 (n=3) | Visit 18 Category 2 (n=3) | Visit 18 Category 3 (n=3) | Visit 19 Category 1 (n=2) | Visit 19 Category 2 (n=2) | Visit 19 Category 3 (n=2) | Visit 20 Category 1 (n=2) | Visit 20 Category 2 (n=2) | Visit 20 Category 3 (n=2) | Visit 21 Category 1 (n=2) | Visit 21 Category 2 (n=2) | Visit 21 Category 3 (n=2) | Visit 22 Category 1 (n=1) | Visit 22 Category 2 (n=1) | Visit 22 Category 3 (n=1) | Visit 23 Category 1 (n=1) | Visit 23 Category 2 (n=1) | Visit 23 Category 3 (n=1) | Visit 24 Category 1 (n=1) | Visit 24 Category 2 (n=1) | Visit 24 Category 3 (n=1) | Visit 25 Category 1 (n=1) | Visit 25 Category 2 (n=1) | Visit 25 Category 3 (n=1) | Final visit/Withdraw Category 1 (n=21) | Final visit/Withdraw Category 2 (n=21) | Final visit/Withdraw Category 3 (n=21) |
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Erlotinib 150 mg/Day | 78.0 | 17.1 | 4.9 | 80.0 | 20.0 | 0.0 | 81.8 | 18.2 | 0.0 | 86.2 | 13.8 | 0.0 | 82.1 | 17.9 | 0.0 | 78.8 | 21.2 | 0.0 | 83.9 | 16.1 | 0.0 | 79.3 | 20.7 | 0.0 | 85.2 | 14.8 | 0.0 | 75.0 | 25.0 | 0.0 | 71.4 | 28.6 | 0.0 | 61.5 | 38.5 | 0.0 | 54.5 | 45.5 | 0.0 | 55.6 | 44.4 | 0.0 | 62.5 | 37.5 | 0.0 | 40.0 | 60.0 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 33.3 | 66.7 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 66.7 | 33.3 | 0.0 |
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Percentage of Participants With Problems With Mobility as Assessed Using the EQ-5D
The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The participants were required to rate their mobility as the following categories: Category 1. I have no problems in walking about; Category 2. I have some problems in walking about; Category 3. I am confined to bed. (NCT01250119)
Timeframe: Baseline (Visit 1), Days 10 to 14 (Visit 2), Day 1 of every 6 weeks until PD, Death, Unacceptable toxicity or Withdrawal of consent up to 34 months
Intervention | percentage of participants (Number) |
---|
| Screening Category 1 (n=41) | Screening Category 2 (n=41) | Screening Category 3 (n=41) | Visit 01 Category 1 (n=20) | Visit 01 Category 2 (n=20) | Visit 01 Category 3 (n=20) | Visit 02 Category 1 (n=33) | Visit 02 Category 2 (n=33) | Visit 02 Category 3 (n=33) | Visit 03 Category 1 (n=30) | Visit 03 Category 2 (n=30) | Visit 03 Category 3 (n=30) | Visit 04 Category 1 (n=29) | Visit 04 Category 2 (n=29) | Visit 04 Category 3 (n=29) | Visit 05 Category 1 (n=33) | Visit 05 Category 2 (n=33) | Visit 05 Category 3 (n=33) | Visit 06 Category 1 (n=31) | Visit 06 Category 2 (n=31) | Visit 06 Category 3 (n=31) | Visit 07 Category 1 (n=29) | Visit 07 Category 2 (n=29) | Visit 07 Category 3 (n=29) | Visit 08 Category 1 (n=27) | Visit 08 Category 2 (n=27) | Visit 08 Category 3 (n=27) | Visit 09 Category 1 (n=24) | Visit 09 Category 2 (n=24) | Visit 09 Category 3 (n=24) | Visit 10 Category 1 (n=21) | Visit 10 Category 2 (n=21) | Visit 10 Category 3 (n=21) | Visit 11 Category 1 (n=13) | Visit 11 Category 2 (n=13) | Visit 11 Category 3 (n=13) | Visit 12 Category 1 (n=11) | Visit 12 Category 2 (n=11) | Visit 12 Category 3 (n=11) | Visit 13 Category 1 (n=9) | Visit 13 Category 2 (n=9) | Visit 13 Category 3 (n=9) | Visit 14 Category 1 (n=8) | Visit 14 Category 2 (n=8) | Visit 14 Category 3 (n=8) | Visit 15 Category 1 (n=5) | Visit 15 Category 2 (n=5) | Visit 15 Category 3 (n=5) | Visit 16 Category 1 (n=4) | Visit 16 Category 2 (n=4) | Visit 16 Category 3 (n=4) | Visit 17 Category 1 (n=4) | Visit 17 Category 2 (n=4) | Visit 17 Category 3 (n=4) | Visit 18 Category 1 (n=3) | Visit 18 Category 2 (n=3) | Visit 18 Category 3 (n=3) | Visit 19 Category 1 (n=2) | Visit 19 Category 2 (n=2) | Visit 19 Category 3 (n=2) | Visit 20 Category 1 (n=2) | Visit 20 Category 2 (n=2) | Visit 20 Category 3 (n=2) | Visit 21 Category 1 (n=2) | Visit 21 Category 2 (n=2) | Visit 21 Category 3 (n=2) | Visit 22 Category 1 (n=1) | Visit 22 Category 2 (n=1) | Visit 22 Category 3 (n=1) | Visit 23 Category 1 (n=1) | Visit 23 Category 2 (n=1) | Visit 23 Category 3 (n=1) | Visit 24 Category 1 (n=1) | Visit 24 Category 2 (n=1) | Visit 24 Category 3 (n=1) | Visit 25 Category 1 (n=1) | Visit 25 Category 2 (n=1) | Visit 25 Category 3 (n=1) | Final visit/Withdraw Category 1 (n=21) | Final visit/Withdraw Category 2 (n=21) | Final visit/Withdraw Category 3 (n=21) |
---|
Erlotinib 150 mg/Day | 43.9 | 56.1 | 0.0 | 45.0 | 55.0 | 0.0 | 45.5 | 54.5 | 0.0 | 56.7 | 43.3 | 0.0 | 51.7 | 48.3 | 0.0 | 54.5 | 45.5 | 0.0 | 54.8 | 45.2 | 0.0 | 58.6 | 41.4 | 0.0 | 55.6 | 44.4 | 0.0 | 62.5 | 37.5 | 0.0 | 42.9 | 57.1 | 0.0 | 46.2 | 53.8 | 0.0 | 45.5 | 54.5 | 0.0 | 55.6 | 44.4 | 0.0 | 50.0 | 50.0 | 0.0 | 40.0 | 60.0 | 0.0 | 25.0 | 75.0 | 0.0 | 25.0 | 75.0 | 0.0 | 33.3 | 66.7 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 33.3 | 66.7 | 0.0 |
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Survival Time in Months
Duration of time in months from Screening until Death due to any cause. (NCT01250119)
Timeframe: Baseline, Day 1 of each 6-week visit starting from Visit 3 until PD, Death, Unacceptable toxicity or Withdrawal of consent up to 34 months
Intervention | months (Median) |
---|
Erlotinib 150 mg/Day | 12.57 |
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Percentage of Participants Who Tested Positive for EGFR Mutations
All participants newly diagnosed with recurrent or metastatic NSCLC were tested for EGFR exon 19 deletion or exon 21 mutations. (NCT01250119)
Timeframe: 14 days
Intervention | percentage of participants (Number) |
---|
NSCLC Group | 8.1 |
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Quality of Life Assessment Using EuroQol(EQ) 5D Visual Analog Score (VAS) Instrument
The EQ-5D contains a descriptive system that measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The EQ-5D also contains a visual analog scale (EQ-VAS), which records the respondent's self-rated health status on a vertical graduated visual analog scale ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). A negative change indicates improvement. (NCT01250119)
Timeframe: Screening, Baseline and Final or Withdrawal Visit up to 34 months
Intervention | mm (Mean) |
---|
| Screening (n=40) | Baseline (n=20) | Final visit/Withdrawal (n=20) | Change from Baseline Final visit(n=20) |
---|
Erlotinib 150 mg/Day | 62.6 | 65.4 | 63.0 | -0.4 |
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Percentage of Participants With Pain/Discomfort as Assessed Using the EQ-5D
The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The participants were required to rate their pain as the following categories: Category 1. I have no pain or discomfort; Category 2. I have moderate pain or discomfort; Category 3. I have extreme pain or discomfort. (NCT01250119)
Timeframe: Baseline (Visit 1), Days 10 to 14 (Visit 2), Day 1 of every 6 weeks until PD, Death, Unacceptable toxicity or Withdrawal of consent up to 34 months
Intervention | percentage of participants (Number) |
---|
| Screening Category 1 (n=41) | Screening Category 2 (n=41) | Screening Category 3 (n=41) | Visit 01 Category 1 (n=20) | Visit 01 Category 2 (n=20) | Visit 01 Category 3 (n=20) | Visit 02 Category 1 (n=32) | Visit 02 Category 2 (n=32) | Visit 02 Category 3 (n=32) | Visit 03 Category 1 (n=30) | Visit 03 Category 2 (n=30) | Visit 03 Category 3 (n=30) | Visit 04 Category 1 (n=29) | Visit 04 Category 2 (n=29) | Visit 04 Category 3 (n=29) | Visit 05 Category 1 (n=33) | Visit 05 Category 2 (n=33) | Visit 05 Category 3 (n=33) | Visit 06 Category 1 (n=31) | Visit 06 Category 2 (n=31) | Visit 06 Category 3 (n=31) | Visit 07 Category 1 (n=29) | Visit 07 Category 2 (n=29) | Visit 07 Category 3 (n=29) | Visit 08 Category 1 (n=27) | Visit 08 Category 2 (n=27) | Visit 08 Category 3 (n=27) | Visit 09 Category 1 (n=24) | Visit 09 Category 2 (n=24) | Visit 09 Category 3 (n=24) | Visit 10 Category 1 (n=21) | Visit 10 Category 2 (n=21) | Visit 10 Category 3 (n=21) | Visit 11 Category 1 (n=13) | Visit 11 Category 2 (n=13) | Visit 11 Category 3 (n=13) | Visit 12 Category 1 (n=11) | Visit 12 Category 2 (n=11) | Visit 12 Category 3 (n=11) | Visit 13 Category 1 (n=9) | Visit 13 Category 2 (n=9) | Visit 13 Category 3 (n=9) | Visit 14 Category 1 (n=8) | Visit 14 Category 2 (n=8) | Visit 14 Category 3 (n=8) | Visit 15 Category 1 (n=5) | Visit 15 Category 2 (n=5) | Visit 15 Category 3 (n=5) | Visit 16 Category 1 (n=4) | Visit 16 Category 2 (n=4) | Visit 16 Category 3 (n=4) | Visit 17 Category 1 (n=4) | Visit 17 Category 2 (n=4) | Visit 17 Category 3 (n=4) | Visit 18 Category 1 (n=3) | Visit 18 Category 2 (n=3) | Visit 18 Category 3 (n=3) | Visit 19 Category 1 (n=2) | Visit 19 Category 2 (n=2) | Visit 19 Category 3 (n=2) | Visit 20 Category 1 (n=2) | Visit 20 Category 2 (n=2) | Visit 20 Category 3 (n=2) | Visit 21 Category 1 (n=2) | Visit 21 Category 2 (n=2) | Visit 21 Category 3 (n=2) | Visit 22 Category 1 (n=1) | Visit 22 Category 2 (n=1) | Visit 22 Category 3 (n=1) | Visit 23 Category 1 (n=1) | Visit 23 Category 2 (n=1) | Visit 23 Category 3 (n=1) | Visit 24 Category 1 (n=1) | Visit 24 Category 2 (n=1) | Visit 24 Category 3 (n=1) | Visit 25 Category 1 (n=1) | Visit 25 Category 2 (n=1) | Visit 25 Category 3 (n=1) | Final visit/Withdrawal Category 1 (n=21) | Final visit/Withdrawal Category 2 (n=21) | Final visit/Withdrawal Category 3 (n=21) |
---|
Erlotinib 150 mg/Day | 29.3 | 63.4 | 7.3 | 10.0 | 85.0 | 5.0 | 43.8 | 56.3 | 0.0 | 40.0 | 60.0 | 0.0 | 55.2 | 37.9 | 6.9 | 45.5 | 51.5 | 3.0 | 48.4 | 51.6 | 0.0 | 48.3 | 51.7 | 0.0 | 37.0 | 59.3 | 3.7 | 50.0 | 37.5 | 12.5 | 42.9 | 47.6 | 9.5 | 46.2 | 53.8 | 0.0 | 45.5 | 36.4 | 18.2 | 44.4 | 55.6 | 0.0 | 62.5 | 37.5 | 0.0 | 60.0 | 40.0 | 0.0 | 25.0 | 75.0 | 0.0 | 25.0 | 75.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 38.1 | 57.1 | 4.8 |
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Percentage of Participants With EGFR Mutations by Subgroup
Incidence of EGFR mutations were summarized with respect to different subgroups as follows: (1) equals (=) Histopathology, (2) = Stage of disease, (3) = Age at consent, (4) = Gender, (5) = Race, (6) = Smoking history. (NCT01250119)
Timeframe: 14 Days
Intervention | percentage of participants (Number) |
---|
| (1) Squamous cell carcinoma | (1) Adenocarcinoma | (1) Bronchoalveolar carcinoma | (1) Large cell carcinoma | (1) Other | (2) Unresectable Stage IIIB | (2) Stage IIIB with malignant effusions | (2) Stage IV | (3) Less than 70 years | (3) Greater than 70 years | (4) Male | (4) Female | (5) Asian | (5) Black | (5) Caucasian | (5) Other | (6) Never smoked | (6) Previous smoker | (6) Current smoker | (6) Missing |
---|
EGFR Negative | 22.6 | 67.3 | 1.7 | 0.6 | 7.8 | 11.9 | 3.4 | 84.7 | 55.6 | 44.4 | 60.8 | 39.2 | 2.9 | 3.3 | 93.5 | 0.4 | 7.8 | 60.6 | 31.0 | 0.6 |
,EGFR Positive | 0.0 | 100.0 | 0 | 0 | 0 | 1.9 | 1.9 | 96.2 | 73.1 | 26.9 | 23.1 | 76.9 | 13.5 | 9.6 | 75.0 | 1.9 | 44.2 | 44.2 | 7.7 | 3.8 |
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Percentage of Participants With Anxiety/Depression as Assessed Using the EQ-5D
The EQ-5D contains a descriptive system which measures 5 health dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. The participants were required to rate their pain as the following categories: Category 1. I am not anxious or depressed; Category 2. I am moderately anxious or depressed; Category 3.I am extremely anxious or depressed. (NCT01250119)
Timeframe: Baseline (Visit 1), Days 10 to 14 (Visit 2), Day 1 of every 6 weeks until PD, Death, Unacceptable toxicity or Withdrawal of consent up to 34 months
Intervention | percentage of participants (Number) |
---|
| Screening Category 1 (n=40) | Screening Category 2 (n=40) | Screening Category 3 (n=40) | Visit 01 Category 1 (n=19) | Visit 01 Category 2 (n=19) | Visit 01 Category 3 (n=19) | Visit 02 Category 1 (n=33) | Visit 02 Category 2 (n=33) | Visit 02 Category 3 (n=33) | Visit 03 Category 1 (n=30) | Visit 03 Category 2 (n=30) | Visit 03 Category 3 (n=30) | Visit 04 Category 1 (n=29) | Visit 04 Category 2 (n=29) | Visit 04 Category 3 (n=29) | Visit 05 Category 1 (n=33) | Visit 05 Category 2 (n=33) | Visit 05 Category 3 (n=33) | Visit 06 Category 1 (n=31) | Visit 06 Category 2 (n=31) | Visit 06 Category 3 (n=31) | Visit 07 Category 1 (n=29) | Visit 07 Category 2 (n=29) | Visit 07 Category 3 (n=29) | Visit 08 Category 1 (n=27) | Visit 08 Category 2 (n=27) | Visit 08 Category 3 (n=27) | Visit 09 Category 1 (n=24) | Visit 09 Category 2 (n=24) | Visit 09 Category 3 (n=24) | Visit 10 Category 1 (n=21) | Visit 10 Category 2 (n=21) | Visit 10 Category 3 (n=21) | Visit 11 Category 1 (n=13) | Visit 11 Category 2 (n=13) | Visit 11 Category 3 (n=13) | Visit 12 Category 1 (n=11) | Visit 12 Category 2 (n=11) | Visit 12 Category 3 (n=11) | Visit 13 Category 1 (n=9) | Visit 13 Category 2 (n=9) | Visit 13 Category 3 (n=9) | Visit 14 Category 1 (n=8) | Visit 14 Category 2 (n=8) | Visit 14 Category 3 (n=8) | Visit 15 Category 1 (n=5) | Visit 15 Category 2 (n=5) | Visit 15 Category 3 (n=5) | Visit 16 Category 1 (n=4) | Visit 16 Category 2 (n=4) | Visit 16 Category 3 (n=4) | Visit 17 Category 1 (n=4) | Visit 17 Category 2 (n=4) | Visit 17 Category 3 (n=4) | Visit 18 Category 1 (n=3) | Visit 18 Category 2 (n=3) | Visit 18 Category 3 (n=3) | Visit 19 Category 1 (n=2) | Visit 19 Category 2 (n=2) | Visit 19 Category 3 (n=2) | Visit 20 Category 1 (n=2) | Visit 20 Category 2 (n=2) | Visit 20 Category 3 (n=2) | Visit 21 Category 1 (n=2) | Visit 21 Category 2 (n=2) | Visit 21 Category 3 (n=2) | Visit 22 Category 1 (n=1) | Visit 22 Category 2 (n=1) | Visit 22 Category 3 (n=1) | Visit 23 Category 1 (n=1) | Visit 23 Category 2 (n=1) | Visit 23 Category 3 (n=1) | Visit 24 Category 1 (n=1) | Visit 24 Category 2 (n=1) | Visit 24 Category 3 (n=1) | Visit 25 Category 1 (n=1) | Visit 25 Category 2 (n=1) | Visit 25 Category 3 (n=1) | Final visit/Withdrawal Category 1 (n=21) | Final visit/Withdrawal Category 2 (n=21) | Final visit/Withdrawal Category 3 (n=21) |
---|
Erlotinib 150 mg/Day | 52.5 | 37.5 | 10.0 | 57.9 | 42.1 | 0.0 | 57.6 | 42.4 | 0.0 | 43.3 | 56.7 | 0.0 | 58.6 | 41.4 | 0.0 | 60.6 | 36.4 | 3.0 | 48.4 | 51.6 | 0.0 | 62.1 | 37.9 | 0.0 | 55.6 | 44.4 | 0.0 | 62.5 | 25.0 | 12.5 | 61.9 | 28.6 | 9.5 | 61.5 | 30.8 | 7.7 | 45.5 | 45.5 | 9.1 | 77.8 | 22.2 | 0.0 | 75.0 | 25.0 | 0.0 | 60.0 | 40.0 | 0.0 | 75.0 | 25.0 | 0.0 | 75.0 | 25.0 | 0.0 | 66.7 | 33.3 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 50.0 | 50.0 | 0.0 | 100.0 | 0.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 0.0 | 100.0 | 0.0 | 57.1 | 38.1 | 4.8 |
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Percentage of Participants With a Response by Best Objective Tumor Response
"Best objective response was defined as the best response recorded from the start of treatment until disease progression/recurrence. Tumor response was assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm). Partial Response (PR): At least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this may include the baseline sum). The sum must also demonstrate an absolute increase of at least 5 mm. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD." (NCT01250119)
Timeframe: Screening, Day 1 of each 6 week visit starting from Visit 3 until PD, Death, Unacceptable Toxicity or Withdrawal of Consent up to 34 months
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD |
---|
Erlotinib 150 mg/Day | 0.0 | 84.8 | 9.1 | 6.1 |
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Overall Survival (Phase II)
Overall survival (OS) is defined as the time from treatment initiation until death due to any cause. (NCT01259089)
Timeframe: From the time of first treatment with AUY922 to death, followed up to 2 years post treatment
Intervention | Months (Median) |
---|
Arm I | 7.4 |
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Progression-free Survival (Phase II)
Median Progression Free Survival (PFS) will be calculated from time of treatment initiation until the first documentation of progressive disease. Patients will be considered to have progressive disease when CT scan or MRI show at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT01259089)
Timeframe: From the time of first treatment with AUY922 to disease progression for up to 2 years post treatment
Intervention | Months (Median) |
---|
Arm I | 1.7 |
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Incidence of Reported Adverse Events in Phase I
"Adverse events will be collected weekly for the first 28 day cycle and then every two weeks during treatment and up to 28 days after the last treatment. Adverse events will be graded according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 4.0 (CTCAE v4.0). In general adverse events (AEs) will be graded according to the following:~Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE" (NCT01259089)
Timeframe: At weeks 1 through 4 and then every 2 weeks during treatment and 30 days post last treatment, for up to 2 years and half years
Intervention | participants (Number) |
---|
| Diarrhea | Skin rash | Hyperglycemia | Night blindness | Hypoalbuminemia | Fatigue | Elevated AST | Nausea | Hyponatremia | Elevated bilirubin | Elevated ALT | Myalgias/arthralgias | Visual complaints | Vomiting | Elevated ALP | Decreased leukocytes | hypokalemia | Pruritis/dry skin | Hypocalcemia | anemia | Mucositis | Decreased lymphocytes | Decreased platelets | Hypomagnesemia | Decreased neutrophils |
---|
Arm I | 11 | 9 | 0 | 3 | 0 | 8 | 1 | 8 | 0 | 0 | 0 | 5 | 4 | 4 | 0 | 0 | 0 | 4 | 0 | 2 | 0 | 0 | 0 | 0 | 0 |
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Maximally Tolerated Dose (MTD) of AUY922 and Erlotinib Treatment Combination (Phase I)
"To determine the maximally tolerated dose (MTD), and recommended phase II dose of AUY922 when given in combination with erlotinib for patients with acquired resistance to erlotinib. (Phase I)~Escalation of dose will be in a 3+3 design. If no dose limiting toxicities (DLTs) are seen in 3 patients enrolled at that dose level, then dose will be escalated to the next dose level and the next 3 patients will be enrolled at that dose. Alternatively, if 1 DLT is seen in 3 patients at that dose level, 3 more patients will be added at that same dose level. If 1 DLT is seen in 6 patients at that dose level, MTD will be determined to be at that dose. If more than 1 DLT is seen at that dose level, then the prior lower dose level will be the considered the MTD.~DLT is defined as any of the following related to the investigational agent: Death and grade 3 and 4 specific hematological and non-hematological toxicities defined in the protocol." (NCT01259089)
Timeframe: During the first 4 weeks of treatment for each patient.
Intervention | Number of DLTs seen (Number) |
---|
Cohort 1 - 25 mg/m2 AUY922+75 mg Daily Erlotinib | 0 |
Cohort 2 - 25 mg/m2AUY922+150 mg Daily Erlotinib | 0 |
Cohort 3 - 37.5 mg/m2 AUY922+150 mg Daily Erlotinib | 0 |
Cohort 4 - 55 mg/m2 AUY922+150 mg Daily Erlotinib | 0 |
Cohort 5 - 70 mg/m2 AUY922+150 mg Daily Erlotinib | 1 |
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Overall Response Rate (ORR), Defined as Complete Response(CR) + Partial Response (PR) Using the Modified RECIST 1.1 Criteria for All Patients Treated at Dose of 70mg/m2 AUG922
"Overall response rate (ORR) will be measured per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT scan or MRI:~Complete response (CR) defined as disappearance of all target lesions. Partial Response (PR), defined as >=30% decrease in the sum of the longest diameter of target lesions.~Stable Disease (SD) defined as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study.~Progressive Disease (PD) defined as having at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions" (NCT01259089)
Timeframe: At 8 weeks from treatment initiation
Intervention | Participants (Count of Participants) |
---|
Arm I | 4 |
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Toxicity as Assessed by NCI CTCAE Version 4.00 When AUG922 Administered at Its MTD (Phase I and II)
"To characterize the toxicity profile for the combination of erlotinib and AUY922.~Toxicity data will be collected every week for the first 28 day cycle and then every two weeks during treatment and up to 28 days after the last treatment. Adverse events will be graded according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 4.0 (CTCAE v4.0). In general adverse events (AEs) will be graded according to the following:~Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE" (NCT01259089)
Timeframe: At weeks 1 through 4 and then every 2 weeks during treatment and 30 days post last treatment for up to 2 years and half years
Intervention | participants (Number) |
---|
| Diarrhea | Skin rash | Hyperglycemia | Night blindness | Hypoalbuminemia | Fatigue | Elevated AST | Nausea | Hyponatremia | Elevated bilirubin | Elevated ALT | Myalgias/arthralgias | Visual complaints | Vomiting | Elevated APL | Decreased leukocytes | Hypokalemia | Pruritis/dry skin | Hypocalcemia | Anemia | Mucositis | Decreased lymphocytes | Decreased platelets | Hypomagnesemia | Decreased neutrophils |
---|
Arm I | 24 | 16 | 23 | 18 | 21 | 11 | 17 | 9 | 17 | 16 | 14 | 9 | 10 | 8 | 10 | 10 | 10 | 5 | 8 | 4 | 6 | 6 | 6 | 6 | 5 |
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Percentage of Participants With Objective Response (Complete Response [CR]/Partial Response [PR]) Based on Computer Tomography (CT) or Magnetic Resonance Imaging (MRI) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1
Objective response (OR) was based on criteria related to changes in size of target lesions according to modified RECIST. Target lesions were selected on the basis of their size (lesions with the longest diameter) as well as the feasibility of reproducible repeated measurements. OR was the sum of complete response (CR) and partial response (PR) four at least 4 weeks during treatment. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. (NCT01260181)
Timeframe: Baseline up to 5 years (assessed at Baseline, every 8 weeks until disease progression or death or end of treatment period [up to 5 years])
Intervention | percentage of participants (Number) |
---|
Erlotinib | 63.3 |
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Percentage of Participants With Adverse Events
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT01260181)
Timeframe: Baseline up to 5 years
Intervention | percentage of participants (Number) |
---|
Erlotinib | 29 |
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Overall Survival
Overall Survival (OS) was defined as the time between the date of randomization and the date of death due to any cause. (NCT01260181)
Timeframe: Baseline up to 5 years
Intervention | weeks (Median) |
---|
Erlotinib | 83 |
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Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Mutation in Study Population
Mutations in the EGFR included exon 19 deletion mutations and the single-point substitution mutation L858R in exon 21. (NCT01260181)
Timeframe: Screening (21 days prior to Day 1)
Intervention | percentage of participants (Number) |
---|
| Exon 19 mutation | Exon 21 mutation |
---|
Erlotinib | 40 | 60 |
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Progression Free Survival (PFS) Based on CT or MRI According to RECIST v 1.1
Kaplan Meier estimate of the median PFS was defined as the time at which half of the participants have progressed (progressive disease [PD]) based on RECIST tumor response criteria or died from any cause, whichever occurred first. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Patients who had not died or progressed at the time of the final analysis were censored at the date of last contact. (NCT01260181)
Timeframe: Baseline up to 5 years (assessed at Baseline, every 8 weeks until disease progression or death or end of treatment period [up to 5 years])
Intervention | weeks (Median) |
---|
Erlotinib | 40 |
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Number of Participants With a Clinically Significant Effects
Clinically significant effects are reported if a Grade 3 or higher treatment emergent adverse event (TEAE) and observed in ≥10% of participants or a toxicity possibly related to study drug based on Common Terminology Criteria for Adverse Events (CTCAE). A summary of other nonserious AEs and all SAEs, regardless of causality is located in the Reported Adverse Event section. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | Participants (Count of Participants) |
---|
| TEAE >/= Grade 3 | Toxicity >/= Grade 3 |
---|
Arm A Tasisulam + Gemcitabine Dose Confirmation | 18 | 18 |
,Arm A Tasisulam + Gemcitabine Dose Escalation | 15 | 13 |
,Arm B* Tasisulam + Docetaxel Dose Escalation | 0 | 4 |
,Arm B1 Tasisulam + Docetaxel Dose Escalation | 0 | 5 |
,Arm B2 Tasisulam + Docetaxel Dose Confirmation | 19 | 26 |
,Arm B2 Tasisulam + Docetaxel Dose Escalation | 16 | 18 |
,Arm C Tasisulam + Temozolomide Dose Confirmation | 6 | 6 |
,Arm C Tasisulam + Temozolomide Dose Escalation | 11 | 13 |
,Arm D Tasisulam + Cisplatin Dose Confirmation | 30 | 30 |
,Arm D Tasisulam + Cisplatin Dose Escalation | 8 | 7 |
,Arm D* Tasisulam + Cisplatin Dose Escalation | 0 | 1 |
,Arm E Tasisulam + Erlotinib Dose Confirmation | 7 | 7 |
,Arm E Tasisulam + Erlotinib Dose Escalation | 5 | 5 |
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PK: Area Under the Curve Albumin (AUCalb)
Cycle 2: predose,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion. (NCT01284335)
Timeframe: Cycle 1: predose,0,30min,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion.
Intervention | micrograms*hour/milliliter (µg*h/mL) (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
Tasisulam | 946 | 648 |
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Pharmacokinetic (PK): Concentration Maximum (Cmax)
Cycle 2: predose,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion. (NCT01284335)
Timeframe: Cycle 1: predose,0,30min,1h start of infusion, end of infusion, 30min,2h,4h,6h,22h,166h,334h,698h end of infusion.
