Trial | Phase | Enrollment | Study Type | Start Date | Status |
A Phase 1 Dose-Escalation Study to Examine the Safety and Tolerability of IC83/LY2603618 Administered After Pemetrexed 500 mg/m2 Every 21 Days in Patients With Cancer [NCT00415636] | Phase 1 | 31 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Single-Arm, Multicenter, Open-Label, Phase 2 Study of Pemetrexed/Cisplatin Chemotherapy for Patients With Metastatic/Recurrent Soft Tissue Sarcoma in 4- Independent Histologic Subtypes [NCT04605770] | Phase 2 | 164 participants (Anticipated) | Interventional | 2020-12-22 | Recruiting |
A Phase II/III Study of N-803 (ALT-803) Plus Pembrolizumab Versus Standard of Care in Participants With Stage IV or Recurrent Non-Small Cell Lung Cancer Previously Treated With Anti-PD-1 or Anti-PD-L1 Therapy (Lung-MAP Non-Match Sub-Study) [NCT05096663] | Phase 2/Phase 3 | 82 participants (Actual) | Interventional | 2022-03-15 | Active, not recruiting |
A Phase 3, Randomized, Global Trial of Nivolumab and Epacadostat With Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in First-line Treatment of Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) [NCT03348904] | Phase 3 | 2 participants (Actual) | Interventional | 2017-12-27 | Terminated(stopped due to Study halted prematurely and will not resume; participants are no longer being examined or receiving intervention.) |
Phase II, Randomized, Open-Label Trial of Biweekly Pemetrexed Plus Gemcitabine vs. Pemetrexed or Pemetrexed Plus Carboplatin in Relapsed Non Small Cell Lung Cancer After Neoadjuvant or Adjuvant Chemotherapy [NCT00356525] | Phase 2 | 41 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to Stopped early due to low enrollment) |
Phase I/II Trial of Gemcitabine/Pemetrexed Combination in Patients With Advanced Cutaneous T-Cell Lymphoma [NCT00369629] | Phase 1 | 14 participants (Actual) | Interventional | 2006-08-28 | Terminated(stopped due to This was planned as a phase I/II study originally, but due to a lack of funding, the phase II portion was never conducted.) |
Trial of Pemetrexed in Combined With Cisplatin for the Treatment of Advanced Breast Cancer [NCT01143974] | Phase 4 | 28 participants (Actual) | Interventional | 2010-06-30 | Completed |
Phase II Study of Pemetrexed Monotherapy in Patients With Platinum-resistant Squamous Cell Carcinoma of Head and Neck [NCT01333696] | Phase 2 | 32 participants (Anticipated) | Interventional | 2011-04-30 | Recruiting |
A Phase I/Ib Study of MEK162, a MEK Inhibitor, in Combination With Carboplatin and Pemetrexed in Patients With Non-squamous Carcinoma of the Lung [NCT02185690] | Phase 1 | 13 participants (Actual) | Interventional | 2018-01-11 | Completed |
A Randomized Phase III Trial of Chemo-Immunotherapy vs Immunotherapy Alone for the Vulnerable Older Adult With Advanced Non-Small Cell Lung Cancer: The ACHIEVE Study [NCT06096844] | Phase 3 | 304 participants (Anticipated) | Interventional | 2024-02-16 | Not yet recruiting |
A Randomized, Open-Label, Multicenter, Phase 2, Umbrella Study to Evaluate the Preliminary Efficacy, Safety, and Pharmacodynamics of Tislelizumab Monotherapy and Multiple Tislelizumab-based Immunotherapy Combinations With and Without Chemotherapy as Neoad [NCT05577702] | Phase 2 | 120 participants (Anticipated) | Interventional | 2023-02-15 | Recruiting |
A Phase 3, Open-Label, Randomized Study of Amivantamab and Lazertinib in Combination With Platinum-Based Chemotherapy Compared With Platinum-Based Chemotherapy in Patients With EGFR-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer After O [NCT04988295] | Phase 3 | 776 participants (Actual) | Interventional | 2021-11-17 | Active, not recruiting |
A Randomized, Open-label Phase 3 Study of Combination Amivantamab and Carboplatin-Pemetrexed Therapy, Compared With Carboplatin-Pemetrexed, in Patients With EGFR Exon 20ins Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT04538664] | Phase 3 | 308 participants (Actual) | Interventional | 2020-10-13 | Active, not recruiting |
Randomized Phase III Trial of MEDI4736 (Durvalumab) as Concurrent and Consolidative Therapy or Consolidative Therapy Alone for Unresectable Stage 3 NSCLC [NCT04092283] | Phase 3 | 660 participants (Anticipated) | Interventional | 2020-04-29 | Active, not recruiting |
An Open-label Phase 1/1b Study to Evaluate the Safety and Pharmacokinetics of JNJ-73841937 (Lazertinib), a Third Generation EGFR-TKI, as Monotherapy or in Combinations With JNJ-61186372, a Human Bispecific EGFR and cMet Antibody in Participants With Advan [NCT04077463] | Phase 1 | 460 participants (Anticipated) | Interventional | 2019-09-04 | Recruiting |
A Phase 1, First-in-Human, Open-Label, Dose Escalation Study of JNJ-61186372, a Human Bispecific EGFR and cMet Antibody, in Subjects With Advanced Non-Small Cell Lung Cancer [NCT02609776] | Phase 1 | 751 participants (Actual) | Interventional | 2016-05-24 | Active, not recruiting |
A Phase I/Randomized Phase II Study of Cediranib (NSC#732208) Versus Placebo in Combination With Cisplatin and Pemetrexed in Chemonaive Patients With Malignant Pleural Mesothelioma [NCT01064648] | Phase 1/Phase 2 | 117 participants (Actual) | Interventional | 2010-03-15 | Active, not recruiting |
Open-label, Phase 2 Study of Tusamitamab Ravtansine (IBI126) Combined With Sintilimab and Tusamitamab Ravtansine (IBI126) Combined With Sintilimab Plus Platinum-based Chemotherapy and Pemetrexed in Subjects With CEACAM5 Positive Expression Advanced/Metast [NCT05849246] | Phase 2 | 130 participants (Anticipated) | Interventional | 2023-05-30 | Not yet recruiting |
Phase II Study of Concurrent Cisplatin/Pemetrexed and RT Followed by Docetaxel in Stage III NSCLC (Non Small Cell Lung Cancer) [NCT00301808] | Phase 2 | 29 participants (Actual) | Interventional | 2005-11-30 | Completed |
Study of Atezolizumab in Combination With Carboplatin + Paclitaxel +Bevacizumab vs With Pemetrexed + Cisplatin or Carboplatin With Stage IV NON-SQUAMOUS NON-SMALL CELL LUNG CANCER With EGFR(+) or ALK(+) [NCT03991403] | Phase 3 | 228 participants (Actual) | Interventional | 2019-08-27 | Active, not recruiting |
Nivolumab Plus Cisplatin/Pemetrexed or Cisplatin/Gemcitabine as Induction in Resectable Non-Small Cell Lung Cancer [NCT03366766] | Phase 2 | 14 participants (Actual) | Interventional | 2017-12-20 | Completed |
A Phase II Feasibility Study of Pleurectomy/Decortication With Intraoperative Intrathoracic/Intraperitoneal Heated Cisplatin With Sodium Thiosulfate Followed ny Adjuvant ALIMTA/Cisplatin [NCT00165503] | Phase 2 | 16 participants (Actual) | Interventional | 2004-04-30 | Terminated(stopped due to lack of acurral) |
Pembrolizumab Plus Bevacizumab and Chemotherapy as First-Line Treatment for Advanced or Metastatic Non-Squamous NSCLC Patients With EGFR Exon 20 Insertion Mutation: An Open-Label, Single-Arm, Phase II Trial [NCT05751187] | Phase 2 | 54 participants (Anticipated) | Interventional | 2023-06-27 | Recruiting |
A Pilot Window-of-opportunity Study of the Anti-PD-1 Antibody Pembrolizumab in Patients With Resectable Malignant Pleural Mesothelioma [NCT02707666] | Phase 1 | 15 participants (Anticipated) | Interventional | 2016-02-25 | Recruiting |
Phase I Dose Escalation Trial of Biweekly Alimta (With Vitamin Supplementation) in Combination With Taxotere in Advanced Solid Tumor Patients [NCT01172028] | Phase 1 | 33 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Phase IIB/III Randomized, Double-blind, Placebo Controlled Study Comparing First Line Therapy With or Without TG4010 Immunotherapy Product in Patients With Stage IV Non-Small Cell Lung Cancer (NSCLC) [NCT01383148] | Phase 2/Phase 3 | 222 participants (Actual) | Interventional | 2012-04-30 | Terminated |
Induction Pemetrexed and Cisplatin Followed by Pemetrexed as Maintenance vs Carboplatin-paclitaxel and Bevacizumab Followed by Bevacizumab as Maintenance:Multicenter Randomized Phase III Study in Patients With Advanced Non-Squamous Non Small-cell Lung Can [NCT01303926] | Phase 3 | 118 participants (Anticipated) | Interventional | 2010-01-31 | Active, not recruiting |
Clinical and Radiographic Comparison of RetroMTA, OrthoMTA And Ferric Sulfate for Pulpotomy in Primary Molars [NCT03718676] | | 32 participants (Actual) | Interventional | 2017-06-02 | Completed |
A Multicenter Phase II Trial of Neoadjuvant JS001, or JS001 in Combination With Chemotherapy in Resectable NSCLC. [NCT03623776] | Phase 2 | 80 participants (Anticipated) | Interventional | 2019-02-01 | Active, not recruiting |
Individualized Pemetrexed Dosing in Patients With Non-small Cell Lung Cancer or Mesothelioma Based on Renal Function to Improve Treatment Response [NCT03655834] | Phase 4 | 10 participants (Actual) | Interventional | 2019-02-01 | 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 |
Atezolizumab in Combination With Bevacizumab, Carboplatin and Pemetrexed for EGFR-mutant Metastatic Non-small Cell Lung Cancer Patients After Failure of EGFR Tyrosine Kinase Inhibitors: a Single Arm Phase 2 Study [NCT03647956] | Phase 2 | 40 participants (Anticipated) | Interventional | 2018-10-01 | Recruiting |
A Phase II Study of Pemetrexed in Recurrent Cervical Adenocarcinomas [NCT02868892] | Phase 2 | 6 participants (Actual) | Interventional | 2015-07-31 | Terminated(stopped due to departure of PI from institution and poor population for study participation) |
A Phase Ib/II Multicenter, Randomized, Open Label Trial to Compare Tepotinib (MSC2156119J) Combined With Gefitinib Versus Chemotherapy as Second-Line Treatment in Subjects With MET Positive, Locally Advanced or Metastatic NSCLC Harboring EGFR Mutation and [NCT01982955] | Phase 1/Phase 2 | 88 participants (Actual) | Interventional | 2013-12-23 | Completed |
A Multicenter Phase II Trial of Neoadjuvant IBI308, Bevacizumab, Plus Pemetrexed and Carboplatin Followed by Surgery in Patients With Unresectable Stage III Non-Small Cell Lung Cancer [NCT03872661] | Phase 2 | 36 participants (Anticipated) | Interventional | 2019-03-01 | Recruiting |
A Phase 3 Study of Pembrolizumab in Combination With Pemetrexed/Platinum (Carboplatin or Cisplatin) Followed by Pembrolizumab and Maintenance Olaparib vs Maintenance Pemetrexed in the First-Line Treatment of Participants With Metastatic Nonsquamous Non-Sm [NCT03976323] | Phase 3 | 1,005 participants (Actual) | Interventional | 2019-06-28 | Active, not recruiting |
Assessment of Bone Healing After MTA and PRF Application in Periapical Lesions By Using CBCT [NCT03743987] | | 36 participants (Actual) | Interventional | 2016-12-20 | Completed |
A Phase 2 Study of Icotinib With Concurrent Radiotherapy vs. Pemetrexed+ Carboplatin With Concurrent Radiotherapy in Unresectable Stage III Non-small Cell Lung Cancer With Epidermal Growth Factor Receptor ( EGFR) Mutation [NCT02407366] | Phase 2 | 80 participants (Anticipated) | Interventional | 2014-12-31 | Recruiting |
A Randomized Open-Label Phase III Trial of Pembrolizumab Versus Platinum Based Chemotherapy in 1L Subjects With PD-L1 Strong Metastatic Non-Small Cell Lung Cancer [NCT02142738] | Phase 3 | 305 participants (Actual) | Interventional | 2014-08-25 | 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 |
Exploiting Metformin Plus/Minus Cyclic Fasting Mimicking Diet (FMD) to Improve the Efficacy of First Line Chemo-immunotherapy in Advanced LKB1-inactive Lung Adenocarcinoma [NCT03709147] | Phase 2 | 64 participants (Anticipated) | Interventional | 2018-10-30 | Recruiting |
A Phase II Trial of Pemetrexed and Cisplatin or Carboplatin in Combination With TTFields (150 kHz) as First-line Treatment in Malignant Pleural Mesothelioma [NCT02397928] | Phase 2 | 82 participants (Actual) | Interventional | 2015-02-28 | Completed |
A Randomized, Double-blind, Multicenter Phase III Study of Anlotinib Hydrochloride Capsule Combined With Chemotherapy Versus Placebo Combined With Chemotherapy as First-line Treatment in Subjects With Advanced Non-squamous Cell Non-small Cell Lung Cancer [NCT04439890] | Phase 3 | 369 participants (Anticipated) | Interventional | 2019-08-08 | Recruiting |
SAMSUNG MEDICAL CENTER [NCT03110484] | Phase 2 | 44 participants (Anticipated) | Interventional | 2021-07-09 | Recruiting |
Official Title: A Phase II Multicenter, Open Label, Non-randomized Study of Neoadjuvant and Adjuvant Treatment With IPH5201 and Durvalumab in Patients With Resectable, Early-stage (II to IIIA) Non-Small Cell Lung Cancer (MATISSE) [NCT05742607] | Phase 2 | 70 participants (Anticipated) | Interventional | 2023-06-23 | Recruiting |
A Phase 3 Study to Evaluate Zimberelimab (AB122) Combined With AB154 in Front-Line, PD-L1-High, Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT04736173] | Phase 3 | 750 participants (Anticipated) | Interventional | 2021-02-08 | Recruiting |
Phase 1b Dose-Finding Study of Niraparib, TSR-022, Bevacizumab, and Platinum-Based Doublet Chemotherapy in Combination With TSR-042 in Patients With Advanced or Metastatic Cancer [NCT03307785] | Phase 1 | 58 participants (Actual) | Interventional | 2017-10-12 | Active, not recruiting |
A Phase 1/2, Open-Label, Safety, Tolerability, and Efficacy Study of Epacadostat in Combination With Pembrolizumab and Chemotherapy in Subjects With Advanced or Metastatic Solid Tumors (ECHO-207/KEYNOTE-723) [NCT03085914] | Phase 1/Phase 2 | 70 participants (Actual) | Interventional | 2017-05-02 | Completed |
A Phase I Trial of Preoperative Carboplatin or Cisplatin and Pemetrexed With Thoracic Radiation Therapy Followed by Lobectomy in Resectable Stage III Patients With Non-Squamous Non Small Cell Lung Cancer (NSCLC) [NCT01373463] | Phase 1 | 48 participants (Actual) | Interventional | 2011-05-31 | Terminated(stopped due to Investigator left site) |
The Safety and Efficacy of Rh-Endostatin (Endostar®) Continuous Intravenous Infusion in Combination With Docetaxel/Carboplatin or Pemetrexed/Carboplatin (DC/PC) Regimens for Untreated Stage IIIB/IV Non-small-cell Lung Cancer (NSCLC) [NCT03706703] | Phase 2 | 50 participants (Anticipated) | Interventional | 2018-10-01 | Recruiting |
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 |
A Phase I/II Study of Anlotinib Combined With Platinum-based Chemotherapy as the First-line Treatment of Patients With Locally Advanced or Advanced Non-Small Cell Lung Cancer [NCT03636685] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2018-08-15 | Not yet recruiting |
A Randomized Phase II Study of Anlotinib Combined With Pemetrexed and Cisplatin in First Treatment for Advanced Non-small Cell Lung Cancer With Epidermal Growth Factor Receptor Negative Mutations [NCT03671538] | | 62 participants (Anticipated) | Interventional | 2018-10-01 | Not yet recruiting |
Chemotherapy Plus Pembrolizumab After Progression With Previous PD-1/PD-L1 Inhibitors in Patients With Advanced Non-small Cell Lung Cancer: Placebo-controlled Randomized Phase II Study [NCT03656094] | Phase 2 | 98 participants (Anticipated) | Interventional | 2018-11-01 | Recruiting |
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 |
Randomized Phase II Trial Evaluating the Optimal Sequencing of PD-1 Inhibition With Pembrolizumab (MK-3475) and Standard Platinum-based Chemotherapy in Patients With Chemotherapy Naive Stage IV Non-small Cell Lung Cancer [NCT02591615] | Phase 2 | 91 participants (Actual) | Interventional | 2016-03-31 | Completed |
Pemetrexed Alone as Salvage Treatment in Metastatic Colorectal Cancer Patients Who Were Failed After Standard Chemotherapy: A Phase II Single Arm Prospective Study [NCT02588781] | Phase 2 | 23 participants (Actual) | Interventional | 2015-10-31 | Active, not recruiting |
A Phase 1b Trial of LY2606368 in Combination With Chemotherapy or Targeted Agents in Advanced and/or Metastatic Tumors [NCT02124148] | Phase 1 | 167 participants (Actual) | Interventional | 2014-06-18 | Completed |
Phase III Randomized Trial of Pleurectomy/Decortication Plus Systemic Therapy With or Without Adjuvant Hemithoracic Intensity-Modulated Pleural Radiation Therapy (IMPRINT) for Malignant Pleural Mesothelioma (MPM) [NCT04158141] | Phase 3 | 16 participants (Actual) | Interventional | 2020-01-29 | Terminated(stopped due to Permanent Administrative Closure) |
A Phase 1, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability Pharmacokinetics Immunogenicity, and Antitumor Activity of MEDI5752 in Subjects With Advanced Solid Tumors. [NCT03530397] | Phase 1 | 396 participants (Anticipated) | Interventional | 2018-04-24 | Recruiting |
A Phase III Multicenter, Randomized Study of Oral LDK378 Versus Standard Chemotherapy in Previously Untreated Adult Patients With ALK Rearranged (ALK-positive), Stage IIIB or IV, Non-squamous Non-small Cell Lung Cancer [NCT01828099] | Phase 3 | 376 participants (Actual) | Interventional | 2013-07-09 | Active, not recruiting |
A Phase III, Randomized, Double-blinded, Multicenter Study of AK105 Combined With Carboplatin and Pemetrexed vs Placebo Combined With Carboplatin and Pemetrexed as First-line Therapy in Patients With Metastatic Nonsquamous Non-small Cell Lung Cancer [NCT03866980] | Phase 3 | 164 participants (Actual) | Interventional | 2018-11-27 | Active, not recruiting |
A Pilot Study: Phase II Study of Histology-based Consolidation Chemotherapy Following Concurrent Chemo-radiotherapy for Inoperable Stage III Non-small Cell Lung Cancer [NCT01336543] | Phase 2 | 0 participants (Actual) | Interventional | 2011-03-31 | Withdrawn(stopped due to Low accrual, small patient population at center.) |
Dose Climbing Trial of Anlotinib Plus Pemetrexed/Docetaxel in the Second-line Treatment of Advanced Gene Negative Non-squamous Non-small Cell Lung Cancer [NCT03566576] | | 18 participants (Anticipated) | Interventional | 2018-07-01 | Not yet recruiting |
A Randomized, Multicenter, Open-Label Phase 3 Study of Pemetrexed-Cisplatin Chemotherapy Plus Necitumumab (IMC-11F8) Versus Pemetrexed-Cisplatin Chemotherapy Alone in the First-Line Treatment of Patients With Stage IV Nonsquamous Non-Small Cell Lung Cance [NCT00982111] | Phase 3 | 633 participants (Actual) | Interventional | 2009-11-02 | Completed |
The Efficacy and Safety of Osimertinib Plus Carboplatin and Pemetrexed Versus Osimertinib Monotherapy in Metastatic EGFRm NSCLC Patients With EGFRm Persistence in ctDNA at 3 Weeks After 1L Osimertinib: A Multicenter, Randomized Controlled Study [NCT04769388] | Phase 2 | 150 participants (Anticipated) | Interventional | 2021-12-28 | Recruiting |
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 |
Study of Sintilimab Combined With Anlotinib and Platinum-Containing Dual-Agent Chemotherapy as First Line Therapy in Malignant Pleural Mesothelioma: A Single Arm, Open-label, Prospective Phase II Trial [NCT05188859] | Phase 2 | 29 participants (Anticipated) | Interventional | 2022-01-31 | Not yet recruiting |
The Efficacy and Safety of Aumolertinib Combined Ommaya Reservoir Intrathecal Chemotherapy With Pemetrexed for Leptomeningeal Metastasis From EGFR-mutated NSCLC and Investigate the Efficacy Prognostic Value of Dynamic Changes of cfDNA [NCT05810350] | Phase 2 | 40 participants (Anticipated) | Interventional | 2023-01-01 | Recruiting |
An Open-label, Randomized, Multi-center, Phase III Clinical Study of MRG002 Versus Investigator's Choice of Chemotherapy in the Treatment of Patients With HER2-positive Unresectable Locally Advanced or Metastatic Urothelial Cancer Previously Treated With [NCT05754853] | Phase 3 | 290 participants (Anticipated) | Interventional | 2023-04-06 | Recruiting |
Recombinant Human Endostatin in Combination With Platinum-Based Doublet Chemotherapy for First-Line Treatment of Advanced Non-Small-Cell Lung Cancer With Negative Driver Gene: a Multicenter, Single-Arm Trial [NCT05574998] | Phase 2 | 100 participants (Anticipated) | Interventional | 2021-02-01 | Recruiting |
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 |
Randomized Phase II Trial of Single Agent Chemotherapy Plus Nivolumab or Single Agent Chemotherapy Alone in Patients With Advanced Squamous or Non-squamous NSCLC With Primary Resistance to Prior PD-1 or PDL-1 Inhibitor [NCT03041181] | Phase 2 | 3 participants (Actual) | Interventional | 2017-01-27 | Terminated(stopped due to Funder decision - lack of accrual) |
A Phase II Trial of Oxaliplatin and Pemetrexed in Hormone Refractory Prostate Cancer [NCT01338792] | Phase 2 | 47 participants (Actual) | Interventional | 2006-06-30 | Completed |
EGFR Tyrosine Kinase Inhibitor Combined With Concurrent or Sequential Chemotherapy for Advanced Lung Cancer Patients of Gradual Progression After First-line EGFR-TKI Therapy: a Randomized Controlled Study [NCT03544814] | Phase 2 | 99 participants (Actual) | Interventional | 2015-01-01 | Completed |
Combination of Chemotherapy and Gefitinib as First-line Treatment of Patients With Advanced Lung Adenocarcinoma and Sensitive EGFR Mutations: a Randomised Controlled Trial [NCT02148380] | | 121 participants (Actual) | Interventional | 2014-05-31 | Completed |
An Open-label, Phase 2 Basket Study of SEA-CD40 Combination Therapies in Advanced Malignancies [NCT04993677] | Phase 2 | 77 participants (Actual) | Interventional | 2021-10-06 | Active, not recruiting |
A Phase III Randomized, Open-Label, Multi-Center, Global Study of MEDI4736 in Combination With Tremelimumab Therapy Versus Standard of Care Platinum-Based Chemotherapy in First-Line Treatment of Patients With Advanced or Metastatic Non Small-Cell Lung Can [NCT02542293] | Phase 3 | 953 participants (Actual) | Interventional | 2015-11-03 | Active, not recruiting |
A Randomized Phase 2 Trial of Doxorubicin Plus Pemetrexed Followed by Docetaxel, Versus Doxorubicin Plus Cyclophosphamide Followed by Docetaxel, as Neoadjuvant Treatment for Early Breast Cancer [NCT00149214] | Phase 2 | 257 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Phase Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacology of GDC-0980 in Combination With Either Paclitaxel and Carboplatin (With or Without Bevacizumab) or Pemetrexed and Cisplatin in Patients With Solid Tumors [NCT01301716] | Phase 1 | 75 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Phase I Study of OSI-906 in Combination With Pemetrexed in Advanced Solid Tumor Malignancies [NCT01567384] | Phase 1 | 0 participants (Actual) | Interventional | 2012-05-31 | Withdrawn(stopped due to The sponsor withdrew support for the study before any patients were enrolled.) |
Anlotinib Combined With Pemetrexed And Carboplatin Followed by Maintenance Therapy With Anlotinib Plus Pemetrexed as the First-line Treatment in Patients With Advanced Nonsquamous NSCLC [NCT03790228] | Phase 1 | 43 participants (Anticipated) | Interventional | 2019-03-22 | Recruiting |
Phase II Study of SHR-1210(Anti-PD-1 Antibody) Combination With Apatinib Versus Pemetrexed and Carboplatin in Subjects With KRAS Mutant Stage IV Non-squamous Non-small Cell Lung Cancer [NCT03777124] | Phase 2 | 230 participants (Anticipated) | Interventional | 2019-02-28 | Not yet recruiting |
Study of Anlotinib Combined With Pemetrexed as the Second-line Treatment in Patients With Advanced Nonsquamous Non-Small-Cell Lung Cancer (ALTER-L025) [NCT03778138] | Phase 2 | 51 participants (Anticipated) | Interventional | 2019-01-01 | Recruiting |
A Phase II Trial of Pemetrexed in Combination With Gemcitabine as First Line Treatment in Extensive-Stage Small Cell Lung Carcinoma [NCT00129974] | Phase 2 | 1 participants (Actual) | Interventional | 2005-08-31 | Terminated(stopped due to failure to accrue) |
Combination Therapy With Ectiecinib, Pemetrexed and Platinum in Patients With Metastatic Non-squamous Non-small Cell Lung Cancer With EGFR Mutations Who Did Not Progress After Pemetrexed in Combination With Platinum-based Chemotherapy:a Single-arm, Open, [NCT03992885] | Phase 3 | 70 participants (Anticipated) | Interventional | 2019-07-01 | Recruiting |
A Phase II Trial to Investigate Genetic Markers of Response to Pembrolizumab (MK-3475, SCH 900475) Combined With Chemotherapy as a First-line Treatment for Non-Small Cell Lung Cancer (KEYNOTE-782) [NCT03664024] | Phase 2 | 118 participants (Actual) | Interventional | 2018-10-30 | Completed |
Study of Pemetrexed Disodium Plus Cisplatin as First-line Therapy in Patients With Advanced Non-squamous Cell Lung Cancer: a Phase IIA Pharmacogenomic Trial [NCT01088906] | Phase 2 | 57 participants (Actual) | Interventional | 2010-01-31 | Terminated(stopped due to No safety reasons. Low recruitment.) |
Randomized Phase III Study of Docetaxel or Pemetrexed With or Without Cetuximab in Patients With Recurrent or Progressive Non-Small Cell Lung Cancer After Platinum-Based Therapy [NCT00095199] | Phase 3 | 939 participants (Actual) | Interventional | 2005-01-31 | Completed |
Randomized, Phase II, Open-Label Controlled Study of Two Different Doses and Schedules of EMD 72000 (Matuzumab) in Combination With Pemetrexed, or Pemetrexed Alone, as Second-Line Treatment for Stage IIIB/IV Non-Small Cell Lung Cancer and Progressive Dise [NCT00111839] | Phase 2 | 150 participants (Actual) | Interventional | 2005-05-31 | Completed |
Phase III Open Label First Line Therapy Study of Tislelizumab With Chemotherapy Versus Chemotherapy in Untreated Advanced Non-Squamous Non-Small Cell Lung Cancer(NSCLC) [NCT03663205] | Phase 3 | 334 participants (Actual) | Interventional | 2018-07-23 | Completed |
Phase 2 Study of Pembrolizumab Plus Pemetrexed for Elderly Patients With Non-squamous Non-small Cell Lung Cancer With PD-L1 Tumor Proportion Score of Less Than 50%: CJLSG1901 [NCT04396457] | Phase 2 | 50 participants (Anticipated) | Interventional | 2020-05-25 | Active, not recruiting |
A Phase II, Prospective, Single Arm Trial of Cadonilimab in Combination With Bevacizumab and Standard Chemotherapy as First Line Therapy in Unresectable Pleural Mesothelioma [NCT05930665] | Phase 2 | 38 participants (Anticipated) | Interventional | 2023-07-31 | Not yet recruiting |
Phase II Trial of Standard Platinum Doublet Chemotherapy + Various Proton Beam Therapy (PBT) Doses in Order to Determine the Optimal Dose of PBT for Unresectable Stage 2/3 Non-Small Cell Lung Cancer [NCT03132532] | Phase 2 | 18 participants (Actual) | Interventional | 2017-07-31 | Active, not recruiting |
A Phase III, Randomized, Open Label Trial of Nivolumab in Combination With Ipilimumab Versus Pemetrexed With Cisplatin or Carboplatin as First Line Therapy in Unresectable Pleural Mesothelioma [NCT02899299] | Phase 3 | 605 participants (Actual) | Interventional | 2016-11-29 | Completed |
Phase I Study in Patients With Tumours Requiring Arginine to Assess ADI-PEG 20 With Atezolizumab, Pemetrexed and Carboplatin (ADIAtezoPemCarbo) (iTRAP Study) [NCT03498222] | Phase 1 | 0 participants (Actual) | Interventional | 2018-06-01 | Withdrawn(stopped due to Funder and IMP manufacturer withdrew support) |
A PHASE II STUDY Of ADJUVANT CHEMOTHERAPY After SURGERY For STAGE I Lung ADENOCARCINOMA PATIENTS With MICROPAPILLARY COMPONENT More Than Or EQUAL To 20% [NCT03351842] | Phase 2 | 460 participants (Anticipated) | Interventional | 2017-09-01 | Recruiting |
Almonertinib Alone Versus Almonertinib Plus Chemotherapy as First-line Treatment in Patients With Epidermal Growth Factor Receptor (EGFR) Mutation Positive With Concomitant Non-EGFR Driver Gene Mutation Positive, Locally Advanced or Metastatic Non-Small C [NCT04500704] | Phase 3 | 166 participants (Anticipated) | Interventional | 2020-10-31 | Not yet recruiting |
A Randomized, Open-label, Phase II Study of Maintaining Pan-ERBB Blockade Following Platinum-based Induction Chemotherapy in Patients With EGFR Mutated, Metastatic Non-small-cell Lung Cancer Progressing After Treatment With Afatinib as First EGFR-targetin [NCT02488694] | Phase 2 | 4 participants (Actual) | Interventional | 2015-11-30 | Terminated(stopped due to unsufficient recruitment) |
Phase II Study of Tislelizumab Plus Pemetrexed in Patients With Relapsed or Refractory Primary Diffuse Large B-cell Lymphoma (DLBCL) of the Central Nervous System (CNS) [NCT05253118] | Phase 2 | 28 participants (Anticipated) | Interventional | 2022-08-18 | Recruiting |
A Phase II Trial of GM-CSF Plus Maintenance Pembrolizumab +/- Pemetrexed After Completion of First Line Chemo-Immunotherapy in Advanced Non-Small Cell Lung Cancer Patients With PDL-1 of 1%-49% [NCT04856176] | Phase 2 | 83 participants (Anticipated) | Interventional | 2022-01-03 | Recruiting |
A Phase III, Double-blind, Placebo-controlled, Multi-center International Study of Neoadjuvant/Adjuvant Durvalumab for the Treatment of Patients With Resectable Stages II and III Non-small Cell Lung Cancer (AEGEAN) [NCT03800134] | Phase 3 | 826 participants (Actual) | Interventional | 2018-12-06 | Active, not recruiting |
"A Study on theFuzhengTherapy Promoted Immune Reconstitution to Improve the Survival of Early-stage Lung Cancer After Surgical Operation" [NCT02603003] | Phase 1 | 218 participants (Actual) | Interventional | 2015-06-30 | Completed |
Individualized Pemetrexed Dosing in Patients With Non-small Cell Lung Cancer or Mesothelioma Based on Renal Function to Improve Treatment Response [NCT03655821] | Phase 4 | 81 participants (Actual) | Interventional | 2019-02-01 | Terminated(stopped due to 81 patients included, difficult inclusion and full inclusion would not change the results) |
A Factorial Study Comparing Pemetrexed With Gemcitabine and Testing the Efficacy of the Addition of Cisplatin in Elderly Patients With Non Squamous Advanced, Metastatic or Recurrent NSCLC. [NCT01656551] | Phase 3 | 232 participants (Actual) | Interventional | 2012-08-31 | Active, not recruiting |
The Prognosis Study of Postoperative Non-small-cell Lung Cancer Patients Treated Precisely With the Integrated Traditional Chinese and Western Medicine Based on CTC Detection [NCT03269162] | Phase 3 | 144 participants (Anticipated) | Interventional | 2016-09-30 | Active, not recruiting |
A Study in Cancer Patients to Evaluate the Ability of LY2603618 to Act as an Inhibitor of CYP2D6 Using Desipramine as a Probe Substrate [NCT01358968] | Phase 1 | 20 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Phase 1/2 Study of Apatinib in Combination With AP(Pemetrexed/Cisplatin) or AC(Pemetrexed/Carboplatin) as First-line Chemotherapy for Advanced Epidermal Growth Factor Receptor(EGFR) Wild Type Non-squamous Non-small Cell Lung Cancer [NCT03201146] | Phase 1/Phase 2 | 48 participants (Anticipated) | Interventional | 2017-06-27 | Recruiting |
A Multicenter, Open-Label, Phase Ib/II Study of AK119 and AK112 With or Without Chemotherapy in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Who Have Failed to Epidermal Growth Factor Receptor Tyrosine K [NCT05636267] | Phase 1/Phase 2 | 114 participants (Anticipated) | Interventional | 2023-02-10 | Recruiting |
A Phase 1/2, Open-Label, Multicenter Study to Investigate the Safety and Preliminary Efficacy of Combined Bempegaldesleukin (NKTR-214) and Pembrolizumab With or Without Chemotherapy in Patients With Locally Advanced or Metastatic Solid Tumors [NCT03138889] | Phase 1/Phase 2 | 162 participants (Actual) | Interventional | 2017-06-09 | Terminated(stopped due to Sponsor decision) |
Personalized Therapy for Esophagogastric Cancer Using Thymidylate Synthase Genetic Markers [NCT02296671] | Phase 2 | 0 participants (Actual) | Interventional | 2015-02-28 | Withdrawn(stopped due to Was unable to accrue any patients) |
Neoadjuvant Icotinib With Chemotherapy for Resectable Stage II-IIIB N2 EGFR Mutation-positive Lung Adenocarcinoma: A Phase II Study [NCT05132985] | Phase 2 | 45 participants (Anticipated) | Interventional | 2022-01-01 | Not yet recruiting |
Maintenance Pembrolizumab at Usual or Low doSE in Non-squamous Lung Cancer: a Non-inferiority Study [NCT05692999] | Phase 3 | 1,166 participants (Anticipated) | Interventional | 2023-03-20 | Recruiting |
Tailored Second Line Treatment by EGFR Mutation in Patients With Advanced Lung Adenocarcinoma [NCT00903292] | | 52 participants (Anticipated) | Interventional | 2009-03-31 | Recruiting |
A Randomized, Open-Label, Dose Escalation Study of Bevacizumab With Ambulatory Blood Pressure Monitoring in Previously Untreated Patients With Advanced Non-squamous Non-Small Cell Lung Cancer [NCT01063283] | | 20 participants (Actual) | Interventional | 2010-03-31 | Completed |
A Single Armed Phase ⅡStudy of Alternating Icotinib and Chemotherapy for Advanced Non-small Cell Lung Cancer With EGFR Mutation [NCT02737774] | Phase 2 | 60 participants (Anticipated) | Interventional | 2016-04-13 | Active, not recruiting |
Chemotherapy in KRAS Mutated Chemotherapy Naive Non-small Cell Lung Cancer Patients: a Phase III Study Comparing Cisplatin-pemetrexed With Carboplatin-paclitaxel-bevacizumab: NVALT 22 [NCT02743923] | Phase 3 | 203 participants (Actual) | Interventional | 2016-04-30 | Active, not recruiting |
Phase II Trial of Combination Pemetrexed (Alimta) and Carboplatin (Paraplatin) in Platinum Sensitive Recurrent Ovarian, Primary Peritoneal, and Fallopian Tube Carcinoma [NCT01001910] | Phase 2 | 22 participants (Actual) | Interventional | 2008-07-31 | Completed |
A Phase I Study of INCB024360 (Epacadostat) Alone, INCB024360 in Combination With Pembrolizumab (MK-3475), and INCB024360 and Pembrolizumab in Combination With Chemotherapy in Patients With Advanced Solid Tumors (KEYNOTE-434) [NCT02862457] | Phase 1 | 34 participants (Actual) | Interventional | 2016-08-23 | Completed |
An Open-Label, Phase 1B Study of NEO-PV-01 With Pembrolizumab Plus Chemotherapy in Patients With Advanced or Metastatic Nonsquamous Non-small Cell Lung Cancer [NCT03380871] | Phase 1 | 38 participants (Actual) | Interventional | 2018-05-04 | Completed |
A Single-Arm Phase II Clinical Trial of Apatinib as the Maintenance Therapy in Advanced Lung Adenocarcinoma [NCT03376737] | Phase 2 | 120 participants (Anticipated) | Interventional | 2017-10-12 | Recruiting |
Local Consolidative Therapy (LCT) and Durvalumab (MEDI4736) for Oligoprogressive and Polyprogressive Stage III NSCLC After Chemoradiation and Anti-PD-L1 Therapy (ENDURE) [NCT04892953] | Phase 2 | 51 participants (Anticipated) | Interventional | 2021-07-07 | Recruiting |
A Randomized, Open Label, Phase III Study of Overall Survival Comparing Pembrolizumab (MK-3475) Versus Platinum Based Chemotherapy in Treatment Naïve Subjects With PD-L1 Positive Advanced or Metastatic Non-Small Cell Lung Cancer (Keynote 042) [NCT03850444] | Phase 3 | 262 participants (Actual) | Interventional | 2016-08-01 | Completed |
A Phase II Trial to Assess the Safety, Immunological Activity of TroVax® Plus Pemetrexed/Cisplatin in Patients With Malignant Pleural Mesothelioma [NCT01569919] | Phase 2 | 26 participants (Anticipated) | Interventional | 2012-12-31 | Recruiting |
BRIDGE Trial: Phase II Trial of durvalumaB and chemotheRapy Induction Followed by Durvalumab and Radiotherapy in larGe volumE Stage III NSCLC [NCT04765709] | Phase 2 | 10 participants (Actual) | Interventional | 2021-09-24 | Active, not recruiting |
High-dose Pemetrexed to Treat Lung Adenocarcinoma With Brain Metastases [NCT02284490] | Phase 2 | 25 participants (Anticipated) | Interventional | 2014-11-30 | Not yet recruiting |
A Multi-Regional, Randomized, Double-blind, Phase 3 Study of the Efficacy and Safety of Sintilimab Plus Chemotherapy vs Placebo Plus Chemotherapy Before Surgery and Sintilimab vs Placebo After Surgery for Resectable Non-small Cell Lung Cancer [NCT05116462] | Phase 3 | 800 participants (Anticipated) | Interventional | 2021-11-11 | Not yet recruiting |
A Randomized Phase II Trial Of Pemetrexed With Or Without PF-3512676 For The Treatment Of Patients With Locally Advanced Or Metastatic Non-Small Cell Lung Cancer After Failure Of One Prior Chemotherapy Regimen For Advanced Disease [NCT00321308] | Phase 2 | 36 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to See Termination Reason in Detailed Description.) |
A Phase II Study of Pemetrexed in Children With Recurrent Malignancies [NCT00520936] | Phase 2 | 72 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Phase IB, Open-Label, Multi-Center Study to Determine the Efficacy and Safety of Durvalumab and/or Novel Oncology Therapies, With or Without Chemotherapy, for First-Line Stage IV Non-Small Cell Lung Cancer (NSCLC) (MAGELLAN) [NCT03819465] | Phase 1 | 175 participants (Actual) | Interventional | 2018-12-27 | Active, not recruiting |
Furmonertinib Combined With Cisplatin/Pemetrexed as Neoadjuvant Therapy in EGFR Mutated Stage IIIA-IIIB Resectable Non-small Cell Lung Cancer (FORESEE): a Prospective, Open-label, Single-arm, Phase 2 Study [NCT05430802] | Phase 2 | 40 participants (Anticipated) | Interventional | 2022-02-24 | Recruiting |
Neoadjuvant Therapy With Toripalimab and JS004 Combined With Platinum-based Doublet Chemotherapy for Resectable or Potentially Resectable Stage III Non-small Cell Lung Cancer: A Randomised Controlled, Open-label, Phase 2 Trial [NCT05891080] | Phase 2 | 124 participants (Anticipated) | Interventional | 2023-07-01 | Not yet recruiting |
Pevonedistat as a Single Agent and in Combination With Chemotherapy in Patients With Malignant Mesothelioma [NCT03319537] | Phase 1/Phase 2 | 9 participants (Actual) | Interventional | 2017-10-05 | Completed |
Clinical Study to Evaluate the Efficacy, Safety and Tolerability of Savolitinib + Osimertinib Versus Pemetrexed + Platinum in Treatment of Patients With NSCLC With MET Amplification [NCT05015608] | Phase 3 | 250 participants (Anticipated) | Interventional | 2021-11-22 | Recruiting |
Early Positron Emission Tomography as a Predictor of Response in Neoadjuvant Chemotherapy for Non-Small Cell Lung Cancer [NCT00227539] | Phase 2 | 25 participants (Actual) | Interventional | 2005-07-31 | Completed |
Pemetrexed in Maintenance in Patients With Impaired Renal Function: Randomized Phase 4 Multicenter Study Comparing 2 Dose Calculation Strategies (PKAPIR) [NCT03607149] | Phase 4 | 11 participants (Actual) | Interventional | 2017-04-06 | Completed |
A Phase 3, Double-Blind, Placebo-Controlled Study of Maintenance Pemetrexed Plus Best Supportive Care Versus Best Supportive Care Immediately Following Induction Treatment for Advanced Non-Small Cell Lung Cancer [NCT00102804] | Phase 3 | 663 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Phase 2 Peri-Operative Trial of Fianlimab and Cemiplimab in Combination With Chemotherapy Versus Cemiplimab in Combination With Chemotherapy in Patients With Resectable Early Stage (Stage II to IIIB [N2]) NSCLC [NCT06161441] | Phase 2 | 180 participants (Anticipated) | Interventional | 2024-03-05 | Not yet recruiting |
Phase II Study of Pemetrexed and Pembrolizumab in Recurrent and/or Metastatic Salivary Gland Malignancies [NCT04895735] | Phase 2 | 45 participants (Anticipated) | Interventional | 2021-07-23 | Recruiting |
A Phase 1/2, Dose Escalation, Dose Expansion, and Dose Optimization Study of the Safety, Tolerability, and Anti-tumor Activity of SAR444881 Administered Alone and in Combination With Pembrolizumab, Cetuximab and/or Chemotherapy in Participants With Advanc [NCT04717375] | Phase 1/Phase 2 | 456 participants (Anticipated) | Interventional | 2021-04-11 | Recruiting |
A Randomized, Double Blind, Phase 3 Study of Platinum-Based Chemotherapy With or Without INCMGA00012 in First-Line Metastatic Squamous and Nonsquamous Non-Small Cell Lung Cancer (POD1UM-304) [NCT04205812] | Phase 3 | 583 participants (Actual) | Interventional | 2020-09-27 | Active, not recruiting |
An Open-Label, Randomized Phase 3 Trial of Nivolumab, or Nivolumab Plus Ipilimumab, or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Subjects With Chemotherapy-Naïve Stage IV or Recurrent Non-Small Cell Lung Cancer ( [NCT02477826] | Phase 3 | 2,748 participants (Actual) | Interventional | 2015-08-05 | Active, not recruiting |
Pemetrexed Monochemotherapy in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer. A Pilot Study to Define the Best Dosing Schedule for a Planned Phase II Randomized Trial [NCT00370292] | Phase 2 | 19 participants (Actual) | Interventional | 2006-09-30 | Completed |
Phase I Clinical Trial of Suberoylanilide Hydroxamic Acid (SAHA) in Combination With Pemetrexed and Cisplatin in Patients With Advanced Cancer [NCT00106626] | Phase 1 | 52 participants (Actual) | Interventional | 2005-08-31 | Completed |
Study of Thalidomide With First-line Chemotherapy and as Maintenance Treatment of Advanced Nonsquamous NSCLC With Epidermal Growth Factor Receptor Wild-Type or Unknown Mutation Status: A Multicenter, Randomized, Prospective Clinical Trial [NCT03062800] | Phase 2 | 232 participants (Anticipated) | Interventional | 2016-12-31 | Recruiting |
Clinical Research of S-1 Versus Pemetrexed in the Maintenance Treatment of Advanced Non-squamous Non-small Cell Lung Cancer [NCT03700333] | Phase 3 | 120 participants (Anticipated) | Interventional | 2018-10-20 | Not yet recruiting |
A Phase II/III Randomized Study of Pembrolizumab in Patients With Advanced Malignant Pleural Mesothelioma [NCT02784171] | Phase 2/Phase 3 | 520 participants (Actual) | Interventional | 2016-11-11 | Active, not recruiting |
A MULTICENTER, OPEN-LABEL, PHASE 1B/2 STUDY TO EVALUATE SAFETY AND EFFICACY OF AVELUMAB (MSB0010718C) IN COMBINATION WITH CHEMOTHERAPY WITH OR WITHOUT OTHER ANTI-CANCER IMMUNOTHERAPIES AS FIRST-LINE TREATMENT IN PATIENTS WITH ADVANCED MALIGNANCIES [NCT03317496] | Phase 1/Phase 2 | 67 participants (Actual) | Interventional | 2017-12-21 | Terminated(stopped due to The study was terminated since there was no need for further safety or efficacy data to be collected. The participants having benefit from the investigational treatments have been moved to a continuation study (NCT05059522).) |
ICARuS II (Intraperitoneal Chemotherapy After cytoReductive Surgery): A Multicenter, Randomized Phase II Trial of Normothermic Intraperitoneal Chemotherapy and Intravenous Chemotherapy After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemother [NCT06057935] | Phase 2 | 64 participants (Anticipated) | Interventional | 2023-09-21 | Recruiting |
A Phase 1a/1b Study of LY3537982 in Patients With KRAS G12C-Mutant Advanced Solid Tumors [NCT04956640] | Phase 1 | 400 participants (Anticipated) | Interventional | 2021-07-19 | Recruiting |
A Phase III Randomized, Open-Label, Multi-Center, Global Study of MEDI4736 in Combination With Tremelimumab Therapy or MEDI4736 Monotherapy Versus Standard of Care Platinum-Based Chemotherapy in First Line Treatment of Patients With Advanced or Metastatic [NCT02453282] | Phase 3 | 1,118 participants (Actual) | Interventional | 2015-07-21 | Active, not recruiting |
A Biomarker-directed Phase 2 Platform Study in Patients With Advanced Non-Small Lung Cancer Whose Disease Has Progressed on First-Line Osimertinib Therapy. [NCT03944772] | Phase 2 | 250 participants (Anticipated) | Interventional | 2019-06-25 | Active, not recruiting |
Phase II Trial of Pemetrexed-Based Induction Chemotherapy Followed by Concomitant Chemoradiotherapy in Previously Irradiated Head and Neck Cancer Patients [NCT01172470] | Phase 2 | 34 participants (Actual) | Interventional | 2005-06-30 | Completed |
The Prospective,Multicenter,Randomized Controlled Clinical Study of the Optimal Intervention Time of Radiotherapy for Oligometastatic Stage IV Non-small Cell Lung Cancer(NSCLC) [NCT02076477] | Phase 3 | 420 participants (Anticipated) | Interventional | 2014-01-31 | Recruiting |
Research on the Correlation Between Efficacy of Osimertinib and EGFR T790M Status and Ratio Via Digital Droplet PCR (ddPCR) From Peripheral Blood in NSCLC Patients [NCT05458726] | Phase 2 | 80 participants (Anticipated) | Interventional | 2020-09-15 | Recruiting |
A Randomized,Open-label, Multi-Center, Phase II Clinical Trial to Assess the Efficacy and Safety of SHR-1210± SHR-1020 Versus Physician's Choice Chemotherapy in the Treatment of Recurrent or Metastatic Cervical Cancer Patients [NCT04680988] | Phase 2 | 194 participants (Actual) | Interventional | 2021-04-05 | Active, not recruiting |
Pemetrexed Disodium and Cisplatin Chemotherapy Combined With Synchronous Gefitinib vs Chemotherapy Alone as Adjuvent Therapy in Patient With Stage II-IIIA, Epidermal Growth Factor Receptor Mutant Expressing Lung Adenocarcinoma [NCT02518802] | Phase 3 | 220 participants (Anticipated) | Interventional | 2015-01-31 | Recruiting |
A Phase II Trial of AMG 102 in Combination With Pemetrexed and Cisplatin in Patients With Malignant Pleural Mesothelioma [NCT01105390] | Phase 2 | 0 participants (Actual) | Interventional | 2010-04-30 | Withdrawn(stopped due to withdrawn) |
A Phase I Open Label Study of Continuous Oral Treatment With BIBF 1120 Together With Pemetrexed in Previously Treated Patients With Non-small Cell Lung Cancer [NCT02182102] | Phase 1 | 26 participants (Actual) | Interventional | 2005-09-30 | Completed |
The Safety and Efficacy of Pemetrexed Rechallenge With Bevacizumab for Patients With Advanced Non-squamous Non-small Cell Lung Cancer [NCT02200354] | Phase 2 | 20 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to inclusion speed) |
A Phase III, Randomized, Open-Label, Multi-center Study of SHR-1210(Anti-PD-1 Antibody) in Combination With Pemetrexed and Carboplatin as First Line Therapy in Subjects With Advanced/Metastatic Non-squamous Non-small Cell Lung Cancer [NCT03134872] | Phase 3 | 419 participants (Actual) | Interventional | 2017-05-12 | Completed |
Combining Genomics and Imageomics to Predict the Sensitivity of Neoadjuvant Pemetrexed and Cisplatin Chemotherapy in Patients With Lung Adenocarcinoma [NCT05185544] | | 50 participants (Anticipated) | Observational | 2022-01-01 | Not yet recruiting |
Neoadjuvant Afatinib Combination With Chemotherapy for Stage Ⅱa-Ⅲb Non-small Cell Lung Cancer With Epidermal Growth Factor Receptor Activating Mutation [NCT04470076] | Phase 2 | 30 participants (Anticipated) | Interventional | 2020-07-10 | Not yet recruiting |
A Randomized, Open-Label, Multicenter Phase 3 Study to Evaluate SKB264 Monotherapy Versus Pemetrexed in Combination With Platinum in Patients With Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer With EGFR Mutation Who Have Failed to [NCT05870319] | Phase 3 | 356 participants (Anticipated) | Interventional | 2023-06-26 | Recruiting |
Phase 3, Open-Label, Randomized, Controlled, Global Study of Telisotuzumab Vedotin (ABBV-399) Combined With Osimertinib vs Platinum-Based Chemotherapy in Subjects With c-Met Overexpressing (OE) EGFR Mutant, Locally Advanced/Metastatic Non-Squamous NSCLC A [NCT06093503] | Phase 3 | 250 participants (Anticipated) | Interventional | 2024-05-31 | Not yet recruiting |
A Single Arm, Phase 2 Study of Amivantamab, Lazertinib and Pemetrexed for First-line Treatment of Recurrent/Metastatic Non-small Cell Lung Cancers (NSCLCs) With EGFR Mutations [NCT05299125] | Phase 2 | 49 participants (Anticipated) | Interventional | 2023-05-24 | Recruiting |
An Open-label, Dose-escalation, Phase I/II Study to Assess the Safety, the Tolerability, the Immunogenicity and the Preliminary Clinical Activity of the Therapeutic Cancer Vaccine, PDC*lung01, Associated or Not With Anti-PD-1 Treatment in Patients With No [NCT03970746] | Phase 1/Phase 2 | 73 participants (Actual) | Interventional | 2019-09-10 | Active, not recruiting |
Phase I Study of TRC102 in Combination With Cisplatin and Pemetrexed in Patients With Advanced Solid Tumors / Phase II Study of TRC102 With Pemetrexed in Patients Refractory to Pemetrexed and Cisplatin or Carboplatin [NCT02535312] | Phase 1/Phase 2 | 30 participants (Actual) | Interventional | 2016-03-08 | Active, not recruiting |
A Three Arm, Randomized, Double-Blind, Multicenter, Phase 3 Study of HLX10(Anti-PD-1 Antibody) in Combination With Carboplatin Plus (+) Pemetrexed With or Without HLX04(Avastin Biosimilar) Compared With Carboplatin+Pemetrexed in 1L Stage IIIB/IIIC or IV N [NCT03952403] | Phase 3 | 643 participants (Actual) | Interventional | 2019-12-02 | Active, not recruiting |
A Phase 1b, Open-Label, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-0482 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced/Metastatic Solid Tumors. [NCT03918278] | Phase 1 | 230 participants (Anticipated) | Interventional | 2019-06-19 | Active, not recruiting |
A Randomized Phase I/II Study of Standard Chemotherapy (Cisplatin and Pemetrexed) With or Without Axitinib in Patients With Malignant Mesothelioma: Interim Biopsy Analysis to Determine Efficacy [NCT01211275] | Phase 1/Phase 2 | 32 participants (Actual) | Interventional | 2009-05-22 | Completed |
A Phase I/II Study of First Line Vorinostat With Pemetrexed-cisplatin, in Patients With Malignant Pleural Mesothelioma [NCT01353482] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to UCL CTC were informed by Merck Sharp & Dohme on 22.08.11 that support for the trial had been withdrawn in light of results from another trial with trial drug.) |
Immunotherapy in Lung Cancer: Which Treatment After Immunotherapy Cessation: A Prospective Registry From the European Lung Cancer Working Party [NCT04465942] | | 300 participants (Anticipated) | Observational [Patient Registry] | 2020-06-26 | Recruiting |
A Phase II Study of Pembrolizumab Plus Platinum and Pemetrexed as First Line Therapy in Advanced Non-squamous Non-small Cell Lung Cancer Patients With EGFR Exon 21 Point Mutation and Programmed Cell Death Ligand 1 Expression [NCT06142617] | Phase 2 | 37 participants (Anticipated) | Interventional | 2023-12-01 | Not yet recruiting |
A Biomarker-Driven Protocol for Previously Treated ALK-Positive Non-Squamous NSCLC Patients: The NCI-NRG ALK Protocol [NCT03737994] | Phase 2 | 10 participants (Actual) | Interventional | 2019-07-25 | Active, not recruiting |
A Phase III, Open-Label, Randomized Study of Atezolizumab (MPDL3280A, Anti-Pd-L1 Antibody) in Combination With Carboplatin or Cisplatin + Pemetrexed Compared With Carboplatin or Cisplatin + Pemetrexed in Patients Who Are Chemotherapy-Naive and Have Stage [NCT02657434] | Phase 3 | 578 participants (Actual) | Interventional | 2016-04-30 | Completed |
A Phase III Randomized Trial of Adjuvant Chemotherapy With or Without Bevacizumab for Patients With Completely Resected Stage IB (≥ 4 cm) - IIIA Non-small Cell Lung Cancer (NSCLC) [NCT00324805] | Phase 3 | 1,501 participants (Actual) | Interventional | 2007-06-01 | Active, not recruiting |
A Phase 1b Combination Study of INCMGA00012 Plus Chemotherapy in Participants With Advanced Solid Tumors (POD1UM-105) [NCT03920839] | Phase 1 | 0 participants (Actual) | Interventional | 2019-07-15 | Withdrawn(stopped due to As of November 4, 2019 the study was halted prematurely and will not resume.) |
Intrathecal-pemetrexed Combined With Concurrent Involved-field Radiotherapy for Leptomeningeal Metastasis From Solid Tumor: a Phase I/II Clinical Trial [NCT03507244] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2018-04-12 | Completed |
A Phase 2 Open-label Single-arm Study to Evaluate the Combination of Pembrolizumab, Lenvatinib and Chemotherapy in Non-small Cell Lung Cancer (NSCLC) Harbouring Targetable Mutation and Failed Standard Tyrosine Kinase Inhibitors [NCT04989322] | Phase 2 | 46 participants (Anticipated) | Interventional | 2021-10-05 | Recruiting |
Chemotherapy Combination With Local Radiotherapy and rhGM-CSF for Oligometastatic Stage IV NSCLC Patients Without Progression After First-line Chemotherapy: a Prospective Randomized Controlled Study [NCT03489616] | | 45 participants (Anticipated) | Interventional | 2018-01-15 | Recruiting |
Phase I Clinical Trial of Ixabepilone and Pemetrexed in Advanced Solid Tumors [NCT01170871] | Phase 1 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to Sponsor withdrew support) |
A Randomized, Multicenter, Open-label Phase Ib/II Study of RO5083945 in Combination With Cisplatin and Gemcitabine/Pemetrexed Versus Cisplatin and Gemcitabine/Pemetrexed in Patients With Advanced or Recurrent Non Small Cell Lung Cancer Who Have Not Receiv [NCT01185847] | Phase 2 | 90 participants (Actual) | Interventional | 2010-11-30 | Completed |
Phase II Study of Pemetrexed and Gemcitabine for Treatment Resistant Patients With Metastatic Colorectal Cancer and KRAS Mutations [NCT01109615] | Phase 2 | 40 participants (Actual) | Interventional | 2010-04-30 | Terminated(stopped due to Lacking effect of treatment) |
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 |
Phase 2 Study of Gefitinib Compared With Pemetrexed/Cisplatin in Advanced Non-Small [NCT01192243] | Phase 2 | 68 participants (Anticipated) | Interventional | 2009-12-31 | Recruiting |
A Phase 1/1b Study to Evaluate the Safety and Tolerability of AB598 Monotherapy and Combination Therapy in Participants With Advanced Malignancies [NCT05891171] | Phase 1 | 81 participants (Anticipated) | Interventional | 2023-10-13 | Recruiting |
A Phase III Randomized, Controlled, Open-label, Multicenter, Global Study of Capmatinib in Combination With Osimertinib Versus Platinum - Pemetrexed Based Doublet Chemotherapy in Patients With Locally Advanced or Metastatic NSCLC Harboring EGFR Activating [NCT04816214] | Phase 3 | 6 participants (Actual) | Interventional | 2021-09-22 | Terminated(stopped due to Novartis decided to terminate the study based on a business consideration and not related with any safety concerns. Randomized part was not initiated) |
LIBRETTO-431: A Multicenter, Randomized, Open-Label, Phase 3 Trial Comparing Selpercatinib to Platinum-Based and Pemetrexed Therapy With or Without Pembrolizumab as Initial Treatment of Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer [NCT04194944] | Phase 3 | 261 participants (Actual) | Interventional | 2020-02-17 | Active, not recruiting |
Phase I Study of Cabozantinib in Combination With Pemetrexed in Advanced Non-squamous Non-small Cell Lung Cancer (NSCLC), Urothelial Cancer and Advanced Malignant Mesothelioma [NCT04173338] | Phase 1 | 9 participants (Actual) | Interventional | 2020-01-23 | Terminated(stopped due to Closed by IRB on 3/28/22) |
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) |
A Multicenter, Open Clinical Trial of Using TS Gene Polymorphism to Predict Effect in Patients of Advanced Lung Adenocarcinoma to Pemetrexed Combining With Cisplatin Regiment as First-line Treatment [NCT00940069] | Phase 2 | 60 participants (Actual) | Interventional | 2009-03-31 | Completed |
Efficacy and Safety of Anlotinib Combined With Platinum Plus Pemetrexed in T790M Mutation Negative Metastastic Non-squamous Non-small-cell Lung Cancer After Progression on First-line EGFR TKI: a Phase II, Muti-center, Single Arm Study [NCT03706287] | Phase 1/Phase 2 | 62 participants (Anticipated) | Interventional | 2018-12-06 | Recruiting |
A Phase II, Open-Label, Multi-Cohort Study to Investigate the Preliminary Antitumor Activity, Safety, and Pharmacokinetics of the Anti-PD-1 Monoclonal Antibody BGB-A317 in Combination With Chemotherapy as First-Line Treatment in Chinese Subjects With Loca [NCT03432598] | Phase 2 | 54 participants (Actual) | Interventional | 2017-08-24 | Completed |
A Study to Evaluate the Efficacy and Safety of Anlotinib Plus Pemetrexed as the 1-line Treatment of Patients With Platinum Intolerant Advanced Non-squamous NSCLC, With Pemetrexed Control. [NCT03768037] | Phase 4 | 106 participants (Anticipated) | Interventional | 2018-11-26 | Recruiting |
A Prospective, Single-center, One-arm Clinical Study of Apatinib Combined With Chemotherapy for Patients Who Progressed After First Line EGFR-TKI Treatment Without T790M Mutation [NCT03758677] | Phase 2 | 30 participants (Anticipated) | Interventional | 2020-08-01 | Not yet recruiting |
Alflutinib Versus Alflutinib Plus Chemotherapy for Nonesmall Cell Lung Cancer With EGFR (T790M)- Associated Resistance to Initial EGFR Inhibitor Treatment: An Open-label, Randomised Phase 2 Clinical Trial [NCT05209256] | Phase 2/Phase 3 | 90 participants (Anticipated) | Interventional | 2022-03-01 | Not yet recruiting |
International Multicenter Randomized Double-Blind Placebo-Controlled Clinical Trial Evaluating Efficacy and Safety Of BCD-100 in Combination With Pemetrexed+Cisplatin/Carboplatin Compared to Placebo in Combination With Pemetrexed+Cisplatin/Carboplatin as [NCT03912389] | Phase 3 | 292 participants (Anticipated) | Interventional | 2019-06-01 | Recruiting |
A Randomized Phase III Study of TaxoteRe Plus Cisplatin Versus AlImta Plus Cisplatin in 1st Line Non-squamous Cell Type Lung Cancer [NCT01282151] | Phase 3 | 148 participants (Actual) | Interventional | 2011-07-31 | Terminated(stopped due to Difficulty in recruitment due to approval of maintenance pemetrexed treatment) |
Phase I Trial of Haploidentical Natural Killer (NK) Cells in Combination With Pemetrexed in Patients With Stage IV Non-Small Cell Lung Cancer (NSCLC) [NCT03366064] | Phase 1 | 5 participants (Actual) | Interventional | 2017-11-09 | Completed |
"An Open-label, Multi-center, Non-randomized Phase Ib Study to Investigate the Safety, Efficacy, and Pharmacokinetics of BAY 73-4506 Regorafenib, Administered in Combination With Pemetrexed and Cisplatin in Patients With Advanced Nonsquamous Non-Small Cel [NCT01187615] | Phase 1 | 9 participants (Actual) | Interventional | 2010-08-31 | Terminated |
A Phase III Study to Investigate the Differential Influence of Prior Chemotherapy on the Efficacy of Erlotinib in Patients With Advanced Non-small Cell Lung Cancer (IIIB, IV) With or Without EGFR Gene Mutation [NCT01204307] | Phase 2 | 101 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Single Arm, Phase II Clinical Trial of Orelabrutinib Combined With Pemetrexed in the Treatment for Patients With Relapsed/Refractory Central Nervous System Lymphoma [NCT05209620] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-12-21 | Recruiting |
Efficacy and Safety of Pemetrexed Plus Cisplatin as Combination Chemotherapy for Post-operative Adenocarcinoma : Multi-center, Single Arm, Open-label, Phase Ⅱ Trial [NCT02498860] | Phase 2 | 106 participants (Actual) | Interventional | 2015-09-01 | Completed |
Pemetrexed Plus Apatinib Maintenance Treatment in Patients With Non-squamous Non-small Cell Lung Cancer Patients Who Have Not Progressed After 4 Cycles of Induction Chemotherapy of Pemetrexed in Combination With Platinum-based Regimen: A Prospective, Open [NCT03792503] | Phase 4 | 20 participants (Anticipated) | Interventional | 2019-02-28 | Not yet recruiting |
Phase I Trial of Cisplatin and Pemetrexed in Combination With Panobinostat in Advanced Solid Tumors, With Emphasis on Non-Small Cell Lung Cancer [NCT01336842] | Phase 1 | 23 participants (Actual) | Interventional | 2011-04-30 | Completed |
A Phase II Study of Pemetrexed Plus Carboplatin Combined With Radiation in Patients With Inoperable Locally Advanced Non-small Cell Lung Cancer [NCT00886678] | Phase 2 | 63 participants (Anticipated) | Interventional | 2008-07-31 | Active, not recruiting |
Efficacy and Safety Evaluation of Percutaneous Ommaya Capsule Injection of Autologous Bi-dimensional Specific T Cells in the Treatment of Glioma and in Combination With Pemetrexed in the Treatment of Brain/Meningeal Metastases [NCT05459441] | Early Phase 1 | 30 participants (Anticipated) | Interventional | 2022-01-01 | Recruiting |
Zanubrutinib With Pemetrexed for the Treatment of Relapsed/Refractory Primary and Secondary CNS Lymphomas: A Phase II Trial With a Safety Lead-In [NCT05681195] | Phase 2 | 15 participants (Anticipated) | Interventional | 2023-09-27 | Recruiting |
Phase 1/2 Study of Pemetrexed Plus Cisplatin in Unresectable, Advanced Gastric Carcinoma. [NCT00320515] | Phase 1/Phase 2 | 89 participants (Actual) | Interventional | 2004-03-31 | Completed |
A Randomized, Open-label, Phase II, 2-arm Multi-center Trial Comparing Maintenance Therapy With Pazopanib or Pemetrexed in Non-progressing Subjects With Metastatic Stage IVA and IVB Non-squamous Non-small Cell Lung Cancer (NSCLC) After Induction Therapy W [NCT01313663] | Phase 2 | 20 participants (Actual) | Interventional | 2011-02-28 | Terminated |
A Multicenter Phase II Randomized Trial Of Immunotherapy Versus Chemotherapy Guided By Circulating Tumor DNA-Based Molecular Response On Patients With Metastatic NSCLC [NCT05715229] | Phase 2 | 108 participants (Anticipated) | Interventional | 2023-09-29 | Recruiting |
NASSIST (Neoadjuvant Chemoradiation +/- Immunotherapy Before Surgery for Superior Sulcus Tumors): A Randomized Phase II Trial of Trimodality +/- Atezolizumab in Resectable Superior Sulcus Non-Small Cell Lung Cancer [NCT04989283] | Phase 2 | 0 participants (Actual) | Interventional | 2021-09-09 | Withdrawn(stopped due to Due to no accrual) |
A Feasibility Trial of Neoadjuvant Cisplatin-Pemetrexed With Atezolizumab in Combination and in Maintenance for Resectable Malignant Pleural Mesothelioma [NCT03228537] | Phase 1 | 29 participants (Actual) | Interventional | 2018-07-16 | Active, not recruiting |
A Randomized Ph 3 Study Comparing First-Line Pemetrexed/Cisplatin Followed by Gefitinib With Gefitinib Alone in East Asian Never Smoker or Light Ex-Smoker Patients With Locally Advanced or Metastatic Nonsquamous NSCLC [NCT01017874] | Phase 3 | 236 participants (Actual) | Interventional | 2009-11-30 | Completed |
Phase 2 Study of Pemetrexed in Combination With Cisplatin and Cetuximab in Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck [NCT01057589] | Phase 2 | 66 participants (Actual) | Interventional | 2010-02-28 | Completed |
A Phase I/II Clinical Study of BBI608 in Combination With Pemetrexed and Cisplatin in Adult Patients With Malignant Pleural Mesothelioma [NCT02347917] | Phase 1/Phase 2 | 28 participants (Actual) | Interventional | 2015-02-28 | Completed |
A Phase I Study of the Treatment of Recurrent Primary or Secondary CNS Lymphoma With ALIMTA (Pemetrexed), a Novel Anti-Folate [NCT00916630] | Phase 1 | 18 participants (Actual) | Interventional | 2009-01-31 | Completed |
Randomized, Open-Label, Phase 3 Study of Pemetrexed Plus Carboplatin and Bevacizumab Followed by Maintenance Pemetrexed and Bevacizumab Versus Paclitaxel Plus Carboplatin and Bevacizumab Followed by Maintenance Bevacizumab in Patients With Stage IIIB or I [NCT00762034] | Phase 3 | 939 participants (Actual) | Interventional | 2008-12-31 | Completed |
An Open Label Phase Ib Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity and Maximum Tolerated Dose of Anetumab Ravtansine in Combination With Pemetrexed 500 mg/m2 and Cisplatin 75 mg/m2 in Subjects With Mesothel [NCT02639091] | Phase 1 | 36 participants (Actual) | Interventional | 2016-02-03 | Completed |
A Phase I Open Label Study of GSK3359609 Administered Alone and in Combination With Anticancer Agents in Subjects With Selected Advanced Solid Tumors [NCT02723955] | Phase 1 | 829 participants (Actual) | Interventional | 2016-06-23 | Completed |
A Randomized Phase II Study to Assess the Efficacy of Pemetrexed or Sunitinib (NSC # 736511) or Pemetrexed Plus Sunitinib in the Second-Line Treatment of Advanced Non-small Cell Lung Cancer [NCT00698815] | Phase 2 | 130 participants (Actual) | Interventional | 2008-04-15 | Completed |
Phase 3 Study of Pemetrexed, Cisplatin, and Radiotherapy Followed by Consolidation Pemetrexed Versus Etoposide, Cisplatin, and Radiotherapy Followed by Consolidation Cytotoxic Chemotherapy of Choice in Patients With Unresectable, Locally Advanced, Stage I [NCT00686959] | Phase 3 | 598 participants (Actual) | Interventional | 2008-09-30 | Completed |
Pilot Study of Pemetrexed for the Treatment of Chordoma [NCT03955042] | Phase 1 | 15 participants (Actual) | Interventional | 2019-09-06 | Completed |
A Phase 2 Double-Blind Randomized Study of Oral Enzastaurin HCl Versus Placebo Concurrently With Pemetrexed (Alimta®) as Second-Line Therapy in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00530621] | Phase 2 | 160 participants (Actual) | Interventional | 2007-09-30 | Completed |
Randomized Phase II Study of Pemetrexed Versus Pemetrexed and Carboplatin as Second Line Chemotherapy in Advanced Non-small-cell Lung Cancer (NSCLC). [NCT00786331] | Phase 2 | 230 participants (Anticipated) | Interventional | 2007-07-31 | Recruiting |
A Multicenter, Randomized, Phase II Study of Pemetrexed and Carboplatin With or Without Anlotinib Hydrochloride for Advanced or Locally-advanced Osimertinib-resistant Non-squamous Non-small Cell Lung Cancer (ALTER-L031) [NCT04136535] | Phase 2 | 105 participants (Anticipated) | Interventional | 2019-10-18 | Not yet recruiting |
A Phase II Study of Pemetrexed as Second-Line Treatment in Patients With Pancreatic Cancer Progressing Despite Therapy With Gemcitabine [NCT00864513] | Phase 2 | 17 participants (Actual) | Interventional | 2007-10-31 | Terminated(stopped due to At interim analysis the study did not meet the response criteria to continue) |
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 |
Open-label Study of Bevacizumab Maintenance Therapy (AVASTIN®) With or Without Pemetrexed After First-line Chemotherapy With Bevacizumab-cisplatin-pemetrexed in Patients With Advanced, Metastatic or Recurrent Non-squamous Non-small Cell Lung Cancer (NSCLC [NCT00961415] | Phase 3 | 376 participants (Actual) | Interventional | 2009-08-31 | Completed |
Open-Label Single-Arm Phase 2 Study of Alimta in Patients With Recurrent or Metastatic Nasopharyngeal Carcinoma Who Have Had Prior Platinum Based Chemotherapy [NCT00630149] | Phase 2 | 35 participants (Actual) | Interventional | 2007-11-30 | Completed |
Recombinant Human Endostatin Durative Transfusion Combined With Pemetrexed Plus Cisplatin or Carboplatin in the First-line Treatment of Advanced Lung Adenocarcinoma With Wild-type EGFR or ALK-negative [NCT02804646] | Phase 4 | 100 participants (Anticipated) | Interventional | 2016-06-30 | Recruiting |
A Phase I/II Study Evaluating the Safety, Tolerability, and Efficacy of GLS-012 and GLS-010 in Patients With Advanced Non-Small Cell Lung Cancer (Triumph-02) [NCT05978401] | Phase 1/Phase 2 | 152 participants (Anticipated) | Interventional | 2023-08-10 | Not yet recruiting |
A Phase III, Randomised, Open-Label Study of Savolitinib in Combination With Osimertinib Versus Platinum-Based Doublet Chemotherapy in Participants With EGFR Mutated, MET-Overexpressed and/or Amplified, Locally Advanced or Metastatic Non-Small Cell Lung C [NCT05261399] | Phase 3 | 324 participants (Anticipated) | Interventional | 2022-08-03 | Recruiting |
Pilot Study of Serial Plasma Genotyping to Guide the Adaptive Treatment of Advanced NSCLC Receiving First-line Pembrolizumab [NCT04166487] | Phase 2 | 40 participants (Actual) | Interventional | 2020-01-13 | Active, not recruiting |
A Phase Ib Study of Selumetinib in Patients With Previously Treated or Untreated Advanced/Metastatic NSCLC Who Are Receiving Standard Chemotherapy Regimens. [NCT01783197] | Phase 1 | 39 participants (Actual) | Interventional | 2013-06-04 | Completed |
A Randomized Phase II Study of Reolysin in Patients With Previously Treated Advanced or Metastatic, Non Small Cell Lung Cancer Receiving Standard Salvage Therapy. [NCT01708993] | Phase 2 | 166 participants (Actual) | Interventional | 2012-12-10 | Completed |
An Open-Label, Multicenter Study of IBI308 in Subjects With Selected Advanced Solid Tumors [NCT02937116] | Phase 1 | 233 participants (Actual) | Interventional | 2016-10-19 | Completed |
Randomized, Double-Blind, Phase 2/3 Study in Subjects With Malignant Pleural Mesotheliomato Assess ADI-PEG 20 With Pemetrexed and Cisplatin (ATOMIC-Meso Phase 2/3 Study) [NCT02709512] | Phase 2/Phase 3 | 249 participants (Actual) | Interventional | 2017-08-01 | Completed |
EGFR-TKI With Chemotherapy as First Line Treatment in Stage IIIB/IV NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism [NCT02859077] | Phase 3 | 100 participants (Anticipated) | Interventional | 2016-08-31 | Not yet recruiting |
Multicentric, Randomized, Phase III Trial Comparing 2 Strategies in Patients With Non-squamous Non-small Cell Lung Cancer With Asymptomatic Brain Metastases [NCT02162537] | Phase 3 | 95 participants (Actual) | Interventional | 2013-12-31 | Terminated(stopped due to Slow inclusions due in part to a change in practices. The first chemotherapy become a standard for patients with NSCL with asymptomatic brain metastases.) |
A Phase 2 Randomized, Multicenter, Double-Blind Study of the Glutaminase Inhibitor Telaglenastat With Pembrolizumab and Chemotherapy Versus Placebo With Pembrolizumab and Chemotherapy in First-Line, Metastatic KEAP1/NRF2-Mutated, Nonsquamous, Non-Small Ce [NCT04265534] | Phase 2 | 40 participants (Actual) | Interventional | 2020-07-24 | Terminated(stopped due to Lack of Clinical Benefit) |
A Randomized, Double-blinded, Phase III Study of Pemetrexed Plus Platinum Chemotherapy With or Without Sintilimab (IBI308) in First Line Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Subjects (Orient-11) [NCT03607539] | Phase 3 | 397 participants (Actual) | Interventional | 2018-08-23 | Completed |
Almonertinib Alone Versus Almonertinib Plus Chemotherapy as First-Line Treatment in Locally Advanced Or Metastatic NSCLC Patients With Concomitant EGFR and Tumor Suppressor Gene Mutation: A Multicenter, Open-Label, Randomized, Controlled Phase III Study ( [NCT04500717] | Phase 3 | 460 participants (Anticipated) | Interventional | 2020-10-31 | Not yet recruiting |
A Single-Arm Phase 2 Study to Investigate Bintrafusp Alfa With Platinum-Pemetrexed for TKI-Resistant EGFR-Mutant NSCLC [NCT04971187] | Phase 2 | 3 participants (Actual) | Interventional | 2021-06-30 | Terminated(stopped due to PI Request) |
Four Versus Six Cycles of Pemetrexed/Platinum as a First Line Treatment of Malignant Pleural Mesothelioma; a Randomized Phase II Study [NCT02497053] | Phase 2 | 70 participants (Anticipated) | Interventional | 2015-06-30 | Recruiting |
A Phase II Study to Evaluate Camrelizumab With Pemetrexed / Carboplatin in Patients With Brain Metastases of Driven Gene-negative, Non-squamous Non-small Cell Lung Cancer [NCT04211090] | Phase 2 | 45 participants (Actual) | Interventional | 2020-01-15 | Active, not 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 |
Master Protocol: A Phase 2, Open-label, Multi-arm Study of Tislelizumab in Combination With Investigational Agents With or Without Chemotherapy in Patients With Previously Untreated, Locally Advanced, Unresectable, or Metastatic Non-Small Cell Lung Cancer [NCT05635708] | Phase 2 | 200 participants (Anticipated) | Interventional | 2023-03-07 | Recruiting |
Phase I/II Clinical Trial of Intrathecal Pemetrexed as First Line Intrathecal Chemotherapy in Patients With Leptomeningeal Metastasis [NCT05289908] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2022-02-21 | Active, not recruiting |
A Phase III, Randomized, Double-Blind Study of Bevacizumab, Carboplatin, and Paclitaxel or Pemetrexed With or Without Atezolizumab in Chemotherapy-Naïve Patients With Stage IV Non-Squamous Non-Small Cell Lung Cancer (IMpower151) [NCT04194203] | Phase 3 | 304 participants (Actual) | Interventional | 2020-04-09 | Active, not recruiting |
KEYMAKER-U01 Substudy 1: A Phase 2, Umbrella Study With Rolling Arms of Investigational Agents With Pembrolizumab in Combination With Chemotherapy in Treatment-Naive Patients With Advanced Non-small Cell Lung Cancer (NSCLC) [NCT04165070] | Phase 2 | 360 participants (Anticipated) | Interventional | 2019-12-19 | Active, not recruiting |
A Phase III, Randomized, Double-blind Trial of Platinum Doublet Chemotherapy +/-Pembrolizumab (MK-3475) as Neoadjuvant/Adjuvant Therapy for Participants With Resectable Stage II, IIIA, and Resectable IIIB (T3-4N2) Non-small Cell Lung Cancer (NSCLC) (KEYNO [NCT03425643] | Phase 3 | 797 participants (Actual) | Interventional | 2018-04-24 | Active, not recruiting |
A Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating The Efficacy And Safety Of Multiple Immunotherapy-Based Treatment Combinations In Patients With Metastatic Non-Small Cell Lung Cancer (Morpheus-Lung) [NCT03337698] | Phase 1/Phase 2 | 470 participants (Anticipated) | Interventional | 2018-01-02 | Recruiting |
A Phase 1 Study of RGX-104, a Small Molecule LXR Agonist, as a Single Agent and as Combination Therapy in Patients With Advanced Solid Malignancies and Expansion in Select Malignancies [NCT02922764] | Phase 1 | 150 participants (Anticipated) | Interventional | 2016-11-30 | Recruiting |
Combination of Induction Durvalumab and Tremelimumab Alone Versus Durvalumab and Tremelimumab With Chemotherapy for Potentially Resectable Pleural Mesothelioma [NCT05932199] | Phase 1/Phase 2 | 52 participants (Anticipated) | Interventional | 2023-09-30 | Not yet recruiting |
Randomized Phase III Study of Maintenance Therapy With Bevacizumab, Pemetrexed, or a Combination of Bevacizumab and Pemetrexed Following Carboplatin, Paclitaxel and Bevacizumab for Advanced Non-Squamous NSCLC [NCT01107626] | Phase 3 | 1,516 participants (Actual) | Interventional | 2010-10-25 | Completed |
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 |
An Open-label, Randomized, Phase III, Multicenter Clinical Trial Comparing the Efficacy and Safety of Individualized Intraperitoneal and System Chemotherapy Versus System Chemotherapy as First-line Chemotherapy for Advanced Gastric Cancer [NCT03061058] | Phase 3 | 240 participants (Anticipated) | Interventional | 2013-04-01 | Recruiting |
A Phase III, Open-Label, Randomized Multicenter Study to Compare AC0010 and Pemetrexed/Cisplatin in Patients With Advanced NSCLC Who Have Progressed Following Prior EGFR TKI [NCT03058094] | Phase 3 | 0 participants (Actual) | Interventional | 2018-12-31 | Withdrawn(stopped due to Considiering to change the Chemotherapy into Gefitinib) |
Efficacy and Safety of Maintenance Apatinib Combined With Pemetrexed After First - Line Induction Chemotherapy in Advanced Non-squamous Non-small Cell Lung Cancer: A Prospective, Open, Single Arm Clinical Study [NCT03190239] | Phase 2 | 20 participants (Anticipated) | Interventional | 2017-07-15 | Not yet recruiting |
Penpulimab-based Combination Neoadjuvant/Adjuvant Therapy for Patients With Resectable Locally Advanced Non-small Cell Lung Cancer: a Phase II Clinical Study (ALTER-L043) [NCT04846634] | Phase 2 | 90 participants (Anticipated) | Interventional | 2021-08-31 | Not yet recruiting |
A Randomized, Multicenter,Open-label Phase II Study is to Evaluate the Effects of Chemotherapy and Sintilimab or in Combination With Autologous Cytokine-induced Killer Cell Immunotherapy in Patients With Stage IV Non-small-cell Lung Cancer [NCT04836728] | Phase 2 | 156 participants (Anticipated) | Interventional | 2021-04-01 | Not yet recruiting |
A Phase 1b/2, Open-label, Randomized Study of Vudalimab in Combination With Chemotherapy or Pembrolizumab in Combination With Chemotherapy as First-line Treatment in Patients With Advanced Non-small Cell Lung Cancer [NCT06173505] | Phase 1/Phase 2 | 168 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Randomized, Open-Label, Phase 3 Study to Evaluate Zimberelimab and Domvanalimab in Combination With Chemotherapy Versus Pembrolizumab With Chemotherapy for the First-Line Treatment of Patients With Metastatic Non-Small Cell Lung Cancer With No Epidermal [NCT05502237] | Phase 3 | 720 participants (Anticipated) | Interventional | 2022-10-12 | Recruiting |
A Randomized, Double-blind, Multi-center, Phase III Study of AK112 or Placebo Combined With Pemetrexed and Carboplatin in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous NSCLC Who Have Failed to EGFR-TKI Treatment [NCT05184712] | Phase 3 | 470 participants (Anticipated) | Interventional | 2022-01-01 | Recruiting |
Phase 2 Randomized Trial of Neoadjuvant or Palliative Chemotherapy With or Without Immunotherapy for Peritoneal Mesothelioma [NCT05001880] | Phase 2 | 66 participants (Anticipated) | Interventional | 2022-03-22 | Recruiting |
Phase I Study of Osimertinib+Bevacizumab+Carboplatin and Pemetrexed for Untreated Patients With EGFR Mutation Advanced Non-squamous Non-Small Cell Lung Cancer With Concomitant Mutations. [NCT05507606] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-08-01 | Recruiting |
An Open Label, Dose Escalation Followed by Dose Expansion, Safety and Tolerability Trial of CAN04, a Fully Humanized Monoclonal Antibody Against IL1RAP, in Subjects With Solid Malignant Tumors [NCT03267316] | Phase 1/Phase 2 | 167 participants (Actual) | Interventional | 2017-09-19 | Active, not recruiting |
"A Phase II Trial of Celecoxib Plus Chemotherapy [Docetaxel or Pemetrexed] in Patients With Previously Treated, COX Dependent Recurrent Non-Small Cell Lung Cancer" [NCT00520845] | Phase 2 | 23 participants (Actual) | Interventional | 2007-10-31 | Terminated(stopped due to slow accrual) |
Phase II Study of Concurrent Carboplatin, Pemetrexed, and Radiotherapy for Limited Stage of Small Cell Lung Cancer [NCT00494026] | Phase 2 | 4 participants (Actual) | Interventional | 2007-09-30 | Terminated(stopped due to Study stopped early based on interim results of another trial, showing inferior activity of pemetrexed/carboplatin compared to etoposide/carboplatin in SCLC.) |
Phase II Trial of Pemetrexed in Second Line Advanced/Metastatic Osteosarcomas [NCT00523419] | Phase 2 | 32 participants (Actual) | Interventional | 2007-09-30 | Completed |
Phase II Trial of ALIMTA in Relapsed Small Cell Lung Cancer [NCT00191750] | Phase 2 | 80 participants | Interventional | 2004-07-31 | Completed |
A Phase I, Open-Label, Dose-Escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD6918 Administered Daily as a Single Agent and in Combination Treatment in Adult Patients With Refractory Solid Malignancies [NCT00733031] | Phase 1 | 75 participants (Anticipated) | Interventional | 2008-08-31 | Terminated(stopped due to PK results demonstrate low and variable plasma concentrations so that achieving therapeutic concentrations is unlikely.) |
Phase II Trial: Efficacy and Toxicity of Induction Pemetrexed (ALIMTA) and Oxaliplatin (ELOXATIN) in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma [NCT00503997] | Phase 2 | 42 participants (Actual) | Interventional | 2006-12-31 | Completed |
Pemetrexed Plus Bevacizumab in Pretreated, Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) [NCT00741221] | Phase 2 | 50 participants (Actual) | Interventional | 2008-06-30 | Completed |
A Phase 2, Open-Label, Parallel Cohort Study of Subcutaneous Amivantamab in Multiple Regimens in Patients With Advanced or Metastatic Solid Tumors Including EGFR-mutated Non-Small Cell Lung Cancer [NCT05498428] | Phase 2 | 390 participants (Anticipated) | Interventional | 2022-11-11 | Recruiting |
A Phase 3 Randomized, Placebo-controlled Study to Evaluate the Safety and Efficacy of Pemetrexed + Platinum Chemotherapy + Pembrolizumab (MK-3475) With or Without Lenvatinib (E7080/MK-7902) as First-line Intervention in Participants With Metastatic Nonsqu [NCT04716933] | Phase 3 | 201 participants (Actual) | Interventional | 2019-11-05 | Active, not recruiting |
Open-label, Phase 2 Study of Tusamitamab Ravtansine (SAR408701) Combined With Pembrolizumab and Tusamitamab Ravtansine (SAR408701) Combined With Pembrolizumab and Platinum-based Chemotherapy With or Without Pemetrexed in Patients With CEACAM5 Positive Exp [NCT04524689] | Phase 2 | 215 participants (Anticipated) | Interventional | 2020-10-26 | Recruiting |
A Phase III, Open-label, Randomized Study of Osimertinib With or Without Platinum Plus Pemetrexed Chemo, as First-line Treatment in Patients With Epidermal Growth Factor Receptor (EGFR) Mutation Positive, Locally Advanced or Metastatic Non-small Cell Lung [NCT04035486] | Phase 3 | 587 participants (Actual) | Interventional | 2019-07-02 | Active, not recruiting |
A Limited Access Phase II Trial of Pemetrexed (Alimta, LY231514) (NSC #698037) in Combination With Cisplatin (NSC #119875) in the Treatment of Advanced, Persistent, or Recurrent Carcinoma of the Cervix [NCT00691301] | Phase 2 | 55 participants (Actual) | Interventional | 2008-09-30 | Completed |
Phase 2 Study of ALIMTA® (Pemetrexed) Plus Cisplatin as First-Line Treatment of Gastric Cancer [NCT00415168] | Phase 2 | 53 participants (Actual) | Interventional | 2006-12-31 | Completed |
Phase II Prospective Study Evaluating the Role of Directed Cisplatin Based Chemo With Either Vinorelbine or Pemetrexed for the Adj Tx of Early Stage NSCLC in Patients Using Genomic Expression Profiles of Chemo Sensitivity to Guide Therapy [NCT00545948] | Phase 2 | 31 participants (Actual) | Interventional | 2007-12-31 | Terminated(stopped due to Study terminated due to reproducibility issues with genomics prediction model.) |
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 |
"A Phase 2 Trial of Pemetrexed and Cisplatin Followed Sequentially by Gefitinib Versus Pemetrexed and Cisplatin in Asian Never Smoker Patients With Advanced Non-Small Cell Lung Cancer" [NCT00409006] | Phase 2 | 70 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Phase 2 Study of Cisplatin + Pemetrexed + Avastin as First-Line Therapy in Patients With Advanced Non-Squamous, Non-Small Cell Lung Carcinoma [NCT00998166] | Phase 2 | 4 participants (Actual) | Interventional | 2007-06-30 | Terminated(stopped due to Poor enrollment) |
Phase II Trial of Pemetrexed and Bevacizumab in Patients With Recurrent or Metastatic Head and Neck Cancer [NCT00222729] | Phase 2 | 42 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Phase 1 Dose-Finding Study Of The Anti-Angiogenesis Agent, AG-013736, In Combinations Of Paclitaxel/Carboplatin, Weekly Paclitaxel, Docetaxel, Capecitabine, Gemcitabine/Cisplatin and Pemetrexed/Cisplatin In Patients With Advanced Solid Tumors [NCT00454649] | Phase 1 | 102 participants (Actual) | Interventional | 2005-12-31 | Completed |
CHAMP - An Open-label, Randomised, Multicentre, Phase II Clinical Study of Panitumumab Plus Pemetrexed and Cisplatin (PemCisP) Versus PemCis in the First-line Treatment of Patients With Stage IIIB or IV Primary Nonsquamous Non-small Cell Lung Cancer, With [NCT01088620] | Phase 2 | 134 participants (Anticipated) | Interventional | 2010-04-30 | Suspended(stopped due to the DSMB stopped the trial due to unacceptable side effects in the experimental arm which has not yet been verified) |
A Phase 2 Clinical Trial:Low -Dose-bevacizumab and Pemetrexed Versus Treatment of Physician's Choice in Metastatic HER2-negative Breast Cancer Patients After Failure of Taxanes and Anthracycline-containing Regimens [NCT02829008] | Phase 2 | 120 participants (Anticipated) | Interventional | 2016-04-30 | Active, not recruiting |
A Phase II First-Line Study of a Combination of Pemetrexed, Carboplatin and Bevacizumab in Advanced Nonsquamous NSCLC Evaluating Efficacy and Tolerability in Elderly Patients (Age ≥ 70 Yrs) With Good Performance Status (PS < 2) [NCT00798603] | Phase 2 | 65 participants (Actual) | Interventional | 2008-12-31 | Completed |
Pilot Study of Pembrolizumab Combined With Pemetrexed or Abemaciclib for the Treatment of Patients With High Grade Glioma [NCT04220892] | Early Phase 1 | 0 participants (Actual) | Interventional | 2020-07-08 | Withdrawn(stopped due to One of the study drugs will no longer be supplied by manufacturer and the pembrolizumab + abemaciclib study arm is removed due to toxicity seen in other trials.) |
Role of Early 18F-FDG-PET/CT Scan in Predicting Mediastinal Downstaging With Neoadjuvant Chemotherapy in Resectable Stage III A NSCLC [NCT02607423] | Phase 2 | 0 participants (Actual) | Interventional | 2015-11-19 | Withdrawn(stopped due to The study failed to meet its accrual targets.) |
A Phase II Trial of Pemetrexed (Alimta [Registered Trademark]) Combined With Sirolimus (Rapamycin, Rapamune [Registered Trademark]) in Subjects With Relapsed or Refractory NSCLC [NCT00923273] | Phase 1/Phase 2 | 42 participants (Actual) | Interventional | 2008-02-29 | Terminated(stopped due to Premature closure - investigator left the National Institutes of Health.) |
A Phase II, Double-blind, Placebo Controlled, Randomised Study to Assess the Efficacy and Safety of ZD4054 (Zibotentan) in Combination With Pemetrexed (Alimta®) vs. Pemetrexed Alone in Patients With Non-small Cell Lung Cancer Who Have Failed One Prior Pla [NCT00745875] | Phase 2 | 66 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Randomized, Open-Label, Controlled, Multicenter Phase III Study of Camrelizumab Combined With Apatinib Mesylate or Camrelizumab Alone Versus Platinum-based Chemotherapy for First-line Treatment in Subjects With PD-L1 Positive Relapsed or Advanced NSCLC [NCT04203485] | Phase 3 | 762 participants (Anticipated) | Interventional | 2020-06-15 | Not yet recruiting |
A Single Arm,Open-label, Study of Fruquintinib Combined With Sintilimab and Chemotherapy in Patients With Unresectable or Metastatic Advanced Wild-type Genotype Non-squamous Non-small Cell Lung Cancer [NCT04956146] | Phase 2 | 46 participants (Anticipated) | Interventional | 2022-02-02 | Recruiting |
Randomized Phase II Study of Durvalumab or Durvalumab Plus Chemotherapy in Kras Mutation Positive and PD-L1 High (≥ 50%) NSCLC Patients [NCT04470674] | Phase 2 | 0 participants (Actual) | Interventional | 2021-04-06 | Withdrawn(stopped due to Lack of Accrual) |
A Phase I/II Study of VEGF-Antisense Oligonucleotide (VEGF-AS, Veglin) in Combination With Pemetrexed and Cisplatin for the Treatment of Advanced Malignant Mesothelioma [NCT00668499] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2008-04-30 | Withdrawn(stopped due to Sponsor withdrew support) |
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 Randomized, Double-blind, Phase 2 Study of BMS-986315 and Nivolumab in Combination With Chemotherapy Versus Nivolumab in Combination With Chemotherapy as First-line Treatment for Participants With Stage IV or Recurrent Non-small Cell Lung Cancer (NSCLC) [NCT06094296] | Phase 2 | 196 participants (Anticipated) | Interventional | 2023-11-03 | Not yet recruiting |
A Global, Randomised, Phase 3, Open-label Study of REGN2810 (ANTI-PD 1 Antibody) Versus Platinum Based Chemotherapy in First Line Treatment of Patients With Advanced or Metastatic PD L1+Non-small Cell Lung Cancer [NCT03088540] | Phase 3 | 712 participants (Actual) | Interventional | 2017-05-29 | Active, not recruiting |
MTA vs CEM Pulpotomy in Young Permanent Molars With a Diagnosis of Irreversible Pulpitis: A Randomized Clinical Trial [NCT04243733] | | 40 participants (Anticipated) | Interventional | 2018-10-10 | Recruiting |
An Exploratory, Prospective Phase II Study to Investigate Progression-Free Survival, Response and Overall Survival Seen With Pemetrexed/Cisplatin and the Role of Thymidylate Synthase Expression [NCT00887549] | Phase 2 | 70 participants (Actual) | Interventional | 2009-04-30 | Completed |
Evaluation of the Efficacy of Er,Cr:YSGG Laser in Partial Pulpotomy Therapy of Permanent Immature Molar Teeth With Deep Dentin Caries [NCT04010929] | | 64 participants (Actual) | Interventional | 2018-01-08 | Completed |
A Phase I/II Study Of The Docetaxel/Pemetrexed Combination As First Line Treatment In Patients With Advanced/Metastatic NSCLC [NCT00684099] | Phase 1/Phase 2 | 70 participants (Anticipated) | Interventional | 2006-05-31 | Completed |
A Phase II Study of Pemetrexed Plus Cisplatin With Concurrent Radiation Therapy Followed by Every-21-Day Docetaxel Consolidation in Patients With Inoperable Stage IIIA/B Squamous Cell Lung Cancer [NCT02787473] | Phase 2 | 54 participants (Anticipated) | Interventional | 2016-10-31 | Recruiting |
A Phase 2 Study of Pemetrexed and Cisplatin Plus Cetuximab Followed by Pemetrexed and Cetuximab Maintenance Therapy in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (Stage IIIB or IV) Other Than Predominantly Squamous Cell Histol [NCT00867009] | Phase 2 | 113 participants (Actual) | Interventional | 2009-04-30 | Completed |
Phase II Study of Pemetrexed or Nab-paclitaxel With Pembrolizumab in Elderly (>/= 75 Years) Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT04754815] | Phase 2 | 0 participants (Actual) | Interventional | 2021-04-01 | Withdrawn(stopped due to Logistical challenges primarily due to COVID led to delay in starting the study and now is not felt to be clinically relevant.) |
Pembrolizumab + Platinum Doublets Without Radiation for Patients With PD-L1 ≥50% Locally Advanced Non-small Cell Lung Cancer: a Multicenter Prospective Single Arm Phase II Study [NCT04153734] | Phase 2 | 21 participants (Anticipated) | Interventional | 2019-12-01 | Not yet recruiting |
Randomized, Double-Blind, Placebo Controlled, Phase 2 Study of Pemetrexed and Cisplatin Plus Enzastaurin Versus Pemetrexed and Cisplatin Plus Placebo in Chemonaive Patients With Advanced, Unresectable, or Metastatic (Stage IIIB or IV) Nonsquamous Non-Smal [NCT00538681] | Phase 2 | 35 participants (Actual) | Interventional | 2007-09-30 | Terminated(stopped due to Terminated due to lack of efficacy demonstrated in relevant participant population in other clinical trials.) |
An Open-label, Randomized, Phase I/II Trial Investigating the Safety and Efficacy of IO102 in Combination With Pembrolizumab, With or Without Chemotherapy, as First-line Treatment for Patients With Metastatic Non-Small Cell Lung Cancer [NCT03562871] | Phase 1/Phase 2 | 109 participants (Actual) | Interventional | 2018-08-22 | Completed |
An Open-label, Multi-center Phase Ib/III Study Evaluating the Efficacy and Safety of IBI351 in Combination With Sintilimab ± Chemotherapy in Advanced Non-squamous Non-small Cell Lung Cancer Subjects With KRAS G12C Mutation [NCT05504278] | Phase 1 | 144 participants (Anticipated) | Interventional | 2022-09-20 | Recruiting |
QUILT 2.023: A Phase 3, Open-Label, 3-Cohort Randomized Study of N-803, in Combination With Current Standard of Care VS Standard of Care as First-Line Treatment for Patients With Advanced or Metastatic NSCLC. [NCT03520686] | Phase 3 | 1,538 participants (Anticipated) | Interventional | 2018-05-18 | Active, not recruiting |
A Phase I/II Study of Concurrent Pemetrexed/Cisplatin/Radiation in Stage IIIA/B Non-Small Cell Lung Cancer [NCT00529100] | Phase 1/Phase 2 | 49 participants (Actual) | Interventional | 2005-12-31 | Completed |
Phase II Combination of Pemetrexed and Oxaliplatin in Patients With Recurrent Non-Small Cell Lung Cancer After Failure to Platinum Based Adjuvant Chemotherapy [NCT00612677] | Phase 2 | 1 participants (Actual) | Interventional | 2007-06-30 | Terminated(stopped due to slow accrual - the 1 patient accrued did not go on treatment) |
A Randomized Phase 3 Study Comparing Pemetrexed-Carboplatin With Docetaxel-Carboplatin as First-Line Treatment for Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00520676] | Phase 3 | 260 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Randomized, Open-label, Phase 3 Study of MK-2870 vs Chemotherapy (Docetaxel or Pemetrexed) in Previously Treated Advanced or Metastatic Nonsquamous Non-small Cell Lung Cancer (NSCLC) With EGFR Mutations or Other Genomic Alterations [NCT06074588] | Phase 3 | 556 participants (Anticipated) | Interventional | 2023-11-12 | Recruiting |
A Phase II, Randomized, Multicenter, Double-Blind, Controlled Study of Tobemstomig Plus Platinum-Based Chemotherapy Versus Pembrolizumab Plus Platinum-Based Chemotherapy in Patients With Previously Untreated Locally Advanced or Metastatic Non-Small Cell L [NCT05775289] | Phase 2 | 180 participants (Anticipated) | Interventional | 2023-03-15 | Recruiting |
A Phase 3 Randomized, Open-label Clinical Study to Evaluate the Pharmacokinetics and Safety of Subcutaneous Pembrolizumab Coformulated With Hyaluronidase (MK-3475A) Versus Intravenous Pembrolizumab, Administered With Chemotherapy, in the First-line Treatm [NCT05722015] | Phase 3 | 339 participants (Anticipated) | Interventional | 2023-02-14 | Active, not recruiting |
Open-label Phase 3 Study of MK-7684A (Coformulation of Vibostolimab With Pembrolizumab) in Combination With Concurrent Chemoradiotherapy Followed by MK-7684A Versus Concurrent Chemoradiotherapy Followed by Durvalumab in Participants With Unresectable, Loc [NCT05298423] | Phase 3 | 784 participants (Anticipated) | Interventional | 2022-05-03 | Recruiting |
Avelumab Master Protocol: An Open-label Continuation Study for Participants Continuing From Pfizer-sponsored Avelumab Clinical Studies. [NCT05059522] | Phase 3 | 262 participants (Anticipated) | Interventional | 2021-09-29 | Recruiting |
A Phase II, Open-Label, Multicenter Study Evaluating the Safety and Efficacy of Neoadjuvant and Adjuvant Tiragolumab Plus Atezolizumab, With or Without Platinum-Based Chemotherapy, in Patients With Previously Untreated Locally Advanced Resectable Stage II [NCT04832854] | Phase 2 | 50 participants (Actual) | Interventional | 2021-04-23 | Active, not recruiting |
An Open Label, Multicenter Extension Study in Patients Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Atezolizumab Study (IMbrella B) [NCT03768063] | Phase 3 | 1,000 participants (Anticipated) | Interventional | 2019-02-28 | Recruiting |
A Phase 3, Open-Label, Randomized, Multi-Center Study of DZD9008 Versus Platinum-Based Doublet Chemotherapy as First-Line Treatment for Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Harboring Epidermal Growth Factor Receptor Exon [NCT05668988] | Phase 3 | 320 participants (Anticipated) | Interventional | 2022-12-13 | Recruiting |
Phase I/II Study of BLU-451 in Advanced Cancers With EGFR Exon 20 Insertion Mutations [NCT05241873] | Phase 1/Phase 2 | 332 participants (Anticipated) | Interventional | 2022-03-04 | Recruiting |
An Open-label, Randomized, Multicenter, Phase 3 Study to Assess the Efficacy and Safety of Trastuzumab Deruxtecan as First-line Treatment of Unresectable, Locally Advanced, or Metastatic NSCLC Harboring HER2 Exon 19 or 20 Mutations (DESTINY-Lung04) [NCT05048797] | Phase 3 | 264 participants (Anticipated) | Interventional | 2021-10-28 | Recruiting |
A Phase I/Ib Trial of Pirfenidone Combined With Standard First-Line Chemotherapy in Advanced-Stage Lung NSCLC [NCT03177291] | Phase 1 | 48 participants (Actual) | Interventional | 2017-09-26 | Active, not recruiting |
Safety and Efficacy of Anlotinib Hydrochloride Combined With Pemetrexed Plus Cisplatin/Carboplatin (AP) as First Line Treatment for Stage IIIB/IIIC/IV Non-squamous Non-small-cell Lung Cancer [NCT04012619] | Phase 1 | 8 participants (Actual) | Interventional | 2019-04-30 | Completed |
Phase II Prospective Study Evaluating the Role of Personalized Chemotherapy Regimens for Chemo-Naive Select Stage IIIB and IV Non-Small Cell Lung Cancer (NSCLC) in Patients Using a Genomic Predictor of Platinum Resistance to Guide Therapy [NCT00509366] | Phase 2 | 101 participants (Actual) | Interventional | 2007-05-31 | Terminated(stopped due to Study terminated due to reproducibility issues with genomics prediction model.) |
A Randomized Phase 2 Study of Pemetrexed in Combination With Cisplatin or Carboplatin in the First Line Therapy of Advanced NSCLC [NCT00402051] | Phase 2 | 133 participants (Actual) | Interventional | 2006-11-30 | Completed |
Phase II Randomized Study of Pemetrexed With Sorafenib Versus Pemetrexed Alone as Second-Line Therapy in Patients With Advanced Non-Small Cell Lung Cancer [NCT00454194] | Phase 2 | 110 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Randomized Phase II Trial of Pemetrexed/Gemcitabine/Bevacizumab or Pemetrexed/Carboplatin/Bevacizumab in the First-Line Treatment of Elderly Patients With Advanced Non-Small Cell Lung Cancer [NCT00456261] | Phase 2 | 110 participants (Actual) | Interventional | 2007-03-31 | Completed |
Phase 1, Dose Escalation Study Of CP-751,871 In Combination With Cisplatin And Gemcitabine In Previously Untreated Patients With Advanced Non-Small Cell Lung Cancer [NCT00560573] | Phase 1 | 46 participants (Actual) | Interventional | 2007-11-30 | Completed |
Osimertinib Then Chemotherapy in EGFR-mutated Lung Cancer With Osimertinib Third-line Rechallenge [NCT04335292] | Phase 2 | 200 participants (Anticipated) | Interventional | 2021-01-06 | Recruiting |
A Phase II Study of ALIMTA® (Pemetrexed) and GEMZAR® (Gemcitabine) Every 14 Days Versus Pemetrexed and Gemcitabine Every 21 Days in Advanced Non-Small Cell Lung Cancer [NCT00383331] | Phase 2 | 19 participants (Actual) | Interventional | 2007-02-28 | Terminated(stopped due to Trial was stopped early due to low enrollment) |
A Randomized Phase II Study of Two Chemotherapy Regimens, Pemetrexed-Carboplatin, and Gemcitabine-Vinorelbine, in Anthracycline and Taxanes Pretreated Advanced Breast Cancer Patients [NCT00325234] | Phase 2 | 135 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Randomized Phase 2 Study of Pemetrexed in Combination With Cisplatin or Carboplatin as Adjuvant Chemotherapy in Patients With Completely Resected Stage Ib or II Non-Small Cell Lung Cancer [NCT00269152] | Phase 2 | 122 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Phase II Study of Pemetrexed Chemotherapy in Poor-Risk Patients With Advanced Head and Neck Cancer [NCT00293579] | Phase 2 | 5 participants (Actual) | Interventional | 2006-02-28 | Completed |
A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With Anti-PD-(L)1 Therapy in Subjects With NSCLC as First Line Therapy or When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy [NCT04622007] | Phase 2 | 180 participants (Anticipated) | Interventional | 2021-06-02 | Recruiting |
A First-in-Human, Open-label, Dose-escalation Trial With Expansion Cohorts to Evaluate Safety and Anti-tumor Activity of GEN1042 in Subjects With Malignant Solid Tumors [NCT04083599] | Phase 1/Phase 2 | 1,287 participants (Anticipated) | Interventional | 2019-09-17 | Recruiting |
A Phase III, Randomized, Multi-Center, Open-Label, Comparative Global Study to Determine the Efficacy of Durvalumab or Durvalumab and Tremelimumab in Combination With Platinum-Based Chemotherapy for First-Line Treatment in Patients With Metastatic Non Sma [NCT03164616] | Phase 3 | 1,186 participants (Actual) | Interventional | 2017-06-01 | Active, not recruiting |
Combining Afatinib and Concurrent Chemotherapy, Followed by Osimertinib and Concurrent Chemotherapy, in Untreated EGFR Positive NSCLC Tumors [NCT05298176] | Phase 2 | 21 participants (Anticipated) | Interventional | 2022-01-04 | Recruiting |
An Open Label, Randomized Study of Neoadjuvant Nivolumab and Chemotherapy, With or Without Sub-ablative Stereotactic Body Radiation Therapy, for Resectable Stage IIA to IIIB Non-small Cell Lung Cancer [NCT05500092] | Phase 2 | 52 participants (Anticipated) | Interventional | 2023-01-25 | Recruiting |
Phase I Study of Sorafenib, Pemetrexed, and Cisplatin for the Treatment of Advanced Solid Tumors. [NCT00703638] | Phase 1 | 16 participants (Actual) | Interventional | 2008-05-31 | Completed |
Additional Chemotherapy for EGFRm Patients With the Continued Presence of Plasma ctDNA EGFRm at Week 3 After Start of Osimertinib 1st-line Treatment (PACE-LUNG) [NCT05281406] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-11-12 | Recruiting |
A Randomized, Double-Blind, Phase III Study of Platinum+Pemetrexed Chemotherapy With or Without Pembrolizumab (MK-3475) in First Line Metastatic Non-squamous Non-small Cell Lung Cancer Subjects (KEYNOTE-189) [NCT03950674] | Phase 3 | 40 participants (Actual) | Interventional | 2016-02-22 | Completed |
A Randomized, Double-Blind, Phase III Study of Platinum+Pemetrexed Chemotherapy With or Without Pembrolizumab (MK-3475) in First Line Metastatic Non-squamous Non-small Cell Lung Cancer Subjects (KEYNOTE-189) [NCT02578680] | Phase 3 | 616 participants (Actual) | Interventional | 2016-01-15 | Completed |
Biomarker Study Accompanying the AIO-TRK-0114 Study (MARBLE) [NCT02595840] | Phase 2 | 4 participants (Actual) | Interventional | 2015-11-25 | Terminated(stopped due to Futility) |
A Phase II Study of Concurrent Pemetrexed and Radiation for Poor-Risk Stage III Non-Small Cell Lung Cancer: Hoosier Oncology Group LUN08-129 [NCT00732303] | Phase 2 | 8 participants (Actual) | Interventional | 2009-01-31 | Terminated(stopped due to Study terminated due to withdrawal of pharmaceutical funding) |
A Phase II Trial of Paclitaxel, Bevacizumab and Pemetrexed in Patients With Untreated, Advanced Non-Small Cell Lung Cancer Using Web-Based Data Collection, Patient Self-Reporting of Adverse Effects and Automated Response Assessment [NCT00807573] | Phase 2 | 44 participants (Actual) | Interventional | 2008-12-31 | Completed |
Multicenter, Randomized, Double-blind, Phase III Trial to Investigate the Efficacy and Safety of Oral BIBF 1120 Plus Standard Pemetrexed Therapy Compared to Placebo Plus Standard Pemetrexed Therapy in Patients With Stage IIIB/IV or Recurrent Non Small Cel [NCT00806819] | Phase 3 | 718 participants (Actual) | Interventional | 2008-12-31 | Completed |
An Open-Label Clinical Trial of MORAb-009 in Combination With Pemetrexed and Cisplatin in Subjects With Mesothelioma [NCT00738582] | Phase 2 | 89 participants (Actual) | Interventional | 2008-12-31 | Completed |
A Phase II Study of Pemetrexed Plus Gemcitabine for Metastatic/Recurrent Head and Neck Cancer (HNSCC) [NCT00589667] | Phase 2 | 26 participants (Actual) | Interventional | 2006-09-30 | Completed |
An Open-label, Multicentre, Randomised Phase II Study of Pazopanib in Combination With Pemetrexed in First-line Treatment of Subjects With Predominantly Non-squamous Cell Stage IIIBwet/IV Non-small Cell Lung Cancer [NCT00871403] | Phase 2 | 107 participants (Actual) | Interventional | 2009-07-31 | Completed |
Open Label Phase 1 Dose Finding Study of TRC102 in Combination With Pemetrexed in Patients With Advanced or Metastatic Solid Cancer for Whom Curative Therapy is Unavailable [NCT00692159] | Phase 1 | 28 participants (Actual) | Interventional | 2008-06-30 | Completed |
MK-0646 IMPACT Study: MK-0646, Insulin Growth Factor 1 Receptor Antibody in Stage IIIB or IV Metastatic Non-Squamous Lung Cancer, Combined With Pemetrexed (Alimta) and Cisplatin, a Randomized Phase II Trial. [NCT00799240] | Phase 2 | 27 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Randomised Open-label Phase II Trial of BI 6727 Monotherapy and BI 6727 in Combination With Standard Dose Pemetrexed Compared to Pemetrexed Monotherapy in Second Line Non-small Cell Lung Cancer [NCT00824408] | Phase 2 | 143 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase 1/2 Study of Aflibercept Administered in Combination With Pemetrexed and Cisplatin in Patients With Advanced Carcinoma [NCT00794417] | Phase 1/Phase 2 | 60 participants (Actual) | Interventional | 2008-11-30 | Terminated |
A Phase II Study of a Combination of MTA (LY231514) and Gemcitabine in Patients With Metastatic Breast Cancer. [NCT00034489] | Phase 2 | 0 participants | Interventional | | 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 |
Phase I/II Study of Concurrent Cisplatin, Pemetrexed, and Radiotherapy for Limited Stage Small Cell Lung Cancer [NCT00447421] | Phase 1/Phase 2 | 9 participants (Actual) | Interventional | 2007-02-28 | Terminated(stopped due to Interim results of another trial showed inferior activity of treatment) |
Stereotactic Radiosurgery and Systemic Dose Chemotherapy for Locally Advanced Lung Cancer (Protocol Number GK001) [NCT02568033] | Early Phase 1 | 22 participants (Anticipated) | Interventional | 2013-10-31 | Recruiting |
Phase 1 Study Of Sunitinib (SU011248) In Combination With Pemetrexed In Patients With Advanced Solid Malignancies In Japan [NCT00732992] | Phase 1 | 12 participants (Actual) | Interventional | 2008-08-31 | Completed |
Feasibility of Administering Adjuvant Chemotherapy of Pemetrexed Followed by Pemetrexed/Oxaliplatin Immediately Post-VATS in Patients With Completely Resected NSCLC [NCT00923637] | Phase 2 | 75 participants (Anticipated) | Interventional | 2009-06-30 | Recruiting |
Systemic Chemotherapy Combined With Thoracic Cavity Perfusion of Recombinant Human Adenovirus Type 5 and Endostatin Injections Versus Cisplatin for Treatment Malignant Hydrothorax in Non Small Cell Lung Cancer (NSCLC) Patients: A Multi-center, Randomized, [NCT02579564] | Phase 3 | 134 participants (Anticipated) | Interventional | 2016-10-31 | Not yet recruiting |
A Multicenter, Double Blind, Randomized, Controlled Study of M7824 With Concurrent Chemoradiation Followed by M7824 Versus Concurrent Chemoradiation Plus Placebo Followed by Durvalumab in Participants With Unresectable Stage III Non-small Cell Lung Cancer [NCT03840902] | Phase 2 | 168 participants (Actual) | Interventional | 2019-04-16 | Terminated(stopped due to Based on recommendations by an external IDMC, Sponsor decided to discontinue this clinical study due to a low likelihood of achieving superiority in the efficacy endpoints versus standard of care.) |
A Randomized Parallel Group Phase III Trial of OSE2101 as 2nd or 3rd Line Compared With Standard Treatment (Docetaxel or Pemetrexed) in HLA-A2 Positive Patients With Advanced Non-Small-Cell Lung Cancer With Progressive Disease After Last Treatment With Im [NCT02654587] | Phase 3 | 363 participants (Anticipated) | Interventional | 2016-02-29 | Active, not recruiting |
0822GCC Randomized, Double-Blind, Placebo-Controlled Multicenter Phase 2 Study of the Efficacy and Safety of Apricoxib in Combination With Either Docetaxel or Pemetrexed in Non-Small Cell Lung Cancer Patients [NCT00771953] | Phase 2 | 109 participants (Actual) | Interventional | 2008-11-30 | Completed |
Pilot Study to Determine Therapeutic Response of Pemetrexed (Alimta) in Recurrent or Progressive Primary Central Nervous System Lymphoma (PCNSL) by Establishing the Radiographic Response Rate Using Modified Macdonald Criteria [NCT00712062] | Phase 2 | 0 participants (Actual) | Interventional | 2009-02-28 | Withdrawn(stopped due to Lack of accrual) |
Efficacy and Safety of Immune Checkpoint (PD-1) Inhibitor Combined With Pemetrexed Intrathecal Injection in Patients With Leptomeningeal Metastases in NSCLC [NCT06132698] | Phase 2 | 17 participants (Anticipated) | Interventional | 2023-11-30 | Not yet recruiting |
A Study of Pemetrexed Plus Carboplatin Followed by Maintenance Pemetrexed vs Paclitaxel Plus Carboplatin and Bevacizumab Followed by Maintenance Bevacizumab in Patients With Advanced NCSLC of Nonsquamous Histology [NCT00948675] | Phase 3 | 361 participants (Actual) | Interventional | 2009-09-01 | Completed |
A Randomized, Double-blind, Multi-center, Phase III Clinical Study Assessing the Efficacy and Safety of Sintilimab ± IBI305 Combined With Pemetrexed and Cisplatin in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous Non-small Cell Lung [NCT03802240] | Phase 3 | 492 participants (Actual) | Interventional | 2019-07-11 | Completed |
Phase II Study of Neo-adjuvant Pemetrexed (ALIMTA) Plus Cisplatin Followed by Surgery and Radiation Therapy for Malignant Pleural Mesothelioma [NCT00895648] | Phase 2 | 6 participants (Actual) | Interventional | 2009-01-31 | Terminated(stopped due to low accrual due to competing study for same group of patients) |
Efficacy and Safety of Toripalimab (JS001) Combined With Pemetrexed and Anlotinib for Patients With T790M Positive Non-Small Cell Lung Cancer After Osimertinib Resistance:a Phase II,Muti-center, Single Arm Study [NCT04316351] | Phase 2 | 60 participants (Anticipated) | Interventional | 2020-04-01 | Recruiting |
[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) |
Advanced Non-small Cell Lung Cancer With Chinese Medicine Comprehensive Treatment Plan [NCT02777788] | Phase 2/Phase 3 | 120 participants (Anticipated) | Interventional | 2014-09-30 | Active, not recruiting |
Phase I Study of Concomitant Pemetrexed and CDDP Plus Radiation Therapy in Patients With Locally Advanced or Metastatic Esophageal or Gastroesophageal (GEJ) Carcinomas [NCT00701857] | Phase 1 | 10 participants (Actual) | Interventional | 2008-02-29 | Completed |
Randomized Phase II Study of Pemetrexed Alone vs Pemetrexed Plus Cisplatin in Patients With EGFR Mutation-positive Advanced NSCLC After First Line EGFR-TKIs Failure [NCT02725918] | Phase 2 | 150 participants (Anticipated) | Interventional | 2016-04-01 | Recruiting |
Identifying Genetic Predictors of Durable Clinical Benefit to Pembrolizumab in Advanced Non-small Cell Lung Cancer (NSCLC) Alone and in Combination With Chemotherapy. [NCT02710396] | Phase 2 | 19 participants (Actual) | Interventional | 2016-05-31 | Terminated(stopped due to Frontline pembrolizumab approved in NSCLC as monotherapy and in combination with chemotherapy representing a new standard of care.) |
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 II Study of Gemcitabine and Pemetrexed in Primary Unknown Adenocarcinoma [NCT00191503] | Phase 2 | 30 participants | Interventional | 2005-01-31 | Completed |
Phase II Study of First-Line Therapy With Pemetrexed and Gemcitabine in Patients With Advanced Non-Small Cell Lung Cancer [NCT00193414] | Phase 2 | 72 participants (Actual) | Interventional | 2005-05-31 | Completed |
Post-marketing Clinical Trial of Induction Chemotherapy of Pemetrexed Plus Carboplatin Followed by Pemetrexed Maintenance Therapy for Advanced Nonsquamous Non-small Cell Lung Cancer [NCT01020786] | Phase 4 | 109 participants (Actual) | Interventional | 2009-11-30 | Completed |
A Phase II Trial With Pemetrexed Plus Cisplatin as First Line Chemotherapy for Advanced Non - Small Cell Lung Cancer (NSCLC) Patients With Measurable Asymptomatic Brain Metastasis (GFPC 07-01/METAL). [NCT00744900] | Phase 2 | 45 participants (Actual) | Interventional | 2008-09-30 | Completed |
An Open Label Pilot Study of NovoTTF-100L in Combination With Pemetrexed (Alimta®) for Advanced Non-small Cell Lung Cancer [NCT00749346] | Phase 1/Phase 2 | 42 participants (Anticipated) | Interventional | 2008-05-31 | Completed |
A Randomised Phase II Open-label Study With a Phase Ib Safety lead-in Cohort of ONCOS-102, an Immune-priming GM-CSF Coding Oncolytic Adenovirus, and Pemetrexed/Cisplatin in Patients With Unresectable Malignant Pleural Mesothelioma [NCT02879669] | Phase 1/Phase 2 | 31 participants (Actual) | Interventional | 2016-06-30 | Active, not recruiting |
Pilot Study of the Feasibility of Intrapleural Photodynamic Therapy in a Multimodal Treatment Combining Extended Pleurectomy/Decortication, Adjuvant Chemotherapy and Prophylactic Radiotherapy in Patients With Malignant Pleural Mesothelioma [NCT02662504] | Phase 2 | 6 participants (Actual) | Interventional | 2016-01-16 | Completed |
A Multicentre Randomised Phase III Trial Comparing Atezolizumab Plus Bevacizumab and Standard Chemotherapy Versus Bevacizumab and Standard Chemotherapy as First-line Treatment for Advanced Malignant Pleural Mesothelioma [NCT03762018] | Phase 3 | 401 participants (Actual) | Interventional | 2019-04-30 | Active, not recruiting |
Thymosin Alpha 1 Plus Maintenance Therapy With the Standard of Care (SoC) Chemotherapy Plus Cisplatin (or Carboplatin) in Patients With Metastatic Non-Small Cell Lung Cancer (NSCLC), EGFR Wild Type [NCT02906150] | Phase 2 | 140 participants (Anticipated) | Interventional | 2016-09-30 | Not yet recruiting |
A Randomized Phase 3 Trial of Alimta (Pemetrexed) and Carboplatin Versus Etoposide and Carboplatin in Extensive-Stage Small Cell Lung Cancer [NCT00363415] | Phase 3 | 908 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Multi-center, Randomized, Double-blind, Phase III Trial of SHR-1210 in Combination With Famitinib or Placebo Plus Chemotherapy in Subjects With Non-squamous Non-small-cell Lung Cancer. [NCT04619433] | Phase 3 | 560 participants (Anticipated) | Interventional | 2021-02-01 | Recruiting |
An Exploratory Phase 2 Study of Pemetrexed/Cisplatin as Pre-operative Chemotherapy in the Treatment of Stage IIIAN2 Nonsquamous Non-Small Cell Lung Cancer [NCT01165021] | Phase 2 | 19 participants (Actual) | Interventional | 2010-11-30 | Completed |
Phase III Study Comparing Maintenance With Pemetrexed or Gemcitabine to a Surveillance in Elderly Patients (70 Years Old and More) With a Advanced Non Small Cell Lung Cancer Controlled by Induction Chemotherapy. [NCT01850303] | Phase 3 | 632 participants (Actual) | Interventional | 2013-05-16 | Completed |
An Extended Feasibility Phase I/II Study of Methylenetetrahydrofolate and Pemetrexed Single Agent, Given as Neoadjuvant Treatment in Patients With Resectable Rectal Cancer [NCT01397305] | Phase 1/Phase 2 | 24 participants (Actual) | Interventional | 2011-04-14 | Completed |
A Phase III, Double-Blinded, Multicenter, Randomized Study Evaluating the Efficacy and Safety of Neoadjuvant Treatment With Atezolizumab or Placebo in Combination With Platinum-Based Chemotherapy in Patients With Resectable Stage II, IIIA, or Select IIIB [NCT03456063] | Phase 3 | 453 participants (Actual) | Interventional | 2018-04-24 | Active, not recruiting |
A Randomized Phase 3 Trial of ALIMTA and Cisplatin Versus GEMZAR and Cisplatin in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00087711] | Phase 3 | 1,713 participants (Actual) | Interventional | 2004-07-31 | Completed |
A Randomized Phase II Study Comparing Pemetrexed Plus Cisplatin With Gemcitabine Plus Cisplatin According to Thymidylate Synthase Expression in Non-squamous Non-small Cell Lung Cancer [NCT01401192] | Phase 2 | 304 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting |
Adjuvant Chemotherapy Versus Observation in Fully Resected Stage I Lung Adenocarcinoma With High Risk of Post-operative Recurrence [NCT03380468] | Phase 2/Phase 3 | 300 participants (Anticipated) | Interventional | 2018-01-01 | Recruiting |
Pemetrexed and Platinum Use in the Neoadjuvant Setting for Resectable Stage II and IIIA Lung Adenocarcinoma [NCT02980991] | Phase 2 | 80 participants (Actual) | Interventional | 2015-12-31 | Completed |
A Phase Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacology Of PI3-Kinase Inhibitor GDC-0941 In Combination With Either Paclitaxel And Carboplatin (With or Without Bevacizumab) or Pemetrexed, Cisplatin, And Bevacizumab in Patients With Ad [NCT00974584] | Phase 1 | 65 participants (Actual) | Interventional | 2009-10-31 | Completed |
Phase 2 Randomized, Controlled, Open-label Study of Pemetrexed Versus Gefitinib in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer Who Have Previously Received Platinum-Based Chemotherapy Without EGFR Mutations [NCT00891579] | Phase 2 | 161 participants (Actual) | Interventional | 2009-02-28 | Completed |
Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan [NCT01004601] | | 179 participants (Actual) | Interventional | 2005-03-31 | Completed |
A Phase II Trial of Carboplatin, Bevacizumab and Pemetrexed in Advanced Non-Small Cell Lung Cancer [NCT00614822] | Phase 2 | 50 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Randomized Phase 2 Study Comparing Pemetrexed Plus Best Supportive Care With Best Supportive Care as Maintenance, Following First-Line Treatment With Pemetrexed-Cisplatin, in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer [NCT00606021] | Phase 2 | 106 participants (Actual) | Interventional | 2008-01-31 | Completed |
Pemetrexed With Simplified Folate and Dexamethasone Supplementation Versus Pemetrexed With Standard Supplementation as Second-line Chemotherapy for Patients With Non-squamous Non-small Cell Lung Cancer [NCT00609518] | Phase 2 | 111 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Randomised, Open-label, Phase III Study of BIBW 2992 Versus Chemotherapy as First-line Treatment for Patients With Stage IIIB or IV Adenocarcinoma of the Lung Harbouring an EGFR Activating Mutation [NCT00949650] | Phase 3 | 345 participants (Actual) | Interventional | 2009-08-14 | Completed |
Pemetrexed and LBH589 in Previously-Treated Patients With Advanced Non-Small Cell Lung Cancer [NCT00907179] | Phase 1 | 12 participants (Actual) | Interventional | 2009-07-31 | Terminated(stopped due to Widespread use firstline Pemetrexed; slow recruitment; funding withdrawn..) |
A Randomized Phase III Trial of Adjuvant Chemotherapy in Patients With Early Stage Non-Small Cell Lung Cancer Associated With Banking of Frozen Tumor Specimens and Collection of Gene Expression Profile Data [NCT00863512] | Phase 3 | 34 participants (Actual) | Interventional | 2009-03-31 | Terminated |
Phase II Trial of Pemetrexed and Bevacizumab for Recurrent Ovarian and Primary Peritoneal Carcinoma [NCT00868192] | Phase 2 | 38 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Study to Evaluate the Safety and Feasibility of the Combined Use of Nivolumab With Pemetrexed for the Treatment of Advanced Squamous Cell Carcinoma of the Head and Neck [NCT04107103] | Phase 2 | 20 participants (Anticipated) | Interventional | 2020-03-19 | Recruiting |
A Phase 3, Double-Blind, Placebo-Controlled Study of Maintenance Pemetrexed Plus Best Supportive Care Versus Best Supportive Care Immediately Following Induction Treatment With Pemetrexed + Cisplatin for Advanced Non-squamous Non-Small Cell Lung Cancer. [NCT00789373] | Phase 3 | 939 participants (Actual) | Interventional | 2008-11-30 | Completed |
Phase 2 Trial of Pemetrexed (Alimta™) Combined With Paclitaxel in Patients With Recurrent/Advanced Follicular, Papillary or Anaplastic Thyroid Cancer [NCT00786552] | Phase 2 | 47 participants (Anticipated) | Interventional | 2008-11-30 | Recruiting |
A Randomized Phase 3 Multicenter Open-Label Study to Compare the Efficacy of TAK-788 as First-Line Treatment Versus Platinum-Based Chemotherapy in Patients With Non-Small Cell Lung Cancer With EGFR Exon 20 Insertion Mutations [NCT04129502] | Phase 3 | 354 participants (Actual) | Interventional | 2020-01-10 | Active, not recruiting |
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 |
Phase 1/1b Study Investigating Safety, Tolerability, PK and Antitumor Activity of Anti-TIGIT Monoclonal Antibody BGB-A1217 in Combination With Anti-PD-1 Monoclonal Antibody Tislelizumab in Patients With Advanced Solid Tumors [NCT04047862] | Phase 1 | 542 participants (Anticipated) | Interventional | 2019-08-26 | Recruiting |
A Phase 1 Open Label, Multi-Arm, Multicenter Study of MK-4830 as Monotherapy and in Combination With Pembrolizumab for Participants With Advanced Solid Tumors [NCT03564691] | Phase 1 | 442 participants (Anticipated) | Interventional | 2018-07-11 | Active, not recruiting |
A Phase III, Multi-center, Randomized Trial of Pemetrexed and Gefitinib in Never-smoker and Adenocarcinoma Patients With Non-small Cell Lung Cancer Previously Treated With Platinum-based Chemotherapy [NCT01066195] | Phase 3 | 129 participants (Anticipated) | Interventional | 2008-05-31 | Enrolling by invitation |
Randomized Phase 2 Study Of Cisplatin/Pemetrexed With Or Without Axitinib (AG-013736) As First-Line Treatment For Patients With Non-Squamous Non-Small Cell Lung Cancer [NCT00768755] | Phase 1/Phase 2 | 180 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Phase 2 Study of ALIMTA in Solid Tumor Patients With Stable Third-Space Fluid [NCT00316225] | Phase 2 | 31 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Phase III Randomized, Open-Label, Multi-Center Study of Durvalumab (MEDI4736) Versus Standard of Care (SoC) Platinum-Based Chemotherapy as First Line Treatment in Patients With PD-L1-High Expression Advanced Non Small-Cell Lung Cancer [NCT03003962] | Phase 3 | 669 participants (Actual) | Interventional | 2017-01-02 | Active, not recruiting |
Nedaplatin or Cisplatin Combined With Pemetrexed in the First Line Treatment of Advanced Adenocarcinoma:A Prospective Multi-center Phase III Randomized Controlled Trial [NCT02607592] | Phase 3 | 293 participants (Anticipated) | Interventional | 2015-08-31 | Recruiting |
PD-1 Immune Checkpoint Inhibitors and Immune-Related Adverse Events: a Cohort Study [NCT04115410] | | 4,724 participants (Anticipated) | Observational | 2020-07-01 | Not yet recruiting |
Clinical and Radiographic Evaluation of Premixed Verses Powder / Liquid Bioceramic Mineral Trioxide Aggregate in Indirect Pulp Capping of Immature Permanent Mandibular Molars: A Randomized Clinical Trial [NCT05597553] | | 24 participants (Anticipated) | Interventional | 2023-01-01 | Not yet recruiting |
Efficacy and Safety of Rh-endostatin(Endostar)Combined With Platinum-based Doublet Chemotherapy and Pembrolizumab as First Line Therapy in Patients With Advanced or Metastatic Non-small-cell Lung Cancer [NCT04094909] | Phase 2 | 186 participants (Anticipated) | Interventional | 2020-02-06 | Not yet recruiting |
EGFR-TKI With/Without Chemotherapy in NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism [NCT03002844] | Phase 2 | 50 participants (Anticipated) | Interventional | 2016-12-31 | Not yet recruiting |
Randomized Phase II Trial of Pemetrexed vs. Pemetrexed/Bevacizumab vs. Pemetrexed/Carboplatin/Bevacizumab in Patients With Stage IIIB/IV Non-Small-Cell Lung Cancer and ECOG Performance Status 2 [NCT00892710] | Phase 2 | 172 participants (Actual) | Interventional | 2009-06-30 | Completed |
Phase III Randomized Trial Comparing Overall Survival After Photon Versus Proton Chemoradiotherapy for Inoperable Stage II-IIIB NSCLC [NCT01993810] | Phase 3 | 330 participants (Actual) | Interventional | 2014-02-03 | Active, not recruiting |
A Phase II Study of a Combination of MTA (LY231514) and Gemcitabine in Patients With Metastatic Breast Cancer [NCT00006007] | Phase 2 | 59 participants (Actual) | Interventional | 2000-12-31 | Completed |
Safety Confirmation Study of LY231514 Plus Cisplatin in Patients With Malignant Pleural Mesothelioma [NCT00386815] | Phase 2 | 20 participants | Interventional | 2006-10-31 | Completed |
An Open-label, Multi-center, Phase II Umbrella Study to Assess Efficacy of Targeted Therapy or Immunotherapy Directed by Next Generation Sequencing (NGS) in Chinese Patients With Advanced NSCLC (TRUMP) [NCT03574402] | Phase 2 | 400 participants (Anticipated) | Interventional | 2018-07-09 | Recruiting |
A Pharmacokinetic Study of Pemetrexed in the Cerebrospinal Fluid of Patients With Leptomeningeal Metastases [NCT00424242] | Early Phase 1 | 15 participants (Anticipated) | Interventional | 2007-01-31 | Completed |
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) |
Phase I Study Of SU011248 In Combination With Pemetrexed, Pemetrexed/Cisplatin And Pemetrexed/Carboplatin In Patients With Advanced Solid Malignancies [NCT00528619] | Phase 1 | 96 participants (Actual) | Interventional | 2006-11-30 | Completed |
A Phase 1 Dose-Escalation and Phase 2 Randomized, Open-Label Study of Nivolumab and Veliparib in Combination With Platinum Doublet Chemotherapy in Subjects With Metastatic or Advanced Non-Small Cell Lung Cancer (NSCLC) [NCT02944396] | Phase 1 | 25 participants (Actual) | Interventional | 2016-12-23 | Completed |
Performance Status and Influencing Factors During Second-Line Treatment With Pemetrexed in Patients With Stage III/IVNon Small Cell Lung Cancer [NCT00540241] | | 542 participants (Actual) | Observational | 2007-09-30 | Completed |
Phase II Study of Single-Agent Alimta in the Treatment of Patients With Advanced and Metastatic Hepatoma [NCT00191412] | Phase 2 | 41 participants | Interventional | 2005-01-31 | Completed |
Protocol H6Q-MC-S034(a) Randomized, Double-Blind, Phase 2 Study of Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin Versus Pemetrexed + Carboplatin + Bevacizumab + Placebo in Chemonaive Patients With Stage IIIB or IV Non-Small Cell Lung Cancer [NCT00533429] | Phase 2 | 40 participants (Actual) | Interventional | 2007-10-31 | Completed |
NGR014: Randomized Phase II Study of NGR-hTNF in Combination With Standard Chemotherapy Versus Standard Chemotherapy Alone in Previously Untreated Patients With Advanced Non-small Cell Lung Cancer (NSCLC) [NCT00994097] | Phase 2 | 121 participants (Actual) | Interventional | 2009-07-31 | Completed |
Phase I Clinical Study of Autologous CIK Cell Immunotherapy Combination With PD-1 Inhibitor and Chemotherapy in the First-line Treatment of IIIB/IIIC/IV Non-Small Cell Lung Cancer [NCT03987867] | Phase 1 | 30 participants (Anticipated) | Interventional | 2019-06-01 | Recruiting |
A Randomized Phase 3 Study of Pemetrexed in Combination With Cisplatin Versus Cisplatin Monotherapy in Patients With Recurrent or Metastatic Head and Neck Cancer [NCT00415194] | Phase 3 | 795 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Phase II Evaluation of Pemetrexed (Alimta, LY231514l, IND # 40061) in the Treatment of Recurrent or Persistent Platinum Resistant Ovarian or Primary Peritoneal Carcinoma [NCT00461786] | Phase 2 | 51 participants (Actual) | Interventional | 2004-09-30 | Completed |
Phase II Trial of Carboplatin and Pemetrexed Plus Bevacizumab in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer [NCT00234052] | Phase 2 | 51 participants (Actual) | Interventional | 2005-07-28 | Completed |
A Randomized Phase II Study of ALIMTA® (Pemetrexed) and GEMZAR® (Gemcitabine) Every 14 Days Versus Pemetrexed and Gemcitabine Every 21 Days in Advanced Non-Small Cell Lung Cancer [NCT00407550] | Phase 2 | 19 participants (Actual) | Interventional | 2006-11-30 | Completed |
Phase 1/2 Study of Biweekly ALIMTA Plus Cisplatin in Patients With Locally, Advanced, Non-Resectable or Metastatic Urothelial Cancer [NCT00374868] | Phase 1/Phase 2 | 59 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Phase II Trial of Preoperative Radiation and Chemotherapy (Pemetrexed and Carboplatin) for Locally Advanced Esophageal Cancer [NCT00268437] | Phase 2 | 27 participants (Actual) | Interventional | 2006-04-30 | Terminated(stopped due to Trial closed early because, during an interim analysis, the primary endpoint fell short.) |
Open-Label Single-Arm Phase IV Study of Pemetrexed in Taiwanese Patients With Advanced Non-Small Cell Lung Cancer Who Have Had Prior Chemotherapy [NCT00380718] | Phase 4 | 33 participants (Actual) | Interventional | 2006-11-30 | Completed |
A Phase II Evaluation of Pemetrexed in the Treatment of Recurrent or Persistent Endometrial Carcinoma [NCT00377520] | Phase 2 | 27 participants (Actual) | Interventional | 2006-09-30 | Completed |
Phase II Trial of Pemetrexed in Patients With Selected Stage IIIB and IV Bronchioloalveolar Carcinoma (BAC) [NCT00265785] | Phase 2 | 27 participants (Actual) | Interventional | 2006-07-31 | Terminated(stopped due to Closed due to poor accrual) |
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.) |
Phase 3 Study of Pemetrexed Versus Docetaxel in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Had Prior Chemotherapy [NCT00391274] | Phase 3 | 211 participants (Actual) | Interventional | 2006-10-31 | Completed |
Phase II Study of Lorlatinib in Combination With Chemotherapy in Participants With Metastatic Anaplastic Lymphoma Kinase Positive (ALK+) Non-small Cell Lung Cancer (NSCLC) Who Progressed on Single-agent Lorlatinib [NCT05948462] | Phase 2 | 0 participants (Actual) | Interventional | 2023-11-30 | Withdrawn(stopped due to Study withdrawn by pharmaceutical funding partner) |
A Phase Ib/II, Open-Label, Multicenter Study Evaluating the Safety, Activity, and Pharmacokinetics of Divarasib in Combination With Other Anti-Cancer Therapies in Patients With Previously Untreated Advanced Or Metastatic Non-Small Cell Lung Cancer With a [NCT05789082] | Phase 1/Phase 2 | 96 participants (Anticipated) | Interventional | 2023-06-20 | Recruiting |
A Randomized, Double-Blind, Phase 3 Study of MK-7684A in Combination With Chemotherapy Versus Pembrolizumab Plus Chemotherapy as First Line Treatment for Participants With Metastatic Non-Small Cell Lung Cancer [NCT05226598] | Phase 3 | 700 participants (Anticipated) | Interventional | 2022-03-24 | Active, not recruiting |
A Phase III, Open-Label, Randomized Study to Evaluate the Efficacy and Safety of Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With Completely Resected Stage IB (Tumors Equal to or Larger Than 4cm) to Stage IIIA Anaplastic Lym [NCT03456076] | Phase 3 | 257 participants (Actual) | Interventional | 2018-08-16 | Active, not recruiting |
Phase II Trial of Pemetrexed Plus Gemcitabine in Patients With Advanced Non-Clear Cell Renal Cell Cancer [NCT00491075] | Phase 2 | 16 participants (Actual) | Interventional | 2005-12-31 | Terminated(stopped due to Closed early for poor accrual.) |
A Phase II Trial Pemetrexed Carboplatin as First Line Chemotherapy for Advanced Non-Small Cell Lung Cancer (NSCLC) in Elderly Patients [NCT00350792] | Phase 2 | 62 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Randomized, Open-label Phase II Study of Pemetrexed (Alimta) Plus Carboplatin With or Without Enzastaurin Hydrochloride, or Docetaxel Plus Carboplatin as First Line Treatment in Patients With Advanced Stage Non-small Cell Lung Cancer (NSCLC) [NCT00308750] | Phase 2 | 218 participants (Actual) | Interventional | 2006-03-31 | Completed |
A Phase 1 and 2 Clinical Trial of ALIMTA® (Pemetrexed) in Combination With Carboplatin in Patients With Recurrent Ovarian or Primary Peritoneal Cancer [NCT00489359] | Phase 1/Phase 2 | 86 participants (Actual) | Interventional | 2005-07-31 | Completed |
A Phase Ib Clinical Trial to Evaluate the Safety and Efficacy of TQB2450 Injection Combined With AL2846 Capsules in Patients With Advanced Solid Tumors [NCT06116240] | Phase 1 | 135 participants (Anticipated) | Interventional | 2022-09-02 | Active, not recruiting |
A Phase II Study of Treatment of Brain Metastases From Non-Small Cell Lung Cancer With Concurrent Whole Brain Radiation Therapy and Pemetrexed [NCT00280748] | Phase 2 | 10 participants (Actual) | Interventional | 2005-05-31 | Terminated(stopped due to Slow accrual) |
A Phase II Study to Evaluate Activity and Toxicity of Gemcitabine in Combination With Pemetrexed Long Term Infusion in the Treatment of Pretreated Metastatic Colorectal Cancer Patients [NCT01909830] | Phase 2 | 18 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Phase II/III, Randomized, Double-Blind, Placebo-Controlled Study of Tiragolumab in Combination With Atezolizumab Plus Pemetrexed and Carboplatin/Cisplatin Versus Pembrolizumab Plus Pemetrexed and Carboplatin/Cisplatin in Patients With Previously Untreat [NCT04619797] | Phase 2/Phase 3 | 542 participants (Actual) | Interventional | 2020-12-14 | Active, not recruiting |
A Phase 3 Randomized, Placebo-controlled Study to Evaluate the Safety and Efficacy of Pemetrexed + Platinum Chemotherapy + Pembrolizumab (MK-3475) With or Without Lenvatinib (E7080/MK-7902) as First-line Intervention in Participants With Metastatic Nonsqu [NCT03829319] | Phase 3 | 761 participants (Actual) | Interventional | 2019-03-25 | Active, not recruiting |
Phase II Trial of Pemetrexed Disodium and Carboplatin in Previously Untreated Extensive Stage Small Cell Lung Cancer [NCT00227565] | Phase 2 | 50 participants (Actual) | Interventional | 2006-02-28 | Completed |
A Phase 2, Open-label, Randomized, Parallel Group, Controlled Study of Pemetrexed Maintenance With or Without ADXS11-001 Immunotherapy in Patients With Human Papillomavirus-Positive, Non-Squamous, Non-Small Cell Lung Carcinoma Following First-Line Inducti [NCT02531854] | Phase 2 | 0 participants (Actual) | Interventional | 2018-12-31 | Withdrawn(stopped due to Study was withdrawn per sponsor decision) |
A Phase IB Study of Pembrolizumab in Combination With Pemetrexed and Oxaliplatin in Patients With Chemo-Refractory Metastatic Colorectal Cancer [NCT03626922] | Phase 1 | 33 participants (Anticipated) | Interventional | 2019-05-15 | Active, not recruiting |
Multicenter Phase II Study of Pemetrexed/Cisplatin With or Without Bevacizumab in Patients With Brain Metastases From Non Squamous Non-small Cell Lung Cancer Harboring EGFR Wild Type [NCT01951482] | Phase 2 | 108 participants (Anticipated) | Interventional | 2013-06-30 | Recruiting |
A Study of Almonertinib With Chemotherapy as 1st Line Treatment in Patients With Mutated Epidermal Growth Factor Receptor Non-Small Cell Lung Cancer [NCT04646824] | Phase 2 | 10 participants (Anticipated) | Interventional | 2020-11-19 | Active, not recruiting |
A Phase II, Open-Label, Multicenter, Prospective Clinical Study to Investigate the Efficacy and Safety of Tislelizumab Combined With Pemetrexed/ Carboplatin in Patients With Brain Metastases of Non-squamous Non-small Cell Lung Cancer [NCT04507217] | Phase 2 | 36 participants (Actual) | Interventional | 2020-09-15 | Completed |
Pemetrexed for Previously Treated Patients With Metastatic Gastric Cancer: a Prospective Phase II Study [NCT01953419] | Phase 2 | 34 participants (Actual) | Interventional | 2010-09-30 | Completed |
Phase I Study of Thoracic Radiotherapy and Concurrent Chemotherapy With Soy Isoflavones in Stage III NSCLC (Non-Small Cell Lung Cancer) Patients [NCT01958372] | Phase 1 | 11 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Phase IIIb, Randomized, Multicenter, Open-label Study to Assess the Efficacy of Durvalumab Plus Tremelimumab Versus Pembrolizumab in Combination With Platinum-Based Chemotherapy for First-Line Treatment in Metastatic Non-Small Cell Lung Cancer Patients [NCT06008093] | Phase 3 | 280 participants (Anticipated) | Interventional | 2023-12-29 | Not yet recruiting |
A Randomized, Double-Blind Phase 2/3 Study of Fianlimab (Anti-LAG-3 Antibody), Cemiplimab (Anti-PD-1 Antibody), and Chemotherapy Versus Cemiplimab and Chemotherapy in First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) Irresp [NCT05800015] | Phase 2/Phase 3 | 950 participants (Anticipated) | Interventional | 2023-08-08 | Recruiting |
A Phase 2 Platform Study Evaluating the Safety and Efficacy of Novel Treatment Combinations in Patients With Lung Cancer (VELOCITY-Lung) [NCT05633667] | Phase 2 | 397 participants (Anticipated) | Interventional | 2023-03-16 | Recruiting |
A Phase 2 Randomized Study of the BER Inhibitor TRC102 in Combination With Standard Pemetrexed-Platinum-Radiation in Stage III Non-Squamous Non-Small Cell Lung Cancer [NCT05198830] | Phase 2 | 78 participants (Anticipated) | Interventional | 2022-12-15 | Recruiting |
A Phase I Trial Targeting Mitochondrial Metabolism With Papaverine in Combination With Chemoradiation for Stage II-III Non-Small Cell Lung Cancer [NCT05136846] | Phase 1 | 28 participants (Anticipated) | Interventional | 2021-12-06 | Recruiting |
A Phase II, Randomized, Open-label Trial of Nivolumab in Combination With Ipilimumab Versus Pemetrexed With Cisplatin or Carboplatin as First-line Therapy for Unresectable Pleural Mesothelioma in Chinese Participants [NCT05136677] | Phase 2 | 100 participants (Anticipated) | Interventional | 2022-01-25 | Recruiting |
A Phase Ib Clinical Study to Evaluate the Safety and Efficacy of Pembrolizumab (MK-3475) in Combination With Cisplatin and Pemetrexed in Treatment-naive Participants With Advanced Malignant Pleural Mesothelioma (KEYNOTE-A17). [NCT04153565] | Phase 1 | 19 participants (Actual) | Interventional | 2019-12-09 | Completed |
Comparison of Postoperative Adjuvant Chemotherapy With/Without Rh-endostatin: a Randomized, PhaseⅢ and Open Clinical Study of Non-small Cell Lung Cancer in PhaseⅠB [NCT02001168] | Phase 3 | 392 participants (Anticipated) | Interventional | 2013-10-31 | Active, not recruiting |
Maintenance Pemetrexed Therapy After Induction Chemotherapy Versus Pemetrexed at Progression in Advanced Non-Small-Cell Lung Cancer: A Randomized Phase III Study [NCT02004184] | Phase 3 | 230 participants (Actual) | Interventional | 2013-12-31 | Terminated(stopped due to Poor enrollment due to the introduction of immunotherapy) |
A Multicentre Phase II, Open-label, Non-randomized Study Evaluating Platinum-Pemetrexed-Atezolizumab (+/- Bevacizumab) for Patients With Stage IIIB/IV Non-squamous Non-small Cell Lung Cancer With EGFR Mutations, ALK Rearrangement or ROS1 Fusion Progressin [NCT04042558] | Phase 2 | 149 participants (Anticipated) | Interventional | 2019-09-26 | Recruiting |
Phase 2 Study of Pemetrexed and Cisplatin as Induction, Followed by Pemetrexed and Cisplatin With Concurrent Thoracic Radiotherapy, in Patients With Unresectable, Locally Advanced, Stage III, Nonsquamous Non-Small Cell Lung Cancer [NCT01000480] | Phase 2 | 90 participants (Actual) | Interventional | 2009-10-31 | 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 |
A Phase II Randomized Trial Evaluating the Use of Proton Pump Inhibitors (PPIs) in Conjunction With Chemotherapy, in Patients With Recurrent Unresectable or Metastatic Cancers of the Head and Neck [NCT02013453] | Phase 2 | 0 participants (Actual) | Interventional | 2013-12-31 | Withdrawn(stopped due to Lack of funding) |
A Phase 1/Randomized Phase 2 Study to Evaluate LY2603618 in Combination With Pemetrexed and Cisplatin in Patients With Stage IV Non-small Cell Lung Cancer [NCT01139775] | Phase 1/Phase 2 | 76 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Study of the Safety and Efficacy of Farletuzumab in Combination With a Platinum-Containing Doublet in Chemotherapy-Naive Subjects With Stage IV Adenocarcinoma of the Lung (FLAIR) [NCT01218516] | Phase 2 | 130 participants (Actual) | Interventional | 2011-06-27 | Completed |
BATTLE-FL: A Biomarker-Integrated Study in Patients With Advanced Non-Small Cell Lung Cancer Treated in the Front-Line (FL) Setting [NCT01263782] | Phase 2 | 64 participants (Actual) | Interventional | 2011-05-17 | Completed |
Phase 3, Randomized, Open-label Study Of The Efficacy And Safety Of Pf-02341066 Versus Standard Of Care Chemotherapy (Pemetrexed Or Docetaxel) In Patients With Advanced Non-small Cell Lung Cancer (Nsclc) Harboring A Translocation Or Inversion Event Involv [NCT00932893] | Phase 3 | 347 participants (Actual) | Interventional | 2009-09-30 | Completed |
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 |
Efficacy and Safety of Tislelizumab With Platinum Doublet Chemotherapy as Neoadjuvant Therapy for Participants With Initially Unresectable Stage III Non-small Cell Lung Cancer: A Single-arm, Phase II Trial [NCT05611879] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-03-12 | Recruiting |
A Phase 1 Clinical Study to Evaluate the Bioavailability of Pembrolizumab Via Subcutaneous Injection of MK-3475A, a Formulation of Pembrolizumab With MK-5180, in Participants With Advanced Solid Tumors [NCT05017012] | Phase 1 | 72 participants (Anticipated) | Interventional | 2021-09-21 | Recruiting |
Integration of Immunotherapy Into Adjuvant Therapy for Resected NSCLC: ALCHEMIST Chemo-IO (ACCIO) [NCT04267848] | Phase 3 | 1,210 participants (Anticipated) | Interventional | 2020-06-16 | Recruiting |
EA5163/S1709 INSIGNA : A Randomized, Phase III Study of Firstline Immunotherapy Alone or in Combination With Chemotherapy in Induction/Maintenance or Postprogression in Advanced Nonsquamous Non-Small Cell Lung Cancer (NSCLC) With Immunobiomarker SIGNature [NCT03793179] | Phase 3 | 600 participants (Anticipated) | Interventional | 2019-04-05 | Recruiting |
Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trial (ALCHEMIST) [NCT02194738] | | 8,300 participants (Anticipated) | Interventional | 2014-09-26 | Recruiting |
Phase II Toxicity Study of Pleurectomy/Decortication, (Neo) Adjuvant Chemotherapy and Intensity Modulated Radiation Therapy to the Pleura in Patients With Locally Advanced Malignant Pleural Mesothelioma [NCT00715611] | Phase 2 | 65 participants (Actual) | Interventional | 2008-10-11 | Active, not recruiting |
A Phase II, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Adjuvant Platinum-Doublet Chemotherapy, With or Without Atezolizumab, in Patients Who Are ctDNA Positive After Complete Surgical Resection of Stage IB to [NCT04611776] | Phase 2 | 0 participants (Actual) | Interventional | 2021-07-01 | Withdrawn(stopped due to The positive results from IMpower010 demonstrated benefit by adding atezolizumab as adjuvant therapy in early stage NSCLC. These results raised ethical concerns of enrolling pts to best supportive care over checkpoint inhibition in this setting.) |
A Two Arm Phase I Trial of Sorafenib in Combination With Cisplatin/Etoposide or Carboplatin/Pemetrexed in Patients With Solid Tumors [NCT00573690] | Phase 1 | 31 participants (Actual) | Interventional | 2007-09-30 | Completed |
Almonertinib Plus Pemetrexed and Carboplatin Versus Almonertinib Alone in Advanced NSCLC With EGFR T790M After First- or Second-generation TKIs Therapy: a Randomized, Controlled, Open-label, Phase 2 Study [NCT04592666] | Phase 2 | 226 participants (Anticipated) | Interventional | 2020-10-09 | Not yet recruiting |
Dynamic Positron Emission Tomography/Computed Tomography Evaluated the Response of Neoadjuvant Anti-programmed Cell Death Protein 1 Combination With Chemotherapy for Stage Ⅱa-Ⅲb Non-small Cell Lung Cancer [NCT04586465] | Phase 2 | 23 participants (Anticipated) | Interventional | 2020-10-10 | Recruiting |
A Phase II Evaluation of Pemetrexed (Alimta) in the Treatment of Recurrent Carcinoma of the Cervix [NCT00190983] | Phase 2 | 29 participants (Actual) | Interventional | 2005-02-28 | Completed |
A Phase 1/2 Dose-Escalating Study of ALIMTA and Cyclophosphamide Administered Every 21 Days in Patients With Locally Advanced or Metastatic Breast Cancer [NCT00190671] | Phase 1/Phase 2 | 103 participants (Actual) | Interventional | 2005-06-30 | Completed |
Open Multicenter Phase II Study in Second-Line Metastatic Colorectal Cancer Patients: Combination of ALIMTA and Irinotecan Administered Every Two-Weeks [NCT00191984] | Phase 2 | 46 participants (Actual) | Interventional | 2004-06-30 | Completed |
Phase 2 Study of Pemetrexed in Combination With Carboplatin or Cisplatin and Cetuximab in Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck [NCT01087970] | Phase 2 | 69 participants (Actual) | Interventional | 2010-08-31 | Completed |
Randomized Phase II Study of Maintenance Pemetrexed Versus Observation for Patients With Malignant Pleural Mesothelioma Without Progression After First-Line Chemotherapy [NCT01085630] | Phase 2 | 72 participants (Actual) | Interventional | 2010-04-30 | Completed |
Phase I/II Study of LY231514 Plus Cisplatin in Patients With Malignant Pleural Mesothelioma [NCT00251550] | Phase 1/Phase 2 | 12 participants | Interventional | 2005-10-31 | Completed |
Efficacy of Targeted Therapy Combined Chemotherapy in Advanced EGFR Positive NSCLC Patients With Concurrent Driver Gene Mutations [NCT04552613] | | 110 participants (Anticipated) | Interventional | 2020-09-30 | Recruiting |
A Phase I Study of Concurrent Pemetrexed/Cisplatin With Pleural Intensity Modulated Radiation Therapy for Patients With Unresectable Malignant Pleural Mesothelioma [NCT02639767] | Phase 1 | 0 participants (Actual) | Interventional | 2015-12-31 | Withdrawn(stopped due to Lack of accrual) |
A Pilot Study of Camrelizumab With Chemotherapy in Adults With Medically Inoperable Early Stage Non-Small Cell Lung Cancer (NSCLC) [NCT04530227] | Phase 2 | 30 participants (Anticipated) | Interventional | 2020-09-25 | Recruiting |
A Phase Ib, Open-label, Single-center Study to Assess the Safety of Cancer-immunotherapy Induction With Tremelimumab and Durvalumab Prior to Chemoradiotherapy and/or Resection in the Treatment of Locally Advanced NSCLC. [NCT04287894] | Phase 1 | 34 participants (Anticipated) | Interventional | 2018-12-28 | Recruiting |
Phase III Prospective Randomized Trial of Primary Lung Tumor Stereotactic Body Radiation Therapy Followed by Concurrent Mediastinal Chemoradiation for Locally Advanced Non-Small Cell Lung Cancer [NCT05624996] | Phase 3 | 474 participants (Anticipated) | Interventional | 2023-05-10 | Recruiting |
A Randomized, Double-blind, Placebo-controlled, Phase 2 Study Evaluating Efficacy and Safety of Inupadenant in Combination With Carboplatin and Pemetrexed in Adults With Nonsquamous Non-small Cell Lung Cancer Who Have Progressed on Immunotherapy [NCT05403385] | Phase 2 | 192 participants (Anticipated) | Interventional | 2022-08-26 | Recruiting |
A Phase II Study of Neoadjuvant Sotorasib in Combination With Cisplatin or Carboplatin and Pemetrexed for Surgically Resectable Stage IIA-IIIB Non-Squamous Non-Small Cell Lung Cancer With a KRAS p.G12C Mutation [NCT05118854] | Phase 2 | 27 participants (Anticipated) | Interventional | 2022-03-30 | Recruiting |
A Phase 2 Randomized Study of Osimertinib Versus Osimertinib Plus Chemotherapy for Patients With Metastatic EGFR-Mutant Lung Cancers That Have Detectable EGFR-Mutant cfDNA in Plasma After Initiation of Osimertinib [NCT04410796] | Phase 2 | 571 participants (Anticipated) | Interventional | 2020-05-28 | Recruiting |
A Phase III, Randomized, Placebo-controlled, Double-blind, Multi-center, International Study of Durvalumab Given Concurrently With Platinum-based Chemoradiation Therapy in Patients With Locally Advanced, Unresectable NSCLC (Stage III) (PACIFIC2) [NCT03519971] | Phase 3 | 328 participants (Actual) | Interventional | 2018-03-29 | Active, not recruiting |
AdvanTIG-306: A Randomized, Double-blind, Placebo-controlled, Phase III Study Evaluating the Efficacy and Safety of Ociperlimab (WCD118/BGB-A1217) Combined With Tislelizumab (VDT482/BGB-A317) Plus Platinum-based Doublet Chemotherapy Versus Placebo Combine [NCT05791097] | Phase 3 | 0 participants (Actual) | Interventional | 2023-07-28 | Withdrawn(stopped due to Business decision, not driven by safety concerns; no new safety signals have been observed in the ociperlimab program.) |
A Phase III, Randomised, Open-label, Multicentre, Global Study of Datopotamab Deruxtecan (Dato-DXd) in Combination With Durvalumab and Carboplatin Versus Pembrolizumab in Combination With Platinum-based Chemotherapy for the First-line Treatment of Patient [NCT05687266] | Phase 3 | 1,000 participants (Anticipated) | Interventional | 2022-12-29 | Recruiting |
A Pilot Study Evaluating Pemetrexed in ECOG Performance Status 3 Patients With Stage IV Non-squamous Non-small Cell Lung Cancer [NCT02426658] | Phase 2 | 16 participants (Actual) | Interventional | 2015-05-31 | Completed |
"A Phase 1b/2 Study of Viagenpumatucel-L (HS-110) in Combination With Multiple Treatment Regimens in Patients With Non-Small Cell Lung Cancer (The DURGA Trial)" [NCT02439450] | Phase 1/Phase 2 | 121 participants (Actual) | Interventional | 2015-04-15 | Completed |
A Phase II Study of Neoadjuvant Pemetrexed, Carboplatin and Bevacizumab in Unresectable, Locally Advanced Lung Adenocarcinoma [NCT01588704] | Phase 2 | 42 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Phase III, Two-Arm, Parallel, Randomized, Multi-Center, Open-Label, Global Study to Determine the Efficacy of Volrustomig (MEDI5752) Plus Chemotherapy Versus Pembrolizumab Plus Chemotherapy for First-Line Treatment of Patients With Metastatic Non-Small [NCT05984277] | Phase 3 | 900 participants (Anticipated) | Interventional | 2023-10-24 | Recruiting |
Phase II Study of Induction Checkpoint Blockade for Untreated Stage I-IIIA Non-Small Cell Lung Cancers Amenable for Surgical Resection [NCT03158129] | Phase 2 | 101 participants (Actual) | Interventional | 2017-06-09 | Active, not recruiting |
Phase IB Study to Evaluate the Safety of Selinexor (KPT-330) in Combination With Multiple Standard Chemotherapy or Immunotherapy Agents in Patients With Advanced Malignancies [NCT02419495] | Phase 1 | 221 participants (Actual) | Interventional | 2015-06-26 | Active, not recruiting |
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 1 Trial of MK-7684 as Monotherapy and in Combination With Pembrolizumab in Subjects With Advanced Solid Tumors [NCT02964013] | Phase 1 | 492 participants (Anticipated) | Interventional | 2016-12-13 | Active, not recruiting |
A Multicenter Randomized Phase II Study of the Combination of Irinotecan/Cisplatin Versus Pemetrexed/Cisplatin as Second-line Treatment of Patients With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC) [NCT00614965] | Phase 2 | 124 participants (Anticipated) | Interventional | 2006-11-30 | Completed |
A Randomized Phase II Study to Evaluate Efficacy and Safety of DCVAC/LuCa Added to Chemotherapy With Carboplatin and Pemetrexed vs Chemotherapy Alone in Patients With Stage IV Non-small Cell Lung Cancer [NCT02669719] | Phase 2 | 70 participants (Anticipated) | Interventional | 2016-01-31 | Recruiting |
BIBW 2992 Phase I Combination With Pemetrexed in Advanced Solid Tumours [NCT01169675] | Phase 1 | 53 participants (Actual) | Interventional | 2010-07-31 | Completed |
A Phase I/II Study of Continuous, Concomitant Oral Treatment With BIBF 1120 and Pemetrexed - a Phase I, Open-label, Dose-escalation Study & a Phase II, 2 Arm, Randomized, Double-blind, Placebo-controlled Study in Japanese Patients With Stage IIIB/IV or Re [NCT00979576] | Phase 1 | 19 participants (Actual) | Interventional | 2009-10-31 | Terminated |
A Single-Arm, Phase 2 Trial of Pemetrexed, Cisplatin,and Bevacizumab as Induction, Followed by Pemetrexed and Bevacizumab as Maintenance, in First-Line Treatment of Nonsquamous Advanced NSCLC [NCT01004250] | Phase 2 | 109 participants (Actual) | Interventional | 2009-10-31 | Completed |
An Open-label, Multicenter, Randomized, Phase 2 Study of a Recombinant Human Anti-VEGFR-2 Monoclonal Antibody, IMC-1121B in Combination With Platinum-based Chemotherapy Versus Platinum-based Chemotherapy Alone as First-line Treatment of Patients With Recu [NCT01160744] | Phase 2 | 280 participants (Actual) | Interventional | 2010-09-30 | Completed |
Open-label Study of Bevacizumab (Avastin®) in Combination With Pemetrexed or Pemetrexed and Carboplatin as First-line Treatment of Patients With Advanced or Recurrent Non-squamous Non-small Cell Lung Cancer [NCT00976456] | Phase 3 | 271 participants (Actual) | Interventional | 2009-09-30 | Completed |
A Randomized Phase II Study of S1 Plus Carboplatin Followed by Maintenance S1versus Pemetrexed Plus Carboplatin Followed by Maintenance Pemetrexed in Patients With EGFR Wild Type Stage IIIB or IV Nonsquamous Non-Small-Cell Lung Cancer [NCT02631460] | Phase 2 | 470 participants (Anticipated) | Interventional | 2015-12-31 | Recruiting |
A Phase 1b Study of LY573636-sodium in Combination With Alimta (Pemetrexed) in Patients With Solid Tumors [NCT01215916] | Phase 1 | 39 participants (Actual) | Interventional | 2008-02-29 | Completed |
Phase 2 Pharmacological Study of Pemetrexed Administered With Cisplatin and a Vitamin Supplement in Patients With Nonresectable Pleural Mesothelioma [NCT00541073] | Phase 2 | 60 participants (Anticipated) | Interventional | 2007-06-30 | Completed |
Phase II Randomized Controlled Trial of Neoadjuvant Pembrolizumab or Pembrolizumab With Histology-Specific Chemotherapy for Operable Stage IA3 to IIA Non-Small Cell Lung Cancer (NSCLC) [NCT04638582] | Phase 2 | 44 participants (Anticipated) | Interventional | 2022-08-28 | Recruiting |
Multicenter Phase III Study of Gefitinib Mono-therapy or Gefitinib Combined With Chemotherapy in Patients With Brain Metastases From Non-small Cell Lung Cancer Harboring EGFR Mutation [NCT01951469] | Phase 3 | 160 participants (Anticipated) | Interventional | 2016-01-31 | Recruiting |
Phase I Study of PTK/ZK in Combination With Pemetrexed Disodium (ALIMTA) [NCT00390000] | Phase 1 | 29 participants (Actual) | Interventional | 2007-01-25 | Completed |
A Phase II Evaluation Of Pemetrexed (ALIMTA, LY231514, IND #40061) In The Treatment Of Recurrent Or Persistent Endometrial Carcinoma [NCT00087100] | Phase 2 | 51 participants (Anticipated) | Interventional | 2006-05-31 | Completed |
Phase II Study of the Combination of Bevacizumab Plus Pemetrexed and Carboplatin as First-line Therapy in Patients With Malignant Pleural Mesothelioma [NCT00407459] | Phase 2 | 77 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Phase I Study of Pemetrexed (LY231514, Alimta) in Children and Adolescents With Recurrent Solid Tumors [NCT00070473] | Phase 1 | 33 participants (Actual) | Interventional | 2003-10-31 | Completed |
A Phase II Trial of Pemetrexed (ALIMTA®, LY231514, IND #40061) as Salvage Therapy for Failed Low Risk Gestational Trophoblastic Tumor [NCT00096187] | Phase 2 | 55 participants (Anticipated) | Interventional | 2005-07-31 | Terminated |
Dacomitinib + Pemetrexed for Patients With Advanced Non-squamous Non-small Cell Lung Cancer (NSCLC): a Phase I Trial to Identify a Dose of Dacomitinib in Combination With Pemetrexed That is Safe and Tolerated as Determined by the Incidence of Dose Limitin [NCT01918761] | Phase 1 | 5 participants (Actual) | Interventional | 2013-07-30 | Terminated(stopped due to poor accrual) |
Single Agent Alimta in Poor Performance Status in Patients With Non-Small Cell Lung Cancer (NSCLC) [NCT00508144] | Phase 2 | 64 participants (Actual) | Interventional | 2005-09-30 | Completed |
Phase 1/2 Study of Pemetrexed (Alimta) Plus Carboplatin, or Pemetrexed Plus Cisplatin With Concurrent Radiation Therapy Followed by Every-21-Day Pemetrexed Consolidation in Patients With Favorable-Prognosis Inoperable Stage IIIA/B Non-Small-Cell Lung Canc [NCT00482014] | Phase 1/Phase 2 | 120 participants (Actual) | Interventional | 2007-05-31 | Completed |
Phase II Trial of Preoperative Pemetrexed and Carboplatin in Patients With Select Stage IB, II, and III Non-Squamous Non-Small-Cell Lung Cancer [NCT00906282] | Phase 2 | 46 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Randomized Phase 3 Study Comparing Pemetrexed Plus Cisplatin With Gemcitabine Plus Cisplatin as First-Line Treatment in Patients With Advanced Non-squamous Non-Small Cell Lung Cancer. [NCT01005680] | Phase 3 | 256 participants (Actual) | Interventional | 2009-11-30 | Completed |
Randomized Phase II Study of Pemetrexed and Cisplatin as Either Induction or Adjuvant Chemotherapy in Stage IB-II Non-Small Cell Lung Cancer (NSCLC) [NCT00389688] | Phase 2 | 13 participants (Actual) | Interventional | 2006-08-31 | Terminated(stopped due to low accrual) |
Phase I Open-Label, Dose Escalation Study To Determine The Maximum Tolerated Dose And To Evaluate The Safety Profile Of Lenalidomide (Revlimid®, CC-5013) With Pemetrexed In Subjects With Advanced Non-Small Cell Lung Cancer [NCT00179699] | Phase 1 | 40 participants | Interventional | 2005-09-30 | Terminated |