Intervention | micrograms per milliliter (µg/mL) (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
Tasisulam | 306 | 250 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Other |
---|
Arm C Tasisulam + Temozolomide Dose Confirmation | 0.0 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Non-Small Cell Lung Cancer (NSCLC) | Other | Pancreas |
---|
Arm A Tasisulam + Gemcitabine Dose Confirmation | 0.0 | 14.3 | 13.3 |
,Arm E Tasisulam + Erlotinib Dose Confirmation | 0.0 | 14.3 | 0.0 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Non-Small Cell Lung Cancer (NSCLC) | Other |
---|
Arm B* Tasisulam + Docetaxel Dose Confirmation | 20.0 | 6.3 |
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Percentage of Participants With a Complete (CR) or Partial Response (PR) (Best Overall Tumor Response)
Best overall tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. (NCT01284335)
Timeframe: Baseline to Study Completion (Up to 2 years)
Intervention | percentage of participants (Number) |
---|
| Non-Small Cell Lung Cancer (NSCLC) | Other | Pancreas | Small Cell Lung Cancer (SCLC) |
---|
Arm D Tasisulam + Cisplatin Dose Confirmation | 5.0 | 10.0 | 0 | 7.1 |
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Number of Participants With Dose-Limiting Toxicities Cycle 1
A Dose-Limiting Toxicity (DLT) is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfills any one of the following criteria: Common Terminology Criteria for Adverse Events (CTCAE, Version 3.0) Grade 4 neutropenia lasting more than 5 days. Grade 4 neutropenia with fever or Grade 4 thrombocytopenia, regardless of duration; Grade ≥3 thrombocytopenia with bleeding, regardless of duration; Grade ≥3 nonhematologic toxicity (excluding nausea/vomiting or diarrhea that can be controlled with medication, and alopecia). Grade 3 electrolyte toxicity (for example, hypokalemia, hypophosphatemia) will not be considered a DLT unless it is considered related to the study drug or combination and does not resolve with standard replacement treatments within 42 days after Cycle 1 Day 1. A summary of other nonserious AEs and all Serious Adverse Events (SAE), regardless of causality is located in the Reported Adverse Event section. (NCT01284335)
Timeframe: Baseline to Cycle 1 (Up to Day 28)
Intervention | Participants (Count of Participants) |
---|
Arm A Tasisulam + Gemcitabine Dose Escalation | 4 |
Arm A Tasisulam + Gemcitabine Dose Confirmation | 0 |
Arm B* Tasisulam + Docetaxel Dose Escalation | 4 |
Arm B1 Tasisulam + Docetaxel Dose Escalation | 4 |
Arm B2 Tasisulam + Docetaxel Dose Escalation | 3 |
Arm B2 Tasisulam + Docetaxel Dose Confirmation | 0 |
Arm C Tasisulam + Temozolomide Dose Escalation | 3 |
Arm C Tasisulam + Temozolomide Dose Confirmation | 0 |
Arm D* Tasisulam + Cisplatin Dose Escalation | 0 |
Arm D Tasisulam + Cisplatin Dose Escalation | 2 |
Arm D Tasisulam + Cisplatin Dose Confirmation | 0 |
Arm E Tasisulam + Erlotinib Dose Escalation | 1 |
Arm E Tasisulam + Erlotinib Dose Confirmation | 0 |
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Number of Erlotinib-Treated Participants With the EGFR Mutation With an Objective Response Per RECIST v1.1
Objective tumor response was assessed by the investigator using RECIST v1.1 and recorded as complete response (CR), partial response (PR), or unmeasurable. RECIST v1.1 defines CR as disappearance of all target lesions, with short-axis reduction to less than (<) 10 mm for any pathological lymph nodes, and PR as a 30% or greater reduction from baseline in the sum of diameters of target lesions. (NCT01287754)
Timeframe: Per standard of care (every 3 months) until discontinuation for up to approximately 2 years
Intervention | participants (Number) |
---|
| Partial response | Unmeasurable |
---|
Erlotinib | 2 | 1 |
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Percentage of Participants Alive at 6 and 12 Months
Death from any cause was documented at 6 and 12 months from recorded diagnosis. The percentage of participants alive at each timepoint was calculated as [number of participants alive divided by number enrolled] multiplied by 100. (NCT01287754)
Timeframe: At 6 and 12 months
Intervention | percentage of participants (Number) |
---|
| At 6 months | At 12 months |
---|
Erlotinib | 100 | 100 |
,Untreated | 67 | 24 |
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Progression-Free Survival (PFS) Among Erlotinib-Treated Participants With the EGFR Mutation
PFS was defined as the time from the first dose of erlotinib to the first documentation of disease progression or death, whichever occurred first. Tumor progression was determined using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1), which defines progression as a 20 percent (%) or greater increase in the sum of diameters of target lesions with an absolute increase of at least 5 millimeters (mm), or the appearance of one or more new lesions. PFS was calculated in months as [first event date minus first dose date plus 1] divided by 30.44. (NCT01287754)
Timeframe: Per standard of care (every 3 months) until discontinuation for up to approximately 2 years
Intervention | months (Median) |
---|
Erlotinib | 13.7 |
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Percentage of Participants With EGFR Mutation at Screening
Participants were tested at Screening for the presence of activating mutations in the tyrosine kinase domain of EGFR. The percentage of participants with mutation was calculated as [number of mutation-positive participants divided by number tested] multiplied by 100. (NCT01287754)
Timeframe: Screening
Intervention | percentage of participants (Number) |
---|
All Participants | 17 |
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Overall Survival (OS) Among Erlotinib-Treated and Untreated Participants
OS was defined as the time from recorded diagnosis to death from any cause or last patient last visit. OS was calculated in months as [death date or last-known alive date minus diagnosis date plus 1] divided by 30.44. (NCT01287754)
Timeframe: Per standard of care (every 3 months) until discontinuation for up to approximately 2 years
Intervention | months (Median) |
---|
Erlotinib | 17.8 |
Untreated | 11.3 |
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Toxicity of Akt Inhibitor MK2206 Plus Erlotinib Hydrochloride
Toxicities of Grade 3 or higher Attributed to Akt inhibitor MK2206 plus erlotinib hydrochloride, graded according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 (NCT01294306)
Timeframe: Time Frame: Up to 2 years
Intervention | participants (Number) |
---|
| Anemia | Diarrhea | Mucositis | Nausea | Vomiting | Fatigue | Skin infection | Lung infection | Urinary tract infection | Creatinine increased | Lymphocyte count decreased | Anorexia | Dehydration | Hyperglycemia | Hypokalemia | Hyponatremia | Hypophophatemia | Myalgia | Neoplasm | Dyspnea | Dry skin | Erythema multiforme | Skin peeling (feet) | Pruritus | Rash | Hypertension |
---|
EGFR Wild-Type Tumors | 1 | 5 | 1 | 2 | 1 | 3 | 1 | 0 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 1 | 3 | 0 | 1 | 1 | 3 | 0 |
,EGFR-Mutated Tumors | 0 | 5 | 4 | 1 | 0 | 5 | 0 | 2 | 1 | 0 | 6 | 0 | 3 | 3 | 2 | 0 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 9 | 1 |
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Disease-control Rate
Disease-control rate defined as response rate + stable disease at 12 weeks. Stable disease must have been achieved for 12 weeks or longer. Response evaluated per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Progression, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression. (NCT01294306)
Timeframe: At 12 weeks
Intervention | percentage of subjects (Number) |
---|
EGFR-Mutated Tumors | 40 |
EGFR Wild-Type Tumors | 43 |
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Objective Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Objective Response = CR + PR (NCT01294306)
Timeframe: Up to 2 years
Intervention | percentage of subjects (Number) |
---|
EGFR-Mutated Tumors | 9 |
EGFR Wild-Type Tumors | 3 |
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Area Under the Concentration-time Curve (AUC0 t) of Romidepsin in Combination With Erlotinib
AUC0 t was measured in the time interval from 0 to time (t) when the last blood sample is collected with a concentration above the limit of quantification. (NCT01302808)
Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours post-dose on Days 1 and 8
Intervention | ng*h/ml (Mean) |
---|
| Dosing day / Day 1 | Dosing day / Day 8 |
---|
Cohort 2 (10mg/m2) +Cohort 3 ( Modified Prophylaxis @ 10 mg/m2) | 2185.52 | 1851.84 |
,Erlotinib Plus Romidepsin Cohort 1 (8mg/m2) + Cohort 4 (Modified Prophylaxis @ 8 mg/m2) | 1207.00 | 989.19 |
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Number of Participants With Dose Limiting Toxicities and Maximum Tolerated Dose (MTD)
Dose limiting toxicities per Protocol definition using (CTCAE), Version 3.0 (NCT01302808)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|
Cohort 1 (Erlotinib Plus Romidepsin (8 mg/m^2)) | 0 |
Cohort 2 (Erlotinib Plus Romidepsin (10 mg/m^2)) | 2 |
Cohort 3 (Erlotinib Plus Romidepsin (10 mg/m^2)) + Antiemetic Prophylaxis | 0 |
Cohort 4 (Erlotinib Plus Romidepsin (8 mg/m^2)) + Antiemetic Prophylaxis | 0 |
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Percentage of Enrolled Participants Testing Positive for Genomic Abnormality
To determine the feasibility of the use of tumor molecular profiling and targeted therapies in the treatment of Non-Small Cell Lung Cancer (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies, the trial will be evaluated by determining the percentage of enrolled participants with a genomic abnormality. Identifying molecular profiles may help identify new targeted treatments for cancer. (NCT01306045)
Timeframe: 1 year and 11 months
Intervention | percentage of participants (Number) |
---|
| Tumor protein p53 (TP53) | Kirsten rat sarcoma virus (KRAS) | Epidermal growth factor receptor (EGFR) | PDGFRA amplifications | Anaplastic lymphoma kinase (ALK) trans | Phosphatase and tensin homolog (PTEN) | hosphatidylinositol 3-kinase (PIK3CA) | Human epidermal growth factor receptor 2 (HER2) amplifications | Erb-B2 Receptor Tyrosine Kinase 2 (ERBB2) | B-Raf Proto-Oncogene, Serine/Threonine Kinase (BRAF) | neuroblastoma RAS viral (v-ras) oncogene homolog (NRAS) | Harvey Rat sarcoma virus (HRAS) | AKT Serine/Threonine Kinase 1 (AKT1) | KIT Proto-Oncogene, Receptor Tyrosine Kinase (KIT) |
---|
Thymic Malignancies | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Evaluable Participants With a Response Based on Molecular Profile Directed Treatments in Non-Small Cell Lung Cancer, (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies
Efficacy will be determined by assessing if participants who have treatment assigned on the basis of their molecular profiling results will exhibit reasonable response to the drug selected for their particular profile. Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study Progressive Disease (PD) is At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT01306045)
Timeframe: 1 year and 13 months
Intervention | Participants (Count of Participants) |
---|
| Partial Response to Lapatinib | Stable Disease with Lapatinib | Progressive Disease with Lapatinib | Partial Response with Selumetinib | Stable Disease with Selumetinib | Progressive Disease with Selumetinib | Partial Response with MK2206 | Stable Disease with MK2206 | Progressive Disease with MK2206 |
---|
Small Cell Lung Cancer (SCLC) | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 |
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Number of Evaluable Participants With a Response Based on Molecular Profile Directed Treatments in Non-Small Cell Lung Cancer, (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies
Efficacy will be determined by assessing if participants who have treatment assigned on the basis of their molecular profiling results will exhibit reasonable response to the drug selected for their particular profile. Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study Progressive Disease (PD) is At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT01306045)
Timeframe: 1 year and 13 months
Intervention | Participants (Count of Participants) |
---|
| Partial Response with Erlotinib | Stable Disease with Erlotinib | Progressive Disease with Erlotinib | Partial Response to Lapatinib | Stable Disease with Lapatinib | Progressive Disease with Lapatinib | Partial Response with Sunitinib | Stable Disease with Sunitinib | Progressive Disease with Sunitinib | Partial Response with Selumetinib | Stable Disease with Selumetinib | Progressive Disease with Selumetinib | Partial Response with MK2206 | Stable Disease with MK2206 | Progressive Disease with MK2206 |
---|
Non-Small Cell Lung Cancer (NSCLC) | 9 | 5 | 1 | 0 | 4 | 2 | 0 | 1 | 1 | 1 | 4 | 4 | 0 | 4 | 0 |
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Number of Evaluable Participants With a Response Based on Molecular Profile Directed Treatments in Non-Small Cell Lung Cancer, (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies
Efficacy will be determined by assessing if participants who have treatment assigned on the basis of their molecular profiling results will exhibit reasonable response to the drug selected for their particular profile. Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study Progressive Disease (PD) is At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT01306045)
Timeframe: 1 year and 13 months
Intervention | Participants (Count of Participants) |
---|
| Partial Response with Erlotinib | Stable Disease with Erlotinib | Progressive Disease with Erlotinib | Partial Response to Lapatinib | Partial Response with Sunitinib | Stable Disease with Sunitinib | Progressive Disease with Sunitinib | Partial Response with MK2206 | Stable Disease with MK2206 | Progressive Disease with MK2206 |
---|
Thymic Malignancies | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 |
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Here is the Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT01306045)
Timeframe: Date treatment consent signed to date off study, approximately 122 months and 25 days, 88 months and 16 days, and 126 months and 2 days for each group respectively.
Intervention | Participants (Count of Participants) |
---|
Non-Small Cell Lung Cancer (NSCLC) | 37 |
Small Cell Lung Cancer (SCLC) | 1 |
Thymic Malignancies | 3 |
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Percentage of Enrolled Participants Testing Positive for Genomic Abnormality
To determine the feasibility of the use of tumor molecular profiling and targeted therapies in the treatment of Non-Small Cell Lung Cancer (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies, the trial will be evaluated by determining the percentage of enrolled participants with a genomic abnormality. Identifying molecular profiles may help identify new targeted treatments for cancer. (NCT01306045)
Timeframe: 1 year and 11 months
Intervention | percentage of participants (Number) |
---|
| Tumor protein p53 (TP53) | Kirsten rat sarcoma virus (KRAS) | Epidermal growth factor receptor (EGFR) | Retinoblastoma 1 (RB1) | Phosphatase and tensin homolog (PTEN) | hosphatidylinositol 3-kinase (PIK3CA) | Neurofibromatosis type 1 (NF1) | esenchymal-epithelial transition factor (MET) | Human epidermal growth factor receptor 2 (HER2) amplifications | B-Raf Proto-Oncogene, Serine/Threonine Kinase (BRAF) | neuroblastoma RAS viral (v-ras) oncogene homolog (NRAS) | Harvey Rat sarcoma virus (HRAS) | Tet Methylcytosine Dioxygenase 2 (TET2) | AKT Serine/Threonine Kinase 1 (AKT1) | Neurogenic locus notch homolog protein 1 (NOTCH1) | KIT Proto-Oncogene, Receptor Tyrosine Kinase (KIT) |
---|
Small Cell Lung Cancer (SCLC) | 44.2 | 4.1 | 2.0 | 33.3 | 9.5 | 8.5 | 6.7 | 2.6 | 5.6 | 2.0 | 2.2 | 2.3 | 6.7 | 2.2 | 4.8 | 2.6 |
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Percentage of Evaluable Participants Overall Response Rate (ORR) Based on the Drug Selected for Their Particular Profile
Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1).Partial Response (PD) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study Progressive Disease (PD) is At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT01306045)
Timeframe: 1 year and 13 months
Intervention | percentage of participants (Number) |
---|
| Overall response rate to Lapatinib | Overall response rate to Selumetinib | Overall response rate to MK2206 |
---|
Small Cell Lung Cancer (SCLC) | 0 | 0 | 0 |
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Percentage of Enrolled Participants Testing Positive for Genomic Abnormality
To determine the feasibility of the use of tumor molecular profiling and targeted therapies in the treatment of Non-Small Cell Lung Cancer (NSCLC), Small Cell Lung Cancer (SCLC), and Thymic Malignancies, the trial will be evaluated by determining the percentage of enrolled participants with a genomic abnormality. Identifying molecular profiles may help identify new targeted treatments for cancer. (NCT01306045)
Timeframe: 1 year and 11 months
Intervention | percentage of participants (Number) |
---|
| Tumor protein p53 (TP53) | Kirsten rat sarcoma virus (KRAS) | Epidermal growth factor receptor (EGFR) | PDGFRA amplifications | phosphoinositide 3-kinase (PIK3)CA amplifications | Anaplastic lymphoma kinase (ALK) trans | Discoidin Domain Receptor 2 (DDR2) | Phosphatidylinositol 3-kinase (PIK3R2) | Protein Tyrosine Phosphatase Receptor Type D (PTPRD) | Serine/threonine kinase 11 (STK11) | Retinoblastoma 1 (RB1) | SWI/SNF Related, Matrix Associated Actin Dependent Regulator Of ChromatinSubfamilyA Member4(SMARCA4) | Cyclin-Dependent Kinase Inhibitor 2A (CDKN2A) | Phosphatase and tensin homolog (PTEN) | hosphatidylinositol 3-kinase (PIK3CA) | Catenin Beta 1 (CTNNB1) | Neurofibromatosis type 1 (NF1) | esenchymal-epithelial transition factor (MET) | Human epidermal growth factor receptor 2 (HER2) amplifications | Erb-B2 Receptor Tyrosine Kinase 2 (ERBB2) | Ataxia telangiectasia mutated (ATM) | Erb-B2 Receptor Tyrosine Kinase 4 (ERBB4) | B-Raf Proto-Oncogene, Serine/Threonine Kinase (BRAF) | Smoothened (SMO) | Neurotrophic Receptor Tyrosine Kinase 3 (NTRK3) | Phosphoinositide-3-Kinase Regulatory Subunit 1 (PIK3R1) | neuroblastoma RAS viral (v-ras) oncogene homolog (NRAS) | Harvey Rat sarcoma virus (HRAS) | Tet Methylcytosine Dioxygenase 2 (TET2) | AKT Serine/Threonine Kinase 1 (AKT1) |
---|
Non-Small Cell Lung Cancer (NSCLC) | 28.5 | 24.9 | 22.1 | 12.8 | 11.1 | 8.7 | 6.7 | 6.7 | 6.7 | 5.5 | 4.8 | 4.8 | 4.4 | 4.4 | 3.9 | 3.4 | 3.0 | 3.0 | 2.8 | 2.8 | 2.4 | 2.4 | 2.3 | 1.9 | 1.7 | 0.8 | 0.7 | 0.7 | 0.4 | 0.4 |
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Percentage of Evaluable Participants Overall Response Rate (ORR) Based on the Drug Selected for Their Particular Profile
Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1).Partial Response (PD) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study Progressive Disease (PD) is At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT01306045)
Timeframe: 1 year and 13 months
Intervention | percentage of participants (Number) |
---|
| Overall response rate to Erlotinib | Overall response rate to Sunitinib | Overall response rate to MK2206 |
---|
Thymic Malignancies | 0 | 0 | 0 |
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Percentage of Evaluable Participants Overall Response Rate (ORR) Based on the Drug Selected for Their Particular Profile
Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1).Partial Response (PD) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study Progressive Disease (PD) is At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions. (NCT01306045)
Timeframe: 1 year and 13 months
Intervention | percentage of participants (Number) |
---|
| Overall response rate to Erlotinib | Overall response rate to Lapatinib | Overall response rate to Sunitinib | Overall response rate to Selumetinib | Overall response rate to MK2206 |
---|
Non-Small Cell Lung Cancer (NSCLC) | 60 | 0 | 0 | 11 | 0 |
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Progression-free Survival Per Investigator (PFS2)
PFS2 was defined as time from first study dose to off-erlotinib progressive disease (PD), assessed by the investigator based on overall clinical evaluation. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | months (Median) |
---|
Erlotinib | 15.000 |
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Progression-free Survival Per RECIST, v. 1.1 (PFS1)
PFS1 was defined as time from first dose until documented progressive disease (PD), assessed per Response Evaluation Criteria in Solid Tumors RECIST, v. 1.1, or death from any cause, whichever occurred first. PD was defined as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 mm in the sum of diameters of target lesions; and the appearance of one or more new lesions. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | months (Median) |
---|
Erlotinib | 11.000 |
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Disease Control Rate (DCR) for All Participants and Participants With EGFR Mutation E19del or L858R
DCR was defined as CR + PR + Stable disease (SD). CR was defined as disappearance of all target lesions. PR was defined as least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study. PD was defined as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 mm in the sum of diameters of target lesions; and the appearance of one or more new lesions. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | percentage of participants (Number) |
---|
| All Participants | EGFR Mutation E19del or L858R |
---|
Erlotinib | 84.5 | 85.4 |
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Objective Response Rate (ORR) for All Participants and Participants With EGFR Mutation E19del or L858R
ORR was defined as the occurrence of either a confirmed complete (CR) or a partial response (PR, as a best overall response), as determined by RECIST, v. 1.1 criteria. CR was defined as disappearance of all target lesions. PR was defined as least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | percentage of participants (Number) |
---|
| All Participants | EGFR Mutation E19del or L858R |
---|
Erlotinib | 72.3 | 72.9 |
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Overall Survival (OS) for All Participants and Participants With EGFR Mutation E19del or L858R
OS was defined as the time from baseline to the date of death from any cause. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | months (Median) |
---|
| All Participants | EGFR Mutation E19del or L858R |
---|
Erlotinib | 31.633 | 31.800 |
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Number of Participants With Adverse Events
An adverse event is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | participants (Number) |
---|
Erlotinib | 206 |
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Progression-free Survival for Participants With EGFR Mutation E19del or L858R Per RECIST, v. 1.1 (PFS1)
PFS1 was defined as time from first dose until documented progressive disease (PD), assessed per Response Evaluation Criteria in Solid Tumors RECIST, v. 1.1, or death from any cause, whichever occurred first. PD was defined as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 mm in the sum of diameters of target lesions; and the appearance of one or more new lesions. (NCT01310036)
Timeframe: Approximately 68 months
Intervention | months (Median) |
---|
Erlotinib | 11.000 |
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Percentage of Participants by Best Overall Response According to RECIST During Blinded Treatment
Tumor response was evaluated using RECIST version 1.1. CR was defined as disappearance of all target and non-target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as a ≥30% decrease in the sum of target lesion diameters in reference to the Baseline sum. Stable disease (SD) was defined as neither sufficient shrinkage in target lesions to qualify for PR nor sufficient growth to qualify for disease progression. Disease progression (progressive disease/PD) was defined as a ≥20% and ≥5-mm increase in the sum of target lesion diameters in reference to the smallest sum on study and/or substantial worsening in non-target disease. The percentage of participants with each level of best tumor response during the BP was calculated, and corresponding 95% CI was constructed using the Pearson-Clopper method. (NCT01328951)
Timeframe: Up to approximately 3.5 years (visits at Baseline and Weeks 6, 12, and 18 and every 12 weeks until/at disease progression during BP)
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Missing |
---|
Erlotinib (Early Erlotinib) | 0.9 | 5.6 | 54.7 | 32.3 | 6.5 |
,Placebo (Late Erlotinib) | 0.6 | 3.1 | 55.5 | 38.6 | 2.2 |
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Percentage of Participants Event-Free (Alive) at 1 Year During the Overall Study
Participants were followed for survival until death or premature withdrawal. The percentage of participants event-free (i.e., still alive) at 1 year during the Overall Study was calculated. (NCT01328951)
Timeframe: At 1 year
Intervention | percentage of participants (Number) |
---|
Late Erlotinib | 41.75 |
Early Erlotinib | 42.15 |
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Percentage of Participants Who Died During the Overall Study
Participants were followed for survival until death or premature withdrawal. The percentage of participants who died during the Overall Study (BP, OLP, or SFU) was calculated. (NCT01328951)
Timeframe: Up to approximately 3.5 years (visits at Baseline and Weeks 6, 12, and 18 and every 12 weeks until/at disease progression during BP; per local standards during OLP; then every 12 weeks during SFU until death)
Intervention | percentage of participants (Number) |
---|
Late Erlotinib | 73.2 |
Early Erlotinib | 75.2 |
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Percentage of Participants Who Died or Experienced Disease Progression During Blinded Treatment
Tumor response was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Disease progression was defined as a greater than or equal to (≥) 20 percent (%) and ≥5-millimeter (mm) increase in the sum of target lesion diameters in reference to the smallest sum on study and/or substantial worsening in non-target disease. The percentage of participants who died or experienced disease progression during the BP was calculated. (NCT01328951)
Timeframe: Up to approximately 3.5 years (visits at Baseline and Weeks 6, 12, and 18 and every 12 weeks until/at disease progression during BP)
Intervention | percentage of participants (Number) |
---|
Placebo (Late Erlotinib) | 95.0 |
Erlotinib (Early Erlotinib) | 94.1 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) According to RECIST During Blinded Treatment
Tumor response was evaluated using RECIST version 1.1. CR was defined as disappearance of all target and non-target lesions and short-axis reduction to less than (<) 10 mm of any pathological lymph nodes. PR was defined as a ≥30% decrease in the sum of target lesion diameters in reference to the Baseline sum. The percentage of participants with a best overall response of either CR or PR (i.e., the objective response rate [ORR]) during the BP was calculated, and corresponding 95% CI was constructed using the Pearson-Clopper method. (NCT01328951)
Timeframe: Up to approximately 3.5 years (visits at Baseline and Weeks 6, 12, and 18 and every 12 weeks until/at disease progression during BP)
Intervention | percentage of participants (Number) |
---|
Placebo (Late Erlotinib) | 3.7 |
Erlotinib (Early Erlotinib) | 6.5 |
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Percentage of Participants With CR, PR, or SD According to RECIST During Blinded Treatment
Tumor response was evaluated using RECIST version 1.1. CR was defined as disappearance of all target and non-target lesions and short-axis reduction to <10 mm of any pathological lymph nodes. PR was defined as a ≥30% decrease in the sum of target lesion diameters in reference to the Baseline sum. SD was defined as neither sufficient shrinkage in target lesions to qualify for PR nor sufficient growth to qualify for disease progression. The percentage of participants with a best overall response of CR, PR, or SD (i.e., the disease control rate [DCR]) during the BP was calculated, and corresponding 95% CI was constructed using the Pearson-Clopper method. (NCT01328951)
Timeframe: Up to approximately 3.5 years (visits at Baseline and Weeks 6, 12, and 18 and every 12 weeks until/at disease progression during BP)
Intervention | percentage of participants (Number) |
---|
Placebo (Late Erlotinib) | 59.2 |
Erlotinib (Early Erlotinib) | 61.2 |
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Percentage of Participants Event-Free (Alive and No Disease Progression) at 6 Months During Blinded Treatment
Tumor response was evaluated using RECIST version 1.1. Disease progression was defined as a ≥20% and ≥5-mm increase in the sum of target lesion diameters in reference to the smallest sum on study and/or substantial worsening in non-target disease. The percentage of participants event-free (i.e., still alive and without disease progression) at 6 months during the BP was calculated. (NCT01328951)
Timeframe: At 6 months
Intervention | percentage of participants (Number) |
---|
Placebo (Late Erlotinib) | 24.22 |
Erlotinib (Early Erlotinib) | 27.11 |
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Duration of Response
Duration of response was defined as the time from the first documented complete response (CR) or partial response (PR) to the first documented disease progression (PD) or death, whichever occurs first. A CR was defined as the disappearance of all target lesions (TL). A PR was defined as at least a 30% decrease in the sum of the longest diameter (SLD) of TLs taking as reference the Baseline SLD. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the unequivocal progression of existing non-TLs. (NCT01342965)
Timeframe: Baseline to the data cut-off date of 19 Nov 2012 (1 year, 8 months)
Intervention | Months (Median) |
---|
Erlotinib | 10.8 |
Chemotherapy | 4.2 |
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Investigator-assessed Duration of Progression-free Survival
The duration of progression-free survival was defined as the time from randomization to disease progression (PD) or death from any cause, whichever occurs first. PD was defined as: (1) At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this may include the baseline sum). The sum must also demonstrate an absolute increase of at least 5 mm. (2) An unequivocal progression of existing non-target lesions. When the patient has measurable disease, the overall tumor burden must have increased sufficiently to merit discontinuation of therapy. When the patient has only non-measurable disease, the increase in overall disease burden should be comparable in magnitude to the increase that would be required to declare PD for measurable disease. (3) The appearance of new malignant lesions. (NCT01342965)
Timeframe: Baseline to the data cut-off date of 20 Jul 2012 (1 year, 4 months)
Intervention | Months (Median) |
---|
Erlotinib | 11.0 |
Chemotherapy | 5.5 |
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Percentage of Participants With Disease Control
A participant with disease control was defined as a participant with either a complete response (CR), a partial response (PR), or stable disease (SD), as determined using RECIST v1.1. A CR was defined as the disappearance of all target lesions (TL). A PR was defined as at least a 30% decrease in the sum of the longest diameter of TLs taking as reference the Baseline sum longest diameter (SLD). SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest SLD since treatment started. For non-TLs, SD was defined as the persistence of 1 or more lesions. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the unequivocal progression of existing non-TLs. A SLD for all TLs will be calculated and reported as the Baseline SLD. (NCT01342965)
Timeframe: Baseline to the data cut-off date of 19 Nov 2012 (1 year, 8 months)
Intervention | Percentage of participants (Number) |
---|
Erlotinib | 91.8 |
Chemotherapy | 82.2 |
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Overall Survival
Overall survival was defined as the time from the date of randomization to the date of death from any cause. (NCT01342965)
Timeframe: Baseline to the end of the study (3 years, 1 month)
Intervention | Months (Median) |
---|
Erlotinib | 28.9 |
Chemotherapy | 27.1 |
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Percentage of Responders as Assessed by the Investigator
A responder was defined as a participant with either a complete response (CR) or a partial response (PR), as determined using the Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. A CR was defined as: (1) The disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to < 10 mm. (2) The disappearance of all non-target lesions and normalization of tumor marker levels. All lymph nodes must be non-pathological in size (< 10 mm in the short axis). A PR was defined as: (1) At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. (2) The persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker levels above normal limits. (NCT01342965)
Timeframe: Baseline to the data cut-off date of 19 Nov 2012 (1 year, 8 months)
Intervention | Percentage of responders (Number) |
---|
Erlotinib | 68.2 |
Chemotherapy | 39.3 |
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Subjects Experiencing Toxicity
Toxicity will be evaluated using CTCAE criteria, version 3, all grade 3 and 4 events. (NCT01344824)
Timeframe: 90 days
Intervention | participants (Number) |
---|
| Diarrhea | Dyspnea (shortness of breath) | Fatigue (asthenia, lethargy, malaise) | Hemoglobin | Hypertension | Leukocytes (total white blood cell count) | Lymphopenia | Nausea | Neutrophils/granulocytes (ANC/AGC) | Joint pain | Platelets | Vomiting |
---|
Bevacizumab, Carboplatin, and Pemetrexed Disodium, With Option | 3 | 2 | 6 | 6 | 6 | 2 | 4 | 2 | 7 | 2 | 2 | 2 |
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Overall Survival
Time of enrollment to date of death. (NCT01344824)
Timeframe: 1400 days
Intervention | months (Median) |
---|
Single Arm Trial | 20.3 |
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Progression-free Survival
Documented radiographic response per Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. criteria each year, until subject death (NCT01344824)
Timeframe: 1400 days
Intervention | months (Median) |
---|
Single Arm Trial | 12.6 |
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Time to Progression (TTP) According to RECIST v1.1
The time to progression was defined as the time from baseline until disease progression as determined by the RECIST v1.1. TTP2 is defined as the interval between the day of randomization at PD1 and PD2. TTP3 is defined as the interval between the day of PD2 and PD3. PD was defined as ≥20% increase in sum LD in reference to the smallest on-study sum LD, or the appearance of new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Months (Median) |
---|
| TTP2 | TTP3 |
---|
Bevacizumab + Standard of Care | 5.55 | 4.07 |
,Standard of Care | 4.21 | 2.73 |
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Percentage of Participants With Disease Control According to RECIST v1.1
The disease control rate is defined as CR or PR or stable disease (SD) assessed according to the RECIST v.1.1 criteria with baseline tumour assessment as the reference. SD was defined as neither sufficient shrinkage to qualify for a PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of the longest diameter since treatment started for target lesions and the persistence of 1 or more non-target lesions. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Percentage of Participants (Number) |
---|
Bevacizumab + Standard of Care | 80.2 |
Standard of Care | 77.0 |
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Duration of Response (DoR) According to RECIST v1.1
Duration of response is defined as the time that measurement criteria are met for objective response (CR/PR) (whichever status is recorded first) until the first date of progression or death is documented. CR was defined as disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than < 10 mm. PR was defined as greater than or equal to ≥30 % decrease in sum of longest diameter of target lesions in reference to baseline sum longest diameter. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Months (Median) |
---|
Bevacizumab + Standard of Care | 7.46 |
Standard of Care | 6.24 |
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Overall Survival (OS)
Overall survival (OS) was defined as the time from the date of randomization at first progression of disease to the date of death, regardless of the cause of death. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Months (Median) |
---|
Bevacizumab + Standard of Care | 11.86 |
Standard of Care | 10.22 |
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Percentage of Participants With Objective Response According to RECIST v1.1
The objective response is defined as complete response (CR) or partial response (PR) assessed according to the RECIST v.1.1 criteria with baseline tumour assessment as the reference. CR was defined as disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR was defined as greater than or equal to (≥) 30 percent (%) decrease in sum of longest diameter (LD) of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥4 weeks after the initial assessment of CR or PR. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Percentage of Participants (Number) |
---|
Bevacizumab + Standard of Care | 8.6 |
Standard of Care | 6.3 |
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Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study and laboratory or clinical tests that resulted in a change in treatment or discontinuation from study drug were reported as adverse events. A SAE was any experience that: resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was medically significant. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Percentage of Participants (Number) |
---|
| AEs | SAEs |
---|
Bevacizumab + Standard of Care | 97.5 | 51.9 |
,Standard of Care | 96.1 | 37.1 |
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Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
PFS was defined as the time from start of treatment to the first event of death or PD. Tumor response was assessed by the IRF according to RECIST v1.1. Disease progression or PD was defined as ≥20% increase in sum LD in reference to the smallest on-study sum LD, or the appearance of new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PFS2 is defined as the time between randomization at PD1 and the date of PD2 or death, whichever occurs first. PFS3 is defined as the time between PD2 and the date of PD3 or death, whichever occurs first. (NCT01351415)
Timeframe: Up to data cut-off date 24 June 2016 (approximately 5 years)
Intervention | Months (Median) |
---|
| PFS 2 | PFS 3 |
---|
Bevacizumab + Standard of Care | 5.45 | 4.01 |
,Standard of Care | 3.98 | 2.60 |
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Percentage of Participants Who Are Alive at Month 6, 12, and 18
Percentage of participants who were alive at Month 6, 12 and 18 were reported. (NCT01351415)
Timeframe: Month 6, 12, 18
Intervention | Percentage of Participants (Number) |
---|
| Month 6 | Month 12 | Month 18 |
---|
Bevacizumab + Standard of Care | 0.8 | 0.5 | 0.4 |
,Standard of Care | 0.7 | 0.4 | 0.3 |
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PFS Based on Investigator Review in KRAS-WT Participants.
PFS was defined as the time from randomization to the date of disease progression as by RECIST v1.1 per Investigator's Review or death due to any cause, whichever occurred first. Objective progression was defined as a 20% increase in the sum of the diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions, or the appearance of any new unequivocal malignant lesions. Tumor tissue from participants' original diagnostic biopsies or recently obtained biopsies were analyzed to determine KRAS status. (NCT01360554)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 1.9 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 1.9 |
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PFS Based on Investigator Review.
PFS was defined as the time from randomization to the date of disease progression as by RECIST v1.1 per Investigator's Review or death due to any cause, whichever occurred first. Objective progression was defined as a 20% increase in the sum of the diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions, or the appearance of any new unequivocal malignant lesions. (NCT01360554)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 1.9 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 1.9 |
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Progression-Free Survival (PFS) Per Independent Radiologic Review in KRAS Wild-type (WT) Participants.
PFS was defined as the time from randomization to the date of disease progression as by RECIST v1.1 per Independent Radiologic Review or death due to any cause, whichever occurred first. Objective progression was defined as a 20% increase in the sum of the diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions, or the appearance of any new unequivocal malignant lesions. Tumor tissue from participants' original diagnostic biopsies or recently obtained biopsies were analyzed to determine KRAS status. (NCT01360554)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 2.6 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 2.5 |
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Progression-Free Survival (PFS) Per Independent Radiologic Review.
PFS was defined as the time from randomization to the date of disease progression as by Response Evaluation Criteria in Solid Tumor (RECIST) v1.1 per Independent Radiologic Review or death due to any cause, whichever occurred first. Objective progression was defined as a 20% increase in the sum of the diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm or unequivocal progression of pre-existing non-target lesions, or the appearance of any new unequivocal malignant lesions. (NCT01360554)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 2.6 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 2.5 |
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Time to Deterioration (TTD) in Pain, Dyspnea, Fatigue or Cough Patient Reported Disease Symptoms.
TTD defined as the time from first dose (baseline) to the first time a patient's score in pain, dyspnea, fatigue or cough from the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQ-LC13) increased by ≥10 points. A ≥10 point increase in score had to be maintained for ≥2 consecutive cycles for the symptom to be considered deteriorated. Participants were censored at the last time when they completed an assessment for pain, dyspnea, fatigue or cough if they had not deteriorated. A 10 point or higher change in the score is perceived by participants as clinically significant. (NCT01360554)
Timeframe: Data taken from Cycle 1 day 1 to the end of treatment or withdrawal.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 1.0 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 1.0 |
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Best Overall Response (BOR) Per Independent Radiologic Review.
The BOR was the best response per RECIST (version 1.1) criteria as assessed by independent assessment recorded from randomization until disease progression. Per RECIST version 1.1: Complete Response (CR): disappearance of all pre-existing lesions except nodal disease, with all nodal lesions decreased to normal size (short axis<10 mm) and no appearance of new unequivocal malignant lesions; Partial Response (PR): >=30% decrease from baseline sum of diameters of all target lesions with no unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions; Progressive Disease (PD): >=20% increase in the sum of diameters of target lesions above the smallest sum observed, with a minimum absolute increase of 5 mm, or unequivocal progression of pre-existing non-target lesions or appearance of any new unequivocal malignant lesions. (NCT01360554)
Timeframe: From date of randomization until progression or initiation of new anti-cancer therapy or death. Participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Participants (Number) |
---|
| Complete response | Partial response | Stable/No response | Objective progression | Indeterminate |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 6 | 46 | 163 | 151 | 73 |
,Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 8 | 27 | 182 | 146 | 76 |
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BOR Per Investigator Review.
The BOR was the best response per RECIST (version 1.1) criteria as assessed by investigator assessment recorded from randomization until disease progression. Per RECIST version 1.1: CR: disappearance of all pre-existing lesions except nodal disease, with all nodal lesions decreased to normal size (short axis<10 mm) and no appearance of new unequivocal malignant lesions; PR: >=30% decrease from baseline sum of diameters of all target lesions with no unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions; PD: >=20% increase in the sum of diameters of target lesions above the smallest sum observed, with a minimum absolute increase of 5 mm, or unequivocal progression of pre-existing non-target lesions or appearance of any new unequivocal malignant lesions. (NCT01360554)
Timeframe: From date of randomization until progression or initiation of new anti-cancer therapy or death. Participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Participants (Number) |
---|
| Complete response | Partial response | Stable/No response | Objective progression | Indeterminate |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 2 | 57 | 136 | 191 | 53 |
,Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 3 | 42 | 136 | 206 | 52 |
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Mean and Difference in Mean in Lung Cancer Symptom Scores as Assessed by the EORTC QLQ- LC13.
The QLQ-LC13 included questions specific to the disease associated symptoms (dyspnea, cough, haemoptysis, and site specific pain), treatment-related symptoms (sore mouth, dysphagia, neuropathy, and alopecia), and analgesic use of lung cancer patients. Scores range from 0-100 and a higher score indicates greater degree of symptoms/problems. Overall scores present the mean score for that scale from all time-point data. (NCT01360554)
Timeframe: Data taken from Cycle 1 day 1 to the end of treatment or withdrawal, averaged (mean) to provide overall scores.
Intervention | Units on a scale. (Mean) |
---|
| QLQ-LC13 Trouble Swallowing | QLQ-LC13 Coughing | QLQ-LC13 Haemoptysis | QLQ-LC13 Sore Mouth | QLQ-LC13 Shortness of Breath | QLQ-LC13 Peripheral Neuropathy | QLQ-LC13 Alopecia | QLQ-LC13 Pain in Chest | QLQ-LC13 Pain in Arm or Shoulder | QLQ-LC13 Pain in other Parts | QLQ-LC13 Any Med for Pain |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 10.1934 | 28.3790 | 3.4751 | 20.4054 | 27.1651 | 19.4905 | 14.8327 | 16.4268 | 15.9840 | 21.5437 | 61.8437 |
,Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 7.5553 | 32.6294 | 4.5515 | 11.0509 | 28.3413 | 20.1284 | 16.1963 | 17.6430 | 17.1315 | 22.6124 | 61.8115 |
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Mean and Difference in Mean in QLQ-C30 Symptoms as Assessed by the EORTC-QLQ-C30.
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Scores ranged from 0-100 where a higher score indicated a greater degree of symptoms/problems. Overall scores present the mean score for that scale from all time-point data. (NCT01360554)
Timeframe: Data taken from Cycle 1 day 1 to the end of treatment or withdrawal, averaged (mean) to provide overall scores.