A Phase 1, Open-Label, Multicenter Study to Assess Safety, Tolerability, PK, and Efficacy of MK-1084 as Monotherapy and in Combination With Pembrolizumab in Subjects With KRAS G12C Mutant Advanced Solid Tumors [NCT05067283] | Phase 1 | 450 participants (Anticipated) | Interventional | 2021-12-17 | Recruiting |
A Phase 3, Randomized, Double-Blind, Multicenter Study of Talabostat and Pemetrexed vs. Pemetrexed and Placebo in Patients With Advanced (Stage IIIB/IV) Non-Small Cell Lung Cancer (NSCLC) After Failure of Platinum-Based Chemotherapy [NCT00290017] | Phase 3 | 400 participants (Anticipated) | Interventional | 2006-02-28 | Terminated(stopped due to FDA Hold May 2007) |
A Randomized, Double-blind, Placebo-controlled, Phase III Study Evaluating the Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab as First Line Therapy for Locally Advanced or Metastatic Non-squamous [NCT03631199] | Phase 3 | 673 participants (Actual) | Interventional | 2018-12-21 | Active, not recruiting |
Phase 1/2 Study of Oral MKC-1 Administered Twice Daily for 14 Consecutive Days Every 3 Weeks in Combination With Pemetrexed [NCT00408226] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2006-10-31 | Completed |
Phase III Study Comparing Osimertinib Monotherapy to Combination Therapy With Osimertinib,Carboplatin and Pemetrexed for Untreated Patients With Advanced Non-squamous Non-Small Cell Lung Cancer With Concurrent EGFR and TP53 Mutations [NCT04695925] | Phase 3 | 291 participants (Anticipated) | Interventional | 2021-01-04 | Not yet recruiting |
Phase II Study of Pemetrexed Plus Cisplatin in the Treatment of Patients With Extensive Small Cell Lung Cancer [NCT00475657] | Phase 2 | 5 participants (Actual) | Interventional | 2007-10-31 | Terminated(stopped due to Terminated due to lack of efficacy) |
Phase I/II Clinical Trial of Bortezomib (Velcade) + Pemetrexed (Alimta) in Previously Treated Patients With Advanced Non-Small Cell Lung Cancer [NCT00516100] | Phase 1/Phase 2 | 62 participants (Anticipated) | Interventional | 2006-01-31 | Active, not recruiting |
Advanced Metastatic Non-small Cell Lung Cancer Patients Aged or PS Score 2 Points for First Line Application Pemetrexed/Carboplatin Chemotherapy Regimens Sequential Pemetrexed Single Drug Maintenance Treatment of Clinical Research and Related Predictive B [NCT01860508] | | 94 participants (Anticipated) | Interventional | 2013-02-28 | Recruiting |
ALIMTA Plus Gemcitabine as Front-line Chemotherapy for Patients With Locally Advanced or Metastatic Non-Small-Cell Lung Cancer: A Phase II Clinical Trial [NCT00061451] | Phase 2 | 48 participants | Interventional | 2002-12-31 | Completed |
Clinical and Radiographic Evaluation of Pulpotomies in Primary Molars Using Tricalcium Silicate Cements. [NCT04902495] | | 61 participants (Anticipated) | Interventional | 2017-01-12 | Recruiting |
An Open-label, Multicenter, Randomized Phase 2 Study Evaluating the Safety and Efficacy of Cisplatin and Pemetrexed With or Without Cixutumumab as First-Line Therapy in Patients With Advanced Nonsquamous Non-Small Cell Lung Carcinoma [NCT01232452] | Phase 2 | 172 participants (Actual) | Interventional | 2011-04-30 | Completed |
A Phase I-IIa Dose-Ranging Study of Pemetrexed (Alimta) Plus Cetuximab (Erbitux) in Patients With Recurrent Non-Small Cell Lung Cancer (NSCLC): Hoosier Oncology Group LUN04-79 [NCT00216203] | Phase 1/Phase 2 | 36 participants (Actual) | Interventional | 2005-05-31 | Completed |
Individualized Pemetrexed Dosing in Patients With Non-small Cell Lung Cancer or Mesothelioma Based on Renal Function to Improve Treatment Response [NCT03656549] | Phase 2 | 23 participants (Anticipated) | Interventional | 2019-02-01 | Recruiting |
Randomized, OpenLabel, Phase 3 Trial of Nivolumab Plus Ipilimumab or Nivolumab Plus Platinum Doublet Chemotherapy Versus Platinum Doublet Chemotherapy in Early Stage NSCLC [NCT02998528] | Phase 3 | 505 participants (Actual) | Interventional | 2017-03-04 | Active, not recruiting |
Phase I Trial of BKM120 in Combination With Carboplatin and Pemetrexed in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) [NCT01723800] | Phase 1 | 9 participants (Actual) | Interventional | 2013-07-31 | Completed |
Randomized Phase III Multicenter Trial of Customized Chemotherapy Versus Standard of Care for1st Line Treatment of Elderly Patients With Advanced Non-Small-Cell Lung Cancer [NCT03402048] | Phase 3 | 567 participants (Anticipated) | Interventional | 2012-07-31 | Recruiting |
A Prospective Phase 2 Study of PEmetrexed in Combination With Cisplatin in Patients With Advanced UrotheLIal CAnceR [NCT01490437] | Phase 2 | 42 participants (Actual) | Interventional | 2008-07-31 | Completed |
A Phase II Randomized Trial Assessing the Combination of Gemcitabine and Pemetrexed in the First Line Treatment of Locally Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00434135] | Phase 2 | 180 participants (Anticipated) | Interventional | 2006-05-31 | Completed |
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 |
A Phase II Study of Alimta as First Line Chemotherapy for Advanced or Metastatic Breast Cancer [NCT00106002] | Phase 2 | 37 participants (Actual) | Interventional | 2005-04-30 | Completed |
A Multicenter Phase 2 Randomized Trial of Single-Agent ALIMTA or ALIMTA With Sequentially Administered GEMZAR as First-Line Chemotherapy in Elderly Patients or Patients Who Are Not Eligible for Platinum-Based Chemotherapy With Advanced NSCLC [NCT00489983] | Phase 2 | 91 participants (Actual) | Interventional | 2003-07-31 | Completed |
A Phase 2 Trial of ALIMTA in Pretreated Patients With Unresectable or Metastatic Cancer of the Pancreas [NCT00490373] | Phase 2 | 52 participants (Actual) | Interventional | 2003-10-31 | Completed |
Disposition of [14C]LY2603618 Following Intravenous Administration in Patients With Advanced and/or Metastatic Solid Tumors [NCT01296568] | Phase 1 | 3 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Randomized Multicenter Phase II Study Of Induction Therapy With Pemetrexed And Cisplatin Followed By Chemoradiation With Pemetrexed Versus Chemoradiation With Pemetrexed Followed By Consolidation Therapy With Pemetrexed And Cisplatin In Patients With St [NCT00497315] | Phase 2 | 30 participants (Actual) | Interventional | 2006-02-28 | Completed |
Phase II Study of Pembrolizumab in Combination With Cisplatin or Carboplatin and Pemetrexed as Induction Chemo+Immunotherapy in Resectable Epithelioid and Biphasic Pleural Mesothelioma (CHIMERA Study) [NCT06155279] | Phase 2 | 40 participants (Anticipated) | Interventional | 2024-06-30 | Not yet recruiting |
Phase II Trial of LP-300 in Combination With Carboplatin and Pemetrexed in Never Smoker Patients With Relapsed Advanced Primary Adenocarcinoma of the Lung After Treatment With Tyrosine Kinase Inhibitors (The HARMONIC Study) [NCT05456256] | Phase 2 | 90 participants (Anticipated) | Interventional | 2022-08-12 | Recruiting |
A Phase 1 First-in-human Study of BMS-986406 as Monotherapy and Combination Therapies in Participants With Advanced Malignant Tumors [NCT05298592] | Phase 1 | 154 participants (Anticipated) | Interventional | 2022-03-31 | Recruiting |
An Open Label, Multicentre, Long-Term Extension Study of Tislelizumab- Containing Treatment and/or Pamiparib-Containing Treatment in Patients With Advanced Malignancies [NCT04164199] | Phase 3 | 300 participants (Anticipated) | Interventional | 2019-12-19 | Enrolling by invitation |
A Phase 3, Randomized Study of Nivolumab Plus Ipilimumab in Combination With Chemotherapy vs Chemotherapy Alone as First Line Therapy in Stage IV Non-Small Cell Lung Cancer [NCT03215706] | Phase 3 | 719 participants (Actual) | Interventional | 2017-08-24 | Active, not recruiting |
A Phase I Dose Escalation Study of Pemetrexed in Patients With Advanced Head and Neck Squamous Cell Cancer [NCT00507858] | Phase 1 | 36 participants (Actual) | Interventional | 2005-09-30 | Completed |
Chemotherapy Plus Gefitinib Versus Gefitinib Alone as First-line Treatment for Patients With Advanced Lung Adenocarcinoma and Sensitive EGFR Mutations: a Randomized Controlled Trial [NCT02951637] | Phase 2 | 300 participants (Anticipated) | Interventional | 2016-12-31 | Not yet recruiting |
Feasibility Trial on Combination of Platinum Doublets and Hypofractionated Radiotherapy for Locally-advanced Stage and / or Inoperable Non-small Cell Lung Carcinoma [NCT02947113] | Phase 2 | 0 participants (Actual) | Interventional | 2017-11-30 | Withdrawn(stopped due to New studies available with immunotherapy so recruitment is no longer acceptable.) |
Application of Detecting Circulating Tumor Cells in the Accurate Diagnosis and Treatment of Early Stage Lung Adenocarcinoma [NCT02951897] | | 120 participants (Anticipated) | Interventional | 2016-04-30 | Recruiting |
[NCT02940990] | Phase 2 | 50 participants (Anticipated) | Interventional | 2016-11-30 | Not yet recruiting |
A Single-arm, Two-stage Phase II Study of Lapatinib and Pemetrexed in the Second Line Treatment of Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00528281] | Phase 1 | 18 participants (Actual) | Interventional | 2007-09-20 | Completed |
Open-label, Multicenter, Randomized Phase II Trial of Treatment With Cisplatin and Pemetrexed or Cisplatin and Oral Vinorelbine in Chemotherapy Naïve Patients Affected by Stage IIIB-IV Non-Squamous Non-Small Cell Lung Cancer With High Thymidylate Synthase [NCT02919462] | Phase 2 | 2 participants (Actual) | Interventional | 2016-03-31 | Terminated(stopped due to low recruitement rate) |
A Randomized, Phase 3, Open-label Study to Investigate the Pharmacokinetics and Safety of Subcutaneous Pembrolizumab Versus Intravenous Pembrolizumab, Administered With Platinum Doublet Chemotherapy, in the First-Line Treatment of Participants With Metast [NCT04956692] | Phase 3 | 531 participants (Actual) | Interventional | 2021-08-05 | Active, not recruiting |
A Phase 3, Randomized, Double-blind Study of Neoadjuvant Chemotherapy Plus Nivolumab Versus Neoadjuvant Chemotherapy Plus Placebo, Followed by Surgical Resection and Adjuvant Treatment With Nivolumab or Placebo for Participants With Resectable Stage II-II [NCT04025879] | Phase 3 | 452 participants (Anticipated) | Interventional | 2019-11-05 | Active, not recruiting |
Phase 1 Dose Escalation Study of LY2090314 in Patients With Advanced or Metastatic Cancer in Combination With Pemetrexed and Carboplatin [NCT01287520] | Phase 1 | 41 participants (Actual) | Interventional | 2007-11-30 | Completed |
Concurrent Chemotherapy Based on Genetic Testing in Patients With High-Risk Salivary Gland Tumors [NCT02921984] | Phase 1 | 20 participants (Actual) | Interventional | 2013-09-30 | Completed |
A Prospective, Single-arm, Single-center Clinical Trial of Envafolimab as First-line Replacement Maintenance in Advanced NSCLC [NCT05465733] | Phase 2 | 25 participants (Anticipated) | Interventional | 2022-08-01 | Not yet recruiting |
Pilot Study Targeting Residual Hypermethylation in Early Stage Non-Small Cell Lung Cancer As Part of Adjuvant Therapy and Preventive Strategy [NCT01209520] | | 6 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Phase II Randomized, Multi-Center, Double-Blind, Global Study to Determine the Efficacy and Safety of Durvalumab Plus Olaparib Combination Therapy Compared With Durvalumab Monotherapy as Maintenance Therapy in Patients Whose Disease Has Not Progressed F [NCT03775486] | Phase 2 | 401 participants (Actual) | Interventional | 2018-12-21 | Active, not recruiting |
A Randomized, Phase 2 Trial of Lazertinib and Chemotherapy Combination in EGFR-mutant NSCLC Patients Without ctDNA Clearance After lead-in Lazertinib Monotherapy (CHAMELEON) [NCT06020989] | Phase 2 | 129 participants (Anticipated) | Interventional | 2023-09-30 | Not yet recruiting |
An Open-label, Multicenter, Phase Ib/II Study of AK104, Combined Chemotherapy as First-line Therapy to Treat Locally Advanced or Metastatic Non-small Cell Lung Carcinoma [NCT04647344] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2020-11-24 | Active, not recruiting |
Study of Chinese Medicine Plus Chemotherapy Maintenance Versus Chemotherapy Maintenance in Advanced Non Small Cell Lung Cancer: A Randomized Double-blind Controlled Clinical Trial [NCT02900742] | Phase 3 | 71 participants (Actual) | Interventional | 2013-03-31 | Completed |
Combination of Gefitinib With Chemotherapy or Anti-angiogenesis as 1st Line Treatment in Advanced NSCLC Patients Detected With Bim Deletion or Low EGFR Activating Mutation Abundance [NCT02930954] | Phase 2 | 180 participants (Anticipated) | Interventional | 2016-11-30 | Not yet recruiting |
A Phase 1b/2 Trial of AMG 386 in Combination With Pemetrexed and Carboplatin as First Line Treatment of Metastatic Non-Squamous Non-Small Cell Lung Cancer [NCT01666977] | Phase 1/Phase 2 | 36 participants (Actual) | Interventional | 2012-08-31 | Completed |
A Phase 1 First-in-Human Dose Study of LY3023414 in Patients With Advanced Cancer [NCT01655225] | Phase 1 | 156 participants (Actual) | Interventional | 2012-07-31 | Completed |
An Open-label, Randomized Phase IIB/III Active Control Study of Second-line Tergenpumatucel-L (Hyper-Acute(R)-Lung ) Immunotherapy Versus Docetaxel in Progressive or Relapsed Non-Small Cell Lung Cancer [NCT01774578] | Phase 2/Phase 3 | 135 participants (Actual) | Interventional | 2013-02-28 | Terminated |
Personalized Escalation of Consolidation Treatment Following Chemoradiotherapy and Immunotherapy in Stage III NSCLC [NCT04585490] | Phase 3 | 48 participants (Anticipated) | Interventional | 2021-08-25 | Recruiting |
A Phase II Two Cohorts Prospective Study to Evaluate the Efficacy and Safety of Tislelizumab Combined With Chemotherapy With or Without Bevacizumab in Non-squamous NSCLC With EGFR Sensitizing Mutation Who Failed EGFR TKI Therapy [NCT04405674] | Phase 2 | 120 participants (Anticipated) | Interventional | 2020-07-15 | Recruiting |
Phase II Study of a Triplet Combination of CBP501, Pemetrexed and Cisplatin as First Line Treatment in Patients With Stage IV Non-squamous Non Small Cell Lung Cancer (NSCLC) [NCT00942825] | Phase 2 | 195 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase Ib, Open-label, Dose Escalation Trial Investigating Different Doses and Schedules of Sym004 in Combination With Platinum-doublets in Subjects With Stage IV Non-small Cell Lung Cancer [NCT02083679] | Phase 1 | 15 participants (Actual) | Interventional | 2014-07-31 | Terminated(stopped due to Sponsor the return rights of the compound to the collaboration partner for further clinical development) |
A Phase II Study to Evaluate the Efficacy, Safety, and Tolerability of KN046 in Patients With Advanced Non-small Cell Lung Cancer [NCT03838848] | Phase 2 | 120 participants (Actual) | Interventional | 2019-05-05 | Terminated(stopped due to Cohort A,B,C end enrollments. Cohort D and E were considered to have no significant clinical benefit at the SMC meeting and decided to terminate enrollment.) |
Adjuvant Chemotherapy With Pemetrexed and Cisplatin vs. Vinorelbine and Cisplatin in NSCLC IB, IIA, IIB, T3N1: a Randomized Phase II Study [NCT00349089] | Phase 2 | 132 participants (Actual) | Interventional | 2006-09-26 | Completed |
Maintenance Immunotherapy With Autologous Cytokine-induced Killer Cells for Stage IIIb/IV Nonsquamous Non-small Cell Lung Cancer [NCT01481259] | Phase 2/Phase 3 | 120 participants (Anticipated) | Interventional | 2010-01-31 | Recruiting |
A Phase II Study of Pemetrexed in Patients With Advanced Neuroendocrine Tumors [NCT00424723] | Phase 2 | 32 participants (Anticipated) | Interventional | 2005-12-31 | Completed |
Phase II Study of Carboplatin and Pemetrexed in Patients With Recurrent Platinum Sensitive Ovarian, Fallopian Tube or Primary Peritoneal Cancer [NCT00230542] | Phase 2 | 44 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Phase II Study of Eloxatin and Alimta in Combination With Bevacizumab in Advanced Non-Squamous NSCLC [NCT00251524] | Phase 2 | 69 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Phase 2 Study of ALIMTA Plus Doxorubicin Administered Every 21 Days in Patients With Advanced Breast Cancer [NCT00102219] | Phase 2 | 77 participants (Actual) | Interventional | 2004-10-31 | Completed |
A Phase II Study of Pemetrexed Disodium (ALIMTA®) Plus Bevacizumab in Patients With Stage IIIB Pleural Effusion or Stage IV Non-Small Cell Lung Cancer (Second-Line Treatment) [NCT00268489] | Phase 2 | 48 participants (Actual) | Interventional | 2006-05-31 | Completed |
A Two-Cohort Phase I/II Trial of PTK787 and Pemetrexed With or Without Cisplatin in Patients With Advanced Non-Small Cell Lung Cancers and Malignant Pleural Mesotheliomas [NCT00281125] | Phase 1/Phase 2 | 20 participants | Interventional | 2006-01-31 | Terminated(stopped due to Suspended due to data issues revealed at DSMB meeting. Planned amendment but was never submitted. Study was then closed.) |
A Randomized Phase 3 Study of Two Doses of Alimta in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Failed a Prior Platinum-Containing Chemotherapy [NCT00078260] | Phase 3 | 589 participants (Actual) | Interventional | 2003-12-31 | Completed |
A Phase II Evaluation Of Pemetrexed (ALIMTA LY231514, IND #40061) In The Treatment Of Recurrent Or Persistent Platinum-Resistant Ovarian Or Primary Peritoneal Carcinoma [NCT00087087] | Phase 2 | 51 participants (Anticipated) | Interventional | 2004-07-31 | Completed |
Cadonilimab (AK104) Plus Chemotherapy as First-line Treatment in Non-squamous Non-Small Cell Lung Cancer (NSCLC) Patients With Programmed Cell Death Ligand 1 (PD-L1) Negative:A Multi-center, Single-arm, Phase II Study [NCT06001151] | Phase 2 | 49 participants (Anticipated) | Interventional | 2023-08-07 | Recruiting |
A Phase II Study to Evaluate the Efficacy, Safety and Tolerability of HLX26 (Anti-LAG-3 Monoclonal Antibody Injection) Combined With Serplulimab (Anti-PD-1 Humanized Monoclonal Antibody Injection) and Chemotherapy in Previously Untreated Advanced Non-smal [NCT05787613] | Phase 2 | 60 participants (Anticipated) | Interventional | 2023-07-10 | Recruiting |
Older Non-Small Cell Lung Cancer Patients (>/= 70 Years of Age) Treated With First-Line MK-3475 (Pembrolizumab)+/- Chemotherapy (Oncologist's/Patient's Choice) [NCT04533451] | Phase 2 | 101 participants (Actual) | Interventional | 2020-10-01 | Active, not recruiting |
A Phase Ib/II, Open-Label Study of M7824 in Combination With Chemotherapy in Participants With Stage IV Non-small Cell Lung Cancer [NCT03840915] | Phase 1/Phase 2 | 70 participants (Actual) | Interventional | 2019-04-02 | Completed |
A Phase II Trial to Evaluate Combination Therapy With Pemetrexed and Avelumab in Previously Treated Patients With MTAP-Deficient Advanced Urothelial Cancer [NCT03744793] | Phase 2 | 18 participants (Actual) | Interventional | 2019-04-11 | Active, not recruiting |
A Phase 3 Trial of Balstilimab Versus Investigator Choice Chemotherapy in Patients With Recurrent Cervical Cancer After Platinum-Based Chemotherapy (BRAVA) [NCT04943627] | Phase 3 | 0 participants (Actual) | Interventional | 2021-08-02 | Withdrawn(stopped due to Strategic Business Decision) |
Phase IV Randomized Trial of Pemetrexed Followed by Docetaxel or in Reverse Sequence in Non-small-cell Lung Cancer Patients Failed Previous Chemotherapy [NCT01442909] | Phase 4 | 44 participants (Actual) | Interventional | 2008-03-31 | Completed |
Monitoring the Efficacy of Duvalizumab Combined With Neoadjuvant Chemotherapy for Ib-IIIb NSCLC by Sequencing of Immune Receptor Repertoire: a Prospective, One Arm Clinical Study [NCT04897386] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-06-01 | Not yet recruiting |
A Phase II Evaluation Of Pemetrexed (ALIMTA, LY231517, IND #40061) In the Treatment Of Recurrent Carcinoma Of The Cervix [NCT00087113] | Phase 2 | 0 participants | Interventional | 2004-08-31 | Completed |
A Phase Ib/II Clinical Trial of AK112 and AK104 With or Without Chemotherapy in Advanced Non-small Cell Lung Cancer [NCT05904379] | Phase 1/Phase 2 | 148 participants (Anticipated) | Interventional | 2023-07-13 | Recruiting |
Neoadjuvant Chemotherapy and Extrapleural Pneumonectomy of Malignant Pleural Mesothelioma (MPM) With or Without Hemithoracic Radiotherapy. A Randomized Multicenter Phase II Trial [NCT00334594] | Phase 2 | 153 participants (Actual) | Interventional | 2005-11-14 | Completed |
Binimetinib, Pemetrexed and Cisplatin, Followed by Maintenance With Binimetinib and Pemetrexed, in Patients With Advanced Non-small Cell Lung Cancer NSCLC With KRAS Mutations. A Multicenter Phase IB Trial. [NCT02964689] | Phase 1 | 18 participants (Actual) | Interventional | 2017-04-12 | Completed |
A Phase 1, Open Label Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD2171 and Selected Chemotherapy Regimens When Given in Combination to Patients With Advanced Solid Tumors [NCT00502567] | Phase 1 | 104 participants (Actual) | Interventional | 2005-01-31 | Completed |
Clinical Observation of the Effect of Neoadjuvant Anti-PD-1 Immunotherapy on Perioperative Analgesia and Postoperative Delirium in Patients With Non-small Cell Lung Cancer [NCT05273827] | | 81 participants (Actual) | Observational | 2022-03-22 | Active, not recruiting |
A Phase II/III Multicenter Study Evaluating the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Patients With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) Harboring Actionable Somatic Mutations Detected in Blood (B-FAST: [NCT03178552] | Phase 2/Phase 3 | 1,000 participants (Anticipated) | Interventional | 2017-09-22 | Recruiting |
Random Open Exploratory Clinical Research of Sequential Gefitinib With Pemetrexed/Platinum Compare With Pemetrexed/Platinum Treatment for Advanced Non-small Cell Lung Cancer Exploratory Clinical Research [NCT01769066] | Phase 2/Phase 3 | 117 participants (Actual) | Interventional | 2009-12-31 | Completed |
A Phase II Trial to Evaluate Pemetrexed Clinical Responses in Relation to Tumor MTAP Gene Status in Patients With Previously Treated Metastatic Urothelial Carcinoma [NCT02693717] | Phase 2 | 7 participants (Actual) | Interventional | 2017-05-09 | Terminated(stopped due to The trial was closed due to the changing efficacy of treatments for metastatic urothelial cancer.) |
Phase 2 Study of AZD2171 (NSC 732208) in Combination With Pemetrexed in Relapsed Non-Small Cell Lung Cancer (NOS: 10029514) [NCT00410904] | Phase 2 | 60 participants (Actual) | Interventional | 2006-10-31 | Completed |
A Phase II Trial of Pemetrexed, Gemcitabine, and Bevacizumab Every Two Weeks in Chemotherapy-Naive Patients With Stages IIIB/IV Non- Squamous, Non-Small Cell Lung Cancer (NSCLC) [NCT00438204] | Phase 2 | 39 participants (Actual) | Interventional | 2006-05-31 | Terminated(stopped due to All data collection has completed.) |
A Randomized, Phase II Study of Staggered, Chemo-Immunotherapy With Durvalumab, MEDI4736 Pemetrexed and Carboplatin (PC) for Metastatic Non-Squamous NSCLC [NCT04163432] | Phase 2 | 84 participants (Anticipated) | Interventional | 2020-06-16 | Recruiting |
A Phase 1/2, Open-label, Multicenter Study of the Combination of NKTR-214 and Nivolumab or the Combination of NKTR-214, Nivolumab, and Other Anti-Cancer Therapies in Patients With Select Locally Advanced or Metastatic Solid Tumor Malignancies [NCT02983045] | Phase 1/Phase 2 | 557 participants (Actual) | Interventional | 2016-12-19 | Completed |
Phase II Study Evaluating the Interest of the Re-introduction of Pemetrexed and Platinum (Cisplatin or Carboplatin) With Prolonged Angiogenic Blocking by Bevacizumab in Non Squamous Non Small Cell Lung Cancer of Advanced Stage. [NCT01705184] | Phase 2 | 120 participants (Actual) | Interventional | 2012-12-31 | Completed |
A Phase II-III Randomized Trial Pemetrexed-Cisplatin Chemotherapy With or Without Bevacizumab (Avastin), 15 mg/kg, for Malignant Pleural Mesothelioma (MPM) [NCT00651456] | Phase 2/Phase 3 | 448 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Phase II-III Randomized Trial Evaluating Maintenance Pembrolizumab (± Pemetrexed) Until Progression Versus Observation (± Pemetrexed) After 6 Months of Platinum-based Doublet Chemotherapy Plus Pembrolizumab Induction Treatment in Patients With Stage IV [NCT05255302] | Phase 2/Phase 3 | 1,360 participants (Anticipated) | Interventional | 2022-05-02 | Recruiting |
A Randomised Phase 2 Trial of Pemetrexed and Gefitinib Versus Gefitinib as First Line Treatment for Patients With Stage IV Non-Squamous Non-Small Cell Lung Cancer With Activating Epidermal Growth Factor Receptor Mutations [NCT01469000] | Phase 2 | 195 participants (Actual) | Interventional | 2012-02-29 | Completed |
Randomized Phase II Study of Pemetrexed Versus Gefitinib in Previously Treated Patients With Advanced Non-small Cell Lung Cancer [NCT01783834] | Phase 2 | 95 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Phase IB Dose-Escalation Study of Pemetrexed and AUY922 in Previously-Treated Patients With Metastatic Non-Squamous, Non-Small Cell Lung Cancer [NCT01784640] | Phase 1 | 13 participants (Actual) | Interventional | 2014-01-31 | Completed |
A Phase III, Open-Label, Randomized Study to Investigate the Efficacy and Safety of Atezolizumab (Anti-PD-L1 Antibody) Compared With Best Supportive Care Following Adjuvant Cisplatin-Based Chemotherapy in Patients With Completely Resected Stage IB-IIIA No [NCT02486718] | Phase 3 | 1,280 participants (Actual) | Interventional | 2015-10-31 | Active, not recruiting |
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 |
Phase II Trial of Lazertinib+Pemetrexed/Carboplatin in Patients With EGFR Sensitizing Mutation Positive Recurrent or Metastatic Non-Small Cell Lung Cancer Failed to Prior Lazertinib (LUCAS) [NCT05786430] | Phase 2 | 87 participants (Anticipated) | Interventional | 2023-03-31 | Not yet recruiting |
A Phase 1 Study of MK-5890 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors [NCT03396445] | Phase 1 | 202 participants (Anticipated) | Interventional | 2018-02-18 | Active, not recruiting |
Pemetrexed (Alimta) in Patients With Chemosensitive and Chemoresistant Relapsed Small Cell Lung Cancer: A Hoosier Oncology Group Phase II Study (LUN04-78) [NCT00216216] | Phase 2 | 43 participants (Actual) | Interventional | 2005-01-31 | Terminated(stopped due to The results from the interim analysis were not favorable to continue this trial.) |
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 |
Pemetrexed Plus Gemcitabine Or Carboplatin In Patients With Advanced Malignant Mesothelioma: A Randomized Phase II Trial [NCT00101283] | Phase 2 | 32 participants (Actual) | Interventional | 2006-02-23 | Completed |
A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of INCMGA00012, an Anti-PD-1 Antibody, in Combination With Chemoradiation in Participants With Unresectable, Stage III Non-Small Cell Lung Cancer (POD1UM-301) [NCT04203511] | Phase 3 | 0 participants (Actual) | Interventional | 2020-07-31 | Withdrawn(stopped due to Sponsor Strategic/Business Decision) |
Multicenter Phase II Study With Pemetrexed in Patients With Pre-Treated Metastatic Soft Tissue Sarcomas [NCT00427466] | Phase 2 | 54 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Phase I Study Investigating the Combination of Everolimus With Pemetrexed in Patients With Advanced Non Small Cell Lung Cancer (NSCLC) Previously Treated With Chemotherapy [NCT00434174] | Phase 1 | 48 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Phase I Study of ALIMTA Plus Oxaliplatin Administered Every Other Week in the Treatment of Patients With Metastatic Cancer [NCT00470405] | Phase 1 | 25 participants (Actual) | Interventional | 2004-05-31 | Completed |
A Randomized (PhaseII), Double-blind, Multicenter Phase I/II Trial of Pemetrexed, Carboplatin Plus or Minus Sorafenib in the First-line Treatment of Patients With Stage IIIb or IV Non-Small Cell Lung Cancer [NCT00473486] | Phase 1/Phase 2 | 12 participants (Actual) | Interventional | 2007-05-31 | Terminated(stopped due to Sorafenib administered in the combination with pemetrexed-carboplatin appears to enhance thrombocytopenia compared to historical data.) |
Efficacy and Safety of Platinum-based Chemotherapy + Bevacizumab + Durvalumab, and Salvage SBRT for IV Non-Small Cell Lung Cancer Patients With EGFR Mutations After Failure of First Line Osimertinib:A Multicenter, Prospective, Phase II Clinical Study [NCT04517526] | Phase 2 | 60 participants (Anticipated) | Interventional | 2020-11-01 | Not yet recruiting |
A Randomized Phase 3 Study of Datopotamab Deruxtecan (Dato-DXd) and Pembrolizumab With or Without Platinum Chemotherapy in Subjects With No Prior Therapy for Advanced or Metastatic PD-L1 TPS <50% Non-squamous Non-small Cell Lung Cancer Without Actionable [NCT05555732] | Phase 3 | 975 participants (Anticipated) | Interventional | 2023-01-11 | Recruiting |
A Phase I, Open-Label Study to Assess the Safety and Tolerability of ZD6474 in Combination With Pemetrexed (Alimta) in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer After Failure of Prior Chemotherapy. [NCT00506051] | Phase 1 | 21 participants (Actual) | Interventional | 2005-07-31 | Completed |
A Randomized, Open Label, Phase II Study Comparing Pemetrexed Plus Cisplatin Followed by Pemetrexed Until Progression Versus Pemetrexed Alone Until Progression in Non-small Cell Lung Cancer Patients Who Have Progressed on First Line Epidermal Growth Facto [NCT03050437] | Phase 2 | 96 participants (Anticipated) | Interventional | 2013-03-31 | Recruiting |
A Phase Ia/Ib Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of Tiragolumab as a Single Agent and in Combination With Atezolizumab and/or Other Anti-Cancer Therapies in Patients With Locally Advanced or Metastatic Tumors [NCT02794571] | Phase 1 | 518 participants (Actual) | Interventional | 2016-05-23 | Active, not recruiting |
A Phase 1b Study of Ensartinib in Combination With Platinum-Based Chemotherapy and Bevacizumab in ALK-Positive Non-Small Cell Lung Cancer (NSCLC) [NCT04837716] | Phase 1 | 12 participants (Anticipated) | Interventional | 2021-03-18 | Active, not recruiting |
A Phase I Study of Continuous Endostar Intravenous Infusion Combined With Pemetrexed and Carboplatin in Advanced NSCLC Patients [NCT01531790] | Phase 1 | 19 participants (Actual) | Interventional | 2011-09-30 | Completed |
Sintilimab Plus Bevacizumab and Platinum-Based Doublet Chemotherapy as First-Line Treatment for Advanced Non-squamous Non-Small-Cell Lung Cancer With Negative Driver Gene: a Single-center, Single-Arm Trial [NCT05648071] | Phase 3 | 60 participants (Anticipated) | Interventional | 2021-12-01 | Recruiting |
Beamion LUNG-2: A Phase III, Open-label, Randomized, Active-controlled, Multi-centre Trial Evaluating Orally Administered BI 1810631 Compared With Standard of Care as First-line Treatment in Patients With Unresectable, Locally Advanced or Metastatic Nonsq [NCT06151574] | Phase 3 | 270 participants (Anticipated) | Interventional | 2024-01-15 | Not yet recruiting |
A Two Steps Phase I Trial of Pazopanib or Pemetrexed in Combination With Crizotinib Followed by the Triplet, Crizotinib Plus Pazopanib Plus Pemetrexed in Patients With Advanced Malignancies [NCT01548144] | Phase 1 | 178 participants (Actual) | Interventional | 2012-04-30 | Terminated(stopped due to PI request) |
Afatinib Sequenced With Concurrent Chemotherapy and Radiation in EGFR-Mutant Non-Small Cell Lung Tumors: The ASCENT Trial [NCT01553942] | Phase 2 | 30 participants (Anticipated) | Interventional | 2012-04-30 | Recruiting |
Phase I/II Study of Gemzar and Platinol Followed by Alimta and Gemzar in Patients With Advanced or Metastatic Bladder Cancer [NCT00101842] | Phase 1/Phase 2 | 61 participants | Interventional | 2004-12-31 | Completed |
Phase II Trial of Pemetrexed for Advanced Chondrosarcomas [NCT00107419] | Phase 2 | 75 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Randomized, Double-Blind Phase 2 Study of Two Doses of Pemetrexed in the Treatment of Platinum-Resistant, Epithelial Ovarian or Primary Peritoneal Cancer [NCT00109096] | Phase 2 | 100 participants (Anticipated) | Interventional | 2005-06-30 | Completed |
Clinical Study of Neoadjuvant Anti-PD-1 Drug Toripalimab Combined With Chemotherapy in the Treatment of Locally Advanced Epithelial or Mixed Tissue Malignant Pleural Mesothelioma [NCT04713761] | Phase 2 | 15 participants (Anticipated) | Interventional | 2021-02-01 | Not yet recruiting |
[NCT00034606] | Phase 2 | 0 participants | Interventional | | Completed |
A Phase 3 Trial of ALIMTA (LY231514, Pemetrexed) Plus GEMZAR Versus GEMZAR in Patients With Unresectable or Metastatic Cancer of the Pancreas. [NCT00035035] | Phase 3 | 0 participants | Interventional | | Completed |
A Phase II Clinical Trial of Tiragolumab in Combination With Carboplatin, Pemetrexed, and Atezolizumab in Patients With Non-squamous Non-small Cell Lung Cancer (NSCLC) and Untreated Brain Metastases [NCT05746481] | Phase 2 | 35 participants (Anticipated) | Interventional | 2023-08-08 | Recruiting |
[NCT00055432] | Phase 2 | 0 participants | Interventional | | Terminated |
ALIMTA Plus Gemcitabine as Front-Line Chemotherapy for Patients With Malignant Pleural or Peritoneal Mesothelioma: A Phase II Clinical Trial [NCT00061477] | Phase 2 | 48 participants | Interventional | 2002-12-31 | Completed |
Study of Two Doses of ALIMTA (Pemetrexed) as First Line Chemotherapy for Advanced Breast Cancer [NCT00065533] | Phase 2 | 92 participants (Actual) | Interventional | 2003-05-31 | Completed |
A Phase II Study of Alimta and Carboplatin in the Treatment of Patients With Locally Advanced or Metastatic Breast Cancer [NCT00072865] | Phase 2 | 50 participants | Interventional | 2003-06-30 | Completed |
A Phase 1/2 Study of the Highly Selective EGFR Inhibitor, BLU-701, in Patients With EGFR-Mutant Non-Small Cell Lung Cancer [NCT05153408] | Phase 1 | 20 participants (Actual) | Interventional | 2022-01-13 | Terminated(stopped due to Lack of efficacy) |
A Prospective,Multi-center, Open-labeled Phase 2 Randomized and Comparative Clinical Study of First Line Intermittent and Maintenance of Icotinib in Combination With Pemetrexed/Carboplatin Compared With Icotinib Single Drug in ⅢB/IV Non Small Cell Lung Ca [NCT03151161] | Phase 2 | 118 participants (Anticipated) | Interventional | 2015-12-31 | Not yet recruiting |
A Phase II Trial of Alimta (Pemetrexed) in Patients With Recurrent Malignant Gliomas, Primary Central Nervous System Lymphoma, and Brain Metastases [NCT00276783] | Phase 2 | 31 participants (Actual) | Interventional | 2005-11-30 | Active, not recruiting |
A Master Protocol of Phase 1/2 Studies of Nivolumab in Advanced NSCLC Using Nivolumab as Maintenance After Induction Chemotherapy or as First-line Treatment Alone or in Combination With Standard of Care Therapies (CheckMate 370: CHECKpoint Pathway and niv [NCT02574078] | Phase 1/Phase 2 | 341 participants (Actual) | Interventional | 2015-11-23 | Completed |
A Phase 1b Study of the Dual MDMX/MDM2 Inhibitor, ALRN-6924, for the Prevention of Chemotherapy-induced Myelosuppression [NCT04022876] | Phase 1 | 35 participants (Actual) | Interventional | 2019-09-03 | Terminated(stopped due to With a favorable safety profile the difference between treatment groups for the primary composite endpoint was not sufficient to generate statistically significant results with the targeted sample size) |
[NCT00035061] | Phase 2 | 0 participants | Interventional | | Completed |
A Phase I Study of Concurrent Pemetrexed, Cisplatin and Radiotherapy in Local Advanced Non-Small Cell Lung Cancer. [NCT00846443] | Phase 1 | 12 participants (Anticipated) | Interventional | 2009-01-31 | Recruiting |
A Phase III, Open Label, Randomized Study of Atezolizumab (Anti-PD-L1 Antibody) Compared With a Platinum Agent (Cisplatin or Carboplatin) in Combination With Either Pemetrexed or Gemcitabine for PD-L1-Selected, Chemotherapy-Naive Patients With Stage IV No [NCT02409342] | Phase 3 | 572 participants (Actual) | Interventional | 2015-07-20 | Completed |
Induction Therapy With PD-1 Antibody Combined With Platinum-based Doublet Chemotherapy for Locally-advanced Non-small Cell Lung Cancer: A Randomised Controlled, Open-label, Phase 2 Trial [NCT05766800] | Phase 2 | 100 participants (Anticipated) | Interventional | 2023-03-14 | Recruiting |
A Phase II Clinical Trial Evaluating Three Schedules Of ALIMTA Plus Gemcitabine As Frontline Chemotherapy For Patients With Locally Advanced Or Metastatic Non-Small Cell Lung Cancer [NCT00022646] | Phase 2 | 157 participants (Actual) | Interventional | 2001-08-31 | Completed |
Phase I/II Trial Of Gemcitabine And ALIMTA In Patients With Measurable Or Evaluable, Unresectable Or Metastatic Biliary Tract Carcinoma (Intrahepatic, Extrahepatic, Ampulla Or Vater) And Gallbladder Carcinoma [NCT00059865] | Phase 1/Phase 2 | 68 participants (Actual) | Interventional | 2004-01-31 | Completed |
ALIMTA Plus Gemcitabine as Front-Line Chemotherapy for Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer: A Phase II Clinical Trial [NCT00061464] | Phase 2 | 48 participants | Interventional | 2003-02-28 | Completed |
Phase 1/2 Dose-Escalating Study of Biweekly Alimta and Gemcitabine in Patients With Advanced Cancer [NCT00071136] | Phase 1/Phase 2 | 48 participants | Interventional | 2003-12-31 | Completed |
A Phase II Study of Nivolumab in Combination With Carboplatin and Pemetrexed, or Nivolumab in Combination With Ipilimumab, in Patients With Advanced, EGFR-mutant or ALK-rearranged, Non-Small Cell Lung Cancer [NCT03256136] | Phase 2 | 9 participants (Actual) | Interventional | 2017-11-22 | Completed |
[NCT00040625] | | 0 participants | Expanded Access | | Approved for marketing |
Phase I Trial of Cisplatin, Pemetrexed, and Imatinib Mesylate in Unresectable or Metastatic Malignant Mesothelioma [NCT00402766] | Phase 1 | 19 participants (Actual) | Interventional | 2006-08-31 | Completed |
An Open-label, Randomized, Multicenter Trial of Intrathecal-pemetrexed Combined With Concurrent Involved-field Radiotherapy and Intrathecal-pemetrexed Alone in Patients With Leptomeningeal Metastasis From Solid Tumors [NCT05305885] | | 100 participants (Anticipated) | Interventional | 2022-08-19 | Recruiting |
A Randomized Phase 2 Trial of ALIMTA Plus a Comparator Versus Leucovorin Modulated Fluorouracil Plus a Comparator in First Line Treatment of Locally Advanced or Metastatic Colorectal Cancer [NCT00079872] | Phase 2 | 120 participants | Interventional | 2004-02-29 | Completed |
A Randomized Phase 3 Trial Comparing ALIMTA Plus Best Supportive Care Versus Best Supportive Care Alone in Previously Treated Patients With Locally Advanced or Metastatic Malignant Pleural Mesothelioma [NCT00190762] | Phase 3 | 240 participants | Interventional | 2001-10-31 | Completed |
Open-Label Single-Arm Phase 2 Study of ALIMTA Plus Cisplatin in Korean Patients With Advanced Gastric Carcinoma [NCT00190801] | Phase 2 | 50 participants | Interventional | 2003-09-30 | Completed |
Open-Label Single-Arm Phase 2 Study of ALIMTA in Patients With Advanced Non-Small Cell Lung Cancer Who Have Had Prior Chemotherapy [NCT00190840] | Phase 2 | 186 participants | Interventional | 2003-09-30 | Completed |
A Phase II Trial of Pemetrexed (Alimta) in the Treatment of Recurrent or Persistent Low Risk Gestational Trophoblastic Tumor [NCT00190918] | Phase 2 | 50 participants (Anticipated) | Interventional | 2006-07-31 | Completed |
A Phase II Study of Biweekly Pemetrexed and Gemcitabine in Patients With Metastatic Breast Cancer [NCT00191347] | Phase 2 | 30 participants | Interventional | 2004-10-31 | Completed |
Open-Label Single-Arm Phase II Study of ALIMTA in Combination With Oxaliplatin as First-Line Therapy in Advanced Gastric Carcinoma [NCT00192088] | Phase 2 | 43 participants | Interventional | 2004-05-31 | Completed |
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 |
Feasibility and Safety of Neoadjuvant Nivolumab and Chemotherapy for Resectable Malignant Pleural Mesothelioma [NCT04162015] | Phase 1 | 35 participants (Anticipated) | Interventional | 2019-11-12 | Recruiting |
Adaptive-Dose to Mediastinum With Immunotherapy (Durvalumab MEDI4736) and Radiation in Locally-Advanced Non-Small Cell Lung Cancer [NCT04372927] | Phase 2 | 1 participants (Actual) | Interventional | 2021-12-10 | Terminated(stopped due to Terminated due to slow accrual) |
Phase II Study of the Combination of Paclitaxel Poliglumex (CT-2103, Xyotax) and Pemetrexed (Alimta) for the Treatment of Patients With Advanced Non-small Cell Lung Cancer. [NCT00487669] | Phase 2 | 14 participants (Actual) | Interventional | 2006-10-31 | Completed |
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 2 Randomized Study of Relatlimab Plus Nivolumab in Combination With Chemotherapy vs. Nivolumab in Combination With Chemotherapy as First Line Treatment for Participants With Stage IV or Recurrent Non-small Cell Lung Cancer (NSCLC) [NCT04623775] | Phase 2 | 420 participants (Anticipated) | Interventional | 2021-02-17 | Active, not recruiting |
A Phase II Study of Pemetrexed and Gemcitabine Plus Bevacizumab as First Line Chemotherapy for Elderly Patients With Stage IIIB/IV Non-Small Cell Lung Cancer [NCT00517595] | Phase 2 | 48 participants (Actual) | Interventional | 2007-08-31 | Completed |
Phase I Study of the Non-receptor Kinase Inhibitor Bosutinib in Combination With Pemetrexed in Patients With Selected Metastatic Solid Tumors [NCT03023319] | Phase 1 | 6 participants (Actual) | Interventional | 2019-12-10 | Completed |
A Multicenter Phase II Trial of Neo-Adjuvant Pemetrexed (Alimta) Plus Cisplatin Followed by Surgery and Radiation for Pleural Mesothelioma [NCT00087698] | Phase 2 | 77 participants (Actual) | Interventional | 2003-09-30 | Completed |
A Phase I Dose-Escalating Study of Induction Gemcitabine/Pemetrexed Followed by Pemetrexed and Concurrent Upper Abdominal Radiation Therapy in Patients With Locally Advanced Pancreatic Cancer [NCT00310050] | Phase 1 | 4 participants (Actual) | Interventional | 2005-10-31 | Terminated(stopped due to slow accrual) |
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) |
A Study of the Effect of Anlotinib, Pemetrexed or the Combination As Maintenance Therapy for Patients With Non-Squamous Non-Small Cell Lung Cancer. [NCT04453423] | Phase 2 | 90 participants (Anticipated) | Interventional | 2020-07-01 | Not yet recruiting |
Association Between Proton Pump Inhibitors and the Incidence of Hematologic Toxicity of Pemetrexed: a Prospective, Multicenter, Observational and Longitudinal Study Among Patients Treated by a Pemetrexed-based Chemotherapy [NCT03537833] | | 172 participants (Actual) | Observational | 2018-05-02 | Completed |
Phase I Open Label Trial of Alimta® Plus Cisplatin and Paclitaxel Given Intraperitoneally (IP) as First Line Treatment for Women With Stage III Ovarian Cancer [NCT00702299] | Phase 1 | 15 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Single-arm, Open-label, and Multicenter Phase Ⅱ Study Designed to Evaluate the Efficacy and Safety of Rulonilimab Combined With Chemotherapy in Patients With Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) [NCT05741021] | Phase 2 | 84 participants (Anticipated) | Interventional | 2023-03-01 | Not yet recruiting |
A Phase Ib/II Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Initial Efficacy of Recombinant Humanized Anti-BTLA Monoclonal Antibody (JS004) Injection Combined With Toripalimab and With Standard Chemotherapy in Patients With Advanced Lun [NCT05664971] | Phase 1/Phase 2 | 240 participants (Anticipated) | Interventional | 2023-02-09 | Recruiting |
Alimta Plus Gemcitabine as Chemotherapy for Patients With Advanced Sarcoma: A Phase II Clinical [NCT00860015] | Phase 2 | 12 participants (Actual) | Interventional | 2005-08-31 | Completed |
Use of Mineral Trioxide Aggregate in the Treatment of Traumatized Permanent Teeth With Necrotic Pulps and Chronic Periapical Lesions [NCT02625298] | Phase 2 | 24 participants (Actual) | Interventional | 2010-09-30 | Completed |
Phase II, A Study of Lung-Sparing Combined Modality Protocol for the Treatment for Malignant Pleural Mesothelioma: The Columbia Protocol [NCT00859495] | Phase 2 | 9 participants (Actual) | Interventional | 2008-02-29 | Terminated |
A Phase II Randomized, Open-Labelled, Multicenter Study of Safety & Efficacy of Combination Brigatinib and Carboplatin-Pemetrexed Therapy or Brigatinib Monotherapy as First-Line Treatment in Advanced ALK-Positive Non-Small Cell Lung Cancer [NCT05200481] | Phase 2 | 110 participants (Anticipated) | Interventional | 2022-05-18 | Recruiting |
A Phase II Study of Adjuvant Treatment With Cisplatin-based Chemotherapy Plus Concomitant Atezolizumab in Patients With Stage I (Tumors ≥ 4cm), IIA, IIB, and Select Stage III [Any T1-3 N1-2 and T4N0-2] Resected Non-small Cell Lung Cancer (NSCLC) and the C [NCT04367311] | Phase 2 | 100 participants (Anticipated) | Interventional | 2020-05-22 | Recruiting |
Phase II Multi-center Study of Pembrolizumab in Combination With Platinum-based Doublet Chemotherapy in NSCLC (Non-small Cell Lung Cancer) Patients With Targetable Genetic Alterations in Their Tumor Previously Treated With Appropriate Targeted Agents With [NCT03242915] | Phase 2 | 33 participants (Actual) | Interventional | 2017-10-03 | Active, not recruiting |
S1300: A Randomized, Phase II Trial of Crizotinib Plus Pemetrexed Versus Pemetrexed Monotherapy in ALK-Positive Non-squamous NSCLC Patients Who Have Progressed Systemically After Previous Clinical Benefit From Crizotinib Monotherapy [NCT02134912] | Phase 2 | 1 participants (Actual) | Interventional | 2014-08-31 | Terminated(stopped due to science has moved forward and there is no intent to complete the study) |
Phase 2 Study of Pemetrexed and Sorafenib for Treatment of Recurrent or Metastatic Triple Negative Breast Cancer [NCT02624700] | Phase 2 | 13 participants (Actual) | Interventional | 2016-01-28 | Terminated |
Phase I Clinical Study of Tislelizumab in Combination With Bevacizumab and Pemetrexed for the First-line Treatment of Advanced Non-squamous Non-small Cell Lung Cancer in Elderly Patients [NCT05273814] | Phase 1 | 30 participants (Anticipated) | Interventional | 2022-08-01 | Not yet recruiting |
A Phase 2 Study to Evaluate the Triplet Combination of Pemetrexed Plus AB928 (Etrumadenant) + AB122 (Zimberelimab) in Patients With Previously Treated Advanced or Metastatic MTAP Deficient Urothelial Carcinoma [NCT05335941] | Phase 2 | 20 participants (Anticipated) | Interventional | 2023-06-13 | Recruiting |
Phase II Study of Alimta (Pemetrexed) Treatment of Advanced Thymoma and Thymic Carcinoma [NCT00198133] | Phase 2 | 27 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Phase II Feasibility Trial of Induction Chemotherapy Followed by Extrapleural Pneumonectomy and Postoperative Radiotherapy in Patients With Malignant Pleural Mesothelioma [NCT00227630] | Phase 2 | 59 participants (Actual) | Interventional | 2005-07-31 | Completed |
Molecular Profiling and Safety Study of Operable Lung Cancer Patients Treated With Alimta Combined With Cisplatin as Neoadjuvant Chemotherapy [NCT00191308] | Phase 2 | 30 participants (Actual) | Interventional | 2005-05-31 | Completed |
LY231514 500 mg/m2 and LY231514 1000 mg/m2 in Patients With Advanced Non-Small Cell Lung Cancer Who Were Previously Treated With Prior Systemic Anti Cancer Therapy: A Randomized Phase II Trial [NCT00191191] | Phase 2 | 226 participants (Actual) | Interventional | 2004-10-31 | Completed |
Pembrolizumab in Combination With Chemotherapy and Image-Guided Surgery for Malignant Pleural Mesothelioma (MPM) [NCT03760575] | Phase 1 | 20 participants (Anticipated) | Interventional | 2023-01-10 | Recruiting |
Neoadjuvant PD-1 Antibody Plus Chemotherapy in Resectable Stage IIIA-N2 Non-Small-Cell Lung Cancer: A Randomized Phase II Study [NCT04422392] | Phase 2 | 93 participants (Actual) | Interventional | 2020-07-13 | Terminated(stopped due to since the CheckMate816 study is published in NEJM, enrolling patients becomes difficult) |
An Open-label, Phase II Study of KN046 Evaluating the Efficacy and Safety of KN046 Plus Platinum-based Doublet Chemotherapy as First Line Therapy in Advanced Non-small Cell Lung Cancer Subjects. [NCT04054531] | Phase 2 | 50 participants (Anticipated) | Interventional | 2019-09-04 | Recruiting |
A Phase III, Randomized, Double-blinded, Parallel Group, Multi-centre Study to Assess the Efficacy and Safety of ZD6474 (ZACTIMA™) in Combination With Pemetrexed (Alimta®) Versus Pemetrexed Alone in Patients With Locally-Advanced or Metastatic NSCLC [NCT00418886] | Phase 3 | 698 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Phase I Study of Topotecan in Combination With Pemetrexed in Patients With Advanced Malignancies [NCT00315861] | Phase 1 | 15 participants (Anticipated) | Interventional | 2006-03-31 | Completed |
A Phase I/II Trial of Temsirolimus and Pemetrexed in Recurrent/Refractory Non Small Cell Lung Cancer (NSCLC) [NCT00921310] | Phase 1/Phase 2 | 12 participants (Actual) | Interventional | 2009-09-30 | Terminated(stopped due to Withdrawal of funding from sponsor) |
A Phase I Multicenter Study of Immunotherapy in Combination With Chemoradiation in Patients With Advanced Solid Tumors (CLOVER) [NCT03509012] | Phase 1 | 105 participants (Actual) | Interventional | 2018-05-02 | Active, not recruiting |
A Phase I Trial of Cetuximab (C225) and Pemetrexed With Concurrent Radiation in Head and Neck Cancer [NCT00291707] | Phase 1 | 40 participants (Anticipated) | Interventional | 2006-03-31 | Completed |
A Randomized, Phase II, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Metmab Vs. Placebo in Combination With Either Bevacizumab + Platinum + Paclitaxel or Pemetrexed + Platinum in Patients With Untreated Stage I [NCT01496742] | Phase 2 | 259 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Phase II Study of Pemetrexed and Carboplatin in the Treatment of Esophageal Cancer [NCT00383266] | Phase 2 | 9 participants (Actual) | Interventional | 2006-10-31 | Terminated(stopped due to Low accrual) |
A Randomized Placebo-controlled Phase II Study of Intercalated Administration of Pemetrexed/Cisplatin With Iressa® (Gefitinib) or Placebo as First-line Treatment of Stage IIIB/IV Lung Adenocarcinoma in Never-smokers [NCT01502202] | Phase 2 | 162 participants (Anticipated) | Interventional | 2012-03-31 | Recruiting |
Molecular and Genetic Changes in Patients With Resectable Non-Small Cell Lung Cancer (NSCLC) Following Neoadjuvant Chemotherapy With Cisplatin and Alimta - Phase II Study [NCT00248495] | Phase 2 | 38 participants (Actual) | Interventional | 2005-06-08 | Completed |
Phase III Study Evaluating Two Strategies of Maintenance, One With Pemetrexed in Continuous Strategy and One According to the Response of Induction Chemotherapy, in Non Squamous Non Small Cell Lung Cancer of Advanced Stage [NCT01631136] | Phase 3 | 932 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Phase II, Open-label, Multicentre, Randomised Study of Neoadjuvant and Adjuvant Treatment in Patients With Resectable, Early-stage (II to IIIB) Non-small Cell Lung Cancer (NeoCOAST-2) [NCT05061550] | Phase 2 | 350 participants (Anticipated) | Interventional | 2022-04-14 | Recruiting |
A Phase Ib Study of the Safety and Pharmacology of Atezolizumab (Anti-PD-L1 Antibody) Administered With Bevacizumab and/or Chemotherapy in Patients With Advanced Solid Tumors [NCT01633970] | Phase 1 | 240 participants (Actual) | Interventional | 2012-07-11 | Completed |
A Phase I Open-label Dose Escalation Study of Intravenous BI 2536 Together With Pemetrexed in Previously Treated Patients With Non-small-cell Lung Cancer [NCT02211833] | Phase 1 | 41 participants (Actual) | Interventional | 2006-10-31 | Completed |
A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GS-5745 as Monotherapy and in Combination With Chemotherapy in Subjects With Advanced Solid Tumors [NCT01803282] | Phase 1 | 236 participants (Actual) | Interventional | 2013-03-29 | Completed |
Phase I Dose Escalation Study of Carboplatin, Pemetrexed and Exemestane in Post-menopausal Women With Metastatic Non-squamous NSCLC [NCT01664754] | Phase 1 | 8 participants (Actual) | Interventional | 2012-09-07 | Completed |
A Phase 2 Multi-Center Randomized Trial to Assess Early Intervention With Adjuvant Nivolumab in Non-Small Cell Lung Cancer Participants With ctDNA-detected Minimal Residual Disease After Surgical Resection [NCT03770299] | Phase 2 | 0 participants (Actual) | Interventional | 2021-01-15 | Withdrawn(stopped due to Business objectives have changed) |
Phase I Dose Escalation Study of Everolimus, Pemetrexed, Carboplatin, and Bevacizumab in Stage IV Non-Squamous Non-Small Cell Lung Cancer [NCT01700400] | Phase 1 | 13 participants (Actual) | Interventional | 2012-09-30 | 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 Phase I-II Evaluation of the Safety and Efficacy of the Oral HSP90 Inhibitor Debio 0932 in Combination With Standard of Care in first-and Second-line Therapy of Patients With Stage IIIb or IV Non-small Cell Lung Cancer-the HALO Study (HSP90 Inhibition A [NCT01714037] | Phase 1 | 82 participants (Actual) | Interventional | 2012-08-31 | Terminated |
Non-small Cell Lung Cancer: The Impact of Ethnic Origin on Patients Being Treated Second Line With Pemetrexed - An Observational Study [NCT00497770] | | 434 participants (Actual) | Observational | 2007-02-28 | Completed |
Randomized Phase II Trial of Three-weekly Cisplatinum and Pemetrexed Versus Split-dose d1 and d8 Cisplatinum and Pemetrexed In Advanced and Inoperable Non-squamous Non-small-cell Lung Cancer (NSCLC) [NCT01742767] | Phase 2 | 0 participants | Interventional | 2012-11-30 | Recruiting |
A Phase Ⅱ Randomized Controlled Trial to Compare Chemotherapy Sequenced by EGFR-TKIs and Chemotherapy Combined With EGFR-TKIs for Advanced or Metastatic NSCLC Patients Failed to EGFR-TKIs Therapy [NCT01746277] | Phase 2 | 60 participants (Anticipated) | Interventional | 2012-10-31 | Recruiting |
Perioperative Immunotherpay Versus Adjuvant Immunotherapy for Resectable Non-small Cell Lung Cancer [NCT06109402] | Phase 2 | 160 participants (Anticipated) | Interventional | 2023-12-20 | Not yet recruiting |
A Phase 2 Trial of Combination Therapies With Adagrasib in Patients With Advanced Non-Small Cell Lung Cancer With KRAS G12C Mutation [NCT05609578] | Phase 2 | 90 participants (Anticipated) | Interventional | 2022-07-29 | Recruiting |
SiCARIO (Split Course Adaptive Radioimmunotherapy) for the Treatment of Oligometastatic Non-Small Cell Lung Cancer (NSCLC) Using Biologically-Adaptive Radiotherapy - A Phase I/II Study [NCT05501665] | Phase 1/Phase 2 | 25 participants (Anticipated) | Interventional | 2023-05-09 | Recruiting |
A Randomized Phase II/III Trial of Modern Immunotherapy Based Systemic Therapy With or Without SBRT for PD-L1-Negative, Advanced Non-Small Cell Lung Cancer [NCT04929041] | Phase 2/Phase 3 | 427 participants (Anticipated) | Interventional | 2022-10-07 | Recruiting |
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Platinum Plus Pemetrexed Chemotherapy Plus Osimertinib Versus Platinum Plus Pemetrexed Chemotherapy Plus Placebo in Patients With EGFRm, Locally Advanced or Metastatic NSCLC Who Have Progr [NCT04765059] | Phase 3 | 80 participants (Anticipated) | Interventional | 2021-09-12 | Recruiting |
A Phase 3 Study of Pembrolizumab (MK-3475) in Combination With Concurrent Chemoradiation Therapy Followed by Pembrolizumab With or Without Olaparib vs Concurrent Chemoradiation Therapy Followed by Durvalumab in Participants With Unresectable, Locally Adva [NCT04380636] | Phase 3 | 870 participants (Anticipated) | Interventional | 2020-07-06 | Active, not recruiting |
A Multi-center Phase II Randomized Study of Customized Neoadjuvant Therapy Versus Standard Chemotherapy in Non-small Cell Lung Cancer (NSLC) Patients With Resectable Stage IIIA (N2) Disease (CONTEST-TRIAL) [NCT01784549] | Phase 2 | 168 participants (Anticipated) | Interventional | 2012-07-31 | Recruiting |
A Phase II/III Clinical Trial to Evaluate the Efficacy and Safety of PM8002(Anti-PD-L1/VEGF) in Combination With Chemotherapy in Patients With EGFR-mutant Advanced Non-squamous NSCLC Who Have Failed to EGFR-TKI Treatment [NCT05756972] | Phase 2/Phase 3 | 374 participants (Anticipated) | Interventional | 2023-06-26 | Recruiting |
A Phase 1/2 Study Evaluating the Safety and Efficacy of ABT 751 in Combination With Pemetrexed Versus Pemetrexed Alone in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer [NCT00297089] | Phase 1/Phase 2 | 165 participants (Actual) | Interventional | 2006-11-30 | Completed |
Phase I Study of Pemetrexed and Sorafenib in Advanced Malignancy [NCT01450384] | Phase 1 | 37 participants (Actual) | Interventional | 2011-10-31 | Completed |
A Pilot Study of Pembrolizumab and Single Agent Chemotherapy as First Line Treatment for Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer With Eastern Cooperative Oncology Group (ECOG) Performance Status of 2 [NCT04297605] | Phase 1 | 28 participants (Anticipated) | Interventional | 2020-05-15 | Recruiting |
Neoadjuvant Chemotherapy for Non-metastatic Non-small Cell Lung Cancer [NCT01860040] | Phase 2 | 1 participants (Actual) | Interventional | 2013-04-30 | Terminated(stopped due to Poor accrual, no data to analyze) |
Neoadjuvant of Sintilimab Combined With Chemotherapy for Resectable NSCLC(neoSCORE):A Prospective, Randomized, Open-Label, Single-Center Phase 2 Trial [NCT04459611] | Phase 2 | 60 participants (Actual) | Interventional | 2020-07-01 | Active, not recruiting |
A Prospective, Single Center, Single Arm, Phase II Clinical Trial of Pyrotinib Combined With Pemetrexed Plus Carboplatin in the First-line Treatment of Patients With HER2 Mutant or Amplified Recurrent / Metastatic Non-small Cell Lung Cancer [NCT04706949] | Phase 2 | 26 participants (Anticipated) | Interventional | 2020-12-07 | Recruiting |
A Phase I, Open Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Selumetinib (AZD6244; ARRY-142886) in Combination With First Line Chemotherapy Regimens in Patients With Non-Small Cell Lung Cancer ( [NCT01809210] | Phase 1 | 55 participants (Actual) | Interventional | 2013-04-04 | Completed |
Atezolizumab/Carboplatin/Nab-Paclitaxel vs. Pembrolizumab/Platinum/Pemetrexed in Metastatic TTF-1 Negative Lung Adenocarcinoma [NCT05689671] | Phase 4 | 136 participants (Anticipated) | Interventional | 2023-12-06 | Recruiting |
A Phase 1b/2, Protocol Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of Sotorasib Monotherapy and in Combination With Other Anti-cancer Therapies in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation (CodeBreak 101) [NCT04185883] | Phase 1/Phase 2 | 1,143 participants (Anticipated) | Interventional | 2019-12-17 | Recruiting |
A Randomized Double Blind Phase II Trial of Restorative Microbiota Therapy (RMT) in Combination With Durvalumab (MEDI4736) and Chemotherapy in Untreated Patients With Advanced or Metastatic Adenocarcinoma Non-Small Cell Lung Cancer [NCT04105270] | Phase 2 | 82 participants (Anticipated) | Interventional | 2022-11-30 | Recruiting |
Phase II Study to Evaluate the Role of Postoperative Radiotherapy for Low Risk of Locoregional Recurrence Patients With Completely Resected Stage IIIA(N2) Non-Small Cell Lung Cancer [NCT02977169] | Phase 2 | 300 participants (Anticipated) | Interventional | 2016-11-30 | Recruiting |
Efficacy of Intrathecal Pemetrexed Combined With Tyrosine Kinase Inhibitor for Treating Leptomeningeal Metastasis in EGFR-Mutant NSCLC After Failure of Osimertinib [NCT05805631] | Phase 2 | 23 participants (Anticipated) | Interventional | 2023-05-01 | Not yet recruiting |
A Randomized Phase II Study of Carboplatin and Pemetrexed w/ or w/o Selpercatinib in Participants With Non-Squamous RET Fusion-Positive Stage IV Non-Small Cell Lung Cancer and Progression of Disease on Prior RET Directed Therapy (Lung-MAP Sub-Study) [NCT05364645] | Phase 2 | 74 participants (Anticipated) | Interventional | 2022-07-25 | Recruiting |
EORTC Randomized Phase II Study of Pleurectomy/ Decortication (P/D) Preceded or Followed by Chemotherapy in Patients With Early Stage Malignant Pleural Mesothelioma [NCT02436733] | Phase 2 | 64 participants (Anticipated) | Interventional | 2016-09-20 | Active, not recruiting |
A Phase 1, Single Center, Dose-Escalation Study of SS1(dsFv)PE38 Administered Concurrently With Pemetrexed and Cisplatin in Subjects With Unresectable Malignant Epithelial Pleural Mesothelioma [NCT01445392] | Phase 1 | 24 participants (Actual) | Interventional | 2007-11-14 | Terminated |
Apatinib Mesylate Combined With Pemetrexed in the Treatment of Pretreated Advanced Non-squamous Non-small Cell Lung Cancer :Single Arm Exploratory Study [NCT02974933] | Phase 2 | 48 participants (Anticipated) | Interventional | 2016-11-30 | Recruiting |
A Phase II, Open, Randomised Study to Assess the Efficacy and Safety of AZD6244 Versus Pemetrexed (Alimta®) in Patients With Non-small Cell Lung Cancer, Who Have Failed One or Two Prior Chemotherapy Regimen [NCT00372788] | Phase 2 | 88 participants (Actual) | Interventional | 2006-08-31 | Completed |
Phase 1b/2a Safety and Tolerability Study of Bemcentinib With Pembrolizumab/Carboplatin/Pemetrexed in Subjects With Untreated Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer (NSCLC) Without/With a STK11 Mutation [NCT05469178] | Phase 1/Phase 2 | 64 participants (Anticipated) | Interventional | 2022-12-14 | Recruiting |
A Phase II/III Study Comparing HX008 (a Humanized Monoclonal Antibody Against PD-1) Plus Chemotherapy With Pembrolizumab Plus Chemotherapy as the First-line Treatment in Participants With Advanced or Metastatic Nonsquamous Non-small Cell Lung Cancer. [NCT04750083] | Phase 2/Phase 3 | 700 participants (Anticipated) | Interventional | 2020-09-25 | Recruiting |
A Randomized Phase III Double Blind Trial Evaluating Selective COX-2 Inhibition in COX-2 Expressing Advanced Non-Small Cell Lung Cancer [NCT01041781] | Phase 3 | 313 participants (Actual) | Interventional | 2010-02-28 | Terminated(stopped due to DSMB recommendation) |
A Randomized Phase II Trial of Selumetinib in Patients Receiving Standard Pemetrexed and Platinum-based Chemotherapy for the Treatment of Advanced or Metastatic KRAS Wildtype or Unknown Non-Squamous Non-Small Cell Lung Cancer [NCT02337530] | Phase 2 | 62 participants (Actual) | Interventional | 2015-02-05 | Completed |
Influence of Resin Cement Composition on the Longevity of Intraradicular Post in the Rehabilitation of Endodontically Treated Teeth - Randomized Clinical Trials [NCT03491527] | | 20 participants (Anticipated) | Interventional | 2018-05-01 | Not yet recruiting |
Efficacy and Safety of Tislelizumab Combined With Bevacizumab and Platinum Plus Pemetrexed for Untreated EGFR+ and High PD-L1 Expression Non-squamous NSCLC :a Phase II, Single-center, Single Arm Study [NCT05394233] | Phase 2 | 20 participants (Anticipated) | Interventional | 2022-06-01 | Not yet recruiting |
Neoadjuvant Osimertinib Plus Chemotherapy for EGFR-mutant Stage III N2 Non-squamous Non-small Cell Lung Cancer [NCT05011487] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-08-13 | Recruiting |
Randomized Phase II Trial of Pemetrexed Plus Vinorelbine Versus Vinorelbine in Patients With Recurrent or Metastatic Breast Cancer Previously Treated With or Resistant to Anthracycline and Taxane [NCT03242616] | Phase 2 | 125 participants (Anticipated) | Interventional | 2017-02-17 | Recruiting |
A Phase I Study of Methoxyamine Combined With Chemo-Radiation for Locally Advanced Non-Squamous Non-Small Cell Lung Cancer [NCT02535325] | Phase 1 | 17 participants (Actual) | Interventional | 2015-09-30 | Completed |
A Phase II Study of Carboplatin Plus Pemetrexed Plus Atezolizumab Plus Bevacizumab in Chemotherapy and Immunotherapy-naïve Patients With Stage IV Non-squamous Non-small Cell Lung Cancer: Big Ten Cancer Research Consortium BTCRC-LUN17-139 [NCT03713944] | Phase 2 | 30 participants (Actual) | Interventional | 2018-11-15 | Terminated(stopped due to Extreme toxicity, thromboembolic events) |
A Randomized Phase II Study of Progression Free Survival Comparing Gemcitabine (1000 mg/m2 Infusion) Versus Carboplatin (AUC5 Infusion) Plus Alimta (500 mg/m2 Infusion) as First-line Chemotherapy in Elderly Patients With Locally Advanced (Stage IIIb) or M [NCT00754364] | Phase 2 | 108 participants (Actual) | Interventional | 2008-10-31 | Terminated(stopped due to low enrollment rate) |
A Phase I Pharmacokinetic Trial of LY231514 Administered Intravenously Every 3 Weeks in Advanced Cancer Patients With Varying Degrees of Renal Function [NCT00003706] | Phase 1 | 50 participants (Actual) | Interventional | 1998-04-30 | Completed |
A Randomized Phase II Study of Radiation Therapy, Pemetrexed and Carboplatin With or Without Cetuximab in Stage III Non-Small Cell Lung Cancer [NCT00117962] | Phase 2 | 109 participants (Actual) | Interventional | 2005-09-30 | Completed |
Nivolumab With Chemotherapy in Pleural Mesothelioma After Surgery [NCT04177953] | Phase 2 | 92 participants (Actual) | Interventional | 2019-02-04 | Active, not recruiting |
A Clinical and Molecular Risk-Directed Therapy for Newly Diagnosed Medulloblastoma [NCT01878617] | Phase 2 | 660 participants (Actual) | Interventional | 2013-06-23 | Active, not recruiting |
Intergroup Trial UNICANCER UC 0105-1305/ IFCT 1301: SAFIR02_Lung - Evaluation of the Efficacy of High Throughput Genome Analysis as a Therapeutic Decision Tool for Patients With Metastatic Non-small Cell Lung Cancer [NCT02117167] | Phase 2 | 999 participants (Actual) | Interventional | 2014-04-23 | Active, not recruiting |
Phase II Trial of Pemetrexed and Gemcitabine in Patients With Advanced Head and Neck Cancer (SCCHN) [NCT00394147] | Phase 2 | 17 participants (Actual) | Interventional | 2006-10-31 | Terminated(stopped due to stopped for lack of efficacy) |
Sintilimab Combined With Anlotinib Hydrochloride and Standard Platinum-Containing Dual-Agent Chemotherapy in Non-Small Cell Lung Cancer (NSCLC) as First-Line Treatment: A Single-Arm, Prospective and Exploratory Clinical Study [NCT04846452] | Phase 2 | 40 participants (Anticipated) | Interventional | 2021-06-01 | Recruiting |
Adjuvant Toripalimab Versus Placebo Combined With Chemotherapy for EGFR/ALK Mutation Negative Stage II-IIIB(N2) Non-small-cell Lung Cancer (LungMate-008): a Randomised, Double-blind, Controlled, Phase 3 Trial [NCT04772287] | Phase 3 | 341 participants (Anticipated) | Interventional | 2021-03-31 | Not yet recruiting |
A Phase 1/2 Study of NC318 in Combination With Chemotherapy for Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer [NCT04430933] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2021-12-06 | Withdrawn(stopped due to Upon reviewing current available combo studies, the sponsor decided to prioritize different combo study.) |
Randomized, Multicenter, Phase III, Open-Label Study of Alectinib Versus Pemetrexed or Docetaxel in Anaplastic Lymphoma Kinase-Positive Advanced Non Small Cell Lung Cancer Patients Previously Treated With Platinum-Based Chemotherapy and Crizotinib [NCT02604342] | Phase 3 | 119 participants (Actual) | Interventional | 2015-11-03 | Completed |
A Randomized, Open Label, Phase III Study of Overall Survival Comparing Pembrolizumab (MK-3475) Versus Platinum Based Chemotherapy in Treatment Naïve Subjects With PD-L1 Positive Advanced or Metastatic Non-Small Cell Lung Cancer (Keynote 042) [NCT02220894] | Phase 3 | 1,274 participants (Actual) | Interventional | 2014-10-30 | Completed |
Alimta (Pemetrexed) and Cisplatin Treatment as Neoadjuvant Therapy in Non Small Cell Lung Cancer [NCT00259285] | Phase 2 | 10 participants (Actual) | Interventional | 2005-11-30 | Terminated(stopped due to Trial was stopped early due to low enrollment.) |
Phase II Trial of Bevacizumab in Combination With Pemetrexed as Second Line Therapy in Patients With Stable Brain Metastases From Non-small Cell Lung Cancer (NSCLC) (Excluding Squamous Cell Carcinoma) [NCT00227019] | Phase 2 | 16 participants (Actual) | Interventional | 2006-03-31 | Completed |
Phase II Study of Neoadjuvant Chemotherapy With Gemcitabine and Pemetrexed in Resectable Non-Small-Cell Lung Cancer (NSCLC) With Pharmacogenomic Correlates. [NCT00226577] | Phase 2 | 52 participants (Actual) | Interventional | 2004-02-29 | Completed |
A Multicenter Phase II Trial of Pemetrexed Plus Carboplatin With or Without Apatinib in Patients With Advanced Non-small Cell Lung Cancer Without EGFR Mutation, ALK Gene Rearrangement, and ROS1 Gene Rearrangement [NCT03164694] | Phase 2 | 128 participants (Anticipated) | Interventional | 2017-05-20 | Recruiting |
Induction Therapy With Chemoimmunotherapy Followed by Surgery for Unresectable Stage III Non-small Cell Lung Cancer: a Single-center, Single-arm, Prospective Clinical Study [NCT04943029] | Phase 2 | 30 participants (Anticipated) | Interventional | 2021-08-20 | Recruiting |
Phase II Trial of Lazertinib and Pemetrexed/Carboplatin Combination in Patients With EGFR Positive, Metastatic NSCLC With Asymptomatic or Mild Symptomatic Brain Metastases After Failure of Osimertinib [NCT05477615] | Phase 2 | 28 participants (Anticipated) | Interventional | 2022-08-31 | Not yet recruiting |
A Single Arm, Open Label, Exploratory Study of Pemetrexed and S-1 in Combination With Bevacizumab in Patients Who Have Progressed After Standard Second Line Therapy [NCT03843853] | Phase 2 | 0 participants (Actual) | Interventional | 2019-05-01 | Withdrawn(stopped due to cooperation terminated) |
QL1706 Combined With Platinum-based Chemotherapy Versus Placebo Combined With Platinum-based Chemotherapy as Adjuvant Therapy for Stage II-IIIB Non-small Cell Lung Cancer After Complete Surgical Resection: a Randomized, Double-blind, Multicenter Phase III [NCT05487391] | Phase 3 | 632 participants (Anticipated) | Interventional | 2022-10-01 | Not yet recruiting |
A Phase II Study of RRx-001 in Platinum Refractory/Resistant Small Cell Carcinoma, EGFR TKI Resistant EGFR+ T790M Negative Non-Small Cell Lung Cancer, High Grade Neuroendocrine Tumors and Resistant/Refractory Ovarian Cancer Prior to Re-administration of P [NCT02489903] | Phase 2 | 139 participants (Actual) | Interventional | 2015-06-30 | Completed |
DREAM3R: DuRvalumab (MEDI4736) With chEmotherapy as First Line treAtment in Advanced Pleural Mesothelioma - A Phase 3 Randomised Trial [NCT04334759] | Phase 3 | 214 participants (Actual) | Interventional | 2021-02-18 | Active, not recruiting |
A Dose-Finding Study Of Afatinib In Combination With Cisplatin Or Carboplatin + Pemetrexed In Patients With EGFR-Mutant Lung Cancers Undergoing Definitive Chemoradiation [NCT01836341] | Phase 1 | 0 participants (Actual) | Interventional | 2013-04-30 | Withdrawn |
Phase III Trial of Single-Agent Pemetrexed (Alimta®) Versus the Combination of Carboplatin and Pemetrexed in Patients With Advanced Non-small-cell Lung Cancer and Performance Status of 2 [NCT01836575] | Phase 3 | 228 participants (Actual) | Interventional | 2008-04-30 | Completed |
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 |
An Open-label, Safety and Tolerability Phase 1b Trial of CAN04, a Fully Humanized Anti-IL1RAP Monoclonal Antibody, and Pembrolizumab in Combination With and Without Carboplatin and Pemetrexed in Subjects With Solid Tumors [NCT04452214] | Phase 1 | 19 participants (Actual) | Interventional | 2020-09-24 | 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 |
An Open Label, Randomized, Multicenter, Phase II Study to Compare Efficacy and Safety of Gefitinib/ Pemetrexed With Pemetrexed Alone as Maintenance Therapy in Patients With Advanced (Stage IV) EGFR Mutation Negative or T790M Single Mutation Nonsquamous NS [NCT01579630] | Phase 2/Phase 3 | 52 participants (Actual) | Interventional | 2011-03-31 | Active, not recruiting |
A Randomized, Open-label, Phase III Study Comparing Pemetrexed With and Without Carboplatin in Elderly Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer [NCT01593293] | Phase 3 | 266 participants (Anticipated) | Interventional | 2012-03-31 | Recruiting |
Phase Ib, Multicenter, Open Label Study of PDR001 in Combination With Platinum Doublet Chemotherapy and Other Immunooncology Agents in PD-L1 Unselected, Metastatic NSCLS Patients (ElevatION:NSCLC-101 Trial) [NCT03064854] | Phase 1 | 111 participants (Actual) | Interventional | 2017-05-24 | Terminated(stopped due to Recruitment halted prematurely due to competitive landscape for lung cancer therapies) |
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) |
Phase II Trial of Alimta (Pemetrexed) and Gemzar (Gemcitabine) in Metastatic Breast Cancer Patients Who Have Received Prior Taxane Therapy [NCT00063570] | Phase 2 | 73 participants (Actual) | Interventional | 2003-07-31 | 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 III, Randomized, Open-Label Study of Pralsetinib Versus Standard of Care for First-Line Treatment of RET Fusion-Positive, Metastatic Non-Small Cell Lung Cancer [NCT04222972] | Phase 3 | 226 participants (Anticipated) | Interventional | 2020-07-24 | Recruiting |
A Phase II Study of Pemetrexed/Carboplatin/Radiotherapy and Bevacizumab in Patients With Unresectable Stage III Non-Small-Cell Lung Cancer [NCT00402883] | Phase 2 | 5 participants (Actual) | Interventional | 2006-11-30 | Terminated(stopped due to Terminated due to bevacizumab and chemoradiotherapy toxicity) |
A Phase I Trial of Certolizumab in Combination With Chemotherapy for Patients With Stage IV Lung Adenocarcinomas [NCT02120807] | Phase 1 | 30 participants (Actual) | Interventional | 2014-04-15 | Completed |
A Phase 1 Dose Escalation and Cohort Expansion Study of TSR-022, an Anti-TIM-3 Monoclonal Antibody, in Patients With Advanced Solid Tumors (AMBER) [NCT02817633] | Phase 1 | 475 participants (Anticipated) | Interventional | 2016-07-08 | Recruiting |
A Single-Blind Randomized Phase III Trial of MTA Plus Cisplatin Versus Cisplatin in Patients With Malignant Pleural Mesothelioma [NCT00005636] | Phase 3 | 0 participants | Interventional | 1999-11-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Compare the Efficacy and Safety of Neoadjuvant Treatment With Tislelizumab (BGB-A317, Anti-PD-1 Antibody) or Placebo Plus Platinum-Based Doublet Chemotherapy Followed By Adjuvant Tislelizuma [NCT04379635] | Phase 3 | 453 participants (Actual) | Interventional | 2020-05-29 | Active, not recruiting |
A Multicenter, Open-label, Randomized Phase II Study to Evaluate the Efficacy of AUY922 vs Pemetrexed or Docetaxel in NSCLC Patients With EGFR Mutations Who Have Progressed on Prior EGFR TKI Treatment [NCT01646125] | Phase 2 | 59 participants (Actual) | Interventional | 2012-11-23 | Terminated(stopped due to An interim analysis was conducted in May-2014. Upon review of the data, the committee recommended study termination due to futility.) |
A Phase III Multicenter, Randomized, Open-Label Study Evaluating the Efficacy and Safety of Atezolizumab (MPDL3280A, Anti-PD-L1 Antibody) in Combination With Carboplatin+Nab-Paclitaxel for Chemotherapy-Naive Patients With Stage IV Non-Squamous Non-Small C [NCT02367781] | Phase 3 | 723 participants (Actual) | Interventional | 2015-04-16 | Completed |
A Pilot Trial of Platinum, Gemcitabine, or Pemetrexed Single- or Multi-Agent Therapy With Serial Tumor Specimen Collection in Patients With Advanced Non-Small-Cell Lung Cancer [NCT02145078] | | 4 participants (Actual) | Interventional | 2014-06-30 | Terminated(stopped due to Slow accrual.) |
A Randomized, Double-Blind Phase 2 Study of Ruxolitinib or Placebo in Combination With Pemetrexed/Cisplatin and Pemetrexed Maintenance for Initial Treatment of Subjects With Nonsquamous Non-Small Cell Lung Cancer That Is Stage IIIB, Stage IV, or Recurrent [NCT02119650] | Phase 2 | 76 participants (Actual) | Interventional | 2014-02-11 | Terminated(stopped due to The study was terminated as other related studies of ruxolitinib did not provide sufficient efficacy to warrant continuation.) |
A Phase II Study of AZD1775 Plus Pemetrexed and Carboplatin Followed by a Randomised Comparison of Pemetrexed and Carboplatin With or Without AZD1775 in Patients With Previously Untreated Stage IV Non-Squamous Non-Small-Cell Lung Cancer [NCT02087241] | Phase 2 | 22 participants (Actual) | Interventional | 2014-03-31 | Terminated(stopped due to The sponsor decided to terminate the study.) |
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 |
A Phase Ib Multicenter, Open-label Study to Evaluate the Safety and Tolerability of Trastuzumab Deruxtecan (T-DXd) and Immunotherapy Agents With and Without Chemotherapy Agents in First-line Treatment of Patients With Advanced or Metastatic Non-squamous N [NCT04686305] | Phase 1 | 168 participants (Anticipated) | Interventional | 2021-03-09 | Recruiting |
An Open-Label, Randomized, Phase 3 Trial of Nivolumab Versus Investigator's Choice Chemotherapy as First-Line Therapy for Stage IV or Recurrent PD-L1+ Non-Small Cell Lung Cancer [NCT02041533] | Phase 3 | 541 participants (Actual) | Interventional | 2014-03-27 | Completed |
Phase II Trial of Motexafin Gadolinium and Pemetrexed (Alimta®) for Second Line Treatment in Patients With Non-Small Cell Lung Cancer [NCT00365183] | Phase 2 | 74 participants (Actual) | Interventional | 2006-06-30 | Terminated |
A Phase I/II Multi-site Study of Rucaparib and Pembrolizumab Maintenance Therapy in Stage IV Non-Squamous Non-Small Cell Lung Cancer After Initial Therapy With Carboplatin, Pemetrexed, and Pembrolizumab [NCT03559049] | Phase 1/Phase 2 | 25 participants (Actual) | Interventional | 2018-12-24 | Active, not recruiting |
An Open-label, Multicenter Study to Evaluate the Efficacy and Safety of HLX07 (Recombinant Humanized Anti-EGFR Monoclonal Antibody Injection) in Advanced nsqNSCLC Patients With High EGFR Expression [NCT05215925] | Phase 2 | 60 participants (Anticipated) | Interventional | 2023-02-01 | Not yet recruiting |
A Randomized, Three-Arm, Open-Label Phase 3b Clinical Trial of Aumolertinib, Versus Aumolertinib With Chemotherapy, Versus Osimertinib for Patients With Metastatic NSCLC and an EGFR Mutation (TREBLE) [NCT05493501] | Phase 3 | 8 participants (Actual) | Interventional | 2022-12-14 | Terminated(stopped due to The study is being closed based on corporate changes at EQRx and is not related to any efficacy or safety issues with aumolertinib.) |
Phase II Investigation of Use of CNS Active Pembrolizumab and Chemotherapy for Asymptomatic Brain Metastasis From Non-small Cell Lung Cancer (NSCLC) [NCT04964960] | Phase 2 | 45 participants (Anticipated) | Interventional | 2022-05-19 | Recruiting |
A Phase 1/1b Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Lung Cancer [NCT03846310] | Phase 1 | 77 participants (Actual) | Interventional | 2019-04-01 | Active, not recruiting |
A Randomized, Double-Blind, Phase 3 Study of Pemetrexed + Platinum Chemotherapy With or Without Pembrolizumab (MK-3475) in TKI-resistant EGFR-mutated Tumors in Metastatic Non-squamous Non-small Cell Lung Cancer (NSCLC) Participants (KEYNOTE-789) [NCT03515837] | Phase 3 | 492 participants (Actual) | Interventional | 2018-06-29 | Completed |
A 2-Arm Phase 2 Double-Blind Randomized Study of Carboplatin, Pemetrexed Plus Placebo Versus Carboplatin, Pemetrexed Plus Truncated Demcizumab as First-Line Treatment in Subjects With Stage IV Non-Squamous Non-Small Cell Lung Cancer [NCT02259582] | Phase 2 | 82 participants (Actual) | Interventional | 2015-02-28 | Completed |
Phase II Clinical Trial to Evaluate the Preliminary Efficacy, Safety and Pharmacokinetic Characteristics of PM8002 Injection Combined With Standard Chemotherapy in the First-line Treatment of Subjects With Inoperable Malignant Mesothelioma [NCT05918107] | Phase 2 | 55 participants (Anticipated) | Interventional | 2022-08-13 | Recruiting |
First-in-Human Dose Study of IOA-244 Alone and in Combination With Pemetrexed/Cisplatin in Patients With Advanced or Metastatic Cancers [NCT04328844] | Phase 1 | 210 participants (Anticipated) | Interventional | 2020-02-25 | Active, not recruiting |
A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Phase III Clinical Study on Toripalimab Combined With Platinum-Based Doublet Drug Chemotherapy for Resectable, Stage II-III, Non-Small Cell Lung Cancer [NCT04158440] | Phase 3 | 501 participants (Actual) | Interventional | 2020-04-07 | Active, not recruiting |
A Phase 2 Trial of Pembrolizumab (MK-3475) in Combination With Platinum Doublet Chemotherapy and Radiotherapy for Participants With Unresectable, Locally Advanced Stage III Non-Small Cell Lung Cancer (NSCLC) (KEYNOTE-799) [NCT03631784] | Phase 2 | 217 participants (Actual) | Interventional | 2018-10-19 | Active, not recruiting |
A Phase I Trial of LY231514 With Irinotecan Administered Intravenously Every 21 Days in Patients With Metastatic Cancer [NCT00003711] | Phase 1 | 0 participants | Interventional | 1997-09-30 | Completed |
Alvopem® (Pemetrexed) Safety Assessment in Patients With Non-small Cell Lung Cancer and Malignant Pleural Mesothelioma [NCT04843007] | | 199 participants (Actual) | Observational | 2016-10-05 | Completed |
a Clinical Trial Phase II Prospective, Single-arm Study of Recombinant Human Angioendostatin /PD-1 Mab Combined With First-line Chemotherapy in the Treatment of Driver Gene Negative Advanced Non-small Cell Lung Cancer [NCT05448781] | Phase 2 | 38 participants (Anticipated) | Interventional | 2022-07-20 | Not yet recruiting |
Efficacy and Safety of Postoperative Adjuvant Chemotherapy Combined With Camrelizumab for Patients With ⅡA -ⅢA Non-small Cell Lung Cancer:a Phase II , Single-arm Clinical Study [NCT05825443] | Phase 2 | 57 participants (Anticipated) | Interventional | 2023-04-10 | Recruiting |
From Liquid Biopsy to Cure: Using ctDNA Detection of Minimal Residual Disease to Identify Patients for Curative Therapy After Lung Cancer Resection [NCT04966663] | Phase 2 | 66 participants (Anticipated) | Interventional | 2022-03-28 | Recruiting |
A First-in-Human Study of Repeat Dosing With REGN2810, a Monoclonal, Fully Human Antibody to Programmed Death - 1 (PD-1), as Single Therapy and in Combination With Other Anti-Cancer Therapies in Patients With Advanced Malignancies [NCT02383212] | Phase 1 | 398 participants (Actual) | Interventional | 2015-02-02 | Completed |
A Feasibility Study of Pemetrexed Single Agent and Folic Acid Given as Neoadjuvant Treatment in Patients With Resectable Rectal Cancer [NCT00330915] | Phase 2 | 37 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Phase II Trial of Cisplatin, Pemetrexed and Bevacizumab in Untreated Malignant Mesothelioma [NCT00295503] | Phase 2 | 53 participants (Actual) | Interventional | 2006-02-28 | Completed |
Phase II Study of Dose Attenuated Chemotherapy in Patients With Lung Cancer and Age > 70 and/or Comorbidities [NCT05800587] | Phase 2 | 280 participants (Anticipated) | Interventional | 2023-02-22 | Recruiting |
Neoadjuvant Toripalimab Combined With Chemotherapy in Rare Mutations Stage IIB-IIIB NSCLC [NCT05800340] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-04-04 | Recruiting |
A Randomized Phase 3 Multicenter Open-Label Study to Compare the Efficacy of YK-029A as First-Line Treatment Versus Platinum-Based Chemotherapy in Patients With Non-Small Cell Lung Cancer With EGFR Exon 20 Insertion Mutations [NCT05767892] | Phase 3 | 350 participants (Anticipated) | Interventional | 2023-05-01 | Not yet recruiting |
A Study of Nivolumab in Combination With Ipilimumab (Part 1); and Nivolumab Plus Ipilimumab in Combination With Chemotherapy (Part 2) as First Line Therapy in Stage IV Non-Small Cell Lung Cancer (NSCLC) [NCT02659059] | Phase 2 | 324 participants (Actual) | Interventional | 2016-02-15 | 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) |
Phase I/II Study of Two Different Schedules of Bortezomib (VELCADE, PS-341) and Pemetrexed (ALIMTA) in Advanced Solid Tumors, With Emphasis on Non-Small Cell Lung Cancer (NSCLC) [NCT00389805] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2005-03-31 | Completed |
Home Delivery of Pemetrexed as Maintenance Treatment in Patients Who Have Not Progressed After Induction Therapy for Advanced Nonsquamous Nonsmall Cell Lung Cancer: A Feasibility Study [NCT01473563] | Phase 2 | 52 participants (Actual) | Interventional | 2011-12-31 | Completed |
A Phase III Randomised, Double Blind, Placebo Controlled, Parallel, Multicentre Study to Assess the Efficacy and Safety of Continuing IRESSA 250 mg in Addition to Chemotherapy Versus Chemotherapy Alone in Patients Who Have Epidermal Growth Factor Receptor [NCT01544179] | Phase 3 | 265 participants (Actual) | Interventional | 2012-03-15 | Completed |
A Single Arm, Prospective, and Exploratory Clinical Study of Camrelizumab Combined With Pemetrexed and Carboplatin in Advanced Non-small Cell Lung Cancer Patients With EGFR Mutation Who Failed EGFR-TKI Treatment [NCT04970043] | | 58 participants (Anticipated) | Interventional | 2021-07-31 | Not yet recruiting |
A Randomized, Parallel Control, Exploratory Trial to Compare Apatinib Plus Chemotherapy Drug Versus Chemotherapy Drug as Second-line Treatment in Subjects With Advanced or Metastatic of the Non-small Cell Lung Cancer (NSCLC) [NCT03256721] | Phase 2 | 37 participants (Actual) | Interventional | 2017-08-16 | Terminated(stopped due to Due to the enrollment was slow and exceeded the expected enrollment time) |
Fluzoparib Combined With Camrelizumab for Maintenance Treatment of Locally Advanced Non-small Cell Lung Cancer After Concurrent Chemotherapy and Radiotherapy. A Single-arm, Single-center, Phase II Clinical Study [NCT04828395] | Phase 2 | 65 participants (Anticipated) | Interventional | 2021-03-01 | Recruiting |
A Phase II, Prospective, Single-center, Randomized, Controlled Study to Investigate the Efficacy and Safety of Sintilimab or Placebo in Combination With Chemotherapy as Second-line Treatment for Patients With Stage IV Nonsquamous Non-small Cell Lung Cance [NCT03863483] | Phase 2 | 70 participants (Anticipated) | Interventional | 2019-03-26 | Recruiting |
A Phase II, Prospective, Single-center, Randomized, Controlled Study to Investigate the Efficacy and Safety of Sintilimab Compared With Docetaxel or Pemetrexed as Second-line Treatment for Patients With Stage IV Nonsquamous Non-small Cell Lung Cancer With [NCT03830411] | Phase 2 | 76 participants (Anticipated) | Interventional | 2019-03-13 | Recruiting |
SUNRAY-01, A Global Pivotal Study in Participants With KRAS G12C-Mutant, Locally Advanced or Metastatic Non-Small Cell Lung Cancer Comparing First-Line Treatment of LY3537982 and Pembrolizumab vs Placebo and Pembrolizumab in Those With PD-L1 Expression ≥5 [NCT06119581] | Phase 3 | 1,016 participants (Anticipated) | Interventional | 2024-01-03 | Not yet recruiting |
Phase II Pilot Study of Performance Status 2 vs. Performance Status 0-1 Non-Small Cell Lung Cancer Patients Treated With Chemo/Immunotherapy [NCT04253964] | Phase 2 | 80 participants (Anticipated) | Interventional | 2020-07-01 | Recruiting |
A Phase 1b Study of LY2835219 in Combination With Multiple Single Agent Options for Patients With Stage IV NSCLC [NCT02079636] | Phase 1 | 142 participants (Actual) | Interventional | 2014-03-28 | Completed |
A Phase III, Open-label, Multicenter Trial of Avelumab (MSB0010718C) Versus Platinum-based Doublet as a First-line Treatment of Recurrent or Stage IV PD-L1+NSCLC [NCT02576574] | Phase 3 | 1,214 participants (Actual) | Interventional | 2015-10-29 | Active, not recruiting |
Intrathecal Pemetrexed for Recurrent Leptomeningeal Metastasis From Non-small Cell Lung Cancer: A Prospective Pilot Clinical Trial [NCT03101579] | Phase 1 | 13 participants (Actual) | Interventional | 2017-03-01 | Completed |
A Randomized, Double-blind, Phase III Trial to Compare the Efficacy and Safety of AK104 Combined With Chemotherapy to Tislelizumab Combined With Chemotherapy as First-line Treatment in PD-L1 TPS < 1% Non-small Cell Lung Cancer (NSCLC) [NCT05990127] | Phase 3 | 642 participants (Anticipated) | Interventional | 2023-11-14 | Not yet recruiting |
A Pilot Window of Opportunity Study Evaluating Durvalumab (MEDI4736) in Combination With Platinum Doublet Chemotherapy Followed by Evaluation of Durvalumab (MEDI4736) in Combination With Platinum Doublet Chemotherapy and Abequolixron (RGX-104) in Non-smal [NCT05911308] | Phase 1 | 24 participants (Anticipated) | Interventional | 2023-11-30 | Not yet recruiting |
Nivolumab Plus Ipilimumab Plus Two Cycles of Platinum-based Chemotherapy as First Line Treatment for Stage IV/Recurrent Non-small Cell Lung Cancer (NSCLC) Patients With Synchronous Brain Metastases [NCT05012254] | Phase 2 | 71 participants (Anticipated) | Interventional | 2021-11-18 | Recruiting |
A Phase II Trial of AK112 (PD1/VEGF Bispecific) in Combination With Chemotherapy in Patients With NSCLC [NCT04736823] | Phase 2 | 296 participants (Anticipated) | Interventional | 2021-02-01 | Recruiting |
A Phase II Trial of Neoadjuvant Treatment Carboplatin-Pemetrexed-Bevacizumab Plus Atezolizumab for the Treatment of Locally Advanced and Potentially Resectable NSCLC Patients With EGFR Mutations [NCT04512430] | Phase 2 | 26 participants (Anticipated) | Interventional | 2020-12-02 | Recruiting |
Induction Durvalumab Followed by Chemoradiation and Consolidation Durvalumab (MEDI4736) for Stage III Non-small Cell Lung Cancer [NCT04364048] | Phase 2 | 10 participants (Actual) | Interventional | 2020-06-18 | Active, not recruiting |
[NCT01454934] | Phase 3 | 540 participants (Actual) | Interventional | 2011-12-09 | Completed |
An Open-Label, Multicenter, Randomized Phase Ib/II Study of Eribulin Mesylate Administered in Combination With Pemetrexed Versus Pemetrexed Alone as Second Line Therapy in Patients With Stage IIIB or IV Nonsquamous Non Small Cell Lung Cancer [NCT01126736] | Phase 1/Phase 2 | 98 participants (Actual) | Interventional | 2010-06-10 | Completed |
Phase II Trial Of Pemetrexed Disodium And Gemcitabine In Advanced Urothelial Cancer [NCT00053209] | Phase 2 | 46 participants (Actual) | Interventional | 2004-08-10 | Completed |
Efficacy and Safety of Almonertinib Combined With or Without Chemotherapy as an Adjuvant Treatment for EGFR Mutation Positive Stage II-IIIA Non-small Cell Lung Carcinoma Following Complete Tumour Resection: A Multicenter, Randomized Controlled, Open-label [NCT04762459] | Phase 3 | 606 participants (Anticipated) | Interventional | 2021-08-01 | Enrolling by invitation |
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 |
Phase I/II Trial of Carboplatin, Bevacizumab and Pemetrexed in the First-Line Treatment of Patients With Malignant Pleural Mesothelioma (MPM) [NCT00604461] | Phase 1/Phase 2 | 13 participants (Actual) | Interventional | 2007-10-31 | Terminated(stopped due to Slow Accrual) |
A Phase 1, Pharmacologic and Pharmacodynamic Study of MM-121 in Combination With Multiple Anticancer Therapies in Patients With Advanced Solid Tumors [NCT01447225] | Phase 1 | 43 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase II Multicenter Randomized Trial Evaluating the Association of PIPAC and Systemic Chemotherapy Versus Systemic Chemotherapy Alone as 1st-line Treatment of Malignant Peritoneal Mesothelioma [NCT03875144] | Phase 2 | 66 participants (Anticipated) | Interventional | 2020-08-14 | Recruiting |
Serial [18F]Fluorothymidine (FLT)PET/CT as a Biomarker of Therapeutic Response in Pemetrexed Therapy for Non-Small Cell Lung Cancer [NCT02274038] | | 3 participants (Actual) | Interventional | 2015-03-31 | Terminated(stopped due to Poor Accrual) |
A Phase 3,Randomized,Open,Parallel Controlled, Multi-center Study of TQB2450 Injection Plus Chemotherapy Followed by TQB2450 Plus Anlotinib Versus Tislelizumab Plus Chemotherapy Followed by Tislelizumab as a First-line Treatment on Patient With Advanced N [NCT05346952] | Phase 3 | 390 participants (Anticipated) | Interventional | 2022-01-25 | Recruiting |
A Phase 2 Study to Evaluate LY2603618 in Combination With Pemetrexed in Patients With Advanced or Metastatic Non-small Cell Lung Cancer [NCT00988858] | Phase 2 | 55 participants (Actual) | Interventional | 2009-11-30 | Completed |
A Randomized, Open-Label, Phase 2 Safety and Efficacy Trial of Ipilimumab Versus Pemetrexed in Subjects With Recurrent/Stage IV Non-Squamous, Non-Small Cell Lung Cancer Who Have Not Progressed After Four Cycles of a Platinum-Based First Line Chemotherapy [NCT01471197] | Phase 2 | 9 participants (Actual) | Interventional | 2012-07-31 | Terminated(stopped due to Administrative reasons) |
A Randomized Phase 2, Double-blind, Placebo-controlled, Multi-center Study Comparing Pemetrexed in Combination With TH-302 vs. Pemetrexed in Combination With Placebo as Second-line Chemotherapy for Advanced Non-Squamous, Non-Small Cell Lung Cancer [NCT02093962] | Phase 2 | 265 participants (Actual) | Interventional | 2014-06-30 | Terminated(stopped due to At the interim analysis, the futility boundary was not met and the study was stopped due to insufficient efficacy.) |
An Open-label, Multi-center, Clinical Study to Evaluate Anti-PD-1 Antibody Therapies of Camrelizumab in Combination With Pemetrexed and Carboplatin as First-line Treatment in Patients With Advanced or Metastatic Non-Squamous Non-Small Cell Lung Cancer [NCT05841472] | Phase 2 | 60 participants (Anticipated) | Interventional | 2023-08-23 | Recruiting |
A Phase III, Randomised, Controlled, Multi-center, 3-Arm Study of Neoadjuvant Osimertinib as Monotherapy or in Combination With Chemotherapy Versus Standard of Care Chemotherapy Alone for the Treatment of Patients With Epidermal Growth Factor Receptor Mut [NCT04351555] | Phase 3 | 328 participants (Anticipated) | Interventional | 2020-12-16 | Recruiting |
A Phase 2 Study of Neoadjuvant Pembrolizumab-Based Combination Immunotherapy in the Treatment of Early Stage Non-Small Cell Lung Cancer [NCT04061590] | Phase 2 | 0 participants (Actual) | Interventional | 2020-05-29 | Withdrawn(stopped due to Low Accrual) |
Phase I/II Trial of Abraxane® (ABI-007) and Alimta® (Pemetrexed) in Advanced Solid Tumors With Emphasis on Non-Small Cell Lung Cancer (NSCLC) and Breast Cancer [NCT00470548] | Phase 1/Phase 2 | 49 participants (Actual) | Interventional | 2007-04-30 | Terminated(stopped due to Practice patterns with pemetrexed have evolved.) |
Open-Label, Randomized Trial of Nivolumab (BMS-936558) Plus Pemetrexed/Platinum or Nivolumab Plus Ipilimumab (BMS-734016) vs Pemetrexed Plus Platinum in Stage IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) Subjects With Epidermal Growth Factor Recepto [NCT02864251] | Phase 3 | 367 participants (Actual) | Interventional | 2017-03-17 | Completed |
A Phase I Study of MK-3475 Alone in Subjects With Advanced Solid Tumors and in Combination With Platinum-Doublet Chemotherapy or Immunotherapy in Subjects With Advanced Non-Small Cell Lung Cancer/Extensive-Disease Small Cell Lung Cancer. [NCT01840579] | Phase 1 | 57 participants (Actual) | Interventional | 2013-04-26 | Completed |
Phase I/II Study of a Triplet Combination of CBP501, Pemetrexed and Cisplatin in Patients With Advanced Solid Tumors and in Chemotherapy-naïve Patients With Malignant Pleural Mesothelioma [NCT00700336] | Phase 1/Phase 2 | 69 participants (Actual) | Interventional | 2008-05-31 | Completed |
Clinical, Radiographic, and Histologic Outcome of Sodium Hypoclorite as an Antibacterial Agent Prior to Calcium Hydroxide and Mineral Trioxide Aggregate Pulpotomies in Primary Teeth [NCT04270318] | | 64 participants (Actual) | Interventional | 2012-09-30 | Completed |
A Randomized Phase II Study of Itraconazole and Pemetrexed in Patients With Previously Treated Non-Squamous Non-Small Cell Lung Cancer [NCT00769600] | Phase 2 | 23 participants (Actual) | Interventional | 2008-11-30 | Terminated(stopped due to Low accrual.) |
A Randomized Phase II Trial of Cytotoxic Chemotherapy With or Without Epigenetic Priming in Patients With Advanced Non-Small Cell Lung Cancer [NCT01935947] | Phase 2 | 17 participants (Actual) | Interventional | 2013-05-31 | Terminated |
Randomized, Double-blind, Placebo-controlled, Multi-center Study of Camrelizumab Combined With SRT/WBRT and Chemotherapy in Patients of NSCLC With Brain Metastases of Driven Gene-negative and Not Received Systemic Chemotherapy [NCT04768075] | Phase 3 | 200 participants (Anticipated) | Interventional | 2021-03-05 | Not yet recruiting |
TS Stratified Chemotherapy and VEGF Inhibition in Non-Squamous Non-Small Cell Lung Cancer - Stage IV [NCT01674738] | Phase 2 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to Decision of the Sponsor, as the funding of the study was no longer guaranteed.) |
Integration of the PD-L1 Inhibitor Atezolizumab and WT1/DC Vaccination Into Platinum/Pemetrexed-based First-line Treatment for Epithelioid Malignant Pleural Mesothelioma [NCT05765084] | Phase 1/Phase 2 | 15 participants (Anticipated) | Interventional | 2023-02-24 | Recruiting |
A Phase II Trial of Carboplatin, Pemetrexed, and Panitumumab in Patients With Advanced Non-Squamous K-ras Wild Type Non-Small-Cell Lung Cancer [NCT01042288] | Phase 2 | 70 participants (Actual) | Interventional | 2010-06-30 | Completed |
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 |
A Prospective Study to Evaluate the Safety of Concurrent Durvalumab (MEDI4736) With Chemoradiation Therapy(CRT)Followed by Durvalumab for Chinese Unresectable Stage III Non Small Cell Lung Cancer(NSCLC) [NCT04982549] | Phase 2 | 35 participants (Anticipated) | Interventional | 2021-01-21 | Recruiting |
Pembrolizumab With Standard Cytotoxic Chemotherapy in Treatment Naive Non-small Cell Lung Cancer Patients With Asymptomatic Brain Metastases [NCT04967417] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-10-31 | Not yet recruiting |
A Phase 1B Study to Evaluate the Safety and Induction of Immune Response of CRS-207 in Combination With Pemetrexed and Cisplatin as Front-line Therapy in Adults With Malignant Pleural Mesothelioma [NCT01675765] | Phase 1 | 60 participants (Actual) | Interventional | 2014-09-03 | Completed |
A Phase 3, Randomized Double-blind, Placebo-controlled, Multicenter Study of SHR-1701 in Combination With Bevacizumab and Chemotherapy in Advanced or Metastatic Non-squamous Non-small-cell Lung Cancer With EGFR Mutation After Failure of TKIs [NCT05132413] | Phase 3 | 561 participants (Anticipated) | Interventional | 2021-12-30 | Not yet recruiting |
Phase I Study of Cytoreductive Surgery and Hyperthermic Intraoperative Chemotherapy With Pemetrexed and Cisplatin for Malignant Pleural Mesotheliomas [NCT02838745] | Phase 1 | 7 participants (Actual) | Interventional | 2016-09-30 | Terminated(stopped due to Change in research plan.) |
A Platform Study of RAS(ON) Inhibitor Combinations in Patients With RAS-Mutated Non-Small Cell Lung Cancer (NSCLC) [NCT06162221] | Phase 1/Phase 2 | 352 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Phase III, Randomized, Open-Label, Multicenter, Global Study of Volrustomig (MEDI5752) in Combination With Carboplatin Plus Pemetrexed Versus Platinum Plus Pemetrexed or Nivolumab Plus Ipilimumab in Participants With Unresectable Pleural Mesothelioma (e [NCT06097728] | Phase 3 | 600 participants (Anticipated) | Interventional | 2023-11-09 | Recruiting |
An Open-Label, Multicenter Extension Study in Participants Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Atezolizumab Study (IMbrella C) [NCT05112965] | Phase 3 | 100 participants (Anticipated) | Interventional | 2021-12-01 | Recruiting |
A Phase II Randomized Study of Ramucirumab Plus MK3475 (Pembrolizumab) Versus Standard of Care for Patients Previously Treated With Immunotherapy for Stage IV or Recurrent Non-Small Cell Lung Cancer (Lung-MAP Non-Matched Sub-Study) [NCT03971474] | Phase 2 | 166 participants (Actual) | Interventional | 2019-05-28 | Active, not recruiting |
An Open-Label, Multicenter, First-in-Human, Phase 1 Dose-Escalation and Multicohort Expansion Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas [NCT03715933] | Phase 1 | 240 participants (Anticipated) | Interventional | 2018-10-10 | 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 |
Single Cell Analysis of CXCL13+PD1+ CD8 T Cell in Association With Resistance to Pembrolizumab and Chemotherapy Neoadjuvant/Adjuvant of NSCLC [NCT05894889] | Phase 2 | 70 participants (Anticipated) | Interventional | 2023-10-01 | Not yet recruiting |
"Neoadjuvant Tislelizumab and Platinum-Based Doublet Chemotherapy in Stage II-IIIB EGFR-Mutated Lung Adenocarcinoma With PD-L1 Positive Expression -- A Phase II Study (DuoVitality)" [NCT05527808] | | 28 participants (Anticipated) | Interventional | 2022-08-01 | Recruiting |
LUME-Meso: Double Blind, Randomised, Multicentre, Phase II/III Study of Nintedanib in Combination With Pemetrexed / Cisplatin Followed by Continuing Nintedanib Monotherapy Versus Placebo in Combination With Pemetrexed / Cisplatin Followed by Continuing Pl [NCT01907100] | Phase 2/Phase 3 | 545 participants (Actual) | Interventional | 2013-09-19 | Terminated |
Multi-arm, Non-randomized, Open-Label Phase IB Study to Evaluate GSK3052230 in Combination With Paclitaxel and Carboplatin, or Docetaxel or as Single Agent in Subjects With Solid Malignancies and Deregulated FGF Pathway Signaling [NCT01868022] | Phase 1 | 65 participants (Actual) | Interventional | 2013-10-09 | Completed |
Phase 2 Trial of Neoadjuvant Nivolumab + Platinum-based Chemotherapy + Certolizumab in Patients With Resectable Stages II-III Lung Cancers [NCT04991025] | Phase 2 | 60 participants (Anticipated) | Interventional | 2022-10-19 | Recruiting |
A Safety and Feasibility Study of AGS-003-LNG for the Treatment of Stage 3 Non Small Cell Lung Cancer [NCT02662634] | Phase 2 | 0 participants (Actual) | Interventional | 2016-03-31 | Withdrawn |
Phase II Trial of Neoadjuvant Platinum-based Chemotherapy for Patients With Resectable , Non-small Cell Lung Cancer With Switch to Chemotherapy Alternative in Nonresponders (NEOSCAN) [NCT01443078] | Phase 2 | 42 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase II Randomized Trial of Radiation, Cetuximab and Pemetrexed With or Without Bevacizumab in Locally Advanced Head and Neck Cancer [NCT00703976] | Phase 2 | 80 participants (Actual) | Interventional | 2008-10-31 | Completed |
An Open-Label, Phase 1/2 Study of ORIC-114 as a Single Agent or in Combination With Chemotherapy, in Patients With Advanced Solid Tumors Harboring an EGFR or HER2 Alteration [NCT05315700] | Phase 1/Phase 2 | 280 participants (Anticipated) | Interventional | 2022-03-10 | Recruiting |
Neoadjuvant Soft Tissue Ablation Utilizing Aliya™ Pulsed Electric Fields With Systemic Therapy in Early-Stage Resectable Non-Small Cell Lung Cancer (NSCLC) [NCT05583188] | Phase 4 | 15 participants (Anticipated) | Interventional | 2023-02-01 | Recruiting |
A Single Arm, Open Label, Exploratory Study of Pemetrexed and TAS-102 in Combination With Bevacizumab in Patients Who Have Progressed After Standard Second Line Therapy [NCT04683965] | Phase 2 | 27 participants (Anticipated) | Interventional | 2021-01-01 | Active, not recruiting |
Alternating Treatment Plans for Participants With Advanced Thoracic/Head & Neck Cancers (ATATcH) [NCT05358548] | Phase 2 | 150 participants (Anticipated) | Interventional | 2022-04-28 | Recruiting |
The Phase Three Trials of Pemetrexed/Cisplatin Intercalating Gefitinib vs Pemetrexed/Cisplatin Treating EGFR Wild NSCLC(Non Squamous Cell Carcinoma) [NCT03374280] | Phase 2 | 178 participants (Anticipated) | Interventional | 2016-12-01 | Recruiting |
A Phase III, Randomized, Multi-center Study to Determine the Efficacy of the Intercalating Combination Treatment of Chemotherapy and Gefitinib or Chemotherapy as Adjuvant Treatment in NSCLC With Common EGFR Mutations. [NCT03381066] | Phase 3 | 225 participants (Anticipated) | Interventional | 2018-04-10 | Recruiting |
Phase Ib Study to Evaluate the Efficacy, Safety and Tolerability of IBI188 Combination Therapy in Subjects With Advanced Malignancies [NCT04861948] | Phase 1 | 9 participants (Actual) | Interventional | 2021-05-25 | Terminated(stopped due to No signs of efficacy in solid tumors) |
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) |
Emulation of a Comparative Effectiveness Study of Pembrolizumab and Chemotherapy vs. Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer [NCT05908799] | | 1,854 participants (Actual) | Observational | 2023-06-05 | Completed |
A Phase 3, Randomized, Open-label, Multicenter Study to Assess the Efficacy and Safety of HS-10241 Combined With Almonertinib Versus Pemetrexed Combined With Platinum in Metastatic or Locally Advanced NSCLC With MET Amplification After Failure of the Prio [NCT06110663] | Phase 3 | 314 participants (Anticipated) | Interventional | 2023-12-30 | Not yet recruiting |
A Phase II Clinical Study to Evaluate the Efficacy and Safety of SI-B001 in Combination With Chemotherapy in the Treatment of EGFR WT and ALK WT Recurrent and Metastatic Non-small Cell Lung Cancer [NCT05020457] | Phase 2 | 60 participants (Anticipated) | Interventional | 2021-12-07 | Recruiting |
A Randomised Non-comparative Open Label Phase II Trial of Atezolizumab Plus Bevacizumab, With Carboplatin-paclitaxel or Pemetrexed, in EGFR-mutant Non-small Cell Lung Carcinoma With Acquired Resistance [NCT04245085] | Phase 2 | 95 participants (Actual) | Interventional | 2020-09-29 | Active, not recruiting |
A Randomized, Open-Label, Phase 3 Trial of Tisotumab Vedotin vs Investigator's Choice Chemotherapy in Second- or Third-Line Recurrent or Metastatic Cervical Cancer [NCT04697628] | Phase 3 | 556 participants (Anticipated) | Interventional | 2021-02-22 | Recruiting |
PD-1 Inhibitor and Chemotherapy With Concurrent Irradiation at Varied Tumour Sites in Advanced Non-small Cell Lung Cancer [NCT03774732] | Phase 3 | 327 participants (Anticipated) | Interventional | 2019-03-21 | Recruiting |
Phase 2 Study of Platinum-Based Chemotherapy in Combination With Durvalumab (MEDI 4736) for NSCLC in Patients With a Poor Performance Status and the Elderly [NCT04262869] | Phase 2 | 0 participants (Actual) | Interventional | 2020-03-27 | Withdrawn(stopped due to Due to accrual issues) |
Phase II Multicenter Trial of Neoadjuvant Cisplatin and Nab-paclitaxel for (N2) Defined Stage IIIA Non-Small Cell Lung Cancer (NSCLC) [NCT02276560] | Phase 2 | 1 participants (Actual) | Interventional | 2015-01-31 | Terminated(stopped due to This study was terminated due to lack of funding.) |
A Phase 2 Trial of GFH018 and Toripalimab in Combination With Concurrent Chemoradiotherapy for Patients With Unresectable, Locally Advanced Stage III Non-Small Cell Lung Cancer (NSCLC) [NCT05386888] | Phase 2 | 65 participants (Actual) | Interventional | 2022-09-09 | Active, not recruiting |
A Phase 1 Study to Investigate the Safety and Pharmacokinetics of Cemiplimab (Anti-PD-1) and Other Agents in Japanese Patients With Advanced Malignancies [NCT03233139] | Phase 1 | 145 participants (Anticipated) | Interventional | 2017-06-21 | Recruiting |
A Phase II, Single-Arm, Prospective Study of Neoadjuvant Icotinib With Chemotherapy for the Treatment of Patients With Epidermal Growth Factor Receptor Mutation Positive, Resectable for Stage II to IIIB(N2) Non-small Cell Lung Cancer [NCT05104788] | Phase 2 | 27 participants (Anticipated) | Interventional | 2021-10-25 | Recruiting |
Cryoablation in Combination (or Not) With Pembrolizumab and Pemetrexed-carboplatin in First-line Treatment for Patients With Metastatic Lung Adenocarcinoma: A Randomized Phase III Study [NCT04339218] | Phase 3 | 214 participants (Anticipated) | Interventional | 2020-08-28 | Recruiting |
Phase II Study of Pemetrexed Plus Cisplatin in Patients With Refractory Soft Tissue Sarcoma [NCT03809637] | Phase 2 | 37 participants (Actual) | Interventional | 2017-01-10 | Active, not recruiting |
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) |
An Open Label, Multicenter, Phase Ib/II Study of SHR-1802 in Combination With Adebrelimab in Patients With Advanced Solid Tumors [NCT05794477] | Phase 1/Phase 2 | 132 participants (Anticipated) | Interventional | 2023-04-28 | Recruiting |
A Phase III, Multicenter, Randomized, Open-label Study of Oral LDK378 Versus Standard Chemotherapy in Adult Patients With ALK-rearranged (ALK-positive) Advanced Non-small Cell Lung Cancer Who Have Been Treated Previously With Chemotherapy (Platinum Double [NCT01828112] | Phase 3 | 231 participants (Actual) | Interventional | 2013-06-28 | Completed |
Predictive Biomarker for the Efficacy and Safety of the Combination of Chemotherapy and Tislelizumab in Non Small Cell Lung Cancer:a Multicentre Prospective Clinical Trial [NCT05244837] | Phase 2 | 100 participants (Anticipated) | Interventional | 2020-12-22 | Recruiting |
A Randomized, Double-blind, Placebo-controlled Study of the Safety and Efficacy of Amatuximab in Combination With Pemetrexed and Cisplatin in Subjects With Unresectable Malignant Pleural Mesothelioma [NCT02357147] | Phase 2 | 124 participants (Actual) | Interventional | 2015-11-03 | Terminated(stopped due to Due to business reasons) |
A Phase II Study of Lenvatinib (E7080/MK-7902) in Combination With Carboplatin Pemetrexed and Pembrolizumab (MK-3475) for Patients With Pretreated Advanced Non-squamous Non-small Cell Lung Cancer Harboring EGFR Mutations [NCT05258279] | Phase 2 | 30 participants (Anticipated) | Interventional | 2022-07-01 | Active, not recruiting |
A Open-label, Single Center, Phase II Study of Surufatinib Combined With Toripalimab and Chemotherapy in Patients With Advanced Non-squamous Non-small-cell Lung Cancer [NCT05003037] | Phase 2 | 106 participants (Anticipated) | Interventional | 2021-12-08 | Recruiting |
A Randomized Phase II Trial Comparing Cetuximab With Concurrent Pemetrexed/Cetuximab Therapy for Non-Small Cell Lung Cancer Refractory to Primary Treatment [NCT00203931] | Phase 2 | 55 participants (Actual) | Interventional | 2005-03-31 | Terminated(stopped due to Slow accrual and evidence from other studies showing benefit of early initiation of pemetrexed after first-line therapy) |
A Prospective Randomized Phase III Trial of Maintenance Pemetrexed Versus Observation in Patients With Recurrent or Metastatic Urothelial Carcinoma Who Completed First Line Platinum-based Chemotherapy Without Disease Progression [NCT03193788] | Phase 3 | 74 participants (Anticipated) | Interventional | 2017-01-31 | Recruiting |
A Phase II Study of Pemetrexed (Alimta) as Second-Line Therapy for Hormone Refractory Prostate Cancer: Hoosier Oncology Group GU03-67 [NCT00216099] | Phase 2 | 49 participants (Actual) | Interventional | 2005-02-28 | Completed |
Phase III Study to Evaluate the Optimal Timing of Postoperative Radiotherapy for High Risk of Locoregional Recurrence Patients With Completely Resected Stage IIIA(N2) Non-Small Cell Lung Cancer [NCT02974426] | Phase 3 | 1,094 participants (Anticipated) | Interventional | 2016-11-30 | Recruiting |
FurmOnertinib Mesylate With or Without Chemotherapy +/- bevacizUmab as firSt Line Treatment in Advanced Non-small Cell Lung Cancer Patients With Uncleared Epidermal Growth Factor Receptor (EGFR) Mutation Positive Circulating Tumor Cell DNA [NCT05334277] | Phase 2 | 280 participants (Anticipated) | Interventional | 2022-05-06 | Recruiting |
TIGER-3: A Phase 3, Open-label, Multicenter, Randomized Study of Oral Rociletinib (CO-1686) Monotherapy Versus Single-agent Cytotoxic Chemotherapy in Patients With Mutant EGFR Non-small Cell Lung Cancer (NSCLC) After Failure of at Least 1 Previous EGFR-di [NCT02322281] | Phase 3 | 149 participants (Actual) | Interventional | 2015-02-28 | Terminated(stopped due to Sponsor discontinued development of CO-1686 for NSCLC) |
A Randomized, Open-Label, Multicenter, Phase 3 Trial Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Subjects Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-S [NCT02264990] | Phase 3 | 595 participants (Actual) | Interventional | 2014-09-30 | Completed |
A Randomized, Open-Label, Phase 3 Study of Cosibelimab (CK-301) in Combination With Platinum+Pemetrexed Chemotherapy in Subjects With First-Line Metastatic Non-squamous Non-Small Cell Lung Cancer [NCT04786964] | Phase 3 | 25 participants (Actual) | Interventional | 2021-12-08 | Terminated(stopped due to Regional political conflict) |
PHASE 3, RANDOMIZED, OPEN-LABEL STUDY OF THE EFFICACY AND SAFETY OF CRIZOTINIB VERSUS PEMETREXED/CISPLATIN OR PEMETREXED/CARBOPLATIN IN PREVIOUSLY UNTREATED EAST ASIAN PATIENTS WITH NON-SQUAMOUS CARCINOMA OF THE LUNG HARBORING A TRANSLOCATION OR INVERSION [NCT01639001] | Phase 3 | 207 participants (Actual) | Interventional | 2012-09-29 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00063570 (5) [back to overview] | Overall Tumor Response |
NCT00063570 (5) [back to overview] | Time to Treatment Failure |
NCT00063570 (5) [back to overview] | Time to Progressive Disease |
NCT00063570 (5) [back to overview] | Overall Survival |
NCT00063570 (5) [back to overview] | Duration of (Confirmed) Complete Response or Partial Response |
NCT00087698 (6) [back to overview] | Pathological Complete Response |
NCT00087698 (6) [back to overview] | Time to Progressive Disease |
NCT00087698 (6) [back to overview] | Overall Tumor Response |
NCT00087698 (6) [back to overview] | The 1 and 2 Year Disease-Free Survival Rate (Percentage) |
NCT00087698 (6) [back to overview] | Time to Treatment Failure |
NCT00087698 (6) [back to overview] | Overall Survival Time |
NCT00095199 (8) [back to overview] | Duration of Overall Response (OR) |
NCT00095199 (8) [back to overview] | Overall Survival (OS) |
NCT00095199 (8) [back to overview] | Number of Participants With Common Toxicity Criteria (CTC) Grade 3 or 4 Toxicities |
NCT00095199 (8) [back to overview] | Percentage of Participants With Symptomatic Response (Symptom Response Rates) Using the Lung Cancer Subscale (LCS) Scores of Functional Assessment of Cancer Therapy for Participants With Lung Cancer (FACT-L) |
NCT00095199 (8) [back to overview] | Progression Free Survival (PFS) |
NCT00095199 (8) [back to overview] | Proportion of Randomized Participants With Best Overall Response (OR) of Partial Response (PR), Complete Response (CR), or Stable Disease (SD) |
NCT00095199 (8) [back to overview] | Proportion of Randomized Participants With the Best Overall Response (OR) of Partial Response (PR) or Complete Response (CR) (Overall Response Rate [ORR]) |
NCT00095199 (8) [back to overview] | Time to Symptomatic Progression |
NCT00101283 (3) [back to overview] | Overall Survival |
NCT00101283 (3) [back to overview] | Best Overall Response by RECIST Criteria (Version 1.0) |
NCT00101283 (3) [back to overview] | Progression-Free Survival |
NCT00102804 (7) [back to overview] | Time to Worsening of Symptoms (TWS) |
NCT00102804 (7) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00102804 (7) [back to overview] | Maximum Improvement Over Baseline in Individual Symptom Scores and Quality of Life Using the LCSS |
NCT00102804 (7) [back to overview] | Time to Objective Progressive Disease (TPD) |
NCT00102804 (7) [back to overview] | Progression-Free Survival (PFS) Time |
NCT00102804 (7) [back to overview] | Percentage of Participants With a Complete Response (CR) or Partial Response (PR) (Objective Tumor Response Rate) |
NCT00102804 (7) [back to overview] | Overall Survival (OS) Time |
NCT00106002 (5) [back to overview] | Duration of Tumor Response |
NCT00106002 (5) [back to overview] | Overall Survival Time |
NCT00106002 (5) [back to overview] | Progression-Free Survival Time |
NCT00106002 (5) [back to overview] | Overall Tumor Response |
NCT00106002 (5) [back to overview] | Toxicity Profile: Adverse Events (Common Terminology Criteria for Adverse Events, Grade 3 and 4, Present in >5% of Participants) |
NCT00106626 (2) [back to overview] | Safety and Tolerability as Measured by the Number of Participants With Disease Progression |
NCT00106626 (2) [back to overview] | Maximum Tolerated Dose (MTD) Status as Determined by Number of Participants With Dose Limiting Toxicity (DLT) at Each Dose Level |
NCT00111839 (5) [back to overview] | Number of Participants With Objective Response Assessed by Independent Review Committee |
NCT00111839 (5) [back to overview] | Duration of Objective Response Assessed by Independent Review Committee |
NCT00111839 (5) [back to overview] | Overall Survival (OS) |
NCT00111839 (5) [back to overview] | Change From Baseline to Cycle 2 in Global Quality of Life (QoL), as Assessed Using Lung Cancer Symptom Scale (LCSS) |
NCT00111839 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT00117962 (4) [back to overview] | Overall Survival |
NCT00117962 (4) [back to overview] | Number of Participants With Overall Tumor Response |
NCT00117962 (4) [back to overview] | Failure-free Survival |
NCT00117962 (4) [back to overview] | 18 Month Survival |
NCT00149214 (5) [back to overview] | Number of Patients With Histologically Negative Axillary Lymph Node Status at Surgery |
NCT00149214 (5) [back to overview] | Disease-free Survival |
NCT00149214 (5) [back to overview] | Number of Participants With a Pathological Complete Response |
NCT00149214 (5) [back to overview] | Number of Participants With a Clinical Tumor Response After the Second Sequence of Chemotherapy |
NCT00149214 (5) [back to overview] | Number of Participants With a Clinical Tumor Response After the First Sequence of Chemotherapy |
NCT00190671 (8) [back to overview] | Pharmacokinetics - Maximum Observed Drug Concentration (Cmax) |
NCT00190671 (8) [back to overview] | Pharmacokinetics - Half-Life (t½) |
NCT00190671 (8) [back to overview] | Pharmacokinetics - Clearance (CL) |
NCT00190671 (8) [back to overview] | Pharmacokinetics - Area Under the Curve (AUC) |
NCT00190671 (8) [back to overview] | Time to Progressive Disease |
NCT00190671 (8) [back to overview] | Best Tumor Response |
NCT00190671 (8) [back to overview] | Pharmacokinetics - Volume of Distribution |
NCT00190671 (8) [back to overview] | Progression Free Survival |
NCT00190983 (4) [back to overview] | Tumor Response |
NCT00190983 (4) [back to overview] | Progression-Free Survival |
NCT00190983 (4) [back to overview] | Overall Survival |
NCT00190983 (4) [back to overview] | Duration of Response |
NCT00191191 (5) [back to overview] | Duration of Response |
NCT00191191 (5) [back to overview] | Best Overall Response |
NCT00191191 (5) [back to overview] | Change From Baseline to 3 Months in Quality of Life Questionnaire for Cancer Patients Treated With Anticancer Drugs (QOL-ACD) |
NCT00191191 (5) [back to overview] | Change From Baseline to 3 Months in Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Lung Cancer Subscale (LCS) |
NCT00191191 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT00191308 (4) [back to overview] | Overall Survival (OS) |
NCT00191308 (4) [back to overview] | Disease Free Survival (DFS) |
NCT00191308 (4) [back to overview] | Duration of Response |
NCT00191308 (4) [back to overview] | Percentage of Participants With Objective Tumor Response (Response Rate) |
NCT00191984 (5) [back to overview] | Overall Survival |
NCT00191984 (5) [back to overview] | Best Overall Tumor Response |
NCT00191984 (5) [back to overview] | Time to Treatment Failure |
NCT00191984 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT00191984 (5) [back to overview] | Duration of Response |
NCT00193414 (3) [back to overview] | Progression-free Survival (PFS) |
NCT00193414 (3) [back to overview] | Overall Survival (OS) |
NCT00193414 (3) [back to overview] | Overall Response Rate |
NCT00198133 (3) [back to overview] | Duration of Remission |
NCT00198133 (3) [back to overview] | Grade 3/4 Treatment Related Adverse Events |
NCT00198133 (3) [back to overview] | Objective Response Rate (Complete and Partial Response) |
NCT00203931 (5) [back to overview] | Progression-free Survival Based on Serum Biomarker Status |
NCT00203931 (5) [back to overview] | Progression-free Survival Based on Rash Development |
NCT00203931 (5) [back to overview] | Progression-free Survival |
NCT00203931 (5) [back to overview] | Overall Survival |
NCT00203931 (5) [back to overview] | Objective Response Rate |
NCT00216099 (8) [back to overview] | Overall Survival |
NCT00216099 (8) [back to overview] | Rate of Clinical Benefit |
NCT00216099 (8) [back to overview] | Time to Progression |
NCT00216099 (8) [back to overview] | Safety and Tolerability |
NCT00216099 (8) [back to overview] | Time to Prostate-Specific Antigen (PSA)/Serological Progression |
NCT00216099 (8) [back to overview] | Best Overall PSA Response |
NCT00216099 (8) [back to overview] | OBJECTIVE Overall Response Rate |
NCT00216099 (8) [back to overview] | RFC1 G80A Genotype |
NCT00216203 (4) [back to overview] | Toxicity and Safety Profile |
NCT00216203 (4) [back to overview] | Median Survival Time |
NCT00216203 (4) [back to overview] | Time To Progression (TTP) |
NCT00216203 (4) [back to overview] | Maximum Tolerated Dose (MTD) of Pemetrexed in Combination With Cetuximab |
NCT00222729 (4) [back to overview] | Disease Control Rate (DCR) |
NCT00222729 (4) [back to overview] | Time-to-progression (TTP) |
NCT00222729 (4) [back to overview] | Objective Response Rate (ORR) |
NCT00222729 (4) [back to overview] | Overall Survival (OS) |
NCT00226577 (5) [back to overview] | Toxicity |
NCT00226577 (5) [back to overview] | Survival - Overall |
NCT00226577 (5) [back to overview] | Disease Response - Radiographic |
NCT00226577 (5) [back to overview] | Disease Response - Pathologic |
NCT00226577 (5) [back to overview] | Survival - Disease Free |
NCT00227019 (3) [back to overview] | Incidence of Central Nervous System (CNS) Hemorrhagic Events |
NCT00227019 (3) [back to overview] | Overall Survival (OS) |
NCT00227019 (3) [back to overview] | Progression-free Survival (PFS) |
NCT00227539 (3) [back to overview] | Safety of Neoadjuvant Chemotherapy |
NCT00227539 (3) [back to overview] | Positron Emission Tomography as a Predictor of Response Measured by the Decrease in Standard Uptake Variable (SUV) After 1 Course of Therapy |
NCT00227539 (3) [back to overview] | Efficacy of Neoadjuvant Chemotherapy as Measured by Radiologic Response Rate |
NCT00234052 (7) [back to overview] | Overall Survival Rate at 6, 12, 18, and 24 Months |
NCT00234052 (7) [back to overview] | Overall Survival Rate |
NCT00234052 (7) [back to overview] | Overall Response Rate |
NCT00234052 (7) [back to overview] | Duration of Response |
NCT00234052 (7) [back to overview] | Median Progression Free Survival |
NCT00234052 (7) [back to overview] | Toxicity of Carboplatin, Pemetrexed and Bevacizumab Combination Treatment |
NCT00234052 (7) [back to overview] | Progression Free Survival at 6, 12, 18, 24 Months |
NCT00248495 (4) [back to overview] | Percent Change in SUV Level Between Pre and Post Chemotherapy |
NCT00248495 (4) [back to overview] | Pathologically Complete Response |
NCT00248495 (4) [back to overview] | Overall Survival |
NCT00248495 (4) [back to overview] | Disease Free Survival |
NCT00259285 (2) [back to overview] | Treatment Response |
NCT00259285 (2) [back to overview] | Pathologic Remissions After Surgery |
NCT00265785 (4) [back to overview] | Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug |
NCT00265785 (4) [back to overview] | Response (Confirmed and Unconfirmed, Complete and Partial) |
NCT00265785 (4) [back to overview] | Progression-free Survival |
NCT00265785 (4) [back to overview] | Overall Survival |
NCT00268437 (2) [back to overview] | Pathologic Complete Response Rate |
NCT00268437 (2) [back to overview] | Overall Survival |
NCT00269152 (5) [back to overview] | The Feasibility of Post-Surgery Chemotherapy |
NCT00269152 (5) [back to overview] | Overall Survival at 6 Years |
NCT00269152 (5) [back to overview] | Grade III/IV Adverse Events |
NCT00269152 (5) [back to overview] | Overall Survival at 3 Years |
NCT00269152 (5) [back to overview] | 3 Year Disease-Free Survival: Probability of Disease-Free Survival at 3 Years |
NCT00280748 (4) [back to overview] | Neurological Function by Radiation Oncology Group (RTOG) Neurological Function Classification |
NCT00280748 (4) [back to overview] | Neurological Function by Mini Mental State Examination |
NCT00280748 (4) [back to overview] | Estimate the Overall Survival of Patients Treated With This Regimen. |
NCT00280748 (4) [back to overview] | Number of Subjects Experiencing Adverse Events |
NCT00293579 (4) [back to overview] | Overall Response Rate |
NCT00293579 (4) [back to overview] | Impact of Pemetrexed Chemotherapy on Quality of Life |
NCT00293579 (4) [back to overview] | Toxicities of Pemetrexed,in Poor Risk Cases With Poor Performance Status and Advanced, Metastatic, or Recurrent Head and Neck Cancer |
NCT00293579 (4) [back to overview] | Overall Survival |
NCT00295503 (3) [back to overview] | Progression Free Survival Rate at 6 Months |
NCT00295503 (3) [back to overview] | Overall Survival |
NCT00295503 (3) [back to overview] | Response Rate |
NCT00301808 (4) [back to overview] | Safety Outcomes |
NCT00301808 (4) [back to overview] | Overall Survival |
NCT00301808 (4) [back to overview] | Probability of Overall Survival at One Year |
NCT00301808 (4) [back to overview] | Progression-free Survival |
NCT00308750 (8) [back to overview] | Duration of CR or PR (Duration of Response) |
NCT00308750 (8) [back to overview] | Change From Baseline in Total Functional Assessment of Cancer Therapy -Taxane (FACT-Taxane) Scale |
NCT00308750 (8) [back to overview] | Overall Survival (OS) |
NCT00308750 (8) [back to overview] | Time to Disease Progression |
NCT00308750 (8) [back to overview] | Number of Participants With Adverse Events (AEs) or Deaths |
NCT00308750 (8) [back to overview] | Time-to-Treatment Failure (TTF) |
NCT00308750 (8) [back to overview] | Change From Baseline in Total Functional Assessment of Cancer Therapy-Lung (FACT-L) Scale |
NCT00308750 (8) [back to overview] | Number of Participants With Complete Response (CR) or Partial Response (PR) [Tumor Response] |
NCT00310050 (3) [back to overview] | Patterns of Response |
NCT00310050 (3) [back to overview] | Qualitative Dose-limiting Toxicities of Pemetrexed in Combination With Radiation Therapy |
NCT00310050 (3) [back to overview] | Number of Participants That Survived |
NCT00316225 (6) [back to overview] | Pemetrexed Population Pharmacokinetics (PK): Clearance |
NCT00316225 (6) [back to overview] | Overall Tumor Response |
NCT00316225 (6) [back to overview] | Overview of Adverse Events |
NCT00316225 (6) [back to overview] | Pemetrexed Population Pharmacokinetics: Volume of Distribution |
NCT00316225 (6) [back to overview] | Discontinuations Due to Adverse Events |
NCT00316225 (6) [back to overview] | Number of Participants With Common Toxicity Criteria - National Cancer Institute Grade 3 and Grade 4 Toxicities |
NCT00320515 (4) [back to overview] | Objective Best Tumor Response |
NCT00320515 (4) [back to overview] | Progression Free Survival |
NCT00320515 (4) [back to overview] | Overall Survival |
NCT00320515 (4) [back to overview] | Duration of Response |
NCT00324805 (2) [back to overview] | Disease-free Survival |
NCT00324805 (2) [back to overview] | Overall Survival |
NCT00325234 (6) [back to overview] | Time To Treatment Failure (TTTF) |
NCT00325234 (6) [back to overview] | Time to Response |
NCT00325234 (6) [back to overview] | Time to Progressive Disease (PD) |
NCT00325234 (6) [back to overview] | Duration of Response (DOR) |
NCT00325234 (6) [back to overview] | Tumor Response Rate |
NCT00325234 (6) [back to overview] | Number of Participants With Adverse Events (AE) |
NCT00330915 (4) [back to overview] | Number of Participants With Complete Tumor Resection |
NCT00330915 (4) [back to overview] | Number of Participants Receiving Sphincter Saving Surgery |
NCT00330915 (4) [back to overview] | Pathological Complete Response (pCR) |
NCT00330915 (4) [back to overview] | Feasibility of Pemetrexed Prior to Surgery |
NCT00350792 (5) [back to overview] | Estimated Probability of One Year Progression-free Survival |
NCT00350792 (5) [back to overview] | Overall Survival |
NCT00350792 (5) [back to overview] | Percentage of Participants With a Complete or Partial Tumor Response (Overall Tumor Response) |
NCT00350792 (5) [back to overview] | Time to Treatment Failure |
NCT00350792 (5) [back to overview] | Time to Treatment Failure |
NCT00351039 (1) [back to overview] | Number of Participants With Grade 3 and Grade 4 Adverse Events |
NCT00356525 (2) [back to overview] | Objective Tumor Response |
NCT00356525 (2) [back to overview] | Overall Survival |
NCT00363415 (5) [back to overview] | Overall Survival |
NCT00363415 (5) [back to overview] | Progression Free Survival |
NCT00363415 (5) [back to overview] | Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L) |
NCT00363415 (5) [back to overview] | Number of Participants in Subgroups: LDH<=Upper Limit of Normal and History of Brain Metastases=Yes |
NCT00363415 (5) [back to overview] | Overall Survival (Subgroups) |
NCT00369629 (1) [back to overview] | Maximum Tolerated Dose as Measured by the Number of Dose Limiting Toxicities Seen in Cohort. |
NCT00370292 (3) [back to overview] | Mean Deoxycytidine Kinase (dCK) Expression Evaluated at Cycle 1, Cycle 2, and Cycle 3 |
NCT00370292 (3) [back to overview] | Mean Human Equilibrative Nucleoside Transporter 1 (hENT) Expression Evaluated at Cycle 1, Cycle 2, and Cycle 3 |
NCT00370292 (3) [back to overview] | Best Objective Tumor Response |
NCT00374868 (8) [back to overview] | Duration of Response |
NCT00374868 (8) [back to overview] | Duration of Stable Disease |
NCT00374868 (8) [back to overview] | Progression-Free Survival |
NCT00374868 (8) [back to overview] | Overall Survival |
NCT00374868 (8) [back to overview] | Time to Progressive Disease |
NCT00374868 (8) [back to overview] | Best Overall Tumor Response |
NCT00374868 (8) [back to overview] | Time to Treatment Failure (TTF) |
NCT00374868 (8) [back to overview] | Time to Response |
NCT00377520 (2) [back to overview] | Tumor Response |
NCT00377520 (2) [back to overview] | Number of Participants With Adverse Events by Grade (Measures of Toxicity) |
NCT00380718 (7) [back to overview] | Duration of Response |
NCT00380718 (7) [back to overview] | Proportion of Participants With a Complete or Partial Response (Objective Response Rate [ORR]) |
NCT00380718 (7) [back to overview] | Overall Survival |
NCT00380718 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT00380718 (7) [back to overview] | Proportion of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), and Stable Disease (SD) (Disease Control Rate [DCR]) |
NCT00380718 (7) [back to overview] | Time to Tumor Progression |
NCT00380718 (7) [back to overview] | Time to Treatment Failure |
NCT00383266 (6) [back to overview] | Overall Survival Rate |
NCT00383266 (6) [back to overview] | Overall Survival Rate |
NCT00383266 (6) [back to overview] | Toxicities |
NCT00383266 (6) [back to overview] | Overall Survival (OS) |
NCT00383266 (6) [back to overview] | Time to Disease Progression |
NCT00383266 (6) [back to overview] | Overall Response Rate (ORR) |
NCT00383331 (3) [back to overview] | Progression Free Survival |
NCT00383331 (3) [back to overview] | Overall Survival |
NCT00383331 (3) [back to overview] | Best Overall Tumor Response |
NCT00389805 (5) [back to overview] | Number of Patients With Grade ≥ 3 Toxicity (Phase I) |
NCT00389805 (5) [back to overview] | Number of Patients With Toxicity by NCI CTC v3.0 (Phase I) |
NCT00389805 (5) [back to overview] | Number of Patients Experiencing a Dose-limiting Toxicity (Phase I) |
NCT00389805 (5) [back to overview] | Number of Participants Who Experience Adverse Events (Phase I) |
NCT00389805 (5) [back to overview] | Maximum Tolerated Dose of Bortezomib in Combination With Pemetrexel (Phase I) |
NCT00391274 (5) [back to overview] | Pharmacology Toxicity |
NCT00391274 (5) [back to overview] | Overall Survival |
NCT00391274 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT00391274 (5) [back to overview] | Number of Patients With Disease Progression |
NCT00391274 (5) [back to overview] | Overall Tumor Response |
NCT00391586 (1) [back to overview] | Toxicity Profile |
NCT00394147 (3) [back to overview] | Overall Survival |
NCT00394147 (3) [back to overview] | Time to Progression |
NCT00394147 (3) [back to overview] | Objective Response Rate |
NCT00402051 (5) [back to overview] | Percentage of Participants Surviving Progression-Free at 6 Months (Progression Free Survival [PFS] Rate) |
NCT00402051 (5) [back to overview] | Time to Treatment Failure (TTF) |
NCT00402051 (5) [back to overview] | Number of Participants With Tumor Response (as Basis for Response Rate) |
NCT00402051 (5) [back to overview] | Overall Survival |
NCT00402051 (5) [back to overview] | Pharmacology Toxicities |
NCT00407550 (4) [back to overview] | Number of Patients With Confirmed Responses |
NCT00407550 (4) [back to overview] | Adverse Event |
NCT00407550 (4) [back to overview] | Overall Survival |
NCT00407550 (4) [back to overview] | Progression-free Survival |
NCT00409006 (4) [back to overview] | Percentage of Participants Who Died During the Study |
NCT00409006 (4) [back to overview] | Number of Participants With Tumor Response |
NCT00409006 (4) [back to overview] | Duration of Response for Responders |
NCT00409006 (4) [back to overview] | Progression-Free Survival (PFS) |
NCT00410904 (3) [back to overview] | Response Rate (Complete and Partial) 2 Separate Cohorts of Relapsed NSCLC Cohort A: Pts Who Have Received Prior Chemo w/o Ever Having Received Bevacizumab. Cohort B: Pts Who Have Received Prior Bevacizumab. |
NCT00410904 (3) [back to overview] | Progression-free Survival |
NCT00410904 (3) [back to overview] | Overall Survival |
NCT00415168 (7) [back to overview] | Percentage of Participants With Objective Response (Objective Response Rate) |
NCT00415168 (7) [back to overview] | Number of Participants With Pharmacology Toxicity - Grade 3 or 4 Non-Laboratory Toxicity Possibly Related to Study Therapy |
NCT00415168 (7) [back to overview] | Number of Participants With Pharmacology Toxicity - Grade 3 or 4 Laboratory Toxicity Possibly Related to Study Therapy |
NCT00415168 (7) [back to overview] | Number of Participants Who Died During the Study |
NCT00415168 (7) [back to overview] | Progression Free Survival (PFS) |
NCT00415168 (7) [back to overview] | Overall Survival |
NCT00415168 (7) [back to overview] | Duration of Response |
NCT00415194 (5) [back to overview] | Time to Treatment Worsening in Functional Assessment of Cancer Therapy - Head and Neck Cancer (FACT-H&N) Total Score |
NCT00415194 (5) [back to overview] | Progression-free Survival (PFS) |
NCT00415194 (5) [back to overview] | Percent of Participants With a Tumor Response (Response Rate) |
NCT00415194 (5) [back to overview] | Overall Survival (OS) |
NCT00415194 (5) [back to overview] | Duration of Response (DoR) |
NCT00415636 (4) [back to overview] | Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞]) |
NCT00415636 (4) [back to overview] | Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618 |
NCT00415636 (4) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00415636 (4) [back to overview] | Percentage of Participants With Best Overall Response |
NCT00418886 (10) [back to overview] | Objective Response Rate (ORR) |
NCT00418886 (10) [back to overview] | Time to Deterioration of Disease-related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total Score |
NCT00418886 (10) [back to overview] | Time to Deterioration of Disease-related Symptoms (TDS) by Average Symptom Burden Index (ASBI) Score |
NCT00418886 (10) [back to overview] | Progression-Free Survival (PFS) in the Overall Population |
NCT00418886 (10) [back to overview] | Overall Survival (OS) |
NCT00418886 (10) [back to overview] | Progression-Free Survival (PFS) in the Female Population |
NCT00418886 (10) [back to overview] | Longitudinal Analysis of Average Symptom Burden Index (ASBI) Score |
NCT00418886 (10) [back to overview] | Duration of Response (DoR) |
NCT00418886 (10) [back to overview] | Disease Control Rate (DCR) |
NCT00418886 (10) [back to overview] | Longitudinal Analysis of Lung Cancer Symptom Scale (LCSS) Total Score |
NCT00438204 (5) [back to overview] | Time to Treatment Failure |
NCT00438204 (5) [back to overview] | Overall Survival |
NCT00438204 (5) [back to overview] | Progression-free Survival (PFS) |
NCT00438204 (5) [back to overview] | Number of Participants With Grade 3 or Grade 4 Toxicity |
NCT00438204 (5) [back to overview] | Number of Participants With Response |
NCT00447057 (7) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00447057 (7) [back to overview] | Time to Treatment Failure (TTTF) |
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] | Overall Survival (OS) |
NCT00447057 (7) [back to overview] | Percentage of Participants Surviving at 1 Year |
NCT00454194 (6) [back to overview] | Time to Treatment Failure |
NCT00454194 (6) [back to overview] | Confirmed Response Rate (Complete Response and Partial Response) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT00454194 (6) [back to overview] | Progression-free Survival |
NCT00454194 (6) [back to overview] | Overall Survival |
NCT00454194 (6) [back to overview] | Number of Participants With at Least One Grade 3 or Above Adverse Events Assessed by NCI CTCAE v4.0 |
NCT00454194 (6) [back to overview] | Duration of Response |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Gemcitabine |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Paclitaxel |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Pemetrexed |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Capecitabine |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Cisplatin |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Docetaxel |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Carboplatin |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Cisplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Gemcitabine |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Gemcitabine |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Paclitaxel |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Pemetrexed |
NCT00454649 (34) [back to overview] | Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Chemotherapy |
NCT00454649 (34) [back to overview] | Percentage of Participants With Objective Response |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Carboplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Docetaxel |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Cisplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Carboplatin |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Pemetrexed |
NCT00454649 (34) [back to overview] | Plasma Decay Half Life (t1/2) for Paclitaxel |
NCT00454649 (34) [back to overview] | Plasma Clearance (CL) for Docetaxel |
NCT00454649 (34) [back to overview] | Apparent Oral Clearance (CL/F) for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Apparent Oral Clearance (CL/F) for Capecitabine |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Carboplatin |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Docetaxel |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Gemcitabine |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Paclitaxel |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Pemetrexed |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Capecitabine |
NCT00454649 (34) [back to overview] | Area Under the Curve From Time Zero to Time 8 Hours [AUC (0-8)] for Cisplatin |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736) |
NCT00454649 (34) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Capecitabine |
NCT00456261 (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 |
NCT00456261 (3) [back to overview] | Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease |
NCT00456261 (3) [back to overview] | Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment |
NCT00461786 (5) [back to overview] | Duration of Response |
NCT00461786 (5) [back to overview] | Tumor Response |
NCT00461786 (5) [back to overview] | Number of Participants With Adverse Events by Grade |
NCT00461786 (5) [back to overview] | Progression-Free Survival |
NCT00461786 (5) [back to overview] | Overall Survival |
NCT00470548 (7) [back to overview] | Duration of Overall Survival |
NCT00470548 (7) [back to overview] | Number of Participants With Complete Response |
NCT00470548 (7) [back to overview] | Number of Participants With Disease Control |
NCT00470548 (7) [back to overview] | Number of Participants With Dose Limiting Toxicities |
NCT00470548 (7) [back to overview] | Number of Participants With Stable Disease |
NCT00470548 (7) [back to overview] | Number of Patients With Toxicities |
NCT00470548 (7) [back to overview] | Number of Participants With Partial Response |
NCT00482014 (9) [back to overview] | Phase 1 - Percentage of Participants With Complete Response or Partial Response (Response Rate) |
NCT00482014 (9) [back to overview] | Phase 1 - Pharmacology Toxicity: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT00482014 (9) [back to overview] | Phase 1 - Maximum Tolerated Dose (MTD) of Cisplatin |
NCT00482014 (9) [back to overview] | Phase 2 - Median Survival |
NCT00482014 (9) [back to overview] | Phase 2 - Survival Probability at 2 Years |
NCT00482014 (9) [back to overview] | Phase 2 - Percentage of Participants With Complete Response or Partial Response (Response Rate) |
NCT00482014 (9) [back to overview] | Phase 2 - Pharmacology Toxicity: Number of Participants With Adverse Events |
NCT00482014 (9) [back to overview] | Phase 1 - Maximum Tolerated Dose (MTD) of Carboplatin |
NCT00482014 (9) [back to overview] | Phase 2 - Time to Progression |
NCT00487669 (3) [back to overview] | To Evaluate the Overall Response Rate (Complete Plus Partial Responses by RECIST Criteria) to the Combination of Paclitaxel Poliglumex and Pemetrexed as Therapy in Patients With Advanced NSCLC. |
NCT00487669 (3) [back to overview] | Time to Progression |
NCT00487669 (3) [back to overview] | Overall Survival |
NCT00489359 (12) [back to overview] | Phase 1 - Number of Participants With Adverse Events (Toxicity) |
NCT00489359 (12) [back to overview] | Phase 1 - Number of Participants With Tumor Response |
NCT00489359 (12) [back to overview] | Phase 2 - Number of Participants With Adverse Events (Toxicity) |
NCT00489359 (12) [back to overview] | Phase 2 - Percentage of Participants With Overall Tumor Response (Response Rate) |
NCT00489359 (12) [back to overview] | Phase 2 - Progression-Free Survival |
NCT00489359 (12) [back to overview] | Phase 2 - Time to Disease Progression |
NCT00489359 (12) [back to overview] | Phase 2 - Time to Response (TTR) |
NCT00489359 (12) [back to overview] | Phase 1 - Number of Dose-Limiting Toxicities (DLTs) |
NCT00489359 (12) [back to overview] | Phase 1 - Recommended Area Under the Curve (AUC) Dose of Carboplatin for Phase 2 |
NCT00489359 (12) [back to overview] | Phase 1 - Recommended Dose of Pemetrexed for Phase 2 |
NCT00489359 (12) [back to overview] | Phase 2 - Time to Treatment Failure |
NCT00489359 (12) [back to overview] | Phase 2 - Duration of Response (DOR) |
NCT00491075 (1) [back to overview] | Overall Response |
NCT00494026 (1) [back to overview] | Pharmacology Toxicity |
NCT00497770 (11) [back to overview] | Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Drive or Use Public Transportation |
NCT00497770 (11) [back to overview] | Percentage of Participants With a Best Overall Disease Control Response (Disease Control Rate) |
NCT00497770 (11) [back to overview] | Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Prepare and Take Medications |
NCT00497770 (11) [back to overview] | Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Handle Personal Finances |
NCT00497770 (11) [back to overview] | Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Operate the Telephone |
NCT00497770 (11) [back to overview] | Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to do the Act of Shopping |
NCT00497770 (11) [back to overview] | Progression Free Survival |
NCT00497770 (11) [back to overview] | Overall Survival |
NCT00497770 (11) [back to overview] | Functional Status Based on Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Plan and Prepare Meals |
NCT00497770 (11) [back to overview] | Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Perform Housework Activities |
NCT00497770 (11) [back to overview] | Symptom Score Associated With Treatment as Measured by the M.D. Anderson Symptom Inventory - LC(MDASI-LC) |
NCT00503997 (1) [back to overview] | Patient Response to Treatment Measured by RECIST Criteria |
NCT00508144 (1) [back to overview] | Objective Response Rate (OR) Where OR=CR+PR: Number of Participants With Responses of Complete Response (CR) and Partial Response (PR) |
NCT00509366 (3) [back to overview] | 1-year Progression Free Survival Rate in Chemo-naive Select Stage IIIB or Stage IV NSCLC Patients |
NCT00509366 (3) [back to overview] | Mean Change From Baseline to Follow-up Cycle in Quality of Life - Functional Assessment of Cancer Therapy-Lung (FACT-L) |
NCT00509366 (3) [back to overview] | Median Time to Progressive Disease |
NCT00517595 (6) [back to overview] | Overall Survival (OS) |
NCT00517595 (6) [back to overview] | Progression Free Survival (PFS) by Baseline Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT00517595 (6) [back to overview] | Progression Free Survival (PFS) |
NCT00517595 (6) [back to overview] | Time to Progression (TTP) |
NCT00517595 (6) [back to overview] | Overall Response |
NCT00517595 (6) [back to overview] | Overall Survival (OS) by Baseline Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT00520676 (8) [back to overview] | Progression-free Survival (PFS) |
NCT00520676 (8) [back to overview] | Survival Without Clinically Important Grade 3 or 4 Toxicity |
NCT00520676 (8) [back to overview] | Survival Without Grade 3 or 4 Toxicity |
NCT00520676 (8) [back to overview] | Survival Without Grade 4 Toxicity |
NCT00520676 (8) [back to overview] | Overall Survival (OS) |
NCT00520676 (8) [back to overview] | Percentage of Participants With Tumor Response (Response Rate) |
NCT00520676 (8) [back to overview] | Duration of Response |
NCT00520676 (8) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT00520845 (3) [back to overview] | Time to Progression |
NCT00520845 (3) [back to overview] | Overall Response Rate |
NCT00520845 (3) [back to overview] | Median Survival |
NCT00520936 (2) [back to overview] | Number of Patients With Adverse Events, Discontinuations, or Deaths Possibly Due to Study Drug |
NCT00520936 (2) [back to overview] | Percentage of Participants With Overall Tumor Response (Response Rate) |
NCT00523419 (5) [back to overview] | Duration of Response |
NCT00523419 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT00523419 (5) [back to overview] | Overall Survival (OS) Time |
NCT00523419 (5) [back to overview] | Number of Participants With Adverse Events (Pharmacology Toxicity) |
NCT00523419 (5) [back to overview] | Percentage of Participants With Tumor Response |
NCT00529100 (9) [back to overview] | Phase 2: Percentage of Participants With Overall Survival (OS) at 1 Year |
NCT00529100 (9) [back to overview] | Phase 2: Time to Progressive Disease (PD) |
NCT00529100 (9) [back to overview] | Phase 1: Maximum Tolerated Dose (MTD) of Pemetrexed in Combination With Cisplatin and Radiation Therapy |
NCT00529100 (9) [back to overview] | Phase 1: Number of Participants With Adverse Events (AE; Toxicity) |
NCT00529100 (9) [back to overview] | Phase 2: Site of Progressive Disease (PD) |
NCT00529100 (9) [back to overview] | Phase 2: Percentage of Participants With Progression Free Survival (PFS) |
NCT00529100 (9) [back to overview] | Phase 2: Percentage of Participants With Overall Survival (OS) at 2 Years and 3 Years |
NCT00529100 (9) [back to overview] | Progression Free Survival (PFS) |
NCT00529100 (9) [back to overview] | Phase 2: Percentage of Participants With Objective Tumor Response (Response Rate) |
NCT00530621 (8) [back to overview] | Progression-Free Survival (PFS) |
NCT00530621 (8) [back to overview] | Number of Participants Who Died During the 30 Days After Treatment Discontinuation |
NCT00530621 (8) [back to overview] | Number of Participants Who Died During the Study Treatment |
NCT00530621 (8) [back to overview] | Tumor Biomarkers |
NCT00530621 (8) [back to overview] | Time-to-Worsening (TW) in Lung Cancer Symptom Scale (LCSS) - Health Related Quality of Life (HRQoL) Subscale |
NCT00530621 (8) [back to overview] | Duration of Disease Control (DDC) |
NCT00530621 (8) [back to overview] | Overall Survival (OS) |
NCT00530621 (8) [back to overview] | Percentage of Participants With Complete Response or Partial Response (Tumor Response Rate) |
NCT00533429 (6) [back to overview] | Duration of Response (DoR) |
NCT00533429 (6) [back to overview] | Overall Survival (OS) |
NCT00533429 (6) [back to overview] | Pharmacology Toxicity and Adverse Events (AEs) |
NCT00533429 (6) [back to overview] | Time to Progressive Disease (TTPD) |
NCT00533429 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT00533429 (6) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate) |
NCT00538681 (2) [back to overview] | Part 1: Evaluate Safety [Toxicity, Serious Adverse Events (SAEs) and Reasons for Participant's Discontinuation] |
NCT00538681 (2) [back to overview] | Part 2: To Evaluate the Safety and Toxicity Profile of Study Treatments |
NCT00545948 (3) [back to overview] | Percentage of Patients With Completely Resected NSCLC Tumors That Can Be Analyzed and Used to Direct Adjuvant Chemotherapy |
NCT00545948 (3) [back to overview] | 2-Year Progression-Free Survival Rate in Patients With Completely Resected Stage IB, II, or IIIA NSCLC |
NCT00545948 (3) [back to overview] | 2-Year Overall Survival in Patients Treated for NSCLC |
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] | Overall Survival (OS) |
NCT00550173 (8) [back to overview] | Time to Worsening of Symptoms (TWS) on Lung Cancer Symptoms Scale (LCSS) |
NCT00550173 (8) [back to overview] | Percentage of Participants With a Tumor Response of Complete Response (CR) or Partial Response (PR) [Tumor Response Rate (TRR)] |
NCT00550173 (8) [back to overview] | Percentage of Participants With CR, PR, and Stable Disease (SD) - Disease Control Rate (DCR) |
NCT00550173 (8) [back to overview] | Progression-Free Survival (PFS) |
NCT00550173 (8) [back to overview] | Probability of OS at 12 Months |
NCT00560573 (16) [back to overview] | Recommended Phase 2 Dose (RP2D) |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin |
NCT00560573 (16) [back to overview] | Percentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab |
NCT00560573 (16) [back to overview] | Progression-Free Survival (PFS) |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine |
NCT00560573 (16) [back to overview] | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed |
NCT00560573 (16) [back to overview] | Concentration at the End of Infusion (Cinf) for Figitumumab |
NCT00560573 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Cisplatin |
NCT00560573 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Gemcitabine |
NCT00560573 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) for Pemetrexed |
NCT00560573 (16) [back to overview] | Maximum Tolerated Dose (MTD) |
NCT00560573 (16) [back to overview] | Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab |
NCT00560573 (16) [back to overview] | Number of Participants With Dose-limiting Toxicities (DLT) |
NCT00560573 (16) [back to overview] | Percentage of Participants With Objective Response or Prolonged Stabilization |
NCT00560573 (16) [back to overview] | Serum Total Circulating Insulin-like Growth Factor (IGF-1) Levels |
NCT00573989 (10) [back to overview] | Overall Survival |
NCT00573989 (10) [back to overview] | Median Overall Survival |
NCT00573989 (10) [back to overview] | Maximum Tolerated Dose of Erlotinib Hydrochloride (Phase I) |
NCT00573989 (10) [back to overview] | Progression-free Survival (PFS) at 1 Year (Phase II) |
NCT00573989 (10) [back to overview] | Change in Quality of Life- FACT H&N |
NCT00573989 (10) [back to overview] | Objective Tumor Response |
NCT00573989 (10) [back to overview] | Evaluation of Acute and Chronic Toxicity |
NCT00573989 (10) [back to overview] | Median Progression Free Survival |
NCT00573989 (10) [back to overview] | Change in Quality of Life: MDADI |
NCT00573989 (10) [back to overview] | Change in Quality of Life: PSS-HN |
NCT00577707 (1) [back to overview] | Number of Patients With Pathologic Complete Response Rate |
NCT00589667 (2) [back to overview] | Median Overall Survival |
NCT00589667 (2) [back to overview] | Overall Objective Response |
NCT00604461 (2) [back to overview] | Number of Participants With Partial Response (PR) of Target Lesions |
NCT00604461 (2) [back to overview] | Number of Months of Progression Free Survival (PFS) |
NCT00606021 (6) [back to overview] | Progression Free Survival During Overall Period (Induction Phase [IP] + Maintenance Phase [MP]) |
NCT00606021 (6) [back to overview] | Tumor Response Rate and Disease Control Rate After Induction Phase (IP) |
NCT00606021 (6) [back to overview] | Number of Participants With Adverse Events (AEs) During Overall Period |
NCT00606021 (6) [back to overview] | Progression Free Survival During Maintenance Phase |
NCT00606021 (6) [back to overview] | Overall Survival During Overall Period (IP + MP) |
NCT00606021 (6) [back to overview] | Overall Survival During Maintenance Phase |
NCT00609518 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00609518 (4) [back to overview] | Safety: Number of Participants With Drug-Related Grade 3 or 4 Toxicity |
NCT00609518 (4) [back to overview] | Overall Survival |