Intervention | Units on a scale. (Mean) |
---|
| QLQ-C30 Appetite loss | QLQ-C30 Constipation | QLQ-C30 Diarrhea | QLQ-C30 Dysponea | QLQ-C30 Fatigue | QLQ-C30 Financial Difficulties | QLQ-C30 Insomnia | QLQ-C30 Nausea and Vomiting | QLQ-C30 Pain |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 28.5960 | 8.2496 | 38.8641 | 28.3313 | 35.0885 | 20.0597 | 19.7903 | 9.1438 | 25.1850 |
,Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 27.3109 | 14.1726 | 18.6077 | 32.8812 | 36.7469 | 20.0597 | 24.6615 | 9.6362 | 24.8754 |
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Trough Concentrations (Ctrough) of Dacomitinib.
Mean Ctrough values of dacomitinib observed from Cycle 2 through 5, Day 1 for dose compliant participants. (NCT01360554)
Timeframe: Baseline up to Cycle 5 Day 1
Intervention | Trough Plasma Concentration (ng/mL) (Geometric Mean) |
---|
| Cycle (C) 2 Day (D) 1 (n=317) | C3D1 (n=175) | C4D1 (n=131) | C5D1 (n=95) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 61.0102 | 46.5229 | 44.2708 | 38.0307 |
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Trough Concentrations (Ctrough) of PF-05199265.
Mean Ctrough values of PF-05199265 observed from Cycle 2 through 5, Day 1 for dose compliant participants. (NCT01360554)
Timeframe: Baseline up to Cycle 5 Day 1
Intervention | Trough Plasma Concentration (ng/mL) (Geometric Mean) |
---|
| Cycle (C) 2 Day (D) 1 (n=323) | C3D1 (n=179) | C4D1 (n=136) | C5D1 (n=100) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 6.3695 | 5.8706 | 6.4380 | 6.5353 |
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Mean and Difference in Mean in Functioning and Global Quality of Life (QOL) as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Scores ranged from 0-100 where a higher score indicated a better level of quality of life. Overall scores present the mean score for that scale from all time-point data. (NCT01360554)
Timeframe: Data taken from Cycle 1 day 1 to the end of treatment or withdrawal, averaged (mean) to provide overall scores.
Intervention | Units on a scale. (Mean) |
---|
| QLQ-C30 Global QoL | QLQ-C30 Cognitive Functioning | QLQ-C30 Emotional Functioning | QLQ-C30 Physical Functioning | QLQ-C30 Role Functioning | QLQ-C30 Social Functioning |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 56.4068 | 83.8980 | 79.1982 | 75.2138 | 69.3252 | 74.7868 |
,Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 58.3425 | 83.0913 | 78.4682 | 73.6849 | 68.1033 | 76.2839 |
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DR Based on Investigator Review.
DR was defined as the time from first documentation of response assessed by investigator review (CR or PR whichever occurred first) to date of progression or death due to any cause, whichever occurs first. Per RECIST version 1.1: CR: disappearance of all pre-existing lesions except nodal disease, with all nodal lesions decreased to normal size (short axis<10 mm) and no appearance of new unequivocal malignant lesions; PR: >=30% decrease from baseline sum of diameters of all target lesions with no unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions; PD: >=20% increase in the sum of diameters of target lesions above the smallest sum observed, with a minimum absolute increase of 5 mm, or unequivocal progression of pre-existing non-target lesions or appearance of any new unequivocal malignant lesions. (NCT01360554)
Timeframe: From date of randomization until progression or death due to any cause. Participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 10.4 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 9.2 |
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Duration of Response (DR) Based on Independent Radiologic Review.
DR was defined as the time from first documentation of response assessed by independent review (CR or PR whichever occurred first) to date of progression or death due to any cause, whichever occurs first. Per RECIST version 1.1: CR: disappearance of all pre-existing lesions except nodal disease, with all nodal lesions decreased to normal size (short axis<10 mm) and no appearance of new unequivocal malignant lesions; PR: >=30% decrease from baseline sum of diameters of all target lesions with no unequivocal progression of pre-existing non-target lesions or appearance of new unequivocal malignant lesions; PD: >=20% increase in the sum of diameters of target lesions above the smallest sum observed, with a minimum absolute increase of 5 mm, or unequivocal progression of pre-existing non-target lesions or appearance of any new unequivocal malignant lesions. (NCT01360554)
Timeframe: From date of randomization until progression or death due to any cause. Participants were followed up until progressive disease regardless of start of subsequent cancer therapy.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 9.2 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 10.1 |
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Mean and Difference in Mean of the EuroQoL-5 Dimensions (EQ-5D) Visual Analogue Scale (VAS) Score
"The EQ-5D is a validated and reliable self-report preference-based measure developed by the EuroQoL Group to assess health-related quality of life. It consists of the EQ-5D descriptive system and a visual analogue scale-the EQ VAS. The EQ-5D descriptive system measures a participants' health state on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 levels, reflecting no health problems, moderate health problems, and extreme health problems. The EQ VAS records the respondent's self-rated health on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state)." (NCT01360554)
Timeframe: Data taken from Cycle 1 day 1 to the end of treatment or withdrawal, averaged (mean) to provide overall scores.
Intervention | Units on a scale. (Mean) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 65.1908 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 65.5794 |
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OS in KRAS-WT Participants.
OS was defined as the time from randomization to the date of death for any cause. In the absence of confirmation of death, survival time was censored at the last date the patient was known to be alive (ie, at their last known alive date from long term follow-up). Tumor tissue from participants' original diagnostic biopsies or recently obtained biopsies were analyzed to determine KRAS status. (NCT01360554)
Timeframe: From date of randomization until the date of death from any cause or last date known to be alive, participants were followed up regardless of the reason for discontinuation from study treatment at intervals of no longer than every 2 months.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 8.1 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 8.5 |
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Overall Survival (OS).
OS was defined as the time from randomization to the date of death for any cause. In the absence of confirmation of death, survival time was censored at the last date the patient was known to be alive (ie, at their last known alive date from long term follow-up). (NCT01360554)
Timeframe: From date of randomization until the date of death from any cause or last date known to be alive, participants were followed up regardless of the reason for discontinuation from study treatment at intervals of no longer than every 2 months.
Intervention | Months (Median) |
---|
Arm A (Blinded Dacomitinib and Blinded Erlotinib Placebo) | 7.9 |
Arm B (Blinded Erlotinib and Blinded Dacomitinib Placebo) | 8.3 |
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Progression-free Survival (Tumour Assessments According to RECIST Criteria)
Progression free survival is (PFS) defined as the time from the first dose of Erlotinib to the date of first occurrence of disease progression or death. (NCT01372384)
Timeframe: Until participants had disease progression, unacceptable toxicity or died; approximately 24 months.
Intervention | Days (Median) |
---|
Erlotinib | 223 |
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Safety: Incidence of Adverse Events
An AE is any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. An SAE is any experience that suggests a significant hazard, contraindication, side effect, or precaution. (NCT01372384)
Timeframe: Until participants had disease progression, unacceptable toxicity, or died; approximately 24 months.
Intervention | participants (Number) |
---|
| Any AE | SAE |
---|
Erlotinib | 6 | 1 |
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Objective Response Rate (Investigator Assessed)
Objective response rate (ORR) was defined by RECIST criteria: Partial response (PR) was defined as ≥ 30% decrease in the sum of longest diameter of all target lesions, from the baseline sum. Complete response (CR) was defined as disappearance of all target and non-target lesions. For CR or PR, tumor measurements must be confirmed by 2nd assessments within 4 weeks. Progression of disease (PD) = 20% increase in the sum of longest diameter of all target lesions, from smallest sum of longest diameter of all target lesions recorded at or after baseline; or a new lesion; or progression of non-target lesions. Stable Disease (SD) = Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on the study. (NCT01372384)
Timeframe: Visit 4, Visit 6, Visit 10 and Visit 22; (up to approximately 24 months)
Intervention | Percentage (Number) |
---|
| Visit 4, SD, n=5 | Visit 4, PR, n=1 | Visit 6, SD, n=2 | Visit 6, PR, n=2 | Visit 6, PD, n=2 | Visit 10, PR, n=2 | Visit 10, PD, n=4 | Visit 22, PD, n=6 |
---|
Erlotinib | 83.3 | 16.7 | 33.3 | 33.3 | 33.3 | 33.3 | 66.7 | 100 |
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Overall Survival
The overall survival (OS) is defined as the time from the first dose of Erlotinib to the date of death due to any cause. (NCT01372384)
Timeframe: Until participants had disease progression, unacceptable toxicity, or died; approximately 24 months.
Intervention | Days (Median) |
---|
Erlotinib | 401 |
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Number of Participants With Adverse Events
Number of participants with adverse events as a measure of safety and tolerability (NCT01376310)
Timeframe: Until 30 days after the last dose of study treatment. Subjects may have continued to receive study treatment until disease progression, death, unacceptable toxicity or until locally commercially available. The maximum duration of exposure was 76 months.
Intervention | Participants (Count of Participants) |
---|
| Adverse Events | Treatment-Related Adverse Events | Serious Adverse Events | Treatment-Related Serious Adverse Events |
---|
Cohort A (GSK1120212 < 24 Weeks) | 119 | 101 | 26 | 8 |
,Cohort B (GSK1120212 >= 24 Weeks) | 30 | 26 | 13 | 4 |
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Overall Survival (OS)
OS was defined as the time from randomization to the date of death due to any cause. OS was assessed using Kaplan-Meier method. (NCT01378962)
Timeframe: Every 8 weeks during treatment, after discontinuation participants were followed for up to 1 year after enrollment of the last participant (maximum up to 27 months)
Intervention | months (Mean) |
---|
Erlotinib 150 mg | 17.48 |
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Percentage of Participants With Primary and Secondary Resistance
Primary resistance: participants did not reach SD or PR or CR before going to PD. Secondary resistance: participants experienced PD after having reached SD or PR or CR at least once. CR: complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes must decrease to normal (short axis less than 10 mm), with no new lesions. PR: >=30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease, and no new lesions. PD: >=20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01378962)
Timeframe: Baseline up to disease progression (up to 12 Months)
Intervention | percentage of participants (Number) |
---|
| Primary resistance | Secondary resistance |
---|
Erlotinib 150 mg | 8.33 | 91.67 |
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Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Mutation by Mutation Type
EGFR is a gene in the tumor tissues and mutations in this gene have been linked to a variety of tumors. Presence or absence of EGFR mutation was determined in liquid biopsies by reverse transcriptase-polymerase chain reaction (RT-PCR /Cobas). (NCT01378962)
Timeframe: Baseline, At progression of disease (up to 12 Months)
Intervention | percentage of participants (Number) |
---|
| Baseline: EGFR18 Mutation (n=45) | Baseline: EGFR19 Codon Deletion Mutation (n=45) | Baseline: EGFR20 Codon T790M Mutation (n=45) | Baseline: EGFR21 Codon L585R Mutation (n=45) | At PD: EGFR18 Mutation (n=18) | At PD: EGFR19 Codon Deletion Mutation (n=18) | At PD: EGFR20 Codon T790M Mutation (n=18) | At PD: EGFR21 Codon L585R Mutation (n=18) |
---|
Erlotinib 150 mg | 0.00 | 51.11 | 2.22 | 15.56 | 0.00 | 50.00 | 27.78 | 16.67 |
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Percentage of Participants Who Died
(NCT01378962)
Timeframe: Every 8 weeks during treatment, after discontinuation participants were followed for up to 1 year after enrollment of the last participant (maximum up to 27 months)
Intervention | percentage of participants (Number) |
---|
Erlotinib 150 mg | 28 |
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Percentage of Participants Achieving CR, PR, or SD as Best Overall Response
The Disease Control Rate was defined as the percentage of participants who had CR or PR or SD as Best Overall Response achieved within the time between the first drug administration and documented disease progression or end of study. According to RECIST v1.1, CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than 10 mm), with no new lesions. PR was defined as >=30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease, and no new lesions. SD was defined as not qualifying for CR, PR, or PD. (NCT01378962)
Timeframe: Baseline up to disease progression or end of study (up to 12 Months)
Intervention | percentage of participants (Number) |
---|
Erlotinib 150 mg | 80 |
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Percentage of Participants With a Response by Best Overall Response
Tumor response was assessed according to RECIST v1.1. Complete response (CR): complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes must decrease to normal (short axis less than 10 mm), with no new lesions. Partial response (PR): greater than or equal to (>=) 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease, and no new lesions. PD: >=20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. Stable disease (SD): not qualifying for CR, PR, or PD. (NCT01378962)
Timeframe: Baseline up to disease progression or end of study (up to 12 Months)
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD | Not estimated |
---|
Erlotinib 150 mg | 6 | 62 | 12 | 4 | 16 |
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Progression-Free Survival (PFS)
PFS was defined as the time from baseline to the date of first occurrence of disease progression or death. According to RECIST v1.1, PD was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. PFS was assessed using Kaplan-Meier method. (NCT01378962)
Timeframe: Up to 1 year after enrollment of the last participant (maximum up to 27 months)
Intervention | months (Median) |
---|
Erlotinib 150 mg | 12.58 |
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Probability of Being Progression Free 12 Months After Baseline
According to RECIST v1.1, PD was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01378962)
Timeframe: 12 months
Intervention | probability of being progression-free (Mean) |
---|
Erlotinib 150 mg | 0.51 |
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Percentage of Participants With Objective Response
Objective response was defined as the percentage of participants with CR or PR as best overall response by RECIST v1.1. To be assigned the status of PR or CR, changes in tumor measurements were to be confirmed by repeated assessments no less than 4 weeks after the criteria for response were first met. CR was defined as complete disappearance of all target lesions and non-target disease, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than 10 mm), with no new lesions. PR was defined as >=30% decrease under baseline of sum of diameters of all target lesions. The short axis was used in sum for target nodes, while longest diameter was used in sum for all other target lesions. No unequivocal progression of non-target disease, and no new lesions. Participants with no tumor assessment after start of study treatment were considered as non-responders. The percentage of participants with response is presented. (NCT01378962)
Timeframe: Baseline up to disease progression or end of study (up to 12 Months)
Intervention | percentage of participants (Number) |
---|
Erlotinib 150 mg | 68 |
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Percentage of Participants With Disease Progression or Death at 12 Months After Baseline
According to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1), progressive disease (PD) was defined as at least a 20 percent (%) increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01378962)
Timeframe: 12 months
Intervention | percentage of participants (Number) |
---|
Erlotinib 150 mg | 42 |
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Objective Response Rate (ORR) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy.
Per RECIST v1.1, Complete Response (CR) = disappearance of all lesions and Partial Response (PR) = at least 30% decrease in the sum of diameters of target lesions. ORR = (CR+PR)/# subjects. (NCT01395758)
Timeframe: Date of randomization to the date of death from any cause or to the date that the subject discontinues from the study, assessed up to 24 months
Intervention | Participants (Count of Participants) |
---|
Tivantinib Plus Erlotinib Arm | 0 |
Chemotherapy Arm | 4 |
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Progression-free Survival (PFS) Among Subjects With KRAS Mutation Positive NSCLC (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Single Agent Chemotherapy.
Progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST v 1.1) criteria as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions or progression of existing non-target lesions are also considered progression. (NCT01395758)
Timeframe: Date of randomization until disease progression per RECIST (v 1.1) or death from any cause, whichever came first, assessed up to 24 months.
Intervention | weeks (Median) |
---|
Tivantinib Plus Erlotinib Arm | 7.3 |
Chemotherapy Arm | 18.6 |
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Overall Survival (OS) Among All Eligible Subjects (ITT Population) Treated With Erlotinib Plus Tivantinib Compared to Chemotherapy.
OS is calculated from the date of randomization until death from any cause. (NCT01395758)
Timeframe: Date of randomization to the date of death from any cause, assessed up to 24 months
Intervention | months (Median) |
---|
Tivantinib Plus Erlotinib Arm | 6.8 |
Chemotherapy Arm | 8.5 |
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ORR Among Subjects in the Crossover Period Treated With Erlotinib Plus Tivantinib
Per RECIST v1.1, CR = disappearance of all lesions and PR = at least 30% decrease in the sum of diameters of target lesions. ORR = (CR+PR)/# subjects. (NCT01395758)
Timeframe: Date of randomization to the date of death from any cause or to the date that the subject discontinues from the study, assessed up to 24 months.
Intervention | Participants (Count of Participants) |
---|
Tivantinib Plus Erlotinib Crossover Period | 2 |
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Number of Participants Who Experienced Selected Adverse Events
"The number of participants who experienced an AE of interest due to any cause is presented. Endocrine, Gastrointestinal, Hepatic, Pulmonary, Renal, Skin, and~Hypersensitivity/Infusion select AEs were identified that are potentially associated with the use of nivolumab, based on the following 4 guiding principles:~AEs that may differ in type, frequency, or severity from AEs caused by non-immunotherapies~AEs that may require immunosuppression (eg, corticosteroids) as part of their management~AEs whose early recognition and management may mitigate severe toxicity~AEs for which multiple event terms may be used to describe a single type of AE, thereby necessitating the pooling of terms for full characterization." (NCT01454102)
Timeframe: From first dose to 30 days after the last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| Endorcrine | Gastrointestinal | Hepatic | Pulmonary | Renal | Skin | Hypersensitivity/Infusion Reactions |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 3 | 4 | 0 | 2 | 1 | 3 | 1 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 2 | 6 | 2 | 2 | 6 | 9 | 6 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 0 | 8 | 1 | 0 | 1 | 7 | 7 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 1 | 6 | 0 | 1 | 4 | 7 | 1 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 2 | 2 | 0 | 2 | 1 | 5 | 1 |
,Arm E: Nivolumab + Erlotinib | 4 | 10 | 4 | 1 | 2 | 16 | 2 |
,Arm F: Nivolumab | 8 | 16 | 5 | 3 | 0 | 27 | 4 |
,Arm GH: Nivolumab + Ipilimumab | 8 | 15 | 7 | 3 | 2 | 15 | 1 |
,Arm IJ: Nivolumab + Ipilimumab | 6 | 12 | 2 | 2 | 0 | 14 | 3 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 3 | 5 | 2 | 1 | 3 | 4 | 2 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 2 | 1 | 0 | 2 | 0 | 2 | 0 |
,Arm M: Nivolumab | 0 | 1 | 0 | 0 | 0 | 2 | 0 |
,Arm N: Nivolumab + Ipilimumab | 4 | 12 | 4 | 3 | 2 | 20 | 1 |
,Arm O: Nivolumab + Ipilimumab | 15 | 13 | 13 | 3 | 2 | 20 | 1 |
,Arm P: Nivolumab + Ipilimumab | 8 | 11 | 1 | 5 | 6 | 21 | 3 |
,Arm Q: Nivolumab + Ipilimumab | 12 | 13 | 2 | 3 | 4 | 20 | 1 |
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Progression-Free Survival Rate (PFSR) at Week 24
"Progression-Free Survival (PFS) was defined as the time from the date of first dose of study medication to the date of first disease progression or death, if death occurred within 100 days of the final dose of study drug. Among participants without previous RECIST-defined progression, participants who died beyond 100 days and those who remained alive were censored at the last tumor assessment date (before subsequent therapy).~PFSR at week 24 was defined as the proportion of subjects remaining progression free and surviving at 24 weeks. The proportion was calculated by the product-limit method (Kaplan-Meier estimate), which takes into account censored data, and expressed as a percentage." (NCT01454102)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 50.5 |
Arm B: Nivolumab + Pemetrexed + Cisplatin | 68.4 |
Arm C10: Nivolumab + Paclitaxel + Carboplatin | 34.3 |
Arm D: Nivolumab + Bevacizumab Maintenance | 58.3 |
Arm E: Nivolumab + Erlotinib | 50.6 |
Arm F: Nivolumab | 39.7 |
Arm GH: Nivolumab + Ipilimumab | 42.8 |
Arm IJ: Nivolumab + Ipilimumab | 37.3 |
Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 50.0 |
Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 20.5 |
Arm M: Nivolumab | 8.3 |
Arm N: Nivolumab + Ipilimumab | 49.1 |
Arm O: Nivolumab + Ipilimumab | 48.0 |
Arm P: Nivolumab + Ipilimumab | 72.4 |
Arm Q: Nivolumab + Ipilimumab | 39.5 |
Arm C5: Nivolumab + Paclitaxel + Carboplatin | 59.3 |
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Number of Participants With Abnormalities in Selected Thyroid Clinical Laboratory Tests
"The number of subjects with selected thyroid laboratory abnormalities is reported. FT3 and FT4 test abnormalities were considered for a 2-week window after the abnormal TSH test date.~TSH= thyroid-stimulating hormone; FT3= Free T3; FT4= Free T4; LLN= lower limit of normal; ULN= upper limit of normal" (NCT01454102)
Timeframe: From first dose to 30 days following last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| TSH > ULN | TSH > ULN WITH TSH <= ULN AT BASELINE | TSH > ULN WITH >=1 FT3/FT4 TEST VALUE < LLN | TSH > ULN WITH ALL FT3/FT4 TEST VALUES >= LLN | TSH > ULN WITH FT3/FT4 TEST MISSING | TSH < LLN | TSH < LLN WITH TSH >= LLN AT BASELINE | TSH < LLN WITH >=1 FT3/FT4 TEST VALUE > ULN | TSH < LLN WITH ALL FT3/FT4 TEST VALUES <= ULN | TSH < LLN WITH FT3/FT4 TEST MISSING |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 2 | 1 | 0 | 0 | 2 | 2 | 1 | 1 | 0 | 1 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 3 | 2 | 1 | 2 | 0 | 7 | 3 | 1 | 3 | 3 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 1 | 1 | 0 | 1 | 0 | 5 | 1 | 0 | 1 | 4 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 5 | 4 | 2 | 0 | 3 | 7 | 5 | 2 | 0 | 5 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 8 | 4 | 1 | 0 | 7 | 2 | 1 | 0 | 1 | 1 |
,Arm E: Nivolumab + Erlotinib | 12 | 8 | 7 | 0 | 5 | 7 | 7 | 4 | 0 | 3 |
,Arm F: Nivolumab | 21 | 13 | 3 | 4 | 14 | 9 | 9 | 4 | 1 | 4 |
,Arm GH: Nivolumab + Ipilimumab | 10 | 10 | 5 | 1 | 4 | 12 | 12 | 6 | 3 | 3 |
,Arm IJ: Nivolumab + Ipilimumab | 7 | 6 | 5 | 2 | 0 | 9 | 9 | 5 | 1 | 3 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 5 | 5 | 3 | 2 | 0 | 3 | 3 | 2 | 1 | 0 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 5 | 3 | 0 | 2 | 3 | 1 | 0 | 1 | 0 | 0 |
,Arm M: Nivolumab | 2 | 1 | 0 | 0 | 2 | 6 | 4 | 1 | 0 | 5 |
,Arm N: Nivolumab + Ipilimumab | 10 | 7 | 6 | 1 | 3 | 9 | 9 | 6 | 2 | 1 |
,Arm O: Nivolumab + Ipilimumab | 12 | 9 | 7 | 1 | 4 | 10 | 9 | 7 | 2 | 1 |
,Arm P: Nivolumab + Ipilimumab | 11 | 5 | 5 | 0 | 6 | 6 | 6 | 1 | 1 | 4 |
,Arm Q: Nivolumab + Ipilimumab | 11 | 8 | 4 | 2 | 5 | 9 | 9 | 1 | 1 | 7 |
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Objective Response Rate (ORR)
ORR was defined as the percentage of all treated participants who achieved a Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria as per investigator assessment. This proportion was multiplied by 100 and expressed as a percentage. BOR was defined as the best response designation recorded between the date of randomization and the date of progression, or the date of subsequent anticancer therapy, whichever occurred first. CR or PR determinations included in the BOR assessment were confirmed by a second scan at least 4 weeks after the criteria for responses were first met. For participants without progression or subsequent therapy, all available response designations contributed to the BOR determination. For participants who continued treatment beyond progression, the BOR was determined based on response designations recorded up to the time of the initial progression. (NCT01454102)
Timeframe: From first dose until date of progression or subsequent anti-cancer therapy (assessed up to July 2016, approximately 55 months)
Intervention | Percentage of participants (Number) |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 41.7 |
Arm B: Nivolumab + Pemetrexed + Cisplatin | 46.7 |
Arm C10: Nivolumab + Paclitaxel + Carboplatin | 46.7 |
Arm D: Nivolumab + Bevacizumab Maintenance | 16.7 |
Arm E: Nivolumab + Erlotinib | 19.0 |
Arm F: Nivolumab | 23.1 |
Arm GH: Nivolumab + Ipilimumab | 20.8 |
Arm IJ: Nivolumab + Ipilimumab | 24.0 |
Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 0 |
Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 15.4 |
Arm M: Nivolumab | 8.3 |
Arm N: Nivolumab + Ipilimumab | 22.6 |
Arm O: Nivolumab + Ipilimumab | 32.5 |
Arm P: Nivolumab + Ipilimumab | 47.4 |
Arm Q: Nivolumab + Ipilimumab | 38.5 |
Arm C5: Nivolumab + Paclitaxel + Carboplatin | 50.0 |
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Number of Participants With Abnormalities in Selected Hepatic Clinical Laboratory Tests
"The number of subjects with selected hepatic laboratory abnormalities is reported.~AST= aspartate aminotransferase; ALT= alanine aminotransferase; ULN= upper limit of normal." (NCT01454102)
Timeframe: From first dose to 30 days following last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| ALT OR AST > 3XULN | ALT OR AST > 5XULN | ALT OR AST > 10XULN | ALT OR AST > 20XULN | TOTAL BILIRUBIN > 2XULN | AST or ALT>3XULN with Bilirubin>2XULN within 1 day | AST or ALT>3XULN with Bilirubin>2XULN within 30day |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm E: Nivolumab + Erlotinib | 4 | 2 | 1 | 0 | 1 | 1 | 1 |
,Arm F: Nivolumab | 2 | 2 | 0 | 0 | 1 | 1 | 1 |
,Arm GH: Nivolumab + Ipilimumab | 6 | 4 | 2 | 1 | 0 | 0 | 0 |
,Arm IJ: Nivolumab + Ipilimumab | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm M: Nivolumab | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm N: Nivolumab + Ipilimumab | 1 | 1 | 1 | 1 | 0 | 0 | 0 |
,Arm O: Nivolumab + Ipilimumab | 2 | 1 | 0 | 0 | 0 | 0 | 0 |
,Arm P: Nivolumab + Ipilimumab | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
,Arm Q: Nivolumab + Ipilimumab | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants Who Experienced Serious Adverse Events (SAE), Adverse Events (AE) Leading to Discontinuation, or Death
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4= Potentially Life-threatening or disabling. (NCT01454102)
Timeframe: From first dose to 30 days after the last dose of study drug (assessed up to July 2016, approximately 55 months)
Intervention | Participants (Count of Participants) |
---|
| SAEs | AEs leading to discontinuation | Death |
---|
Arm A: Nivolumab + Gemcitabine + Cisplatin | 4 | 2 | 0 |
,Arm B: Nivolumab + Pemetrexed + Cisplatin | 10 | 5 | 0 |
,Arm C10: Nivolumab + Paclitaxel + Carboplatin | 8 | 1 | 0 |
,Arm C5: Nivolumab + Paclitaxel + Carboplatin | 9 | 2 | 0 |
,Arm D: Nivolumab + Bevacizumab Maintenance | 3 | 3 | 0 |
,Arm E: Nivolumab + Erlotinib | 11 | 3 | 0 |
,Arm F: Nivolumab | 23 | 9 | 2 |
,Arm GH: Nivolumab + Ipilimumab | 18 | 11 | 2 |
,Arm IJ: Nivolumab + Ipilimumab | 17 | 13 | 3 |
,Arm K: Nivolumab in Squamous Histology Subjects (NSCLC) | 3 | 3 | 0 |
,Arm L: Nivolumab in Non-squamous Histology Subjects (NSCLC) | 4 | 4 | 1 |
,Arm M: Nivolumab | 4 | 1 | 1 |
,Arm N: Nivolumab + Ipilimumab | 12 | 3 | 1 |
,Arm O: Nivolumab + Ipilimumab | 21 | 4 | 1 |
,Arm P: Nivolumab + Ipilimumab | 25 | 10 | 4 |
,Arm Q: Nivolumab + Ipilimumab | 25 | 8 | 2 |
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Duration of Response
Defined as the time from complete or partial response (CR or PR) until objective tumor progression. Tumor measurements will be obtained using CT scans of chest, abdomen and pelvis and assessed per RECIST v 1.1. Complete response (CR) is defined as a disappearance of all lesions; partial response (PR) is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking the baseline sum LD as reference. Stable Disease (SD) is defined as neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for progressive disease, taking as reference the smallest (nadir) sum LD since start of treatment. (NCT01487265)
Timeframe: every 8 weeks for 12 months, then every 12 weeks thereafter, estimated 18 months
Intervention | months (Number) |
---|
Erlotinib + BKM120 | 3.2 |
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Number of Participants With Serious and Non-serious Adverse Events as a Measure of Safety.
Adverse events will be graded using CTCAE v4.3. and will be collected until 30 days after the discontinuation of study treatment for each participant. A non-serious adverse event is any untoward medical occurrence. A serious adverse event (SAE) is an event that meets one or more of the following: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; requires intervention to prevent permanent impairment or damage. Specific AE and SAE terms are provided in the Adverse event module. (NCT01487265)
Timeframe: Every 2 weeks for 8 weeks, then every 8 weeks thereafter, estimated 24 months
Intervention | participants (Number) |
---|
| Adverse Events (all grades) | Serious Adverse Events |
---|
Erlotinib + BKM120 | 37 | 13 |
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Progression Free Survival at 3 Months
Percentage of patients who are alive and progression-free at 3 months (APF3) from first treatment. (NCT01487265)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Erlotinib + BKM120 | 50.4 |
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Overall Survival
Defined as the time from first treatment until death from any cause. (NCT01487265)
Timeframe: every 3 months after study treatment, projected 24 months
Intervention | months (Median) |
---|
Erlotinib + BKM120 | 12.2 |
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Objective Response Rate
Defined as the percentage of complete and partial responses (CR + PR) among all patients. Complete response (CR) is defined as a disappearance of all lesions; partial response (PR) is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking the baseline sum LD as reference. Stable Disease (SD) is defined as neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for progressive disease, taking as reference the smallest (nadir) sum LD since start of treatment. (NCT01487265)
Timeframe: every 8 weeks for 12 months, then every 12 weeks thereafter, estimated 18 months
Intervention | percentage of participants (Number) |
---|
Erlotinib + BKM120 | 5.4 |
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Number of Participants With Disease Control According to RECIST 1.1
Disease control was assessed based on Independent Radiologic Review (IRR) and investigator assessment. A patient with a best overall response of CR, PR, or Stable Disease (SD) was considered to have disease control. Patients with no baseline target lesions who had no evidence of disease progression in their non-target lesions and had no new lesions were considered to have disease control. Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01523587)
Timeframe: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Intervention | Participants (Number) |
---|
Afatinib | 201 |
Erlotinib | 157 |
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Number of Participants With Objective Response According to RECIST 1.1
A patient with a best overall response of Complete Responder (CR) or Partial Responder (PR) was considered to show objective response to study medication. For patients with an objective response, time to objective response was defined as the time from randomization to the first objective response; duration of objective response was defined as the time from the first objective response to progression (or death if the patient died before progression). Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01523587)
Timeframe: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Intervention | Participants (Number) |
---|
Afatinib | 22 |
Erlotinib | 11 |
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Overall Survival
Overall Survival is defined as the time from randomisation to death. It was a key secondary endpoint. (NCT01523587)
Timeframe: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Intervention | Months (Median) |
---|
Afatinib | 7.82 |
Erlotinib | 6.77 |
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Progression-free Survival, Based on Central Independent Review as Determined by Response Evaluation Criteria in Solid Tumours 1.1
"Progression Free Survival (PFS) was defined as the time from randomization to disease progression (or death if the patient died before progression) by central independent review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. RECIST is a set of published rules that define when tumors in cancer patients improve (respond), stay the same (stabilize) or worsen (progress) during treatment. Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT01523587)
Timeframe: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Intervention | Months (Median) |
---|
Afatinib | 2.63 |
Erlotinib | 1.94 |
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Summary of Time to Deterioration in Coughing, Dyspnoea and Pain.