NCT00609518 (4) [back to overview] | Proportion of Participants With Best Overall Tumor Response (Response Rate) |
NCT00614822 (4) [back to overview] | Progression Free Survival |
NCT00614822 (4) [back to overview] | Overall Survival |
NCT00614822 (4) [back to overview] | Number of Participants With Complete and Partial Tumor Responses |
NCT00614822 (4) [back to overview] | Number of Participants With Adverse Events |
NCT00660816 (4) [back to overview] | Disease Stabilization Rate (e.g., Complete Response, Partial Response, and Stable Disease) |
NCT00660816 (4) [back to overview] | Overall Survival |
NCT00660816 (4) [back to overview] | Progression-free Survival |
NCT00660816 (4) [back to overview] | Response Rate |
NCT00686959 (7) [back to overview] | Survival Rates at 1, 2, and 3 Years |
NCT00686959 (7) [back to overview] | First Site of Disease Failure in Terms of Relapse |
NCT00686959 (7) [back to overview] | Adverse Events: The Number of Deaths Per Treatment Group |
NCT00686959 (7) [back to overview] | Progression-free Survival (PFS) |
NCT00686959 (7) [back to overview] | Overall Survival |
NCT00686959 (7) [back to overview] | Objective Response Rate (Complete Response [CR] + Partial Response [PR]) |
NCT00686959 (7) [back to overview] | Percentage of Participants With a Post Baseline Swallowing Diary Score >=4 |
NCT00691301 (4) [back to overview] | Progression-free Survival |
NCT00691301 (4) [back to overview] | Duration of Overall Survival |
NCT00691301 (4) [back to overview] | Frequency and Severity of Observed Adverse Effects |
NCT00691301 (4) [back to overview] | Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0 |
NCT00698815 (4) [back to overview] | 18 Week Progression-free Survival (PFS) Rate |
NCT00698815 (4) [back to overview] | Overall Response Rate |
NCT00698815 (4) [back to overview] | PFS |
NCT00698815 (4) [back to overview] | Overall Survival (OS) |
NCT00700336 (1) [back to overview] | 4M PFS Rate of Patients With Previously Untreated, Unresectable Malignant Pleural Mesothelioma (MPM) Treated With CBP501, Pemetrexed and Cisplatin |
NCT00702299 (6) [back to overview] | Maximum-tolerated Dose of Pemetrexed With a Day 2 i.p. Cisplatin (75 mg/m2) and Day 8 i.p. Paclitaxel (60 mg/m2) |
NCT00702299 (6) [back to overview] | Overall Survival |
NCT00702299 (6) [back to overview] | Pharmacokinetics (Mean Cmax, ug/mL)for Different Dosages of Pemetrexed |
NCT00702299 (6) [back to overview] | Patients That Completed at Least 6 Courses of Therapy of Pemetrexed Along With Day 2 i.p. Cisplatin (75 mg/m2) and Day 8 i.p. Paclitaxel (60 mg/m2)at the Determined Maximum Tolerated Dose |
NCT00702299 (6) [back to overview] | Patients Experienced Grade >=3 Toxicity at Dose Level 5 (1,000 mg/m2 IP Pemetrexed) |
NCT00702299 (6) [back to overview] | Progression-free Survival at 18 Months as Assessed by Cancer Antigen 125 |
NCT00703976 (2) [back to overview] | 2-year Progression-free Survival (PFS) |
NCT00703976 (2) [back to overview] | 2-year Overall Survival (OS) |
NCT00732303 (1) [back to overview] | Assess Safety and Toxicity |
NCT00732992 (11) [back to overview] | Maximum Concentration of Pemetrexed Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1 |
NCT00732992 (11) [back to overview] | Terminal Phase Elimination Half-Life (T1/2) of Pemetrexed Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1 |
NCT00732992 (11) [back to overview] | "Sunitinib Relative Dose Intensity in the Sunitinib 37.5 mg/Day Continuous Daily Dosing Treatment Arm" |
NCT00732992 (11) [back to overview] | AUC 0-24 of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1 |
NCT00732992 (11) [back to overview] | "Sunitinib Relative Dose Intensity in the Sunitinib 50 mg/Day Schedule-2/1 Treatment Arm" |
NCT00732992 (11) [back to overview] | Number of Participants With Adverse Events |
NCT00732992 (11) [back to overview] | Summary of Best Overall Response According to Response Evaluation Criteria in Solid Tumors (RECIST): Number of Participants |
NCT00732992 (11) [back to overview] | Tmax of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1 |
NCT00732992 (11) [back to overview] | Trough and Maximum Concentration of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1 |
NCT00732992 (11) [back to overview] | Trough Concentrations of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) After Coadministration of Sunitinib 50 mg/Day and Pemetrexed 500 mg/m^2 (Cycle 1 Day 1), Followed by Sunitinib 50 mg/Day on Schedule-2/1 at Cycle 1 Day 14 or 15 |
NCT00732992 (11) [back to overview] | AUC0-∞ of Pemetrexed Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1 |
NCT00738582 (7) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability of Amatuximab |
NCT00738582 (7) [back to overview] | Number of Participants With Progression Free Survival (PFS) Responders and Non-responders at Month 6 |
NCT00738582 (7) [back to overview] | Time to Tumor Response (TTR) |
NCT00738582 (7) [back to overview] | Overall Survival (OS) |
NCT00738582 (7) [back to overview] | Overall Response Rate (ORR) |
NCT00738582 (7) [back to overview] | Duration of Response (DR) |
NCT00738582 (7) [back to overview] | Overall Progression Free Survival |
NCT00738881 (1) [back to overview] | Progression-free Survival (PFS) |
NCT00745875 (2) [back to overview] | Time to Death |
NCT00745875 (2) [back to overview] | Progression-free Survival |
NCT00762034 (28) [back to overview] | Time to Progressive Disease |
NCT00762034 (28) [back to overview] | Translational Research: Overall Survival (OS) Based on Nuclear Thyroid Transcription Factor-1 (TTF-1) Expression Regardless of Study Treatment |
NCT00762034 (28) [back to overview] | Change From Baseline in Participant Reported Outcomes as Assessed by the Functional Assessment of Cancer Therapy - Lung (FACT-L) |
NCT00762034 (28) [back to overview] | Change From Baseline in Participant Reported Outcomes as Assessed by the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group- Neurotoxicity (FACT/GOG-Ntx) |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC(0-∞)) for Total (Bound and Unbound) Platinum and Unbound Platinum |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Elimination Half-life (t1/2) for Total (Bound and Unbound) Platinum and Unbound Platinum |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) for Total (Bound and Unbound) Platinum and Unbound Platinum |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Platinum Clearance (CL) for Total (Bound and Unbound) and Unbound Forms |
NCT00762034 (28) [back to overview] | Translational Research: Number of Participants With Epidermal Growth Factor Receptor (EGFR) Mutations |
NCT00762034 (28) [back to overview] | Translational Research: Overall Survival (OS) Based on Cytoplasmic and Membrane Folate Receptor Alpha (FR-α) Expression |
NCT00762034 (28) [back to overview] | Translational Research: Overall Survival (OS) Based on Cytoplasmic and Nuclear Thymidylate Synthase (TS) Expression |
NCT00762034 (28) [back to overview] | Safety and Toxicity Profile of Study Treatments |
NCT00762034 (28) [back to overview] | Change From Baseline in Participant Reported Outcomes as Assessed by the Functional Assessment of Cancer Therapy - General (FACT-G) |
NCT00762034 (28) [back to overview] | Duration of Hospitalizations Per Participant |
NCT00762034 (28) [back to overview] | Number of Participants Receiving Concomitant Medication |
NCT00762034 (28) [back to overview] | Number of Participants Who Received a Transfusion |
NCT00762034 (28) [back to overview] | Overall Survival |
NCT00762034 (28) [back to overview] | Percentage of Participants With a Complete Response (CR) and Partial Response (PR) (Overall Response Rate) |
NCT00762034 (28) [back to overview] | Percentage of Participants With a Complete Response (CR), Partial Response (PR), and Stable Disease (SD) (Disease Control Rate) |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC(0-∞)) Bevacizumab |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC(0-∞)) for Pemetrexed |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Bevacizumab Clearance (CL) |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Elimination Half-life (t1/2) for Bevacizumab |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Elimination Half-life (t1/2) for Pemetrexed |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) for Bevacizumab |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) for Pemetrexed |
NCT00762034 (28) [back to overview] | Pharmacokinetics (PK): Pemetrexed Clearance (CL) |
NCT00762034 (28) [back to overview] | Progression Free Survival Time |
NCT00768755 (6) [back to overview] | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score |
NCT00768755 (6) [back to overview] | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score |
NCT00768755 (6) [back to overview] | Duration of Response (DR) |
NCT00768755 (6) [back to overview] | Overall Survival (OS) |
NCT00768755 (6) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00768755 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT00769600 (3) [back to overview] | RECIST Response |
NCT00769600 (3) [back to overview] | Progression Free Survival as Measured by Number of Days Without Disease Progression |
NCT00769600 (3) [back to overview] | Overall Survival |
NCT00771953 (1) [back to overview] | Progression Free Survival |
NCT00789373 (12) [back to overview] | Percentage of Participants With Independently-Assessed Objective Tumor Response (Response Rate) During Maintenance Phase Up to Primary Data Cut-Off |
NCT00789373 (12) [back to overview] | Percentage of Participants With Serious Adverse Events During Maintenance Phase |
NCT00789373 (12) [back to overview] | Change From Baseline in the EuroQol Instrument (EQ-5D) Index Score |
NCT00789373 (12) [back to overview] | Percentage of Participants With a Non-Serious Adverse Event (AE) During Maintenance Phase |
NCT00789373 (12) [back to overview] | Overall Survival (OS) |
NCT00789373 (12) [back to overview] | Percentage of Participants With Objective Tumor Response (Response Rate) During Maintenance Phase of Study up to Primary Data Cut-Off |
NCT00789373 (12) [back to overview] | Change From Baseline in EuroQol Instrument (EQ-5D) Visual Analog Scale (VAS) |
NCT00789373 (12) [back to overview] | Change From Baseline in EuroQol Instrument (EQ-5D) Visual Analog Scale (VAS) |
NCT00789373 (12) [back to overview] | Change From Baseline in the EuroQol Instrument (EQ-5D) Index Score |
NCT00789373 (12) [back to overview] | Percentage of Participants With Hospitalizations Due to Adverse Events or Requiring Transfusion (Resource Utilization) |
NCT00789373 (12) [back to overview] | Independently-assessed Objective Progression-free Survival (PFS) |
NCT00789373 (12) [back to overview] | Investigator-assessed Objective Progression-free Survival (PFS) |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Terminal Half-Life (t1/2) of Aflibercept |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs) |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Number of Participants With Positive Anti-drug Antibody (ADA) of Aflibercept |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Pemetrexed |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Terminal Half-Life (t1/2) of Pemetrexed |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Maximum Observed Plasma Concentration (Cmax) of Aflibercept and Pemetrexed |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Number of Participants With All Grade Hematology Abnormalities |
NCT00794417 (14) [back to overview] | Phase 2: Progression-free Survival (PFS) |
NCT00794417 (14) [back to overview] | Phase 2: Objective Response Rate |
NCT00794417 (14) [back to overview] | Phase 1: Recommended Dose of Aflibercept for Phase 2 |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Total Body Clearance of Pemetrexed |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Aflibercept |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Total Body Clearance of Aflibercept |
NCT00794417 (14) [back to overview] | Phase 1 and 2: Number of Participants With All Grade Glucose Abnormalities |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 3 in Fatigue Assessed by Treatment-specific Adverse Events Scale |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 5 in Fatigue Assessed by Treatment-specific Adverse Events Scale |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 3 in Neuropathy Assessed by Treatment-specific Adverse Events Scale |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 3 in Overall Quality of Life Assessed by Linear Analogue Self Assessment (LASA) |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 3 in Nausea Assessed by Treatment-specific Adverse Events Scale |
NCT00798603 (17) [back to overview] | Number of Grade 3 or Higher Adverse Events Occurring in >=10% of Patients |
NCT00798603 (17) [back to overview] | Proportion of Confirmed Tumor Response Defined as an Objective Status of Complete Response or Partial Response on Two Consecutive Evaluations |
NCT00798603 (17) [back to overview] | Time to Treatment Failure |
NCT00798603 (17) [back to overview] | Progression-free Survival at 6 Months |
NCT00798603 (17) [back to overview] | Progression-free Survival |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 3 in Quality of Life (QOL) as Assessed by the Lung Cancer Symptom Scale |
NCT00798603 (17) [back to overview] | Overall Survival |
NCT00798603 (17) [back to overview] | Duration of Response |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 5 in Quality of Life (QOL) as Assessed by the Lung Cancer Symptom Scale |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 5 in Overall Quality of Life Assessed by Linear Analogue Self Assessment (LASA) |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 5 in Neuropathy Assessed by Treatment-specific Adverse Events Scale |
NCT00798603 (17) [back to overview] | Change From Baseline to Cycle 5 in Nausea Assessed by Treatment-specific Adverse Events Scale |
NCT00806819 (14) [back to overview] | Overall Survival (Key Secondary Endpoint) |
NCT00806819 (14) [back to overview] | Duration of Disease Control |
NCT00806819 (14) [back to overview] | Incidence and Intensity of Adverse Events |
NCT00806819 (14) [back to overview] | Objective Tumor Response |
NCT00806819 (14) [back to overview] | Duration of Confirmed Objective Tumour Response |
NCT00806819 (14) [back to overview] | Progression Free Survival (PFS) as Assessed by Central Independent Review |
NCT00806819 (14) [back to overview] | Clinical Improvement. |
NCT00806819 (14) [back to overview] | Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Central Independent Review |
NCT00806819 (14) [back to overview] | Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Investigator |
NCT00806819 (14) [back to overview] | Quality of Life (QoL) |
NCT00806819 (14) [back to overview] | Time to Confirmed Objective Tumour Response |
NCT00806819 (14) [back to overview] | Dose Normalised Predose Plasma Concentration at Steady State (Cpre,ss,Norm) of Nintedanib and of Its Metabolites BIBF 1202 and BIBF 1202 Glucuronide |
NCT00806819 (14) [back to overview] | Disease Control |
NCT00806819 (14) [back to overview] | Change From Baseline in Tumour Size |
NCT00807573 (1) [back to overview] | Objective Response Rate (CR + PR by RECIST) Paclitaxel, Pemetrexed, and Bevacizumab in Patients With Advanced Non-Small Lung Cancer Who Have Received no Prior Treatment for Metastatic Disease. |
NCT00824408 (13) [back to overview] | Duration of Overall Response |
NCT00824408 (13) [back to overview] | Objective Tumor Response, Defined as Complete Response (CR), and Partial Response (PR), Evaluated According to RECIST Criteria. |
NCT00824408 (13) [back to overview] | Cmax of Volasertib |
NCT00824408 (13) [back to overview] | CL of Pemetrexed |
NCT00824408 (13) [back to overview] | Cmax of Pemetrexed |
NCT00824408 (13) [back to overview] | Occurence of DLT |
NCT00824408 (13) [back to overview] | Frequency of Patients With Possible Clinically Significant Abnormalities |
NCT00824408 (13) [back to overview] | Occurrence and Intensity of AEs Graded According to CTCAE. |
NCT00824408 (13) [back to overview] | Vss of Volasertib |
NCT00824408 (13) [back to overview] | Overall Survival (OS) |
NCT00824408 (13) [back to overview] | Progression Free Survival (PFS) Time From the Date of Randomization to Date of Disease Progression or Death, Whichever Occurred First. |
NCT00824408 (13) [back to overview] | Total Clearance (CL) of Volasertib |
NCT00824408 (13) [back to overview] | Vss of Pemetrexed |
NCT00859495 (1) [back to overview] | Number of Subjects Who Were Able to Complete Trimodal Therapy (Combination of Surgery, Intrapleural and Systemic Chemotherapy and P-32 Radiotherapy). |
NCT00860015 (1) [back to overview] | Tumor Best Response Rate |
NCT00864513 (4) [back to overview] | Objective Response |
NCT00864513 (4) [back to overview] | Number of Participants With Adverse Events |
NCT00864513 (4) [back to overview] | CA 19-9 Response |
NCT00864513 (4) [back to overview] | Progression-free Survival |
NCT00867009 (4) [back to overview] | The Percentage of Participants Still Living at One Year (One Year Survival Rate) |
NCT00867009 (4) [back to overview] | Progression-free Survival (PFS) |
NCT00867009 (4) [back to overview] | Percentage of Participants With a Tumor Response (Objective Tumor Response Rate) |
NCT00867009 (4) [back to overview] | The Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR]) |
NCT00868192 (10) [back to overview] | Overall Survival (OS) |
NCT00868192 (10) [back to overview] | Overall Response Rate |
NCT00868192 (10) [back to overview] | Overall Survival (OS) |
NCT00868192 (10) [back to overview] | Progression-free Survival (PFS) |
NCT00868192 (10) [back to overview] | Progression-free Survival (PFS) |
NCT00868192 (10) [back to overview] | CA-125 Response |
NCT00868192 (10) [back to overview] | Distribution of Overall Survival (OS) |
NCT00868192 (10) [back to overview] | Distribution of Progression-free Survival (PFS) |
NCT00868192 (10) [back to overview] | Toxicity Associated With Bevacizumab and Pemetrexed |
NCT00868192 (10) [back to overview] | Frequency of Clinical Response |
NCT00871403 (3) [back to overview] | Best Overall Response, Assessed as the Number of Participants With the Indicated Tumor Response: Investigator Assessed Only |
NCT00871403 (3) [back to overview] | Progression-free Survival (PFS) |
NCT00871403 (3) [back to overview] | Percentage of Participants With a Complete Response or a Partial Response |
NCT00887549 (4) [back to overview] | Percentage of Participants With Concordance Between Local and Central Histological Diagnosis |
NCT00887549 (4) [back to overview] | Percentage of Participants With Tumor Response (Tumor Response Rate) |
NCT00887549 (4) [back to overview] | Progression Free Survival (PFS) |
NCT00887549 (4) [back to overview] | Percentage of Participants Surviving at 18 Months (Overall Survival Rate) |
NCT00892710 (6) [back to overview] | Overall Survival (OS) |
NCT00892710 (6) [back to overview] | Time to Treatment Failure (TTTF) |
NCT00892710 (6) [back to overview] | 6-month and 12-month Overall Survival Probability |
NCT00892710 (6) [back to overview] | Time to Progression (TTP) |
NCT00892710 (6) [back to overview] | Progression Free Survival (PFS) |
NCT00892710 (6) [back to overview] | Overall Response Rate (ORR), the Number of Patients Who Experience an Objective Benefit From Treatment |
NCT00906282 (5) [back to overview] | Rate of Residual Disease as an Assessment of Pathological Partial Response (pPR) |
NCT00906282 (5) [back to overview] | 3-Year Overall Survival Rate |
NCT00906282 (5) [back to overview] | Objective Tumor Response |
NCT00906282 (5) [back to overview] | Complete Resection Rate |
NCT00906282 (5) [back to overview] | Pathologic Response Rate |
NCT00921310 (6) [back to overview] | Phase I Only: Maximum Tolerated Dose (MTD) of Pemetrexed That Could be Administered Weekly in Combination With Temsirolimus |
NCT00921310 (6) [back to overview] | Phase I Only: Maximum Tolerated Dose (MTD) of Temsirolimus That Could be Administered Weekly in Combination With Pemetrexed |
NCT00921310 (6) [back to overview] | Phase I Only: Number of Participants Who Experience Dose-limiting Toxicities (DLT) of Temsirolimus and Pemetrexed |
NCT00921310 (6) [back to overview] | Phase 2 Only: Progression-free Survival (PFS) |
NCT00921310 (6) [back to overview] | Phase I and Phase II: Overall Response Rate (Complete Response + Partial Response) |
NCT00921310 (6) [back to overview] | Phase 2 Only: Survival Rate |
NCT00923273 (4) [back to overview] | Phase II: Clinical Response Rate |
NCT00923273 (4) [back to overview] | Number of Participants With Serious and Non-Serious Adverse Events |
NCT00923273 (4) [back to overview] | Phase I: Maximum Tolerated Dose (MTD) of Sirolimus |
NCT00923273 (4) [back to overview] | Phase I: Maximum Tolerated Dose (MTD) of Pemetrexed |
NCT00932893 (15) [back to overview] | Percentage of Participants With Objective Response (OR) |
NCT00932893 (15) [back to overview] | Progression-Free Survival (PFS) |
NCT00932893 (15) [back to overview] | Time to Deterioration (TTD) in Participant Reported Pain, Dyspnea, and Cough |
NCT00932893 (15) [back to overview] | Percentage of Participants With Disease Control at Week 12 |
NCT00932893 (15) [back to overview] | Time to Tumor Response (TTR) |
NCT00932893 (15) [back to overview] | European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) |
NCT00932893 (15) [back to overview] | European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Supplement Module for Lung Cancer (EORTC QLQ-LC13) |
NCT00932893 (15) [back to overview] | European Quality of Life - 5 Dimensional (EQ-5D) Visual Analog Scale (VAS) |
NCT00932893 (15) [back to overview] | Number of Participants With Categorical Maximum QTcF for Crizotinib |
NCT00932893 (15) [back to overview] | Duration of Response (DR) |
NCT00932893 (15) [back to overview] | Overall Survival (OS) |
NCT00932893 (15) [back to overview] | Overall Survival Probability at Months 6 and 12 |
NCT00932893 (15) [back to overview] | Plasma Concentration of Crizotinib |
NCT00932893 (15) [back to overview] | Plasma Concentration of Soluble c-Met Ectodomain and Hepatocyte Growth Factor Scatter Proteins |
NCT00932893 (15) [back to overview] | Percentage of Participants With Disease Control at Week 6 |
NCT00942825 (1) [back to overview] | The Primary Efficacy Endpoint is Progression Free Survival, Analyzed in the Treated Population. PFS is Assessed From Randomization Until Either Tumor Progression, as Per RECIST Criteria, or Until Death Due to Any Reason. |
NCT00948675 (5) [back to overview] | Percentage of Participants With Complete Response or Partial Response (Overall Tumor Response Rate) |
NCT00948675 (5) [back to overview] | Overall Survival (OS) |
NCT00948675 (5) [back to overview] | Disease Control Rates Defined as Complete Response (CR), Partial Response (PR), and Stable Disease (SD) |
NCT00948675 (5) [back to overview] | Progression Free Survival (PFS) |
NCT00948675 (5) [back to overview] | Progression Free Survival Without Grade 4 Toxicity (G4PFS) as Measured by the Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 |
NCT00949650 (13) [back to overview] | Trough Plasma Concentrations of Afatinib at Day 29 |
NCT00949650 (13) [back to overview] | Trough Plasma Concentrations of Afatinib at Day 22 |
NCT00949650 (13) [back to overview] | Progression-Free Survival (PFS) Time |
NCT00949650 (13) [back to overview] | Percentage of Patients With Objective Response (OR) |
NCT00949650 (13) [back to overview] | Percentage of Participants With Disease Control (DC) |
NCT00949650 (13) [back to overview] | HRQOL: Time to Deterioration in Pain |
NCT00949650 (13) [back to overview] | HRQOL: Time to Deterioration in Dyspnoea |
NCT00949650 (13) [back to overview] | Health Related Quality of Life (HRQOL): Time to Deterioration in Coughing |
NCT00949650 (13) [back to overview] | Overall Survival (OS) Time |
NCT00949650 (13) [back to overview] | Trough Plasma Concentrations of Afatinib at Day 43 |
NCT00949650 (13) [back to overview] | Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) |
NCT00949650 (13) [back to overview] | Change From Baseline in Body Weight |
NCT00949650 (13) [back to overview] | Tumour Shrinkage |
NCT00950365 (3) [back to overview] | PFS (Progression Free Survival) |
NCT00950365 (3) [back to overview] | Overall Survival |
NCT00950365 (3) [back to overview] | Objective Response Rate (CR +PR) Evaluated Using RECIST |
NCT00961415 (8) [back to overview] | Number of Participants With Marked Laboratory Abnormalities |
NCT00961415 (8) [back to overview] | Duration of Response During Maintenance Treatment Phase |
NCT00961415 (8) [back to overview] | Duration of Disease Control During Maintenance Treatment Phase |
NCT00961415 (8) [back to overview] | Overall Survival During Maintenance Treatment Phase |
NCT00961415 (8) [back to overview] | Progression Free Survival During Maintenance Treatment Phase |
NCT00961415 (8) [back to overview] | Best Overall Response Rate During Maintenance Treatment Phase |
NCT00961415 (8) [back to overview] | Incidence of Adverse Events and Serious Adverse Event |
NCT00961415 (8) [back to overview] | Quality of Life |
NCT00976456 (2) [back to overview] | Overall Survival |
NCT00976456 (2) [back to overview] | Progression Free Survival |
NCT00979576 (10) [back to overview] | AUC0-inf of Pemetrexed |
NCT00979576 (10) [back to overview] | Adverse Events According to Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0 for All Courses |
NCT00979576 (10) [back to overview] | Duration of Disease Control |
NCT00979576 (10) [back to overview] | Dose Limiting Toxicities |
NCT00979576 (10) [back to overview] | AUC0-inf of Nintedanib |
NCT00979576 (10) [back to overview] | Disease Control Rate |
NCT00979576 (10) [back to overview] | Cmax of Nintedanib |
NCT00979576 (10) [back to overview] | Overall Response Rate |
NCT00979576 (10) [back to overview] | Number of Participants With Clinically Relevant Abnormalities in Laboratory Parameters |
NCT00979576 (10) [back to overview] | Cmax of Pemetrexed |
NCT00982111 (10) [back to overview] | Pharmacokinetics (PK): Minimum Concentration (Cmin) of Necitumumab |
NCT00982111 (10) [back to overview] | Overall Survival Time (OS) |
NCT00982111 (10) [back to overview] | Progression-Free Survival (PFS) |
NCT00982111 (10) [back to overview] | Time to Treatment Failure (TTF) |
NCT00982111 (10) [back to overview] | Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR) (Objective Tumor Response Rate [ORR]) |
NCT00982111 (10) [back to overview] | Percentage of Participants With EGFR Measured by IHC |
NCT00982111 (10) [back to overview] | Number of Participants With Serum Anti-Necitumumab Antibody Assessment (Immunogenicity) |
NCT00982111 (10) [back to overview] | Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC) |
NCT00982111 (10) [back to overview] | Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimensions (EQ-5D) |
NCT00982111 (10) [back to overview] | Mean Change From Baseline in PRO as Measured Using the Lung Cancer Symptom Scale (LCSS) |
NCT00988858 (9) [back to overview] | Duration of Response |
NCT00988858 (9) [back to overview] | Overall Tumor Response - Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)] |
NCT00988858 (9) [back to overview] | Percentage of Participants Who Achieved a Best Response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) (Clinical Benefit Rate) |
NCT00988858 (9) [back to overview] | Progression-free Survival (PFS) |
NCT00988858 (9) [back to overview] | Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2603618 |
NCT00988858 (9) [back to overview] | PK: Area Under the Plasma Concentration vs. Time Curve From Time Zero to Infinity [AUC(0-∞)] of LY2603618 |
NCT00988858 (9) [back to overview] | Change in Symptom Burden Scores of Lung Cancer Symptom Scale (LCSS) |
NCT00988858 (9) [back to overview] | PK: Maximum Plasma Concentration (Cmax) of Pemetrexed |
NCT00988858 (9) [back to overview] | PK: Area Under the Plasma Concentration vs. Time Curve From Time Zero to Infinity [AUC(0-∞)] of Pemetrexed |
NCT01000480 (3) [back to overview] | Number of Participants With an Objective Tumor Response |
NCT01000480 (3) [back to overview] | Overall Survival |
NCT01000480 (3) [back to overview] | 1 Year Progression Free Survival |
NCT01001910 (3) [back to overview] | Progression-free Interval |
NCT01001910 (3) [back to overview] | Incidence of Toxicities |
NCT01001910 (3) [back to overview] | Overall Survival (OS) |
NCT01004250 (5) [back to overview] | Percentage of Participants With Confirmed Complete Response or Partial Response During the Maintenance Therapy Only |
NCT01004250 (5) [back to overview] | Percentage of Participants With Confirmed Complete Response or Partial Response During Study Treatment (Induction and Maintenance) |
NCT01004250 (5) [back to overview] | Overall Survival |
NCT01004250 (5) [back to overview] | Progression-Free Survival |
NCT01004250 (5) [back to overview] | Percentage of Participants With Confirmed Response Complete or Partial Response During the Induction Treatment Only |
NCT01005680 (9) [back to overview] | Time to Treatment Failure (TtTF) |
NCT01005680 (9) [back to overview] | Time to Progressive Disease (TtPD) |
NCT01005680 (9) [back to overview] | Tumor Response Rate |
NCT01005680 (9) [back to overview] | Survival Without Toxicity (SWT) |
NCT01005680 (9) [back to overview] | Risk/Benefit Ratio |
NCT01005680 (9) [back to overview] | Progression Free Survival (PFS) |
NCT01005680 (9) [back to overview] | Overall Survival (OS) |
NCT01005680 (9) [back to overview] | Duration of Response (DoR) |
NCT01005680 (9) [back to overview] | Disease Control Rate (DCR) |
NCT01017874 (7) [back to overview] | Time to Progressive Disease (TtPD) |
NCT01017874 (7) [back to overview] | Time to Worsening of Health-Related Quality of Life (TWQ) Using the Participant-Rated Lung Cancer Symptom Scale (LCSS) |
NCT01017874 (7) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Tumor Response Rate (TRR)] |
NCT01017874 (7) [back to overview] | Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) [Disease Control Rate (DCR)] |
NCT01017874 (7) [back to overview] | Progression Free Survival (PFS) |
NCT01017874 (7) [back to overview] | Overall Survival (OS) |
NCT01017874 (7) [back to overview] | Duration of Tumor Response |
NCT01020786 (9) [back to overview] | Overall Survival (OS) During the Maintenance Therapy Period |
NCT01020786 (9) [back to overview] | Percentage of Participants Who Achieved a Complete Response (CR) or Partial Response (PR) During the Induction and Maintenance Therapy Periods |
NCT01020786 (9) [back to overview] | Percentage of Participants Who Achieved a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) During the Maintenance Therapy Period |
NCT01020786 (9) [back to overview] | Progression Free Survival (PFS) During the Maintenance Therapy Period |
NCT01020786 (9) [back to overview] | Percentage of Participants Who Achieve a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) During the Induction and Maintenance Therapy Periods |
NCT01020786 (9) [back to overview] | Overall Survival (OS) During the Induction and Maintenance Therapy Periods |
NCT01020786 (9) [back to overview] | Percentage of Participants Who Achieve a Complete Response (CR) or a Partial Response (PR) During the Induction Therapy Period |
NCT01020786 (9) [back to overview] | Percentage of Participants Who Observe a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) During the Induction Therapy Period |
NCT01020786 (9) [back to overview] | Progression Free Survival (PFS) During the Induction and Maintenance Therapy Periods |
NCT01041781 (7) [back to overview] | Incidence of Toxicities as Assessed by NCI CTCAE v. 4.0 |
NCT01041781 (7) [back to overview] | Prognostic Value of Urinary Prostaglandin Metabolites (PGE-M) Levels for Worse PFS for Patients Who Had Baseline Urinary PGE-M Above/Below the Median Quartile (Q2) |
NCT01041781 (7) [back to overview] | Prognostic Value of Urinary Prostaglandin Metabolites (PGE-M) Levels for Worse PFS for Patients Who Had Baseline Urinary PGE-M Above/Below the Third Quartile (Q3) |
NCT01041781 (7) [back to overview] | Progression-free Survival |
NCT01041781 (7) [back to overview] | Prognostic Value of Urinary Prostaglandin Metabolites (PGE-M) Levels for Worse PFS for Patients Who Had Baseline Urinary PGE-M Above/Below the First Quartile (Q1) |
NCT01041781 (7) [back to overview] | Response Rate |
NCT01041781 (7) [back to overview] | Overall Survival |
NCT01042288 (5) [back to overview] | Median Overall Survival (OS) |
NCT01042288 (5) [back to overview] | Median Progression-free Survival (PFS) |
NCT01042288 (5) [back to overview] | Median Time to Progression (TTP) |
NCT01042288 (5) [back to overview] | Frequency of Adverse Events and Severity as a Measure of Toxicity |
NCT01042288 (5) [back to overview] | Objective Response Rate |
NCT01057589 (6) [back to overview] | Progression Free Survival (PFS) |
NCT01057589 (6) [back to overview] | Percent of Participants With a Partial Response (PR) or a Complete Response (CR) |
NCT01057589 (6) [back to overview] | Change From Baseline in Performance Status Scale for Head and Neck Cancer Patients (PSS-HNC) |
NCT01057589 (6) [back to overview] | Change From Baseline in Participant Reported European-Quality of Life 5 Dimension Instrument (EQ-5D) Visual Analog Scale (VAS) at End of Triplet Combination Therapy and End of Maintenance Therapy |
NCT01057589 (6) [back to overview] | Overall Survival (OS) |
NCT01057589 (6) [back to overview] | Change From Baseline in Participant Reported EQ-5D Utility Score at End of Triplet Combination Therapy and End of Maintenance Therapy |
NCT01063283 (2) [back to overview] | Response Rate |
NCT01063283 (2) [back to overview] | Change in 24 Hour Diastolic Blood Pressure (DBP) |
NCT01064648 (9) [back to overview] | Response Rate by Modified RECIST (Phase II) |
NCT01064648 (9) [back to overview] | Overall Survival (Phase II) |
NCT01064648 (9) [back to overview] | Maximum Tolerated Dose of Cediranib in Combination With Cisplatin and Pemetrexed (Phase I) |
NCT01064648 (9) [back to overview] | Disease Control Rate by RECIST 1.1 (Phase II) |
NCT01064648 (9) [back to overview] | (Phase I) Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs |
NCT01064648 (9) [back to overview] | (Phase II) Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs |
NCT01064648 (9) [back to overview] | Progression-free Survival (Phase II) |
NCT01064648 (9) [back to overview] | Disease Control Rate by Modified RECIST (Phase II) |
NCT01064648 (9) [back to overview] | Response Rate by RECIST1.1 (Phase II) |
NCT01085630 (4) [back to overview] | Overall Survival |
NCT01085630 (4) [back to overview] | Progression-free Survival |
NCT01085630 (4) [back to overview] | Toxicity, Assessed Using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (v4) |
NCT01085630 (4) [back to overview] | Response Rate |
NCT01087970 (6) [back to overview] | Overall Survival (OS) |
NCT01087970 (6) [back to overview] | Percentage of Participants Having a Confirmed Partial Response (PR) or Complete Response (CR) |
NCT01087970 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT01087970 (6) [back to overview] | Change From Baseline in Performance Status Scale for Head and Neck Cancer (PSS-HNC) |
NCT01087970 (6) [back to overview] | Number of Participants Who Died While on Treatment and Died During 30-Day Post-Treatment Discontinuation Follow-Up (FU) |
NCT01087970 (6) [back to overview] | Change From Baseline in Participant-Reported European-Quality of Life-5 Dimension Instrument-3 Levels (EQ-5D-3L) |
NCT01107626 (3) [back to overview] | Response Rate |
NCT01107626 (3) [back to overview] | Overall Survival |
NCT01107626 (3) [back to overview] | Progression-free Survival |
NCT01126736 (4) [back to overview] | Phase 2: Percentage of Participants Who Experienced TEAEs |
NCT01126736 (4) [back to overview] | Phase 1b: Percentage of Participants With Grade 3 or Higher Treatment Emergent Adverse Events (TEAEs) |
NCT01126736 (4) [back to overview] | Phase 2: Progression-free Survival (PFS) |
NCT01126736 (4) [back to overview] | Phase 1b: Number of Participants With Dose-Limiting Toxicity (DLTs) |
NCT01139775 (15) [back to overview] | Phase 1: Document Any Antitumor Activity Per Radiological Scans and/or Tumor Markers |
NCT01139775 (15) [back to overview] | Deaths |
NCT01139775 (15) [back to overview] | Phase 2: Progression-Free Survival Time |
NCT01139775 (15) [back to overview] | Phase 2: Pharmacokinetic: Cmax (LY2603618) |
NCT01139775 (15) [back to overview] | Phase 1: Pharmacokinetic: Area Under the Plasma Concentration Versus Time Curve (AUC) (LY2603618) |
NCT01139775 (15) [back to overview] | Phase 2: Overall Survival |
NCT01139775 (15) [back to overview] | Phase 1: Pharmacokinetic: AUC (Pemetrexed and Cisplatin) |
NCT01139775 (15) [back to overview] | Phase 1: Pharmacokinetic: Cmax (Pemetrexed and Cisplatin) |
NCT01139775 (15) [back to overview] | Phase 2: Clinical Benefit Rate: Percentage of Participant Who Achieved a Response of Stable Disease (SD), Partial Response (PR), or Complete Response (CR) |
NCT01139775 (15) [back to overview] | Phase 2: Change in Tumor Size |
NCT01139775 (15) [back to overview] | Phase 1: Recommended Phase 2 Dose of LY2603618 |
NCT01139775 (15) [back to overview] | Phase 1: Pharmacokinetic: Maximum Plasma Concentration (Cmax) (LY2603618) |
NCT01139775 (15) [back to overview] | Phase 2: Change From Baseline to Long-term Follow up in Lung Cancer Symptom Scale (LCSS) |
NCT01139775 (15) [back to overview] | Phase 2: Pharmacokinetic: AUC (LY2603618) |
NCT01139775 (15) [back to overview] | Phase 2: Overall Tumor Response Rate: Percentage of Participants Who Achieved a Confirmed Best Response of Completed Response (CR) or Partial Response (PR) |
NCT01160744 (7) [back to overview] | Change in Tumor Size (CTS) |
NCT01160744 (7) [back to overview] | Duration of Response (DOR) |
NCT01160744 (7) [back to overview] | Overall Survival (OS) |
NCT01160744 (7) [back to overview] | Percentage of Participants With Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)] |
NCT01160744 (7) [back to overview] | Percentage of Participants With CR, PR, or Stable Disease (SD) [Disease Control Rate (DCR)] |
NCT01160744 (7) [back to overview] | Progression-Free Survival (PFS) |
NCT01160744 (7) [back to overview] | Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Who Died |
NCT01165021 (5) [back to overview] | Overall Survival (OS) |
NCT01165021 (5) [back to overview] | Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)] |
NCT01165021 (5) [back to overview] | Percentage of Participants With No Viable Tumor Cells in Resected Lung Tissue [Pathological Complete Remission (pCR)] |
NCT01165021 (5) [back to overview] | Progression-Free Survival (PFS) |
NCT01165021 (5) [back to overview] | Percentage of Participants Who Exhibit a Downward Shift in Tumor Extent From Stage IIIAN2 to Stages IIIA, II, I, or Stage 0 |
NCT01169675 (6) [back to overview] | Disease Control |
NCT01169675 (6) [back to overview] | Objective Response (OR) |
NCT01169675 (6) [back to overview] | Tumour Shrinkage |
NCT01169675 (6) [back to overview] | Progression Free Survival (PFS) |
NCT01169675 (6) [back to overview] | Investigator Defined Dose Limiting Toxicity (DLT) During First Course of Treatment, Treated Set |
NCT01169675 (6) [back to overview] | Investigator Defined Dose Limiting Toxicity (DLT) During All Courses of Treatment, Treated Set |
NCT01215916 (4) [back to overview] | Percentage of Participants With a Tumor Response |
NCT01215916 (4) [back to overview] | Number of Participants With Clinically Significant Effects |
NCT01215916 (4) [back to overview] | Pharmacokinetics, Area Under the Curve (AUC) of LY573636 |
NCT01215916 (4) [back to overview] | Pharmacokinetics, Concentration Maximum (Cmax) of LY573636 |
NCT01218516 (5) [back to overview] | Progression-free Survival (PFS) |
NCT01218516 (5) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (SAEs) |
NCT01218516 (5) [back to overview] | Overall Response Rate (ORR) |
NCT01218516 (5) [back to overview] | Overall Survival (OS) |
NCT01218516 (5) [back to overview] | Duration of Response (DR) |
NCT01232452 (10) [back to overview] | Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Cixutumumab, Cycle 1 (First Infusion) and Cycle 4 (Fourth Infusion) |
NCT01232452 (10) [back to overview] | Time to Worsening of Symptoms as Measured by Lung Cancer Symptom Scale (LCSS) Score |
NCT01232452 (10) [back to overview] | PK: Area Under the Concentration Time Curve (AUC[0-inf]) of Cixutumumab, Cycle 1 (i.e. First Infusion) |
NCT01232452 (10) [back to overview] | Percentage of Participants Achieving an Objective Response Rate (ORR) |
NCT01232452 (10) [back to overview] | Overall Survival (OS) |
NCT01232452 (10) [back to overview] | Duration of Response (DOR) |
NCT01232452 (10) [back to overview] | Change in Tumor Size (CTS) |
NCT01232452 (10) [back to overview] | Time to Progressive Disease (TTPS) |
NCT01232452 (10) [back to overview] | Progression-free Survival (PFS) |
NCT01232452 (10) [back to overview] | PK: Area Under the Concentration Time Curve During 1 Dosing Interval (i.e. 504 hr, AUC(0-tau) of Cixutumumab, Cycle 4 (i.e. Fourth Infusion) |
NCT01263782 (2) [back to overview] | Overall Response Rate |
NCT01263782 (2) [back to overview] | Progression Free Survival |
NCT01287520 (10) [back to overview] | PK Parameter: Maximum Plasma Concentration (Cmax) of LY2090314 |
NCT01287520 (10) [back to overview] | PK Parameter: AUC0-∞ of Free Carboplatin (Carb) |
NCT01287520 (10) [back to overview] | PK Parameter: Cmax of Free Carboplatin |
NCT01287520 (10) [back to overview] | Pharmacokinetic (PK) Parameter: Area Under the Concentration-Time Curve From Time 0 Hour to Infinity (AUC0-∞) of Pemetrexed (Pem) |
NCT01287520 (10) [back to overview] | Pharmacokinetic (PK) Parameter: Area Under the Concentration-Time Curve From Time 0 Hour to Infinity (AUC0-∞) of LY2090314 |
NCT01287520 (10) [back to overview] | PK Parameter: Maximum Plasma Concentration (Cmax) of Pemetrexed (Pem) |
NCT01287520 (10) [back to overview] | PK Parameter: AUC0-∞ of LY2090314 Coadministered With Pemetrexed (Pem) and Carboplatin (Carb) |
NCT01287520 (10) [back to overview] | Number of Participants With Best Overall Tumor Response |
NCT01287520 (10) [back to overview] | Recommended LY2090314 Dose for Phase 2 Studies (Maximum Tolerated Dose [MTD]) |
NCT01287520 (10) [back to overview] | PK Parameter: Maximum Plasma Concentration (Cmax) of LY2090314 Coadministered With Pemetrexed (Pem) and Carboplatin (Carb) |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)] |
NCT01296568 (10) [back to overview] | Relative Abundance of LY2603618 and the Metabolites of LY2603618 in Feces |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of LY2603618: Maximum Observed Drug Concentration (Cmax) |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)] |
NCT01296568 (10) [back to overview] | Relative Abundance of LY2603618 and the Metabolites of LY2603618 in Urine |
NCT01296568 (10) [back to overview] | The Number of Participants With a Tumor Response |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)] |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)] |
NCT01296568 (10) [back to overview] | Plasma Pharmacokinetics of Radioactivity: Maximum Observed Drug Concentration (Cmax) |
NCT01296568 (10) [back to overview] | Urinary and Fecal Excretion of LY2603618 Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose Administered |
NCT01313663 (14) [back to overview] | Number of Participants With the Indicated Changes From Baseline Value in Lactate Dehydrogenase (LDH) |
NCT01313663 (14) [back to overview] | Number of Participants With Any On-therapy AE (Serious or Non-serious) Leading to Dose Reductions (DRs) or Interruptions/Delays in the Study |
NCT01313663 (14) [back to overview] | Number of Participants With Any Non-serious On-therapy Adverse Event (AE: Occurring in >=5% Participants in Any Treatment Arm) and Serious Adverse Event (SAE) |
NCT01313663 (14) [back to overview] | Number of Participants With a Change From Baseline Grade to Grade 3 and 4 for the Indicated Clinical Laboratory Parameters |
NCT01313663 (14) [back to overview] | Number of Participants (Par.) With the Indicated Best Overall Response |
NCT01313663 (14) [back to overview] | Time on Study Treatment (Pazopanib), as a Measure of Extent of Exposure |
NCT01313663 (14) [back to overview] | Number of Participants With Any AE (Serious or Non-serious) Leading to Withdrawal From Study Treatment |
NCT01313663 (14) [back to overview] | Average Dose of Pemetrexed for All Cycles, as a Measure of Extent of Exposure |
NCT01313663 (14) [back to overview] | Mean Daily Dose, as a Measure of Extent of Exposure |
NCT01313663 (14) [back to overview] | Number of Participants With the Indicated Worst-case Change From Baseline in Blood Pressure |
NCT01313663 (14) [back to overview] | Progression Free Survival (PFS) |
NCT01313663 (14) [back to overview] | Mean Number of Pemetrexed Dosing Cycles, as a Measure of Extent of Exposure |
NCT01313663 (14) [back to overview] | Number of Participants With a Increase From Baseline in Bazett's QTc at the Indicated Time Points |
NCT01313663 (14) [back to overview] | Number of Participants With the Indicated Grade Changes From Baseline Grade in Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (Alk. Phos.), and Total Bilirubin (TB) |
NCT01338792 (3) [back to overview] | Time to Disease Progression and Overall Survival |
NCT01338792 (3) [back to overview] | Best Overall Response |
NCT01338792 (3) [back to overview] | Number of Participants With Serious Adverse Events (SAEs) |
NCT01344824 (3) [back to overview] | Overall Survival |
NCT01344824 (3) [back to overview] | Subjects Experiencing Toxicity |
NCT01344824 (3) [back to overview] | Progression-free Survival |
NCT01351415 (8) [back to overview] | Overall Survival (OS) |
NCT01351415 (8) [back to overview] | Percentage of Participants With Disease Control According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Percentage of Participants With Objective Response According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Percentage of Participants Who Are Alive at Month 6, 12, and 18 |
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] | Time to Progression (TTP) According to RECIST v1.1 |
NCT01351415 (8) [back to overview] | Duration of Response (DoR) According to RECIST v1.1 |
NCT01358968 (7) [back to overview] | Number of Participants With a Tumor Response |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of LY2603618 [AUC(0-tlast)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of LY2603618: the Maximum Concentration of LY2603618 in the Plasma (Cmax) |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of Desipramine [AUC(0-tlast)] |
NCT01358968 (7) [back to overview] | Plasma Pharmacokinetics of Desipramine: the Maximum Concentration of Desipramine in the Plasma (Cmax) |
NCT01376310 (1) [back to overview] | Number of Participants With Adverse Events |
NCT01395758 (4) [back to overview] | ORR Among Subjects in the Crossover Period Treated With Erlotinib Plus Tivantinib |
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] | 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. |
NCT01443078 (2) [back to overview] | PERCIST Partial Metabolic Response |
NCT01443078 (2) [back to overview] | Pathologic Response Rate |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: MM-121 Doses |
NCT01447225 (11) [back to overview] | Immunogenicity |
NCT01447225 (11) [back to overview] | Objective Response Rate |
NCT01447225 (11) [back to overview] | Pharmacokinetics |
NCT01447225 (11) [back to overview] | Pharmacokinetics (AUClast) |
NCT01447225 (11) [back to overview] | To Characterize Dose-limiting Toxicities (DLTs) Associated With the Combination of MM-121 With Anticancer Therapies |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Carboplatin |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Cabazitaxel |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Gemcitabine |
NCT01447225 (11) [back to overview] | To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Pemetrexed |
NCT01447225 (11) [back to overview] | To Evaluate the Safety and Tolerability of Escalating Doses of the MM-121 Anticancer Therapies |
NCT01454102 (6) [back to overview] | Number of Participants With Abnormalities in Selected Hepatic Clinical Laboratory Tests |
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] | Progression-Free Survival Rate (PFSR) at Week 24 |
NCT01454102 (6) [back to overview] | Number of Participants Who Experienced Selected Adverse Events |
NCT01454102 (6) [back to overview] | Number of Participants Who Experienced Serious Adverse Events (SAE), Adverse Events (AE) Leading to Discontinuation, or Death |
NCT01454934 (3) [back to overview] | Overall Survival (OS) |
NCT01454934 (3) [back to overview] | Progression Free Survival (PFS) by Response Evaluation Criteria in Solid Tumors (RECIST) |
NCT01454934 (3) [back to overview] | Objective Response Rate (ORR) |
NCT01469000 (7) [back to overview] | Time to Worsening of Symptom (TWS) as Per Lung Cancer Symptom Scale (LCSS) |
NCT01469000 (7) [back to overview] | Time To Progressive Disease (TTPD) |
NCT01469000 (7) [back to overview] | Overall Survival (OS) |
NCT01469000 (7) [back to overview] | Duration of Response (DoR) |
NCT01469000 (7) [back to overview] | Progression Free Survival (PFS) |
NCT01469000 (7) [back to overview] | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) |
NCT01469000 (7) [back to overview] | Percentage of Participants With CR, PR, and Stable Disease (SD) (Disease Control Rate [DCR]) |
NCT01471197 (3) [back to overview] | Number of Participants Who Died Within 30 Days and 31 Days After Last Dose - All Treated Participants |
NCT01471197 (3) [back to overview] | Number of Participants With Deaths, Adverse Events (AEs), Serious AEs (SAEs) and AEs Leading to Discontinuation - All Treated Participants |
NCT01471197 (3) [back to overview] | Overall Survival of Participants During the Study - All Treated Participants |
NCT01473563 (16) [back to overview] | Participant Satisfaction: Preferences Regarding Home and/or Hospital Treatment |
NCT01473563 (16) [back to overview] | Participant Satisfaction: Regarding the Study Nurse |
NCT01473563 (16) [back to overview] | Physician Satisfaction: Distant Management of Participant |
NCT01473563 (16) [back to overview] | Resource Utilization: Number of Participants With an Unplanned Use of Healthcare Resources |
NCT01473563 (16) [back to overview] | Overall Survival (OS) at 6 Months |
NCT01473563 (16) [back to overview] | Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), or Died |
NCT01473563 (16) [back to overview] | Change From Baseline in the EQ-5D Index Score |
NCT01473563 (16) [back to overview] | Time to Treatment Failure (TTF) |
NCT01473563 (16) [back to overview] | Resource Utilization: Duration of Health Care Visits |
NCT01473563 (16) [back to overview] | Percentage of Participants Who Adhered to Treatment Administration at Home |
NCT01473563 (16) [back to overview] | Participant Satisfaction: Chemotherapy at Home |
NCT01473563 (16) [back to overview] | Resource Utilization: Unplanned Health Care Visits, Consultations, and Diagnostic Services |
NCT01473563 (16) [back to overview] | Resource Utilization: Distances Traveled |
NCT01473563 (16) [back to overview] | Participant Satisfaction: Chemotherapy at Hospital |
NCT01473563 (16) [back to overview] | Change From Baseline in the European Quality of Life Instrument (EQ-5D) Visual Analogue Scale (VAS) |
NCT01473563 (16) [back to overview] | Maximum Improvement Over Baseline in Individual Lung Cancer Symptoms Scale (LCSS) Item Scores |
NCT01544179 (12) [back to overview] | Median Overall Survival (OS) at Time of PFS Analysis |
NCT01544179 (12) [back to overview] | Median Progression-Free Survival (Site Read, Investigator Assessment) |
NCT01544179 (12) [back to overview] | Objective Response Rate (ORR) (Site Read Data) |
NCT01544179 (12) [back to overview] | Progression-Free Survival (Site Read, Investigator Assessment) |
NCT01544179 (12) [back to overview] | Time to Worsening in FACT-L Total Score |
NCT01544179 (12) [back to overview] | Time to Worsening in Lung Cancer Subscale |
NCT01544179 (12) [back to overview] | Overall Survival (OS) |
NCT01544179 (12) [back to overview] | Time to Worsening in Trial Outcome Index |
NCT01544179 (12) [back to overview] | Disease Control Rate (DCR) |
NCT01544179 (12) [back to overview] | Improvement in FACT-L Total Score |
NCT01544179 (12) [back to overview] | Improvement in Trial Outcome Index |
NCT01544179 (12) [back to overview] | Improvement in Lung Cancer Subscale |
NCT01565538 (3) [back to overview] | Overall Survival |
NCT01565538 (3) [back to overview] | Progression-Free Survival |
NCT01565538 (3) [back to overview] | Best Tumor Response |
NCT01639001 (21) [back to overview] | Percentage of Participants With Visual Disturbance as Assessed by Visual Symptom Assessment Questionnaire (VSAQ-ALK) |
NCT01639001 (21) [back to overview] | Time to Deterioration (TTD) in Participant Reported Pain, Dyspnea, or Cough Assessed Using Quality of Life Questionnaire Supplement Module for Lung Cancer (QLQ-LC13) |
NCT01639001 (21) [back to overview] | Percentage of Participants With Visual Disturbance as Assessed by Visual Symptom Assessment Questionnaire (VSAQ-ALK) |
NCT01639001 (21) [back to overview] | Percentage of Participants With Treatment-Emergent AEs (Treatment Related) |
NCT01639001 (21) [back to overview] | Percentage of Participants With Treatment-Emergent Adverse Events (AEs; All Causalities) |
NCT01639001 (21) [back to overview] | Estimate of the Percentage of Participants Surviving at 1 Year and at 18 Months |
NCT01639001 (21) [back to overview] | Change From Baseline Scores in QLQ-C30 Symptoms as Assessed by the EORTC-QLQ-C30 |
NCT01639001 (21) [back to overview] | Change From Baseline in Lung Cancer Symptom Scores as Assessed by the EORTC Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13) |
NCT01639001 (21) [back to overview] | Change From Baseline 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) |
NCT01639001 (21) [back to overview] | Agreement Between Central Laboratory ALK FISH and ALK IHC Test Results - Molecular Profiling Evaluable |
NCT01639001 (21) [back to overview] | Time to Tumor Response (TTR) Based on IRR |
NCT01639001 (21) [back to overview] | Time to Progression (TTP) Based on IRR |
NCT01639001 (21) [back to overview] | Change From Baseline in General Health Status as Assessed by EuroQol 5D (EQ-5D)-Visual Analog Scale (VAS) |
NCT01639001 (21) [back to overview] | Change From Baseline in General Health Status as Assessed by EQ-5D-Index |
NCT01639001 (21) [back to overview] | Progression-Free Survival (PFS) Based on IRR by Treatment Arm |
NCT01639001 (21) [back to overview] | Duration of Response (DR) Based on IRR |
NCT01639001 (21) [back to overview] | Extracranial Time to Progression (EC-TTP) Based on IRR |
NCT01639001 (21) [back to overview] | Intracranial Time to Progression (IC-TTP) Based on IRR |
NCT01639001 (21) [back to overview] | Objective Response Rate (ORR) - Percentage of Participants With Objective Response Based on IRR |
NCT01639001 (21) [back to overview] | Overall Survival (OS) |
NCT01639001 (21) [back to overview] | Percentage of Participants With Disease Control at 12 Weeks Based on IRR |
NCT01646125 (2) [back to overview] | Progression Free Survival (PFS) |
NCT01646125 (2) [back to overview] | Overall Response Rate (ORR) |
NCT01675765 (2) [back to overview] | Number of Subjects Reporting Adverse Events |
NCT01675765 (2) [back to overview] | Objective Tumor Response |
NCT01803282 (2) [back to overview] | Percentage of Participants Experiencing Treatment-Emergent Adverse Events |
NCT01803282 (2) [back to overview] | Percentage of Participants Experiencing Laboratory Abnormalities |
NCT01809210 (9) [back to overview] | Cmax,ss |
NCT01809210 (9) [back to overview] | CL/F |
NCT01809210 (9) [back to overview] | Best Percentage Change From Baseline in Target Lesion Size |
NCT01809210 (9) [back to overview] | Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib |
NCT01809210 (9) [back to overview] | Best Objective Response |
NCT01809210 (9) [back to overview] | AUC (0-tau) |
NCT01809210 (9) [back to overview] | Percentage Change From Baseline at 6 Weeks in Target Lesion Size |
NCT01809210 (9) [back to overview] | Objective Response Rate (ORR) |
NCT01809210 (9) [back to overview] | Tmax,ss |
NCT01828099 (1) [back to overview] | Progression Free Survival (PFS) by Blinded Independent Review Committee (BIRC) |
NCT01828112 (1) [back to overview] | Progression Free Survival (PFS) Blinded Independent Review Committee Per Blinded Independent Review Committee (BIRC) |
NCT01840579 (42) [back to overview] | Number of Participants Who Experienced Dose-limiting Toxicities (DLTs) |
NCT01840579 (42) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE) |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 8: Parts A, B, C, and E |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 6: Part A |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 4: Parts A and D |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 18: Part A |
NCT01840579 (42) [back to overview] | Number of Participants Who Experienced at Least One Adverse Event (AE) |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 2: Part A |
NCT01840579 (42) [back to overview] | Volume of Distribution (Vz) of Pembrolizumab Over Time for Part A Cycle 1 |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 9: Part A |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 8: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 7: Parts A, B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 6: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 5: Parts A, B, C, and E |
NCT01840579 (42) [back to overview] | Area Under the Concentration Time Curve From 0-28 Days (AUC 0-28) for Part A Cycle 1 |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 4: Part D |
NCT01840579 (42) [back to overview] | Clearance (CL) of Pembrolizumab Over Time for Part A Cycle 1 |
NCT01840579 (42) [back to overview] | Area Under the Concentration Time Curve From 0-Infinity (AUC 0-inf) for Part A Cycle 1 |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 1: Parts A, B, C, D, and E |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 10: Part A |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 12: Part A |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 14: Part A |
NCT01840579 (42) [back to overview] | Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 16: Part A |
NCT01840579 (42) [back to overview] | Time to Maximum Serum Concentration (Tmax) of Pembrolizumab for Cycle 8: Parts B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 3: Parts A, B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 3: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 27: Parts B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 23: Parts B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 2: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 19: Parts B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 17: Part A |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 16: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 15: Parts A, B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 14: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 13: Part A |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 12: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 11: Parts A, B, C, and E |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 10: Part D |
NCT01840579 (42) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab for Cycle 1: Parts A, B, C, D, and E |
NCT01840579 (42) [back to overview] | Time to Maximum Serum Concentration (Tmax) of Pembrolizumab for Cycle 4: Part D |
NCT01840579 (42) [back to overview] | Time to Maximum Serum Concentration (Tmax) of Pembrolizumab for Cycle 1: Parts A, B, C, D, and E |
NCT01840579 (42) [back to overview] | Terminal Half-Life (t1/2) of Pembrolizumab Over Time for Part A Cycle 1 |
NCT01868022 (23) [back to overview] | Number of Participants With Non-serious Adverse Events (AEs) and Serious AEs (SAEs) |
NCT01868022 (23) [back to overview] | Number of Participants With the Abnormal Urinalysis Findings |
NCT01868022 (23) [back to overview] | Number of Participants With Clinically Significant Findings for 12-lead Electrocardiogram (ECG) |
NCT01868022 (23) [back to overview] | Change From Baseline in Heart Rate |
NCT01868022 (23) [back to overview] | Change From Baseline in Temperature |
NCT01868022 (23) [back to overview] | Number of Participants With Dose Delays |
NCT01868022 (23) [back to overview] | Number of Participants With Dose Reduction |
NCT01868022 (23) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLT) |
NCT01868022 (23) [back to overview] | Number of Participants With Maximum Tolerated Dose (MTD) or Maximum Feasible Dose (MFD) |
NCT01868022 (23) [back to overview] | Number of Participants With Overall Response Rate (ORR) |
NCT01868022 (23) [back to overview] | Number of Participants Withdrew Due to AEs |
NCT01868022 (23) [back to overview] | Progression Free Survival (PFS) as Assessed by Investigator |
NCT01868022 (23) [back to overview] | Treatment Duration With GSK3052230 |
NCT01868022 (23) [back to overview] | Change From Baseline in Forced Vital Capacity (FVC) in of Arm C Participants With Malignant Pleural Mesothelioma (MPM) |
NCT01868022 (23) [back to overview] | Change From Baseline in Forced Vital Capacity (FVC) in of Arm C Participants With Malignant Pleural Mesothelioma (MPM) |
NCT01868022 (23) [back to overview] | Change From Baseline in Forced Vital Capacity (FVC) in of Arm C Participants With Malignant Pleural Mesothelioma (MPM) |
NCT01868022 (23) [back to overview] | Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
NCT01868022 (23) [back to overview] | Number of Participants With Abnormal Echocardiogram (ECHO) Findings |
NCT01868022 (23) [back to overview] | Number of Participants With Hematology Change From Baseline With Respect to the Normal Range |
NCT01868022 (23) [back to overview] | Number of Participants With Best Response |
NCT01868022 (23) [back to overview] | Number of Participants With Clinical Chemistry Changes From Baseline With Respect to the Normal Range |
NCT01868022 (23) [back to overview] | Number of Participants With Clinical Chemistry Changes From Baseline With Respect to the Normal Range |
NCT01868022 (23) [back to overview] | Number of Participants With Clinical Chemistry Changes From Baseline With Respect to the Normal Range |
NCT01907100 (4) [back to overview] | Disease Control According to Modified RECIST- Investigator Assessment |
NCT01907100 (4) [back to overview] | Objective Response According to Modified RECIST- Investigator Assessment |
NCT01907100 (4) [back to overview] | Overall Survival (OS) |
NCT01907100 (4) [back to overview] | Progression-Free Survival (PFS) |
NCT01918761 (4) [back to overview] | Overall Survival |
NCT01918761 (4) [back to overview] | Progression-free Survival |
NCT01918761 (4) [back to overview] | Dose Limiting Toxicities (DLTs) |
NCT01918761 (4) [back to overview] | Overall Response Rate |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiograms (ECG) Findings |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Clinically Significant Abnormalities in Vital Signs |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Score of 2 or Higher Than 2 |
NCT01982955 (44) [back to overview] | Phase 1b: Percentage of Participants With Disease Control Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01982955 (44) [back to overview] | Phase 1b: Percentage of Participants With Objective Response Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01982955 (44) [back to overview] | Phase 2 (Non-Randomized Part Only): Percentage of Participants With Disease Control Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01982955 (44) [back to overview] | Phase 2 (Non-Randomized Part Only): Percentage of Participants With Objective Response Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01982955 (44) [back to overview] | Phase 2 (Non-Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by Independent Review Committee (IRC) |
NCT01982955 (44) [back to overview] | Phase 2 (Non-Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by Investigator |
NCT01982955 (44) [back to overview] | Phase 2 (Randomized Part Only): Percentage of Participants With Disease Control Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01982955 (44) [back to overview] | Phase 2 (Randomized Part Only): Percentage of Participants With Objective Response Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria |
NCT01982955 (44) [back to overview] | Phase 2 (Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by Independent Review Committee (IRC) |
NCT01982955 (44) [back to overview] | Phase 2 (Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by the Investigator |
NCT01982955 (44) [back to overview] | Phase 2: (Non-Randomized Part Only): Overall Survival (OS) Time |
NCT01982955 (44) [back to overview] | Phase 2: (Randomized Part Only): Overall Survival (OS) Time |
NCT01982955 (44) [back to overview] | Phase 2: Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score at End of Treatment (EOT) |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiograms (ECG) Findings |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Clinically Significant Abnormalities in Vital Signs |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Score of 2 or Higher Than 2 |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Leading to Permanent Treatment Discontinuation |
NCT01982955 (44) [back to overview] | Phase 2: Time-to-Symptom Progression (TTSP) |
NCT01982955 (44) [back to overview] | Phase 1b: Apparent Terminal Elimination Rate Constant Lambda(z) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Apparent Terminal Half-Life (t1/2) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Apparent Total Body Clearance From Plasma (CL/F) of Tepotinib and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Apparent Volume of Distribution (Vz/F) During the Terminal Phase of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Apparent Volume of Distribution During the Steady State (Vss/F) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Sampling Time AUC (0-t) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC 0-infinity) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Area Under the Plasma Concentration-Time Curve Within 1 Dosing Interval (AUC 0-tau) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Average Observed Plasma Concentration (Cavg) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Maximum Observed Plasma Concentration (Cmax) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Minimum Observed Plasma Concentration (Cmin) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Death and Reasons |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Grade 3/4 Treatment-Emergent Adverse Events (TEAEs) and Grade 3/4 Treatment-Related TEAEs According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 4.03 |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI-CTCAE Version 4.03 Reported as Treatment-Emergent Adverse Events (TEAEs) |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Leading to Permanent Treatment Discontinuation |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants With Treatment-Related Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related Serious TEAEs According to National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 |
NCT01982955 (44) [back to overview] | Phase 1b: Time to Reach Maximum Plasma Concentration (Tmax) of Tepotinib, Its Metabolites and Gefitinib |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Death and Reasons |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Greater Than or Equal to (>=) Grade 3 Treatment-Emergent Adverse Events (TEAEs) and >= Grade 3 Treatment-Related TEAEs According to National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI-CTCAE Version 4.03 Reported as Treatment-Emergent Adverse Events (TEAEs) |
NCT01982955 (44) [back to overview] | Phase 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Treatment-Related TEAEs and Treatment-Related Serious TEAEs According to National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 |
NCT01982955 (44) [back to overview] | Phase 1b: Number of Participants Experiencing at Least One Dose Limiting Toxicity (DLT) |
NCT02039674 (6) [back to overview] | Part 2 Cohorts G+ and G-: Duration of Response (DOR) |
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) |
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-: Objective Response Rate (ORR) |
NCT02041533 (6) [back to overview] | Disease-related Symptom Improvement Rate by Week 12 |
NCT02041533 (6) [back to overview] | Progression-Free Survival in Participants With PD-L1 Expression >= 5% |
NCT02041533 (6) [back to overview] | Progression-Free Survival in All Randomized Participants |
NCT02041533 (6) [back to overview] | Overall Survival in Participants With PD-L1 Expression >= 5% |
NCT02041533 (6) [back to overview] | Overall Survival in All Randomized Participants |
NCT02041533 (6) [back to overview] | Objective Response Rate (ORR) in Participants With PD-L1 Expression >= 5% |
NCT02079636 (15) [back to overview] | Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E |
NCT02079636 (15) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLT) or DLT-equivalent in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | Number of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Pemetrexed at Steady State in Part A |
NCT02079636 (15) [back to overview] | Progression Free Survival Time in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Maximum Concentration (Cmax) of Ramucirumab at 1 Hour Post-End-of-Infusion in Part C |
NCT02079636 (15) [back to overview] | PK: Maximum Concentration (Cmax) of LY3023414 in Part D |
NCT02079636 (15) [back to overview] | Change From Baseline in MD Anderson Symptom Inventory Scale-Lung Cancer (MDASI-LC) in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of LY3023414 in Part D |
NCT02079636 (15) [back to overview] | PK: Dose-normalized Maximum Concentration (Cmax) of Active Gemcitabine Metabolite: 2',2'-Difluorodeoxyuridine (dFdU) on Day 1 and at Steady State (Cycle 2 Day 1) in Part B |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Active Gemcitabine Metabolite: 2',2'-Difluorodeoxyuridine (dFdU) on Day 1 and at Steady State (Cycle 2 Day 1) in Part B |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E |
NCT02079636 (15) [back to overview] | PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E |
NCT02079636 (15) [back to overview] | Pharmacokinetics: Maximum Concentration (Cmax) of Pemetrexed at Steady State in Part A |
NCT02083679 (2) [back to overview] | Number of Subjects With Dose Limiting Toxicities (DLTs) |
NCT02083679 (2) [back to overview] | Number of Subjects With Treatment-emergent Adverse (TEAEs), Serious TEAEs, TEAEs Leading to Discontinuation and TEAEs Leading to Death |
NCT02087241 (2) [back to overview] | Assess the Objective Response Rates in Each Arm |
NCT02087241 (2) [back to overview] | Assess the Disease Control Rate in Each Treatment Arm |
NCT02093962 (1) [back to overview] | Overall Survival |
NCT02117024 (6) [back to overview] | Progression-Free Survival (PFS) |
NCT02117024 (6) [back to overview] | Overall Survival (OS) |
NCT02117024 (6) [back to overview] | Frequency of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events (TEAE) |
NCT02117024 (6) [back to overview] | Survival at 6 Months |
NCT02117024 (6) [back to overview] | Survival at 12 Months |
NCT02117024 (6) [back to overview] | Time to Progression (TTP) |
NCT02119650 (5) [back to overview] | Progression-free Survival (PFS) |
NCT02119650 (5) [back to overview] | Duration of Response |
NCT02119650 (5) [back to overview] | Overall Survival (OS) |
NCT02119650 (5) [back to overview] | Objective Response Rate (ORR) |
NCT02119650 (5) [back to overview] | Participants With Treatment-emergent Adverse Events (TEAEs) |
NCT02142738 (3) [back to overview] | Objective Response Rate (ORR) |
NCT02142738 (3) [back to overview] | Overall Survival (OS) Rate |
NCT02142738 (3) [back to overview] | Progression Free Survival (PFS) Rate at Month 6 |
NCT02145078 (2) [back to overview] | Overall Survival (OS) |
NCT02145078 (2) [back to overview] | Progression-free Survival (PFS) |
NCT02220894 (11) [back to overview] | Number of Participants Who Experienced At Least One Adverse Event (AE) |
NCT02220894 (11) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1% |
NCT02220894 (11) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20% |
NCT02220894 (11) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50% |
NCT02220894 (11) [back to overview] | Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥20% |
NCT02220894 (11) [back to overview] | Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥50% |
NCT02220894 (11) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1% |
NCT02220894 (11) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20% |
NCT02220894 (11) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50% |
NCT02220894 (11) [back to overview] | Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥1% |
NCT02220894 (11) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE) |
NCT02264990 (6) [back to overview] | Progression Free Survival (PFS) in All Participants |
NCT02264990 (6) [back to overview] | Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup |
NCT02264990 (6) [back to overview] | Overall Survival in All Participants |
NCT02264990 (6) [back to overview] | Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup |
NCT02264990 (6) [back to overview] | Objective Response Rate (ORR) in All Participants |
NCT02264990 (6) [back to overview] | Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup |
NCT02274038 (1) [back to overview] | Overall Survival |
NCT02322281 (5) [back to overview] | Duration of Response (DOR) According to RECIST Version 1.1 as Determined by Investigator Assessment |
NCT02322281 (5) [back to overview] | Overall Survival (OS) |
NCT02322281 (5) [back to overview] | Percentage of Participants With Confirmed Response |
NCT02322281 (5) [back to overview] | Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by Investigator Review (invPFS) |
NCT02322281 (5) [back to overview] | Plasma PK for Patients Treated With Rociletinib Based on Sparse Sampling |
NCT02337530 (1) [back to overview] | Progression Free Survival |
NCT02347917 (11) [back to overview] | Overall Survival(OS) |
NCT02347917 (11) [back to overview] | Phase 1 Part: Number of Participants With Dose-limiting Toxicities (DLTs) |
NCT02347917 (11) [back to overview] | Phase 2 Part: Progression-free Survival (PFS) |
NCT02347917 (11) [back to overview] | Phase 1 Part: Area Under the Concentration-time Curve |
NCT02347917 (11) [back to overview] | Phase 1 Part: Maximum Observed Concentration (Cmax) and Minimum Observed Concentration (Cmin) of BBI608 When Administered With Pem and CDDP |
NCT02347917 (11) [back to overview] | Phase 1 Part: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Drug Reactions (ADRs) |
NCT02347917 (11) [back to overview] | Respiratory Function Tests (Forced Expiratory Volume in the First Second [FEV1]) |
NCT02347917 (11) [back to overview] | Respiratory Function Tests (Forced Expiratory Volume in the First Second [FEV1]) |
NCT02347917 (11) [back to overview] | Response Rate (RR) and Disease Control Rate (DCR) |
NCT02347917 (11) [back to overview] | Respiratory Function Tests (Vital Capacity [VC] and Forced Vital Capacity [FVC]) |
NCT02347917 (11) [back to overview] | Respiratory Function Tests (Vital Capacity [VC] and Forced Vital Capacity [FVC]) |
NCT02357147 (1) [back to overview] | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT02367781 (19) [back to overview] | Percentage of Participants With Adverse Events |
NCT02367781 (19) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms Score Using the Symptoms in Lung Cancer (SILC) Scale |
NCT02367781 (19) [back to overview] | Overall Survival (OS) in the ITT-WT Population |
NCT02367781 (19) [back to overview] | OS as Determined by the Investigator Using Recist v1.1 in the ITT Population |
NCT02367781 (19) [back to overview] | Plasma Concentrations of Nab-Paclitaxel Reported as Total Paclitaxel |
NCT02367781 (19) [back to overview] | Plasma Concentrations of Carboplatin |
NCT02367781 (19) [back to overview] | PFS as Determined by the Investigator Using Recist v1.1 in the ITT Population, PD-L1 Expression Population, and PD-L1 Expression WT Population |
NCT02367781 (19) [back to overview] | Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab |
NCT02367781 (19) [back to overview] | Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator Using RECIST v1.1 in the ITT Population, PD-L1 Expression Population, and PD-L1 Expression WT Population |
NCT02367781 (19) [back to overview] | OS as Determined by the Investigator Using RECIST v1.1 in the PD-L1 Expression Population and PD-L1 Expression WT Population |
NCT02367781 (19) [back to overview] | Minimum Observed Serum Concentration (Cmin) of Atezolizumab Prior to Infusion in Atezolizumab+Carboplain+Nab-Paclitaxel |
NCT02367781 (19) [back to overview] | Maximum Observed Serum Concentration (Cmax) of Atezolizumab for Patients in Atezolizumab+Carboplatin+Nab-Paclitaxel Arm |
NCT02367781 (19) [back to overview] | Time to Deterioration (TTD) in Patient-Reported Lung Cancer Symptoms in the ITT-WT Population |
NCT02367781 (19) [back to overview] | Event Free Rate (%) at Year 1 and 2 in PD-L1 Expression Population and PD-L1 Expression WT Population |
NCT02367781 (19) [back to overview] | Event Free Rate (%) at Year 1 and 2 in ITT-WT Population and ITT Population |
NCT02367781 (19) [back to overview] | Duration of Response (DOR) as Determined by the Investigator Using RECIST v1.1 in ITT-WT Population, ITT Population, and PD-L1 Expression Population and PD-L1 Expression WT Population |
NCT02367781 (19) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms Score Using the Symptoms in Lung Cancer (SILC) Scale |
NCT02367781 (19) [back to overview] | Progression-Free Survival (PFS) as Determined by the Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) in the ITT-WT Population |
NCT02367781 (19) [back to overview] | Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator Using RECIST v1.1 in the ITT-WT Population |
NCT02409342 (24) [back to overview] | Duration of Response (DOR) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | TTD as Assessed Using EORTC QLQ Supplementary Lung Cancer Module (EORTC QLQ-LC13) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Time to Deterioration (TTD) in Patient-reported Lung Cancer Symptoms Score as Assessed by the Symptoms in Lung Cancer (SILC) Scale Symptom Score in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Overall Survival (OS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 1 Year in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 2 Years in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants With Anti-therapeutic Antibodies (ATAs) |
NCT02409342 (24) [back to overview] | Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Progression-free Survival (PFS) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants With Objective Response (ORR) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants With at Least One Adverse Event |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 2 Years in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Percentage of Participants Who Are Alive at 1 Year in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Progression-free Survival (PFS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | OS in Participants With PD-L1 Expression |
NCT02409342 (24) [back to overview] | Minimum Observed Serum Concentration (Cmin) of Atezolizumab |
NCT02409342 (24) [back to overview] | Investigator-Assessed PFS in Participants With PD-L1 Expression According to RECIST v1.1 |
NCT02409342 (24) [back to overview] | Investigator-Assessed PFS in Participants With bTMB According to RECIST v1.1 |
NCT02409342 (24) [back to overview] | OS in Participants With Blood Tumor Mutational Burden (bTMB) |
NCT02409342 (24) [back to overview] | Overall Survival (OS) in the TC3 or IC3-WT Populations |
NCT02409342 (24) [back to overview] | Maximum Observed Serum Concentration (Cmax) of Atezolizumab |
NCT02409342 (24) [back to overview] | Percentage of Participants With Objective Response (ORR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02409342 (24) [back to overview] | Duration of Response (DOR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations |
NCT02426658 (5) [back to overview] | Overall Survival |
NCT02426658 (5) [back to overview] | Time to Tumor Progression |
NCT02426658 (5) [back to overview] | Change in Quality of Life (QOL), Assessed by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (QLQ-C30) and QLQ-Lung Cancer 13-item (LC13) |
NCT02426658 (5) [back to overview] | Incidence of Hematologic Toxicity, Graded According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 |
NCT02426658 (5) [back to overview] | Response Rate |
NCT02439450 (1) [back to overview] | Phase 1b: Frequency of Treatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE v4.03. |
NCT02453282 (29) [back to overview] | DoR; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | DoR; FAS Population |
NCT02453282 (29) [back to overview] | Ctrough_ss of Tremelimumab |
NCT02453282 (29) [back to overview] | Cmax_ss of Tremelimumab |
NCT02453282 (29) [back to overview] | PFS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs Durvalumab Monotherapy |
NCT02453282 (29) [back to overview] | Serum Concentrations of Tremelimumab |
NCT02453282 (29) [back to overview] | Serum Concentrations of Durvalumab |
NCT02453282 (29) [back to overview] | Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab |
NCT02453282 (29) [back to overview] | Number of Participants With ADA Response to Tremelimumab |
NCT02453282 (29) [back to overview] | Change From Baseline in Disease-Related Symptoms as Assessed by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ) at 12 Months |
NCT02453282 (29) [back to overview] | Trough Serum Concentration at Steady State (Ctrough_ss) of Durvalumab |
NCT02453282 (29) [back to overview] | Time From Randomization to Second Progression (PFS2); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Progression-Free Survival (PFS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs SoC Chemotherapy |
NCT02453282 (29) [back to overview] | PFS2; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | PFS2; FAS Population |
NCT02453282 (29) [back to overview] | PFS; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | PFS; FAS Population |
NCT02453282 (29) [back to overview] | Percentage of Participants APF12; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Percentage of Participants APF12; FAS Population |
NCT02453282 (29) [back to overview] | Percentage of Participants Alive and Progression Free at 12 Months (APF12); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Overall Survival (OS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs SoC Chemotherapy |
NCT02453282 (29) [back to overview] | OS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs Durvalumab Monotherapy |
NCT02453282 (29) [back to overview] | OS; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | OS; FAS Population |
NCT02453282 (29) [back to overview] | ORR; PD-L1 (TC >=1%) Analysis Set Population |
NCT02453282 (29) [back to overview] | ORR; FAS Population |
NCT02453282 (29) [back to overview] | Objective Response Rate (ORR); PD-L1 (TC >=25%) Analysis Set Population |
NCT02453282 (29) [back to overview] | Maximum Serum Concentration at Steady State (Cmax_ss) of Durvalumab |
NCT02453282 (29) [back to overview] | Duration of Response (DoR); PD-L1 (TC >=25%) Analysis Set Population |
NCT02542293 (20) [back to overview] | Duration of Response (DoR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | DoR; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02542293 (20) [back to overview] | APF12; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02542293 (20) [back to overview] | Objective Response Rate (ORR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | OS; China Cohort: China Programmed Cell Death Ligand 1 (PD-L1) Negative NSCLC Analysis Set |
NCT02542293 (20) [back to overview] | Serum Concentrations of Durvalumab |
NCT02542293 (20) [back to overview] | Time From Randomization to Second Progression or Death (PFS2); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | Serum Concentrations of Tremelimumab |
NCT02542293 (20) [back to overview] | Overall Survival (OS); Global Cohort: Blood Tumor Mutational Burden (bTMB) ≥20 Mutations Per Megabase (Mut/Mb) Analysis Set |
NCT02542293 (20) [back to overview] | Number of Participants With ADA Response to Tremelimumab |
NCT02542293 (20) [back to overview] | Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab |
NCT02542293 (20) [back to overview] | ORR; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets |
NCT02542293 (20) [back to overview] | OS at Months 12, 18 and 24; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02542293 (20) [back to overview] | OS at Months 12, 18 and 24; Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | OS; Global and China Cohorts: FAS, PD-L1 Tumor Cell (TC) ≥25%, and PD-L1 TC ≥50% Analysis Sets |
NCT02542293 (20) [back to overview] | OS; Global Cohort: bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, PD-L1-Negative NSCLC, bTMB <20 Mut/Mb, bTMB Non-Evaluable Population, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | Alive and Progression-Free at 12 Months (APF12); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | PFS; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets |
NCT02542293 (20) [back to overview] | Progression-Free Survival (PFS); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets |
NCT02542293 (20) [back to overview] | PFS2; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets |
NCT02574078 (7) [back to overview] | Percentage of Participants With Treatment-related Adverse Events (AEs) Leading to Both Study Drugs Discontinuation, Group E Only |
NCT02574078 (7) [back to overview] | Overall Survival (OS), Groups A-C Only |
NCT02574078 (7) [back to overview] | Overall Survival (OS), Group D Only |
NCT02574078 (7) [back to overview] | Objective Response Rate (ORR), Groups A-E |
NCT02574078 (7) [back to overview] | Duration of Response (DOR), Groups A-D Only |
NCT02574078 (7) [back to overview] | Progression-Free Survival (PFS), Group E Only |
NCT02574078 (7) [back to overview] | Progression-Free Survival (PFS), Groups A-D Only |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With At Least One Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) for Avelumab |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Heart Rate Increase/Decrease |
NCT02576574 (32) [back to overview] | Overall Survival (OS) in Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Body Temperature Increase |
NCT02576574 (32) [back to overview] | Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score |
NCT02576574 (32) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Modified Full Analysis Set (mFAS) |
NCT02576574 (32) [back to overview] | Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS) |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Modified Full Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Systolic Blood Pressure Increase/Decrease and Maximal Diastolic Blood Pressure Increase/Decrease |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Weight Increase/Decrease |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Full Analysis Set |
NCT02576574 (32) [back to overview] | Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High PD-L1+ Health-related Quality of Life (HRQoL) Analysis Set at End of Treatment |
NCT02576574 (32) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Electrocardiogram (ECG) Parameters |
NCT02576574 (32) [back to overview] | Number of Participants With Shift From Baseline to Greater Than or Equal to (>=) Grade 3 in Laboratory Parameter Values Based on National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03 |
NCT02576574 (32) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and AEs of Special Interest (AESIs) |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Modified Full Analysis Set |
NCT02576574 (32) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Full Analysis Set |
NCT02576574 (32) [back to overview] | Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Respiration Rate Increase/Decrease |
NCT02578680 (6) [back to overview] | Number of Participants Who Experienced an Adverse Event (AE) |
NCT02578680 (6) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Blinded Central Imaging |
NCT02578680 (6) [back to overview] | Number of Participants Who Discontinued Any Study Drug Due to an AE |
NCT02578680 (6) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 as Assessed by Blinded Central Imaging |
NCT02578680 (6) [back to overview] | Overall Response Rate (ORR) Per RECIST 1.1 as Assessed by Blinded Central Imaging |
NCT02578680 (6) [back to overview] | Overall Survival (OS) |
NCT02591615 (3) [back to overview] | Overall Response Rate (ORR) Per RECIST 1.1 |
NCT02591615 (3) [back to overview] | Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability) |
NCT02591615 (3) [back to overview] | Compare Progression-Free Survival (PFS) Per RECIST 1.1 |
NCT02604342 (27) [back to overview] | Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC30 Score for ITT Population |
NCT02604342 (27) [back to overview] | Plasma Concentration of Alectinib |
NCT02604342 (27) [back to overview] | Duration of Response for Lesions in the CNS (C-DOR) Using RECIST Version 1.1 as Assessed by IRC |
NCT02604342 (27) [back to overview] | Overall Survival (OS) |
NCT02604342 (27) [back to overview] | Percentage of Participants With Adverse Events (AEs) |
NCT02604342 (27) [back to overview] | Percentage of Participants With CNS Objective Response Rate (ORR) With Measurable CNS Metastases at Baseline Using RECIST Version 1.1 as Assessed By IRC |
NCT02604342 (27) [back to overview] | Percentage of Participants With Disease Control in C-ITT Population Using RECIST Version 1.1 as Assessed by IRC |
NCT02604342 (27) [back to overview] | Percentage of Participants With ORR in C-ITT Population Using RECIST Version 1.1 as Assessed by IRC |
NCT02604342 (27) [back to overview] | PFS Using RECIST Version 1.1 as Assessed by IRC |
NCT02604342 (27) [back to overview] | Plasma Concentration of Alectinib Metabolite |
NCT02604342 (27) [back to overview] | Progression-Free Survival (PFS) Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Investigator |
NCT02604342 (27) [back to overview] | Time to CNS Progression in C-ITT Population Using RECIST Version 1.1 as Assessed by IRC |
NCT02604342 (27) [back to overview] | TTD in Composite of Three Symptoms (Cough, Dyspnea, and Chest Pain) Using EORTC QLQ-LC13 Score for C-ITT Population |
NCT02604342 (27) [back to overview] | TTD in Composite of Three Symptoms (Cough, Dyspnea, and Chest Pain) Using EORTC QLQ-LC13 Score for ITT Population |
NCT02604342 (27) [back to overview] | Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) Over Time |
NCT02604342 (27) [back to overview] | Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) Over Time |
NCT02604342 (27) [back to overview] | Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer-13 (EORTC QLQ-LC13) Over Time |
NCT02604342 (27) [back to overview] | Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer-13 (EORTC QLQ-LC13) Over Time |
NCT02604342 (27) [back to overview] | Compliance of European Quality of Life (EuroQoL) 5 Dimension 5 Levels (EQ-5D-5L) Questionnaire Over Time |
NCT02604342 (27) [back to overview] | Compliance of European Quality of Life (EuroQoL) 5 Dimension 5 Levels (EQ-5D-5L) Questionnaire Over Time |
NCT02604342 (27) [back to overview] | Duration of Response (DOR) Using RECIST Version 1.1 as Assessed by Investigator and IRC |
NCT02604342 (27) [back to overview] | Percentage of Participants With Disease Control Using RECIST Version 1.1 as Assessed by Investigator and IRC |
NCT02604342 (27) [back to overview] | Percentage of Participants With Objective Response of CR or PR Using RECIST Version 1.1 as Assessed by Investigator and IRC |
NCT02604342 (27) [back to overview] | PFS in C-ITT Population Using RECIST Version 1.1 as Assessed by Investigator and IRC |
NCT02604342 (27) [back to overview] | Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC13 Score for C-ITT Population |
NCT02604342 (27) [back to overview] | Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC13 Score for ITT Population |
NCT02604342 (27) [back to overview] | Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC30 Score for C-ITT Population |
NCT02624700 (3) [back to overview] | The 2-year Survival Rate After Initial Study Treatment. |
NCT02624700 (3) [back to overview] | Number of Participants at Risk and Affected by Adverse Events (AEs) |
NCT02624700 (3) [back to overview] | The Duration of Progression-free Survival (PFS). |
NCT02625298 (2) [back to overview] | Changes Between Initial and Post Treatment Dimensions of Periapical Lesions |
NCT02625298 (2) [back to overview] | Presence of Clinical Symptoms |
NCT02657434 (18) [back to overview] | Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) of Atezolizumab |
NCT02657434 (18) [back to overview] | Percentage of Participants With an Objective Response (Complete Response [CR] or Partial Response [PR]) Assessed by the Investigator Using RECIST V1.1 |
NCT02657434 (18) [back to overview] | Minimum Observed Serum Atezolizumab Concentration (Cmin) |
NCT02657434 (18) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by EORTC Quality-of-Life Lung Cancer Module (QLQ-LC13) Symptom Score |
NCT02657434 (18) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire-Core 30 (QLQ-C30) Symptom Score |
NCT02657434 (18) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire-Core 30 (QLQ-C30) Symptom Score |
NCT02657434 (18) [back to overview] | Duration of Response (DOR) as Determined by the Investigator Using RECIST v1.1 |
NCT02657434 (18) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms as Reported Using the Symptoms in Lung Cancer (SILC) Scale Score |
NCT02657434 (18) [back to overview] | Maximum Observed Serum Atezolizumab Concentration (Cmax) |
NCT02657434 (18) [back to overview] | Overall Survival (OS) |
NCT02657434 (18) [back to overview] | Overall Survival Rate at Year 1 |
NCT02657434 (18) [back to overview] | Overall Survival Rate Year 2 |
NCT02657434 (18) [back to overview] | Progression Free Survival (PFS) as Assessed by the Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) |
NCT02657434 (18) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by EORTC Quality-of-Life Lung Cancer Module (QLQ-LC13) Symptom Score |
NCT02657434 (18) [back to overview] | Plasma Concentrations for Pemetrexed in Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed) |
NCT02657434 (18) [back to overview] | Change From Baseline in Patient-Reported Lung Cancer Symptoms as Reported Using the Symptoms in Lung Cancer (SILC) Scale Score |
NCT02657434 (18) [back to overview] | Plasma Concentrations for Cisplatin in Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed) |
NCT02657434 (18) [back to overview] | Plasma Concentrations for Carboplatin in Arm A(Atezolizumab + Carboplatin or Cisplatin + Pemetrexed) |
NCT02659059 (17) [back to overview] | Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2 |
NCT02659059 (17) [back to overview] | Progression Free Survival (PFS) - Part 1 |
NCT02659059 (17) [back to overview] | Overall Survival (OS) - Part 2 |
NCT02659059 (17) [back to overview] | Overall Survival (OS) - Part 1 |
NCT02659059 (17) [back to overview] | Objective Response Rate (ORR) - Part 2 |
NCT02659059 (17) [back to overview] | Objective Response Rate (ORR) - Part 1 |
NCT02659059 (17) [back to overview] | Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2 |
NCT02659059 (17) [back to overview] | Number of Participants With Adverse Events (AEs) - Part 2 |
NCT02659059 (17) [back to overview] | Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1 |
NCT02659059 (17) [back to overview] | Progression Free Survival (PFS) - Part 2 |
NCT02659059 (17) [back to overview] | Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1 |
NCT02659059 (17) [back to overview] | Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1 |
NCT02659059 (17) [back to overview] | Overall Survival (OS) by PD-L1 Expression Levels - Part 1 |
NCT02659059 (17) [back to overview] | Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1 |
NCT02659059 (17) [back to overview] | Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1 |
NCT02659059 (17) [back to overview] | Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1 |
NCT02659059 (17) [back to overview] | Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2 |
NCT02709512 (4) [back to overview] | Overall Survival |
NCT02709512 (4) [back to overview] | Overall Survival Phase 3 Interim Analysis |
NCT02709512 (4) [back to overview] | Progression Free Survival |
NCT02709512 (4) [back to overview] | Response Rate |
NCT02710396 (4) [back to overview] | Number of Subjects With NSCLC Who Achieved DCB |
NCT02710396 (4) [back to overview] | Objective Response Rate (ORR) |
NCT02710396 (4) [back to overview] | Progression Free Survival (PFS) |
NCT02710396 (4) [back to overview] | Overall Survival (OS) |
NCT02862457 (17) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab in Part B Cycles 1, 2, 4, 6, and 8 |
NCT02862457 (17) [back to overview] | Maximum Concentration (Cmax) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Maximum Concentration (Cmax) of Pembrolizumab in Part B Cycle 1 |
NCT02862457 (17) [back to overview] | Trough Concentration (Ctrough) of Pembrolizumab in Part A Cycles 1, 2, 4, 6, and 8 |
NCT02862457 (17) [back to overview] | Trough Concentration (Ctrough) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Trough Concentration (Ctrough) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Time to Maximum Concentration (Tmax) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Maximum Concentration (Cmax) of Pembrolizumab in Part A Cycle 1 |
NCT02862457 (17) [back to overview] | Time to Maximum Concentration (Tmax) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Terminal Half-Life (t1/2) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Terminal Half-Life (t1/2) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Maximum Concentration (Cmax) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Area Under the Concentration-Time Curve From Zero to the Time of the Last Measurable Concentration (AUC0-t) of Epacadostat in Part A |
NCT02862457 (17) [back to overview] | Number of Participants Who Experienced At Least One Adverse Event (AE) |
NCT02862457 (17) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to An Adverse Event (AE) |
NCT02862457 (17) [back to overview] | Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (NCI-CTCAE v.4.0) |
NCT02862457 (17) [back to overview] | Area Under the Concentration-Time Curve From Zero to the Time of the Last Measurable Concentration (AUC0-t) of Epacadostat in Part A |
NCT02864251 (6) [back to overview] | Overall Survival (OS) |
NCT02864251 (6) [back to overview] | Objective Response Rate (ORR) by Blinded Independent Centralized Review (BICR) |
NCT02864251 (6) [back to overview] | Duration of Response (DOR) by Blinded Independent Centralized Review (BICR) |
NCT02864251 (6) [back to overview] | 12 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR) |
NCT02864251 (6) [back to overview] | 9 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR) |
NCT02864251 (6) [back to overview] | Progression Free Survival (PFS) by Blinded Independent Centralized Review (BICR) |
NCT02899299 (7) [back to overview] | Progression Free Survival (PFS) |
NCT02899299 (7) [back to overview] | Objective Response Rate (ORR) According to PD-L1 Expression Level |
NCT02899299 (7) [back to overview] | Disease Control Rate (DCR) |
NCT02899299 (7) [back to overview] | Objective Response Rate (ORR) |
NCT02899299 (7) [back to overview] | Overall Survival (OS) |
NCT02899299 (7) [back to overview] | Progression Free Survival (PFS) According to PD-L1 Expression Level |
NCT02899299 (7) [back to overview] | Overall Survival (OS) According to PD-L1 Expression Level |
NCT02937116 (13) [back to overview] | Area Under the Concentration-time Curve From Zero Time (Predose) to the Time of the Last Measurable Concentration (AUC0-t) |
NCT02937116 (13) [back to overview] | The Half-life (t1/2) of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | Time to Maximum Concentration (Tmax) of Sintilimab in Solid Tumor Participants |
NCT02937116 (13) [back to overview] | Clearance of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | DOR According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | Maximum Concentration (Cmax) of Sintilimab in Solid Tumor Participants |
NCT02937116 (13) [back to overview] | TTR According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | Number of Participants Experiencing Dose-limiting Toxicities (DLTs) |
NCT02937116 (13) [back to overview] | Volume of Distribution of IBI308 in Plasma After Single Dose Administration |
NCT02937116 (13) [back to overview] | PFS According to RECIST 1.1 as Assessed by Investigator |
NCT02937116 (13) [back to overview] | OS for Participants |
NCT02937116 (13) [back to overview] | Objective Response Rate (ORR) According to RECIST 1.1 as Assessed by Independent Review Committee by Investigator |
NCT02937116 (13) [back to overview] | Number of All Study Participants Who Demonstrate a Tumor Response |
NCT02983045 (3) [back to overview] | Part 3 Schedule Finding: Incidence of Dose-limiting Toxicity (DLT) During the DLT Evaluation Window |
NCT02983045 (3) [back to overview] | Part 2 and Part 4: Objective Response Rate (ORR) Per RECIST 1.1 at Recommended Phase 2 Dose (RP2D) |
NCT02983045 (3) [back to overview] | Part 1 Dose Escalation: Incidence of Dose-limiting Toxicity (DLT) During the DLT Evaluation Window |
NCT02998528 (4) [back to overview] | Major Pathologic Response (MPR) Rate |
NCT02998528 (4) [back to overview] | Event-Free Survival (EFS) |
NCT02998528 (4) [back to overview] | Time to Death or Distant Metastases (TTDM) |
NCT02998528 (4) [back to overview] | Pathologic Complete Response (pCR) Rate |
NCT03003962 (44) [back to overview] | OS at 24 Months in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Alive and Progression-Free at 12 Months (APF12) |
NCT03003962 (44) [back to overview] | DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% Analysis Set |
NCT03003962 (44) [back to overview] | DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | APF12 in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | APF12 in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | APF12 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-LC13 |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Time to Deterioration of EORTC QLQ-C30 |
NCT03003962 (44) [back to overview] | Percentage of Participants With Antidrug Antibody (ADA) Response to Durvalumab |
NCT03003962 (44) [back to overview] | Percentage of Participants With ADA Response to Durvalumab in LREM Analysis Set |
NCT03003962 (44) [back to overview] | Number of Participants With ECOG Performance Status in PD-L1 TC >=25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status |
NCT03003962 (44) [back to overview] | Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) 30-Item Core Quality of Life Questionnaire Version 3 (QLQ-C30) |
NCT03003962 (44) [back to overview] | Change From Baseline in EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Change From Baseline in EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | Change From Baseline in EORTC 13-Item Lung Cancer Quality of Life Questionnaire (QLQ-LC13) |
NCT03003962 (44) [back to overview] | Time From Randomization to Second Progression (PFS2) |
NCT03003962 (44) [back to overview] | Progression Free Survival (PFS) Based on Investigator Assessment According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
NCT03003962 (44) [back to overview] | Duration of Response (DoR) as Per RECIST 1.1 Using Investigator Assessment |
NCT03003962 (44) [back to overview] | Objective Response Rate (ORR) as Per RECIST 1.1 Using Investigator Assessment |
NCT03003962 (44) [back to overview] | ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 18 Months |
NCT03003962 (44) [back to overview] | OS at 18 Months in PD-L1 TC > = 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 18 Months in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | OS at 18 Months in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 24 Months |
NCT03003962 (44) [back to overview] | OS at 24 Months in PD-L1 TC > = 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS at 24 Months in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | PFS2 in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | PFS2 in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | PFS2 in PD-L1 TC >= 25% LREM Analysis Set |
NCT03003962 (44) [back to overview] | PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | PFS Based on Investigator Assessment According to RECIST 1.1 in LREM Analysis Set |
NCT03003962 (44) [back to overview] | Overall Survival (OS) |
NCT03003962 (44) [back to overview] | OS in PD-L1 TC >= 50% LREM Analysis Set |
NCT03003962 (44) [back to overview] | OS in PD-L1 TC >= 50% Analysis Set |
NCT03003962 (44) [back to overview] | OS in Participants With LREM |
NCT03041181 (1) [back to overview] | Number of Participants With Grade 3 or Grade 4 Adverse Events |
NCT03085914 (3) [back to overview] | Phases 1 and 2: Objective Response Rate (ORR) |
NCT03085914 (3) [back to overview] | Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT03085914 (3) [back to overview] | Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT03138889 (4) [back to overview] | Objective Response Rate (ORR) Per Blinded Independent Central Review (BICR) by RECIST 1.1 of NKTR-214 Plus Pembrolizumab for Dose Expansion Cohorts 2 and 3. |
NCT03138889 (4) [back to overview] | Objective Response Rate (ORR) Per Investigator's Assessment by RECIST 1.1 of NKTR-214 at a Dose of 0.006 mg/kg With Pembrolizumab and Platinum-based Chemotherapy for Dose Expansion Cohorts 4+5. |
NCT03138889 (4) [back to overview] | Number of Participants Experiencing Dose-Limiting Toxicities in Dose Optimization Cohort 1a |
NCT03138889 (4) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events [Safety and Tolerability] for Dose Optimization Cohort 1a. |
NCT03164616 (13) [back to overview] | PK of Tremelimumab; Peak and Trough Serum Concentrations |
NCT03164616 (13) [back to overview] | Pharmacokinetics (PK) of Durvalumab; Peak and Trough Serum Concentrations |
NCT03164616 (13) [back to overview] | Number of Patients With Anti-Drug Antibody (ADA) Response to Durvalumab |
NCT03164616 (13) [back to overview] | Number of Patients With ADA Response to Tremelimumab |
NCT03164616 (13) [back to overview] | Time From Randomization to Second Progression (PFS2) |
NCT03164616 (13) [back to overview] | Progression-Free Survival (PFS); D + SoC Compared With SoC Alone |
NCT03164616 (13) [back to overview] | PFS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC |
NCT03164616 (13) [back to overview] | Overall Survival (OS); D + SoC Compared With SoC Alone |
NCT03164616 (13) [back to overview] | OS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC |
NCT03164616 (13) [back to overview] | Duration of Response (DoR) |
NCT03164616 (13) [back to overview] | Time to Deterioration of PRO Symptoms, Assessed Using EORTC QLQ-Lung Cancer Module 13 (QLQ-LC13) |
NCT03164616 (13) [back to overview] | Time to Deterioration of Global Health Status / Health-Related Quality of Life (HRQoL) and Patient Reported Outcome (PRO) Symptoms, Assessed Using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) |
NCT03164616 (13) [back to overview] | Objective Response Rate (ORR) |
NCT03215706 (8) [back to overview] | Objective Response Rate (ORR) by BICR by PD-LI Tumor Cell Expression |
NCT03215706 (8) [back to overview] | Duration of Response (DoR) |
NCT03215706 (8) [back to overview] | Objective Response Rate (ORR) by BICR |
NCT03215706 (8) [back to overview] | Overall Survival (OS) |
NCT03215706 (8) [back to overview] | Progression Free Survival (PFS) by BICR |
NCT03215706 (8) [back to overview] | Time to Response (TTR) |
NCT03215706 (8) [back to overview] | OS by PD-L1 Tumor Cell Expression |
NCT03215706 (8) [back to overview] | PFS by BICR by PD-L1 Tumor Cell Expression |
NCT03256136 (5) [back to overview] | Duration Of Response |
NCT03256136 (5) [back to overview] | Progression Free Survival (PFS) |
NCT03256136 (5) [back to overview] | Disease Control Rate (DCR), Presented in Numbers of Participants |
NCT03256136 (5) [back to overview] | Overall Survival (OS) |
NCT03256136 (5) [back to overview] | Objective Response Rate (ORR), Presented in Numbers of Participants |
NCT03307785 (158) [back to overview] | Part A: Area Under the Plasma Concentration From Time Zero to Infinity (AUC[0-infinity]) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: AUC at Steady State (AUCss) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: AUC(0-infinity) of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Cmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Ctau of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Disease Control Rate |
NCT03307785 (158) [back to overview] | Part A: Duration of Response |
NCT03307785 (158) [back to overview] | Part A: Maximum Observed Plasma (Cmax) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Number of Participants With Dose-limiting Toxicity (DLT) |
NCT03307785 (158) [back to overview] | Part A: Number of Participants With Positive Anti-TSR-042 Antibodies |
NCT03307785 (158) [back to overview] | Part A: Objective Response Rate |
NCT03307785 (158) [back to overview] | Part A: Observed Concentration at the End of the Dosing Interval (Ctau) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Progression-free Survival |
NCT03307785 (158) [back to overview] | Part A: Time to Reach Maximum Plasma Concentration (Tmax) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Tmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: AUC(0-infinity) of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Cmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Ctau of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Disease Control Rate |
NCT03307785 (158) [back to overview] | Part B: Number of Participants With DLT |
NCT03307785 (158) [back to overview] | Part B: Number of Participants With Positive Anti-TSR-042 Antibodies |
NCT03307785 (158) [back to overview] | Part B: Objective Response Rate |
NCT03307785 (158) [back to overview] | Part F: Number of Participants With Non-serious TEAEs, STEAEs and AESIs |
NCT03307785 (158) [back to overview] | Part E: Number of Participants With Non-serious TEAEs, STEAEs and AESIs |
NCT03307785 (158) [back to overview] | Part D: Vz of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: Vss of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: Number of Participants With Non-serious TEAEs, STEAEs and AESIs |
NCT03307785 (158) [back to overview] | Part D: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: CL of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: AUC0-t of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Vz/F of Niraparib |
NCT03307785 (158) [back to overview] | Part C: Vz of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Vss of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Tmax,ss of Niraparib |
NCT03307785 (158) [back to overview] | Part C: Number of Participants With Non-serious TEAEs, STEAEs and AESIs |
NCT03307785 (158) [back to overview] | Part C: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Ctau,ss of Niraparib |
NCT03307785 (158) [back to overview] | Part C: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Cmax,ss of Niraparib |
NCT03307785 (158) [back to overview] | Part C: CL/F of Niraparib |
NCT03307785 (158) [back to overview] | Part C: CL of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: AUC0-t of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: AUC0-t of Niraparib |
NCT03307785 (158) [back to overview] | Part B: Vz of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Vss of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Number of Participants With Non-serious TEAEs, STEAEs and AESIs |
NCT03307785 (158) [back to overview] | Part B: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: CL of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: AUC0-t of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Volume of Distribution After Oral Administration (Vz/F) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Volume of Distribution After Oral Administration (Vz/F) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Volume of Distribution After Intravenous Administration (Vz) of of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Volume of Distribution After Intravenous Administration (Vz) of of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Ctau of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Ctau of Niraparib |
NCT03307785 (158) [back to overview] | Part C: Cmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Cmax of Niraparib |
NCT03307785 (158) [back to overview] | Part F: AUC0-t of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: CL of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: CL of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Cmax of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Cmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Cmax,ss of TSR-022 |
NCT03307785 (158) [back to overview] | Part C: AUCss of Niraparib |
NCT03307785 (158) [back to overview] | Part C: AUC(0-infinity) of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: AUC(0-infinity) of Niraparib |
NCT03307785 (158) [back to overview] | Part B: Tmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part B: Progression-free Survival |
NCT03307785 (158) [back to overview] | Part A: Tmax at Steady State (Tmax,ss) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Tmax at Steady State (Tmax,ss) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Volume of Distribution After Intravenous Administration (Vss) of of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Volume of Distribution After Intravenous Administration (Vss) of of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Ctau of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Ctau of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Ctau,ss of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: AUCss of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Disease Control Rate |
NCT03307785 (158) [back to overview] | Part F: Duration of Response |
NCT03307785 (158) [back to overview] | Part F: Number of Participants With DLT |
NCT03307785 (158) [back to overview] | Part F: Number of Participants With Positive Anti-TSR-022 Antibodies |
NCT03307785 (158) [back to overview] | Part F: Number of Participants With Positive Anti-TSR-042 Antibodies |
NCT03307785 (158) [back to overview] | Part F: Objective Response Rate |
NCT03307785 (158) [back to overview] | Part F: AUC0-t of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: AUC(0-infinity) of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: AUC(0-infinity) of TSR-022 |
NCT03307785 (158) [back to overview] | Part E: Vz of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Vss of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Tmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Progression-free Survival |
NCT03307785 (158) [back to overview] | Part E: Objective Response Rate |
NCT03307785 (158) [back to overview] | Part E: Number of Participants With Positive Anti-TSR-042 Antibodies |
NCT03307785 (158) [back to overview] | Part E: Number of Participants With DLT |
NCT03307785 (158) [back to overview] | Part E: Duration of Response |
NCT03307785 (158) [back to overview] | Part E: Disease Control Rate |
NCT03307785 (158) [back to overview] | Part E: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Ctau of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: Cmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: CL of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: AUC0-t of TSR-042 |
NCT03307785 (158) [back to overview] | Part E: AUC(0-infinity) of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: Tmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Progression-free Survival |
NCT03307785 (158) [back to overview] | Part F: Tmax of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Tmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Tmax,ss of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Tmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Vss of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Vss of TSR-042 |
NCT03307785 (158) [back to overview] | Part F: Vz of TSR-022 |
NCT03307785 (158) [back to overview] | Part F: Vz of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Area Under the Plasma Concentration From Time Zero to t (AUC[0-t]) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: AUC(0-t) of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: AUC(0-t) of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: AUCss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Clearance After Intravenous Administration (CL) of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Clearance After Intravenous Administration (CL) of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Clearance After Oral Administration (CL/F) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Clearance After Oral Administration (CL/F) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Cmax at Steady State (Cmax,ss) of Niraparib |
NCT03307785 (158) [back to overview] | Part D: Progression-free Survival |
NCT03307785 (158) [back to overview] | Part D: Objective Response Rate |
NCT03307785 (158) [back to overview] | Part D: Number of Participants With Positive Anti-TSR-042 Antibodies |
NCT03307785 (158) [back to overview] | Part D: Number of Participants With DLT |
NCT03307785 (158) [back to overview] | Part D: Disease Control Rate |
NCT03307785 (158) [back to overview] | Part D: Ctau of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: Cmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part D: AUC(0-infinity) of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Tmax of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Cmax at Steady State (Cmax,ss) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Cmax,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Ctau at Steady State (Ctau,ss) of Niraparib |
NCT03307785 (158) [back to overview] | Part A: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part A: Number of Participants With Non-serious Treatment-emergent Adverse Events (TEAEs), Serious TEAEs (STEAEs) and Adverse Events of Special Interest (AESIs) |
NCT03307785 (158) [back to overview] | Part D: Ctau,ss of TSR-042 |
NCT03307785 (158) [back to overview] | Part C: Tmax of Niraparib |
NCT03307785 (158) [back to overview] | Part C: Progression-free Survival |
NCT03307785 (158) [back to overview] | Part C: Objective Response Rate |
NCT03307785 (158) [back to overview] | Part C: Number of Participants With Positive Anti-TSR-042 Antibodies |
NCT03307785 (158) [back to overview] | Part C: Number of Participants With DLT |
NCT03307785 (158) [back to overview] | Part C: Disease Control Rate |
NCT03317496 (13) [back to overview] | Absolute Value of Tumor Mutational Burden (TMB) in Tumor Tissue |
NCT03317496 (13) [back to overview] | Duration of Response (DOR) as Per RECIST v 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Number of Participants With Grade 3 or Higher TEAEs Based on National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) v 4.03 |
NCT03317496 (13) [back to overview] | Number of Participants With Treatment Related TEAEs |
NCT03317496 (13) [back to overview] | Overall Survival (OS) |
NCT03317496 (13) [back to overview] | Percentage of Participants With Confirmed Objective Response (OR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Phase 1b Lead-in: Number of Participants With Dose-Limiting Toxicities (DLT) |
NCT03317496 (13) [back to overview] | Progression Free Survival (PFS) as Per RECIST v 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Time-to-Tumor Response (TTR) as Per RECIST v 1.1 by Investigator Assessment |
NCT03317496 (13) [back to overview] | Number of Participants With Grade 3 or Higher Laboratory Abnormalities by CTCAE Grade |
NCT03317496 (13) [back to overview] | Number of Participants With Programmed Death-Ligand 1 (PD-L1) Expression |
NCT03317496 (13) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT03317496 (13) [back to overview] | Serum Concentration of Avelumab |
NCT03607539 (6) [back to overview] | Time to Response (TTR) by IRRC Assessment |
NCT03607539 (6) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Independent Radiographic Review Committee (IRRC) |
NCT03607539 (6) [back to overview] | Duration of Response (DOR) by IRRC Assessment |
NCT03607539 (6) [back to overview] | Overall Survival (OS) |
NCT03607539 (6) [back to overview] | Objective Response Rate (ORR) by IRRC Assessment |
NCT03607539 (6) [back to overview] | Disease Control Rate (DCR) by IRRC Assessment |
NCT03631784 (4) [back to overview] | Number of Participants Who Discontinued From Study Treatment Due to an AE |
NCT03631784 (4) [back to overview] | Percentage of Participants Who Developed Grade 3 or Higher Pneumonitis |
NCT03631784 (4) [back to overview] | Number of Participants Who Experienced an Adverse Event (AE) |
NCT03631784 (4) [back to overview] | Overall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
NCT03664024 (6) [back to overview] | Percentage of Participants Discontinuing Study Intervention Due to an AE. |
NCT03664024 (6) [back to overview] | Percentage of Participants Who Experienced One or More Adverse Events (AEs) |
NCT03664024 (6) [back to overview] | Overall Survival (OS) |
NCT03664024 (6) [back to overview] | Objective Response Rate |
NCT03664024 (6) [back to overview] | Progression Free Survival (PFS) |
NCT03664024 (6) [back to overview] | Tumor Mutation Burden (TMB) in Cell-free Circulating Tumor Deoxyribonucleic Acid (ctDNA) |
NCT03713944 (5) [back to overview] | Number of Participants With Adverse Events |
NCT03713944 (5) [back to overview] | Disease Control Rate |
NCT03713944 (5) [back to overview] | Overall Response Rate |
NCT03713944 (5) [back to overview] | Overall Survival |
NCT03713944 (5) [back to overview] | Progression Free Survival |
NCT03737994 (12) [back to overview] | Objective Response Rate (ORR), Per Investigator Assessment Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Criteria |
NCT03737994 (12) [back to overview] | Progression-free Survival (PFS), Per Investigator Assessment Using RECIST v1.1 Criteria |
NCT03737994 (12) [back to overview] | Overall Survival (OS) |
NCT03737994 (12) [back to overview] | Progression-free Survival (PFS), Per Investigator Assessment Using RECIST v1.1 Criteria |
NCT03737994 (12) [back to overview] | Objective Response Rate (ORR), Per Investigator Assessment Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Criteria |
NCT03737994 (12) [back to overview] | Progression-free Survival (PFS), Per Investigator Assessment Using RECIST v1.1 Criteria |
NCT03737994 (12) [back to overview] | Objective Response Rate (ORR), Per Investigator Assessment Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Criteria |
NCT03737994 (12) [back to overview] | Duration of Overall Response, Per Investigator Assessment Using RECIST v1.1 |
NCT03737994 (12) [back to overview] | Duration of Overall Response, Per Investigator Assessment Using RECIST v1.1 |
NCT03737994 (12) [back to overview] | Number of Participants by Highest Grade Adverse Event Reported |
NCT03737994 (12) [back to overview] | Overall Survival (OS) |
NCT03737994 (12) [back to overview] | Overall Survival (OS) |
NCT03775486 (11) [back to overview] | Progression-free Survival |
NCT03775486 (11) [back to overview] | Time to Deterioration in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13 |
NCT03775486 (11) [back to overview] | Time to Deterioration in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30 |
NCT03775486 (11) [back to overview] | Progression-free Survival in Homologous Recombination Repair Related Gene Mutation (HRRm) Population |
NCT03775486 (11) [back to overview] | Presence of Anti-drug Antibodies (ADAs) for Durvalumab |
NCT03775486 (11) [back to overview] | Overall Survival |
NCT03775486 (11) [back to overview] | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13 |
NCT03775486 (11) [back to overview] | Duration of Response |
NCT03775486 (11) [back to overview] | Concentration of Durvalumab |
NCT03775486 (11) [back to overview] | Change From Baseline in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30 |
NCT03775486 (11) [back to overview] | Number of Participants With Treatment-Related Adverse Events |
NCT03840915 (7) [back to overview] | Number of Participants With Positive Antidrug Antibodies (ADA) |
NCT03840915 (7) [back to overview] | Number of Participants With Dose-Limiting Toxicities (DLTs) |
NCT03840915 (7) [back to overview] | Duration of Response (DOR) |
NCT03840915 (7) [back to overview] | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs |
NCT03840915 (7) [back to overview] | Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator (IRC) |
NCT03840915 (7) [back to overview] | Overall Survival (OS) |
NCT03840915 (7) [back to overview] | Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator |
NCT03850444 (11) [back to overview] | Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE) |
NCT03850444 (11) [back to overview] | Number of Participants Who Experienced At Least One Adverse Event (AE) |
NCT03850444 (11) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1% |
NCT03850444 (11) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20% |
NCT03850444 (11) [back to overview] | Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50% |
NCT03850444 (11) [back to overview] | Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥1% |
NCT03850444 (11) [back to overview] | Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥20% |
NCT03850444 (11) [back to overview] | Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥50% |
NCT03850444 (11) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1% |
NCT03850444 (11) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20% |
NCT03850444 (11) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50% |
NCT03950674 (7) [back to overview] | Overall Response Rate (ORR) Per RECIST 1.1 as Assessed by Blinded Central Imaging |
NCT03950674 (7) [back to overview] | Duration of Response (DOR) Per RECIST 1.1 as Assessed by Blinded Central Imaging |
NCT03950674 (7) [back to overview] | Number of Participants Who Experienced an Adverse Event (AE) |
NCT03950674 (7) [back to overview] | Overall Survival (OS) |
NCT03950674 (7) [back to overview] | Progression-Free Survival (PFS) as Assessed by Investigator Immune-related RECIST (irRECIST) Response Criteria |
NCT03950674 (7) [back to overview] | Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Blinded Central Imaging |
NCT03950674 (7) [back to overview] | Number of Participants Who Discontinued Any Study Drug Due to an AE |
NCT03971474 (8) [back to overview] | Disease Control Rate (DCR) |
NCT03971474 (8) [back to overview] | Duration of Response (DOR) |
NCT03971474 (8) [back to overview] | Investigator Assessed-progression-free Survival (IA-PFS) |
NCT03971474 (8) [back to overview] | Overall Survival (OS), Subgroup Analysis by Stratification Factors |
NCT03971474 (8) [back to overview] | Number of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs |
NCT03971474 (8) [back to overview] | Investigator-Assessed Progression-Free Survival (IA-PFS), Subgroup Analysis by Stratification Factors |
NCT03971474 (8) [back to overview] | Response Rate (RR) |
NCT03971474 (8) [back to overview] | Overall Survival (OS) |
NCT04012619 (1) [back to overview] | the Maximum Tolerated Dose (MTD) |
NCT04372927 (4) [back to overview] | Response Rate |
NCT04372927 (4) [back to overview] | Frequency and Severity of Pneumonitis |
NCT04372927 (4) [back to overview] | Frequency of Adverse Events |
NCT04372927 (4) [back to overview] | Overall Survival (OS) |
NCT04816214 (15) [back to overview] | Run-in Part: Number of Participants With Dose Limiting Toxicities (DLTs) |
NCT04816214 (15) [back to overview] | Run-in Part: Maximum Plasma Concentration (Cmax) of Osimertinib and Its Metabolites (AZ5104 and AZ7550) |
NCT04816214 (15) [back to overview] | Run-in Part: Disease Control Rate (DCR) as Per Investigator Assessment |
NCT04816214 (15) [back to overview] | Run-in Part: Duration of Response (DOR) as Per Investigator Assessment |
NCT04816214 (15) [back to overview] | Run-in Part: Time to Response (TTR) as Per Investigator Assessment |
NCT04816214 (15) [back to overview] | Run-in Part: Median Duration of Exposure to Each Study Drug |
NCT04816214 (15) [back to overview] | Run-in Part: Number of Participants With at Least One Dose Interruption and Dose Reduction of Each Study Drug |
NCT04816214 (15) [back to overview] | Run-in Part: Time to Maximum Plasma Concentration (Tmax) of Capmatinib |
NCT04816214 (15) [back to overview] | Run-in Part: Time to Maximum Plasma Concentration (Tmax) of Osimertinib and Its Metabolites (AZ5104 and AZ7550) |
NCT04816214 (15) [back to overview] | Run-in Part: Maximum Plasma Concentration (Cmax) of Capmatinib |
NCT04816214 (15) [back to overview] | Run-in Part: Progression-Free Survival (PFS) as Per Investigator Assessment |
NCT04816214 (15) [back to overview] | Run-in Part: Dose Intensity of Each Study Drug |
NCT04816214 (15) [back to overview] | Run-in Part: Overall Response Rate (ORR) as Per Investigator Assessment |
NCT04816214 (15) [back to overview] | Run-in Part: Area Under the Curve to the Last Measurable Concentration (AUClast) of Osimertinib and Its Metabolites (AZ5104 and AZ7550) |
NCT04816214 (15) [back to overview] | Run-in Part: Area Under the Curve to the Last Measurable Concentration (AUClast) of Capmatinib |
Overall Tumor Response
Best overall (confirmed) response recorded from start of treatment until disease progression/recurrence, start of other anti-tumor therapy/intervention, or end of trial, whichever comes first. Response must be confirmed at least 6 weeks from previous scans. Best overall response assignment depends on both measurement and confirmation criteria. (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
21-Day Schedule | 0 | 5 | 10 | 6 | 0 |
,Bi-Weekly Schedule | 2 | 8 | 26 | 14 | 2 |
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Time to Treatment Failure
Time to treatment failure is calculated as (Date of First Disease Progression, Death as a Result of any Cause, or Early Discontinuation of Treatment Due to Adverse Event or Physician Perception of Lack of Efficacy or Patient and Physician Perception of Lack of Efficacy, whichever Comes First - First Dose Date + 1)/ (365.25/12) (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 2.79 |
21-Day Schedule | 2.56 |
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Time to Progressive Disease
Time to progressive disease is calculated as (Date of First Disease Progression or Death Due to Disease under Study whichever Comes First - First Dose Date + 1)/(365.25/12). (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 3.19 |
21-Day Schedule | 4.01 |
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Overall Survival
Overall survival time is calculated as (Date of Death as a Result of any Cause - First Dose Date + 1)/ (365.25/12). (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 13.44 |
21-Day Schedule | 16.20 |
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Duration of (Confirmed) Complete Response or Partial Response
Duration of response is calculated as (Date of First Disease Progression or Death as a Result of any Cause whichever Comes First - Date of First Objective Status Assessment of Confirmed CR or PR + 1)/(365.25/12). (NCT00063570)
Timeframe: Every 6 weeks from start of treatment until documented disease progression or for 6 months from last dose of study drug, whichever occurs first. After 6 months, clinical assessment every 12 weeks and radiologic test performed as clinically indicated
Intervention | months (Median) |
---|
Bi-Weekly Schedule | 5.85 |
21-Day Schedule | 4.17 |
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Pathological Complete Response
"Number of participants with results of pathological review that indicated a complete response. Pathological complete response should be evaluated at the time of surgery (Extrapleural Pneumonectomy [EPP]).~Resected tissue or pleural fluid should be sent for pathological and histological evaluation." (NCT00087698)
Timeframe: Surgery (at least 3 weeks post last dose of chemotherapy, up to a maximum interval of 8 weeks)
Intervention | participants (Number) |
---|
Pemetrexed | 3 |
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Time to Progressive Disease
Number of months between the first dose date and the date of first disease progression or death as a result of any cause, whichever comes first. (NCT00087698)
Timeframe: baseline to measured progressive disease
Intervention | months (Mean) |
---|
Pemetrexed | 14.98 |
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Overall Tumor Response
The frequency of best overall tumor response summarized by response category. The best (unconfirmed) response recorded from the start of chemotherapy treatment until disease progression/recurrence, start of any further anti-tumor therapy, or time of surgery whichever comes first. (NCT00087698)
Timeframe: baseline to measured progressive disease
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown/Unavailable |
---|
Pemetrexed | 1 | 24 | 36 | 5 | 11 |
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The 1 and 2 Year Disease-Free Survival Rate (Percentage)
Kaplan-Meier estimates of the percentage of participants still alive at 1-year and 2-years, based upon the total number of participants who had surgery. (NCT00087698)
Timeframe: 1 year and 2 years
Intervention | percentage of participants (Mean) |
---|
| 1-Year Disease-Free Rate | 2-Year Disease-Free Rate |
---|
Pemetrexed | 61.40 | 33.24 |
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Time to Treatment Failure
Time to relapse (treatment failure) is measured in months and calculated as (Date of first surgery - Date of first relapse after surgery + 1)/(365.25/12). Time to relapse will be censored at the date of the last visit or start date of further anti-tumor therapy or intervention, whichever comes first. (NCT00087698)
Timeframe: baseline to stopping treatment
Intervention | months (Mean) |
---|
Pemetrexed | 18.30 |
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Overall Survival Time
Number of months between the first dose date and the date of death as a result of any cause. Overall survival time calculated as (Date of death - First dose date + 1)/(365.25/12). (NCT00087698)
Timeframe: baseline to date of death from any cause
Intervention | months (Mean) |
---|
Pemetrexed | 21.85 |
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Duration of Overall Response (OR)
The duration of response, in participants with best OR of complete response (CR) or partial response (PR), was measured from the date criteria are met for CR/PR (not confirmation date, whichever was first recorded), until the first occurrence date that the criteria of progressive disease (PD) was met, or death. Participants who were alive and without progression were censored at the date of their last independent review committee (IRC) tumor assessment. The tumor response and progression were assessed by the IRC in the Pemetrexed group and by the investigator in the Docetaxel group. (NCT00095199)
Timeframe: Time of first occurrence of either (PR) or (CR) to the first date of progressive disease or death up to 32.5 months
Intervention | months (Median) |
---|
Cetuximab & Pemetrexed | 4.17 |
Pemetrexed | 6.93 |
Cetuximab & Docetaxel | 5.36 |
Docetaxel | 5.39 |
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Overall Survival (OS)
OS was defined as the time from randomization to death. Participants without a date of death were censored on the last date participants were known to be alive, or lost to follow-up. (NCT00095199)
Timeframe: Randomization to the date of death from any cause up to 72.8 months
Intervention | months (Median) |
---|
Cetuximab & Pemetrexed | 6.93 |
Pemetrexed | 7.79 |
Cetuximab & Docetaxel | 5.75 |
Docetaxel | 8.15 |
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Number of Participants With Common Toxicity Criteria (CTC) Grade 3 or 4 Toxicities
National Cancer Institutes-Common Toxicity Criteria version 3.0 was used by investigators to assess participant toxicities. Mapping of investigator verbatim terms to CTCAE terms was done by the sponsor/designee using CTCAE v4.0. Participants reported had grade 3 or 4 toxicities (or both potentially). Grade 3 AEs: 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 AEs: life-threatening consequences; urgent intervention indicated. (NCT00095199)
Timeframe: Time from first dose to 30 days after last dose of study therapy up to 28.3 months for Cetuximab & Pemetrexed (versus Pemetrexed alone) and up to 54.3 months for Cetuximab + Docetaxel (versus Docetaxel alone)
Intervention | participants (Number) |
---|
Cetuximab & Pemetrexed | 179 |
Pemetrexed | 143 |
Cetuximab + Docetaxel | 112 |
Docetaxel | 97 |
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Percentage of Participants With Symptomatic Response (Symptom Response Rates) Using the Lung Cancer Subscale (LCS) Scores of Functional Assessment of Cancer Therapy for Participants With Lung Cancer (FACT-L)
The FACT-LCS is a set of 7 questions to inventory problems specific to lung cancer symptoms. Participants rate each item on a 5-point Likert-type scale from 0 (not at all) to 4 (very much). Scores range from 0-28 and higher score indicates fewer symptoms. Symptom response (improvement) was defined as ≥2 point increase from baseline in the 7-item LCS score that was maintained for 2 consecutive assessments at least 3 weeks, and not >5 weeks apart for participants, whose baseline LCS score was ≤26. Symptom response rate was the percentage of participants with symptomatic response. (NCT00095199)
Timeframe: At baseline, every 3 weeks and 30 days after end of therapy up to 50 months
Intervention | percentage of participants (Number) |
---|
Cetuximab & Pemetrexed | 17.1 |
Pemetrexed | 22.9 |
Cetuximab & Docetaxel | 17.3 |
Docetaxel | 13.5 |
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Progression Free Survival (PFS)
PFS was defined as the time from randomization until the date of progressive disease (PD) or death from any cause. Participants who were alive and without progression were censored at the date of their last tumor assessment. PFS was assessed by the independent review committee (IRC) in the Pemetrexed group (Cetuximab & Pemetrexed versus Pemetrexed) and by the investigator in the Docetaxel group (Cetuximab & Docetaxel versus Docetaxel). (NCT00095199)
Timeframe: Randomization to progression of disease or death due to any cause up to 59.6 months
Intervention | months (Median) |
---|
Cetuximab & Pemetrexed | 2.89 |
Pemetrexed | 2.76 |
Cetuximab & Docetaxel | 2.37 |
Docetaxel | 1.54 |
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Proportion of Randomized Participants With Best Overall Response (OR) of Partial Response (PR), Complete Response (CR), or Stable Disease (SD)
The disease control rate (DCR) was the proportion of randomized participants with a best OR of CR, PR or SD according to modified World Health Organization (WHO) guidelines. It was calculated as the total number of participants with CR, PR or SD divided by the total number of participants randomized in that arm. The tumor response was assessed by the independent review committee (IRC) in the Pemetrexed group and by the investigator in the Docetaxel group. (NCT00095199)
Timeframe: Randomization to progression of disease or death due to any cause up to 59.6 months
Intervention | proportion of participants (Number) |
---|
Cetuximab & Pemetrexed | 0.522 |
Pemetrexed | 0.480 |
Cetuximab & Docetaxel | 0.335 |
Docetaxel | 0.253 |
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Proportion of Randomized Participants With the Best Overall Response (OR) of Partial Response (PR) or Complete Response (CR) (Overall Response Rate [ORR])
The best overall response rate (ORR) was the proportion of randomized participants with a best OR of CR or PR, according to modified World Health Organization (WHO) guidelines. It was calculated as the total number of participants with CR or PR divided by the total number of participants treated in that arm. Participants with no post-baseline evaluation were considered as non-responders. The tumor response was assessed by the independent review committee (IRC) in the Pemetrexed group and by the investigator in the Docetaxel group. (NCT00095199)
Timeframe: Randomization until progression of disease or death from any cause up to 59.6 months
Intervention | proportion of participants (Number) |
---|
Cetuximab & Pemetrexed | 0.066 |
Pemetrexed | 0.043 |
Cetuximab & Docetaxel | 0.078 |
Docetaxel | 0.066 |
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Time to Symptomatic Progression
The FACT-LCS (see description in Outcome measure 5) inventories problems specific to lung cancer symptoms. Using this Scale, Symptom progression = a ≥ 2 point decrease from baseline in LCS score maintained for 2 consecutive assessments ≥3 weeks, and <5 weeks, apart. The symptom progression date = the first of 2 consecutive assessments with a ≥2 point decline. Time to symptomatic progression = the time from randomization to the symptom progression date. For participants with no symptom progression, time to symptomatic progression was censored the date of last symptom assessment. (NCT00095199)
Timeframe: Randomization until symptomatic progression up to 48.3 months
Intervention | months (Median) |
---|
Cetuximab & Pemetrexed | NA |
Pemetrexed | NA |
Cetuximab & Docetaxel | NA |
Docetaxel | NA |
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Overall Survival
Time from randomization to death. Patients alive at last follow-up were censored. (NCT00101283)
Timeframe: Assessed every 3 months for 2 years, then every 6 months for 1 year
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 13.0 |
Pemetrexed/Gemcitabine | 6.0 |
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Best Overall Response by RECIST Criteria (Version 1.0)
Number of eligible, treated participants in each response category by RECIST criteria. Response categories represent best response for each patient prior to progression. (NCT00101283)
Timeframe: Assessed every 2 cycles (6 weeks) while on treatment, then every 3 months for 2 years, then every 6 months for 1 year until disease progression
Intervention | eligible, treated participants (Number) |
---|
| Partial Response | Stable Disease | Progression | Unevaluable |
---|
Pemetrexed/Carboplatin | 3 | 7 | 5 | 1 |
,Pemetrexed/Gemcitabine | 0 | 6 | 5 | 2 |
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Progression-Free Survival
Time from randomization to the earlier of disease progression or death. Patients alive and progression-free at last follow-up were censored. (NCT00101283)
Timeframe: Assessed every 3 months for 2 years, then every 6 months for 1 year
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 4.1 |
Pemetrexed/Gemcitabine | 3.3 |
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Time to Worsening of Symptoms (TWS)
TWS was the elapsed time from the date of randomization to the first date of worsening [defined as a 15-millimeter (mm) increase from baseline based on a 100-mm scale] of each symptom and summary item in the Lung Cancer Symptom Scale (LCSS). The participant-reported LCSS was a 9-item questionnaire. Six items were symptom-specific measures for lung cancer (loss of appetite, fatigue, cough, dyspnea, hemoptysis, and pain), and 3 summation items described total symptomatic distress, interference with activity level, and global quality of life. Participant (pt) responses to each item were measured using visual analogue scales (VAS) from 0 (for best outcome) to 100 (for worst outcome). TWS was censored at the date of the last LCSS assessment for pts who were not known to have LCSS worsening. (NCT00102804)
Timeframe: Randomization to worsening of each LCSS item (up to 39 months)
Intervention | months (Median) |
---|
| Loss of appetite | Fatigue | Cough | Dyspnea | Hemoptysis | Pain | Symptomatic distress | Interference with activity level | Global quality of life |
---|
Pemetrexed and BSC | 3.78 | 3.06 | 6.05 | 5.36 | NA | 6.11 | 4.21 | 6.51 | 5.75 |
,Placebo and BSC | 4.40 | 3.09 | 4.67 | 4.40 | NA | 4.63 | 3.78 | 3.98 | 3.71 |
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Number of Participants With Adverse Events (AEs)
Clinically significant events were defined as serious adverse events (SAEs) and other non-serious AEs regardless of causality. A summary of serious and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module. (NCT00102804)
Timeframe: Baseline to study completion (up to 41 Months)
Intervention | participants (Number) |
---|
| SAEs | Other Non-Serious AEs |
---|
Pemetrexed and BSC | 83 | 386 |
,Placebo and BSC | 31 | 178 |
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Maximum Improvement Over Baseline in Individual Symptom Scores and Quality of Life Using the LCSS
The participant-reported LCSS was a 9-item questionnaire. Six items were symptom-specific measures for lung cancer (loss of appetite, fatigue, cough, dyspnea, hemoptysis, and pain), and 3 summation items described total symptomatic distress, interference with activity level, and global quality of life. Participant responses to each item were measured using VAS from 0 (for best outcome) to 100 (for worst outcome). The average symptom burden index (ASBI) was the mean of the 6 symptom-specific items. The LCSS total score was the mean of the 9 items. (NCT00102804)
Timeframe: Baseline through 30 days post discontinuation of study treatment (up to 39 Months)
Intervention | units on a scale (Mean) |
---|
| Loss of appetite (n=403, 197) | Fatigue (n=403, 197) | Cough (n=402, 197) | Dyspnea (n=400, 196) | Pain (n=401, 197) | Hemoptysis (n=402, 196) | Symptom distress (n=401, 196) | Interference with activity level (n=400, 197) | Global quality of life (n=401, 195) | ASBI (n=392, 195) | Total LCSS (n=388, 193) |
---|
Pemetrexed and BSC | 7.3 | 10.2 | 7.6 | 7.6 | 5.4 | 1.5 | 6.5 | 10.8 | 10.7 | 3.7 | 4.07 |
,Placebo and BSC | 10.6 | 10.4 | 6.7 | 5.4 | 4.3 | 2.1 | 8.2 | 9.3 | 10.5 | 3.8 | 4.04 |
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Time to Objective Progressive Disease (TPD)
TPD was the elapsed time from the date of randomization to the first date of objective PD. TPD was censored at the date of the participant's last tumor assessment for participants who were not known to have PD as of the data-inclusion cut-off date for analysis or who died without objective PD. PD, defined using RECIST v1.0, was 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. (NCT00102804)
Timeframe: Randomization to measured PD (up to 41 months)
Intervention | months (Median) |
---|
Pemetrexed and BSC | 4.27 |
Placebo and BSC | 2.60 |
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Progression-Free Survival (PFS) Time
PFS time was the elapsed time from the date of randomization to the first date of objective progression of disease or death from any cause. PFS was censored at the date of the participant's last tumor assessment for participants who were not known to have died or to have PD as of the data-inclusion cut-off date for analysis. PD, defined using Response Evaluation Criteria in Solid Tumors version 1.0 (RECIST v1.0), was at least a 20% increase in the sum of 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. (NCT00102804)
Timeframe: Randomization to measured PD or death from any cause (up to 41 months)
Intervention | months (Median) |
---|
Pemetrexed and BSC | 4.27 |
Placebo and BSC | 2.60 |
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Percentage of Participants With a Complete Response (CR) or Partial Response (PR) (Objective Tumor Response Rate)
Response was defined using RECIST v1.0 criteria. CR was defined as the disappearance of all target lesions. PR was defined either A) at least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LDs or B) complete disappearance of target lesions, with persistence (but not worsening) of 1 or more nontarget lesions. In either case, no new lesions may have appeared. The percentage of participants with CR or PR=(Number of participants with CR or PR)/(Number of participants assessed)*100. (NCT00102804)
Timeframe: Baseline to measured PD (up to 41 months)
Intervention | percentage of participants (Number) |
---|
Pemetrexed and BSC | 6.8 |
Placebo and BSC | 1.8 |
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Overall Survival (OS) Time
OS time was the elapsed time from the date of randomization to the date of death from any cause. OS was censored at the last date of contact for participants who were not known to have died as of the data-inclusion cut-off date for analysis. (NCT00102804)
Timeframe: Randomization to date of death from any cause (up to 41 months)
Intervention | months (Median) |
---|
Pemetrexed and BSC | 13.37 |
Placebo and BSC | 10.58 |
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Duration of Tumor Response
Defined as time from first observation of complete response or partial response to the first observation of progressive disease or death due to any cause. (NCT00106002)
Timeframe: every 3 cycles (approximately 6-7 weeks) or until patient has disease progression
Intervention | months (Median) |
---|
Pemetrexed | 7.3 |
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Overall Survival Time
Defined as the time from date of first dose to time of death due to any cause. (NCT00106002)
Timeframe: every 14 day cycle, during 30-days post-therapy follow-up, and every 6 months during the long-term follow-up
Intervention | months (Median) |
---|
Pemetrexed | 18.9 |
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Progression-Free Survival Time
Defined as the time from date of first dose to the first observation of disease progression, or death due to any cause. (NCT00106002)
Timeframe: every 3 cycles (approximately 6-7 weeks) or until patient has disease progression
Intervention | months (Median) |
---|
Pemetrexed | 4.1 |
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Overall Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00106002)
Timeframe: every 3 cycles (approximately 6-7 weeks) or until patient has disease progression
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Best Response Not Evaluable |
---|
Pemetrexed | 1 | 8 | 14 | 9 | 3 |
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Toxicity Profile: Adverse Events (Common Terminology Criteria for Adverse Events, Grade 3 and 4, Present in >5% of Participants)
Participants rated for toxicity prior to each cycle using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events v3.0 (CTCAE). Grades range from 0 (no AE or within normal limits) to 5 (death related to AE). (NCT00106002)
Timeframe: every 14 day cycle, and during 30-days post-therapy follow-up and long-term follow-up
Intervention | participants (Number) |
---|
| Anaemia - Grade 3 | Anaemia - Grade 4 | Leukopenia - Grade 3 | Leukopenia - Grade 4 | Neutropenia - Grade 3 | Neutropenia - Grade 4 | Constipation - Grade 3 | Constipation - Grade 4 | Nausea - Grade 3 | Nausea - Grade 4 | Asthenia - Grade 3 | Asthenia - Grade 4 | Fatigue - Grade 3 | Fatigue - Grade 4 | Cellulitis - Grade 3 | Cellulitis - Grade 4 | Dehydration - Grade 3 | Dehydration - Grade 4 | Hyperglycaemia - Grade 3 | Hyperglycaemia - Grade 4 | Dyspnoea - Grade 3 | Dyspnoea - Grade 4 | Pleural effusion - Grade 3 | Pleural effusion - Grade 4 |
---|
Pemetrexed | 5 | 0 | 4 | 2 | 8 | 5 | 2 | 0 | 3 | 0 | 3 | 0 | 5 | 0 | 2 | 0 | 2 | 0 | 3 | 2 | 4 | 0 | 2 | 0 |
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Safety and Tolerability as Measured by the Number of Participants With Disease Progression
Number of participants with disease progression (protocol-mandated reason for discontinuation). Disease progression was determined by the principle investigator. (NCT00106626)
Timeframe: Any time during 8 cycle treatment period through 30 days after.
Intervention | Participants (Number) |
---|
Cohort A - Vorinostat BID + Pemetrexed + Cisplatin | 4 |
Cohort B - Vorinostat QD + Pemetrexed + Cisplatin | 1 |
Cohort C - Vorinostat BID + Pemetrexed | 9 |
Cohort D - Vorinostat QD + Pemetrexed | 10 |
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Maximum Tolerated Dose (MTD) Status as Determined by Number of Participants With Dose Limiting Toxicity (DLT) at Each Dose Level
MTD was determined by the occurrence of DLTs during the first treatment cycle. DLT describes side effects of a drug or other treatment that are serious enough to prevent an increase in dose or level of that treatment. The dose level is equal to the MTD if < 2 patients experience a DLT and is also the highest tolerated dose level in the cohort. (NCT00106626)
Timeframe: Cycle 1 (21 days)
Intervention | Participants (Number) |
---|
| Number (#) of DLT | # Participants treated at a dose level # Participants treated at a dose level =MTD | # Participants treated at a dose level >MTD | |
---|
Dose Level A.1 | 1 | 0 | 6 | 0 |
,Dose Level A.2 | 3 | 0 | 0 | 7 |
,Dose Level B.1 | 0 | 0 | 3 | 0 |
,Dose Level B.2 | 2 | 0 | 0 | 6 |
,Dose Level C.1 | 1 | 7 | 0 | 0 |
,Dose Level C.2 | 0 | 4 | 0 | 0 |
,Dose Level C.3 | 0 | 0 | 3 | 0 |
,Dose Level D.1 | 1 | 0 | 9 | 0 |
,Dose Level D.2 | 2 | 0 | 0 | 7 |
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Number of Participants With Objective Response Assessed by Independent Review Committee
Objective response was defined as having a complete response (CR) or a partial response (PR). Response assessment was performed using modified World Health Organization (WHO) criteria. Complete response: disappearance of all index and non-index lesions, without appearance of any new lesion. PR: greater than (>) 50 percent (%) decrease from baseline in sum of product of diameters of index lesions, without appearance of any new lesion. (NCT00111839)
Timeframe: Baseline up to PD or death due to any cause (up to approximately 2 years)
Intervention | participants (Number) |
---|
Pemetrexed Alone | 2 |
Pemetrexed Plus Matuzumab 800 mg Per Week | 8 |
Pemetrexed Plus Matuzumab 1600 mg Every 3 Weeks | 1 |
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Duration of Objective Response Assessed by Independent Review Committee
Objective response was defined as having a CR or a PR. Response assessment was performed using modified WHO criteria. CR: disappearance of all index and non-index lesions, without appearance of any new lesion. PR: >50% decrease from baseline in sum of product of diameters of index lesions, without appearance of any new lesion. Duration of objective response was defined as time from first appearance of CR or PR to time of PD (>25% increase in one or more lesions, or appearance new lesions) or death. Duration of objective response was to be assessed using Kaplan-Meier analysis. (NCT00111839)
Timeframe: From first documented objective response to PD or death due to any cause (up to approximately 3.5 years)
Intervention | months (Median) |
---|
Pemetrexed Alone | NA |
Pemetrexed Plus Matuzumab 800 mg Per Week | NA |
Pemetrexed Plus Matuzumab 1600 mg Every 3 Weeks | NA |
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Overall Survival (OS)
OS was defined as the duration from randomization to death (due to any cause). OS was estimated using Kaplan-Meier analysis. (NCT00111839)
Timeframe: Baseline up to PD or death due to any cause (up to approximately 3.5 years)
Intervention | months (Median) |
---|
Pemetrexed Alone | 7.9 |
Pemetrexed Plus Matuzumab 800 mg Per Week | 12.4 |
Pemetrexed Plus Matuzumab 1600 mg Every 3 Weeks | 5.9 |
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Change From Baseline to Cycle 2 in Global Quality of Life (QoL), as Assessed Using Lung Cancer Symptom Scale (LCSS)
The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms (loss of appetite, fatigue, cough, dyspnea, hemoptysis, and pain] and 3 items were global items (symptom distress, interference with activity level, and global QoL). The global QoL item scores are reported here. The total global QoL item score ranged from 0 (worse QoL) to 100 (best QoL). (NCT00111839)
Timeframe: Baseline, Cycle 2 (Cycle length = 3 weeks)
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Cycle 2 |
---|
Pemetrexed Alone | 35.9 | 3.5 |
,Pemetrexed Plus Matuzumab 1600 mg Every 3 Weeks | 35.8 | 15.7 |
,Pemetrexed Plus Matuzumab 800 mg Per Week | 31.1 | 0.8 |
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Progression-Free Survival (PFS)
PFS was defined as the time from randomization to the first documentation of disease progression (PD) or to death due to any cause, whichever occurred first. PD: >25% increase in one or more lesions, or appearance new lesions. PFS was estimated using Kaplan-Meier analysis. (NCT00111839)
Timeframe: Baseline up to PD or death due to any cause (up to approximately 3.5 years)
Intervention | months (Median) |
---|
Pemetrexed Alone | 2.7 |
Pemetrexed Plus Matuzumab 800 mg Per Week | 2.3 |
Pemetrexed Plus Matuzumab 1600 mg Every 3 Weeks | 2.5 |
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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. (NCT00117962)
Timeframe: Time from randomization to death (up to 4 years)
Intervention | months (Median) |
---|
Std Tx + Pemetrexed | 21.2 |
Std Tx + Pemetrexed and Cetuximab | 25.2 |
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Number of Participants With Overall Tumor Response
"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.~Overall tumor response is the total number of CR and PRs." (NCT00117962)
Timeframe: Duration of study until progression (up to 4 years)
Intervention | participants (Number) |
---|
Std Tx + Pemetrexed | 37 |
Std Tx + Pemetrexed and Cetuximab | 38 |
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Failure-free Survival
Failure-free survival (FFS) is the time from randomization to a failure event, defined as disease progression or death from any cause (which ever occurred first). The median FFS with 95% CI was estimated using the Kaplan-Meier method, (NCT00117962)
Timeframe: Time from randomization to failure (up to 4 years)
Intervention | months (Median) |
---|
Std Tx + Pemetrexed | 12.6 |
Std Tx + Pemetrexed and Cetuximab | 12.3 |
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18 Month Survival
Percentage of participants who were alive at 18 months. The 18 month survival, with 95% CI, was estimated using the Kaplan-Meier method. (NCT00117962)
Timeframe: 18 months (from randomization)
Intervention | percentage of participants (Number) |
---|
Std Tx + Pemetrexed | 58 |
Std Tx + Pemetrexed and Cetuximab | 54 |
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Number of Patients With Histologically Negative Axillary Lymph Node Status at Surgery
Histologically negative is defined as no malignant cells present in the axillary lymph nodes during surgery. (NCT00149214)
Timeframe: surgery after eight 21-day cycles of chemotherapy
Intervention | participants (Number) |
---|
Pemetrexed Plus Doxorubicin, Followed by Docetaxel | 64 |
Cyclophosphamide Plus Doxorubicin, Followed by Docetaxel | 63 |
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Disease-free Survival
Disease-free survival is defined as the time from date of study enrollment (randomization) to first date of progressive disease (PD) or death from any cause. PD per Response Evaluation Criteria In Solid Tumors (RECIST) criteria is at least a 20% increase in the sum of 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. For patients not known to have died as of the data cut-off date and who do not have progressive disease, disease-free survival was censored at the last contact date. (NCT00149214)
Timeframe: baseline through post surgery, follow-up for 3 years post-surgery (up to 5.2 years after randomization)
Intervention | months (Median) |
---|
Pemetrexed Plus Doxorubicin, Followed by Docetaxel | NA |
Cyclophosphamide Plus Doxorubicin, Followed by Docetaxel | NA |
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Number of Participants With a Pathological Complete Response
pathological assessment of tissue removed during surgery to determine if tumor tissue is still present after chemotherapy (NCT00149214)
Timeframe: surgery after eight 21-day cycles of chemotherapy
Intervention | participants (Number) |
---|
| Pathological Complete Response | Tumor Cells Still Present | Not evaluable |
---|
Cyclophosphamide Plus Doxorubicin, Followed by Docetaxel | 24 | 89 | 6 |
,Pemetrexed Plus Doxorubicin, Followed by Docetaxel | 21 | 99 | 7 |
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Number of Participants With a Clinical Tumor Response After the Second Sequence of Chemotherapy
The number of participants with a clinical tumor response based on measurement of tumor size after the second sequence of chemotherapy, without a second confirmatory tumor measurement required, per protocol. (NCT00149214)
Timeframe: Cycles 5-8 (21-day cycles)
Intervention | participants (Number) |
---|
| Complete Tumor Response | Partial Tumor Response | Stable Disease | Progressive Disease | Unknown | Not Done |
---|
Cyclophosphamide Plus Doxorubicin, Followed by Docetaxel | 21 | 60 | 24 | 1 | 10 | 3 |
,Pemetrexed Plus Doxorubicin, Followed by Docetaxel | 19 | 59 | 35 | 2 | 9 | 7 |
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Number of Participants With a Clinical Tumor Response After the First Sequence of Chemotherapy
The number of participants with a clinical tumor response based on measurement of tumor size after the first sequence of chemotherapy, without a second confirmatory tumor measurement, per protocol. (NCT00149214)
Timeframe: Cycles 1-4 (21-day cycles)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown | Not Done |
---|
Cyclophosphamide Plus Doxorubicin, Followed by Docetaxel | 9 | 43 | 44 | 2 | 17 | 4 |
,Pemetrexed Plus Doxorubicin, Followed by Docetaxel | 8 | 45 | 49 | 3 | 17 | 9 |
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Pharmacokinetics - Maximum Observed Drug Concentration (Cmax)
(NCT00190671)
Timeframe: cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)
Intervention | micrograms per milliliters (Geometric Mean) |
---|
Pemetrexed 600mg/m2 | 125 |
Pemetrexed 1800mg/m2 | 369 |
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Pharmacokinetics - Half-Life (t½)
The half-life associated with the terminal elimination rate constant. (NCT00190671)
Timeframe: cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)
Intervention | hours (Geometric Mean) |
---|
Pemetrexed 600mg/m2 | 4.19 |
Pemetrexed 1800mg/m2 | 3.79 |
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Pharmacokinetics - Clearance (CL)
Total body clearance of drug calculated after intravenous administration. (NCT00190671)
Timeframe: cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)
Intervention | milliliters per minute (Geometric Mean) |
---|
Pemetrexed 600mg/m2 | 45.9 |
Pemetrexed 1800mg/m2 | 51.8 |
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Pharmacokinetics - Area Under the Curve (AUC)
Area under the gemcitabine concentration-time curve from zero to last quantifiable concentration [AUC(0-t)] was calculated by combination of linear and logarithmic trapezoidal methods. Linear trapezoidal method was employed up to tmax (time to reach maximal concentration), and then log trapezoidal method was used for those data after tmax. (NCT00190671)
Timeframe: cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)
Intervention | hour times microgram per milliliter (Geometric Mean) |
---|
Pemetrexed 600mg/m2 | 375 |
Pemetrexed 1800mg/m2 | 1050 |
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Time to Progressive Disease
Time to progressive disease was defined as the time from the date of the first treatment dose to the first date of progressive disease or death from study disease. (NCT00190671)
Timeframe: baseline to measured progressive disease
Intervention | months (Median) |
---|
Pemetrexed 1800mg/m2 | 6.56 |
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Best Tumor Response
Tumor response was assessed using radiological imaging, which was repeated every 6 weeks prior to every other cycle. Confirmation of response was to occur no less than 4 weeks (28 days) after the first evidence of response. (NCT00190671)
Timeframe: baseline to measured progressive disease
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown | Not Assessed |
---|
Pemetrexed 1800mg/m2 | 0 | 20 | 26 | 8 | 5 | 2 |
,Pemetrexed 600mg/m2 | 0 | 8 | 18 | 13 | 3 | 0 |
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Pharmacokinetics - Volume of Distribution
Central volume (V1) and peripheral volume (V2) of distribution. (NCT00190671)
Timeframe: cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)
Intervention | Liters (Geometric Mean) |
---|
| Central Volume of Distribution (V1) | Peripheral Volume of Distribution (V2) |
---|
Pemetrexed 1800mg/m2 | 8.14 | 3.33 |
,Pemetrexed 600mg/m2 | 7.46 | 3.58 |
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Progression Free Survival
Defined as date of first treatment dose to first date of progressive disease or death from any cause. For patients not known to have died as of data cutoff date and who did not have progressive disease, the progression free survival date was censored at last contact date. (NCT00190671)
Timeframe: baseline to measured progressive disease
Intervention | months (Median) |
---|
Pemetrexed 1800mg/m2 | 6.26 |
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Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00190983)
Timeframe: baseline to measured progressive disease (up to 5 years)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Disease Progression |
---|
Pemetrexed | 0 | 4 | 16 | 7 |
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Progression-Free Survival
The period from study entry until disease progression, death or date of last contact. (NCT00190983)
Timeframe: baseline until documented tumor progression (up to 5 years)
Intervention | months (Median) |
---|
Pemetrexed | 3.1 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00190983)
Timeframe: baseline until death from any cause (up to 5 years)
Intervention | months (Median) |
---|
Pemetrexed | 7.4 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00190983)
Timeframe: time of initial response until documented tumor progression (up to 5 years)
Intervention | months (Median) |
---|
Pemetrexed | 4.4 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression. (NCT00191191)
Timeframe: time of response to progressive disease (up to 3.2 years)
Intervention | months (Median) |
---|
Pemetrexed 500 mg/m2 | 4.9 |
Pemetrexed 1000 mg/m2 | 3.0 |
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Best Overall Response
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria as determined by the Case Judgment Committee. Best overall response was defined as the most favorable overall response recorded for each patient during the observation period. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. (NCT00191191)
Timeframe: baseline to measured progressive disease (up to 3.2 years)
Intervention | participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) |
---|
Pemetrexed 1000 mg/m2 | 0 | 16 | 34 | 58 |
,Pemetrexed 500 mg/m2 | 0 | 20 | 40 | 48 |
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Change From Baseline to 3 Months in Quality of Life Questionnaire for Cancer Patients Treated With Anticancer Drugs (QOL-ACD)
20-items assessed quality of life in patients undergoing chemotherapy. Scores range from 1 (not at all/very poor) to 5 (very much/very well). Face scale scores (patient circles number of the face that best fits his/her feelings) range from 1 (sad face) to 5 (smiling face). Item scores were grouped according to Functional (daily activity: 5 items), Physical (5 items), Emotional (psychological condition: 4 items), Social Attitude (5 items), and Face Scale (1 item). Score of subscales were converted to scores with range from 0 to 100. Higher scores represent higher QOL. (NCT00191191)
Timeframe: Baseline (pre-dose), 3 Months after first dose of Cycle 1
Intervention | units on a scale (Mean) |
---|
| Functional Baseline (n=107, n=107) | Functional Change from Baseline (n=58, n=60) | Physical Baseline (n=107, n=107) | Physical Change from Baseline (n=58, n=60) | Emotional Baseline (n=107, n=107) | Emotional Change from Baseline (n=58, n=60) | Sociality Baseline (n=107, n=107) | Sociality Change from Baseline (n=58, n=60) | Face Scale Baseline (n=107, n=107) | Face Scale Change from Baseline (n=58, n=60) |
---|
Pemetrexed 1000 mg/m2 | 75.0 | -3.7 | 73.9 | -3.5 | 62.1 | 0.3 | 46.1 | 1.6 | 59.3 | -2.1 |
,Pemetrexed 500 mg/m2 | 77.0 | -1.5 | 78.9 | -1.6 | 67.2 | -1.7 | 45.9 | 1.6 | 59.3 | -1.3 |
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Change From Baseline to 3 Months in Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Lung Cancer Subscale (LCS)
FACT-L LCS measured health-related quality of life (HR-QL) related to additional concerns of lung cancer. Original LCS subscale scores range from 0 to 28, but the scores were converted to scores with a range of 0 to 100 in this study. Higher scores represent better HR-QL. (NCT00191191)
Timeframe: Baseline (pre-dose), 3 Months after first dose of Cycle 1
Intervention | units on a scale (Mean) |
---|
| Baseline (n=107, n=107) | Change from Baseline (n=58, n=60) |
---|
Pemetrexed 1000 mg/m2 | 69.6 | 0.4 |
,Pemetrexed 500 mg/m2 | 71.5 | 3.0 |
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Progression-Free Survival (PFS)
PFS was defined as time from the scheduled date of the first treatment cycle until the date of confirmation of progressive disease on the overall response rating. For patients who died before confirmation of progressive disease, the number of days until the date of death (from any cause) was handled as progression-free survival. (NCT00191191)
Timeframe: baseline to measured progressive disease (up to 3.2 years)
Intervention | months (Median) |
---|
Pemetrexed 500 mg/m2 | 3.0 |
Pemetrexed 1000 mg/m2 | 2.5 |
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Overall Survival (OS)
OS was defined as the time from treatment start to death from any cause. For participants who were alive, OS was censored at the last contact date. (NCT00191308)
Timeframe: Treatment start to death from any cause (up to 47.6 months)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | NA |
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Disease Free Survival (DFS)
DFS was the time from date of first dose to first observation of progressive disease (PD) or death due to any cause. PD=20% increase in sum of longest diameter of target lesions. If a participant was not known to have died or have PD, DFS was censored at the date of the last objective progression-free disease assessment. (NCT00191308)
Timeframe: Treatment start to disease progression or death from any cause (up to 45.5 months)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 43.7 |
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Duration of Response
The duration of response was defined as the time from complete response (CR) or partial response (PR) to disease progression. 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. (NCT00191308)
Timeframe: Time of response to disease progression (up to 44.4 months)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 42.5 |
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Percentage of Participants With Objective Tumor Response (Response Rate)
Tumor response to treatment 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 was estimated as the total number of CR or PR, divided by the total number of participants treated. (NCT00191308)
Timeframe: Treatment start to disease progression or surgery (4-8 weeks after last dose of pemetrexed)
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Cisplatin | 34.5 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00191984)
Timeframe: baseline to date of death from any cause (up to 2 years follow-up)
Intervention | days (Median) |
---|
Pemetrexed + Irinotecan | 422 |
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Best Overall Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment.~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) = small changes that do not meet above criteria." (NCT00191984)
Timeframe: baseline to measured progressive disease (up to 2 years follow-up)
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Pemetrexed + Irinotecan | 6 | 18 | 15 | 5 |
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Time to Treatment Failure
Defined as the time from study enrollment to the first observation of disease progression, death as a result of any cause, or early discontinuation of treatment. Time to treatment failure was censored at the date of the last follow-up visit for patients who did not discontinue early, who were still alive, and who have not progressed. (NCT00191984)
Timeframe: baseline to stopping treatment (up to 2 years follow-up)
Intervention | days (Median) |
---|
Pemetrexed + Irinotecan | 66 |
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Progression-Free Survival (PFS)
Defined as the time from study enrollment to the first date of disease progression or death as a result of any cause. PFS was censored at the date of the last follow-up visit for participants who were still alive and who had not progressed. (NCT00191984)
Timeframe: baseline to measured progressive disease or death (up to 2 years follow-up)
Intervention | days (Median) |
---|
Pemetrexed + Irinotecan | 123 |
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Duration of Response
"The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. Response was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment.~Complete response (CR) = disappearance of all target lesions. Partial response (PR) = 30% decrease in the sum of the longest diameter of target lesions." (NCT00191984)
Timeframe: time of response to progressive disease or death (up to 2 years follow-up)
Intervention | days (Median) |
---|
Pemetrexed + Irinotecan | 236 |
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Progression-free Survival (PFS)
PFS was defined as the interval between the start date of treatment and the date of occurrence of progressive disease or death from any cause. (NCT00193414)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 6.2 |
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Overall Survival (OS)
OS was measured from the date of study entry until the date of death. (NCT00193414)
Timeframe: 18 months
Intervention | Months (Median) |
---|
Intervention | 8.5 |
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Overall Response Rate
Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. 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 diameters. (NCT00193414)
Timeframe: 18 months
Intervention | Percentage of participants (Number) |
---|
Intervention | 26 |
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Duration of Remission
Will be examined using Kaplan-Meier estimates. Time from earliest confirmed remission criteria until death or progression will be calculated. If a patient continued to be in remission at the end of the study, they will be censored at their last evaluation in the analysis. (NCT00198133)
Timeframe: Time from the date of remission until progression or death, assessed up to 3 years
Intervention | months (Median) |
---|
Thymoma | 4.0 |
Thymic Carcinoma | 3.8 |
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Objective Response Rate (Complete and Partial Response)
The percent of patients having an objective response (complete or partial response) will be estimated with a 95% exact binomial confidence interval for the percent of patients receiving drug. RECIST v1.0 will be used. At least a 30% decrease in the sum of the longest diameter of target lesions in reference to the baseline longest diameter will need to take place to be considered an objective response. (NCT00198133)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Thymoma | 26.7 |
Thymic Carcinoma | 9.1 |
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Progression-free Survival Based on Serum Biomarker Status
Progression-free survival in this analysis looking at the association between a serum proteomic biomarker and progression-free survival will be defined as the time from the start of treatment until progression (documented according to Response Evaluation Criteria in Solid Tumors [RECIST] criteria and defined as at least a 20% increase in the sum of the longest diameter of target lesions) or death from any cause, whichever comes first. (NCT00203931)
Timeframe: up to 5 years
Intervention | months (Median) |
---|
Poor Prognosis | 1.57 |
Good Prognosis | 1.64 |
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Progression-free Survival Based on Rash Development
Progression-free survival in this landmark analysis looking at the utility of early rash in predicting progression-free survival will be defined as the time from day 22 of study therapy until progression (documented according to Response Evaluation Criteria in Solid Tumors [RECIST] criteria and defined as at least a 20% increase in the sum of the longest diameter of target lesions) or death from any cause, whichever comes first. Patients last known to be alive and progression-free were censored at the date of the last scan without evidence of progression. (NCT00203931)
Timeframe: up to 5 years
Intervention | months (Median) |
---|
Early Rash | 0.9 |
No Early Rash | 0.9 |
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Progression-free Survival
Progression-free survival will be defined as the time from the start of treatment until progression (documented according to Response Evaluation Criteria in Solid Tumors [RECIST] criteria and defined as at least a 20% increase in the sum of the longest diameter of target lesions) or death from any cause, whichever comes first. (NCT00203931)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Cetuximab | 1.6 |
Cetuximab and Pemetrexed | 2.3 |
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Overall Survival
Overall survival will be defined as the time from the start of treatment until death from any cause. (NCT00203931)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Cetuximab | 3.5 |
Cetuximab and Pemetrexed | 10.3 |
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Objective Response Rate
Objective response (complete response [CR] + partial response [PR]) will be evaluated using RECIST criteria. CR is the disappearance of all target lesions. PR requires at least a 30% decrease in the sum of the longest diameter of target lesions. (NCT00203931)
Timeframe: up to 2 years
Intervention | percentage of participants (Number) |
---|
Cetuximab | 0 |
Cetuximab and Pemetrexed | 13.0 |
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Overall Survival
(NCT00216099)
Timeframe: From study enrollment until death (for life)
Intervention | months (Median) |
---|
Pemetrexed 500mg/m^2 | 14 |
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Rate of Clinical Benefit
"A clinical benefit is defined as an improvement for at least 3 consecutive weeks in at least one of the following parameters without any sustained worsening in any other:~> 50% reduction in analgesic consumption or > 50% reduction in pain intensity or > 20 point gain in performance status." (NCT00216099)
Timeframe: Any time among evaluable subjects (for life)
Intervention | percentage of participants (Number) |
---|
Pemetrexed 500mg/m^2 | 33 |
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Time to Progression
Progression per Response Evaluation Criteria in Solid Tumors (RECIST) or Prostate-Specific Antigen (PSA) Progression RECIST 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 or Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions PSA progression=increase in PSA to >50% above lowest level recorded on study. Two consecutive increases required at least 4 weeks apart, but time to progression will be determined at time of first PSA showing increase > 50% above baseline *Note, upper confidence interval was not reached* (NCT00216099)
Timeframe: Study enrollment until progression per RECIST or PSA (for life)
Intervention | months (Median) |
---|
Pemetrexed 500mg/m^2 | 5 |
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Safety and Tolerability
Safety and Tolerability was evaluated by reporting the percentage of patient who experienced grade 3 or 4 toxicities using Common Terminology Criteria for Adverse Events CTCAE v3.0 criteria. CTCAE grades the severity of an adverse event from 1-5 where 1=least severe and 5=death. (NCT00216099)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|
| Grade 3 | Grade 4 |
---|
Pemetrexed 500mg/m^2 | 42.9 | 8.2 |
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Time to Prostate-Specific Antigen (PSA)/Serological Progression
Serological Progression (sPD) - increase in PSA to >50% above lowest level recorded on study. Two consecutive increases required at least 4 weeks apart, but time to progression will be determined at time of first PSA showing increase > 50% above baseline (NCT00216099)
Timeframe: From study enrollment to progression per PSA criteria (for life)
Intervention | months (Median) |
---|
Pemetrexed 500mg/m^2 | 2 |
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Best Overall PSA Response
"Best overall Prostate-Specific Antigen (PSA) response~PSA response is defined by a greater than or equal to 50% decline in PSA confirmed by a second PSA value at least 4 weeks after the first PSA response timepoint PSA Stable Disease is defined as less than a 50% decline in PSA and less than a 50% increase in PSA from baseline PSA progression is defined as greater than or equal to a 50% increase in PSA compared to baseline" (NCT00216099)
Timeframe: Start of treatment until disease progression/recurrence (for life)
Intervention | percentage of participatns (Number) |
---|
| >50% decline in PSA | Stable PSA | PSA progression |
---|
Pemetrexed 500mg/m^2 | 8 | 20 | 65 |
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OBJECTIVE Overall Response Rate
"Response Evaluation Criteria in Solid Tumors (RECIST). Objective overall response rate is defined as Complete Response (CR) + Partial Response (PR)~Per RECIST:~CR= Disappearance of all target and non-target lesions and normalization of tumor marker level PR= Disappearance of all target lesions and persistence of non-target lesion(s) or maintenance of tumor marker level above normal limits OR at least a 30% decrease in the sum of the longest diameter, taking as reference the baseline sum longest diameter and disappearance of all non-target lesions or persistence of non-target lesion(s) or maintenance of tumor marker level above normal limits" (NCT00216099)
Timeframe: Start of treatment until disease progression/recurrence (for life)
Intervention | percentage of participants (Number) |
---|
| Participants with PR with meas. dis. per RECIST | participants with SD maintained at 12 weeks |
---|
Pemetrexed 500mg/m^2 | 8 | 39 |
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RFC1 G80A Genotype
Samples for RFC1 G80A pharmacogenetic analysis were collected at screening (NCT00216099)
Timeframe: Screening
Intervention | participants (Number) |
---|
| A/A Genotype | A/G Genotype | G/G Genotype |
---|
Pemetrexed 500mg/m^2 | 6 | 22 | 18 |
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Toxicity and Safety Profile
(NCT00216203)
Timeframe: 12 months
Intervention | percentage of particpants (Number) |
---|
| Acne-like rash: Phase I - Any Grade | Acne-like rash: Phase I - Grade 3/4 | Acne-like rash: Phase II - Any Grade | Acne-like rash: Phase II - Grade 3/4 | ALT elevation: Phase I - Any Grade | ALT elevation: Phase I - Grade 3/4 | ALT elevation: Phase II - Any Grade | ALT elevation: Phase II - Grade 3/4 | Anemia: Phase I - Any Grade | Anemia: Phase I - Grade 3/4 | Anemia: Phase II - Any Grade | Anemia: Phase II - Grade 3/4 | Thrombocytopenia: Phase I - Any Grade | Thrombocytopenia: Phase I - Grade 3/4 | Thrombocytopenia: Phase II - Any Grade | Thrombocytopenia: Phase II - Grade 3/4 | Neutropenia: Phase I - Any Grade | Neutropenia: Phase I - Grade 3/4 | Neutropenia: Phase II - Any Grade | Neutropenia: Phase II - Grade 3/4 | Febrile Neutropenia: Phase I - Any Grade | Febrile Neutropenia: Phase I - Grade 3/4 | Febrile Neutropenia: Phase II - Any Grade | Febrile Neutropenia: Phase II - Grade 3/4 | Dizziness: Phase I - Any Grade | Dizziness: Phase I - Grade 3/4 | Dizziness: Phase II - Any Grade | Dizziness: Phase II - Grade 3/4 | Dyspnea: Phase I - Any Grade | Dyspnea: Phase I - Grade 3/4 | Dyspnea: Phase II - Any Grade | Dyspnea: Phase II - Grade 3/4 | Cough: Phase I - Any Grade | Cough: Phase I - Grade 3/4 | Cough: Phase II - Any Grade | Cough: Phase II - Grade 3/4 | Fatigue: Phase I - Any Grade | Fatigue: Phase I - Grade 3/4 | Fatigue: Phase II - Any Grade | Fatigue: Phase II - Grade 3/4 | Anorexia: Phase I - Any Grade | Anorexia: Phase I - Grade 3/4 | Anorexia: Phase II - Any Grade | Anorexia: Phase II - Grade 3/4 | Mucositis: Phase I - Any Grade | Mucositis: Phase I - Grade 3/4 | Mucositis: Phase II - Any Grade | Mucositis: Phase II - Grade 3/4 | Nausea: Phase I - Any Grade | Nausea: Phase I - Grade 3/4 | Nausea: Phase II - Any Grade | Nausea: Phase II - Grade 3/4 | Diarrhea: Phase I - Any Grade | Diarrhea: Phase I - Grade 3/4 | Diarrhea: Phase II - Any Grade | Diarrhea: Phase II - Grade 3/4 | Constipation: Phase I - Any Grade | Constipation: Phase I - Grade 3/4 | Constipation: Phase II - Any Grade | Constipation: Phase II - Grade 3/4 | Fever(no neutropenia): Phase I - Any Grade | Fever(no neutropenia): Phase I - Grade 3/4 | Fever(no neutropenia): Phase II - Any Grade | Fever(no neutropenia): Phase II - Grade 3/4 | Headache: Phase I - Any Grade | Headache: Phase I - Grade 3/4 | Headache: Phase II - Any Grade | Headache: Phase II - Grade 3/4 | Hypomagnesmia: Phase I - Any Grade | Hypomagnesmia: Phase I - Grade 3/4 | Hypomagnesmia: Phase II - Any Grade | Hypomagnesmia: Phase II - Grade 3/4 | Vomiting: Phase I - Any Grade | Vomiting: Phase I - Grade 3/4 | Vomiting: Phase II - Any Grade | Vomiting: Phase II - Grade 3/4 |
---|
Pemetrexed + Cetuximab | 58.3 | 16.7 | 57 | 23.8 | 33.3 | 16.7 | 0 | 0 | 0 | 0 | 14.3 | 0 | 8.3 | 0 | 14.3 | 0 | 8.3 | 0 | 4.8 | 4.8 | 8.3 | 8.3 | 0 | 0 | 8.3 | 8.3 | 19 | 4.8 | 25 | 8.3 | 33.3 | 0 | 25 | 0 | 28.6 | 0 | 33.3 | 0 | 76 | 4.8 | 33.3 | 0 | 19 | 4.8 | 41.7 | 0 | 38 | 4.8 | 33.3 | 0 | 28.6 | 0 | 33.3 | 0 | 33.3 | 9.5 | 16.7 | 0 | 23.8 | 4.8 | 8.3 | 0 | 19 | 4.8 | 50 | 0 | 23.8 | 0 | 0 | 0 | 19 | 4.8 | 16.7 | 0 | 23.8 | 4.8 |
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Time To Progression (TTP)
The primary objective of the phase II portion is to estimate the time to progression of this combination, evaluated per RECIST criteria where 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 (NCT00216203)
Timeframe: 24 Months
Intervention | Weeks (Median) |
---|
Pemetrexed + Cetuximab | 14.6 |
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Maximum Tolerated Dose (MTD) of Pemetrexed in Combination With Cetuximab
The primary objective of the phase I portion of this study is to define the maximum tolerated dose (MTD) of the combination of pemetrexed and cetuximab (NCT00216203)
Timeframe: 12 months
Intervention | mg/m^2 every 21 days (Number) |
---|
Investigational Treatment | 750 |
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Disease Control Rate (DCR)
(NCT00222729)
Timeframe: Up to 36 months
Intervention | percentage (Median) |
---|
Pemetrexed + Bevacizumab | 86 |
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Time-to-progression (TTP)
TTP was calculated from treatment initiation to disease progression or last follow-up. (NCT00222729)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Pemetrexed + Bevacizumab | 5 |
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Objective Response Rate (ORR)
(NCT00222729)
Timeframe: Up to 36 months
Intervention | percentage (Median) |
---|
Pemetrexed + Bevacizumab | 30 |
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Overall Survival (OS)
(NCT00222729)
Timeframe: Up to 36 months
Intervention | months (Median) |
---|
Pemetrexed + Bevacizumab | 11.3 |
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Toxicity
Number of participants with toxicity ≥ Grade 3 after gemcitabine plus pemetrexed induction chemotherapy. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | participants (Number) |
---|
Pre-Surgery Chemotherapy | 18 |
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Survival - Overall
Median range of number of participants with Overall Survival. Overall survival (OS) will be defined as the period of time from the first day of drug treatment to the date of death of the patient. Patients taken off study will be followed quarterly until death for survival data. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | months (Median) |
---|
Pre-Surgery Chemotherapy | 27.8 |
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Disease Response - Radiographic
"Number of participants with partial or Complete Response. Complete response (CR) is defined as the total disappearance of all malignant and evaluable clinical evidence of cancer without the development of any new malignant lesions documented on the post chemotherapy chest CT and PET scan.~Partial response (PR) (measurable disease only): When compared with pre-treatment measurements, a reduction of >30% in the sum of the largest diameters of all measurable lesions and absence of new lesions." (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | participants (Number) |
---|
| Complete Remission | Partial Remission |
---|
Pre-Surgery Chemotherapy | 1 | 16 |
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Disease Response - Pathologic
Number of participants with Pathologic Complete Response. Pathologic complete response (pCR) is defined by a surgical pathology specimen, which consists of equal to or more than 95% fibrosis and necrosis. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | participants (Number) |
---|
Pre-Surgery Chemotherapy | 13 |
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Survival - Disease Free
Disease-free survival (DFS) is defined as the period of time from surgery to the time when disease recurrence is clearly documented. A histologic confirmation is required in equivalent cases. (NCT00226577)
Timeframe: 06/20/2008 Index date for patients enrolled between 04/2004 and 04/2006
Intervention | months (Median) |
---|
Pre-Surgery Chemotherapy | 33.7 |
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Incidence of Central Nervous System (CNS) Hemorrhagic Events
Number of events of brain or central nervous system (CNS) bleeding (NCT00227019)
Timeframe: 18 months
Intervention | CNS hemorrhagic events (Number) |
---|
Bevacizumab + Pemetrexed | 0 |
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Overall Survival (OS)
"Overall Survival (OS) is defined as the duration of time from start of treatment to deat.~Kaplan-Meier survival curves for OS were generated with IBM SPSS Statistics version 19.0 (SPSS, Inc, Chicago, IL)." (NCT00227019)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab + Pemetrexed | 14.8 |
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Progression-free Survival (PFS)
"Progression-free survival (PFS) is defined as the duration of time from start of treatment to time of documented disease progression or death.~Kaplan-Meier survival curves for PFS were generated with IBM SPSS Statistics version 19.0 (SPSS, Inc, Chicago, IL)." (NCT00227019)
Timeframe: 18 months
Intervention | months (Median) |
---|
Bevacizumab + Pemetrexed | 7.2 |
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Safety of Neoadjuvant Chemotherapy
The number of patients that experienced a grade 3 or higher adverse event. (NCT00227539)
Timeframe: Up to 4 weeks after last dose of chemotherapy
Intervention | Participants (Count of Participants) |
---|
Neoadjuvant Therapy, PET Scan and Surgery | 10 |
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Positron Emission Tomography as a Predictor of Response Measured by the Decrease in Standard Uptake Variable (SUV) After 1 Course of Therapy
Number of Participants with Decrease in Standard Uptake Variable (SUV) After 1 Course of Therapy (NCT00227539)
Timeframe: Between days 18 and 22 prior to second chemotherapy infusion
Intervention | Participants (Count of Participants) |
---|
Neoadjuvant Therapy, PET Scan and Surgery | 11 |
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Efficacy of Neoadjuvant Chemotherapy as Measured by Radiologic Response Rate
The number of patients that had either a CR, PR or SD after the completion of chemotherapy. 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. (NCT00227539)
Timeframe: Up to 4 weeks after last dose of chemotherapy
Intervention | Participants (Count of Participants) |
---|
Neoadjuvant Therapy, PET Scan and Surgery | 20 |
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Overall Survival Rate at 6, 12, 18, and 24 Months
"Overall Survival (OS) Rate of carboplatin, pemetrexed and bevacizumab combination treatment will be defined as the percentage of patients with documentation of status of alive at the following timepoints from registration to the study:~6 months 12 months 18 months 24 months" (NCT00234052)
Timeframe: 6, 12,18, and 24 months from treatment initiation
Intervention | percentage of patients alive (Number) |
---|
| 6 Months | 12 Months | 18 Months | 24 Months |
---|
Treatment With Carboplatin + Pemetrexed + Bevacizumab | 86 | 61 | 38 | 26 |
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Overall Survival Rate
Overall Survival (OS) Rate of carboplatin, pemetrexed and bevacizumab combination treatment is defined from the time of registration to the study until death from any cause. Patients that are lost to follow up will be censored from last documentation of survival status. (NCT00234052)
Timeframe: During treatment and then every 3 months x 2 years, then every 6 months x 3 years or until death.
Intervention | Months (Median) |
---|
Treatment With Carboplatin + Pemetrexed + Bevacizumab | 14.1 |
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Overall Response Rate
"Overall Response Rate (ORR) of patients treated with carboplatin, pemetrexed, and bevacizumab combination is defined as the number of patients who's best response is a Complete Response (CR) plus Partial Response (PR)as recorded from the start of treatment until disease progression as assessed by RECIST 1.0.~CR=Disappearance of all target lesions for a minimum of 4 weeks. PR=At least a 30% decrease in the sum of the longest diameter (LD) of target lesions for a minimum of 4 weeks, taking as reference the baseline sum LD. No simultaneous increase in the size of any lesion or the appearance of a new lesion may occur." (NCT00234052)
Timeframe: Every two cycles until disease progression. Median follow up of 13 months (range 0.8 to 34.4 months)
Intervention | Participants (Count of Participants) |
---|
Treatment With Carboplatin + Pemetrexed + Bevacizumab | 27 |
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Duration of Response
Duration of Response for patients treated with the combination of carboplatin, pemetrexed and bevacizumab is measured from the time measurement criteria are met for Complete Response or Partial Response (whichever is first recorded) until the first date of documented progressive disease. (NCT00234052)
Timeframe: From documentation of response, every two cycles (1 cycle = 21 days) until progressive disease with range of cycles completed 1-51.
Intervention | Months (Median) |
---|
Treatment With Carboplatin + Pemetrexed + Bevacizumab | 7.7 |
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Toxicity of Carboplatin, Pemetrexed and Bevacizumab Combination Treatment
"To characterize the toxicity profile of carboplatin, pemetrexed and bevacizumab combination treatment.~Toxicity data will be collected from initiation of treatment, every cycle, until 30 days post last treatment. Adverse events will be graded according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0). Only toxicity determined to be a least possibility related to at least one study drug and grade 3 or 4 was collected for this outcome measure.~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" (NCT00234052)
Timeframe: From treatment initiation, at the beginning of each cycle where one cycle equals 21 days until 30 days post treatment (range of cycles 1-51)
Intervention | Participants (Count of Participants) |
---|
| Anemia | Thrombocytopenia | Neutropenia | Venous Thrombosis | Fatigue | Diverticulitis | Infection | Proteinuria | Arterial Thrombosis | Increased Creatinine Levels |
---|
Treatment With Carboplatin + Pemetrexed + Bevacizumab | 3 | 4 | 2 | 3 | 4 | 4 | 5 | 1 | 1 | 1 |
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Progression Free Survival at 6, 12, 18, 24 Months
"Progression Free Survival (PFS) Rate of carboplatin, pemetrexed and bevacizumab combination treatment is defined as the percentage of patients without progression at the following time points from registration to the study:~6 months 12 months 18 months 24 months." (NCT00234052)
Timeframe: 6, 12,18, and 24 months from treatment initiation
Intervention | percentage of patients with PFS (Number) |
---|
| 6 Months | 12 Months | 18 Months | 24 Months |
---|
Treatment With Carboplatin + Pemetrexed + Bevacizumab | 59 | 34 | 27 | 19 |
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Percent Change in SUV Level Between Pre and Post Chemotherapy
Percent change of PET/SUV levels between baseline and post-chemotherapy. (NCT00248495)
Timeframe: Baseline and post-chemotherapy
Intervention | Percentage change in SUV level (Mean) |
---|
Neoadjuvant Chemotherapy | -36.1 |
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Pathologically Complete Response
Pathologic Complete Response is defined by a surgical pathology specimen, which is free of all gross and microscopic evidence of viable tumor. (NCT00248495)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Neoadjuvant Chemotherapy | 0 |
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Overall Survival
Overall survival was defined as time from date of treatment initiation until date of death due to any cause. (NCT00248495)
Timeframe: Every 6 months until the time of death up to 126 months
Intervention | months (Median) |
---|
Neoadjuvant Chemotherapy | 100.7 |
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Disease Free Survival
Progressive disease is defined as at least a 20% increase in the sum of the longest diameter of target lesions or the appearance of new lesions. Disease Free Survival was defined as time from date of treatment initiation until date of first documented progression or date of death from any cause, whichever came first. (NCT00248495)
Timeframe: At least every 3 months after the completion of adjuvant therapy for two years and thereafter every 6 months for 3 years and then yearly up to 126 months
Intervention | months (Median) |
---|
Neoadjuvant Chemotherapy | 34.5 |
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Treatment Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00259285)
Timeframe: every 21 day cycle (3 cycles) and 3-4 weeks after last cycle
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Incomplete Response/Stable Disease | Progressive Disease | Not Evaluable |
---|
Pemetrexed + Cisplatin | 0 | 5 | 4 | 1 | 0 |
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Pathologic Remissions After Surgery
The status of the pathological response was evaluated on the basis of the original results of the histopathological examination of the tumour samples resected. A complete pathological response was defined as the absence of any viable tumour cell in the tumour samples obtained for histological examination. (NCT00259285)
Timeframe: surgical tumor resection (3-4 weeks after completing three 21-day cycles of therapy)
Intervention | participants (Number) |
---|
| Complete Remission - Yes | Complete Remission - No |
---|
Pemetrexed + Cisplatin | 5 | 2 |
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Response (Confirmed and Unconfirmed, Complete and Partial)
Complete response (CR) is complete disappearance of all measurable and non-measurable disease. No new lesions. No disease related symptoms. Normalization of markers and other abnormal lab values. Partial Response (PR) is greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. Confirmation of CR or PR means a repeat scan at least 4 weeks apart documented before progression or symptomatic deterioration. (NCT00265785)
Timeframe: Assessed at weeks 7 and 13 while on treatment. After off treatment prior to disease progression, disease assessment takes place every 3 months for a maximum of 3 years.
Intervention | percentage of participants (Number) |
---|
Premetrexed | 29 |
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Progression-free Survival
Progression is defined as any one or more of the following: 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; Unequivocal progression of non-measurable disease in the opinion of the treating physician (an explanation must be provided); Appearance of any new lesion/site; Death due to disease without prior documentation of progression and without symptomatic deterioration. Symptomatic deterioration is defined as globabl deterioration of health status requiring discontinuation of treatment without objective evidence of progression. Progression-free survival is measured 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. (NCT00265785)
Timeframe: 0 - 3 years
Intervention | months (Median) |
---|
Premetrexed | 6 |
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Overall Survival
Measured 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. (NCT00265785)
Timeframe: 0 - 3 years
Intervention | months (Median) |
---|
Premetrexed | 25 |
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Pathologic Complete Response Rate
The proportion of pathologic complete responses will be estimated by the number of pathologic complete responses divided by the total number of evaluable patients. Ninety-five percent confidence intervals for the true pathologic complete response rate will be calculated. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for Measurable disease is defined as at least one lesion whose longest diameter can be accurately measured as ≥2.0 cm with conventional techniques or as ≥1.0 cm with spiral CT. Lesions on chest x-ray are acceptable as measurable lesions when they are clearly defined and surrounded by aerated lung. However, CT is preferable. (NCT00268437)
Timeframe: Baseline to time of surgery (around 10 - 18 weeks post-baseline)
Intervention | percentage of participants (Number) |
---|
Pemetrexed/Carboplatin | 23 |
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Overall Survival
Time from registration to death due to any cause. (NCT00268437)
Timeframe: From baseline to 4 years
Intervention | months (Median) |
---|
Pemetrexed/Carboplatin | 17.8 |
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The Feasibility of Post-Surgery Chemotherapy
Feasibility was measured by completion of 4 treatment cycles without remaining toxicities >=Grade 3 at 30 days after last infusion. (NCT00269152)
Timeframe: every 21-day cycle for 4 cycles up to 30 days after last infusion
Intervention | participants (Number) |
---|
| "Participants feasible" | Non-feasible = Early Discontinuation | Non-feasible = Lost to Follow-up | Non-feasible = Remaining Grade 3/4 Toxicity | Non-feasible = Underdosage (<95% intended dose) |
---|
Pemetrexed + Carboplatin | 27 | 6 | 2 | 3 | 19 |
,Pemetrexed + Cisplatin | 38 | 18 | 1 | 4 | 5 |
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Overall Survival at 6 Years
For each treatment arm, the Kaplan-Meier technique was used to estimate the 6 year survival rate. Results are presented as probability (%) of survival at 6 years. Overall survival is the duration from enrollment to death. For participants not known to have died, overall survival was censored at the last known alive date. (NCT00269152)
Timeframe: Baseline to date of death from any cause assessed at 6 years
Intervention | percent probability of survival (%) (Number) |
---|
Pemetrexed + Cisplatin | 72.6 |
Pemetrexed + Carboplatin | 83.2 |
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Grade III/IV Adverse Events
Number of participants experiencing Grade III/IV hematologic and non-hematologic adverse events possibly related to study drug or protocol procedures in this study. (NCT00269152)
Timeframe: every 21-day cycle for 4 cycles
Intervention | participants (Number) |
---|
| Neutropenia | Anaemia | Thrombocytopenia | Febrile neutropenia | Leukopenia | Lymphopenia | Neutrophil count decreased | Haemoglobin count decreased | Platelet count decreased | White blood cell count decreased | Asthenia | Nausea | Vomiting | Fatigue | Catheter related infection | Gamma-glutamyltransferase increased | Anorexia | Hyperglycaemia | Hyperkalaemia | Psychotic disorder |
---|
Pemetrexed + Carboplatin | 6 | 3 | 3 | 2 | 1 | 0 | 6 | 2 | 1 | 2 | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
,Pemetrexed + Cisplatin | 9 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 4 | 3 | 3 | 0 | 1 | 1 | 1 | 1 | 1 | 1 |
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Overall Survival at 3 Years
For each treatment arm, the Kaplan-Meier technique was used to estimate the 3 year survival rate. Results are presented as probability (%) of survival at 3 years. Overall survival is the duration from enrollment to death. For participants not known to have died, overall survival was censored at the last known alive date. (NCT00269152)
Timeframe: baseline to date of death from any cause, assessed at 3 years
Intervention | percent probability of survival (%) (Number) |
---|
Pemetrexed + Cisplatin | 82.0 |
Pemetrexed + Carboplatin | 83.2 |
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3 Year Disease-Free Survival: Probability of Disease-Free Survival at 3 Years
For each treatment arm, the Kaplan-Meier technique was used to estimate the 3 year disease-free rate. Disease-free survival is defined as the time from enrollment to the first observation of disease progression, or death due to any cause. For participants not known to have died and to have had recurrent disease, disease-free survival was censored at the date of the last participant contact with No Recurrence status. Results are presented as probability (%) of disease-free survival at 3 years. (NCT00269152)
Timeframe: length of time disease free, assessed at 3 years
Intervention | probability of disease-free survival (%) (Number) |
---|
Pemetrexed + Cisplatin | 61.2 |
Pemetrexed + Carboplatin | 67.3 |
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Neurological Function by Radiation Oncology Group (RTOG) Neurological Function Classification
"A classification score defined as follows:~Able to work or to perform normal activities: neurological findings minor or absent~Able to carry out normal activities with minimal difficulties. Neurological impairment does not require nursing care or hospitalization~Seriously limited in performing normal activities. Requiring nursing care or hospitalization. Patients confined to bed or wheelchair or have significant intellectual impairment~Unable to perform even minimal normal activities. Requiring hospitalization and constant nursing care and feeding. Patients unable to communicate or in coma.A higher score indicates worse function." (NCT00280748)
Timeframe: At Baseline, 30 days, and at end of treatment (maximum 5 months).
Intervention | scores on a scale (Mean) |
---|
| Pre-Treatment | Cycle 2 | End of Treatment |
---|
Single Arm Study | 1.6 | 1.9 | 2.2 |
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Neurological Function by Mini Mental State Examination
The Mini Mental State Examination is a 30-point questionnaire that is used to measure cognitive impairment. Score totals range from normal cognition (24-30 points), mild impairment (19-23 points), moderate impairment (10-18 points), to severe impairment (≤9 points). (NCT00280748)
Timeframe: Baseline (pre-treatment), 30 days (Cycle 2 Day 1), and maximum 5 months (end of treatment).
Intervention | score on the scale (Mean) |
---|
| Pre-Treatment | Cycle 2 Day 1 | End of treatment |
---|
Single Arm Study | 28 | 28.2 | 27.7 |
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Estimate the Overall Survival of Patients Treated With This Regimen.
Patients were followed for survival from start of treatment until death from any cause (up to 4 years) (NCT00280748)
Timeframe: 4 years
Intervention | months (Median) |
---|
Single Arm Study | 6.0 |
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Number of Subjects Experiencing Adverse Events
"Toxicities was assessed using Common Terminology Criteria for Adverse Events (CTCAE) grading scale. Only toxicities with attribution to chemotherapy of definite or probable are considered, as determined by treating physician." (NCT00280748)
Timeframe: maximum 5 months
Intervention | Participants (Count of Participants) |
---|
| Anemia | Alpecia | Nausea | Anorexia | Pruritic rash on head | Cramps | Acute bronchitis | Blurred vision | Dry skin | Fatigue |
---|
Single Arm Study | 2 | 2 | 6 | 1 | 1 | 1 | 1 | 1 | 1 | 2 |
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Overall 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. (NCT00293579)
Timeframe: Up to 3 years
Intervention | patients (Number) |
---|
Pemetrexed | 0 |
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Impact of Pemetrexed Chemotherapy on Quality of Life
Quality of life assessements conducted at BL (baseline assessment) and EoT (End of treatment). University of Washington QOL (UW-QOL) questionnaire tests 9 specific areas relating to head and neck cancer. A composite score is calculated by adding together the 9 domain scores to give a scale from 0 (for poor health) to 900 (good health). (NCT00293579)
Timeframe: Baseline, End of Treatment [up to 3 years]
Intervention | Units on a scale (Mean) |
---|
| Baseline score | End of Treatment score |
---|
Pemetrexed | 524 | 335.5 |
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Overall Survival
Overall survival was measured from the time of initial study entry to death due to any cause. (NCT00293579)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Pemetrexed | 4.4 |
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Progression Free Survival Rate at 6 Months
This is the percentage of patients alive and progression-free at 6 months from initiation of treatment. (NCT00295503)
Timeframe: patients progression free at 6 months
Intervention | percentage of participants (Number) |
---|
Cisplatin, Pemetrexed, Bevacizumab | 56 |
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Overall Survival
overall survival was measured from time of initiation of treatment to death from any cause (NCT00295503)
Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up 100 months
Intervention | months (Median) |
---|
Cisplatin, Pemetrexed and Bevacizumab | 14.8 |
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Response Rate
response was assessed by the RECIST criteria (version 1.0). Per those criteria, progression is defined 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. (NCT00295503)
Timeframe: from time of enrollment to time of best response or death from any cause, whichever came first up to 100 months
Intervention | percentage of participants (Number) |
---|
Cisplatin, Pemetrexed, Bevacizumab | 40 |
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Safety Outcomes
Toxicity: total number of SAEs and other AEs (NCT00301808)
Timeframe: 72 hours after 2nd and 3rd cycles: 30 days after completion of study treatment; Every 2 months thereafter; then once a year
Intervention | Adverse event (Number) |
---|
| Serious (grade 3 or 4) | other (grade 0, 1, or 2) |
---|
Cisplatin, Docetaxel & Radiation Therapy | 20 | 245 |
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Overall Survival
Overall survival using Kaplan-Meier estimates (NCT00301808)
Timeframe: Date of registration to the date of death
Intervention | months (Median) |
---|
Cisplatin, Docetaxel & Radiation Therapy | 33.7 |
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Probability of Overall Survival at One Year
Overall Survival at one year using Kaplan-Meier product-limit analysis (NCT00301808)
Timeframe: at 1 year
Intervention | probability of overall survival at 1 yr. (Number) |
---|
Cisplatin, Docetaxel & Radiation Therapy | 0.66 |
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Progression-free Survival
Progression-free survival using Kaplan-Meier estimates (NCT00301808)
Timeframe: Approximately 3 weeks after the last cycle of cisplatin/pemetrexed or completion of radiation whichever is the later.
Intervention | months (Median) |
---|
Cisplatin, Docetaxel & Radiation Therapy | 16.9 |
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Duration of CR or PR (Duration of Response)
The duration of a CR or PR was defined as the time from first objective status assessment of CR or PR to the first time of progression or death due to any cause. Response was defined using RECIST, version 1.0 criteria. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. (NCT00308750)
Timeframe: Date of first response to the date of progression or death due to any cause up to 22.3 months
Intervention | months (Median) |
---|
Enzastaurin/Pemetrexed/Carboplatin | 7.4 |
Pemetrexed/Carboplatin | 9.3 |
Docetaxel/Carboplatin | 5.8 |
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Change From Baseline in Total Functional Assessment of Cancer Therapy -Taxane (FACT-Taxane) Scale
"The FACT-Taxane version 4 scale is used to assess HRQoL in participants receiving taxane chemotherapy. The FACT-taxane has 5 subscales: PWB, SFWB, and FWB subscales which include 7 items each, EWB subscale which includes 6 items, and a taxane subscale which include 16 items and has two domains (neurotoxicity and taxane). Total FACT-Taxane is the sum of all the 5 subscales. Each item is scored from 0 to 4 giving a total overall score from 0 worst quality of life to 172 best quality of life. The LS mean was calculated using an ANCOVA model adjusted for change scores and baseline scores." (NCT00308750)
Timeframe: Baseline, Cycle 1 (Week 3), Cycle 2 (Week 6), Cycle 3 (Week 9), Cycle 4 (Week 12), Cycle 5 (Week 15) and Cycle 6 (Week 18) [21-day cycle each]
Intervention | units on a scale (Least Squares Mean) |
---|
| Cycle 1 (Week 3) | Cycle 2 (Week 6) | Cycle 3 (Week 9) | Cycle 4 (Week 12) | Cycle 5 (Week 15) | Cycle 6 (Week 18) |
---|
Docetaxel/Carboplatin | -2.17 | -3.13 | -4.40 | -2.58 | -7.74 | -0.34 |
,Enzastaurin/Pemetrexed/Carboplatin | -3.16 | -6.22 | -1.89 | -2.28 | -2.52 | 2.77 |
,Pemetrexed/Carboplatin | -0.78 | -5.66 | -1.52 | -0.77 | -3.11 | -2.81 |
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Overall Survival (OS)
OS was the duration from the date of randomization to the date of death from any cause. For participants who were alive, OS was censored at the date of last follow-up visit or at the date of last contact. (NCT00308750)
Timeframe: Baseline to date of death from any cause up to 35 months
Intervention | months (Median) |
---|
Enzastaurin/Pemetrexed/Carboplatin | 7.2 |
Pemetrexed/Carboplatin | 12.7 |
Docetaxel/Carboplatin | 9.2 |
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Time to Disease Progression
Time to disease progression was defined as the time from randomization to the first date of documented disease progression or death if the participant dies due to disease progression. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Progressive disease (PD) was defined as having at least a 20% increase in sum of the longest diameter of target lesions. For participants who have not had documented disease progression, time to disease progression was censored at the date of death or date of last visit. For participants who received other anti-tumor therapy prior to disease progression, time to disease progression was censored at the first available date of other anti-tumor therapy. (NCT00308750)
Timeframe: Baseline to measured PD up to 22.3 months
Intervention | months (Median) |
---|
Enzastaurin/Pemetrexed/Carboplatin | 4.6 |
Pemetrexed/Carboplatin | 6.0 |
Docetaxel/Carboplatin | 4.1 |
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Number of Participants With Adverse Events (AEs) or Deaths
Data presented are the number of participants who experienced 1 or more AEs or any serious AEs (SAEs) regardless of causality, or deaths during the study including 30 days after treatment discontinuation. A summary of SAEs and other non-serious AEs is located in the Reported Adverse Events section of this report. (NCT00308750)
Timeframe: Baseline through study completion up to 6 cycles (21-day cycle each) and 30-day safety follow-up
Intervention | Participants (Count of Participants) |
---|
| AEs | SAEs | Deaths Due to AEs |
---|
Docetaxel/Carboplatin | 69 | 26 | 4 |
,Enzastaurin/Pemetrexed/Carboplatin | 63 | 35 | 3 |
,Pemetrexed/Carboplatin | 70 | 20 | 5 |
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Time-to-Treatment Failure (TTF)
TTF was defined as the time from randomization to the first observation of PD, death due to any cause, or early discontinuation of treatment. Response was defined using RECIST, version 1.0 criteria. PD was defined as having at least a 20% increase in sum of longest diameter of target lesions. TTF was censored at the date of the last follow-up visit for participants who did not discontinue early, who were still alive, and who have not progressed. (NCT00308750)
Timeframe: Baseline to stopping treatment up to 14.1 months
Intervention | months (Median) |
---|
Enzastaurin/Pemetrexed/Carboplatin | 2.6 |
Pemetrexed/Carboplatin | 3.8 |
Docetaxel/Carboplatin | 2.6 |
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Change From Baseline in Total Functional Assessment of Cancer Therapy-Lung (FACT-L) Scale
"The FACT-L version 4 scale is used to assess health-related quality of life (HRQoL) in participants with lung cancer. The FACT-L has 5 subscales: Physical Well-Being (PWB), Social and Family Well-Being (SFWB) and Functional Well-Being (FWB) subscales which include 7 items each, Emotional Well-Being (EWB) subscale which includes 6 items, and a Lung-Cancer Specific (LCS) subscale which include 7 items. Total FACT-L is the sum of all 5 subscales. Each item is scored from 0 to 4 giving a total overall score from 0 equal to worst quality of life to 136 equal to best quality of life. The Least Square (LS) mean was calculated using an analysis of covariance (ANCOVA) model adjusted for change scores and baseline scores." (NCT00308750)
Timeframe: Baseline, Cycle 1 (Week 3), Cycle 2 (Week 6), Cycle 3 (Week 9), Cycle 4 (Week 12), Cycle 5 (Week 15) and Cycle 6 (Week 18) [21-day cycle each]
Intervention | units on a scale (Least Squares Mean) |
---|
| Cycle 1 (Week 3) | Cycle 2 (Week 6) | Cycle 3 (Week 9) | Cycle 4 (Week 12) | Cycle 5 (Week 15) | Cycle 6 (Week 18) |
---|
Docetaxel/Carboplatin | -3.33 | -2.16 | -1.93 | -0.81 | -4.69 | 3.38 |
,Enzastaurin/Pemetrexed/Carboplatin | -3.98 | -3.25 | 0.39 | 0.31 | 1.89 | 7.38 |
,Pemetrexed/Carboplatin | 1.12 | -1.54 | 0.64 | 3.54 | -0.26 | -0.83 |
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Number of Participants With Complete Response (CR) or Partial Response (PR) [Tumor Response]
Response was defined using RECIST, version 1.0 criteria. Participants with a best response of CR or PR were considered to have had a tumor response. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. (NCT00308750)
Timeframe: Baseline to measured PD up to 22.3 months
Intervention | Participants (Count of Participants) |
---|
Enzastaurin/Pemetrexed/Carboplatin | 9 |
Pemetrexed/Carboplatin | 16 |
Docetaxel/Carboplatin | 19 |
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Patterns of Response
(NCT00310050)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
| Partial Response | Stable disease |
---|
Pemetrexed in Combination With Concomitant Radiotherapy | 1 | 2 |
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Qualitative Dose-limiting Toxicities of Pemetrexed in Combination With Radiation Therapy
Toxicity will be determined using the revised NCI Common Toxicity Criteria (CTC) version 3.0 for Toxicity and Adverse Event Reporting. Number of events with grade 1-5 will be reported. (NCT00310050)
Timeframe: 42 days
Intervention | events (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Pemetrexed in Combination With Concomitant Radiotherapy | 22 | 7 | 3 | 0 | 0 |
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Number of Participants That Survived
(NCT00310050)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Pemetrexed in Combination With Concomitant Radiotherapy | 2 |
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Pemetrexed Population Pharmacokinetics (PK): Clearance
Clearance (CL) can be defined as the volume of plasma which is completely cleared of drug (pemetrexed) per unit time. Total body clearance is calculated after intravenous administration of the drug (pemetrexed) and is measured by taking plasma samples at various timepoints and measuring the amount of pemetrexed in the plasma. (NCT00316225)
Timeframe: Cycle 1 and Cycle 2: before the end of infusion (approximately 9.5 minutes), 2 hours, 9-10 hours, 24-48 hours, 480-528 hours (20 to 22 days) after start of pemetrexed infusion
Intervention | milliliter per minute (mL/min) (Mean) |
---|
Pemetrexed | 85.6 |
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Overall Tumor Response
"Overall tumor response was determined using Response Evaluation Criteria In Solid Tumors (RECIST), which defines when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatments.~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." (NCT00316225)
Timeframe: baseline, up to 18 weeks
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Pemetrexed | 0 | 2 | 8 | 12 | 9 |
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Overview of Adverse Events
Any untoward medical occurrence in a patient who received study drug was considered an adverse event (AE), without regard to possibility of causal relationship. Treatment-emergent adverse events (TEAE): those which occurred or worsened after baseline. An adverse event resulting in any of the following outcomes, or deemed to be significant for any other reason, was considered to be a serious adverse event (SAE): death; initial or prolonged inpatient hospitalization; a life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. (NCT00316225)
Timeframe: baseline, up to 18 weeks
Intervention | participants (Number) |
---|
| TEAE - All, regardless of causality | TEAE - Possibly related to study drug | SAE - All, regardless of causality | SAE - Possibly related to study drug | Discontinuations Due to SAEs (including death) | Discontinuations - Possibly related to study drug | Discontinuations Due to Nonserious AEs | Deaths - On Study | Deaths - Possibly related to study drug | Deaths - Within 30 days of Study Discontinuation |
---|
Pemetrexed | 28 | 23 | 12 | 1 | 4 | 1 | 0 | 2 | 0 | 0 |
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Pemetrexed Population Pharmacokinetics: Volume of Distribution
Volume of distribution is the theoretical size of the compartment necessary to account for total drug amount in the body if it were present throughout the body in the same concentration found in plasma. Volume of distribution is defined as distribution of pemetrexed in the body and is determined by volume of distribution = dose/drug concentration. By knowing dose and measuring concentration of pemetrexed in plasma, volume was calculated. Central volume (V1) was determined by dose/peak serum level of pemetrexed. Peripheral volume (V2) is sum of all tissue spaces outside the central compartment. (NCT00316225)
Timeframe: Cycle 1 and Cycle 2: before the end of infusion (approximately 9.5 minutes), 2 hours, 9-10 hours, 24-48 hours, 480-528 hours (20 to 22 days) after start of pemetrexed infusion
Intervention | Liters (L) (Mean) |
---|
| Central Volume of Distribution | Peripheral Volume of Distribution (V2) | Peripheral Volume of Distribution (V3) |
---|
Pemetrexed | 6.61 | 8.91 | 1.26 |
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Discontinuations Due to Adverse Events
Adverse events were coded using the Medical Dictionary for Regulatory Activities, Version 11.0. (NCT00316225)
Timeframe: baseline, up to 18 weeks
Intervention | participants (Number) |
---|
| Atrial fibrillation | Febrile neutropenia (possibly related) | Pneumonia (resulted in death) | Respiratory failure (resulted in death) |
---|
Pemetrexed | 1 | 1 | 1 | 1 |
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Number of Participants With Common Toxicity Criteria - National Cancer Institute Grade 3 and Grade 4 Toxicities
"Number of participants with laboratory and non-laboratory toxicities possibly related to study drug, which were graded using the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) for defining and grading specific adverse events. Grades range from 0 (none) to 5 (death). Grade 3 is severe and Grade 4 is life-threatening.~NOS = Not otherwise specified." (NCT00316225)
Timeframe: baseline, up to 18 weeks
Intervention | participants (Number) |
---|
| Leukocytopenia | Neutropenia/Granulocytopenia | Platelets | Ascites (Non-Malignant) | Febrile Neutropenia | Pain Pulmonary/Upper Respiratory-Chest/Thorax NOS | Pleural Effusion (Non-Malignant) |
---|
Pemetrexed | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Objective Best Tumor Response
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. (NCT00320515)
Timeframe: baseline to measured progressive disease (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until disease progression, or up to 12 months after enrollment)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Pemetrexed + Cisplatin | 1 | 15 | 22 | 24 | 6 |
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Progression Free Survival
The period from study entry until disease progression or death on study, whichever occurred first. (NCT00320515)
Timeframe: baseline to measured progressive disease or death (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until disease progression, or up to 12 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 4.9 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00320515)
Timeframe: baseline to date of death from any cause (Survival follow-up were performed every 2 cycles during therapy and approximately every 3 months during post-therapy until death or up to 12 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 11.8 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00320515)
Timeframe: time of response to progressive disease or death (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until disease progression, or up to 12 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 5.4 |
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Disease-free Survival
Disease-free survival (DFS) was defined as the time from randomization to an event. Events include disease recurrence, new primary of lung cancer, second primaries or death, whichever occurred first; however, it should be noted that patients with new primaries at other non-lung sites should have continued followup for recurrence of the original cancer. Patients that have not had an event reported at analysis were censored at their last date of disease assessment. (NCT00324805)
Timeframe: From registration to death, up to 10 years
Intervention | months (Median) |
---|
Arm I (Chemotherapy) | 42.9 |
Arm II (Chemotherapy, Bevacizumab) | 40.6 |
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Overall Survival
Overall survival (OS) was defined as the time from randomization to death from any cause, and patients who were thought to be alive at the time of final analysis were censored at the last date of contact. The study failed to meet its primary endpoint. (NCT00324805)
Timeframe: From registration to death, up to 10 years
Intervention | months (Median) |
---|
Arm I (Chemotherapy) | NA |
Arm II (Chemotherapy, Bevacizumab) | 85.8 |
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Time To Treatment Failure (TTTF)
TTTF is defined as the time from date of study enrollment to the first documented date of death, PD, or study treatment discontinuation due to adverse event (AE). For participants not known to have discontinued as of the data cut-off date, TTTF is censored at the last contact date. For participants who discontinued for reasons other than death, PD, or AE, TTTF is censored at the date of discontinuation. (NCT00325234)
Timeframe: Baseline to end of treatment (up to 21.9 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 4.8 |
Gemcitabine/Vinorelbine | 5.1 |
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Time to Response
Time to response (Complete Response(CR) or Partial Response (PR) is defined as the time from the date of study enrollment to the first date when the measurement criteria are met for complete response or partial response (whichever status is recorded first). CR=Disappearance of target lesions lesions. PR=≥30% size decrease of lesions. (NCT00325234)
Timeframe: Baseline to response (up to 7.8 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 1.8 |
Gemcitabine/Vinorelbine | 1.8 |
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Time to Progressive Disease (PD)
Time to PD is defined as the time from the date of study enrollment to the first documented date of PD or death from study disease. For participants who die from causes other than study disease and without PD, time to PD was censored at the date of death. For participants not known to have died as of the data cut-off date and do not have PD, time to PD was censored at the last contact date. For participants who received subsequent chemotherapy (after discontinuation from the study chemotherapy) prior to disease progression, time to PD was censored at the date of subsequent chemotherapy. (NCT00325234)
Timeframe: Baseline to measured PD (up to 25.1 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 5.1 |
Gemcitabine/Vinorelbine | 5.6 |
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Duration of Response (DOR)
DOR-RECIST criteria of (Complete Response [CR =Disappearance of lesions] or Partial Response [PR=≥30% size decrease of lesions]) is defined as time from the date when measurement criteria are met for CR or PR until the date of first observation of progressive disease (PD) or death from study disease. For participants who die from causes other than study disease and without PD, DOR will be censored at the date of death. For participants who have not died as of the data cut-off date who are without PD, DOR was censored at last contact date. (NCT00325234)
Timeframe: Time of response to progressive disease (up to 19 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin | 7.7 |
Gemcitabine/Vinorelbine | 7.5 |
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Tumor Response Rate
Participants with best overall response determined from complete response (CR) or partial response (PR) according to Response Criteria in Solid Tumors (RECIST) criteria. For CR or PR, best response must be confirmed. A second assessment performed at 28 days. Two determinations of CR before progression required for rate to=CR. Evaluations include: CR=Disappearance of lesions. PR=≥30% size decrease of lesions. Progressive Disease (PD)=≥20% size increase of lesions. Stable Disease (SD)=Not enough shrinkage for PR nor enough increase for PD. Overall Response Rate=PR+CR/Qualified Participants*100. (NCT00325234)
Timeframe: Baseline up to 30 days of follow-up after 21 cycles of treatment
Intervention | percentage of participants (Number) |
---|
| Overall Response | Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Gemcitabine/Vinorelbine | 29.5 | 3.3 | 26.2 | 34.4 | 27.9 | 8.2 |
,Pemetrexed/Carboplatin | 26.6 | 0.0 | 26.6 | 35.9 | 26.6 | 10.9 |
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Number of Participants With Adverse Events (AE)
A listing of adverse events is presented in the Reported Adverse Event Module. (NCT00325234)
Timeframe: every cycle up to twenty-one 21-day cycles (plus 30 days of follow-up)
Intervention | participants (Number) |
---|
| Adverse Events | Serious Adverse Events |
---|
Gemcitabine/Vinorelbine | 66 | 22 |
,Pemetrexed/Carboplatin | 64 | 18 |
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Number of Participants With Complete Tumor Resection
(NCT00330915)
Timeframe: surgery following 3 cycles (21-day cycles) of chemotherapy
Intervention | participants (Number) |
---|
Pemetrexed | 37 |
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Number of Participants Receiving Sphincter Saving Surgery
(NCT00330915)
Timeframe: surgery following 3 cycles (21-day cycles) of chemotherapy
Intervention | participants (Number) |
---|
| Surgery - Yes | Surgery - No |
---|
Pemetrexed | 25 | 12 |
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Pathological Complete Response (pCR)
Pathological complete response was defined as the absence of any tumor cells. (NCT00330915)
Timeframe: surgery following 3 cycles (21-day cycles) of chemotherapy
Intervention | participants (Number) |
---|
| Complete Response - Yes | Complete Response - No | Complete Response - Not Determined |
---|
Pemetrexed | 0 | 1 | 36 |
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Feasibility of Pemetrexed Prior to Surgery
Feasibility was defined as the ability to receive the total planned dose of Pemetrexed administered over a period of no more than 9 weeks permitting scheduling conflict. A ±5 percent variance in the calculated total dose was allowed. (NCT00330915)
Timeframe: 3 cycles (21-day cycles)
Intervention | participants (Number) |
---|
| Feasibility - Yes | Feasibility - No |
---|
Pemetrexed | 33 | 4 |
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Estimated Probability of One Year Progression-free Survival
Progression free survival (PFS) is the duration from enrollment until first disease progression or death. For patients not known to have died as of the data cut-off date and who do not have progressive disease, PFS is censored at the last radiological assessment date. (NCT00350792)
Timeframe: baseline to measured progressive disease or death, 1 year
Intervention | percentage of patients (Median) |
---|
Pemetrexed + Carboplatin | 13.1 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00350792)
Timeframe: baseline to date of death from any cause (up to 14.5 months)
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 10.4 |
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Percentage of Participants With a Complete or Partial Tumor Response (Overall Tumor Response)
Tumor response is defined as the percentage of patients with either a complete response or a partial response. Response was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions and Partial Response=30% decrease in sum of longest diameter of target lesions. (NCT00350792)
Timeframe: baseline to measured objective tumor response (up to six 21-day cycles)
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 28.6 |
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Time to Treatment Failure
Defined as the time from study enrollment to the first observation of disease progression, death as a result of any cause, or early discontinuation of treatment. Time to treatment failure was censored at the date of the last follow-up visit for patients who did not discontinue early, who were still alive, and who have not progressed. (NCT00350792)
Timeframe: baseline to stopping treatment (up to six 21-day cycles)
Intervention | weeks (Median) |
---|
Pemetrexed + Carboplatin | 16.0 |
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Time to Treatment Failure
Defined as the time from study enrollment to the first observation of disease progression, death as a result of any cause, or early discontinuation of treatment. Time to treatment failure was censored at the date of the last follow-up visit for patients who did not discontinue early, who were still alive, and who have not progressed. (NCT00350792)
Timeframe: baseline to stopping treatment (up to six 21-day cycles)
Intervention | weeks (Mean) |
---|
Pemetrexed + Carboplatin | 12.95 |
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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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Objective Tumor Response
Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. (NCT00356525)
Timeframe: baseline to time of response (up to 17.5 months)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Less Than One Year: Pemetrexed | 0 | 7 | 3 | 2 | 2 |
,Less Than One Year: Pemetrexed + Gemcitabine | 0 | 0 | 9 | 2 | 0 |
,One Year or Greater: Pemetrexed + Carboplatin | 0 | 2 | 5 | 0 | 0 |
,One Year or Greater: Pemetrexed + Gemcitabine | 0 | 1 | 6 | 1 | 1 |
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Overall Survival
Overall survival is the number of participants who were alive when the trial was terminated. (NCT00356525)
Timeframe: baseline to trial termination (17.5 months)
Intervention | participants alive (Number) |
---|
Less Than One Year: Pemetrexed | 6 |
Less Than One Year: Pemetrexed + Gemcitabine | 4 |
One Year or Greater: Pemetrexed + Carboplatin | 6 |
One Year or Greater: Pemetrexed + Gemcitabine | 7 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00363415)
Timeframe: baseline to date of death from any cause (up to 19.6 months)
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 8.1 |
Etoposide + Carboplatin | 10.6 |
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Progression Free Survival
The period from study entry until disease progression, death or date of last contact. (NCT00363415)
Timeframe: baseline to measured progressive disease (up to 14.7 months)
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 3.8 |
Etoposide + Carboplatin | 5.4 |
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Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
FACT-L measures following domains of health-related quality of life (HR-QL): physical well-being, social/family well-being, emotional well-being, functional well-being, and additional concerns of lung cancer. Total scores range from 0 to 136, with higher scores representing better HR-QL. A clinically meaningful change is considered to be 5 points. (NCT00363415)
Timeframe: baseline and 6 cycles (21-day cycles)
Intervention | units on a scale (Mean) |
---|
| Baseline (n=384, n=383) | Cycle 1 Change from Baseline (n=270, n=275) | Cycle 2 Change from Baseline (n=283, n=310) | Cycle 3 Change from Baseline (n=225, n=277) | Cycle 4 Change from Baseline (n=199, n=259) | Cycle 5 Change from Baseline (n=140, n=203) | Cycle 6 Change from Baseline (n=98, n=146) |
---|
Etoposide + Carboplatin | 87.79 | 1.55 | 1.73 | 1.70 | 1.69 | 1.94 | 3.73 |
,Pemetrexed + Carboplatin | 87.42 | -0.22 | 0.17 | 0.06 | -0.14 | 0.27 | 0.34 |
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Number of Participants in Subgroups: LDH<=Upper Limit of Normal and History of Brain Metastases=Yes
Number of participants with Low Density Lipoprotein <=upper limit of normal and the number of participants with a history of brain metastases. This post-hoc outcome replaces the one for Overall Survival (Subgroups: LDH<=Upper Limit of Normal and History of Brain Metastases=Yes). (NCT00363415)
Timeframe: baseline to date of death due to any cause (up to 19.6 months)
Intervention | participants (Number) |
---|
| LDH: <=Upper Limit of Normal | History of Brain Metastases: Yes |
---|
Etoposide + Carboplatin | 169 | 41 |
,Pemetrexed + Carboplatin | 167 | 43 |
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Overall Survival (Subgroups)
The effects of individual baseline factors (sex, race, Eastern Cooperative Oncology Group (ECOG) performance, region, lactate dehydrogenase (LDH), age, number of metastatic sites, and history of brain metastases) on overall survival are reported. For two subgroups - LDH<=upper limit of normal and brain metastases=yes, the upper limits of the 95% confidence interval were not calculable for the etoposide+carboplatin group - instead the number of participants in these two subgroups are presented as a post-hoc outcome measure. (NCT00363415)
Timeframe: baseline to date of death from any cause (up to 19.6 months)
Intervention | months (Median) |
---|
| Sex: Male (n=325, n=330) | Sex: Female (n=128, n=125) | Race: Caucasian (n=391, n=379) | Race: Non-Caucasian (n=62, n=76) | ECOG: 0 or 1 (n=398, n=398) | ECOG: 2 (n=54, n=55) | Region: United States (n=92, n=83) | Region: European Union (n=279, n=278) | Region: Intercontinential Region (n=82, n=94) | LDH: >Upper Limit of Normal (n=276, n=273) | Age: <= 65 years (n=267, n=275) | Age: >65 years (n=186, n=180) | Number Metastatic Sites: <=2 (n=172, n=204) | Number Metastatic Sites: >=3 (n=273, n=246) | History of Brain Metastases: No (n=410, n=412) |
---|
Etoposide + Carboplatin | 10.4 | 11.6 | 11.2 | 8.7 | 11.3 | 5.2 | 11.3 | 11.2 | 9.9 | 9.3 | 11.5 | 9.7 | 11.5 | 10.3 | 10.6 |
,Pemetrexed + Carboplatin | 8.2 | 8.1 | 8.2 | 7.1 | 8.5 | 6.2 | 8.1 | 8.5 | 7.2 | 7.2 | 8.4 | 7.7 | 10.0 | 7.7 | 8.2 |
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Maximum Tolerated Dose as Measured by the Number of Dose Limiting Toxicities Seen in Cohort.
"Only dose limiting toxicities (DLT) were collected. DLTs were graded according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0) 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~The occurrence of any of the following toxicities during the first treatment cycle constitutes DLT in this study:~Grade 3 and/or 4 non-hematologic toxicity other than grade 3 nausea or vomiting.~Grade 3 and/or 4 unexpected non-hematologic toxicities. Grade 4 vomiting despite maximal antiemetic support. Grade 4 neutropenia and fever during first cycle. Grade 4 neutropenia on Day 1 of 2nd treatment cycle despite growth factor support or grade 4 thrombocytopenia on Day 1 of 2nd treatment cycle." (NCT00369629)
Timeframe: From the day that the first treatment is given through the first 28 day period for each patient.
Intervention | DLT (Number) |
---|
| Perforated sigmoid diverticulitis | Febrile neutropenia |
---|
Cohort 1 | 1 | 0 |
,Cohort 2 | 0 | 0 |
,Cohort 3 | 0 | 1 |
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Mean Deoxycytidine Kinase (dCK) Expression Evaluated at Cycle 1, Cycle 2, and Cycle 3
dCK and hENT expression (see Outcome #2) on normal lymphocytes were measured after Pemetrexed administration to evaluate if there was reproducible timing of maximum dCK expression, and to assess proper time interval between pemetrexed and gemcitabine for treatment of patients with advanced Non-Small Cell Lung Cancer (NSCLC). Values are calculated as ratio between thereshold cycles (number of polymerase chain reaction [PCR] cycles) with respect to a reference gene; in this case glyceraldehyde 3-phosphate dehydrogenase (GAPDH). (NCT00370292)
Timeframe: pre-dose, 1, 2, 4, 6, 24, and 48 hours post-dose (3 cycles)
Intervention | mRNA relative values (ratio with GAPDH) (Mean) |
---|
| Pre-Dose | 1 Hour Post-Dose | 2 Hours Post-Dose | 4 Hours Post-Dose | 6 Hours Post-Dose | 24 Hours Post-Dose | 48 Hours Post-Dose |
---|
dCK - Cycle 1 | 0.92 | 0.96 | 0.96 | 0.93 | 0.92 | 0.96 | 0.97 |
,dCK - Cycle 2 | 0.92 | 0.95 | 0.96 | 0.94 | 0.91 | 0.97 | 0.96 |
,dCK - Cycle 3 | 0.92 | 0.96 | 0.97 | 0.92 | 0.91 | 0.96 | 0.97 |
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Mean Human Equilibrative Nucleoside Transporter 1 (hENT) Expression Evaluated at Cycle 1, Cycle 2, and Cycle 3
dCK (see Outcome #1)and hENT expression (see Outcome #2) on normal lymphocytes were measured after Pemetrexed administration to evaluate if there was reproducible timing of maximum dCK expression, and to assess proper time interval between pemetrexed and gemcitabine for treatment of patients with advanced Non-Small Cell Lung Cancer (NSCLC). Values are calculated as ratio between thereshold cycles (number of polymerase chain reaction [PCR] cycles) with respect to a reference gene; in this case glyceraldehyde 3-phosphate dehydrogenase (GAPDH). (NCT00370292)
Timeframe: pre-dose, 1, 2, 4, 6, 24, and 48 hours post-dose (3 cycles)
Intervention | mRNA relative values (ratio with GAPDH) (Mean) |
---|
| Pre-Dose | 1 Hour Post-Dose | 2 Hours Post-Dose | 4 Hours Post-Dose | 6 Hours Post-Dose | 24 Hours Post-Dose | 48 Hours Post-Dose |
---|
hENT - Cycle 1 | 0.86 | 0.88 | 0.88 | 0.86 | 0.86 | 0.89 | 0.90 |
,hENT - Cycle 2 | 0.86 | 0.89 | 0.90 | 0.88 | 0.86 | 0.91 | 0.91 |
,hENT - Cycle 3 | 0.87 | 0.90 | 0.90 | 0.86 | 0.86 | 0.91 | 0.91 |
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Best Objective Tumor Response
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. (NCT00370292)
Timeframe: baseline to measured response (every 14 days for 6 cycles)
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease | Early Death | Unconfirmed Stable Disease |
---|
Pemetrexed - After Amendment | 0 | 4 | 0 | 0 | 3 |
,Pemetrexed - Before Amendment | 1 | 2 | 3 | 1 | 5 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. Complete response (CR) = disappearance of all target lesions. Partial response (PR) = 30% decrease in the sum of the longest diameter of target lesions. (NCT00374868)
Timeframe: time of response to progressive disease (up to 620 days)
Intervention | days (Mean) |
---|
Pemetrexed + Cisplatin | 184.100 |
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Duration of Stable Disease
Defined as time from study enrollment to the first progression of disease, complete response, partial response, or death from any cause. 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) = small changes that do not meet above criteria. (NCT00374868)
Timeframe: time of no response or progression (up to 620 days)
Intervention | days (Median) |
---|
Pemetrexed + Cisplatin | 80 |
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Progression-Free Survival
Defined as the time from study enrollment until disease progression or death from any cause. (NCT00374868)
Timeframe: baseline to measured progressive disease (up to 620 days)
Intervention | days (Median) |
---|
Pemetrexed + Cisplatin | 203 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00374868)
Timeframe: baseline to date of death from any cause (up to 620 days)
Intervention | days (Mean) |
---|
Pemetrexed + Cisplatin | 264.190 |
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Time to Progressive Disease
Defined as the time from study enrollment to the first date of disease progression. Time to disease progression was censored at the date of death if death was due to other cause. Progressive disease (PD) = 20% increase in the sum of the longest diameter of target lesions. (NCT00374868)
Timeframe: baseline to measured progressive disease (up to 620 days)
Intervention | days (Mean) |
---|
Pemetrexed + Cisplatin | 260.182 |
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Best Overall Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment. 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) = small changes that do not meet above criteria." (NCT00374868)
Timeframe: baseline to measured progressive disease (up to 620 days)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Evaluated | Not Performed | Missing |
---|
Pemetrexed + Cisplatin | 2 | 13 | 13 | 1 | 3 | 3 | 3 |
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Time to Treatment Failure (TTF)
Time from study enrollment to first observation of disease progression, death from any cause, or early discontinuation of treatment (including toxicity or if patient had stable disease after 4 cycles). TTF was censored at date of last follow-up visit for patients who did not discontinue early, who were still alive, and who had not progressed. (NCT00374868)
Timeframe: baseline to stopping treatment (up to 620 days)
Intervention | days (Median) |
---|
Pemetrexed + Cisplatin | 133.5 |
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Time to Response
Defined as time from study enrollment to the first Complete Response or Partial Response (using RECIST criteria). Complete response (CR) = disappearance of all target lesions. Partial response (PR) = 30% decrease in the sum of the longest diameter of target lesions. (NCT00374868)
Timeframe: baseline to response (up to 620 days)
Intervention | days (Mean) |
---|
Pemetrexed + Cisplatin | 111.816 |
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Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment. 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) = small changes that do not meet above criteria." (NCT00377520)
Timeframe: baseline to measured progressive disease (up to 24 months)
Intervention | participants (Number) |
---|
| Completed Response | Partial Response | Stable Disease | Progressive Disease | Inevaluable |
---|
Pemetrexed | 0 | 1 | 12 | 11 | 2 |
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Number of Participants With Adverse Events by Grade (Measures of Toxicity)
Adverse events were graded using the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) for defining and grading specific adverse events. A grading (severity) scale is provided for each adverse event term. Grades range from 0 (none) to 5 (death). The worst grade event per cycle is reported. (NCT00377520)
Timeframe: every 21-day cycle (up to 24 months)
Intervention | participants (Number) |
---|
| Leukopenia - Grade 1 | Leukopenia - Grade 2 | Leukopenia - Grade 3 | Leukopenia - Grade 4 | Thrombocytopenia - Grade 1 | Thrombocytopenia - Grade 2 | Thrombocytopenia - Grade 3 | Thrombocytopenia - Grade 4 | Neutropenia - Grade 1 | Neutropenia - Grade 2 | Neutropenia - Grade 3 | Neutropenia - Grade 4 | Anemia - Grade 1 | Anemia - Grade 2 | Anemia - Grade 3 | Anemia - Grade 4 | Coagulation - Grade 1 | Coagulation - Grade 2 | Coagulation - Grade 3 | Coagulation - Grade 4 | Nausea/vomiting - Grade 1 | Nausea/vomiting - Grade 2 | Nausea/vomiting - Grade 3 | Nausea/vomiting - Grade 4 | Gastrointestinal - Grade 1 | Gastrointestinal - Grade 2 | Gastrointestinal - Grade 3 | Gastrointestinal - Grade 4 | Alopecia - Grade 1 | Alopecia - Grade 2 | Dermatologic - Grade 1 | Dermatologic - Grade 2 | Dermatologic - Grade 3 | Dermatologic - Grade 4 | Alkaline phosphatase - Grade 1 | Alkaline phosphatase - Grade 2 | Alkaline phosphatase - Grade 3 | Alkaline phosphatase - Grade 4 | Serum glutamic-oxaloacetic transaminase - Grade 1 | Serum glutamic-oxaloacetic transaminase - Grade 2 | Serum glutamic-oxaloacetic transaminase - Grade 3 | Serum glutamic-oxaloacetic transaminase - Grade 4 | Neurologic - Grade 1 | Neurologic - Grade 2 | Neurologic - Grade 3 | Neurologic - Grade 4 | Infection - Grade 1 | Infection - Grade 2 | Infection - Grade 3 | Infection - Grade 4 | Pulmonary - Grade 1 | Pulmonary - Grade 2 | Pulmonary - Grade 3 | Pulmonary - Grade 4 | Metabolic - Grade 1 | Metabolic - Grade 2 | Metabolic - Grade 3 | Metabolic - Grade 4 | Lymphatics - Grade 1 | Lymphatics - Grade 2 | Lymphatics - Grade 3 | Lymphatics - Grade 4 | Pain - Grade 1 | Pain - Grade 2 | Pain - Grade 3 | Pain - Grade 4 | Constitutional - Grade 1 | Constitutional - Grade 2 | Constitutional - Grade 3 | Constitutional - Grade 4 | Renal - Grade 1 | Renal - Grade 2 | Renal - Grade 3 | Renal - Grade 4 | Musculoskeletal - Grade 1 | Musculoskeletal - Grade 2 | Musculoskeletal - Grade 3 | Musculoskeletal - Grade 4 | Ocular - Grade 1 | Ocular - Grade 2 | Ocular - Grade 3 | Ocular - Grade 4 | Cardiovascular - Grade 1 | Cardiovascular - Grade 2 | Cardiovascular - Grade 3 | Cardiovascular - Grade 4 | Vascular - Grade 1 | Vascular - Grade 2 | Vascular - Grade 3 | Vascular - Grade 4 | Endocrine - Grade 1 | Endocrine - Grade 2 | Endocrine - Grade 3 | Endocrine - Grade 4 |
---|
Pemetrexed | 3 | 4 | 8 | 2 | 7 | 1 | 4 | 0 | 2 | 3 | 9 | 3 | 9 | 11 | 5 | 0 | 0 | 0 | 1 | 0 | 5 | 2 | 2 | 0 | 6 | 6 | 3 | 0 | 1 | 0 | 4 | 2 | 1 | 0 | 4 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 6 | 3 | 0 | 1 | 0 | 4 | 2 | 0 | 2 | 0 | 0 | 0 | 7 | 1 | 0 | 0 | 3 | 0 | 1 | 0 | 3 | 2 | 3 | 0 | 4 | 8 | 5 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 2 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 |
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Duration of Response
Duration of overall tumor response was measured from the time of first documentation of complete response or partial response (whichever status was first recorded) until the date of progression-free survival, with censoring defined as: disease had not progressed, treatment was discontinued due to undocumented progression or toxicity/other reason, onset of new anti-tumor therapy or otherwise experienced death/progression after more than one missed (assessment) visit. (NCT00380718)
Timeframe: time of response to measured progressive disease or death from any cause (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until documented disease progression, or up to 18 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed | 6.6 |
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Proportion of Participants With a Complete or Partial Response (Objective Response Rate [ORR])
"The objective response rate (ORR) was defined as the proportion of participants who achieved a best response of either complete response (CR) or partial response (PR) (responders) based on the RECIST criteria. ORR=(CR+PR)/Number of Participants. The RECIST define when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatments." (NCT00380718)
Timeframe: baseline to measured progressive disease (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until documented disease progression, or up to 18 months after enrollment)
Intervention | proportion of responders (Mean) |
---|
Pemetrexed | 0.182 |
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Overall Survival
Overall survival is the duration from enrollment to death from any cause. For patients who are alive, overall survival is censored at the last follow-up visit. (NCT00380718)
Timeframe: baseline to date of death from any cause (includes post-treatment follow-up of up to 18 months post-Last Patient Entered Treatment)
Intervention | months (Median) |
---|
Pemetrexed | 20.2 |
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Progression-Free Survival (PFS)
Time to PFS was defined as the time from the date of enrollment to the date of the first of the following events: objective disease progression or death due to any cause. Survival time frame includes post-treatment follow-up of up to 18 months post-Last Patient Entered Treatment. Patients were censored if their disease had not progressed, treatment was discontinued due to an undocumented progression or toxicity/other reason, onset of new anti-tumor therapy or otherwise experienced death/progression after more than one missed (assessment) visit. (NCT00380718)
Timeframe: baseline to measured progressive disease or death from any cause (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until documented disease progression, or up to 18 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed | 6.9 |
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Proportion of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), and Stable Disease (SD) (Disease Control Rate [DCR])
DCR was defined as the proportion of best overall response of CR, PR, and SD. DCR=(CR+PR+SD)/Number of participants. Response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. (NCT00380718)
Timeframe: baseline to measured progressive disease (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until documented disease progression, or up to 18 months after enrollment)
Intervention | proportion of participants (Mean) |
---|
Pemetrexed | 0.545 |
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Time to Tumor Progression
Time to documented tumor progression was defined as the time from the date of enrollment to the first date of documented disease progression. Time to documented disease progression was censored at the date of death for participants who had not had documented disease progression. Otherwise, the censoring rules were the same as for Progression-Free Survival. (NCT00380718)
Timeframe: baseline to measured progressive disease (Tumor assessments were performed every 2 cycles during therapy and 6-8 weeks during post-therapy until documented disease progression, or up to 18 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed | 6.9 |
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Time to Treatment Failure
Time to treatment failure was define as the time from the date of enrollment to the date of the first of the following events: objective disease progression, death due to any cause, treatment discontinuation for undocumented progression, early treatment discontinuation for toxicity or other reason, or new anticancer treatment started. Time to treatment failure for participants who were still participating in the study without treatment failure at the time of analysis were treated as censored at the date of the last tumor assessment. (NCT00380718)
Timeframe: baseline to early treatment discontinuation or measured progressive disease or death from any cause (assessments every 2 cycles during therapy and 6-8 weeks during post-therapy until documented disease progression, or up to 18 months after enrollment)
Intervention | months (Median) |
---|
Pemetrexed | 2.9 |
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Overall Survival Rate
(NCT00383266)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 22.2 |
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Overall Survival Rate
(NCT00383266)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 0 |
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Toxicities
(NCT00383266)
Timeframe: 30 days following completion of treatment (maximum number of cycles = 6)
Intervention | participants (Number) |
---|
| Cardiac ischemia/infarction | Pancreatitis | Tumor pain | Chest/thorax pain | Hemoglobin | Chest pain | Dry eye syndrome | Abdominal pain | Constipation | Diarrhea | Dysphagia | Hiccoughs | Mucositis | Nausea | Oral cavity pain | Stomatitis | Vomiting | Chills | Edema | Fatigue | Fever | Sweating | Colitis (c. difficile) | Infection without neutropenia | ALT | AST | Alkaline phosphtase | Leukocytes (WBC) | Low CO2 | Lymphopenia | Neutrophils | Platelets | Weight loss | Anorexia | Dehydration | Hypercalcemia | Hyperglycemia | Hyperkalemia | Hypernatremia | Hypoalbuminemia | Hypocalcemia | Hypoglycemia | Hypokalemia | Hyponatremia | Lipase | Back pain | Hernia | Limb pain | Dizziness | Headache | Neuropathy - motor | Neuropathy - sensory | Insomnia | Mood alteration - anxiety | Creatinine | Creatinine clearance | Allergic rhintis | Cough | Dyspnea | Hemorrhage - nose | Alopecia | Dry skin | Other: skin | Puritis | Rash | Skin breakdown/decubitous ulcer | Hot flash |
---|
Pemetrexed + Carboplatin | 1 | 1 | 1 | 1 | 8 | 1 | 1 | 2 | 3 | 3 | 1 | 1 | 2 | 6 | 1 | 1 | 4 | 2 | 1 | 5 | 1 | 5 | 1 | 1 | 4 | 2 | 2 | 3 | 2 | 6 | 2 | 1 | 1 | 2 | 1 | 1 | 3 | 3 | 3 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 3 | 1 | 5 | 4 | 2 | 1 | 1 | 2 | 4 | 3 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 1 |
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Overall Survival (OS)
OS is defined as the time from initiation of treatment to the date of any reason death while those living subjects will be censored at the last assessment date. (NCT00383266)
Timeframe: Until patient's death (median follow-up 293 days -- range (63-632 days))
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 9.6 |
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Time to Disease Progression
-Progressive disease=at least a 20% increase in the sum of the LD of the target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions (NCT00383266)
Timeframe: Until patient progresses (median follow-up 293 days -- range (63-632 days)
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 3.6 |
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Overall Response Rate (ORR)
"Overall response rate = complete response (CR) + partial response (PR) using RECIST.~CR=disappearance of all target lesions and disappearance of all non-target lesions and normalization of tumor marker level~PR=at least a 30% decrease in the sum of the longest diameter (LD) of the target lesions taking as reference the baseline sum LD" (NCT00383266)
Timeframe: Until patient progresses or dies (median follow-up 293 days -- range (63-632 days)
Intervention | percentage of participants (Number) |
---|
| Complete response | Partial response |
---|
Pemetrexed + Carboplatin | 0 | 33 |
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Progression Free Survival
baseline to measured progressive disease (NCT00383331)
Timeframe: baseline and every 14 or 21 day cycle (6-9 cycles), every 6 weeks post-therapy follow-up
Intervention | months (Median) |
---|
21-Day Cycle | 1.66 |
14-Day Cycle | 5.04 |
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Overall Survival
Survival time is defined as the time from date of randomization to death due to any cause. (NCT00383331)
Timeframe: baseline and every 14 or 21 day cycle (6-9 cycles), every 6 weeks post-therapy follow-up
Intervention | months (Median) |
---|
21-Day Cycle | 5.1 |
14-Day Cycle | 8.1 |
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Best Overall Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment." (NCT00383331)
Timeframe: baseline and every 14 or 21 day cycle (6-9 cycles), every 6 weeks post-therapy follow-up
Intervention | participants (Number) |
---|
| Complete Response | Partial Response |
---|
14-Day Cycle | 0 | 0 |
,21-Day Cycle | 0 | 2 |
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Number of Patients With Grade ≥ 3 Toxicity (Phase I)
Grade 3/4 toxicity occurring in a patient within 1 cycle. (NCT00389805)
Timeframe: First cycle of treatment (3 weeks)
Intervention | participants (Number) |
---|
| Neutropenia | Anemia | Thrombocytopenia | Increased transaminases | Fatigue |
---|
Arm A | 12 | 1 | 0 | 1 | 2 |
,Arm B | 1 | 0 | 1 | 0 | 0 |
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Number of Patients With Toxicity by NCI CTC v3.0 (Phase I)
Adverse events possibly related to treatment, graded according to the NCI CTCAE v3.0. (NCT00389805)
Timeframe: Up to 36 months
Intervention | participants (Number) |
---|
| Neutropenia | Anemia | Thrombocytopenia | Increased transaminases | Anorexia | Constipation | Cough | Dehydration | Diarrhea | Dizziness | Edema | Fatigue | Fever | Infection | Nausea +/- vomiting | Neuropathy | Rash | Renal impairment | Weakness |
---|
Arm A | 12 | 1 | 0 | 12 | 4 | 5 | 5 | 4 | 2 | 5 | 4 | 15 | 3 | 6 | 10 | 4 | 6 | 5 | 0 |
,Arm B | 1 | 0 | 1 | 5 | 6 | 3 | 4 | 1 | 3 | 4 | 4 | 11 | 3 | 4 | 6 | 6 | 5 | 1 | 2 |
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Number of Patients Experiencing a Dose-limiting Toxicity (Phase I)
Grade 4 thrombocytopenia or grade 3 thrombocytopenia associated with bleeding, requirement for transfusion or lasting >7 days; febrile neutropenia; grade 3 neutropenia associated with infection; any other grade >/=3 non-hematologic toxicity considered by the investigator to be related to study drug. (NCT00389805)
Timeframe: Up to 36 months
Intervention | Participants (Count of Participants) |
---|
Arm A | 3 |
Arm B | 0 |
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Number of Participants Who Experience Adverse Events (Phase I)
Number of participants with treatment-related adverse events as assessed by CTCAE v3.0 (Phase I). (NCT00389805)
Timeframe: Throughout the entire study (up to 36 months).
Intervention | Participants (Count of Participants) |
---|
Arm A | 15 |
Arm B | 12 |
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Maximum Tolerated Dose of Bortezomib in Combination With Pemetrexel (Phase I)
(NCT00389805)
Timeframe: Up to 36 months
Intervention | Mg/m^2 (Number) |
---|
Arm A | 1.3 |
Arm B | 1.6 |
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Pharmacology Toxicity
Maximum common terminology criteria (CTC) Grade 3 or 4 toxicities possibly related to study drug are reported. The worst grade event per cycle is reported. Grades range from 0 (none) to 5 (death). Grade 3 events are severe and Grade 4 events are life-threatening. (NCT00391274)
Timeframe: first dose of study drug up to 24 months
Intervention | participants (Number) |
---|
| Serum Glutamic Pyruvic Transaminase | Hemoglobin | Leukocytes | Lymphopenia | Neutrophils/Granulocytes | Platelets | Hypokalemia | Anorexia | Constipation | Diarrhea | Enteritis | Fatigue (Asthenia, Lethargy, Malaise) | Febrile Neutropenia | Infection (Clinical/Microbiological: Neutrophils) | Infection (Unknown: Pneumonia) | Mucositis/Stomatitis | Neuropathy: Motor | Pain: Thorax Not Otherwise Specified (NOS) | Pericardial Effusion (Non-Malignant) | Pulmonary/Upper Respiratory - Other | Rash/Desquamation |
---|
Docetaxel | 0 | 3 | 21 | 0 | 29 | 0 | 1 | 0 | 1 | 5 | 1 | 5 | 4 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 |
,Pemetrexed | 1 | 7 | 4 | 1 | 5 | 7 | 0 | 1 | 0 | 0 | 0 | 3 | 2 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 1 |
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Overall Survival
Overall survival was defined as the time from the date of study enrollment to the date of death due to any cause. Survival time was censored at the date of last contact for patients who were still alive or lost to follow-up. An amendment allowed for the collection of overall survival on an additional 43 survival events. At the time the original record was released, it was not possible to provide results with the 95% Confidence Interval (CI) since the upper limit was not calculable. The median and 95% CIs are now reported. (NCT00391274)
Timeframe: baseline to date of death from any cause (up to 24 months after study enrollment); amendment (up to 30 months after study enrollment)
Intervention | months (Median) |
---|
| Overall Survival (up to 24 months) | Overall Survival (up to 30 months) |
---|
Docetaxel | 12.2 | 11.5 |
,Pemetrexed | 11.7 | 11.4 |
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Progression-Free Survival (PFS)
Progression-free survival (PFS) time was defined as the time from the date of study enrollment to the date of the first of the following events: objective disease progression or death due to any cause. For patients who were alive and had not progressed, PFS was censored at the last contact. (NCT00391274)
Timeframe: baseline to measured progressive disease (up to 24 months after study enrollment)
Intervention | months (Median) |
---|
Pemetrexed | 2.8 |
Docetaxel | 3.1 |
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Number of Patients With Disease Progression
Number of patients who have died or have had progression of disease. This outcome substitutes for the outcome on Duration of Response. (NCT00391274)
Timeframe: time of response to progressive disease (up to 12 months)
Intervention | participants (Number) |
---|
Pemetrexed | 4 |
Docetaxel | 1 |
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Overall Tumor Response
"Response based on Response Evaluation Criteria In Solid Tumors (RECIST), which define when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatments. 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." (NCT00391274)
Timeframe: baseline to measured tumor response (up to 24 months after study enrollment)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Early Death from Malignant Disease | Early Death from Other Causes | Unknown |
---|
Docetaxel | 0 | 4 | 46 | 36 | 6 | 1 | 5 |
,Pemetrexed | 0 | 10 | 33 | 49 | 7 | 1 | 4 |
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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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Overall Survival
(NCT00394147)
Timeframe: 1 year
Intervention | months (Median) |
---|
Pemetrexed and Gemcitabine | 5.9 |
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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. (NCT00394147)
Timeframe: 1 year
Intervention | months (Median) |
---|
Pemetrexed and Gemcitabine | 5.9 |
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Objective 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. (NCT00394147)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Pemetrexed and Gemcitabine | 2 |
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Percentage of Participants Surviving Progression-Free at 6 Months (Progression Free Survival [PFS] Rate)
For this study, we used the exponential distribution (assumption done for the calculation of the sample size) to estimate the PFS rate. The PFS rate (%) and the 95% confidence intervals were calculated based on the following formula: exp(-6 λ) ± 1.96 * exp(-6 λ) * (-6 λ)/√r. Where λ was calculated based on the Maximum-Likelihood estimator for ln(λ) as given by (Collett 2003): ln(λ) = ln[ r / ∑ti ] with r = number of patients with events up to 6 months, ti = survival time of patient i (i=1,…,n), event or censored up to 6 months, and n= total number of patients per treatment group. (NCT00402051)
Timeframe: Randomization to Month 6
Intervention | percentage (Number) |
---|
Pemetrexed + Cisplatin | 52.8 |
Pemetrexed + Carboplatin | 39.3 |
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Time to Treatment Failure (TTF)
Defined as time from randomization to the first date of disease progression, death due to any cause, or early discontinuation of treatment (any reason), whichever occurred first (NCT00402051)
Timeframe: Randomization to stopping of treatment, progression, death or initiation of further chemotherapy, whichever occurs first (up to 1 year)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 3.0 |
Pemetrexed + Carboplatin | 3.4 |
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Number of Participants With Tumor Response (as Basis for Response Rate)
"Best overall response was evaluated using RECIST Criteria which define when cancer patients improve (respond), stay the same (stabilize), or worsen (progression) during treatment. CR: complete response, disappearance of all target lesions; PR: partial response, 30% decrease in sum of the longest diameter of target lesions; PD: progressive disease, 20% increase in sum of the longest diameter of target lesions; SD: stable disease, small changes not meeting above criteria. Response Rate: number of participants with response(CR+PR)per total population, multiplied by 100 to give a percentage." (NCT00402051)
Timeframe: Every 6 weeks for 6 months during the treatment period, and every 3 months during the follow-up period, until disease progression
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Disease Progression | Unknown/Not Done |
---|
Pemetrexed + Carboplatin | 13 | 32 | 15 | 5 |
,Pemetrexed + Cisplatin | 21 | 31 | 7 | 6 |
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Overall Survival
Defined as the time from randomization to the date of death from any cause. (NCT00402051)
Timeframe: Randomization to date of death from any cause (up to 1 year)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 11.7 |
Pemetrexed + Carboplatin | 8.9 |
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Pharmacology Toxicities
Number of patients experiencing Grade 3 or 4 hematologic and non-hematologic adverse events (AEs) possibly related to study drug or protocol procedures in this study (a subset of those listed in the AE Module). AEs were graded using the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) for defining and grading specific adverse events. A grading (severity) scale is provided for each adverse event term. Grades range from 0 (none) to 5 (death). Grade 3 AEs are severe and undesirable; Grade 4 AEs are life-threatening or disabling. (NCT00402051)
Timeframe: Every 21-day cycle for up to 6 cycles
Intervention | participants (Number) |
---|
| Any Grade 3/4 Toxicity | Grade 3/4 Leucopenia | Grade 3/4 Neutropenia | Grade 3/4 Anemia | Grade 3/4 Thrombocytopenia | Grade 3/4 Nausea | Grade 3/4 Vomiting | Grade 3/4 Fatigue | Grade 3/4 Anorexia | Grade 3/4 Urinary Tract Infection |
---|
Pemetrexed + Carboplatin | 36 | 12 | 17 | 7 | 11 | 5 | 1 | 2 | 2 | 2 |
,Pemetrexed + Cisplatin | 29 | 8 | 11 | 5 | 2 | 3 | 2 | 2 | 1 | 0 |
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Number of Patients With Confirmed Responses
"Confirmed tumor response (complete and partial) as measured by RECIST(Response Evaluation Criteria In Solid Tumors) criteria on 2 consecutive evaluations at least 6 weeks apart.~>~> Confirmed tumor response is at least a 30% decrease in the sum of the longest diameter of target lesions and no new lesions." (NCT00407550)
Timeframe: Two consecutive evaluations at least 6 weeks apart (up to 2 years)
Intervention | participants (Number) |
---|
Gemzar x2 | 2 |
Gemzar x1 | 0 |
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Adverse Event
Number of patients that experienced adverse events (grade 4 or more) as measured by NCI CTCAE (Common Terminology Criteria for Adverse Events) v3.0 (NCT00407550)
Timeframe: Gemzar x2 Arm every 21 days, Gemzar x1 Arm every 14 days (up to 2 years)
Intervention | Participants (Count of Participants) |
---|
Gemzar x2 | 6 |
Gemzar x1 | 4 |
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Overall Survival
Overall survival time was defined as the number of months from registration to the date of death or last follow-up (NCT00407550)
Timeframe: Death or last follow-up (up to 2 years)
Intervention | months (Median) |
---|
Gemzar x2 | 5.1 |
Gemzar x1 | 8.1 |
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Progression-free Survival
Progression-free survival was defined as the number of months from registration to the date of disease progression or death, with patients who are alive and progression free being censored on the date of their last evaluation. (NCT00407550)
Timeframe: Time from registration to progression or death (up to 2 years)
Intervention | months (Median) |
---|
Gemzar x2 | 1.66 |
Gemzar x1 | 5.04 |
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Percentage of Participants Who Died During the Study
This outcome measure takes the place of the outcome measure for Overall Survival, which could not be reported since the median value could not be calculated. (NCT00409006)
Timeframe: Baseline up to 31 months
Intervention | Percentage of Participants (Number) |
---|
Pemetrexed/Cisplatin/Gefitinib | 35.9 |
Pemetrexed/Cisplatin | 19.4 |
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Number of Participants With Tumor Response
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes not meeting above criteria. Responder is a participant exhibiting a best overall study response of CR or PR. (NCT00409006)
Timeframe: Baseline to measured response or death, 12 weeks up to 31 months
Intervention | Participants (Number) |
---|
Pemetrexed/Cisplatin/Gefitinib | 18 |
Pemetrexed/Cisplatin | 11 |
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Duration of Response for Responders
The duration of a complete response (CR; the disappearance of all target lesions) or partial response (PR; at least a 30% decrease in the sum of the longest diameter of target lesions) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. A responder is a patient exhibiting a best overall study response of CR or PR. (NCT00409006)
Timeframe: Time of response to progressive disease or death, 12 weeks up to 31 months
Intervention | Months (Median) |
---|
Pemetrexed/Cisplatin/Gefitinib | 12.29 |
Pemetrexed/Cisplatin | 4.14 |
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Progression-Free Survival (PFS)
Defined as the time from randomization to the first observation of disease progression, or death due to any cause. (NCT00409006)
Timeframe: Baseline to first observation of disease progression or death, 12 weeks up to 31 months
Intervention | Months (Median) |
---|
Pemetrexed/Cisplatin/Gefitinib | 9.95 |
Pemetrexed/Cisplatin | 6.83 |
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Response Rate (Complete and Partial) 2 Separate Cohorts of Relapsed NSCLC Cohort A: Pts Who Have Received Prior Chemo w/o Ever Having Received Bevacizumab. Cohort B: Pts Who Have Received Prior Bevacizumab.
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v 1.0) for target lesions and assessed by MRI or CT:~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~Overall Response (OR) = CR + PR, 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)" (NCT00410904)
Timeframe: Up to 4 years
Intervention | participants (Number) |
---|
Arm I - Cohort A, no Prior Bevacizumab (Avastin) | 10 |
Arm I - Cohort B, Prior Bevacizumab (Avastin) | 4 |
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Progression-free Survival
Estimated with the standard Kaplan-Meier method, from which summary statistics of interest (median, 1-year rate, etc.) will be derived. Both point and 95% confidence interval estimates of all PFS and OS statistics will be calculated. 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 (NCT00410904)
Timeframe: The duration of time from start of treatment to time of progression, assessed up to 4 years
Intervention | months (Median) |
---|
Arm I | 5.6 |
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Overall Survival
Estimated with the standard Kaplan-Meier method, from which summary statistics of interest (median, 1-year rate, etc.) will be derived. Both point and 95% confidence interval estimates of all PFS and OS statistics will be calculated. (NCT00410904)
Timeframe: The time from start of treatment to time of death, assessed up to 4 years
Intervention | months (Median) |
---|
Arm I | 11.5 |
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Percentage of Participants With Objective Response (Objective Response Rate)
Tumor responder is defined as participants exhibiting a best overall study response of complete response (CR; disappearance of all target lesions) or partial response (PR; 30% decrease in sum of longest diameter of target lesions). Non-responders are those who did not meet the above criteria. (NCT00415168)
Timeframe: Baseline to time of response up to six or eight 21-day cycles of treatment
Intervention | percentage of responders (Number) |
---|
| Responder | Non-Responder |
---|
Pemetrexed + Cisplatin | 32.1 | 67.9 |
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Number of Participants Who Died During the Study
(NCT00415168)
Timeframe: During study drug therapy up to six or eight 21-day cycles or treatment; maximum duration of study follow-up was 17.4 months
Intervention | participants (Number) |
---|
| Study Disease | Cardiac Failure Acute | Death (General Disorders/Administration Site Cond) | Intestinal Hemorrhage | Pancytopenia | Sudden Death | Multi-Organ Failure |
---|
Pemetrexed + Cisplatin | 18 | 1 | 1 | 1 | 1 | 3 | 1 |
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Progression Free Survival (PFS)
Defined as time from baseline to the date of disease progression or death on study, whichever occurs first. The PFS 1 definition from the United States Food and Drug Administration (FDA) draft guidance on clinical endpoints was used (FDA 2005). (NCT00415168)
Timeframe: Baseline to measured progressive disease or death up to six or eight 21-day cycles of treatment; maximum duration of study follow-up was 17.4 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 3.7 |
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Overall Survival
Defined as the time from baseline to date of death due to any cause. Survival time is censored at the date of last contact for patients who are still alive or lost to follow up. (NCT00415168)
Timeframe: Baseline to date of death from any cause up to six or eight 21-day cycles of treatment; maximum duration of study follow-up was 17.4 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 8.8 |
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Duration of Response
Measured from the time of first documentation of CR or PR (whichever status is first recorded) until the date of time to disease progression. (NCT00415168)
Timeframe: Time of response to progressive disease up to six or eight 21-day cycles of treatment; maximum duration of study follow-up was 17.4 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 3.8 |
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Time to Treatment Worsening in Functional Assessment of Cancer Therapy - Head and Neck Cancer (FACT-H&N) Total Score
FACT-H&N consists of 39 items with 5-point rating scale from 0 (not at all) to 4 (very much). FACT-H&N Total score ranges from 0 to 148. Higher score represents a better quality of life. Time to worsening was defined as the first date of worsening in the FACT H&N Total score that was considered at least the prospectively defined minimally important difference (MID) as compared with participant's baseline score, or date of death from any cause. The MID for FACT H&N Total score was a decrease of 12 points. (NCT00415194)
Timeframe: Baseline (=Day 1 of first dose) and Day 1 of every subsequent cycle to 30-day post-study completion up to 33 months
Intervention | Months (Median) |
---|
Pemetrexed/Cisplatin | 3.29 |
Placebo/Cisplatin | 2.89 |
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Progression-free Survival (PFS)
Objective PFS is defined as the time from date of randomization to date of objectively determined progressive disease (PD) or death from any cause, whichever comes first. PD was defined by Response Evaluation Criteria in Solid Tumors (RECIST). PD=at least a 20% increase in sum of longest diameter of target lesions. For participants who are not known to have died as of the data-inclusion cut-off date, and who do not have progressive disease, PFS will be censored at the date of the last objective progression-free disease assessment prior to the date of any subsequent systemic anticancer therapy. (NCT00415194)
Timeframe: baseline to measured progressive disease up to 33 months
Intervention | months (Median) |
---|
Pemetrexed/Cisplatin | 3.61 |
Placebo/Cisplatin | 2.79 |
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Percent of Participants With a Tumor Response (Response Rate)
Tumor Response is evaluated as CR (Complete Response) or PR (Partial Response) per Response Evaluation Criteria in Solid Tumors (RECIST criteria). Possible evaluations include: CR: Disappearance of all target lesions. PR: At least a 30% decrease in the size of target lesions. Response rate (%) = (number of participants with CR+PR/number of participants)*100 (NCT00415194)
Timeframe: Baseline to progressive disease or discontinuation of study treatment up to 11 months
Intervention | Percentage of participants (Number) |
---|
Pemetrexed/Cisplatin | 12.1 |
Placebo/Cisplatin | 8.1 |
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Overall Survival (OS)
OS duration is defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date, OS duration will be censored at the date of the participant's last contact prior to that cut-off date. (NCT00415194)
Timeframe: Baseline to date of death from any cause up to 36 months
Intervention | Months (Median) |
---|
Pemetrexed/Cisplatin | 7.33 |
Placebo/Cisplatin | 6.28 |
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Duration of Response (DoR)
DoR is time from first observation of complete response (CR) or partial response (PR) to first observation of PD or death. Response is objective status of CR or PR using RECIST criteria. CR is disappearance of lesions. PR is >30% decrease in size of lesions. Responder is any participant with CR or PR. PD is at least 20% increase in sum of longest diameter of target lesions. For participants alive as of data-inclusion cut-off date and who do not have PD, DoR will be censored at date of last objective progression-free disease assessment before date of any subsequent systemic anticancer therapy. (NCT00415194)
Timeframe: time of response to progressive disease up to 24 months
Intervention | Months (Median) |
---|
Pemetrexed/Cisplatin | 5.29 |
Placebo/Cisplatin | 4.37 |
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Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])
AUC[0-∞] was calculated from the plasma concentration data of LY2603618 versus time profiles. (NCT00415636)
Timeframe: Day 1 and Day 9 of Cycle 1
Intervention | nanograms*hour per milliliter (ng*h/mL) (Mean) |
---|
| Day 1 | Day 9 |
---|
LY2603618 105 mg/m^2 | 76400 | 52000 |
,LY2603618 150 mg/m^2 | 61900 | 55000 |
,LY2603618 195 mg/m^2 | 122000 | 119000 |
,LY2603618 40 mg/m^2 (1-hour Infusion) | 10300 | 11000 |
,LY2603618 40 mg/m^2 (4.5-hour Infusion) | 7580 | 7540 |
,LY2603618 70 mg/m^2 | 9510 | 10900 |
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Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618
Cmax was estimated from the plasma concentration data of LY2603618 versus time profiles. (NCT00415636)
Timeframe: Day 1 and Day 9 of Cycle 1
Intervention | nanograms per millimeter (ng/mL) (Mean) |
---|
| Day 1 | Day 9 |
---|
LY2603618 105 mg/m^2 | 4220 | 4540 |
,LY2603618 150 mg/m^2 | 4230 | 3560 |
,LY2603618 195 mg/m^2 | 6840 | 7580 |
,LY2603618 40 mg/m^2 (1-hour Infusion) | 1560 | 2010 |
,LY2603618 40 mg/m^2 (4.5-hour Infusion) | 578 | 614 |
,LY2603618 70 mg/m^2 | 2310 | 2510 |
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Number of Participants With Adverse Events (AEs)
Summary tables of serious AEs (SAEs) and all other non-serious adverse events (AEs) are located in the Reported Adverse Event Module. (NCT00415636)
Timeframe: baseline up to 24 months
Intervention | Participants (Count of Participants) |
---|
| Other Non-Serious Adverse Events (AEs) | Serious Adverse Events (SAEs) |
---|
LY2603618 105 mg/m^2 | 13 | 8 |
,LY2603618 150 mg/m^2 | 6 | 4 |
,LY2603618 195 mg/m^2 | 3 | 2 |
,LY2603618 40 mg/m^2 (1-hour Infusion) | 3 | 0 |
,LY2603618 40 mg/m^2 (4.5-hour Infusion) | 3 | 1 |
,LY2603618 70 mg/m^2 | 3 | 2 |
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Percentage of Participants With Best Overall Response
Percentage of participants with tumor response (best confirmed overall response) assessed as complete response (CR) or partial response (PR) to treatment according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria. CR=disappearance of all target lesions; 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. Best Overall Response (%)=number of participants with CR+PR/number of participants in treatment arm * 100. (NCT00415636)
Timeframe: baseline up to 24 months
Intervention | Percentage of participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Determined | Best Overall Response (CR + PR) |
---|
LY2603618 105 mg/m^2 | 0 | 10 | 20 | 70 | 0 | 10 |
,LY2603618 150 mg/m^2 | 0 | 0 | 75 | 25 | 0 | 0 |
,LY2603618 195 mg/m^2 | 0 | 0 | 50 | 50 | 0 | 0 |
,LY2603618 40 mg/m^2 (1 Hour) | 0 | 0 | 66.7 | 33.3 | 0 | 0 |
,LY2603618 40 mg/m^2 (4.5 Hours) | 0 | 0 | 0 | 100 | 0 | 0 |
,LY2603618 70 mg/m^2 | 0 | 0 | 50 | 50 | 0 | 0 |
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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 defined by RECIST criteria.~The categories for best objective response are CR, PR, stable disease (SD)>= 6 weeks, progressive disease (PD) or NE." (NCT00418886)
Timeframe: Each patient was assessed for objective response from the sequence of RECIST scan data up to data cut off. RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomisation until objective progression
Intervention | Percentage of Participants (Number) |
---|
Vandetanib Plus Pemetrexed | 19.1 |
Placebo Plus Pemetrexed | 7.9 |
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Progression-Free Survival (PFS) in the Overall Population
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 RECIST assessment (NCT00418886)
Timeframe: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomisation until objective progression
Intervention | weeks (Median) |
---|
Vandetanib Plus Pemetrexed | 17.6 |
Placebo Plus Pemetrexed | 11.9 |
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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). (NCT00418886)
Timeframe: Time to death in months
Intervention | months (Median) |
---|
Vandetanib Plus Pemetrexed | 10.5 |
Placebo Plus Pemetrexed | 9.2 |
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Progression-Free Survival (PFS) in the Female Population
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 RECIST assessment (NCT00418886)
Timeframe: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomisation until objective progression
Intervention | weeks (Median) |
---|
Vandetanib Plus Pemetrexed | 17.9 |
Placebo Plus Pemetrexed | 13.0 |
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Longitudinal Analysis of Average Symptom Burden Index (ASBI) Score
"The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. ASBI is an average of the six symptom visual analogue patient scales from none (0 mm) to as much as it could be (100 mm)." (NCT00418886)
Timeframe: ASBI is a score taken from the Lung Cancer Symptom Scale (LCSS) questionnaires administered every 3 weeks after randomisation
Intervention | mms on a visual analogue scale (Least Squares Mean) |
---|
Vandetanib Plus Pemetrexed | 21.7 |
Placebo Plus Pemetrexed | 24.3 |
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Duration of Response (DoR)
Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment) (NCT00418886)
Timeframe: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomisation until objective progression
Intervention | weeks (Median) |
---|
Vandetanib Plus Pemetrexed | 24.1 |
Placebo Plus Pemetrexed | 24.4 |
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Disease Control Rate (DCR)
Disease control rate is defined as the number of patients who achieved disease control at 6 weeks following randomisation. Disease control at 6 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) >= 6 weeks (NCT00418886)
Timeframe: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomisation until objective progression
Intervention | Percentage of Participants (Number) |
---|
Vandetanib Plus Pemetrexed | 56.6 |
Placebo Plus Pemetrexed | 45.7 |
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Longitudinal Analysis of Lung Cancer Symptom Scale (LCSS) Total Score
"The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. LCSS total score is an average of all nine visual analogue patient scales from none (0 mm) to as much as it could be (100 mm)" (NCT00418886)
Timeframe: LCSS questionnaires are to be administered every 3 weeks after randomisation
Intervention | mms on a visual analogue scale (Least Squares Mean) |
---|
Vandetanib Plus Pemetrexed | 25.7 |
Placebo Plus Pemetrexed | 28.3 |
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Time to Treatment Failure
Time to treatment failure using the Kaplan-Meier method. (NCT00438204)
Timeframe: Every 8 weeks, for up to 54 months
Intervention | months (Median) |
---|
Bevacizumab, Gemcitabine Hydrochloride | 6.2 |
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Overall Survival
Overall survival using the Kaplan-Meier method. (NCT00438204)
Timeframe: Every 8 weeks, for up to 54 months
Intervention | months (Median) |
---|
Bevacizumab, Gemcitabine Hydrochloride | 17.5 |
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Progression-free Survival (PFS)
RECIST criteria for tumor progression of 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 5 mm. (Note: the appearance of one or more new lesions is also considered progressions). (NCT00438204)
Timeframe: Up to 12 months
Intervention | months (Median) |
---|
Bevacizumab, Gemcitabine Hydrochloride | 6.1 |
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Number of Participants With Grade 3 or Grade 4 Toxicity
Grade 3/4 toxicity according to the NCI Common Toxicity Criteria v3.0 . (NCT00438204)
Timeframe: Every two weeks, for up to 54 months
Intervention | Participants (Count of Participants) |
---|
| Neutropenia | Leukopenia | Anemia | Thrombocytopenia | Febrile Neutropenia | Elevated ALT/AST | Acute renal insufficiency | Anorexia | Thrombosis/embolism | Dehydration | Fatigue | Hyperglycemia | Hypertension | Nausea/vomiting | Bowel Perforation | Dyspnea | Diverticulitis | Ataxia |
---|
Bevacizumab, Gemcitabine Hydrochloride | 11 | 3 | 1 | 1 | 1 | 4 | 1 | 2 | 3 | 1 | 7 | 9 | 2 | 1 | 1 | 4 | 2 | 1 |
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Number of Participants With Response
The rate of 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. (NCT00438204)
Timeframe: Every 8 weeks, for up to 54 months
Intervention | Participants (Count of Participants) |
---|
| Complete response | Partial response | Stable disease | Progressive disease | Not response evaluable |
---|
Bevacizumab, Gemcitabine Hydrochloride | 1 | 15 | 12 | 10 | 1 |
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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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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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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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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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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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Time to Treatment Failure
Time to treatment failure was defined as the time from date of randomization to the date at which the patient was removed from the treatment due to progression, toxicity, refusal or other medical problems. (NCT00454194)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Arm I (Pemetrexed + Sorafenib) | 2.0 |
Arm II (Pemetrexed) | 3.1 |
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Confirmed Response Rate (Complete Response and Partial Response) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)
"A confirmed tumor response was defined as a complete response (CR) or partial response (PR) noted as the objective status on 2 consecutive evaluations at least 6 weeks apart.~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." (NCT00454194)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|
| Confirmed Response (Partial Response) | Stable Disease | Progression | Not Assessed |
---|
Arm I (Pemetrexed + Sorafenib) | 12.8 | 38.3 | 23.4 | 25.5 |
,Arm II (Pemetrexed) | 9.8 | 45.1 | 35.3 | 9.8 |
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Progression-free Survival
The progression-free survival (PFS) was defined as the time from date of randomization to the documentation of disease progression or death as a result of any cause, whichever comes first. 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, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00454194)
Timeframe: Time from randomization to the disease progression or death (up to 5 years)
Intervention | months (Median) |
---|
Arm I (Pemetrexed + Sorafenib) | 3.4 |
Arm II (Pemetrexed) | 4.1 |
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Overall Survival
Overall survival was defined as the time from study enrollment (randomization) to the time of death from any cause or last follow-up. (NCT00454194)
Timeframe: Time from randomization to death or last follow-up (up to 5 years)
Intervention | months (Median) |
---|
Arm I (Pemetrexed + Sorafenib) | 9.3 |
Arm II (Pemetrexed) | 10.4 |
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Number of Participants With at Least One Grade 3 or Above Adverse Events Assessed by NCI CTCAE v4.0
Adverse events were assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.0. Grading: Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening, Grade 5=Death. The maximum grade for each type of adverse events were recorded for each patient. (NCT00454194)
Timeframe: Up to 3 years
Intervention | participants (Number) |
---|
Arm I (Pemetrexed + Sorafenib) | 43 |
Arm II (Pemetrexed) | 27 |
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Duration of Response
"Duration of response was defined as the time from the date at which the patient's earliest best objective status was first noted to be either a complete response (CR) or partial response (PR) to the earliest date progression was documented.~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;" (NCT00454194)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Arm I (Pemetrexed + Sorafenib) | 7.4 |
Arm II (Pemetrexed) | 8.5 |
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Plasma Clearance (CL) for Gemcitabine
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | L/hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 224.36 |
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Plasma Clearance (CL) for Paclitaxel
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | L/hr (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 30.48 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 21.61 |
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Plasma Clearance (CL) for Pemetrexed
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | L/hr (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 7.26 |
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Plasma Decay Half Life (t1/2) for Axitinib (AG-013736)
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | hr (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 2.75 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 2.90 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 2.80 |
Axitinib + Paclitaxel (Cohort 4) | 1.45 |
Axitinib + Docetaxel (Cohort 5) | 4.07 |
Axitinib + Capecitabine (Cohort 6) | 3.85 |
Axitinib + Capecitabine (Cohort 7) | 3.64 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 2.68 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 5.02 |
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Plasma Decay Half Life (t1/2) for Capecitabine
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | hr (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 0.85 |
Axitinib + Capecitabine (Cohort 7) | 1.44 |
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Plasma Decay Half Life (t1/2) for Cisplatin
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 2.61 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 3.91 |
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Plasma Decay Half Life (t1/2) for Docetaxel
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | hr (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 11.49 |
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Plasma Decay Half Life (t1/2) for Carboplatin
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | hr (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 2.62 |
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Plasma Clearance (CL) for Cisplatin
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | L/hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 46.31 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 46.80 |
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Maximum Observed Plasma Concentration (Cmax) for Gemcitabine
(NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | ng/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 20635.29 |
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Plasma Decay Half Life (t1/2) for Gemcitabine
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | hr (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 0.29 |
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Maximum Observed Plasma Concentration (Cmax) for Paclitaxel
(NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | ng/mL (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 3698.33 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 6105.00 |
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Maximum Observed Plasma Concentration (Cmax) for Pemetrexed
(NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | ng/mL (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 83925.00 |
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Maximum Tolerated Dose (MTD) of Axitinib (AG-013736) in Combination With Chemotherapy
MTD defined as the dose level at which more than 1 out of 6 participants experienced a dose limiting toxicity (DLT). DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (>=) Gr 3 nonhematological toxicities or >=0.5 teaspoon/day hemoptysis or >=2 gram /24 hours proteinuria or inability to resume background chemotherapy or axitinib (AG-013736) dosing within 14 days of stopping due to treatment related toxicity. (NCT00454649)
Timeframe: Baseline to withdrawal from study or Day 21 of Cycle 1 [all cohorts except cohort 4 (Day 28 of Cycle 1)]
Intervention | mg BID (Number) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 5 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 5 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 5 |
Axitinib + Paclitaxel (Cohort 4) | 5 |
Axitinib + Docetaxel (Cohort 5) | NA |
Axitinib + Capecitabine (Cohort 6) | 5 |
Axitinib + Capecitabine (Cohort 7) | 5 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 5 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 5 |
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Percentage of Participants With Objective Response
Percentage of participants with objective response 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 the 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. (NCT00454649)
Timeframe: Baseline and thereafter every 2 cycles up to disease progression or discontinuation from study or up to 155 weeks
Intervention | Percentage of Participants (Number) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 100.0 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 0 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 35.0 |
Axitinib + Paclitaxel (Cohort 4) | 66.7 |
Axitinib + Docetaxel (Cohort 5) | 50.0 |
Axitinib + Capecitabine (Cohort 6) | 11.1 |
Axitinib + Capecitabine (Cohort 7) | 11.8 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 23.8 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 0 |
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Plasma Clearance (CL) for Carboplatin
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | L/hr (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 12.57 |
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Maximum Observed Plasma Concentration (Cmax) for Docetaxel
(NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | ng/mL (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 3130.00 |
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Maximum Observed Plasma Concentration (Cmax) for Cisplatin
(NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | ng/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 1680.54 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 1176.00 |
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Maximum Observed Plasma Concentration (Cmax) for Carboplatin
(NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | ng/mL (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 23383.33 |
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Plasma Decay Half Life (t1/2) for Pemetrexed
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | hr (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 2.77 |
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Plasma Decay Half Life (t1/2) for Paclitaxel
t1/2 is the time measured for the plasma concentration to decrease by one half. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | hr (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 12.51 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 8.36 |
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Plasma Clearance (CL) for Docetaxel
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the plasma. (NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | L/hr (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 42.96 |
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Apparent Oral Clearance (CL/F) for Axitinib (AG-013736)
Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes and F is the absolute oral bioavailability. Apparent oral clearance(CL/F) is obtained following oral administration. (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | Liter/hour (L/hr) (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 49.39 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 40.72 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 29.73 |
Axitinib + Paclitaxel (Cohort 4) | 65.69 |
Axitinib + Docetaxel (Cohort 5) | 14.35 |
Axitinib + Capecitabine (Cohort 6) | 26.64 |
Axitinib + Capecitabine (Cohort 7) | 83.46 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 50.05 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 25.10 |
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Apparent Oral Clearance (CL/F) for Capecitabine
Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes and F is the absolute oral bioavailability. Apparent oral clearance(CL/F) is obtained following oral administration. (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | Liter/hr (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 209.05 |
Axitinib + Capecitabine (Cohort 7) | 314.12 |
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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Carboplatin
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 5 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 55580.26 |
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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Docetaxel
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 5
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Docetaxel (Cohort 5) | 3478.49 |
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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Gemcitabine
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4 hr after start of infusion on Day 1 of Cycle 2 for cohort 8
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 10991.16 |
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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Paclitaxel
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 3.25, 3.5, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 1-3; 0 (pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 8, 24, 30 hr after start of infusion on Day 1 of Cycle 2 for cohort 4
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Paclitaxel (Cohort 4) | 5683.55 |
Axitinib + Paclitaxel + Carboplatin (Combined Cohort 1, 2, 3) | 19959.91 |
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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)] for Pemetrexed
AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT00454649)
Timeframe: 0 (pre-dose), 10 minutes (end of infusion), 0.5, 1, 1.5, 2, 4, 6, 8 hr after end of infusion on Day 1 of Cycle 2 for cohort 9
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 133032.97 |
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Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Axitinib (AG-013736)
AUC (0-24) = Area under the plasma concentration versus time curve from time zero (pre-dose) to time 24 hours (0-24). (NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | nanogram*hour/milliliter (ng*hr/mL) (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 61.58 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 242.41 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 475.18 |
Axitinib + Paclitaxel (Cohort 4) | 154.43 |
Axitinib + Docetaxel (Cohort 5) | 780.99 |
Axitinib + Capecitabine (Cohort 6) | 365.95 |
Axitinib + Capecitabine (Cohort 7) | 449.99 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 416.30 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 420.64 |
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Area Under the Curve From Time Zero to Time 24 Hours [AUC (0-24)] for Capecitabine
AUC (0-24) = Area under the plasma concentration versus time curve from time zero (pre-dose) to time 24 hours (0-24). (NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 20534.52 |
Axitinib + Capecitabine (Cohort 7) | 22163.88 |
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Area Under the Curve From Time Zero to Time 8 Hours [AUC (0-8)] for Cisplatin
AUC (0-8) = Area under the plasma concentration versus time curve from time zero (pre-dose) to time 8 hours (0-8). (NCT00454649)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 5, 7 hr after start of infusion on Day 1 of Cycle 2 for cohort 8 and 9
Intervention | ng*hr/mL (Mean) |
---|
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 2932.43 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 2703.92 |
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Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736)
(NCT00454649)
Timeframe: 0 (pre-dose), 1, 2, 3, 4, 6, 8 hr post-dose on Day -1 for cohort 1, 2, 3, 5 and 8; on Day 22 of Cycle 1 for cohort 4; on Day 18 of Cycle 1 for cohorts 6 and 7; 0 (pre-dose), 1.2, 2.2, 3.2, 4.2, 6.2, 8.2 hr post-dose on Day -1 for cohort 9
Intervention | ng/mL (Mean) |
---|
Axitinib + Paclitaxel + Carboplatin (Cohort 1) | 5.97 |
Axitinib + Paclitaxel + Carboplatin (Cohort 2) | 23.36 |
Axitinib + Paclitaxel + Carboplatin (Cohort 3) | 42.58 |
Axitinib + Paclitaxel (Cohort 4) | 44.58 |
Axitinib + Docetaxel (Cohort 5) | 67.96 |
Axitinib + Capecitabine (Cohort 6) | 37.51 |
Axitinib + Capecitabine (Cohort 7) | 43.97 |
Axitinib + Gemcitabine + Cisplatin (Cohort 8) | 40.97 |
Axitinib + Pemetrexed + Cisplatin (Cohort 9) | 31.53 |
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Maximum Observed Plasma Concentration (Cmax) for Capecitabine
(NCT00454649)
Timeframe: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 hr post-dose on Day 1 of Cycle 2 for cohort 6 and 7
Intervention | ng/mL (Mean) |
---|
Axitinib + Capecitabine (Cohort 6) | 10808.00 |
Axitinib + Capecitabine (Cohort 7) | 10588.38 |
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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
OS is defined as the time from the date of study entry until the 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 the last date the participant was known to be alive. (NCT00456261)
Timeframe: From date of study entry until the date of death from any cause or the date the patient was last known alive, up to 18 months
Intervention | months (Number) |
---|
Bevacizumab/Pemetrexed/Gemcitabine | 7.5 |
Bevacizumab/Pemetrexed/Carboplatin | 14.8 |
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Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
Time to Progression (TTP) is defined as the interval between the date of treatment initiation and the date of progressive disease. Progression is defined using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0). 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 unequivocal progression of non-target lesions or the appearance of one or more new lesions. (NCT00456261)
Timeframe: From the date of treatment initiation until the date of first documented PD or date of last study contact or date of other therapy begins up to 18 months
Intervention | months (Median) |
---|
Bevacizumab/Pemetrexed/Gemcitabine | 4.7 |
Bevacizumab/Pemetrexed/Carboplatin | 10.2 |
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Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
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) (NCT00456261)
Timeframe: From date of treatment initiation to end of study treatment up to 18 months
Intervention | percentage of patients (Number) |
---|
Bevacizumab/Pemetrexed/Gemcitabine | 35 |
Bevacizumab/Pemetrexed/Carboplatin | 35 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. (NCT00461786)
Timeframe: time of initial response until documented tumor progression (up to 44 months)
Intervention | months (Median) |
---|
Pemetrexed | 8.4 |
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Tumor Response
"Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment. 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) = small changes that do not meet above criteria." (NCT00461786)
Timeframe: baseline to measured progressive disease (up to 44 months)
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Inevaluable |
---|
Pemetrexed | 1 | 9 | 17 | 18 | 3 |
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Number of Participants With Adverse Events by Grade
Adverse events were graded using the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) for defining and grading specific adverse events. A grading (severity) scale is provided for each adverse event term. Grades range from 0 (none) to 5 (death). The worst grade event per cycle is reported. (NCT00461786)
Timeframe: every 21-day cycle up to 5 year follow-up
Intervention | participants (Number) |
---|
| Leukopenia - Grade 1 | Leukopenia - Grade 2 | Leukopenia - Grade 3 | Leukopenia - Grade 4 | Thrombocytopenia - Grade 1 | Thrombocytopenia - Grade 2 | Thrombocytopenia - Grade 3 | Thrombocytopenia - Grade 4 | Neutropenia - Grade 1 | Neutropenia - Grade 2 | Neutropenia - Grade 3 | Neutropenia - Grade 4 | Anemia - Grade 1 | Anemia - Grade 2 | Anemia - Grade 3 | Anemia - Grade 4 | Transfusion - Grade 1 | Transfusion - Grade 2 | Transfusion - Grade 3 | Transfusion - Grade 4 | Coagulation - Grade 1 | Coagulation - Grade 2 | Coagulation - Grade 3 | Coagulation - Grade 4 | Gastrointestinal - Grade 1 | Gastrointestinal - Grade 2 | Gastrointestinal - Grade 3 | Gastrointestinal - Grade 4 | Nausea/vomiting - Grade 1 | Nausea/vomiting - Grade 2 | Nausea/vomiting - Grade 3 | Nausea/vomiting - Grade 4 | Genitourinary - Grade 1 | Genitourinary - Grade 2 | Genitourinary - Grade 3 | Genitourinary - Grade 4 | Hepatic - Grade 1 | Hepatic - Grade 2 | Hepatic - Grade 3 | Hepatic - Grade 4 | Alopecia - Grade 1 | Alopecia - Grade 2 | Dermatologic - Grade 1 | Dermatologic - Grade 2 | Dermatologic - Grade 3 | Dermatologic - Grade 4 | Neurologic - Grade 1 | Neurologic - Grade 2 | Neurologic - Grade 3 | Neurologic - Grade 4 | SGOT - Grade 1 | SGOT - Grade 2 | SGOT - Grade 3 | SGOT - Grade 4 | Alkaline phosphatase - Grade 1 | Alkaline phosphatase - Grade 2 | Alkaline phosphatase - Grade 3 | Alkaline phosphatase - Grade 4 | Ocular - Grade 1 | Ocular - Grade 2 | Ocular - Grade 3 | Ocular - Grade 4 | Hemorrhage - Grade 1 | Hemorrhage - Grade 2 | Hemorrhage - Grade 3 | Hemorrhage - Grade 4 | Pulmonary - Grade 1 | Pulmonary - Grade 2 | Pulmonary - Grade 3 | Pulmonary - Grade 4 | Lymphopenia - Grade 1 | Lymphopenia - Grade 2 | Lymphopenia - Grade 3 | Lymphopenia - Grade 4 | Constitutional - Grade 1 | Constitutional - Grade 2 | Constitutional - Grade 3 | Constitutional - Grade 4 | Metabolic - Grade 1 | Metabolic - Grade 2 | Metabolic - Grade 3 | Metabolic - Grade 4 | Cardiovascular - Grade 1 | Cardiovascular - Grade 2 | Cardiovascular - Grade 3 | Cardiovascular - Grade 4 | Pain - Grade 1 | Pain - Grade 2 | Pain - Grade 3 | Pain - Grade 4 | Infection - Grade 1 | Infection - Grade 2 | Infection - Grade 3 | Infection - Grade 4 | Auditory - Grade 1 | Auditory - Grade 2 | Auditory - Grade 3 | Auditory - Grade 4 | Lymphatics - Grade 1 | Lymphatics - Grade 2 | Lymphatics - Grade 3 | Lymphatics - Grade 4 | Endocrine - Grade 1 | Endocrine - Grade 2 | Endocrine - Grade 3 | Endocrine - Grade 4 | Allergy - Grade 1 | Allergy - Grade 2 | Allergy - Grade 3 | Allergy - Grade 4 |
---|
Pemetrexed | 11 | 13 | 11 | 1 | 15 | 5 | 2 | 4 | 9 | 6 | 11 | 9 | 14 | 17 | 7 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 14 | 14 | 4 | 0 | 15 | 7 | 4 | 0 | 4 | 0 | 2 | 0 | 2 | 2 | 1 | 0 | 7 | 5 | 10 | 10 | 3 | 0 | 12 | 1 | 4 | 1 | 9 | 4 | 0 | 0 | 3 | 3 | 0 | 0 | 2 | 3 | 1 | 0 | 2 | 0 | 1 | 0 | 4 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 17 | 14 | 5 | 2 | 20 | 9 | 4 | 0 | 3 | 0 | 0 | 0 | 8 | 6 | 1 | 1 | 2 | 5 | 5 | 0 | 0 | 2 | 1 | 0 | 4 | 1 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
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Progression-Free Survival
Defined as the time from date of first dose to the first observation of disease progression, or death due to any cause. (NCT00461786)
Timeframe: baseline until documented tumor progression (up to 44 months)
Intervention | months (Median) |
---|
Pemetrexed | 3.0 |
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Overall Survival
Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00461786)
Timeframe: baseline until death from any cause up to 5-year follow-up
Intervention | months (Median) |
---|
Pemetrexed | 11.4 |
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Duration of Overall Survival
From time of enrollment to the first observation of disease progression or death. (NCT00470548)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Phase I: Abraxane and Pemetrexed | 13.5 |
Phase II: Abraxane and Pemetrexed | 4.5 |
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Number of Participants With Complete Response
Per RECIST criteria, complete response (CR) is defined as the disappearance of all target lesions. (NCT00470548)
Timeframe: Up to 2 years
Intervention | participants (Number) |
---|
Phase I: Abraxane and Pemetrexed | 0 |
Phase II: Abraxane and Pemetrexed | 0 |
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Number of Participants With Disease Control
Disease control is complete response plus partial response plus stable disease from the start of treatment to death or disease progression. (NCT00470548)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
Phase I: Abraxane and Pemetrexed | 7 |
Phase II: Abraxane and Pemetrexed | 17 |
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Number of Participants With Dose Limiting Toxicities
Dose limiting toxicity (DLT) was defined as any of the following occurring during the first cycle: Grade 4 thrombocytopenia, or grade 3 thrombocytopenia associated with bleeding, requirement for transfusion, febrile neutropenia, neutropenia with documented infection. Non-hematologic DLT included any other ≥ grade 3 non-hematologic toxicity that was clinically significant and considered by the investigator to be related to study drug. Alopecia and grade 3 allergic reaction/hypersensitivity with infusion were not considered DLTs. (NCT00470548)
Timeframe: Up to21 days
Intervention | participants (Number) |
---|
Phase I: Dose Level 1 | 0 |
Phase I: Dose Level 2 | 0 |
Phase I: Dose Level 3 | 0 |
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Number of Participants With Stable Disease
Stable Disease is measured from the start of the treatment until the criteria for disease progression are met. 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 (NCT00470548)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
Phase I: Abraxane and Pemetrexed | 7 |
Phase II: Abraxane and Pemetrexed | 12 |
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Number of Patients With Toxicities
Toxicities was evaluated based on the standard NCI CTCAE Version 3.0 grading criteria. Attributable grade ≥ 3 hematologic and non-hematologic toxicities are presented here. (NCT00470548)
Timeframe: Up to 1 year
Intervention | Participants (Count of Participants) |
---|
Phase II: Pemetrexed and Abraxane | 15 |
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Number of Participants With Partial Response
At least a 30% decrease in the sum of the longest diameter of target lesions (NCT00470548)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
Phase I: Abraxane and Pemetrexed | 0 |
Phase II: Abraxane and Pemetrexed | 5 |
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Phase 1 - Percentage of Participants With Complete Response or Partial Response (Response Rate)
Response rate is the percentage of participants with complete response (CR) or partial response (PR), as assessed according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is disappearance of all target and non-target lesions; PR is ≥30% decrease in sum of longest diameter of target lesions. Response rate is calculated as a total number of participants with CR or PR divided by the total number of participants treated multiplied by 100. (NCT00482014)
Timeframe: Phase 1 enrollment to the end of the study treatment up to Week 11
Intervention | percentage of participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) |
---|
Pemetrexed + Carboplatin Treatment Group | 0 | 11.1 |
,Pemetrexed + Cisplatin Treatment | 0 | 45.5 |
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Phase 1 - Pharmacology Toxicity: Number of Participants With Dose Limiting Toxicities (DLTs)
Phase 1 pharmacology toxicity was defined as the number of participants experiencing dose limiting toxicities (DLTs). DLT was defined as any of the following events occurring during the entire radiation therapy (RT) course: Grade 4 neutropenia (<0.5 x 10^9 cells per liter) >7 days, febrile neutropenia, ≥Grade 3 neutropenia with fever >38.5 degrees Celsius (°C), Grade 4 thrombocytopenia, Grade 3 thrombocytopenia with ≥Grade 2 bleeding, ≥Grade 3 nonhematologic toxicity (excluding nausea, vomiting, and transaminase elevations), and ≥Grade 3 pulmonary or esophageal toxicity (radiation-related pneumonitis or esophagitis). Grade 5 events are the events leading to the death. (NCT00482014)
Timeframe: Phase 1 enrollment up to Week 11
Intervention | participants (Number) |
---|
| Grade 5 Pneumocystis jiroveci pneumonia | Grade 5 Hemoptysis (pemetrexed+Cisplatin30 mg/m² ) |
---|
Pemetrexed + Carboplatin Treatment Group | 1 | 0 |
,Pemetrexed + Cisplatin Treatment | 0 | 1 |
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Phase 1 - Maximum Tolerated Dose (MTD) of Cisplatin
MTD was defined as a dose at which the occurrence of at least 2 dose-limiting toxicities (DLTs) was observed. DLT was defined as any of the following events occurring during the entire radiation therapy (RT) course, including a 2-week recovery period following completion of RT: Grade 4 neutropenia (<0.5 x 10^9 cells per liter) lasting >7 days, febrile neutropenia; ≥Grade 3 neutropenia with fever >38.5 degrees Celsius (°C), Grade 4 thrombocytopenia, Grade 3 thrombocytopenia with ≥Grade 2 bleeding, ≥Grade 3 nonhematologic toxicity (excluding nausea, vomiting, and transaminase elevations) and ≥Grade 3 pulmonary or esophageal toxicity (radiation-related pneumonitis or esophagitis). (NCT00482014)
Timeframe: Phase 1 enrollment to the end of study treatment up to Week 11
Intervention | milligrams/meter squared (mg/m²) (Number) |
---|
Pemetrexed + Cisplatin Treatment Group | NA |
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Phase 2 - Survival Probability at 2 Years
(NCT00482014)
Timeframe: Phase 2 randomization up to 2 years
Intervention | percentage survival (Mean) |
---|
Pemetrexed + Carboplatin Treatment Group | 45.4 |
Pemetrexed + Cisplatin Treatment Group | 58.4 |
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Phase 2 - Percentage of Participants With Complete Response or Partial Response (Response Rate)
Response rate is the percentage of participants with complete response (CR) or partial response (PR), as assessed according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is disappearance of all target and non-target lesions; PR is ≥30% decrease in sum of longest diameter of target lesions. Response rate is calculated as a total number of participants with CR or PR divided by the total number of participants treated multiplied by 100. (NCT00482014)
Timeframe: Phase 2 randomization to the end of the treatment up to 30.0 months
Intervention | percentage of participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) |
---|
Pemetrexed + Carboplatin Treatment Group | 6.5 | 45.7 |
,Pemetrexed + Cisplatin Treatment Group | 3.8 | 42.3 |
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Phase 2 - Pharmacology Toxicity: Number of Participants With Adverse Events
Phase 2 pharmacology toxicity was defined as the number of participants who experienced serious adverse events or all other nonserious adverse events during the study. A summary of serious adverse events and other nonserious adverse events is located in the Reported Adverse Events section. (NCT00482014)
Timeframe: Phase 2 randomization to the end of the study treatment up to 30.0 months
Intervention | participants (Number) |
---|
| Serious Adverse Events | Other Nonserious Adverse Events |
---|
Pemetrexed + Carboplatin Treatment Group | 21 | 44 |
,Pemetrexed + Cisplatin Treatment Group | 19 | 51 |
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Phase 1 - Maximum Tolerated Dose (MTD) of Carboplatin
MTD was defined as a dose at which the occurrence of at least 2 dose-limiting toxicities (DLTs) was observed. DLT was defined as any of the following events occurring during the entire radiation therapy (RT) course, including a 2-week recovery period following completion of RT: Grade 4 neutropenia (<0.5 x 10^9 cells per liter) lasting >7 days, febrile neutropenia; ≥Grade 3 neutropenia with fever >38.5 degrees Celsius (°C), Grade 4 thrombocytopenia, Grade 3 thrombocytopenia with ≥Grade 2 bleeding, ≥Grade 3 nonhematologic toxicity (excluding nausea, vomiting, and transaminase elevations) and ≥Grade 3 pulmonary or esophageal toxicity (radiation-related pneumonitis or esophagitis). (NCT00482014)
Timeframe: Phase 1 enrollment to the end of study treatment up to Week 11
Intervention | milligram/milliliter*minute (mg/mL*min) (Number) |
---|
Pemetrexed + Carboplatin Treatment Group | NA |
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Phase 2 - Time to Progression
Time to disease progression was measured from randomization of Study Phase 2 to the first observation of disease progression according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Disease progression is ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. (NCT00482014)
Timeframe: Phase 2 randomization to measured disease progression up to 24 months
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin Treatment Group | 8.8 |
Pemetrexed + Cisplatin Treatment Group | 13.1 |
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To Evaluate the Overall Response Rate (Complete Plus Partial Responses by RECIST Criteria) to the Combination of Paclitaxel Poliglumex and Pemetrexed as Therapy in Patients With Advanced NSCLC.