Health-related quality of life (HRQoL) was measured with the following multi-dimensional questionnaires: the EORTC QLQ-C30. The questionnaires were assessed at the first visit of each treatment course. For each of the summary scales and items measuring cough, dyspnoea and pain, the two treatment arms were compared in terms of: Time to deterioration. (NCT01523587)
Timeframe: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Intervention | Months (Median) |
---|
| Time to Deterioration - Coughing | Time to Deterioration - Dyspnoea | Time to Deterioration - Pain |
---|
Afatinib | 4.53 | 2.63 | 2.50 |
,Erlotinib | 3.65 | 1.91 | 2.37 |
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Change in Score Over Time in Coughing,Dyspnoea and Pain
"Health related quality of life (HRQoL) was measured with the following multi dimensional questionnaires: the EORTC QLQ-C30. The questionnaires were assessed at the first visit of each treatment course. For each of the summary scales and items measuring cough, dyspnoea and pain, the two treatment arms were compared in terms of change in score over time, adjusted for baseline score and race.~Questionnaires have items relating to Cough, Dyspnoea and Pain. Overall Scores are transformed to a standardised scale of 0 to 100 with the larger value indicating a worse outcome. A change of (+/-) 10 points is considered to be relevant.~The change in cough, dyspnea and pain will be assessed using a mixed effects growth curve model with the average profile over time for each endpoint described by a piecewise linear model (presented as post baseline in data table). Post-baseline mean is adjusted for baseline and race." (NCT01523587)
Timeframe: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Intervention | Units on a scale (Least Squares Mean) |
---|
| Coughing | Dyspnoea | Pain |
---|
Afatinib | 15.8 | 11.4 | 10.3 |
,Erlotinib | 19.3 | 14.9 | 13.1 |
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Tumour Shrinkage
"Maximum percentage decrease from baseline in the sum of target lesion diameters following independent review. The change in the size (i.e. the sum of diameters (SOD)) of target lesions from baseline was derived. Tumour shrinkage for each patient was measured (based on Independent Radiologic Review (IRR)) as the minimum SOD of target lesions after randomisation.~A negative percentage indicates decrease from baseline; positive numbers indicate an increase of tumour size. The mean maximum decrease from baseline of +5 and +9.4 reflect an average increase in tumour size.~Post-baseline mean is adjusted for baseline sum of diameters and race." (NCT01523587)
Timeframe: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Intervention | Millimeter (mm) (Least Squares Mean) |
---|
Afatinib | 78.8 |
Erlotinib | 80.0 |
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Progression Free Survival of Patients With Different Mutation Types (Exon Deletion 19 Versus Exon 21 L858R)
Progression free survival (PFS) is defined as the time from the date of randomization to the date of disease progression or death resulting from any cause, whichever comes first. Progression is defined according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 as at least a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator by mutation type. (NCT01532089)
Timeframe: From the date of randomization to the date of disease progression or death of any cause, whichever comes first, assessed up to 6 years
Intervention | months (Median) |
---|
Exon 19 Deletion | 17.9 |
Exon 21 L858R | 12.6 |
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Overall Survival
Overall survival time is defined as the time from randomization to death due to any cause. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT01532089)
Timeframe: Time from randomization to death of any causes, assessed up to 6 years
Intervention | months (Median) |
---|
Arm A (Erlotinib Hydrochloride) | 50.6 |
Arm B (Erlotinib Hydrochloride, Bevacizumab) | 32.4 |
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Number of Patients Experiencing Toxicity
The number of patients experiencing toxicity defined as grade 3 or higher adverse events (using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0) considered at least possibly related to treatment is reported below. (NCT01532089)
Timeframe: Up to 42 days after treatment discontinuation
Intervention | Participants (Count of Participants) |
---|
Arm A (Erlotinib Hydrochloride) | 13 |
Arm B (Erlotinib Hydrochloride, Bevacizumab) | 31 |
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Progression Free Survival (PFS)
Progression free survival (PFS) is defined as the time from the date of randomization to the date of disease progression or death resulting from any cause, whichever comes first. Progression is defined according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 as at least a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT01532089)
Timeframe: Time from randomization to disease progression and death of any cause, whichever comes first, assessed up to 6 years
Intervention | months (Median) |
---|
Arm A (Erlotinib Hydrochloride) | 13.5 |
Arm B (Erlotinib Hydrochloride, Bevacizumab) | 17.9 |
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Response Rate (Complete or Partial) to Each Treatment, Evaluated Using the New International Criteria Proposed by the Revised Response Evaluation Criteria in Solid Tumors Guidelines (Version 1.1)
The response rate (percentage) is the percent of patients whose best response was Complete Response (CR) or Partial Response (PR) as defined by RECIST 1.1 criteria. Percentage of successes will be estimated by 100 times the number of successes divided by the total number of evaluable patients. (CR: Disappearance of all evidence of disease, PR: Regression of measurable disease and no new sites). (NCT01532089)
Timeframe: Up to 6 years
Intervention | percentage of patients (Number) |
---|
Arm A (Erlotinib Hydrochloride) | 83 |
Arm B (Erlotinib Hydrochloride, Bevacizumab) | 81 |
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Response Rate Among Subgroups of Patients According to Molecular Profiles Including Tumor Characteristics and Genetic Polymorphisms From Peripheral Blood
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. Pre-specified that data is only presented for the subgroups Low Cyclin D1 and High Cyclin D1." (NCT01557959)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
| Progressive disease | Stable disease | Partial response |
---|
High Cyclin D1 | 4 | 9 | 2 |
,Low Cyclin D1 | 3 | 9 | 4 |
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Time to Progression
Determined using RECIST. Estimated using the Kaplan-Meier method. Log-rank tests will be used to test for differences and Cox proportional hazards regression modeling will be used to adjust for patient demographics and characteristics such as smoking status at baseline (actively/non-actively smoking). Progression is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as references the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT01557959)
Timeframe: 2 years
Intervention | months (Median) |
---|
Treatment (Chemo, Chemoprotection, Antiangiogenesis Therapy) | 4.63 |
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Duration of Response
"Interval from the date of first documentation of objective response (CR or PR) to the date of first documented progression or relapse. Assessment of Objective response and Progressive Disease (PD) is based on the RECIST 1.1 criteria:~Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters.~Progression (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum recorded on the trial. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.~Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as reference the smallest sum of diameters recorded on the trial." (NCT01562028)
Timeframe: Assessed across all time-points from enrollment to to the date of first documented progression or relapse (max 48 months).
Intervention | months (Median) |
---|
T790M Positive | NA |
T790M Negative | 12 |
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Adverse Events
Adverse events graded according to NCI CTCAE V4. (NCT01562028)
Timeframe: Assessed across all time-points until end of treatment (30 +/-5 days following the last dose of study drug) (max 48 months).
Intervention | Participants (Count of Participants) |
---|
| Experienced AE/SAE | No AE/SAE | Experienced SAE |
---|
T790M Negative | 69 | 1 | 19 |
,T790M Positive | 36 | 0 | 12 |
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Time to Treatment Failure
Time from the date of enrollment to discontinuation of treatment for any reason including progression of disease (based on RECIST v1.1), treatment toxicity (adverse events classified according to NCI CTCAE version 4.), refusal and death. (NCT01562028)
Timeframe: From the date of enrollment until discontinuation of treatment, assessed up to 48 months.
Intervention | months (Median) |
---|
T790M Positive | 13.4 |
T790M Negative | 8.3 |
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Progression Free Survival
"Time from the date of enrollment until an investigator-documented progression or death, whichever occurs first.~Assessment of Progressive Disease (PD) is based on Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1): at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum recorded on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm." (NCT01562028)
Timeframe: From the date of enrollment until documented progression or death, whichever occurs first, assessed up to 48 months.
Intervention | months (Median) |
---|
T790M Positive | 16 |
T790M Negative | 10.5 |
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Overall Survival
Time from the date of enrollment until death from any cause. (NCT01562028)
Timeframe: From the date of enrollment until death, assessed up to 48 months.
Intervention | months (Median) |
---|
T790M Positive | NA |
T790M Negative | 28.2 |
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Progression-Free Survival
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01565538)
Timeframe: From the date of randomization to the date of tumour progression or death from any cause, assessed until at least 12 months after randomization.
Intervention | months (Median) |
---|
Erlotinib | 4.1 |
Pemetrexed | 3.9 |
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Best Tumor Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01565538)
Timeframe: From the date of randomization, assessed every 6 weeks, until at least 12 months after randomization.
Intervention | participants (Number) |
---|
| Objective response | No objective response |
---|
Erlotinib | 12 | 49 |
,Pemetrexed | 5 | 57 |
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Overall Survival
(NCT01565538)
Timeframe: From date of randomization until the date of death from any cause, assessed until at least 12 months after randomization.
Intervention | months (Median) |
---|
Erlotinib | 11.7 |
Pemetrexed | 13.4 |
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Toxicity Rate Attributed to Erlotinib
Toxicity of erlotinib will be graded using the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE version 4) which is a descriptive terminology which can be utilized for Adverse Event (AE) reporting. A grading (severity) scale is provided for each AE term. Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL). Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE. (NCT01573702)
Timeframe: from end of SRS to end of erlotinib treatment (median duration of 5.7 months)
Intervention | Participants (Count of Participants) |
---|
| Acneiform rash72026156 | Diarrhea72026156 | Fatigue72026156 | aspartate aminotransferase (AST) increased72026156 | Nausea72026156 | Paronychia72026156 | Weight loss72026156 |
---|
| None | Grade 1 | Grade 2 | Grade 3 |
---|
Stereotactic Radiosurgery Followed by Erlotinib | 5 |
Stereotactic Radiosurgery Followed by Erlotinib | 16 |
Stereotactic Radiosurgery Followed by Erlotinib | 22 |
Stereotactic Radiosurgery Followed by Erlotinib | 2 |
Stereotactic Radiosurgery Followed by Erlotinib | 1 |
Stereotactic Radiosurgery Followed by Erlotinib | 0 |
Stereotactic Radiosurgery Followed by Erlotinib | 23 |
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Percentage of Participants With Progression Free Survival
Progression free survival (PFS) after locally ablative therapy and erlotinib in EGFR-mutant NSCLC patients who progressed on prior EGFR-tyrosine kinase inhibitor (TKI) therapy reported as percentage of participants who are alive and without progressive disease at 3 months. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or the appearance of new lesions. (NCT01573702)
Timeframe: 3 months after Initiation of Stereostatic Radiotherapy
Intervention | percentage of participants (Number) |
---|
Stereotactic Radiosurgery Followed by Erlotinib | 64 |
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Percentage of Participants With Local Control of Sites on Erlotinib Following Stereotactic Radiosurgery (SRS)
Count of subjects who had local control of sites previously progressive on erlotinib following SRS followed by erlotinib. Using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), local control is defined as Complete Response (CR), Disappearance of all target lesions; or Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; in sites ablated by SRS. (NCT01573702)
Timeframe: Initiation of Stereotactic Radiotherapy every 6 to 12 weeks until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 months
Intervention | Participants (Count of Participants) |
---|
Stereotactic Radiosurgery Followed by Erlotinib | 7 |
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Toxicity Rate From Stereotactic Radiosurgery (SRS)
Toxicity of SRS will be measured by NCI CTCAE version 4 following completion of SRS, but prior to erlotinib re-initiation. The NCI Common Terminology Criteria for Adverse Events is a descriptive terminology which can be utilized for Adverse Event (AE) reporting. A grading (severity) scale is provided for each AE term. Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL). Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE. (NCT01573702)
Timeframe: From initiation to the end of SRS, up to 15 days
Intervention | Participants (Count of Participants) |
---|
| Fatigue72026156 | Pain72026156 | Anorexia72026156 |
---|
| Grade 1 | Grade 2 | None |
---|
Stereotactic Radiosurgery Followed by Erlotinib | 4 |
Stereotactic Radiosurgery Followed by Erlotinib | 0 |
Stereotactic Radiosurgery Followed by Erlotinib | 21 |
Stereotactic Radiosurgery Followed by Erlotinib | 2 |
Stereotactic Radiosurgery Followed by Erlotinib | 1 |
Stereotactic Radiosurgery Followed by Erlotinib | 22 |
Stereotactic Radiosurgery Followed by Erlotinib | 23 |
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Percentage of Participants With Best Overall Response (BOR)
BOR was defined as best tumor response (as per RECIST version 1.1) recorded for a participant during the study. Complete Response (CR): disappearance of all target and non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (less than [<] 10 millimeters [mm] short axis). Partial Response (PR): at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progression. Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. (NCT01609543)
Timeframe: Baseline to progressive disease or death (up to 34 months)
Intervention | Percentage of Participants (Number) |
---|
| CR | PR | SD | PD |
---|
Erlotinib Hydrochloride | 1.8 | 64.3 | 32.1 | 1.8 |
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Percentage of Participants Who Were Alive at 1 Year
(NCT01609543)
Timeframe: 1 Year (12 months)
Intervention | Percentage of Participants (Number) |
---|
Erlotinib Hydrochloride | 82.5 |
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Progression-Free Survival (PFS)
PFS was defined as median time from the first dose of study treatment to the first documentation of objective tumor progression (according to Response Evaluation Criteria in Solid Tumours [RECIST] version 1.1) or to death due to any cause, whichever occurred first. Progressive Disease (PD) was defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progression. Median and the 95% confidence interval were estimated using Kaplan-Meier survival methodology. (NCT01609543)
Timeframe: Baseline to progressive disease or death (up to 34 months)
Intervention | Months (Median) |
---|
Erlotinib Hydrochloride | 12.846 |
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Overall Survival
Defined as time from the date of randomization until death from any cause. (NCT01652469)
Timeframe: All patients will be followed for survival status every 12 weeks up to 24 months after the last patient is randomized
Intervention | months (Median) |
---|
A: Erlotinib | 7.1 |
B: Docetaxel | 7.1 |
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Progression-free Survival
"Time from the date of randomization until documented progression or death without documented progression.~Assessment of Progressive Disease (PD) based on Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) Target lesions:At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.(Note: the appearance of one or more new lesions is also considered progression).~Non-target lesions:Unequivocal progression of existing non-target lesions. (Note:the appearance of one or more new lesions is also considered progression). To achieve 'unequivocal progression', there must be an overall level of substantial worsening in non-target disease such that,even in presence of SD or PR in target disease, the overall tumour burden has increased sufficiently" (NCT01652469)
Timeframe: The combined run in period, treatment and follow-up for PFS is expected to extend the study duration to a total of 24 months.
Intervention | months (Median) |
---|
A: Erlotinib | 1.6 |
B: Docetaxel | 3.0 |
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Number of Participants With Adverse Events
Adverse events classified according to NCI CTCAE version 4 (NCT01652469)
Timeframe: Same as primary outcome: 24 months
Intervention | Participants (Count of Participants) |
---|
| Experienced AE/SAE | No AE/SAE | Experienced SAE |
---|
A: Erlotinib | 36 | 2 | 7 |
,B: Docetaxel | 39 | 2 | 19 |
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Percentage of Participants Who Developed Rash
(NCT01664533)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Erlotinib | 60.7 |
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Progression-free Survival
Progression-free survival was defined as the time from the first dose of erlotinib to disease progression or death from any cause, whichever occurred earlier. Progressive disease was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter of target lesions recorded since treatment started, or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. (NCT01664533)
Timeframe: Baseline to the end of the study (up to 2 years)
Intervention | Months (Median) |
---|
Erlotinib | 1.8 |
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Best Overall Response
Reported are the percentage of participants with a best overall response of complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD). The best overall response to treatment was determined by the Response Evaluation Criteria in Solid Tumors (RECIST). A CR was defined as the disappearance of all target lesions (TL) or the disappearance of all non-TLs. A PR was defined as at least a 30% decrease in the sum of the longest diameter (SLD) of TLs, taking as reference the baseline SLD. SD was defined as neither sufficient shrinkage to qualify for a PR nor sufficient increase to qualify for PD, taking as reference the smallest SLD since treatment started for TLs and the persistence of 1 or more non-TL(s). PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-TLs. (NCT01664533)
Timeframe: Baseline to the end of the study (up to 2 years)
Intervention | Percentage of participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease |
---|
Erlotinib | 0.0 | 0.0 | 34.6 | 65.4 |
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Percentage of Participants Who Developed Diarrhea
(NCT01664533)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Erlotinib | 42.8 |
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Overall Survival
Overall survival was defined as the time from Baseline until death from any cause. (NCT01664533)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Erlotinib | 5.8 |
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Overall Survival
Time from date of treatment start until date of death due to any cause or last Follow-up. (NCT01664897)
Timeframe: Up to 97 weeks
Intervention | Weeks (Median) |
---|
Treatment (Erlotinib Hydrochloride) | 14 |
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Event-free Survival
Time from date of treatment start until the date of first objective documentation of disease-relapse. (NCT01664897)
Timeframe: Up to 21 weeks
Intervention | Weeks (Median) |
---|
Treatment (Erlotinib Hydrochloride) | 5 |
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Participants With a Response
Overall Response is complete remission (CR) + CR with incomplete hematologic recovery (CRi) + Partial remission (PR) + Hematologic improvement (HI) + Morphologic Leukemia-Free State (MLF). (CR) is Bone marrow; =5% blasts, no Auer rods or extramedullary disease and peripheral blood counts >/= 1.0x10^9/L Neutrophils, >/= 100x10^9/L platelets and no circulating blasts. (CRi), same as CR for bone marrow and <1.0x10^9/L neutrophils and < 100x10^9/L platelets in peripheral blood counts. PR is all CR criteria if abnormal prior to treatment except >/= 50%reduction in bone marrow blast but still > 5%. MLF is =5% myeloblasts on bone marrow . HI response must be described by the number of positively affected cell lines.. (NCT01664897)
Timeframe: Up to 3 months post-treatment
Intervention | Participants (Count of Participants) |
---|
Treatment (Erlotinib Hydrochloride) | 3 |
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Proportion of Participants With Disease Control as Assessed by RECIST v 1.1
Disease control was defined as objective response or stable disease (SD) for at least 6 weeks. OR was based on criteria related to changes in size of target lesions according to modified RECIST. Target lesions were selected on the basis of their size (lesions with the longest diameter) as well as the feasibility of reproducible repeated measurements. OR was the sum of CR and PR four at least 4 weeks during treatment. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. (NCT01667562)
Timeframe: Baseline until disease progression, or death, whichever occurs first (approximately up to 4 years and 9 months)
Intervention | proportion of participants (Number) |
---|
Erlotinib | 0.97 |
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Proportion of Participants With Objective Response as Assessed by RECIST v 1.1
Objective response (OR) was based on criteria related to changes in size of target lesions according to modified RECIST. Target lesions were selected on the basis of their size (lesions with the longest diameter) as well as the feasibility of reproducible repeated measurements. OR was the sum of complete response (CR) and partial response (PR) four at least 4 weeks during treatment. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. (NCT01667562)
Timeframe: Baseline until disease progression, or death, whichever occurs first (approximately up to 4 years and 9 months)
Intervention | proportion of participants (Number) |
---|
Erlotinib | 0.67 |
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Proportion of Participants With Epidermal Growth Factor Receptor (EGFR) Mutations
Mutations in the EGFR included exon 19 deletion mutations and the single-point substitution mutation L858R in exon 21. (NCT01667562)
Timeframe: Screening up to approximately 7 days
Intervention | proportion of participants (Number) |
---|
Diagnostic Phase | 0.08 |
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Progression-Free Survival as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (v 1.1)
Kaplan Meier estimate of the median PFS was defined as the time at which half of the participants have progressed (progressive disease [PD]) based on RECIST tumor response criteria or died from any cause, whichever occurred first. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Patients who had not died or progressed at the time of the final analysis were censored at the date of last contact. (NCT01667562)
Timeframe: Baseline until disease progression, or death, whichever occurs first (approximately up to 4 years and 9 months)
Intervention | months (Median) |
---|
Erlotinib | 9.574 |
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Change From Baseline to End of Study in Quality of Life Score Using The Functional Assessment of Cancer Therapy Lung (FACT-L)
The domains in the Quality of life score using the Functional Assessment of Cancer Therapy Lung (FACT-L) include physical, social/family, emotional, and functional well-being, and a lung cancer subscale include symptoms, cognitive function and regret of smoking. Minimum and maximum value of the scale is 0 and 4, respectively. Higher score indicate better health state. (NCT01667562)
Timeframe: Baseline and end of study (approximately 4 years and 9 months)
Intervention | unit on a scale (Mean) |
---|
Erlotinib | -2.83 |
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Percentage of Participants With Adverse Events
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT01667562)
Timeframe: Baseline up to approximately 4 years and 9 months
Intervention | percentage of participants (Number) |
---|
Erlotinib | 76.7 |
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One-year Survival Rate
Subjects will be followed after treatment completed to determine length of survival rate. The primary study objective was 1-year overall survival (OS, failure: death due to any cause). The Kaplan-Meier method was used to estimate the one-year OS. Secondary Objectives were the frequency of serious adverse events, disease control rate and progression-free survival. (NCT01683422)
Timeframe: One year after treatment completed.
Intervention | percentage of participants (Number) |
---|
Proton Radiation | 55.6 |
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Frequency and Severity of Toxicities, Graded by the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0
This study utilized the CTCAE (NCI Common Terminology Criteria for Adverse Events) Version 4.0 for toxicity and Serious Adverse Event reporting. Patients were evaluated every two weeks for the first eight weeks and then once every four weeks. If all protocol treatment is delayed more than three weeks, patients were removed from protocol treatment (NCT01688973)
Timeframe: Up to 3 years
Intervention | Participants (Number) |
---|
| Alanine aminotransferase increased | Anemia | Aspartate aminotransferase increased | Dyspnea | Erythema multiforme | Fatigue | Febrile neutropenia | Hypertension | Hypoxia | Infections and infestations - Other, specify | Lung infection | Lymphocyte count decreased | Myocardial infarction | Nausea | Neutrophil count decreased | Pain in extremity | Pneumonitis | Rash acneiform | Rash maculo-papular | Stroke | Weight loss | White blood cell decreased |
---|
Arm I (Tivantinib) | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 1 |
,Arm II (Tivantinib and Erlotinib Hydrochloride) | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 1 | 0 | 0 | 1 |
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Progression-free Survival (PFS)
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive without report of progression are censored at date of last contact. (NCT01688973)
Timeframe: 30 months
Intervention | months (Median) |
---|
Arm I (Tivantinib) | 2.0 |
Arm II (Tivantinib and Erlotinib Hydrochloride) | 3.9 |
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Proportion of Patients With Worst Grade Toxicities of Grade 3 or Higher
(NCT01708954)
Timeframe: Assessed every 4 weeks while on treatment and for 30 days after the end of treatment
Intervention | Proportion of participants (Number) |
---|
Arm A (Erlotinib) | 0.325 |
Arm B (Cabozantinib) | 0.70 |
Arm C (Erlotinib+Cabozantinib) | 0.718 |
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Proportion of Patients With Objective Response
Objective response is defined as complete response (CR) or partial response (PR) evaluated using RECIST v 1.1. CR is defined as disappearance of all lesions and any pathological lymph nodes must have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of the diameters of target lesions and persistence of one or more non-target lesion(s). (NCT01708954)
Timeframe: Assessed every 3 months if patient is < 2 years from study entry; every 6 months if patient is 2 - 5 years from study entry, up to 5 years
Intervention | proportion of participants (Number) |
---|
Arm A (Erlotinib) | 0.03 |
Arm B (Cabozantinib) | 0.11 |
Arm C (Erlotinib+Cabozantinib) | 0.03 |
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Proportion of Patients With MET Positivity
Submission of archival tissue for central MET IHC testing was required for this study, and total MET IHC testing was conducted at the Brigham and Women's Hospital using the c-Met clone CVD13 (arabbit polyclonal). Membranous and cytoplasmic staining were individually scored, and positivity was declared if MET was expressed in either the membrane or cytoplasm. (NCT01708954)
Timeframe: Assessed at baseline
Intervention | proportion of participants (Number) |
---|
Arm A (Erlotinib) | 0.80 |
Arm B (Cabozantinib) | 0.81 |
Arm C (Erlotinib+Cabozantinib) | 0.96 |
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Progression-free Survival (PFS)
PFS is defined as the time from randomization to documented disease progression or death from any cause, whichever occurred first. Patients who had not experienced an event of interest by the time of analysis were censored at the date of last disease assessment. (NCT01708954)
Timeframe: Assessed every 3 months if patient is < 2 years from study entry; every 6 months if patient is 2 - 5 years from study entry, up to 5 years
Intervention | months (Median) |
---|
Arm A (Erlotinib) | 1.8 |
Arm B (Cabozantinib) | 4.3 |
Arm C (Erlotinib+Cabozantinib) | 4.7 |
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Overall Survival (OS)
OS is defined as the time from randomization to death from any cause or date of last known alive. (NCT01708954)
Timeframe: Assessed every 3 months if patient is < 2 years from study entry; every 6 months if patient is 2 - 5 years from study entry, up to 5 years
Intervention | months (Median) |
---|
Arm A (Erlotinib) | 5.1 |
Arm B (Cabozantinib) | 9.2 |
Arm C (Erlotinib+Cabozantinib) | 13.3 |
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Score in Patient Questionnaire: Possible Side Effects
Participant questionnaire regarding satisfaction with the information about possible side effects. Assessment ranged from 1 (very satisfied) to 6 (not satisfied). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 1.9 | 1.9 | 1.0 | 1.9 |
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Score in Participant Questionnaire: What to Do in Case of Side Effect
Participant questionnaire regarding satisfaction with the information about what one should do in case of side effects. Assessment ranged from 1 (very satisfied) to 6 (not satisfied). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 1.9 | 2.0 | 1.0 | 1.9 |
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Score in Participant Questionnaire: Quality of Life
Participant assessment of life quality under therapy. Assessment ranged from 1 (very good) to 6 (very bad). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 2.9 | 2.9 | 1.0 | 2.9 |
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Score in Participant Questionnaire: Actual Side Effects of Therapy Compared to Expectation
Participant questionnaire regarding the actual side effects of therapy compared to what one expected before therapy. Assessment ranged from 1 (less than expected) to 6 (more than expected). Questionnaire scores were assessed at several time points during the study. (NCT01782690)
Timeframe: At Weeks 4, 8, 9 and 16
Intervention | scores on a scale (Mean) |
---|
| Week 4 | Week 8 | Week 9 | Week 16 |
---|
Erlotinib Plus Gemcitabine | 2.6 | 2.6 | 6.0 | 2.7 |
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Overall Survival Stratified by Rash
Overall survival was defined as the time from the date of randomization to the date of death from any cause and was stratified by rash status. Participants with rash: rash = yes. Participants without rash: rash = no. (NCT01782690)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
| Rash = Yes | Rash = No |
---|
Erlotinib Plus Gemcitabine | 9.9288 | 8.6795 |
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Number of Participants With Rash by Severity
Reported is the total number of participants with rash as well as the number of participants with specific forms of rash, including paronychia, dry skin and papulopustulous eczema. Severity was reported according to Common Terminology Criteria for Adverse Events version 4.0 (CTC AE 4.0): Grade 1 = mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2 = moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily living (ADL); Grade 3 = severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. (NCT01782690)
Timeframe: Up to 12 months
Intervention | participants (Number) |
---|
| Total number with rash | Paronychia Grade 1 | Paronychia Grade 2 | Paronychia Grade 3 | Dry skin Grade 1 | Dry skin Grade 2 | Papulopustulous eczema Grade 1 | Papulopustulous eczema Grade 2 | Papulopustulous eczema Grade 3 |
---|
Erlotinib Plus Gemcitabine | 174 | 10 | 7 | 2 | 62 | 26 | 89 | 69 | 6 |
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Time to Disease Progression
Disease progression was defined in accordance with daily routine practice. (NCT01782690)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
Erlotinib Plus Gemcitabine | 4.3726 |
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Time of Onset of Rash After Start Erlotinib Treatment
Reported is the number of days from first erlotinib treatment to first rash onset. (NCT01782690)
Timeframe: Up to 12 months
Intervention | days (Mean) |
---|
Erlotinib Plus Gemcitabine | 18.4 |
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Percentage of Participants With Best Overall Response
Best overall response was defined as complete response (CR) plus partial response (PR). Tumor evaluations were performed in accordance with daily routine practice. (NCT01782690)
Timeframe: Up to 12 months
Intervention | percentage of participants (Number) |
---|
Erlotinib Plus Gemcitabine | 24.74 |
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Number of Participants With Adverse Events (AEs)
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT01782690)
Timeframe: Up to 12 months
Intervention | participants (Number) |
---|
Erlotinib Plus Gemcitabine | 310 |
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Number of Dose Modifications and Dose Withdrawals of Gemcitabine
Reported is the number of dose modifications/withdrawals for gemcitabine. (NCT01782690)
Timeframe: Up to 12 months
Intervention | dose modifications/withdrawals (Number) |
---|
Erlotinib Plus Gemcitabine | 738 |
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Number of Dose Modifications and Dose Withdrawals of Erlotinib
Reported is the total number of dose modifications/withdrawals for erlotinib. (NCT01782690)
Timeframe: Up to 12 months
Intervention | dose modifications/withdrawals (Number) |
---|
Erlotinib Plus Gemcitabine | 152 |
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Trough Plasma Concentration (Ctrough) of Alectinib
(NCT01801111)
Timeframe: Pre-dose (0 hrs) on Day 21 of Cycle 1
Intervention | ng/mL (Geometric Mean) |
---|
Alectinib | 761 |
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Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by IRC in Chemotherapy-Pretreated Participants
Tumor response was assessed by IRC according to RECIST v1.1. Objective response was defined as percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR was defined as >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). The 95% CI was computed using Clopper-Pearson method. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 44.8 |
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Area Under the Plasma Concentration-Time Curve From Time 0 to Tlast (AUC[0-last]) of Alectinib
The AUC(0-last) of alectinib was calculated using the linear trapezoidal rule and actual sampling times (with the exception of pre-dose which was set to zero). (NCT01801111)
Timeframe: Pre-dose (0 hrs), and 0.5, 1, 2, 4, 6, 8, 10, 12 hrs post-dose on Day 1 and Day 21 of Cycle 1
Intervention | hrs*ng/mL (Geometric Mean) |
---|
| Day 1 | Day 21 |
---|
Alectinib | 1340 | 9090 |
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Duration of Response (DoR) as Assessed by IRC in RE Population
DoR was defined as the time from the first observation of an objective tumor response (CR or PR) until first observation of progressive disease (PD) according to RECIST v1.1 or death from any cause. CR: disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR: >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). PD: >/=20% relative increase and >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-target lesions. Duration of response was estimated by Kaplan-Meier method and 95% CI was assessed using the method of Brookmeyer and Crowley. Participants who did not progress or die after a confirmed objective response were censored at the date of their last tumor assessment. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | months (Median) |
---|
Alectinib | 15.2 |
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Peak to Trough Ratio of Alectinib
(NCT01801111)
Timeframe: Pre-dose (0 hrs), and 0.5, 1, 2, 4, 6, 8, 10, 12 hours post-dose on Day 21 of Cycle 1
Intervention | Ratio (Geometric Mean) |
---|
Alectinib | 1.23 |
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Overall Survival (OS)
OS was defined as the time from the date of first treatment to the date of death, regardless of the cause of death. OS was estimated by Kaplan-Meier method and 95% CI was assessed using the method of Brookmeyer and Crowley. Participants who did not die were censored at the date last known to be alive. (NCT01801111)
Timeframe: Baseline up to death from any cause (up to approximately 4 years)
Intervention | months (Median) |
---|
Alectinib | 29.2 |
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Area Under the Plasma Concentration-Time Curve From Time 0 to 10 Hours Post-dose (AUC[0-10]) of Alectinib
The AUC(0-10) of alectinib was calculated using the linear trapezoidal rule and actual sampling times (with the exception of pre-dose which was set to zero). (NCT01801111)
Timeframe: Pre-dose (0 hrs), and 0.5, 1, 2, 4, 6, 8, 10, 12 hrs post-dose on Day 1 and Day 21 of Cycle 1
Intervention | hrs*nanograms per milliliter (hrs*ng/mL) (Geometric Mean) |
---|
| Day 1 | Day 21 |
---|
Alectinib | 1140 | 7860 |
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Maximum Observed Plasma Concentration (Cmax) of Alectinib
Cmax for alectinib was estimated from plasma concentration versus time data by non-compartmental methods of analysis using Phoenix WinNonlin v6.2 (Pharsight Corporation) software. (NCT01801111)
Timeframe: Pre-dose (0 hours [hrs]), and 0.5, 1, 2, 4, 6, 8, 10, 12 hrs post-dose on Day 1 and Day 21 of Cycle 1
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 | Day 21 |
---|
Alectinib | 204 | 933 |
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Percentage of Participants Achieving Central Nervous System (CNS) Objective Response as Assessed by IRC According to RECIST v1.1
CNS response was assessed by IRC according to RECIST v1.1. CNS Objective response was defined as percentage of participants with a CR or PR. CR was defined as disappearance of all CNS lesions. PR was defined as >/=30% decrease in the SoD of measurable CNS lesions (taking as reference the baseline SoD). The 95% CI was computed using Clopper-Pearson method. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 58.8 |
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Percentage of Participants Achieving CNS Objective Response as Assessed by IRC According to Radiology Assessment in Neuro-Oncology (RANO) Criteria
CNS response was assessed by IRC according to RANO criteria. CNS Objective response: percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as complete disappearance of all enhancing measurable, non-measurable disease; stable or improved non-enhancing lesions; no new lesions; no corticosteroids (or only physiologic replacement dose), and clinically stable or improved. PR was defined as >/=50% decrease compared to screening in the sum of the products of the diameters (SPD) of enhancing measurable lesions; no progression of non-measurable disease (enhancing and non-enhancing lesions); no new lesions; no corticosteroids (or only physiologic replacement dose), and clinically stable or improved. The 95% CI was computed using Clopper-Pearson method. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator; then survival follow-up until cutoff 18 August 2014 (up to approximately 53 weeks)
Intervention | percentage of participants (Number) |
---|
Alectinib | 44.1 |
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Percentage of Participants Achieving Objective Response (Complete Response [CR] or Partial Response [PR]) as Assessed by Independent Radiological Review Committee (IRC) in Response Evaluable (RE) Population
Tumor response was assessed by IRC according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). Objective response was defined as percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to less than (<) 10 millimeters (mm). PR was defined as >/=30 percent (%) decrease in the sum of diameters (SoD) of target lesions (taking as reference the baseline SoD). The 95% confidence interval (CI) was computed using Clopper-Pearson method. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 50.8 |
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Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by Investigator in Chemotherapy-Naive Participants
Tumor response was assessed by the investigator according to RECIST v1.1. Objective response was defined as percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR was defined as >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 57.1 |
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Time to Last Measurable Plasma Concentration (Tlast) of Alectinib
Tlast for alectinib was estimated from plasma concentration versus time data by non-compartmental methods of analysis using Phoenix WinNonlin v6.2 software. (NCT01801111)
Timeframe: Pre-dose (0 hrs), and 0.5, 1, 2, 4, 6, 8, 10, 12 hrs post-dose on Day 1 and Day 21 of Cycle 1
Intervention | hrs (Geometric Mean) |
---|
| Day 1 | Day 21 |
---|
Alectinib | 11.59 | 11.65 |
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Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by Investigator in Chemotherapy-Pretreated Participants
Tumor response was assessed by the investigator according to RECIST v1.1. Objective response was defined as percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR was defined as >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 50.0 |
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Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by Investigator in RE Population
Tumor response was assessed by the investigator according to RECIST v1.1. Objective response was defined as percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR was defined as >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). The 95% CI was computed using Clopper-Pearson method. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 51.4 |
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Percentage of Participants Achieving Objective Response (CR or PR) as Assessed by IRC in Chemotherapy-Naive Participants