(NCT00487669)
Timeframe: CT or MRI scans of the chest will be obtained after every 2 cycles (6-week intervals +/- 7 days)
Intervention | participants (Number) |
---|
| Stable Disease | Progressive Disease |
---|
Level 1 | 5 | 1 |
,Level 2 | 4 | 2 |
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Time to Progression
(NCT00487669)
Timeframe: time from study entry until the first documented sign of progression
Intervention | months (Median) |
---|
Level 1 | 3.8 |
Level 2 | 2.8 |
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Overall Survival
(NCT00487669)
Timeframe: time from study entry until death
Intervention | months (Median) |
---|
Level 1 | 7.7 |
Level 2 | 8.5 |
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Phase 1 - Number of Participants With Adverse Events (Toxicity)
A listing of adverse events is located in the Reported Adverse Event module. (NCT00489359)
Timeframe: baseline measured to progressive disease (up to 18 months)
Intervention | Participants (Number) |
---|
| Serious Adverse Events | Other Adverse Events |
---|
Pemetrexed/Carboplatin Phase 1 | 2 | 19 |
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Phase 1 - Number of Participants With Tumor Response
Patients were analyzed by Cancer Antigen-125 (CA-125) response criteria and RECIST guidelines. Possible evaluations include: Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the size of target lesions. Progressive Disease (PD): At least a 20% increase in the size of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. (NCT00489359)
Timeframe: baseline measured to progressive disease (up to 18 months)
Intervention | Participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) |
---|
Pemetrexed/Carboplatin Phase 1 | 12 | 4 | 1 | 2 |
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Phase 2 - Number of Participants With Adverse Events (Toxicity)
A listing of adverse events is located in the Reported Adverse Event module. (NCT00489359)
Timeframe: baseline through end of Phase 2 (up to 31 months)
Intervention | participants (Number) |
---|
| Serious Adverse Events | Other Adverse Events |
---|
Pemetrexed/Carboplatin Phase 2 | 15 | 63 |
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Phase 2 - Percentage of Participants With Overall Tumor Response (Response Rate)
"Response is defined as CR (Complete Response) or PR (Partial Response) per Response Evaluation Criteria in Solid Tumor (RECIST criteria). Possible evaluations include: CR: Disappearance of all target lesions. PR: At least a 30% decrease in the size of target lesions.~Response rate (%) = (number of patients with CR+PR/number of patients in Phase 2)*100" (NCT00489359)
Timeframe: baseline to measured progressive disease (PD) (up to 18 months)
Intervention | percentage of participants (Number) |
---|
Pemetrexed/Carboplatin Phase 2 | 32.8 |
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Phase 2 - Progression-Free Survival
Progression-free survival (PFS) is defined as the time from the date of study enrollment to the date of objectively determined PD or death from any cause, whichever comes first. For patients who are still alive at the time of analysis, and who do not have PD, PFS will be censored at the date of the last objective progression-free disease assessment. (NCT00489359)
Timeframe: baseline to measured progressive disease (up to 31 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin Phase 2 | 9.4 |
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Phase 2 - Time to Disease Progression
Time to objective progressive disease (TTPD) is defined as the time from the date of study enrollment to the date of objectively determined Progressive Disease (PD). For patients who die without objective PD (including death from study disease), TTPD will be censored at the date of the last objective progression-free disease assessment. For patients who are still alive at the time of analysis, and who do not have PD, TTPD will be censored at the date of the last objective progression-free disease assessment. (NCT00489359)
Timeframe: baseline to measured progressive disease (up to 31 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin Phase 2 | 9.5 |
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Phase 2 - Time to Response (TTR)
Response is defined as CR (Complete Response) or PR (Partial Response) per RECIST criteria. Possible evaluations include: Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the size of target lesions. Progressive Disease (PD): At least a 20% increase in the size of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. (NCT00489359)
Timeframe: First treatment to response (up to 31 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin Phase 2 | 1.8 |
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Phase 1 - Number of Dose-Limiting Toxicities (DLTs)
"The following toxicities were considered DLT: CTCAE Grade 4 neutropenia (absolute neutrophil count [ANC] <0.5 × 10^9/L lasting ≥7 days. Febrile neutropenia (ANC <1.0 × 10^9/L, fever 38.5°C, and no documented infection). CTCAE Grade 4 thrombocytopenia (platelets <25.0 × 10^9/L).~Any hemorrhage with CTCAE Grade ≥3 thrombocytopenia (50.0 × 10^9/L). CTCAE Grade ≥3 nonhematologic toxicity (excluding nausea, vomiting, or CTCAE Grade 3 alanine transaminase (ALT) or aspartate aminotransferase (AST) that returned to baseline prior to next treatment).~Treatment delay more than 1 week due to toxicity." (NCT00489359)
Timeframe: baseline through end of Phase 1 (up to 18 months)
Intervention | DLT events (Number) |
---|
| Number of DLT Events | DLT Event: Grade 4 Neutropenia |
---|
Pemetrexed/Carboplatin Phase 1 | 1 | 1 |
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Phase 1 - Recommended Area Under the Curve (AUC) Dose of Carboplatin for Phase 2
MTD was to be used as Phase 2 recommended dose. MTD determined by increasing doses up to AUC 6 mg/mL*min based on pattern of DLT (Outcome #3). If none of 3 initial participants at given level had DLT in Cycle 1, enrollment proceeded to next dose level. If at least 2 participants had DLT in Cycle 1 at dose level, that dose level was considered MTD. However, based on results from Phase 2 Study (NCT00109096), further dose escalations were not explored: carboplatin dose was selected based on standard dose employed in control arm of first-line therapy for epithelial ovarian cancer (Bookman 2006). (NCT00489359)
Timeframe: baseline measured to progressive disease (up to 18 months)
Intervention | mg/mL*min (Number) |
---|
Pemetrexed/Carboplatin Phase 1 | 6 |
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Phase 1 - Recommended Dose of Pemetrexed for Phase 2
MTD was to be used as Phase 2 recommended dose. MTD was to be determined by increasing doses of pemetrexed up to 900 mg/m^2 based on observed pattern of dose limiting toxicity (DLT: See Outcome #3). If none of 3 initial participants at a given level had a DLT in Cycle 1, enrollment proceeded to next dose level. If at least 2 participants had a DLT in Cycle 1 at a dose level, that dose level was considered the MTD. However, based on results from another Phase 2 Study (NCT00109096), further dose escalations were not explored and dose was selected based on results of that Phase 2 Study. (NCT00489359)
Timeframe: baseline measured to progressive disease (up to 18 months)
Intervention | mg/m^2 (milligrams per square meter) (Number) |
---|
Pemetrexed/Carboplatin Phase 1 | 500 |
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Phase 2 - Time to Treatment Failure
Time to treatment failure (TTTF) is defined as the time from the date of study enrollment to the date of the first observation of disease progression, death from any cause, or early discontinuation of treatment (any reason). For patients who are alive, progression-free, and have not discontinued early at the time of analysis, TTTF will be censored at the date of the last objective progression-free disease assessment. (NCT00489359)
Timeframe: First treatment to discontinuation of study drug, progressive disease, or death (up to 31 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin Phase 2 | 7.1 |
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Phase 2 - Duration of Response (DOR)
Duration of response is defined as the time from first observation of Complete Response or Partial Response to the first observation of Progressive Disease or death from any cause. For patients who are still alive at the time of analysis, and who do not have Progressive Disease, duration of response will be censored at the date of the last objective progression-free disease assessment. (NCT00489359)
Timeframe: time of response to progressive disease (up to 31 months)
Intervention | Months (Median) |
---|
Pemetrexed/Carboplatin Phase 2 | 9.1 |
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Overall Response
Number of participants with complete or partial response. Response Evaluation Criteria in Solid Tumors (RECIST) of Complete Response: disappearance all target lesions; Partial Response: >30% decrease in sum of longest diameter (LD) of target lesions, reference baseline sum LD; Progressive Disease: >20% increase sum of LD of target lesions, reference smallest sum LD recorded since treatment started or appearance of 1 or > new lesions; Stable Disease: Insufficient shrinkage for partial response, or insufficient increase for progressive disease, reference smallest sum LD since treatment started. (NCT00491075)
Timeframe: Baseline to 8 weeks (after 4 cycles) protocol response at 16 weeks
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Gemcitabine | 6.7 |
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Pharmacology Toxicity
Radiation Therapy Oncology Group (RTOG) criteria were used for assessing toxicity. Toxicity grade reflected the most severe degree occurring during the evaluated period, not an average. When two criteria were available for similar toxicities, the one resulting in the more severe grade was used. Toxiccity grades range from 0 to 5. Toxicity grade = 5 if that toxicity caused the death of the patient. (NCT00494026)
Timeframe: every 21-day cycle for 4 cycles
Intervention | participants (Number) |
---|
| Cycle 3: Grade 2 Hematologic White Blood Cell | Cycle 3: Grade 1 Platelets | Cycle 3: Grade 3 Neutrophils | Cycle 3: Grade 2 Hemoglobin | Cycle 3: Grade 2 Hematocrit | Cycle 4: Grade 3 Hematologic White Blood Cell | Cycle 4: Grade 3 Platelets | Cycle 4: Grade 2 Neutrophils | Cycle 4: Grade 3 Hemoglobin | Cycle 4: Grade 3 Hematocrit |
---|
Pemetrexed + Carboplatin | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Drive or Use Public Transportation
The daily activities assessed: ability to drive or use public transportation. OARS-IADL assesses the participant's ability to drive or use public transportation at baseline and end of treatment. Responses: ability to do the activity without help, some help, unable, or not done (missing). The percent of participants responding in the different levels of functional ability are provided. (NCT00497770)
Timeframe: beginning and at end of pemetrexed treatment (up to 20 cycles [14 months])
Intervention | percentage of participants (Number) |
---|
| Without Help-baseline | Some Help-baseline | Unable-baseline | Not Done (missing)-baseline | Without Help-end of treatment | Some Help-end of treatment | Unable-end of treatment | Not Done (missing)-end of treatment |
---|
African American | 63.1 | 32.3 | 0.0 | 4.6 | 29.2 | 20.0 | 0.0 | 50.8 |
,Asian American | 62.2 | 29.7 | 2.7 | 5.4 | 45.9 | 0.0 | 0.0 | 54.1 |
,Caucasian | 62.2 | 29.6 | 0.7 | 7.6 | 23.4 | 14.8 | 1.0 | 60.9 |
,Hispanic | 50.0 | 50.0 | 0.0 | 0.0 | 21.4 | 7.1 | 0.0 | 71.4 |
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Percentage of Participants With a Best Overall Disease Control Response (Disease Control Rate)
Disease Control Rate [DCR] is the percentage of participants with Complete Response (CR), Partial Response (PR), Stable Disease (SD), and SD or Incomplete Response (SI). Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. CR=disappearance of all target lesions; PR=30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD)=20% increase in sum of longest diameter of target lesions; SD=small changes not meeting above criteria; SI=persistence of 1 or more non-target lesion(s) and/or maintenance of tumor marker level above normal limits. (NCT00497770)
Timeframe: baseline to measured progressive disease (up to 20 cycles [14 months])
Intervention | percentage of participants (Number) |
---|
Caucasian | 43.7 |
African American | 45.0 |
Asian American | 53.33 |
Hispanic | 34.6 |
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Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Prepare and Take Medications
The daily activities assessed: ability to prepare and take medications. OARS-IADL assesses the participant's ability to prepare and take medications at baseline and end of treatment. Responses: ability to do the activity without help, some help, unable, or not done (missing). The percent of participants responding in the different levels of functional ability are provided. (NCT00497770)
Timeframe: beginning and at end of pemetrexed treatment (up to 20 cycles [14 months])
Intervention | percentage of participants (Number) |
---|
| Without Help-baseline | Some Help-baseline | Unable-baseline | Not Done (missing)-baseline | Without Help-end of treatment | Some Help-end of treatment | Unable-end of treatment | Not Done (missing)-end of treatment |
---|
African American | 73.8 | 21.5 | 0.0 | 4.6 | 36.9 | 10.8 | 1.5 | 4.6 |
,Asian American | 86.5 | 5.4 | 2.7 | 5.4 | 45.9 | 0.0 | 0.0 | 5.4 |
,Caucasian | 79.3 | 12.8 | 0.7 | 7.2 | 30.9 | 7.6 | 0.7 | 7.2 |
,Hispanic | 85.7 | 7.1 | 7.1 | 0.0 | 25.0 | 0.0 | 3.6 | 0.0 |
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Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Handle Personal Finances
The daily activities assessed: ability to handle personal finances. OARS-IADL assesses the participant's ability to handle personal finances at baseline and end of treatment. Responses: ability to do the activity without help, some help, unable, or not done (missing). The percent of participants responding in the different levels of functional ability are provided. (NCT00497770)
Timeframe: beginning and at end of pemetrexed treatment (up to 20 cycles [14 months])
Intervention | percentage of participants (Number) |
---|
| Without Help-baseline | Some Help-baseline | Unable-baseline | Not Done (missing)-baseline | Without Help-end of treatment | Some Help-end of treatment | Unable-end of treatment | Not Done (missing)-end of treatment |
---|
African American | 67.7 | 26.2 | 0.0 | 6.2 | 38.5 | 10.8 | 0.0 | 50.8 |
,Asian American | 83.8 | 8.1 | 2.7 | 5.4 | 45.9 | 0.0 | 0.0 | 54.1 |
,Caucasian | 78.6 | 11.5 | 2.3 | 7.6 | 31.9 | 5.6 | 1.3 | 61.2 |
,Hispanic | 71.4 | 17.9 | 10.7 | 0.0 | 25.0 | 3.6 | 0.0 | 71.4 |
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Functional Status Based on the Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Operate the Telephone
The daily activities assessed: ability to operate the telephone. OARS-IADL assesses the participant's ability to operate the telephone at baseline and end of treatment. Responses: ability to do the activity without help, some help, unable, or not done (missing). The percent of participants responding in the different levels of functional ability are provided. (NCT00497770)
Timeframe: beginning and at end of pemetrexed treatment (up to 20 cycles [14 months])
Intervention | percentage of participants (Number) |
---|
| Without Help-baseline | Some Help-baseline | Unable-baseline | Not Done (missing)-baseline | Without Help-end of treatment | Some Help-end of treatment | Unable-end of treatment | Not Done (missing)-end of treatment |
---|
African American | 90.8 | 4.6 | 0.0 | 4.6 | 41.5 | 7.7 | 0.0 | 50.8 |
,Asian American | 86.5 | 5.4 | 2.7 | 5.4 | 45.9 | 0.0 | 0.0 | 54.1 |
,Caucasian | 86.5 | 5.6 | 0.0 | 7.9 | 34.9 | 3.0 | 1.3 | 60.9 |
,Hispanic | 92.9 | 3.6 | 0.0 | 3.6 | 25.0 | 3.6 | 0.0 | 71.4 |
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Progression Free Survival
Time from start of second line therapy until death, disease progression, or last contact expressed in months. Participants lost to follow-up (that were alive at last contact) were treated as censored using Kaplan-Meier survival analysis method. (NCT00497770)
Timeframe: baseline to measured progressive disease or death (up to 20 cycles [14 months])
Intervention | months (Median) |
---|
Caucasian | 2.66 |
African American | 2.99 |
Asian American | 5.08 |
Hispanic | 2.20 |
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Overall Survival
Overall survival is the duration (months) from enrollment to death. For patients who are alive, overall survival is censored at the last contact. (NCT00497770)
Timeframe: baseline to date of death from any cause (up to 20 cycles [14 months])
Intervention | months (Median) |
---|
Caucasian | 6.77 |
African American | 6.90 |
Asian American | 16.0 |
Hispanic | 5.35 |
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Functional Status Based on Older Americans Resources and Services Instrumental Activities of Daily Living Scale(OARS-IADL), Ability to Plan and Prepare Meals
The daily activities assessed: ability to plan and prepare meals. OARS-IADL assesses the participant's ability to plan and prepare meals at baseline and end of treatment. Responses: ability to do the activity without help, some help, unable, or not done (missing). The percent of participants responding in the different levels of functional ability are provided. (NCT00497770)
Timeframe: beginning and at end of pemetrexed treatment (up to 20 cycles [14 months])
Intervention | percentage of participants (Number) |
---|
| Without Help-baseline | Some Help-baseline | Unable-baseline | Not Done (missing)-baseline | Without Help-end of treatment | Some Help-end of treatment | Unable-end of treatment | Not Done (missing)-end of treatment |
---|
African American | 63.1 | 23.1 | 9.2 | 4.6 | 26.2 | 13.8 | 9.2 | 50.8 |
,Asian American | 70.3 | 13.5 | 10.8 | 5.4 | 37.8 | 8.1 | 0.0 | 54.1 |
,Caucasian | 63.2 | 24.3 | 4.9 | 7.6 | 25.3 | 9.5 | 4.3 | 60.9 |
,Hispanic | 71.4 | 10.7 | 17.9 | 0.0 | 14.3 | 10.7 | 3.6 | 71.4 |
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Symptom Score Associated With Treatment as Measured by the M.D. Anderson Symptom Inventory - LC(MDASI-LC)
The symptom score assessed: pain, fatigue, nausea, sleep, distress, shortness of breath, memory, appetite, drowsy, dry mouth, sadness, vomiting, numbness, cough, constipation, general activity, mood, work, relationships with other people, walking, enjoyment. Scores for each item range from 0 to 10, where 0 equaled no symptoms and 10 equaled worst possible symptoms. Assessed at baseline and end of treatment. (NCT00497770)
Timeframe: Baseline and end of treatment (up to 20 cycles [14 months])
Intervention | participants (Mean) |
---|
| Pain-baseline (n=281, 62, 35, 28) | Pain-end of treatment (EOT) (n=118, 31, 17, 8) | Fatigue-baseline (n=279, 62, 35, 28) | Fatigue-EOT (n=119, 32, 17, 8) | Nausea-baseline (n=280, 62, 35, 28) | Nausea-EOT (n=118, 30, 17, 8) | Sleep-baseline (n=280, 62, 34, 28) | Sleep-EOT (n=118, 31, 17, 8) | Distress (Upset)-baseline (n=277, 62, 34, 28) | Distress (Upset)-EOT (n=119, 32, 17, 8) | Shortness of Breath-baseline (n=282, 61, 35, 28) | Shortness of Breath-EOT (n=118, 32, 17, 8) | Memory-baseline (n=278, 62, 35, 28) | Memory-EOT (n=119, 32, 17, 8) | Appetite-baseline (n=281, 62, 35, 28) | Appetite-EOT (n=119, 32, 16, 8) | Drowsy-baseline (n=280, 65, 32, 28) | Drowsy-EOT (n=119, 32, 17, 8) | Dry Mouth-baseline (n=279, 62, 35, 28) | Dry Mouth-EOT (n=119, 32, 17, 8) | Sadness-baseline (n=278, 61, 35, 28) | Sadness-EOT (n=119, 32, 17, 8) | Vomiting-baseline (n=282, 62, 35, 28) | Vomiting-EOT (n=119, 32, 17, 8) | Numbness-baseline (n=280, 61, 33, 28) | Numbness-EOT (n=119, 32, 17, 8) | Cough-baseline (n=281, 61, 35, 28) | Cough-EOT (n=119, 31, 16, 8) | Constipation-baseline (n=281, 62 34, 28) | Constipation-EOT (n=119, 32 17, 8) | General Activity-baseline (n=280, 62, 35, 28) | General Activity-EOT (n=119,32,16,8) | Mood-baseline (n=279, 61, 34, 28) | Mood-EOT (n=119, 32, 16, 8) | Work-baseline (n=278, 62, 35, 28) | Work-EOT (n=118, 32, 16, 8) | Relationships with Others-baseline(n=282,61,35,28) | Relationships with Others-EOT (n=118, 31, 16, 8) | Walking-baseline (n=280, 62, 35, 28) | Walking-EOT (n=119, 32, 16, 8) | Enjoyment-baseline (n=282, 61, 35, 28) | Enjoyment-EOT (n=119, 32, 16, 8) |
---|
African American | 3.73 | 5.16 | 4.58 | 4.91 | 1.55 | 1.67 | 3.66 | 4.16 | 3.00 | 3.22 | 3.70 | 5.06 | 2.71 | 2.81 | 3.11 | 4.72 | 3.32 | 3.69 | 2.73 | 2.44 | 2.57 | 2.81 | 0.97 | 1.06 | 3.34 | 3.84 | 2.98 | 3.94 | 2.37 | 2.88 | 3.56 | 4.53 | 3.11 | 1.88 | 4.23 | 4.63 | 2.41 | 2.71 | 4.00 | 4.44 | 3.51 | 4.00 |
,Asian American | 3.89 | 1.82 | 4.14 | 3.71 | 1.34 | 1.18 | 3.21 | 2.94 | 2.76 | 2.41 | 2.69 | 1.82 | 2.09 | 1.82 | 3.37 | 2.38 | 2.63 | 1.59 | 3.29 | 2.71 | 2.74 | 2.06 | 0.66 | 0.88 | 2.76 | 2.47 | 2.63 | 1.63 | 2.79 | 2.47 | 2.46 | 2.88 | 2.44 | 1.89 | 2.51 | 2.81 | 2.00 | 1.50 | 2.80 | 2.94 | 2.83 | 2.81 |
,Caucasian | 3.37 | 3.52 | 4.63 | 4.98 | 1.39 | 1.76 | 3.24 | 3.58 | 2.89 | 3.05 | 3.58 | 3.76 | 2.40 | 2.47 | 2.84 | 2.87 | 3.20 | 3.30 | 2.89 | 2.91 | 2.40 | 2.39 | 0.74 | 0.97 | 2.42 | 2.34 | 2.89 | 2.50 | 2.47 | 2.55 | 3.71 | 3.89 | 2.85 | 2.07 | 3.72 | 4.05 | 1.83 | 2.17 | 3.84 | 4.12 | 3.33 | 3.39 |
,Hispanic | 3.75 | 1.88 | 5.04 | 4.00 | 2.43 | 0.75 | 4.11 | 3.13 | 4.07 | 3.63 | 4.29 | 2.88 | 2.50 | 0.63 | 4.86 | 4.00 | 4.36 | 3.13 | 3.36 | 2.25 | 4.32 | 3.88 | 1.25 | 0.13 | 2.39 | 0.63 | 2.61 | 3.13 | 3.54 | 1.50 | 4.46 | 3.63 | 3.86 | 1.86 | 4.86 | 4.25 | 3.07 | 2.75 | 4.21 | 4.00 | 4.39 | 4.00 |
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Patient Response to Treatment Measured by RECIST Criteria
RECIST response categories: 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. (NCT00503997)
Timeframe: at 8 weeks
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Evaluable |
---|
Pemetrexed/Oxaliplatin | 1 | 18 | 19 | 2 | 2 |
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Objective Response Rate (OR) Where OR=CR+PR: Number of Participants With Responses of Complete Response (CR) and Partial Response (PR)
"Complete Response (CR): Complete disappearance of all measurable & non-measurable disease; No new lesions; No disease related symptoms; Normalization of markers & other abnormal lab values.~Partial Response (PR): Applies only to those with at least one measurable lesion. >/= 30% decrease under baseline of sum of longest diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. All target measurable lesions assessed using same techniques as baseline.~Progression: 20% increase in sum of longest diameters of target measurable lesions over smallest sum observed (over baseline if no decrease during therapy) using same techniques as baseline. Unequivocal progression of non-measurable disease in opinion of treating physician.~Evaluated for symptoms 1-2 times per week while receiving treatment then 2 weeks after stopping study treatment (expected 4 cycles)." (NCT00508144)
Timeframe: Evaluated with 3 week treatment cycles, up to 4 cycles or 12 weeks
Intervention | Participants (Count of Participants) |
---|
Alimta | 3 |
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1-year Progression Free Survival Rate in Chemo-naive Select Stage IIIB or Stage IV NSCLC Patients
One-year progression-free survival was defined from the time from initiation of study treatment to the first date of disease progression or death as a result of any cause. Progression was 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. Time was censored at the date of the last follow-up visit for patients who were still alive and have not progressed. The one-year progression free survival rate is a percentage, representing the fraction of treated patients who, after one-year, are disease free or alive. (NCT00509366)
Timeframe: 1 year
Intervention | percentage of treated patients (Number) |
---|
Treatment | 19.15 |
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Mean Change From Baseline to Follow-up Cycle in Quality of Life - Functional Assessment of Cancer Therapy-Lung (FACT-L)
The outcome measure is mean change in the Trial Outcome Index (TOI) between baseline and each follow-up assessment measured by the Functional Assessment of Cancer Therapy-Lung (FACT-L). The FACT-L instrument consists of 34 items to assess physical (PWB), social and family (SWB), emotional (EWB), functional well-being (FWB) and additional lung specific concerns (LCS). Using a 5-point Likert type scale, responses to individual items range from 0 (not at all) to 4 (Very Much) with higher scores indicating better quality of life. The TOI is the sum of PWB (7 items), FWB (7 items) and LCS scores (7 items), which each have a possible range between 0 and 28. Therefore, TOI ranges from 0 to 84. (NCT00509366)
Timeframe: Baseline, Every 21 days for a maximum of 6 cycles
Intervention | units on a scale (Mean) |
---|
| Change from baseline to Cycle 1 | Change from baseline to Cycle 2 | Change from baseline to Cycle 3 | Change from baseline to Cycle 4 | Change from baseline to Cycle 5 | Change from baseline to Cycle 6 |
---|
Treatment | 0.15 | -1.04 | -1.28 | -2.62 | -6.14 | -0.72 |
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Overall Survival (OS)
Overall survival is defined as the time from treatment start until death from any cause. The median overall survival time is used to measure OS. (NCT00517595)
Timeframe: OS was measured from day 1 of treatment until time of death, assessed up to 20 months.
Intervention | Months (Median) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 8.78 |
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Progression Free Survival (PFS)
PFS is defined as the duration of time from start of treatment to time of progression or death, whichever comes first. Progression is defined per RECIST criteria v1.0 as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions. The median progression free survival is the parameter used to describe PFS. (NCT00517595)
Timeframe: PFS was measured from day 1 of treatment until time of progression (assessed every 8 weeks) or death, whichever came first, assessed up to 15 months.
Intervention | Months (Median) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 4.90 |
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Time to Progression (TTP)
Time to progression is defined as the time from treatment start until objective tumor progression. Progression is defined per RECIST criteria v1.0 as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions. The median time to progression is the parameter used to describe TTP. (NCT00517595)
Timeframe: TTP was measured from day 1 of treatment until time of progression (assessed every 8 weeks), assessed up to 15 months.
Intervention | Months (Median) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 5.56 |
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Overall Response
Response was evaluated via changes from baseline in radiological tumor measurements performed after every 4th treatment cycle and at the end of treatment or time of progression. Response was evaluated using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD) is neither sufficient shrinkage in sum of LD of target lesions to be PR nor increase of >=20%; Progressive Disease (PD) is the increase in existing lesions or new lesions. (NCT00517595)
Timeframe: Response to treatment was assessed after every 8 weeks of treatment, up to 50 weeks.
Intervention | Participants (Number) |
---|
| Complete response (CR) | Partial response (PR) | Stable disease (SD) | Progressive disease (PD) | Not evaluable (NE) |
---|
Pemetrexed, Gemcitabine, and Bevacizumab | 0 | 17 | 21 | 6 | 4 |
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Progression-free Survival (PFS)
Defined as the time from date of first dose to the first observation of disease progression (PD), or death due to any cause. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | months (Median) |
---|
Pemetrexed Plus Carboplatin | 5.8 |
Docetaxel Plus Carboplatin | 6.0 |
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Survival Without Clinically Important Grade 3 or 4 Toxicity
Survival without Grade 3 or 4 toxicity is the time from date of randomization to the first date of the following clinically important Grade 3 or 4 TEAEs graded by the Common Terminology Criteria for Adverse Events [CTCAE], version 3.0: neutropenia (lasting >5 days), febrile neutropenia, documented infections related to neutropenia, anemia, thrombocytopenia, fatigue, nausea, vomiting, diarrhea, stomatitis, and neurosensory events; or death due to any cause. Participants who were alive without experiencing Grade 3 or 4 toxicity were censored for this analysis at the date of last contact. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | months (Median) |
---|
Pemetrexed Plus Carboplatin | 3.6 |
Docetaxel Plus Carboplatin | 1.3 |
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Survival Without Grade 3 or 4 Toxicity
"Defined as the time from date of randomization to first date of a Grade 3 or 4 treatment-emergent adverse event (TEAE; as graded by the National Cancer Institute Common Terminology Criteria for Adverse Events [CTCAE], version 3.0) or death due to any cause. Grade 3 TEAE: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated. Grade 4 TEAE: Life-threatening consequences; urgent intervention indicated.~Participants who were alive without experiencing Grade 3 or 4 toxicity were censored at the date of last contact." (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | months (Median) |
---|
Pemetrexed Plus Carboplatin | 3.2 |
Docetaxel Plus Carboplatin | 0.7 |
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Survival Without Grade 4 Toxicity
Survival without Grade 4 toxicity is the time from the date of randomization to the first date of a Grade 4 TEAE or death due to any cause. Participants who are alive without experiencing Grade 4 toxicity will be censored for this analysis at the date of last contact. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 4 toxicity) have been observed (up to 33.3 months).
Intervention | participants (Median) |
---|
Pemetrexed Plus Carboplatin | 12.2 |
Docetaxel Plus Carboplatin | 2.0 |
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Overall Survival (OS)
OS is the duration from enrollment to death. For participants who are alive, OS is censored at the last contact. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | months (Median) |
---|
Pemetrexed Plus Carboplatin | 14.9 |
Docetaxel Plus Carboplatin | 14.7 |
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Percentage of Participants With Tumor Response (Response Rate)
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response (CR)=disappearance of all target lesions; Partial Response (PR)=at least a 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD)=at least a 20% increase in sum of longest diameter of target lesions; Stable Disease (SD)=small changes not meeting above criteria. Response rate (%)=Number of participants with CR+PR/Number of participants analyzed *100. Disease Control rate=Number of participants with SD+PR+CR/Number of participants analyzed *100. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | percentage of participants (Number) |
---|
| Tumor Response Rate | Disease Control Rate | Complete Response | Partial Response | Stable Disease | Progressive Disease | Unknown |
---|
Docetaxel Plus Carboplatin | 23.1 | 64.4 | 0 | 23.1 | 41.3 | 17.3 | 18.3 |
,Pemetrexed Plus Carboplatin | 34.0 | 74.5 | 0.9 | 33.0 | 40.6 | 16.0 | 9.4 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. CR=disappearance of all target lesions; PR=at least a 30% decrease in sum of longest diameter of target lesions. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | months (Median) |
---|
Pemetrexed Plus Carboplatin | 5.5 |
Docetaxel Plus Carboplatin | 5.4 |
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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. (NCT00520676)
Timeframe: Baseline to until 218 events (defined as death or Grade 3 or 4 toxicity) have been observed (up to 33.3 months).
Intervention | participants (Number) |
---|
| Non-Serious Adverse Events (AEs) | Serious Adverse Events (SAEs) |
---|
Docetaxel Plus Carboplatin | 100 | 35 |
,Pemetrexed Plus Carboplatin | 94 | 28 |
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Time to Progression
Estimated probable duration from on-study date to date of disease progression, using the Kaplan-Meier method with censoring (see analysis population description for additional details). Disease progression is defined under RECIST v1.1 as >=20% increase in sum of longest diameters of target lesions, unequivocal progression of non-target lesions, or appearance of new lesions. (NCT00520845)
Timeframe: 2 years from date of registration
Intervention | days (Median) |
---|
Treatment Arm | 89 |
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Overall Response Rate
Overall response rate is measured by complete response + partial response. 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. Patients are categorized according to the best response achieved prior to occurrence of progressive disease, where best response hierarchy is CR>PR>SD>PD. (NCT00520845)
Timeframe: On-treatment date to date of disease progression (assessed at 6 weeks up to 2 years)
Intervention | participants (Number) |
---|
Treatment Arm | 0 |
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Number of Patients With Adverse Events, Discontinuations, or Deaths Possibly Due to Study Drug
AdEERS= Adverse Event Expedited Reporting System; AE = adverse event. Patients may be counted in more than 1 category. Includes events that were considered possibly related to study drug (PRSD) as judged by the investigator. (NCT00520936)
Timeframe: every cycle (up to 2 years and 7 months)
Intervention | Participants (Number) |
---|
| >=1 AdEERs possibly related to study drug | Discontinued due to AE possibly related to drug | Died on therapy possibly related to study drug | Died within 31 days of last dose of drug PRSD |
---|
Ependymoma | 2 | 0 | 0 | 0 |
,Ewing's Sarcoma/Peripheral Primitive Neuroectodermal Tumors | 2 | 1 | 0 | 0 |
,Medulloblastoma/Supratentorial Primitive Neuroectodermal Tumor | 2 | 2 | 0 | 0 |
,Neuroblastoma (Measureable Disease) | 2 | 0 | 0 | 0 |
,Neuroblastoma (Metaiodobenzylguanidine Positive Evaluable) | 3 | 0 | 0 | 0 |
,Non-Brainstem High-Grade Glioma | 2 | 0 | 0 | 0 |
,Osteosarcoma | 3 | 0 | 0 | 0 |
,Rhabdomyosarcoma | 0 | 0 | 0 | 0 |
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Percentage of Participants With Overall Tumor Response (Response Rate)
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response = disappearance of all target lesions. Partial Response = 30% decrease in sum of longest diameter of target lesions. Response rate (percent [%])= (number of participants with complete response (CR) or partial response (PR) in stratum/number of participants in stratum)*100. (NCT00520936)
Timeframe: baseline to measured progressive disease (up to 1 year)
Intervention | Percentage of Participants (Number) |
---|
Osteosarcoma | 0 |
Ewing's Sarcoma/Peripheral Primitive Neuroectodermal Tumors | 0 |
Rhabdomyosarcoma | 0 |
Neuroblastoma (Measureable Disease) | 0 |
Neuroblastoma (Metaiodobenzylguanidine Positive Evaluable) | 0 |
Ependymoma | 0 |
Medulloblastoma/Supratentorial Primitive Neuroectodermal Tumor | 0 |
Non-Brainstem High-Grade Glioma | 0 |
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Duration of Response
The duration of a complete response (CR) or partial response (PR) was defined as the time from the first objective status assessment of CR or PR to the first date of progression or death as a result of any cause: CR was achieved if all tumor lesions disappeared; PR was achieved if there was >=30% decrease in sum of the longest diameter (LD) of target lesions (reference: baseline sum LDs) or complete disappearance of target lesions with persistence (but not worsening) of >=1 nontarget lesions and no appearance of new lesions. (NCT00523419)
Timeframe: Baseline to 31 months
Intervention | months (Number) |
---|
Pemetrexed | 9.5 |
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Progression-Free Survival (PFS)
PFS was from date of study enrollment to first date of objectively determined progressive disease (PD) or death from any cause. For participants who did not die as of data cut-off date and who did not have objective PD, PFS was censored at date of last objective progression-free disease assessment. For participants who received subsequent systemic anticancer therapy (after discontinuation from study drug) before objectively determined disease progression or death, PFS was censored at date of last objective progression-free disease assessment, before post-discontinuation chemotherapy. (NCT00523419)
Timeframe: Baseline to 10.4 months
Intervention | months (Median) |
---|
Pemetrexed | 1.4 |
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Overall Survival (OS) Time
OS was the duration from enrollment to death. For participants who lived, OS was censored at the last contact. (NCT00523419)
Timeframe: Baseline to 27.6 months
Intervention | months (Median) |
---|
Pemetrexed | 5.5 |
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Number of Participants With Adverse Events (Pharmacology Toxicity)
Pharmacology toxicity was defined as serious and non-serious adverse events. Summaries of these adverse events are located in the Reported Adverse Event Section. (NCT00523419)
Timeframe: Baseline to 21 months
Intervention | participants (Number) |
---|
| Serious Adverse Events | All Other Nonserious Adverse Events |
---|
Pemetrexed | 11 | 26 |
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Percentage of Participants With Tumor Response
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR) = disappearance of all target lesions; Partial Response (PR) = at least a 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD) = at least a 20% increase in sum of longest diameter of target lesions; Stable Disease (SD) = small changes that do not meet above criteria. Tumor Response Rate(%) = sum of number of PR + CR observed/number of participants qualified for tumor response analysis * 100. (NCT00523419)
Timeframe: Baseline to 21 months
Intervention | percentage of participants (Number) |
---|
| Response Rate | Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Unknown |
---|
Pemetrexed | 3.1 | 0 | 3.1 | 15.6 | 68.8 | 12.5 |
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Phase 2: Percentage of Participants With Overall Survival (OS) at 1 Year
OS was defined as the time from date of enrollment to death due to any cause. (NCT00529100)
Timeframe: Baseline to date of death from any cause (up to 1 year)
Intervention | percentage of participants (Number) |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 79.0 |
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Phase 2: Time to Progressive Disease (PD)
Time to PD was defined as the time from study enrollment to the first date of objective disease progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.0) as at least a 20% increase in the sum of the longest diameter (LD) of target lesions as references the smallest sum LD recorded since treatment started or the appearance of 1 or more new lesions. Time to PD was censored at the date of death if death was due to other cause. For participants not known to have died as of the data cut-off date and who did not have PD, time to PD was censored at the last progression-free disease assessment. For participants who received subsequent cancer therapy (after discontinuation from the study therapy) before PD, time to PD was censored at the date of subsequent cancer therapy initiation. (NCT00529100)
Timeframe: Baseline to measured PD (up to 3 years)
Intervention | months (Median) |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 13.7 |
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Phase 1: Maximum Tolerated Dose (MTD) of Pemetrexed in Combination With Cisplatin and Radiation Therapy
Recommended Phase 2 MTD was highest dose at which no more than 1 of 6 participants experienced dose level toxicity (DLT). DLT=(1) Grade 3/4 dysphagia/esophagitis, leukopenia, thrombocytopenia, febrile neutropenia, fatigue/malaise, pneumonitis, dermatitis, persistent elevation of bilirubin/alkaline phosphatase/aspartate aminotransferase only if resulting in delay of radiotherapy >1 week, delay of pemetrexed/cisplatin Cycle 2 >2 weeks, or delay of pemetrexed/cisplatin Cycle 3 past 5 weeks after radiotherapy; (2) other Grade 3 or 4 toxicity possibly related to concurrent treatment administration. (NCT00529100)
Timeframe: Baseline to measured progressive disease (PD; up to 1 year)
Intervention | milligrams per square meter (mg/m^2) (Number) |
---|
| Concurrent Phase MTD: Pemetrexed | Concurrent Phase MTD: Cisplatin | Consolidation Phase MTD: Pemetrexed | Consolidation Phase MTD: Cisplatin |
---|
Pemetrexed/Cisplatin/Radiation Phase 1 | 500 | 20 | 500 | 75 |
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Phase 1: Number of Participants With Adverse Events (AE; Toxicity)
A listing of AEs is located in the Reported Adverse Event module. (NCT00529100)
Timeframe: Baseline to measured PD (up to 1 year)
Intervention | participants (Number) |
---|
| Serious Adverse Events (SAEs) | Other Non-serious Adverse Events (AEs) |
---|
Pemetrexed/Cisplatin/Radiation Phase 1 | 5 | 10 |
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Phase 2: Site of Progressive Disease (PD)
Summarized participants with local (progression within the sites of initial disease)/regional (disease progression adjacent to but not within the site of initial disease at the start of treatment), distant (disease progression that is blood borne to other parts of the body, including outside the chest or involving the contralateral lung), and local + distant sites of disease. Objective PD is defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.0) as at least a 20% increase in the sum of the longest diameter (LD) of target lesions as references the smallest sum LD recorded since treatment started or the appearance of 1 or more new lesions. (NCT00529100)
Timeframe: Baseline to measured PD (up to 3 years)
Intervention | participants (Number) |
---|
| Local/Regional | Distant | Local + Distant | Unknown |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 8 | 17 | 1 | 1 |
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Phase 2: Percentage of Participants With Progression Free Survival (PFS)
The percentage of participants not known to have died as of the data cut-off date or last contact and who did not have PD. (NCT00529100)
Timeframe: Baseline and 1 year and 2 years and 3 years
Intervention | percentage of participants (Number) |
---|
| 1 Year | 2 Years | 3 Years |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 48.7 | 30.8 | 20.2 |
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Phase 2: Percentage of Participants With Overall Survival (OS) at 2 Years and 3 Years
OS was defined as the time from date of enrollment to death due to any cause. (NCT00529100)
Timeframe: Baseline and 2 years and 3 years
Intervention | percentage of participants (Number) |
---|
| 2 years | 3 years |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 56.4 | 46.2 |
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Progression Free Survival (PFS)
PFS was defined as the period from study entry until PD, death, or date of last contact. 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). (NCT00529100)
Timeframe: Baseline to measured PD (up to 36 months)
Intervention | months (Median) |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 11.8 |
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Phase 2: Percentage of Participants With Objective Tumor Response (Response Rate)
Response using Response Evaluation Criteria In Solid Tumors (RECIST 1.0). 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. Objective response rate (%)=number of objective responders divided by the number of participants with measurable disease * 100, where objective responders are those participants who have met criteria either for CR or PR. (NCT00529100)
Timeframe: Baseline to measured PD (up to 3 years)
Intervention | percentage of participants (Number) |
---|
| Complete Response | Partial Response |
---|
Pemetrexed/Cisplatin/Radiation Phase 2 | 0 | 45.95 |
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Progression-Free Survival (PFS)
PFS was defined as the time from date of randomization to the first documented observation of disease progression or death from any cause. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Progressive disease (PD) was defined as having at least a 20% increase in sum of the longest diameter of target lesions or the appearance of new lesions. PFS was censored at the date of the last objective progression-free disease assessment for participants who did not experience PD or death at the data inclusion cut-off date. (NCT00530621)
Timeframe: Baseline to measured progressive disease up to 9.92 months
Intervention | months (Median) |
---|
Pemetrexed + Enzastaurin | 2.96 |
Pemetrexed + Placebo | 3.02 |
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Number of Participants Who Died During the 30 Days After Treatment Discontinuation
Reported are the deaths due to study disease and adverse events (AEs) that occurred during the 30 days after treatment discontinuation. (NCT00530621)
Timeframe: End of study treatment [16 Cycles (21-day cycles, except Cycle 1 [28 days])] through 30 days after treatment discontinuation
Intervention | Participants (Count of Participants) |
---|
| Study Disease | AEs |
---|
Pemetrexed + Enzastaurin | 5 | 2 |
,Pemetrexed + Placebo | 10 | 0 |
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Number of Participants Who Died During the Study Treatment
Reported are the deaths due to study disease and adverse events (AEs) that occurred while on study treatment. (NCT00530621)
Timeframe: Baseline through study completion [up to 16 Cycles (21-day cycles, except Cycle 1 [28 days])]
Intervention | Participants (Count of Participants) |
---|
| Study Disease | AEs |
---|
Pemetrexed + Enzastaurin | 2 | 1 |
,Pemetrexed + Placebo | 3 | 3 |
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Tumor Biomarkers
Protein expression was measured using an Immunohistochemistry (IHC) assay from the tumor tissue samples. IHC histo-scores (H-scores) were determined separately for each of the 3 biomarkers: folate receptor alpha (FR alpha) in cytoplasm and apical membrane, thymidylate synthase (TS) in cytoplasm and nucleus, and thyroid transcription factor-1 (TTF1) in the nucleus. Tumor tissue samples were to be scored using a 0 (negative, no staining) to 3+ (brightest staining) scoring system for cytoplasmic and nuclear staining. IHC H-score was calculated using the formula: 1 * (percentage of cells stained 1+) + 2 * (percentage of cells stained 2+) + 3 * (percentage of cells stained 3+), giving a minimum score of 0 to a maximum score of 300. The maximum score indicates the strongest expression. (NCT00530621)
Timeframe: Tumor samples collected at baseline
Intervention | H-scores (Mean) |
---|
| FR Alpha in Cytoplasm | FR Alpha in Apical Membrane | TS in Cytoplasm | TS in Nucleus | TTF-1 in Nucleus |
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Pemetrexed + Enzastaurin | 55.96 | 9.96 | 16.38 | 5.92 | 47.88 |
,Pemetrexed + Placebo | 24.50 | 18.25 | 22.30 | 8.00 | 32.35 |
,Total (Pemetrexed + Enzastaurin and Pemetrexed + Placebo) | 41.98 | 13.64 | 18.96 | 6.83 | 41.13 |
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Duration of Disease Control (DDC)
DDC was defined as the time from randomization to the first documented observation of disease progression or death from any cause and was limited to the participants with a best tumor response of complete response (CR), partial response (PR), or stable disease (SD). Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Progressive disease (PD) was defined as having at least a 20% increase in sum of the longest diameter of target lesions or the appearance of new lesions. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. SD was defined as small changes that did not meet the above criteria. DDC was censored at the date of the last objective progression-free disease assessment for participants who did not experience PD or death. (NCT00530621)
Timeframe: Baseline to measured progressive disease up to 9.92 months
Intervention | months (Median) |
---|
Pemetrexed + Enzastaurin | 5.32 |
Pemetrexed + Placebo | 6.31 |
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Overall Survival (OS)
OS was defined as the duration from the date of randomization to the date of death from any cause. For participants who were alive at the time of the data inclusion cutoff, OS was censored at the date the participant was last known to be alive. (NCT00530621)
Timeframe: Baseline to date of death from any cause up to 12.32 months
Intervention | months (Median) |
---|
Pemetrexed + Enzastaurin | 9.63 |
Pemetrexed + Placebo | 7.39 |
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Percentage of Participants With Complete Response or Partial Response (Tumor Response Rate)
Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Participants with a best response of complete response (CR) or partial response (PR) were considered to have had a tumor response. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. Percentage of participants was calculated as the total number of participants affected divided by the number of participants analyzed then multiplied by 100. (NCT00530621)
Timeframe: Baseline to measured progressive disease up to 9.92 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Enzastaurin | 3.9 |
Pemetrexed + Placebo | 2.6 |
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Duration of Response (DoR)
The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death from any cause. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions and PR was defined as having at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as reference the baseline sum of LDs. For participants who died without progressive disease or who were alive, DoR was censored at the last contact of progression free assessment. For participants who received subsequent anticancer therapy (after discontinuation from all study treatment) prior to PD, DoR was censored at the date of last progression-free assessment prior to the initiation of post-discontinuation anticancer therapy. Due to early study closure, DoR was not analyzed. (NCT00533429)
Timeframe: Time of response to disease progression or death from any cause up to 12.2 months
Intervention | Months (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin | 4.7 |
Pemetrexed + Carboplatin + Bevacizumab + Placebo | 3.5 |
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Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death from any cause. For participants who were not known to have died as of the data cutoff, OS was censored at the last contact date. (NCT00533429)
Timeframe: Randomization to date of death up to 14.3 months
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin | 9.1 |
Pemetrexed + Carboplatin + Bevacizumab + Placebo | 7.6 |
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Pharmacology Toxicity and Adverse Events (AEs)
Clinically significant events were defined as serious AEs (SAEs) and other non-serious AEs. Participants who died due to progressive disease (PD) or an AE while on treatment and or died during the 30 day post-treatment follow-up are included. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module. (NCT00533429)
Timeframe: Randomization up to 14.3 months and 30-day follow-up
Intervention | Participants (Count of Participants) |
---|
| Non-serious AEs | Serious AEs | Deaths Due to PD | Deaths Due to AEs | Deaths within 30-days after treatment |
---|
Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin | 19 | 6 | 0 | 1 | 0 |
,Pemetrexed + Carboplatin + Bevacizumab + Placebo | 20 | 7 | 0 | 1 | 0 |
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Time to Progressive Disease (TTPD)
TTPD was defined as the time from the date of randomization until the first date of objectively determined progressive disease (PD). For participants who died without objective PD (including death from study disease), TTPD was censored at the date of the last objective progression-free disease assessment. For participants not known to have died as of the data cutoff and did not have PD, TTPD was censored at the date of the last objective progression-free disease assessment. (NCT00533429)
Timeframe: Randomization to measured PD or death from any cause up to 12.2 months
Intervention | Months (Median) |
---|
Enzastaurin + Pemetrexed + Carboplatin + Bevacizumab | 4.3 |
Pemetrexed + Carboplatin + Bevacizumab + Placebo | 4.8 |
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Progression-Free Survival (PFS)
PFS was defined as the time from date of randomization to the first observation of progressive disease (PD) or death due to any cause. For participants not known to have died as of the data cutoff date and who did not have objective PD, PFS was censored at the date of the last objective progression-free assessment. For participants who received subsequent anticancer therapy (after discontinuation from all study treatment) prior to objective disease progression or death, PFS was censored at the date of the last objective progression-free assessment prior to the initiation of post-discontinuation anticancer therapy. (NCT00533429)
Timeframe: Randomization to measured PD or death from any cause up to 12.2 months
Intervention | months (Number) |
---|
Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin | 3.5 |
Pemetrexed + Carboplatin + Bevacizumab + Placebo | 4.3 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate)
"Tumor response rate was defined as number of participants with overall best response of CR or PR over number of protocol qualified participants using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all tumor lesions. 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 LDs or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions. In either case, no new lesions may have appeared.~Percentage of participants was calculated as: (number of participants with CR or PR/ number of participants qualified for tumor response analysis) × 100." (NCT00533429)
Timeframe: Randomization to measured progressive disease or death from any cause up to 12.2 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin | 20.0 |
Pemetrexed + Carboplatin + Bevacizumab + Placebo | 30.0 |
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Part 1: Evaluate Safety [Toxicity, Serious Adverse Events (SAEs) and Reasons for Participant's Discontinuation]
Presented are data that evaluates safety based on toxicity using Common Terminology Criteria for Adverse Events (CTCAE v3.0), SAEs, and discontinuations due to SAEs or other non-serious adverse events (AE's) of study participants. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Event module. (NCT00538681)
Timeframe: Cycle 1 (28-day cycle), Cycles 2, 3, 4, 5, and 6 (21-day cycles) and 30-day follow up
Intervention | Participants (Count of Participants) |
---|
| SAEs | AEs | Discontinued due to AE |
---|
Part 1- Cohort 1 | 5 | 9 | 1 |
,Part 1- Cohort 2 | 0 | 4 | 1 |
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Part 2: To Evaluate the Safety and Toxicity Profile of Study Treatments
The safety and toxicity profile for Part 2 was defined as serious adverse events (SAEs) and other non-serious adverse events (AEs). A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Event module. (NCT00538681)
Timeframe: Cycle 1 (28-day cycle), Cycles 2, 3, 4, 5, and 6 (21-day cycles) and 30-day follow-up
Intervention | Participants (Count of Participants) |
---|
| SAEs | AEs |
---|
Part 2- Enzastaurin | 2 | 8 |
,Part 2- Placebo | 4 | 8 |
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Percentage of Patients With Completely Resected NSCLC Tumors That Can Be Analyzed and Used to Direct Adjuvant Chemotherapy
The percentage of patients with completely resected NSCLC tumors who had successful genomic analysis and assigned to treatment among patients. All 31 patients enrolled in the study had completely resected tumors. These tumors included a mixture of squamous and non-squamous histologies as indicated the original protocol. However, an amendment dated January 25, 2010 limited eligibility to patients with non-squamous disease. Given that only 5 patients were accrued into the study after this amendment, results reported will consider all histologies. (NCT00545948)
Timeframe: 4 years
Intervention | Percentage of participants (Number) |
---|
All Registered Patients | 77.4 |
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2-Year Progression-Free Survival Rate in Patients With Completely Resected Stage IB, II, or IIIA NSCLC
Progression-free survival time was defined as the time from initiation of study treatment to the first date of disease progression or death as a result of any cause. Progression was 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. Time was censored at the date of the last follow-up visit for patients who were still alive and have not progressed. The two-year progression free survival rate is a percentage, representing the fraction of treated patients who, after two years, are disease free or alive. (NCT00545948)
Timeframe: 2 years
Intervention | percentage of treated patients (Number) |
---|
Treatment | 63.64 |
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2-Year Overall Survival in Patients Treated for NSCLC
Overall survival time was defined as the time from initiation of study treatment to the date of death as a result of any cause. Time was censored at the date of the last follow-up visit for patients who were still alive. The two-year overall survival rate is a percentage, representing the fraction of treated patients who, after two years, are alive (NCT00545948)
Timeframe: 2 years
Intervention | percentage of treated patients (Number) |
---|
Treatment | 81.81 |
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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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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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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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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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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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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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Recommended Phase 2 Dose (RP2D)
The RP2D was determined after review and discussion by sponsor and investigators of the study data. Consideration was given to type and severity of toxicity as well as clinical suitability for long-term administration (NCT00560573)
Timeframe: Baseline to end of dose escalation, which was assessed in the last participant of the dose escalation portion of the study in Month 19
Intervention | mg/kg (Number) |
---|
Overall Participapnts | 20 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Figitumumab PK data was analyzed using noncompartmental methods (NCT00560573)
Timeframe: 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 1 for dose escation and 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 4 for expansion
Intervention | mg*hr/L (Mean) |
---|
Figitumumab 6 mg/kg | 26020 |
Figitumumab 10 mg/kg | 21500 |
Figitumumab 20 mg/kg Dose Escalation | 84100 |
Figitumumab 20 mg/kg Expansion | 121200 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2
Intervention | ng*hr/L (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 38.23 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 45.18 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 37.12 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 48.29 |
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Percentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab
Percentage of participants with positive total or neutralizing anti-drug antibody (ADA) for figitumumab (NCT00560573)
Timeframe: 30 min prior to figitumumab infusion in Cycle 1 and Cycle 4, end of study, fourth follow up visit (approximately 150 days after last dose)
Intervention | Percentage of participants (Number) |
---|
| C1D1 - Negative | C1D1 - Positive | C1D1 - Not determined | C4D1 - Negative | C4D1 - Positive | C4D1 - Not determined | End of Study - Negative | End of Study - Positive | End of Study - Not determined | Follow Up - Negative | Follow Up - Positive | Follow Up - Not determined |
---|
Figitumumab 10 mg/kg | 33.3 | 0 | 66.7 | 0 | 0 | 100 | 0 | 0 | 100 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg Dose Escalation | 50.0 | 0 | 50.0 | 50.0 | 0 | 50.0 | 50.0 | 0 | 50.0 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg Pemetrexed Expansion | 100 | 0 | 0 | 53.8 | 0 | 46.2 | 46.2 | 0 | 53.8 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg RP2D Expansion 1.0 Infusion | 80.0 | 0 | 20.0 | 30.0 | 0 | 70.0 | 20.0 | 0 | 80.0 | 0 | 0 | 100 |
,Figitumumab 20 mg/kg RP2D Expansion 2.5 Infusion | 100 | 0 | 0 | 71.4 | 0 | 28.6 | 42.9 | 0 | 51.7 | 14.3 | 0 | 85.7 |
,Figitumumab 6 mg/kg | 50.0 | 0 | 50.0 | 16.7 | 0 | 83.3 | 83.3 | 0 | 16.7 | 0 | 0 | 100 |
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Progression-Free Survival (PFS)
Time from the date of enrollment to date of documented disease progression, or death due to any cause (NCT00560573)
Timeframe: Screening, from Cycle 2 onwards CT scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)
Intervention | months (Median) |
---|
Overall Population | 5.7 |
Figitumumab 20 mg/kg With Gemcitabine and Cisplatin | 6.5 |
Figitumumab 20 mg/kg Expansion With Pemetrexed | 5.4 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8
Intervention | ng*hr/L (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 6.665 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 12.53 |
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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2
Intervention | ng*hr/L (Mean) |
---|
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 132.2 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 161.6 |
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Concentration at the End of Infusion (Cinf) for Figitumumab
Figitumumab pharmacokinetic (PK) data was analyzed using noncompartmental methods (NCT00560573)
Timeframe: Cycle 1 for dose escalation and Cycle 4 for dose expansion
Intervention | mg/liter (L) (Mean) |
---|
Figitumumab 6 mg/kg | 120.4 |
Figitumumab 10 mg/kg | 137.0 |
Figitumumab 20 mg/kg Dose Escalation | 435.0 |
Figitumumab 20 mg/kg Expansion | 513.4 |
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Maximum Observed Plasma Concentration (Cmax) for Cisplatin
Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence of (Cycle 2) figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2
Intervention | nanogram (ng)/mL (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 3.816 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 3.880 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 2.845 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 3.490 |
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Maximum Observed Plasma Concentration (Cmax) for Gemcitabine
Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle) 1 and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8
Intervention | ng/L (Mean) |
---|
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1) | 12.85 |
Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2) | 23.97 |
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Maximum Observed Plasma Concentration (Cmax) for Pemetrexed
Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab (NCT00560573)
Timeframe: 0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2
Intervention | ng/mL (Mean) |
---|
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1) | 72.96 |
Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2) | 93.13 |
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Maximum Tolerated Dose (MTD)
The MTD was defined as the highest dose level below the maximum administered dose which caused 0 or 1 out of 6 participants to experience a DLT in that given cohort at Cycle 1 (NCT00560573)
Timeframe: Cycle 1, up to Day 21
Intervention | mg/kg (Number) |
---|
Overall Population | 20 |
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Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab
Concentration at the end of Cycle 4 (NCT00560573)
Timeframe: 0 (pre-dose) in Cycle 5 Day 1
Intervention | mg/L (Mean) |
---|
Figitumumab 20 mg/kg Expansion | 113.6 |
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Number of Participants With Dose-limiting Toxicities (DLT)
Cycle 1 figitumumab attributed: Grade (Gr) 4 neutropenia (absolute neutrophil count <500 cells/cubic millimeter [mm^3]) >=7 days, febrile neutropenia (Gr 3, fever >=38.5 degrees Celsius), neutropenic infection (Gr 3 neutropenia, infection); Gr 4 thrombocytopenia (platelet <25,000 cells/mm^3), Gr 3 thrombocytopenia >=7 days/bleeding; other Gr 3 not blood/bone marrow Common Terminology Criteria for Adverse Events bar gastrointestinal toxicity, treatment-managed hyperglycemia/fatigue, hypersensitivity; Gr 3-4 hyperglycemia despite treatment; fail to adequately recover to continue study treatment (NCT00560573)
Timeframe: Start of treatment up to end of Cycle 1, Day 21
Intervention | participants (Number) |
---|
Figitumumab 6 mg/kg | 0 |
Figitumumab 10 mg/kg | 0 |
Figitumumab 20 mg/kg Dose Escalation | 1 |
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Percentage of Participants With Objective Response or Prolonged Stabilization
Percentage of participants with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) for at least 12 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST). Participants with non measurable disease were considered having a clinical benefit response only in the case of achievement of CR. Participants who developed early progressive disease post dosing and prior to response evaluation were considered to have progressed on study. Confirmed responses were those that persisted on repeat imaging >= 4 weeks after initial response (NCT00560573)
Timeframe: Screening, from Cycle 2 onwards computerized tomography (CT) scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)
Intervention | Percentage of participants (Number) |
---|
Overall Population | 53.3 |
Figitumumab 20 mg/kg With Gemcitabine and Cisplatin | 56.5 |
Figitumumab 20 mg/kg Expansion With Pemetrexed | 46.2 |
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Serum Total Circulating Insulin-like Growth Factor (IGF-1) Levels
To monitor serum total IGF-1 levels as a potential pharmacodynamic response to figitumumab treatment (NCT00560573)
Timeframe: Baseline, Day 8, end of study
Intervention | ng/mL (Mean) |
---|
| Baseline | End of study |
---|
Overall Population | 124.88 | 543.63 |
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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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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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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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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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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: 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: 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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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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Overall Objective Response
"To determine the objective radiologic response rate of pemetrexed and gemcitabine in patients with recurrent or metastatic Head and Neck Squamouse Cell Carcinoma.~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." (NCT00589667)
Timeframe: 2 years
Intervention | participants (Number) |
---|
| Partial Response | Stable Disease | Progression of Disease | Response not available |
---|
Pemetrexed Plus Gemcitabine | 4 | 18 | 2 | 1 |
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Number of Participants With Partial Response (PR) of Target Lesions
Tumor response was assessed in 12 patients who had at least one follow-up computed tomography (CT) scan. Response Evaluation Criteria in Solid Tumors (RECIST) definition of Partial Response: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. (NCT00604461)
Timeframe: Up to 12 Months
Intervention | participants (Number) |
---|
Dose Escalation Followed by Maintenance Therapy | 4 |
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Number of Months of Progression Free Survival (PFS)
The PFS is defined as the duration of time from the start of treatment to time of progression or death, whichever occurs first. (NCT00604461)
Timeframe: 2 Years, 9 Months
Intervention | Months (Median) |
---|
Dose Escalation Followed by Maintenance Therapy | 7.8 |
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Progression Free Survival During Overall Period (Induction Phase [IP] + Maintenance Phase [MP])
Progression-free survival in overall period is defined as the time from the date of first dose of study drug during IP until the date of PD or death from any cause. PD was determined using RECIST criteria. PD is ≥20% increase in sum of longest diameter of target lesions. PD in overall period uses the screening lesion assessment prior to the induction phase as the baseline assessment. (NCT00606021)
Timeframe: First dose of study drug during IP to PD or date of death from any cause up to 33.6 months
Intervention | months (Median) |
---|
Pemetrexed Plus Best Supportive Care (Maintenance Phase) | 6.2 |
Best Supportive Care (Maintenance Phase) | 6.0 |
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Tumor Response Rate and Disease Control Rate After Induction Phase (IP)
Tumor response rate (%) is the number of responders (participants with best response of CR or PR) divided by the number of participants qualified for tumor response according to RECIST criteria multiplied by 100. Disease control rate is percentage of participants with a best response of stable disease [SD], PR, or CR. CR=disappearance of all target lesions; PR=30% decrease in sum of longest diameter of target lesions; PD is≥20% increase in sum of longest diameter of target lesions. SD= neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. (NCT00606021)
Timeframe: Randomization to measured PD up to 31.4 months
Intervention | percentage of participants (Number) |
---|
| Best Overall Response Rate | CR | PR | SD | Disease Control Rate | PD | Early Death From Malignant Disease | Early Death From Toxicity | Early Death From other cause | Unknown |
---|
Best Supportive Care (Maintenance Phase) | 0 | 0 | 0 | 44.4 | 44.4 | 37.0 | 0 | 0 | 0 | 18.5 |
,Pemetrexed Plus Best Supportive Care (Maintenance Phase) | 0 | 0 | 0 | 57.1 | 57.1 | 32.1 | 7.1 | 0 | 3.6 | 0 |
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Number of Participants With Adverse Events (AEs) During Overall Period
The list of serious adverse events (SAEs) and other non-serious adverse events (AEs) are in Adverse Events Section. (NCT00606021)
Timeframe: First dose of study drug during IP through overall study completion (up to 34.3) months
Intervention | participants (Number) |
---|
| Adverse Events (AE) | Serious Adverse Events (SAE) |
---|
Best Supportive Care (Maintenance Phase) | 16 | 1 |
,Pemetrexed Plus Best Supportive Care (Maintenance Phase) | 15 | 1 |
,Pemetrexed Plus Cisplatin (Induction Phase) | 74 | 13 |
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Progression Free Survival During Maintenance Phase
Progression free survival is defined as the time from randomization until the date of progression of disease (PD) or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is ≥20% increase in sum of longest diameter of target lesions. PD in maintenance phase uses the last lesion assessment prior to randomization as the baseline assessment. (NCT00606021)
Timeframe: Randomization to progression of disease (PD) or date of death from any cause up to 30.9 months
Intervention | months (Median) |
---|
Pemetrexed Plus Best Supportive Care (Maintenance Phase) | 3.2 |
Best Supportive Care (Maintenance Phase) | 3.2 |
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Overall Survival During Overall Period (IP + MP)
Overall survival in overall period is defined as the time from first dose of study drug during IP to death. Participants who were alive were censored at the last contact. (NCT00606021)
Timeframe: First dose of study drug during IP to PD or date of death from any cause up to 34.1 months
Intervention | months (Median) |
---|
Pemetrexed Plus Best Supportive Care (Maintenance Phase) | 15.4 |
Best Supportive Care (Maintenance Phase) | 16.4 |
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Overall Survival During Maintenance Phase
Overall survival in maintenance phase is defined as the time from randomization to death. Participants who were alive were censored at the last contact. (NCT00606021)
Timeframe: Randomization to PD or date of death from any cause up to 31.3 months
Intervention | months (Median) |
---|
Pemetrexed Plus Best Supportive Care (Maintenance Phase) | 12.2 |
Best Supportive Care (Maintenance Phase) | 11.8 |
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Progression-free Survival (PFS)
Defined as the time from date of first dose to the first observation of disease progression, or death due to any cause. For patients who are alive and have not progressed, PFS is censored at the date of last radiological assessment. (NCT00609518)
Timeframe: Randomization (≤4 weeks from baseline visit) to 12 months after randomization
Intervention | months (Median) |
---|
Standard Vitamin and Steroid Schedule + Pemetrexed | 3.7 |
Simplified Vitamin and Steroid Schedule + Pemetrexed | 3.8 |
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Overall Survival
Overall survival is the duration from randomization to death. For patients who are alive, overall survival is censored at the date of last contact. (NCT00609518)
Timeframe: Randomization (≤4 weeks from baseline visit) to 12 months after randomization
Intervention | months (Median) |
---|
Standard Vitamin and Steroid Schedule + Pemetrexed | 8.2 |
Simplified Vitamin and Steroid Schedule + Pemetrexed | 9.2 |
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Proportion of Participants With Best Overall Tumor Response (Response Rate)
Response defined per 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=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. Best Overall Tumor Response is complete response plus partial response. (NCT00609518)
Timeframe: Baseline until disease progression, new therapy initiated, or death from any cause, up to 12 months after enrollment.
Intervention | proportion of patients (Mean) |
---|
Standard Vitamin and Steroid Schedule + Pemetrexed | 0.118 |
Simplified Vitamin and Steroid Schedule + Pemetrexed | 0.064 |
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Progression Free Survival
"From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 1 year)." (NCT00614822)
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 1 year)."
Intervention | weeks (Median) |
---|
Carboplatin, Bevacicumab, Premetrexed | 28 |
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Overall Survival
Overal survival was defined as time between the date of treatment assignment and the date of death (NCT00614822)
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 1 year)."
Intervention | weeks (Median) |
---|
One Arm for Study | 49 |
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Number of Participants With Complete and Partial Tumor Responses
A complete response (CR),was disappearance of all target lesions on CT scan and absence of appearance of any new lesion was required. Partial response (PR) was assessed by at least a 30% decrease in the sum of the longest diameter (LD) of target lesions without appearance of any new lesions. Progressive disease (PD) was defined as at least a 20% increase in the sum of the LD of target lesions or the appearance of one or more new lesions. Patients were assessed to have stable disease if neither sufficient decrease to qualify for PR nor sufficient increase to qualify for PD, without appearance of new lesions. Patients who received one or more cycles were evaluable for response. (NCT00614822)
Timeframe: Patients were enrolled over a 24 month period for treatment visits. After end of treatment visits, subjects were seen or contacted every 3 months for survival data. Median follow up was 49 weeks (6 weeks to death.
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response |
---|
One Arm for Study | 1 | 27 |
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Number of Participants With Adverse Events
Measured by adverse events such as grade 4 toxicities, hospitalizations for toxicities, fever and neutropenia events, and clinically significant bleeding/thrombotic events. (NCT00614822)
Timeframe: Subjects were seen or contacted every 3 months with medain follow up of 49 weeks.
Intervention | Participants (Count of Participants) |
---|
| Thrombocytopenia | Respiratory distress | Grade 3 diarrhea | fatigue |
---|
One Arm for Study | 1 | 1 | 1 | 1 |
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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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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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Survival Rates at 1, 2, and 3 Years
The probability that survival time is at least 1, 2, or 3 years was summarized using Kaplan-Meier estimates. (NCT00686959)
Timeframe: Baseline to Date of Death from Any Cause (Up to 71.4 Months)
Intervention | probability of survival (Number) |
---|
| 1 year (12 months) | 2 years (24 months) | 3 years (36 months) |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 0.76 | 0.52 | 0.40 |
,Arm B: Etoposide + Cisplatin and TRT | 0.77 | 0.52 | 0.37 |
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First Site of Disease Failure in Terms of Relapse
The percentage of participants with first sites of disease failure in terms of relapse within the radiation treatment field, inside the thorax, (outside of the radiation field), or distant disease are presented. Results were summarized using Kaplan-Meier estimates. Some participants relapsed in more than 1 location/site and appear in more than a single category. (NCT00686959)
Timeframe: Baseline to Relapse (Up to 66.6 Months)
Intervention | percentage of participants (Number) |
---|
| Relapsed within the radiation treatment field | Relapsed inside thorax, outside of radiation field | Relapsed distant disease |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 37.3 | 20.5 | 50.0 |
,Arm B: Etoposide + Cisplatin and TRT | 45.8 | 16.3 | 45.8 |
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Adverse Events: The Number of Deaths Per Treatment Group
The number of deaths that occurred while on study drug, the number of deaths due to adverse events (AEs) while on study drug, and the number of deaths due to the study disease (that is, disease progression) while on study drug are presented. In addition, the number of deaths within 30 days of treatment discontinuation, the number of deaths due to AEs within 30 days of treatment discontinuation, and the number of deaths due to study disease within 30 days of treatment discontinuation are presented. For both the deaths due to AEs that occurred on study and for deaths due to AEs that occurred within 30 days of treatment discontinuation, the causality (events assess as possibly related [poss related] to study drug per investigator judgement) is also presented. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT00686959)
Timeframe: Baseline through 30 Days Post Study
Intervention | participants (Number) |
---|
| On study drug (total) | On study drug: Due to AE | On study drug: Due to AE poss related | On study drug: Due to study disease | Within 30 Days of Discontinuation (disc) (total) | Within 30 Days of Disc: Due to AE | Within 30 Days of Disc: Due to AE poss related | Within 30 Days of Disc: Due to study disease |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 12 | 10 | 5 | 2 | 10 | 5 | 2 | 5 |
,Arm B: Etoposide + Cisplatin and TRT | 6 | 4 | 3 | 0 | 6 | 4 | 0 | 2 |
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Progression-free Survival (PFS)
Progression-free survival (PFS) time is from baseline to the first date of documented objective progressive disease (PD) or death from any cause. For participants who were not known to have died or to have had objective PD as of the data inclusion cut-off date for a particular analysis, PFS was censored at the date of the last objective progression-free disease assessments. For participants who took any subsequent systemic anticancer therapy prior to progression or death, PFS was censored at the date of the last objective progression-free disease assessment prior to the start date of any subsequent systemic anticancer therapy. PFS time was summarized using Kaplan-Meier estimates. (NCT00686959)
Timeframe: Baseline to Measured Progressive Disease or Death from Any Cause (Up to 66.6 Months)
Intervention | months (Median) |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 11.37 |
Arm B: Etoposide + Cisplatin and TRT | 9.76 |
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Overall Survival
Overall survival (OS) time is from baseline to the date of death from any cause. For participants not known to have died as of the data cut-off date, OS time was censored at the last contact date the participant was known to be alive prior to the data cut-off date. OS was summarized using Kaplan-Meier estimates. (NCT00686959)
Timeframe: Baseline to Date of Death from Any Cause (Up to 71.4 Months)
Intervention | months (Median) |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 26.81 |
Arm B: Etoposide + Cisplatin and TRT | 24.97 |
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Objective Response Rate (Complete Response [CR] + Partial Response [PR])
Overall response rate (ORR) is the best response of CR or PR as classified by the investigators according to the Response Evaluation Criteria in Solid Tumors (RECIST, v1.1) guidelines. CR is defined as the disappearance of all target and non-target lesions, normalization of tumor marker level of non-target lesions, and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT00686959)
Timeframe: Baseline to Measured Progressive Disease (Up to 7 Months)
Intervention | percentage of participants (Number) |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 35.9 |
Arm B: Etoposide + Cisplatin and TRT | 33.0 |
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Percentage of Participants With a Post Baseline Swallowing Diary Score >=4
Participants were provided with a swallowing diary to record issues with swallowing using a 5-point categorical scale: (1) no problems; (2) mild soreness; (3) swallowing solids with some difficulty; (4) inability to swallow solids; and (5) inability to swallow liquids. Participants rated swallowing over the previous 24 hours. The percentage of participants was calculated by dividing the number of with a post baseline swallowing diary score >=4 by total number of participants analyzed, multiplied by 100. No adjustments were made for the number of available assessments nor were any interpolation of missing assessments made. (NCT00686959)
Timeframe: Baseline through 30 Days Post Study
Intervention | percentage of participants (Number) |
---|
Arm A: Pemetrexed + Cisplatin and TRT | 33.8 |
Arm B: Etoposide + Cisplatin and TRT | 29.0 |
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Progression-free Survival
Duration of progression-free survival in months. (NCT00691301)
Timeframe: From enrollment onto the study until the onset of disease progression or death, up to 5 years
Intervention | months (Median) |
---|
Pemetrexed and Cisplatin | 5.6 |
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Duration of Overall Survival
Overall survival is defined as the duration of time from study entry to time of death or the date of last contact. (NCT00691301)
Timeframe: Every cycle during treatment, then every 3 months for the first 2 years, then every six months for the next three years and then annually, up to 5 years.
Intervention | months (Median) |
---|
Pemetrexed and Cisplatin | 12.3 |
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Frequency and Severity of Observed Adverse Effects
All eligible and evaluable patients (NCT00691301)
Timeframe: every 21 days during study treatment and up to 30 days after the last cycle of treatment.
Intervention | Participants (Count of Participants) |
---|
| Leukopenia | Thrombocytopenia | Neutropenia | Anemia | Other hematologic | Allergy/immunology | Auditory/ear | Cardiac | Coagulation | Constitutional | Dermatologic | Endocrine | Nausea | Vomiting | Gastrointestinal | Genitourinary/renal | Hemorrhage | Infection | Lymphatics | Metabolic | Musculoskeletal | Neurosensory | Other neurological | Ocular/visual | Pain | Pulmonary | Sexual/reproductive | Syndromes | Vascular |
---|
Grade 0 | 16 | 32 | 20 | 2 | 49 | 49 | 39 | 47 | 53 | 6 | 24 | 53 | 7 | 19 | 4 | 43 | 44 | 37 | 42 | 10 | 50 | 31 | 42 | 44 | 18 | 37 | 53 | 52 | 50 |
,Grade 1 (CTCAE v 3.0) | 8 | 11 | 5 | 17 | 0 | 3 | 0 | 5 | 0 | 12 | 20 | 1 | 19 | 11 | 15 | 6 | 7 | 0 | 5 | 19 | 3 | 15 | 8 | 6 | 11 | 9 | 1 | 1 | 0 |
,Grade 2 (CTCAE v 3.0) | 15 | 5 | 10 | 22 | 3 | 0 | 14 | 2 | 0 | 23 | 9 | 0 | 22 | 17 | 24 | 4 | 0 | 11 | 7 | 10 | 0 | 6 | 3 | 2 | 13 | 6 | 0 | 1 | 3 |
,Grade 3 (CTCAE v 3.0) | 12 | 3 | 12 | 6 | 1 | 1 | 1 | 0 | 1 | 12 | 1 | 0 | 6 | 7 | 10 | 1 | 2 | 6 | 0 | 10 | 1 | 2 | 1 | 2 | 12 | 2 | 0 | 0 | 1 |
,Grade 4 (CTCAE v 3.0) | 3 | 3 | 7 | 7 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Grade 5 (CTCAE v 3.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0
RECIST 1.0 defines complete response as the disappearance of all target lesions and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart. Partial response is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required. These patients will have their response classified according to the definitions stated above. Complete and partial responses are included in the objective tumor response rate. (NCT00691301)
Timeframe: CT scan or MRI if used to follow lesion for measurable disease every other cycle until disease progression or study withdrawal; and at any other time if clinically indicated, up to 5 years.
Intervention | participants (Number) |
---|
| Complete Response | Partial Response |
---|
Pemetrexed and Cisplatin | 1 | 16 |
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18 Week Progression-free Survival (PFS) Rate
The 18 week progression-free survival rate was defined as the proportion of patients that were alive and 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. (NCT00698815)
Timeframe: At 18 weeks
Intervention | percentage of participants (Number) |
---|
Arm I (Pemetrexed) | 54 |
Arm II (Sunitinib) | 37 |
Arm III (Pemetrexed and Sunitinib) | 48 |
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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." (NCT00698815)
Timeframe: Duration of treatment (up to 3 years)
Intervention | percentage of participants (Number) |
---|
Arm I (Pemetrexed) | 14 |
Arm II (Sunitinib) | 17 |
Arm III (Pemetrexed and Sunitinib) | 22 |
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PFS
PFS was defined as the time from randomization 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. (NCT00698815)
Timeframe: Time from randomization to disease progression and death of any cause, whichever comes first (up to 3 years)
Intervention | months (Median) |
---|
Arm I (Pemetrexed) | 4.9 |
Arm II (Sunitinib) | 3.3 |
Arm III (Pemetrexed and Sunitinib) | 3.7 |
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Overall Survival (OS)
OS is defined as the time from patient randomization to death from any cause. The median OS with 95% CI was estimated using the Kaplan-Meier method. (NCT00698815)
Timeframe: Time from randomization to death (up to 3 years)
Intervention | months (Median) |
---|
Arm I (Pemetrexed) | 10.5 |
Arm II (Sunitinib) | 8.0 |
Arm III (Pemetrexed and Sunitinib) | 6.7 |
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4M PFS Rate of Patients With Previously Untreated, Unresectable Malignant Pleural Mesothelioma (MPM) Treated With CBP501, Pemetrexed and Cisplatin
Planned: Forty-two patients were to be treated in Arm A. If ≥ 23 patients (>54%) were free of progression and death at 4 months, then the study regimen would be considered for further evaluation in this indication. (NCT00700336)
Timeframe: End of study
Intervention | participants (Number) |
---|
| 4M PFS by Independent Image Review | 4M PFS by Site assess |
---|
Pemetrexed and Cisplatin | 9 | 13 |
,Pemetrexed, Cisplatin, and CBP501 | 25 | 27 |
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Maximum-tolerated Dose of Pemetrexed With a Day 2 i.p. Cisplatin (75 mg/m2) and Day 8 i.p. Paclitaxel (60 mg/m2)
If none of the initial 3 patients on a dose level experienced a dose-limiting toxicity (DLT) after the first cycle of therapy, then the dose was escalated to the next level. If 2 or more patients on any dose level experienced a DLT, then the maximum tolerated dose would be determined to be the next lower dose level. (NCT00702299)
Timeframe: 18 months
Intervention | mg/m2 (Number) |
---|
Receiving Treatment | 500 |
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Overall Survival
(NCT00702299)
Timeframe: Average Length of follow-up 788 days
Intervention | Days (Median) |
---|
Receiving Treatment | 680 |
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Pharmacokinetics (Mean Cmax, ug/mL)for Different Dosages of Pemetrexed
Cmax levels were found through plasma collected between 0.5 to 4 hours and at 24 hours after initiation of intraperitoneal administration (NCT00702299)
Timeframe: 18 months
Intervention | ug/mL (Mean) |
---|
Pemetrexed Dose 500mg/m2 | 25.1 |
Pemetrexed Dose 750 mg/m2 | 39.3 |
Pemetrexed Dose 1,000mg/m2 | 38.7 |
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Patients That Completed at Least 6 Courses of Therapy of Pemetrexed Along With Day 2 i.p. Cisplatin (75 mg/m2) and Day 8 i.p. Paclitaxel (60 mg/m2)at the Determined Maximum Tolerated Dose
If none of the initial 3 patients on a dose level experienced a dose-limiting toxicity (DLT) after the first cycle of therapy, then the dose was escalated to the next level. If 2 or more patients on any dose level experienced a DLT, then the Maximum Tolerance Dose (MTD) would be determined to be the next lower dose level. (NCT00702299)
Timeframe: 18 months
Intervention | % of participants (Number) |
---|
Receiving Treatment | 80.0 |
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Patients Experienced Grade >=3 Toxicity at Dose Level 5 (1,000 mg/m2 IP Pemetrexed)
Toxicity was assessed by NCI Common Toxicity Criteria for Adverse Effects v3.0 (NCT00702299)
Timeframe: 18 months
Intervention | participants (Number) |
---|
Receiving Treatment | 2 |
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Progression-free Survival at 18 Months as Assessed by Cancer Antigen 125
Progression was evaluated with posttreatment CT scans and measured changes in cancer antigen 125 levels 6 months after the initiation of the treatment regimen, or within one month after discontinuation of treatment if stopped early. Cancer antigen 125 response in evaluable patients (N=13) was analyzed using the modified Gynecologic Cancer Intergroup (GCIG) criteria. There was one evaluable patient by Response Evaluation Criteria in Solid Tumors(RECIST) criteria (NCT00702299)
Timeframe: 18 months
Intervention | % of participants (Number) |
---|
Receiving Treatment | 78.6 |
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2-year Progression-free Survival (PFS)
Two-year PFS is an estimated percentage of participants without disease progression (locoregional or distant) at two years after the start of study treatment. Progression was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0), as: at least a 20% (and at least 5 millimeters) increase in the sum of the diameters of target lesions, or the appearance of one or more new lesions. (NCT00703976)
Timeframe: 18 months to patient accrual and 2 years of follow-up after closing accrual.
Intervention | percentage of participants (Number) |
---|
Cetuximab, Pemetrexed and Radiation Therapy | 79 |
Cetuximab, Pemetrexed, Radiation Therapy Plus Bevacizumab | 75 |
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2-year Overall Survival (OS)
Two-year OS is an estimated percentage of participants still living at two years after the start of study treatment. (NCT00703976)
Timeframe: 2 years of follow-up after closing accrual
Intervention | percentage of participants (Number) |
---|
All Participants (Overall Study) | 88 |
Cetuximab, Pemetrexed and Radiation Therapy | 91 |
Cetuximab, Pemetrexed, Radiation Therapy Plus Bevacizumab | 87 |
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Assess Safety and Toxicity
- To determine the toxicities of pemetrexed and concurrent definitive radiation in patients with poor risk stage III NSCLC. (NCT00732303)
Timeframe: 24 months
Intervention | participants (Number) |
---|
| Grade 1 and Grade 2 Fatigue | Grade 1 and 2 Anorexia | Grade 1 and 2 Cough | Grade 3 and 4 Fatigue | Grade 3 and 4 Anorexia | Grade 3 and 4 Neutropenia |
---|
Single Arm Assignment | 7 | 6 | 6 | 4 | 3 | 3 |
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Maximum Concentration of Pemetrexed Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1
(NCT00732992)
Timeframe: Cycle 2 Day 1: Pre-dose, 10 minutes after the start of infusion (immediately before the end of infusion), and 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Intervention | microgram/mL (Mean) |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 163 |
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Terminal Phase Elimination Half-Life (T1/2) of Pemetrexed Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1
"Terminal phase elimination half-life was calculated as natural logarithm of 2 (ln2) divided by the rate constant for terminal phase (kel)." (NCT00732992)
Timeframe: Cycle 2 Day 1: Pre-dose, 10 minutes after the start of infusion (immediately before the end of infusion), and 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Intervention | hours (Mean) |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 2.754 |
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"Sunitinib Relative Dose Intensity in the Sunitinib 37.5 mg/Day Continuous Daily Dosing Treatment Arm"
Relative dose intensity was defined as percentage of total dose administered over total planned dose in the given period. (NCT00732992)
Timeframe: Up to Cycle 5 (end of study)
Intervention | percent of total planned dose (Median) |
---|
| Cycle 1 (n=6) | Cycle 2 (n=6) | Cycle 3 (n=4) | Cycle 4 (n=4) | Cycle 5 (n=1) |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 92.0 | 54.8 | 46.0 | 55.6 | 44.4 |
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AUC 0-24 of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1
AUC0-24 = Area under the plasma concentration versus time curve to 24 hours post dose was calculated using the linear/logarithmic trapezoidal method. SU012662 is an active metabolite of sunitinib. (NCT00732992)
Timeframe: Cycle 2 Day 1: Pre-dose and 2, 4, 6, 8, 10, and 24 hours post-dose
Intervention | nanogram*hour/mL (Mean) |
---|
| Sunitinib | SU012662 | Total Drug |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 1190 | 675 | 1866 |
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"Sunitinib Relative Dose Intensity in the Sunitinib 50 mg/Day Schedule-2/1 Treatment Arm"
Relative dose intensity was defined as percentage of total dose administered over total planned dose in the given period. (NCT00732992)
Timeframe: Up to Cycle 6
Intervention | percent of total planned dose (Median) |
---|
| Cycle 1 (n=6) | Cycle 2 (n=5) | Cycle 3 (n=4) | Cycle 4 (n=3) | Cycle 5 (n=3) | Cycle 6 (n=3) |
---|
Sunitinib 50 mg/Day Schedule-2/1 | 87.5 | 80.4 | 53.6 | 50.0 | 50.0 | 50.0 |
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Number of Participants With Adverse Events
Number of participants with any adverse events, adverse events graded as Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) Grade 3 or higher , dose limiting toxicities (DLT), serious adverse events, adverse events resulted in discontinuation. (NCT00732992)
Timeframe: End of study (up to individual discontinuation)
Intervention | Participants (Number) |
---|
| Any adverse events | Any dose limiting toxicities | Any serious adverse events | Any Grade-3 or -4 adverse events | Any Grade-5 adverse events (= death) | Discontinuation due to adverse events |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 6 | 0 | 2 | 6 | 0 | 1 |
,Sunitinib 50 mg/Day Schedule-2/1 | 6 | 0 | 1 | 3 | 0 | 1 |
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Summary of Best Overall Response According to Response Evaluation Criteria in Solid Tumors (RECIST): Number of Participants
Complete response (CR): disappearance of all target lesions; Partial response (PR): >=30% decrease in the sum of the longest dimensions (SLD) of the target lesions taking as a reference the baseline SLD; Progressive disease (PD): >=20% increase in the SLD of the target lesions taking as a reference the smallest SLD recorded since the treatment started, or the appearance of >=1 new lesions; Stable disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as a reference the smallest SLD since the treatment started. (NCT00732992)
Timeframe: End of study (Up to individual study discontinuation)
Intervention | Participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) | Progressive Disease (PD) | Not Evaluable (NE) | Objective Response (CR+PR) | Stable Disease (SD) >=184 days | Clinical Benefit (CR+PR+SD >=184 days) |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 0 | 1 | 2 | 1 | 0 | 1 | 0 | 1 |
,Sunitinib 50 mg/Day Schedule-2/1 | 0 | 0 | 3 | 1 | 0 | 0 | 1 | 1 |
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Tmax of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1
Tmax = Time to maximum plasma concentration. SU012662 is an active metabolite of sunitinib. (NCT00732992)
Timeframe: Cycle 2 Day 1: Pre-dose and 2, 4, 6, 8, 10, and 24 hours post-dose
Intervention | hours (Median) |
---|
| Sunitinib | SU012662 | Total Drug |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 4 | 4 | 4 |
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Trough and Maximum Concentration of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1
Trough concentration was defined as observed concentration at 24 hours post dose. SU012662 is an active metabolite of sunitinib. (NCT00732992)
Timeframe: Cycle 2 Day 1: Pre-dose and 2, 4, 6, 8, 10, and 24 hours post-dose
Intervention | nanogram/mL (Mean) |
---|
| Sunitinib: Trough concentration | Sunitinib: Maximum concentration | SU012662: Trough concentration | SU012662: Maximum concentration | Total drug: Trough concentration | Total drug: Maximum concentration |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 45.6 | 59.9 | 25.1 | 31.6 | 70.6 | 91.5 |
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Trough Concentrations of Sunitinib, SU012662, and Total Drug (Sunitinib + SU012662) After Coadministration of Sunitinib 50 mg/Day and Pemetrexed 500 mg/m^2 (Cycle 1 Day 1), Followed by Sunitinib 50 mg/Day on Schedule-2/1 at Cycle 1 Day 14 or 15
Trough concentration was defined as observed concentration at 24 hours post dose. SU012662 is an active metabolite of sunitinib. (NCT00732992)
Timeframe: Cycle 1 Day 14 (or 15): approximately 24 hours after the previous dose
Intervention | nanogram/mL (Mean) |
---|
| Sunitinib | SU012662 | Total Drug |
---|
Sunitinib 50 mg/Day Schedule-2/1 | 78.5 | 38.2 | 117 |
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AUC0-∞ of Pemetrexed Following Continuous Daily Dosing of Sunitinib 37.5 mg/Day in Combination With Pemetrexed 500 mg/m^2 at Cycle 2 Day 1
AUC0-∞ = Area under the plasma concentration versus time curve from zero time to infinity was calculated as the sum of AUClast and (Ct*/kel), where Ct* was the estimated concentration at the time of the last quantifiable concentration, kel was terminal phase rate constant that is estimated as the absolute value of the slope of a linear regression during the terminal phase of the natural-logarithm (ln) transformed concentration-time profile. (NCT00732992)
Timeframe: Cycle 2 Day 1: Pre-dose, 10 minutes after the start of infusion (immediately before the end of infusion), and 1, 2, 4, 6, 8, 10, and 24 hours post-dose
Intervention | microgram*hour/mL (Mean) |
---|
Sunitinib 37.5 mg/Day Continuous Daily Dosing | 191 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability of Amatuximab
An adverse event (AE) was any untoward medical occurrence (example; any unfavorable and unintended sign including abnormal laboratory findings, symptom or disease) in a participant or clinical investigation participant after providing written informed consent for participation in the study until the end of study visit. TEAEs were defined as an AE that developed or worsened in severity during the on-treatment period (from first dose of amatuximab to 30 days after last dose of amatuximab). SAE was defined as any adverse event (appearance of [or worsening of any pre-existing]) undesirable sign, symptom or medical conditions which is fatal or life-threatening or results in persistent or significant disability/incapacity or constitutes a congenital anomaly/birth defect or requires inpatient hospitalization or prolongation of existing hospitalization or is medically significant. (NCT00738582)
Timeframe: From date of first dose of study drug up to 30 days after the last dose of study treatment, up to approximately 5 years
Intervention | Participants (Count of Participants) |
---|
| Participants with at least 1 TEAE | Participants with at least 1 SAE |
---|
Amatuximab | 52 | 15 |
,Amatuximab/Pemetrexed/Cisplatin | 89 | 38 |
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Number of Participants With Progression Free Survival (PFS) Responders and Non-responders at Month 6
"Number of participants with PFS responders and non-responders at Month 6 was reported. PFS was defined as the time from the date of the first dose of amatuximab to the date of disease progression or death due to any cause, as determined by independent radiologist based on the modified Response Evaluation Criteria in Solid Tumors (RECIST) utilizing the total tumor measurement (performed by computerized tomography (CT)/magnetic resonance imaging (MRI)) which includes the pleural unidimensional measure plus the total of the target lesion(s) measurement. A response, in terms of PFS, was defined to be at least a 6-month stabilization of disease. Progressive disease (PD) as measured by Modified RECIST was defined as an increase of at least 20 percent (%) in the total tumor measurement over the nadir measurement, or the appearance of one or more new lesions." (NCT00738582)
Timeframe: Month 6
Intervention | Participants (Count of Participants) |
---|
| PFS Responders | PFS non-responders |
---|
All Participants | 26 | 51 |
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Time to Tumor Response (TTR)
TTR was derived for those participants with objective evidence of CR or PR. TTR was defined as the time from the date of the first dose of amatuximab to first documentation of objective tumor response. CR was defined as the disappearance of all target lesions with no evidence of tumor elsewhere, and PR was defined as at least a 30% reduction in the total tumor measurement. (NCT00738582)
Timeframe: From the date of the first dose to first documentation of objective response, up to approximately 5 years
Intervention | Months (Median) |
---|
All Participants | 2.3 |
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Overall Survival (OS)
OS was defined as the time from the date of the first dose of amatuximab to the date of death. (NCT00738582)
Timeframe: From the date of first dose to the date of death, up to approximately 5 years
Intervention | Months (Median) |
---|
All Participants | 14.8 |
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Overall Response Rate (ORR)
ORR, defined as the percentage of participants with objective evidence of complete response (CR) or partial response (PR) as determined by independent radiologist based on the modified RECIST utilizing the total tumor measurement (performed by CT/ MRI) which includes the pleural unidimensional measure plus the total of the target lesion(s) measurement. Tumor assessments performed up to the initiation of further anticancer therapy were considered. CR was defined as the disappearance of all target lesions with no evidence of tumor elsewhere, and PR was defined as at least a 30% reduction in the total tumor measurement. A confirmed response required a repeat observation on two occasions 4 weeks apart. ORR = CR + PR. (NCT00738582)
Timeframe: From the date of first dose until evidence of CR or PR, up to approximately 5 years
Intervention | Percentage of participants (Number) |
---|
All Participants | 34.5 |
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Duration of Response (DR)
DR was derived for those participants who achieved a PFS Response and had an objective evidence of CR or PR. DR was defined as the time (in months) from first documentation of objective response (CR or PR) to the first documentation of disease progression or death [as determined by independent radiologist based on the modified RECIST utilizing the total tumor measurement (performed by CT/ MRI) which includes the pleural unidimensional measure plus the total of the target lesion(s) measurement]. Tumor assessments performed up to the initiation of further anticancer therapy were considered. CR was defined as the disappearance of all target lesions with no evidence of tumor elsewhere, and PR was defined as at least a 30% reduction in the total tumor measurement. PD as measured by Modified RECIST was defined as an increase of at least 20% in the total tumor measurement over the nadir measurement, or the appearance of one or more new lesions. (NCT00738582)
Timeframe: From the first documentation of objective response (CR or PR) to the first documentation of disease progression, up to approximately 5 years
Intervention | Months (Median) |
---|
All Participants | 9.2 |
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Overall Progression Free Survival
Overall PFS was defined as the time from the date of first dose of amatuximab to the date of disease progression or death due to any cause. In the absence of confirmation of death, the survival time was censored at the date of the last follow-up contact. Tumor assessments performed up to the initiation of further anticancer therapy were considered. PD as measured by Modified RECIST was defined as an increase of at least 20% in the total tumor measurement over the nadir measurement, or the appearance of one or more new lesions. (NCT00738582)
Timeframe: From the date of first dose of amatuximab to the date of disease progression, up to approximately 5 years
Intervention | Months (Median) |
---|
All Participants | 6.3 |
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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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Time to Death
Median time (in days) from randomisation until death using the Kaplan-Meier method (Calculator for survival probability) (NCT00745875)
Timeframe: Patients were followed up for survival every week for the first 3 weeks then every 3 weeks whilst on study medication until the data cut-off (17th January 2010).
Intervention | Days (Median) |
---|
Placebo + Pemetrexed | 193 |
ZD4054 + Pemetrexed | 146 |
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Progression-free Survival
Median time (in days) from randomisation until disease progression/death using the Kaplan-Meier method (NCT00745875)
Timeframe: Tumour assessments for progression were performed at screening, every 3 weeks, Mandatory Tumour Assessment Visit (19 August 2009 ± 3 days), treatment discontinuation
Intervention | Days (Median) |
---|
Placebo + Pemetrexed | 87 |
ZD4054 + Pemetrexed | 110 |
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Time to Progressive Disease
Time to progressive disease was defined as the time from randomization to the first date of objective disease progression. Participants were censored at date of last PFS assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy, whichever was earlier. (NCT00762034)
Timeframe: Baseline to measured progressive disease (up to 37.06 months)
Intervention | months (Median) |
---|
Pem/Carbo/Bev | 7.03 |
Pac/Carbo/Bev | 6.04 |
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Translational Research: Overall Survival (OS) Based on Nuclear Thyroid Transcription Factor-1 (TTF-1) Expression Regardless of Study Treatment
Nuclear Thyroid Transcription Factor-1 (TTF-1) expression was measured using an Immunohistochemistry (IHC) assay which were scored using a 0 (negative, no staining) to 3+ (brightest staining) scoring system, and H score is a calculated using formula: 1x(percentage of cells stained 1+) + 2x(percentage of cells stained 2+) + 3x(percentage of cells stained 3+). TTF-1 Positive have an H score >0 and TTF-1 Negative have an H score=0. Overall survival (OS) is the duration from date of randomization to date of death from any cause. Participants were censored at the date they were last known to be alive. (NCT00762034)
Timeframe: Baseline to date of death from any cause (up to 37.06 months)
Intervention | months (Median) |
---|
TTF-1 Positive (H Score > 0) | 14.9 |
TTF-1 Negative (H Score = 0) | 8.7 |
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Change From Baseline in Participant Reported Outcomes as Assessed by the Functional Assessment of Cancer Therapy - Lung (FACT-L)
"FACT-L is a valid instrument used to measure quality of life (QOL) in participants with cancer consisting of the 27-item FACT-General (G) and 9-item lung cancer subscale (LCS). FACT-G is organized into subscales: physical well-being (PWB)-7 items; social/family well-being (SWB)-7 items; emotional well-being (EWB)-6 items; functional well-being (FWB)-7 items. Each item uses a 5 point rating scale (0=not at all and 4=equals very much). FACT-L Total Score=4 subscales + LCS and ranges from 0 to 144. Trial Outcome Index-Lung (TOI-L)=PWB+FWB+LCS and ranges from 0 to 92. Higher scores indicate better QOL. Least squares mean (LSmean) change is calculated using the linear-mixed model (LMM) analysis controlled for treatment, baseline value, time point and treatment by time point interaction." (NCT00762034)
Timeframe: Baseline, up to first 10 cycles (4 induction and 6 maintenance cycles, cycle=21 days)
Intervention | units on a scale (Least Squares Mean) |
---|
| FACT-L Total Score (n=397, 392) | Trial Outcome Index-Lung (TOI-L) (n=396, 394) |
---|
Pac/Carbo/Bev | 1.66 | -0.40 |
,Pem/Carbo/Bev | 1.88 | -0.38 |
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Change From Baseline in Participant Reported Outcomes as Assessed by the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group- Neurotoxicity (FACT/GOG-Ntx)
"FACT/GOG-Ntx is a validated instrument used to measure quality of life (QOL) in participants with cancer and neurotoxicity (Ntx) consisting of 27-item FACT-General (G) and 11-item Ntx subscale. FACT-G is organized into domain subscales: physical well-being (PWB)-7 items; social/family well-being (SWB)-7 items; emotional well-being (EWB)-6 items; functional well-being (FWB)-7 items; each uses a 5 point rating scale (0=not at all and 4=equals very much). FACT/GOG-Ntx Total Score=sum 5 subscales and ranges from 0-152. Ntx Trial Outcome Index (TOI-Ntx)=PWB+FWB+NTX and range from 0-100. For all FACT scales, higher scores indicate better QOL. Least squares mean (LSmean) change is calculated using the linear-mixed model (LMM) analysis controlled for treatment, baseline value, time point and treatment by time point interaction." (NCT00762034)
Timeframe: Baseline, up to first 10 cycles (4 induction and 6 maintenance cycles, cycle=21 days)
Intervention | units on a scale (Least Squares Mean) |
---|
| FACT/GOG-Ntx Total Score (n=393, 389) | Ntx Trial Outcome Index (TOI-Ntx)(n=393, 390) |
---|
Pac/Carbo/Bev | -5.48 | -7.60 |
,Pem/Carbo/Bev | -0.60 | -2.79 |
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Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC(0-∞)) for Total (Bound and Unbound) Platinum and Unbound Platinum
Platinum is a metabolite of Carboplatin (Carbo) and is found in the blood as both a bound and unbound form. (NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.25, 0.5, 0.67, 1.42, 2.17, 4, 6, 8, 24, 48, and 72 hours post-dose)
Intervention | microgram*hour per milliliter (μg•hr/mL) (Geometric Mean) |
---|
| Total (Bound and Unbound) | Unbound (n=17, 13) |
---|
Pac/Carbo/Bev | 182 | 62.9 |
,Pem/Carbo/Bev | 160 | 55.7 |
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Pharmacokinetics (PK): Elimination Half-life (t1/2) for Total (Bound and Unbound) Platinum and Unbound Platinum
Platinum is a metabolite of Carboplatin (Carbo) and is found in the blood as both a bound and unbound form. (NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.25, 0.5, 0.67, 1.42, 2.17, 4, 6, 8, 24, 48, and 72 hours post-dose)
Intervention | hours (hr) (Geometric Mean) |
---|
| Total (Bound and Unbound) | Unbound (n=17, 13) |
---|
Pac/Carbo/Bev | 86.4 | 1.95 |
,Pem/Carbo/Bev | 65.6 | 2.03 |
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Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) for Total (Bound and Unbound) Platinum and Unbound Platinum
Platinum is a metabolite of Carboplatin (Carbo) and is found in the blood as both a bound and unbound form. (NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.25, 0.5, 0.67, 1.42, 2.17, 4, 6, 8, 24, 48, and 72 hours post-dose)
Intervention | micrograms per milliliter (μg/mL) (Geometric Mean) |
---|
| Total (Bound and Unbound) | Unbound (n=18, 15) |
---|
Pac/Carbo/Bev | 17.8 | 17.1 |
,Pem/Carbo/Bev | 18.4 | 21.1 |
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Translational Research: Number of Participants With Epidermal Growth Factor Receptor (EGFR) Mutations
Epidermal Growth Factor Receptor (EGFR) mutations were measured by polymerase chain reaction (PCR). (NCT00762034)
Timeframe: Baseline
Intervention | participants (Number) |
---|
| EGFR mutation positive | EGFR mutation negative |
---|
Pem or Pac Plus Carbo/Bev | 11 | 121 |
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Translational Research: Overall Survival (OS) Based on Cytoplasmic and Membrane Folate Receptor Alpha (FR-α) Expression
Cytoplasmic and membrane Folate Receptor Alpha (FR-α) expression was measured using an Immunohistochemistry (IHC) assay which were scored using a 0 (negative, no staining) to 3+ (brightest staining) scoring system for cytoplasmic or membrane staining, and H score is a calculated using formula: 1x(percentage of cells stained 1+) + 2x(percentage of cells stained 2+) + 3x(percentage of cells stained 3+). FR-α Positive have an H score >0 and FR-α Negative have an H score=0. Overall survival (OS) is the duration from date of randomization to date of death from any cause. Participants were censored at the date they were last known to be alive. (NCT00762034)
Timeframe: Baseline to date of death from any cause (up to 37.06 months)
Intervention | months (Median) |
---|
| FR-α Cytoplasm Positive (H score > 0; n=64, 53) | FR-α Cytoplasm Negative (H score = 0; n=34, 29) | FR-α Membrane Positive (H score > 0; n=39, 22) | FR-α Membrane Negative (H score = 0; n=59, 60) |
---|
Pac/Carbo/Bev | 14.3 | 11.2 | 15.5 | 11.3 |
,Pem/Carbo/Bev | 14.4 | 12.0 | 19.2 | 12.9 |
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Translational Research: Overall Survival (OS) Based on Cytoplasmic and Nuclear Thymidylate Synthase (TS) Expression
Cytoplasmic and nuclear Thymidylate Synthase (TS) expression was measured using an Immunohistochemistry (IHC) assay which were scored using a 0 (negative, no staining) to 3+ (brightest staining) scoring system for cytoplasmic and nuclear staining, and H score was calculated using formula: 1x(percentage of cells stained 1+) + 2x(percentage of cells stained 2+) + 3x(percentage of cells stained 3+). TS Positive have an H score >0 and TS Negative have an H score=0. Overall survival (OS) is the duration from date of randomization to date of death from any cause. Participants were censored at the date they were last known to be alive. (NCT00762034)
Timeframe: Baseline to date of death from any cause (up to 37.06 months)
Intervention | months (Median) |
---|
| TS Cytoplasm Positive (H score > 0; n=90, 83) | TS Cytoplasm Negative (H score = 0; n=10, 6) | TS Nucleus Positive (H score > 0; n=68, 51) | TS Nucleus Negative (H score = 0; n=32, 38) |
---|
Pac/Carbo/Bev | 12.4 | 11.6 | 12.4 | 12.4 |
,Pem/Carbo/Bev | 12.9 | 18.2 | 12.7 | 19.2 |
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Safety and Toxicity Profile of Study Treatments
Safety and toxicity profile was defined as serious and other non-serious adverse events. A summary of serious and all other non-serious adverse events is located in the Reported Adverse Event module. (NCT00762034)
Timeframe: Baseline to study endpoint (up to 37.06 months)
Intervention | participants (Number) |
---|
| Serious Adverse Events (SAEs) | Other Adverse Events (AEs) |
---|
Pac/Carbo/Bev; Induction Phase | 123 | 431 |
,Pac/Carbo/Bev; Maintenance Phase | 68 | 296 |
,Pem/Carbo/Bev; Induction Phase | 111 | 432 |
,Pem/Carbo/Bev; Maintenance Phase | 83 | 288 |
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Change From Baseline in Participant Reported Outcomes as Assessed by the Functional Assessment of Cancer Therapy - General (FACT-G)
"The FACT-G is a validated instrument used to measure quality of life (QOL) in participants with cancer consisting of the 27-item questionnaire and is organized into subscales, each designed to assess a QOL domain: physical well-being (PWB)-7 items; social/family well-being (SWB)-7 items; emotional well-being (EWB)-6 items; functional well-being (FWB)-7 items. Each item uses a 5 point rating scale (0=not at all and 4=equals very much). FACT-G Total is the sum of the scores of all 4 subscales and ranges from 0 to 108. Higher scores indicate better QOL. Least squares mean (LSmean) change is calculated using the linear-mixed model (LMM) analysis controlled for treatment, baseline value, time point and treatment by time point interaction." (NCT00762034)
Timeframe: Baseline, up to first 10 cycles (4 induction and 6 maintenance cycles, cycle=21 days)
Intervention | units on a scale (Least Squares Mean) |
---|
Pem/Carbo/Bev | 0.51 |
Pac/Carbo/Bev | 0.18 |
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Duration of Hospitalizations Per Participant
Length of hospitalization in participants hospitalized during the study or within 30 days of discontinuation regardless of whether the hospitalization was or was not due to study drug. (NCT00762034)
Timeframe: Baseline to study endpoint (up to 37.06 months)
Intervention | days (Mean) |
---|
Pem/Carbo/Bev | 9.4 |
Pac/Carbo/Bev | 8.0 |
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Number of Participants Receiving Concomitant Medication
(NCT00762034)
Timeframe: Baseline to study endpoint (up to 37.06 months)
Intervention | participants (Number) |
---|
Pem/Carbo/Bev | 406 |
Pac/Carbo/Bev | 421 |
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Number of Participants Who Received a Transfusion
(NCT00762034)
Timeframe: Baseline to study endpoint (up to 37.06 months)
Intervention | participants (Number) |
---|
Pem/Carbo/Bev | 116 |
Pac/Carbo/Bev | 44 |
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Overall Survival
Overall survival (OS) is the duration from date of randomization to date of death from any cause. Participants were censored at the date they were last known to be alive. (NCT00762034)
Timeframe: Baseline to date of death from any cause (up to 37.06 months)
Intervention | months (Median) |
---|
Pem/Carbo/Bev | 12.55 |
Pac/Carbo/Bev | 13.40 |
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Percentage of Participants With a Complete Response (CR) and Partial Response (PR) (Overall Response Rate)
Overall Response Rate (ORR) is the number of participants with a Complete Response (CR) and Partial Response (PR) divided by the total number of randomized participants per arm, then multiplied by 100. Response is based on the Response Evaluation Criteria In Solid Tumors (RECIST 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 compared to baseline or the complete disappearance of target lesions, with persistence of 1 or more nontarget lesion(s) and no new lesions. (NCT00762034)
Timeframe: Baseline to measured progressive disease (up to 37.06 months)
Intervention | percentage of participants (Number) |
---|
Pem/Carbo/Bev | 34.1 |
Pac/Carbo/Bev | 33.0 |
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Percentage of Participants With a Complete Response (CR), Partial Response (PR), and Stable Disease (SD) (Disease Control Rate)
Disease Control Rate (DCR) is the number of participants with a Complete Response (CR), Partial Response (PR), and Stable Disease (SD) divided by the total number of randomized participants per arm, then multiplied by 100. Response is based on the Response Evaluation Criteria In Solid Tumors (RECIST 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 compared with baseline or the complete disappearance of target lesions, with persistence of 1 or more nontarget lesion(s) and no new lesions. Progressive Disease (PD) was defined as at least 20% increase in sum of longest diameter of target lesions compared with the smallest sum of the longest diameter recorded since the start of treatment or the appearance of 1 or more new lesion(s). Stable Disease (SD) was defined as small changes that did not meet above criteria. (NCT00762034)
Timeframe: Baseline to measured progressive disease (up to 37.06 months)
Intervention | percentage of participants (Number) |
---|
Pem/Carbo/Bev | 65.9 |
Pac/Carbo/Bev | 69.8 |
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Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC(0-∞)) Bevacizumab
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.75, 1.5, 3, 5, 7, 24, 48, 72, 168, 336, and 503 hours post-dose)
Intervention | microgram*day per milliliter (μg•day/mL) (Geometric Mean) |
---|
Pem/Carbo/Bev | 3070 |
Pac/Carbo/Bev | 3160 |
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Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC(0-∞)) for Pemetrexed
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.17, 0.33, 0.58, 0.83, 1, 1.75, 2.5, 4. 6. 8, and 24 hours post-dose)
Intervention | microgram*hour per milliliter (μg•hr/mL) (Geometric Mean) |
---|
Pem/Carbo/Bev | 203 |
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Pharmacokinetics (PK): Bevacizumab Clearance (CL)
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.75, 1.5, 3, 5, 7, 24, 48, 72, 168, 336, and 503 hours post-dose)
Intervention | liters per day (L/day) (Geometric Mean) |
---|
Pem/Carbo/Bev | 0.341 |
Pac/Carbo/Bev | 0.376 |
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Pharmacokinetics (PK): Elimination Half-life (t1/2) for Bevacizumab
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.75, 1.5, 3, 5, 7, 24, 48, 72, 168, 336, and 503 hours post-dose)
Intervention | days (Geometric Mean) |
---|
Pem/Carbo/Bev | 14.8 |
Pac/Carbo/Bev | 12.8 |
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Pharmacokinetics (PK): Elimination Half-life (t1/2) for Pemetrexed
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.17, 0.33, 0.58, 0.83, 1, 1.75, 2.5, 4. 6. 8, and 24 hours post-dose)
Intervention | hours (hr) (Geometric Mean) |
---|
Pem/Carbo/Bev | 2.88 |
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Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) for Bevacizumab
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.75, 1.5, 3, 5, 7, 24, 48, 72, 168, 336, and 503 hours post-dose)
Intervention | micrograms per milliliter (μg/mL) (Geometric Mean) |
---|
Pem/Carbo/Bev | 276 |
Pac/Carbo/Bev | 302 |
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Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) for Pemetrexed
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.17, 0.33, 0.58, 0.83, 1, 1.75, 2.5, 4. 6. 8, and 24 hours post-dose)
Intervention | micrograms per milliliter (μg/mL) (Geometric Mean) |
---|
Pem/Carbo/Bev | 122 |
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Pharmacokinetics (PK): Pemetrexed Clearance (CL)
(NCT00762034)
Timeframe: Cycle 1 (pre-dose, 0.17, 0.33, 0.58, 0.83, 1, 1.75, 2.5, 4. 6. 8, and 24 hours post-dose)
Intervention | milliliters per minute (mL/min) (Geometric Mean) |
---|
Pem/Carbo/Bev | 72.1 |
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Progression Free Survival Time
Progression free survival (PFS) is defined as the time from date of randomization to the date of objective disease progression or death due to any cause. Participants were censored at date of last PFS assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy, whichever was earlier. (NCT00762034)
Timeframe: Baseline to measured progressive disease or date of death from any cause (up to 33.54 months)
Intervention | months (Median) |
---|
Pem/Carbo/Bev | 6.04 |
Pac/Carbo/Bev | 5.55 |
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Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score
Symptom severity score is comprised of average of 13 MDASI core items (pain, fatigue, nausea, disturbed sleep, distressed, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sadness, vomiting, numbness or tingling) and ranges from 0 to 10. Participants were asked to rate severity of each symptom at their worst in last 24 hours; each item rated from 0 to 10, with 0 = symptom not present and 10 = as bad as you can imagine. Lower scores indicated better outcome. (NCT00768755)
Timeframe: Phase 2 baseline (Cycle1/Day1), Cycle1/Day8, then Day 1 and 8 of each cycle of chemotherapy (C) up to CycleC6, Day 1 of each cycle of single-agent phase (A) up to CycleA8 and end of treatment (EOT)
Intervention | units on a scale (Mean) |
---|
| Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | Change at CycleC1/Day 8, (n= 49, 49, 50) | Change at CycleC2/Day1 (n= 51, 51, 41) | Change at CycleC2/Day8 (n= 39, 38, 34) | Change at CycleC3/Day1 (n= 45, 47, 39) | Change at CycleC3/Day8 (n= 38, 35, 32) | Change at CycleC4/Day1 (n= 43, 43, 38) | Change at CycleC4/Day8 (n= 33, 33, 27) | Change at CycleC5/Day1 (n= 35, 34, 29) | Change at CycleC5/Day8 (n= 29, 26, 25) | Change at CycleC6/Day1 (n= 27, 28, 28) | Change at CycleC6/Day8 (n= 25, 25, 21) | Change at CycleA1/Day1 (n= 35, 33, 21) | Change at CycleA2/Day1 (n= 32, 30, 14) | Change at CycleA3/Day1 (n= 27, 26, 10) | Change at CycleA4/Day1 (n= 22, 25, 0) | Change at CycleA5/Day1 (n= 17, 23, 12) | Change at CycleA6/Day1 (n= 17, 16, 10) | Change at CycleA7/Day1 (n= 15, 15, 0) | Change at CycleA8/Day1 (n= 15, 14, 10) | Change at CycleA9/Day1 (n= 13, 11, 0) | Change at CycleA10/Day1 (n= 0, 10, 0) | Change at EOT (n= 40, 35, 31) |
---|
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | 1.75 | 1.55 | 0.12 | 1.52 | 0.57 | 1.33 | 0.85 | 1.37 | 0.59 | 1.19 | 0.67 | 1.44 | 0.63 | 0.36 | 0.25 | 0.03 | 0.19 | 0.10 | -0.26 | -0.28 | -0.46 | NA | 0.66 |
,Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | 2.09 | 0.36 | -0.05 | 0.39 | 0.29 | 0.87 | 0.48 | 0.90 | 0.48 | 0.82 | 0.42 | 0.85 | 0.24 | -0.01 | 0.01 | 0.07 | -0.12 | -0.23 | -0.33 | 0.30 | 0.34 | 0.61 | 1.02 |
,Pemetrexed/Cisplatin (Phase 2) | 1.80 | 0.95 | 0.39 | 0.69 | 0.32 | 1.15 | 0.37 | 1.48 | 0.72 | 1.16 | 0.67 | 1.28 | 0.68 | 0.14 | 0.12 | NA | 0.30 | 0.14 | NA | 0.02 | NA | NA | 0.99 |
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Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score
Symptom interference score is comprised of average of 6 function items from MDASI core (general activity, mood, work, relations with others, walking, and enjoyment of life) and ranges from 0 to 10. Participants were asked to rate how much symptoms have interfered in last 24 hours; each item rated from 0 to 10, with 0 = did not interfere and 10 = interfered completely. Lower scores indicated better outcome. (NCT00768755)
Timeframe: Phase 2 baseline (Cycle1/Day1), Cycle1/Day8, then Day 1 and 8 of each cycle of chemotherapy (C) up to CycleC6, Day 1 of each cycle of single-agent phase (A) up to CycleA8 and EOT
Intervention | units on a scale (Mean) |
---|
| Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | Change at CycleC1/Day 8, (n= 49, 49, 50) | Change at CycleC2/Day1 (n= 51, 51, 41) | Change at CycleC2/Day8 (n= 39, 38, 34) | Change at CycleC3/Day1 (n= 45, 47, 39) | Change at CycleC3/Day8 (n= 38, 35, 32) | Change at CycleC4/Day1 (n= 43, 43, 38) | Change at CycleC4/Day8 (n= 33, 33, 27) | Change at CycleC5/Day1 (n= 35, 34, 29) | Change at CycleC5/Day8 (n= 29, 26, 25) | Change at CycleC6/Day1 (n= 27, 28, 28) | Change at CycleC6/Day8 (n= 25, 25, 21) | Change at CycleA1/Day1 (n= 35, 33, 21) | Change at CycleA2/Day1 (n= 32, 30, 14) | Change at CycleA3/Day1 (n= 27, 26, 10) | Change at CycleA4/Day1 (n= 22, 25, 0) | Change at CycleA5/Day1 (n= 17, 23, 12) | Change at CycleA6/Day1 (n= 17, 16, 10) | Change at CycleA7/Day1 (n= 15, 15, 0) | Change at CycleA8/Day1 (n= 15, 14, 10) | Change at CycleA9/Day1 (n= 13, 11, 0) | Change at CycleA10/Day1 (n= 0, 10, 0) | Change at EOT (n= 40, 35, 31) |
---|
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | 2.36 | 1.48 | 0.27 | 2.00 | 0.64 | 1.54 | 0.72 | 1.39 | 0.14 | 0.78 | 0.18 | 1.00 | 0.49 | 0.25 | 0.02 | 0.33 | 0.36 | 0.16 | 0.12 | -0.07 | -0.13 | NA | 0.69 |
,Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | 2.97 | -0.03 | -0.24 | 0.03 | -0.21 | 0.28 | 0.11 | 1.08 | -0.05 | 0.88 | 0.17 | 1.04 | 0.39 | 0.16 | -0.20 | 0.23 | 0.12 | 0.28 | 0.00 | 0.30 | 1.05 | 1.03 | 0.69 |
,Pemetrexed/Cisplatin (Phase 2) | 2.64 | 0.81 | 0.30 | 0.52 | 0.03 | 0.41 | 0.28 | 1.20 | 0.49 | 0.76 | 0.66 | 1.20 | 0.96 | 0.10 | 0.27 | NA | 0.40 | 0.12 | NA | 0.42 | NA | NA | 0.91 |
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Duration of Response (DR)
Time in months from the first documentation of objective tumor response to objective tumor progression or death due to any cause, whichever occurs first. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response. (NCT00768755)
Timeframe: Phase 2 baseline until the date of first documented progression or discontinuation from the study due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks
Intervention | months (Median) |
---|
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | 7.82 |
Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | 6.73 |
Pemetrexed/Cisplatin (Phase 2) | 7.10 |
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Overall Survival (OS)
Time in months from the date of randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 30.4. Death was determined from AE data (where outcome was death) or from follow-up contact data (where the participant current status was death). (NCT00768755)
Timeframe: Baseline until death or collected bimonthly following discontinuation of study treatment until at least 1 year after randomization of the last participant
Intervention | months (Median) |
---|
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | 17.0 |
Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | 14.7 |
Pemetrexed/Cisplatin (Phase 2) | 15.9 |
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Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based assessment of confirmed complete response (CR)/confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors(RECIST).Confirmed responses: those persist on repeat imaging study at least 4 weeks after initial documentation of response.CR: disappearance of all lesions (target/non target) and no appearance of new lesions.PR: those with at least 30 % decrease in sum of longest dimensions of target lesions taking as reference baseline sum longest dimensions,without progression of non target lesions and no appearance of new lesions. (NCT00768755)
Timeframe: Phase 2 baseline until the date of first documented progression or discontinuation from the study due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks
Intervention | percentage of participants (Number) |
---|
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | 45.5 |
Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | 39.7 |
Pemetrexed/Cisplatin (Phase 2) | 26.3 |
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Progression-Free Survival (PFS)
"Time in months from the date of randomization to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus minus the date of randomization plus 1) divided by 30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]); death was determined from AE data (where the outcome was Death) or from the end of study data." (NCT00768755)
Timeframe: Phase 2 baseline until the date of first documented progression or death due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks
Intervention | months (Median) |
---|
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | 8.0 |
Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | 8.1 |
Pemetrexed/Cisplatin (Phase 2) | 7.1 |
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RECIST Response
Number of participants with partial response (PR), stable disease (SD) and progressive disease (PD) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) (NCT00769600)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
| PR | SD | PD | Inevaluable |
---|
Itraconazole Open Label Added to Standard of Care Pemetrexed | 3 | 8 | 2 | 2 |
,Single Agent Pemetrexed | 0 | 5 | 2 | 1 |
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Progression Free Survival as Measured by Number of Days Without Disease Progression
(NCT00769600)
Timeframe: 1 year
Intervention | days (Median) |
---|
Itraconazole Open Label Added to Standard of Care Pemetrexed | 168 |
Single Agent Pemetrexed | 84 |
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Overall Survival
Median number of days alive (NCT00769600)
Timeframe: up to 3 years
Intervention | days (Median) |
---|
Arm A | 971 |
Arm B | 242 |
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Progression Free Survival
For determining progression-free survival, progression was determined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0). Progression was defined 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. (NCT00771953)
Timeframe: From the date of randomization until the first date that recurrent or progressive disease is objectively documented.
Intervention | days (Median) |
---|
Apricoxib Plus Docetaxel | 75 |
Placebo Plus Docetaxel | 97 |
Apricoxib Plus Pemetrexed | 103 |
Placebo Plus Pemetrexed | 98 |
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Percentage of Participants With Independently-Assessed Objective Tumor Response (Response Rate) During Maintenance Phase Up to Primary Data Cut-Off
Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response (CR)=disappearance of all target lesions; Partial Response (PR) is at least a 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD) is at least a 20% increase in sum of longest diameter of target lesions; Stable Disease (SD)=no change or small changes that do not meet the above criteria for CR, PR, or PD. Response Rate = (CR+PR)/Participants in Arm*100. Disease Control Rate=(CR+PR+SD)/Number of Participants in Arm*100. (NCT00789373)
Timeframe: Date of randomization to date of measured PD (up to 19.3 months)
Intervention | percentage of participants (Number) |
---|
| Response Rate | Disease Control Rate |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 46.2 | 98.1 |
,Pemetrexed + Cisplatin Followed by Placebo | 42.2 | 94.4 |
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Percentage of Participants With Serious Adverse Events During Maintenance Phase
A summary of serious adverse events is located in the Reported Adverse Event Module. (NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 49.7 months)
Intervention | percentage of participants (Number) |
---|
| Serious Adverse Events: up to 19.3 Months | Serious Adverse Events: up to 49.7 Months |
---|
Pemetrexed Plus Cisplatin Followed by Maintenance Pemetrexed | 18.9 | 26.2 |
,Pemetrexed Plus Cisplatin Followed by Placebo | 12.2 | 20.0 |
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Change From Baseline in the EuroQol Instrument (EQ-5D) Index Score
The EQ-5D is a generic instrument that describes health status in 5 attributes (mobility, self-care, pain/discomfort, anxiety/depression, usual activities) using a three level scale (no problem, some problems, and major problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score range from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension). (NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 19.3 months)
Intervention | units on a scale (Mean) |
---|
| Baseline | Cycle 1 Day 1 | Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 5 Day 1 | Cycle 6 Day 1 | Cycle 7 Day 1 | Cycle 8 Day 1 | Cycle 9 Day 1 | Cycle 10 Day 1 | Cycle 11 Day 1 | Cycle 12 Day 1 | Cycle 13 Day 1 | Cycle 14 Day 1 | Cycle 15 Day 1 | Cycle 16 Day 1 | Cycle 17 Day 1 | Cycle 18 Day 1 | 30 Day Post-Study Visit |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 0.77 | 0.01 | 0.0 | 0.0 | -0.01 | 0.01 | -0.02 | 0.01 | 0.01 | -0.03 | 0.0 | -0.02 | -0.06 | -0.01 | 0.03 | -0.07 | -0.01 | 0.32 | 0.45 | -0.13 |
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Percentage of Participants With a Non-Serious Adverse Event (AE) During Maintenance Phase
A summary of non-serious AEs is located in the Reported Adverse Event Module. (NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 49.7 months)
Intervention | percentage of participants (Number) |
---|
| Non-Serious AEs at 2% Threshold: up to 19.3 Month | Non-Serious AEs at 5% Threshold: up to 49.7 Months |
---|
Pemetrexed Plus Cisplatin Followed by Maintenance Pemetrexed | 59.9 | 75.5 |
,Pemetrexed Plus Cisplatin Followed by Placebo | 50.6 | 62.2 |
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Overall Survival (OS)
OS is the duration from enrollment to death. For patients who are alive, OS is censored at the last contact. (NCT00789373)
Timeframe: Date of randomization to the date of death from any cause up to 39.5 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 13.86 |
Pemetrexed + Cisplatin Followed by Placebo | 11.01 |
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Percentage of Participants With Objective Tumor Response (Response Rate) During Maintenance Phase of Study up to Primary Data Cut-Off
Analysis for combined phases was not performed since response was calculated separately for each phase of study. Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response (CR)=disappearance of all target lesions; Partial Response(PR)is at least a 30% decrease in sum of longest diameter of target lesions; Progressive Disease(PD) is at least a 20% increase in sum of longest diameter of target lesions; Stable Disease(SD)=no change or small changes that do not meet the above criteria for CR, PR, or PD. (NCT00789373)
Timeframe: Baseline to date of measured progressive disease (up to 19.3 months)
Intervention | percentage of participants (Number) |
---|
Pemetrexed Plus Cisplatin Followed by Maintenance Pemetrexed | 46.2 |
Pemetrexed + Cisplatin Followed by Placebo | 42.2 |
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Change From Baseline in EuroQol Instrument (EQ-5D) Visual Analog Scale (VAS)
Patients indicate their present health state through completion of the VAS. Possible scores range from 0 (worst imaginable health state) to 100 (best imaginable health state). (NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 19.3 months)
Intervention | units on a scale (Mean) |
---|
| Baseline | Cycle 1 Day 1 | Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 5 Day 1 | Cycle 6 Day 1 | Cycle 7 Day 1 | Cycle 8 Day 1 | Cycle 9 Day 1 | Cycle 10 Day 1 | Cycle 11 Day 1 | Cycle 12 Day 1 | Cycle 13 Day 1 | Cycle 14 Day 1 | Cycle 15 Day 1 | Cycle 16 Day 1 | 30 days post-study |
---|
Pemetrexed + Cisplatin Followed by Placebo | 71.0 | 1.42 | 3.15 | 4.90 | 6.15 | 5.99 | 5.76 | 3.98 | 7.58 | 7.61 | 6.23 | 0.94 | 4.63 | 10.0 | 14.0 | 12.0 | 15.0 | -3.92 |
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Change From Baseline in EuroQol Instrument (EQ-5D) Visual Analog Scale (VAS)
Patients indicate their present health state through completion of the VAS. Possible scores range from 0 (worst imaginable health state) to 100 (best imaginable health state). (NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 19.3 months)
Intervention | units on a scale (Mean) |
---|
| Baseline | Cycle 1 Day 1 | Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 5 Day 1 | Cycle 6 Day 1 | Cycle 7 Day 1 | Cycle 8 Day 1 | Cycle 9 Day 1 | Cycle 10 Day 1 | Cycle 11 Day 1 | Cycle 12 Day 1 | Cycle 13 Day 1 | Cycle 14 Day 1 | Cycle 15 Day 1 | Cycle 16 Day 1 | Cycle 17 Day 1 | Cycle 18 Day 1 | 30 days post-study |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 71.1 | 1.65 | 1.24 | 1.82 | 0.69 | 1.55 | 3.01 | 2.7 | 4.12 | 4.19 | 5.14 | 2.58 | 2.11 | 6.29 | 3.64 | 8.40 | 5.83 | 15.7 | 5.0 | -4.77 |
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Change From Baseline in the EuroQol Instrument (EQ-5D) Index Score
The EQ-5D is a generic instrument that describes health status in 5 attributes (mobility, self-care, pain/discomfort, anxiety/depression, usual activities) using a three level scale (no problem, some problems, and major problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score range from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension). (NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 19.3 months)
Intervention | units on a scale (Mean) |
---|
| Baseline | Cycle 1 Day 1 | Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 5 Day 1 | Cycle 6 Day 1 | Cycle 7 Day 1 | Cycle 8 Day 1 | Cycle 9 Day 1 | Cycle 10 Day 1 | Cycle 11 Day 1 | Cycle 12 Day 1 | Cycle 13 Day 1 | Cycle 14 Day 1 | Cycle 15 Day 1 | Cycle 16 Day 1 | 30 Day Post-Study Visit |
---|
Pemetrexed + Cisplatin Followed by Placebo | 0.79 | -0.01 | 0.01 | 0.03 | 0.02 | 0.01 | 0.04 | 0.01 | 0.05 | 0.06 | 0.08 | 0.04 | 0.06 | 0.0 | 0.03 | 0.01 | 0.0 | -0.09 |
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Percentage of Participants With Hospitalizations Due to Adverse Events or Requiring Transfusion (Resource Utilization)
(NCT00789373)
Timeframe: Baseline randomization through 30-day post-discontinuation visit (up to 19.3 months)
Intervention | percentage of participants (Number) |
---|
| Hospitalization due to Drug-related Adverse Event | Transfusions Packed Red Blood Cells | Transfusions Whole Blood | Transfusions Platelets | Transfusions Fresh Frozen Plasma |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 8.4 | 12.3 | 1.4 | 1.4 | 0 |
,Pemetrexed + Cisplatin Followed by Placebo | 3.3 | 4.4 | 0.6 | 0.6 | 0.6 |
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Independently-assessed Objective Progression-free Survival (PFS)
To further evaluate the robustness of the PFS analysis, Lilly established an independent review of PFS to assess the potential for investigator bias in the determination of objective PD. PFS was measured from the date of randomization to the first date of objectively determined PD or death. For patients alive as of the data cutoff date and who did not have PD, PFS was censored at the date of the last objective tumor assessment. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD = 20% increase in sum of longest diameter of target lesions. (NCT00789373)
Timeframe: Date of randomization to first date of measured PD or date of death from any cause (up to 19.3 months)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 3.94 |
Pemetrexed + Cisplatin Followed by Placebo | 2.60 |
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Investigator-assessed Objective Progression-free Survival (PFS)
Investigator-assessed objective PFS was measured from the date of randomization to the first date of objectively determined progressive disease (PD) or death from any cause. For patients not known to have died as of the data cutoff date and who did not have objective PD, PFS was censored at the date of last objective tumor assessment. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD = 20% increase in sum of longest diameter of target lesions. (NCT00789373)
Timeframe: Date of randomization to the date of measured PD or date of death from any cause (up to 19.3 months)
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin Followed by Maintenance Pemetrexed | 4.11 |
Pemetrexed + Cisplatin Followed by Placebo | 2.83 |
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Phase 1 and 2: Terminal Half-Life (t1/2) of Aflibercept
Terminal half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination. (NCT00794417)
Timeframe: Phase 1 and 2: Pre-dose up to Day 22 post-dose
Intervention | Days (Mean) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 3.16 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 5.53 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 3.72 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 4.62 |
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Phase 1 and 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (for example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) was defined as an adverse event with an onset that occurs after receiving study drug. Any TEAE included participants with both serious and non-serious AEs. (NCT00794417)
Timeframe: Phase 1: Baseline up to 751 Days; Phase 2: Baseline (Day 421) up to 972 Days
Intervention | Participants (Count of Participants) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 4 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 7 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 7 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 42 |
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Phase 1 and 2: Number of Participants With Positive Anti-drug Antibody (ADA) of Aflibercept
Serum samples were analyzed by a validated electrochemiluminescence immunoassay to detect the presence of ADA. (NCT00794417)
Timeframe: Phase 1: Baseline up to 315 Days; Phase 2: Baseline (Day 421) up to Day 739
Intervention | Participants (Count of Participants) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 0 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 0 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 1 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 2 |
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Phase 1 and 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Pemetrexed
The AUC0-inf was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. (NCT00794417)
Timeframe: Phase 1 and 2: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)
Intervention | Hour*milligrams per liter (mg/L) (Mean) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 151 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 151 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 162 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 148 |
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Phase 1 and 2: Terminal Half-Life (t1/2) of Pemetrexed
Terminal half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination. (NCT00794417)
Timeframe: Phase 1 and 2: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)
Intervention | Hours (Mean) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 1.47 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 1.63 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 1.73 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 1.48 |
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Phase 1 and 2: Maximum Observed Plasma Concentration (Cmax) of Aflibercept and Pemetrexed
Cmax is the maximum observed plasma concentration obtained directly from the concentration versus time curve. (NCT00794417)
Timeframe: Phase 1 and 2: Aflibercept: Pre-dose up to Day 22 post-dose; Pemetrexed: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)
Intervention | mg/L (Mean) |
---|
| Aflibercept | Pemetrexed |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 53.6 | 124 |
,Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 68.6 | 112 |
,Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 148 | 113 |
,Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 104 | 76.8 |
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Phase 1 and 2: Number of Participants With All Grade Hematology Abnormalities
(NCT00794417)
Timeframe: Phase 1: Baseline up to 751 Days; Phase 2: Baseline (Day 421) up to 972 Days
Intervention | Participants (Number) |
---|
| Absolute Neutrophil Count (ANC) | Hemoglobin | Platelet Count |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 2 | 3 | 2 |
,Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 4 | 7 | 4 |
,Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 7 | 6 | 2 |
,Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 13 | 16 | 8 |
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Phase 2: Progression-free Survival (PFS)
PFS was defined as the time in days from the date of first study drug administration to the date of first documentation of tumor progression or death from any cause, whichever occurs first, as assessed by the modified RECIST. Median time of PFS was estimated using Kaplan-Meier method. (NCT00794417)
Timeframe: Phase 2: Baseline (Day 421) up to end of study (Day 972)
Intervention | Days (Median) |
---|
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 149 |
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Phase 2: Objective Response Rate
Objective response rate was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) as assessed by modified Response Evaluation Criteria in Solid Tumors (RECIST). 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 the Baseline sum LD as reference. (NCT00794417)
Timeframe: Phase 2: Baseline (Day 421) up to end of study (Day 972)
Intervention | Percentage of Participants (Number) |
---|
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 23.8 |
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Phase 1: Recommended Dose of Aflibercept for Phase 2
Recommended Dose was defined as the highest combination dose at which fewer than 33 percent (%) of participants experienced dose limiting toxicity during the first cycle of therapy. (NCT00794417)
Timeframe: Phase 1: Baseline up to 315 Days
Intervention | mg/kg (Number) |
---|
Phase 1: All Participants | 6 |
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Phase 1 and 2: Total Body Clearance of Pemetrexed
Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. (NCT00794417)
Timeframe: Phase 1 and 2: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)
Intervention | Liter/hour/m^2 (Mean) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 3.40 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 3.47 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 3.10 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 3.49 |
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Phase 1 and 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Aflibercept
The AUC0-inf was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. (NCT00794417)
Timeframe: Phase 1 and 2: Pre-dose up to Day 22 post-dose
Intervention | Day*milligrams per liter (mg/L) (Mean) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 201 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 330 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 442 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 402 |
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Phase 1 and 2: Total Body Clearance of Aflibercept
Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. (NCT00794417)
Timeframe: Phase 1 and 2: Pre-dose up to Day 22 post-dose
Intervention | Liter/Day/kg (Mean) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 0.011 |
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 0.016 |
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 0.016 |
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 0.016 |
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Phase 1 and 2: Number of Participants With All Grade Glucose Abnormalities
(NCT00794417)
Timeframe: Phase 1: Baseline up to 751 Days; Phase 2: Baseline (Day 421) up to 972 Days
Intervention | Participants (Number) |
---|
| Hyperglycemia (Non-Fasting) | Hyperglycemia (Fasting) | Hypoglycemia (Non-Fasting) | Hypoglycemia (Fasting) |
---|
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin | 4 | 1 | 0 | 0 |
,Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin | 6 | 3 | 0 | 0 |
,Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 7 | 6 | 0 | 0 |
,Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin | 37 | 6 | 5 | 0 |
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Change From Baseline to Cycle 3 in Fatigue Assessed by Treatment-specific Adverse Events Scale
The single-item fatigue question was on a 10-points scale with 0=no fatigue and 10=as bad as you can imagine. The item scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 3 was calculated by subtracting the baseline scores from the scores at cycle 3. (NCT00798603)
Timeframe: Baseline and Cycle 3
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Change From Baseline to Cycle 5 in Fatigue Assessed by Treatment-specific Adverse Events Scale
The single-item fatigue question was on a 10-points scale with 0=no fatigue and 10=as bad as you can imagine. The item scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 5 was calculated by subtracting the baseline scores from the scores at cycle 5. (NCT00798603)
Timeframe: Baseline and Cycle 5
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | -10 |
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Change From Baseline to Cycle 3 in Neuropathy Assessed by Treatment-specific Adverse Events Scale
The single-item neuropathy question was on a 10-points scale with 0=no numbness or tingling in fingers and toes and 10=worst numbness or tingling in fingers and toes imaginable. The item scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 3 was calculated by subtracting the baseline scores from the scores at cycle 3. (NCT00798603)
Timeframe: Baseline and Cycle 3
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Change From Baseline to Cycle 3 in Overall Quality of Life Assessed by Linear Analogue Self Assessment (LASA)
The overall quality of life (QOL) question was on a 10-points scale with 0=as bad as it can be and 10=as good as it can be. The QOL scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 3 was calculated by subtracting the baseline scores from the scores at cycle 3. (NCT00798603)
Timeframe: Baseline and Cycle 3
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Change From Baseline to Cycle 3 in Nausea Assessed by Treatment-specific Adverse Events Scale
The single-item nausea question was on a 10-points scale with 0=no nausea and 10=as bad as you can imagine. The item scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 3 was calculated by subtracting the baseline scores from the scores at cycle 3. (NCT00798603)
Timeframe: Baseline and Cycle 3
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Number of Grade 3 or Higher Adverse Events Occurring in >=10% of Patients
Adverse events were assessed by Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Grading: Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening, Grade 5=Death. (NCT00798603)
Timeframe: Up to 2.5 years
Intervention | particpants (Number) |
---|
| Fatigue | Hypertension | Neutropenia | Thrombocytopenia |
---|
Pemetrexed + Carboplatin + Bevacizumab | 16 | 7 | 18 | 11 |
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Proportion of Confirmed Tumor Response Defined as an Objective Status of Complete Response or Partial Response on Two Consecutive Evaluations
"Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria:~Complete Response (CR): disappearance of all target and non-target lesions and no new lesions.~Partial Response (PR): disappearance of all target lesions, persistence of one or more non-target lesions, and no new lesions; or at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD, no appearance of one/more new lesions, unequivocal progression of existing non-target lesions, and no new lesions." (NCT00798603)
Timeframe: Duration of study until progression (up to 5 years)
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 40 |
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Time to Treatment Failure
Time to treatment failure was defined to be the time from date of registration to the date at which the patient is removed from the treatment due to progression, toxicity, refusal or death from any cause. (NCT00798603)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 4.89 |
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Progression-free Survival at 6 Months
Estimated using the Binomial point estimator (number of successes divided by the total number of evaluable patients). A patient is classified as a success if alive and progression-free at 6 months. (NCT00798603)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 60 |
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Progression-free Survival
Progression-free survival was defined as the time from study enrollment to the first date of disease progression or death as a result of any cause, whichever occurs first. Progression-free survival will be censored at the date of the last contact for patients who are still alive and who have not had disease progression. (NCT00798603)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 7 |
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Change From Baseline to Cycle 3 in Quality of Life (QOL) as Assessed by the Lung Cancer Symptom Scale
Lung Cancer Symptom Scale (LCSS) consist of 9 items that assess the symptoms of lung cancer during the past days on a 10-points scale with 0 as no symptoms and 10 as worse symptoms. The individual item score was translated onto a 0-100 point scale with lower values indicating worse symptoms. An average of the aggregate score of all 9 items was used for a total score. Change from baseline to cycle 3 was calculated by subtracting the baseline scores from the scores at cycle 3. (NCT00798603)
Timeframe: Baseline and Cycle 3
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 1.1 |
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Overall Survival
Overall survival was defined as the time from study enrollment to the time of death from any cause. Overall survival will be censored at the date of the last follow-up visit for patients who are still alive or lost to follow-up. (NCT00798603)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 13.7 |
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Duration of Response
Duration of response for responders was defined as the time from the date of the first objective status assessment of a confirmed CR or PR to the first date of disease progression. Duration of response will be censored at the date of last post-therapy follow-up visit for responders who have not had disease progression. Duration of response will be calculated for all evaluable patients who have achieved an objective confirmed response. (NCT00798603)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 8.8 |
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Change From Baseline to Cycle 5 in Quality of Life (QOL) as Assessed by the Lung Cancer Symptom Scale
Lung Cancer Symptom Scale (LCSS) consist of 9 items that assess the symptoms of lung cancer during the past days on a 10-points scale with 0 as no symptoms and 10 as worse symptoms. The individual item score was translated onto a 0-100 point scale with lower values indicating worse symptoms. An average of the aggregate score of all 9 items was used for a total score. Change from baseline to cycle 5 was calculated by subtracting the baseline scores from the scores at cycle 5. (NCT00798603)
Timeframe: Baseline and Cycle 5
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 1.1 |
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Change From Baseline to Cycle 5 in Overall Quality of Life Assessed by Linear Analogue Self Assessment (LASA)
The overall quality of life (QOL) question was on a 10-points scale with 0=as bad as it can be and 10=as good as it can be. The QOL scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 5 was calculated by subtracting the baseline scores from the scores at cycle 5. (NCT00798603)
Timeframe: Baseline and Cycle 5
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Change From Baseline to Cycle 5 in Neuropathy Assessed by Treatment-specific Adverse Events Scale
The single-item neuropathy question was on a 10-points scale with 0=no numbness or tingling in fingers and toes and 10=worst numbness or tingling in fingers and toes imaginable. The item scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 5 was calculated by subtracting the baseline scores from the scores at cycle 5. (NCT00798603)
Timeframe: Baseline and Cycle 5
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Change From Baseline to Cycle 5 in Nausea Assessed by Treatment-specific Adverse Events Scale
The single-item nausea question was on a 10-points scale with 0=no nausea and 10=as bad as you can imagine. The item scores was translated onto a 0 to 100 point scale, with lower values indicating worse symptoms. Change from baseline to cycle 5 was calculated by subtracting the baseline scores from the scores at cycle 5. (NCT00798603)
Timeframe: Baseline and Cycle 5
Intervention | units on a scale (Median) |
---|
Pemetrexed + Carboplatin + Bevacizumab | 0 |
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Overall Survival (Key Secondary Endpoint)
Overall Survival (OS) defined as the duration from randomisation to death (irrespective of the reason of death). Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve. (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | months (Median) |
---|
Nintedanib Plus Pemetrexed | 12.0 |
Placebo Plus Pemetrexed | 12.7 |
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Duration of Disease Control
"The duration of disease control was defined as the time from randomisation to the date of disease progression or death (which ever occurs first) for patients with disease control. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.~This endpoint was analysed based on the central independent reviewer as well as the investigator." (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
| Central independent review (N=215, 192) | Investigator assessment (N=233, 217) |
---|
Nintedanib Plus Pemetrexed | 7.4 | 6.9 |
,Placebo Plus Pemetrexed | 6.8 | 6.8 |
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Incidence and Intensity of Adverse Events
"Incidence and intensity of adverse events according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. The worst CTCAE grade per patient is reported and MedDRA version 15.1 used.~Serious signs and symptoms of progressive disease were reported as an adverse event in analysis of this endpoint." (NCT00806819)
Timeframe: From the first drug administration until 28 days after the last drug administration, up to 36 months
Intervention | % of participants (Number) |
---|
| CTCAE grade 1 | CTCAE grade 2 | CTCAE grade 3 | CTCAE grade 4 | CTCAE grade 5 |
---|
Nintedanib Plus Pemetrexed | 4.9 | 22.2 | 46.1 | 12.4 | 9.8 |
,Placebo Plus Pemetrexed | 9.2 | 30.5 | 34.5 | 7.8 | 12.0 |
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Objective Tumor Response
Confirmed objective response is defined as confirmed Complete Response (CR) and Partial Response (PR) and evaluated according to the modified RECIST criteria version 1.0. This endpoint was analysed based on the central independent reviewer as well as the investigator (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | % of participants (Number) |
---|
| Central independent reviewer | Investigator assessment |
---|
Nintedanib Plus Pemetrexed | 9.1 | 15.0 |
,Placebo Plus Pemetrexed | 8.3 | 13.3 |
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Duration of Confirmed Objective Tumour Response
"The duration of objective response is the time from first documented (CR) or (PR) to the time of progression or death and evaluated according to the modified RECIST criteria version 1.0. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.~This endpoint was analysed based on the central independent reviewer as well as the investigator." (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
| central independent reviewer (N=32, 30) | Investigator assessment (N=53, 48) |
---|
Nintedanib Plus Pemetrexed | 6.9 | 6.5 |
,Placebo Plus Pemetrexed | 4.4 | 7.2 |
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Progression Free Survival (PFS) as Assessed by Central Independent Review
"Progression Free Survival (PFS) as assessed by central independent review according to the modified RECIST (version 1.0) criteria. Progression free survival (PFS) is defined as the duration of time from date of randomisation to date of progression or death (whatever occurs earlier).~Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve." (NCT00806819)
Timeframe: From randomisation until cut-off date 9 July 2012
Intervention | months (Median) |
---|
Nintedanib Plus Pemetrexed | 4.4 |
Placebo Plus Pemetrexed | 3.6 |
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Clinical Improvement.
"Clinical improvement was defined as the time from randomisation to deterioration in body weight and/or Eastern Cooperative Oncology group performance score (ECOG PS) whichever occurred first.~Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve." (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
Nintedanib Plus Pemetrexed | 7.2 |
Placebo Plus Pemetrexed | 7.5 |
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Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Central Independent Review
Follow-up analysis was conducted at the time of overall survival analysis. Progression Free Survival (PFS) as assessed by central independent review according to the modified RECIST (version 1.0) criteria. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve. (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
Nintedanib Plus Pemetrexed | 4.4 |
Placebo Plus Pemetrexed | 3.4 |
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Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Investigator
Follow-up analysis was conducted at the time of overall survival analysis. Progression Free Survival (PFS) as assessed by investigator according to the modified RECIST (version 1.0) criteria. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve. (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
Nintedanib Plus Pemetrexed | 5.3 |
Placebo Plus Pemetrexed | 4.3 |
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Quality of Life (QoL)
"QoL was measured by standardised questionnaires (EQ-5D, EORTC QLQ-C30, EORTC QLQ-LC13). The EORTC QLQ-C30 comprises of 30 questions, using both multi-item scales and single-item measures. EORTC LC-13 comprises of 13 questions incorporating 1 multi-item scale and a series of single items. The following were the main points of interest: Time to deterioration of cough (QLQ-LC13 question 1), Time to deterioration of dyspnoea (QLQ-LC13, composite of questions 3 to 5), Time to deterioration of pain (QLQ- C30, composite of questions 9 and 19). Time to deterioration of cough, dyspnoea and pain was defined as the time to a 10-point increase from the baseline score.~Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve." (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
| Time to deterioration of cough | Time to deterioration of dyspnoea | Time to deterioration of pain |
---|
Nintedanib Plus Pemetrexed | 6.0 | 2.4 | 2.8 |
,Placebo Plus Pemetrexed | 4.3 | 2.0 | 2.7 |
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Time to Confirmed Objective Tumour Response
"Time to confirmed objective response is defined as time from randomisation to the date of first documented (CR) or (PR) and evaluated according to the modified RECIST criteria version 1.0. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.~This endpoint was analysed based on the central independent reviewer as well as the investigator." (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | Months (Median) |
---|
| Central independent review (N=32, 30) | Investigator assessment (N=53, 48) |
---|
Nintedanib Plus Pemetrexed | 2.6 | 2.6 |
,Placebo Plus Pemetrexed | 2.7 | 2.8 |
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Disease Control
"Disease control was defined as a best overall response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) and evaluated according to the modified RECIST criteria version 1.0.~This endpoint was analysed based on the central independent reviewer as well as the investigator." (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | % of participants (Number) |
---|
| Central independent review (N=215, 192) | Investigator assessment (N=233, 217) |
---|
Nintedanib Plus Pemetrexed | 60.9 | 66.0 |
,Placebo Plus Pemetrexed | 53.3 | 60.3 |
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Change From Baseline in Tumour Size
Percentage change from baseline in tumour size is defined as decrease in the sum of the longest diameter of the target lesion. Presented means are in fact adjusted best means percentage changes generated from ANOVA model adjusted for baseline ECOG PS (0 vs. 1), tumour histology (adenocarcinoma vs. non-adenocarcinoma), brain metastases at baseline (yes vs no) and prior treatment with bevacizumab (yes vs no) This endpoint was analysed based on the central independent reviewer as well as the investigator. (NCT00806819)
Timeframe: From randomisation until data cut-off (15 February 2013), Up to 30 months
Intervention | percentage of change in tumor size in mm (Mean) |
---|
| Central independent review (N=298, 305) | Investigator assessment (N=322, 325) |
---|
Nintedanib Plus Pemetrexed | -10.10 | -15.60 |
,Placebo Plus Pemetrexed | -7.53 | -11.28 |
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Duration of Overall Response
The duration of overall response was measured from the time measurement criteria were met for CR or PR (whichever was first recorded) until the first date that recurrent or progressive disease (PD) was objectively documented (taking as reference for PD the smallest measurements recorded since treatment began). The duration of overall CR was measured from the time measurement criteria were first met for CR until the first date that recurrent disease was objectively documented. Duration of disease control is presented here. (NCT00824408)
Timeframe: From the time measurement criteria were met for CR or PR (whichever was first recorded) until the first date that recurrent or progressive disease was objectively documented
Intervention | weeks (Median) |
---|
Randomization Phase: Volasertib 300 mg | 23.0 |
Randomization Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 19.6 |
Randomization Phase: Pemetrexed 500 mg/m2 | 23.4 |
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Objective Tumor Response, Defined as Complete Response (CR), and Partial Response (PR), Evaluated According to RECIST Criteria.
Objective tumor response, defined as complete response (CR), and partial response (PR), evaluated according to RECIST criteria. Evaluation of 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, taking as reference the baseline sum longest diameter. Evaluation of nontarget lesions: Complete Response (CR): disappearance of all nontarget lesions. (NCT00824408)
Timeframe: From first drug infusion until 21 days after last drug infusion, up to 1100 days
Intervention | percentage of participants (Number) |
---|
| Complete response (CR) | Partial response (PR) |
---|
Randomization Phase: Pemetrexed 500 mg/m2 | 0.0 | 10.6 |
,Randomization Phase: Volasertib 300 mg | 0.0 | 8.1 |
,Randomization Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 0.0 | 21.3 |
,Run-in Phase: Volasertib 250 mg + Pemetrexed 500 mg/m2 | 0.0 | 16.7 |
,Run-in Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 0.0 | 50.0 |
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Cmax of Volasertib
Cmax - maximum measured concentration of volasertib in plasma. (NCT00824408)
Timeframe: 5 minutes (min) before the start of Volasertib infusion and 1 hour (h), 2h, 4h, 24h, 168h and 336h after the start of Volasertib infusion
Intervention | ng/mL (Geometric Mean) |
---|
Volasertib 250 mg + Pemetrexed 500 mg/m2 | 554 |
Volasertib 300 mg + Pemetrexed 500 mg/m2 | 635 |
Volasertib 300 mg | 565 |
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CL of Pemetrexed
CL - total clearance of pemetrexed in plasma after IV administration (NCT00824408)
Timeframe: 5 minutes before pemetrexed infusion, at the end of the infusion and 1.5 hours (h), 2.5h, 4.5h and 25.5h after the end of pemetrexed infusion
Intervention | mL/min (Geometric Mean) |
---|
Volasertib 250 mg + Pemetrexed 500 mg/m2 | 54.4 |
Volasertib 300 mg + Pemetrexed 500 mg/m2 | 69.1 |
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Cmax of Pemetrexed
Cmax - maximum measured concentration of pemetrexed in plasma (NCT00824408)
Timeframe: 5 minutes before pemetrexed infusion, at the end of the infusion and 1.5 hours (h), 2.5h, 4.5h and 25.5h after the end of pemetrexed infusion
Intervention | ng/mL (Geometric Mean) |
---|
Volasertib 250 mg + Pemetrexed 500 mg/m2 | 131000 |
Volasertib 300 mg + Pemetrexed 500 mg/m2 | 115000 |
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Occurence of DLT
"Occurence of Dose-limiting toxicity (DLT). A DLT was defined as one or more of the following:~treatment-related CTCAE Grade 3 or 4 nonhematological toxicity (except emesis or diarrhea responding to supportive treatment).~treatment-related CTCAE Grade 4 neutropenia for ≥7 days and/or complicated by infection.~CTCAE Grade 4 thrombocytopenia." (NCT00824408)
Timeframe: Patients were treated for repeated 21-day treatment cycles until disease progression or intolerability of the trial drug, whichever occurred first.
Intervention | participants (Number) |
---|
Run-in Phase: Volasertib 250 mg + Pemetrexed 500 mg/m2 | 1 |
Run-in Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 1 |
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Frequency of Patients With Possible Clinically Significant Abnormalities
Frequency of patients with possible clinically significant abnormalities (NCT00824408)
Timeframe: From first drug infusion until 21 days after last drug infusion, up to 1100 days
Intervention | participants (Number) |
---|
| Haemoglobin - Low | White blood cell ct. - Low | White blood cell ct. - High | Platelets - Low | Platelets - High | Neutrophils - Low | Lymphocytes - Low | AST/GOT, SGOT - High | ALT/GPT, SGPT - High | Alkaline phosphatase - High | Creatinine - High | Bilirubin, total - High |
---|
Randomization Phase: Pemetrexed 500 mg/m2 | 14 | 12 | 1 | 2 | 3 | 12 | 22 | 3 | 6 | 5 | 0 | 1 |
,Randomization Phase: Volasertib 300 mg | 16 | 15 | 1 | 8 | 3 | 13 | 16 | 0 | 0 | 0 | 0 | 1 |
,Randomization Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 21 | 25 | 0 | 3 | 0 | 23 | 22 | 6 | 10 | 0 | 3 | 1 |
,Run-in Phase: Volasertib 250 mg + Pemetrexed 500 mg/m2 | 1 | 4 | 0 | 0 | 0 | 4 | 4 | 0 | 0 | 0 | 0 | 1 |
,Run-in Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 2 | 2 | 0 | 1 | 1 | 2 | 4 | 1 | 1 | 0 | 0 | 0 |
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Occurrence and Intensity of AEs Graded According to CTCAE.
All patients were carefully monitored during and after each treatment cycle. Adverse events (AEs) were recorded and were graded according to the National Cancer Institute - Common Terminology Criteria for Adverse Events (CTCAE). (NCT00824408)
Timeframe: From first drug infusion until 21 days after last drug infusion, up to 1100 days
Intervention | participants (Number) |
---|
| CTCAE Grade 1 | CTCAE Grade 2 | CTCAE Grade 3 | CTCAE Grade 4 | CTCAE Grade 5 |
---|
Randomization Phase: Pemetrexed 500 mg/m2 | 6 | 18 | 15 | 5 | 0 |
,Randomization Phase: Volasertib 300 mg | 6 | 12 | 8 | 6 | 3 |
,Randomization Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 2 | 18 | 19 | 5 | 2 |
,Run-in Phase: Volasertib 250 mg + Pemetrexed 500 mg/m2 | 0 | 0 | 3 | 3 | 0 |
,Run-in Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 0 | 2 | 3 | 1 | 0 |
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Vss of Volasertib
Vss - apparent volume of distribution at steady state following IV administration of volasertib (NCT00824408)
Timeframe: 5 minutes (min) before the start of Volasertib infusion and 1 hour (h), 2h, 4h, 24h, 168h and 336h after the start of Volasertib infusion
Intervention | Litres (Geometric Mean) |
---|
Volasertib 250 mg + Pemetrexed 500 mg/m2 | 6730 |
Volasertib 300 mg + Pemetrexed 500 mg/m2 | 6750 |
Volasertib 300 mg | 6230 |
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Overall Survival (OS)
Overall survival (OS) was defined as the duration of time from randomization to time of death. (NCT00824408)
Timeframe: From randomization until time of death
Intervention | months (Median) |
---|
Randomization Phase: Volasertib 300 mg | 22.9 |
Randomization Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 17.1 |
Randomization Phase: Pemetrexed 500 mg/m2 | 17.4 |
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Progression Free Survival (PFS) Time From the Date of Randomization to Date of Disease Progression or Death, Whichever Occurred First.
"Disease progression was defined according to the Response Evaluation Criteria in Solid Tumours (RECIST)) criteria. Progression-free survival time was calculated as the duration from the date of randomization to the date of disease progression or death, whichever occured first. For patients with known date of progression (or death): PFS [days] = min (date of progression, date of death) - date of randomization + 1 day. For patients without progression or death, PFS was censored at the last imaging date that showed no disease progression: PFS [days, censored] = date of last imaging showing no progression - date randomization + 1 day.~The number of participants analysed displays the number of patients with an event (progression)." (NCT00824408)
Timeframe: From randomization until disease progression or death
Intervention | months (Median) |
---|
Randomization Phase: Volasertib 300 mg | 1.4 |
Randomization Phase: Volasertib 300 mg + Pemetrexed 500 mg/m2 | 3.3 |
Randomization Phase: Pemetrexed 500 mg/m2 | 5.3 |
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Total Clearance (CL) of Volasertib
CL - total clearance of volasertib in plasma after IV administration (NCT00824408)
Timeframe: 5 minutes (min) before the start of Volasertib infusion and 1 hour (h), 2h, 4h, 24h, 168h and 336h after the start of Volasertib infusion
Intervention | mL/min (Geometric Mean) |
---|
Volasertib 250 mg + Pemetrexed 500 mg/m2 | 782 |
Volasertib 300 mg + Pemetrexed 500 mg/m2 | 882 |
Volasertib 300 mg | 867 |
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Vss of Pemetrexed
Vss - apparent volume of distribution at steady state following IV administration of pemetrexed (NCT00824408)
Timeframe: 5 minutes before pemetrexed infusion, at the end of the infusion and 1.5 hours (h), 2.5h, 4.5h and 25.5h after the end of pemetrexed infusion
Intervention | Litres (Geometric Mean) |
---|
Volasertib 250 mg + Pemetrexed 500 mg/m2 | 9.40 |
Volasertib 300 mg + Pemetrexed 500 mg/m2 | 13.1 |
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Number of Subjects Who Were Able to Complete Trimodal Therapy (Combination of Surgery, Intrapleural and Systemic Chemotherapy and P-32 Radiotherapy).
To determine the feasibility of multimodal lung sparing regimen. Intrapleural chemotherapy (12 weeks) will be administered within two weeks after surgery. Approximately 30 days post last dose of chemotherapy (+/- 14 days), the patient should be reassessed for resolution of any treatment-related toxicity which may have occurred during the course of study participation. (NCT00859495)
Timeframe: 20 weeks
Intervention | Participants (Count of Participants) |
---|
Multimodal Lung Sparing Regimen | 9 |
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Tumor Best Response Rate
The best response rate will include patients with both Complete Response and Partial Response after 2 months of 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. (NCT00860015)
Timeframe: Two months
Intervention | Participants (Count of Participants) |
---|
Alimta/Gemcitabine | 0 |
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Objective Response
Evaluation of tumor extent by CT scans, according to RECIST criteria (a 20% decrease in the sum of the longest unidimensional measurements of existing disease), version 1.0 (NCT00864513)
Timeframe: Within two months of the completion of the last dose of chemotherapy
Intervention | participants (Number) |
---|
Chemotherapy | 0 |
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Number of Participants With Adverse Events
Toxicity by National Cancer Institute Common Toxicity Criteria Adverse Event Version 3.0 (NCT00864513)
Timeframe: 30 days after last dose of study drug
Intervention | participants (Number) |
---|
Chemotherapy | 2 |
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CA 19-9 Response
CA 19-9 was evaluatd every three weeks, before the next study treatment. Approximately 30% of patients are not expected to have detectable CA 19-9, based on Lews-Y antigen. CA 19-9 response is defined as more than 50% decrease from baseline. (NCT00864513)
Timeframe: Within two months of the last dose of chemotherapy
Intervention | participants (Number) |
---|
Chemotherapy | 2 |
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Progression-free Survival
Number of days from first dose of study treatment until the date of progression, as measured by worsening disease (new site of disease, or increase in existing disease) or death. (NCT00864513)
Timeframe: 6 months after last patient enrolled
Intervention | days (Median) |
---|
Chemotherapy | 59 |
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The Percentage of Participants Still Living at One Year (One Year Survival Rate)
The one year survival rate is presented as percentage (%) of participants still living at one year and is the number of participants that are still alive at one year divided by the number of participants in the protocol qualified (PQ) population, which is then multiplied by 100. (NCT00867009)
Timeframe: One year
Intervention | percentage of participants (Number) |
---|
Pem/Cis + Cet | 45 |
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Progression-free Survival (PFS)
PFS is measured from study entry until disease progression, death or date of last contact. Progressive disease (PD) was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD = 20% increase in sum of longest diameter of target lesions or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. For participants not known to have died or have had objective PD as of the data cutoff date, PFS was censored at the date of the last objective progression-free disease assessment. (NCT00867009)
Timeframe: From start of treatment until documented disease progression or death from any cause (up to 18.9 months)
Intervention | months (Median) |
---|
Pem/Cis + Cet | 5.82 |
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Percentage of Participants With a Tumor Response (Objective Tumor Response Rate)
Response was assessed 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. Tumor response is presented as a percentage (%) and is the number of participants with a CR plus PR divided by the number of participants in the protocol qualified (PQ) population, then multiplied by 100. (NCT00867009)
Timeframe: From start of treatment until documented best response. (up to 18.9 months)
Intervention | percentage of participants (Number) |
---|
Pem/Cis + Cet | 38.5 |
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The Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])
The DCR is presented as percentage (%) and is the number of participants with a best tumor response of CR, PR, or SD divided by the number of participants in the protocol qualified (PQ) population, then multiplied by 100. Best tumor response of CR, PR, or SD was determined from the sequence of tumor response assessments. Tumor response was assessed using RECIST criteria. CR=disappearance of all target lesions; PR=30% decrease in sum of longest diameter of target lesions; SD=small changes that do not meet above criteria. (NCT00867009)
Timeframe: From start of treatment until documented best tumor response (up to 18.9 months)
Intervention | percentage of participants (Number) |
---|
Pem/Cis + Cet | 59.6 |
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Overall Survival (OS)
OS = observed length of time from entry into the study to death or date of last contact (NCT00868192)
Timeframe: Median follow-up was 25.7 months (range 3.0-47.2 months)
Intervention | months (Median) |
---|
Pemetrexed and Bevacizumab | 25.7 |
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Overall Response Rate
"Overall response rate = complete response + partial response~Complete response = disappearance of all target and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart.~Partial response = at least a 30% decrease in the sum of the longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be non unequivocal progression of non-target lesions and no new lesions." (NCT00868192)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed and Bevacizumab | 41 |
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Overall Survival (OS)
OS = observed length of time from entry into the study to death or date of last contact (NCT00868192)
Timeframe: 12 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed and Bevacizumab | 79 |
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Progression-free Survival (PFS)
PFS = Period from study entry until disease progression, death, or date of last contact (NCT00868192)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed and Bevacizumab | 56 |
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Progression-free Survival (PFS)
PFS = Period from study entry until disease progression, death, or date of last contact (NCT00868192)
Timeframe: Median follow-up was 25.7 months (range 3.0-47.2 months)
Intervention | months (Median) |
---|
Pemetrexed and Bevacizumab | 7.9 |
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CA-125 Response
A CA-125 response was defined as at least a 50% reduction in CA-125 levels from a pretreatment sample following guidelines described by the Gynecological Cancer Intergroup. (NCT00868192)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| 50% CA-125 response | 75% CA-125 response | No CA-125 response |
---|
Pemetrexed and Bevacizumab | 17 | 8 | 2 |
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Distribution of Overall Survival (OS)
OS = observed length of time from entry into the study to death or date of last contact (NCT00868192)
Timeframe: Median follow-up was 25.7 months (range 3.0-47.2 months)
Intervention | months (Median) |
---|
| Platinum-free interval of <6 months | Platinum-free interval of 6-12 months | Platinum-free interval of >12 months |
---|
Pemetrexed and Bevacizumab | 16.7 | 24.9 | 28.0 |
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Distribution of Progression-free Survival (PFS)
PFS = Period from study entry until disease progression, death, or date of last contact (NCT00868192)
Timeframe: Median follow-up was 25.7 months (range 3.0-47.2 months)
Intervention | months (Median) |
---|
| Platinum-free interval of <6 months | Platinum-free interval of 6-12 months | Platinum-free interval of >12 months |
---|
Pemetrexed and Bevacizumab | 6.7 | 4.7 | 16.8 |
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Toxicity Associated With Bevacizumab and Pemetrexed
Detailed serious adverse events and other adverse events are shown in the adverse event module of the results. (NCT00868192)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
| Grade 3/4 hematologic toxicity | Most common non-hematologic toxicity - fatigue | Grade 3 renal toxicity | Gastrointestinal toxicity | Subsequently developed hematologic malignancies |
---|
Pemetrexed and Bevacizumab | 53 | 94 | 6 | 91 | 6 |
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Frequency of Clinical Response
As measured by RECIST criteria (NCT00868192)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| Complete response | Partial response | Stable disease | Progressive disease |
---|
Pemetrexed and Bevacizumab | 0 | 14 | 18 | 2 |
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Best Overall Response, Assessed as the Number of Participants With the Indicated Tumor Response: Investigator Assessed Only
Tumor response was assessed by the Investigator according to the RECIST, version 1.0. A participant was defined as a responder if he/she sustained a complete response (CR; the disappearance of all target lesions) or partial response (PR; >=30% decrease in the sum of the longest diameter of target lesions) for at least 4 weeks at any time during randomized treatment. Stable disease is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum longest diameter since the treatment started. (NCT00871403)
Timeframe: Randomization until response or progressive disease (up to 85 weeks)
Intervention | participants (Number) |
---|
| Complete response | Partial response | Stable disease | Progressive disease | Unknown |
---|
Cisplatin 75 mg/m^2 Plus Pemetrexed 500 mg/m^2 | 0 | 12 | 14 | 5 | 4 |
,Pazopanib 800 mg Plus Pemetrexed 500 mg/m^2 | 0 | 14 | 13 | 6 | 29 |
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Progression-free Survival (PFS)
PFS is defined as the interval between the date of randomization (date on which the investigator evaluated the participant and first determined he/she had disease progression) and the first occurrence of progressive disease (PD) or death from any cause. Per Response Evaluation Criteria in Solid Tumors (RECIST), version 1, PD is defined 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 >=1 new lesion). (NCT00871403)
Timeframe: Randomization until progression or death (up to 85 weeks)
Intervention | weeks (Median) |
---|
Pazopanib 800 mg Plus Pemetrexed 500 mg/m^2 | 25.0 |
Cisplatin 75 mg/m^2 Plus Pemetrexed 500 mg/m^2 | 22.9 |
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Percentage of Participants With a Complete Response or a Partial Response
The percentage of participants with a complete response or a partial response was evaluated. (NCT00871403)
Timeframe: Randomization until response or progressive disease (up to 85 weeks)
Intervention | percentage of participants (Number) |
---|
Pazopanib 800 mg Plus Pemetrexed 500 mg/m^2 | 14 |
Cisplatin 75 mg/m^2 Plus Pemetrexed 500 mg/m^2 | 12 |
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Percentage of Participants With Concordance Between Local and Central Histological Diagnosis
A centralized pathology review on all enrolled participants was performed to confirm the histological diagnosis performed at the site. Upon review of the local diagnosis obtained at the respective site, the central reviewer established whether or not there was an agreement between the local and central diagnosis. The percentage of participants with concordance was defined as the number of participants for which there was an agreement divided by the number of treated participants (concordance rate) multiplied by 100. (NCT00887549)
Timeframe: Baseline
Intervention | percentage of participants (Number) |
---|
Pemetrexed | 78.6 |
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Percentage of Participants With Tumor Response (Tumor Response Rate)
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors (RECIST 1.0) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. Percentage of participants with tumor response was determined by the number of participants with PR or CR (confirmed or not) divided by the total number of treated participants multiplied by 100. (NCT00887549)
Timeframe: Baseline to disease progression (up to 20 months)
Intervention | percentage of participants (Number) |
---|
Pemetrexed | 30 |
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Progression Free Survival (PFS)
PFS is time from first dose to first observation of disease progression/death (any cause). PFS is reported for participants with thymidylate synthase (TS) scores. For participants not known to have died by the data cut-off date and who do not have progressive disease, PFS will be censored at date of last objective progression-free disease assessment. For participants who receive systemic anticancer therapy after study drug discontinuation and prior to disease progression/death, PFS will be censored at date of last objective progression-free disease assessment prior to chemotherapy. (NCT00887549)
Timeframe: Baseline to measured progressive disease with follow-up every 6 weeks until progression of disease (up to 18 months after the last participant commenced induction therapy)
Intervention | months (Median) |
---|
Pemetrexed | 5.5 |
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Percentage of Participants Surviving at 18 Months (Overall Survival Rate)
The percentage of participants surviving at 18 months was defined as the number of treated participants who had not died prior to 18 months from the date of their first dose divided by the total number of treated participants multiplied by 100. For participants who are alive, overall survival was censored at the last contact. (NCT00887549)
Timeframe: Baseline to date of death (up to 24.5 months)
Intervention | percentage of participants (Number) |
---|
Pemetrexed | 37.1 |
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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 (NCT00892710)
Timeframe: 18 months
Intervention | months (Median) |
---|
Pemetrexed | 7.7 |
Pemetrexed/Bevacizumab | 8.6 |
Pemetrexed/Bevacizumab/Carboplatin | 8.7 |
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Time to Treatment Failure (TTTF)
Defined as the Length of Time, in Months, that Patients were Alive from the Date of First Treatment Until Treatment Discontinuation for Any Reason. (NCT00892710)
Timeframe: 18 months
Intervention | months (Median) |
---|
Pemetrexed | 2.4 |
Pemetrexed/Bevacizumab | 3.1 |
Pemetrexed/Bevacizumab/Carboplatin | 3.3 |
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6-month and 12-month Overall Survival Probability
Overall Survival = The Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death (NCT00892710)
Timeframe: 12 months
Intervention | probability out of 1 (Number) |
---|
| 6-month OS probability | 12-month OS probability |
---|
Pemetrexed | 0.52 | 0.3 |
,Pemetrexed/Bevacizumab | 0.61 | 0.32 |
,Pemetrexed/Bevacizumab/Carboplatin | 0.57 | 0.44 |
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Time to Progression (TTP)
The Length of Time, in Months, That Patients Remain 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. (NCT00892710)
Timeframe: 18 months
Intervention | months (Median) |
---|
Pemetrexed | 3.5 |
Pemetrexed/Bevacizumab | 5.3 |
Pemetrexed/Bevacizumab/Carboplatin | 5.7 |
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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. (NCT00892710)
Timeframe: 18 months
Intervention | months (Median) |
---|
Pemetrexed | 2.8 |
Pemetrexed/Bevacizumab | 4.0 |
Pemetrexed/Bevacizumab/Carboplatin | 4.8 |
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Overall Response Rate (ORR), the Number of Patients Who Experience an Objective Benefit From Treatment
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) 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. (NCT00892710)
Timeframe: 18 months
Intervention | participants (Number) |
---|
Pemetrexed | 7 |
Pemetrexed/Bevacizumab | 18 |
Pemetrexed/Bevacizumab/Carboplatin | 24 |
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Rate of Residual Disease as an Assessment of Pathological Partial Response (pPR)
pPR was further assessed by the amount of residual tumor measured at surgery: microscopic residual disease = less than 1 centimeter (<1 cm); macroscopic residual disease = 1 centimeter or greater (≥1 cm). (NCT00906282)
Timeframe: At 15-18 weeks
Intervention | centimeters (Median) |
---|
Pemetrexed/Carboplatin/Surgery | 2.5 |
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3-Year Overall Survival Rate
The percentage of patients who were alive at 3 years from time of first study treatment until date of death from any cause. Overall survival is shown for the Intent-to-Treat population. (NCT00906282)
Timeframe: 36 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed/Carboplatin/Surgery | 45 |
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Objective Tumor Response
Objective Tumor Response defined as the percent of patients who completed up to 4 cycles of pre-operative chemotherapy and achieved a complete response (CR) or partial response (PR) assessed by Response Evaluation in Solid Tumors (RECIST) 1.0. Patients with stable disease (SD) or response to treatment were deemed surgical candidates. [CR=disappearance of all target tumors; PR= ≥30% decrease in the sum of the longest diameters of target tumors. 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.] (NCT00906282)
Timeframe: At 6 and 12 weeks
Intervention | percentage of participants (Number) |
---|
| PR | SD |
---|
Pemetrexed/Carboplatin/Surgery | 41 | 48 |
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Complete Resection Rate
The percent of patients who had surgical resection listed by procedure type: lobectomy or pneumonectomy, or resection of adjacent chest wall or mediastinal structures when appropriate. Surgery followed standard guidelines for resection of non-small-cell lung cancer (NSCLC). (NCT00906282)
Timeframe: At weeks 15-18
Intervention | percentage of patients (Number) |
---|
| Lobectomy | Wedge Resection | Pneumonectomy | Bilobectomy |
---|
Pemetrexed/Carboplatin/Surgery | 70 | 15 | 11 | 4 |
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Pathologic Response Rate
Percent of patients having a pathological complete or partial response (pCR or pPR) at surgery. pCR defined as complete removal of all tumor. pPR defined as residual viable tumor demonstrated in the resected specimen. (NCT00906282)
Timeframe: weeks 15 -18
Intervention | percentage of participants (Number) |
---|
| pPR | pCR |
---|
Pemetrexed/Carboplatin/Surgery | 100 | 0 |
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Phase I Only: Maximum Tolerated Dose (MTD) of Pemetrexed That Could be Administered Weekly in Combination With Temsirolimus
The starting dose and schedule of pemetrexed will be 500 mg/m2 given every 3 weeks and the starting dose for temsirolimus will be 15 mg given weekly for 3 weeks, to complete 1 cycle. In subsequent cohorts, dose will be escalated or de-escalated. Enrollment to each cohort is based on toxicity experienced at that dose level. The maximum tolerated dose (MTD) is defined as the dose level immediately below the dose level at which 2 patients of a cohort experience dose-limiting toxicity during the first cycle. Six patients will be enrolled at the maximum tolerated dose to ensure that no more than 2 DLTs occur at the MTD. Dose escalations will proceed until the MTD has been reached. (NCT00921310)
Timeframe: Completion of first cycle by all enrolled patients in Phase I portion of study
Intervention | mg/m^2 (Number) |
---|
Phase I (Premetrexed & Temsirolimus) | 375 |
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Phase I Only: Maximum Tolerated Dose (MTD) of Temsirolimus That Could be Administered Weekly in Combination With Pemetrexed
The starting dose and schedule of pemetrexed will be 500 mg/m2 given every 3 weeks and the starting dose for temsirolimus will be 15 mg given weekly for 3 weeks, to complete 1 cycle. In subsequent cohorts, dose will be escalated or de-escalated. Enrollment to each cohort is based on toxicity experienced at that dose level. The maximum tolerated dose (MTD) is defined as the dose level immediately below the dose level at which 2 patients of a cohort experience dose-limiting toxicity during the first cycle. Six patients will be enrolled at the maximum tolerated dose to ensure that no more than 2 DLTs occur at the MTD. Dose escalations will proceed until the MTD has been reached. (NCT00921310)
Timeframe: Completion of first cycle by all enrolled patients in Phase I portion of study
Intervention | mg (Number) |
---|
Phase I (Premetrexed & Temsirolimus) | 15 |
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Phase I Only: Number of Participants Who Experience Dose-limiting Toxicities (DLT) of Temsirolimus and Pemetrexed
"DLT will be defined as occurring within the first cycle of Phase I only and will be graded according to the Common Terminology Criteria for Adverse Events v 3.0 (CTCAE)~Any grade 3 or higher hematologic toxicity with the exception of anemia.~Any grade 3 or higher non-hematologic toxicity related to study therapy (except alopecia).~Grade 3 or 4 pneumonitis or esophagitis.~Treatment delay of temsirolimus for more than 14 consecutive days due to study-related toxicity.~Treatment delay of pemetrexed therapy for more than 14 consecutive days because of study-related toxicity." (NCT00921310)
Timeframe: Completion of first cycle (approximately 21 days)
Intervention | participants (Number) |
---|
Phase I Dose Level 1 (Premetrexed & Temsirolimus) | 2 |
Phase 1 Dose Level -1 (Pemetrexed & Temsirolimus) | 0 |
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Phase 2 Only: Progression-free Survival (PFS)
PFS is defined as the duration of time from start of treatment to time of progression. (NCT00921310)
Timeframe: 2 years from completion of treatment
Intervention | days (Number) |
---|
| Patient A | Patient B |
---|
Phase 2 (Pemetrexed & Temsirolimus) | 523 | 167 |
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Phase I and Phase II: Overall Response Rate (Complete Response + Partial Response)
"Only those patients who have measurable disease present at baseline, have received at least one cycle of therapy, and have had their disease re-evaluated will be considered evaluable for response.~Complete response (CR)-disappearance of all target lesions and disappearance of all non-target lesions and normalization of tumor marker level.~Partial response (PR)-at least a 30% decrease in the sum of the longest diameter (LD) of the target lesions taking as reference the baseline sum LD" (NCT00921310)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|
Phase I (Premetrexed & Temsirolimus) | 0 |
Phase 2 (Pemetrexed & Temsirolimus) | 33.3 |
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Phase 2 Only: Survival Rate
(NCT00921310)
Timeframe: 1 year after start of treatment
Intervention | percentage of participants (Number) |
---|
Phase 2 (Pemetrexed & Temsirolimus) | 50 |
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Phase II: Clinical Response Rate
Clinical response is assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response (CR) is 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. Stable disease (SD) is 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. Progressive disease (PD) is 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. (NCT00923273)
Timeframe: 21 weeks
Intervention | Participants (Count of Participants) |
---|
| Complete response | Partial response | Stable disease | Progressive disease | Not evaluable |
---|
Treatment Level 4: 10mg Load | 0 | 5 | 13 | 2 | 7 |
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Number of Participants With Serious and Non-Serious Adverse Events
Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v3.0). 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. (NCT00923273)
Timeframe: Date treatment consent signed to date off study, approximately 45 months
Intervention | Participants (Count of Participants) |
---|
| Subjects from phase I | 8subjects prior peme & 12 subjects peme naive |
---|
Treatment Level 1: 3mg Load | 4 | 0 |
,Treatment Level 2: 6mg Load | 3 | 0 |
,Treatment Level 3: 6mg Load | 3 | 0 |
,Treatment Level 4: 10 mg Load | 7 | 20 |
,Treatment Level 5: 15mg Load | 5 | 0 |
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Phase I: Maximum Tolerated Dose (MTD) of Sirolimus
The phase I component of the study are to determine the safety and tolerability of sirolimus in human subjects with non small cell lung cancer (NSCLC), and to determine the maximum tolerated dose. (NCT00923273)
Timeframe: 5 weeks
Intervention | mg/m^2 (Number) |
---|
Treatment Level 1: 3mg Load | 10 |
Treatment Level 2: 6mg Load | 10 |
Treatment Level 3: 6mg Load | 10 |
Treatment Level 4: 10mg Load | 10 |
Treatment Level 5: 15mg Load | 10 |
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Phase I: Maximum Tolerated Dose (MTD) of Pemetrexed
The phase I component of the study are to determine the safety and tolerability of pemetrexed in human subjects with non small cell lung cancer (NSCLC), and to determine the maximum tolerated dose. (NCT00923273)
Timeframe: 5 weeks
Intervention | mg/m^2 (Number) |
---|
Treatment Level 1: 3mg Load | 500 |
Treatment Level 2: 6mg Load | 500 |
Treatment Level 3: 6mg Load | 500 |
Treatment Level 4: 10mg Load | 500 |
Treatment Level 5: 15mg Load | 500 |
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Percentage of Participants With Objective Response (OR)
Percentage of participants with objective response based on assessment of complete response (CR) or partial response (PR) according to RECIST v1.1. CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 millimeter [mm] short axis). PR: at least 30 percent (%) decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits. Objective response is based on independent radiology review. (NCT00932893)
Timeframe: Randomization until PD or initiation of antitumor therapy in the absence of PD or death, assessed every 6 weeks (up to 112 weeks)
Intervention | percentage of participants (Number) |
---|
Crizotinib | 65.3 |
Chemotherapy | 19.5 |
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Progression-Free Survival (PFS)
PFS: Time in months from randomization to first documentation of objective disease progression as determined by independent radiology review or to death due to any cause, whichever occurred first. PFS was calculated as (first event date minus the date of randomization plus 1) divided by 30.4. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria version 1.1 (RECIST v1.1), as at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. (NCT00932893)
Timeframe: Randomization until progressive disease (PD) or initiation of antitumor therapy in the absence of PD or death, assessed every 6 weeks (up to 112 weeks)
Intervention | months (Median) |
---|
Crizotinib | 7.7 |
Chemotherapy | 3.0 |
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Time to Deterioration (TTD) in Participant Reported Pain, Dyspnea, and Cough
TTD in pain (pain in chest from European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Supplement Module for Lung Cancer [EORTC QLQ-LC13]), dyspnea (from EORTC QLQ-LC13), or cough (from EORTC QLQ-LC13) symptoms was defined as the time from randomization to the earliest time the participant's score showed a 10 point or higher increase from baseline in any of the three symptoms from the instrument. The transformed score of pain, dyspnea, and cough symptom scales of EORTC QLQ-LC13 range from 0 to 100, greater scores = higher symptom severity. (NCT00932893)
Timeframe: Baseline up to end of treatment (up to 112 weeks)
Intervention | months (Median) |
---|
Crizotinib | 4.5 |
Chemotherapy | 1.4 |
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Percentage of Participants With Disease Control at Week 12
Disease control: participants with CR, PR, or SD according to RECIST v1.1. CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis). PR: at least 30 % decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits. 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. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. (NCT00932893)
Timeframe: Week 12
Intervention | percentage of participants (Number) |
---|
Crizotinib | 64.2 |
Chemotherapy | 38.5 |
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Time to Tumor Response (TTR)
Time from date of randomization to first documentation of objective tumor response. TTR was calculated for the subgroup of participants with objective tumor response. Objective tumor response was defined as CR or PR according to RECIST v1.1. CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis). PR: at least 30 % decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits. (NCT00932893)
Timeframe: Randomization until PD or initiation of antitumor therapy in the absence of PD or death, assessed every 6 weeks (up to 112 weeks)
Intervention | weeks (Median) |
---|
Crizotinib | 6.3 |
Chemotherapy | 12.6 |
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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 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). Most questions used 4- point scale (1 'Not at All' to 4 'Very Much'); 2 questions used 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score for Global Qol/functional scales=better level of QoL/functioning or higher score for symptom scale=greater degree of symptoms. (NCT00932893)
Timeframe: Baseline, Day (D) 1 of each cycle (C) until disease progression, end of treatment (EOT, up to 112 weeks)
Intervention | units on a scale (Mean) |
---|
| Global QoL: Baseline (n=165, 162) | Global QoL: C2D1 (n=154, 133) | Global QoL: C3D1 (n=154, 106) | Global QoL: C4D1 (n=135, 90) | Global QoL: C5D1 (n=123, 74) | Global QoL: C6D1 (n=120, 70) | Global QoL: C7D1 (n=114, 52) | Global QoL: C8D1 (n=110, 43) | Global QoL: C9D1 (n=101, 37) | Global QoL: C10D1 (n=94, 33) | Global QoL: C11D1 (n=83, 25) | Global QoL: C12D1 (n=76, 23) | Global QoL: C13D1 (n=74, 21) | Global QoL: C14D1 (n=66, 19) | Global QoL: C15D1 (n=62, 16) | Global QoL: C16D1 (n=53, 12) | Global QoL: C17D1 (n=47, 11) | Global QoL: C18D1 (n=44, 11) | Global QoL: C19D1 (n=40, 9) | Global QoL: C20D1 (n=35, 8) | Global QoL: C21D1 (n=30, 8) | Global QoL: C22D1 (n=24, 7) | Global QoL: C23D1 (n=23, 4) | Global QoL: C24D1 (n=20, 3) | Global QoL: C25D1 (n=18, 3) | Global QoL: C26D1 (n=14, 3) | Global QoL: C27D1 (n=14, 2) | Global QoL: C28D1 (n=11, 2) | Global QoL: C29D1 (n=8, 2) | Global QoL: C30D1 (n=8, 1) | Global QoL: C31D1 (n=7, 0) | Global QoL: C32D1 (n=6, 0) | Global QoL: C33D1 (n=6, 0) | Global QoL: C34D1 (n=5, 0) | Global QoL: C35D1 (n=4, 0) | Global QoL: C36D1 (n=1, 0) | Global QoL: C37D1 (n=1, 0) | Physical Functioning: Baseline (n=165, 163) | Physical Functioning: C2D1 (n=155, 133) | Physical Functioning: C3D1 (n=154, 106) | Physical Functioning: C4D1 (n=135, 91) | Physical Functioning: C5D1 (n=123, 74) | Physical Functioning: C6D1 (n=120, 70) | Physical Functioning: C7D1 (n=115, 52) | Physical Functioning: C8D1 (n=111, 43) | Physical Functioning: C9D1 (n=101, 37) | Physical Functioning: C10D1 (n=94, 33) | Physical Functioning: C11D1 (n=84, 25) | Physical Functioning: C12D1 (n=76, 23) | Physical Functioning: C13D1 (n=74, 21) | Physical Functioning: C14D1 (n=66, 19) | Physical Functioning: C15D1 (n=62, 16) | Physical Functioning: C16D1 (n=53, 12) | Physical Functioning: C17D1 (n=47, 11) | Physical Functioning: C18D1 (n=45, 11) | Physical Functioning: C19D1 (n=40, 9) | Physical Functioning: C20D1 (n=35, 8) | Physical Functioning: C21D1 (n=30, 8) | Physical Functioning: C22D1 (n=24, 7) | Physical Functioning: C23D1 (n=23, 4) | Physical Functioning: C24D1 (n=20, 3) | Physical Functioning: C25D1 (n=18, 3) | Physical Functioning: C26D1 (n=14, 3) | Physical Functioning: C27D1 (n=14, 2) | Physical Functioning: C28D1 (n=11, 2) | Physical Functioning: C29D1 (n=8, 2) | Physical Functioning: C30D1 (n=8, 1) | Physical Functioning: C31D1 (n=7, 0) | Physical Functioning: C32D1 (n=6, 0) | Physical Functioning: C33D1 (n=6, 0) | Physical Functioning: C34D1 (n=5, 0) | Physical Functioning: C35D1 (n=4, 0) | Physical Functioning: C36D1 (n=1, 0) | Physical Functioning: C37D1 (n=1, 0) | Role Functioning: Baseline (n=165, 163) | Role Functioning: C2D1 (n=155, 133) | Role Functioning: C3D1 (n=154, 106) | Role Functioning: C4D1 (n=134, 91) | Role Functioning: C5D1 (n=123, 74) | Role Functioning: C6D1 (n=120, 70) | Role Functioning: C7D1 (n=115, 52) | Role Functioning: C8D1 (n=111, 43) | Role Functioning: C9D1 (n=101, 37) | Role Functioning: C10D1 (n=94, 33) | Role Functioning: C11D1 (n=84, 25) | Role Functioning: C12D1 (n=76, 23) | Role Functioning: C13D1 (n=74, 21) | Role Functioning: C14D1 (n=66, 19) | Role Functioning: C15D1 (n=62, 16) | Role Functioning: C16D1 (n=53, 12) | Role Functioning: C17D1 (n=47, 11) | Role Functioning: C18D1 (n=45, 11) | Role Functioning: C19D1 (n=40, 9) | Role Functioning: C20D1 (n=35, 8) | Role Functioning: C21D1 (n=30, 8) | Role Functioning: C22D1 (n=24, 7) | Role Functioning: C23D1 (n=23, 4) | Role Functioning: C24D1 (n=20, 3) | Role Functioning: C25D1 (n=18, 3) | Role Functioning: C26D1 (n=14, 3) | Role Functioning: C27D1 (n=14, 2) | Role Functioning: C28D1 (n=11, 2) | Role Functioning: C29D1 (n=8, 2) | Role Functioning: C30D1 (n=8, 1) | Role Functioning: C31D1 (n=7, 0) | Role Functioning: C32D1 (n=6, 0) | Role Functioning: C33D1 (n=6, 0) | Role Functioning: C34D1 (n=5, 0) | Role Functioning: C35D1 (n=4, 0) | Role Functioning: C36D1 (n=1, 0) | Role Functioning: C37D1 (n=1, 0) | Emotional Functioning: Baseline (n=165, 162) | Emotional Functioning: C2D1 (n=155, 133) | Emotional Functioning: C3D1 (n=154, 106) | Emotional Functioning: C4D1 (n=135, 90) | Emotional Functioning: C5D1 (n=123, 74) | Emotional Functioning: C6D1 (n=120, 70) | Emotional Functioning: C7D1 (n=115, 52) | Emotional Functioning: C8D1 (n=111, 43) | Emotional Functioning: C9D1 (n=101, 37) | Emotional Functioning: C10D1 (n=94, 33) | Emotional Functioning: C11D1 (n=84,25) | Emotional Functioning: C12D1 (n=76, 23) | Emotional Functioning: C13D1 (n=74, 21) | Emotional Functioning: C14D1 (n=66, 19) | Emotional Functioning: C15D1 (n=62, 16) | Emotional Functioning: C16D1 (n=53, 12) | Emotional Functioning: C17D1 (n=47, 11) | Emotional Functioning: C18D1 (n=44, 11) | Emotional Functioning: C19D1 (n=40, 9) | Emotional Functioning: C20D1 (n=35, 8) | Emotional Functioning: C21D1 (n=30, 8) | Emotional Functioning: C22D1 (n=24, 7) | Emotional Functioning: C23D1 (n=23, 4) | Emotional Functioning: C24D1 (n=20, 3) | Emotional Functioning: C25D1 (n=18, 3) | Emotional Functioning: C26D1 (n=14, 3) | Emotional Functioning: C27D1 (n=14, 2) | Emotional Functioning: C28D1 (n=11, 2) | Emotional Functioning: C29D1 (n=8, 2) | Emotional Functioning: C30D1 (n=8, 1) | Emotional Functioning: C31D1 (n=7, 0) | Emotional Functioning: C32D1 (n=6, 0) | Emotional Functioning: C33D1 (n=6, 0) | Emotional Functioning: C34D1 (n=5, 0) | Emotional Functioning: C35D1 (n=4, 0) | Emotional Functioning: C36D1 (n=1, 0) | Emotional Functioning: C37D1 (n=1, 0) | Cognitive Functioning: Baseline (n=165, 162) | Cognitive Functioning: C2D1 (n=155, 133) | Cognitive Functioning: C3D1 (n=154, 106) | Cognitive Functioning: C4D1 (n=135, 90) | Cognitive Functioning: C5D1 (n=123, 74) | Cognitive Functioning: C6D1 (n=120, 70) | Cognitive Functioning: C7D1 (n=115, 52) | Cognitive Functioning: C8D1 (n=111, 43) | Cognitive Functioning: C9D1 (n=101, 37) | Cognitive Functioning: C10D1 (n=94, 33) | Cognitive Functioning: C11D1 (n=84, 25) | Cognitive Functioning: C12D1 (n=76, 23) | Cognitive Functioning: C13D1 (n=74, 21) | Cognitive Functioning: C14D1 (n=66, 19) | Cognitive Functioning: C15D1 (n=62, 16) | Cognitive Functioning: C16D1 (n=53, 12) | Cognitive Functioning: C17D1 (n=47, 11) | Cognitive Functioning: C18D1 (n=44, 11) | Cognitive Functioning: C19D1 (n=40, 9) | Cognitive Functioning: C20D1 (n=35, 8) | Cognitive Functioning: C21D1 (n=30, 8) | Cognitive Functioning: C22D1 (n=24, 7) | Cognitive Functioning: C23D1 (n=23, 4) | Cognitive Functioning: C24D1 (n=20, 3) | Cognitive Functioning: C25D1 (n=18, 3) | Cognitive Functioning: C26D1 (n=14, 3) | Cognitive Functioning: C27D1 (n=14, 2) | Cognitive Functioning: C28D1 (n=11, 2) | Cognitive Functioning: C29D1 (n=8, 2) | Cognitive Functioning: C30D1 (n=8, 1) | Cognitive Functioning: C31D1 (n=7, 0) | Cognitive Functioning: C32D1 (n=6, 0) | Cognitive Functioning: C33D1 (n=6, 0) | Cognitive Functioning: C34D1 (n=5, 0) | Cognitive Functioning: C35D1 (n=4, 0) | Cognitive Functioning: C36D1 (n=1, 0) | Cognitive Functioning: C37D1 (n=1, 0) | Social Functioning: Baseline (n=165, 162) | Social Functioning: C2D1 (n=155, 133) | Social Functioning: C3D1 (n=154, 106) | Social Functioning: C4D1 (n=135, 90) | Social Functioning: C5D1 (n=123, 74) | Social Functioning: C6D1 (n=120, 70) | Social Functioning: C7D1 (n=115, 52) | Social Functioning: C8D1 (n=111, 43) | Social Functioning: C9D1 (n=101, 37) | Social Functioning: C10D1 (n=94, 33) | Social Functioning: C11D1 (n=84, 25) | Social Functioning: C12D1 (n=76, 23) | Social Functioning: C13D1 (n=74, 21) | Social Functioning: C14D1 (n=66, 19) | Social Functioning: C15D1 (n=62, 16) | Social Functioning: C16D1 (n=53, 12) | Social Functioning: C17D1 (n=47, 11) | Social Functioning: C18D1 (n=44, 11) | Social Functioning: C19D1 (n=40, 9) | Social Functioning: C20D1 (n=35, 8) | Social Functioning: C21D1 (n=30, 8) | Social Functioning: C22D1 (n=24, 7) | Social Functioning: C23D1 (n=23, 4) | Social Functioning: C24D1 (n=20, 3) | Social Functioning: C25D1 (n=18, 3) | Social Functioning: C26D1 (n=14, 3) | Social Functioning: C27D1 (n=14, 2) | Social Functioning: C28D1 (n=11, 2) | Social Functioning: C29D1 (n=8, 2) | Social Functioning: C30D1 (n=8, 1) | Social Functioning: C31D1 (n=7, 0) | Social Functioning: C32D1 (n=6, 0) | Social Functioning: C33D1 (n=6, 0) | Social Functioning: C34D1 (n=5, 0) | Social Functioning: C35D1 (n=4, 0) | Social Functioning: C36D1 (n=1, 0) | Social Functioning: C37D1 (n=1, 0) | Fatigue: Baseline (n=165, 163) | Fatigue: C2D1 (n=155, 133) | Fatigue: C3D1 (n=154, 106) | Fatigue: C4D1 (n=135, 91) | Fatigue: C5D1 (n=123, 74) | Fatigue: C6D1 (n=120, 70) | Fatigue: C7D1 (n=115, 52) | Fatigue: C8D1 (n=111, 43) | Fatigue: C9D1 (n=101, 37) | Fatigue: C10D1 (n=94, 33) | Fatigue: C11D1 (n=84, 25) | Fatigue: C12D1 (n=76, 23) | Fatigue: C13D1 (n=74, 21) | Fatigue: C14D1 (n=66, 19) | Fatigue: C15D1 (n=62, 16) | Fatigue: C16D1 (n=53, 12) | Fatigue: C17D1 (n=47, 11) | Fatigue: C18D1 (n=45, 11) | Fatigue: C19D1 (n=40, 9) | Fatigue: C20D1 (n=35, 8) | Fatigue: C21D1 (n=30, 8) | Fatigue: C22D1 (n=24, 7) | Fatigue: C23D1 (n=23, 4) | Fatigue: C24D1 (n=20, 3) | Fatigue: C25D1 (n=18, 3) | Fatigue: C26D1 (n=14, 3) | Fatigue: C27D1 (n=14, 2) | Fatigue: C28D1 (n=11, 2) | Fatigue: C29D1 (n=8, 2) | Fatigue: C30D1 (n=8, 1) | Fatigue: C31D1 (n=7, 0) | Fatigue: C32D1 (n=6, 0) | Fatigue: C33D1 (n=6, 0) | Fatigue: C34D1 (n=5, 0) | Fatigue: C35D1 (n=4, 0) | Fatigue: C36D1 (n=1, 0) | Fatigue: C37D1 (n=1, 0) | Nausea and Vomiting: Baseline (n=165, 163) | Nausea and Vomiting: C2D1 (n=155, 133) | Nausea and Vomiting: C3D1 (n=154, 106) | Nausea and Vomiting: C4D1 (n=135, 91) | Nausea and Vomiting: C5D1 (n=123, 74) | Nausea and Vomiting: C6D1 (n=120, 70) | Nausea and Vomiting: C7D1 (n=115, 52) | Nausea and Vomiting: C8D1 (n=111, 43) | Nausea and Vomiting: C9D1 (n=101, 37) | Nausea and Vomiting: C10D1 (n=94, 33) | Nausea and Vomiting: C11D1 (n=84, 25) | Nausea and Vomiting: C12D1 (n=76, 23) | Nausea and Vomiting: C13D1 (n=74, 21) | Nausea and Vomiting: C14D1 (n=66, 19) | Nausea and Vomiting: C15D1 (n=62, 16) | Nausea and Vomiting: C16D1 (n=53, 12) | Nausea and Vomiting: C17D1 (n=47, 11) | Nausea and Vomiting: C18D1 (n=45, 11) | Nausea and Vomiting: C19D1 (n=40, 9) | Nausea and Vomiting: C20D1 (n=35, 8) | Nausea and Vomiting: C21D1 (n=30, 8) | Nausea and Vomiting: C22D1 (n=24, 7) | Nausea and Vomiting: C23D1 (n=23, 4) | Nausea and Vomiting: C24D1 (n=20, 3) | Nausea and Vomiting: C25D1 (n=18, 3) | Nausea and Vomiting: C26D1 (n=14, 3) | Nausea and Vomiting: C27D1 (n=14, 2) | Nausea and Vomiting: C28D1 (n=11, 2) | Nausea and Vomiting: C29D1 (n=8, 2) | Nausea and Vomiting: C30D1 (n=8, 1) | Nausea and Vomiting: C31D1 (n=7, 0) | Nausea and Vomiting: C32D1 (n=6, 0) | Nausea and Vomiting: C33D1 (n=6, 0) | Nausea and Vomiting: C34D1 (n=5, 0) | Nausea and Vomiting: C35D1 (n=4, 0) | Nausea and Vomiting: C36D1 (n=1, 0) | Nausea and Vomiting: C37D1 (n=1, 0) | Pain: Baseline (n=165, 163) | Pain: C2D1 (n=155, 133) | Pain: C3D1 (n=154, 106) | Pain: C4D1 (n=135, 91) | Pain: C5D1 (n=123, 74) | Pain: C6D1 (n=120, 70) | Pain: C7D1 (n=115, 52) | Pain: C8D1 (n=111, 43) | Pain: C9D1 (n=101, 37) | Pain: C10D1 (n=94, 33) | Pain: C11D1 (n=84, 25) | Pain: C12D1 (n=76, 23) | Pain: C13D1 (n=74, 21) | Pain: C14D1 (n=66, 19) | Pain: C15D1 (n=62, 16) | Pain: C16D1 (n=53, 12) | Pain: C17D1 (n=47, 11) | Pain: C18D1 (n=45, 11) | Pain: C19D1 (n=40, 9) | Pain: C20D1 (n=35, 8) | Pain: C21D1 (n=30, 8) | Pain: C22D1 (n=24, 7) | Pain: C23D1 (n=23, 4) | Pain: C24D1 (n=20, 3) | Pain: C25D1 (n=18, 3) | Pain: C26D1 (n=14, 3) | Pain: C27D1 (n=14, 2) | Pain: C28D1 (n=11, 2) | Pain: C29D1 (n=8, 2) | Pain: C30D1 (n=8, 1) | Pain: C31D1 (n=7, 0) | Pain: C32D1 (n=6, 0) | Pain: C33D1 (n=6, 0) | Pain: C34D1 (n=5, 0) | Pain: C35D1 (n=4, 0) | Pain: C36D1 (n=1, 0) | Pain: C37D1 (n=1, 0) | Dyspnea: Baseline (n=165, 163) | Dyspnea: C2D1 (n=155, 133) | Dyspnea: C3D1 (n=154, 106) | Dyspnea: C4D1 (n=135, 91) | Dyspnea: C5D1 (n=123, 74) | Dyspnea: C6D1 (n=120, 70) | Dyspnea: C7D1 (n=115, 52) | Dyspnea: C8D1 (n=111, 43) | Dyspnea: C9D1 (n=101, 37) | Dyspnea: C10D1 (n=94, 33) | Dyspnea: C11D1 (n=84, 25) | Dyspnea: C12D1 (n=76, 23) | Dyspnea: C13D1 (n=74, 21) | Dyspnea: C14D1 (n=66, 19) | Dyspnea: C15D1 (n=62, 16) | Dyspnea: C16D1 (n=53, 12) | Dyspnea: C17D1 (n=46, 11) | Dyspnea: C18D1 (n=45, 11) | Dyspnea: C19D1 (n=40, 9) | Dyspnea: C20D1 (n=35, 8) | Dyspnea: C21D1 (n=30, 8) | Dyspnea: C22D1 (n=24, 7) | Dyspnea: C23D1 (n=23, 4) | Dyspnea: C24D1 (n=20, 3) | Dyspnea: C25D1 (n=18, 3) | Dyspnea: C26D1 (n=14, 3) | Dyspnea: C27D1 (n=14, 2) | Dyspnea: C28D1 (n=11, 2) | Dyspnea: C29D1 (n=8, 2) | Dyspnea: C30D1 (n=8, 1) | Dyspnea: C31D1 (n=7, 0) | Dyspnea: C32D1 (n=6, 0) | Dyspnea: C33D1 (n=6, 0) | Dyspnea: C34D1 (n=5, 0) | Dyspnea: C35D1 (n=4, 0) | Dyspnea: C36D1 (n=1, 0) | Dyspnea: C37D1 (n=1, 0) | Insomnia : Baseline (n=164, 163) | Insomnia : C2D1 (n=155, 133) | Insomnia : C3D1 (n=154, 106) | Insomnia : C4D1 (n=135, 91) | Insomnia : C5D1 (n=123, 74) | Insomnia : C6D1 (n=120, 70) | Insomnia : C7D1 (n=114, 52) | Insomnia : C8D1 (n=111, 43) | Insomnia : C9D1 (n=100, 37) | Insomnia : C10D1 (n=94, 33) | Insomnia : C11D1 (n=84, 25) | Insomnia : C12D1 (n=76, 23) | Insomnia : C13D1 (n=74, 21) | Insomnia : C14D1 (n=66, 19) | Insomnia : C15D1 (n=62, 16) | Insomnia : C16D1 (n=53, 11) | Insomnia : C17D1 (n=47, 11) | Insomnia : C18D1 (n=45, 11) | Insomnia : C19D1 (n=40, 9) | Insomnia : C20D1 (n=35, 8) | Insomnia : C21D1 (n=30, 8) | Insomnia : C22D1 (n=24, 7) | Insomnia : C23D1 (n=23, 4) | Insomnia : C24D1 (n=20, 3) | Insomnia : C25D1 (n=18, 3) | Insomnia : C26D1 (n=14, 3) | Insomnia : C27D1 (n=14, 2) | Insomnia : C28D1 (n=11, 2) | Insomnia : C29D1 (n=8, 2) | Insomnia : C30D1 (n=8, 1) | Insomnia : C31D1 (n=7, 0) | Insomnia : C32D1 (n=6, 0) | Insomnia : C33D1 (n=6, 0) | Insomnia : C34D1 (n=5, 0) | Insomnia : C35D1 (n=4, 0) | Insomnia : C36D1 (n=1, 0) | Insomnia : C37D1 (n=1, 0) | Appetite loss : Baseline(n=165, 163) | Appetite loss : C2/D1(n=155, 133) | Appetite loss : C3/D1(n=154, 106) | Appetite loss : C4/D1(n=135, 91) | Appetite loss : C5/D1(n=123, 74) | Appetite loss : C6/D1(n=120, 70) | Appetite loss : C7/D1(n=115, 52) | Appetite loss : C8/D1(n=111, 43) | Appetite loss : C9/D1(n=101, 37) | Appetite loss : C10/D1(n=94, 33) | Appetite loss : C11/D1(n=84, 25) | Appetite loss : C12/D1(n=76, 23) | Appetite loss : C13/D1(n=74, 21) | Appetite loss : C15/D1(n=62, 16) | Appetite loss : C16/D1(n=53, 12) | Appetite loss : C17/D1(n=47, 11) | Appetite loss : C18/D1(n=45, 11) | Appetite loss : C19/D1(n=40, 9) | Appetite loss : C20/D1(n=35, 8) | Appetite loss : C21/D1(n=30, 8) | Appetite loss : C22/D1(n=24, 7) | Appetite loss : C23/D1(n=23, 4) | Appetite loss : C24/D1(n=20, 3) | Appetite loss : C25/D1(n=18, 3) | Appetite loss : C26/D1(n=14, 3) | Appetite loss : C27/D1(n=14, 2) | Appetite loss : C28/D1(n=11, 2) | Appetite loss : C29/D1(n=8, 2) | Appetite loss : C30/D1(n=8, 1) | Appetite loss : C31/D1(n=7, 0) | Constipation: Baseline (n=164, 162) | Constipation: C2D1 (n=155, 133) | Constipation: C3D1 (n=154, 106) | Constipation: C4D1 (n=134, 90) | Constipation: C5D1 (n=123, 74) | Constipation: C6D1 (n=120, 70) | Constipation: C7D1 (n=115, 52) | Constipation: C8D1 (n=111, 43) | Constipation: C9D1 (n=101, 37) | Constipation: C10D1 (n=94, 33) | Constipation: C11D1 (n=84, 25) | Constipation: C12D1 (n=76, 23) | Constipation: C13D1 (n=74, 21) | Constipation: C14D1 (n=66, 19) | Constipation: C15D1 (n=62, 16) | Constipation: C16D1 (n=53, 12) | Constipation: C17D1 (n=47, 11) | Constipation: C18D1 (n=44, 11) | Constipation: C19D1 (n=40, 9) | Constipation: C20D1 (n=35, 8) | Constipation: C21D1 (n=30, 8) | Constipation: C22D1 (n=24, 7) | Constipation: C23D1 (n=23, 4) | Constipation: C24D1 (n=20, 3) | Constipation: C25D1 (n=18, 3) | Constipation: C26D1 (n=14, 3) | Constipation: C27D1 (n=14, 2) | Constipation: C28D1 (n=11, 2) | Constipation: C29D1 (n=8, 2) | Constipation: C30D1 (n=8, 1) | Constipation: C31D1 (n=7, 0) | Constipation: C32D1 (n=6, 0) | Constipation: C33D1 (n=6, 0) | Constipation: C34D1 (n=5, 0) | Constipation: C35D1 (n=4, 0) | Constipation: C36D1 (n=1, 0) | Constipation: C37D1 (n=1, 0) | Constipation: EOT (n=49, 90) | Diarrhea: Baseline (n=165, 162) | Diarrhea: C2D1 (n=155, 132) | Diarrhea: C3D1 (n=153, 106) | Diarrhea: C4D1 (n=134, 90) | Diarrhea: C5D1 (n=123, 74) | Diarrhea: C6D1 (n=120, 70) | Diarrhea: C7D1 (n=115, 52) | Diarrhea: C8D1 (n=111, 43) | Diarrhea: C9D1 (n=101, 37) | Diarrhea: C10D1 (n=94, 33) | Diarrhea: C11D1 (n=84, 25) | Diarrhea: C12D1 (n=76, 23) | Diarrhea: C13D1 (n=74, 21) | Diarrhea: C14D1 (n=66, 19) | Diarrhea: C15D1 (n=62, 16) | Diarrhea: C16D1 (n=52, 12) | Diarrhea: C17D1 (n=47, 11) | Diarrhea: C18D1 (n=44, 11) | Diarrhea: C19D1 (n=40, 9) | Diarrhea: C20D1 (n=35, 8) | Diarrhea: C21D1 (n=30, 8) | Diarrhea: C22D1 (n=24, 7) | Diarrhea: C23D1 (n=23, 4) | Diarrhea: C24D1 (n=20, 3) | Diarrhea: C25D1 (n=18, 3) | Diarrhea: C26D1 (n=14, 3) | Diarrhea: C27D1 (n=14, 2) | Diarrhea: C28D1 (n=11, 2) | Diarrhea: C29D1 (n=8, 2) | Diarrhea: C30D1 (n=8, 1) | Diarrhea: C31D1 (n=7, 0) | Diarrhea: C32D1 (n=6, 0) | Diarrhea: C33D1 (n=6, 0) | Diarrhea: C34D1 (n=5, 0) | Diarrhea: C35D1 (n=4, 0) | Diarrhea: C36D1 (n=1, 0) | Diarrhea: C37D1 (n=1, 0) | Diarrhea: EOT (n=49, 90) | Financial Difficulties: Baseline (n=165, 161) | Financial Difficulties: C2D1 (n=155, 133) | Financial Difficulties: C3D1 (n=154, 105) | Financial Difficulties: C4D1 (n=135, 90) | Financial Difficulties: C5D1 (n=123, 74) | Financial Difficulties: C6D1 (n=120, 70) | Financial Difficulties: C7D1 (n=115, 52) | Financial Difficulties: C8D1 (n=111, 43) | Financial Difficulties: C9D1 (n=101, 36) | Financial Difficulties: C10D1 (n=94, 33) | Financial Difficulties: C11D1 (n=84, 25) | Financial Difficulties: C12D1 (n=76, 23) | Financial Difficulties: C13D1 (n=74, 21) | Financial Difficulties: C14D1 (n=66, 19) | Financial Difficulties: C15D1 (n=62, 16) | Financial Difficulties: C16D1 (n=53, 12) | Financial Difficulties: C17D1 (n=47, 11) | Financial Difficulties: C18D1 (n=44, 11) | Financial Difficulties: C19D1 (n=40, 9) | Financial Difficulties: C20D1 (n=35, 8) | Financial Difficulties: C21D1 (n=30, 8) | Financial Difficulties: C22D1 (n=24, 7) | Financial Difficulties: C23D1 (n=23, 4) | Financial Difficulties: C24D1 (n=20, 3) | Financial Difficulties: C25D1 (n=18, 3) | Financial Difficulties: C26D1 (n=14, 3) | Financial Difficulties: C27D1 (n=14, 2) | Financial Difficulties: C28D1 (n=11, 2) | Financial Difficulties: C29D1 (n=8, 2) | Financial Difficulties: C30D1 (n=8, 1) | Financial Difficulties: C31D1 (n=7, 0) | Financial Difficulties: C32D1 (n=6, 0) | Financial Difficulties: C33D1 (n=6, 0) | Financial Difficulties: C34D1 (n=5, 0) | Financial Difficulties: C35D1 (n=4, 0) | Financial Difficulties: C36D1 (n=1, 0) | Financial Difficulties: C37D1 (n=1, 0) | Financial Difficulties: EOT (n=49, 90) | Appetite loss: C32D1 (n=6, 0) | Appetite loss: C33D1 (n=6, 0) | Appetite loss: C34D1 (n=5, 0) | Appetite loss: C35D1 (n=4, 0) | Appetite loss: C36D1 (n=1, 0) | Appetite loss: C37D1 (n=1, 0) | Appetite loss: EOT (n=49, 90) | Global Qol: EOT (n=49, 90) | Physical Functioning: EOT (n=49, 90) | Role Functioning: EOT (n=49, 90) | Emotional Functioning: EOT (n=49, 90) | Cognitive Functioning: EOT (n=49, 90) | Social Function: EOT (n=49, 90) | Fatigue: EOT (n=49, 90) | Nausea and Vomiting: EOT (n=49, 90) | Pain: EOT (n=49, 90) | Dyspnea: EOT (n=49, 90) | Insomnia: EOT (n=49, 90) |
---|
Chemotherapy | 58.1 | 58.1 | 59.4 | 61.1 | 64.1 | 67.5 | 66.5 | 66.9 | 66.4 | 67.4 | 71.0 | 65.6 | 66.7 | 65.8 | 66.1 | 63.2 | 69.7 | 70.5 | 72.2 | 60.4 | 63.5 | 64.3 | 50.0 | 55.6 | 61.1 | 55.6 | 41.7 | 54.2 | 41.7 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 75.8 | 73.5 | 75.5 | 76.6 | 78.6 | 80.7 | 80.3 | 81.6 | 82.3 | 81.8 | 83.2 | 79.7 | 78.4 | 80.0 | 82.9 | 81.1 | 81.8 | 82.4 | 81.5 | 79.2 | 77.5 | 78.1 | 60.0 | 64.4 | 60.0 | 62.2 | 50.0 | 60.0 | 46.7 | 26.7 | NA | NA | NA | NA | NA | NA | NA | 66.6 | 64.7 | 65.3 | 67.2 | 69.6 | 69.5 | 72.1 | 75.2 | 76.6 | 75.3 | 75.3 | 72.5 | 68.3 | 68.4 | 77.1 | 69.4 | 71.2 | 71.2 | 74.1 | 70.8 | 66.7 | 67.9 | 37.5 | 44.4 | 44.4 | 33.3 | 25.0 | 25.0 | 25.0 | 0.0 | NA | NA | NA | NA | NA | NA | NA | 73.7 | 77.7 | 77.9 | 80.5 | 79.8 | 81.2 | 81.9 | 81.6 | 82.4 | 81.8 | 85.0 | 84.8 | 80.6 | 81.6 | 82.3 | 77.8 | 79.5 | 75.8 | 81.5 | 82.3 | 80.2 | 78.6 | 70.8 | 66.7 | 72.2 | 72.2 | 58.3 | 58.3 | 54.2 | 58.3 | NA | NA | NA | NA | NA | NA | NA | 83.6 | 84.5 | 83.8 | 82.6 | 82.7 | 83.8 | 85.3 | 82.2 | 84.7 | 80.8 | 85.3 | 80.4 | 79.4 | 81.6 | 84.4 | 72.2 | 75.8 | 75.8 | 70.4 | 72.9 | 72.9 | 69.0 | 58.3 | 61.1 | 55.6 | 61.1 | 41.7 | 41.7 | 33.3 | 16.7 | NA | NA | NA | NA | NA | NA | NA | 67.1 | 69.5 | 72.5 | 71.7 | 74.5 | 76.4 | 77.9 | 77.5 | 80.2 | 76.3 | 78.7 | 71.0 | 71.4 | 69.3 | 74.0 | 65.3 | 69.7 | 65.2 | 64.8 | 70.8 | 64.6 | 65.5 | 41.7 | 61.1 | 50.0 | 50.0 | 33.3 | 33.3 | 33.3 | 0.0 | NA | NA | NA | NA | NA | NA | NA | 36.1 | 39.5 | 39.4 | 34.1 | 31.5 | 31.0 | 27.6 | 26.6 | 28.5 | 28.6 | 22.2 | 26.1 | 27.5 | 28.1 | 24.3 | 24.1 | 23.2 | 27.3 | 24.7 | 27.8 | 25.7 | 27.0 | 47.2 | 40.7 | 44.4 | 44.4 | 55.6 | 38.9 | 50.0 | 55.6 | NA | NA | NA | NA | NA | NA | NA | 11.7 | 12.7 | 9.9 | 8.1 | 9.0 | 6.9 | 7.7 | 8.9 | 9.5 | 8.1 | 8.0 | 7.2 | 7.1 | 7.0 | 6.2 | 6.9 | 10.6 | 3.0 | 9.3 | 10.4 | 8.3 | 14.3 | 45.8 | 33.3 | 27.8 | 33.3 | 33.3 | 25.0 | 25.0 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 28.0 | 25.7 | 23.3 | 19.0 | 20.5 | 19.5 | 21.5 | 17.4 | 23.0 | 24.2 | 22.0 | 25.4 | 27.8 | 23.7 | 22.9 | 31.9 | 24.2 | 24.2 | 24.1 | 22.9 | 29.2 | 33.3 | 33.3 | 27.8 | 38.9 | 38.9 | 58.3 | 50.0 | 41.7 | 83.3 | NA | NA | NA | NA | NA | NA | NA | 32.5 | 33.6 | 33.3 | 29.3 | 29.3 | 26.2 | 28.2 | 22.5 | 23.4 | 24.2 | 25.3 | 30.4 | 23.8 | 29.8 | 20.8 | 19.4 | 24.2 | 24.2 | 25.9 | 33.3 | 33.3 | 28.6 | 41.7 | 44.4 | 33.3 | 33.3 | 50.0 | 50.0 | 50.0 | 66.7 | NA | NA | NA | NA | NA | NA | NA | 27.8 | 27.1 | 23.6 | 23.8 | 25.7 | 23.3 | 21.8 | 21.7 | 22.5 | 24.2 | 22.7 | 23.2 | 25.4 | 24.6 | 29.2 | 21.2 | 15.2 | 21.2 | 22.2 | 20.8 | 29.2 | 31.0 | 50.0 | 22.2 | 44.4 | 22.2 | 50.0 | 50.0 | 33.0 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 23.3 | 24.3 | 21.7 | 19.4 | 19.4 | 12.9 | 12.8 | 10.9 | 14.4 | 14.1 | 14.7 | 14.5 | 17.5 | 12.5 | 16.7 | 15.2 | 12.1 | 18.5 | 20.8 | 25.0 | 14.3 | 50.0 | 33.3 | 44.4 | 33.3 | 33.3 | 33.3 | 33.3 | 100.0 | NA | 16.9 | 14.0 | 16.0 | 14.8 | 20.3 | 15.7 | 19.9 | 16.3 | 16.2 | 19.2 | 21.3 | 21.7 | 22.2 | 24.6 | 18.7 | 22.2 | 24.2 | 15.2 | 22.2 | 20.8 | 16.7 | 19.0 | 25.0 | 22.2 | 33.3 | 44.4 | 50.0 | 50.0 | 50.0 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 18.1 | 7.8 | 11.1 | 7.9 | 8.5 | 5.9 | 7.1 | 9.6 | 9.3 | 7.2 | 7.1 | 8.0 | 8.7 | 12.7 | 8.8 | 4.2 | 5.6 | 12.1 | 12.1 | 7.4 | 4.2 | 8.3 | 11.9 | 25.0 | 11.1 | 22.2 | 11.1 | 16.7 | 16.7 | 16.7 | 0.0 | NA | NA | NA | NA | NA | NA | NA | 10.0 | 27.3 | 22.3 | 20.3 | 21.9 | 19.4 | 18.6 | 18.6 | 15.5 | 16.7 | 15.2 | 17.3 | 18.8 | 17.5 | 17.5 | 16.7 | 30.6 | 33.3 | 15.2 | 25.9 | 25.0 | 29.2 | 28.6 | 33.3 | 33.3 | 44.4 | 44.4 | 66.7 | 66.7 | 66.7 | 100.0 | NA | NA | NA | NA | NA | NA | NA | 24.1 | NA | NA | NA | NA | NA | NA | 28.1 | 46.4 | 66.2 | 54.1 | 74.5 | 80.0 | 59.4 | 46.9 | 15.7 | 33.7 | 40.0 | 30.4 |
,Crizotinib | 57.2 | 64.5 | 65.2 | 68.4 | 68.5 | 68.3 | 69.5 | 68.7 | 68.7 | 67.0 | 69.5 | 67.9 | 66.8 | 71.5 | 69.0 | 69.7 | 67.6 | 65.7 | 69.2 | 64.3 | 65.0 | 70.8 | 67.0 | 67.1 | 67.1 | 60.7 | 58.9 | 66.7 | 59.4 | 64.6 | 64.3 | 59.7 | 66.7 | 68.3 | 60.4 | 66.7 | 66.7 | 76.3 | 79.2 | 82.3 | 83.8 | 84.5 | 86.2 | 86.7 | 86.5 | 87.7 | 87.9 | 87.2 | 88.1 | 89.3 | 89.0 | 87.8 | 89.3 | 86.6 | 88.4 | 88.3 | 87.6 | 88.4 | 90.6 | 88.0 | 85.0 | 87.4 | 80.5 | 78.6 | 81.8 | 85.0 | 82.5 | 83.8 | 88.9 | 90.0 | 85.3 | 91.7 | 86.7 | 86.7 | 69.3 | 73.8 | 74.4 | 77.9 | 78.2 | 80.0 | 81.7 | 80.4 | 80.9 | 81.6 | 81.3 | 81.6 | 80.2 | 83.8 | 80.6 | 84.0 | 77.7 | 80.0 | 82.1 | 81.9 | 80.0 | 84.7 | 76.8 | 80.8 | 87.0 | 75.0 | 69.0 | 77.3 | 77.1 | 77.1 | 71.4 | 86.1 | 88.9 | 96.7 | 91.7 | 100.0 | 100.0 | 74.5 | 83.1 | 83.3 | 84.1 | 83.0 | 85.3 | 86.4 | 83.9 | 84.4 | 87.2 | 86.1 | 85.3 | 84.9 | 84.5 | 86.3 | 85.8 | 85.6 | 86.4 | 87.3 | 83.8 | 84.5 | 83.7 | 84.1 | 87.9 | 81.5 | 73.2 | 70.8 | 81.1 | 86.5 | 84.4 | 76.2 | 87.5 | 90.3 | 91.7 | 83.3 | 58.3 | 58.3 | 85.6 | 85.5 | 87.0 | 88.1 | 88.9 | 87.5 | 86.7 | 87.8 | 88.3 | 89.2 | 87.9 | 89.5 | 88.5 | 88.9 | 87.6 | 87.4 | 85.1 | 88.3 | 87.5 | 85.7 | 85.6 | 86.1 | 85.5 | 85.8 | 86.1 | 81.0 | 76.2 | 78.8 | 87.5 | 83.3 | 81.0 | 83.3 | 86.1 | 90.0 | 95.8 | 100.0 | 83.3 | 68.0 | 75.9 | 78.5 | 79.4 | 79.4 | 81.8 | 82.3 | 82.0 | 80.4 | 81.9 | 81.9 | 82.0 | 81.8 | 81.3 | 81.5 | 82.7 | 81.9 | 82.6 | 84.6 | 82.9 | 82.8 | 82.6 | 84.4 | 84.2 | 89.8 | 78.6 | 85.7 | 83.3 | 83.3 | 85.4 | 73.8 | 83.3 | 94.4 | 96.7 | 91.7 | 66.7 | 66.7 | 38.3 | 31.4 | 30.8 | 27.1 | 24.7 | 24.6 | 23.9 | 23.2 | 22.9 | 21.4 | 22.1 | 21.9 | 23.3 | 21.7 | 20.8 | 22.2 | 23.4 | 21.5 | 20.8 | 24.4 | 23.9 | 23.6 | 25.1 | 24.4 | 24.7 | 30.2 | 35.7 | 28.3 | 30.6 | 26.4 | 28.6 | 25.9 | 18.5 | 15.6 | 27.8 | 33.3 | 11.1 | 8.4 | 15.2 | 13.9 | 9.9 | 9.2 | 10.1 | 7.1 | 8.8 | 6.9 | 8.5 | 8.3 | 6.4 | 8.6 | 5.8 | 5.9 | 5.3 | 7.8 | 7.0 | 8.8 | 7.4 | 7.8 | 2.8 | 5.4 | 7.5 | 3.7 | 10.7 | 11.9 | 3.0 | 10.4 | 6.3 | 14.3 | 11.1 | 11.1 | 13.3 | 12.5 | 0.0 | 0.0 | 23.9 | 13.9 | 13.7 | 13.0 | 11.5 | 10.6 | 9.6 | 11.3 | 11.8 | 8.7 | 10.5 | 8.6 | 10.1 | 8.1 | 9.4 | 9.4 | 10.6 | 11.1 | 11.3 | 11.9 | 11.7 | 6.9 | 9.1 | 4.2 | 4.6 | 17.9 | 13.1 | 4.5 | 2.1 | 4.2 | 4.8 | 5.6 | 2.8 | 3.3 | 8.3 | 0.0 | 0.0 | 31.1 | 21.5 | 21.6 | 17.3 | 16.0 | 15.8 | 17.4 | 15.8 | 13.9 | 17.7 | 17.5 | 14.5 | 14.0 | 15.2 | 15.6 | 13.8 | 14.5 | 14.1 | 14.2 | 10.5 | 13.3 | 13.9 | 9.4 | 18.3 | 11.1 | 14.3 | 11.9 | 12.1 | 4.2 | 8.3 | 9.5 | 16.7 | 11.1 | 13.3 | 16.7 | 0.0 | 0.0 | 22.6 | 15.3 | 16.2 | 13.3 | 13.6 | 14.2 | 9.4 | 12.5 | 12.3 | 13.5 | 13.9 | 13.6 | 10.8 | 11.1 | 11.3 | 13.8 | 13.5 | 12.6 | 13.3 | 15.2 | 12.2 | 12.5 | 17.4 | 11.7 | 20.4 | 21.4 | 16.7 | 9.1 | 8.3 | 12.5 | 0.0 | 5.6 | 5.6 | 13.3 | 16.7 | 0.0 | 0.0 | 24.4 | 21.1 | 18.4 | 14.6 | 12.7 | 13.6 | 10.4 | 12.8 | 12.2 | 12.4 | 13.5 | 11.0 | 9.5 | 8.6 | 8.8 | 8.5 | 11.1 | 8.3 | 7.6 | 11.1 | 6.9 | 9.4 | 5.0 | 1.9 | 11.9 | 7.1 | 15.2 | 12.5 | 8.3 | 14.3 | 14.8 | 28.6 | 27.1 | 22.9 | 21.4 | 21.7 | 21.7 | 18.6 | 18.8 | 16.0 | 21.0 | 19.7 | 21.2 | 21.7 | 22.6 | 19.5 | 22.0 | 22.7 | 25.0 | 22.9 | 24.4 | 18.1 | 11.6 | 21.7 | 22.2 | 26.2 | 35.7 | 21.2 | 29.2 | 29.2 | 33.3 | 33.3 | 38.9 | 40.0 | 33.3 | 0.0 | 0.0 | 28.6 | 9.7 | 18.1 | 21.6 | 23.1 | 24.4 | 22.2 | 20.6 | 18.6 | 17.3 | 17.7 | 21.0 | 17.5 | 17.6 | 17.7 | 16.1 | 16.0 | 19.9 | 22.7 | 21.7 | 21.0 | 22.2 | 23.6 | 15.9 | 21.7 | 20.4 | 19.0 | 23.8 | 15.2 | 20.8 | 12.5 | 14.3 | 11.1 | 11.1 | 6.7 | 16.7 | 33.3 | 33.3 | 18.4 | 28.5 | 21.9 | 19.0 | 17.5 | 16.8 | 15.6 | 14.8 | 16.8 | 17.8 | 16.3 | 17.5 | 17.1 | 16.2 | 14.1 | 14.0 | 15.7 | 17.7 | 18.9 | 17.5 | 16.2 | 13.3 | 18.1 | 17.4 | 20.0 | 11.1 | 14.3 | 14.3 | 15.2 | 8.3 | 4.2 | 9.5 | 22.2 | 16.7 | 13.3 | 8.3 | 33.3 | 66.7 | 17.0 | 11.1 | 11.1 | 13.3 | 16.7 | 0.0 | 0.0 | 21.8 | 56.1 | 80.7 | 71.8 | 75.2 | 83.7 | 78.2 | 32.0 | 16.3 | 23.8 | 23.8 | 18.4 |
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European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Supplement Module for Lung Cancer (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). Recall period: past week; response range: 1 'Not at All' to 4 'Very Much'. Scores averaged, transformed to 0-100 scale; higher symptom score = greater degree of symptoms. (NCT00932893)
Timeframe: Baseline, Day 1 of each cycle until disease progression, end of treatment (up to 112 weeks)
Intervention | units on a scale (Mean) |
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| Dyspnea: Baseline (n=164, 162) | Dyspnea: C2D1 (n=155, 132) | Dyspnea: C3D1 (n=153, 106) | Dyspnea: C4D1 (n=135, 91) | Dyspnea: C5D1 (n=123, 74) | Dyspnea: C6D1 (n=119, 70) | Dyspnea: C7D1 (n=115, 52) | Dyspnea: C8D1 (n=111, 43) | Dyspnea: C9D1 (n=101, 37) | Dyspnea: C10D1 (n=94, 33) | Dyspnea: C11D1 (n=84, 25) | Dyspnea: C12D1 (n=76, 23) | Dyspnea: C13D1 (n=74, 21) | Dyspnea: C14D1 (n=66, 19) | Dyspnea: C15D1 (n=62, 16) | Dyspnea: C16D1 (n=53, 12) | Dyspnea: C17D1 (n=46, 11) | Dyspnea: C18D1 (n=45, 11) | Dyspnea: C19D1 (n=40, 9) | Dyspnea: C20D1 (n=35, 8) | Dyspnea: C21D1 (n=30, 8) | Dyspnea: C22D1 (n=24, 7) | Dyspnea: C23D1 (n=23, 4) | Dyspnea: C24D1 (n=20, 3) | Dyspnea: C25D1 (n=18, 3) | Dyspnea: C26D1 (n=14, 3) | Dyspnea: C27D1 (n=14, 2) | Dyspnea: C28D1 (n=11, 2) | Dyspnea: C29D1 (n=8, 2) | Dyspnea: C30D1 (n=8, 1) | Dyspnea: C31D1 (n=7, 0) | Dyspnea: C32D1 (n=6, 0) | Dyspnea: C33D1 (n=6, 0) | Dyspnea: C34D1 (n=5, 0) | Dyspnea: C35D1 (n=4, 0) | Dyspnea: C36D1 (n=1, 0) | Dyspnea: C37D1 (n=1, 0) | Dyspnea: EOT (n=49, 90) | Coughing: Baseline (n=164, 162) | Coughing: C2D1 (n=155, 132) | Coughing: C3D1 (n=153, 106) | Coughing: C4D1 (n=135, 91) | Coughing: C5D1 (n=123, 74) | Coughing: C6D1 (n=119, 70) | Coughing: C7D1 (n=115, 52) | Coughing: C8D1 (n=111, 43) | Coughing: C9D1 (n=101, 37) | Coughing: C10D1 (n=94, 33) | Coughing: C11D1 (n=83, 25) | Coughing: C12D1 (n=76, 23) | Coughing: C13D1 (n=74, 21) | Coughing: C14D1 (n=66, 19) | Coughing: C15D1 (n=62, 16) | Coughing: C16D1 (n=53, 12) | Coughing: C17D1 (n=47, 11) | Coughing: C18D1 (n=45, 11) | Coughing: C19D1 (n=40, 9) | Coughing: C20D1 (n=35, 8) | Coughing: C21D1 (n=30, 8) | Coughing: C22D1 (n=24, 7) | Coughing: C23D1 (n=23, 4) | Coughing: C24D1 (n=20, 3) | Coughing: C25D1 (n=18, 3) | Coughing: C26D1 (n=14, 3) | Coughing: C27D1 (n=14, 2) | Coughing: C28D1 (n=11, 2) | Coughing: C29D1 (n=8, 2) | Coughing: C30D1 (n=8, 1) | Coughing: C31D1 (n=7, 0) | Coughing: C32D1 (n=6, 0) | Coughing: C33D1 (n=6, 0) | Coughing: C34D1 (n=5, 0) | Coughing: C35D1 (n=4, 0) | Coughing: C36D1 (n=1, 0) | Coughing: C37D1 (n=1, 0) | Coughing: EOT (n=49, 90) | Hemoptysis: Baseline (n=164, 162) | Hemoptysis: C2D1 (n=155, 132) | Hemoptysis: C3D1 (n=153, 106) | Hemoptysis: C4D1 (n=135, 91) | Hemoptysis: C5D1 (n=123, 74) | Hemoptysis: C6D1 (n=119, 70) | Hemoptysis: C7D1 (n=115, 52) | Hemoptysis: C8D1 (n=111, 43) | Hemoptysis: C9D1 (n=101, 37) | Hemoptysis: C10D1 (n=94, 33) | Hemoptysis: C11D1 (n=83, 25) | Hemoptysis: C12D1 (n=76, 23) | Hemoptysis: C13D1 (n=74, 21) | Hemoptysis: C14D1 (n=66, 19) | Hemoptysis: C15D1 (n=62, 16) | Hemoptysis: C16D1 (n=53, 12) | Hemoptysis: C17D1 (n=47, 11) | Hemoptysis: C18D1 (n=45, 11) | Hemoptysis: C19D1 (n=40, 9) | Hemoptysis: C20D1 (n=35, 8) | Hemoptysis: C21D1 (n=30, 8) | Hemoptysis: C22D1 (n=24, 7) | Hemoptysis: C23D1 (n=23, 4) | Hemoptysis: C24D1 (n=20, 3) | Hemoptysis: C25D1 (n=18, 3) | Hemoptysis: C26D1 (n=14, 3) | Hemoptysis: C27D1 (n=14, 2) | Hemoptysis: C28D1 (n=11, 2) | Hemoptysis: C29D1 (n=8, 2) | Hemoptysis: C30D1 (n=8, 1) | Hemoptysis: C31D1 (n=7, 0) | Hemoptysis: C32D1 (n=6, 0) | Hemoptysis: C33D1 (n=6, 0) | Hemoptysis: C34D1 (n=5, 0) | Hemoptysis: C35D1 (n=4, 0) | Hemoptysis: C36D1 (n=1, 0) | Hemoptysis: C37D1 (n=1, 0) | Hemoptysis: EOT (n=49, 90) | Sore Mouth: Baseline (n=164, 162) | Sore Mouth: C2D1 (n=155, 132) | Sore Mouth: C3D1 (n=153, 106) | Sore Mouth: C4D1 (n=135, 91) | Sore Mouth: C5D1 (n=123, 73) | Sore Mouth: C6D1 (n=119, 70) | Sore Mouth: C7D1 (n=115, 52) | Sore Mouth: C8D1 (n=111, 43) | Sore Mouth: C9D1 (n=101, 37) | Sore Mouth: C10D1 (n=94, 33) | Sore Mouth: C11D1 (n=84, 25) | Sore Mouth: C12D1 (n=76, 23) | Sore Mouth: C13D1 (n=74, 21) | Sore Mouth: C14D1 (n=66, 19) | Sore Mouth: C15D1 (n=62, 16) | Sore Mouth: C16D1 (n=53, 12) | Sore Mouth: C17D1 (n=47, 11) | Sore Mouth: C18D1 (n=45, 11) | Sore Mouth: C19D1 (n=40, 9) | Sore Mouth: C20D1 (n=35, 8) | Sore Mouth: C21D1 (n=30, 8) | Sore Mouth: C22D1 (n=24, 7) | Sore Mouth: C23D1 (n=23, 4) | Sore Mouth: C24D1 (n=20, 3) | Sore Mouth: C25D1 (n=18, 3) | Sore Mouth: C26D1 (n=14, 3) | Sore Mouth: C27D1 (n=14, 2) | Sore Mouth: C28D1 (n=11, 2) | Sore Mouth: C29D1 (n=8, 2) | Sore Mouth: C30D1 (n=8, 1) | Sore Mouth: C31D1 (n=7, 0) | Sore Mouth: C32D1 (n=6, 0) | Sore Mouth: C33D1 (n=6, 0) | Sore Mouth: C34D1 (n=5, 0) | Sore Mouth: C35D1 (n=4, 0) | Sore Mouth: C36D1 (n=1, 0) | Sore Mouth: C37D1 (n=1, 0) | Sore Mouth: EOT (n=49, 90) | Dysphagia: Baseline (n=164, 162) | Dysphagia: C2D1 (n=155, 132) | Dysphagia: C3D1 (n=153, 106) | Dysphagia: C4D1 (n=135, 91) | Dysphagia: C5D1 (n=123, 74) | Dysphagia: C6D1 (n=119, 70) | Dysphagia: C7D1 (n=115, 52) | Dysphagia: C8D1 (n=111, 43) | Dysphagia: C9D1 (n=101, 37) | Dysphagia: C10D1 (n=94, 33) | Dysphagia: C11D1 (n=84, 25) | Dysphagia: C12D1 (n=76, 23) | Dysphagia: C13D1 (n=74, 21) | Dysphagia: C14D1 (n=66, 19) | Dysphagia: C15D1 (n=62, 16) | Dysphagia: C16D1 (n=53, 12) | Dysphagia: C17D1 (n=47, 11) | Dysphagia: C18D1 (n=45, 11) | Dysphagia: C19D1 (n=40, 9) | Dysphagia: C20D1 (n=35, 8) | Dysphagia: C21D1 (n=30, 8) | Dysphagia: C22D1 (n=24, 7) | Dysphagia: C23D1 (n=23, 4) | Dysphagia: C24D1 (n=20, 3) | Dysphagia: C25D1 (n=18, 3) | Dysphagia: C26D1 (n=14, 3) | Dysphagia: C27D1 (n=14, 2) | Dysphagia: C28D1 (n=11, 2) | Dysphagia: C29D1 (n=8, 2) | Dysphagia: C30D1 (n=8, 1) | Dysphagia: C31D1 (n=7, 0) | Dysphagia: C32D1 (n=6, 0) | Dysphagia: C33D1 (n=6, 0) | Dysphagia: C34D1 (n=5, 0) | Dysphagia: C35D1 (n=4, 0) | Dysphagia: C36D1 (n=1, 0) | Dysphagia: C37D1 (n=1, 0) | Dysphagia: EOT (n=49, 90) | Peripheral Neuropathy: Baseline (n=164, 162) | Peripheral Neuropathy: C2D1 (n=155, 132) | Peripheral Neuropathy: C3D1 (n=153, 106) | Peripheral Neuropathy: C4D1 (n=134, 91) | Peripheral Neuropathy: C5D1 (n=123, 74) | Peripheral Neuropathy: C6D1 (n=119, 70) | Peripheral Neuropathy: C7D1 (n=115, 52) | Peripheral Neuropathy: C8D1 (n=111, 43) | Peripheral Neuropathy: C9D1 (n=101, 37) | Peripheral Neuropathy: C10D1 (n=94, 33) | Peripheral Neuropathy: C11D1 (n=84, 25) | Peripheral Neuropathy: C12D1 (n=76, 23) | Peripheral Neuropathy: C13D1 (n=74, 21) | Peripheral Neuropathy: C14D1 (n=66, 19) | Peripheral Neuropathy: C15D1 (n=62, 16) | Peripheral Neuropathy: C16D1 (n=52, 12) | Peripheral Neuropathy: C17D1 (n=47, 11) | Peripheral Neuropathy: C18D1 (n=45, 11) | Peripheral Neuropathy: C19D1 (n=40, 9) | Peripheral Neuropathy: C20D1 (n=35, 8) | Peripheral Neuropathy: C21D1 (n=30, 8) | Peripheral Neuropathy: C22D1 (n=24, 7) | Peripheral Neuropathy: C23D1 (n=23, 4) | Peripheral Neuropathy: C24D1 (n=20, 3) | Peripheral Neuropathy: C25D1 (n=18, 3) | Peripheral Neuropathy: C26D1 (n=14, 3) | Peripheral Neuropathy: C27D1 (n=14, 2) | Peripheral Neuropathy: C28D1 (n=11, 2) | Peripheral Neuropathy: C29D1 (n=8, 2) | Peripheral Neuropathy: C30D1 (n=8, 1) | Peripheral Neuropathy: C31D1 (n=7, 0) | Peripheral Neuropathy: C32D1 (n=6, 0) | Peripheral Neuropathy: C33D1 (n=6, 0) | Peripheral Neuropathy: C34D1 (n=5, 0) | Peripheral Neuropathy: C35D1 (n=4, 0) | Peripheral Neuropathy: C36D1 (n=1, 0) | Peripheral Neuropathy: C37D1 (n=1, 0) | Peripheral Neuropathy: EOT (n=49, 90) | Alopecia: Baseline (n=163, 162) | Alopecia: C2D1 (n=155, 132) | Alopecia: C3D1 (n=153, 106) | Alopecia: C4D1 (n=135, 91) | Alopecia: C5D1 (n=123, 74) | Alopecia: C6D1 (n=118, 70) | Alopecia: C7D1 (n=115, 52) | Alopecia: C8D1 (n=111, 43) | Alopecia: C9D1 (n=101, 37) | Alopecia: C10D1 (n=94, 33) | Alopecia: C11D1 (n=84, 25) | Alopecia: C12D1 (n=76, 23) | Alopecia: C13D1 (n=74, 21) | Alopecia: C14D1 (n=65, 19) | Alopecia: C15D1 (n=62, 16) | Alopecia: C16D1 (n=53, 12) | Alopecia: C17D1 (n=46, 11) | Alopecia: C18D1 (n=45, 11) | Alopecia: C19D1 (n=40, 9) | Alopecia: C20D1 (n=35, 8) | Alopecia: C21D1 (n=30, 8) | Alopecia: C22D1 (n=24, 7) | Alopecia: C23D1 (n=23, 3) | Alopecia: C24D1 (n=20, 3) | Alopecia: C25D1 (n=18, 3) | Alopecia: C26D1 (n=14, 3) | Alopecia: C27D1 (n=14, 2) | Alopecia: C28D1 (n=11, 2) | Alopecia: C29D1 (n=8, 2) | Alopecia: C30D1 (n=8, 1) | Alopecia: C31D1 (n=7, 0) | Alopecia: C32D1 (n=6, 0) | Alopecia: C33D1 (n=6, 0) | Alopecia: C34D1 (n=5, 0) | Alopecia: C35D1 (n=4, 0) | Alopecia: C36D1 (n=1, 0) | Alopecia: C37D1 (n=1, 0) | Alopecia: EOT (n=49, 90) | Pain in Chest: Baseline (n=163, 160) | Pain in Chest: C2D1 (n=155, 132) | Pain in Chest: C3D1 (n=153, 106) | Pain in Chest: C4D1 (n=135, 91) | Pain in Chest: C5D1 (n=123, 74) | Pain in Chest: C6D1 (n=119, 70) | Pain in Chest: C7D1 (n=115, 52) | Pain in Chest: C8D1 (n=111, 43) | Pain in Chest: C9D1 (n=101, 37) | Pain in Chest: C10D1 (n=94, 33) | Pain in Chest: C11D1 (n=84, 25) | Pain in Chest: C12D1 (n=76, 23) | Pain in Chest: C13D1 (n=74, 21) | Pain in Chest: C14D1 (n=66, 19) | Pain in Chest: C15D1 (n=62, 16) | Pain in Chest: C16D1 (n=53, 12) | Pain in Chest: C17D1 (n=46, 11) | Pain in Chest: C18D1 (n=45, 11) | Pain in Chest: C19D1 (n=40, 9) | Pain in Chest: C20D1 (n=35, 8) | Pain in Chest: C21D1 (n=30, 8) | Pain in Chest: C22D1 (n=24, 7) | Pain in Chest: C23D1 (n=23, 4) | Pain in Chest: C24D1 (n=20, 3) | Pain in Chest: C25D1 (n=18, 3) | Pain in Chest: C26D1 (n=14, 3) | Pain in Chest: C27D1 (n=14, 2) | Pain in Chest: C28D1 (n=11, 2) | Pain in Chest: C29D1 (n=8, 2) | Pain in Chest: C30D1 (n=8, 1) | Pain in Chest: C31D1 (n=7, 0) | Pain in Chest: C32D1 (n=6, 0) | Pain in Chest: C33D1 (n=6, 0) | Pain in Chest: C34D1 (n=5, 0) | Pain in Chest: C35D1 (n=4, 0) | Pain in Chest: C36D1 (n=1, 0) | Pain in Chest: C37D1 (n=1, 0) | Pain in Chest: EOT (n=49, 90) | Pain in Arm or Shoulder: Baseline (n=164, 161) | Pain in Arm or Shoulder: C2D1 (n=155, 132) | Pain in Arm or Shoulder: C3D1 (n=153, 105) | Pain in Arm or Shoulder: C4D1 (n=135, 91) | Pain in Arm or Shoulder: C5D1 (n=123, 74) | Pain in Arm or Shoulder: C6D1 (n=119, 70) | Pain in Arm or Shoulder: C7D1 (n=115, 52) | Pain in Arm or Shoulder: C8D1 (n=111, 43) | Pain in Arm or Shoulder: C9D1 (n=101, 37) | Pain in Arm or Shoulder: C10D1 (n=94, 33) | Pain in Arm or Shoulder: C11D1 (n=84, 25) | Pain in Arm or Shoulder: C12D1 (n=76, 23) | Pain in Arm or Shoulder: C13D1 (n=74, 21) | Pain in Arm or Shoulder: C14D1 (n=66, 19) | Pain in Arm or Shoulder: C15D1 (n=62, 16) | Pain in Arm or Shoulder: C16D1 (n=53, 12) | Pain in Arm or Shoulder: C17D1 (n=47, 11) | Pain in Arm or Shoulder: C18D1 (n=45, 11) | Pain in Arm or Shoulder: C19D1 (n=40, 9) | Pain in Arm or Shoulder: C20D1 (n=35, 8) | Pain in Arm or Shoulder: C21D1 (n=30, 8) | Pain in Arm or Shoulder: C22D1 (n=24, 7) | Pain in Arm or Shoulder: C23D1 (n=23, 4) | Pain in Arm or Shoulder: C24D1 (n=20, 3) | Pain in Arm or Shoulder: C25D1 (n=18, 3) | Pain in Arm or Shoulder: C26D1 (n=14, 3) | Pain in Arm or Shoulder: C27D1 (n=14, 2) | Pain in Arm or Shoulder: C28D1 (n=11, 2) | Pain in Arm or Shoulder: C29D1 (n=8, 2) | Pain in Arm or Shoulder: C30D1 (n=8, 1) | Pain in Arm or Shoulder: C31D1 (n=7, 0) | Pain in Arm or Shoulder: C32D1 (n=6, 0) | Pain in Arm or Shoulder: C33D1 (n=6, 0) | Pain in Arm or Shoulder: C34D1 (n=5, 0) | Pain in Arm or Shoulder: C35D1 (n=4, 0) | Pain in Arm or Shoulder: C36D1 (n=1, 0) | Pain in Arm or Shoulder: C37D1 (n=1, 0) | Pain in Arm or Shoulder: EOT (n=48, 90) | Pain in Other Parts: Baseline (n=163, 158) | Pain in Other Parts: C2D1 (n=153, 125) | Pain in Other Parts: C3D1 (n=152, 104) | Pain in Other Parts: C4D1 (n=134, 90) | Pain in Other Parts: C5D1 (n=123, 73) | Pain in Other Parts: C6D1 (n=118, 68) | Pain in Other Parts: C7D1 (n=115, 51) | Pain in Other Parts: C8D1 (n=111, 42) | Pain in Other Parts: C9D1 (n=100, 37) | Pain in Other Parts: C10D1 (n=92, 33) | Pain in Other Parts: C11D1 (n=83, 25) | Pain in Other Parts: C12D1 (n=74, 23) | Pain in Other Parts: C13D1 (n=74, 21) | Pain in Other Parts: C14D1 (n=66, 19) | Pain in Other Parts: C15D1 (n=61, 16) | Pain in Other Parts: C16D1 (n=53, 12) | Pain in Other Parts: C17D1 (n=46, 11) | Pain in Other Parts: C18D1 (n=45, 11) | Pain in Other Parts: C19D1 (n=40, 9) | Pain in Other Parts: C20D1 (n=35, 8) | Pain in Other Parts: C21D1 (n=30, 8) | Pain in Other Parts: C22D1 (n=24, 7) | Pain in Other Parts: C23D1 (n=23, 4) | Pain in Other Parts: C24D1 (n=20, 3) | Pain in Other Parts: C25D1 (n=18, 3) | Pain in Other Parts: C26D1 (n=14, 3) | Pain in Other Parts: C27D1 (n=14, 2) | Pain in Other Parts: C28D1 (n=11, 2) | Pain in Other Parts: C29D1 (n=8, 2) | Pain in Other Parts: C30D1 (n=8, 1) | Pain in Other Parts: C31D1 (n=7, 0) | Pain in Other Parts: C32D1 (n=6, 0) | Pain in Other Parts: C33D1 (n=6, 0) | Pain in Other Parts: C34D1 (n=5, 0) | Pain in Other Parts: C35D1 (n=4, 0) | Pain in Other Parts: C36D1 (n=1, 0) | Pain in Other Parts: C37D1 (n=1, 0) | Pain in Other Parts: EOT (n=49, 90) |
---|
Chemotherapy | 26.9 | 28.6 | 28.0 | 27.5 | 24.8 | 25.2 | 24.4 | 22.0 | 19.5 | 21.5 | 20.4 | 22.7 | 26.5 | 26.3 | 22.9 | 22.2 | 30.3 | 26.3 | 23.5 | 34.7 | 25.0 | 27.0 | 52.8 | 48.1 | 40.7 | 44.4 | 55.6 | 61.1 | 50.0 | 77.8 | NA | NA | NA | NA | NA | NA | NA | 35.6 | 42.2 | 34.8 | 32.4 | 27.1 | 25.7 | 30.0 | 26.3 | 22.5 | 25.2 | 20.2 | 18.7 | 23.2 | 27.0 | 24.6 | 20.8 | 22.2 | 27.3 | 18.2 | 14.8 | 29.2 | 33.3 | 28.6 | 33.3 | 44.4 | 44.4 | 33.3 | 50.0 | 50.0 | 33.3 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 37.4 | 3.7 | 3.5 | 2.2 | 1.5 | 0.9 | 3.8 | 1.3 | 2.3 | 2.7 | 3.0 | 4.0 | 5.8 | 4.8 | 0.0 | 0.0 | 5.6 | 9.1 | 3.0 | 3.7 | 8.3 | 4.2 | 9.5 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | NA | NA | NA | NA | NA | NA | NA | 4.8 | 6.4 | 9.1 | 9.4 | 10.3 | 9.6 | 10.5 | 7.7 | 10.9 | 10.8 | 12.1 | 9.3 | 8.7 | 9.5 | 7.0 | 14.6 | 8.3 | 6.1 | 12.1 | 7.4 | 12.5 | 4.2 | 7.1 | 16.7 | 0.0 | 0.0 | 11.1 | 16.7 | 0.0 | 16.7 | 0.0 | NA | NA | NA | NA | NA | NA | NA | 8.1 | 8.6 | 9.8 | 9.7 | 8.1 | 7.7 | 10.0 | 5.1 | 6.2 | 7.2 | 6.1 | 4.0 | 7.2 | 6.3 | 7.0 | 4.2 | 2.8 | 6.1 | 3.0 | 0.0 | 8.3 | 8.3 | 0.0 | 8.3 | 0.0 | 11.1 | 11.1 | 16.7 | 16.7 | 16.7 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 8.5 | 17.7 | 21.5 | 18.2 | 21.6 | 21.2 | 18.1 | 21.8 | 24.0 | 29.7 | 27.3 | 24.0 | 33.3 | 33.3 | 29.8 | 25.0 | 25.0 | 27.3 | 30.3 | 22.2 | 33.3 | 29.2 | 28.6 | 41.7 | 44.4 | 44.4 | 22.2 | 66.7 | 33.3 | 50.0 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 21.9 | 16.9 | 36.6 | 30.5 | 24.9 | 23.9 | 23.3 | 19.9 | 18.6 | 16.2 | 14.1 | 16.0 | 20.3 | 12.7 | 15.8 | 8.3 | 13.9 | 18.2 | 18.2 | 18.5 | 25.0 | 16.7 | 14.3 | 22.2 | 33.3 | 33.3 | 44.4 | 33.3 | 50.0 | 33.3 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 33.3 | 24.0 | 23.7 | 23.3 | 19.8 | 17.1 | 16.2 | 16.7 | 14.0 | 17.1 | 18.2 | 20.0 | 23.2 | 23.8 | 22.8 | 18.7 | 16.7 | 21.2 | 24.2 | 18.5 | 29.2 | 25.0 | 26.2 | 41.7 | 33.3 | 33.3 | 33.3 | 50.0 | 50.0 | 50.0 | 66.7 | NA | NA | NA | NA | NA | NA | NA | 28.5 | 19.5 | 19.9 | 17.5 | 14.3 | 13.1 | 17.1 | 17.3 | 20.2 | 23.4 | 25.3 | 24.0 | 29.0 | 25.4 | 29.8 | 25.0 | 16.7 | 21.2 | 30.3 | 18.5 | 25.0 | 29.2 | 21.4 | 33.3 | 44.4 | 33.3 | 22.2 | 50.0 | 33.3 | 66.7 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 21.9 | 31.4 | 25.9 | 21.2 | 21.5 | 20.5 | 18.1 | 16.3 | 22.2 | 24.3 | 28.3 | 24.0 | 24.6 | 31.7 | 24.6 | 25.0 | 38.9 | 24.2 | 33.3 | 25.9 | 29.2 | 29.2 | 40.5 | 41.7 | 11.1 | 44.4 | 33.3 | 50.0 | 33.3 | 16.7 | 33.3 | NA | NA | NA | NA | NA | NA | NA | 29.6 |
,Crizotinib | 27.2 | 17.6 | 17.9 | 16.2 | 16.9 | 15.2 | 15.6 | 14.7 | 13.9 | 15.4 | 15.1 | 13.7 | 12.8 | 14.8 | 13.2 | 12.6 | 12.3 | 14.1 | 14.4 | 13.7 | 12.6 | 10.6 | 13.8 | 14.4 | 15.4 | 14.3 | 15.1 | 11.1 | 12.5 | 9.7 | 15.9 | 18.5 | 18.5 | 20.0 | 16.7 | 22.2 | 11.1 | 21.8 | 38.2 | 23.0 | 23.5 | 19.8 | 18.4 | 14.6 | 15.9 | 13.2 | 13.5 | 14.2 | 12.9 | 14.5 | 14.0 | 13.1 | 11.8 | 13.8 | 6.4 | 13.3 | 12.5 | 10.5 | 13.3 | 8.3 | 11.6 | 8.3 | 5.6 | 2.4 | 7.1 | 18.2 | 8.3 | 20.8 | 19.0 | 16.7 | 11.1 | 20.0 | 33.3 | 33.3 | 33.3 | 25.9 | 2.4 | 1.7 | 0.9 | 1.0 | 0.3 | 0.6 | 0.0 | 0.9 | 0.3 | 0.4 | 2.4 | 0.9 | 2.3 | 0.5 | 1.1 | 0.6 | 0.0 | 1.5 | 0.0 | 1.0 | 0.0 | 0.0 | 1.4 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.7 | 5.5 | 8.0 | 7.0 | 8.1 | 5.1 | 4.8 | 5.2 | 3.0 | 4.8 | 6.4 | 4.8 | 3.9 | 4.5 | 4.5 | 5.4 | 6.3 | 3.5 | 5.2 | 4.2 | 7.6 | 4.4 | 5.6 | 5.1 | 6.7 | 0.0 | 4.8 | 7.1 | 6.1 | 8.3 | 8.3 | 9.5 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 3.4 | 7.1 | 8.2 | 7.6 | 6.2 | 6.0 | 7.0 | 4.1 | 3.2 | 5.0 | 4.3 | 3.2 | 3.5 | 4.1 | 3.0 | 3.8 | 4.4 | 2.8 | 3.7 | 4.2 | 4.8 | 3.3 | 2.8 | 2.9 | 5.0 | 0.0 | 9.5 | 2.4 | 6.1 | 8.3 | 0.0 | 4.8 | 5.6 | 0.0 | 6.7 | 8.3 | 0.0 | 0.0 | 4.8 | 14.0 | 18.1 | 17.6 | 15.9 | 15.2 | 13.7 | 13.0 | 10.8 | 11.2 | 11.3 | 11.1 | 11.4 | 10.4 | 10.6 | 8.6 | 10.3 | 12.1 | 11.9 | 9.2 | 12.4 | 11.1 | 8.3 | 8.7 | 3.3 | 9.3 | 16.7 | 9.5 | 15.2 | 12.5 | 16.7 | 19.0 | 11.1 | 11.1 | 20.0 | 25.0 | 0.0 | 0.0 | 10.2 | 17.4 | 9.5 | 7.6 | 8.9 | 6.0 | 4.2 | 4.9 | 3.9 | 4.0 | 4.6 | 4.0 | 4.4 | 6.3 | 3.6 | 4.8 | 6.3 | 5.1 | 3.7 | 5.8 | 3.8 | 7.8 | 2.8 | 1.4 | 6.7 | 9.3 | 7.1 | 16.7 | 6.1 | 16.7 | 12.5 | 9.5 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 6.8 | 18.8 | 9.5 | 7.0 | 7.4 | 6.8 | 6.2 | 7.5 | 5.1 | 5.9 | 6.7 | 6.3 | 5.3 | 6.3 | 7.6 | 5.9 | 3.8 | 7.2 | 5.9 | 5.0 | 5.7 | 5.6 | 4.2 | 3.6 | 1.7 | 5.6 | 7.1 | 4.8 | 9.1 | 0.0 | 4.2 | 9.5 | 0.0 | 0.0 | 6.7 | 8.3 | 0.0 | 0.0 | 17.0 | 16.3 | 9.0 | 8.1 | 6.9 | 6.2 | 6.7 | 6.4 | 6.9 | 5.6 | 7.4 | 6.0 | 6.6 | 5.9 | 7.6 | 5.4 | 5.0 | 3.5 | 8.1 | 6.7 | 9.5 | 7.8 | 2.8 | 0.7 | 3.3 | 1.9 | 7.1 | 4.8 | 0.0 | 0.0 | 0.0 | 0.0 | 11.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 11.1 | 23.1 | 15.0 | 11.4 | 12.7 | 14.4 | 10.7 | 11.3 | 10.5 | 10.7 | 9.8 | 12.4 | 12.2 | 10.8 | 11.6 | 9.8 | 10.7 | 13.8 | 10.4 | 14.2 | 13.3 | 21.1 | 12.5 | 5.1 | 6.7 | 9.3 | 23.8 | 16.7 | 6.1 | 4.2 | 12.5 | 9.5 | 5.6 | 0.0 | 6.7 | 0.0 | 0.0 | 0.0 | 18.4 |
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European Quality of Life - 5 Dimensional (EQ-5D) Visual Analog Scale (VAS)
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state. (NCT00932893)
Timeframe: Baseline, Day 1 of each cycle until disease progression, end of treatment (up to 112 weeks)
Intervention | units on a scale (Mean) |
---|
| Baseline (n=164, 161) | C2D1 (n=153, 131) | C3D1 (n=153, 105) | C4D1 (n=135, 90) | C5D1 (n=122, 74) | C6D1 (n=120, 70) | C7D1 (n=115, 52) | C8D1 (n=110, 43) | C9D1 (n=101, 37) | C10D1 (n=94, 33) | C11D1 (n=84, 25) | C12D1 (n=77, 23) | C13D1 (n=73, 21) | C14D1 (n=66, 19) | C15D1 (n=62, 16) | C16D1 (n=53, 12) | C17D1 (n=47, 11) | C18D1 (n=45, 11) | C19D1 (n=40, 9) | C20D1 (n=35, 8) | C21D1 (n=30, 8) | C22D1 (n=24, 7) | C23D1 (n=23, 4) | C24D1 (n=20, 3) | C25D1 (n=18, 3) | C26D1 (n=14, 3) | C27D1 (n=14, 2) | C28D1 (n=11, 2) | C29D1 (n=8, 2) | C30D1 (n=8, 1) | C31D1 (n=7, 0) | C32D1 (n=6, 0) | C33D1 (n=6, 0) | C34D1 (n=5, 0) | C35D1 (n=4, 0) | C36D1 (n=1, 0) | C37D1 (n=1, 0) | EOT (n=49, 90) |
---|
Chemotherapy | 66.76 | 66.33 | 65.84 | 69.13 | 68.12 | 69.71 | 70.63 | 72.30 | 72.27 | 74.27 | 77.24 | 74.83 | 73.00 | 74.11 | 77.44 | 79.00 | 81.73 | 78.91 | 78.00 | 76.75 | 73.63 | 72.21 | 54.00 | 62.00 | 63.67 | 63.00 | 50.00 | 55.00 | 45.00 | 40.00 | NA | NA | NA | NA | NA | NA | NA | 58.34 |
,Crizotinib | 64.09 | 69.19 | 73.13 | 73.78 | 75.27 | 75.79 | 77.02 | 74.72 | 74.45 | 75.49 | 76.32 | 76.95 | 76.38 | 78.77 | 77.71 | 75.32 | 75.09 | 75.87 | 76.85 | 72.66 | 74.13 | 77.54 | 75.48 | 71.40 | 75.61 | 72.14 | 66.57 | 72.36 | 71.38 | 69.50 | 68.57 | 65.83 | 67.50 | 68.00 | 72.25 | 90.00 | 85.00 | 68.33 |
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Number of Participants With Categorical Maximum QTcF for Crizotinib
QT interval corrected using Fridericia's formula (QTcF): QT interval (time corresponding to the beginning of depolarization to re-polarization of the ventricles) divided by cube root of RR interval. Maximum QTcF was categorized as less than (<) 450 milliseconds (msec), 450 msec to <480 msec, 480 msec to <500 msec, and more than or equal to (>=) 500 msec. A participant is reported only once under the maximum QTcF interval observed at any of the time-points. Only participants receiving crizotinib were to be analyzed for this outcome measure as per planned analysis. (NCT00932893)
Timeframe: Pre-dose on Day 1 of Cycle 1, 2 to 6 hours post-dose on Day 1 of Cycle 1, 2
Intervention | participants (Number) |
---|
| <450 msec | 450 msec to <480 msec | 480 msec to <500 msec | >=500 msec |
---|
Crizotinib | 137 | 9 | 1 | 8 |
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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 any cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7.02. DR was calculated for the subgroup of participants with a confirmed objective tumor response. (NCT00932893)
Timeframe: Randomization until PD or initiation of antitumor therapy in the absence of PD or death, assessed every 6 weeks (up to 112 weeks)
Intervention | weeks (Median) |
---|
Crizotinib | 32.1 |
Chemotherapy | 24.4 |
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Overall Survival (OS)
OS: Time in months from randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 30.4. (NCT00932893)
Timeframe: Randomization until death (up to 4.5 years)
Intervention | months (Median) |
---|
Crizotinib | 21.7 |
Chemotherapy | 21.9 |
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Overall Survival Probability at Months 6 and 12
Overall survival probability at Month 6 and 12 was defined as the probability of survival at 6 and 12 months respectively, after the randomization of study treatment. The survival probability was estimated using the Kaplan-Meier method. (NCT00932893)
Timeframe: Month 6, 12
Intervention | percent chance of survival (Number) |
---|
| Month 6 | Month 12 |
---|
Chemotherapy | 83.8 | 66.7 |
,Crizotinib | 86.6 | 70.4 |
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Plasma Concentration of Crizotinib
Only participants receiving crizotinib were to be analyzed for this outcome measure as per planned analysis. (NCT00932893)
Timeframe: Pre-dose on Cycle 1 Day 1, Cycle 1 Day 15, and Day 1 of Cycles 2, 3, 5
Intervention | nanogram per milliliter (ng/mL) (Geometric Mean) |
---|
| Cycle 1 Day 1 (n=15) | Cycle 1 Day 15 (n=92) | Cycle 2 Day 1 (n=62) | Cycle 3 Day 1 (n=61) | Cycle 5 Day 1 (n=47) |
---|
Crizotinib | NA | 298 | 293 | 306 | 291 |
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Plasma Concentration of Soluble c-Met Ectodomain and Hepatocyte Growth Factor Scatter Proteins
Descriptive statistics (absolute value and change from baseline as measured by ratio to baseline) for each best overall response category (CR, PR, SD, PD or combined) have been used to summarize the data from optional soluble c-Met ectodomain assays for crizotinib treated patients. (NCT00932893)
Timeframe: Pre-dose on Day 1 of Cycle 1, 2 to 6 hours post-dose on Day 1 of Cycle 2, end of treatment (up to 112 weeks)
Intervention | nanogram per milliliter (ng/mL) (Mean) |
---|
| Baseline (N = 81) | Cycle 2 Day 1 6-hour post dose (N = 69) | End of treatment (N = 40) |
---|
Overall Values | 1428.3 | 1683.0 | 1751.8 |
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Percentage of Participants With Disease Control at Week 6
Disease control: participants with CR, PR, or stable disease (SD) according to RECIST v1.1. CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis). PR: at least 30 % decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits. SD: 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: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. Disease control is based on independent radiology review. (NCT00932893)
Timeframe: Week 6
Intervention | percentage of participants (Number) |
---|
Crizotinib | 81.5 |
Chemotherapy | 55.2 |
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The Primary Efficacy Endpoint is Progression Free Survival, Analyzed in the Treated Population. PFS is Assessed From Randomization Until Either Tumor Progression, as Per RECIST Criteria, or Until Death Due to Any Reason.
(NCT00942825)
Timeframe: 15 June 2009 to 30 September 2012
Intervention | days (Median) |
---|
A CBP501 +Cisplatin + Pemetrexed | 140 |
B Cisplatin + Pemetrexed | 165 |
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Percentage of Participants With Complete Response or Partial Response (Overall Tumor Response Rate)
Overall Response rate (ORR) was the percentage of participants with a confirmed complete response (CR) or partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. CR was the disappearance of all target and non-target lesions; PR was a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesions. ORR was calculated as a total number of participants with CR or PR from the start of study treatment until disease progression or recurrence divided by the total number of participants treated, then multiplied by 100. (NCT00948675)
Timeframe: Baseline to date of objective progressive disease up to 39.49 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 23.6 |
Paclitaxel + Carboplatin + Bevacizumab | 27.4 |
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Overall Survival (OS)
OS was defined as the duration from the date of randomization to the date of death from any cause. For participants who were alive at the time of the data inclusion cutoff, OS was censored at the last date the participant was known to be alive. (NCT00948675)
Timeframe: Randomization to date of death from any cause up to 39.49 months
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 10.51 |
Paclitaxel + Carboplatin + Bevacizumab | 11.66 |
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Disease Control Rates Defined as Complete Response (CR), Partial Response (PR), and Stable Disease (SD)
Disease control rate was the percentage of participants with a confirmed CR, PR or SD, as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. CR was the disappearance of all target and non-target lesions; PR was a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesion; SD was neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Disease control rate was calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100. (NCT00948675)
Timeframe: Baseline to date of objective progressive disease up to 39.49 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 59.9 |
Paclitaxel + Carboplatin + Bevacizumab | 57.0 |
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Progression Free Survival (PFS)
PFS was defined as the duration from the date of randomization to the date of progressive disease (PD) or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD was ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions. For participants who had no PD or death at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy. (NCT00948675)
Timeframe: Randomization to measured progressive disease up to 39.49 months
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 4.44 |
Paclitaxel + Carboplatin + Bevacizumab | 5.45 |
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Progression Free Survival Without Grade 4 Toxicity (G4PFS) as Measured by the Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0
G4PFS was defined as the duration from the date of randomization to the earliest occurrence date of one of the following three events: Common Terminology Criteria (CTC) grade 4 adverse events (G4AEs), or progressive disease (PD) or death from any cause, whichever occurred earlier. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD is ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions. For participants who had no G4AEs, or PD, or death at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy. (NCT00948675)
Timeframe: Randomization to measured progressive disease or treatment discontinuation up to 39.49 months
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 3.91 |
Paclitaxel + Carboplatin + Bevacizumab | 2.86 |
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Trough Plasma Concentrations of Afatinib at Day 29
Trough plasma concentrations of Afatinib at day 29 (course 2, visit 2) after multiple daily dosing of 40 mg Afatinib and after dose escalation to 50 mg or dose reduction to 30 mg or 20 mg. (NCT00949650)
Timeframe: Day 29.
Intervention | ng/mL. (Geometric Mean) |
---|
Afatinib 30 mg | 28.0 |
Afatinib 40 mg | 25.8 |
Afatinib 50 mg | 29.6 |
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Trough Plasma Concentrations of Afatinib at Day 22
Trough plasma concentrations of Afatinib at Day 22 (course 2, visit 1) after multiple daily dosing of 40 mg Afatinib and after dose escalation to 50 mg or dose reduction to 30 mg or 20 mg. (NCT00949650)
Timeframe: Day 22.
Intervention | ng/mL. (Geometric Mean) |
---|
Afatinib 30 mg | 21.8 |
Afatinib 40 mg | 28.0 |
Afatinib 50 mg | 29.9 |
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Progression-Free Survival (PFS) Time
PFS was defined as time from randomisation to disease progression or death whichever occured first. Assessed by central independent review according to the Response Evaluation Criteria in Solid Tumours (RECIST 1.1). Median time results from unstratified Kaplan-Meier estimates. (NCT00949650)
Timeframe: Tumour assessments were performed at Screening, Week 6, Week 12, Week 18 and then every 12-18 weeks until disease progression
Intervention | Months. (Median) |
---|
Afatinib 40 mg | 11.17 |
Pemetrexed/Cisplatin Chemotherapy | 6.90 |
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Percentage of Patients With Objective Response (OR)
OR was defined as Complete Response (CR) or Partial Response (PR). Assessed by central independent review according to RECIST 1.1. (NCT00949650)
Timeframe: Tumour assessments were performed at Screening, Week 6, Week 12, Week 18 and then every 12-18 weeks until disease progression
Intervention | Percentage of patients with OR. (Number) |
---|
Afatinib 40 mg | 56.5 |
Pemetrexed/Cisplatin Chemotherapy | 22.6 |
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Percentage of Participants With Disease Control (DC)
DC was defined as a patient with OR or Stable Disease (SD). Assessed by central independent review according to the RECIST 1.1. (NCT00949650)
Timeframe: Tumour assessments were performed at Screening, Week 6, Week 12, Week 18 and then every 12-18 weeks until disease progression
Intervention | Percentage of participants with DC. (Number) |
---|
Afatinib 40 mg | 90.4 |
Pemetrexed/Cisplatin Chemotherapy | 80.9 |
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HRQOL: Time to Deterioration in Pain
HRQOL was measured by EORTC QLQ-C30 and its lung cancer specific module QLQ-LC13. Analysis for pain is based on composite of QLQ-C30 questions 9 and 19. Time to deterioration was defined as the time from randomisation to a score increased (worsened) by at least 10 points from baseline (0-100 point scale). Patients were considered deteriorated at time of death. Median time results from unstratified Kaplan-Meier estimates. (NCT00949650)
Timeframe: Throughout the trial until progression (every 3 weeks).
Intervention | Months. (Median) |
---|
Afatinib 40 mg | 4.17 |
Pemetrexed/Cisplatin Chemotherapy | 3.09 |
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HRQOL: Time to Deterioration in Dyspnoea
HRQOL was measured by EORTC QLQ-C30 and its lung cancer specific module QLQ-LC13. Analysis for dyspnoea is based on composite of QLQ-LC13 questions 3-5. Time to deterioration was defined as the time from randomisation to a score increased (worsened) by at least 10 points from baseline (0-100 point scale). Patients were considered deteriorated at time of death. Median time results from unstratified Kaplan-Meier estimates. (NCT00949650)
Timeframe: Throughout the trial until progression (every 3 weeks).
Intervention | Months. (Median) |
---|
Afatinib 40 mg | 10.41 |
Pemetrexed/Cisplatin Chemotherapy | 2.86 |
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Overall Survival (OS) Time
OS was defined as time from randomisation to death. (NCT00949650)
Timeframe: From randomisation to cut-off date (17MAR2017).
Intervention | Months. (Median) |
---|
Afatinib 40 mg | 28.16 |
Pemetrexed/Cisplatin Chemotherapy | 28.22 |
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Trough Plasma Concentrations of Afatinib at Day 43
Trough plasma concentrations of Afatinib at Day 43 (course 3, visit 1) after multiple daily dosing of 40 mg Afatinib and after dose escalation to 50 mg or dose reduction to 30 mg or 20 mg. (NCT00949650)
Timeframe: Day 43.
Intervention | ng/mL. (Geometric Mean) |
---|
Afatinib 20 mg | 24.4 |
Afatinib 30 mg | 24.7 |
Afatinib 40 mg | 23.5 |
Afatinib 50 mg | 27.5 |
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Change From Baseline in Body Weight
Because the PFS was longer for patients in the Afatinib arm than for patients in the chemotherapy arm, the period of data collection for ECOG status and body weight continued for a longer time in the Afatinib arm. (NCT00949650)
Timeframe: Baseline and throughout the trial until progression (every 3 weeks), up to 28 months.
Intervention | Kg. (Mean) |
---|
| Change from baseline at lowest value | Change from baseline at last value |
---|
Afatinib 40 mg | -3.95 | -1.19 |
,Pemetrexed/Cisplatin Chemotherapy | -2.68 | -0.29 |
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Tumour Shrinkage
Tumour shrinkage was calculated as the minimum Sum of Diameters (SoD) of target lesions from all post-baseline tumour assessments, as read by the central independent review. The mean of these minimum values were presented after adjusting for baseline SoD, EGFR mutation group and race. (NCT00949650)
Timeframe: Tumour assessments were performed at Screening, Week 6, Week 12, Week 18 and then every 12-18 weeks until disease progression
Intervention | mm. (Mean) |
---|
Afatinib 40 mg | 33.19 |
Pemetrexed/Cisplatin Chemotherapy | 43.00 |
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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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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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Number of Participants With Marked Laboratory Abnormalities
Marked laboratory abnormalities were defined as those values that were outside the reference range and showed a clinically relevant change from Baseline. The reference range for Platelets was 100-550 (10^9/L), for White blood cells (WBC) was 3.0-18.0 (10^9/L), for Lymphocytes was 0.70-7.60 (10^9/L), and Neutrophil 1.50-9.25 (10^9/L ). (NCT00961415)
Timeframe: Up to 21 months
Intervention | Participants (Number) |
---|
| Alanine amino transferase (ALT) | Aspartate amino transferase (AST) | Alkaline phosphatase | Hemoglobin | International normalized ratio (INR) | Lymphocytes | Neutrophils | Platelets | Serum creatinine | WBC | Activated partial thromboplastin time (aPTT) |
---|
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 26 | 26 | 26 | 30 | 0 | 30 | 30 | 30 | 26 | 30 | 0 |
,Bevacizumab Maintenance Trt Arm A | 18 | 18 | 18 | 28 | 1 | 28 | 28 | 28 | 18 | 28 | 1 |
,No Maintenance Trt | 8 | 8 | 8 | 25 | 0 | 25 | 25 | 25 | 8 | 25 | 0 |
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Duration of Response During Maintenance Treatment Phase
Duration of response is defined as the time in months from the initial start of response PR or better to the earlier of documented PD or death due to any cause. Participants who had neither progressed nor died at the date of clinical cutoff, who withdrew from the study, were lost to follow-up, or were without documented disease progression were censored at the date of the last available tumor assessment. The analysis was based on all participants with measurable disease at baseline who achieved response.Tumor assessment was done before Cycle 3, at Cycle 2 of maintenance therapy and every nine weeks thereafter. (NCT00961415)
Timeframe: Up to 21 months
Intervention | Months (Median) |
---|
Bevacizumab Maintenance Trt Arm A | 5.7 |
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 9.2 |
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Duration of Disease Control During Maintenance Treatment Phase
Duration of disease control is defined as the time in months from randomization to the earlier of documented PD or death due to any cause. Tumor assessment was done before Cycle 3, at Cycle 2 of maintenance therapy and every nine weeks thereafter. (NCT00961415)
Timeframe: Up to 21 months
Intervention | Months (Median) |
---|
Bevacizumab Maintenance Trt Arm A | 4.9 |
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 7.8 |
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Overall Survival During Maintenance Treatment Phase
Overall survival (OS) is assessed from the date of first induction treatment until the date of death. Tumor assessment was done before Cycle 3, at Cycle 2 of maintenance therapy and every nine weeks thereafter. (NCT00961415)
Timeframe: Up to 21 months
Intervention | Months (Median) |
---|
Bevacizumab Maintenance Trt Arm A | 15.7 |
Bevacizumab +Pemetrexed Maintenance Trt Arm B | NA |
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Progression Free Survival During Maintenance Treatment Phase
Progression free survival (PFS) is defined as the time from randomization to the date of documented disease progression according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1) , or the date of occurrence of a second primary cancer, or date of death from any cause, whichever comes first. Progression is defined using (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, the appearance of new lesions and increase of at least 5 mm in the sum of diameters of target lesions.Tumor assessment was done before Cycle 3, at Cycle 2 of maintenance therapy and every nine weeks thereafter. (NCT00961415)
Timeframe: Up to 21 months
Intervention | Months (Median) |
---|
Bevacizumab Maintenance Trt Arm A | 6.6 |
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 10.2 |
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Best Overall Response Rate During Maintenance Treatment Phase
The best overall response rate (BORR) is defined as the percentage of participants having achieved confirmed Complete Response (CR) and Partial Response (PR) as the best overall response. CR was defined as complete disappearance of all target lesions and non-target disease. PR was defined as a greater than or equal to (≥) 30% decrease under baseline of the sum of diameters of all target lesions. Stable disease (SD) is defined as steady state of disease with neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).Tumor assessment was done before Cycle 3, at Cycle 2 of maintenance therapy and every nine weeks thereafter. (NCT00961415)
Timeframe: Up to 21 months
Intervention | percentage of participants (Number) |
---|
| Partial response (PR) | Stable disease (SD) |
---|
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 55.5 | 44.5 |
,Bevacizumab Maintenance Trt Arm A | 50 | 50 |
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Incidence of Adverse Events and Serious Adverse Event
An adverse events (AE) is any untoward medical occurrence in a participant or clinical investigation participant 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 serious adverse event (SAE) is any experience that suggests a significant hazard, contraindication, side effect, or precaution. (NCT00961415)
Timeframe: Up to 21 months
Intervention | Participants (Number) |
---|
| AE | SAE |
---|
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 123 | 42 |
,Bevacizumab Maintenance Trt Arm A | 116 | 26 |
,No Maintenance Trt | 119 | 70 |
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Quality of Life
European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire-Cancer 30 (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). The European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire-Lung Cancer 13 [EORTC QLQ-LC13]consisted of 1 multi-item scale and 9 single items that assessed the specific symptoms (dyspnea, cough, hemoptysis, and site specific pain), side effects (sore mouth, dysphagia, neuropathy, and alopecia), and pain medication use of lung cancer participants receiving chemotherapy. Scale score range: 0 to 100. Higher symptom score = greater degree of symptom severity. QOL was assessed using Pre-Induction Baseline (Pre-ind BL), Maintenance (MTC), End of study (EOS) cycles. (NCT00961415)
Timeframe: Up to 21 months
Intervention | Score on scale (Mean) |
---|
| [Pre-ind BL] Global Health Status Scale n=116,121 | [Pre-ind BL] Physical Functional Scale (n=118,121) | [Pre-ind BL] Role Functional Scale (n=118,121) | [Pre-ind BL] Emotional Functional Scale n=117,121 | [Pre-ind BL] Cognitive Functional Scale n=117,121 | [Pre-ind BL]] Social Functional Scale (n=116,120) | [Pre-ind BL] Fatigue Symptom Scale (n=118,121) | [Pre-ind BL] Nausea & Vomiting Scale n=118,121 | [Pre-ind BL] Pain Symptom Scale (n=118,121) | [Pre-ind BL] Dyspnea Symptom Scale (n=118,121) | [Pre-ind BL] Insomnia Symptom Scale n=118,121 | [Pre-ind BL] Appetite Loss Symptom Scale n=118,121 | [Pre-ind BL]] Constipation Symptom Scale n=118,121 | [Pre-ind BL] Diarrhea Symptom Scale (n=117,121) | [Pre-ind BL]Financial Difficulties Scale n=114,120 | [MTC Cycle 3]Global Health Status (n=69,87) | [MTC Cycle 3]Physical Functional Scale (n=69,87) | [MTC Cycle 3]Role Functional Scale (n=69,87) | [MTC Cycle 3]Emotional Functional Scale (n=69,87) | [MTC Cycle 3]Cognitive Functional Scale (n=69,87) | [MTC Cycle 3]Social Functional Scale (n=69,87) | [MTC Cycle 3]Fatigue Symptom Scale (n=69,87) | [MTC Cycle 3]Nausea and Vomiting Scale (n=69,87) | [MTC Cycle 3]Pain Symptom Scale (n=69,87) | [MTC Cycle 3]Dyspnea Symptom Scale (n=69,87) | MTC Cycle 3]Appetite Loss Symptom Scale (n=69,87) | [MTC Cycle 3]Insomnia Symptom Scale (n=69,87) | [MTC Cycle 3]Constipation Symptom Scale (n=69,87) | [MTC Cycle 3]Diarrhea Symptom Scale (n=69,87) | [MTC Cycle 3]Financial Difficulties Scale (n=68,86 | [MTC Cycle 5] Global Health Status (n=51,77) | [MTC Cycle 5] Physical Functional Scale (n=51,77) | [MTC Cycle 5] Role Functional Scale (n=51,77) | [MTC Cycle 5] Emotional Functional Scale (n=51,77) | [MTC Cycle 5] Cognitive Functional Scale (n=51,77) | [MTC Cycle 5] Social Functional Scale (n=51,77) | [MTC Cycle 5] Fatigue Symptom Scale (n=51,77) | [MTC Cycle 5] Nausea and Vomiting Scale (n=51,77) | [MTC Cycle 5] Pain Symptom Scale (n=51,77) | [MTC Cycle 5] Dyspnea Symptom Scale (n=51,77) | [MTC Cycle 5] Insomnia Symptom Scale( n=51,77) | MTC Cycle 5] Appetite Loss Symptom Scale (n=51,77) | [MTC Cycle 5] Constipation Symptom Scale (n=51,77) | [MTC Cycle 5] Diarrhea Symptom Scale (n=51,77) | [MTC Cycle 5] Financial Difficulties Scale n=50,77 | [MTC Cycle 7] Global Health Status Scale (n=38,64) | [MTC Cycle 7] Physical Functional Scale (n=38,64) | [MTC Cycle 7]Role Functional Scale (n=38,64) | [MTC Cycle 7]Emotional Functional Scale (n=38,64) | [MTC Cycle 7]Cognitive Functional Scale (n=38,64) | [MTC Cycle 7]Social Functional Scale (n=38,64) | [MTC Cycle 7]Fatigue Symptom Scale (n=38,64) | [MTC Cycle 7]Nausea & Vomiting Scale (n=38,64) | [MTC Cycle 7]Pain Symptom Scale (n=38,64) | [MTC Cycle 7]Dyspnea Symptom Scale (n=38,64) | [MTC Cycle 7]Insomnia Symptom Scale (n=38,64) | [MTC Cycle 7]Appetite Loss Scale (n=38,64) | [MTC Cycle 7]Constipation Symptom Scale (n=38,64) | [MTC Cycle 7]Diarrhea Symptom Scale (n=38,64) | [MTC Cycle 7]Financial Difficulties Scale n=38,64 | [MTC Cycle 9 ]Global Health Status Scale (n=33,50) | [MTC Cycle 9 ]Physical Functional Scale (n=33,50) | [MTC Cycle 9 ]Role Functional Scale (n=33,50) | [MTC Cycle 9 ]Emotional Functional Scale (n=33,50) | [MTC Cycle 9 ]Cognitive Functional Scale (n=33,50) | [MTC Cycle 9 ]Social Functional Scale (n=33,50) | [MTC Cycle 9 ]Fatigue Symptom Scale (n=33,50) | [MTC Cycle 9 ]Nausea & Vomiting Symptom (n=33,50) | [MTC Cycle 9 ]Pain Symptom Scale (n=33,50) | [MTC Cycle 9 ]Dyspnea Symptom Scale (n=32,50) | [MTC Cycle 9 ]Insomnia Symptom Scale (n=33,49) | [MTC Cycle 9 ]Appetite Loss Scale (n=33,50) | [MTC Cycle 9 ]Constipation Symptom Scale (n=33,50) | [MTC Cycle 9 ]Diarrhea Symptom Scale (n=33,50) | [MTC Cycle 9]Financial Difficulties Scale n=33,50 | [MTC Cycle 11 ] Global Health Status Scale n=25,37 | [MTC Cycle 11 ]Physical Functional Scale (n=25,37) | [MTC Cycle 11 ]Role Functional Scale (n=25,37) | [MTC Cycle 11 ]Emotional Functional Scale n=25,37 | [MTC Cycle 11 ]Cognitive Functional Scale n=25,37 | [MTC Cycle 11 ]Social Functional Scale (n=25,37) | [MTC Cycle 11 ]Fatigue Symptom Scale (n=25,37) | [MTC Cycle 11 ]Nausea & Vomiting Scale (n=25,37) | [MTC Cycle 11 ]Pain Symptom Scale (n=25,37) | [MTC Cycle 11 ]Dyspnea Symptom Scale (n=25,37) | [MTC Cycle 11 ]Insomnia Symptom Scale (n=25,37) | [MTC Cycle 11 ]Appetite Loss Scale (n=25,37) | MTC Cycle 11 ]Constipation Symptom Scale( n=25,37) | [MTC Cycle 11 ]Diarrhea Symptom Scale ( n=25,37) | [MTC Cycle 11]Financial Difficulties Scale n=24,37 | [EOS]Global Health Status Scale (n=123,127) | [EOS]Physical Functional Scale (n=125,127) | [EOS]Role Functional Scale (n=125,127) | [EOS]Emotional Functional Scale (n=124,127) | [EOS]Cognitive Functional Scale ( n=124,127) | [EOS]Social Functional Scale (n=124,127) | [EOS]Fatigue Symptom Scale (n=125,127) | [EOS]Nausea & Vomiting Scale (n=125,127) | [EOS]Pain Symptom Scale (n=125,127) | [EOS]Dyspnea Symptom Scale (n=124,127) | [EOS]Insomnia Symptom Scale( n=125,127) | [EOS]Appetite Loss Symptom Scale (n=125,127) | [EOS]Constipation Symptom Scale (n=125,127) | [EOS]Diarrhea Symptom Scale(n=124,127) | [EOS]Financial Difficulties Scale (n=123,126) |
---|
Bevacizumab +Pemetrexed Maintenance Trt Arm B | 59.7 | 79.4 | 71.1 | 69.8 | 88.0 | 78.7 | 31.5 | 4.3 | 24.7 | 30.6 | 33.9 | 18.7 | 9.1 | 5.2 | 17.2 | 58.6 | 76.0 | 69.9 | 78.4 | 82.6 | 73.0 | 34.5 | 8.8 | 17.4 | 29.9 | 18.4 | 19.5 | 11.1 | 5.7 | 19.4 | 62.9 | 78.4 | 68.8 | 78.7 | 84.6 | 77.9 | 34.5 | 10.0 | 20.1 | 35.9 | 22.1 | 19.9 | 17.3 | 2.6 | 17.7 | 61.3 | 74.7 | 70.8 | 77.5 | 81.0 | 72.1 | 33.7 | 9.6 | 19.8 | 37 | 28.6 | 21.4 | 17.2 | 8.9 | 20.3 | 61.2 | 74.9 | 69.7 | 75 | 81.7 | 71.7 | 35.1 | 12.0 | 18.7 | 35.3 | 30.6 | 23.3 | 16.0 | 7.3 | 22.0 | 59.9 | 81.1 | 73.9 | 80.0 | 84.2 | 77.9 | 31.2 | 9.5 | 19.8 | 28.8 | 18.9 | 18 | 17.1 | 7.2 | 18.0 | 57.2 | 72.5 | 64.3 | 77.3 | 83.5 | 72.6 | 37.6 | 12.3 | 21.1 | 34.1 | 22.6 | 26.0 | 12.1 | 6.8 | 16.9 |
,Bevacizumab Maintenance Trt Arm A | 57.9 | 74.8 | 68.4 | 71.7 | 86.0 | 79.3 | 33.3 | 7.2 | 36.7 | 29.7 | 33.3 | 19.2 | 18.6 | 7.1 | 17.3 | 63.3 | 77.1 | 74.2 | 82.5 | 84.3 | 82.1 | 32.1 | 7.2 | 23.9 | 26.1 | 13.5 | 19.3 | 10.1 | 3.4 | 18.1 | 63.2 | 78.7 | 74.5 | 78.8 | 81.0 | 85.3 | 32.2 | 9.2 | 23.5 | 25.5 | 21.6 | 10.5 | 9.2 | 10.5 | 16.0 | 61.2 | 75.6 | 76.8 | 81.6 | 77.2 | 82.9 | 32.3 | 8.3 | 21.5 | 28.1 | 16.7 | 12.3 | 14 | 8.8 | 14.0 | 60.6 | 80.8 | 75.8 | 82.3 | 83.3 | 83.8 | 28.3 | 5.1 | 25.8 | 25.0 | 23.2 | 10.1 | 13.1 | 7.1 | 15.2 | 57.7 | 79.2 | 77.3 | 78.3 | 81.3 | 84.7 | 32.4 | 6.7 | 29.3 | 30.7 | 20.0 | 9.3 | 6.7 | 1.3 | 15.3 | 55.1 | 70.2 | 63.5 | 74.4 | 79.3 | 73.3 | 41.0 | 14.4 | 30.4 | 31.5 | 27.2 | 26.9 | 17.6 | 9.7 | 16.8 |
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Overall Survival
Overall survival (defined as the number of days from the day of first treatment to death (from any cause), or until the last day if we know that the patient is alive). (NCT00976456)
Timeframe: 42 months
Intervention | months (Median) |
---|
Bevacizumab + Pemetrexed | 11.6 |
Bevacizumab + Pemetrexed + Carboplatin | 14.4 |
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Progression Free Survival
Progression free survival (defined as the number of days from the day of the first treatment until day of death (from any cause) or progression, whichever occurs earlier, or until the day of the last response assessment, if no progression or death (from any cause) is observed during the study). (NCT00976456)
Timeframe: 42 months
Intervention | months (Median) |
---|
Bevacizumab + Pemetrexed | 4.8 |
Bevacizumab + Pemetrexed + Carboplatin | 6.8 |
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AUC0-inf of Pemetrexed
Area under the concentration-time curve of pemetrexed in plasma over the time interval from 0 extrapolated to infinity (AUC0-inf) (NCT00979576)
Timeframe: 5 minutes (min) before pemetrexed administration and 10min, 40min, 1 hour (h), 2h, 4h, 6h, 23h 55min, 47h 55min after pemetrexed administration in cycles 1 and 2
Intervention | ng*h/mL (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 (N=11) |
---|
Pemetrexed 500 mg/m2 | 194000 | 200000 |
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Adverse Events According to Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0 for All Courses
"Number of patients with adverse events according to worst Common Terminology Criteria for Adverse Events (CTCAE), version 3.0 for all courses.~CTCAE grades are: 1 (mild AE), 2 (moderate AE), 3 (severe AE), 4 (life-threatening or disabling AE) or 5 (death related to AE)." (NCT00979576)
Timeframe: Between first administration of pemetrexed and 28 days after last administration of pemetrexed and/or BIBF 1120, up to 1020 days
Intervention | participants (Number) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 0 | 2 | 1 | 0 | 0 |
,BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 0 | 1 | 5 | 0 | 0 |
,BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 1 | 2 | 5 | 1 | 0 |
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Duration of Disease Control
Duration of disease control was defined as the time period from the first study drug administration to the progressive disease (PD) or death of patients, whichever occurred earlier. (NCT00979576)
Timeframe: From first study drug administration until PD or death, up to 1003 days
Intervention | Days (Median) |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 248.5 |
BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 228.5 |
BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 149.0 |
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Dose Limiting Toxicities
Number of participants with dose limiting toxicity (DLT) in combination therapy of BIBF 1120 and pemetrexed during the first course (NCT00979576)
Timeframe: During the first course, 21 days
Intervention | Participants (Number) |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 0 |
BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 1 |
BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 2 |
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AUC0-inf of Nintedanib
Area under the concentration-time curve of nintedanib in plasma over the time interval from 0 extrapolated to infinity (AUC0-inf) (NCT00979576)
Timeframe: 5 minutes (min) before nintedanib administration and 1h, 2h, 3h, 4h, 6h, 7h, 10h and 23h 55min after nintedanib administration in cycle 1
Intervention | ng*h/mL (Geometric Mean) |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 105 |
BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 232 |
BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 323 |
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Disease Control Rate
Number of participants with complete response (CR), partial response (PR) or stable disease (SD) according to the Response Evaluation Criteria In Solid Tumors (RECIST) 1.0 (NCT00979576)
Timeframe: Every 6 weeks after start of study treatment until end of treatment, up to 992 days
Intervention | Participants (Number) |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 2 |
BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 4 |
BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 6 |
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Cmax of Nintedanib
Maximum measured concentration of nintedanib in plasma (Cmax) (NCT00979576)
Timeframe: 5 minutes (min) before nintedanib administration and 1h, 2h, 3h, 4h, 6h, 7h, 10h and 23h 55min after nintedanib administration in cycle 1
Intervention | ng/mL (Geometric Mean) |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 20.5 |
BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 37.9 |
BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 55.1 |
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Overall Response Rate
Number of participants with complete response (CR) or partial response (PR) according to the Response Evaluation Criteria In Solid Tumors (RECIST) 1.0 (NCT00979576)
Timeframe: Every 6 weeks after start of study treatment until end of treatment, up to 992 days
Intervention | Participants (Number) |
---|
| Complete response | Partial response |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 0 | 0 |
,BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 0 | 1 |
,BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 0 | 1 |
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Number of Participants With Clinically Relevant Abnormalities in Laboratory Parameters
Number of participants with clinically relevant abnormalities in laboratory parameters reported as adverse events which occurred in >= 20% of patients (NCT00979576)
Timeframe: Between first administration of pemetrexed and 28 days after last administration of pemetrexed and/or BIBF 1120, up to 1020 days
Intervention | participants (Number) |
---|
| Alanine aminotransferase increased | Gamma-glutamyltransferase increased | Aspartate aminotransferase increased | Lymphocyte count decreased | Neutrophil count decreased | White blood cell count decreased | Blood alkaline phosphatase increased | Blood albumin decreased | Haemoglobin decreased |
---|
BIBF 1120 100 mg + Pemetrexed 500 mg/m^2 | 2 | 2 | 2 | 2 | 2 | 2 | 0 | 0 | 1 |
,BIBF 1120 150 mg + Pemetrexed 500 mg/m^2 | 6 | 5 | 5 | 1 | 3 | 2 | 1 | 1 | 1 |
,BIBF 1120 200 mg + Pemetrexed 500 mg/m^2 | 8 | 8 | 7 | 2 | 4 | 3 | 4 | 3 | 3 |
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Cmax of Pemetrexed
Maximum measured concentration of pemetrexed in plasma (Cmax) (NCT00979576)
Timeframe: 5 minutes (min) before pemetrexed administration and 10min, 40min, 1 hour (h), 2h, 4h, 6h, 23h 55min, 47h 55min after pemetrexed administration in cycles 1 and 2
Intervention | ng/mL (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 (N=11) |
---|
Pemetrexed 500 mg/m2 | 139000 | 149000 |
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Pharmacokinetics (PK): Minimum Concentration (Cmin) of Necitumumab
(NCT00982111)
Timeframe: Predose Day 1 of Cycle 2,3,4,5 and 6 Prior to Necitumumab Infusion, Up to 23 Weeks
Intervention | micrograms/milliliter (ug/ml) (Geometric Mean) |
---|
| Predose Cycle 2 Day 1 | Predose Cycle 3 Day 1 | Predose Cycle 4 Day 1 | Predose Cycle 5 Day 1 | Predose Cycle 6 Day 1 |
---|
Necitumumab + Pemetrexed + Cisplatin | 57.5 | 80.8 | 110 | 115 | 119 |
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Overall Survival Time (OS)
OS is defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive. OS was estimated using the Kaplan-Meier method. (NCT00982111)
Timeframe: Randomization to Death from Any Cause (Up to 31.6 Months)
Intervention | Months (Median) |
---|
Necitumumab + Pemetrexed + Cisplatin | 11.3 |
Pemetrexed + Cisplatin | 11.5 |
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Progression-Free Survival (PFS)
PFS is defined as the time from randomization until the first radiographic documentation of measured progressive disease as defined by RECIST (Version 1.0), or death from any cause. Participants who die without a reported prior progression will be considered to have progressed on the day of their death. Participants who did not progress or were lost to follow-up were censored at the day of their last radiographic tumor assessment. If no baseline or postbaseline radiologic assessment was available, the participant was censored at the date of randomization. If death or PD occurs after two or more consecutive missing radiographic visits, censoring occurred at the date of the last radiographic visit prior to the missed visits. (NCT00982111)
Timeframe: Randomization to Measured Progressive Disease or Death from Any Cause (Up to 30.4 Months)
Intervention | Months (Median) |
---|
Necitumumab + Pemetrexed + Cisplatin | 5.6 |
Pemetrexed + Cisplatin | 5.6 |
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Time to Treatment Failure (TTF)
TTF was defined as the time from study enrollment/randomization to the first observation of measured progressive disease, death from any cause, or early discontinuation of treatment or initiation of new anti-cancer therapies. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Progressive Disease (PD) was defined as having at least a 20% increase in sum of longest diameter of target lesions. Time to treatment failure was censored at the date of the last follow-up visit for participants who did not discontinue early, who were still alive, and who have not progressed. (NCT00982111)
Timeframe: Randomization to Measured Progressive Disease, Death from Any Cause, Discontinuation of Treatment or Initiation of New Anticancer Therapy (Up to 30.4 Months)
Intervention | Months (Median) |
---|
Necitumumab + Pemetrexed + Cisplatin | 3.5 |
Pemetrexed + Cisplatin | 4.3 |
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Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR) (Objective Tumor Response Rate [ORR])
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.0, 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. (NCT00982111)
Timeframe: Baseline to Measured Progressive Disease (Up to 30.4 Months)
Intervention | percentage of participants (Number) |
---|
Necitumumab + Pemetrexed + Cisplatin | 31.1 |
Pemetrexed + Cisplatin | 32.1 |
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Percentage of Participants With EGFR Measured by IHC
EGFR IHC H-score = weighted sum of % 1+ cells, twice % 2+ cells, and three times % 3+ cells. IHC H-score criteria assesses participants with a low EGFR expression defined by a H-score cutoff value of < 200 and participants with a high EGFR expression defined by a H-score of cutoff value of >=200. (NCT00982111)
Timeframe: Baseline
Intervention | percentage of participants (Number) |
---|
| H-score <200 | H-score >=200 |
---|
Necitumumab + Pemetrexed + Cisplatin | 58.8 | 41.2 |
,Pemetrexed + Cisplatin | 59.6 | 40.4 |
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Number of Participants With Serum Anti-Necitumumab Antibody Assessment (Immunogenicity)
A participant was considered to have an anti-Necitumumab antibody response if anti-drug antibodies (ADA) were confirmed positive. Treatment emergent antibodies were defined as any anti-Necitumumab antibody titer equal to or greater than 4-fold the participant's baseline titer. (NCT00982111)
Timeframe: Baseline to Study Completion (Up to 31.6 Months)
Intervention | participants (Number) |
---|
| 1 Positive Titer | Antibodies Detected |
---|
Necitumumab + Pemextrexed + Cisplatin | 37 | 18 |
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Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC)
EGFR IHC H-score = weighted sum of % 1+ cells, twice % 2+ cells, and three times % 3+ cells. IHC H-score criteria assesses participants with a low EGFR expression defined by a H-score cutoff value of < 200 and participants with a high EGFR expression defined by a H-score of cutoff value of >=200. (NCT00982111)
Timeframe: Baseline
Intervention | H-Score (Mean) |
---|
| H-score <200 | H-score >=200 |
---|
Necitumumab + Pemetrexed + Cisplatin | 69.06 | 259.35 |
,Pemetrexed + Cisplatin | 66.23 | 256.26 |
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Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimensions (EQ-5D)
The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a three level scale 1-3 (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). (NCT00982111)
Timeframe: Baseline, Cycle 6 (Cycle = 3 weeks)
Intervention | units on a scale (Mean) |
---|
Necitumumab + Pemetrexed + Cisplatin | 0.0419 |
Pemetrexed + Cisplatin | 0.0478 |
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Mean Change From Baseline in PRO as Measured Using 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 items were 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-mm lines. A higher score for any item represented a higher level of symptoms/problems. Scores for each of the reported categories ranged from 0 (for best outcome) to 100 (for worst outcome). The Average Symptom Burden Index (ASBI) was the mean of the 6 symptom items of the LCSS, and the Total LCSS was the mean of all 9 LCSS items. ASBI and Total LCSS were not computed for a participant if he/she had 1 or more missing values for the 6 and 9 items, respectively. (NCT00982111)
Timeframe: Baseline, Cycle 6 (Cycle =3 Weeks)
Intervention | millimeter (mm) (Mean) |
---|
| Loss of Appetite | Fatigue | Cough | Dyspnea | Hemoptysis | Pain | Overall Symptoms | Quality of Life | Interference | Average Symptom Burden Index (ASBI) | LCSS Total Score |
---|
Necitumumab + Pemetrexed + Cisplatin | 4.6 | 4.5 | -9.1 | -2.8 | -1.1 | -4.2 | -3.1 | 2.5 | 3.2 | -0.9 | 0.1 |
,Pemetrexed + Cisplatin | 0.6 | 1.6 | -10.3 | -1.5 | -1.1 | -7.1 | -7.4 | -3.3 | -4.0 | -3.1 | -4.3 |
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Duration of Response
Duration of Response is defined as the time from the first observation of CR or PR to the first observation of progressive disease (PD) or death from any cause. A response is defined as a confirmed objective status of CR or PR. For participants who are not known to have died as of the data inclusion cut-off date and who do not have PD, the duration will be censored at the date of the last objective progression free disease assessment prior to the date of any subsequent anticancer therapy. (NCT00988858)
Timeframe: First Observation of CR or PR until Progressive Disease or Death Due to Any Cause (Up to 23 Months)
Intervention | months (Median) |
---|
LY2603618 and Pemetrexed | 8.7 |
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Overall Tumor Response - Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)]
Overall response rate is the best response of complete response (CR) or partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of not-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT00988858)
Timeframe: Baseline until Progressive Disease or Study Discontinuation (Up to 23 Months)
Intervention | percentage of participants (Number) |
---|
LY2603618 and Pemetrexed | 9.1 |
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Percentage of Participants Who Achieved a Best Response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) (Clinical Benefit Rate)
Clinical benefit rate is the best response CR, PR, or stable disease (SD) as classified by the investigators according to the RECIST v1.1. CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of not-target lesions or appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameter since treatment started. Clinical benefit rate is calculated as a total number of participants with CR, PR, or SD divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT00988858)
Timeframe: Baseline until Progressive Disease or Study Discontinuation (Up to 23 Months)
Intervention | percentage of participants (Number) |
---|
LY2603618 and Pemetrexed | 45.5 |
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Progression-free Survival (PFS)
Progression-free survival (PFS) time was defined as the time from the date of randomization to the first date of progressive disease (symptomatic or objective) or death due to any cause, whichever occurred first. For participants who were not known to have died or progressed as of the data-inclusion cutoff date, PFS time was censored at the date of the last objective progression-free disease assessment prior to the date of any subsequent systematic anticancer therapy. PFS was summarized using Kaplan-Meier estimates. (NCT00988858)
Timeframe: Baseline to Progressive Disease or Death Due to Any Cause (Up to 27.1 Months)
Intervention | months (Median) |
---|
LY2603618 and Pemetrexed | 2.3 |
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Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2603618
(NCT00988858)
Timeframe: Day 2 and Day 3 of Cycle 1 and Cycle 2: Prior to End of Infusion (EOI); EOI + 1-2 hr; EOI + 4-6 hr; EOI + 20-28 hr; anytime on Day 8 of Cycle 1 and Cycle 2
Intervention | nanogram per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 2/Cycle 1 (n=41) | Day 2/Cycle 2 (n=48) |
---|
LY2603618 and Pemetrexed | 3430 | 3560 |
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PK: Area Under the Plasma Concentration vs. Time Curve From Time Zero to Infinity [AUC(0-∞)] of LY2603618
(NCT00988858)
Timeframe: Day 2 and Day 3 of Cycle 1 and Cycle 2: Prior to End of Infusion (EOI); EOI + 1-2 hr; EOI + 4-6 hr; EOI + 20-28 hr; anytime on Day 8 of Cycle 1 and Cycle 2
Intervention | nanograms*hour per milliliter (ng*h/mL) (Geometric Mean) |
---|
| Day 2/Cycle 1 (n=41) | Day 2/Cycle 2 (n=48) |
---|
LY2603618 and Pemetrexed | 38000 | 41500 |
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Change in Symptom Burden Scores of Lung Cancer Symptom Scale (LCSS)
The LCSS participants scale is a 9-item questionnaire. Six questions are symptom-specific measures for lung cancer (appetite, fatigue, cough, dyspnea, hemoptysis and pain), and 3 summation items describe total symptomatic distress, activity status, and overall quality of life. Participant responses were measured using visual analogue scales (VAS) with 100-milliliter (mm) lines. Scores range from 0 (for best outcome) to 100 (for worst outcome). The Average Symptom Burden Index (ASBI) was calculated as the mean of 6 symptom-specific questions from the LCSS. (NCT00988858)
Timeframe: Baseline until End of Study (Up to 27.1 Months)
Intervention | participants (Number) |
---|
| Improved | Worsened | Stable | Unknown |
---|
LY2603618 and Pemetrexed | 12 | 6 | 18 | 10 |
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PK: Maximum Plasma Concentration (Cmax) of Pemetrexed
(NCT00988858)
Timeframe: Day 1 and Day 2 of Cycle 1 and Cycle 2: Prior to End of Infusion (EOI); EOI + 1-2 hour (hr); EOI + 4-6- hr; EOI + 20-28 hr
Intervention | microgram per milliliter (μg/mL) (Geometric Mean) |
---|
| Day 1/Cycle 1 (n=40) | Day 1/Cycle 2 (n=43) |
---|
LY2603618 and Pemetrexed | 102 | 96.8 |
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PK: Area Under the Plasma Concentration vs. Time Curve From Time Zero to Infinity [AUC(0-∞)] of Pemetrexed
(NCT00988858)
Timeframe: Day 1 and Day 2 of Cycle 1 and Cycle 2: Prior to End of Infusion (EOI); EOI + 1-2 hour (hr); EOI + 4-6- hr; EOI + 20-28 hr
Intervention | microgram*hour per milliliter (µg*hr/mL) (Geometric Mean) |
---|
| Day 1/Cycle 1(n=40) | Day 1/Cycle 2(n=43) |
---|
LY2603618 and Pemetrexed | 193 | 202 |
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Number of Participants With an Objective Tumor Response
Participants with confirmed complete response (CR), confirmed partial response (PR), stable disease (SD), or progressive disease (PD) according to Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria, as well as participants with a not evaluable/tumor response unknown. CR: disappearance of all tumor lesions. PR: either a) at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as a reference baseline sum LDs, or b) complete disappearance of target lesions, with persistence (not worsening) of 1 or more nontarget lesions. In either case, no new lesions appeared. SD: small changes that did not meet above criteria. PD: at least a 20% increase in sum of LD of target lesions taking as reference smallest sum LD recorded since treatment started or appearance of 1 or more new lesions. Participants who discontinued study treatment (for reasons other than progression) before entering concurrent phase were considered to have non-evaluable response. (NCT01000480)
Timeframe: Date of first dose through end of follow-up [up to 30 weeks (1 cycle=21 days)]
Intervention | participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Disease Progression | Not evaluable/Response unknown |
---|
Pemetrexed, Cisplatin, and Thoracic Radiotherapy | 9 | 45 | 16 | 12 | 8 |
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Overall Survival
Overall survival (OS) was the duration from enrollment to death due to any cause. Participants who were alive were censored at the last contact. (NCT01000480)
Timeframe: Date of first dose to date of death (up to 35.4 months)
Intervention | months (Median) |
---|
Pemetrexed, Cisplatin, and Thoracic Radiotherapy | 26.2 |
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1 Year Progression Free Survival
Progression free survival (PFS) was defined as the time from study enrollment to the first observation of progressive disease (PD) or death from any cause. For participants not known to have died as of the data cut-off date and who did not have objective PD, PFS was censored at the date of the last objective progression-free disease assessment. For participants who received subsequent systemic anticancer therapy (after discontinuation from the study drug) prior to objectively determined PD or death, PFS was censored at the date of the last objective progression-free disease assessment prior to start of postdiscontinuation chemotherapy. If a participant did not have a complete baseline disease assessment, then PFS was censored at the enrollment date, regardless whether or not objectively determined PD or death had been observed for the participant. (NCT01000480)
Timeframe: Date of first dose to date of objectively determined PD or death [every cycle up to 4 cycles and then every 3 months up to 1 year (1 cycle=21 days)]
Intervention | percentage of participants (Number) |
---|
Pemetrexed, Cisplatin, and Thoracic Radiotherapy | 53.7 |
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Progression-free Interval
Kaplan-Meier curve will be used to examine all the time-to-event data points in analyzing progression free interval. (NCT01001910)
Timeframe: Time from the first day of treatment to the day that progression is first noted, assessed up to 4.5 years
Intervention | months (Median) |
---|
Treatment (Pemetrexed Disodium, Carboplatin) | 6.8 |
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Incidence of Toxicities
Secondary outcome included detailed measurement of adverse events from treatment assessed according to National Cancer Institute (NCI) Common Toxicity Criteria (CTC) version 3.0. (NCT01001910)
Timeframe: 4.5 years
Intervention | Frequency of event (Number) |
---|
| Hematologic AE Any Grade | Non-Hematologic AE Any Grade |
---|
Treatment (Pemetrexed Disodium, Carboplatin) | 240 | 60 |
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Overall Survival (OS)
Kaplan-Meier method will be used t analyze the time-to-event data including overall survival (OS) and progression-free survival (PFS) (NCT01001910)
Timeframe: First day of treatment on protocol to the date of death, or for living patients the last date of contact, assessed up to 4.5 years
Intervention | months (Median) |
---|
| PFS | OS |
---|
Treatment (Pemetrexed Disodium, Carboplatin) | 6.8 | 50.3 |
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Percentage of Participants With Confirmed Complete Response or Partial Response During the Maintenance Therapy Only
CR and PR defined per RECIST Guidelines, Version 1.0. CR is disappearance of all tumor lesions. PR is either a) at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LDs, or b) complete disappearance of target lesions, with persistence (but not worsening) of 1 or more nontarget lesions. In either case, no new lesions may have appeared. (NCT01004250)
Timeframe: From the start of the maintenance to the first date of objectively determined PD during the maintenance therapy (assessment during maintenance treatment completed at every other cycle till PD and at 30 day follow-up)(Cycle 5 up to 104.1 Weeks)
Intervention | Percentage of Participants (Number) |
---|
Study Treament | 11.1 |
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Percentage of Participants With Confirmed Complete Response or Partial Response During Study Treatment (Induction and Maintenance)
Overall Response Rate (ORR) is defined as the percentage of participants whose best response is complete response (CR) or partial response (PR) per RECIST Guidelines, Version 1.0. CR is disappearance of all tumor lesions. PR is either a) at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LDs, or b) complete disappearance of target lesions, with persistence (but not worsening) of 1 or more nontarget lesions. In either case, no new lesions may have appeared. (NCT01004250)
Timeframe: From enrollment to objectively determined PD (assessment during study treatment completed at every other cycle till PD and at 30 day follow-up)(Baseline up to 104.1 Weeks)
Intervention | Percentage of Participants (Number) |
---|
Study Treatment | 42.2 |
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Overall Survival
Overall Survival (OS) is defined as the time from the date of study enrollment to the date of death from any cause. For participants not known to have died as of the data cut-off date, OS will be censored at the last contact date. (NCT01004250)
Timeframe: From enrollment to the date of death from any cause (every cycle during study treatment, every 6 weeks during follow-up period until PD, and then at least every 3 Months) (Baseline up to 36.3 Months)
Intervention | Months (Median) |
---|
Study Treatment | 14.7 |
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Progression-Free Survival
Progression-Free Survival (PFS) is defined as the time from the date of study enrollment to the first date of objectively determined PD or death from any cause. PD is defined using Response Evaluation Criteria in Solid Tumours (RECIST) Guidelines (Version 1.0), as at least a 20% increase in the sum of 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 do not have objective PD, PFS will be censored at the date of the last objective progression-free disease assessment. For participants who receive subsequent systemic anticancer therapy, PFS will be censored at the date of the last objective progression-free disease assessment prior to post-discontinuation systemic therapy. (NCT01004250)
Timeframe: From enrollment to the first date of objectively determined Progressive Disease (PD) or death from any cause (every other cycle during study treatment and then every 6 weeks during follow-up period)(Baseline up to 36.1 Months)
Intervention | Months (Median) |
---|
Study Treatment | 6.9 |
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Percentage of Participants With Confirmed Response Complete or Partial Response During the Induction Treatment Only
CR and PR defined per RECIST Guidelines, Version 1.0. CR is disappearance of all tumor lesions. PR is either a) at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LDs, or b) complete disappearance of target lesions, with persistence (but not worsening) of 1 or more nontarget lesions. In either case, no new lesions may have appeared. (NCT01004250)
Timeframe: From the time of study enrollment to the first date of objectively determined PD during the induction therapy (assessment during study treatment completed at every other cycle up to four cycles) (Baseline up to 4 cycles)
Intervention | Percentage of Participants (Number) |
---|
Study Treatment | 34.9 |
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Time to Treatment Failure (TtTF)
TtTF was defined as date of randomization until the date of discontinuation of study treatment due to adverse event, progressive disease (PD), or death from any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who discontinued study treatment for any other reason were censored at the date of discontinuation of study treatment. Participants still on study drug at data-inclusion cut-off date were censored at the cut-off date. (NCT01005680)
Timeframe: Randomization until date of discontinuation of study treatment due to adverse events, PD, or death from any cause up to 6.3 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | NA |
Gemcitabine Plus Cisplatin (GC) | NA |
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Time to Progressive Disease (TtPD)
TtPD defined as the time from study randomization to the first date of progressive disease (PD). PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who were not known to have PD or who died without PD were censored at the date of last of last tumor assessment. (NCT01005680)
Timeframe: Randomization to first date of PD up to 23.7 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 5.82 |
Gemcitabine Plus Cisplatin (GC) | 5.82 |
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Tumor Response Rate
Tumor response rate was the percentage of participants with confirmed best tumor response of complete response (CR) or partial response (PR) using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) 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. Progressive disease (PD) assessed using RECIST v1.0 criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. (NCT01005680)
Timeframe: Randomization until date of objective PD or death from any cause up to 35.8 months post-randomization
Intervention | percentage of participants (Number) |
---|
Pemetrexed Plus Cisplatin (PC) | 24.8 |
Gemcitabine Plus Cisplatin (GC) | 20.7 |
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Survival Without Toxicity (SWT)
SWT was defined as the time from randomization to a study-drug related toxicity. Toxicity was defined as Common Terminology Criteria for Adverse Events (CTCAE v3.0) Grade 3 or 4 or death. Participants who do not have a CTCAE Grade 3 or higher toxicity and are alive will be censored at the date of last contact. (NCT01005680)
Timeframe: Randomization to date of toxicity or date of death up to 34.6 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 5.85 |
Gemcitabine Plus Cisplatin (GC) | 2.56 |
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Risk/Benefit Ratio
Risk/benefit ratio was calculated as the percentage of participants who experienced a study-drug related toxicity of Common Terminology Criteria for Adverse Events (CTCAE v3.0) Cancer Therapy Evaluation Program (CTEP) Grade 3 or higher, divided by the Kaplan-Meier estimated percentage of participants surviving one year. (NCT01005680)
Timeframe: Randomization to date of death from any cause up to 35.8 months post-randomization
Intervention | ratio (Number) |
---|
Pemetrexed Plus Cisplatin (PC) | 0.70 |
Gemcitabine Plus Cisplatin (GC) | 0.83 |
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Progression Free Survival (PFS)
PFS was defined as the date of randomization to date of first observation of clinical or objective progressive disease (PD) or death due to any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of one or more new lesions. Participants who were not known to have died or had PD were censored at the date of last contact. (NCT01005680)
Timeframe: Randomization to first date of Progressive Disease (PD) or death from any cause up to 33.0 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 5.88 |
Gemcitabine Plus Cisplatin (GC) | 5.85 |
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Overall Survival (OS)
OS was defined as the duration from date of randomization to date of death from any cause. Participants who were alive were censored at the date of last contact. (NCT01005680)
Timeframe: Randomization to date of death from any cause up to 35.8 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 17.54 |
Gemcitabine Plus Cisplatin (GC) | 15.51 |
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Duration of Response (DoR)
DoR was defined as the time from first objective status assessment of complete response (CR) or partial response (PR) to the first time progressive disease (PD) or death as a result of any cause. Response using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. Participants who are not known to have died or to have PD were censored at the date of last contact. PD assessed using RECIST v1.0 and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions (NCT01005680)
Timeframe: Date of first response to the date of (PD) or death from any cause up to 22.9 months post-randomization
Intervention | months (Median) |
---|
Pemetrexed Plus Cisplatin (PC) | 4.53 |
Gemcitabine Plus Cisplatin (GC) | 4.98 |
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Disease Control Rate (DCR)
DCR was the percentage of participants with Complete Response (CR), Partial Response (PR), and Stable Disease (SD). Response determined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions; PR was defined as at least a 30% decrease in sum of longest diameter of 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 longest diameter ever recorded since study treatment started, or the appearance of 1 or more new lesions; SD was defined as small changes that did not meet the above criteria. (NCT01005680)
Timeframe: Randomization to date of objective PD or death from any cause up to 35.8 months post-randomization
Intervention | percentage of participants (Number) |
---|
Pemetrexed Plus Cisplatin (PC) | 78.5 |
Gemcitabine Plus Cisplatin (GC) | 75.9 |
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Time to Progressive Disease (TtPD)
TtPD was defined as the time from randomization to the first date of objectively determined progressive disease (PD). For participants who were not known to have had objective progression of disease as of the data-inclusion cut-off date for a particular analysis, or who had died without objective progression of disease, TtPD was censored at the date of the participant's last objective progression-free disease assessment prior to cut-off date. (NCT01017874)
Timeframe: Randomization to the first date of measured PD up to 37.32 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin + Gefitinib | 8.61 |
Gefitinib | 9.69 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Tumor Response Rate (TRR)]
TRR was defined as the percentage of randomized participants having a best overall study response of CR or PR using Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions; PR was defined as at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as reference the baseline sum LDs or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions and the appearance of no new lesions. (NCT01017874)
Timeframe: Randomization up to 37.52 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Cisplatin + Gefitinib | 41.5 |
Gefitinib | 47.5 |
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Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) [Disease Control Rate (DCR)]
DCR was defined as the percentage of randomized participants with overall response of CR, PR or SD using Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all tumor lesions; PR was defined as at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as reference the baseline sum LDs or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions and no new lesions having appeared; SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) taking as reference the smallest sum LD. PD defined as at least 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 or progression of nontarget lesions. (NCT01017874)
Timeframe: Randomization up to 37.52 months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Cisplatin + Gefitinib | 71.2 |
Gefitinib | 64.4 |
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Progression Free Survival (PFS)
PFS was defined as the time from date of randomization to the objective disease progression or death due to any cause. Response was defined using Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria. Progressive disease (PD) was defined as at least a 20% increase in the sum of 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 and/or unequivocal progression of existing nontarget lesions. Participants who did not have a complete baseline disease assessment were censored at the date of randomization, regardless if PD was objectively determined or if participant died or if a participant was not known to have died or have objective PD at the data inclusion cutoff date. PFS was censored at the last complete objective progression-free disease assessment date. (NCT01017874)
Timeframe: Randomization to the first date of measured PD or death up to 37.32 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin + Gefitinib | 8.38 |
Gefitinib | 9.63 |
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Overall Survival (OS)
OS was the duration from randomization to the date of death from any cause. For participants who were not known to have died as of the data-inclusion cut-off date for a particular analysis, OS was censored at the date of last contact prior to the data inclusion cutoff date (contacts considered in the determination of last contact date included adverse event date, lesion assessment date, visit date, and last known alive date). (NCT01017874)
Timeframe: Randomization up to date of death from any cause up to 57.13 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin + Gefitinib | 26.87 |
Gefitinib | 27.86 |
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Duration of Tumor Response
The duration of a complete response (CR) or partial response (PR) using Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria was defined as the time from first objective status assessment of CR or PR to the first time of objective disease progression or death as a result of any cause. CR was defined as the disappearance of all tumor lesions. PR was defined as at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as reference the baseline sum of LDs or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions and no new lesions having appeared. Participants who were not known to have died or had objective progression of disease as of the data-inclusion cut-off date were censored at the date of the participant's last complete objective progression-free disease assessment prior to that cut-off date. (NCT01017874)
Timeframe: Date of initial response to the date of measured PD or death up to 34.43 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin + Gefitinib | 12.09 |
Gefitinib | 11.93 |
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Overall Survival (OS) During the Maintenance Therapy Period
OS was defined as the duration from the date of the first dose of the maintenance therapy to the date of death from any cause and was calculated by subtracting the induction therapy period from OS. Participants receiving any subsequent systemic anticancer therapy before objective progression or death were censored at date of last objective progression-free disease assessment before starting subsequent systemic anticancer therapy. For participants who were alive, OS was censored at the last contact. (NCT01020786)
Timeframe: From the start of maintenance therapy in Cycle 5 (21-day cycle) until the date of measured progressive disease (PD) or death from any cause (up to 26.3 months)
Intervention | months (Median) |
---|
| Overall Survival (OS) at primary endpoint | Overall Survival (OS) at final endpoint |
---|
Pemetrexed + Carboplatin | NA | NA |
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Percentage of Participants Who Achieved a Complete Response (CR) or Partial Response (PR) During the Induction and Maintenance Therapy Periods
"Calculated as the percentage of participants who achieved a confirmed CR or PR. Tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.0, which define when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments. CR = disappearance of all target lesions. 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) = small changes that do not meet above criteria." (NCT01020786)
Timeframe: Enrollment to date of progressive disease (up to 18 months)
Intervention | percentage of participants (Number) |
---|
| CR | PR |
---|
Pemetrexed + Carboplatin | 0.0 | 34.9 |
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Percentage of Participants Who Achieved a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) During the Maintenance Therapy Period
"Percentage of participants who achieved confirmed CR (disappearance of all target lesions), PR (30% decrease in sum of longest diameter of target lesions), or SD (small changes that do not meet above criteria). Response derived from target lesion assessments performed before maintenance therapy (as baseline), during maintenance therapy (as post-baseline), and non-target lesion assessments performed during maintenance therapy according to RECIST guideline version 1.0, defines when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments." (NCT01020786)
Timeframe: From the start of maintenance therapy in Cycle 5 (21-day cycle) until the date of measured progressive disease (PD) or death from any cause (up to 18 months)
Intervention | percentage of participants (Number) |
---|
| CR+PR | CR+PR+SD |
---|
Pemetrexed + Carboplatin | 3.3 | 48.3 |
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Progression Free Survival (PFS) During the Maintenance Therapy Period
"Measured from the date of the first dose of the maintenance therapy. Calculated by subtracting induction therapy period from PFS. Tumor response assessed using Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.0; define when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments. Participants receiving any subsequent systemic anticancer therapy before objective progression or death were censored at date of last objective progression-free disease assessment before starting subsequent systemic anticancer therapy." (NCT01020786)
Timeframe: From the start of maintenance therapy in Cycle 5 (21-day cycle) until the date of measured progressive disease (PD) or death from any cause (up to 24.4 months)
Intervention | months (Median) |
---|
| PFS at primary endpoint | PFS at final endpoint |
---|
Pemetrexed + Carboplatin | 3.9 | 3.9 |
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Percentage of Participants Who Achieve a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) During the Induction and Maintenance Therapy Periods
"Calculated as the percentage of participants who achieved a confirmed CR, PR, or SD. Tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.0, which define when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments. CR = disappearance of all target lesions. 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. SD = small changes that do not meet above criteria." (NCT01020786)
Timeframe: Enrollment to date of progressive disease (up to 18 months)
Intervention | percentage of participants (Number) |
---|
| CR+PR | CR+PR+SD |
---|
Pemetrexed + Carboplatin | 34.9 | 72.5 |
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Overall Survival (OS) During the Induction and Maintenance Therapy Periods
OS was defined as the time from the enrollment date to the date of death from any cause. For participants who were alive, OS was censored at the last contact. (NCT01020786)
Timeframe: Enrollment to the date of death from any cause (up to 30.8 months)
Intervention | months (Median) |
---|
| Overall Survival (OS) at primary endpoint | Overall Survival (OS) at final endpoint |
---|
Pemetrexed + Carboplatin | NA | 20.2 |
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Percentage of Participants Who Achieve a Complete Response (CR) or a Partial Response (PR) During the Induction Therapy Period
"Calculated as percentage of participants who achieved a CR or PR (confirmed or not). Tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.0, which define when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments. CR = disappearance of all target lesions. PR = 30% decrease in sum of the longest diameter of target lesions. Progressive Disease (PD) = 20% increase in the sum of longest diameter of target lesions. Stable Disease (SD) = small changes that do not meet above criteria." (NCT01020786)
Timeframe: Enrollment to date of PD, or end of induction period up to Cycle 4 (21-day cycle)
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 38.5 |
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Percentage of Participants Who Observe a Complete Response (CR), Partial Response (PR), or Stable Disease (SD) During the Induction Therapy Period
"Calculated as the percentage of participants who achieved a CR, PR, or SD (confirmed or not). Tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.0, which define when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments. CR = disappearance of all target lesions. 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. SD = small changes that do not meet above criteria." (NCT01020786)
Timeframe: Enrollment to the date of PD, or end of induction period up to Cycle 4 (21-day cycle)
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Carboplatin | 81.7 |
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Progression Free Survival (PFS) During the Induction and Maintenance Therapy Periods
"PFS defined as time from enrollment date to first date of objective progression of disease or of death from any cause. Tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) guideline version 1.0, which define when cancer participants improve (respond), stay the same (stabilize), or worsen (progression) during treatments. Participants receiving any subsequent systemic anticancer therapy before objective progression or death were censored at date of last objective progression-free disease assessment before starting subsequent systemic anticancer therapy." (NCT01020786)
Timeframe: Enrollment to the date of progressive disease (PD) or the date of death from any cause (up to 18 months)
Intervention | months (Median) |
---|
Pemetrexed + Carboplatin | 5.6 |
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Incidence of Toxicities as Assessed by NCI CTCAE v. 4.0
The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment (NCT01041781)
Timeframe: Up to 5 years
Intervention | percentage of patients (Number) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 61.04 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 55.06 |
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Progression-free Survival
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. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT01041781)
Timeframe: Time between randomization and disease relapse or death from any cause, assessed up to 5 years
Intervention | months (Median) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 5.16 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 5.26 |
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Response Rate
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. Response rates (including complete and partial response) will be tested using Fisher's exact test (NCT01041781)
Timeframe: Up to 5 years
Intervention | percentage of patients (Number) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 40 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 35 |
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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. (NCT01041781)
Timeframe: Time between randomization and death from any cause, assessed up to 5 years
Intervention | months (Median) |
---|
Arm I (Arm A: Celecoxib + Standard Chemotherapy) | 11.4 |
Arm II (Arm B: Placebo + Standard Chemotherapy) | 12.5 |
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Frequency of Adverse Events and Severity as a Measure of Toxicity
Assessed using NCI CTCAE v4.0 (NCT01042288)
Timeframe: Every 3 weeks (1 cycle) for 6 cycles, then every 7 weeks thereafter
Intervention | participants (Number) |
---|
| Rash | Nausea | Fatigue | Hypomagnesemia | Neutrophil Count Decreased | Platelet Count Decreased | Anemia | Mucositis | Dry Skin | Anorexia | Diarrhea | Constipation | White Blood Cell Decreased | Pruritus | Vomiting | Dehydration | Dysgeusia | Alopecia |
---|
Carboplatin/Pemetrexed/Panitumumab | 55 | 39 | 33 | 30 | 30 | 29 | 28 | 23 | 22 | 19 | 19 | 17 | 16 | 15 | 15 | 13 | 12 | 11 |
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Objective Response Rate
(NCT01042288)
Timeframe: Projected 18 months
Intervention | percentage of evaluated participants (Number) |
---|
Carboplatin/Pemetrexed/Panitumumab | 53 |
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Progression Free Survival (PFS)
PFS based on Response Evaluation Criteria in Solid Tumors (RECIST) Guidelines defined as the time from the date of first dose of study drug to first documented objective progressive disease (PD) or death from any cause. PD is defined as 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. (NCT01057589)
Timeframe: Baseline to date of PD or death up to 18.7 months
Intervention | months (Median) |
---|
Pemetrexed Cisplatin Cetuximab | 4.4 |
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Percent of Participants With a Partial Response (PR) or a Complete Response (CR)
CR and PR based on RECIST Guidelines: CR is defined as the disappearance of all tumor 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 LDs or the complete disappearance of target lesions, with persistence (but not worsening) of one or more nontarget lesions and the appearance of no new lesions. PD is 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. (NCT01057589)
Timeframe: Date of first response to PD (up to 18.7 months)
Intervention | percentage of participants (Number) |
---|
Pemetrexed Cisplatin Cetuximab | 29.3 |
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Change From Baseline in Participant Reported European-Quality of Life 5 Dimension Instrument (EQ-5D) Visual Analog Scale (VAS) at End of Triplet Combination Therapy and End of Maintenance Therapy
Vertical VAS - a 20 millimeter (mm), fractionated scale in the form of a thermometer with endpoints of 0 (worst imaginable health state) and 100 (best imaginable health state). Participants used the EQ-5D VAS scale to rate their overall health on the day the questionnaire was administered. Possible change values range from -100 (best imaginable health at baseline changed to worst possible health at visit) to 100 (worst possible health at baseline changed to best possible health at visit). (NCT01057589)
Timeframe: Baseline, End of Triplet Combination Therapy (up to Cycle 6 [4.2 months]), End of Maintenance Therapy (up to 18.7 months)
Intervention | units on a scale (Mean) |
---|
| Change at End of Triplet Therapy (n=23) | Change at End of Maintenance Therapy (n=11) |
---|
Pemetrexed Cisplatin Cetuximab | -1.2 | -10.6 |
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Overall Survival (OS)
OS defined as the time from the date of first dose of study drug to the date to death from any cause. (NCT01057589)
Timeframe: Baseline to date of death up to 18.7 months
Intervention | months (Median) |
---|
Pemetrexed Cisplatin Cetuximab | 9.7 |
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Change From Baseline in Participant Reported EQ-5D Utility Score at End of Triplet Combination Therapy and End of Maintenance Therapy
EQ-5D Index is derived by converting the Descriptive System (participant is required to rate health by checking 1 [no limitation], 2 [some limitation] or 3 [severe or complete limitation] in 5 dimensions [mobility, self-care, usual activities, pain/comfort and anxiety/depression]) to a single summary index. A utility value assigned to each individual's health state based on the absence or presence of moderate or severe problems in the 5 dimensions. A regression equation defines a utility value for these health states. The possible values for health utility ranged from -0.59 (severe problems in all 5 dimensions) to 1 (no problem in all dimensions) on a scale where 0 represents death and 1 represents the best possible health state. Possible change values range from -1.59 (no problems at baseline to severe problems at visit) to 1.59 (severe problems at baseline to no problems at visit). (NCT01057589)
Timeframe: Baseline, End of Triplet Combination Therapy (up to 6 cycles [4.2 months]) , End of Maintenance Therapy (up to 18.7 months)
Intervention | units on a scale (Mean) |
---|
| Change at End of Triplet Therapy (n=29) | Change at End of Maintenance Therapy (n=15) |
---|
Pemetrexed Cisplatin Cetuximab | 0.05 | -0.02 |
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Response Rate
Percentage of patients with a complete 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. (NCT01063283)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
Group A | 3 |
Group B | 2 |
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Change in 24 Hour Diastolic Blood Pressure (DBP)
The change for each patient was calculated as mean 24 hour DBP during cycle 2 - mean 24 hour DBP during cycle 1 (NCT01063283)
Timeframe: 2 cycles
Intervention | mmHg (Mean) |
---|
Group A | 3 |
Group B | 3 |
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Response Rate by Modified RECIST (Phase II)
"Per modified RECIST for Pleural Tumors. In addition to RECIST1.1, for modified RECIST, measurements based on the sum of 6 CT cuts in the pleural perpendicular to the chest wall are applied to standard RECIST criterial (sum of 6 = one univariate diameter). 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." (NCT01064648)
Timeframe: Disease assessment will be repeated every 6 weeks until disease progression, up to 3 years.Best response is documented for as long as the patient remains on protocol treatment.