Tumor response was assessed by IRC according to RECIST v1.1. Objective response was defined as percentage of participants with a CR or PR that was confirmed by repeat assessments >/=4 weeks after initial documentation. CR was defined as disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR was defined as >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 73.1 |
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Percentage of Participants Who Died of Any Cause
Percentage of participants who died of any cause was reported. (NCT01801111)
Timeframe: Baseline up to death from any cause (up to approximately 4 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 54.3 |
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Percentage of Participants With CNS Progression as Assessed by IRC According to RECIST v 1.1
According to RECIST v 1.1, CNS progression was defined as >/=20% increase in the SoD of measurable CNS lesions (with an absolute increase of at least 5 mm), taking as reference the baseline SoD; 1 or more new CNS lesion(s); and/or unequivocal progression of non-measurable CNS lesions. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator; then survival follow-up until cutoff 18 August 2014 (up to approximately 53 weeks)
Intervention | percentage of participants (Number) |
---|
Alectinib | 18.8 |
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Percentage of Participants With PD as Assessed by IRC According to RECIST v1.1 or Death From Any Cause in Safety Population
According to RECIST v1.1, PD was defined as >/=20% relative increase and >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-target lesions. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
Alectinib | 71.0 |
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Progression Free Survival (PFS) as Assessed by IRC in Safety Population
PFS was defined as the time interval between the date of the first treatment and the date of PD or death from any cause, whichever occurred first. PD: >/=20% relative increase and >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-target lesions. PFS was estimated by Kaplan-Meier method and 95% CI was assessed using the method of Brookmeyer and Crowley. Participants who neither progressed nor died at the time of assessment or who were lost to follow-up were censored at the date of the last tumor assessment. Participants with no post-baseline assessments were censored at the date of first dose. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | months (Median) |
---|
Alectinib | 8.9 |
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Time to Cmax (Tmax) of Alectinib
Tmax for alectinib was estimated from plasma concentration versus time data by non-compartmental methods of analysis using Phoenix WinNonlin v6.2 software. (NCT01801111)
Timeframe: Pre-dose (0 hrs), and 0.5, 1, 2, 4, 6, 8, 10, 12 hrs post-dose on Day 1 and Day 21 of Cycle 1
Intervention | hrs (Median) |
---|
| Day 1 | Day 21 |
---|
Alectinib | 5.89 | 4.12 |
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Percentage of Participants Achieving CR, PR or Stable Disease (SD) According to RECIST v1.1 in RE Population
The disease control rate (DCR) was defined as the percentage of participants achieving CR, PR, or SD that lasted for at least 16 weeks. Tumor response was assessed by the investigator and IRC according to RECIST v1.1. CR: disappearance of all target, non-target lesions; normalization of tumor marker level; and reduction in all lymph nodes size to <10 mm. PR: >/=30% decrease in the SoD of target lesions (taking as reference the baseline SoD). PD: >/=20% relative increase and >/=5 mm of absolute increase in the SoD, taking as reference the smallest SoD recorded since treatment started; 1 or more new lesion(s); and/or unequivocal progression of non-target lesions. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SoD while on study. The 95% CI was computed using Clopper-Pearson method. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|
| IRC Assessment | Investigator Assessment |
---|
Alectinib | 63.9 | 69.6 |
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CNS Duration of Response (CDoR) as Assessed by IRC According to RECIST v1.1
CDoR was defined as the time from the first observation of a CNS objective response (CR or PR) until first observation of CNS progression as assessed by IRC according to RECIST v 1.1 or death from any cause. CR: disappearance of all CNS lesions. PR: >/=30% decrease in the SoD of measurable CNS lesions (taking as reference the baseline SoD). CNS progression: >/=20% increase in the SoD of measurable CNS lesions (with an absolute increase of at least 5 mm), taking as reference the baseline SoD; 1 or more new CNS lesion(s); and/or unequivocal progression of non-measurable CNS lesions. CDoR was estimated by Kaplan-Meier method and 95% CI was assessed using the method of Brookmeyer and Crowley. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator, or last tumor assessment (up to approximately 2.5 years)
Intervention | months (Median) |
---|
Alectinib | 11.1 |
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CDoR as Assessed by IRC According to RANO Criteria
CDoR: time from the CNS objective response until CNS progression as assessed by IRC according to RANO criteria or death from any cause. CR: complete disappearance of all enhancing measurable, non-measurable disease; stable/improved non-enhancing lesions; no new lesions; no corticosteroids, and clinically stable/improved. PR: >/=50% decrease compared to screening in SPD of enhancing measurable lesions; no progression of non-measurable disease; no new lesions; no corticosteroids, and clinically stable/improved. Progression: >/=25% increase in SPD of enhancing measurable lesions compared to best response on study; stable/increasing doses of corticosteroids; significant increase in non-enhancing lesions not caused by co-morbid events; any new lesions; progression of non-measurable disease; or clinical deterioration not attributable to other non-tumor causes. CDoR was estimated by Kaplan-Meier method and 95% CI was assessed using method of Brookmeyer and Crowley. (NCT01801111)
Timeframe: Baseline; assessments every 8 weeks post-baseline until progressive disease, unacceptable toxicity, consent withdrawal, death, other reason deemed by investigator; then survival follow-up until cutoff 18 August 2014 (up to approximately 53 weeks)
Intervention | months (Median) |
---|
Alectinib | 7.6 |
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Accumulation Ratio of Alectinib
Accumulation ratio after repeat dosing was computed as AUC(0-10) on Day 21 divided by AUC(0-10) on Day 1. (NCT01801111)
Timeframe: Pre-dose (0 hrs), and 0.5, 1, 2, 4, 6, 8, 10, 12 hours post-dose on Day 1 and Day 21 of Cycle 1
Intervention | Ratio (Geometric Mean) |
---|
Alectinib | 6.95 |
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Percentage of Patients With Complete or Partial Response
Per the RECIST guideline v1.1 complete response is defined as the disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Partial response is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. No statistical testing was done due to early study termination. (NCT01822496)
Timeframe: From randomization to study termination. Maximum follow-up was 39.0 months
Intervention | percentage of participants (Number) |
---|
EGFR: Erlotinib | 50.0 |
EGFR: No Erlotinib | 26.7 |
ALK: Crizotinib | 66.7 |
ALK: No Crizotinib | 75.0 |
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Progression-free Survival
Progression is defined using the Response Evaluation Criteria In Solid Tumors Criteria (RECIST) guideline v1.1 as a 20% increase in the sum of the longest diameter of target lesions, a measurable increase in a non-target lesion, or the appearance of new lesions at any location. Progression-free survival time is measured from the date of randomization to the date of first progression, death, or last known follow-up (censored). No statistical testing was done due to early study termination. (NCT01822496)
Timeframe: From randomization to study termination. Maximum follow-up was 39.0 months
Intervention | months (Median) |
---|
EGFR: Erlotinib | 21.1 |
EGFR: No Erlotinib | 9.2 |
ALK: Crizotinib | 14.7 |
ALK: No Crizotinib | NA |
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Overall Survival
Overall survival time is defined as time from randomization to the date of death from any cause. Overall survival rates are estimated by the Kaplan-Meier method. Patients last known to be alive are censored at the date of last contact. (NCT01822496)
Timeframe: From randomization to study termination. Maximum follow-up was 39.0 months
Intervention | Months (Median) |
---|
EGFR: Erlotinib | NA |
EGFR: No Erlotinib | 35.9 |
ALK: Crizotinib | NA |
ALK: No Crizotinib | NA |
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Distant Progression-free Survival
Distant progression is defined as the first occurrence of distant metastasis. Distant progression-free survival time is measured from the date of randomization to the date of first distant progression, death, or last known follow-up (censored). Distant progression-free survival rates are estimated using the Kaplan-Meier method. No testing was done due to early study termination. (NCT01822496)
Timeframe: From randomization to study termination. Maximum follow-up was 39.0 months
Intervention | Months (Median) |
---|
EGFR: Erlotinib | NA |
EGFR: No Erlotinib | 35.9 |
ALK: Crizotinib | NA |
ALK: No Crizotinib | 20.1 |
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Local-regional Progression-free Survival
Progression is defined using the RECIST guideline v1.1 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new regional lesions. Local progression is defined as progression within the planning target volume (PTV). Regional progression is defined as progression outside of the PTV but within the same lobe of the lung as the primary tumor or in regional lymph nodes as defined by the American Joint Committee on Cancer (AJCC) 7th edition nodal stations. Local-regional progression-free survival time is measured from the date of randomization to the date of first local-regional progression, death, or last known follow-up (censored). Local-regional progression-free survival rates are estimated using the Kaplan-Meier method. No testing was done due to early study termination. (NCT01822496)
Timeframe: From randomization to study termination. Maximum follow-up was 39.0 months
Intervention | Months (Median) |
---|
EGFR: Erlotinib | 25.7 |
EGFR: No Erlotinib | NA |
ALK: Crizotinib | 14.7 |
ALK: No Crizotinib | NA |
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Number of Patients With Grade 3-5 Adverse Events
Adverse events (AE) are graded using the Common Terminology Criteria for Adverse Events (CTCAE) v4.0. Grade refers to the severity of the AE. The CTCAE v4.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild AE, Grade 2 Moderate AE, Grade 3 Severe AE, Grade 4 Life-threatening or disabling AE, Grade 5 Death related to AE. (NCT01822496)
Timeframe: From randomization to study termination. Maximum follow-up was 39.0 months
Intervention | Participants (Count of Participants) |
---|
EGFR: Erlotinib | 0 |
EGFR: No Erlotinib | 0 |
ALK: Crizotinib | 0 |
ALK: No Crizotinib | 0 |
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Percentage of Participants With Overall Response
Overall response was defined, based on response evaluation criteria in solid tumours (RECIST) v 1.1, as complete response (CR) plus partial response (PR). CR: complete disappearance of all target lesions; PR: at least 30% decrease in the sum of the longest diameter of all target lesions taking as reference the baseline sum of all target lesions. (NCT01836133)
Timeframe: Approximately 3 years
Intervention | Percentage of participants (Number) |
---|
Erlotinib 150 mg | 8.57 |
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Proportions of Participants With Adverse Events (AEs), Serious AEs, and AEs of Special Interest (AESIs)
An AE was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study and laboratory or clinical tests that resulted in a change in treatment or discontinuation from study drug were reported as adverse events. A SAE was any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant, according to national cancer institute (NCI) common terminology criteria for adverse events (CTCAE) criteria version 4.0. An AESI was defined as interstitial pulmonary disease. (NCT01836133)
Timeframe: Baseline up to 3 years
Intervention | Proportion of participants (Number) |
---|
| AEs | SAEs | AESIs |
---|
Erlotinib 150 mg | 0.56 | 0.27 | 0 |
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Progression-Free Survival (PFS)
PFS was defined as the time from initial dose of erlotinib to progression or death from any cause. (NCT01836133)
Timeframe: Approximately 3 years
Intervention | months (Median) |
---|
Erlotinib 150 mg | 2.7 |
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Percentage of Patients With a Greater Than 30% Increase in Tumor Doubling Time
Tumor doubling time was estimated using an exponential growth model. Specifically, the pre-progression scan, and the baseline scan were used to estimate the doubling time prior to enrollment, td = log(2)∗1time/1log(tumor size) [derivation, S(t) = S(to)∗2∧[(t-to)/td] for a parameterization of exponential growth with a doubling time of td. Taking the logarithm on both sides: log(S(t))-log(S(to)) = log(2)∗(t - to)/td or td = log(2)∗(t - to)/[log(S(t))-log(S(to))] = log(2)∗1time/1log(S)], the baseline scan and first evaluation scan were used to determine the doubling time. Based on pre-planned protocol assessment, we estimated the percent of patients that experienced a slowing of tumor kinetics (a 30% increase in the length of time for tumor doubling) based on RECIST v1.1 measurements. Patients who did not get a scan on study, and patients whose pre-progression scans were missing or whose pre-progression tumor size was zero or whose tumor was decreasing prior to enrollment were excluded. (NCT01866410)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride | 79 |
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Overall Survival
Estimated using the product-limit method of Kaplan and Meier. (NCT01866410)
Timeframe: Until death from any cause, up to 2 years
Intervention | months (Median) |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride | 13.3 |
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Objective Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT01866410)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride | 10.8 |
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Number of Adverse Events
Grade 3 & 4 adverse events attributed to treatment agents. Events are graded according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. (NCT01866410)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Alanine aminotransferase increased | Aspartate aminotransferase increased | Dehydration | Diarrhea | Fatigue | Hypertension | Hypokalemia | Hypotension | Lipase increased | Lymphocyte count decreased | Myalgia | Nausea/Vomiting | Neutrophil count decreased | Rash acneiform | Rash maculo-papular | Serum amylase increased | Thromboembolic event | White blood cell decreased |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride | 1 | 1 | 2 | 12 | 2 | 1 | 1 | 1 | 4 | 1 | 1 | 3 | 1 | 2 | 2 | 4 | 1 | 1 |
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Progression-free Survival by T790M Mutation Status
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. DNA was analyzed for the presence of the T790M point mutation. (NCT01866410)
Timeframe: Until disease progression or death from any cause, up to 2 years
Intervention | months (Median) |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride, T790M Positive | 2.3 |
Cabozantinib-s-malate, Erlotinib Hydrochloride, T790M Negative | 5.6 |
Cabozantinib-s-malate, Erlotinib Hydrochloride, T790M Unknown | 2.4 |
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Best Response Patient Count
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), ≥ 20% increase in the sum of the longest diameter of target lesions compared with the smallest-sum longest diameter recorded or the appearance of one or more new lesions; Stable Disease (SD), Neither CR, PR or PD. (NCT01866410)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride | 4 | 21 | 12 |
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Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01866410)
Timeframe: Until disease progression or death from any cause, up to 2 years
Intervention | months (Median) |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride | 3.6 |
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Overall Survival by T790M Mutation Status
Estimated using the product-limit method of Kaplan and Meier. (NCT01866410)
Timeframe: Until death from any cause, up to 2 years
Intervention | months (Median) |
---|
Cabozantinib-s-malate, Erlotinib Hydrochloride, T790M Positive | 11.3 |
Cabozantinib-s-malate, Erlotinib Hydrochloride, T790M Negative | 21.2 |
Cabozantinib-s-malate, Erlotinib Hydrochloride, T790M Unknown | NA |
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Time to Progressive Disease
(NCT01900652)
Timeframe: Baseline to Objective Disease Progression (Up to 24 Months)
Intervention | months (Median) |
---|
Arm A: Emibetuzumab Plus Erlotinib | 3.8 |
Arm B: Emibetuzumab | 1.6 |
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Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13)
The EORTC lung module QLQ-LC13 comprises 13 items consisting of one multi-item scale to assess dyspnea and a series of single-item measures assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines. The higher scores represent a greater degree of symptoms. (NCT01900652)
Timeframe: Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months)
Intervention | units on a scale (Mean) |
---|
| Coughing | Hemoptysis | Sore Mouth | Dysphagia | Peripheral Neuropathy | Alopecia | Pain in Chest | Pain in Shoulder or Arm | Pain in Other Parts |
---|
Arm A: Emibetuzumab Plus Erlotinib | 14.1 | 2.6 | 7.7 | 7.7 | -5.1 | -5.3 | -1.3 | -2.6 | 8.0 |
,Arm B: Emibetuzumab | 16.7 | 0 | 5.6 | 5.6 | 5.6 | 0 | 5.6 | 0 | 16.7 |
,MET-High Analysis Population | 17.5 | 3.2 | 12.7 | 9.5 | -4.8 | 4.8 | 1.7 | 3.2 | 3.3 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30)
EORTC QLQ-C30 v3.0 is a self-administered questionnaire with multidimensional scales that measures 5 functional domains (physical, role, cognitive, emotional, and social), global health status, and symptom scales of fatigue, pain, nausea and vomiting, dyspnea, loss of appetite, insomnia, constipation and diarrhea, and financial difficulties. A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines. For functional domains and global health status, higher scores represent a better level of functioning. For symptoms scales, higher scores represented a greater degree of symptoms. (NCT01900652)
Timeframe: Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months)
Intervention | units on a scale (Mean) |
---|
| QoL | Physical | Role | Emotional | Cognitive | Social | Fatigue | Nausea/vomiting | Pain | Dyspnea | Insomnia | Appetite Loss | Constipation | Diarrhea | Finance |
---|
Arm A: Emibetuzumab Plus Erlotinib | -4.0 | -11.4 | -7.7 | 1.7 | -3.3 | -12.5 | 8.5 | -1.3 | 1.9 | 9.0 | -14.1 | 6.4 | 3.8 | -5.3 | -6.7 |
,Arm B: Emibetuzumab | -21.9 | -22.9 | -35.4 | -13.5 | -10.4 | -16.7 | 31.9 | 0 | 14.6 | 29.2 | -16.7 | 29.2 | 33.3 | 4.2 | 8.3 |
,MET-High Analysis Population | -10.2 | -19.0 | -21.0 | -6.1 | -9.8 | -19.8 | 16.9 | 0.7 | 2.2 | 14.5 | -15.9 | 15.9 | 17.4 | -1.5 | 3.0 |
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Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)]
Participants achieved disease control if they had a best overall response of PR, CR or SD. According to RECIST v1.1, CR was the disappearance of all non-nodal target lesions, with the short axes of any target lymph node reduced to <10 mm, the disappearance of all nontarget lesions, and the normalization of tumor marker levels (if tumor markers were initially above the upper limit of normal [ULN]); PR was defined as at least a 30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph node), taking as reference the baseline sum diameter. SD was neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD, taking as reference the smallest sum diameter since treatment started. The percentage of participants who achieved disease control equals (number of participants with CR, PR, or SD)/(number of participants assessed)*100. (NCT01900652)
Timeframe: Baseline to Objective Disease Progression or Participant Stops Study (Up to 24 Months)
Intervention | percentage of participants (Number) |
---|
Arm A: Emibetuzumab Plus Erlotinib | 50 |
Arm B: Emibetuzumab | 26.1 |
MET-High Analysis Population (Emibetuzumab + Erlotinib) | 47.2 |
MET-High Analysis Population (Emibetuzumab) | 28.6 |
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Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D)
"The EQ-5D is a generic, multidimensional, health status instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood using a 3-level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score ranged from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension). A negative change indicated a worsening of the participant's health status.~Additionally, participants will indicate their current health status by marking on a continuum ranging from 100 (best imaginable health state) to 0 (worst imaginable health state)." (NCT01900652)
Timeframe: Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months)
Intervention | units on a scale (Mean) |
---|
| Index Score | Visual Analog Scale |
---|
Arm A: Emibetuzumab Plus Erlotinib | -0.1 | -8.3 |
,Arm B: Emibetuzumab | -0.2 | -12.5 |
,MET-High Analysis Population | -0.1 | -11.8 |
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Overall Survival (OS)
OS was defined as duration from the date of study enrollment to the date of death from any cause. Participants not known to have died as of the data inclusion cut-off date were censored at the date of last contact. The last contact for participants in post-discontinuation was the last date participant was known to be alive. (NCT01900652)
Timeframe: Baseline to Death Due to Any Cause (Up to 24 Months)
Intervention | Months (Median) |
---|
Arm A: Emibetuzumab Plus Erlotinib | 9.2 |
Arm B: Emibetuzumab | 8.2 |
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Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR])
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, CR was defined as the disappearance of all target and non-target lesions; PR defined as a >30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) * 100. (NCT01900652)
Timeframe: Baseline to Objective Disease Progression or Start of New Anticancer Therapy (Up to 15 Months)
Intervention | percentage of participants (Number) |
---|
Arm A: Emibetuzumab Plus Erlotinib | 3.0 |
Arm B: Emibetuzumab | 4.3 |
MET-High Analysis Population (Emibetuzumab + Erlotinib) | 3.8 |
MET-High Analysis Population (Emibetuzumab) | 4.8 |
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Pharmacokinetics (PK): Area Under the Concentration (AUC) of Emibetuzumab
AUC(0-tlast) = area under the concentration versus time curve from time zero through the last quantifiable sample. (NCT01900652)
Timeframe: Cycle1 Day 1 (C1 D1): Pre-dose and End of infusion; C1 D8: Pre-dose; C1 D15, C2 D1, C2 D15, C3 D1, C3 D15, C4 D1, C4 D15: Pre-dose and End of Infusion
Intervention | Microgram*hour/milliliter (ug*hr/mL) (Geometric Mean) |
---|
Emibetuzumab | 31400 |
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Progression Free Survival (PFS)
"PFS defined as date of randomization until the date of objectively determined progression defined by Response Evaluation Criteria in Solid Tumors criteria or death from any cause, whichever is first.~Progressive disease (PD) defined as ≥20% increase in sum of diameter of target lesion with the sum demonstrating an increase of ≥5 mm; appearance of ≥1 new lesions or unequivocal progression of non- target lesions. Participants with no baseline disease assessment were censored at randomization date, regardless of whether or not objectively determined PD or death was observed; participants not known to have died or to have objective progression as of data inclusion cutoff were censored at last post baseline radiological assessment date or randomization date, if there was no post baseline radiological assessment." (NCT01900652)
Timeframe: Baseline to Objective Disease Progression or Death (Up to 24 Months)
Intervention | Months (Median) |
---|
Arm A: Emibetuzumab Plus Erlotinib | 3.3 |
Arm B: Emibetuzumab | 1.6 |
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Number of Participants With Anti-Emibetuzumab Antibody (ADA) Response
(NCT01900652)
Timeframe: Baseline through 30-Day Follow-Up (Up to 24 Months)
Intervention | participants (Number) |
---|
Arm A: Emibetuzumab Plus Erlotinib | 0 |
Arm B: Emibetuzumab | 0 |
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The PFR, Defined as the Proportion of Patients With Refractory Germ Cell Tumors Free of Objective Disease Progression After 4 Cycles (16 Weeks) of Therapy With Erlotinib and Sirolimus
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions: Progressive Disease (PD), >= 20% increase in the sum of the longest diameter of target lesions or the development of any new lesions (NCT01962896)
Timeframe: 16 weeks
Intervention | percentage of patients (Number) |
---|
Erlotinib + Sirolimus | 0 |
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Overall Survival (OS)
OS is defined as time from first administration of study drug until death from any cause. (NCT01990261)
Timeframe: Up to 12 months
Intervention | days (Mean) |
---|
Erlotinib | 74.788 |
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Percentage of Participants With Adverse Events (AEs)
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT01990261)
Timeframe: Up to 12 months
Intervention | percentage of participants (Number) |
---|
Erlotinib | 23 |
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Progression Free Survival (PFS) at Month 12
PFS is defined as the time from inclusion in the study to the disease progression or death whichever occurs first. Disease progression was determined according to local treatment guidelines. (NCT01990261)
Timeframe: From inclusion up to disease progression or death whichever occurs first (up to 12 months)
Intervention | days (Median) |
---|
Erlotinib | 121.0 |
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Progression Free Survival (PFS) at Month 6
PFS is defined as the time from inclusion in the study to the disease progression or death whichever occurs first. Disease progression was determined according to local treatment guidelines. (NCT01990261)
Timeframe: From inclusion up to disease progression or death whichever occurs first (up to 6 months)
Intervention | days (Median) |
---|
Erlotinib | 101.0 |
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Survival Rate at Month 6
(NCT01990261)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
Erlotinib | 33.3 |
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Survival Rate at Month 12
(NCT01990261)
Timeframe: Month 12
Intervention | percentage of participants (Number) |
---|
Erlotinib | 15.2 |
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Overall Survival According to Prior Chemotherapy Treatment.
Prior chemotherapy treatment is presented as reported by the investigators. (NCT01990261)
Timeframe: Up to 12 months
Intervention | days (Mean) |
---|
| Carboplatin & Gemcitabine (n=7) | Nabelvina & Carboplatin (n=1) | Carboplatin (n=1) | Carboplatin & Alimta (n=1) | Carboplatin & Vinorelbine (n=1) | Carboplatin & Docetaxel (n=2) | Carboplatin & Paclitaxel (n=4) | Docetaxel, Gemcitabine & Cisplatin (n=1) | Cisplatin & Paclitaxel (n=2) | Docetaxel (n=1) | Gemcitabine (n=1) | Gemzar & Carboplatine (n=3) | Paclitaxel & carboplatin (CBDCA) (n=1) | Taxol & Carboplatin (n=1) | Taxotere (n=1) |
---|
Erlotinib | 191.857 | 80.000 | 138.000 | 63.000 | 440.000 | 222.500 | 184.875 | 135.000 | 268.000 | 115.000 | 30.000 | 127.667 | 80.000 | 314.000 | 336.000 |
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Time to Disease Progression or Death by Line of Treatment
Time to progression or death was defined as the time from inclusion to the date of disease progression or death, whichever occurred first. (NCT01996332)
Timeframe: Baseline, every 6-8 weeks up to 3 years until disease progression or death
Intervention | months (Median) |
---|
| 1st Line | Maintenance after 1st Line | 2nd Line | Maintenance after 2nd Line | 3rd or Subsequent Line | Maintenance after 3rd Line |
---|
Erlotinib 150 mg/Day | 3.4 | 4.7 | 2.7 | 3.9 | 2.4 | 2.8 |
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Overall Survival (OS) by Line of Treatment
Time in months from the start of study treatment to date of death due to any cause. OS was calculated as (the death date or last known alive date [if death date was unavailable] minus the date of first dose of study medication plus 1 divided by 30.44). (NCT01996332)
Timeframe: Baseline, every 6-8 weeks up to 3 years, or until death
Intervention | months (Median) |
---|
| 1st Line | Sequential treatment after 1st line | 2nd Line | Sequential treatment after 2nd line | 3rd Line or subsequent | Sequential treatment after 3rd line |
---|
Erlotinib 150 mg/Day | 6.4 | 12.1 | 5.9 | 7.1 | 5.2 | 3.9 |
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Percentage of Participants Achieving Clinical Benefit by Line of Treatment
Efficacy was analyzed in terms of clinical benefit, defined as the sum of the number of participants achieving complete response [CR], partial response [PR], or stable disease [SD]. Tumor response was evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. CR was defined as disappearance of all target and non-target lesions. PR was defined as greater than or equal to (≥)30 percent (%) decrease in sum of longest diameters of target lesions taking as reference baseline sum longest diameters associated to non-progressive disease response for non target lesions. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of longest dimensions since treatment started associated to non-progressive disease response for non target lesions. (NCT01996332)
Timeframe: Baseline, every 6-8 weeks up to 3 years or until death
Intervention | percentage of participants (Number) |
---|
| 1st line | Maintenance treatment after 1st line | 2nd line | Maintenance treatment after 2nd line | 3rd or subsequent line | Maintenance treatment after 3rd line |
---|
Erlotinib 150 mg/Day | 70.32 | 70.00 | 58.04 | 73.68 | 52.71 | 50.00 |
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Overall Survival
Overall Survival (OS) was defined as the time from the date of randomization to the date of death, regardless of the cause of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. (NCT01998919)
Timeframe: Date of randomization until date of death or date of last follow-up assessment
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 75.7 |
Erlotinib Plus Chemotherapy | 74.1 |
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Duration of Response
Duration of Response was defined similarly for complete responders and partial responders. CR was defined as the date CR was first recorded to the date on which PD was first noted or date of death. PR was defined as the date the first PR was recorded to the date of the first observation of PD or date of death. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-study Phases
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 24.1 |
Erlotinib Plus Chemotherapy | 38.4 |
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Percentage of Participants With Confirmed CR or PR as Assessed by RECIST
CR=disappearance of all target lesions; PR=at least a 30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases
Intervention | percentage of participants (Number) |
---|
Placebo Plus Chemotherapy | 24.4 |
Erlotinib Plus Chemotherapy | 36.8 |
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Percentage of Participants With Non-Progression at Week 8 as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)
Non-progression defined as documented best overall tumor response of complete response (CR), partial response (PR), or stable disease (SD; where SD was maintained for greater than [>]8 weeks) per RECIST. Investigator's assessment of response used in all analyses. CR equals (=)disappearance of all target lesions; PR=at least a 30 percent (%) decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD; SD=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference smallest sum LD since treatment started. (NCT01998919)
Timeframe: Week 8
Intervention | percentage of participants (Number) |
---|
Placebo Plus Chemotherapy | 76.9 |
Erlotinib Plus Chemotherapy | 80.3 |
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Progression-Free Survival (PFS)
PFS was defined as the interval between the day of randomization and the date of first documentation of progressive disease or date of death, whichever came first. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 23.4 |
Erlotinib Plus Chemotherapy | 30.4 |
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Percentage of Participants With Non-Progression at Week 16 as Assessed by RECIST
Non-progression defined as documented best overall tumor response of CR, PR, or SD (where SD was maintained for >16 weeks) per RECIST. (NCT01998919)
Timeframe: Week 16
Intervention | percentage of participants (Number) |
---|
Placebo Plus Chemotherapy | 53.8 |
Erlotinib Plus Chemotherapy | 64.5 |
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Time to Progression
Time to progression was defined as the interval between the day of randomization and the first documentation of PD. Participants who were withdrawn from the study without documented progression and for whom there exists CRF evidence that evaluations have been made, were censored at 1) the date of the last tumor assessment, 2) last date in the drug log, or 3) last date of follow-up when the participant was known to be progression free, whichever was last. Participants without post-baseline tumor assessments but known to be alive were censored at the time of randomization. (NCT01998919)
Timeframe: Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases
Intervention | weeks (Median) |
---|
Placebo Plus Chemotherapy | 24.1 |
Erlotinib Plus Chemotherapy | 31.4 |
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Participants With Adverse Events
(NCT02000531)
Timeframe: start of second-line treatment to data cut-off in December 2014 (within 12 months)
Intervention | participants (Number) |
---|
| With any adverse events (AEs) | With any serious AEs (SAEs) | With any AEs Grade ≥ 3 | With any drug related (possible/probable) AEs | With any drug related (possible/probable) SAEs | With any AEs leading to study drug withdrawal | With any AEs leading to death | With AEs of Special Interest | With pregnancy |
---|
Chemotherapy-Erlotinib | 12 | 1 | 2 | 9 | 0 | 0 | 0 | 0 | 0 |
,Erlotinib-Chemotherapy | 14 | 0 | 5 | 10 | 0 | 0 | 0 | 0 | 0 |
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Progression Free Survival (PFS) Based on Well-documented and Verifiable Progression Events
Progression free survival is defined as the time of randomization in ENSURE study to progressive disease (PD) while on second-line treatment or death from any cause, whichever occurred first during the second-line treatment. (NCT02000531)
Timeframe: within 3 years, 9 months (data cut-off December 2014)
Intervention | Months (Median) |
---|
Erlotinib-Chemotherapy | 26.3 |
Chemotherapy-Erlotinib | 23.4 |
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Duration of Response
Duration of overall response was defined as the time in months from Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST) until the first date Progressive Disease (PD) was objectively documented (taking as reference for PD the smallest measurements recorded since the treatment started) or until the date of death. CR was defined as the disappearance of all target lesions; for non-target lesions disappearance of lesions and normal tumour marker levels.PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using as reference the Baseline sum LD. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT02013206)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Current/Former Smokers | 13.1 |
Never Smokers | 5.7 |
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Non-Progression Rate (NPR) at 8 Weeks
Non-Progressive Rate (NPR) was defined as the percentage of participants without progression (had stable disease (SD) or better) based on (Response Evaluation Criteria in Solid Tumours (RECIST) criteria 8 weeks after start of treatment. Diagnosis of Progressive Disease (PD) was made by objective criteria (RECIST criteria) on the target lesion(s), or by documenting, with Computerised Tomography/Magnetic Resonance Imaging (CT/MRI) scans, the presence of newly occurring lesion(s) arising outside the scanned areas of the target lesions. PD required at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT02013206)
Timeframe: Week 8
Intervention | percentage of participants (Number) |
---|
Current/Former Smokers | 41.4 |
Never Smokers | 65.2 |
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Objective Response Rate
"Objective response rate was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST). The best overall response was the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for PD the smallest measurements recorded since the treatment started). The patient's best response assignment depended on the achievement of both measurement and confirmation criteria. To be assigned the status of PR or CR, changes in tumour measurements were to be confirmed by repeated assessments no less than 4 weeks after the criteria for response were first met.~CR was defined as the disappearance of all target lesions; for non-target lesions disappearance of lesions and normal tumour marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using as reference the Baseline sum LD." (NCT02013206)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Current/Former Smokers | 17 |
Never Smokers | 35 |
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Overall Survival
Overall survival was defined as the time in months from the start of treatment to the date of death irrespective of the cause of death. (NCT02013206)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Current/Former Smokers | 9.9 |
Never Smokers | 13.9 |
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Progression-Free Survival
Progression-Free Survival (PFS) was defined as the time in months from the start of treatment until the first date criteria for Progressive Disease (PD) were met (taking as reference the smallest measurements recorded since the treatment started), or the date of death for any reason in the absence of PD. Diagnosis of PD was made by objective criteria (RECIST criteria) on the target lesion(s), or by documenting, with Computerised Tomography/Magnetic Resonance Imaging (CT/MRI) scans, the presence of newly occurring lesion(s) arising outside the scanned areas of the target lesions. (NCT02013206)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Current/Former Smokers | 1.9 |
Never Smokers | 4.1 |
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Disease Control Rate
Disease Control Rate was defined as the percentage of participants with Complete Response (CR), Partial Response (PR) or Stable Disease (SD) by Response Evaluation Criteria in Solid Tumours (RECIST). CR was defined as the disappearance of all target lesions; for non-target lesions disappearance of lesions and normal tumour marker levels. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, using as reference the Baseline sum LD. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started; for non-target lesions persistence of one or more non-target lesion(s) and/or maintenance of tumour marker level above the normal limits. (NCT02013206)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|
Current/Former Smokers | 41 |
Never Smokers | 65 |
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Safety: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
An AE was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study and laboratory or clinical tests that resulted in a change in treatment or discontinuation from study drug were reported as adverse events. A SAE was any experience that: resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was medically significant. (NCT02013206)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
| Adverse Events | Serious Adverse Events |
---|
Current/Former Smokers | 26 | 14 |
,Never Smokers | 23 | 7 |
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Time to Progression
Time to progression was defined as the time from start of treatment until the first date criteria for Progressive Disease (PD) was met (taking as reference the smallest measurements recorded since the treatment started). Diagnosis of PD was made by objective criteria (RECIST criteria) on the target lesion(s), or by documenting, with Computerised Tomography/Magnetic Resonance Imaging (CT/MRI) scans, the presence of newly occurring lesion(s) arising outside the scanned areas of the target lesions. PD required at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. (NCT02013206)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Current/Former Smokers | 1.9 |
Never Smokers | 5.5 |
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Part 2 Cohorts G+ and G-: Objective Response Rate (ORR)
ORR was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Criteria in Solid Tumors version 1.1 (RECIST 1.1) as assessed by blinded independent central review (BICR). (NCT02039674)
Timeframe: Up to approximately 2 years
Intervention | Percentage of Participants (Number) |
---|
Part 2 Cohort G+ (Pembro 200 mg+Pe+C) | 55.0 |
Part 2 Cohort G- (Placebo+Pe+C) | 28.6 |
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Part 2 Cohorts G+ and G-: Duration of Response (DOR)
For participants who demonstrated a confirmed response (Complete Response [CR]: Disappearance of all target lesions or Partial Response [PR]: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. Per RECIST 1.1, DOR was defined as the time from first documented evidence of CR or PR until disease progression or death. DOR was assessed by BICR. (NCT02039674)
Timeframe: Up to approximately 2 years
Intervention | Months (Median) |
---|
Part 2 Cohort G+ (Pembro 200 mg+Pe+C) | NA |
Part 2 Cohort G- (Placebo+Pe+C) | NA |
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All Cohorts: Number of Participants Who Experienced a Dose-limiting Toxicity (DLT)
DLTs were assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events version 4. A DLT was defined as any of the following events: Grade 4 non-hematologic toxicity (not laboratory); Grade 4 hematologic toxicity lasting ≥7 days; Grade 3 non-hematologic toxicity (not laboratory, specifically nausea, vomiting and diarrhea) lasting >3 days despite optimal supportive care; Any Grade 3 or Grade 4 non-hematologic laboratory value requiring treatment or hospitalization, or persisting for >1 week; Febrile neutropenia Grade 3 or Grade 4; Qualifying thrombocytopenia <25,000/mm^3; Prolonged delay (>2 weeks) in initiating Cycle 2 due to treatment-related toxicity; Missing >10% of erlotinib or gefitinib doses as a result of adverse events (AEs) during the DLT window of observation; or Grade 5 toxicity. (NCT02039674)
Timeframe: Cycle 1 (Up to 21 days)
Intervention | Participants (Count of Participants) |
---|
Part1 Cohort A2 (Pembro 2 mg/kg+Paclitaxel [Pa]+Carboplatin [C]) | 0 |
Part1 Cohort A10 (Pembro10mg/kg+Pa+C) | 0 |
Part 1 Cohort B2 (Pembro 2mg/kg+Pa+C+Bevacizumab [B]) | 0 |
Part 1 Cohort B10 (Pembro 10 mg/kg+Pa+C+B) | 0 |
Part 1 Cohort C2 (Pembro 2 mg/kg+Pemetrexed [Pe]+C) | 0 |
Part 1 Cohort C10 (Pembro 10 mg/kg+Pe+C) | 0 |
Part 1 Cohort D1 (Pembro 10mg/kg+Ipilimumab [I]) | 0 |
Part 1 Cohort D2 (Pembro 10 mg/kg+I) | 0 |
Part 1 Cohort D4 (Pembro 2 mg/kg+I) | 0 |
Part 1 Cohort E (Pembro 2 mg/kg+Erlotinib) | 0 |
Part 1 Cohort F (Pembro 2 mg/kg+Gefitinib) | 0 |
Part 2 Cohort G+ (Pembro 200 mg+Pe+C) | 0 |