Intervention | percentage of analyzed participants (Number) |
---|
Phase II Cisplatin-pemetrexed Cediranib 20mg | 50 |
Phase II Cisplatin-pemetrexed Placebo | 20 |
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Overall Survival (Phase II)
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. (NCT01064648)
Timeframe: From date of registration to death.Disease assessment will be repeated every 6 weeks until disease progression. After progression, follow up will occur every 6 months for the first two years and then at the end of the third year after registration.
Intervention | month (Median) |
---|
Phase II Cisplatin-pemetrexed Cediranib 20mg | 10 |
Phase II Cisplatin-pemetrexed Placebo | 8.5 |
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Maximum Tolerated Dose of Cediranib in Combination With Cisplatin and Pemetrexed (Phase I)
"MTD was determined by testing dose-de-escalation to 20mg PO daily on dose de-escalation cohort 1 to 2 with 3 to 6 patients each. MTD reflects the highest dose of drug that did not cause a Dose-Limiting Toxicity (DLT) in > 33% of participants. Toxicities will be graded according to the CTEP Active Version of the NCI Common Terminology Criteria for Adverse Events. Dose-limiting toxicities (DLT) apply only during Cycle 1 and must be drug-related (i.e. possibly, probably or definitely related to one of the 3 study drugs). The following events occurring in the first cycle of treatment are considered dose limiting.~Febrile neutropenia~Grade 4 neutrophil count decrease for more than 7 days' duration~Grade 4 platelet count decrease~Grade 3 or 4 non-hematologic toxicity (excluding alopecia)" (NCT01064648)
Timeframe: Weekly during first cycle (1cycle = 21 days). Then will be reported every cycle while patient is on treatment.
Intervention | mg (Number) |
---|
All Phase I Participants | 20 |
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Disease Control Rate by RECIST 1.1 (Phase II)
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1): 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; Stable Disease (STA): Does not qualify for CR, PR, Progression or Symptomatic Deterioration. Disease Control Rate (DCR) = CR + PR + STA~All target measurable lesions must be assessed using the same techniques as baseline." (NCT01064648)
Timeframe: Disease assessment will be repeated every 6 weeks until disease progression, up to 3 years.Disease control rate is documented for as long as the patient remains on protocol treatment.
Intervention | percentage of analyzed participants (Number) |
---|
Phase II Cisplatin-pemetrexed Cediranib 20mg | 74 |
Phase II Cisplatin-pemetrexed Placebo | 80 |
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Progression-free Survival (Phase II)
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 1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesions, or the appearance of new lesions. (NCT01064648)
Timeframe: From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause, whichever came first, assessed up to 5 years.Disease assessment will be repeated every 6 weeks until disease progression.
Intervention | month (Median) |
---|
Phase II Cisplatin-pemetrexed Cediranib 20mg | 7.2 |
Phase II Cisplatin-pemetrexed Placebo | 5.6 |
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Disease Control Rate by Modified RECIST (Phase II)
"Per modified RECIST for Pleural Tumors. In addition to RECIST1.1, for modified RECIST, measurements based on the sum of 6 CT cuts in the pleural perpendicular to the chest wall are applied to standard RECIST criterial (sum of 6 = one univariate diameter). 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; Stable Disease (STA), does not qualify for CR, PR, Progression or Symptomatic Deterioration. Disease Control Rate (DCR) = CR + PR + STA.~All target measurable lesions must be assessed using the same techniques as baseline." (NCT01064648)
Timeframe: Disease assessment will be repeated every 6 weeks until disease progression, up to 3 years.Disease control is documented for as long as the patient remains on protocol treatment.
Intervention | percentage of analyzed participants (Number) |
---|
Phase II Cisplatin-pemetrexed Cediranib 20mg | 75 |
Phase II Cisplatin-pemetrexed Placebo | 83 |
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Response Rate by RECIST1.1 (Phase II)
"Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1): 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." (NCT01064648)
Timeframe: Disease assessment will be repeated every 6 weeks until disease progression, up to 3 years. Best response is documented for as long as the patient remains on protocol treatment.
Intervention | percentage of analyzed participants (Number) |
---|
Phase II Cisplatin-pemetrexed Cediranib 20mg | 26 |
Phase II Cisplatin-pemetrexed Placebo | 15 |
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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. (NCT01085630)
Timeframe: Baseline up to 3 years
Intervention | months (Median) |
---|
Arm A (Observation) | 11.8 |
Arm B (Pemetrexed) | 16.3 |
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Progression-free Survival
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. The median and 95% confidence intervals are estimated using the Kaplan-Meier estimator. (NCT01085630)
Timeframe: Baseline up to 3 years
Intervention | months (Median) |
---|
Arm A (Observation) | 3.0 |
Arm B (Pemetrexed) | 3.4 |
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Toxicity, Assessed Using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (v4)
The number of patients reporting grade 3 or higher adverse events considered at least possibly related to study treatment 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. (NCT01085630)
Timeframe: Baseline up to 3 years
Intervention | Participants (Count of Participants) |
---|
| Grade 3 Adverse Event | Grade 4 Adverse Event |
---|
Arm B (Pemetrexed) | 9 | 2 |
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Response Rate
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. Response rates (including complete and partial response) will be tested using Fisher's exact test (NCT01085630)
Timeframe: Up to 3 years
Intervention | percentage of participants (Number) |
---|
Arm A (Observation) | 0 |
Arm B (Pemetrexed) | 11.1 |
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Overall Survival (OS)
OS is defined as the duration from the date of enrollment to the date of death from any cause. For participants who were alive at the time of the data inclusion cutoff, OS was censored at the date of last contact prior to that cut-off date. (NCT01087970)
Timeframe: From enrollment to the date of death from any cause up to 26.4 months (assessment completed during trial period at least every 3 months)
Intervention | months (Median) |
---|
Cetuximab + Pemetrexed + Carboplatin/Cisplatin | 11.1 |
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Percentage of Participants Having a Confirmed Partial Response (PR) or Complete Response (CR)
PR or CR is classified by the investigators according to RECIST criteria version 1.0. PR is a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesions; CR is the disappearance of all target and non-target lesions. Percentage of participants having a PR or CR is calculated as a total number of participants with PR or CR from enrollment until disease progression or recurrence divided by the total number of participants treated, then multiplied by 100. (NCT01087970)
Timeframe: From enrollment to objectively determined progressive disease up to 15.3 months (tumor assessments performed every other cycle during study treatment until progressive disease)
Intervention | percentage of participants (Number) |
---|
Cetuximab + Pemetrexed + Carboplatin/Cisplatin | 25.9 |
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Progression-Free Survival (PFS)
PFS was defined as the duration from the date of enrollment to the first date of documented objective progressive disease (PD) or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD is ≥20% increase in sum of longest diameter of target lesions or the appearance of new lesions. For participants who were not known to have died or to have had objective PD at the time of the data inclusion cutoff, PFS was censored at their last objective progression-free disease assessment prior to the cutoff date or the date of initiation of subsequent systemic anticancer therapy. (NCT01087970)
Timeframe: From enrollment to measured progressive disease up to 15.3 months (tumor assessments performed every other cycle during study treatment, and then every 6 weeks during follow-up)
Intervention | months (Median) |
---|
Cetuximab + Pemetrexed + Carboplatin/Cisplatin | 5.1 |
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Number of Participants Who Died While on Treatment and Died During 30-Day Post-Treatment Discontinuation Follow-Up (FU)
Presented are the number of participants who died due to adverse events (AEs) while on treatment and participants who died due to progressive disease (PD) during the 30-day post-treatment discontinuation FU. (NCT01087970)
Timeframe: From enrollment to 30 days post-treatment discontinuation up to 26.4 months
Intervention | participants (Number) |
---|
| Due to AE while on treatment | Due to PD during 30-day FU |
---|
Cetuximab + Pemetrexed + Carboplatin/Cisplatin | 3 | 5 |
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Change From Baseline in Participant-Reported European-Quality of Life-5 Dimension Instrument-3 Levels (EQ-5D-3L)
EQ-5D-3L is a descriptive system of health-related quality of life states consisting of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and each of which has 3 levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. A regression equation defines a utility value for these health states to generate an index score. The possible values for index score range from -0.594 (severe problems in all 5 dimensions) to 1 (no problem in all dimensions) on a scale where 1 represents the best possible health state. The EQ-5D Visual Analog Scale (VAS) is used to record a participant's rating for his/her current health-related quality of life state on the day of questionnaire administration and is captured on a scale of 0 (worst imaginable health state) to 100 (best imaginable health state). (NCT01087970)
Timeframe: Baseline, Day 1 of Cycles 2, 4, 6, cetuximab monotherapy Cycles 2 and 4 (21-day cycle)
Intervention | units on a scale (Mean) |
---|
| Change in Index Score at Cycle 2 (n=43) | Change in Index Score at Cycle 4 (n=29) | Change in Index Score at Cycle 6 (n=24) | Change in Index Score at monotherapy Cycle2 (n=14) | Change in Index Score at monotherapy Cycle 4 (n=7) | Change in VAS Score at Cycle 2 (n=41) | Change in VAS Score at Cycle 4 (n=28) | Change in VAS Score at Cycle 6 (n=21) | Change in VAS Score at monotherapy Cycle 2 (n=14) | Change in VAS Score at monotherapy Cycle 4 (n=7) |
---|
Cetuximab + Pemetrexed + Carboplatin/Cisplatin | 0.038 | 0.070 | -0.063 | 0.016 | 0.059 | 3.854 | 2.107 | 0.333 | -1.500 | 0.571 |
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Response Rate
"Response is evaluated based on RECIST criteria v1.1 and defined as either complete response or partial response. Complete response is defined as disappearance of all lesions. Partial response is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the current step's baseline sum diameters.~The primary analysis is among patients who were randomized to the maintenance therapy. Patients who received induction therapy only and did not participate in the randomization part of the study were not included in this analysis." (NCT01107626)
Timeframe: Assessed every 6 weeks during induction therapy and every 3 cycles during maintenance therapy; after discontinuation of study therapy, assessed every 3 months for 2 years and every 6 months for years 3-5
Intervention | proportion of participants (Number) |
---|
Arm A (Induction Then Maintenance With Bevacizumab) | 0.125 |
Arm B (Induction Then Maintenance With Pemetrexed | 0.187 |
Arm C (Induction Then Maintenance With Bevacizumab and Pemetrexed) | 0.212 |
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Overall Survival
"Overall survival is defined as the time from randomization to death or date last known alive.~The primary analysis is among patients who were randomized to the maintenance therapy. Patients who received induction therapy only and did not participate in the randomization part of the study were not included in this analysis." (NCT01107626)
Timeframe: Assessed every 6 weeks during induction therapy and every 3 cycles during maintenance therapy; after discontinuation of study therapy, assessed every 3 months for 2 years and every 6 months for years 3-5
Intervention | months (Median) |
---|
Arm A (Induction Then Maintenance With Bevacizumab) | 14.4 |
Arm B (Induction Then Maintenance With Pemetrexed | 15.9 |
Arm C (Induction Then Maintenance With Bevacizumab and Pemetrexed) | 16.4 |
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Progression-free Survival
"Progression-free survival is defined as the time from randomization to progression or death, whichever occurs first. Progression is evaluated based on RECIST criteria and defined as appearance of one or more new lesions, unequivocal progression of existing non-target lesions, or at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on current step. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.~The primary analysis is among patients who were randomized to the maintenance therapy. Patients who received induction therapy only and did not participate in the randomization part of the study were not included in this analysis." (NCT01107626)
Timeframe: Assessed every 6 weeks during induction therapy and every 3 cycles during maintenance therapy; after discontinuation of study therapy, assessed every 3 months for 2 years and every 6 months for years 3-5
Intervention | months (Median) |
---|
Arm A (Induction Then Maintenance With Bevacizumab) | 4.2 |
Arm B (Induction Then Maintenance With Pemetrexed | 5.1 |
Arm C (Induction Then Maintenance With Bevacizumab and Pemetrexed) | 7.5 |
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Phase 2: Percentage of Participants Who Experienced TEAEs
Safety assessment included monitoring and recording all AE including all CTCAE version 4.0 grades (for both increasing and decreasing severity), and SAE; regular monitoring of hematology, blood chemistry, and urine values; periodic measurement of vital signs and ECGs; and performance of physical examinations. A TEAE was defined as an AE that had on onset date, or a worsening in severity from Baseline (pretreatment), on or after the first dose of study drug up to the end of the study. (NCT01126736)
Timeframe: From date of first dose up to 30 days after the last dose of study drug in Phase 2, up to approximately 3 years 6 months
Intervention | percentage of participants (Number) |
---|
Phase 2, Arm 1: 0.9 mg/m^2 Eribulin Plus 500 mg/m^2 Pemetrexed | 97.6 |
Phase 2, Arm 2: 500 mg/m^2 Pemetrexed | 94.9 |
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Phase 1b: Percentage of Participants With Grade 3 or Higher Treatment Emergent Adverse Events (TEAEs)
Safety assessment included monitoring and recording all AE including all Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 grades (for both increasing and decreasing severity), and serious adverse events (SAE); regular monitoring of hematology, blood chemistry, and urine values; periodic measurement of vital signs and electrocardiograms (ECGs); and performance of physical examinations. A TEAE was defined as an AE that had on onset date, or a worsening in severity from Baseline (pretreatment), on or after the first dose of study drug up to the end of the study. As per CTCAE, Grade 1 scales as Mild; Grade 2 scales as Moderate; Grade 3 scales as severe or medically significant but not immediately life threatening; Grade 4 scales as life-threatening consequences; and Grade 5 scales as death related to AE. (NCT01126736)
Timeframe: From date of first dose up to 30 days after the last dose of study drug in Phase 1b, up to approximately 1 year 2 months
Intervention | percentage of participants (Number) |
---|
Phase 1b, Arm 1 - Cohort 1: 0.9 mg/m^2 Eribulin Plus Pemetrexed | 100.0 |
Phase 1b, Arm 1 - Cohort 2: 1.4 mg/m^2 Eribulin Plus Pemetrexed | 83.3 |
Phase 1b, Arm 2 - Cohort 1: 0.7 mg/m^2 Eribulin Plus Pemetrexed | 100.0 |
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Phase 2: Progression-free Survival (PFS)
PFS was defined as the time from the date of randomization until the earlier of the following two events: the date of progressive disease (PD) or the date of death. Progressive disease 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 on study), recorded since the treatment started or the appearance of 1 or more new lesions based on investigator assessments according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1). If a participant did not progress, they were censored at the date of last tumor assessment, last known alive date, or until the start of a next line of therapy, whichever occurred first. PFS was estimated using Kaplan-Meier method and presented with 2-sided 95% confidence interval. (NCT01126736)
Timeframe: From the date of randomization until the earlier of the following two events: the date of PD or the date of death (Up to approximately 3 years 5 months)
Intervention | weeks (Median) |
---|
Phase 2, Arm 1: 0.9 mg/m^2 Eribulin Plus 500 mg/m^2 Pemetrexed | 18.1 |
Phase 2, Arm 2: 500 mg/m^2 Pemetrexed | 22.0 |
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Phase 1b: Number of Participants With Dose-Limiting Toxicity (DLTs)
DLT were defined as clinically significant adverse events (AE) occurring less than or equal to (<=) 21 days after treatment. Events as: Non-hematological: 1) Grade greater than or equal to (>=) 3 peripheral neuropathy; 2) Grade >=3 nausea, vomiting despite optimal antiemetic treatment; 3) Any nonhematologic toxicity of Grade >=3, with exceptions as alopecia, single laboratory values out of normal range, hypersensitivity reaction. Hematological:1) Grade 4 neutropenia lasting >7 days; 2) Febrile neutropenia as fever >=38.5 degree Celsius with absolute neutrophil count less than (<)1.0*10^9 per liter(/L); 3) Grade 3 thrombocytopenia with nontraumatic bleeding requiring platelet transfusion; 4) Grade 4 thrombocytopenia with/without nontraumatic bleeding. Other 1) Study drug related death; 2) Toxicity that dose escalation committee believed to be DLT that was not covered by above DLT criteria. (NCT01126736)
Timeframe: Cycle 1 (cycle length=21 days)
Intervention | Participants (Count of Participants) |
---|
| Alanine transaminase (ALT) increased (grade 3) | Aspartate transaminase (AST) increased (grade 3) | Febrile neutropenia (grade 4) | Neutropenia (grade 4) | Pneumonia (grade 4) | Thrombocytopenia (grade 4) |
---|
Phase 1b, Arm 1 - Cohort 1: 0.9 mg/m^2 Eribulin Plus Pemetrexed | 0 | 0 | 0 | 0 | 0 | 0 |
,Phase 1b, Arm 1 - Cohort 2: 1.4 mg/m^2 Eribulin Plus Pemetrexed | 1 | 1 | 1 | 1 | 0 | 1 |
,Phase 1b, Arm 2 - Cohort 1: 0.7 mg/m^2 Eribulin Plus Pemetrexed | 1 | 0 | 0 | 0 | 1 | 0 |
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Phase 1: Document Any Antitumor Activity Per Radiological Scans and/or Tumor Markers
Overall response rate is presented. Overall response rate is defined as the percentage of participants with a best response of CR or PR as classified by the investigators according to RECIST, v1.1 criteria. CR is defined as the disappearance of all target and non-target lesions, normalization of tumor marker level of non-target lesions, and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT01139775)
Timeframe: Baseline through end of Phase 1
Intervention | percentage of participants (Number) |
---|
| 130 mg | 185 mg | 240 mg | 275 mg |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 0 | 66.7 | 25.0 | 0 |
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Deaths
Deaths that occurred during the study are presented. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01139775)
Timeframe: Randomization through 12 months after the last participant was randomized
Intervention | Participants (Count of Participants) |
---|
| Total deaths | Deaths while on treatment | Death within 30 days of last dose of study drug | Deaths during follow-up period |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 0 | 0 | 0 | 0 |
,Phase 2: Pemetrexed + Cisplatin | 15 | 1 | 0 | 14 |
,Phase 2: Pemetrexed + Cisplatin + LY2603618 | 21 | 3 | 1 | 17 |
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Phase 2: Progression-Free Survival Time
Progression-free survival (PFS) time is defined as the time from the date of randomization to the first date of documented objective progressive disease (PD) or death from any cause. For participants who were not known to have had objective PD as of the data inclusion cut-off date for a particular analysis, PFS was censored at the date of the last objective progression-free disease assessments. For participants who took any subsequent systemic anticancer therapy prior to progression, PFS was censored at the date of the last objective progression-free disease assessment prior to the start date of any subsequent systemic anticancer therapy. PFS time was summarized using Kaplan-Meier estimates. (NCT01139775)
Timeframe: Randomization up to first date of PD or death from any cause (up to 6 months after the last participant entered treatment)
Intervention | months (Median) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | 4.7 |
Phase 2: Pemetrexed + Cisplatin | 1.5 |
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Phase 2: Pharmacokinetic: Cmax (LY2603618)
(NCT01139775)
Timeframe: Cycle 1/Day 2 - predose, immediately prior to the end of the LY2603618 infusion, and 2-6, 24-48, and 72-96 hours postdose
Intervention | ng/mL (Geometric Mean) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | 4130 |
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Phase 1: Pharmacokinetic: Area Under the Plasma Concentration Versus Time Curve (AUC) (LY2603618)
AUC from time zero to 24 hours (AUC[0-24]), AUC from time zero to the last time point with a measurable concentration (AUC[0-tlast]), and AUC from time zero to infinity (AUC[0-∞]) values are reported for each LY2603618 dose level on Cycle 1 /Day 2 and Cycle 2 /Day 2. The number of pharmacokinetic observations (n) used in the analysis is presented for each dose level and time point. (NCT01139775)
Timeframe: Cycle 1/Day 2 - immediately prior to end of LY2603618 infusion and 1, 3, 6, 24, 48, 72, and 144 hours postdose; Cycle 2/Day 2 - predose, immediately prior to end of LY2603618 infusion, and 1, 3, 6, 24, 48, 72, and 144 hours postdose
Intervention | ng*h/mL (Geometric Mean) |
---|
| 130 mg, Cycle 1/Day 2, AUC(0-24) | 130 mg, Cycle 2/Day 2, AUC(0-24) | 130 mg, Cycle 1/Day 2, AUC(0-tlast) | 130 mg, Cycle 2/Day 2, AUC(0-tlast) | 130 mg, Cycle 1/Day 2, AUC(0-∞) | 130 mg, Cycle 2/Day 2, AUC(0-∞) | 185 mg, Cycle 1/Day 2, AUC(0-24) | 185 mg, Cycle 2/Day 2, AUC(0-24) | 185 mg, Cycle 1/Day 2, AUC(0-tlast) | 185 mg, Cycle 2/Day 2, AUC(0-tlast) | 185 mg, Cycle 1/Day 2, AUC(0-∞) | 185 mg, Cycle 2/Day 2, AUC(0-∞) | 240 mg, Cycle 1/Day 2, AUC(0-24) | 240 mg, Cycle 2/Day 2, AUC(0-24) | 240 mg, Cycle 1/Day 2, AUC(0-tlast) | 240 mg, Cycle 2/Day 2, AUC(0-tlast) | 240 mg, Cycle 1/Day 2, AUC(0-∞) | 240 mg, Cycle 2/Day 2, AUC(0-∞) | 275 mg, Cycle 1/Day 2, AUC(0-24) | 275 mg, Cycle 2/Day 2, AUC(0-24) | 275 mg, Cycle 1/Day 2, AUC(0-tlast) | 275 mg, Cycle 2/Day 2, AUC(0-tlast) | 275 mg, Cycle 1/Day 2, AUC(0-∞) | 275 mg, Cycle 2/Day 2, AUC(0-∞) |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 8700 | 9780 | 10200 | 11300 | 10200 | 11300 | 13800 | 12500 | 18300 | 14800 | 18400 | 15700 | 26200 | 22100 | 32200 | 27300 | 32300 | 27500 | 28900 | 23500 | 38100 | 30800 | 38300 | 30900 |
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Phase 2: Overall Survival
Overall survival (OS) time is defined as the time from the date of randomization to the date of death from any cause. For participants not known to have died as of the data cut-off date, OS time was censored at the last contact date the participant was known to be alive prior to the data cut-off date. OS was summarized using Kaplan-Meier estimates. (NCT01139775)
Timeframe: Randomization to the date of death from any cause through the time of study discontinuation (approximately 12 months after last participant was randomized)
Intervention | months (Median) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | 12.9 |
Phase 2: Pemetrexed + Cisplatin | 6.6 |
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Phase 1: Pharmacokinetic: AUC (Pemetrexed and Cisplatin)
AUC(0-tlast) and AUC(0-∞) values are reported for pemetrexed and t-platinum from cisplatin. The number of pharmacokinetic observations (n) used in the analysis is presented for each drug. (NCT01139775)
Timeframe: Pemetrexed: Cycle 1/Day 1 - immediately prior to end of pemetrexed infusion and 1, 2, 6 and 24 hours postdose. Cisplatin: Cycle 1/Day 1 - immediately prior to end of cisplatin infusion and 0.5, 1, 2, 6, 24, 72, 96, and 168 hours postdose.
Intervention | ng*h/mL (Geometric Mean) |
---|
| Pemetrexed, AUC(0-tlast) | Pemetrexed, AUC (0-∞) | T-platinum from cisplatin, AUC (0-tlast) | T-platinum from cisplatin, AUC (0-∞) |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 159000 | 160000 | 163000 | 269000 |
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Phase 1: Pharmacokinetic: Cmax (Pemetrexed and Cisplatin)
Cmax for pemetrexed and total platinum (t-platinum) from cisplatin is reported. The number of pharmacokinetic observations (n) used in the analysis is presented for each drug. (NCT01139775)
Timeframe: Pemetrexed: Cycle 1/Day 1 - immediately prior to end of pemetrexed infusion and 1, 2, 6 and 24 hours postdose. Cisplatin: Cycle 1/Day 1 - immediately prior to end of cisplatin infusion and 0.5, 1, 2, 6, 24, 72, 96, and 168 hours postdose.
Intervention | ng/mL (Geometric Mean) |
---|
| Pemetrexed | T-platinum from cisplatin |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 88300 | 3710 |
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Phase 2: Clinical Benefit Rate: Percentage of Participant Who Achieved a Response of Stable Disease (SD), Partial Response (PR), or Complete Response (CR)
Clinical benefit rate is the best response CR, PR, or SD as classified by the investigators according to the RECIST, v1.1 guidelines. CR is defined as the disappearance of all target and non-target lesions, normalization of tumor marker level of non-target lesions, and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameter since treatment started. Clinical benefit rate is calculated as a total number of participants with CR, PR, or SD divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT01139775)
Timeframe: Randomization until date of disease progression or death (up to 6 months after the last participant was randomized)
Intervention | percentage of participants (Number) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | 69.2 |
Phase 2: Pemetrexed + Cisplatin | 47.8 |
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Phase 2: Change in Tumor Size
Change in tumor size was based on tumor measurements collected according to RECIST, v1.1 guidelines. Tumor size is the sum of the tumor measurements (longest diameters) of target lesions at each tumor evaluation. Change in tumor size was defined as the change in log tumor size from baseline evaluation to the evaluation at the end of Cycle 2. (NCT01139775)
Timeframe: Baseline, end of Cycle 2
Intervention | centimeters (Mean) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | -0.30 |
Phase 2: Pemetrexed + Cisplatin | -0.14 |
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Phase 1: Recommended Phase 2 Dose of LY2603618
The recommended Phase 2 dose for LY2603618 when administered approximately 24 hours after pemetrexed and cisplatin was based on the maximum tolerated dose (MTD) and achievement of predefined LY2603618 plasma systemic exposures targets (area under the LY2603618 plasma concentration versus time curve from time zero to infinity [AUC(0-∞)] >21,000 nanogram*hour/milliliter [ng*h/mL] and maximum LY2603618 plasma concentration [Cmax] >2000 nanograms/milliliter [ng/mL]). (NCT01139775)
Timeframe: Time of first dose to last dose
Intervention | mg (Number) |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 275 |
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Phase 1: Pharmacokinetic: Maximum Plasma Concentration (Cmax) (LY2603618)
Cmax is reported for each LY2603618 dose level on Cycle 1 /Day 2 and Cycle 2 /Day 2. The number of pharmacokinetic observations (n) used in the analysis is presented for each dose level and time point. (NCT01139775)
Timeframe: Cycle 1/Day 2 - immediately prior to end of LY2603618 infusion, and 1, 3, 6, 24, 48, 72, and 144 hours postdose; Cycle 2/Day 2 - predose, immediately prior to end of LY2603618 infusion, and 1, 3, 6, 24, 48, 72, and 144 hours postdose
Intervention | ng/mL (Geometric Mean) |
---|
| 130 mg, Cycle 1/Day 2 | 130 mg, Cycle 2/Day 2 | 185 mg, Cycle 1/Day 2 | 185 mg, Cycle 2/Day 2 | 240 mg, Cycle 1/Day 2 | 240 mg, Cycle 2/Day 2 | 275 mg, Cycle 1/Day 2 | 275 mg, Cycle 2/Day 2 |
---|
Phase 1: Pemetrexed + Cisplatin + LY2603618 | 1810 | 1730 | 2200 | 2190 | 3470 | 2750 | 4130 | 3620 |
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Phase 2: Change From Baseline to Long-term Follow up in Lung Cancer Symptom Scale (LCSS)
"Health-related quality of life and participant symptoms were assessed using the LCSS (patient scale). However, improper implementation of questionnaires at the site level reduced the sponsor's ability to accurately evaluate the impacted data. Therefore, the LCSS data should be interpreted with caution.~The LCSS is a 9-item questionnaire. Six questions are symptom-specific measures for lung cancer (appetite, fatigue, cough, dyspnea, hemoptysis, and pain), and 3 summation items describe total symptomatic distress, activity status, and overall quality of life. Participant responses were measured using visual analogue scales (VAS) with 100-milliliter (mm) lines. Scores range from 0 (for best outcome) to 100 (for worst outcome). The Average Symptom Burden Index (ASBI) was calculated as the mean of 6 symptom-specific questions from the LCSS. The total LCSS score was calculated as the mean of 9 questions from the LCSS." (NCT01139775)
Timeframe: Randomization to the end of study (approximately 12 months after the last participant entered treatment)
Intervention | units on a scale (Mean) |
---|
| Total LCSS | ASBI |
---|
Phase 2: Pemetrexed + Cisplatin | -11.7 | -12.6 |
,Phase 2: Pemetrexed + Cisplatin + LY2603618 | -10.7 | -11.6 |
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Phase 2: Pharmacokinetic: AUC (LY2603618)
AUC (0-24), AUC(0-tlast), and AUC(0-∞) values are reported for LY2603618. The number of pharmacokinetic observations (n) used in the analysis is presented. (NCT01139775)
Timeframe: Cycle 1/Day 2 - predose, immediately prior to the end of the LY2603618 infusion, and 2-6, 24-48, and 72-96 hours postdose
Intervention | ng*h/mL (Geometric Mean) |
---|
| AUC (0-24) | AUC (0-tlast) | AUC (0-∞) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | 31400 | 39300 | 41100 |
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Phase 2: Overall Tumor Response Rate: Percentage of Participants Who Achieved a Confirmed Best Response of Completed Response (CR) or Partial Response (PR)
Overall response rate is the best response of CR or PR as classified by the investigators according to the Response Evaluation Criteria in Solid Tumors (RECIST, v1.1) guidelines. CR is defined as the disappearance of all target and non-target lesions, normalization of tumor marker level of non-target lesions, and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 millimeter (mm). PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT01139775)
Timeframe: Randomization until date of disease progression (up to 6 months after the last participant was randomized)
Intervention | percentage of participants (Number) |
---|
Phase 2: Pemetrexed + Cisplatin + LY2603618 | 43.6 |
Phase 2: Pemetrexed + Cisplatin | 21.7 |
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Change in Tumor Size (CTS)
CTS was defined as the log ratio of tumor size at 6 weeks to tumor size at baseline. CTS at 6 weeks=Log (Sum of Target Lesion Measurements at 6 Weeks)-Log (Sum of Target Lesion Measurements at Baseline). (NCT01160744)
Timeframe: Baseline, 6 weeks
Intervention | log ratio (Mean) |
---|
Pem + Carb or Cis (Non-Squamous) | -0.2 |
Ram + Pem + Carb or Cis (Non-Squamous) | -0.2 |
Gem + Carb or Cis (Squamous) | -0.3 |
Ram + Gem + Carb or Cis (Squamous) | -0.4 |
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Duration of Response (DOR)
DOR was measured from the time criteria were met for the first objectively recorded CR or PR until the first date criteria for PD were met or death. Response was defined using RECIST v 1.1 criteria. CR was defined as the disappearance of all lesions, pathological lymph node reduction in short axis to <10 mm, and normalization of tumor marker level of non-target lesions. PR was defined as ≥30% decrease SOD of target lesions taking as reference the baseline sum diameter. PD was defined as ≥20% increase in SOD of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 mm; appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants who did not relapse were censored at the day of their last objective tumor assessment. (NCT01160744)
Timeframe: Time of first response (CR or PR) until PD or death (up to 24 months)
Intervention | months (Median) |
---|
Pem + Carb or Cis (Non-Squamous) | 4.5 |
Ram + Pem + Carb or Cis (Non-Squamous) | 5.5 |
Gem + Carb or Cis (Squamous) | 4.3 |
Ram + Gem + Carb or Cis (Squamous) | 4.3 |
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Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death from any cause. If the participant was alive at the end of the follow-up period or was lost to follow-up, OS was censored on the last date the participant was known to be alive. (NCT01160744)
Timeframe: Randomization to the date of death from any cause (up to 31.3 months)
Intervention | months (Median) |
---|
Pem + Carb or Cis (Non-Squamous) | 10.4 |
Ram + Pem + Carb or Cis (Non-Squamous) | 13.9 |
Gem + Carb or Cis (Squamous) | 11.3 |
Ram + Gem + Carb or Cis (Squamous) | 10.4 |
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Percentage of Participants With Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]
Best overall response of CR or PR was defined using RECIST v 1.1 criteria. 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 defined as ≥30% decrease in SOD of target lesions taking as reference the baseline sum diameter. PD was defined as ≥20% increase in SOD of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 mm; appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants who had no post baseline tumor assessments were considered non-responders and included in the denominator when calculating response rate. Percentage of participants=(number of participants with CR+PR/total number of participants)*100. (NCT01160744)
Timeframe: Day 1, Cycle 1 (3-week cycles) and every 6 weeks thereafter to PD (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Pem + Carb or Cis (Non-Squamous) | 38.0 |
Ram + Pem + Carb or Cis (Non-Squamous) | 49.3 |
Gem + Carb or Cis (Squamous) | 24.6 |
Ram + Gem + Carb or Cis (Squamous) | 46.5 |
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Percentage of Participants With CR, PR, or Stable Disease (SD) [Disease Control Rate (DCR)]
DCR: percentage of participants with CR, PR, or SD using RECIST v 1.1 criteria. CR: 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: ≥30% decrease in SOD of target lesions taking as reference baseline sum diameter. PD: ≥20% increase in SOD of target lesions and short axes of target lymph nodes, taking as reference smallest sum of longest diameters recorded since treatment started and an absolute increase in sum diameter ≥5 mm; appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. SD: neither sufficient shrinkage to qualify for PR nor increase to qualify for PD. Participants who had no post baseline tumor assessments were considered non-responders and included in the denominator when calculating response rate. Percentage of participants=(number of participants with CR+PR+SD/total number of participants)*100. (NCT01160744)
Timeframe: Day 1, Cycle 1 (3-week cycles) and every 6 weeks thereafter to PD (up to 24 months)
Intervention | percentage of participants (Number) |
---|
Pem + Carb or Cis (Non-Squamous) | 70.4 |
Ram + Pem + Carb or Cis (Non-Squamous) | 85.5 |
Gem + Carb or Cis (Squamous) | 66.7 |
Ram + Gem + Carb or Cis (Squamous) | 73.2 |
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Progression-Free Survival (PFS)
PFS was the time from randomization to the first objective progression as defined by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v 1.1) or death from any cause, whichever occurred first. Progressive disease (PD) was defined as ≥20% increase in sum of diameter (SOD) of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 millimeters (mm); appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants alive and without disease progression were censored at the time of the last objective tumor assessment. Participants who did not progress and were lost to follow-up were censored at their last radiographic assessment. If no baseline or post baseline radiologic assessments were available, participants were censored at date of randomization. (NCT01160744)
Timeframe: Randomization to PD or death (up to 24 months)
Intervention | months (Median) |
---|
Pem + Carb or Cis (Non-Squamous) | 5.6 |
Ram + Pem + Carb or Cis (Non-Squamous) | 7.2 |
Gem + Carb or Cis (Squamous) | 5.4 |
Ram + Gem + Carb or Cis (Squamous) | 5.6 |
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Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Who Died
Data presented are the number of participants with at least 1 treatment-emergent adverse event (TEAE) and treatment-emergent serious adverse event (SAE), as well as, the number of participants who died during the study. TEAEs were defined as serious and other non-serious AEs that occurred or worsened after study treatment (regardless of causality). A summary of SAEs and other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module. (NCT01160744)
Timeframe: Day 1, Cycle 1 (3-week cycles) Up to 3 Years
Intervention | Participants (Count of Participants) |
---|
| Treatment-Emergent SAE | Treatment-Emergent Adverse Event | Deaths |
---|
Gem + Carb or Cis (Squamous) | 29 | 63 | 55 |
,Pem + Carb or Cis (Non-Squamous) | 38 | 68 | 51 |
,Ram + Gem + Carb or Cis (Squamous) | 39 | 71 | 56 |
,Ram + Pem + Carb or Cis (Non-Squamous) | 44 | 67 | 55 |
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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. (NCT01165021)
Timeframe: Enrollment until the date of death from any cause up to 64 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 34.6 |
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Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)]
Response was defined 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 all target and non-target lymph nodes were non-pathological or normal in size [<10 millimeter (mm) short axis]. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions taking as reference the baseline sum diameters. ORR calculated as: (sum of the number of participants with PRs and CRs) divided by (number of evaluable participants) multiplied by 100. (NCT01165021)
Timeframe: From study enrollment until disease progression or recurrence up to completion of 3 cycles (21-day cycles) of chemotherapy
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Cisplatin | 41.2 |
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Percentage of Participants With No Viable Tumor Cells in Resected Lung Tissue [Pathological Complete Remission (pCR)]
pCR after the participant has undergone surgery was calculated as: (total number of participants with pCR) divided by (the total number of participants in pathological response population) multiplied by 100. (NCT01165021)
Timeframe: At the time of surgery (within 3 to 6 weeks of Day 1 of Cycle 3 [21-day cycles] of chemotherapy)
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Cisplatin | 93.3 |
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Progression-Free Survival (PFS)
PFS was defined as the time from date of first dose to the first observation of disease progression or death due to any cause. For participants not known to have died or did not have objective progressive disease (PD) as of the data inclusion cut-off date, PFS was censored at the date of the last objective progression-free disease assessment. PD was defined using RECIST v1.1 criteria as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest). 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. (NCT01165021)
Timeframe: Enrollment until the first date of objectively determined PD or death up to 64 months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin | 12.4 |
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Percentage of Participants Who Exhibit a Downward Shift in Tumor Extent From Stage IIIAN2 to Stages IIIA, II, I, or Stage 0
Tumor downstaging compared to baseline (Stage IIIAN2) were those participants who exhibited a downward shift in tumor extent from Stage IIIAN2 to Stages IIIA, II, I, or 0 were reported. Downstaging was based on radiological examination. Stage IIIAN2 was locally advanced and/or involved lymph nodes, metastasis in ipsilateral mediastinal and or subcarinal lymph nodes, tumors were ≤2 centimeters (cm) up to 5 cm in greatest dimension; Stage IIIA was locally advanced and/or involved lymph nodes, tumor extension was restricted to the affected lung; Stage II was locally advanced and/or involved lymph nodes; Stage I was small localized cancers, usually curable; Stage 0 the cancer did not spread beyond the inner lining of the lung. Missing responses were also reported. Percentage of participants calculated as: (number of participants with a downward shift in extent of their tumor) divided by (total number of evaluable participants) multiplied by 100. (NCT01165021)
Timeframe: From study enrollment until disease progression or recurrence up to completion of 3 cycles (21-day cycles) of chemotherapy
Intervention | percentage of participants (Number) |
---|
| No Change or Worsening of Tumor Stage | Change to Stage IIIA | Change to Stage II | Change to Stage I | Missing |
---|
Pemetrexed + Cisplatin | 29.4 | 29.4 | 11.8 | 17.6 | 11.8 |
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Disease Control
Disease Control is defined as complete response, partial response, or stable disease according to the response evaluation criteria in solid tumours (RECIST) version 1.1. (NCT01169675)
Timeframe: Every 6 weeks before week 48 and every 12 weeks after week 48 until progression
Intervention | participants (Number) |
---|
Continuous Afatinib 30 mg | 6 |
Continuous Afatinib 40 mg | 1 |
Pulsed Afatinib 50 mg | 3 |
Pulsed Afatinib 60 mg | 6 |
Pulsed Afatinib 70 mg | 2 |
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Objective Response (OR)
"Objective Response is defined as complete response or partial response according to the response evaluation criteria in solid tumours (RECIST) version 1.1.~Complete Response (CR): disappearance of all non-target lesions and normalization of tumor marker level; Partial Response (PR): at least 30% decrease of the sum of longest diameter (LD) of target lesions; Progressive Disease (PD): at least a 20% increase in the sum of LD of target lesions together with an absolute increase in the sum of LD of at least 5 millimeters; Stable Disease (SD): neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for PD." (NCT01169675)
Timeframe: Every 6 weeks before week 48 and every 12 weeks after week 48 until progression
Intervention | participants (Number) |
---|
Continuous Afatinib 30 mg | 2 |
Continuous Afatinib 40 mg | 0 |
Pulsed Afatinib 50 mg | 0 |
Pulsed Afatinib 60 mg | 2 |
Pulsed Afatinib 70 mg | 0 |
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Tumour Shrinkage
Tumour shrinkage is defined as the maximum percentage decrease from baseline in the sum of the longest diameters of target lesions. (NCT01169675)
Timeframe: Every 6 weeks before week 48 and every 12 weeks after week 48 until progression
Intervention | participants (Number) |
---|
| Patients with any decrease in tumour size | Patients having >30% decrease in tumour size |
---|
Continuous Afatinib 30 mg | 10 | 2 |
,Continuous Afatinib 40 mg | 2 | 0 |
,Pulsed Afatinib 50 mg | 3 | 0 |
,Pulsed Afatinib 60 mg | 5 | 2 |
,Pulsed Afatinib 70 mg | 1 | 0 |
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Progression Free Survival (PFS)
PFS was defined as the time from the first treatment to the occurence of tumour progression or death, whichever came first. It was assessed according to RECIST version 1.1 criteria. (NCT01169675)
Timeframe: Every 6 weeks before week 48 and every 12 weeks after week 48 until progression
Intervention | months (Median) |
---|
Continuous Afatinib 30 mg | 2.49 |
Continuous Afatinib 40 mg | 2.52 |
Pulsed Afatinib 50 mg | 2.56 |
Pulsed Afatinib 60 mg | 2.52 |
Pulsed Afatinib 70 mg | 2.69 |
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Investigator Defined Dose Limiting Toxicity (DLT) During First Course of Treatment, Treated Set
Occurence of DLT during the first course of treatment to determine the maximum tolerated dose (MTD) of Afatinib at two different dose schedules in combination with the standard established dose of pemetrexed (500 mg/m2). (NCT01169675)
Timeframe: DLT were assessed during the first cycle (days 1-21)
Intervention | participants (Number) |
---|
Continuous Afatinib 30 mg | 6 |
Continuous Afatinib 40 mg | 2 |
Pulsed Afatinib 50 mg | 1 |
Pulsed Afatinib 60 mg | 6 |
Pulsed Afatinib 70 mg | 4 |
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Investigator Defined Dose Limiting Toxicity (DLT) During All Courses of Treatment, Treated Set
Occurence of DLT during all courses of treatment with Afatinib at two different dose schedules in combination with the standard established dose of pemetrexed (500 mg/m2). (NCT01169675)
Timeframe: DLT were assessed during all cycles of treatment
Intervention | participants (Number) |
---|
Continuous Afatinib 30 mg | 11 |
Continuous Afatinib 40 mg | 2 |
Pulsed Afatinib 50 mg | 3 |
Pulsed Afatinib 60 mg | 11 |
Pulsed Afatinib 70 mg | 4 |
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Percentage of Participants With a Tumor Response
Tumor response was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST) criteria and confirmed by repeat assessment. Complete Response (CR) was defined as the disappearance of all target lesions and the normalization of tumor marker levels for non-target lesions; Partial Response (PR) was defined as at least a 30% decrease in the sum of the longest diameter of target lesions. Percentage of participants with a tumor response = (number of participants with CR or PR/number of enrolled participants)*100. (NCT01215916)
Timeframe: Baseline to progressive disease (up to 1 year of treatment plus 30-day follow-up)
Intervention | percentage of participants (Number) |
---|
Pemetrexed Followed by LY573636 | 0.0 |
LY573636 Followed by Pemetrexed | 13.3 |
LY573636 and Pemetrexed on Day 1 | 0.0 |
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Number of Participants With Clinically Significant Effects
Clinically significant effects were defined as serious and other non-serious adverse events (AEs) regardless of causality. A summary of serious and all other non-serious AEs is located in the Reported Adverse Events module. (NCT01215916)
Timeframe: Baseline to end of study (up to 1 year of treatment plus 30-day follow-up)
Intervention | Participants (Count of Participants) |
---|
| Serious AEs | Non-Serious AEs |
---|
LY573636, 300 µg/mL on Day1 Plus Pemetrexed, 375 mg/m2 on Day4 | 2 | 3 |
,LY573636, 300µg/mL Plus Pemetrexed, 375mg/m2 on Day 1 | 1 | 1 |
,LY573636, 320 µg/mL on Day1 Plus Pemetrexed, 375 mg/m2 on Day4 | 4 | 6 |
,LY573636, 320 µg/mL on Day1 Plus Pemetrexed, 500 mg/m2 on Day4 | 3 | 6 |
,LY573636, 340 µg/mL Plus Pemetrexed, 500 mg/m2 on Day 1 | 4 | 5 |
,Pemetrexed, 375 mg/m2 on Day1 Plus LY573636, 300 µg/mL on Day4 | 3 | 4 |
,Pemetrexed, 375 mg/m2 on Day1 Plus LY573636, 320 µg/mL on Day4 | 4 | 9 |
,Pemetrexed, 375 mg/m2 on Day1 Plus LY573636, 340 µg/mL on Day4 | 2 | 2 |
,Pemetrexed, 500 mg/m2 on Day1 Plus LY573636, 320 µg/mL on Day4 | 3 | 3 |
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Pharmacokinetics, Area Under the Curve (AUC) of LY573636
Area under the concentration-time curve above the albumin corrected threshold (AUCalb) is provided for LY573636, which has been found to be highly bound to albumin. AUCalb is a surrogate measure of exposure to unbound (free) LY573636. (NCT01215916)
Timeframe: Cycles 1 and 2 on Day 4 (prior to and at the end of LY573636 infusion, 2 and 4 hours post LY573636 infusion), Day 8 (anytime), Day 15 (anytime)
Intervention | hour*micrograms per milliliter (h*µg/mL) (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
All Enrolled Participants | 132.783 | 68.813 |
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Pharmacokinetics, Concentration Maximum (Cmax) of LY573636
(NCT01215916)
Timeframe: Cycles 1 and 2 on Day 4 (prior to and at the end of LY573636 infusion, 2 and 4 hours post LY573636 infusion), Day 8 (anytime), Day 15 (anytime)
Intervention | micrograms per milliliter (µg/mL) (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 |
---|
All Enrolled Participants | 264.285 | 225.588 |
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Progression-free Survival (PFS)
PFS was defined as the time from the date of randomization to the date of the first observation of investigator-assessed (radiology review) progression based on Response Evaluation Criteria In Solid Tumors (RECIST) v.1.1 or other protocol-approved measures of disease progression (e.g., new occurrence of positive fluid cytology, newly diagnosed evidence of disease progression from histologic samples, PET-positive metastases, or new bone or brain metastases), or date of death, whatever the cause. Disease progression as assessed by the investigator per RECIST v1.0 was defined as at least a 20% increase in sum of longest diameters (RECIST definition) compared to baseline (or lowest sum while on study if less than baseline), or any new lesions (measurable or nonmeasurable). (NCT01218516)
Timeframe: From date of first administration of study drug up to 6 month follow-up from randomization of the last participant, i.e., cut-off date 15 Dec 2012 for primary analysis and cut-off date of 1 Nov 2013 or up to approximately 28 months for final analysis
Intervention | Months (Median) |
---|
| Per Primary Analysis Cut-Off Date | Per Final Analysis Cut-Off Date |
---|
Combination Therapy: Farletuzumab + Chemotherapy | 4.7 | 4.7 |
,Combination Therapy: Placebo + Chemotherapy | 5.8 | 5.9 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (SAEs)
An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered with an investigational product. A serious adverse event (SAE) was defined as any untoward medical occurrence that at any dose; resulted in death, was life-threatening (i.e., the participant was at a risk of death at the time of the event; this did not include an event that hypothetically might have caused death if it had been more severe), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, or was a congenital abnormality/birth defect. In this study, TEAEs (defined as an AE that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed. (NCT01218516)
Timeframe: For each participant, from the first dose till 30 days after the last dose or cut-off date of 1 Nov 2013, i.e., up to approximately 28 months for final analysis
Intervention | Participants (Count of Participants) |
---|
| TEAEs | Treatment emergent SAEs |
---|
Combination Therapy: Farletuzumab + Chemotherapy | 63 | 27 |
,Combination Therapy: Placebo + Chemotherapy | 60 | 27 |
,Monotherapy: Farletuzumab | 25 | 7 |
,Monotherapy: Placebo | 30 | 6 |
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Overall Response Rate (ORR)
ORR, defined as the percentage of participants who had best overall response (BOR) of complete response (CR) or partial response (PR) as determined by investigator's radiologic assessments using RECIST 1.1 for target lesions and assessed by Magnetic resonance imaging (MRI) and computerized tomography (CT) scan (for double blind treatment period i.e. Randomization Phase). CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to less than 10 mm. 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 = CR + PR. (NCT01218516)
Timeframe: From Day 1 until documented radiographic progression, other protocol-approved measures of disease progression, withdrawal by participant, death due to any cause, or cut-off date of 1 Nov 2013, i.e., up to approximately 28 months for final analysis
Intervention | Percentage of participants (Number) |
---|
Combination Therapy: Placebo + Chemotherapy | 37.3 |
Combination Therapy: Farletuzumab + Chemotherapy | 41.3 |
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Overall Survival (OS)
OS was defined as the time (in months) from the date of randomization to the date of death, regardless of cause. (NCT01218516)
Timeframe: From the date of randomization to the date of death due to any cause or up to cut-off date of 1 Nov 2013 (up to approximately 28 months) for final analysis
Intervention | Months (Median) |
---|
Combination Therapy: Placebo + Chemotherapy | 10.5 |
Combination Therapy: Farletuzumab + Chemotherapy | 14.1 |
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Duration of Response (DR)
DR was derived for those participants with objective evidence of CR or PR. DR was defined as the time (in months) from first documentation of objective response (CR or PR) to the first documentation of disease progression (ie, objective tumor progression as assessed by investigator's radiology review or other protocol-approved measures of disease progression) or death due to any cause. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. (NCT01218516)
Timeframe: From the first documentation of objective response (CR or PR) to the first documentation of disease progression, death due to any cause, or cut-off date of 1 Nov 2013, i.e., up to approximately 28 months for final analysis
Intervention | Months (Median) |
---|
Combination Therapy: Placebo + Chemotherapy | 6.7 |
Combination Therapy: Farletuzumab + Chemotherapy | 4.1 |
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Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Cixutumumab, Cycle 1 (First Infusion) and Cycle 4 (Fourth Infusion)
(NCT01232452)
Timeframe: First Infusion: [Prior to Infusion (of Cycle1): 1, 72, 168, 336 hours(hrs) and 504 hrs (i.e. Prior to Infusion of Cycle 2)] and Fourth Infusion; [Prior to Infusion (of Cycle 4),1,24,72,120,168,240,336 hrs and 504 hrs (i.e. Prior to Infusion of Cycle 5)]
Intervention | microgram/milliliter (ug/mL) (Geometric Mean) |
---|
| First Infusion | Fourth Infusion |
---|
Pemetrexed + Cisplatin + Cixutumumab | 481 | 556 |
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Time to Worsening of Symptoms as Measured by Lung Cancer Symptom Scale (LCSS) Score
TTPS was defined as the time from the date of randomization until the date of worsening of symptoms as measured by Lung Cancer Symptom Scale (LCSS) score. Symptomatic progression was defined as an increase (worsening) of the Average Symptomatic Burden Index (ASBI) that is, the mean of the six major lung cancer specific symptom scores of the LCSS patient scale - ranging from 0 to 100 where higher score indicates worst outcome). For each participant, the maximum improvement over baseline score was calculated for each of the 9 LCSS items, ASBI and LCSS total score. Participants without event are censored at the date of the last LCSS assessment. TTPS was estimated using the Kaplan-Meier method. (NCT01232452)
Timeframe: Time to worsening of symptoms as measured by LCSS score Up to 18.3 Months
Intervention | Months (Median) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 2.14 |
Pemetrexed + Cisplatin | 4.21 |
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PK: Area Under the Concentration Time Curve (AUC[0-inf]) of Cixutumumab, Cycle 1 (i.e. First Infusion)
(NCT01232452)
Timeframe: Prior to Infusion (of Cycle 1), 1, 72, 168, 336 hrs and 504 hrs (i.e. Prior to Infusion of Cycle 2)
Intervention | microgram*hour/milliliter (ug*hr/mL) (Geometric Mean) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 73200 |
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Percentage of Participants Achieving an Objective Response Rate (ORR)
The ORR is the percentage of all participants with Partial Response (PR) or Complete Response (CR) according to RECIST v1.1. Disease progression was defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, and/or the appearance of one or more new lesion(s), and/or unequivocal progression of existing nontarget lesions. ORR is confirmed best overall tumor response of CR and PR. 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. (NCT01232452)
Timeframe: Randomization to Disease Progression Up to 18.3 Months
Intervention | percentage of participants (Number) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 37.9 |
Pemetrexed + Cisplatin | 30.6 |
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Overall Survival (OS)
Overall survival is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive at the end of the follow-up period or is lost to follow-up, OS will be censored on the last date the participant is known to be alive. OS was estimated using the Kaplan-Meier method. (NCT01232452)
Timeframe: Randomization Date to Death From Any Cause Up to 20 Months
Intervention | Months (Median) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 10.68 |
Pemetrexed + Cisplatin | 10.38 |
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Duration of Response (DOR)
Duration of response is measured from the time measurement criteria are first met for CR/PR (whichever is first recorded) until the first date that the criteria for PD is met, or death, is objectively documented. DOR was estimated using the Kaplan-Meier method. Disease progression was assessed via RECIST version 1.1, and defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, and/or the appearance of one or more new lesion(s), and/or unequivocal progression of existing non-target lesions (NCT01232452)
Timeframe: Time from Response to Disease Progression or Death from Any Cause Up to 20 Months
Intervention | Months (Median) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 4.90 |
Pemetrexed + Cisplatin | 3.91 |
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Change in Tumor Size (CTS)
CTS was measured by percentage change of tumor size at the end of Cycle 2 comparing to baseline tumor size. (NCT01232452)
Timeframe: Change from baseline measurement to the end of Cycle 2, average of 42 days
Intervention | Percent Change (Mean) |
---|
Pemetrexed + Cisplatin + Cixutumumab | -23.88 |
Pemetrexed + Cisplatin | -16.04 |
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Time to Progressive Disease (TTPS)
TTPS was defined as the time from the date of randomization until the date of disease progression. Disease progression was assessed via RECIST version 1.1, and defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, and/or the appearance of one or more new lesion(s), and/or unequivocal progression of existing non-target lesions.TTPS was estimated using the Kaplan-Meier method. (NCT01232452)
Timeframe: Randomization Date to Disease Progression Up to 18.3 Months
Intervention | Months (Median) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 6.05 |
Pemetrexed + Cisplatin | 6.05 |
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Progression-free Survival (PFS)
PFS was defined as the time from date of randomization until the date of disease progression, or death from any cause, whichever was first. Disease progression was assessed via Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, and defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, and/or the appearance of one or more new lesion(s), and/or unequivocal progression of existing nontarget lesions. Participants without documentation for disease progression or death were censored at the date of last tumor assessment. The PFS was estimated following the Kaplan-Meier method. (NCT01232452)
Timeframe: Randomization Date to Disease Progression or Death From Any Cause Up to 18.3 Months
Intervention | months (Median) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 5.45 |
Pemetrexed + Cisplatin | 5.22 |
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PK: Area Under the Concentration Time Curve During 1 Dosing Interval (i.e. 504 hr, AUC(0-tau) of Cixutumumab, Cycle 4 (i.e. Fourth Infusion)
(NCT01232452)
Timeframe: Prior to Infusion (of Cycle 4), 1, 24, 72, 120, 168, 240, 336 hrs and 504 hrs (i.e. Prior to Infusion of Cycle 5)
Intervention | (ug*hr/mL) (Geometric Mean) |
---|
Pemetrexed + Cisplatin + Cixutumumab | 79700 |
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Overall Response Rate
Tumor response was assessed every two cycles of completed therapy. Responses will be based on a comparison to the pretreatment tumor evaluation. 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 (NCT01263782)
Timeframe: From treatment start to every two cycles of completed therapy.
Intervention | Participants (Count of Participants) |
---|
| No change/Stable Disease | Partial Remission | Progressive Disease |
---|
Carboplatin + Pemetrexed + Bevacizumab Followed by Maintenance | 3 | 3 | 0 |
,Carboplatin + Pemetrexed + Cetuximab Followed by Maintenance P | 2 | 1 | 0 |
,Carboplatin + Pemetrexed + Cixutumumab Followed by Maintenance | 3 | 2 | 0 |
,Carboplatin + Pemetrexed x 4 Cycles Followed by Maintenance Pe | 5 | 0 | 1 |
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Progression Free Survival
It is defined as from treatment start to the time of progression or death, whichever occurred first, or to the time of last contact. 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. (NCT01263782)
Timeframe: From treatment start to the time of progression or death, whichever occurred first, or to the time of last contact, assessed up to 5 years
Intervention | month (Median) |
---|
Carboplatin + Pemetrexed x 4 Cycles Followed by Maintenance Pe | 5.2 |
Carboplatin + Pemetrexed + Bevacizumab Followed by Maintenance | 14.5 |
Carboplatin + Pemetrexed + Cetuximab Followed by Maintenance P | 20.6 |
Carboplatin + Pemetrexed + Cixutumumab Followed by Maintenance | 8 |
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PK Parameter: Maximum Plasma Concentration (Cmax) of LY2090314
(NCT01287520)
Timeframe: Cycle 1 Day 1 of a 28-day cycle
Intervention | nanograms per milliliter (Geometric Mean) |
---|
LY 10/Carb 5 or Carb 6/Pem 500 (Cohorts 1 and 2) | 122 |
LY 20/Carb 6/Pem 500 (Cohort 3) | 246 |
LY 40/Carb 6/Pem 500 (Cohorts 4 and 9 ) | 603 |
LY 80/Carb 6/Pem 500 (Cohorts 5 and 7 | 898 |
LY 120/Carb 6/Pem 500 (Cohort 6) | 1700 |
LY 60/Carb 6/Pem 500 + R50 (Cohort 8) | 881 |
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PK Parameter: AUC0-∞ of Free Carboplatin (Carb)
AUC0-∞ of free Carb was calculated from the area under the concentration versus time curves of Carb given as a single dose with Pem (doublet therapy) and when co-administered with Pem and LY2090314 (triplet therapy). (NCT01287520)
Timeframe: Cycle 1 Day 8 of 28-day cycle and Cycle 2 up to Cycle 9: Day 1 of 21-day cycle
Intervention | hours*nanograms per milliliter per mg (Geometric Mean) |
---|
Carboplatin (Doublet Therapy) | 81.6 |
Carboplatin (Triplet Therapy) | 88.1 |
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PK Parameter: Cmax of Free Carboplatin
Cmax of free Carb given as a single dose with Pem (doublet therapy) and when co-administered with Pem and LY2090314 (triplet therapy). (NCT01287520)
Timeframe: Cycle 1, Day 8 of 28-day cycle and Cycle 2 up to Cycle 9: Day 1 of 21-day cycle
Intervention | nanograms/milliliter/milligram (Geometric Mean) |
---|
Carboplatin (Doublet Therapy) | 24.0 |
Carboplatin (Triplet Therapy) | 25.5 |
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Pharmacokinetic (PK) Parameter: Area Under the Concentration-Time Curve From Time 0 Hour to Infinity (AUC0-∞) of Pemetrexed (Pem)
AUC0-∞ was calculated from the area under the concentration versus time curves of Pem given as a single dose with Carb (doublet therapy) and when co-administered with Carb and LY2090314 (triplet therapy). (NCT01287520)
Timeframe: Cycle 1 Day 8 of 28-day cycle and Cycle 2 up to Cycle 10 Day 1 of 21-day cycle
Intervention | hours*nanograms/milliliter/ milligram (Geometric Mean) |
---|
Pemetrexed (Doublet Therapy) | 212 |
Pemetrexed (Triplet Therapy) | 202 |
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Pharmacokinetic (PK) Parameter: Area Under the Concentration-Time Curve From Time 0 Hour to Infinity (AUC0-∞) of LY2090314
AUC0-∞ was calculated from the area under the concentration versus time curve from time 0 to infinity of LY2090314 when administered alone. (NCT01287520)
Timeframe: Cycle 1 Day 1 of a 28 day cycle
Intervention | nanograms*hour per milliliter (Geometric Mean) |
---|
LY 10/Carb 5 or Carb 6/Pem 500 (Cohorts 1 and 2) | 216 |
LY 20/Carb 6/Pem 500 (Cohort 3) | 427 |
LY 40/Carb 6/Pem 500 (Cohorts 4 and 9) | 976 |
LY 80/Carb 6/Pem 500 (Cohorts 5 and 7) | 1870 |
LY 120/Carb 6/Pem 500 (Cohort 6) | 3310 |
LY 60/Carb 6/Pem 500 + R50 (Cohort 8) | 1600 |
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PK Parameter: Maximum Plasma Concentration (Cmax) of Pemetrexed (Pem)
Cmax of Pem given as a single dose with Carb (doublet therapy) and when coadministered with Carb and LY2090314 (triplet therapy). (NCT01287520)
Timeframe: Cycle 1 Day 8 of 28-day cycle and Cycle 2 up to Cycle 10 Day 1 of 21-day cycle
Intervention | nanogram per milliliter per milligram (Geometric Mean) |
---|
Pemetrexed (Doublet Therapy) | 109 |
Pemetrexed (Triplet Therapy) | 108 |
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PK Parameter: AUC0-∞ of LY2090314 Coadministered With Pemetrexed (Pem) and Carboplatin (Carb)
AUC0-∞ was calculated from the area under the concentration versus time curves of LY2090314 from time zero to infinity when coadministered with Pem and Carb. (NCT01287520)
Timeframe: Cycle 1 Day 8 of a 28-day cycle or Cycle 2 Day 1 of a 21-day cycle
Intervention | nanograms*hour per milliliter (Geometric Mean) |
---|
LY 10/Carb 5 or Carb 6/Pem 500 (Cohorts 1 and 2) | 192 |
LY 20/Carb 6/Pem 500 (Cohort 3) | 404 |
LY 40/Carb 6/Pem 500 (Cohorts 4 and 9) | 938 |
LY 80/Carb 6/Pem 500 (Cohorts 5 and 7) | 1830 |
LY 120/Carb 6/Pem 500 (Cohort 6) | 2190 |
LY 60/Carb 6/Pem 500 + R50 (Cohort 8) | 1570 |
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Number of Participants With Best Overall Tumor Response
Best overall observed tumor response at any point during the study until disease progression/recurrence defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response (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; Partial Response (PR) was defined as at least 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD) was defined as at least 20% increase in sum of longest diameter of target lesions and minimum 5 mm increase over nadir; Stable Disease (SD) was defined as small changes that did not meet above criteria. (NCT01287520)
Timeframe: Baseline up to Cycle 9 (Cycle 1 was 28 days, Cycles 2 to 9 were 21 days)
Intervention | participants (Number) |
---|
| CR | PR | SD | PD | Unknown (discontinued before response assessment) |
---|
LY 10/Carb 5/Pem 500 (Cohort 1) | 0 | 0 | 2 | 0 | 1 |
,LY 10/Carb 6/Pem 500 (Cohort 2) | 0 | 0 | 4 | 2 | 1 |
,LY 120/Carb 6/Pem 500 (Cohort 6) | 0 | 0 | 0 | 0 | 0 |
,LY 20/Carb 6/Pem 500 (Cohort 3) | 0 | 1 | 2 | 1 | 1 |
,LY 40/Carb 6/Pem 500 (Cohort 4) | 0 | 1 | 2 | 3 | 0 |
,LY 40/Carb 6/Pem 500 + R50 (Cohort 9) | 0 | 0 | 2 | 2 | 1 |
,LY 60/Carb 6/Pem 500 + R50 (Cohort 8) | 0 | 1 | 1 | 2 | 0 |
,LY 80/Carb 6/Pem 500 (Cohort 5) | 0 | 0 | 0 | 1 | 2 |
,LY 80/Carb 6/Pem 500 + R50 (Cohort 7) | 0 | 1 | 1 | 0 | 0 |
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Recommended LY2090314 Dose for Phase 2 Studies (Maximum Tolerated Dose [MTD])
Recommended Phase 2 MTD was determined, when a dose limiting toxicity (DLT) occurred in 1 of 3 participants, the cohort was to be expanded to 6 participants. If a DLT occurred in 2 or more participants, accrual to the cohort was stopped, as the MTD was exceeded. A DLT was defined as an adverse event (AE) occurring in Cycle 1 (28 days) that was possibly related to study drug and met 1 of the following criteria: According to the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v3.0, ≥Grade 3 nonhematologic toxicity (except for nausea/vomiting without maximal symptomatic/prophylactic treatment) possibly or likely related to the study medication;CTCAE Grade 4 hematological toxicity of >5 days duration; Febrile neutropenia; CTCAE Grade 4 thrombocytopenia; CTCAE ≥Grade 2 thrombocytopenia plus bleeding; CTCAE ≥Grade 3 prolonged QTc interval. (NCT01287520)
Timeframe: Baseline up to Day 28 (Cycle 1)
Intervention | milligrams (mg) (Number) |
---|
LY2090314/Pemetrexed/Carboplatin | 40 |
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PK Parameter: Maximum Plasma Concentration (Cmax) of LY2090314 Coadministered With Pemetrexed (Pem) and Carboplatin (Carb)
(NCT01287520)
Timeframe: Cycle 1 Day 8 of a 28-day cycle or Cycle 2 Day 1 of a 21-day cycle
Intervention | nanograms per milliliter (Geometric Mean) |
---|
LY 10/Carb 5 or Carb 6/Pem 500 (Cohorts 1 and 2) | 106 |
LY 20/Carb 6/Pem 500 (Cohort 3) | 271 |
LY 40/Carb 6/Pem 500 (Cohorts 4 and 9) | 657 |
LY 80/Carb 6/Pem 500 (Cohorts 5 and 7) | 1150 |
LY 120/Carb 6/Pem 500 (Cohort 6) | 768 |
LY 60/Carb 6/Pem 500 + R50 (Cohort 8) | 1040 |
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Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)]
Plasma LY2603618 AUC(0-infinity) following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | nanograms*hours per milliliter (ng*h/mL) (Geometric Mean) |
---|
[^14C]LY2603618 | 22300 |
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Plasma Pharmacokinetics of LY2603618: Maximum Observed Drug Concentration (Cmax)
Plasma LY2603618 Cmax following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
[^14C]LY2603618 | 4750 |
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Plasma Pharmacokinetics of LY2603618: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)]
Plasma LY2603618 AUC(0-tlast) where tlast is the last time point with a measurable concentration following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | nanograms*hours per milliliter (ng*h/mL) (Geometric Mean) |
---|
[^14C]LY2603618 | 22200 |
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The Number of Participants With a Tumor Response
Tumor responses were followed and measured according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete response 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. Partial response was defined as at least a 30% decrease in sum of longest diameter of target lesions. Progressive disease was defined as at least 20% increase in sum of longest diameter of target lesions and minimum 5 mm increase over nadir; Stable disease was defined as small changes that did not meet above criteria. (NCT01296568)
Timeframe: Baseline through study completion [Cycle 5 (28 days/cycle) and 21-day safety follow-up]
Intervention | Participants (Count of Participants) |
---|
| Complete response | Partial response | Progressive disease | Stable disease |
---|
Entire Study Population | 0 | 0 | 2 | 0 |
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Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Infinity [AUC(0-infinity)]
Plasma radioactivity AUC(0-infinity) [nanogram equivalents*hours per milliliter (ng Eq*h/mL)] following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | ng Eq*h/mL (Geometric Mean) |
---|
[^14C]LY2603618 | 32500 |
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Plasma Pharmacokinetics of Radioactivity: Area Under the Concentration Time Curve From Time Zero to Time t [AUC(0-tlast)]
Plasma radioactivity AUC(0-tlast) [nanogram equivalents*hours per milliliter (ng Eq*h/mL)] where tlast is the last time point with a measurable concentration following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | ng Eq*h/mL (Geometric Mean) |
---|
[^14C]LY2603618 | 27700 |
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Plasma Pharmacokinetics of Radioactivity: Maximum Observed Drug Concentration (Cmax)
Plasma radioactivity Cmax [nanogram equivalents per milliliter (ng Eq/mL)] following a single dose on Day 1. (NCT01296568)
Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose
Intervention | ng Eq/mL (Geometric Mean) |
---|
[^14C]LY2603618 | 5660 |
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Urinary and Fecal Excretion of LY2603618 Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose Administered
Urinary and fecal excretion samples from each participant were measured by liquid scintillation counting. The radioactive counts detected in urine and fecal samples were each divided by the theoretical radioactive count in the total radioactive dose administered and multiplied by 100% to arrive at a percentage of total radioactive dose excreted in urine and feces. (NCT01296568)
Timeframe: 0 to 6 hours, 6 to 12, 12 to 24, 24 to 48, 48 to 72 and 72 to 96 hours post-dose
Intervention | percentage of total dose (Mean) |
---|
| Feces | Urine |
---|
[^14C]LY2603618 | 72.2 | 11.0 |
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Number of Participants With the Indicated Changes From Baseline Value in Lactate Dehydrogenase (LDH)
"Change from Baseline in the laboratory parameter LDH was assessed as decrease to low, change to normal of no change, and increase to high. Participants with missing Baseline values were assumed to have a normal Baseline value. There is no standard normal range for LDH." (NCT01313663)
Timeframe: From the time of the first dose of study treatment until 28 days following discontinuation of study treatment (up to Study Week 55)
Intervention | participants (Number) |
---|
| Decrease to low | Change to normal/No change | Increase to high |
---|
Pazopanib 800 mg | 0 | 7 | 3 |
,Pemetrexed 500 mg/m^2 | 0 | 4 | 5 |
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Number of Participants With Any On-therapy AE (Serious or Non-serious) Leading to Dose Reductions (DRs) or Interruptions/Delays in the Study
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. In addition, all Grade 4 laboratory abnormalities and other medically important events that require medical or surgical intervention to prevent one of the outcomes listed previously are considered to be SAEs. Refer to the general Adverse AE/SAE module for a complete list of AEs/SAEs. Management of AEs may require DRs/interruptions in study treatment. If necessary, the pazopanib dose should be reduced stepwise by 200 mg at each step. DRs for pemetrexed were 50-75% of prior dose based on the toxicity leading to DR. (NCT01313663)
Timeframe: From the time the first dose of study treatment was administered until discontinuation of treatment (up to Study Week 55)
Intervention | participants (Number) |
---|
| Dose reductions | Dose interruptions/delays |
---|
Pazopanib 800 mg | 2 | 3 |
,Pemetrexed 500 mg/m^2 | 1 | 1 |
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Number of Participants With Any Non-serious On-therapy Adverse Event (AE: Occurring in >=5% Participants in Any Treatment Arm) and Serious Adverse Event (SAE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. In addition, all Grade 4 laboratory abnormalities and other medically important events that require medical or surgical intervention to prevent one of the outcomes listed previously are considered to be SAEs. Refer to the general Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT01313663)
Timeframe: From the time the first dose of study treatment was administered until 28 days following discontinuation of study treatment regardless of initiation of a new cancer therapy or transfer to hospice (up to Study Week 55)
Intervention | participants (Number) |
---|
| Non-serious AEs | SAEs |
---|
Pazopanib 800 mg | 9 | 2 |
,Pemetrexed 500 mg/m^2 | 9 | 2 |
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Number of Participants With a Change From Baseline Grade to Grade 3 and 4 for the Indicated Clinical Laboratory Parameters
Hematology and clinical chemistry data were summarized according to National Cancer Institutes (NCI) CTCAE grade, version 4.0. Grade 1, Mild; Grade 2, Moderate; Grade 3, Severe; Grade 4, Life-threatening or disabling; Grade 5, Death. Data are presented for only those parameters for which an increase to Grade 3 or Grade 4 occurred. Participants with missing Baseline grades were assumed to have a Baseline grade of 0. Lymphocyte count increased: Grade 3, <500 - 200/millimeters cubed (mm^3); <0.5 - 0.2x 10e9/Liters (L); Grade 4, <200/mm^3; <0.2x 10e9/L. Lymphocyte count decreased: Grade 3, >20000/mm^3; Grade 4, NA. Hyperglycemia; Grade 3, >250 - 500 milligrams per deciliter (mg/dL); >13.9 - 27.8 millimoles per Liter (mmol/L); hospitalization indicated; Grade 4, >500 mg/dL; >27.8 mmol/L; life-threatening consequences. Hypophosphatemia (inorganic phosphorus): Grade 3, <2.0 - 1.0 mg/dL, <0.6 - 0.3 mmol/L; Grade 4, <1.0 mg/dL, <0.3 mmol/L, life-threatening consequences. (NCT01313663)
Timeframe: From the time of the first dose of study treatment until 28 days following discontinuation of study treatment (up to Study Week 55)
Intervention | participants (Number) |
---|
| Lymphocytes, Grade 3 | Hyperglycemia, Grade 3 | Phosphorus inorganic, Grade 3 |
---|
Pazopanib 800 mg | 1 | 1 | 1 |
,Pemetrexed 500 mg/m^2 | 2 | 0 | 0 |
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Number of Participants (Par.) With the Indicated Best Overall Response
A par. was defined as a responder if s/he sustained a CR (The disappearance of all target lesions. Any pathological lymph node must be less than 10 millimeters [mm] in the short axis) or PR (At least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters) that was confirmed after >=28 days. Response was evaluated by an investigator per RECIST, version 1.1. A par. without a post-Baseline assessment was considered a non-responder. Stable disease (SD) is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started). To qualify as a best response of SD, a response of SD had to be observed >=12 weeks after randomization. A par. who was not evaluable had no scans at all or did not have a confirmatory scan. (NCT01313663)
Timeframe: From randomization until the time of the first documented evidence of a confirmed complete response (CR) or partial response (PR) (average of 10 weeks)
Intervention | participants (Number) |
---|
| CR | PR | SD | PD | Not evaluable |
---|
Pazopanib 800 mg | 0 | 0 | 2 | 4 | 5 |
,Pemetrexed 500 mg/m^2 | 0 | 0 | 2 | 4 | 3 |
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Time on Study Treatment (Pazopanib), as a Measure of Extent of Exposure
"Time on study treatment, as a measure of extent of exposure, was assessed in all participants who received pazopanib. Time on study treatment was not measured in participants receiving pemetrexed. For these participants, extent of exposure was measured as the mean number of dosing cycles and dose intensity. See the outcome measures entitled Mean number of dosing cycles, as a measure of extent of exposure and Average dose of pemetrexed for all cycles, as a measure of extent of exposure, respectively, for pemetrexed data." (NCT01313663)
Timeframe: From the first day to the last day of treatment (average of 8 weeks)
Intervention | months (Mean) |
---|
Pazopanib 800 mg | 1.8 |
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Number of Participants With Any AE (Serious or Non-serious) Leading to Withdrawal From Study Treatment
An AE is defined as any untoward medical occurrence in a subject or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. In addition, all Grade 4 laboratory abnormalities and other medically important events that require medical or surgical intervention to prevent one of the outcomes listed previously are considered to be SAEs. Refer to the general Adverse AE/SAE module for a complete list of AEs and SAEs. A participant cold have been withdrawn fom study treatment due to an SAE or AE. (NCT01313663)
Timeframe: From the time the first dose of study treatment was administered until withdrawal from study treatment (up to Study Week 55)
Intervention | participants (Number) |
---|
Pemetrexed 500 mg/m^2 | 2 |
Pazopanib 800 mg | 2 |
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Average Dose of Pemetrexed for All Cycles, as a Measure of Extent of Exposure
"The average dose of pemetrexed for all cycles, as a measure of extent of exposure, was assessed in all participants who received pemetrexed. The average dose was not measured in participants receiving pazopanib. For these participants, extent of exposure was measured as the time on study treatment and mean daily dose. See the outcome measures entitled Time on study treatment (pazopanib), as a measure of extent of exposure and Mean daily dose, as a measure of extent of exposure, respectively, for pazopanib data." (NCT01313663)
Timeframe: From the time the first dose of study treatment was administered until discontinuation of the study or death (average of 16 weeks)
Intervention | milligrams per meters squared (m^2) (Mean) |
---|
Pemetrexed 500 mg/m^2 | 499.54 |
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Mean Daily Dose, as a Measure of Extent of Exposure
"Mean daily dose, as a measure of extent of exposure, was assessed in all participants who received pazopanib. Mean daily dose was not measured in participants receiving pemetrexed. For these participants, extent of exposure was measured as the mean number of dosing cycles and dose intensity. See the outcome measures entitled Mean number of dosing cycles, as a measure of extent of exposure and Average dose of pemetrexed for all cycles, as a measure of extent of exposure, respectively, for pemetrexed data." (NCT01313663)
Timeframe: From the first day to the last day of treatment (average of 8 weeks)
Intervention | milligrams (Mean) |
---|
Pazopanib 800 mg | 751.3 |
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Number of Participants With the Indicated Worst-case Change From Baseline in Blood Pressure
Systolic and diastolic blood pressure (BP) were measured. Categories correspond to the following Common Terminology Criteria for Adverse Events (CTCAE) grades: normal, <120/80 millimeters of mercury (mmHg); prehypertension, 120-139/80-89 mmHg, warranting intervention in participants with high risk; stage I hypertension, 140-159/90-99 mmHg, warranting intervention; and stage II hypertension >/=160/100, warranting immediate attentive intervention to prevent acute symptoms. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Participants with a missing Baseline value were assumed to have a Baseline value of <120 for systolic BP (SBP) and <80 for diastolic BP (DBP). (NCT01313663)
Timeframe: From the time of the first dose of study treatment until 28 days following discontinuation of study treatment (up to Study Week 55)
Intervention | participants (Number) |
---|
| SBP, increase to 120-139 mmHg | SBP, increase to 140-159 mmHg | SBP, increase to >=160 mmHg | DBP, increase to 80-89 mmHg | DBP, increase to 90-99 mmHg | DBP, increase to >=100 mmHg |
---|
Pazopanib 800 mg | 1 | 3 | 4 | 3 | 5 | 0 |
,Pemetrexed 500 mg/m^2 | 2 | 3 | 1 | 2 | 1 | 0 |
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Progression Free Survival (PFS)
PFS is defined as the interval between the date of randomization and the first documented sign of investigator-assessed (per Response Evaluation Criteria in Solid Tumors [RECIST] version 1.1) disease progression (PD) or death, whichever occurs first. The date of documented PD is the date of lesion evaluation in the case of radiological PD and the date of symptomatic cancer progression in the case of symptomatic progression (radiological confirmation is required). PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started. If the participant received subsequent anti-cancer therapy prior to the date of documented progression or death, PFS was to be censored at the last adequate assessment (LAA) prior to the initiation of therapy. Otherwise, if the participant did not have a documented date of progression or death, PFS was to be censored at the date of the LAA. (NCT01313663)
Timeframe: From randomization until the first documented sign of investigator-assessed disease progression or death, whichever occurred first (average of 10 study weeks)
Intervention | weeks (Median) |
---|
Pemetrexed 500 mg/m^2 | 10.3 |
Pazopanib 800 mg | 12.7 |
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Mean Number of Pemetrexed Dosing Cycles, as a Measure of Extent of Exposure
"Duration of therapy/time on study treatment, measured as the mean number of pemetrexed dosing cycles as a measure of extent of exposure, was assessed in all participants who received pemetrexed. The mean number of dosing cycles was not measured in participants receiving pazopanib. For these participants, extent of exposure was measured as the time on study treatment and mean daily dose. See the outcome measures entitled Time on study treatment (pazopanib), as a measure of extent of exposure and Mean daily dose, as a measure of extent of exposure, respectively, for pazopanib data." (NCT01313663)
Timeframe: From the time the first dose of study treatment was administered until discontinuation of the study or death (average of 16 weeks)
Intervention | number of cycles (Mean) |
---|
Pemetrexed 500 mg/m^2 | 5.2 |
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Number of Participants With a Increase From Baseline in Bazett's QTc at the Indicated Time Points
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. In clinical studies with pazopanib, events of QT prolongation have occurred. (NCT01313663)
Timeframe: Baseline; Week 6; Week 15; every 9 weeks in the first 6 months; every 12 weeks in the next 6 months; and, after 1 year, every 6 months (up to Study Week 55)
Intervention | participants (Number) |
---|
Pemetrexed 500 mg/m^2 | 0 |
Pazopanib 800 mg | 0 |
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Number of Participants With the Indicated Grade Changes From Baseline Grade in Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (Alk. Phos.), and Total Bilirubin (TB)
The laboratory parameters AST, ALT, Alk. Phos., and TB were summarized according to NCI CTCAE grade, version 4.0. Grade 1, Mild; Grade 2, Moderate; Grade 3, Severe; Grade 4, Life-threatening or disabling; Grade 5, Death. Data are presented for any grade increase, increase to Grade 3, and increase to Grade 4. Participants with missing Baseline grades were assumed to have a Baseline grade of 0. AST/ALT: Grade 1, >upper limit of normal (ULN) - 3.0x ULN; Grade 2, >3.0 to 5.0x ULN; Grade 3, >5.0 - 20.0x ULN; Grade 4, >20.0x ULN; Grade 5, not available (NA). Alk. Phos.: Grade 1, >ULN - 2.5x ULN; Grade 2, >2.5 - 5.0x ULN; Grade 3, >5.0 - 20.0x ULN; Grade 4, >20.0x ULN; Grade 5, NA. TB: Grade 1, >ULN - >1.5x ULN; Grade 2, >1.5 - 3.0x ULN; Grade 3, >3.0 - 10.0x ULN; Grade 4, >10.0x ULN; Grade 5, NA. (NCT01313663)
Timeframe: From the time of the first dose of study treatment until 28 days following discontinuation of study treatment (up to Study Week 55)
Intervention | participants (Number) |
---|
| AST, any Grade | AST, Grade 3 | AST, Grade 4 | ALT, any Grade | ALT, Grade 3 | ALT, Grade 4 | Alk. Phos., any Grade | Alk. Phos., Grade 3 | Alk. Phos., Grade 4 | TB, any Grade | TB, Grade 3 | TB, Grade 4 |
---|
Pazopanib 800 mg | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
,Pemetrexed 500 mg/m^2 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Time to Disease Progression and Overall Survival
Progression-free survival was defined as the time from the first infusion of study treatment to the date of radiographic disease progression according to RECIST 1.0, or until two consecutive PSA rises occurred with an absolute increase of 5 ng/mL and a 50% relative increase over baseline. For patients without documented disease progression, the date of death or last follow-up without disease progression was used. (NCT01338792)
Timeframe: Baseline, after every 2 courses, and then every 6 months after off-study (RECIST) until progression; or baseline, day 1 of each course, at the final evaluation, and then every 6 months after off-study (PSA) until progression
Intervention | Months (Mean) |
---|
| Median Survival | Median Time to Progression | Median Progression Free Survival |
---|
Treatment (Chemotherapy and Enzyme Inhibitor) | 12.0 | 5.8 | 5.4 |
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Best Overall Response
For patients with measurable disease, the RECIST 1.0 criteria was used to determine response. Complete Response = disappearance of all target lesions, Partial Response = greater or equal to 30% decrease in sum of longest diameter or target lesions, Stable Disease = <30% decrease or <20% increase, Progressive Disease = greater or equal to 20% increase in longest diameter of target lesions. For patients who do not have measurable disease by RECIST, the response was based on PSA response defined by Prostate Cancer Working Group criteria (1999) as 50% reduction in PSA confirmed on a second measurement at least 4 weeks later. (NCT01338792)
Timeframe: RECIST evaluation: Baseline, after every 2 courses, and then every 6 months after off-study, up to 1 year. PSA evaluation: baseline, day 1 of each course, final evaluation, and then every 6 months after off-study, up to 1 year
Intervention | Participants (Number) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Inevaluable |
---|
Treatment (Chemotherapy and Enzyme Inhibitor) | 0 | 14 | 21 | 8 | 4 |
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Number of Participants With Serious Adverse Events (SAEs)
Safety evaluation according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. (NCT01338792)
Timeframe: Baseline, days 1 and 7 of each course, and at last evaluation, up to 1 year
Intervention | Participants (Number) |
---|
Treatment (Chemotherapy and Enzyme Inhibitor) | 35 |
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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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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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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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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 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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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 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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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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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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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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Number of Participants With a Tumor Response
Tumor response is complete response (CR) + partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria (Version 1.1). CR is the disappearance of all target and non-target lesions and PR is a ≥30% decrease in sum of longest diameter of target lesions. Number of participants with a tumor response is the total number of participants with CR or PR. (NCT01358968)
Timeframe: Baseline to study completion up to 11 cycles of 21-day cycles
Intervention | Participants (Count of Participants) |
---|
LY2603618 + Gemcitabine (Continued Access) | 1 |
LY2603618 + Pemetrexed (Continued Access) | 0 |
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Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)]
(NCT01358968)
Timeframe: Period 2 only: Predose, 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120 and 144 hours post dose
Intervention | nanograms*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
LY2603618 | 53700 |
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Plasma Pharmacokinetics of LY2603618: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of LY2603618 [AUC(0-tlast)]
(NCT01358968)
Timeframe: Period 2 only: Predose 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120 and 144 hours post dose
Intervention | nanograms*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
LY2603618 | 53000 |
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Plasma Pharmacokinetics of LY2603618: the Maximum Concentration of LY2603618 in the Plasma (Cmax)
(NCT01358968)
Timeframe: Period 2 only: Predose, 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120 and 144 hours post dose
Intervention | nanograms/milliliter (ng/mL) (Geometric Mean) |
---|
LY2603618 | 5950 |
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Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity [AUC(0-∞)]
(NCT01358968)
Timeframe: Periods 1 and 2: Predose, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 144 and 168 hours post dose
Intervention | nanograms*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
| Period 1 | Period 2 |
---|
Desipramine | 655 | 687 |
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Plasma Pharmacokinetics of Desipramine: the Area Under the Plasma Concentration Versus Time Curve From Time Zero to the Last Observed Plasma Concentration of Desipramine [AUC(0-tlast)]
(NCT01358968)
Timeframe: Periods 1 and 2: Predose, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 144 and 168 hours post dose
Intervention | nanogram*hour/milliliter (ng*h/mL) (Geometric Mean) |
---|
| Period 1 | Period 2 |
---|
Desipramine | 619 | 653 |
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Plasma Pharmacokinetics of Desipramine: the Maximum Concentration of Desipramine in the Plasma (Cmax)
(NCT01358968)
Timeframe: Periods 1 and 2: Predose, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 144 and 168 hours post dose
Intervention | nanograms/milliliter (ng/mL) (Geometric Mean) |
---|
| Period 1 | Period 2 |
---|
Desipramine | 21.2 | 22.8 |
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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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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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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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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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Pathologic Response Rate
The percentage of patients with a major pathologic response (NCT01443078)
Timeframe: 2 years
Intervention | percentage of patients (Number) |
---|
All Patients | 17 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: MM-121 Doses
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination 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 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 considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Gemcitabine doses tested: 1000 mg/m2 Day 1 and 8 Pemetrexed doses tested: 500 mg/m2 Day 1 Carboplatin doses tested: 5 or 6 AUC Day 1 Cabazitaxel doses tested: 20 or 25 mg/m2 Day 1 of 3" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/kg (Number) |
---|
| one-time loading dose | maintenance dose |
---|
MM-121 Plus Cabazitaxel | 40 | 20 |
,MM-121 Plus Carboplatin | 40 | 20 |
,MM-121 Plus Gemcitabine | 40 | 20 |
,MM-121 Plus Pemetrexed | 40 | 20 |
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Immunogenicity
Samples were collected to determine the presence of an immunologic reaction to MM-121 (i.e. human anti-human antibodies). (NCT01447225)
Timeframe: Samples were collected for all patients pre-dose on all cycles for duration of treatment, the longest of which was 88.1 weeks, and a collection was made post-infusion in any case of infusion reaction
Intervention | (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | NA |
MM-121 Plus Gemcitabine: Cohort 2 | NA |
MM-121 Plus Carboplatin: Cohort 1 | NA |
MM-121 Plus Carboplatin: Cohort 2 | NA |
MM-121 Plus Carboplatin: Cohort 3 | NA |
MM-121 Plus Pemetrexed: Cohort 1 | NA |
MM-121 Plus Pemetrexed: Cohort 2 | NA |
MM-121 Plus Cabazitaxel: Cohort 1 | NA |
MM-121 Plus Cabazitaxel: Cohort 2 | NA |
MM-121 Plus Cabazitaxel: Cohort 3 | NA |
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Objective Response Rate
To determine the number of patients reporting an objective response using RECIST v 1.1 where a Partial Response (PR) is defined as >20% decrease in tumor burden from baseline and a Complete Response (CR) is defined as complete disappearance from tumor burden from baseline. Objective Response is presented as the total # patients with PR or CR. (NCT01447225)
Timeframe: patients were assessed for response during their time on study, the longest of which was 88.1 weeks
Intervention | participants with objective response (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | 0 |
MM-121 Plus Gemcitabine: Cohort 2 | 2 |
MM-121 Plus Carboplatin: Cohort 1 | 0 |
MM-121 Plus Carboplatin: Cohort 2 | 0 |
MM-121 Plus Carboplatin: Cohort 3 | 0 |
MM-121 Plus Pemetrexed: Cohort 1 | 0 |
MM-121 Plus Pemetrexed: Cohort 2 | 1 |
MM-121 Plus Cabazitaxel: Cohort 1 | 1 |
MM-121 Plus Cabazitaxel: Cohort 2 | 2 |
MM-121 Plus Cabazitaxel: Cohort 3 | 1 |
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Pharmacokinetics
Pharmacokinetic (PK) evaluation was performed on plasma samples obtained weekly for the first cycle of the study and then on day 1 of each additional cycle to assess pre-treatment trough concentrations of MM-121. Non-compartmental analysis (NCA) was performed to calculate standard PK parameters, including the maximum observed concentration (Cmax). Serum levels of MM-121 were measured at a central lab using an enzyme-linked immunosorbent assay (ELISA). Data is presented per dose level of MM-121 (12 mg/kg, 20 mg/kg, or 40/20 mg/kg). (NCT01447225)
Timeframe: Collections taken at Cycle 1, Week 1 for all patients at start of the infusion (pretreatment), at the end of the infusion, and at 2, 4, 24 and 48 hours after the start of the MM-121 infusion
Intervention | ug/mL (Geometric Mean) |
---|
MM-121 + Gemcitabine: 20/12 mg/kg | 560 |
MM-121 + Carboplatin: 20/12 mg/kg | 554.8 |
MM-121 + Pemetrexed: 20/12 mg/kg | 900.7 |
MM-121 + Cisplatin: 20/12 mg/kg | 677.1 |
MM-121 + Gemcitabine: 40/20 mg/kg | 1033.4 |
MM-121 + Carboplatin: 40/20 mg/kg | 1107.2 |
MM-121 + Pemetrexed: 40/20 mg/kg | 1100.8 |
MM-121 + Cisplatin: 40/20 mg/kg | 1087.9 |
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Pharmacokinetics (AUClast)
Pharmacokinetic (PK) evaluation was performed on plasma samples obtained weekly for the first cycle of the study and then on day 1 of each additional cycle to assess pre-treatment trough concentrations of MM-121. Non-compartmental analysis (NCA) was performed to calculate standard PK parameters, including the AUClast. Serum levels of MM-121 were measured at a central lab using an enzyme-linked immunosorbent assay (ELISA). Data is presented per dose level of MM-121 (12 mg/kg, 20 mg/kg, or 40/20 mg/kg) and per study part (Part 1 or Part 2). (NCT01447225)
Timeframe: Collections taken at Cycle 1, Week 1 for all patients at the start of the infusion (pretreatment), at the end of the infusion, and at 2, 4, 24 and 48 hours after the start of the MM-121 infusion
Intervention | hr* ug/mL (Geometric Mean) |
---|
MM-121 + Gemcitabine: 20/12 mg/kg | 39666.4 |
MM-121 + Carboplatin: 20/12 mg/kg | 49749.6 |
MM-121 + Pemetrexed: 20/12 mg/kg | 59984.1 |
MM-121 + Cisplatin: 20/12 mg/kg | 51995.1 |
MM-121 + Gemcitabine: 40/20 mg/kg | 72132.1 |
MM-121 + Carboplatin: 40/20 mg/kg | 100309.9 |
MM-121 + Pemetrexed: 40/20 mg/kg | 92732.9 |
MM-121 + Cisplatin: 40/20 mg/kg | 98142.6 |
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To Characterize Dose-limiting Toxicities (DLTs) Associated With the Combination of MM-121 With Anticancer Therapies
To establish the safety of escalating doses of MM-121 administered in combination with multiple anti-cancer therapies in order to determine the recommended phase 2 dose. 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 to be used for the expansion cohort. DLTs were not measured in the Expansion Cohort. (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | participants reporting DLTs (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | 0 |
MM-121 Plus Gemcitabine: Cohort 2 | 1 |
MM-121 Plus Carboplatin: Cohort 1 | 1 |
MM-121 Plus Carboplatin: Cohort 2 | 0 |
MM-121 Plus Carboplatin: Cohort 3 | 0 |
MM-121 Plus Pemetrexed: Cohort 1 | 0 |
MM-121 Plus Pemetrexed: Cohort 2 | 1 |
MM-121 Plus Cabazitaxel: Cohort 1 | 0 |
MM-121 Plus Cabazitaxel: Cohort 2 | 0 |
MM-121 Plus Cabazitaxel: Cohort 3 | 0 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Carboplatin
"Maximum Tolerated Dose reported in Target AUC, as calculated by the Calvert Formula~Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination 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 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 considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Carboplatin doses tested: 5 or 6 AUC Day 1" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | target AUC (mg*min/mL) (Number) |
---|
MM-121 + Carboplatin | 5 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Cabazitaxel
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination 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 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 considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Cabazitaxel doses tested: 20 or 25 mg/m2 Day 1 of 3" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/m2 (Number) |
---|
MM-121 + Cabazitaxel | 25 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Gemcitabine
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination 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 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 considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Gemcitabine doses tested: 1000 mg/m2 Day 1 and 8" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/m2 (Number) |
---|
MM-121 + Gemcitabine | 1000 |
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To Determine the Maximum Tolerated Dose (MTD) of MM-121 in Combination With Anticancer Therapies: Pemetrexed
"Using a 3+3 dose escalation model, the maximum tolerated dose of each therapy combination 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 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 considered the Recommended Phase 2 Dose.~Dose Levels (3 week cycles) MM-121 doses tested: 20 mg/kg IV one-time loading dose then 12 mg/kg IV QW (20/12 mg/kg); 40/20 mg/kg Pemetrexed doses tested: 500 mg/m2 Day 1" (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | mg/m2 (Number) |
---|
MM-121 + Pemetrexed | 500 |
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To Evaluate the Safety and Tolerability of Escalating Doses of the MM-121 Anticancer Therapies
Safety and tolerability data presented in detail in the adverse events and serious adverse events section of the results posting (NCT01447225)
Timeframe: From date of first dose to 30 days after termination, the longest 88.1 weeks
Intervention | participants reporting adverse events (Number) |
---|
MM-121 Plus Gemcitabine: Cohort 1 | 3 |
MM-121 Plus Gemcitabine: Cohort 2 | 8 |
MM-121 Plus Carboplatin: Cohort 1 | 5 |
MM-121 Plus Carboplatin: Cohort 2 | 3 |
MM-121 Plus Carboplatin: Cohort 3 | 3 |
MM-121 Plus Pemetrexed: Cohort 1 | 3 |
MM-121 Plus Pemetrexed: Cohort 2 | 7 |
MM-121 Plus Cabazitaxel: Cohort 1 | 4 |
MM-121 Plus Cabazitaxel: Cohort 2 | 3 |
MM-121 Plus Cabazitaxel: Cohort 3 | 4 |
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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 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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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 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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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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Overall Survival (OS)
The OS was defined as the time in months from the date of randomization to the date of death, regardless of cause. In the absence of confirmation of death, the participants were censored either at the date that participant was last known to be alive or the date of study cut-off, whichever was earlier. The two treatment arms were compared using the log-rank test, stratified by histology, TPC option, and geographic region; and the treatment difference between eribulin mesylate and TPC was tested at a significance level of 0.05 (2-sided). Kaplan-Meier (K-M) survival probabilities for each arm were plotted over time. The treatment effect was estimated by fitting a Cox Proportional Hazards model to the OS times including treatment arm as a factor and histology, TPC option and geographic region as strata. (NCT01454934)
Timeframe: Randomization (Day 1) until date of death from any cause, or 37 months
Intervention | months (Median) |
---|
Arm A: Eribulin Mesylate | 9.5 |
Arm B: Vinorelbine, Gemcitabine, Docetaxel, or Pemetrexed | 9.5 |
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Progression Free Survival (PFS) by Response Evaluation Criteria in Solid Tumors (RECIST)
PFS was defined as the time from the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first. The difference in PFS (based on the tumor response evaluation as determined by the investigator) between eribulin mesylate and TPC was evaluated using the log rank test, stratified by histology, TPC option, and geographic region, tested at an alpha level of 0.05 (2-sided). PFS censoring rules will be defined in the SAP and follow Federal Department of Agriculture (FDA) guidance. (NCT01454934)
Timeframe: Randomization (Day 1) until date of disease progression or death (whichever occurred first), or 37 months
Intervention | months (Median) |
---|
Arm A: Eribulin Mesylate | 3.0 |
Arm B: Vinorelbine, Gemcitabine, Docetaxel, or Pemetrexed | 2.8 |
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Objective Response Rate (ORR)
The ORR was defined as the proportion of participants with best overall response of complete response (CR) or partial response (PR) per RECIST criteria. The ORR was estimated by study arm based on the tumor response evaluation as determined by the investigator, according to RECIST 1.1. Participants with unknown response were treated as non-responders. The statistical difference in ORR between treatment arms was evaluated using the Cochran-Mantel-Haenszel (CMH) chi-square test with histology, TPC option, and geographic region as strata, tested at an alpha level of 0.05 (2-sided). The 95 percent confidence interval (CI) was calculated using Clopper Pearson method. (NCT01454934)
Timeframe: Randomization (Day 1) to CR or PR
Intervention | percentage of participants (Number) |
---|
Arm A: Eribulin Mesylate | 12.2 |
Arm B: Vinorelbine, Gemcitabine, Docetaxel, or Pemetrexed | 15.2 |
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Time to Worsening of Symptom (TWS) as Per Lung Cancer Symptom Scale (LCSS)
TWS was the elapsed time from the date of randomization to the first date of worsening in any one of the 6 LCSS symptoms. The LCSS (patient and observer) were administered at baseline and at the end of each 21-day cycle, until disease progression, and at short-term follow-up. Content for the patient version -collected using a visual analog scale (VAS) anchored at 0 and 100, respectively representing the best and worst outcome- included 6 disease-specific measures: (appetite, fatigue, cough, dyspnea, hemoptysis and pain) and 3 summary consequences of lung cancer (overall symptom burden, diminished normal activities, and lowered quality-of-life).The observer version included only the 6 disease-specific measures and the responses were collected using a 5-point ordinal scale that was reverse coded with 0 and 100 respectively representing the worst and best outcome.TWS was censored at the date of the last LCSS assessment for participants who were not known to have LCSS worsening. (NCT01469000)
Timeframe: Baseline to Progressive Disease (Up To 50 Months )
Intervention | months (Median) |
---|
| a. Loss of Appetite (Patient-rated) | b. Fatigue (Patient-rated) | c. Cough (Patient-rated) | d. Dyspnea (Patient-rated) | e. Hemoptysis (Patient-rated) | f. Pain (Patient-rated) | g. Overall Symptoms (Patient-rated) | h. Interference (Patient-rated) | i. Quality of Life (Patient-rated) | j. Loss of Appetite (Observer-rated) | k. Fatigue (Observer-rated) | l. Cough (Observer-rated) | m. Dyspnea (Observer-rated) | n. Hemoptysis (Observer-rated) | o. Pain (Observer-rated) |
---|
250 mg Gefitinib | 7.66 | 7.66 | NA | 24.87 | NA | NA | 30.46 | 24.71 | 10.61 | 34.10 | 12.98 | NA | NA | NA | 10.51 |
,250 mg Gefitinib/500 mg Pemetrexed | 5.39 | 8.51 | 18.76 | 18.76 | NA | 34.83 | 10.12 | 5.72 | 13.40 | 8.61 | 7.52 | 41.92 | NA | NA | 34.83 |
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Time To Progressive Disease (TTPD)
TTPD is defined as time from the date of randomization to the first date of disease progression. For each participant who is not known to have had a progression of disease as of the data-inclusion cut-off date for a particular analysis, or who has died without progression of disease, TTPD will be censored for that analysis at the date of the participant's last tumor assessment prior to that cut-off date. TTPD was analyzed twice: (1) excluding clinical progressions of disease (that is,those not defined according to the RECIST version 1.1 criteria ), and (2) including clinical progressions. Progressive disease (PD) was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. Also, the sum must also demonstrate an absolute increase of at least 5 millimeter (mm). The appearance of one or more new lesions is also considered progression. (NCT01469000)
Timeframe: Randomization to Progressive Disease (Up To 58.78 Months)
Intervention | months (Median) |
---|
250 mg Gefitinib/500 mg Pemetrexed | 16.23 |
250 mg Gefitinib | 10.94 |
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Overall Survival (OS)
OS is defined as the time from randomization to the date of death from any cause. Survival time is censored at the date of last contact for participants who are still alive or lost to follow up. (NCT01469000)
Timeframe: Randomization to Date of Death Due to Any Cause (Up To 67.12 Months)
Intervention | Months (Median) |
---|
250 mg Gefitinib/500 mg Pemetrexed | 43.43 |
250 mg Gefitinib | 36.76 |
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Duration of Response (DoR)
DoR was defined as the time from the date of the first CR or PR to the first date of Progressive Disease (PD) ( RECIST 1.1 Criteria) or death from any cause.CR is the disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm.Tumor marker results must have normalized. PR is defined as at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. Also,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. Participants not known to have died or to have had progression of disease as of the data-inclusion cut-off date for a particular analysis,duration of tumor response was censored at the date of the participants last tumor assessment prior to that cut-off date. (NCT01469000)
Timeframe: First Observation of CR or PR to Progressive Disease or Death Due to Any Cause (Up To 57.36 Months)
Intervention | Months (Median) |
---|
250 mg Gefitinib/500 mg Pemetrexed | 15.44 |
250 mg Gefitinib | 11.30 |
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Progression Free Survival (PFS)
PFS is defined as the time from randomization to the first date of objectively determined progressive disease or death from any cause,whichever is earlier.The censoring is taken in the following order: If a participant didn't have a complete baseline disease assessment,then the PFS time was censored at the enrollment date, regardless of whether or not objectively determined disease progression or death has been observed for the participant;otherwise,if a participant is not known to have died or have objective progression as of the data inclusion cutoff date for the analysis,the PFS time will be censored at the last complete objective progression-free disease assessment date.Progressive disease (PD) was defined as at least a 20% increase in the sum of the diameters of target lesions,taking as reference the smallest sum on study. Also,the sum must also demonstrate an absolute increase of at least 5 millimeter (mm).The appearance of one or more new lesions is also considered progression. (NCT01469000)
Timeframe: Randomization to Progressive Disease or Death Due to Any Cause (Up to 58.78 Months)
Intervention | Months (Median) |
---|
250 mg Gefitinib/500 mg Pemetrexed | 16.23 |
250 mg Gefitinib | 11.07 |
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Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR])
ORR is the best response of complete response (CR) or partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). Complete Response (CR) is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Tumor marker results must have normalized. Partial Response (PR) is defined at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. (NCT01469000)
Timeframe: Randomization to Progressive Disease (Up to 57.36 Months)
Intervention | percentage of participants (Number) |
---|
250 mg Gefitinib/500 mg Pemetrexed | 80.2 |
250 mg Gefitinib | 73.8 |
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Percentage of Participants With CR, PR, and Stable Disease (SD) (Disease Control Rate [DCR])
Disease control rate is the percentage of participants with a confirmed CR, PR or SD as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST version 1.1) criteria. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Tumor marker results must have normalized. PR is defined at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. SD is 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. (NCT01469000)
Timeframe: Randomization to Progressive Disease (Up To 57.36 Months)
Intervention | percentage of participants (Number) |
---|
250 mg Gefitinib/500 mg Pemetrexed | 92.9 |
250 mg Gefitinib | 93.8 |
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Number of Participants Who Died Within 30 Days and 31 Days After Last Dose - All Treated Participants
Due to study termination, the categories presented below are deaths occurring within 30 days of last dose and deaths occurring within 32 days of last dose. If the study had not been terminated early, the categories presented would have been 30 days and 90 days after last dose. (NCT01471197)
Timeframe: Day 1 of Treatment to Date of Death, up to last patient, last visit, approximately 7 months after study started.
Intervention | participants (Number) |
---|
| Death within 30 Days of Last Dose | Death within 32 Days of Last Dose |
---|
Ipilimumab 10 mg/kg | 1 | 1 |
,Pemetrexed 500 mg/m^2 | 0 | 0 |
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Number of Participants With Deaths, Adverse Events (AEs), Serious AEs (SAEs) and AEs Leading to Discontinuation - All Treated Participants
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. Participants were evaluated from Day 1 (first day of treatment with study drug) to the date of the last participant, last visit of the study. (NCT01471197)
Timeframe: Day 1 to Date of last patient, last visit, approximately 7 months after study started.
Intervention | participants (Number) |
---|
| Deaths | SAEs | AEs | AEs leading to discontinuation |
---|
Ipilimumab 10 mg/kg | 2 | 5 | 6 | 1 |
,Pemetrexed 500 mg/m^2 | 0 | 1 | 2 | 0 |
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Overall Survival of Participants During the Study - All Treated Participants
Overall survival (OS) was defined as the time from the date of randomization until the date of death. For those participants who did not die by the time the study was terminated and last patient, last visit occurred, OS was censored (+) on the last date the participant was known to be alive. OS is presented below in increasing monthly categories of survival. OS analysis was to be performed when a total of approximately 132 deaths were observed but due to the early termination of the study, statistical analyses were not performed. (NCT01471197)
Timeframe: Date of Randomization to date of death, up to last patient, last visit, approximately 7 months after study started
Intervention | participants (Number) |
---|
| Overall Survival 0.9 months | Overall Survival 1.8 months | Overall Survival 3.9 months+(censored) | Overall Survival 4.4 months+(censored) | Overall Survival 4.6 months+(censored) | Overall Survival 5.4 months+(censored) |
---|
Ipilimumab 10 mg/kg | 1 | 1 | 1 | 2 | 1 | 0 |
,Pemetrexed 500 mg/m^2 | 0 | 0 | 0 | 0 | 0 | 2 |
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Participant Satisfaction: Preferences Regarding Home and/or Hospital Treatment
"Participants were asked to evaluate their preferences regarding home and/or hospital treatment delivery in this study by answering 2 questions (Q). Q15: Do you prefer having your chemotherapy at home or at the hospital, or are you indifferent? Choices included: Home, Hospital, or Indifferent. Q16: Would you recommend having chemotherapy at home to someone else in your same situation? Choices included: Yes, No, or Not sure." (NCT01473563)
Timeframe: The first evaluation completed at either Cycle 4, Day 1 (21 days/cycle) or 30 days post treatment discontinuation
Intervention | participants (Number) |
---|
| Q15, Home | Q15, Hospital | Q15, Indifferent | Q16, Yes | Q16, No | Q16, Not sure |
---|
Pemetrexed | 33 | 0 | 5 | 37 | 0 | 0 |
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Participant Satisfaction: Regarding the Study Nurse
"Participants were asked 7 questions (Q) about their study nurse for home treatment. Q8: Was the nurse an easy person to talk to?, Q9: When the nurse came, did you feel he/she had enough time to do the required things?, Q10: Do you think the nurse had time to discuss things with you?, Q11: Did you feel that the nurse knew enough about you and your illness? Choices for Q8 through Q11 included: Yes or No. Q12: Were you able to get all the information you wanted about your illness or treatment? Choices included: Yes, No, or Uncertain. Q13: Would you say that the nurse gave… Choices included: a lot of reassurance and support, some reassurance and support, or hardly any reassurance and support. Q14: How would you rate your overall satisfaction with the nursing staff during chemotherapy at home? Choices included: Very dissatisfied, Somewhat dissatisfied, Neither satisfied nor dissatisfied, Somewhat satisfied, or Very satisfied." (NCT01473563)
Timeframe: The first evaluation completed at either Cycle 4, Day 1 (21 days/cycle) or 30 days post treatment discontinuation
Intervention | participants (Number) |
---|
| Q8, Yes | Q8, No | Q9, Yes | Q9, No | Q10, Yes | Q10, No | Q11, Yes | Q11, No | Q12, Yes | Q12, No | Q12, Uncertain | Q13, Hardly any reassurance and support | Q13, Some reassurance and support | Q13, A lot of reassurance and support | Q14, Very dissatisfied | Q14, Somewhat dissatisfied | Q14, Neither satisfied nor dissatisfied | Q14, Somewhat satisfied | Q14, Very satisfied |
---|
Pemetrexed | 37 | 0 | 36 | 1 | 37 | 1 | 36 | 0 | 34 | 0 | 3 | 0 | 2 | 35 | 3 | 0 | 1 | 1 | 33 |
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Physician Satisfaction: Distant Management of Participant
"The physician was asked, How would you rate your overall satisfaction with the distant management of the participant during chemotherapy at home? Choices included: Very dissatisfied, Somewhat dissatisfied, Neither satisfied nor dissatisfied, Somewhat satisfied, or Very satisfied." (NCT01473563)
Timeframe: 30 days post treatment discontinuation
Intervention | investigators (Number) |
---|
| Very Dissatisfied | Somewhat Dissatisfied | Neither Satisfied Nor Dissatisfied | Somewhat Satisfied | Very Satisfied |
---|
Pemetrexed | 2 | 1 | 0 | 8 | 20 |
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Resource Utilization: Number of Participants With an Unplanned Use of Healthcare Resources
The number of participants who had at least 1 unplanned use of health care resources [accident and emergency department (dept.), specialists [oncologist, pulmonologist, etcetera (etc.)], general practitioner (GP) or family doctor, or diagnostic procedures] during the study is reported. (NCT01473563)
Timeframe: Cycle 1, Day 1 through last day of cycle when participant reverted to hospital administration or discontinued (up to Cycle 19, 21 days/cycle)
Intervention | participants (Number) |
---|
Pemetrexed | 29 |
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Overall Survival (OS) at 6 Months
The percentage of participants who were alive at Month 6 was calculated as a cumulative percentage by Kaplan-Meier survival analyses approach. For participants not known to have died as of the cut-off date, OS was censored as the last contact date (known alive). (NCT01473563)
Timeframe: Cycle 1, Day 1 to the date of death from any cause (up to Month 6)
Intervention | percentage of participants (Number) |
---|
Pemetrexed | 73 |
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Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), or Died
The number of participants who had at least 1 TEAE or serious TEAE (regardless of causality) is reported along with the number of participants who died (due to any cause) while on therapy or during treatment discontinuation follow-up (up to 6 months). TEAEs started on or after the date and time of first dose of study drug, or started prior to study drug but worsened after study drug started. Clinically significant events were defined as SAEs and other non-serious adverse events (AEs). A summary of SAEs and other non-serious AEs is located in the Reported Adverse Events module. (NCT01473563)
Timeframe: First dose of study drug (Cycle 1, Day 1) through study completion [up to Cycle 19 (21 days/cycle) or treatment discontinuation, plus up to 6 months post treatment discontinuation]
Intervention | participants (Number) |
---|
| At least 1 TEAE | At least 1 Serious TEAE | Death, AE (fell, multiple injuries) | Death, Study Drug Toxicity (atypical pneumonia) | Death, Study Disease |
---|
Pemetrexed | 51 | 21 | 1 | 1 | 26 |
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Change From Baseline in the EQ-5D Index Score
The EQ-5D scale was used to provide an estimate of the health state utility in this population. The EQ-5D scale includes a 5-dimensional descriptive system that measures each of the health state attributes: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression according to a 3-point scale (no problem, some problems, and major problems) and a VAS that allows participants to rate their present health condition from 0 (worst imaginable health state) to 100 (best imaginable health state). The change from baseline EQ-5D Index score is reported and the EQ-5D Index score was calculated by converting health state scores into a weighted health state index according to a United Kingdom population-based algorithm. The possible values for the EQ-5D Index score range from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension), on a scale where 1 represents the best possible health state. (NCT01473563)
Timeframe: Baseline, Day 1 of Cycles 2 and 4 (21 days/cycle) and 30 days post treatment discontinuation
Intervention | units on a scale (Mean) |
---|
| Cycle 2 (n=38) | Cycle 4 (n=23) | 30 days post treatment discontinuation (n=26) |
---|
Pemetrexed | 0.03 | 0.08 | -0.9 |
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Time to Treatment Failure (TTF)
The time from the date of the first dose of study treatment (Cycle 1, Day 1) to the date of death from any cause, PD (clinical and objective), or discontinuation of pemetrexed due to toxicity. Response was defined using RECIST, v1.1 criteria. PD was defined as having at least a 20% increase in the sum of the longest diameter of target lesions and at a minimum 5 mm increase above nadir. TTF was censored at the date of the last visit for participants who did not discontinue pemetrexed, who were still alive, and who had not progressed. (NCT01473563)
Timeframe: Cycle 1, Day 1 to first event (up to Cycle 19, 21 days/cycle)
Intervention | months (Median) |
---|
Pemetrexed | 3.0 |
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Resource Utilization: Duration of Health Care Visits
The duration of the health care visit in the home setting is reported. The visit started when the nurse arrived and included the entire treatment process. The visit ended when the nurse left the home setting. Due to the limited number of participants with evaluable data, results are reported for Cycles 2 through 4. (NCT01473563)
Timeframe: Cycle 2, Day 1 through last day of cycle when participant reverted to hospital administration or discontinued (up to Cycle 4, 21 days/cycle)
Intervention | hours (Mean) |
---|
| Cycle 2 (n=42) | Cycle 3 (n=35) | Cycle 4 (n=28) |
---|
Pemetrexed | 1.67 | 1.66 | 1.57 |
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Percentage of Participants Who Adhered to Treatment Administration at Home
Participants were considered adherent from the time of the first dose in Cycle 1 (hospital administration) until either the last day of the cycle when the participant reverted to pemetrexed hospital administration or the last day of the cycle when the participant discontinued study treatment or the study for reasons related to the home setting. The percentage of participants who adhered to treatment administration at home was estimated by a Kaplan-Meier survival analyses approach. Participants who died or discontinued the study and treatment without reverting to hospital administration were censored at the time of discontinuation. (NCT01473563)
Timeframe: Cycle 1, Day 1 through Cycle 19, Day 1 and Cycle 19, Day 1 (21 days/cycle)
Intervention | percentage of participants (Number) |
---|
| Cycle 1, Hospital Delivery | Cycle 2, Home Delivery | Cycle 3, Home Delivery | Cycle 4, Home Delivery | Cycle 5, Home Delivery | Cycle 6, Home Delivery | Cycle 7, Home Delivery | Cycle 8, Home Delivery | Cycle 9, Home Delivery | Cycle 10, Home Delivery | Cycle 11, Home Delivery | Cycle 12, Home Delivery | Cycle 13, Home Delivery | Cycle 14, Home Delivery | Cycle 15, Home Delivery | Cycle 16, Home Delivery | Cycle 17, Home Delivery | Cycle 18, Home Delivery | Cycle 19, Home Delivery |
---|
Pemetrexed | 100 | 98.0 | 98.0 | 98.0 | 98.0 | 98.0 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 | 90.7 |
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Participant Satisfaction: Chemotherapy at Home
"Participants were asked to evaluate their home treatment experiences in this study by answering 4 questions (Q). Q5: What do you do consider advantages of having chemotherapy at home? Choose all that apply. Choices included: No need to travel, Not having to wait for treatment, Personalized service, More privacy, and Other. Q6:What do you consider disadvantages of having chemotherapy at home? Choose all that apply. Choices included: Lack of other patients' support, Extra burden for family/friends, Safety concerns, Need to rely on 1 medical specialist, and Other. Q7: How would you rate your overall satisfaction with chemotherapy at home? Choices included: Very dissatisfied, Somewhat dissatisfied, Neither satisfied nor dissatisfied, Somewhat satisfied, or Very satisfied." (NCT01473563)
Timeframe: The first evaluation completed at either Cycle 4, Day 1 (21 days/cycle) or 30 days post treatment discontinuation
Intervention | participants (Number) |
---|
| Q5, No need to travel | Q5, Not having to wait for treatment | Q5, Personalized service | Q5, More privacy | Q5, Other | Q6, Lack of other patients' support | Q6, Extra burden for family/friends | Q6, Safety concerns | Q6, Need to rely on 1 medical specialist | Q6, Other | Q7, Very dissatisfied | Q7, Somewhat dissatisfied | Q7, Neither satisfied nor dissatisfied | Q7, Somewhat satisfied | Q7, Very Satisfied |
---|
Pemetrexed | 37 | 27 | 28 | 20 | 2 | 5 | 1 | 4 | 7 | 19 | 1 | 0 | 2 | 1 | 30 |
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Resource Utilization: Unplanned Health Care Visits, Consultations, and Diagnostic Services
The unplanned use of any 1 of the following 4 resources is reported, as well as the unplanned use of each resource: accident and emergency dept., specialists (oncologist, pulmonologist etc.), GP or family doctor, and diagnostic procedures. Results are reported as the number of participants with an unplanned resource use (visit) for a specified number of times. (NCT01473563)
Timeframe: Cycle 1, Day 1 through last day of cycle when participant reverted to hospital administration or discontinued (up to Cycle 19, 21 days/cycle)
Intervention | participants (Number) |
---|
| 1 Unplanned Visit, Any Resource | 2 Unplanned Visits, Any Resource | 3 Unplanned Visits, Any Resource | 4 Unplanned Visits, Any Resource | 5 Unplanned Visits, Any Resource | 9 Unplanned Visits, Any Resource | 10 Unplanned Visits, Any Resource | 13 Unplanned Visits, Any Resource | 1 Unplanned Visit, Accident and Emergency Dept. | 2 Unplanned Visits, Accident and Emergency Dept. | 3 Unplanned Visits, Accident and Emergency Dept. | 1 Unplanned Visit, Specialist | 2 Unplanned Visits, Specialist | 5 Unplanned Visits, Specialist | 1 Unplanned Visit, GP or Family Doctor | 2 Unplanned Visits, GP or Family Doctor | 3 Unplanned Visits, GP or Family Doctor | 4 Unplanned Visits, GP or Family Doctor | 1 Unplanned Visit, Diagnostic procedures | 2 Unplanned Visits, Diagnostic procedures | 3 Unplanned Visits, Diagnostic procedures | 4 Unplanned Visits, Diagnostic procedures |
---|
Pemetrexed | 8 | 6 | 5 | 2 | 3 | 1 | 1 | 1 | 7 | 2 | 2 | 9 | 3 | 1 | 6 | 3 | 2 | 3 | 6 | 2 | 3 | 1 |
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Resource Utilization: Distances Traveled
The distance traveled is reported by region (Great Britain and Sweden) and includes the distance traveled by the participant from his/her home to the hospital (Cycle 1) and other cycles where the homecare nurse traveled from the hospital to the participant's home. Due to the limited number of participants with evaluable data, results are reported for Cycles 1 through 4. (NCT01473563)
Timeframe: Cycle 1, Day 1 through last day of cycle when participant reverted to hospital administration or discontinued (up to Cycle 4, 21 days/cycle)
Intervention | kilometers (km) (Mean) |
---|
| Cycle 1, Home to Hospital, Great Britain (n=25) | Cycle 1, Home to Hospital, Sweden (n=7) | Cycle 2, Hospital to Home, Great Britain (n=24) | Cycle 2, Hospital to Home, Sweden (n=7) | Cycle 3, Hospital to Home, Great Britain (n=11) | Cycle 3, Hospital to Home, Sweden (n=4) | Cycle 4, Hospital to Home, Great Britain (n=7) | Cycle 4, Hospital to Home, Sweden (n=2) |
---|
Pemetrexed | 19.7 | 30.7 | 15.5 | 23.9 | 23.8 | 17.5 | 11.7 | 24.5 |
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Participant Satisfaction: Chemotherapy at Hospital
"Participants were asked to evaluate their hospital experiences in this study by answering 4 questions (Q). Q1: What do you consider advantages of having chemotherapy at the hospital? Choose all that apply. Choices included: Support from other patients, Access to other medical specialists, Access to more technical services, Safer in case something goes wrong, and Other. Q2: What do you consider disadvantages of having chemotherapy at the hospital? Choose all that apply. Choices included: Need to travel, Having to wait for treatment, Not having a personalized treatment, Lack of privacy on the ward, and Other. Q3: How would you rate your overall satisfaction with chemotherapy at the hospital? and Q4: How would you rate your overall satisfaction with the nursing staff during chemotherapy at the hospital? Choices for Q3 and Q4 included: Very dissatisfied, Somewhat dissatisfied, Neither satisfied nor dissatisfied, Somewhat satisfied, or Very satisfied." (NCT01473563)
Timeframe: The first evaluation completed at either Cycle 4, Day 1 (21 days/cycle) or 30 days post treatment discontinuation
Intervention | participants (Number) |
---|
| Q1, Support from other patients | Q1, Access to other medical specialists | Q1, Access to more technical services | Q1, Safer in case something goes wrong | Q1, Other | Q2, Need to travel | Q2, Having to wait for treatment | Q2, Not having a personalized treatment | Q2, Lack of privacy on the ward | Q2, Other | Q3, Very dissatisfied | Q3, Somewhat dissatisfied | Q3, Neither satisfied nor dissatisfied | Q3, Somewhat satisfied | Q3, Very satisfied | Q4, Very dissatisfied | Q4, Somewhat dissatisfied | Q4, Neither satisfied nor dissatisfied | Q4, Somewhat satisfied | Q4, Very satisfied |
---|
Pemetrexed | 8 | 19 | 12 | 19 | 3 | 36 | 27 | 5 | 7 | 1 | 0 | 3 | 3 | 11 | 21 | 3 | 0 | 0 | 3 | 32 |
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Change From Baseline in the European Quality of Life Instrument (EQ-5D) Visual Analogue Scale (VAS)
The EQ-5D scale was used to provide an estimate of the health state utility in this population. The EQ-5D scale includes a 5-dimensional descriptive system that measures each of the health state attributes: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression according to a 3-point scale (no problem, some problems, and major problems) and a VAS that allows participants to rate their present health condition from 0 (worst imaginable health state) to 100 (best imaginable health state). The change from baseline in EQ-5D VAS is reported. (NCT01473563)
Timeframe: Baseline, Day 1 of Cycles 2 and 4 (21 days/cycle) and 30 days post treatment discontinuation
Intervention | units on a scale (Mean) |
---|
| Cycle 2 (n=34) | Cycle 4 (n=20) | 30 days post treatment discontinuation (n=22) |
---|
Pemetrexed | 3.0 | 7.7 | -0.9 |
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Maximum Improvement Over Baseline in Individual Lung Cancer Symptoms Scale (LCSS) Item Scores
LCSS is a 9-item questionnaire; 6 items are symptom-specific measures for lung cancer (loss of appetite, fatigue, cough, dyspnea, hemoptysis, and pain), and 3 summation items describe overall symptomatic distress, interference with activity level, and overall quality of life during the past 24 hours. Participant responses were measured using a VAS with 100-millimeter (mm) lines. Scores ranged from 0 mm (no symptoms and no impact on activities, quality of life) to 100 mm (symptoms as bad as they could be, impacting activities and quality of life). (NCT01473563)
Timeframe: Baseline, Day 1 of each cycle (up to Cycle 19, 21 days/cycle), and 30 days post treatment discontinuation
Intervention | mm (Mean) |
---|
| Loss of Appetite (n=43) | Fatigue (n=43) | Cough (n=41) | Dyspnea (n=41) | Hemoptysis (n=43) | Pain (n=40) | Overall Symptomatic Distress (n=43) | Interference With Activity Level (n=43) | Overall Quality of Life (n=41) |
---|
Pemetrexed | 16.3 | 24.5 | 9.2 | 17.2 | 0.4 | 11.8 | 8.3 | 15.3 | 12.2 |
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Objective Response Rate (ORR) (Site Read Data)
ORR rate is defined as the number (%) of subjects with at least one visit response of Complete Response (CR) or Partial Response (PR) , as defined by Response Evaluation Criteria in Solid Tumours (RECIST v1.1) for target lesions and assessed by CT or MRI. CR, Disappearance of all target lesions; PR, ≥30% decrease in the sum of the longest diameter of target lesions. Data obtained up until progression, or last evaluable assessment in the absence of progression, was included in the assessment of ORR. (NCT01544179)
Timeframe: Radiologic evaluations were carried out every 6 weeks from randomization until documented progression, withdrawal of consent, loss to follow up, death or the primary data cut off (DCO) for the analysis.
Intervention | Percentage of Participants (Number) |
---|
Gefitinib | 31.6 |
Placebo | 34.1 |
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Progression-Free Survival (Site Read, Investigator Assessment)
PFS is the time from randomisation until the date of objective disease progression as defined by Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) or death (by any cause in the absence of progression). Progression is defined using RECIST (v1.1), 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 5mm. (NCT01544179)
Timeframe: Radiologic evaluations were carried out every 6 weeks from randomization until documented progression, withdrawal of consent, loss to follow up, death or the primary data cut off (DCO) for the analysis, assessed up to 50 weeks
Intervention | Patients with a progression event (Number) |
---|
Gefitinib | 98 |
Placebo | 107 |
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Time to Worsening in FACT-L Total Score
A worsening is defined as a change from baseline of ≤ -6 (0-136 score range). Measured by the Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) questionnaire (NCT01544179)
Timeframe: At visits 2-8, then every 6 weeks until progression, at progression or treatment discontinuation, and every 8 weeks after progression until PFS analysis data cut off.
Intervention | Weeks (Median) |
---|
Gefitinib | 12.0 |
Placebo | 8.9 |
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Time to Worsening in Lung Cancer Subscale
A worsening is defined as a change from baseline of ≤ -2 (0-28 score range). Measured by the Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) questionnaire (NCT01544179)
Timeframe: At visits 2-8, then every 6 weeks until progression, at progression or treatment discontinuation, and every 8 weeks after progression until PFS analysis data cut off.
Intervention | Weeks (Median) |
---|
Gefitinib | 14.6 |
Placebo | 9.1 |
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Overall Survival (OS)
OS is the time from the date of randomisation until death due to any cause. Any subject not known to have died at the time of analysis will be censored based on the last recorded date on which the subject was known to be alive. (NCT01544179)
Timeframe: Following progression survival data was collected every 8 weeks until documentation of death, withdrawal of consent, loss to follow-up or the final data cut-off, whichever occurs first.
Intervention | Number of patients with an OS event (Number) |
---|
Gefitinib | 50 |
Placebo | 37 |
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Time to Worsening in Trial Outcome Index
A worsening is defined as a change from baseline of ≤ -6 (0-84 score range). Measured by the Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) questionnaire (NCT01544179)
Timeframe: At visits 2-8, then every 6 weeks until progression, at progression or treatment discontinuation, and every 8 weeks after progression until PFS analysis data cut off.
Intervention | Weeks (Median) |
---|
Gefitinib | 12.1 |
Placebo | 9.4 |
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Disease Control Rate (DCR)
DCR is the percentage of patients who achieve disease control at 6 weeks following randomisation. DCR is defined as a Best Objective Response (BOR) of Complete Response, Partial Response or Stable Disease, as defined by Response Evaluation Criteria in Solid Tumours (RECIST v1.1) for target lesions and assessed by CT or MRI. CR, Disappearance of all target lesions; PR, ≥30% decrease in the sum of the longest diameter of target lesions; SD, neither sufficient shrinkage to qualify for PR not sufficient increase to qualify for Progressive Disease (PD); PD, ≥20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, and the sum must have shown an absolute increase of ≥5mm (NCT01544179)
Timeframe: Radiologic evaluations were carried out every 6 weeks from randomization until documented progression, withdrawal of consent, loss to follow up, death or the primary data cut off (DCO) for the analysis.
Intervention | Percentage of Participants (Number) |
---|
Gefitinib | 84.2 |
Placebo | 78.8 |
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Improvement in FACT-L Total Score
An improvement is defined as a change from baseline of ≥ +6 (0-136 score range). Measured by the Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) questionnaire (NCT01544179)
Timeframe: At visits 2-8, then every 6 weeks until progression, at progression or treatment discontinuation, and every 8 weeks after progression until PFS analysis data cut off.
Intervention | Number of patients improving (Number) |
---|
Gefitinib | 44 |
Placebo | 49 |
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Improvement in Trial Outcome Index
An improvement is defined as a change from baseline of ≥ +6 (0-84 score range). Measured by the Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) questionnaire. (NCT01544179)
Timeframe: At visits 2-8, then every 6 weeks until progression, at progression or treatment discontinuation, and every 8 weeks after progression until PFS analysis data cut off.
Intervention | Number of participants improving (Number) |
---|
Gefitinib | 36 |
Placebo | 39 |
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Improvement in Lung Cancer Subscale
An improvement is defined as a change from baseline of ≥ +2 (0-28 score range). Measured by the Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) questionnaire (NCT01544179)
Timeframe: At visits 2-8, then every 6 weeks until progression, at progression or treatment discontinuation, and every 8 weeks after progression until PFS analysis data cut off.
Intervention | Number of participants improving (Number) |
---|
Gefitinib | 54 |
Placebo | 55 |
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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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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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Percentage of Participants With Visual Disturbance as Assessed by Visual Symptom Assessment Questionnaire (VSAQ-ALK)
"VSAQ-ALK is a self-report measure that was developed to assess the problems of visual disturbances and symptoms may include the appearance of overlapping shadows and after images; shimmering, flashing or trailing lights; strings, streamers, or floaters; as well as hazy or blurry vision. The participants answered Yes to the first question (Q1) of VSAQ-ALK Have you experienced any visual disturbances? were considered to have experienced visual disturbance and were instructed to complete the rest of the questionnaire. The percentage of participants who responded to Q1 of VSAQ-ALK as Yes and as No during each study cycle was calculated as (n/N*)*100 where N* was the number of participants who had completed Q1." (NCT01639001)
Timeframe: Cycle 1 Day 1 to end of treatment or withdrawal, no later than 4 weeks (+/- 1 week) from last dose of study medication or when the decision was taken to withdraw from the study (whichever was sooner, assessed up to Cycle 86)
Intervention | Percentage of participants (Number) |
---|
| Baseline: Cycle 1/Day 1 (Answer to Q1: Yes) | Baseline: Cycle 1/Day 1 (Answer to Q1: No) | Cycle 2/Day 1 (Answer to Q1: Yes) | Cycle 2/Day 1 (Answer to Q1: No) | Cycle 3/Day 1 (Answer to Q1: Yes) | Cycle 3/Day 1 (Answer to Q1: No) | Cycle 4/Day 1 (Answer to Q1: Yes) | Cycle 4/Day 1 (Answer to Q1: No) | Cycle 5/Day 1 (Answer to Q1: Yes) | Cycle 5/Day 1 (Answer to Q1: No) | Cycle 6/Day 1 (Answer to Q1: Yes) | Cycle 6/Day 1 (Answer to Q1: No) | Cycle 7/Day 1 (Answer to Q1: Yes) | Cycle 7/Day 1 (Answer to Q1: No) | Cycle 8/Day 1 (Answer to Q1: Yes) | Cycle 8/Day 1 (Answer to Q1: No) | Cycle 9/Day 1 (Answer to Q1: Yes) | Cycle 9/Day 1 (Answer to Q1: No) | Cycle 10/Day 1 (Answer to Q1: Yes) | Cycle 10/Day 1 (Answer to Q1: No) | Cycle 11/Day 1 (Answer to Q1: Yes) | Cycle 11/Day 1 (Answer to Q1: No) | Cycle 12/Day 1 (Answer to Q1: Yes) | Cycle 12/Day 1 (Answer to Q1: No) | Cycle 13/Day 1 (Answer to Q1: Yes) | Cycle 13/Day 1 (Answer to Q1: No) | Cycle 14/Day 1 (Answer to Q1: Yes) | Cycle 14/Day 1 (Answer to Q1: No) | Cycle 15/Day 1 (Answer to Q1: Yes) | Cycle 15/Day 1 (Answer to Q1: No) | Cycle 16/Day 1 (Answer to Q1: Yes) | Cycle 16/Day 1 (Answer to Q1: No) | Cycle 17/Day 1 (Answer to Q1: Yes) | Cycle 17/Day 1 (Answer to Q1: No) | Cycle 18/Day 1 (Answer to Q1: Yes) | Cycle 18/Day 1 (Answer to Q1: No) | Cycle 19/Day 1 (Answer to Q1: Yes) | Cycle 19/Day 1 (Answer to Q1: No) | Cycle 20/Day 1 (Answer to Q1: Yes) | Cycle 20/Day 1 (Answer to Q1: No) | Cycle 21/Day 1 (Answer to Q1: Yes) | Cycle 21/Day 1 (Answer to Q1: No) | Cycle 22/Day 1 (Answer to Q1: Yes) | Cycle 22/Day 1 (Answer to Q1: No) | Cycle 23/Day 1 (Answer to Q1: Yes) | Cycle 23/Day 1 (Answer to Q1: No) | Cycle 24/Day 1 (Answer to Q1: Yes) | Cycle 24/Day 1 (Answer to Q1: No) | Cycle 25/Day 1 (Answer to Q1: Yes) | Cycle 25/Day 1 (Answer to Q1: No) | Cycle 26/Day 1 (Answer to Q1: Yes) | Cycle 26/Day 1 (Answer to Q1: No) | Cycle 27/Day 1 (Answer to Q1: Yes) | Cycle 27/Day 1 (Answer to Q1: No) | Cycle 28/Day 1 (Answer to Q1: Yes) | Cycle 28/Day 1 (Answer to Q1: No) | Cycle 29/Day 1 (Answer to Q1: Yes) | Cycle 29/Day 1 (Answer to Q1: No) | Cycle 30/Day 1 (Answer to Q1: Yes) | Cycle 30/Day 1 (Answer to Q1: No) | Cycle 31/Day 1 (Answer to Q1: Yes) | Cycle 31/Day 1 (Answer to Q1: No) | Cycle 32/Day 1 (Answer to Q1: Yes) | Cycle 32/Day 1 (Answer to Q1: No) | Cycle 33/Day 1 (Answer to Q1: Yes) | Cycle 33/Day 1 (Answer to Q1: No) | Cycle 34/Day 1 (Answer to Q1: Yes) | Cycle 34/Day 1 (Answer to Q1: No) | Cycle 35/Day 1 (Answer to Q1: Yes) | Cycle 35/Day 1 (Answer to Q1: No) | Cycle 36/Day 1 (Answer to Q1: Yes) | Cycle 36/Day 1 (Answer to Q1: No) | Cycle 37/Day 1 (Answer to Q1: Yes) | Cycle 37/Day 1 (Answer to Q1: No) | Cycle 38/Day 1 (Answer to Q1: Yes) | Cycle 38/Day 1 (Answer to Q1: No) | Cycle 39/Day 1 (Answer to Q1: Yes) | Cycle 39/Day 1 (Answer to Q1: No) | Cycle 40/Day 1 (Answer to Q1: Yes) | Cycle 40/Day 1 (Answer to Q1: No) | Cycle 41/Day 1 (Answer to Q1: Yes) | Cycle 41/Day 1 (Answer to Q1: No) | Cycle 42/Day 1 (Answer to Q1: Yes) | Cycle 42/Day 1 (Answer to Q1: No) | Cycle 43/Day 1 (Answer to Q1: Yes) | Cycle 43/Day 1 (Answer to Q1: No) | Cycle 44/Day 1 (Answer to Q1: Yes) | Cycle 44/Day 1 (Answer to Q1: No) | Cycle 45/Day 1 (Answer to Q1: Yes) | Cycle 45/Day 1 (Answer to Q1: No) | Cycle 46/Day 1 (Answer to Q1: Yes) | Cycle 46/Day 1 (Answer to Q1: No) | Cycle 47/Day 1 (Answer to Q1: Yes) | Cycle 47/Day 1 (Answer to Q1: No) | Cycle 48/Day 1 (Answer to Q1: Yes) | Cycle 48/Day 1 (Answer to Q1: No) | Cycle 49/Day 1 (Answer to Q1: Yes) | Cycle 49/Day 1 (Answer to Q1: No) | Cycle 50/Day 1 (Answer to Q1: Yes) | Cycle 50/Day 1 (Answer to Q1: No) | Cycle 51/Day 1 (Answer to Q1: Yes) | Cycle 51/Day 1 (Answer to Q1: No) | Cycle 52/Day 1 (Answer to Q1: Yes) | Cycle 52/Day 1 (Answer to Q1: No) | Cycle 53/Day 1 (Answer to Q1: Yes) | Cycle 53/Day 1 (Answer to Q1: No) | Cycle 54/Day 1 (Answer to Q1: Yes) | Cycle 54/Day 1 (Answer to Q1: No) | Cycle 55/Day 1 (Answer to Q1: Yes) | Cycle 55/Day 1 (Answer to Q1: No) | Cycle 56/Day 1 (Answer to Q1: Yes) | Cycle 56/Day 1 (Answer to Q1: No) | Cycle 57/Day 1 (Answer to Q1: Yes) | Cycle 57/Day 1 (Answer to Q1: No) | Cycle 58/Day 1 (Answer to Q1: Yes) | Cycle 58/Day 1 (Answer to Q1: No) | Cycle 59/Day 1 (Answer to Q1: Yes) | Cycle 59/Day 1 (Answer to Q1: No) | Cycle 60/Day 1 (Answer to Q1: Yes) | Cycle 60/Day 1 (Answer to Q1: No) | Cycle 61/Day 1 (Answer to Q1: Yes) | Cycle 61/Day 1 (Answer to Q1: No) | Cycle 62/Day 1 (Answer to Q1: Yes) | Cycle 62/Day 1 (Answer to Q1: No) | Cycle 63/Day 1 (Answer to Q1: Yes) | Cycle 63/Day 1 (Answer to Q1: No) | Cycle 64/Day 1 (Answer to Q1: Yes) | Cycle 64/Day 1 (Answer to Q1: No) | Cycle 65/Day 1 (Answer to Q1: Yes) | Cycle 65/Day 1 (Answer to Q1: No) | Cycle 66/Day 1 (Answer to Q1: Yes) | Cycle 66/Day 1 (Answer to Q1: No) | Cycle 67/Day 1 (Answer to Q1: Yes) | Cycle 67/Day 1 (Answer to Q1: No) | Cycle 68/Day 1 (Answer to Q1: Yes) | Cycle 68/Day 1 (Answer to Q1: No) | Cycle 69/Day 1 (Answer to Q1: Yes) | Cycle 69/Day 1 (Answer to Q1: No) | Cycle 70/Day 1 (Answer to Q1: Yes) | Cycle 70/Day 1 (Answer to Q1: No) | Cycle 71/Day 1 (Answer to Q1: Yes) | Cycle 71/Day 1 (Answer to Q1: No) | Cycle 72/Day 1 (Answer to Q1: Yes) | Cycle 72/Day 1 (Answer to Q1: No) | Cycle 73/Day 1 (Answer to Q1: Yes) | Cycle 73/Day 1 (No) | Cycle 74/Day 1 (Answer to Q1: Yes) | Cycle 74/Day 1 (Answer to Q1: No) | Cycle 75/Day 1 (Answer to Q1: Yes) | Cycle 75/Day 1 (Answer to Q1: No) | Cycle 76/Day 1 (Answer to Q1: Yes) | Cycle 76/Day 1 (Answer to Q1: No) | Cycle 77/Day 1 (Answer to Q1: Yes) | Cycle 77/Day 1 (Answer to Q1: No) | Cycle 78/Day 1 (Answer to Q1: Yes) | Cycle 78/Day 1 (Answer to Q1: No) | Cycle 79/Day 1 (Answer to Q1: Yes) | Cycle 79/Day 1 (Answer to Q1: No) | Cycle 80/Day 1 (Answer to Q1: Yes) | Cycle 80/Day 1 (Answer to Q1: No) | Cycle 81/Day 1 (Answer to Q1: Yes) | Cycle 81/Day 1 (Answer to Q1: No) | Cycle 82/Day 1 (Answer to Q1: Yes) | Cycle 82/Day 1 Answer to Q1: (No) | Cycle 83/Day 1 (Answer to Q1: Yes) | Cycle 83/Day 1 (Answer to Q1: No) | Cycle 84/Day 1 (Answer to Q1: Yes) | Cycle 84/Day 1 (Answer to Q1: No) | Cycle 86/Day 1 (Answer to Q1: Yes) | Cycle 86/Day 1 (Answer to Q1: No) |
---|
Crizotinib | 6.8 | 93.2 | 51.0 | 49.0 | 46.1 | 53.9 | 43.9 | 56.1 | 35.8 | 64.2 | 37.4 | 62.6 | 36.0 | 64.0 | 28.1 | 71.9 | 24.1 | 75.9 | 23.9 | 76.1 | 23.5 | 76.5 | 21.3 | 78.8 | 25.3 | 74.7 | 27.0 | 73.0 | 28.2 | 71.8 | 28.6 | 71.4 | 28.6 | 71.4 | 28.4 | 71.6 | 28.1 | 71.9 | 27.9 | 72.1 | 30.5 | 69.5 | 29.1 | 70.9 | 28.6 | 71.4 | 31.5 | 68.5 | 32.1 | 67.9 | 28.8 | 71.2 | 28.0 | 72.0 | 30.0 | 70.0 | 30.0 | 70.0 | 32.0 | 68.0 | 24.5 | 75.5 | 25.0 | 75.0 | 28.3 | 71.7 | 27.3 | 72.7 | 28.6 | 71.4 | 26.8 | 73.2 | 27.0 | 73.0 | 24.3 | 75.7 | 30.3 | 69.7 | 25.0 | 75.0 | 32.3 | 67.7 | 25.8 | 74.2 | 24.1 | 75.9 | 30.0 | 70.0 | 25.0 | 75.0 | 27.6 | 72.4 | 26.9 | 73.1 | 29.6 | 70.4 | 29.2 | 70.8 | 29.2 | 70.8 | 26.1 | 73.9 | 29.2 | 70.8 | 25.0 | 75.0 | 36.4 | 63.6 | 29.4 | 70.6 | 38.9 | 61.1 | 20.0 | 80.0 | 35.3 | 64.7 | 21.4 | 78.6 | 37.5 | 62.5 | 23.1 | 76.9 | 37.5 | 62.5 | 21.4 | 78.6 | 35.7 | 64.3 | 21.4 | 78.6 | 30.8 | 69.2 | 25.0 | 75.0 | 30.8 | 69.2 | 25.0 | 75.0 | 30.8 | 69.2 | 30.0 | 70.0 | 22.2 | 77.8 | 22.2 | 77.8 | 25.0 | 75.0 | 22.2 | 77.8 | 16.7 | 83.3 | 37.5 | 62.5 | 20.0 | 80.0 | 20.0 | 80.0 | 0.0 | 100.0 | 0.0 | 100.0 | 0.0 | 100.0 | 0.0 | 100.0 | 0.0 | 100.0 | 0.0 | 100.0 |
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Time to Deterioration (TTD) in Participant Reported Pain, Dyspnea, or Cough Assessed Using Quality of Life Questionnaire Supplement Module for Lung Cancer (QLQ-LC13)
The QLQ-LC13 consisted of 1 multi-item scale and 9 single items that assessed the specific symptoms (dyspnea, cough, hemoptysis, and site specific pain), side effects (sore mouth, dysphagia, neuropathy, and alopecia), and pain medication use of lung cancer participants receiving chemotherapy. The QLQ-LC13 Coughing, Dyspnoea and Pain in chest each ranged from 0-100 with higher scores indicating a high level of symptomatology/problems. TTD in pain in chest, dyspnea, or cough from the QLQ-LC13 was a composite endpoint defined as the time from randomization to the earliest time the participant's scale scores showed a 10 point or greater increase after baseline in any of the 3 symptoms. (NCT01639001)
Timeframe: From Baseline to deterioration while on study treatment. For participants with no deterioration, the data was censored at the last date when QLQ-LC13 assessment for pain, dyspnea, or cough was completed (assessed up to 33 months)
Intervention | Months (Median) |
---|
Crizotinib | 2.8 |
Chemotherapy | 0.3 |
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Percentage of Participants With Visual Disturbance as Assessed by Visual Symptom Assessment Questionnaire (VSAQ-ALK)
"VSAQ-ALK is a self-report measure that was developed to assess the problems of visual disturbances and symptoms may include the appearance of overlapping shadows and after images; shimmering, flashing or trailing lights; strings, streamers, or floaters; as well as hazy or blurry vision. The participants answered Yes to the first question (Q1) of VSAQ-ALK Have you experienced any visual disturbances? were considered to have experienced visual disturbance and were instructed to complete the rest of the questionnaire. The percentage of participants who responded to Q1 of VSAQ-ALK as Yes and as No during each study cycle was calculated as (n/N*)*100 where N* was the number of participants who had completed Q1." (NCT01639001)
Timeframe: Cycle 1 Day 1 to end of treatment or withdrawal, no later than 4 weeks (+/- 1 week) from last dose of study medication or when the decision was taken to withdraw from the study (whichever was sooner, assessed up to Cycle 86)
Intervention | Percentage of participants (Number) |
---|
| Baseline: Cycle 1/Day 1 (Answer to Q1: Yes) | Baseline: Cycle 1/Day 1 (Answer to Q1: No) | Cycle 2/Day 1 (Answer to Q1: Yes) | Cycle 2/Day 1 (Answer to Q1: No) | Cycle 3/Day 1 (Answer to Q1: Yes) | Cycle 3/Day 1 (Answer to Q1: No) | Cycle 4/Day 1 (Answer to Q1: Yes) | Cycle 4/Day 1 (Answer to Q1: No) | Cycle 5/Day 1 (Answer to Q1: Yes) | Cycle 5/Day 1 (Answer to Q1: No) | Cycle 6/Day 1 (Answer to Q1: Yes) | Cycle 6/Day 1 (Answer to Q1: No) |
---|
Chemotherapy | 7.1 | 92.9 | 13.4 | 86.6 | 11.1 | 88.9 | 14.8 | 85.2 | 13.5 | 86.5 | 10.1 | 89.9 |
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Percentage of Participants With Treatment-Emergent Adverse Events (AEs; All Causalities)
An AE was an untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes: death, initial or prolonged inpatient hospitalization, life-threatening experience, persistent or significant disability/incapacity, congenital anomaly. Treatment-emergent AEs were those with initial onset or that worsen in severity after the first dose of study medication. Grade 3 and 4 AEs in below table indicated severe AE and life-threatening consequences respectively; Grade 5 indicated death due to AE. (NCT01639001)
Timeframe: From the first dose of study medication up to 28 days after the last dose of study medication or up to the time that a participant died or received subsequent anticancer treatment (maximum duration between first and last dose: 324.4 weeks)
Intervention | Percentage of participants (Number) |
---|
| AEs | SAEs | Grade 3/4 AEs | Grade 5 AEs | AEs associated with permanent discontinuation | AEs associated with dose reduction | AEs associated with temporary discontinuation |
---|
Chemotherapy | 99.0 | 12.9 | 52.5 | 2.0 | 4.0 | 7.9 | 37.6 |
,Crizotinib | 99.0 | 44.2 | 58.7 | 22.1 | 26.9 | 14.4 | 39.4 |
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Estimate of the Percentage of Participants Surviving at 1 Year and at 18 Months
Probability of survival 1 year and 18 month after randomization. The probability of survival at 1 year was estimated using the Kaplan Meier method and a 2-sided 95% CI for the log [-log(1-year survival probability)] was calculated using a normal approximation and then back transformed to give a CI for the 1-year survival probability itself. The probability of survival at 18 months was estimated similarly. (NCT01639001)
Timeframe: From randomization to 1 year and from randomization to 18 months
Intervention | Percentage of paricipants (Number) |
---|
| Up to 1 year | Up to 18 months |
---|
Chemotherapy | 79.5 | 72.1 |
,Crizotinib | 79.3 | 71.2 |
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Change From Baseline Scores 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). The QLQ-C30 Appetite loss, Constipation, Diarrhea, Dyspnea, Fatigue, Financial difficulties, Insomnia, Nausea/vomiting, and Pain each ranged from 0-100 with higher scores indicating a high level of symptomatology/problems. (NCT01639001)
Timeframe: From Baseline to deterioration while on study treatment. For participants with no deterioration, the data was censored at the last date when QLQ-LC13 assessment for pain, dyspnea, or cough was completed (assessed up to 33 months)
Intervention | Units on a scale (Mean) |
---|
| QLQ-C30 Appetite loss | QLQ-C30 Constipation | QLQ-C30 Diarrhea | QLQ-C30 Dyspnea | QLQ-C30 Fatigue | QLQ-C30 Financial Difficulties | QLQ-C30 Insomnia | QLQ-C30 Nausea and Vomiting | QLQ-C30 Pain |
---|
Chemotherapy | 4.4465 | 2.6341 | -0.4791 | -0.1903 | 2.6028 | 0.3826 | -1.6060 | 6.5986 | -0.6956 |
,Crizotinib | -1.5967 | 7.1367 | 15.3294 | -7.9353 | -3.8888 | -3.2339 | -8.3816 | 4.0796 | -9.1305 |
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Change From Baseline in Lung Cancer Symptom Scores as Assessed by the EORTC Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13)
The QLQ-LC13 consisted of 1 multi-item scale and 9 single items that assessed the specific symptoms (dyspnea, cough, hemoptysis, and site specific pain), side effects (sore mouth, dysphagia, neuropathy, and alopecia), and pain medication use of lung cancer participants receiving chemotherapy. The QLQ-LC13 Alopecia, Coughing, Dysphagia, Dyspnoea, Haemoptysis, Pain in arm or shoulder, Pain in chest, Pain in other parts, Peripheral neuropathy, and Sore mouth each ranged from 0-100 with higher scores indicating a high level of symptomatology/problems. (NCT01639001)
Timeframe: From Baseline to deterioration while on study treatment. For participants with no deterioration, the data was censored at the last date when QLQ-LC13 assessment for pain, dyspnea, or cough was completed (assessed up to 33 months)
Intervention | Units on a scale (Mean) |
---|
| QLQ-LC13 Alopecia | QLQ-LC13 Coughing | QLQ-LC13 Dysphagia | QLQ-LC13 Dyspnoea | QLQ-LC13 Haemoptysis | QLQ-LC13 Pain in Arm or Shoulder | QLQ-LC13 Pain in Chest | QLQ-LC13 Pain in Other Parts | QLQ-LC13 Peripheral Neuropathy | QLQ-LC13 Sore Mouth |
---|
Chemotherapy | 2.7710 | -10.2748 | 1.0535 | -0.4371 | -3.0513 | -2.5927 | -4.1328 | -0.2573 | 1.8519 | 3.9114 |
,Crizotinib | -2.0837 | -17.2704 | 0.5354 | -9.0842 | -4.3017 | -6.8289 | -8.3565 | -4.8475 | 0.1787 | 1.5134 |
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Change From Baseline 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). The QLQ-C30 Global QOL, Physical Functioning, Role Functioning, Cognitive Functioning, Emotional Functioning, and Social Functioning each ranged from 0-100 with higher scores indicating a better level of functioning or better quality of life. (NCT01639001)
Timeframe: From Baseline to deterioration while on study treatment. For participants with no deterioration, the data was censored at the last date when QLQ-LC13 assessment for pain, dyspnea, or cough was completed (assessed up to 33 months)
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 |
---|
Chemotherapy | -2.3619 | -4.8026 | 2.0557 | -2.9562 | -5.7570 | -4.7228 |
,Crizotinib | 5.0891 | -1.1896 | 3.7077 | 3.7705 | 1.0538 | 0.8712 |
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Agreement Between Central Laboratory ALK FISH and ALK IHC Test Results - Molecular Profiling Evaluable
Agreement between central laboratory anaplastic lymphoma kinase (ALK) fluorescence in situ hybridization (FISH) and ALK immunohistochemistry (IHC) test results is based on analysis of participants in the Molecular Profiling (MP) evaluable population that have an ALK IHC result and an ALK FISH result of either positive or negative only. This MP evaluable population included participants who screen failed, which their ALK test results were negative based on FISH test. Tumor tissue samples from these screen failure participants were consented and kept. These samples served as a part of negative sample set for evaluation of IHC test and/or polymerase chain reaction (PCR) to determine ALK fusion events. Participants with FISH results of uninformative and assay not performed and IHC results of valid IHC status not available were excluded from the analysis of agreement between central laboratory ALK FISH and ALK IHC test results. (NCT01639001)
Timeframe: During the screening (less than or equal to 28 days prior to dosing)
Intervention | Participants (Count of Participants) |
---|
| Participants with Positive ALK IHC Status | Participants with Negative ALK IHC Status |
---|
Participants With Negative ALK FISH Status | 31 | 502 |
,Participants With Positive ALK FISH Status | 218 | 20 |
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Time to Tumor Response (TTR) Based on IRR
TTR was defined as the time from randomization to first documentation of objective tumor response (CR or PR) as determined by the IRR. For participants proceeding from PR to CR, the onset of PR was taken as the onset of response. TTR was calculated for the subgroup of participants with objective tumor response. (NCT01639001)
Timeframe: Randomization to first documentation of objective tumor response (up to 33 months).