Part 2 Cohort G- (Placebo+Pe+C) | 0 |
Part 2 Cohort H (Pembro 2 mg/kg+I) | 0 |
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Part 2 Cohorts D4 and H: Objective Response Rate (ORR)
For participants who demonstrated a confirmed response (Complete Response [CR]: Disappearance of all target lesions or Partial Response [PR]: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. Per RECIST 1.1, DOR was defined as the time from first documented evidence of CR or PR until disease progression or death. DOR was assessed by BICR. (NCT02039674)
Timeframe: Up to approximately 2 years
Intervention | Percentage of Participants (Number) |
---|
Part 2 Cohorts D4 & H (Pembro 2mg/kg+I) | 29.5 |
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Part 2 Cohorts G+ and G-: Progression-Free Survival (PFS)
PFS was defined as the time from randomization to the first documented disease progression, or death due to any cause, whichever occurred first. Per RECIST 1.1, progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression. PFS was assessed by BICR. (NCT02039674)
Timeframe: Up to approximately 2 years
Intervention | Months (Median) |
---|
Part 2 Cohort G+ (Pembro 200 mg+Pe+C) | 24.5 |
Part 2 Cohort G- (Placebo+Pe+C) | 9.9 |
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Part 2 Cohorts G+ and G-: Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause. (NCT02039674)
Timeframe: Up to approximately 2 years
Intervention | Months (Median) |
---|
Part 2 Cohort G+ (Pembro 200 mg+Pe+C) | 34.5 |
Part 2 Cohort G- (Placebo+Pe+C) | 21.1 |
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Overall Survival (OS)
"Overall survival (OS) calculated as the duration of survival from the date of randomization to the date of death from any cause, or was censored on the date the patient was last known to be alive.~Survival time was calculated from the randomization date up to the date of death,or censored on the date that the patient was last known to be alive (last available visit date) utilizing Kaplan-Meier Estimate of Overall Survival Ending Events" (NCT02117024)
Timeframe: Up to 3 years
Intervention | Days (Median) |
---|
Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 176 |
Chemotherapy Alone | 372 |
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Survival at 6 Months
Evaluate the proportion of patients who are alive at 6 months following randomization (NCT02117024)
Timeframe: 6 months
Intervention | Participants (Count of Participants) |
---|
Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 21 |
Chemotherapy Alone | 17 |
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Frequency of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events (TEAE)
Evaluate the safety of the combination of viagenpumatucel-L and low-dose cyclophosphamide by frequency of Treatment-Emergent Adverse Events (NCT02117024)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
| At least one TEAE | At least one severe TEAE | At least one treatment-related TEAE | At least one SAE | Fatal TEAE | At least one TEAE Leading to Tx Discontinuation | At least one TEAE Leading to a Dose Reduction |
---|
Chemotherapy Alone | 20 | 11 | 15 | 8 | 0 | 2 | 2 |
,Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 41 | 25 | 32 | 17 | 7 | 7 | 0 |
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Progression-Free Survival (PFS)
Evaluate immune-related PFS (irPFS) and PFS by RECIST (Response Evaluation Criteria for Solid Tumors) (NCT02117024)
Timeframe: Up to 3 years
Intervention | Days (Median) |
---|
| immune-related PFS (irPFS) | Progression Free Survival (PFS) |
---|
Chemotherapy Alone | 190.0 | 190.0 |
,Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 76.0 | 70.0 |
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Time to Progression (TTP)
Evaluate immune-related TTP (irTTP) and also TTP (Time to Progression) by RECIST (NCT02117024)
Timeframe: Up to 3 years
Intervention | Days (Median) |
---|
| immune-related TTP (irTTP) | Time to Progression (TTP) |
---|
Chemotherapy Alone | 71.0 | 73.5 |
,Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 67.0 | 67.5 |
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Survival at 12 Months
Evaluate the proportion of patients who are alive at 12 months following randomization (NCT02117024)
Timeframe: 12 months
Intervention | Participants (Count of Participants) |
---|
Viagenpumatucel-L Plus Metronomic Cyclophosphamide | 8 |
Chemotherapy Alone | 11 |
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Part A: Objective Response Rate (ORR) in HRG Low Participants
"Key secondary efficacy endpoint: Objective response is defined as percentage of participants achieving complete response or partial response~Denominator for percentages is the number of subjects with measurable disease in the full analysis set. The best overall response is the best response (in the order of CR, PR, SD, and PD) among all overall responses recorded from the start of treatment until the subject withdraws from the study. If there is no post-baseline tumor assessment or all post-baseline tumor assessments with overall response being Inevaluable captured in the CRF, the best overall response is classified as Inevaluable." (NCT02134015)
Timeframe: by trial termination (at 20 months)
Intervention | Participants (Count of Participants) |
---|
Placebo + Erlotinib | 3 |
Patritumab + Erlotinib | 1 |
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Part A: Objective Response Rate (ORR) in HRG High Participants
"Key secondary efficacy endpoint: Objective response is defined as percentage of participants achieving complete response (CR) or partial response (PR)~Denominator for percentages is the number of subjects with measurable disease in the full analysis set. The best overall response is the best response [in the order of CR, PR, stable disease (SD), and progressive disease (PD)] among all overall responses recorded from the start of treatment until the subject withdraws from the study. If there is no post-baseline tumor assessment or all post-baseline tumor assessments with overall response being Inevaluable captured in the CRF, the best overall response is classified as Inevaluable." (NCT02134015)
Timeframe: by trial termination (at 20 months)
Intervention | Participants (Count of Participants) |
---|
Placebo + Erlotinib | 3 |
Patritumab + Erlotinib | 1 |
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Part A: Key Secondary Efficacy Endpoint: Overall Survival in HRG Low Participants
Key secondary efficacy endpoint: Percentage of participants who survived for the length of the trial (NCT02134015)
Timeframe: by trial termination (at 20 months)
Intervention | Participants (Count of Participants) |
---|
Placebo + Erlotinib | 7 |
Patritumab + Erlotinib | 8 |
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Part A: Overall Survival in HRG High Participants
Key secondary efficacy endpoint: Percentage of participants who survived for the length of the trial (NCT02134015)
Timeframe: by trial termination (at 20 months)
Intervention | Participants (Count of Participants) |
---|
Placebo + Erlotinib | 15 |
Patritumab + Erlotinib | 17 |
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Part A: Progression Free Survival (PFS) in Heregulin-low Participants
"PFS is defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression (as per RECIST Version 1.1 per investigator assessment) or death resulting from any cause.~Kaplan-Meier Estimate. Confidence interval (CI) for median was computed using the Brookmeyer-Crowley method. 80% confidence interval is included in the data table." (NCT02134015)
Timeframe: by trial termination (at 20 months)
Intervention | months (Number) |
---|
Placebo + Erlotinib | 2.8 |
Patritumab + Erlotinib | 1.5 |
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Part A: Progression Free Survival (PFS) in Heregulin-high Participants
"PFS is defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression (as per RECIST Version 1.1 per investigator assessment) or death resulting from any cause.~Kaplan-Meier Estimate. Confidence interval (CI) for median was computed using the Brookmeyer-Crowley method. 80% confidence interval is included in the data table." (NCT02134015)
Timeframe: by trial termination (at 20 months)
Intervention | months (Number) |
---|
Placebo + Erlotinib | 2.7 |
Patritumab + Erlotinib | 1.9 |
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Overall Survival (OS)
OS defined as from randomization date to the date of death due to any cause. For each participant who is not known to have died as of the data-inclusion cutoff date for overall survival analysis, OS time was censored on the last date the participant is known to be alive. (NCT02152631)
Timeframe: From Randomization Date to Date of Death from Any Cause (Up to 32 Months)
Intervention | months (Median) |
---|
Abemaciclib | 7.4 |
Erlotinib | 7.8 |
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Change From Baseline in European Quality of Life - 5 Dimensions - 5 Level (EQ-5D-5L) Score
There are 5 response levels on a good-to-bad continuum of 1-5 corresponding to none, slight, moderate, severe, and extreme/unable to. The EuroQol-developed crosswalk method was used to convert the EQ-5D-5L,using United Kingdom (UK) weights, health dimensions(mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) into a single index value; the dimensions are not separately scored. The index is marked missing when ≥1 dimensions are missing. The index scores for the response patterns were anchored on full health to dead with negative values assigned to response patterns/health states considered worse than death. The best pattern is assigned the index value of 1.0; the worst pattern is assigned an index value of -0.594. Between-group differences in regression-predicted change from baseline score were estimated for the index. LS Mean value was controlled for Treatment, visit, Treatment*Visit and baseline. (NCT02152631)
Timeframe: From Randomization Date through End of Study (Up to 32 Months)
Intervention | units on a scale (Least Squares Mean) |
---|
Abemaciclib | -0.08 |
Erlotinib | -0.08 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])
ORR was the percentage of participants achieving a best overall response (BOR) of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. (NCT02152631)
Timeframe: From Randomization Date to Objective Progression (Up to 32 Months)
Intervention | percentage of participants (Number) |
---|
Abemaciclib | 8.9 |
Erlotinib | 2.7 |
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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve During 1 Dosing Interval at Steady State
PK is determined by the area under the plasma concentration versus time curve during 1 dosing interval at steady state (NCT02152631)
Timeframe: Day 1 of Cycle 1 through Cycle 3 (28 Day Cycles)
Intervention | Hour*nanogram/milliliter (h*ng/mL) (Geometric Mean) |
---|
Abemaciclib | 3350 |
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Progression Free Survival (PFS)
PFS defined as the from randomization date to the first evidence of disease progression as defined by RECIST v1.1 or death from any cause. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. If a participant does not have a complete baseline disease assessment, then the PFS time was censored at the date of first dose, regardless of whether or not objectively determined disease progression or death has been observed for the participant. If a participant was not known to have died or have objective progression as of the data inclusion cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date. (NCT02152631)
Timeframe: From Randomization Date until Disease Progression or Death from Any Cause (Up to 32 Months)
Intervention | months (Number) |
---|
Abemaciclib | 3.6 |
Erlotinib | 1.9 |
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Resource Utilization: Percentage of Participants Who Are Hospitalized
Resource utilization is the percentage of participants who was hospitalized. (NCT02152631)
Timeframe: From Randomization Date through End of Study (Up to 32 Months)
Intervention | percentage of participants (Number) |
---|
Abemaciclib | 40.4 |
Erlotinib | 22.9 |
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Change From Baseline in MD Anderson Symptom Inventory-Lung Cancer (MDASI-LC) Score
The MDASI-LC included 22 items + 3 additional trial-specific items, resulting in 6 collected and reported single-construct scores including core symptoms (13-item), interference (6-item), lung cancer (3-item), and trial-specific single outcomes for headache, diarrhea, and rash. A 2-construct composite core + lung cancer symptom (16-item) score was calculated. Data for all 7 scores were collected by an 11-point numeric rating scale anchored at 0 (not present or does not interfere) and 10 (as bad as you can imagine or interfered completely). The measurement range was 10 (maximum score-minimum score). Mixed Model Repeated Measure (MMRM) regression with covariates for treatment, visit, treatment*visit, and baseline score predicted between-group Least Squares (LS) mean differences from baseline. Group-level negative change from baseline indicated group improvement. (NCT02152631)
Timeframe: From Randomization Date through End of Study (Up to 32 Months)
Intervention | units on a scale (Least Squares Mean) |
---|
| Headache | Diarrhea | Rash | Mean Core Symptom Severity | Mean Interference | Mean Lung Cancer Symptom Severity | Mean Core Plus Lung Cancer Symptom Severity |
---|
Abemaciclib | 0.20 | 1.91 | 0.65 | 0.49 | 0.70 | 0.16 | 0.44 |
,Erlotinib | 0.27 | 1.32 | 3.05 | 0.73 | 0.85 | 0.23 | 0.65 |
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Screen Success Rate
"Percentage of participants that registered to a therapeutic sub-study out of those who received a sub-study assignment.~To receive a sub-study assignment, enrolled participants must have submitted tissue, had biomarker results, and been matched to a therapeutic sub-study." (NCT02154490)
Timeframe: From date of registration to pre-screening or screening component until sub-study registration or death, a median of 3.5 months (IQR 2.0-6.0) in the pre-screened group and 0.9 months (IQR 0.7-1.1) in the screened at progression group.
Intervention | Participants (Count of Participants) |
---|
Assigned Participants | 655 |
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Number of Participants With NCI CTCAE Toxicity
Toxicity grading will be performed in accordance with NCI CTCAE, version 4.0. (NCT02155465)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
Phase 1: Level 1 | 3 |
Phase 1: Level 2 | 3 |
Phase 1: Level 3 | 6 |
Phase 2: 20mg Ruxolitinib PO BID/ 75 mg Erlotinib PO QD | 2 |
Phase 2: 20mg Ruxolitinib PO BID / 50 mg Erlotinib PO qd | 1 |
PHASE 2 MTD: 20mg Ruxolitinib PO BID / 150 mg Erlotinib PO qd | 2 |
PHASE 2 MTD: 20mg Ruxolitinib PO BID / 100 mg Erlotinib PO qd | 5 |
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Maximally Tolerated Dose (MTD) (Phase I)
(NCT02155465)
Timeframe: 1 year
Intervention | mg (Number) |
---|
| Erlotinib Daily | Ruxolitinib Twice Daily |
---|
Phase I Participants | 150 | 20 |
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Progression-free Survival
(NCT02155465)
Timeframe: 2 years
Intervention | months (Median) |
---|
Ruxolitinib and Erlotinib | 2.2 |
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Assess Overall Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions; Progressive disease (PD), at least a 20% increase in the sum of the diameter of the target lesions or the appearance of one or more new lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD (NCT02155465)
Timeframe: 1 year
Intervention | % of participants with partial response (Number) |
---|
Ruxolitinib and Erlotinib | 5 |
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Difference Between Normal and Neoplastic Tissue of p53
p53 expression will be assessed using Immunohistochemistry (IHC), greater nucleus optical density and positivity was associated with greater expression. A two-sample t-test with normalizing transformation if necessary or Wilcoxon rank-sum test will be used. (NCT02169284)
Timeframe: At time of surgery (approximately day 16)
Intervention | Optical Density (OD) (Mean) |
---|
Group I (Erlotinib Hydrochloride) | -0.052 |
Group II (Placebo) | -0.115 |
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Difference Between Normal and Neoplastic Tissue Phosphorylated ERK
Phosphorylated ERK will be assessed using Immunohistochemistry (IHC), greater mean optical density is associated with greater expression. A two-sample t-test with normalizing transformation if necessary or Wilcoxon rank-sum test will be used. (NCT02169284)
Timeframe: At time of surgery (approximately day 16)
Intervention | Optical Density (OD) (Mean) |
---|
| Nucleus P-ERK Normal-Tumor | Cytoplasm P-ERK Normal-Tumor | Entire Cell P-ERK Normal-Tumor |
---|
Group I (Erlotinib Hydrochloride) | -0.071 | -0.104 | -0.084 |
,Group II (Placebo) | -0.077 | -0.098 | -0.085 |
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EGFR Phosphorylation in Neoplastic Bladder Epithelium 9-18 Hours Post-study Dose
EGFR phosphorylation will be assessed using Immunohistochemistry (IHC), greater mean optical density is associated with greater phosphorylation. (NCT02169284)
Timeframe: Up to 18 hours after last study drug dose (on day 28)
Intervention | Optical Density (OD) (Mean) |
---|
| Nucleus P-EGFR Tumor Tissue | Cytoplasm P-EGFR Tumor Tissue | Membrane P-EGFR Tumor Tissue | Entire Cell P-EGFR Tumor Tissue |
---|
Group I (Erlotinib Hydrochloride) | 0.175 | 0.161 | 0.170 | 0.170 |
,Group II (Placebo) | 0.155 | 0.146 | 0.154 | 0.151 |
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Frequency of Urination Symptoms in Men Only, Graded According to International Prostate Symptom Score (I-PSS)
A well documented survey called the International Prostate Symptom Score (I-PSS) of urination symptoms which correlates with prostatic hyperplasia in men will be filled out by men at baseline and end of study. The I-PSS is an 8-item survey; 7 questions scored from 0-5 where 0 is 'none' or 'not at all' and 5 is 'five times' or 'almost always'. The sum of the scores for the first 7 questions has a total range of 0-35 where 0 is asymptomatic, 1-7 is mild symptoms, 8-19 is moderate symptoms, and 20-35 are severe symptoms. A final quality of life question is scored from 0-6 where 0 (delighted) to 6 (terrible). This question serves as a conversation starting point between the patient and physician. (NCT02169284)
Timeframe: Baseline up to 18 hours after last study drug dose (on day 28)
Intervention | Participants (Count of Participants) |
---|
| Baseline71964205 | Baseline71964204 | Surgery Visit71964205 | Surgery Visit71964204 |
---|
| Mild (score of 1-7) | Moderate (score of 8-19) | Severe (score of 20-35) |
---|
Group II (Placebo) | 3 |
Group I (Erlotinib Hydrochloride) | 7 |
Group I (Erlotinib Hydrochloride) | 1 |
Group II (Placebo) | 0 |
Group II (Placebo) | 5 |
Group II (Placebo) | 2 |
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EGFR Phosphorylation in Normal Appearing Bladder Epithelium Adjacent to Tumor
EGFR phosphorylation will be assessed using Immunohistochemistry (IHC), greater mean optical density is associated with greater phosphorylation. The difference between the placebo group and the erlotinib hydrochloride group will be tested as-randomized using a two-sample t-test with normalizing transformation if necessary or Wilcoxon rank-sum test. (NCT02169284)
Timeframe: Up to 18 hours after last study drug dose (on day 28)
Intervention | optical density (Mean) |
---|
| Nucleus P-EGFR in Benign Tissue | Cytoplasm P-EGFR in Benign Tissue | Membrane P-EGFR in Benign Tissue | Entire Cell P-EGFR in Benign Tissue |
---|
Group I (Erlotinib Hydrochloride) | 0.216 | 0.159 | 0.179 | 0.190 |
,Group II (Placebo) | 0.181 | 0.133 | 0.148 | 0.159 |
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Expression of E-cadherin
E-Cadherin expression will be assessed using Immunohistochemistry (IHC), greater membrane optical density was associated with greater expression. A two-sample t-test with normalizing transformation if necessary or Wilcoxon rank-sum test will be used. (NCT02169284)
Timeframe: At time of surgery (approximately day 16)
Intervention | Optical Density (OD) (Mean) |
---|
| Benign Tissue | Tumor Tissue |
---|
Group I (Erlotinib Hydrochloride) | 0.615 | 0.616 |
,Group II (Placebo) | 0.572 | 0.563 |
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Percentage of Cells Expressing Ki67
Ki-67 expression will be assessed using Immunohistochemistry (IHC), greater positivity was associated with greater expression. A two-sample t-test with normalizing transformation if necessary or Wilcoxon rank-sum test will be used. (NCT02169284)
Timeframe: At time of surgery (approximately day 16)
Intervention | percentage (Mean) |
---|
| Benign Tissue | Tumor Tissue |
---|
Group I (Erlotinib Hydrochloride) | 0.093 | 0.148 |
,Group II (Placebo) | 0.080 | 0.170 |
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Pharmacokinetic Parameters: Erlotinib in Blood
Will be summarized by treatment arm (and, if applicable, by visit) with appropriate descriptive statistics. (NCT02169284)
Timeframe: Baseline, day 8, and day 16 (day of surgery)
Intervention | ng/mL (Mean) |
---|
| Baseline | Day 8 | Day 16 (Surgery) |
---|
Group I (Erlotinib Hydrochloride) | 0.0 | 169.7 | 2218.4 |
,Group II (Placebo) | 0.0 | 0.0 | 0.3 |
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Pharmacokinetic Parameters: OSI-420 in Blood
Will be summarized by treatment arm (and, if applicable, by visit) with appropriate descriptive statistics. (NCT02169284)
Timeframe: Baseline, day 8, and day 16 (day of surgery)
Intervention | ng/mL (Mean) |
---|
| Baseline | Day 8 | Day 16 (Surgery) |
---|
Group I (Erlotinib Hydrochloride) | 0.0 | 2.5 | 44.4 |
,Group II (Placebo) | 0.0 | 0.0 | 0.0 |
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Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by Investigator Review (invPFS)
To compare the antitumor efficacy of oral single-agent rociletinib with that of erlotinib as measured by progression-free survival (PFS), when administered as a first-line targeted treatment to patients with EGFR-mutated, advanced NSCLC.Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.The appearance of one or more new lesions is also considered progression. (NCT02186301)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months
Intervention | Days (Median) |
---|
Rociletinib 500mg Tablets | 274 |
Rociletinib 625mg Tablets | 207 |
Erlotinib 150mg Tablets | 390 |
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Confirmed Response Rate
"Proportion of patients with a best overall confirmed response of partial response (PR) or complete response (CR) recorded from the start of the treatment until disease progression or recurrence.~Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as:~Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~Partial Response (PR),at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.~Overall Response (OR),is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). The patient's best response assignment was dependent on the achievement of both measurement and confirmation criteria." (NCT02186301)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months.
Intervention | percentage of participants (Number) |
---|
Rociletinib 500mg Tablets | 25.0 |
Rociletinib 625mg Tablets | 40.0 |
Erlotinib 150mg Tablets | 78.0 |
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Duration of Response
Duration of Response in Patients with Confirmed Response per Investigator (NCT02186301)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months
Intervention | Days (Median) |
---|
Rociletinib 500mg Tablets | 225 |
Rociletinib 625mg Tablets | 195.5 |
Erlotinib 150mg Tablets | 335.0 |
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Adverse Event Profile
Graded according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4. For this endpoint, we are reporting the number of participants with Grade 3 or higher as their worst reported adverse event. (NCT02273362)
Timeframe: Up to day 7
Intervention | Participants (Count of Participants) |
---|
Dose Level 0 ( 75 mg Erlotinib Hydrochloride Daily) | 0 |
Dose Level -1 (50 mg Erlotinib Daily) | 1 |
Dose Level -2 (25 mg Erlotinib Daily) | 2 |
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Response (at Least a 50% Reduction in Liver Phospho-EGFR Staining)
"A response is defined as having at least a 50% reduction in liver phospho-EGFR staining (50% reduction in the percentage of positive pixels).> > For each dose level, we report the number of participants achieving a response (at least 50% reduction in liver phospho-EGFR staining). >~> The Minimum effective dose (MED) is defined as the dose which at least a 40% of patients report a response." (NCT02273362)
Timeframe: Up to day 7
Intervention | Participants (Count of Participants) |
---|
Dose Level 0 ( 75 mg Erlotinib Hydrochloride Daily) | 3 |
Dose Level -1 (50 mg Erlotinib Daily) | 3 |
Dose Level -2 (25 mg Erlotinib Daily) | 6 |
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Objective Response Rate (ORR)
ORR was defined as the number (%) of participants with measurable disease with at least 1 visit response of Complete response (CR) or Partial response (PR) and it was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy. ORR was based on Investigator assessment. (NCT02296125)
Timeframe: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progression
Intervention | Percentage of participants (Number) |
---|
Osimertinib 80 mg (Global Cohort) | 76.7 |
SoC EGFR-TKI (Global Cohort) | 69.0 |
Osimertinib 80 mg (China Cohort) | 76.1 |
SoC EGFR-TKI (China Cohort) | 70.8 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ) Questionnaires Lung Cancer 13 (QLQ-LC13)
The EORTC QLQ-LC13 was a lung-cancer-specific module comprising 13 questions to assess lung cancer symptoms (cough, haemoptysis, dyspnoea, and site-specific pain); treatment related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia); and pain medication. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales/symptom items. Higher scores on the global health status/QoL and functioning scales indicated better health status/QoL and function. Higher scores on the symptoms scales indicated greater symptom burden. The analysis was performed using a Mixed-effects model for repeated measures analysis on the change from baseline in PRO symptom score at each visit up to 9 months (281 days), including participants, treatment, visit and treatment by visit interaction as explanatory variables, the baseline PRO score as a covariate along with the baseline PRO score by visit interaction, using an unstructured covariance structure. (NCT02296125)
Timeframe: Questionnaires completed at baseline, first 9 months, and at week 1, 2, 3, 4, 5, 6, 12, 18, 24, 30 and 36
Intervention | Unit on scale (Least Squares Mean) |
---|
| Dyspnoea, First 9 months | Dyspnoea, week 1 | Dyspnoea, week 2 | Dyspnoea, week 3 | Dyspnoea, week 4 | Dyspnoea, week 5 | Dyspnoea, week 6 | Dyspnoea, week 12 | Dyspnoea, week 18 | Dyspnoea, week 24 | Dyspnoea, week 30 | Dyspnoea, week 36 | Cough, First 9 months | Cough, week 1 | Cough, week 2 | Cough, week 3 | Cough, week 4 | Cough, week 5 | Cough, week 6 | Cough, week 12 | Cough, week 18 | Cough, week 24 | Cough, week 30 | Cough, week 36 | Pain in Chest, First 9 months | Pain in Chest, week 1 | Pain in Chest, week 2 | Pain in Chest, week 3 | Pain in Chest, week 4 | Pain in Chest, week 5 | Pain in Chest, week 6 | Pain in Chest, week 12 | Pain in Chest, week 18 | Pain in Chest, week 24 | Pain in Chest, week 30 | Pain in Chest, week 36 |
---|
Osimertinib 80 mg (China Cohort) | -4.87 | -1.61 | -2.27 | -3.09 | -5.35 | -5.72 | -4.83 | -5.38 | -7.67 | -7.59 | -5.81 | -4.21 | -13.75 | -4.60 | -12.26 | -11.95 | -12.78 | -17.74 | -16.92 | -15.51 | -11.79 | -17.61 | -15.45 | -14.62 | -2.79 | -1.79 | -4.76 | -0.76 | -2.13 | -0.62 | 0.94 | -3.71 | -4.40 | -5.66 | -4.25 | -3.56 |
,Osimertinib 80 mg (Global Cohort) | -4.04 | -3.46 | -3.94 | -3.99 | -4.81 | -3.51 | -4.51 | -3.83 | -4.97 | -4.65 | -3.89 | -2.88 | -10.97 | -6.90 | -9.04 | -9.78 | -11.25 | -12.98 | -11.88 | -13.36 | -12.31 | -11.34 | -10.34 | -11.49 | -6.62 | -1.93 | -5.94 | -7.17 | -7.45 | -7.33 | -4.99 | -7.28 | -6.79 | -7.72 | -8.33 | -7.94 |
,SoC EGFR-TKI (China Cohort) | -4.82 | 0.68 | -5.03 | -5.55 | -5.55 | -5.76 | -6.37 | -6.67 | -7.48 | -5.67 | -3.46 | -2.18 | -8.49 | -3.69 | -3.73 | -5.56 | -10.32 | -9.20 | -10.58 | -8.04 | -9.44 | -14.92 | -9.35 | -8.55 | -4.74 | -4.16 | -3.00 | -4.77 | -4.22 | -6.82 | -6.26 | -5.13 | -7.24 | -3.15 | -4.02 | -3.40 |
,SoC EGFR-TKI (Global Cohort) | -4.14 | -3.60 | -3.64 | -3.27 | -4.11 | -5.19 | -4.45 | -5.75 | -5.21 | -4.56 | -3.68 | -2.04 | -11.65 | -4.83 | -9.52 | -10.24 | -13.36 | -13.55 | -11.92 | -13.57 | -11.00 | -13.16 | -12.43 | -14.62 | -6.41 | -4.26 | -6.32 | -5.36 | -6.40 | -6.98 | -7.08 | -6.70 | -7.90 | -7.34 | -6.60 | -5.58 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Items (EORTC QLQ-C30)
The EORTC QLQ-C30 cancer-specific questionnaire consisted of 30 questions, combined to produce 5 functional scales, 3 symptom scales, 6 individual items, and a global measure of health status/QoL. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales/symptom items, the functional scales, and the global health status/QoL scale in the EORTC QLQ-C30. Higher scores on the global health status and functioning scales indicated better health status/function. Higher scores on the symptoms scales indicated greater symptom burden. The analysis was performed using a Mixed-effects model for repeated measures analysis on the change from baseline in PRO symptom score at each visit up to 9 months (281 days), including participants, treatment, visit and treatment by visit interaction as explanatory variables, the baseline PRO score as a covariate along with the baseline PRO score by visit interaction, using an unstructured covariance structure. (NCT02296125)
Timeframe: Questionnaires completed at baseline, first 9 months, and at week 6, 12, 18, 24, 30, and 36.
Intervention | Unit on scale (Least Squares Mean) |
---|
| Fatigue, First 9 months | Fatigue, week 6 | Fatigue, week 12 | Fatigue, week 18 | Fatigue, week 24 | Fatigue, week 30 | Fatigue, week 36 | Appetite Loss, First 9 months | Appetite Loss, week 6 | Appetite Loss, week 12 | Appetite Loss, week 18 | Appetite Loss, week 24 | Appetite Loss, week 30 | Appetite Loss, week 36 |
---|
Osimertinib 80 mg (China Cohort) | -5.65 | -1.73 | -5.40 | -6.64 | -8.92 | -4.43 | -6.78 | 1.18 | 3.20 | 1.58 | 1.42 | -2.26 | 2.19 | 0.98 |
,Osimertinib 80 mg (Global Cohort) | -5.48 | -4.13 | -5.11 | -6.83 | -6.18 | -5.19 | -5.47 | -6.15 | -4.54 | -6.52 | -7.27 | -7.14 | -4.50 | -6.90 |
,SoC EGFR-TKI (China Cohort) | -5.79 | -6.81 | -6.36 | -7.90 | -3.87 | -6.31 | -3.46 | -1.73 | -6.27 | -1.44 | -4.43 | 0.24 | -1.83 | 3.36 |
,SoC EGFR-TKI (Global Cohort) | -4.72 | -5.78 | -6.52 | -5.77 | -4.96 | -3.26 | -2.00 | -5.64 | -5.67 | -6.95 | -6.84 | -5.08 | -4.17 | -5.15 |
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Overall Survival (OS)- Number of Participants With an Event
Overall survival was defined as the time from the date of randomisation until death from any cause and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy (NCT02296125)
Timeframe: From first dose to end of study or date of death from any cause, whichever comes first, assessed every 6 weeks (approximately 29 months)
Intervention | Participants (Count of Participants) |
---|
| Death | Still in survival follow-up | Terminated prior to death |
---|
Osimertinib 80 mg (China Cohort) | 45 | 25 | 1 |
,Osimertinib 80 mg (Global Cohort) | 155 | 104 | 20 |
,SoC EGFR-TKI (China Cohort) | 44 | 17 | 4 |
,SoC EGFR-TKI (Global Cohort) | 166 | 86 | 25 |
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Participants Reported Outcome by Cancer Therapy Satisfaction Questionnaire 16 Items (CTSQ-16 Questionnaire)
The CTSQ-16 was a 16-item questionnaire measuring 3 domains related to participant's satisfaction with cancer therapy: Expectations of therapy, Feelings about side effects, and Satisfaction with therapy. Scores ranged from 0 to 100 for each domain, with a higher score associated with the best outcome on each domain. The three domains of interest were separately analysed using an ANCOVA stratified by race (Asian versus Non-Asian) and mutation type (Ex19del versus L858R). The results of the analyses were presented in terms of mean together with standard deviation. (NCT02296125)
Timeframe: Questionnaire completed in cycle 2 and 3, prior to Week 6 scan (approximately 2 months)
Intervention | Unit on scale (Mean) |
---|
| Expectations with Therapy, Week 3 | Expectations with Therapy, Week 6 | Feelings about Side-Effects, Week 3 | Feelings about Side-Effects, Week 6 | Satisfaction with Therapy, Week 3 | Satisfaction with Therapy, Week 6 |
---|
Osimertinib 80 mg (China Cohort) | 77.1 | 82.2 | 73.3 | 69.0 | 87.2 | 87.4 |
,Osimertinib 80 mg (Global Cohort) | 74.1 | 76.3 | 74.5 | 74.6 | 84.4 | 84.2 |
,SoC EGFR-TKI (China Cohort) | 79.2 | 82.6 | 72.5 | 69.7 | 86.6 | 87.2 |
,SoC EGFR-TKI (Global Cohort) | 70.3 | 74.0 | 69.1 | 69.9 | 82.6 | 84.6 |
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Plasma Concentrations of AZD9291
To characterise the pharmacokinetics (PK) of osimertinib (NCT02296125)
Timeframe: Blood samples collected from each participant at pre-dose, 0.5 to 2 hours, and 3 to 5 hours post-dose on Day 1 Cycle 1, and every other cycle thereafter up to and including Cycle 13 (approximately 9 months)
Intervention | Nano moles (Geometric Mean) |
---|
| Cycle 1 Day 1-Predose | Cycle 1 Day 1-0.5 - 2 hours | Cycle 1 Day 1-3 - 5 hours | Cycle 3 Day 1- Predose | Cycle 3 Day 1, 0.5 - 2 hours | Cycle 3 Day 1, 3 - 5 hours | Cycle 5 Day 1, Predose | Cycle 5 Day 1, 0.5 - 2 hours | Cycle 5 Day 1, 3-5 hours | Cycle 7 Day 1-Predose | Cycle 7 Day 1-0.5 - 2 hours | Cycle 7 Day 1-3-5 hours | Cycle 9 Day 1-Predose | Cycle 9 Day 1-0.5-2 hours | Cycle 9 Day 1-3-5 hours | Cycle 11 Day 1-Predose | Cycle 11 Day 1-0.5 -2 hours | Cycle 11 Day 1-3-5 hours | Cycle 13 Day 1-Predose | Cycle 13 Day 1-0.5 -2 hours | Cycle 13 Day 1-3-5 hours |
---|
Osimertinib 80 mg (China Cohort) | NA | 5.0249 | 131.5669 | 441.5606 | 441.7343 | 553.8090 | 419.5893 | 426.8197 | 570.7729 | 397.5857 | 411.6170 | 530.7212 | 383.2238 | 395.2179 | 490.5964 | 410.4023 | 415.2427 | 528.8081 | 404.2678 | 393.1688 | 499.0220 |
,Osimertinib 80 mg (Global Cohort) | NA | 4.9487 | 129.3340 | 394.3489 | 397.7406 | 512.4012 | 358.5487 | 369.0696 | 485.8142 | 347.6176 | 357.8529 | 475.6587 | 359.5284 | 363.0106 | 485.6006 | 354.5330 | 367.7450 | 476.4472 | 369.9834 | 371.4157 | 496.6866 |
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Percentage of Participants in Progression Free Survival at 6, 12, and 18 Months
Progression-free survival was defined as the time from randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression and was used to assess the efficacy of single agent osimertinib compared with SoC EGFR-TKI therapy as measured by PFS. (NCT02296125)
Timeframe: At baseline and every 6 weeks for the first 18 months and then every 12 weeks relative to randomisation until progression
Intervention | Percentage of Participants (Number) |
---|
| Progression free at 6 months (%) | Progression free at 12 months (%) | Progression free at 18 months (%) |
---|
Osimertinib 80 mg (China Cohort) | 78.8 | 67.3 | 46.9 |
,Osimertinib 80 mg (Global Cohort) | 88.4 | 68.2 | 50.9 |
,SoC EGFR-TKI (China Cohort) | 72.3 | 44.6 | 25.8 |
,SoC EGFR-TKI (Global Cohort) | 75.2 | 42.3 | 24.4 |
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Depth of Response
The Depth of response was defined as the relative change in the sum of the longest diameters of Response Evaluation Criteria in Solid Tumors (RECIST) Target lesions (TLs) at the nadir, in the absence of new lesions (NLs) or progression of Non-target lesions (NTLs), compared to baseline and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy (NCT02296125)
Timeframe: At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progression
Intervention | percentage of change (Mean) |
---|
Osimertinib 80 mg (Global Cohort) | -52.36 |
SoC EGFR-TKI (Global Cohort) | -45.66 |
Osimertinib 80 mg (China Cohort) | -49.17 |
SoC EGFR-TKI (China Cohort) | -42.92 |
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Disease Control Rate (DCR)
The DCR was defined as the percentage of participants who had a best overall response (BOR) of Complete response (CR), Partial response (PR) or Stable disease (SD) ≥6 weeks prior to any Progressive disease (PD) event and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy. (NCT02296125)
Timeframe: At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progression
Intervention | Percentage of participants (Number) |
---|
Osimertinib 80 mg (Global Cohort) | 97.1 |
SoC EGFR-TKI (Global Cohort) | 92.4 |
Osimertinib 80 mg (China Cohort) | 97.2 |
SoC EGFR-TKI (China Cohort) | 95.4 |
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Duration of Response (DoR)
Duration of response was defined as the time from the date of first documented response until the date of documented progression or death in the absence of disease progression and was used to further assess the efficacy of osimertinib compared with SoC EGFR-TKI therapy. (NCT02296125)
Timeframe: At baseline and every 6 weeks for the first 18 months and then every 12 weeks until objective disease progression
Intervention | Months (Median) |
---|
Osimertinib 80 mg (Global Cohort) | 17.2 |
SoC EGFR-TKI (Global Cohort) | 8.5 |
Osimertinib 80 mg (China Cohort) | 16.4 |
SoC EGFR-TKI (China Cohort) | 10.9 |
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Number of Participants With Adverse Events
To evaluate Safety and tolerability of ficlatuzumab plus erlotinib versus placebo plus erlotinib in subjects who have previously untreated metastatic EGFR-mutated NSCLC and a BDX004 Positive Label. (NCT02318368)
Timeframe: Approximately 24 months
Intervention | Participants (Count of Participants) |
---|
| Patients with Treatment-Emergent Adverse Events | Patients with Serious Adverse Events | Patients with grade 5 TEAEs | Patients with grade 3 or 4 TEAEs | Patients permanently discontinued | Patients with dose reduction or interruption |
---|
Ficlatuzumab Plus Erlotinib | 7 | 3 | 0 | 4 | 2 | 3 |
,Placebo Plus Erlotinib | 3 | 1 | 0 | 1 | 0 | 0 |
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Objective Response Rate (ORR)
The ORR was defined as the percentage of participants with at least 1 visit response of complete response (CR) or partial response (PR) among ITT participants who had measurable disease at baseline. CR was defined as disappearance of all target lesions (any pathological lymph nodes selected as target lesions must have a reduction in short axis to <10 mm) and PR was defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum of diameters as long as criteria for PD are not met). The ORR was measured using Investigator assessments according to RECIST v1.1. (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 35.5 |
Sub-study A: SoC | 12.5 |
Sub-study B: Durvalumab+Tremelimumab | 14.9 |
Sub-study B: SoC | 6.8 |
Sub-study B: Durvalumab | 15.4 |
Sub-study B: Tremelimumab | 6.7 |
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OS, Contribution of the Components Analysis of Sub-study B
The OS was defined as the time from the date of randomization until death due to any cause. (NCT02352948)
Timeframe: From randomization (Day 1) until death due to any cause, approximately 36 months
Intervention | months (Median) |
---|
Sub-study B: Durvalumab+Tremelimumab | 11.5 |
Sub-study B: Durvalumab | 10.0 |
Sub-study B: Tremelimumab | 6.9 |
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Overall Survival (OS)
The OS was defined as the time from the date of randomization until death due to any cause. (NCT02352948)
Timeframe: From randomization (Day 1) until death due to any cause, approximately 36 months
Intervention | months (Median) |
---|
Sub-study A: Durvalumab | 11.7 |
Sub-study A: SoC | 6.8 |
Sub-study B: Durvalumab+Tremelimumab | 11.5 |
Sub-study B: SoC | 8.7 |
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Percentage of Participants Alive and Progression Free at 12 Months (APF12)
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 at 12 months after randomization per Kaplan-Meier estimate of PFS at 12 months. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 19.4 |
Sub-study A: SoC | 9.9 |
Sub-study B: Durvalumab+Tremelimumab | 20.6 |
Sub-study B: SoC | 8.0 |
Sub-study B: Durvalumab | 15.0 |
Sub-study B: Tremelimumab | 7.3 |
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Percentage of Participants Alive and Progression Free at 6 Months (APF6)
The APF6 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 at 6 months after randomization per Kaplan-Meier estimate of PFS at 6 months. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 6 months
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 35.5 |
Sub-study A: SoC | 24.1 |
Sub-study B: Durvalumab+Tremelimumab | 31.5 |
Sub-study B: SoC | 27.6 |
Sub-study B: Durvalumab | 27.2 |
Sub-study B: Tremelimumab | 14.5 |
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Progression-Free Survival (PFS)
The PFS was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression. The PFS was determined by Investigator assessments according to response evaluation criteria in solid tumours (RECIST) version 1.1. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study A: Durvalumab | 3.8 |
Sub-study A: SoC | 2.2 |
Sub-study B: Durvalumab+Tremelimumab | 3.5 |
Sub-study B: SoC | 3.5 |
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Percentage of Participants Alive at 12 Months (OS12)
The OS12 was defined as the percentage of participants who were alive at 12 months after randomisation per Kaplan-Meier estimate of OS at 12 months. (NCT02352948)
Timeframe: From randomization (Day 1) up to 12 months
Intervention | percentage of participants (Number) |
---|
Sub-study A: Durvalumab | 49.3 |
Sub-study A: SoC | 31.3 |
Sub-study B: Durvalumab+Tremelimumab | 49.5 |
Sub-study B: SoC | 38.8 |
Sub-study B: Durvalumab | 43.6 |
Sub-study B: Tremelimumab | 41.2 |
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PFS, Contribution of the Components Analysis of Sub-study B
The PFS was defined as the time from the date of randomization until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anti-cancer therapy prior to progression. The PFS was determined by Investigator assessments according to RECIST v1.1. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study B: Durvalumab+Tremelimumab | 3.5 |
Sub-study B: Durvalumab | 3.1 |
Sub-study B: Tremelimumab | 2.1 |
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Time From Randomisation to Second Progression (PFS2) of Sub-study B
The PFS2 was defined as the time from the date of randomization to the earliest of the progression event subsequent to that used for the PFS endpoint or death and determined by local standard clinical practice and have included any of the following: objective radiological, symptomatic progression, or death. PFS2 was reported for sub-study B only. (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until first progression. Disease then assessed per local practice until 2nd progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study B: Durvalumab+Tremelimumab | 9.1 |
Sub-study B: SoC | 6.7 |
Sub-study B: Durvalumab | 8.0 |
Sub-study B: Tremelimumab | 5.7 |
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Duration of Response (DoR)
The DoR was defined as the time from the date of first documented response until the first date of documented progression or death in the absence of disease progression. The DoR was determined by Investigator assessments according to RECIST v1.1. PD was defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 millimeter (mm) or progression of non-target lesions or the appearance of a new lesion (NCT02352948)
Timeframe: Tumour scans performed at baseline then every ~8 weeks up to 48 weeks, then every ~12 weeks thereafter until confirmed disease progression. Assessed up to a maximum of approximately 3 years.
Intervention | months (Median) |
---|
Sub-study A: Durvalumab | 9.5 |
Sub-study A: SoC | 4.8 |
Sub-study B: Durvalumab+Tremelimumab | 12.2 |
Sub-study B: SoC | 10.8 |
Sub-study B: Durvalumab | 10.0 |
Sub-study B: Tremelimumab | 4.7 |
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Part B: Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score
The EQ-5D-5L is a standardized instrument used to measure self-reported health status of the participants. It consists of 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). There are 5 response levels (no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to), ranging from 1 to 5 (good to bad). Dimension responses were converted to an index score using UK weights. The index scores were anchored on full health (1.0) to dead (0) with negative values assigned to health states considered worse than death. (NCT02411448)
Timeframe: Baseline, Cycle 28 (each cycle is 2 weeks)
Intervention | score on a scale (Mean) |
---|
Part B: Ramucirumab+ Erlotinib | 0.02 |
Part B: Placebo+ Erlotinib | 0.01 |
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Part B: Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score
The EQ-5D-5L is a standardized instrument used to measure self-reported health status of the participants. It consists of 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). There are 5 response levels (no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to), ranging from 1 to 5 (good to bad). Dimension responses were converted to an index score using UK weights. The index scores were anchored on full health (1.0) to dead (0) with negative values assigned to health states considered worse than death. (NCT02411448)
Timeframe: Baseline, Cycle 40 (each cycle is 2 weeks)
Intervention | score on a scale (Mean) |
---|
Part B: Ramucirumab+ Erlotinib | 0.01 |
Part B: Placebo+ Erlotinib | -0.01 |
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Part B: Duration of Response (DoR)
DoR was defined as the date of first documented CR or PR (responder) to the date of progressive disease or the date of death due to any cause, whichever was earlier. If a responder was not known to have died or have progressive disease, then the participant was censored at the date of last evaluable tumor assessment.CR was defined as the disappearance of all lesions, pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker levels of non-target lesions. PR was at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of 1 or more new lesions is also considered progression. (NCT02411448)
Timeframe: Date of Complete Response (CR) or Partial Response (PR) to Date of Objective Disease Progression or Death Due to Any Cause (Up To 37 Months)
Intervention | months (Median) |
---|
Part B: Ramucirumab+ Erlotinib | 18.0 |
Part B: Placebo+ Erlotinib | 11.1 |
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Part B: Number of Participants With Anti-Ramucirumab Antibodies
Part B: Number of Participants With Anti-Ramucirumab Antibodies. (NCT02411448)
Timeframe: Cycle 1 Predose through Follow-up (Up To 37 Months)
Intervention | Participants (Count of Participants) |
---|
Part B: Ramucirumab+ Erlotinib | 14 |
Part B: Placebo+ Erlotinib | 18 |
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Part B: Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death from any cause. For each participant who was not known to have died as of the data-inclusion cutoff date for a particular analysis,OS was censored for that analysis at the date of last contact prior to the data-inclusion cutoff date (contacts considered in the determination of last contact date include adverse event (AE) date, lesion assessment date, visit date, and last known alive date). (NCT02411448)
Timeframe: Randomization to Date of Death from Any Cause (Up To 37 Months)
Intervention | months (Median) |
---|
Part B: Ramucirumab+ Erlotinib | NA |
Part B: Placebo+ Erlotinib | NA |
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Part B: Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])
ORR was defined as the percentage of randomized participants achieving a best overall response of partial response (PR) or complete response (CR) assessed via Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR was defined as the disappearance of all lesions, pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker levels of non-target lesions. PR was at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of 1 or more new lesions is also considered progression. (NCT02411448)
Timeframe: Randomization to Progressive Disease (Up To 37 Months)
Intervention | percentage of participants (Number) |
---|
Part B: Ramucirumab+ Erlotinib | 76.3 |
Part B: Placebo+ Erlotinib | 74.7 |
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Part B: Percentage of Participants With CR, PR, or Stable Disease (SD) (Disease Control Rate [DCR])
DCR was defined as the percentage of randomized participants achieving a best overall response of CR,PR, or stable disease(SD) assessed via Response Evaluation Criteria in Solid Tumors(RECIST) version 1.1. CR was defined as the disappearance of all lesions,pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker levels of non-target lesions.PR was at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters.SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Progressive Disease(PD) was at least a 20% increase in the sum of the diameters of target lesions,taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.The appearance of 1 or more new lesions is also considered progression. (NCT02411448)
Timeframe: Randomization to Progressive Disease (Up To 37 Months)
Intervention | percentage of participants (Number) |
---|
Part B: Ramucirumab+ Erlotinib | 95.1 |
Part B: Placebo+ Erlotinib | 95.6 |
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Part B: Progression Free Survival (PFS)
PFS is defined as the time from the date of randomization to the date of radiographically documented progressive disease (PD) based on investigator assessment, or the date of death due to any cause, whichever is first assessed via Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of 1 or more new lesions is also considered progression. (NCT02411448)
Timeframe: Randomization to Measured Progressive Disease or Death from Any Cause (Up To 37 Months)
Intervention | Months (Median) |
---|
Part B: Ramucirumab+ Erlotinib | 19.4 |
Part B: Placebo+ Erlotinib | 12.4 |
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Part B: Best Change From Baseline on the Lung Cancer Symptom Scale (LCSS)
The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms [loss of appetite, fatigue, cough, dyspnea (shortness of breath), hemoptysis (blood in sputum), and pain] and 3 global items (symptom distress, interference with activity level, and global quality of life). Participant responses to each item were measured using visual analogue scales (VAS) with 100-millimeter (mm) lines. A higher score for any item represented a higher level of symptoms/problems. The LCSS total score was defined as the mean of all 9 items. Average symptom burden index (ASBI) was calculated as the mean of the six symptom-specific questions from the LCSS. Potential scores range from 0 (for best outcome) to 100 (for worst outcome). (NCT02411448)
Timeframe: Baseline, End of Study (Up To 37 Months)
Intervention | millimeter (Least Squares Mean) |
---|
| Loss of Appetite | Fatigue | Cough | Shortness of Breath | Blood in Sputum | Pain | Symptom distress | Interference with Activity Level | Global Quality of Life | Average Symptom Burden Index | Total LCSS |
---|
Part B: Placebo+ Erlotinib | -18.16 | -19.45 | -22.09 | -15.93 | -1.94 | -14.69 | -16.15 | -15.60 | -18.12 | -13.05 | -12.71 |
,Part B: Ramucirumab+ Erlotinib | -17.07 | -19.35 | -21.22 | -14.46 | -1.58 | -13.57 | -15.91 | -14.43 | -16.21 | -12.17 | -12.00 |
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Part B: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
Part B: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab (NCT02411448)
Timeframe: Cycle 2 Day 1: Predose; Cycle 4 Day 1: Predose; Cycle 7 Day 1: Predose; Cycle 14 Day 1
Intervention | microgram per milliliter (µg/mL) (Geometric Mean) |
---|
| Cycle 2 | Cycle 4 | Cycle 7 | Cycle 14 |
---|
Part B: Ramucirumab+ Erlotinib | 39.6 | 68.5 | 85.7 | 99.4 |
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Part B: Change From Baseline on the EuroQol 5-Dimension, 5-Level Questionnaire (EQ-5D-5L) Index Score
The EQ-5D-5L is a standardized instrument used to measure self-reported health status of the participants. It consists of 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). There are 5 response levels (no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to), ranging from 1 to 5 (good to bad). Dimension responses were converted to an index score using UK weights. The index scores were anchored on full health (1.0) to dead (0) with negative values assigned to health states considered worse than death. (NCT02411448)
Timeframe: Baseline, Cycle 10 (each cycle is 2 weeks)
Intervention | score on a scale (Mean) |
---|
Part B: Ramucirumab+ Erlotinib | 0.02 |
Part B: Placebo+ Erlotinib | 0.02 |
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Number of Participants With Treatment-Emergent Adverse Events
A summary of other non-serious adverse events and all serious adverse events, regardless of causality, is located in the Reported Adverse Events Section. (NCT02411448)
Timeframe: Cycle 1 Day 1 through End of Study (Up To 3 Years)
Intervention | Participants (Count of Participants) |
---|
Part A: Ramucirumab + Erlotinib | 14 |
Part B: Ramucirumab + Erlotinib | 221 |
Part B: Placebo + Erlotinib | 225 |
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Number of Participants With Dose Limiting Toxicities (DLTs)
(NCT02495233)
Timeframe: Cycle 1 and Cycle ≥2 (up to 141 days)
Intervention | Participants (Count of Participants) |
---|
| Cycle 1 | Cycle ≥2 |
---|
Gilteritinib 120mg + Erlotinib 150mg | 2 | 0 |
,Gilteritinib 80mg+ Erlotinib 150mg | 2 | 1 |
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Number of Participants With Adverse Events
Treatment-emergent adverse events (TEAE) was defined as an adverse event (AE) that started after administration of the study drugs and occurred within 30 days of the last dose of the study drugs. If a participant experienced an event both during the preinvestigational period and during the investigational period, the event was considered a TEAE only if it worsened in severity. (NCT02495233)
Timeframe: From first dose of study drug up to 30 days after the last dose of study (maximum study drug exposure 114 days)
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Drug-related TEAEs | TEAEs leading to death | Serious TEAEs | Drug-related serious TEAEs | TEAEs leading to withdrawal of treatment | Drug-related TEAEs leading to withdrawal of treat. |
---|
Gilteritinib 120mg + Erlotinib 150mg | 3 | 3 | 0 | 2 | 2 | 2 | 2 |
,Gilteritinib 80mg+ Erlotinib 150mg | 7 | 7 | 0 | 3 | 2 | 2 | 2 |
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Maximum Concentration (Cmax) for Gilteritinib
(NCT02495233)
Timeframe: 0, 0.5, 1, 2, 4, 6, 24 hours post-dose on Days 1 and 28 of cycle 1
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 28 |
---|
Gilteritinib 120mg + Erlotinib 150mg | 210.3 | 637 |
,Gilteritinib 80mg+ Erlotinib 150mg | 119 | 408.3 |
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Ctrough of Erlotinib
(NCT02495233)
Timeframe: Day 8, 15, 22, 28 of cycle 1
Intervention | ng/mL (Mean) |
---|
| Predose of Day 8 of cycle 1 | Predose of Day 15 of cycle 1 | Predose of Day 22 of cycle 1 | Predose of Day 28 of cycle 1 |
---|
Gilteritinib 120mg + Erlotinib 150mg | 1004 | 1427 | 942.7 | 909 |
,Gilteritinib 80mg+ Erlotinib 150mg | 1827 | 2098 | 1999 | 1368 |
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AUC24 of Erlotinib
(NCT02495233)
Timeframe: 0, 0.5, 1, 2, 4, 6, 24 hours post-dose on Day 28 of cycle 1
Intervention | h*ng/mL (Mean) |
---|
Gilteritinib 120mg + Erlotinib 150mg | 34580 |
Gilteritinib 80mg+ Erlotinib 150mg | 54055 |
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Cmax of Erlotinib
(NCT02495233)
Timeframe: 0, 0.5, 1, 2, 4, 6, 24 hours post-dose on Day 28 of cycle 1
Intervention | ng/mL (Mean) |
---|
Gilteritinib 120mg + Erlotinib 150mg | 3050 |
Gilteritinib 80mg+ Erlotinib 150mg | 3160 |
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Objective Response Rate (ORR) in Phase 1b
ORR was defined as Objective Response Rate (ORR) was the proportion of patients whose best overall response was complete response (CR) or partial response (PR) per RECIST version 1.1. Only patients with measurable disease at baseline were to be included in the analysis of ORR. (NCT02495233)
Timeframe: End of treatment (approximately 4 months)
Intervention | percentage of participants (Number) |
---|
Gilteritinib 120mg + Erlotinib 150mg | 0 |
Gilteritinib 80mg+ Erlotinib 150mg | 0 |
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Tmax of Erlotinib
(NCT02495233)
Timeframe: 0, 0.5, 1, 2, 4, 6, 24 hours post-dose on Day 28 of cycle 1
Intervention | hr (Mean) |
---|
Gilteritinib 120mg + Erlotinib 150mg | 2.00 |
Gilteritinib 80mg+ Erlotinib 150mg | 2.633 |
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Area Under the Concentration-time Curve at 24 Hours (AUC24) for Gilteritinib
(NCT02495233)
Timeframe: 0, 0.5, 1, 2, 4, 6, 24 hours post-dose on Days 1 and 28 of cycle 1
Intervention | h*ng/mL (Mean) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 28 |
---|
Gilteritinib 120mg + Erlotinib 150mg | 2950 | 12203 |
,Gilteritinib 80mg+ Erlotinib 150mg | 1885 | 8342 |
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Time After Dosing When Cmax Occurs (Tmax) for Gilteritinib
(NCT02495233)
Timeframe: 0, 0.5, 1, 2, 4, 6, 24 hours post-dose on Days 1 and 28 of cycle 1
Intervention | hr (Mean) |
---|
| Cycle 1 Day 1, | Cycle 1 Day 28 |
---|
Gilteritinib 120mg + Erlotinib 150mg | 3.961 | 2.00 |
,Gilteritinib 80mg+ Erlotinib 150mg | 3.762 | 4.594 |
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Time of Cmax (Tmax) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC
The time at which maximum concentration (Cmax), which is the maximum (peak) concentration (amount of drug) measurable in blood plasma after a dose is administered, is reached (Tmax). (NCT02507375)
Timeframe: on day 1 of cycle 2, 1 hour pre-dose and 0.5, 1.5, 4, 8, 24, 168, 336 and 504 hours after the start of the infusion
Intervention | days (Mean) |
---|
Pertuzumab + Erlotinib | 0.23 |
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Percentage of Participants With a Complete Response or Partial Response at the End of Cycles 1, 2, 3, 4, and 6
Complete and partial responses were determined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. A complete response was defined as the disappearance of all target and non-target lesions. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. (NCT02507375)
Timeframe: From baseline to the end of the study (up to 42 weeks)
Intervention | Percentage of participants (Number) |
---|
| Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Cycle 6 |
---|
Erlotinib 100 mg + Pertuzumab 420 mg | 0 | 33.3 | 0 | 33.3 | 16.7 |
,Erlotinib 150 mg + Pertuzumab 420 mg | 0 | 11.1 | 0 | 11.1 | 11.1 |
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Area Under the Plasma Concentration Versus Time Curve (AUC) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With Non-small Cell Lung Cancer (NSCLC)
Bioavailability [AUC(0-t)] is a measure of how much of the drug reaches the person's bloodstream from time 0 (pre-dose) to a given time point (t) for the body to use. The extent of product bioavailability is estimated by the area under the blood concentration vs time curve. The Area Under the Curve (AUC) is calculated by plotting the drug's blood levels on a graph at different times during the set period. The area under this curve reflects the amount of drug exposure in the set time period, calculated as hour * nanograms (ng) per milliliter (mL), which equates to mg.day/L. Bioavailability Extrapolated to Infinity [AUC (0-inf)] is a calculated measure of how much of the drug will ever reach the person's bloodstream for the body to use. AUC (0-inf) stands for the area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time (forever). It is obtained from calculating AUC (0-t) plus AUC (t-inf). (NCT02507375)
Timeframe: on day 1 of cycle 2, 1 hour pre-dose and 0.5, 1.5, 4, 8, 24, 168, 336 and 504 hours after the start of the infusion
Intervention | mg*day/L (Mean) |
---|
| AUC(0-21 days) n=8 | AUC(0-inf) n=7 |
---|
Pertuzumab + Erlotinib | 1780 | 3000 |
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Volume of Distribution at Steady-state (Vss) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC
Steady-state volume of distribution of a drug is an estimate of drug distribution independent of elimination processes. It is most useful for predicting the plasma concentrations following multiple dosing to a steady-state or pseudo-equilibrium. Vss is proportional to the amount of drug in the body versus the plasma concentration of the drug at steady state (pseudo-equilibrium). It is a calculated measure. (NCT02507375)
Timeframe: on day 1 of cycle 2, 1 hour pre-dose and 0.5, 1.5, 4, 8, 24, 168, 336 and 504 hours after the start of the infusion
Intervention | Liters (Mean) |
---|
Pertuzumab + Erlotinib | 4.9 |
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Terminal Phase Plasma Half-life (t ½) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC
Terminal phase plasma half-life (t ½) is the time required to divide the plasma concentration by two after reaching pseudo-equilibrium, rather than the time required to eliminate half the administered dose. (NCT02507375)
Timeframe: on day 1 of cycle 2, 1 hour pre-dose and 0.5, 1.5, 4, 8, 24, 168, 336 and 504 hours after the start of the infusion
Intervention | days (Mean) |
---|
Pertuzumab + Erlotinib | 17.9 |
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Percentage of Participants With Dose Limiting Toxicities (DLTs)
A DLT was defined as: Any non-hematological toxicity ≥ Grade 3 according to the Common Terminology Criteria for Adverse Events, version 3.0, except for fever, chills, and flu-like symptoms, which occurred despite adequate participant management. The following Grade 1-3 toxicities were exempt: Grade 1-3 skin and/or epithelial toxicities consistent with erlotinib single agent therapy, unless they did not respond to treatment or dose reduction or interruption (Grade 4 skin and/or epithelial toxicities were considered to be a DLT); Grade 4 neutropenia occurring for > 7 days; febrile neutropenia which occurred despite adequate participant management; Grade 4 thrombocytopenia or any thrombocytopenia requiring platelet transfusion; and any subjectively intolerable toxicity felt by the investigator to be related to either one of the compounds. (NCT02507375)
Timeframe: From baseline to end of the study (up to 42 weeks)
Intervention | Percentage of participants (Number) |
---|
Erlotinib 100 mg + Pertuzumab 420 mg | 0 |
Erlotinib 150 mg + Pertuzumab 420 mg | 0 |
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Percentage of Participants Classified as Responders
"Responders are participants who achieved either a complete response or a partial response according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria. RECIST is a set of published rules that define when tumors in cancer patients improve (respond), stay the same (stabilize), or worsen (progress) during treatment." (NCT02507375)
Timeframe: within 18 weeks
Intervention | percentage of participants (Number) |
---|
Total Population | 20 |
Erlotinib 100 mg + Pertuzumab 420 mg | 33.3 |
Erlotinib 150 mg + Pertuzumab 420 mg | 11.1 |
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Peak Plasma Concentration (Cmax) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC
Maximum Observed Plasma Concentration (Cmax), which is the maximum (peak) concentration (amount of drug) measurable in blood plasma after a dose is administered, typically measured in nanograms/milliliter (ng/mL), reported as mg/L. (NCT02507375)
Timeframe: on day 1 of cycle 2, 1 hour pre-dose and 0.5, 1.5, 4, 8, 24, 168, 336 and 504 hours after the start of the infusion
Intervention | mg/L (Mean) |
---|
Pertuzumab + Erlotinib | 231 |
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Clearance (CL) for Pertuzumab (Cycle 2) in the Presence of Erlotinib (at Steady-state) in Patients With NSCLC
A fundamental concept in pharmacokinetics is drug clearance (CL), that is, elimination of drugs from the body. The clearance is simply the ratio of the dose to the area under the curve (AUC), so that the higher the AUC for a given dose, the lower the clearance. If a drug is administered by continuous infusion and a steady state is achieved, the clearance can be estimated from a single measurement of the plasma drug concentration. (NCT02507375)
Timeframe: on day 1 of cycle 2, 1 hour pre-dose and 0.5, 1.5, 4, 8, 24, 168, 336 and 504 hours after the start of the infusion
Intervention | L/day (Mean) |
---|
Pertuzumab + Erlotinib | 0.24 |
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Recommended Phase II Dose
The maximum tolerated dose (MTD) of Onalespib IV in combination with 150 mg Erlotinib PO daily is based on toxicities observed during the first cycle and is defined as the highest dose tested in which fewer than 33% of patients experience an attributable DLT to the study drug, when at least 6 patients are treated at that dose and are evaluable for toxicity. Dose escalations proceeded according to a standard 3+3 design. (NCT02535338)
Timeframe: 28 days from start of treatment.
Intervention | mg/m2 (Number) |
---|
Treatment (Erlotinib Hydrochloride, Onalespib Lactate) | 120 |
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Progression-free Survival
Progression-free survival will be summarized as time from first protocol treatment until progression or death from any cause, using the product-limit Kaplan-Meier estimator. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT02535338)
Timeframe: From start of treatment to time of progression or death from any cause, whichever occurs first, assessed up to at least 1 year
Intervention | Months (Median) |
---|
Dose Level 1 - Onalespib IV 150 mg/m2 | NA |
Dose Level -1 - Onalespib IV 120 mg/m2 | 4.5 |
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Number of Subject With Overall Response (Recommended Phase II Dose)
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI:~Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR" (NCT02535338)
Timeframe: Up to at least 1 year
Intervention | Participants (Count of Participants) |
---|
Treatment (Erlotinib Hydrochloride, Onalespib Lactate) | 0 |
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Number of Subject With Overall Response
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT02535338)
Timeframe: Up to at least 1 year
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 - Onalespib IV 150 mg/m2 | 0 |
Dose Level -1 - Onalespib IV 120 mg/m2 | 0 |
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Number of Participants With Dose Limiting Toxicities.
During the first course of therapy patients will be monitored for dose-limiting toxicities (DLT). Dose escalation will follow a 3+3 design, motivated by the desire to limit the incidence of dose-limiting toxicity to the lowest feasible levels and determine the recommended phase II dose. This outcome measure has been addressed in primary outcome measures 1 & 2. (NCT02535338)
Timeframe: Up to 4 weeks
Intervention | Participants (Count of Participants) |
---|
Dose Level 1 - Onalespib IV 150 mg/m2 | 2 |
Dose Level -1 - Onalespib IV 120 mg/m2 | 0 |
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Number of Participants With at Least One Dose Limiting Toxicity (DLT)
Adverse events were graded by CTCAE, v4. DLTs defined as ≥Gr 3 non-hematologic toxicity except nausea, vomiting, or diarrhea that could be controlled by appropriate medical intervention or prophylaxis and that resolved within 48 hours, except electrolyte toxicities that can be corrected within 48 hours. Gr 3 rash attributed to the combination was considered a DLT if it remained Gr 3 despite maximal medical management for > 72 hours. Hematologic toxicities qualifying as DLTs included febrile neutropenia; Gr 4 neutropenia for > 7 days or thrombocytopenia < 25,000/mm3 (Gr 4) if associated with a bleeding event that did not result in hemodynamic instability but required an elective platelet transfusion; or a life-threatening bleeding event that resulted in urgent intervention and admission to an intensive care unit. Delay in starting cycle 2 of ≥14 days due to toxicity related to one or more protocol drugs was also considered a DLT. The first 28-day cycle was considered the DLT period. (NCT02535338)
Timeframe: 28 days from the start of treatment.
Intervention | participants (Number) |
---|
Dose Level 1 - Onalespib IV 150 mg/m2 | 2 |
Dose Level -1 - Onalespib IV 120 mg/m2 | 0 |
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Percentage of Participants With Objective Response (OR)
Percentage of participants with OR was defined as the proportion of participants with best overall response as complete response (CR) or partial response (PR) without confirmation based on the RECIST v1.1 as assessed by the blinded IRR. CR was defined as disappearance of all target and nontarget lesions. Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to < 10 mm from baseline measurement. PR was defined as at least a 30% decrease in the sum of diameters (longest for nonnodal lesions, short axis for nodal lesions) of target lesions taking as reference to the baseline sum of diameters. (NCT02588261)
Timeframe: From date of first dose of study drug up to data cut-off date 09 May 2017 (approximately 15 months)
Intervention | percentage of participants (Number) |
---|
ASP8273 | 33.0 |
Erlotinib or Gefitinib | 47.9 |
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PFS as Assessed by the Investigator
PFS was defined as the time from the date of randomization until the date of radiological disease progression or until death due to any cause, based on RECIST V1.1, as assessed by local investigator. Results are based Kaplan-Meier estimate. If a participant had neither progressed nor died, who received any further anticancer therapy for the disease before radiological progression, the participant was censored at the date of last radiological assessment. If progression or death occurred after missing 2 scheduled radiological assessments, the participant was censored at the date of last radiological assessment or at the date of randomization if no post-baseline radiological assessment was available. (NCT02588261)
Timeframe: From date of randomization up to data cut-off date 09 May 2017 (approximately 15 months)
Intervention | months (Median) |
---|
ASP8273 | 7.43 |
Erlotinib or Gefitinib | 10.12 |
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Progression Free Survival (PFS) as Assessed by Independent Radiologic Review (IRR)
PFS was defined as the time from the date of randomization until the date of radiological disease progression or until death due to any cause, based on the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, as assessed by IRR. Results are based Kaplan-Meier estimate. If a participant had neither progressed nor died, who received any further anticancer therapy for the disease before radiological progression, the participant was censored at the date of last radiological assessment. If progression or death occurred after missing 2 scheduled radiological assessments, the participant was censored at the date of last radiological assessment or at the date of randomization if no post-baseline radiological assessment was available. (NCT02588261)
Timeframe: From date of randomization up to data cut-off date 09 May 2017 (approximately 15 months)
Intervention | months (Median) |
---|
ASP8273 | 9.26 |
Erlotinib or Gefitinib | 9.59 |
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EuroQol 5-Dimension 5-Level Questionnaire (EQ-5D-5L)
The EQ-5D is a generic preference-based measure that indirectly measures the utility for health that generates an index-based summary score based upon societal preference weights. The EQ-5D-5L consists of 6 items that cover 5 main domains (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and a general visual analog scale (VAS) for health status. Each item has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity). The VAS ranges from 0 (worst health status) and 100 (best health status). (NCT02588261)
Timeframe: Day 1 of each cycle up to data cut off 09 May 2017 (approximately 15 months)
Intervention | Units on a scale (Mean) |
---|
| Mobility | Self-care | Usual Activities | Pain/Discomfort | Anxiety/Depression | VAS |
---|
ASP8273 | 1.78 | 1.28 | 1.71 | 1.79 | 1.61 | 69.44 |
,Erlotinib or Gefitinib | 1.48 | 1.19 | 1.54 | 1.71 | 1.54 | 72.36 |
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Number of Participants With Adverse Events (AEs)
Safety was assessed by AEs, which included abnormalities identified during a medical test (e.g. laboratory tests, vital signs, electrocardiogram, etc.) if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study medication or was clinically significant. A treatment-emergent AE (TEAE) was defined as an AE observed after starting administration of the study drug. AEs were considered serious (SAEs) if the AE resulted in death, was life threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly, or birth defect or required inpatient hospitalization or led to prolongation of hospitalization. (NCT02588261)
Timeframe: From first dose of study drug up to 30 days after last dose of study drug taken up to data cut-off 09 May 2017
Intervention | participants (Number) |
---|
| TEAE | Drug-Related TEAE | Serious TEAE | Drug-Related Serious TEAE | TEAE Leading to Death | Drug-Related TEAE Leading to Death | TEAE Leading to Treatment Withdrawal | Drug-Related TEAE Leading to Treatment Withdrawal | TEAE Leading to Dose Reduction | Drug-Related TEAE Leading to Dose Reduction | TEAE Leading to Dose Interruption | Drug-Related TEAE Leading to Dose Interruption | Death |
---|
ASP8273 | 251 | 235 | 84 | 46 | 14 | 1 | 39 | 27 | 51 | 51 | 95 | 83 | 39 |
,Erlotinib or Gefitinib | 261 | 246 | 67 | 18 | 17 | 1 | 28 | 17 | 51 | 50 | 74 | 55 | 35 |
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European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC-QLQ-C30)
EORTC-QLQ-LC30 is a 30-item cancer-specific questionnaire with multitrait scaling was used to create five functional domain scales: Physical, Role, Emotional, Social and Cognitive; two items evaluate global QoL; in addition, three symptom scales assess Fatigue, Pain and Emesis; and six single items assess other symptoms. The total score ranges from 0 to 100, with a high score for a functional scale representing a high/healthy level of functioning and a high score for a symptom scale or item representing a high level of symptomatology or problems. (NCT02588261)
Timeframe: Day 1 of each cycle up to data cut off 09 May 2017 (approximately 15 months)
Intervention | units on a scale (Mean) |
---|
ASP8273 | 53.77 |
Erlotinib or Gefitinib | 52.01 |
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Duration of Response (DOR)
DOR was defined as the time from the date of the first response CR/PR (whichever was first recorded) as assessed by IRR to the date of radiographical progression or date of censoring. If a participant had not progressed, the participant was censored at the date of last radiological assessment or at the date of first CR/PR if no post-baseline radiological assessment was available. Results are based Kaplan-Meier estimate. (NCT02588261)
Timeframe: From date of first response up to data cut-off date 09 May 2017 (approximately 15 months)
Intervention | months (Median) |
---|
ASP8273 | 9.17 |
Erlotinib or Gefitinib | 9.03 |
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European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 (EORTC-QLQ-LC13)
The EORTC-QLQ-LC13 is a validated module of the EORTC-QLQ-Core 30, which includes module items that evaluate symptoms such as cough, hemoptysis, shortness of breath, sore mouth or tongue, dysphagia, tingling hands or feet, hair loss and pain. The total score for the questionnaire ranges from 0 to 100. A high score for a functional scale represents a high/healthy level of functioning whereas a high score for a symptom scale or item represents a high level of symptomatology or problems. (NCT02588261)
Timeframe: Day 1 of each cycle up to data cut off 09 May 2017 (approximately 15 months)
Intervention | units on a scale (Mean) |
---|
ASP8273 | 18.93 |
Erlotinib or Gefitinib | 18.78 |
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Functional Assessment of Cancer Therapy - EGFR Inhibitors Subscale (FACT-EGFRI-18) Questionnaire
"ACT-EGFRI-18 is an 18-item Likert-scaled questionnaire, used to assess the effect of EGFR inhibitors on quality of life (QoL). The questionnaire is arranged in three HRQL dimensions: physical (seven items), social/emotional (six items), and functional well-being (five items). The response scores ranged from 0 to 4, and the response categories include not at all, a little bit, somewhat, quite a bit, and very much. Negatively worded items (e.g., My skin bleeds easily or My skin condition affects my mood) are reverse-scored, so that participants who experience a higher impact of symptom burden on HRQL receive a lower score (range 0-72)." (NCT02588261)
Timeframe: Day 1 of each cycle up to data cut off 09 May 2017 (approximately 15 months)
Intervention | units on a scale (Mean) |
---|
ASP8273 | 2.79 |
Erlotinib or Gefitinib | 9.34 |
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Percentage of Deaths
All events of death after the first study drug administration were included. (NCT02588261)
Timeframe: From date of randomization up to data cut-off date 21 Dec 2017 (approximately 22 months)
Intervention | percentage of participants (Number) |
---|
ASP8273 | 14.7 |
Erlotinib or Gefitinib | 13.4 |
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Percentage of Participants With Disease Control
Percentage of participants with disease control was defined as the proportion of participants whose best overall response was rated as CR, PR or stable disease (SD) among all analyzed participants based on RECIST V1.1. CR was defined as disappearance of all target and nontarget lesions. Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to < 10 mm from baseline measurement. PR was defined as at least a 30% decrease in the sum of diameters (longest for nonnodal lesions, short axis for nodal lesions) of target lesions taking as reference to the baseline sum of diameters. SD was defined as neither sufficient decrease to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference the smallest sum of diameters while on study drug. (NCT02588261)
Timeframe: From date of first dose of study drug up to data cut-off date 09 May 2017 (approximately 15 months)
Intervention | percentage of participants (Number) |
---|
ASP8273 | 62.2 |
Erlotinib or Gefitinib | 66.2 |
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Percentage of Participants With Best Overall Response
Percentage of participants with best overall response of complete remission (CR), partial remission (PR), stable disease (SD), or progressive disease (PD) according to Response Evaluation Criteria in Solid Tumors (RECIST) were reported. Per RECIST Version 1.1: CR was defined as complete disappearance of all target lesions and non-target disease. All nodes, both target and non-target, must decrease to normal (short axis less than [<] 10 millimeter [mm]). No new lesions. PR was defined as greater than or equal to (>=) 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. PD was defined as at least 20% increase in the sum of diameters of target lesions, or unequivocal progression of existing non-target lesions. SD was defined as not qualifying for CR, PR, PD. (NCT02595450)
Timeframe: Up to 6 years
Intervention | percentage of participants (Number) |
---|
| CR | PR | SD | PD |
---|
Erlotinib | 0.92 | 15.14 | 63.76 | 12.39 |
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Progression-free Survival (PFS) Time
Time from the first dose of study treatment to the first documentation of objective tumor progression or to death due to any cause, whichever occurs first. Progression was defined as at least 20 percent (%) increase in the sum of diameters of target lesions, or unequivocal progression of existing non-target lesions. Kaplan-Meier estimates were used for calculating PFS. (NCT02595450)
Timeframe: Up to 6 years
Intervention | months (Median) |
---|
Erlotinib | 4.87 |
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Overall Survival (OS) Time
Time from the start of study treatment to date of death due to any cause. Kaplan-Meier estimates were used for calculating OS. (NCT02595450)
Timeframe: Up to 6 years
Intervention | months (Median) |
---|
Erlotinib | NA |
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European Organisation for Research and Treatment of Cancer (EORTC) 30-Item Quality of Life Questionnaire (QLQ-C30) Item Scores
"The QLQ-C30 is a 30-item questionnaire that assesses physical (Questions 1-5), role (Questions 6-7), emotional (Questions 21-24), cognitive (Questions 20 and 25), and social (Questions 26-27) functional domains as well as global health status (Questions 29-30) and several symptoms including fatigue (Questions 10, 12, and 18), pain (Questions 9 and 19), nausea/vomiting (Questions 14-15), dyspnea (Question 8), appetite loss (Question 13), insomnia (Question 11), constipation/diarrhea (Questions 16-17), and financial difficulties (Question 28). Questions 1 to 28 were assessed on a 4-point scale from 1 (no/not at all) to 4 (very much) where higher scores represented worse symptoms. Questions 29 and 30 were assessed on a 7-point scale from 1 (very poor) to 7 (excellent) where higher scores represented better functioning. Item scores over the study period were averaged among all participants across all visits for which data were available." (NCT02694536)
Timeframe: Up to approximately 40 months (assessed at Baseline, every 4 weeks during treatment, and end of study)
Intervention | units on a scale (Mean) |
---|
| Q1: Trouble in strenuous activities (n=256) | Q2: Trouble with long walk (n=259) | Q3: Trouble with short walk (n=258) | Q4: Need to say in bed or chair (n=255) | Q5: Need help in daily activities (n=259) | Q6: Limited in doing work/daily activities (n=257) | Q7: Limited in pursuing hobbies (n=255) | Q8: Short of breath (n=258) | Q9: Pain (n=257) | Q10: Need to rest (n=255) | Q11: Trouble sleeping (n=257) | Q12: Felt weak (n=255) | Q13: Lacked appetite (n=257) | Q14: Felt nauseated (n=257) | Q15: Vomited (n=259) | Q16: Constipated (n=259) | Q17: Diarrhea (n=259) | Q18: Tired (n=255) | Q19: Pain interference with daily activity (n=256) | Q20: Difficulty concentrating (n=257) | Q21: Felt tense (n=256) | Q22: Worried (n=253) | Q23: Felt irritable (n=258) | Q24: Felt depressed (n=258) | Q25: Difficulty remembering things (n=257) | Q26: Interference with family life (n=257) | Q27: Interference with social activities (n=257) | Q28: Financial difficulties (n=258) | Q29: Overall health (n=255) | Q30: Overall quality of life (n=255) |
---|
Erlotinib + Gemcitabine | 1.96 | 2.03 | 1.50 | 1.87 | 1.21 | 1.82 | 1.73 | 1.38 | 1.88 | 2.05 | 1.74 | 2.05 | 1.70 | 1.48 | 1.10 | 1.51 | 1.27 | 2.07 | 1.69 | 1.49 | 1.97 | 2.10 | 1.75 | 1.67 | 1.44 | 1.59 | 1.62 | 1.32 | 4.44 | 4.38 |
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Overall Survival (OS)
OS was defined as the time from start of treatment to time of death from any cause. Participants who had not died at the time of final analysis were censored at the date of last contact. OS was estimated by Kaplan-Meier methodology and expressed in months. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed continuously through end of study)
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine | 7.49 |
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Percentage of Participants Who Died
The percentage of participants who died from any cause was reported to the nearest integer. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed continuously through end of study)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 73 |
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Percentage of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence and which did not necessarily have a causal relationship with treatment. The percentage of participants who experienced at least 1 AE was reported. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed continuously during treatment)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 78.8 |
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Percentage of Participants With Death or Disease Progression According to Response Evaluation Criteria in Solid Tumors (RECIST)
Tumor assessments were performed using RECIST. Disease progression was defined as greater than or equal to (≥) 20 percent (%) increase in sum of longest diameters (LD) of target lesions in reference to smallest sum of LD on study. The percentage of participants who died or demonstrated disease progression was reported to the nearest integer. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed at Baseline, every 8 weeks during treatment, and end of study)
Intervention | percentage of participants (Number) |
---|
Erlotinib + Gemcitabine | 88 |
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Progression-Free Survival (PFS) According to RECIST
Tumor assessments were performed using RECIST. PFS was defined as the time from treatment start to the time of death or disease progression. Disease progression was defined as ≥20% increase in sum of LD of target lesions in reference to smallest sum of LD on study. PFS was estimated by Kaplan-Meier methodology and expressed in months. (NCT02694536)
Timeframe: Up to approximately 40 months (assessed at Baseline, every 8 weeks during treatment, and end of study)
Intervention | months (Median) |
---|
Erlotinib + Gemcitabine | 4.864 |
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Positive Predictive Value (PPV) And False Negative Rate Of Plasma Genotyping
Concordance between results of plasma genotyping and tumor genotyping, among patients with tissue available for standard genotyping (NCT02770014)
Timeframe: PPV and False Negative Rate can be assessed when plasma and tissue results are available for each patient; average plasma result turnaround time was 4 days, versus average of 20 days for tissue result turnaround time.
Intervention | percentage (Number) |
---|
| Positive Predictive Value | False Negative Rate |
---|
Participants With Plasma Genotyping | 100 | 30 |
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Turnaround Time
The turnaround time from study registration to treatment initiation was recorded for the plasma genotyping strategy versus standard tumor genotyping. For rapid plasma genotyping, turnaround time is the time between ordering plasma genotyping and obtaining results; this time period was compared to the turnaround time of obtaining the tumor genotyping results. (NCT02770014)
Timeframe: Maximum 38 days
Intervention | days (Median) |
---|
| Turnaround Time: Plasma Genotyping | Turnaround Time: Tumor Genotyping |
---|
Participants With Plasma Genotyping | 4 | 20 |
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Overall Response Rate
Number of participants who were alive with evidence of complete or partial response, evaluated using RECIST 1.1 criteria. Patients that underwent rapid plasma genotyping and had an EGFR mutation and who were treated with erlotinib were included in this calculation. (NCT02770014)
Timeframe: From date of erlotinib initiation until the date of first documented disease progression or date of death from any cause, whichever came first. ORR was assessed up to 21 months after erlotinib initiation.
Intervention | Participants (Count of Participants) |
---|
EGFR Exon 19 Positive Treatment With Erlotinib | 4 |
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Number of Epidermal Growth Factor Receptor (EGFR) Mutation Participants Who Achieved Clinical Benefit
Affymetrix gene expression profiles were primarily analyzed to identify differentially expressed genes between the participants who derived clinical benefit status and those who did not. Analysis was performed using a multivariate linear model (with clinical benefit status, histology, ethnicity, sex, RNA integrity number (RIN), smoking status and stage as predictors), and a False Discovery Rate criteria of below 0.3 as cut-off. Number of participants with EGFR mutation (L858R/ exon 19 deletion) and who achieved clinical benefit status was reported. Clinical benefit is defined in the Outcome Measure 5. (NCT02774278)
Timeframe: Baseline until disease progression, unacceptable toxicity or death, evaluated up to 4 years
Intervention | participants (Number) |
---|
Erlotinib | 6 |
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Percentage of Participants With Clinical Benefit (CR, PR, or Stable Disease [SD] for at Least 12 Weeks After Study Entry) Using RECIST
Clinical benefit was defined as either a CR, PR, or SD prior to failure (disease progression, death from any cause, or a second malignancy). CR: complete disappearance on magnetic response imaging of all enhancing tumor and mass effect on a stable or decreasing dose of dexamethasone (or only receiving adrenal replacement doses) accompanied by a stable or improving neurologic examination that was maintained for at least 12 weeks. PR: greater than or equal to 50% reduction in tumor size by bi-dimensional measurement on a stable or decreasing dose of dexamethasone accompanied by a stable or improving neurologic examination that was maintained for at least 12 weeks. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) taking as reference smallest sum of longest dimensions since treatment started associated to non-progressive disease response for non-target lesions. PD: unequivocal progression of existing non-target lesions. (NCT02774278)
Timeframe: Baseline until disease progression, unacceptable toxicity or death, evaluated up to 4 years
Intervention | percentage of participants (Number) |
---|
Erlotinib | 31.4 |
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Percentage of Participants With Overall Response of Complete Response (CR) or Partial Response (PR) Using Response Evaluation Criteria in Solid Tumors (RECIST)
Tumor response was defined as either a CR or a PR prior to failure (disease progression, death from any cause, or a second malignancy). CR was defined as the complete disappearance on magnetic response imaging of all enhancing tumor and mass effect on a stable or decreasing dose of dexamethasone (or only receiving adrenal replacement doses) accompanied by a stable or improving neurologic examination that was maintained for at least 12 weeks. PR was defined as a greater than or equal to 50 percent (%) reduction in tumor size by bi-dimensional measurement on a stable or decreasing dose of dexamethasone accompanied by a stable or improving neurologic examination that was maintained for at least 12 weeks. (NCT02774278)
Timeframe: Baseline until disease progression, unacceptable toxicity or death, evaluated up to 4 years
Intervention | percentage of participants (Number) |
---|
Erlotinib | 15.2 |
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Number of KRAS Mutation Participants Who Achieved Clinical Benefit
Affymetrix gene expression profiles were primarily analyzed to identify differentially expressed genes between the participants who derived clinical benefit status and those who did not. Analysis was performed using a multivariate linear model (with clinical benefit status, histology, ethnicity, sex, RNA integrity number (RIN), smoking status and stage as predictors), and a False Discovery Rate criteria of below 0.3 as cut-off. Number of participants with KRAS gene mutation and who achieved clinical benefit status was reported. Clinical benefit is defined in the Outcome Measure 5. (NCT02774278)
Timeframe: Baseline until disease progression, unacceptable toxicity or death, evaluated up to 4 years
Intervention | participants (Number) |
---|
Erlotinib | 4 |
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Number of Differentially Expressed Genes Associated With Clinical Benefit
Affymetrix gene expression profiles were primarily analyzed to identify differentially expressed genes between the participants who derived clinical benefit status and those who did not. Analysis was performed using a multivariate linear model (with clinical benefit status, histology, ethnicity, sex, RNA integrity number (RIN), smoking status and stage as predictors), and a False Discovery Rate criteria of below 0.3 as cut-off. Clinical benefit is defined in the Outcome Measure 5. (NCT02774278)
Timeframe: Baseline until disease progression, unacceptable toxicity or death, evaluated up to 4 years
Intervention | genes (Number) |
---|
Erlotinib | 0 |
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Mean Percent Change in Duodenal Polyp Burden
Assessed by esophagogastroduodenoscopy, the mean percent change was calculated by subtracting the sum of diameters from all polyps at baseline from the sum of diameters of all polyps at 6 months, then dividing by the sum of diameters from all polyps at baseline and multiplying by 100. (NCT02961374)
Timeframe: Baseline to 6 months post-intervention
Intervention | percent change in Duodenal Polyp Burden (Mean) |
---|
Treatment (Erlotinib Hydrochloride) | -29.6 |
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Percent Change in Lower Gastrointestinal Polyp Number
Lower GI polyp number was defined using the Pouch Exam form as either 1) the number of polyps reported for pouch for participants with IPAA, or 2) the number of polyps reported for rectum for participants with IRA + rectal stump. (NCT02961374)
Timeframe: Baseline to 6 months
Intervention | percent change in polyp number (Median) |
---|
Treatment (Erlotinib Hydrochloride) | -30.8 |
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Absolute Change in Lower Gastrointestinal Polyp Burden
Lower GI polyp burden was defined using the Pouch Exam form as either 1) the average diameter reported for pouch for participants with ileal pouch-anal anastomosis (IPAA), or 2) the average diameter reported for rectum for participants with ileorectal anastomosis (IRA) + rectal stump. Absolute change from baseline to month 6 are reported here. (NCT02961374)
Timeframe: Baseline to 6 months
Intervention | polyps (Median) |
---|
Treatment (Erlotinib Hydrochloride) | 0 |
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Absolute Change in Lower Gastrointestinal Polyp Number
Lower GI polyp number was defined using the Pouch Exam form as either 1) the number of polyps reported for pouch for participants with ileal pouch-anal anastomosis (IPAA), or 2) the number of polyps reported for rectum for participants with ileorectal anastomosis (IRA) + rectal stump. Absolute change from baseline to month 6 are reported here. (NCT02961374)
Timeframe: Baseline to 6 months
Intervention | Change in the polyp number (Median) |
---|
Treatment (Erlotinib Hydrochloride) | -6 |
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Change in Duodenal Polyp Number
The number of duodenal polyps at baseline and the number of polyps remaining after 6 months of treatment will collected. The change in duodenal polyp number will be calculated for each patient by subtracting the baseline number of polyps from the 6 month number. Therefore a negative value indicates a decrease in the number of polyps present after 6 months. The median difference and standard deviation is reported. (NCT02961374)
Timeframe: Baseline to 6 months
Intervention | polyps (Median) |
---|
Treatment (Erlotinib Hydrochloride) | -12.8 |
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Number of Participants With Any Adverse Events
Assessed according to NCI CTCAE version 4.0. All registered and treated participants will be evaluable for AEs from the time of their first dose of weekly erlotinib treatment. To evaluate the AE profile for this treatment, the maximum grade for each type of adverse event will be recorded for each participant and frequency tables will be reviewed to determine the overall patterns. The number of patients reporting a grade 1 or higher adverse event at least possibly related to treatment are reported. (NCT02961374)
Timeframe: Up to 7 months from registration
Intervention | Participants (Count of Participants) |
---|
Treatment (Erlotinib Hydrochloride) | 41 |
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Number of Participants With Grade 2/3 Adverse Event (AE)
Assessed according to National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. The number of patients reporting a grade 2 or higher event are reported. (NCT02961374)
Timeframe: Up to 7 months from registration
Intervention | Participants (Count of Participants) |
---|
Treatment (Erlotinib Hydrochloride) | 33 |
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Percent Change in Lower Gastrointestinal Polyp Burden
Lower GI polyp burden was defined using the Pouch Exam form as either 1) the average diameter reported for pouch for participants with ileal pouch-anal anastomosis (IPAA), or 2) the average diameter reported for rectum for participants with ileorectal anastomosis (IRA) + rectal stump. The percent change from baseline to month 6 are reported here. (NCT02961374)
Timeframe: Baseline to 6 months
Intervention | Percent change in polyp burden (Median) |
---|
Treatment (Erlotinib Hydrochloride) | 0 |
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Participants Response Rate
Response and progression of disease will be evaluated in this study using interval imaging every 8 weeks with CT scan of the chest and imaging of any other target lesion with response evaluated by RECIST 1.1. (NCT03076164)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Stable Disease | Progression of disease | Not Entered | Partial Response |
---|
Trametinib 1.5mg + Erlotinib 75mg | 11 | 4 | 8 | 1 |
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Number of Participants Evaluated for Toxicities
Safety and tolerability will be evaluated by systematic and regular toxicity evaluations. Toxicity will be graded according to NCI CTCAE version 4.0. (NCT03076164)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
Trametinib 1.5mg + Erlotinib 75mg | 24 |
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Overall Survival
Duration of time from the start of treatment to time of death due to any causes. Patients who do not die will be censored on their last known alive date. Kaplan-Meier methods will be used and the median and 95% confidence intervals will be calculated. (NCT03213626)
Timeframe: 2 years
Intervention | months (Median) |
---|
Cabozantinib + Erlotinib | 7.7 |
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Progression Free Survival
Duration of time from the start of treatment to time of documented progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Patients who do not progress or die will be censored on their last evaluation date. Kaplan-Meier methods will be used and the median and 95% confidence intervals will be calculated. (NCT03213626)
Timeframe: 2 years
Intervention | months (Median) |
---|
Cabozantinib + Erlotinib | 1.8 |
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Objective (Radiographic) Response
Percent of patients with Objective response and the Binomial Exact 95% confidence interval. Objective response is defined as having a best response of Complete Response (defined as disappearance of all target lesions and any pathological lymph nodes must have reduction in short axis to <10mm) or Partial Response (defined as at least a 30% decrease in the sum of diameters of target lesions from the baseline sum diameters) by RECIST v1.1 criteria. (NCT03213626)
Timeframe: 8 weeks
Intervention | percentage of participants (Number) |
---|
Cabozantinib + Erlotinib | 0 |
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Disease Control Rate
Percent of patients achieving disease control and the Binomial Exact 95% confidence interval. Disease control is defined as having a best response of Complete Response (defined as disappearance of all target lesions and any pathological lymph nodes must have reduction in short axis to <10mm) or Partial Response (defined as at least a 30% decrease in the sum of diameters of target lesions from the baseline sum diameters) or Stable Disease for at least 4 months (defined by neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progression) by RECIST v1.1 criteria. (NCT03213626)
Timeframe: 8 weeks
Intervention | percentage of participants (Number) |
---|
Cabozantinib + Erlotinib | 0 |
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Phase 1: Pharmacokinetics (PK): Average Concentration of LY3499446
Average concentration after the first dose of LY3499446. (NCT04165031)
Timeframe: Cycle 1 Day 1: Predose, 0.5, 1, 1.5, 2, 3, 4, 8, 24 hours post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
LY3499446 Phase 1 Cohort A1 (High Dose) | NA |
LY3499446 Phase 1 Cohort AO (Mid Dose) | NA |
LY3499446 Phase 1 Cohort A-2 (Low Dose) | NA |
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Phase 1: Number or Participants With Dose Limiting Toxicities (DLTs)
DLT is defined as an event that is clinically significant and not clearly related to disease progression or intercurrent illness that occurred within the DLT observation period of the Cycle 1 timeframe. (NCT04165031)
Timeframe: Cycle 1 (21 Day Cycle)
Intervention | Participants (Count of Participants) |
---|
LY3499446 Phase 1 Cohort A1 (High Dose) | 2 |
LY3499446 Phase 1 Cohort AO (Mid Dose) | 1 |
LY3499446 Phase 1 Cohort A-2 (Low Dose) | 1 |
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Uncommon Mutation Cohort: Time on Treatment Until Failure of Second-line (TTF2)
Time on treatment until failure of second-line (TTF2), defined as time elapsed from start of first-line treatment (regardless the type of treatment) to stop of second-line (regardless of the type of treatment) or death by any cause is reported. Kaplan-Meier estimates of quartiles of time to second-line treatment failure were computed (with their 95% Confidence Intervals, using Greenwood's variance estimate). (NCT04179890)
Timeframe: From start of first-line treatment to stop of second-line or death by any cause, up to 13 years.
Intervention | Months (Median) |
---|
Uncommon EGFR Mutation Cohort | 14.46 |
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Uncommon Epidermal Growth Factor Receptor (EGFR) Mutation Cohort: Overall Response Rate to Index Line Treatment
"Overall response rate (ORR) using RECIST criteria as assessed by investigator. ORR to index line Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor (EGFR-TKI) treatment is reported (ORR is defined as number of patients with complete or partial response evaluated by Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1)).~(Per RECIST 1.1: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR)." (NCT04179890)
Timeframe: Up to 13 years.
Intervention | Participants (Count of Participants) |
---|
Uncommon EGFR Mutation Cohort | 96 |
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Number of Participants for Each Type of Biological Samples Used for Mutation Detection at First Line Treatment Start
"Number of participants for each type of biological samples used for mutation detection at first line treatment start is reported.~The reported types of biological samples are:~Tissue, histological sample (solid biopsy);~Cytological sample;~Blood (liquid biopsy);~Other and~Unknown." (NCT04179890)
Timeframe: At first-line treatment start (i.e. between 2007 and 2019 for the Uncommon Epidermal Growth Factor Receptor (EGFR) mutation cohort and between 2014 and 2018 for Sequencing Cohort).
Intervention | Participants (Count of Participants) |
---|
| Tissue, Histological sample (solid biopsy) | Cytological sample | Blood (liquid biopsy) | Other | Unknown |
---|
Sequencing Cohort | 160 | 19 | 6 | 2 | 6 |
,Uncommon EGFR Mutation Cohort | 212 | 32 | 3 | 2 | 3 |
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Uncommon Mutation Cohort: Number of Participants for Each Type of Methodology Used for Mutation Detection at Index Therapy Start
"Number of participants for each type of methodology used for mutation detection at index therapy start is reported. Index therapy refers to therapy switch from first-line chemotherapy to second-line Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor (EGFR-TKI) therapy (index line).~The reported categories of methodology are:~Amplification Refractory Mutation System (ARMS),~Polymerase chain reaction based techniques (PCR-based techniques),~Sequencing,~Next-Generation Sequencing (NGS),~Unknown." (NCT04179890)
Timeframe: Up to 13 years.
Intervention | Participants (Count of Participants) |
---|
| Amplification Refractory Mutation System (ARMS) | PCR-based techniques | Sequencing | Next-Generation Sequencing (NGS) | Unknown |
---|
Uncommon EGFR Mutation Cohort | 4 | 146 | 34 | 18 | 41 |
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Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Second Line Treatment Stop/End of Observation
"Number of participants for each type of biological samples used for mutation detection at second line treatment stop/end of observation is reported.~The reported categories of biological samples are:~Tissue, Histological sample (solid biopsy);~Cytological sample;~Blood (liquid biopsy);~Other." (NCT04179890)
Timeframe: At second-line treatment start (i.e. between 2007 and 16-Jul-2020 for Uncommon Epidermal Growth Factor Receptor (EGFR) mutation cohort and between 2014 and 23-Oct-2020 for the Sequencing Cohort).
Intervention | Participants (Count of Participants) |
---|
| Tissue, Histological sample (solid biopsy) | Blood (liquid biopsy) | Other | Cytological sample |
---|
Sequencing Cohort | 9 | 9 | 0 | 1 |
,Uncommon EGFR Mutation Cohort | 5 | 4 | 1 | 0 |
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Uncommon Mutation Cohort: Number of Participants for Each Type of Methodology Used for Mutation Detection at Start of First-line Chemotherapy Before Index Line
"Number of participants for each type of methodology used for mutation detection at start of first-line chemotherapy before index line is reported.~The reported types of methodologies are:~PCR-based techniques;~Sequencing;~Next-Generation Sequencing (NGS);~Unknown.~Index therapy refers to therapy switch from first-line chemotherapy to second-line Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor (EGFR-TKI) therapy (index line)." (NCT04179890)
Timeframe: At start of first-line chemotherapy before index line (i.e. between 2007 and 2019).
Intervention | Participants (Count of Participants) |
---|
| PCR-based techniques | Sequencing | Next-Generation Sequencing (NGS) | Unknown |
---|
Uncommon EGFR Mutation Cohort | 9 | 5 | 2 | 1 |
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Time on Treatment With Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI)
"Uncommon Mutation Cohort: Time on treatment with EGFR-TKI assessed as the time from start of EGFR-TKI treatment until the end of treatment or death by any cause is reported.~Common mutation cohort: Time on treatment with EGFR-TKI assessed as the time from start of afatinib (Gi(l)otrif®) as first-line treatment until the end of the second line treatment (the last dose of osimertinib) or death date by any cause.~Time on treatment was analysed using Kaplan-Meier method, and the median was tabulated along with two-sided 95% confidence interval using the Greenwood's variance estimate." (NCT04179890)
Timeframe: Up to 13 years for Uncommon EGFR mutation cohort and up to 6 years for the Sequencing Cohort.
Intervention | Months (Median) |
---|
Uncommon EGFR Mutation Cohort | 9.89 |
Sequencing Cohort | 27.7 |
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Uncommon Mutation Cohort: Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Start of First-line Chemotherapy Before Index Line
"Number of participants for each type of biological samples used for mutation detection at start of first-line chemotherapy before index line is reported. Index therapy refers to therapy switch from first-line chemotherapy to second-line Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor (EGFR-TKI) therapy (index line).~The reported types of biological samples are:~Tissue, Histological sample (solid biopsy);~Cytological sample, Blood (liquid biopsy)." (NCT04179890)
Timeframe: At start of first-line chemotherapy before index line (i.e. between 2007 and 2019).
Intervention | Participants (Count of Participants) |
---|
| Tissue, Histological sample (solid biopsy) | Cytological sample | Blood (liquid biopsy) |
---|
Uncommon EGFR Mutation Cohort | 13 | 3 | 1 |
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Number of Participants for Each Type of Methodology Used for Mutational Testing at Second-line Treatment Start
"Number of participants for each type of methodology used for mutational testing at second-line treatment start is reported.~The reported types of methodologies are:~Amplification Refractory Mutation System (ARMS);~Polymerase Chain Reaction (PCR)-based techniques;~Sequencing;~Next-Generation Sequencing (NGS);~Other;~Unknown/Not applicable- Clinical evaluation." (NCT04179890)
Timeframe: At second-line treatment start (i.e. between 2007 and 16-Jul-2020 for Uncommon Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor (EGFR) mutation cohort and between 2014 and 23-Oct-2020 for the Sequencing Cohort).
Intervention | Participants (Count of Participants) |
---|
| PCR-based techniques | Sequencing | Next-Generation Sequencing (NGS) | Unknown/Not applicable- Clinical evaluation | Amplification Refractory Mutation System (ARMS) | Other |
---|
Sequencing Cohort | 121 | 2 | 13 | 51 | 3 | 1 |
,Uncommon EGFR Mutation Cohort | 23 | 2 | 3 | 6 | 0 | 0 |
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Number of Participants for Each Type of Methodology Used for Mutational Testing at Second-line Treatment Stop/End of Observation
"Number of participants for each type of methodology used for mutational testing is reported.~The reported types of methodologies are:~Polymerase Chain Reaction (PCR)-based techniques;~Next-Generation Sequencing (NGS);~Unknown." (NCT04179890)
Timeframe: At second-line treatment stop/end of observation (i.e. between 2007 and 16-Jul-2020 for Uncommon Epidermal Growth Factor Receptor (EGFR) mutation cohort and between 2014 and 23-Oct-2020 for the Sequencing Cohort).
Intervention | Participants (Count of Participants) |
---|
| PCR-based techniques | Next-Generation Sequencing (NGS) | Unknown |
---|
Sequencing Cohort | 11 | 2 | 3 |
,Uncommon EGFR Mutation Cohort | 7 | 2 | 1 |
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Uncommon Cohort: Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Index Therapy Start
"Number of participants for each type of biological samples used for mutation detection at index therapy start (index therapy refers to therapy switch from first-line chemotherapy to second-line Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor (EGFR-TKI) therapy (index line)) is reported.~The reported categories of biological samples are:~Tissue, Histological sample (solid biopsy);~Cytological sample;~Blood (liquid biopsy);~Other and~Unknown." (NCT04179890)
Timeframe: Up to 13 years.
Intervention | Participants (Count of Participants) |
---|
| Tissue, Histological sample (solid biopsy) | Cytological sample | Blood (liquid biopsy) | Other | Unknown |
---|
Uncommon EGFR Mutation Cohort | 199 | 29 | 2 | 2 | 3 |
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Number of Participants for Each Category of Methodology Used for Mutational Testing at First Line Treatment Start
"Number of participants for each type of methodologies used for mutational testing is reported.~The reported types of methodology are:~Amplification Refractory Mutation System (ARMS);~Polymerase Chain reactions (PCR)-based techniques;~Sequencing;~Next-Generation Sequencing (NGS);~Other;~Unknown." (NCT04179890)
Timeframe: At first-line treatment start (i.e. between 2007 and 2019 for the Uncommon Epidermal Growth Factor Receptor (EGFR) mutation cohort and between 2014 and 2018 for the Sequencing Cohort).
Intervention | Participants (Count of Participants) |
---|
| Amplification Refractory Mutation System (ARMS) | PCR-based techniques | Sequencing | Next-Generation Sequencing (NGS) | Unknown | Other |
---|
Sequencing Cohort | 4 | 122 | 15 | 8 | 41 | 1 |
,Uncommon EGFR Mutation Cohort | 4 | 155 | 39 | 20 | 42 | 0 |
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Overall Survival
Uncommon Mutation Cohort: Overall survival since index line treatment start of Tyrosine Kinase Inhibitor (TKI) medication administered per generation until death date by any cause or the end of index line is reported. Sequencing cohort: Overall survival for since first-line afatinib treatment start until death date by any cause or the end of index line. Kaplan-Meier estimates of quartiles of time to death were computed (with their 95% Confidence Intervals, using Greenwood's variance estimate. (NCT04179890)
Timeframe: Up to 13 years for Uncommon EGFR mutation cohort and up to 6 years for the Sequencing Cohort.
Intervention | Months (Median) |
---|
Uncommon EGFR Mutation Cohort | 24.44 |
Sequencing Cohort | 36.50 |
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Sequencing Cohort: Overall Response Rate to First Line Afatinib
"Overall response rate (ORR) using RECIST criteria as assessed by investigator. Overall response rate to first line afatinib treatment for the Common Epidermal Growth Factor Receptor (EGFR) mutation cohort is reported. (ORR is defined as number of patients with complete or partial response evaluated by Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1)).~(Per RECIST 1.1: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR)." (NCT04179890)
Timeframe: Up to 6 years.
Intervention | Participants (Count of Participants) |
---|
Sequencing Cohort | 131 |
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Sequencing Cohort: Overall Response Rate to Second-line Treatment Osimertinib
"Overall response rate (ORR) using RECIST criteria as assessed by investigator. Overall response rate to second-line treatment (Osimertinib) is reported. (ORR is defined as number of patients with complete or partial response evaluated by Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1)).~(Per RECIST 1.1: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR)." (NCT04179890)
Timeframe: Up to 6 years.
Intervention | Participants (Count of Participants) |
---|
Sequencing Cohort | 75 |
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Number of Participants for Each Type of Biological Samples Used for Mutation Detection at Second Line Treatment Start
"Number of participants for each type of biological samples used for mutation detection at second line treatment start is reported.~The reported types of biological samples are:~Tissue, Histological sample (solid biopsy);~Cytological sample;~Blood (liquid biopsy);~Not applicable-Clinical evaluation;~Other;~Unknown. Not applicable - Clinical evaluation: The uncommon Epidermal Growth Factor Receptor (EGFR) mutational status had become available after Progression on conventional second-line therapy. Erlotinib was given as state of the art second-line therapy in 2014, and an EGFR mutation was clinically suspected due to the Long-Lasting response. However, due to the unavailability of tumor tissue, this could be proven only after liquid biopsy had subsequently become available at the center in 2016.~For the Sequencing cohort second-line treatment start is initiated by the beginning of the therapy with Osimertinib." (NCT04179890)
Timeframe: "At second-line treatment start (i.e. between 2007 and 16-Jul-2020 for Uncommon EGFR mutation cohort and between 2014 and 23-Oct-2020 for the Sequencing Cohort"
Intervention | Participants (Count of Participants) |
---|
| Tissue, Histological sample (solid biopsy) | Cytological sample | Blood (liquid biopsy) | Not applicable - Clinical evaluation | Other | Unknown |
---|
Sequencing Cohort | 93 | 18 | 57 | 0 | 7 | 19 |
,Uncommon EGFR Mutation Cohort | 22 | 3 | 8 | 1 | 0 | 0 |
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