Intervention | Weeks (Median) |
---|
Crizotinib | 6.3 |
Chemotherapy | 12.1 |
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Time to Progression (TTP) Based on IRR
TTP was defined as the time from the date of randomization to the date of the first documentation of objective tumor progression, as determined by IRR. If tumor progression data included more than 1 date, the first date was used. TTP (in months) was calculated as (first event date - randomization date +1)/30.44. (NCT01639001)
Timeframe: Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (whichever occurred first, up to 33 months)
Intervention | Months (Median) |
---|
Crizotinib | 12.0 |
Chemotherapy | 6.9 |
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Change From Baseline in General Health Status as Assessed by EuroQol 5D (EQ-5D)-Visual Analog Scale (VAS)
EQ-5D is a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a visual analog scale (VAS). The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state. (NCT01639001)
Timeframe: From Baseline to deterioration while on study treatment. For participants with no deterioration, the data was censored at the last date when QLQ-LC13 assessment for pain, dyspnea, or cough was completed (assessed up to 33 months)
Intervention | Units on a scale (Mean) |
---|
Crizotinib | 3.4209 |
Chemotherapy | -0.4927 |
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Change From Baseline in General Health Status as Assessed by EQ-5D-Index
EQ-5D is a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a visual analog scale (VAS). EQ-5D summary index is obtained with a formula that weights each level of the 5 dimensions. The index-based score is interpreted along a continuum of 0 (death) to 1 (perfect health). (NCT01639001)
Timeframe: From Baseline to deterioration while on study treatment. For participants with no deterioration, the data was censored at the last date when QLQ-LC13 assessment for pain, dyspnea, or cough was completed (assessed up to 33 months)
Intervention | Units on a scale (Mean) |
---|
Crizotinib | 0.0502 |
Chemotherapy | 0.0077 |
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Progression-Free Survival (PFS) Based on IRR by Treatment Arm
PFS was defined as the time from the date of randomization to the date of the first documentation of objective tumor progression (by IRR) or death on study due to any cause, whichever occured first. If tumor progression data included more than 1 date, the first date was used. PFS (in months) was calculated as (first event date - randomization date +1)/30.44. Progression is defined using RECIST v1.1, as at least a 20% increase (including an absolute increase of at least 5 millimeters) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. (NCT01639001)
Timeframe: Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (whichever occurred first, assessed up to 33 months)
Intervention | Months (Median) |
---|
Crizotinib | 11.1 |
Chemotherapy | 6.8 |
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Duration of Response (DR) Based on IRR
DR was defined as the time from the first documentation of objective tumor response (CR or PR), as determined by the IRR, to the first documentation of objective tumor progression or to death due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. DR (in weeks) was calculated as (first date of PD or death - first date of CR or PR +1)/7. DR was only calculated for the subgroup of participants with an objective tumor response. (NCT01639001)
Timeframe: From objective response to date of progression, death or last tumor assessment without progression before any additional anti-cancer therapy (whichever occurred first, up to 33 months)
Intervention | Weeks (Median) |
---|
Crizotinib | 44.4 |
Chemotherapy | 18.1 |
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Extracranial Time to Progression (EC-TTP) Based on IRR
EC-TTP was defined similarly to TTP, but only considering extracranial disease (excluding intracranial disease) and the progression was determined based on either new extracranial lesions or progression of existing extracranial lesions. (NCT01639001)
Timeframe: Randomization to objective extracranial progression or last tumor assessment without progression before any additional anti-cancer therapy (whichever occurred first, up to 33 months)
Intervention | Months (Median) |
---|
Crizotinib | 18.0 |
Chemotherapy | 7.0 |
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Intracranial Time to Progression (IC-TTP) Based on IRR
IC-TTP was defined similarly to TTP, but only considering intracranial disease (excluding extracranial disease) and the progression was determined based on either new brain metastases or progression of existing brain metastases. (NCT01639001)
Timeframe: Randomization to objective intracranial progression or last tumor assessment without progression before any additional anti-cancer therapy (whichever occurred first, up to 33 months)
Intervention | Months (Median) |
---|
Crizotinib | NA |
Chemotherapy | 16.0 |
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Objective Response Rate (ORR) - Percentage of Participants With Objective Response Based on IRR
Percentage of participants with objective response of complete response (CR) or partial response (PR) 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 <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 non-target disease. No new lesions. (NCT01639001)
Timeframe: Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (assessed up to 33 months)
Intervention | Percentage of participants (Number) |
---|
Crizotinib | 87.5 |
Chemotherapy | 45.6 |
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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 (in months) was calculated as (date of death - date of randomization +1)/30.44. For participants who were lost to follow-up or withdrew consent, the OS was censored on the last date that participants were known to be alive. (NCT01639001)
Timeframe: From randomization to death or last date known as alive for those who were lost to follow-up or withdrew consent (assessed up to 64 months).
Intervention | Months (Median) |
---|
Crizotinib | 33.7 |
Chemotherapy | 32.9 |
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Percentage of Participants With Disease Control at 12 Weeks Based on IRR
Disease Control Rate (DCR) at 12 weeks is defined as the percent of participants with CR, PR or stable disease (SD) at 12 weeks according to RECIST version 1.1 as determined by the IRR. The best response of SD can be assigned if SD criteria were met at least once after randomization at a minimum interval of 6 weeks. 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 non-target disease. No new lesions. (NCT01639001)
Timeframe: From randomization to Week 12
Intervention | Percentage of participants (Number) |
---|
Crizotinib | 82.7 |
Chemotherapy | 73.8 |
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Progression Free Survival (PFS)
Compared PFS between the treatment of AUY922 to comparators Pemetrexed or Docetaxel. Progression-free survival (PFS) based on local investigator assessment per RECIST 1.1 was the time from date of randomization/start of treatment to the date of event defined as the first documented progression or death due to any cause. If a patient had not had an event, progression-free survival is censored at the date of last adequate tumor assessment. Progression was 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 (NCT01646125)
Timeframe: 16 months
Intervention | Months (Median) |
---|
AUY922 Arm | 1.5 |
Chemotherapy Arm | 2.3 |
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Overall Response Rate (ORR)
ORR was to be compared between treatment arms. The ORR was to be based on local investigator assessment per Response Evaluation Criteria In Solid Tumors Criteria 1.1 (RECIST 1.1). Per this criteria 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.This outcome measure was originally planned to be analyzed up to 24 months. The DMC recommendation at the IA was to stop the study for futility. As a result, collection of all the efficacy assessments was stopped at that time. (NCT01646125)
Timeframe: 16 months
Intervention | Participants (Number) |
---|
| Complete Response (CR) | Partial Response (PR) | ORR (CR + PR) |
---|
AUY922 Arm | 0 | 3 | 3 |
,Chemotherapy Arm | 0 | 2 | 2 |
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Number of Subjects Reporting Adverse Events
Count of subjects with incidences of adverse events. (NCT01675765)
Timeframe: From first study dose until 28 days after the final dose (an average of 44 weeks)
Intervention | Participants (Count of Participants) |
---|
Immunotherapy Plus Chemotherapy | 38 |
Immunotherapy With Cyclophosphamide Plus Chemotherapy | 22 |
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Objective Tumor Response
Objective tumor response was measured using modified Response Evaluation Criteria in Solid Tumors (mRECIST) for assessment of response in malignant pleural mesothelioma (MPM). Per mRECIST 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; Stable Disease, those who fulfilled the criteria for neither PR nor PD; Progressive Disease (PD), >=20% increase in the sum of the longest diameter of target lesions. (NCT01675765)
Timeframe: Baseline to measured disease progression or death (up to 12 months or longer)
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable Disease | Progressive Disease | Not Assessable |
---|
Immunotherapy Plus Chemotherapy | 1 | 19 | 14 | 1 | 1 |
,Immunotherapy With Cyclophosphamide Plus Chemotherapy | 0 | 11 | 8 | 2 | 0 |
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Percentage of Participants Experiencing Treatment-Emergent Adverse Events
(NCT01803282)
Timeframe: Part A: First dose date up to 32 weeks plus 30 days; Part B: First dose date up to 181 weeks plus 30 days
Intervention | percentage of participants (Number) |
---|
Part A: ADX 200 mg | 100.0 |
Part A: ADX 600 mg | 100.0 |
Part A: ADX 1800 mg | 83.3 |
Part B: PAC, ADX 800 mg | 100.0 |
Part B: LAC, ADX 1200 mg | 100.0 |
Part B: LSC, ADX 1200 mg | 100.0 |
Part B: EGC, ADX 800 mg | 100.0 |
Part B: FL CRC, ADX 800 mg+BEV 5 mg/kg | 100.0 |
Part B: FL CRC, ADX 800 mg+BEV 10 mg/kg | 100.0 |
Part B: SL CRC, ADX 800 mg+BEV 5 mg/kg | 100.0 |
Part B: SL CRC, ADX 800 mg+BEV 10 mg/kg | 100.0 |
Part B: BRCA, ADX 800 mg | 100.0 |
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Percentage of Participants Experiencing Laboratory Abnormalities
Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. Participants with any laboratory abnormality were reported. (NCT01803282)
Timeframe: Part A: First dose date up to 32 weeks plus 30 days; Part B: First dose date up to 181 weeks plus 30 days
Intervention | percentage of participants (Number) |
---|
| Any Laboratory abnormalities: Hematology | Any Laboratory abnormalities: Serum Chemistry | Any Laboratory abnormalities: Coagulation |
---|
Part A: ADX 1800 mg | 33.3 | 83.3 | 33.3 |
,Part A: ADX 200 mg | 0.0 | 100.0 | 25.0 |
,Part A: ADX 600 mg | 33.3 | 66.7 | 0.0 |
,Part B: BRCA, ADX 800 mg | 86.7 | 66.7 | 40.0 |
,Part B: EGC, ADX 800 mg | 87.5 | 87.5 | 35.0 |
,Part B: FL CRC, ADX 800 mg+BEV 10 mg/kg | 90.9 | 81.8 | 36.4 |
,Part B: FL CRC, ADX 800 mg+BEV 5 mg/kg | 84.4 | 95.6 | 37.8 |
,Part B: LAC, ADX 1200 mg | 90.0 | 60.0 | 10.0 |
,Part B: LSC, ADX 1200 mg | 80.0 | 70.0 | 10.0 |
,Part B: PAC, ADX 800 mg | 97.2 | 88.9 | 38.9 |
,Part B: SL CRC, ADX 800 mg+BEV 10 mg/kg | 100.0 | 87.5 | 37.5 |
,Part B: SL CRC, ADX 800 mg+BEV 5 mg/kg | 95.5 | 86.4 | 45.5 |
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Cmax,ss
Maximum plasma concentration at steady state (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | ng/mL (Geometric Mean) |
---|
Cohort 1 sel50, Gem, Cis | 476.7 |
Cohort 2 sel50, Gem, Carb | 1222 |
Cohort 3 sel75, Gem, Cis | 1487 |
Cohort 4 sel150, Pem, Carb | 1615 |
Cohort 5 sel75, Pem, Carb | 1375 |
Cohort 6 sel75, Pem, Cis | 1364 |
Cohort 7 sel100, Pem, Carb | 2309 |
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CL/F
Apparent oral plasma clearance (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | L/h (Mean) |
---|
Cohort 1 sel50, Gem, Cis | NA |
Cohort 2 sel50, Gem, Carb | 14.72 |
Cohort 3 sel75, Gem, Cis | 22.64 |
Cohort 4 sel150, Pem, Carb | 10.72 |
Cohort 5 sel75, Pem, Carb | 18.82 |
Cohort 6 sel75, Pem, Cis | 19.08 |
Cohort 7 sel100, Pem, Carb | 21.02 |
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Best Percentage Change From Baseline in Target Lesion Size
The best percentage change in tumour size a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Percentage change was derived at each visit by the percentage change in the sum of the diameters of target lesions (NCT01809210)
Timeframe: Screening, week 6 and week 12
Intervention | % change (Mean) |
---|
Cohort 1 sel50, Gem, Cis | -11.9 |
Cohort 2 sel50, Gem, Carb | -34.6 |
Cohort 3 sel75, Gem, Cis | -41.3 |
Cohort 4 sel150, Pem, Carb | -28.3 |
Cohort 5 sel75, Pem, Carb | -34.7 |
Cohort 6 sel75, Pem, Cis | -24.4 |
Cohort 7 sel100, Pem, Carb | -25.4 |
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Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib
Any toxicity not attributable to the disease or disease-related processess under investigation, considered related to the combination of chemotherapy plus selumetinib, which occurs within the timeframe and is dose limiting (NCT01809210)
Timeframe: The first dose on Cycle 1 Day 1 up to the time before dosing on Cycle 2 Day 1, assessed up to 3 weeks
Intervention | participants (Number) |
---|
| Evaluable patients | Evaluable patients with a DLT Event |
---|
Cohort 1 sel50, Gem, Cis | 3 | 0 |
,Cohort 2 sel50, Gem, Carb | 7 | 2 |
,Cohort 3 sel75, Gem, Cis | 4 | 1 |
,Cohort 4 sel150, Pem, Carb | 3 | 0 |
,Cohort 5 sel75, Pem, Carb | 6 | 0 |
,Cohort 6 sel75, Pem, Cis | 12 | 1 |
,Cohort 7 sel100, Pem, Carb | 6 | 1 |
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Best Objective Response
The best response a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progressive Disease (PD); Progressive Disease (PD), >=20% increase in the sum of the longest diameter of target lesions, the sum must also demonstrate an absolute increase of >=5mm; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to <10mm (NCT01809210)
Timeframe: Screening, week 6 and week 12
Intervention | participants (Number) |
---|
| Complete response | Partial response | Unconfirmed complete or partial response | Stable disease | RECIST progression | Death | Incomplete post-baseline assessments |
---|
Cohort 1 sel50, Gem, Cis | 0 | 1 | 0 | 0 | 2 | 0 | 0 |
,Cohort 2 sel50, Gem, Carb | 0 | 2 | 3 | 1 | 0 | 0 | 3 |
,Cohort 3 sel75, Gem, Cis | 0 | 2 | 0 | 2 | 1 | 0 | 2 |
,Cohort 4 sel150, Pem, Carb | 0 | 1 | 0 | 2 | 0 | 0 | 0 |
,Cohort 5 sel75, Pem, Carb | 0 | 1 | 2 | 3 | 0 | 0 | 0 |
,Cohort 6 sel75, Pem, Cis | 0 | 2 | 2 | 7 | 1 | 1 | 2 |
,Cohort 7 sel100, Pem, Carb | 0 | 2 | 2 | 6 | 1 | 0 | 1 |
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AUC (0-tau)
Area under the concentration time curve (AUC) over a dosing interval at steady state (0-tau) (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | h*ng/mL (Geometric Mean) |
---|
Cohort 1 sel50, Gem, Cis | NA |
Cohort 2 sel50, Gem, Carb | 3571 |
Cohort 3 sel75, Gem, Cis | 3339 |
Cohort 4 sel150, Pem, Carb | 4813 |
Cohort 5 sel75, Pem, Carb | 4366 |
Cohort 6 sel75, Pem, Cis | 4116 |
Cohort 7 sel100, Pem, Carb | 5202 |
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Percentage Change From Baseline at 6 Weeks in Target Lesion Size
The percentage change in the sum of the diameters of target lesions (NCT01809210)
Timeframe: Week 6
Intervention | % change (Mean) |
---|
Cohort 1 sel50, Gem, Cis | -7.5 |
Cohort 2 sel50, Gem, Carb | -29.3 |
Cohort 3 sel75, Gem, Cis | -10.4 |
Cohort 4 sel150, Pem, Carb | -14.7 |
Cohort 5 sel75, Pem, Carb | -24.4 |
Cohort 6 sel75, Pem, Cis | -18.9 |
Cohort 7 sel100, Pem, Carb | -18.4 |
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Objective Response Rate (ORR)
The number of patients who had at least 1 confirmed visit response of Complete Response (CR) or Partial Response (PR) prior to any evidence of progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to <10mm; Objective Response Rate (ORR) = CR + PR (NCT01809210)
Timeframe: Up until progression or last evaluable assessment in the absence of progression, up to 9 months
Intervention | participants (Number) |
---|
Cohort 1 sel50, Gem, Cis | 1 |
Cohort 2 sel50, Gem, Carb | 2 |
Cohort 3 sel75, Gem, Cis | 2 |
Cohort 4 sel150, Pem, Carb | 1 |
Cohort 5 sel75, Pem, Carb | 1 |
Cohort 6 sel75, Pem, Cis | 2 |
Cohort 7 sel100, Pem, Carb | 2 |
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Tmax,ss
Time to reach maximum plasma concentration at steady state (NCT01809210)
Timeframe: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Intervention | h (Median) |
---|
Cohort 1 sel50, Gem, Cis | 1.00 |
Cohort 2 sel50, Gem, Carb | 1.25 |
Cohort 3 sel75, Gem, Cis | 1.00 |
Cohort 4 sel150, Pem, Carb | 1.00 |
Cohort 5 sel75, Pem, Carb | 1.75 |
Cohort 6 sel75, Pem, Cis | 1.48 |
Cohort 7 sel100, Pem, Carb | 1.50 |
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Progression Free Survival (PFS) by Blinded Independent Review Committee (BIRC)
PFS defined as time from date of randomization to date of first documented disease (as assessed by Blinded Independent Review Committee (BIRC) per RECIST 1.1) or date of death due to any cause (NCT01828099)
Timeframe: from the date of randomization to the date of first radiologically documented disease progression or death due to any cause (assessed every 6 weeks up to approximately 34 months)
Intervention | months (Median) |
---|
Ceritinib | 16.6 |
Chemotherapy | 8.1 |
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Progression Free Survival (PFS) Blinded Independent Review Committee Per Blinded Independent Review Committee (BIRC)
PFS is defined as the time from the date of randomization to the date of the first radiologically documented disease progression or death due to any cause. (NCT01828112)
Timeframe: 'from the date of randomization to the date of first radiologically documented disease progression or death due to any cause up to approximately 24 months
Intervention | Percentage of participants (Median) |
---|
Ceritinib | 5.4 |
Chemotherapy | 1.6 |
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Number of Participants Who Experienced Dose-limiting Toxicities (DLTs)
"The following toxicities graded per the Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v.4.0) were considered DLTs if judged by the investigator to be related to either study drug:~Grade (G) 4 neutropenia lasting >7 days~Grade 3 and Grade 4 febrile neutropenia~Grade 4 thrombocytopenia (<25,000/mm^3)~Grade 4 anemia~Grade 4 non-hematologic toxicity (not laboratory)~Grade 3 non-hematologic toxicity (not laboratory) lasting >3 days despite optimal supportive care~Any Grade 3 non-hematologic laboratory value if medical intervention is required to treat the participant or the abnormality persists for >7 days.~(Part D only) Missing the second dose of pembrolizumab (Cycle1 Day 22) due to drug-related adverse event" (NCT01840579)
Timeframe: Cycle 1 (first dose and up to 4 weeks in Part A, 3 weeks in Parts B, C, E, and 6 weeks in Part D)
Intervention | Participants (Count of Participants) |
---|
Part A: Pembrolizumab 2 mg/kg | 0 |
Part A: Pembrolizumab 10 mg/kg | 0 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 1 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 0 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 2 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 0 |
Part D: Pembrolizumab+Ipilimumab | 0 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 3 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 0 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 0 |
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Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE)
An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. (NCT01840579)
Timeframe: Up to approximately 37.9 months
Intervention | Participants (Count of Participants) |
---|
Part A: Pembrolizumab 2 mg/kg | 0 |
Part A: Pembrolizumab 10 mg/kg | 0 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 1 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 5 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 4 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 3 |
Part D: Pembrolizumab+Ipilimumab | 2 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 1 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 1 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 0 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 8: Parts A, B, C, and E
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Parts A, B, C and E on Day 1 of Cycle 8 at pre-dose and 0-30 minutes post-dose. Cycle 8 length for Part A was 14 days. Cycle 8 length for Parts B, C, and E was 21 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 8 was only planned for Parts A, B, C, and E. (NCT01840579)
Timeframe: Cycle 8 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 115 |
Part A: Pembrolizumab 10 mg/kg | 298 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 124.47 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 95.51 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 122.00 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 66.62 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 150.00 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 131.78 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 6: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 6 at pre-dose and 0-30 minutes post-dose. Cycle 6 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 6 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 6 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 115 |
Part A: Pembrolizumab 10 mg/kg | 286 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 4: Parts A and D
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 4 at pre-dose and 0-30 minutes post-dose and for Part D on Day 22 of Cycle 4 at pre-dose (Day 1 of the following cycle prior to pembrolizumab infusion) and 0-30 minutes post-dose. Cycle 4 length for Part A was 14 days. Cycle 4 length for Part D was 42 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 4 was only planned for Parts A and D. (NCT01840579)
Timeframe: Cycle 4 Day 1 pre- and post-dose (Part A) and Day 22 pre-dose (Day 1 of the following cycle prior to pembrolizumab infusion) and post-dose (Part D)
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 93.0 |
Part A: Pembrolizumab 10 mg/kg | 367 |
Part D: Pembrolizumab+Ipilimumab | 86.21 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 18: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 18 at pre-dose and 0-30 minutes post-dose. Cycle 18 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 18 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 18 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 329 |
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Number of Participants Who Experienced at Least One Adverse Event (AE)
An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. (NCT01840579)
Timeframe: Up to approximately 51.3 months
Intervention | Participants (Count of Participants) |
---|
Part A: Pembrolizumab 2 mg/kg | 3 |
Part A: Pembrolizumab 10 mg/kg | 7 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 6 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 6 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 8 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 6 |
Part D: Pembrolizumab+Ipilimumab | 5 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 6 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 6 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 3 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 2: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 2 at pre-dose and 0-30 minutes post-dose. Cycle 2 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 2 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 2 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 82.7 |
Part A: Pembrolizumab 10 mg/kg | 322 |
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Volume of Distribution (Vz) of Pembrolizumab Over Time for Part A Cycle 1
Vz was the volume of distribution during the terminal phase. Blood sampling was taken at the following timepoints: Part A Cycle 1 Day 1 at pre-dose, 0-30 minutes post-dose, and at 6, 24, 48, 168, 336, 504 hours after completion of pembrolizumab infusion and Day 1 of Cycle 2 prior to pembrolizumab infusion. Cycle 1 length A was 28 days. Vz is reported as geometric mean with a percent coefficient of variation. Per protocol, analysis for Vz was only planned for Part A Cycle 1. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Part A (Up to approximately 28 days)
Intervention | mL/kg (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 65.3 |
Part A: Pembrolizumab 10 mg/kg | 76.5 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 9: Part A
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 9 Ctrough was taken for Part A on Day 1 of Cycle 10 at pre-dose (prior to Cycle 10 infusion). Cycle 9 length for Part A was 14 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 9 Ctrough was only planned for Part A. (NCT01840579)
Timeframe: Cycle 10 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 68.4 |
Part A: Pembrolizumab 10 mg/kg | 125 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 8: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 8 Ctrough was taken for Part D on Day 22 of Cycle 8 at pre-dose (prior to Cycle 9 infusion). Cycle 8 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 8 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 8 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 35.20 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 7: Parts A, B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 7 Ctrough was taken for Parts A, B, C, and E on Day 1 of Cycle 8 at pre-dose (prior to Cycle 8 infusion). Cycle 7 length for Part A was 14 days. Cycle 7 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 7 Ctrough was only planned for Parts A, B, C, and E. (NCT01840579)
Timeframe: Cycle 8 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 54.9 |
Part A: Pembrolizumab 10 mg/kg | 134 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 39.33 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 37.44 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 42.70 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 32.44 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 54.0 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 48.92 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 43.10 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 6: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 6 Ctrough was taken for Part D on Day 22 of Cycle 6 at pre-dose (prior to Cycle 7 infusion). Cycle 6 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 6 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 6 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 40.10 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 5: Parts A, B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 5 Ctrough was taken for Parts A, B, C, and E on Day 1 of Cycle 6 at pre-dose (prior to Cycle 6 infusion). Cycle 5 length for Part A was 14 days. Cycle 5 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 5 Ctrough was only planned for Parts A, B, C, and E. (NCT01840579)
Timeframe: Cycle 6 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 46.5 |
Part A: Pembrolizumab 10 mg/kg | 38.3 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 37.70 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 23.84 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 35.33 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 33.91 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 47.82 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 38.63 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 46.47 |
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Area Under the Concentration Time Curve From 0-28 Days (AUC 0-28) for Part A Cycle 1
AUC 0-28 was the AUC of pembrolizumab from time zero to 28 days after dosing. Blood sampling was taken at the following timepoints: Part A Cycle 1 Day 1 at pre-dose, 0-30 minutes post-dose, and at 6, 24, 48, 168, 336, 504 hours after completion of pembrolizumab infusion and Day 1 of Cycle 2 pre-dose. Cycle 1 length was 28 days. AUC 0-28 is reported as geometric mean with a percent coefficient of variation. Per protocol, analysis for AUC 0-28 was only planned for Part A Cycle 1. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Part A (Up to approximately 28 days)
Intervention | µg•day/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 507 |
Part A: Pembrolizumab 10 mg/kg | 2219 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 4: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 4 Ctrough was taken for Part D on Day 22 of Cycle 4 at pre-dose (prior to Cycle 5 infusion). Cycle 4 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 4 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 4 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 28.08 |
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Clearance (CL) of Pembrolizumab Over Time for Part A Cycle 1
CL was the volume of plasma from which pembrolizumab was eliminated per unit time. Blood sampling was taken at the following timepoints: Part A Cycle 1 Day 1 at pre-dose, 0-30 minutes post-dose, and at 6, 24, 48, 168, 336, 504 hours after completion of pembrolizumab infusion and Day 1 of Cycle 2 prior to pembrolizumab infusion. Cycle 1 length A was 28 days. CL is reported as geometric mean with a percent coefficient of variation. Per protocol, analysis for CL was only planned for Part A Cycle 1. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Part A (Up to approximately 28 days)
Intervention | mL/day/kg (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 2.46 |
Part A: Pembrolizumab 10 mg/kg | 2.93 |
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Area Under the Concentration Time Curve From 0-Infinity (AUC 0-inf) for Part A Cycle 1
AUC 0-inf was the AUC of pembrolizumab from time zero to infinity after dosing. Blood sampling was taken at the following timepoints: Part A Cycle 1 Day 1 at pre-dose, 0-30 minutes post-dose, and at 6, 24, 48, 168, 336, 504 hours after completion of pembrolizumab infusion and Day 1 of Cycle 2 pre-dose. Cycle 1 length was 28 days. AUC 0-inf is reported as geometric mean with a percent coefficient of variation. Per protocol, analysis for AUC 0-inf was only planned for Part A Cycle 1. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Part A (Up to approximately 28 days)
Intervention | µg•day/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 812 |
Part A: Pembrolizumab 10 mg/kg | 3410 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 1: Parts A, B, C, D, and E
Cmax was the maximum observed concentration of pembrolizumab in serum. For Part A, samples were collected on Day 1 at pre-dose, post-dose (to +30 min), 6 hour (hr) (±30 min), and 24hr; Days 2, 3, 8, 15, and 22 (±2 hr for Day 2 to Day 22) after completion of infusion. For Parts B, C, and E, samples were collected on Day 1 at pre-dose, post-dose (to +30 min), and 24hr; Day 5 (96hr was preferred, 72hr or 120hr were also acceptable, ±2 hr), and Day 15 (±24 hr) after completion of infusion. For Part D, samples were collected on Day 1 at pre-dose, post-dose (to +30 min), and 24hr; Day 5 (96hr was preferred, 72hr or 120hr were also acceptable, ±2 hr), Day 15, and Day 22 (±24 hr) after completion of infusion. Cycle 1 length for Part A was 28 days. Cycle 1 length for Parts B, C, and E was 21 days. Cycle 1 length for Part D was 42 days. Cmax is reported as geometric mean with a percent coefficient of variation. Per protocol, analysis for Cmax was planned for Parts A, B, C, D, and E. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Parts A, B, C, D, and E (up to approximately 22 days)
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 47.4 |
Part A: Pembrolizumab 10 mg/kg | 250 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 52.51 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 47.46 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 56.39 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 53.79 |
Part D: Pembrolizumab+Ipilimumab | 72.71 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 74.33 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 84.55 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 88.65 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 10: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 10 at pre-dose and 0-30 minutes post-dose. Cycle 10 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 10 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 10 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 133 |
Part A: Pembrolizumab 10 mg/kg | 266 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 12: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 12 at pre-dose and 0-30 minutes post-dose. Cycle 12 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 12 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 12 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 357 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 14: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 14 at pre-dose and 0-30 minutes post-dose. Cycle 14 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 14 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 14 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 335 |
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Maximum Serum Concentration (Cmax) of Pembrolizumab for Cycle 16: Part A
Cmax was the maximum observed concentration of pembrolizumab in serum. Blood sampling was taken for Part A on Day 1 of Cycle 16 at pre-dose and 0-30 minutes post-dose. Cycle 16 length for Part A was 14 days. Cmax is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cmax in Cycle 16 was only planned for Part A. (NCT01840579)
Timeframe: Cycle 16 Day 1 pre- and post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 348 |
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Time to Maximum Serum Concentration (Tmax) of Pembrolizumab for Cycle 8: Parts B, C, and E
Tmax was the time required to reach the maximum concentration of pembrolizumab in serum. Blood sampling was taken for Parts B, C, and E on Day 1 of Cycle 8 at pre-dose and 0-30 minutes post-dose. Cycle 8 for Parts B, C, and E was 21 days. Tmax is reported as median and full range. Per protocol, analysis for Tmax in Cycle 8was planned for Parts B, C, and E. (NCT01840579)
Timeframe: Cycle 8 Day 1 pre- and post-dose
Intervention | days (Median) |
---|
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 0.024 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 0.026 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 0.028 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 0.027 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 0.029 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 0.026 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 3: Parts A, B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 3 Ctrough was taken for Parts A, B, C, and E on Day 1 of Cycle 4 at pre-dose (prior to Cycle 4 infusion). Cycle 3 length for Part A was 14 days. Cycle 3 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). (NCT01840579)
Timeframe: Cycle 4 Day 1 at Pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 37.2 |
Part A: Pembrolizumab 10 mg/kg | 83.0 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 32.71 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 25.38 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 24.80 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 23.63 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 32.20 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 30.43 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 34.31 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 3: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 3 Ctrough was taken for Part D on Day 22 of Cycle 3 at pre-dose (prior to Cycle 4 infusion). Cycle 3 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). (NCT01840579)
Timeframe: Cycle 3 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 30.30 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 27: Parts B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling was taken for Parts B, C, and E on Day 1 of Cycle 28 at pre-dose (prior to Cycle 28 infusion). Cycle 27 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 27 Ctrough was only planned for Parts B, C, and E. (NCT01840579)
Timeframe: Cycle 28 Day 1 Pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 53.90 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 68.20 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 23: Parts B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling was taken for Parts B, C, and E on Day 1 of Cycle 24 at pre-dose (prior to Cycle 24 infusion). Cycle 23 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 23 Ctrough was only planned for Parts B, C, and E. (NCT01840579)
Timeframe: Cycle 24 Day 1 Pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 42.40 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 51.72 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 2: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 2 Ctrough was taken for Part D on Day 22 of Cycle 2 at pre-dose (prior to Cycle 3 infusion). Cycle 2 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 2 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 2 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 20.10 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 19: Parts B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling was taken for Parts B, C, and E on Day 1 of Cycle 20 at pre-dose (prior to Cycle 20 infusion). Cycle 19 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 19 Ctrough was only planned for Parts B, C, and E. (NCT01840579)
Timeframe: Cycle 20 Day 1 Pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 48.50 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 50.98 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 17: Part A
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling was taken for Part A on Day 1 of Cycle 18 at pre-dose (prior to Cycle 18 infusion). Cycle 17 length for Part A was 14 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 17 Ctrough was planned for Part A. (NCT01840579)
Timeframe: Cycle 18 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 125 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 16: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 16 Ctrough was taken for Part D on Day 22 of Cycle 16 at pre-dose (prior to Cycle 17 infusion). Cycle 16 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 16 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 16 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 30.70 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 15: Parts A, B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling was taken for Parts A, B, C, and E on Day 1 of Cycle 16 at pre-dose (prior to Cycle 16 infusion). Cycle 15 length for Part A was 14 days. Cycle 15 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 15 Ctrough was only planned for Parts A, B, C, and E. (NCT01840579)
Timeframe: Cycle 16 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 199 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 47.50 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 56.27 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 52.50 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 14: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 14 Ctrough was taken for Part D on Day 22 of Cycle 14 at pre-dose (prior to Cycle 15 infusion). Cycle 14 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 14 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 14 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 28.40 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 13: Part A
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 13 Ctrough was taken for Part A on Day 1 of Cycle 14 at pre-dose (prior to Cycle 14 infusion). Cycle 13 length for Part A was 14 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 13 Ctrough was only planned for Part A. (NCT01840579)
Timeframe: Cycle 14 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 147 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 12: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 12 Ctrough was taken for Part D on Day 22 of Cycle 12 at pre-dose (prior to Cycle 13 infusion). Cycle 12 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 12 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 12 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 30.90 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 11: Parts A, B, C, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 11 Ctrough was taken for Parts A, B, C, and E on Day 1 of Cycle 12 at pre-dose (prior to Cycle 12 infusion). Cycle 11 length for Part A was 14 days. Cycle 11 length for Parts B, C, and E was 21 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 11 Ctrough was only planned for Parts A, B, C, and E. (NCT01840579)
Timeframe: Cycle 12 Day 1 Pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 10 mg/kg | 159 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 39.30 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 45.00 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 32.60 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 57.80 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 52.20 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 10: Part D
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 10 Ctrough was taken for Part D on Day 22 of Cycle 10 at pre-dose (prior to Cycle 11 infusion). Cycle 10 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 10 Ctrough was only planned for Part D. (NCT01840579)
Timeframe: Cycle 10 Day 22 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part D: Pembrolizumab+Ipilimumab | 36.30 |
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Trough Concentration (Ctrough) of Pembrolizumab for Cycle 1: Parts A, B, C, D, and E
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose. Blood sampling for Cycle 1 Ctrough was taken for Parts A, B, C, D, and E on Day 1 of Cycle 2 at pre-dose (prior to Cycle 2 infusion). Cycle 1 length for Part A was 28 days. Cycle 1 length for Parts B, C, and E was 21 days. Cycle 1 length for Part D was 42 days. Ctrough is reported as geometric mean with a percent coefficient of variation (%CV). Per protocol, analysis for Cycle 1 Ctrough was planned for Parts A, B, C, D, and E. (NCT01840579)
Timeframe: Cycle 2 Day 1 pre-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 11.2 |
Part A: Pembrolizumab 10 mg/kg | 47.9 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 19.88 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 15.79 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 9.45 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 10.96 |
Part D: Pembrolizumab+Ipilimumab | 8.26 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 14.57 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 15.30 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 17.88 |
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Time to Maximum Serum Concentration (Tmax) of Pembrolizumab for Cycle 4: Part D
Tmax was the time required to reach the maximum concentration of pembrolizumab in serum. Blood sampling was taken for Part D on Day 22 of Cycle 4 at pre-dose (Day 1 of the following cycle prior to pembrolizumab infusion) and 0-30 minutes post-dose. Cycle length for Part D was 42 days. Tmax is reported as median and full range. Per protocol, analysis for Tmax in Cycle 4 was only planned for Part D. (NCT01840579)
Timeframe: Cycle 4 Day 22 pre-dose (Day 1 of the following cycle prior to pembrolizumab infusion) and post-dose
Intervention | days (Median) |
---|
Part D: Pembrolizumab+Ipilimumab | 0.026 |
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Time to Maximum Serum Concentration (Tmax) of Pembrolizumab for Cycle 1: Parts A, B, C, D, and E
Tmax was the time required to reach the maximum concentration of pembrolizumab in serum. For Part A, samples were collected on Day 1 at pre-dose, post-dose (to +30 min), 6 hour (hr) (±30 min), and 24hr; Days 2, 3, 8, 15, and 22 (±2 hr for Day 2 to Day 22) after completion of infusion. For Parts B, C, and E, samples were collected on Day 1 at pre-dose, post-dose (to +30 min), and 24hr; Day 5 (96hr was preferred, 72hr or 120hr were also acceptable, ±2 hr), and Day 15 (±24 hr) after completion of infusion. For Part D, samples were collected on Day 1 at pre-dose, post-dose (to +30 min), and 24hr; Day 5 (96hr was preferred, 72hr or 120hr were also acceptable, ±2 hr), Day 15, and Day 22 (±24 hr) after completion of infusion. Cycle 1 length for Part A was 28 days. Cycle 1 length for Parts B, C, and E was 21 days. Cycle 1 length for Part D was 42 days. Tmax is reported as median and full range. Per protocol, analysis for Tmax in Cycle 1 was planned for Parts A, B, C, D, and E. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Parts A, B, C, D, and E (up to approximately 22 days)
Intervention | days (Median) |
---|
Part A: Pembrolizumab 2 mg/kg | 0.223 |
Part A: Pembrolizumab 10 mg/kg | 0.00903 |
Part B: Pembrolizumab+Cisplatin/Pemetrexed | 1.98 |
Part B: Pembrolizumab+Carboplatin/Pemetrexed | 2.52 |
Part C: Pembrolizumab+Carboplatin/Paclitaxel | 0.028 |
Part C: Pembrolizumab+Carboplatin/Nab-paclitaxel | 0.027 |
Part D: Pembrolizumab+Ipilimumab | 0.026 |
Part E: Pembrolizumab+Cisplatin/Etoposide | 0.026 |
Part E: Pembrolizumab+Carboplatin/Etoposide | 0.028 |
Part E: Pembrolizumab+Cisplatin/Etoposide+G-CSF | 0.031 |
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Terminal Half-Life (t1/2) of Pembrolizumab Over Time for Part A Cycle 1
t1/2 was the time required to divide the pembrolizumab concentration by two after reaching pseudo-equilibrium. Blood sampling was taken at the following timepoints: Part A Cycle 1 Day 1 at pre-dose, 0-30 minutes post-dose, and at 6, 24, 48, 168, 336, 504 hours after completion of pembrolizumab infusion and pre-dose Day 1 of the following cycle prior to pembrolizumab infusion. Cycle 1 length A was 28 days. t1/2 is reported as geometric mean with a percent coefficient of variation. Per protocol, analysis for t1/2 was only planned for Part A Cycle 1. (NCT01840579)
Timeframe: At designated timepoints in Cycle 1 for Part A (Up to approximately 28 days)
Intervention | days (Geometric Mean) |
---|
Part A: Pembrolizumab 2 mg/kg | 18.4 |
Part A: Pembrolizumab 10 mg/kg | 18.1 |
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Number of Participants With Non-serious Adverse Events (AEs) and Serious AEs (SAEs)
An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, protocol-specific events including drug-induced liver injury with hyperbilirubinaemia, any new primary cancers, cardiac toxicity including Left Ventricular Ejection Fraction (LVEF) changes or treatment emergent cardiac valve toxicity and treatment emergent acute anterior uveitis were categorized as SAE. Participants having non-serious AE or SAE were included in the analysis. The All Treated Subjects Population comprised of all participants who received at least one dose of study treatment. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| Non-serious AEs | SAEs |
---|
10 mg/kg GSK3052230 + Docetaxel: Arm B | 3 | 3 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 3 | 3 |
,10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 3 | 0 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 24 | 5 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 3 | 1 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 14 | 5 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 8 | 4 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 3 | 2 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 3 | 0 |
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Number of Participants With the Abnormal Urinalysis Findings
Urinalysis parameters included urine protein, urine glucose, urine ketones and occult blood were assessed. Dipstick test was performed for routine urinalysis. Abnormal values such as trace, 1+, 2+, 3+, 4+, >1000, >=1000, and >10 have been reported. (NCT01868022)
Timeframe: Up to Cycle 16 (each cycle was of 21 days)
Intervention | Participants (Count of Participants) |
---|
| Cycle 1 Day 1, Urine glucose, >1000 | Cycle 1 Day 1, Urine glucose, 2+ | Cycle 1 Day 1, Urine glucose, trace | Cycle 2 Day 1, Urine glucose, trace | Cycle 4 Day 1, Urine glucose, >=1000 | Cycle 4 Day 1, Urine glucose, 4+ | Cycle 1 Day 1, Urine ketones, trace | Cycle 4 Day 1, Urine ketones, trace | Cycle 28, Day 1, Urine ketones, trace | Cycle 1 Day 1, Occult Blood, 1+ | Cycle 1 Day 1, Occult Blood, 3+ | Cycle 2 Day 1, Occult Blood, 1+ | Cycle 2 Day 1, Occult Blood, trace | Cycle 4 Day 1, Occult Blood, trace | Cycle 4 Day 1, Occult Blood, 1+ | Cycle 4 Day 1, Occult Blood, 2+ | Cycle 8 Day 1, Occult Blood, 1+ | Cycle 1 Day 1, Urine protein, 1+ | Cycle 1 Day 1, Urine protein, trace | Cycle 2, Day 1, Urine protein, trace | Cycle 2, Day 1, Urine protein, 2+ | Cycle 4, Day 1, Urine protein, trace | Cycle 8, Day 1, Urine protein, trace | Cycle 12, Day 1, Urine protein, trace | Cycle 16, Day 1, Urine protein, trace |
---|
10 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
,10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 2 | 3 | 1 | 0 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 0 | 0 | 0 | 0 | 0 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 0 | 1 | 1 | 0 | 1 | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 2 | 0 | 1 | 1 | 1 | 0 | 0 | 0 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With Clinically Significant Findings for 12-lead Electrocardiogram (ECG)
A single 12-lead ECG was performed at the specified timepoints during the study where the participant was instructed to be in semi-recumbent position for 5 minutes before obtaining the ECG. An ECG machine that automatically calculated the heart rate and measures like the PR, QRS, QT, and corrected QT intervals. Number of participants with worst-case post-Baseline abnormal clinically significant findings and abnormal not clinically significant findings in ECG results has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| Abnormal not clinically significant | Abnormal clinically significant |
---|
10 mg/kg GSK3052230 + Docetaxel: Arm B | 2 | 0 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 2 | 0 |
,10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 1 | 0 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 12 | 3 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 3 | 0 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 8 | 1 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 | 3 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 2 | 0 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 0 |
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Change From Baseline in Heart Rate
Heart rate was measured in a semi-supine position after 5 minutes of rest. Heart rate was measured before start of first chemotherapy infusion and within 20 minutes before start of GSK3052230 infusion on Day 1 of every cycle and Baseline. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. The worst-case post-Baseline values has been presented. (NCT01868022)
Timeframe: Baseline and up to Median of 28.5 weeks
Intervention | Beats per minute (bpm) (Mean) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | -0.3 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 3.2 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 8.0 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 28.0 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 10.5 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 0.6 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | -5.0 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2.8 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 24.4 |
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Change From Baseline in Temperature
Temperature was measured in a semi-supine position after 5 minutes of rest. Temperature was measured before start of first chemotherapy infusion and within 20 minutes before start of GSK3052230 infusion on Day 1 of every cycle and Baseline. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. The worst-case post-Baseline values has been presented. (NCT01868022)
Timeframe: Baseline and up to Median of 28.5 weeks
Intervention | Degree Celsius (Mean) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | -0.30 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | -0.38 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0.35 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 0.10 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 1.03 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | -0.03 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | -0.23 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | -0.16 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0.12 |
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Number of Participants With Dose Delays
Dose reduction and delays were done due to toxicity, or in the interest of participant's safety per investigator discretion. Requirement for more than 2 dose reductions resulted in permanent discontinuation of chemotherapy. Participants with dose delay has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 2 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 4 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 2 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 1 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 12 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 1 |
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Number of Participants With Dose Reduction
Dose reduction and delays were done due to toxicity, or in the interest of participant's safety per investigator discretion. Requirement for more than 2 dose reductions resulted in permanent discontinuation of chemotherapy. Participants with dose reduction has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 1 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 3 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 1 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 2 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 |
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Number of Participants With Dose-Limiting Toxicities (DLT)
DLT is defined as toxicities due to GSK3052230 or due to the combination of GSK3052230 with chemotherapy within Cycle 1 (first 21 days of period on study) that are unlikely to be due to another cause, such as the known effects of cytotoxics chemotherapy alone, disease progression, or accident, and protocol-specified criteria. Clinically significant toxicities that persist or occur beyond Cycle 1 that the investigator and GlaxoSmithKline (GSK) medical monitor consider dose-limiting may also be designated a DLT for the purpose of establishing Maximum tolerated dose (MTD). Number of participants with DLTs has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 1 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 3 |
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Number of Participants With Maximum Tolerated Dose (MTD) or Maximum Feasible Dose (MFD)
The MTD is defined as the highest dose level tested at which < 33 percent of participants experience a DLT. In cases when MTD is not reached dose was described as the MFD. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 14 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 3 |
15 mg/kg GSK3052230 + Pemetrexed + Carboplatin: Arm C | 25 |
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Number of Participants With Overall Response Rate (ORR)
Overall Response Rate (ORR) is defined as the percentage of participants achieving a confirmed Complete response (CR) or Partial response (PR) from the start of treatment until disease progression as per RECIST version 1.1 or modified RECIST for participants in Arm C. This was determined based on Investigator assessments of response. 95% confidence intervals (CI) are calculated based on the unconditional exact method. ORR as per RECIST vesrion 1.1 for Arm A and B has been reported. ORR as per RECIST version 1.1 and modified RECIST version 1.1 for Arm C has been reported. The study population used for decision-making at the interim analyses during the dose expansion cohorts of the study arms is termed as the All Evaluable Participants Population. NA indicates 0 participants met ORR criteria therefore no dispersion. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 1 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 2 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 6 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 11 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 1 |
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Number of Participants Withdrew Due to AEs
An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. The AEs leading to permanent discontinuation from the study has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 1 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 1 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 3 |
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Progression Free Survival (PFS) as Assessed by Investigator
PFS is defined as the interval between first dose of GSK3052230 and the earliest date of disease progression or death due to any cause by investigator assessment per RECIST 1.1 (for Arm A and B participants) or modified RECIST (for Arm C participants). For participants who do not progress or die, PFS was censored at the time of last radiological scan. Participants who discontinued study with no post-treatment tumor assessment were censored at date of first dose of study drug. Mean and 95 percent CI has been reported. NA indicates that data were not available as only 1 participant had event, other two censored therefore there is no confidence interval. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Months (Median) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 4.1 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | NA |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 5.5 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 4.6 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 9.5 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 5.1 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 4.6 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 7.4 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 4.1 |
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Treatment Duration With GSK3052230
The number of participants administered study treatment were summarized according to the duration of therapy. The extent of treatment exposure is calculated as the number of cycles administered. The duration of exposure to study treatment is calculated from first day to last day of treatment plus 1 day. Median and full range (minimum and maximum) has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Cycles (Median) |
---|
5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 7.0 |
10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 15.0 |
20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 8.0 |
5 mg/kg GSK3052230 + Docetaxel: Arm B | 6.0 |
10 mg/kg GSK3052230 + Docetaxel: Arm B | 4.0 |
20 mg/kg GSK3052230 + Docetaxel: Arm B | 6.0 |
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 6.0 |
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 11.0 |
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 3.0 |
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Change From Baseline in Forced Vital Capacity (FVC) in of Arm C Participants With Malignant Pleural Mesothelioma (MPM)
FVC is the total amount of air exhaled during the Forced Expiratory Volume test. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Assessment of FVC was done on Day 1 of every odd cycle for Arm C participants with MPM. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates that data were not available as standard deviation could not be calculated for a single participant. (NCT01868022)
Timeframe: Up to 31 cycles (each cycle was of 21 days)
Intervention | Liters (Mean) |
---|
| Cycle 3,Day 1, n=3, 24, 4 | Cycle 4,Day 1, n=1, 4, 1 | Cycle 5,Day 1, n=1, 23, 3 | Cycle 6,Day 1, n=1, 5, 2 | Cycle 7,Day 1, n=1, 15, 2 | Cycle 8,Day 1, n=0, 3, 1 | Cycle 9,Day 1, n=0, 15, 1 | Cycle 10,Day 1, n=0, 3, 0 | Cycle 11,Day 1, n=0, 12, 2 | Cycle 12,Day 1, n=0, 2, 1 | Cycle 13,Day 1, n=0, 8, 2 | Cycle 14,Day 1, n=0, 3, 1 | Cycle 15,Day 1, n=0, 6, 1 | Cycle 17,Day 1, n=0, 4, 1 | Cycle 19,Day 1, n=0, 1, 1 | Cycle 21,Day 1, n=0, 1, 1 | Cycle 23,Day 1, n=0, 1, 1 |
---|
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0.280 | 0.413 | 0.238 | 0.464 | 0.399 | 0.263 | 0.353 | 0.063 | 0.347 | 0.225 | 0.389 | -0.207 | 0.247 | 0.158 | -0.02 | -0.27 | -0.62 |
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Change From Baseline in Forced Vital Capacity (FVC) in of Arm C Participants With Malignant Pleural Mesothelioma (MPM)
FVC is the total amount of air exhaled during the Forced Expiratory Volume test. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Assessment of FVC was done on Day 1 of every odd cycle for Arm C participants with MPM. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates that data were not available as standard deviation could not be calculated for a single participant. (NCT01868022)
Timeframe: Up to 31 cycles (each cycle was of 21 days)
Intervention | Liters (Mean) |
---|
| Cycle 3,Day 1, n=3, 24, 4 | Cycle 4,Day 1, n=1, 4, 1 | Cycle 5,Day 1, n=1, 23, 3 | Cycle 6,Day 1, n=1, 5, 2 | Cycle 7,Day 1, n=1, 15, 2 | Cycle 8,Day 1, n=0, 3, 1 | Cycle 9,Day 1, n=0, 15, 1 | Cycle 11,Day 1, n=0, 12, 2 | Cycle 12,Day 1, n=0, 2, 1 | Cycle 13,Day 1, n=0, 8, 2 | Cycle 14,Day 1, n=0, 3, 1 | Cycle 15,Day 1, n=0, 6, 1 | Cycle 17,Day 1, n=0, 4, 1 | Cycle 19,Day 1, n=0, 1, 1 | Cycle 21,Day 1, n=0, 1, 1 | Cycle 23,Day 1, n=0, 1, 1 | Cycle 25,Day 1, n=0, 0, 1 | Cycle 27,Day 1, n=0, 0, 1 | Cycle 31,Day 1, n=0, 0, 1 |
---|
20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0.138 | 0.600 | 0.587 | 0.110 | 0.575 | 0.640 | 1.130 | 0.510 | 0.580 | 0.555 | 0.910 | -0.030 | 0.560 | 0.620 | 0.560 | 0.510 | 0.430 | 0.220 | 0.270 |
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Change From Baseline in Forced Vital Capacity (FVC) in of Arm C Participants With Malignant Pleural Mesothelioma (MPM)
FVC is the total amount of air exhaled during the Forced Expiratory Volume test. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Assessment of FVC was done on Day 1 of every odd cycle for Arm C participants with MPM. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates that data were not available as standard deviation could not be calculated for a single participant. (NCT01868022)
Timeframe: Up to 31 cycles (each cycle was of 21 days)
Intervention | Liters (Mean) |
---|
| Cycle 3,Day 1, n=3, 24, 4 | Cycle 4,Day 1, n=1, 4, 1 | Cycle 5,Day 1, n=1, 23, 3 | Cycle 6,Day 1, n=1, 5, 2 | Cycle 7,Day 1, n=1, 15, 2 |
---|
10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0.303 | -0.340 | 0.240 | 0.310 | 0.530 |
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Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Blood pressure was measured in a semi-supine position after 5 minutes of rest. Blood pressure was measured before start of first chemotherapy infusion and within 20 minutes before start of GSK3052230 infusion on Day 1 of every cycle and Baseline. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. The worst-case post-Baseline values has been presented. NA indicates that data were not available as standard deviation could not be calculated for a single participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01868022)
Timeframe: Baseline and up to Median of 28.5 weeks
Intervention | Millimeters of mercury (mmHg) (Mean) |
---|
| DBP, n=3, 2, 9, 3, 2, 2, 3, 21, 5 | SBP, n=3, 1, 13, 2, 2, 2, 3, 21, 4 |
---|
10 mg/kg GSK3052230 + Docetaxel: Arm B | 6.0 | 17.5 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0.5 | -14.0 |
,10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2.3 | 3.0 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 12.8 | 12.5 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 3.5 | 6.0 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 2.0 | 9.6 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 10.6 | 18.7 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | -0.6 | 10.5 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 6.3 | -12.3 |
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Number of Participants With Abnormal Echocardiogram (ECHO) Findings
Echocardiography scans were obtained at given time points using an echocardiogram and the findings for left ventricular ejection fraction (LVEF) were obtained. LVEF values at end of treatment (EOT) were recorded as no change or any increase and any decrease values. Only those participants available at the specified time points were analyzed. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| No change or any increase | Any Decrease |
---|
15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 | 3 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 1 | 1 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 1 | 1 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 2 | 0 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 1 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 1 |
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Number of Participants With Hematology Change From Baseline With Respect to the Normal Range
Hematology parameters included platelet Count, red blood cell (RBC) Count, hemoglobin, absolute white blood cell (WBC) Count, absolute neutrophils (Neu), absolute lymphocytes (Lym), absolute monocytes (Mono), absolute eosinophils (Eos), absolute basophils (Baso). Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Hematology parameters with worst-case change from Baseline with respect to normal range only has been presented. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| Baso, decrease to low, n=3,3,14,3,3,3,3,22,8 | Baso, normal or no change, n=3,3,14,3,3,3,3,22,8 | Baso, increase to high, n=3,3,14,3,3,3,3,22,8 | Eos, decrease to low, n=3,3,14,3,3,3,3,24,8 | Eos, normal or no change, n=3,3,14,3,3,3,3,24,8 | Eos, increase to high, n=3,3,14,3,3,3,3,24,8 | Mono, decrease to low, n=3,3,14,3,3,3,3,25,8 | Mono, normal or no change, n=3,3,14,3,3,3,3,25,8 | Mono, increase to high, n=3,3,14,3,3,3,3,25,8 | RBC, decrease to low, n=3,3,14,3,3,3,3,25,8 | RBC, normal or no change, n=3,3,14,3,3,3,3,25,8 | RBC, increase to high, n=3,3,14,3,3,3,3,25,8 |
---|
10 mg/kg GSK3052230 + Docetaxel: Arm B | 1 | 1 | 1 | 1 | 3 | 0 | 2 | 0 | 3 | 1 | 2 | 1 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 3 | 0 | 0 | 3 | 0 | 2 | 0 | 3 | 2 | 1 | 0 |
,10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 3 | 0 | 0 | 3 | 0 | 2 | 2 | 0 | 1 | 2 | 0 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 5 | 13 | 4 | 8 | 14 | 5 | 6 | 12 | 10 | 17 | 9 | 3 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 3 | 0 | 0 | 3 | 0 | 1 | 0 | 2 | 2 | 1 | 0 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 1 | 9 | 4 | 1 | 11 | 2 | 11 | 4 | 5 | 10 | 4 | 1 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 1 | 6 | 1 | 3 | 5 | 1 | 3 | 3 | 5 | 3 | 4 | 1 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 3 | 0 | 0 | 3 | 0 | 0 | 2 | 1 | 0 | 3 | 0 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 3 | 0 | 0 | 3 | 0 | 3 | 1 | 0 | 3 | 0 | 0 |
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Number of Participants With Best Response
Best response defined as complete response (CR:disappearance of all target. Any pathological lymph nodes < 10 millimeter [mm] in the short axis) or partial response (PR at least a 30 percent decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters), stable disease (SD neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease) or progressive disease (PR at least a 20 percent increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started. In addition, the sum must have an absolute increase from nadir of 5 mm) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or modified RECIST. Best response as per RECIST version 1.1 for Arm A and B participants has been reported. Best response according to RECIST version 1.1 or modified RECIST for Arm C participants has been reported. (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response | Stable disease, discontinued | Stable disease, ongoing | Progressive disease |
---|
10 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 0 | 2 | 0 | 0 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 2 | 1 | 0 | 0 |
,10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 2 | 1 | 0 | 0 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 11 | 10 | 2 | 1 |
,20 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 0 | 2 | 0 | 0 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 6 | 5 | 0 | 2 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 1 | 2 | 0 | 1 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 0 | 2 | 0 | 1 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 1 | 1 | 0 | 1 |
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Number of Participants With Clinical Chemistry Changes From Baseline With Respect to the Normal Range
Clinical chemistry parameters included potassium, sodium, chloride (Cl), total carbon dioxide (CO2), total and ionized calcium, magnesium, phosphate, albumin, glucose (fasting), Blood urea nitrogen (BUN), creatinine (Cr), uric acid, creatinine clearance, aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyl transferase (GGT), alkaline phosphatase, Total bilirubin (T. Bil), and Direct bilirubin (D. Bil), total T3 and T4, free T4, amylase, lipase, prothrombin time, partial thromboplastin time, international normalized ratio, and fibrinogen. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Clinical chemistry parameters with change from Baseline with respect to normal range only has been presented. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| D.Bil, decrease to low, n=2,2,8,1,2,2,1,12,6 | D.Bil, normal or no change, n=2,2,8,1,2,2,1,12,6 | D.Bil, increase to high, n=2,2,8,1,2,2,1,12,6 | Cl, decrease to low, n=3,3,14,3,3,3,3,25,8 | Cl, normal or no change, n=3,3,14,3,3,3,3,25,8 | Cl, increase to high, n=3,3,14,3,3,3,3,25,8 | CO2, decrease to low, n=3,3,14,3,3,3,3,25,8 | CO2, normal or no change, n=3,3,14,3,3,3,3,25,8 | CO2, increase to high, n=3,3,14,3,3,3,3,25,8 | Cr CL, decrease to low, n=3,3,9,2,1,3,3,15,4 | Cr CL, normal or no change, n=3,3,9,2,1,3,3,15,4 | Cr CL, increase to high, n=3,3,9,2,1,3,3,15,4 | Urea/BUN, decrease to low, n=3,2,13,3,2,3,3,25,8 | Urea/BUN,normal or no change,n=3,2,13,3,2,3,3,25,8 | Urea/BUN, increase to high, n=3,2,13,3,2,3,3,25,8 |
---|
20 mg/kg GSK3052230 + Docetaxel: Arm B | 1 | 1 | 0 | 1 | 2 | 0 | 0 | 1 | 2 | 0 | 3 | 0 | 0 | 2 | 1 |
,5 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 1 | 0 | 0 | 3 | 0 | 1 | 2 | 0 | 0 | 1 | 1 | 1 | 1 | 1 |
,5 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 2 | 0 | 1 | 2 | 0 | 0 | 2 | 1 | 1 | 2 | 0 | 1 | 2 | 0 |
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Number of Participants With Clinical Chemistry Changes From Baseline With Respect to the Normal Range
Clinical chemistry parameters included potassium, sodium, chloride (Cl), total carbon dioxide (CO2), total and ionized calcium, magnesium, phosphate, albumin, glucose (fasting), Blood urea nitrogen (BUN), creatinine (Cr), uric acid, creatinine clearance, aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyl transferase (GGT), alkaline phosphatase, Total bilirubin (T. Bil), and Direct bilirubin (D. Bil), total T3 and T4, free T4, amylase, lipase, prothrombin time, partial thromboplastin time, international normalized ratio, and fibrinogen. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Clinical chemistry parameters with change from Baseline with respect to normal range only has been presented. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| D.Bil, decrease to low, n=2,2,8,1,2,2,1,12,6 | D.Bil, normal or no change, n=2,2,8,1,2,2,1,12,6 | D.Bil, increase to high, n=2,2,8,1,2,2,1,12,6 | Cl, decrease to low, n=3,3,14,3,3,3,3,25,8 | Cl, normal or no change, n=3,3,14,3,3,3,3,25,8 | Cl, increase to high, n=3,3,14,3,3,3,3,25,8 | CO2, decrease to low, n=3,3,14,3,3,3,3,25,8 | CO2, normal or no change, n=3,3,14,3,3,3,3,25,8 | CO2, increase to high, n=3,3,14,3,3,3,3,25,8 | Cr CL, decrease to low, n=3,3,9,2,1,3,3,15,4 | Cr CL, normal or no change, n=3,3,9,2,1,3,3,15,4 | Cr CL, increase to high, n=3,3,9,2,1,3,3,15,4 | T4 free, decrease to low, n=0,1,6,0,1,0,2,16,3 | T4 free, normal or no change,=0,1,6,0,1,0,2,16,3 | T4 free, increase to high, n=0,1,6,0,1,0,2,16,3 | Total T3, decrease to low, n=0,1,1,0,1,0,1,6,3 | Total T3, normal or no change, n=0,1,1,0,1,0,1,6,3 | Total T3, increase to high, n=0,1,1,0,1,0,1,6,3 | Urea/BUN, decrease to low, n=3,2,13,3,2,3,3,25,8 | Urea/BUN,normal or no change,n=3,2,13,3,2,3,3,25,8 | Urea/BUN, increase to high, n=3,2,13,3,2,3,3,25,8 |
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10 mg/kg GSK3052230 + Docetaxel: Arm B | 0 | 2 | 0 | 2 | 1 | 0 | 0 | 3 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 2 | 0 |
,10 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 1 | 1 | 1 | 0 | 2 | 1 | 1 | 2 | 2 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 2 | 0 |
,20 mg/kg GSK3052230 + Paclitaxel + Carboplatin: Arm A | 0 | 7 | 1 | 5 | 8 | 1 | 3 | 8 | 6 | 1 | 8 | 0 | 1 | 5 | 0 | 0 | 1 | 0 | 0 | 8 | 5 |
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Number of Participants With Clinical Chemistry Changes From Baseline With Respect to the Normal Range
Clinical chemistry parameters included potassium, sodium, chloride (Cl), total carbon dioxide (CO2), total and ionized calcium, magnesium, phosphate, albumin, glucose (fasting), Blood urea nitrogen (BUN), creatinine (Cr), uric acid, creatinine clearance, aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyl transferase (GGT), alkaline phosphatase, Total bilirubin (T. Bil), and Direct bilirubin (D. Bil), total T3 and T4, free T4, amylase, lipase, prothrombin time, partial thromboplastin time, international normalized ratio, and fibrinogen. Baseline is defined as the most recent, non-missing value prior to or on the first study GSK3052230 treatment dose date. Change from Baseline is calculated as visit value minus Baseline value. Clinical chemistry parameters with change from Baseline with respect to normal range only has been presented. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01868022)
Timeframe: Median of 28.5 weeks
Intervention | Participants (Count of Participants) |
---|
| D.Bil, decrease to low, n=2,2,8,1,2,2,1,12,6 | D.Bil, normal or no change, n=2,2,8,1,2,2,1,12,6 | D.Bil, increase to high, n=2,2,8,1,2,2,1,12,6 | Cl, decrease to low, n=3,3,14,3,3,3,3,25,8 | Cl, normal or no change, n=3,3,14,3,3,3,3,25,8 | Cl, increase to high, n=3,3,14,3,3,3,3,25,8 | CO2, decrease to low, n=3,3,14,3,3,3,3,25,8 | CO2, normal or no change, n=3,3,14,3,3,3,3,25,8 | CO2, increase to high, n=3,3,14,3,3,3,3,25,8 | Cr CL, decrease to low, n=3,3,9,2,1,3,3,15,4 | Cr CL, normal or no change, n=3,3,9,2,1,3,3,15,4 | Cr CL, increase to high, n=3,3,9,2,1,3,3,15,4 | T4 free, decrease to low, n=0,1,6,0,1,0,2,16,3 | T4 free, normal or no change,=0,1,6,0,1,0,2,16,3 | T4 free, increase to high, n=0,1,6,0,1,0,2,16,3 | T4 total, decrease to low, n=0,0,0,0,0,0,1,4,1 | T4 total, normal or no change, n=0,0,0,0,0,0,1,4,1 | T4 total, increase to high, n=0,0,0,0,0,0,1,4,1 | Total T3, decrease to low, n=0,1,1,0,1,0,1,6,3 | Total T3, normal or no change, n=0,1,1,0,1,0,1,6,3 | Total T3, increase to high, n=0,1,1,0,1,0,1,6,3 | Urea/BUN, decrease to low, n=3,2,13,3,2,3,3,25,8 | Urea/BUN,normal or no change,n=3,2,13,3,2,3,3,25,8 | Urea/BUN, increase to high, n=3,2,13,3,2,3,3,25,8 |
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10 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 1 | 0 | 2 | 1 | 0 | 1 | 2 | 0 | 1 | 2 | 0 | 0 | 2 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 2 |
,15 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 7 | 5 | 9 | 15 | 2 | 2 | 17 | 7 | 9 | 6 | 1 | 1 | 12 | 3 | 1 | 1 | 2 | 3 | 2 | 1 | 4 | 11 | 10 |
,20 mg/kg GSK3052230 + Pemetrexed + Cisplatin: Arm C | 0 | 5 | 1 | 3 | 5 | 2 | 0 | 5 | 3 | 0 | 4 | 0 | 1 | 2 | 0 | 0 | 0 | 1 | 2 | 1 | 0 | 1 | 3 | 4 |
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Disease Control According to Modified RECIST- Investigator Assessment
"Disease control (best overall response of confirmed CR or PR, or Stable Disease (SD) that lasted ≥36 days) according to modified RECIST.~Percentage of Patients with Disease control is presented. This endpoint was only evaluated for Phase III part." (NCT01907100)
Timeframe: Tumour imaging was to be performed every 6 weeks until disease progression, death or start of subsequent anti-cancer therapy, whichever occurred earlier; up to 54 months
Intervention | Percentage of participants (Number) |
---|
Placebo | 92.6 |
Nintedanib | 90.8 |
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Objective Response According to Modified RECIST- Investigator Assessment
"Objective response (best overall tumour response of confirmed complete response [CR] or confirmed partial response [PR]).~Complete Response: disappearance of all target lesions Partial Response: at least a 30 % decrease in the total tumour measurement of target lesions, taking as reference the baseline total tumour measurement.~Percentage of Patients with confirmed objective response is presented. This endpoint was only evaluated for Phase III part." (NCT01907100)
Timeframe: Tumour imaging was to be performed every 6 weeks until disease progression, death or start of subsequent anti-cancer therapy, whichever occurred earlier; up to 54 months
Intervention | Percentage of participants (Number) |
---|
Placebo | 42.8 |
Nintedanib | 45.0 |
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Overall Survival (OS)
"Overall survival was defined as the duration of time from randomization to time of death.~This is the key secondary endpoint of the trial." (NCT01907100)
Timeframe: From randomization until the earliest of disease progression, death or (Phase II: cut-off date of 4-March-2016; up to 889 days) (Phase III: cut-off date of 16-March-2018; up to 31 months)
Intervention | Months (Median) |
---|
| Phase II | Phase III |
---|
Nintedanib | 18.30 | 14.36 |
,Placebo | 14.46 | 16.07 |
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Progression-Free Survival (PFS)
This outcome measure presents progression-free survival. Disease progression was defined according to the modified Response Evaluation Criteria in Solid Tumours (RECIST) criteria. Progression-free survival time was calculated as the duration from the date of randomization to the date of disease progression or death, whichever occurred first. For patients with known date of progression (or death): PFS (days) = min (date of progression, date of death) - date of randomization + 1 day. For patients without progression or death, PFS was censored at the last imaging date that showed no disease progression: PFS (days, censored) = date of last imaging showing no progression - date randomization + 1 day. (NCT01907100)
Timeframe: From randomization until the earliest of disease progression, death or (Phase II: cut-off date of 4-March-2016; up to 889 days) (Phase III: cut-off date of 16-March-2018; up to 31 months)
Intervention | Months (Median) |
---|
| Phase II | Phase III |
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Nintedanib | 9.36 | 6.77 |
,Placebo | 5.72 | 6.97 |
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Overall Survival
Overall survival (OS) defined as time from start of Dacomitinib to date of death from any cause. Patients without recorded death were censored at the date the patient was last known to be alive. Patients were followed up for survival for 24 month after end of Treatment. (NCT01918761)
Timeframe: until date of death. The study was suspended after 36 months.
Intervention | months (Median) |
---|
Dacomitinib, Pemetrexed | 9.6 |
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Progression-free Survival
Progression-free survival (PFS) defined as time from start of Dacomitinib to date of progression or date of death from any cause, whichever occurred first. Patients without recorded progression or death were censored at the last date they were known to have not progressed. Patients were followed up for progression-free survival for 24 month after end of Treatment. (NCT01918761)
Timeframe: Up to progression or death due to any cause. The study was suspended after 36 months
Intervention | months (Median) |
---|
Dacomitinib, Pemetrexed | 4.7 |
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Dose Limiting Toxicities (DLTs)
The primary objective of this study is to determine the maximal tolerated dose (MTD) of the combination pemetrexed + dacomitinib by the incidence of dose limiting toxicities (DLTs). (NCT01918761)
Timeframe: From start of treatment to end of treatment or death, whichever occurs first. The study was suspended after 36 months.
Intervention | percentage of participants (Number) |
---|
Dacomitinib, Pemetrexed | 40 |
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Overall Response Rate
Overall Response Rate (ORR) is defined as the proportion of patients with complete Response (CR) or partial Response (PR). (NCT01918761)
Timeframe: Until progression of disease (PD) or 24 month after end of treatment for participants with no PD. The study was suspended after 36 months
Intervention | percentage of participants (Number) |
---|
Dacomitinib, Pemetrexed | 0 |
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Phase 1b: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiograms (ECG) Findings
ECG parameters included heart rhythm, pulse rate intervals, QRS, QT intervals, RR intervals and corrected QT(QTc) intervals. Clinical significance was determined by the investigator. Number of participants with clinically significant abnormalities in 12-lead ECG were reported. (NCT01982955)
Timeframe: Up to 175 weeks
Intervention | Participants (Count of Participants) |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 0 |
Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 0 |
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Phase 1b: Number of Participants With Clinically Significant Abnormalities in Vital Signs
Vital signs assessment included blood pressure, heart rate, respiratory rate and body temperature. Number of Participants with any clinically significant abnormalities in vital signs were reported. Clinical significance was determined by the investigator. (NCT01982955)
Timeframe: Up to 175 weeks
Intervention | Participants (Count of Participants) |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 0 |
Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 0 |
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Phase 1b: Percentage of Participants With Disease Control Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Disease control defined as CR, PR, or stable disease(SD) as the best overall response according to local radiological assessments from the date of randomization/the first administration of the study treatment to the first observation of PD. CR: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 mm. PR:at least 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. PD:an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5mm. SD:as any cases that do not qualify for either PR or PD at minimum interval of 42 days after randomization/start of study treatment (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Percentage of Participants (Number) |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 50.0 |
Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 58.3 |
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Phase 1b: Percentage of Participants With Objective Response Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Objective response (OR) was defined as the percentage of participants who had achieved complete response (CR) or partial response (PR) as the best overall response according to local radiological assessments from randomization/the first administration of the study treatment to the first observation of disease progression (PD). CR: defined as 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 mm. PR: defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. PD defined as an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Percentage of Participants (Number) |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 33.3 |
Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 33.3 |
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Phase 2 (Non-Randomized Part Only): Percentage of Participants With Disease Control Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Disease control defined as CR, PR, or stable disease(SD) as the best overall response according to local radiological assessments from the date of randomization/the first administration of the study treatment to the first observation of PD. CR: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 mm. PR:at least 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. PD:an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5mm. SD:as any cases that do not qualify for either PR/PD at minimum interval of 42 days after randomization/start of study treatment. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Percentage of Participants (Number) |
---|
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 40 |
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Phase 2 (Non-Randomized Part Only): Percentage of Participants With Objective Response Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Objective response (OR) was defined as the percentage of participants who had achieved complete response (CR) or partial response (PR) as the best overall response according to local radiological assessments from randomization/the first administration of the study treatment to the first observation of disease progression (PD). CR: defined as 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 mm. PR: defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. PD defined as an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Percentage of Participants (Number) |
---|
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 0 |
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Phase 2 (Non-Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by Independent Review Committee (IRC)
Progression-free survival (assessed by Independent Review Committee) time was defined as the time in months from randomization to either first observation of radiologically confirmed progression disease by the IRC or occurrence of death due to any cause within 84 days of either randomization or the last tumor assessment. PD is defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study; and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. PFS was measured using Kaplan-Meier (KM) estimates. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 2.63 |
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Phase 2 (Non-Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by Investigator
Progression-free survival (assessed by Investigator) time was defined as the time in months from randomization to either first observation of radiologically confirmed progression disease by the Investigator or occurrence of death due to any cause within 84 days of either randomization or the last tumor assessment. PD is defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study; and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. PFS was measured using Kaplan-Meier (KM) estimates. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 1.41 |
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Phase 2 (Randomized Part Only): Percentage of Participants With Disease Control Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Disease control defined as CR, PR, or stable disease(SD) as the best overall response according to local radiological assessments from the date of randomization/the first administration of the study treatment to the first observation of PD. CR: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 mm. PR:at least 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. PD:an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5mm. SD:as any cases that do not qualify for either PR/PD at minimum interval of 42 days after randomization/start of study treatment. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Percentage of Participants (Number) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 83.9 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 70.8 |
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Phase 2 (Randomized Part Only): Percentage of Participants With Objective Response Based on Tumor Response Assessment According to Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1) Criteria
Objective response (OR) was defined as the percentage of participants who had achieved complete response (CR) or partial response (PR) as the best overall response according to local radiological assessments from randomization/the first administration of the study treatment to the first observation of disease progression (PD). CR: defined as 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 mm. PR: defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters. PD defined as an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Percentage of Participants (Number) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 45.2 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 33.3 |
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Phase 2 (Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by Independent Review Committee (IRC)
Progression-free survival (assessed by Independent Review Committee) time was defined as the time in months from randomization to either first observation of radiologically confirmed progression disease (PD) by the IRC or occurrence of death due to any cause within 84 days of either randomization or the last tumor assessment. PD is defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study; and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. PFS was measured using Kaplan-Meier (KM) estimates. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 10.15 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 4.34 |
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Phase 2 (Randomized Part Only): Progression-free Survival (PFS) Based on Tumor Assessment by the Investigator
Progression-free survival (assessed by the Investigator) time was defined as the time in months from randomization to either first observation of radiologically confirmed progression disease (PD) by the investigator or occurrence of death due to any cause within 84 days of either randomization or the last tumor assessment. PD is defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study; and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 millimeter (mm). PFS was measured using Kaplan-Meier (KM) estimates. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 4.86 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 4.37 |
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Phase 2: (Non-Randomized Part Only): Overall Survival (OS) Time
Overall survival time was measured as time in months between the date of randomization and the date of death. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 25.86 |
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Phase 2: (Randomized Part Only): Overall Survival (OS) Time
Overall survival time was measured as time in months between the date of randomization and the date of death. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 17.25 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 19.48 |
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Phase 2: Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status Scale Score at End of Treatment (EOT)
EORTC QLQ-C30 is a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnoea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact. The EORTC QLQ-C30 GHS/QoL score ranges from 0 to 100; High score indicates better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL. (NCT01982955)
Timeframe: Baseline and EOT (up to 110 weeks)
Intervention | Units on a Scale (Mean) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | -16.29 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | -2.78 |
Phase 2: Single-arm Cohort (MET+ T790M Positive) | -24.19 |
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Phase 2: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiograms (ECG) Findings
ECG parameters included heart rhythm, pulse rate intervals, QRS, QT intervals, RR intervals and corrected QT(QTc) intervals. Clinical significance was determined by the investigator. Number of participants with clinically significant abnormalities in 12-lead ECG were reported. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Participants (Count of Participants) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 2 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 1 |
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 0 |
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Phase 2: Number of Participants With Clinically Significant Abnormalities in Vital Signs
Vital signs assessment included blood pressure, heart rate, respiratory rate and body temperature. Number of Participants with any clinically significant abnormalities in vital signs were reported. Clinical significance was determined by the investigator. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Participants (Count of Participants) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 0 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 0 |
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 0 |
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Phase 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Leading to Permanent Treatment Discontinuation
An adverse event (AE) was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs. Number of participants with TEAEs leading to permanent treatment discontinuation were reported. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Participants (Count of Participants) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 3 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 1 |
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 2 |
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Phase 2: Time-to-Symptom Progression (TTSP)
TTSP was measured from randomization to symptomatic progression by lung cancer symptom scale (LCSS) used to measure symptom changes relevant to quality of life (QoL).It consisted of 9 items focused on cancer symptoms (loss of appetite, fatigue, cough, shortness of breath, blood in sputum, pain, symptoms of cancer, illness affecting normal activity, QoL).For each symptom score distance from left boundary to point where participant has marked line was measured in millimeters (mm).Total scale length was 100 mm. Symptomatic progression was defined as increase/worsening of average symptomatic burden index (ASBI) (mean of 6 major lung cancer specific symptom scores);Worsening defined as 10% increase of scale breadth from baseline. Score 0 indicate no/minimum symptoms;100 indicates maximum level of symptoms. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Months (Median) |
---|
Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 5.75 |
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 7.95 |
Phase 2: Single-arm Cohort (MET+ T790M Positive) | 2.63 |
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Phase 1b: Apparent Total Body Clearance From Plasma (CL/F) of Tepotinib and Gefitinib
The CL/f is a measure of the rate at which it was metabolized or eliminated by normal biological processes. Clearance obtained after oral dose was influenced by the fraction of the dose absorbed. The CL/F from plasma was calculated using the formula: Dose divided by area under the concentration time curve from time zero to infinity (AUC0-inf). (NCT01982955)
Timeframe: Pre dose, 0.25, 0.5, 1, 2, 4, 8, 10 and 24 hours post dose on Day 15 of Cycle 1 (each Cycle is 21 days)
Intervention | liter per hour (L/h) (Geometric Mean) |
---|
| Tepotinib | Gefitinib |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 17.3 | 32.5 |
,Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 20.3 | 35.3 |
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Phase 1b: Number of Participants With Death and Reasons
Number of participants with death due to progressive disease (PD), adverse event (AE) related to study treatment, AE not related to study treatment were reported. An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. PD defined as an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. Number of participants with deaths due to PD, AE related to study treatment, AE not related to study treatment were reported. (NCT01982955)
Timeframe: Up to 175 weeks
Intervention | Participants (Count of Participants) |
---|
| Death due to PD | Death due to AE related to study treatment | Death due to AE not related to study treatment |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 0 | 0 | 1 |
,Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 3 | 0 | 0 |
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Phase 1b: Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI-CTCAE Version 4.03 Reported as Treatment-Emergent Adverse Events (TEAEs)
The laboratory measurements included hematology and coagulation, biochemistry and urinalysis. (NCT01982955)
Timeframe: Up to 175 weeks
Intervention | Participants (Count of Participants) |
---|
| Amylase increased | Lipase increased | Neutrophil count decreased | Hyperglycemia | Hypocalcemia | Hyponatremia | Hypoproteinemia |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 2 | 1 | 0 | 0 | 1 | 0 | 1 |
,Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 2 | 2 | 1 | 2 | 0 | 2 | 0 |
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Phase 1b: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs include both Serious TEAEs and non-serious TEAEs. Number of Participants with TEAEs and serious TEAEs were reported. (NCT01982955)
Timeframe: Up to 175 weeks
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Any Serious TEAEs |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 6 | 4 |
,Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 12 | 7 |
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Phase 1b: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Leading to Permanent Treatment Discontinuation
An adverse event (AE) was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Term TEAE is defined as AEs starting/worsening after first intake of the study drug. TEAEs included both Serious TEAEs and non-serious TEAEs. Number of participants with TEAEs leading to permanent treatment discontinuation were reported. (NCT01982955)
Timeframe: Up to 175 weeks
Intervention | Participants (Count of Participants) |
---|
| TEAE Leading Permanent Tepotinib Discontinuation | TEAE Leading Permanent Gefitinib Discontinuation |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 0 | 0 |
,Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 2 | 1 |
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Phase 2: Number of Participants With Death and Reasons
An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. PD defined as an increase of at least 20% in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters of target lesions recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or the presence of new lesions. The sum must also demonstrate an absolute increase of at least 5 mm. Number of participants with deaths due to progression disease (PD), AE related to study treatment, unknown reason was reported. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Participants (Count of Participants) |
---|
| Death due to disease progression | Death due to AE related to study treatment | Death due to unknown reason |
---|
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 15 | 0 | 5 |
,Phase 2: Single-arm Cohort (MET+ T790M Positive) | 8 | 0 | 2 |
,Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 21 | 0 | 2 |
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Phase 2: Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI-CTCAE Version 4.03 Reported as Treatment-Emergent Adverse Events (TEAEs)
The laboratory measurements included hematology and coagulation, biochemistry and urinalysis. (NCT01982955)
Timeframe: Up to 328 weeks
Intervention | Participants (Count of Participants) |
---|
| Anaemia | Neutropenia | Alanine aminotransferase increased | Amylase increased | Gamma-glutamyltransferase increased | Lipase increased | Neutrophil count decreased | White blood cell count decreased | Hyponatremia | Hypokalemia | hypophosphatemia | Hypoalbuminemia |
---|
Phase 2: Pemetrexed and Cisplatin/Carboplatin (MET + T790 Negative) | 7 | 1 | 0 | 2 | 1 | 2 | 3 | 2 | 3 | 2 | 1 | 0 |
,Phase 2: Single-arm Cohort (MET+ T790M Positive) | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
,Phase 2: Tepotinib 500 mg + Gefitinib 250 mg (MET + T790 Negative) | 0 | 0 | 1 | 7 | 0 | 5 | 2 | 1 | 1 | 0 | 0 | 1 |
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Phase 1b: Number of Participants Experiencing at Least One Dose Limiting Toxicity (DLT)
Dose limiting toxicity (DLT) using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.0 was defined as toxicities at any dose level and judged to be related to the study treatment by investigator and/or the sponsor. DLTs included Grade 4 neutropenia for more than 7 days; Grade greater than or equal to (>=) 3 febrile neutropenia for more than 1 day; Grade 4 thrombocytopenia or Grade 3 thrombocytopenia with non-traumatic bleeding; Grade >= 3 uncontrolled nausea/vomiting and/or diarrhea despite adequate and optimal treatment and Grade >= 3 any non-hematological adverse event (AE), except the aforementioned gastrointestinal events and alopecia. Number of participants who experienced DLT during Phase 1b were reported. (NCT01982955)
Timeframe: Day 1 to Day 21 of Cycle 1 (each cycle is 21 days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b: Tepotinib 300 mg + Gefitinib 250 mg | 0 |
Phase 1b: Tepotinib 500 mg + Gefitinib 250 mg | 0 |
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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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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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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-: 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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Progression-Free Survival in Participants With PD-L1 Expression >= 5%
Progression-Free Survival (PFS) was defined as the time between the date of randomization and the first date of documented tumor progression, as determined by the Independent Radiology Review Committee (IRRC) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause, whichever occurs first. Participants who die without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the day they were randomized. Participants who received subsequent anti-cancer therapy prior to documented progression were censored at the last evaluable tumor assessment prior to the initiation of new therapy. (NCT02041533)
Timeframe: From date of randomization until date of documented tumor progression (assessed up to August 2016, approximately 28 months)
Intervention | Months (Median) |
---|
Nivolumab | 4.21 |
Investigator Choice of Chemotherapy | 5.88 |
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Progression-Free Survival in All Randomized Participants
Progression-Free Survival (PFS) was defined as the time between the date of randomization and the first date of documented tumor progression, as determined by the Independent Radiology Review Committee (IRRC) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause, whichever occurs first. Participants who die without a reported progression were considered to have progressed on the date of their death. Participants who did not progress or die were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the day they were randomized. Participants who received subsequent anti-cancer therapy prior to documented progression were censored at the last evaluable tumor assessment prior to the initiation of new therapy. (NCT02041533)
Timeframe: From date of randomization until date of documented tumor progression (assessed up to August 2016, approximately 28 months)
Intervention | Months (Median) |
---|
Nivolumab | 4.21 |
Investigator Choice of Chemotherapy | 5.82 |
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Overall Survival in Participants With PD-L1 Expression >= 5%
Overall Survival (OS) was defined as the time from randomization to the date of death. A participant who had not died was censored at the last known alive date. OS was censored at the date of randomization for participants who were randomized but had no follow-up. (NCT02041533)
Timeframe: From date of randomization to date of death (up to approximately 89 months)
Intervention | Months (Median) |
---|
Nivolumab | 14.36 |
Investigator Choice of Chemotherapy | 13.21 |
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Overall Survival in All Randomized Participants
Overall Survival (OS) was defined as the time from randomization to the date of death. A participant who had not died was censored at the last known alive date. OS was censored at the date of randomization for participants who were randomized but had no follow-up. (NCT02041533)
Timeframe: From date of randomization to date of death (up to approximately 89 months)
Intervention | Months (Median) |
---|
Nivolumab | 13.73 |
Investigator Choice of Chemotherapy | 13.80 |
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Objective Response Rate (ORR) in Participants With PD-L1 Expression >= 5%
ORR was defined as the proportion of randomized participants who achieved a Best Overall Response (BOR) of CR or PR using the RECIST v1.1 criteria per Independent Radiology Review Committee (IRRC) assessment. BOR was defined as the best response designation recorded between the date of randomization and the date of objectively documented progression or start of subsequent anti-cancer therapy, whichever occurred first. For participants without documented progression or subsequent therapy, all available response designations contributed to the BOR assessment. For participants who continued treatment beyond progression, BOR was determined from response designations recorded up to the time of initial progression. CR= Disappearance of all evidence of disease, confirmed by PET scan; PR= Regression of measureable disease and no new sites; Stable Disease (SD)= Failure to attain CR/PR or PD; Progressive Disease (PD)= Any new lesion or increase by >=50% of previously involved sites from nadir. (NCT02041533)
Timeframe: From date of randomization until date of documented tumor progression or subsequent anti-cancer therapy, whichever occurs first (assessed up to August 2016, approximately 28 months)
Intervention | Percentage of participants (Number) |
---|
Nivolumab | 26.1 |
Investigator Choice of Chemotherapy | 33.5 |
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Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E
Cmax of Abemaciclib on day 1 and at steady State (Cycle 2 Day 1) Part A , B, C, D and E was evaluated. (NCT02079636)
Timeframe: Cycle 1 Day 1 (C1D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; Cycle 2 Day 1 (C2D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 212 | 509 |
,Part A:150 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 114 | NA |
,Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 80.6 | NA |
,Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 201 | 417 |
,Part C: 150 mg Abemaciclib + 8 mg/kg or 10 mg/kg Ramucirumab | 140 | 322 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day 1 | 195 | 228 |
,Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 86.2 | 227 |
,Part D: 150 mg Abemaciclib + 100 or 150 or 200 mg LY3023414 | 159 | 305 |
,Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 125 | 270 |
,Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 114 | 240 |
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Number of Participants With Dose-Limiting Toxicities (DLT) or DLT-equivalent in Part A, B, C, D and E
A DLT defined as adverse event(AE) occurring between Day 1 and Day 21 of Cycle 1 that was considered at least possibly related to either abemaciclib or the combination therapy and fulfilled a criteria selected (using the National Cancer Institute Common Terminology Criteria for Adverse Events,version 4.0 [NCI-CTCAE v 4.0] [NCI 2009]):Grade(Gr)≥3 nonhematological toxicity,Gr4 thrombocytopenia lasting at least 5 days and/or complicated with bleeding,Gr≥3 febrile neutropenia(ntr) and for Part D participants (pts): Gr3 hyperglycemia (fasting) of <5 days, Gr3 hypertriglyceridemia or hyperlipidemia without optimal treatment.A DLT-equivalent defined as AE that would have met the criteria for DLT if it had occurred during Cycle 1 for pts enrolled in dose-escalation phase,but that occurs between 1)Day 1 and Day 21 of Cycle 2 and beyond for a participant enrolled in dose-escalation phase 2) at any time for a participant in dose-expansion phase. (NCT02079636)
Timeframe: Baseline through study completion (Up To 15 Months)
Intervention | Participants (Count of Participants) |
---|
Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | 1 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 4 |
Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 0 |
Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 5 |
Part C:150 mg Abemaciclib+10 mg/kg Ramucirumab Day 1 | 1 |
Part C: 200 mg Abemaciclib + 10 mg/kg Ramucirumab Day 1 | 4 |
Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | 1 |
Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | 3 |
Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 1 |
Part D: 150 mg Abemaciclib + 100 mg LY3023414 | 1 |
Part D: 150 mg Abemaciclib + 150 mg LY3023414 | 1 |
Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 1 |
Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 2 |
Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 0 |
Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 0 |
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Number of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) in Part A, B, C, D and E
ORR is the best response of CR or PR as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of not-target lesions or appearance of new lesions. Overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants with at least 1 measurable lesion, multiplied by 100. (NCT02079636)
Timeframe: Baseline through study completion (Up To 15 Months)
Intervention | Participants (Count of Participants) |
---|
Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | 0 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 1 |
Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 0 |
Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 1 |
Part C:150 mg Abemaciclib+10mg/kg Ramucirumab Day1 | 1 |
Part C: 200 mg Abemaciclib + 10 mg/kg Ramucirumab Day 1 | 1 |
Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | 0 |
Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | 0 |
Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 0 |
Part D: 150 mg Abemaciclib + 100 mg LY3023414 | 0 |
Part D: 150 mg Abemaciclib + 150 mg LY3023414 | 1 |
Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 0 |
Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 0 |
Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 0 |
Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 2 |
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PK: Area Under the Concentration Curve (AUC) of Pemetrexed at Steady State in Part A
Area under the plasma concentration versus time curve from time zero to infinity (AUC[0-∞]) of Pemetrexed in Part A was evaluated. (NCT02079636)
Timeframe: C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | microgram*hour per milliliter (μg*hr/mL) (Geometric Mean) |
---|
Part A:150 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 201 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 198 |
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Progression Free Survival Time in Part A, B, C, D and E
Progression free survival (PFS) defined as the time from the date of randomization to the first evidence of disease progression as defined by response evaluation criteria in solid tumors (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 randomization, 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. PFS time was summarized using Kaplan-Meier estimates. (NCT02079636)
Timeframe: Date of first dose until first documented progression or death (Up To 15 Months)
Intervention | Months (Median) |
---|
Part A:Abemaciclib + 500 mg/m^2 Pemetrexed | 5.55 |
Part B: Abemaciclib + 1250 mg/m^2 Gemcitabine | 1.58 |
Part C:Abemaciclib+ 8/10mg/kg Ramucirumab Day1/8 | 4.83 |
Part D: Abemaciclib + 100 mg/150 mg/ 200 mg LY3023414 | 1.87 |
Part E: 100 mg/150 mg Abemaciclib + 200 mg Pembrolizumab | 4.11 |
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PK: Maximum Concentration (Cmax) of Ramucirumab at 1 Hour Post-End-of-Infusion in Part C
Cmax of ramucirumab at 1 hour post-end-of-Infusion in Part C was evaluated. (NCT02079636)
Timeframe: C1D1 and C2D1: 1 hour post-end-of-infusion
Intervention | microgram per milliliter (μg/mL) (Geometric Mean) |
---|
| C1D1 | C2D1 |
---|
Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Day 1 | 226 | NA |
,Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | 193 | NA |
,Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | 174 | 221 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day1 | 221 | 226 |
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PK: Maximum Concentration (Cmax) of LY3023414 in Part D
Cmax of LY3023414 in Part D was evaluated. (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part D: 100 or 150 mg Abemaciclib + 100 mg LY3023414 | 298 | 438 |
,Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 578 | NA |
,Part D: 150 or 200 mg Abemaciclib + 150 mg LY3023414 | 454 | 491 |
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Change From Baseline in MD Anderson Symptom Inventory Scale-Lung Cancer (MDASI-LC) in Part A, B, C, D and E
"The MDASI-LC is a self-reported lung cancer instrument included 22 items covered by one of the following dimensions: Mean core symptom severity (Core items 1-13: pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sad, vomiting, numbness/tingling), Lung cancer symptoms (3 items: coughing, constipation, sore throat), Mean symptom severity (13 core items plus 3 lung items) and Interference with mood or functional status (6 items: general activity, mood, work, relations with other people, walking, enjoyment of life). The mean of all symptom subscale items was calculated where 0 equals not present and 10 equals as bad as you can imagine. A change from baseline with negative values indicate improvement, positive values indicate worsening." (NCT02079636)
Timeframe: Baseline, through study completion (Up To 15 Months)
Intervention | units on a scale (Mean) |
---|
| Mean core symptom severity | Mean symptom severity | Mean lung cancer symptom | Mean interference severity |
---|
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 0.89 | 0.83 | 0.71 | 0.49 |
,Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | -0.16 | -0.05 | 1.22 | 2.32 |
,Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | -0.54 | -0.44 | 1.67 | 0.00 |
,Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | -0.08 | -0.03 | 0.19 | 0.95 |
,Part C: 150 mg Abemaciclib + 10 mg/kg Ramucirumab Days 1 and 8 | -1.39 | -1.01 | 3.01 | -3.08 |
,Part C: 150 mg Abemaciclib + 8 mg/kg Ramucirumab Days 1 and 8 | -0.64 | -0.61 | -0.78 | -1.00 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day1 | 0.61 | 0.72 | 1.13 | 0.15 |
,Part C:150 mg Abemaciclib+10mg/kg Ramucirumab Day1 | -0.35 | -0.41 | -0.67 | -1.33 |
,Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 0.61 | 0.64 | 0.78 | 0.72 |
,Part D: 150 mg Abemaciclib + 100 mg LY3023414 | 1.89 | 1.86 | 1.40 | 1.47 |
,Part D: 150 mg Abemaciclib + 150 mg LY3023414 | 1.60 | 1.60 | 2.19 | 1.81 |
,Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 0.28 | 0.19 | 0.67 | -0.38 |
,Part D: 200 mg Abemaciclib + 150 mg LY3023414 | -0.80 | -0.73 | -0.44 | -0.22 |
,Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | 0.91 | 0.99 | 1.67 | 1.44 |
,Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 0.88 | 0.75 | 0.23 | 1.00 |
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PK: Area Under the Concentration Curve (AUC) of LY3023414 in Part D
Area under the plasma concentration versus time curve from time zero to infinity (AUC) of LY3023414 in Part D was evaluated. For Day 1, AUC is defined as AUC from time zero to infinity (AUC[0-∞]), for steady state, AUC is defined as AUC from time zero to the end of the dosing interval, tau (AUC[0-tau ]) (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanogram*hour/mL (ng*h/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part D: 100 or 150 mg Abemaciclib + 100 mg LY3023414 | 1005 | 1303 |
,Part D: 150 mg Abemaciclib + 200 mg LY3023414 | 3809 | NA |
,Part D: 150 or 200 mg Abemaciclib + 150 mg LY3023414 | 1751 | 1293 |
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PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E
Area under the concentration time curve from zero to 8 hours AUC(0-8h) of abemaciclib in Part A, B, C, D and E was evaluated. (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanogram*hour/mL (ng*h/mL) (Geometric Mean) |
---|
| Day 1 | Steady State |
---|
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 979 | 3710 |
,Part B: 200 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 886 | 2690 |
,Part C: 150 mg Abemaciclib + 8 mg/kg or 10 mg/kg Ramucirumab | 797 | 1720 |
,Part C: 200 mg Abemaciclib + 10mg/kg Ramucirumab Day1 | 1030 | 1840 |
,Part D: 100 mg Abemaciclib + 100 mg LY3023414 | 394 | NA |
,Part D: 150 mg Abemaciclib + 100 or 150 or 200 mg LY3023414 | 719 | 1550 |
,Part A:150 Milligram(mg) Abemaciclib + 500 mg/m^2 Pemetrexed | 533 | NA |
,Part B: 150 mg Abemaciclib + 1250 mg/m^2 Gemcitabine | 393 | NA |
,Part E: 150 mg Abemaciclib + 200 mg Pembrolizumab | 518 | 1400 |
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Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib on Day 1 and at Steady State (Cycle 2 Day 1) in Part A , B, C, D and E
Cmax of Abemaciclib on day 1 and at steady State (Cycle 2 Day 1) Part A , B, C, D and E was evaluated. (NCT02079636)
Timeframe: Cycle 1 Day 1 (C1D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; Cycle 2 Day 1 (C2D1) pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|
| Day 1 |
---|
Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 225 |
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PK: Area Under the Concentration Curve (AUC) of Abemaciclib in Part A, B, C, D and E
Area under the concentration time curve from zero to 8 hours AUC(0-8h) of abemaciclib in Part A, B, C, D and E was evaluated. (NCT02079636)
Timeframe: C1D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose; C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | nanogram*hour/mL (ng*h/mL) (Geometric Mean) |
---|
| Day 1 |
---|
Part E: 100 mg Abemaciclib + 200 mg Pembrolizumab | NA |
,Part D: 200 mg Abemaciclib + 150 mg LY3023414 | 967 |
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Pharmacokinetics: Maximum Concentration (Cmax) of Pemetrexed at Steady State in Part A
Cmax of pemetrexed at steady state in Part A was evaluated. (NCT02079636)
Timeframe: C2D1 pre-dose and 1, 2, 4, 6, 8, 10 h post-dose
Intervention | microgram per milliliter (μg/mL) (Geometric Mean) |
---|
Part A:150 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 98.1 |
Part A: 200 mg Abemaciclib + 500 mg/m^2 Pemetrexed | 93.5 |
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Number of Subjects With Dose Limiting Toxicities (DLTs)
DLT: any National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 Grade 4 hematologic or Grade 3/4 non-hematologic toxicities that occurred during DLT observation period and were considered by Investigator to be at least possibly related to trial treatment, and were confirmed by Safety Monitoring Committee (SMC), with exception of Grade 4 neutropenia for not >5 days; Grade 4 lymphocytopenia/ thrombocytopenia for not >5 days; fatigue/headache lasting < 7 days; nausea/vomiting/diarrhoea lasting not >3 days; asymptomatic Grade 3 increase in liver function tests that resolve to baseline within 7 days; Mucositis >= Grade 3 lasting < 7 days; Grade 3 hyperglycemia that resolves in < 7 days; any laboratory values >Grade 3 without any clinical correlate (resolve within 5 days); Grade 3 skin toxicities that resolve to Grade 2 within 7 days; Grade 3/4 hypomagnesemia that resolves within 5 days. Subjects with DLTs presented based on investigator and SMC decision. (NCT02083679)
Timeframe: Day 1 to Day 21 of Cycle 1
Intervention | Subjects (Number) |
---|
| Investigator | SMC |
---|
Part 1: Sym004 6 mg/kg + Carboplatin/Paclitaxel | 1 | 0 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Gemcitabine | 2 | 2 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Pemetrexed | 1 | 1 |
,Part 1: Sym004 6/12 mg/kg + Carboplatin/Paclitaxel | 0 | 0 |
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Number of Subjects With Treatment-emergent Adverse (TEAEs), Serious TEAEs, TEAEs Leading to Discontinuation and TEAEs Leading to Death
An adverse event (AE) was defined as any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. AEs were considered treatment emergent if they started on or after the day of first administration of the first trial treatment given (Sym004 or one of the individual Platinum-Doublet therapies) or if they worsened after receiving first dose of treatment. (NCT02083679)
Timeframe: Day 1 up to 28 days after last dose of study drug (up to 53 weeks)
Intervention | subjects (Number) |
---|
| TEAEs | Serious TEAEs | TEAE leading to Discontinuation | TEAEs Leading to Death |
---|
Part 1: Sym004 6 mg/kg + Carboplatin/Paclitaxel | 3 | 3 | 0 | 0 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Gemcitabine | 3 | 3 | 1 | 0 |
,Part 1: Sym004 6 mg/kg + Cisplatin/Pemetrexed | 6 | 5 | 3 | 0 |
,Part 1: Sym004 6/12 mg/kg + Carboplatin/Paclitaxel | 3 | 3 | 2 | 0 |
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Assess the Objective Response Rates in Each Arm
The objective response rate is defined as the number of the subjects with a confirmed best overall response of CR or PR divided by the number of subjects in the Full Analysis Set (FAS) for whom measureable disease is present at baseline (NCT02087241)
Timeframe: Up to a maximum of 4 treatment cycles (treatment cycles will be repeated every 21 days)
Intervention | Percentage of Participants (Number) |
---|
Cohort 1 | 66.7 |
Cohort 2 | 33.3 |
Cohort 3 | 0 |
Cohort A | 14.3 |
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Assess the Disease Control Rate in Each Treatment Arm
the disease control rate is defined as the percentage of FAS subjects with a best overall response of CR, PR or SD). (NCT02087241)
Timeframe: Up to a maximum of 4 treatment cycles (treatment cycles will be repeated every 21 days)
Intervention | Percentage of Participants (Number) |
---|
Cohort 1 | 66.7 |
Cohort 2 | 66.7 |
Cohort 3 | 0 |
Cohort A | 85.7 |
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Overall Survival
To assess the efficacy of pemetrexed in combination with TH-302 as determined by overall survival in patients with advanced non-squamous NSCLC in the second-line chemotherapy setting compared with pemetrexed in combination with placebo (NCT02093962)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|
TH-302 and Pemetrexed | 51 |
Placebo and Pemetrexed | 49 |
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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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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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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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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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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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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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Progression-free Survival (PFS)
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner. Progressive Disease (PD) is defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum Longest Diameter (LD) recorded since the treatment started or the appearance of one or more new lesions, unequivocal progression of non-target lesions or increase in disease burden for subjects with only nonmeasurable disease. (NCT02119650)
Timeframe: Randomization to disease progression, or death due to any cause if sooner; up to 16 months or to the data cutoff 11FEB2016.
Intervention | Months (Median) |
---|
Double-Blind Treatment: Ruxolitinib + Pemetrexed/Cisplatin | NA |
Double-Blind Treatment: Placebo Plus Pemetrexed/Cisplatin | NA |
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Duration of Response
For objective responders, the duration of response is defined as the difference of the end of response and the start of response. The start of a response was the first visit where the subject achieves PR or better based on RECIST v1.1 criteria. The end of response was the first visit after PD based on RECIST v1.1 criteria. (NCT02119650)
Timeframe: From the start of response to the end of response; up to 16 months or to the data cutoff 11FEB2016.
Intervention | weeks (Median) |
---|
Double-Blind Treatment: Ruxolitinib + Pemetrexed/Cisplatin | 20.14 |
Double-Blind Treatment: Placebo Plus Pemetrexed/Cisplatin | 12.14 |
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Overall Survival (OS)
Overall survival is defined as the time from randomization to death due to any cause. Participants without death observed at the time of the analysis were censored at last date known to be alive. The median overall survival time was estimated using the Kaplan-Meier method. Overall survival was compared between treatment groups using log-rank test. (NCT02119650)
Timeframe: Randomization until death due to any cause; up to 16 months or data cutoff 11FEB2016.
Intervention | months (Median) |
---|
Double-Blind Treatment: Ruxolitinib + Pemetrexed/Cisplatin | 7.5 |
Double-Blind Treatment: Placebo Plus Pemetrexed/Cisplatin | 5.9 |
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Objective Response Rate (ORR)
Objective response rate determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment and was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) by Response Evaluation Criteria in Solid Tumours (RECIST) at any post baseline visit. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) : Complete Response (CR), Disappearance of all target and non-target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions with no worsening of non-target lesions and no new lesions; Overall Response (OR) = CR + PR. (NCT02119650)
Timeframe: Baseline through end of study; up to 16 months or to the data cutoff 11FEB2016.
Intervention | Participants (Count of Participants) |
---|
| Overall Response | Complete Response | Partial Response | Stable Disease | Progressive Disease | Unable to Evaluate | Not Assessed |
---|
Double-Blind Treatment: Placebo Plus Pemetrexed/Cisplatin | 13 | 0 | 13 | 5 | 4 | 3 | 12 |
,Double-Blind Treatment: Ruxolitinib + Pemetrexed/Cisplatin | 12 | 0 | 12 | 4 | 6 | 2 | 15 |
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Participants With Treatment-emergent Adverse Events (TEAEs)
A treatment-emergent AE was defined as an event occurring (or worsening of any pre-existing) after exposure to at least 1 dose of study drug. A treatment-related AE was defined as an event with a definite, probable, or possible causality to study medication. A serious AE is an event resulting in death, hospitalization, persistent or significant disability/incapacity, or is life threatening, a congenital anomaly/birth defect or requires medical or surgical intervention to prevent 1 of the outcomes above. The intensity of an AE was graded according to the National Cancer Institute common terminology criteria for adverse events (NCI-CTCAE) version 4.03: Grade 1 (Mild); Grade 2 (Moderate); Grade 3 (Severe); Grade 4 (life-threatening). (NCT02119650)
Timeframe: Baseline through approximately 30 days post treatment discontinuation; up to 16 months or to the data cutoff 11FEB2016.
Intervention | Participants (Count of Participants) |
---|
| Participants who had any TEAEs | Participants who had treatment-related TEAEs | Participants with any serious TEAE | Participants who had Grade 3 or higher TEAEs | Participants with a fatal TEAE | TEAEs related to reference therapy | Participants who were hospitalized due to TEAEs | Participants who discontinued drug due to TEAEs | Participants who interrupted drug due to TEAEs | Discontinued reference therapy due to TEAEs | Interrupted reference therapy due to TEAEs | Participants given concomitant meds due to TEAEs | Procedure/nondrug therapy due to TEAEs |
---|
Double-Blind Treatment: Placebo Plus Pemetrexed/Cisplatin | 36 | 28 | 16 | 22 | 4 | 35 | 15 | 4 | 15 | 7 | 7 | 32 | 12 |
,Double-Blind Treatment: Ruxolitinib + Pemetrexed/Cisplatin | 39 | 16 | 19 | 25 | 4 | 30 | 16 | 2 | 11 | 4 | 8 | 36 | 17 |
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Objective Response Rate (ORR)
ORR was defined as the percentage of participants in the analysis population who experienced 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) and was assessed using RECIST 1.1 based on BICR evaluation. ORR was assessed from enrollment/treatment initiation of a participant through data cutoff of 09-May-2016. The ORR is presented for each treatment group. (NCT02142738)
Timeframe: Up to ~1.6 years
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 44.8 |
SOC Chemotherapy | 27.8 |
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Overall Survival (OS) Rate
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. The data cutoff was 10-July-2017. The median OS rate at 12 months is presented. (NCT02142738)
Timeframe: 12 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 70.3 |
SOC Chemotherapy | 54.8 |
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Progression Free Survival (PFS) Rate at Month 6
PFS was defined as the time from randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or death due to any cause, whichever occurred first and was based on blinded independent central radiologists' (BICR) review. Progressive Disease (PD) was defined as ≥20% increase in the sum of diameters of target lesions and an absolute increase of ≥5 mm. (Note: the appearance of one or more new lesions was also considered progression). Participants were evaluated every 9 weeks with radiographic imaging to assess their response to treatment. The data cutoff was 09-May-2016. The PFS rate at Month 6 was calculated. (NCT02142738)
Timeframe: Month 6
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 62.1 |
SOC Chemotherapy | 50.3 |
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Overall Survival (OS)
Since, the study was canceled due to slow accrual, no biomarkers were measured; therefore, no analysis with biomarkers. Only the OS will be calculated. (NCT02145078)
Timeframe: From the date of protocol-specified treatment initiation to the date of death or last observation, assessed up to 12 months
Intervention | months (Median) |
---|
Treatment (Chemotherapy Regimen) | 2.0 |
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Progression-free Survival (PFS)
Each biomarker evaluated using its expression level (continuous variable) and dichotomous form (based on a median cutoff). A univariable Cox regression model will be used to assess the relationship of expression levels of each biomarker to PFS. In addition, for the dichotomous variables, the sample will be divided into those above and below the median for each biomarker. PFS probabilities for each group will be estimated using the Kaplan-Meier method, with standard errors based on Greenwood's formula. Log rank tests will be used to determine the level of significance between survival curves. Since, the study was canceled due to slow accrual, no biomarkers were measured; therefore, no analysis with biomarkers. Only the PFS will be calculated. (NCT02145078)
Timeframe: From the date of protocol-specified treatment initiation to the date of progression, death, or last observation, assessed up to 12 months
Intervention | days (Median) |
---|
Treatment (Chemotherapy Regimen) | 42 |
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Number of Participants Who Experienced At Least One Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant administered a study treatment and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the study treatment or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of study treatment, was also an AE. The number of participants who experienced at least one AE is presented. (NCT02220894)
Timeframe: Up to approximately 38 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 608 |
Chemotherapy (SOC Treatment) | 606 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1%
ORR was determined for participants with a TPS of ≥1%. ORR was determined per RECIST 1.1 and 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: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was ORR in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The percentage of participants who had a TPS ≥1% and who experienced a CR or PR is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 27.2 |
Chemotherapy (SOC Treatment) | 26.5 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20%
ORR was determined for participants with a TPS of ≥20%. ORR was determined per RECIST 1.1 and 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: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was ORR in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The percentage of participants who had a TPS ≥20% and who experienced a CR or PR is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 33.2 |
Chemotherapy (SOC Treatment) | 28.9 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50%
ORR was determined for participants with a TPS of ≥50%. ORR was determined per RECIST 1.1 and 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: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was ORR in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The percentage of participants who had a TPS ≥50% and who experienced a CR or PR is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 39.1 |
Chemotherapy (SOC Treatment) | 32.0 |
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Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥20%
OS was determined for participants with a TPS of ≥20% and was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was OS in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The OS for participants with a TPS ≥20% is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Months (Median) |
---|
Pembrolizumab | 18.0 |
Chemotherapy (SOC Treatment) | 13.0 |
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Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥50%
OS was determined for participants with a TPS of ≥50% and was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was OS in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The OS for participants with a TPS ≥50% is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Months (Median) |
---|
Pembrolizumab | 20.0 |
Chemotherapy (SOC Treatment) | 12.2 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1%
PFS was determined for participants with a TPS of ≥1% and was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. The appearance of one or more new lesions was also considered PD. The PFS per RECIST 1.1 was calculated using the product-limit (Kaplan-Meier) method for censored data. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was PFS in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The PFS for participants with a TPS ≥1% is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Months (Median) |
---|
Pembrolizumab | 5.4 |
Chemotherapy (SOC Treatment) | 6.6 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20%
PFS was determined for participants with a TPS of ≥20% and was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. The appearance of one or more new lesions was also considered PD. The PFS per RECIST 1.1 was calculated using the product-limit (Kaplan-Meier) method for censored data. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was PFS in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The PFS for participants with a TPS ≥20% is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Months (Median) |
---|
Pembrolizumab | 6.2 |
Chemotherapy (SOC Treatment) | 6.7 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50%
PFS was determined for participants with a TPS of ≥50% and was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. The appearance of one or more new lesions was also considered PD. The PFS per RECIST 1.1 was calculated using the product-limit (Kaplan-Meier) method for censored data. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was PFS in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The PFS for participants with a TPS ≥50% is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Months (Median) |
---|
Pembrolizumab | 6.5 |
Chemotherapy (SOC Treatment) | 6.4 |
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Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥1%
OS was determined for participants with a TPS of ≥1% and was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. The efficacy hypothesis was analyzed using a sequential testing strategy that involved testing a hypothesis only if the superiority of pembrolizumab over chemotherapy was established for all the preceding hypotheses. The order of testing was OS in participants with TPS≥50%, then with TPS≥20%, and finally with TPS≥1%. The OS for participants with a TPS ≥1% is presented. (NCT02220894)
Timeframe: Up to approximately 44 months
Intervention | Months (Median) |
---|
Pembrolizumab | 16.4 |
Chemotherapy (SOC Treatment) | 12.1 |
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Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant administered a study treatment and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the study treatment or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of study treatment, was also an AE. The number of participants who discontinued study treatment due to an AE is presented. (NCT02220894)
Timeframe: Up to approximately 35 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 126 |
Chemotherapy (SOC Treatment) | 93 |
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Progression Free Survival (PFS) in All Participants
"Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per RECIST version 1.1 or death (all causes of mortality), whichever occurred first.~PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions.~PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cut-off date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring > 26 weeks and > 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death." (NCT02264990)
Timeframe: From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Intervention | months (Median) |
---|
Investigator's Choice Chemotherapy | 6.7 |
Veliparib + Carboplatin + Paclitaxel | 5.9 |
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Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup
Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. Overall survival was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive. (NCT02264990)
Timeframe: From randomization up to the data cut-off date of 15 July 2019; median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Intervention | months (Median) |
---|
Investigator's Choice Chemotherapy | 9.2 |
Veliparib + Carboplatin + Paclitaxel | 11.2 |
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Overall Survival in All Participants
Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. OS was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive. (NCT02264990)
Timeframe: From randomization up to the data cut-off date of 15 July 2019; the median OS follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Intervention | months (Median) |
---|
Investigator's Choice Chemotherapy | 12.1 |
Veliparib + Carboplatin + Paclitaxel | 12.1 |
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Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup
"Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed.~CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions." (NCT02264990)
Timeframe: Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 5.2 and 6.3 months in each group, respectively.
Intervention | percentage of participants (Number) |
---|
Investigator's Choice Chemotherapy | 30.0 |
Veliparib + Carboplatin + Paclitaxel | 22.5 |
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Objective Response Rate (ORR) in All Participants
"Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per RECIST version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed.~CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions." (NCT02264990)
Timeframe: Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 6.7 and 5.9 months in each group, respectively.
Intervention | percentage of participants (Number) |
---|
Investigator's Choice Chemotherapy | 29.0 |
Veliparib + Carboplatin + Paclitaxel | 26.2 |
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Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup
"Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 or death (all causes of mortality), whichever occurred first.~PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions.~PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cutoff date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring > 26 weeks and > 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death." (NCT02264990)
Timeframe: From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Intervention | months (Median) |
---|
Investigator's Choice Chemotherapy | 5.2 |
Veliparib + Carboplatin + Paclitaxel | 6.3 |
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Overall Survival
Overall survival from enrollment to 12 months from enrollment measured in months (NCT02274038)
Timeframe: 1 year from study enrollment
Intervention | months (Mean) |
---|
18F-thymidine (FLT) PET/CT | 4.1 |
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Duration of Response (DOR) According to RECIST Version 1.1 as Determined by Investigator Assessment
DOR in patients with confirmed response per investigator. The DOR for complete response (CR) and partial response (PR) was measured from date that any of these best responses is first recorded until first date that progressive disease (PD) is objectively documented. For patients who continue treatment post-progression, the first date of progression was used for the analysis. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10mm. PR is at least a 30% decrease in sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Overall Response is the best response from start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). (NCT02322281)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months
Intervention | Days (Median) |
---|
Rociletinib 500 mg BID | 335.0 |
Rociletinib 625 mg BID | 275.0 |
Chemotherapy | 206.0 |
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Overall Survival (OS)
OS was calculated as 1+ the number of days from randomization to death due to any cause. Patients without a documented date of death were censored on the date the patient was last known to be alive. (NCT02322281)
Timeframe: Cycle 1 Day 1 to date of death, assessed up to 3 years
Intervention | Days (Median) |
---|
Rociletinib 500 mg BID | 665 |
Rociletinib 625 mg BID | 541 |
Chemotherapy | 348 |
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Percentage of Participants With Confirmed Response
Percentage 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. (NCT02322281)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months. This Time Frame includes the cross-over period, however, participants who crossed over to rociletinib were not analyzed for best overall confirmed response.
Intervention | percentage of participants (Number) |
---|
Rociletinib 500 mg BID | 17.0 |
Rociletinib 625 mg BID | 18.2 |
Chemotherapy | 8.2 |
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Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by Investigator Review (invPFS)
PFS was calculated as 1+ the number of days from the date of randomization to documented radiographic progression as determined by the investigator, or death due to any cause, whichever occurs first. 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. (NCT02322281)
Timeframe: Cycle 1 Day 1 to End of Treatment, up to approximately 35 months. This Time Frame includes the cross-over period, however, participants who crossed over to rociletinib were not analyzed for PFS.
Intervention | Days (Median) |
---|
Rociletinib 500 mg BID | 125.0 |
Rociletinib 625 mg BID | 166.0 |
Chemotherapy | 77.0 |
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Plasma PK for Patients Treated With Rociletinib Based on Sparse Sampling
Blood samples were drawn for PK analysis at 21 ± 3 day intervals for the first 6 months (Day 1 of Cycles 2 to 7 inclusive). The sample could be taken predose or postdose. Plasma concentrations are presented for Rociletinib and 3 metabolites (M460, M502, M544). (NCT02322281)
Timeframe: Cycles 2 Day 1 to Cycle 7 Day 1, or approximately 6 months
Intervention | Plasma concentration (ng/mL) (Median) |
---|
| Rociletinib | M460 | M502 | M544 |
---|
Rociletinib 500 mg BID | 80.4 | 20.0 | 573.0 | 765.0 |
,Rociletinib 625 mg BID | 207.0 | 555.0 | 3260.0 | 525.0 |
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Progression Free Survival
Defined as the time from randomization to the first objective documentation of disease progression, 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, or death due to any cause with patients who had not progressed or died at the time of final analysis censored on the date of the last tumour assessment. (NCT02337530)
Timeframe: 3 years
Intervention | months (Median) |
---|
Intermittent Oral Selumatinib With Pemetrexed and Platinum | 7.2 |
Continuous Oral Selumatinib With Pemetrexed and Platinum | 6.9 |
Pemetrexed and Platinum Alone | 4.0 |
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Overall Survival(OS)
OS was defined as the time from BBI608 administration to death from any cause. Participants alive at final observation or lost to follow-up were censored at their last contact (i.e., visit or telephone) date. (NCT02347917)
Timeframe: From BBI608 administration to death from any cause, up to 31 months
Intervention | month (Median) |
---|
NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 19.81 |
MPM: BBI608 + Pem +CDDP (Phase 1 Part) | 30.1 |
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | NA |
MPM: BBI608 + Pem + CDDP (Phase 2 Part) | 12.14 |
MPM: BBI608 + Pem + CDDP (Phase 2 Part Including 1 Participant With MPM in Phase 1 Part) | 12.75 |
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Phase 1 Part: Number of Participants With Dose-limiting Toxicities (DLTs)
"DLT was defined as an adverse event meeting any of the following that occurred during the DLT evaluation period in any participants given BBI608 with the causal relationship to BBI608 assessed as Definite, Probable, or Possible. The severity of adverse events was graded according to the CTCAE v4.0-JCOG.~Grade 4 neutropenia persisting for ≥ 7 days~Grade ≥ 3 febrile neutropenia persisting for ≥ 5 days~Grade 3 thrombocytopenia requiring platelet transfusions, grade 4 thrombocytopenia~Grade ≥ 3 non-hematotoxicity except the following:~Inappetence, nausea, vomiting and electrolyte abnormality which, within 3 days of onset, improved to grade ≤ 2 or resolved after appropriate treatment~Diarrhoea and fatigue which, within 5 days of onset, improved to grade ≤ 2 or resolved after appropriate treatment~Other clinically significant signs in the opinion of the investigator" (NCT02347917)
Timeframe: From Day 1 of Cycle 1 to Day 24 pre-dose examination (23 days)
Intervention | Participants (Count of Participants) |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 0 |
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Phase 2 Part: Progression-free Survival (PFS)
PFS was defined as the time from BBI608 administration to documented PD (as assessed according to the mRECIST or RECIST 1.1) or death, whichever is earlier. The result of imaging assessment by the imaging assessment committee was used for phase 2 part. (NCT02347917)
Timeframe: From BBI608 administration to documented PD or death, whichever is earlier, about 17 months
Intervention | month (Median) |
---|
MPM: BBI608 + Pem + CDDP (Phase 2 Part) | 5.59 |
MPM: BBI608 + Pem + CDDP (Phase 2 Part Including 1 Participant With MPM in Phase 1 Part) | 5.59 |
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Phase 1 Part: Area Under the Concentration-time Curve
AUC0-12: Area under the concentration-time curve from time zero to 12 hours, AUC0-24: Area under the concentration-time curve from time zero to 24 hours, AUC0-inf: Area under the concentration-time curve from time zero to infinity (NCT02347917)
Timeframe: Cycle 1 Day 1 and Day 23
Intervention | h*ng/mL (Mean) |
---|
| Day 1: AUC0-12 | Day 1: AUC0-24 | Day 1: AUC0-inf | Day 23: AUC0-12 | Day 23: AUC0-24 | Day 23: AUC0-inf |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 1814.3 | 2223.8 | 2413.5 | 3797.0 | 6103.7 | 10762.7 |
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Phase 1 Part: Maximum Observed Concentration (Cmax) and Minimum Observed Concentration (Cmin) of BBI608 When Administered With Pem and CDDP
(NCT02347917)
Timeframe: Cycle 1 Day 1 (Cmax only) and Day 23
Intervention | ng/mL (Mean) |
---|
| Day 1: Cmax | Day 23: Cmax | Day 23: Cmin |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 307.5 | 473.7 | 196.1 |
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Phase 1 Part: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Drug Reactions (ADRs)
"An AE is any untoward medical occurrence in a study subject administered an investigational drug and which does not necessarily have a causal relationship with this treatment.~A SAE was an AE that met one or more of the following criteria:~Results in death~Is life-threatening~Requires hospitalization or prolongation of existing hospitalization~Results in persistent or significant disability or incapacity~Is a congenital anomaly or birth defect~Is an important medical event that may jeopardize the subject or may require a medical or surgical intervention to prevent one of the outcomes listed above. Examples of such medical events include allergic bronchospasm requiring intensive treatment in an emergency room or at home, blood dyscrasias or convulsions that do not result in inpatient hospitalization.~An ADR was defined as adverse events assessed to be related to the investigational drug" (NCT02347917)
Timeframe: Between initial dosing of the investigational drug and final evaluation in the follow-up observation period, about 17 months
Intervention | Participants (Count of Participants) |
---|
| Any AEs | AEs leading to death | Serious AEs | AEs leading to drug withdrawn (BBI608) | AEs leading to drug interrupted (BBI608) | AEs leading to dose reduced (BBI608) | Any ADRs | ADRs leading to death | Serious ADRs | ADRs leading to drug withdrawn (BBI608) | ADRs leading to drug interrupted (BBI608) | ADRs leading to dose reduced (BBI608) |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 4 | 0 | 0 | 1 | 1 | 0 | 4 | 0 | 0 | 1 | 1 | 0 |
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Respiratory Function Tests (Forced Expiratory Volume in the First Second [FEV1])
(NCT02347917)
Timeframe: Every 6 weeks from the first dose of BBI608 until Week 30, and then every 9 weeks from Week 31 [Actually up to Week 111]
Intervention | L (Median) |
---|
| The change from baseline in FEV1: 6 weeks | The change from baseline in FEV1: 12 weeks | The change from baseline in FEV1: 18 weeks | The change from baseline in FEV1: 24 weeks | The change from baseline in FEV1: 30 weeks | The change from baseline in FEV1: 39 weeks | The change from baseline in FEV1: 48 weeks | The change from baseline in FEV1: 57 weeks | The change from baseline in FEV1: 66 weeks | The change from baseline in FEV1: 75 weeks | The change from baseline in FEV1: 84 weeks | The change from baseline in FEV1: 93 weeks | The change from baseline in FEV1: 102 weeks | The change from baseline in FEV1: 111 weeks |
---|
MPM: BBI608 + Pem + CDDP (Phase 2 Part Including 1 Participant With MPM in Phase 1 Part) | 0.050 | -0.130 | -0.110 | -0.040 | -0.030 | -0.050 | 0.115 | 0.010 | 0.085 | -0.045 | -0.130 | -0.215 | NA | NA |
,MPM: BBI608 + Pem + CDDP (Phase 2 Part) | 0.050 | -0.130 | -0.110 | -0.040 | -0.030 | -0.050 | 0.115 | 0.010 | 0.085 | -0.045 | -0.130 | -0.215 | NA | NA |
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Respiratory Function Tests (Forced Expiratory Volume in the First Second [FEV1])
(NCT02347917)
Timeframe: Every 6 weeks from the first dose of BBI608 until Week 30, and then every 9 weeks from Week 31 [Actually up to Week 111]
Intervention | L (Median) |
---|
| The change from baseline in FEV1: 6 weeks | The change from baseline in FEV1: 12 weeks | The change from baseline in FEV1: 18 weeks | The change from baseline in FEV1: 24 weeks | The change from baseline in FEV1: 30 weeks | The change from baseline in FEV1: 39 weeks | The change from baseline in FEV1: 48 weeks | The change from baseline in FEV1: 57 weeks | The change from baseline in FEV1: 66 weeks |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 0.160 | 0.070 | 0.000 | -0.010 | -0.055 | -0.140 | NA | NA | NA |
,NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 0.160 | 0.070 | 0.000 | -0.010 | -0.055 | -0.140 | NA | NA | NA |
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Response Rate (RR) and Disease Control Rate (DCR)
"Response rate (RR): Proportion of subjects whose best overall response is CR or PR.~Disease control rate (DCR): Proportion of subjects whose best overall response is CR, PR or SD.~The result of imaging assessment by study site was used for phase 1 part, and the result of imaging assessment by the imaging assessment committee was used for phase 2 part." (NCT02347917)
Timeframe: From BBI608 administration to death from any cause, about 17 months
Intervention | Participants (Count of Participants) |
---|
| Response rate (RR) | Disease control rate (DCR) |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 0 | 3 |
,MPM: BBI608 + Pem + CDDP (Phase 2 Part Including 1 Participant With MPM in Phase 1 Part) | 8 | 19 |
,MPM: BBI608 + Pem + CDDP (Phase 2 Part) | 8 | 19 |
,MPM: BBI608 + Pem +CDDP (Phase 1 Part) | 0 | 0 |
,NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 0 | 3 |
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Respiratory Function Tests (Vital Capacity [VC] and Forced Vital Capacity [FVC])
(NCT02347917)
Timeframe: Every 6 weeks from the first dose of BBI608 until Week 30, and then every 9 weeks from Week 31 [Actually up to Week 111]
Intervention | mL (Median) |
---|
| The change from baseline in VC: 6 weeks | The change from baseline in VC: 12 weeks | The change from baseline in VC: 18 weeks | The change from baseline in VC: 24 weeks | The change from baseline in VC: 30 weeks | The change from baseline in VC: 39 weeks | The change from baseline in VC: 48 weeks | The change from baseline in VC: 57 weeks | The change from baseline in VC: 66 weeks | The change from baseline in VC: 75 weeks | The change from baseline in VC: 84 weeks | The change from baseline in VC: 93 weeks | The change from baseline in VC: 102 weeks | The change from baseline in VC: 111 weeks | The change from baseline in FVC: 6 weeks | The change from baseline in FVC: 12 weeks | The change from baseline in FVC: 18 weeks | The change from baseline in FVC: 24 weeks | The change from baseline in FVC: 30 weeks | The change from baseline in FVC: 39 weeks | The change from baseline in FVC: 48 weeks | The change from baseline in FVC: 57 weeks | The change from baseline in FVC: 66 weeks | The change from baseline in FVC: 75 weeks | The change from baseline in FVC: 84 weeks | The change from baseline in FVC: 93 weeks | The change from baseline in FVC: 102 weeks | The change from baseline in FVC: 111 weeks |
---|
MPM: BBI608 + Pem + CDDP (Phase 2 Part) | 30.0 | 0.0 | -70.0 | -50.0 | 20.0 | 30.0 | 15.0 | -20.0 | 300.0 | 175.0 | 145.0 | -205.0 | NA | NA | 35.0 | 10.0 | -140.0 | -50.0 | 150.0 | -35.0 | 70.0 | 60.0 | 300.0 | 50.0 | 10.0 | -230.0 | NA | NA |
,MPM: BBI608 + Pem + CDDP (Phase 2 Part Including 1 Participant With MPM in Phase 1 Part) | 30.0 | 0.0 | -70.0 | -50.0 | 20.0 | 30.0 | 15.0 | -20.0 | 300.0 | 175.0 | 145.0 | -205.0 | NA | NA | 35.0 | 10.0 | -140.0 | -50.0 | 150.0 | -35.0 | 70.0 | 60.0 | 300.0 | 50.0 | 10.0 | -230.0 | NA | NA |
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Respiratory Function Tests (Vital Capacity [VC] and Forced Vital Capacity [FVC])
(NCT02347917)
Timeframe: Every 6 weeks from the first dose of BBI608 until Week 30, and then every 9 weeks from Week 31 [Actually up to Week 111]
Intervention | mL (Median) |
---|
| The change from baseline in VC: 6 weeks | The change from baseline in VC: 12 weeks | The change from baseline in VC: 18 weeks | The change from baseline in VC: 24 weeks | The change from baseline in VC: 30 weeks | The change from baseline in VC: 39 weeks | The change from baseline in VC: 48 weeks | The change from baseline in VC: 57 weeks | The change from baseline in VC: 66 weeks | The change from baseline in FVC: 6 weeks | The change from baseline in FVC: 12 weeks | The change from baseline in FVC: 18 weeks | The change from baseline in FVC: 24 weeks | The change from baseline in FVC: 30 weeks | The change from baseline in FVC: 39 weeks | The change from baseline in FVC: 48 weeks | The change from baseline in FVC: 57 weeks | The change from baseline in FVC: 66 weeks |
---|
MPM or NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 70.0 | 110.0 | -60.0 | -290.0 | -240.0 | -305.0 | NA | NA | NA | 0.0 | 80.0 | -20.0 | -155.0 | -265.0 | -345.0 | NA | NA | NA |
,NSCLC: BBI608 + Pem + CDDP (Phase 1 Part) | 70.0 | 110.0 | -60.0 | -290.0 | -240.0 | -305.0 | NA | NA | NA | 0.0 | 80.0 | -20.0 | -155.0 | -265.0 | -345.0 | NA | NA | NA |
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Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
AEs included both non-SAEs and SAEs and the same participant can have both SAEs and as well non-SAEs. (NCT02357147)
Timeframe: Baseline up to 3 years
Intervention | Participants (Count of Participants) |
---|
| AEs | SAEs |
---|
Combination Treatment Phase: Placebo + Pemetrexed + Cisplatin | 52 | 11 |
,Combination Treatment Phase:Amatuximab + Pemetrexed +Cisplatin | 50 | 15 |
,Maintenance Treatment Phase: Amatuximab | 19 | 1 |
,Maintenance Treatment Phase: Placebo | 21 | 4 |
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Percentage of Participants With Adverse Events
Percentage of participants with at least one adverse event. Adverse event onset date before cross over. (NCT02367781)
Timeframe: Up to approximately 69 months after first patient enrolled
Intervention | Percentage of participants (Number) |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 99.6 |
Arm B (Nab-Paclitaxel+Carboplatin) | 98.7 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms Score Using the Symptoms in Lung Cancer (SILC) Scale
Change from baseline per SILC scale will be analyzed for each lung cancer symptoms scores. SILC questionnaire comprises 3 individual symptoms & are scored at individual symptom level, thus have a dyspnea score, chest pain score, & cough score. There are a total of 9 questions in SILC questionnaire, each question has a minimum value of 0 & maximum value of 4. Each individual symptom score is calculated as average of responses for symptom items. 'Chest pain' score is mean of question 1 & 2, 'Cough' score is mean of question 3 & 4 and 'Dyspnea' score is mean of question 5 to 9 in SILC questionnaire. An increase in score is suggestive of a worsening in symptomology. A score change of ≥0.3 points for dyspnea & cough symptom scores is considered to be clinically significant; whereas a score change of≥0.5 points for chest pain score is considered to be clinically significant. (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Units on a scale (Mean) |
---|
| Chest Pain, Week 1 | Chest Pain, Week 2 | Chest Pain, Week 3 | Chest Pain, Week 4 | Chest Pain, Week 5 | Chest Pain, Week 6 | Chest Pain, Week 7 | Chest Pain, Week 8 | Chest Pain, Week 9 | Chest Pain, Week 10 | Chest Pain, Week 11 | Chest Pain, Week 12 | Chest Pain, Week 13 | Chest Pain, Week 14 | Chest Pain, Week 15 | Chest Pain, Week 16 | Chest Pain, Week 17 | Chest Pain, Week 18 | Chest Pain, Week 19 | Chest Pain, Week 20 | Chest Pain, Week 21 | Chest Pain, Week 22 | Chest Pain, Week 23 | Chest Pain, Week 24 | Chest Pain, Week 25 | Chest Pain, Week 26 | Chest Pain, Week 27 | Chest Pain, Week 28 | Chest Pain, Week 29 | Chest Pain, Week 30 | Chest Pain, Week 31 | Chest Pain, Week 32 | Chest Pain, Week 33 | Chest Pain, Week 34 | Chest Pain, Week 35 | Chest Pain, Week 36 | Chest Pain, Week 37 | Chest Pain, Week 38 | Chest Pain, Week 39 | Chest Pain, Week 40 | Chest Pain, Week 41 | Chest Pain, Week 42 | Chest Pain, Week 43 | Chest Pain, Week 44 | Chest Pain, Week 45 | Chest Pain, Week 46 | Chest Pain, Week 47 | Chest Pain, Week 48 | Chest Pain, Week 49 | Chest Pain, Week 50 | Chest Pain, Week 51 | Chest Pain, Week 52 | Chest Pain, Week 53 | Chest Pain, Week 54 | Chest Pain, Week 55 | Chest Pain, Week 56 | Chest Pain, Week 57 | Chest Pain, Week 58 | Chest Pain, Week 59 | Chest Pain, Week 60 | Chest Pain, Week 61 | Chest Pain, Week 62 | Chest Pain, Week 63 | Chest Pain, Week 64 | Chest Pain, Week 65 | Chest Pain, Week 66 | Chest Pain, Week 67 | Chest Pain, Week 68 | Chest Pain, Week 69 | Chest Pain, Week 70 | Chest Pain, Week 71 | Chest Pain, Week 72 | Chest Pain, Week 73 | Chest Pain, Week 74 | Chest Pain, Week 75 | Chest Pain, Week 76 | Chest Pain, Week 77 | Chest Pain, Week 78 | Chest Pain, Week 79 | Chest Pain, Week 80 | Chest Pain, Week 81 | Chest Pain, Week 82 | Chest Pain, Week 83 | Chest Pain, Week 84 | Chest Pain, Week 85 | Chest Pain, Week 86 | Chest Pain, Week 87 | Chest Pain, Week 88 | Chest Pain, Week 89 | Chest Pain, Week 90 | Chest Pain, Week 91 | Chest Pain, Week 92 | Chest Pain, Week 93 | Chest Pain, Week 94 | Chest Pain, Week 95 | Chest Pain, Week 96 | Chest Pain, Week 97 | Chest Pain, Week 98 | Chest Pain, Week 99 | Chest Pain, Week 100 | Chest Pain, Week 101 | Chest Pain, Week 102 | Chest Pain, Week 103 | Chest Pain, Week 104 | Chest Pain, Week 105 | Chest Pain, Week 106 | Chest Pain, Week 107 | Chest Pain, Week 108 | Chest Pain, Week 109 | Chest Pain, Week 110 | Chest Pain, Week 111 | Chest Pain, Week 112 | Chest Pain, Week 113 | Chest Pain, Week 114 | Chest Pain, Week 115 | Chest Pain, Week 116 | Chest Pain, Week 117 | Chest Pain, Week 118 | Chest Pain, Week 119 | Chest Pain, Week 120 | Chest Pain, Week 121 | Chest Pain, Week 122 | Chest Pain, Week 123 | Chest Pain, Week 124 | Chest Pain, Week 125 | Chest Pain, Survival Follow-Up Month 1 | Chest Pain, Survival Follow-Up Month 2 | Chest Pain, Survival Follow-Up Month 3 | Chest Pain, Survival Follow-Up Month 4 | Chest Pain, Survival Follow-Up Month 5 | Chest Pain, Survival Follow-Up Month 6 | Cough, Week 1 | Cough, Week 2 | Cough, Week 3 | Cough, Week 4 | Cough, Week 5 | Cough, Week 6 | Cough, Week 7 | Cough, Week 8 | Cough, Week 9 | Cough, Week 10 | Cough, Week 11 | Cough, Week 12 | Cough, Week 13 | Cough, Week 14 | Cough, Week 15 | Cough, Week 16 | Cough, Week 17 | Cough, Week 18 | Cough, Week 19 | Cough, Week 20 | Cough, Week 21 | Cough, Week 22 | Cough, Week 23 | Cough, Week 24 | Cough, Week 25 | Cough, Week 26 | Cough, Week 27 | Cough, Week 28 | Cough, Week 29 | Cough, Week 30 | Cough, Week 31 | Cough, Week 32 | Cough, Week 33 | Cough, Week 34 | Cough, Week 35 | Cough, Week 36 | Cough, Week 37 | Cough, Week 38 | Cough, Week 39 | Cough, Week 40 | Cough, Week 41 | Cough, Week 42 | Cough, Week 43 | Cough, Week 44 | Cough, Week 45 | Cough, Week 46 | Cough, Week 47 | Cough, Week 48 | Cough, Week 49 | Cough, Week 50 | Cough, Week 51 | Cough, Week 52 | Cough, Week 53 | Cough, Week 54 | Cough, Week 55 | Cough, Week 56 | Cough, Week 57 | Cough, Week 58 | Cough, Week 59 | Cough, Week 60 | Cough, Week 61 | Cough, Week 62 | Cough, Week 63 | Cough, Week 64 | Cough, Week 65 | Cough, Week 66 | Cough, Week 67 | Cough, Week 68 | Cough, Week 69 | Cough, Week 70 | Cough, Week 71 | Cough, Week 72 | Cough, Week 73 | Cough, Week 74 | Cough, Week 75 | Cough, Week 76 | Cough, Week 77 | Cough, Week 78 | Cough, Week 79 | Cough, Week 80 | Cough, Week 81 | Cough, Week 82 | Cough, Week 83 | Cough, Week 84 | Cough, Week 85 | Cough, Week 86 | Cough, Week 87 | Cough, Week 88 | Cough, Week 89 | Cough, Week 90 | Cough, Week 91 | Cough, Week 92 | Cough, Week 93 | Cough, Week 94 | Cough, Week 95 | Cough, Week 96 | Cough, Week 97 | Cough, Week 98 | Cough, Week 99 | Cough, Week 100 | Cough, Week 101 | Cough, Week 102 | Cough, Week 103 | Cough, Week 104 | Cough, Week 105 | Cough, Week 106 | Cough, Week 107 | Cough, Week 108 | Cough, Week 109 | Cough, Week 110 | Cough, Week 111 | Cough, Week 112 | Cough, Week 113 | Cough, Week 114 | Cough, Week 115 | Cough, Week 116 | Cough, Week 117 | Cough, Week 118 | Cough, Week 119 | Cough, Week 120 | Cough, Week 121 | Cough, Week 122 | Cough, Week 123 | Cough, Week 124 | Cough, Week 125 | Cough, Survival Follow-Up Month 1 | Cough, Survival Follow-Up Month 2 | Cough, Survival Follow-Up Month 3 | Cough, Survival Follow-Up Month 4 | Cough, Survival Follow-Up Month 5 | Cough, Survival Follow-Up Month 6 | Dyspnoea, Week 1 | Dyspnoea, Week 2 | Dyspnoea, Week 3 | Dyspnoea, Week 4 | Dyspnoea, Week 5 | Dyspnoea, Week 6 | Dyspnoea, Week 7 | Dyspnoea, Week 8 | Dyspnoea, Week 9 | Dyspnoea, Week 10 | Dyspnoea, Week 11 | Dyspnoea, Week 12 | Dyspnoea, Week 13 | Dyspnoea, Week 14 | Dyspnoea, Week 15 | Dyspnoea, Week 16 | Dyspnoea, Week 17 | Dyspnoea, Week 18 | Dyspnoea, Week 19 | Dyspnoea, Week 20 | Dyspnoea, Week 21 | Dyspnoea, Week 22 | Dyspnoea, Week 23 | Dyspnoea, Week 24 | Dyspnoea, Week 25 | Dyspnoea, Week 26 | Dyspnoea, Week 27 | Dyspnoea, Week 28 | Dyspnoea, Week 29 | Dyspnoea, Week 30 | Dyspnoea, Week 31 | Dyspnoea, Week 32 | Dyspnoea, Week 33 | Dyspnoea, Week 34 | Dyspnoea, Week 35 | Dyspnoea, Week 36 | Dyspnoea, Week 37 | Dyspnoea, Week 38 | Dyspnoea, Week 39 | Dyspnoea, Week 40 | Dyspnoea, Week 41 | Dyspnoea, Week 42 | Dyspnoea, Week 43 | Dyspnoea, Week 44 | Dyspnoea, Week 45 | Dyspnoea, Week 46 | Dyspnoea, Week 47 | Dyspnoea, Week 48 | Dyspnoea, Week 49 | Dyspnoea, Week 50 | Dyspnoea, Week 51 | Dyspnoea, Week 52 | Dyspnoea, Week 53 | Dyspnoea, Week 54 | Dyspnoea, Week 55 | Dyspnoea, Week 56 | Dyspnoea, Week 57 | Dyspnoea, Week 58 | Dyspnoea, Week 59 | Dyspnoea, Week 60 | Dyspnoea, Week 61 | Dyspnoea, Week 62 | Dyspnoea, Week 63 | Dyspnoea, Week 64 | Dyspnoea, Week 65 | Dyspnoea, Week 66 | Dyspnoea, Week 67 | Dyspnoea, Week 68 | Dyspnoea, Week 69 | Dyspnoea, Week 70 | Dyspnoea, Week 71 | Dyspnoea, Week 72 | Dyspnoea, Week 73 | Dyspnoea, Week 74 | Dyspnoea, Week 75 | Dyspnoea, Week 76 | Dyspnoea, Week 77 | Dyspnoea, Week 78 | Dyspnoea, Week 79 | Dyspnoea, Week 80 | Dyspnoea, Week 81 | Dyspnoea, Week 82 | Dyspnoea, Week 83 | Dyspnoea, Week 84 | Dyspnoea, Week 85 | Dyspnoea, Week 86 | Dyspnoea, Week 87 | Dyspnoea, Week 88 | Dyspnoea, Week 89 | Dyspnoea, Week 90 | Dyspnoea, Week 91 | Dyspnoea, Week 92 | Dyspnoea, Week 93 | Dyspnoea, Week 94 | Dyspnoea, Week 95 | Dyspnoea, Week 96 | Dyspnoea, Week 97 | Dyspnoea, Week 98 | Dyspnoea, Week 99 | Dyspnoea, Week 100 | Dyspnoea, Week 101 | Dyspnoea, Week 102 | Dyspnoea, Week 103 | Dyspnoea, Week 104 | Dyspnoea, Week 105 | Dyspnoea, Week 106 | Dyspnoea, Week 107 | Dyspnoea, Week 108 | Dyspnoea, Week 109 | Dyspnoea, Week 110 | Dyspnoea, Week 111 | Dyspnoea, Week 112 | Dyspnoea, Week 113 | Dyspnoea, Week 114 | Dyspnoea, Week 115 | Dyspnoea, Week 116 | Dyspnoea, Week 117 | Dyspnoea, Week 118 | Dyspnoea, Week 119 | Dyspnoea, Week 120 | Dyspnoea, Week 121 | Dyspnoea, Week 122 | Dyspnoea, Week 123 | Dyspnoea, Week 124 | Dyspnoea, Week 125 | Dyspnoea, Survival Follow-Up Month 1 | Dyspnoea, Survival Follow-Up Month 2 | Dyspnoea, Survival Follow-Up Month 3 | Dyspnoea, Survival Follow-Up Month 4 | Dyspnoea, Survival Follow-Up Month 5 | Dyspnoea, Survival Follow-Up Month 6 |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 0.19 | -0.02 | -0.05 | -0.11 | -0.12 | -0.24 | -0.23 | -0.21 | -0.18 | -0.10 | -0.11 | -0.15 | -0.26 | -0.28 | -0.26 | -0.33 | -0.33 | -0.28 | -0.28 | -0.26 | -0.25 | -0.28 | -0.24 | -0.21 | -0.20 | -0.17 | -0.22 | -0.20 | -0.27 | -0.15 | -0.16 | -0.19 | -0.18 | -0.18 | -0.10 | -0.21 | -0.18 | -0.32 | -0.28 | -0.19 | -0.25 | -0.16 | -0.24 | -0.24 | -0.14 | -0.15 | -0.22 | -0.14 | -0.22 | -0.18 | -0.13 | -0.15 | -0.20 | -0.22 | -0.34 | -0.19 | -0.19 | -0.32 | -0.25 | -0.27 | -0.28 | -0.16 | -0.12 | -0.15 | -0.31 | -0.25 | -0.18 | -0.15 | -0.13 | -0.14 | -0.10 | -0.24 | -0.25 | -0.08 | -0.21 | 0.03 | -0.06 | -0.04 | -0.11 | -0.18 | -0.59 | -0.39 | -0.34 | -0.20 | -0.44 | -0.38 | -0.53 | -0.46 | -0.55 | -0.18 | -0.32 | -0.40 | -0.18 | -0.30 | -0.05 | -0.17 | -0.19 | -0.25 | -0.21 | -0.50 | -0.36 | -0.75 | -0.33 | -0.60 | -1.00 | -1.00 | -1.00 | -0.75 | -0.60 | -0.42 | -0.50 | -0.13 | 0.13 | 0.00 | 0.25 | 0.50 | 0.25 | -0.25 | -0.25 | 0.00 | 0.00 | 0.00 | -0.75 | 0.50 | 0.50 | 0.01 | -0.07 | 0.15 | -0.28 | -0.11 | -0.37 | 0.08 | 0.02 | 0.02 | -0.06 | -0.09 | -0.15 | -0.11 | -0.13 | -0.15 | -0.20 | -0.15 | -0.17 | -0.24 | -0.23 | -0.27 | -0.37 | -0.32 | -0.33 | -0.33 | -0.37 | -0.37 | -0.37 | -0.30 | -0.38 | -0.49 | -0.43 | -0.41 | -0.52 | -0.43 | -0.43 | -0.32 | -0.30 | -0.19 | -0.35 | -0.46 | -0.35 | -0.46 | -0.38 | -0.27 | -0.38 | -0.44 | -0.44 | -0.39 | -0.38 | -0.30 | -0.25 | -0.44 | -0.29 | -0.38 | -0.39 | -0.30 | -0.32 | -0.37 | -0.41 | -0.40 | -0.26 | -0.35 | -0.33 | -0.31 | -0.42 | -0.35 | -0.23 | -0.22 | -0.19 | -0.23 | -0.29 | -0.48 | -0.34 | -0.34 | -0.26 | -0.23 | -0.48 | -0.43 | -0.42 | -0.32 | -0.31 | -0.40 | -0.52 | -0.08 | -0.48 | -0.44 | -0.39 | -0.25 | -0.30 | -0.32 | -0.54 | -0.33 | -0.46 | -0.36 | -0.29 | -0.27 | -0.35 | -0.55 | -0.40 | 0.05 | -0.28 | -0.31 | -0.10 | -0.43 | -0.58 | -0.50 | -0.50 | -0.75 | -0.80 | -0.63 | -0.63 | -0.63 | -0.50 | -0.50 | -0.50 | -0.30 | -0.63 | -0.25 | -0.33 | 0.25 | -0.25 | -0.50 | -0.25 | 0.00 | -0.25 | -0.50 | -0.50 | -0.75 | 0.50 | 0.50 | -0.21 | -0.07 | -0.14 | -0.39 | -0.25 | -0.23 | 0.13 | 0.10 | 0.22 | 0.23 | 0.26 | 0.27 | 0.29 | 0.32 | 0.38 | 0.41 | 0.50 | 0.47 | 0.32 | 0.34 | 0.29 | 0.22 | 0.28 | 0.23 | 0.26 | 0.24 | 0.26 | 0.21 | 0.18 | 0.22 | 0.21 | 0.17 | 0.20 | 0.16 | 0.16 | 0.24 | 0.12 | 0.20 | 0.18 | 0.21 | 0.22 | 0.21 | 0.16 | 0.18 | 0.31 | 0.31 | 0.24 | 0.26 | 0.17 | 0.22 | 0.26 | 0.29 | 0.20 | 0.32 | 0.24 | 0.32 | 0.24 | 0.27 | 0.24 | 0.28 | 0.26 | 0.26 | 0.37 | 0.19 | 0.32 | 0.35 | 0.33 | 0.45 | 0.44 | 0.36 | 0.27 | 0.32 | 0.28 | 0.35 | 0.44 | 0.33 | 0.50 | 0.17 | 0.41 | 0.30 | 0.26 | 0.23 | 0.20 | 0.31 | 0.32 | 0.30 | -0.12 | 0.02 | 0.13 | 0.19 | 0.05 | -0.07 | -0.11 | 0.06 | 0.09 | 0.37 | 0.33 | 0.20 | 0.35 | 0.50 | 0.48 | 0.51 | 0.33 | 0.38 | 0.11 | 0.27 | 0.20 | 0.35 | 0.47 | 0.48 | -0.20 | -0.20 | -0.30 | -0.15 | 0.16 | 0.33 | -0.04 | 0.20 | 0.20 | 0.40 | 0.80 | 0.60 | 0.30 | 0.30 | 0.50 | 0.30 | 0.60 | 0.60 | -0.20 | -0.20 | 0.20 | 0.41 | 0.36 | 0.27 | 0.02 | 0.13 | -0.09 |
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Overall Survival (OS) in the ITT-WT Population
OS is defined as the time between the date of randomization and date of death from any cause in the ITT-WT population. (NCT02367781)
Timeframe: Up to approximately 35 months after first patient enrolled
Intervention | Months (Median) |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 18.6 |
Arm B (Nab-Paclitaxel+Carboplatin) | 13.9 |
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OS as Determined by the Investigator Using Recist v1.1 in the ITT Population
OS is defined as the time between the date of randomization and date of death from any cause in the ITT population. (NCT02367781)
Timeframe: Up to approximately 41 months after first subject enrolled
Intervention | Months (Median) |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 17.0 |
Arm B (Nab-Paclitaxel+Carboplatin) | 13.5 |
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Plasma Concentrations of Nab-Paclitaxel Reported as Total Paclitaxel
(NCT02367781)
Timeframe: Predose (same day of treatment administration), 5-10 minutes before end of nab-paclitaxel infusion, 1 hour after nab-paclitaxel infusion (infusion duration=30 minutes) on Day 1 of Cycle 1 and 3 (1 Cycle=21 days) (up to approximately 35 months)
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day 1 Pre-dose | Cycle 1 Day 1 Before End of Infusion | Cycle 1 Day 1 Post Infusion | Cycle 3 Day 1 Pre-dose | Cycle 3 Day 1 Before End of Infusion | Cycle 3 Day 1 Post Infusion |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | NA | 3520 | 307 | NA | 4480 | 357 |
,Arm B (Nab-Paclitaxel+Carboplatin Crossover) | NA | 2530 | 417 | NA | 2030 | 447 |
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Plasma Concentrations of Carboplatin
(NCT02367781)
Timeframe: Predose (same day of treatment administration), 5-10 minutes before end of carboplatin infusion, 1 hour after carboplatin infusion (infusion duration=15 to 30 minutes) on Day 1 of Cycle 1 and 3 (1 Cycle=21 days) (up to approximately 35 months)
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day 1 Pre-dose | Cycle 1 Day 1 Before End of Infusion | Cycle 1 Day 1 Post Infusion | Cycle 3 Day 1 Pre-dose | Cycle 3 Day 1 Before End of Infusion | Cycle 3 Day 1 Post Infusion |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | NA | 20,500 | 11,900 | 169 | 15,300 | 11,400 |
,Arm B (Nab-Paclitaxel+Carboplatin Crossover) | NA | 17,000 | 12,400 | 160 | 17,800 | 13,400 |
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PFS as Determined by the Investigator Using Recist v1.1 in the ITT Population, PD-L1 Expression Population, and PD-L1 Expression WT Population
PFS is defined as the time between the date of randomization and the date of first documented disease progression as determined by the investigator according to RECIST v1.1 or death from any cause, whichever occurs first. The ITT population was defined as all randomized participants, regardless of receipt of the assigned treatment. The PD-L1 expression population is defined as one of the following: PD-L1 IHC TC1/2/3 or IC1/2/3 population, defined as ITT participants with PD-L1 IHC TC1/2/3 or IC1/2/3 expression in baseline tumor tissue; PD-L1 IHC TC2/3 or IC2/3 population, defined as ITT participants with PD-L1 IHC TC2/3 or IC2/3 expression in baseline tumor tissue; PD-L1 IHC TC3 or IC3 population, defined as ITT participants with PD-L1 IHC TC3 or IC3 expression in baseline tumor tissue. The PD-L1 expression WT population is defined as the PD-L1 expression population excluding participants with an activating EGFR mutation or ALK translocation. (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Months (Median) |
---|
| ITT Population | TC1/2/3 or IC1/2/3 ITT Population | TC1/2/3 or IC1/2/3-WT ITT Population |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 7.0 | 7.5 | 7.5 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 5.6 | 5.7 | 5.9 |
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Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) to Atezolizumab
Baseline prevalence and post-baseline incidence of anti-drug antibodies (ADA) to Atezolizumab in the Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed) and Arm B Carboplatin+nab-paclitaxel Crossover Participants (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Perecentage of participants (Number) |
---|
| Baseline | Post-baseline |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 3.1 | 22.4 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 4.8 | 23.5 |
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Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator Using RECIST v1.1 in the ITT Population, PD-L1 Expression Population, and PD-L1 Expression WT Population
ORR (confirmation not required) is defined as proportion of participants with an objective response, either CR or PR, with the use of RECIST v1.1, as determined by investigator in ITT population, PD-L1 Expression population, and PD-L1 Expression WT population. ITT population was defined as all randomized participants, regardless of receipt of the assigned treatment. PD-L1 expression population is defined as one of the following: PD-L1 IHC TC1/2/3 or IC1/2/3 population, defined as ITT participants with PD-L1 IHC TC1/2/3 or IC1/2/3 expression in baseline tumor tissue; PD-L1 IHC TC2/3 or IC2/3 population, defined as ITT participants with PD-L1 IHC TC2/3 or IC2/3 expression in baseline tumor tissue; PD-L1 IHC TC3 or IC3 population, defined as ITT participants with PD-L1 IHC TC3 or IC3 expression in baseline tumor tissue. PD-L1 expression WT population is defined as PD-L1 expression population excluding participants with an activating EGFR mutation or ALK translocation. (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Percentage of participants (Number) |
---|
| ITT Population | TC1/2/3 or IC1/2/3 ITT WT Population | TC1/2/3 or IC1/2/3 ITT Population |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 59.1 | 65.6 | 64.6 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 42.2 | 46.2 | 45.0 |
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OS as Determined by the Investigator Using RECIST v1.1 in the PD-L1 Expression Population and PD-L1 Expression WT Population
OS is defined as the time between the date of randomization and date of death from any cause in the PD-L1 Expression Population and PD-L1 Expression WT Population. The PD-L1 expression population is defined as one of the following: PD-L1 IHC TC1/2/3 or IC1/2/3 population, defined as ITT participants with PD-L1 IHC TC1/2/3 or IC1/2/3 expression in baseline tumor tissue; PD-L1 IHC TC2/3 or IC2/3 population, defined as ITT participants with PD-L1 IHC TC2/3 or IC2/3 expression in baseline tumor tissue; PD-L1 IHC TC3 or IC3 population, defined as ITT participants with PD-L1 IHC TC3 or IC3 expression in baseline tumor tissue. The PD-L1 expression WT population is defined as the PD-L1 expression population excluding participants with an activating EGFR mutation or ALK translocation. (NCT02367781)
Timeframe: Up to approximately 35 months after first patient enrolled
Intervention | Months (Median) |
---|
| TC1/2/3 or IC1/2/3 ITT Population | TC1/2/3 or IC1/2/3 WT ITT Population |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 21.2 | 21.2 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 16.9 | 16.9 |
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Minimum Observed Serum Concentration (Cmin) of Atezolizumab Prior to Infusion in Atezolizumab+Carboplain+Nab-Paclitaxel
Predose samples will be collected on the same day of treatment administration. (NCT02367781)
Timeframe: Cycle 1 Day 21, Cycle 2 Day 21, Cycle 3 Day 21, and Cycle 7 Day 21 (Cycle length = 21 days)
Intervention | mcg/mL (Mean) |
---|
| Cycle 1 Day 21 | Cycle 2 Day 21 | Cycle 3 Day 21 | Cycle 7 Day 21 |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 70.9 | 111 | 134 | 218 |
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Maximum Observed Serum Concentration (Cmax) of Atezolizumab for Patients in Atezolizumab+Carboplatin+Nab-Paclitaxel Arm
Predose samples will be collected on the same day of treatment administration. The infusion duration of atezolizumab will be of 30-60 minutes. (NCT02367781)
Timeframe: Cycle 1 Day 1 and Cycle 3 Day 1 (Cycle length = 21 days)
Intervention | mcg/mL (Mean) |
---|
| Cycle 1 Day 1 | Cycle 3 Day 1 |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 392 | 454 |
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Time to Deterioration (TTD) in Patient-Reported Lung Cancer Symptoms in the ITT-WT Population
Defined as time from randomization to confirmed deterioration (10-point change) on the combined European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Core (EORTC QLQ-C30) and supplemental lung cancer module (EORTC QLQ-LC13) symptom subscales. (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Months (Median) |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 2.2 |
Arm B (Nab-Paclitaxel+Carboplatin) | 1.9 |
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Event Free Rate (%) at Year 1 and 2 in PD-L1 Expression Population and PD-L1 Expression WT Population
The OS rate at the 1- and 2-year landmark time points after randomization in the PD-L1 Expression Population and PD-L1 Expression WT Population. The PD-L1 expression population is defined as one of the following: PD-L1 IHC TC1/2/3 or IC1/2/3 population, defined as ITT participants with PD-L1 IHC TC1/2/3 or IC1/2/3 expression in baseline tumor tissue; PD-L1 IHC TC2/3 or IC2/3 population, defined as ITT participants with PD-L1 IHC TC2/3 or IC2/3 expression in baseline tumor tissue; PD-L1 IHC TC3 or IC3 population, defined as ITT participants with PD-L1 IHC TC3 or IC3 expression in baseline tumor tissue. The PD-L1 expression WT population is defined as the PD-L1 expression population excluding participants with an activating EGFR mutation or ALK translocation. (NCT02367781)
Timeframe: Up to 35 months after first patient enrolled, years 1 and 2 reported
Intervention | Percentage of participants (Number) |
---|
| Event Free Rate (%) at Year 1 TC1/2/3 or IC1/2/3 ITT | Event Free Rate (%) at Year 2 TC1/2/3 or IC1/2/3 ITT | Event Free Rate (%) at Year 1 TC1/2/3 or IC1/2/3 ITT WT | Event Free Rate (%) at Year 2 TC1/2/3 or IC1/2/3 ITT WT |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 68.56 | 44.63 | 68.84 | 44.02 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 61.86 | 35.98 | 62.51 | 35.33 |
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Event Free Rate (%) at Year 1 and 2 in ITT-WT Population and ITT Population
The OS rate at the 1- and 2-year landmark time points after randomization. (NCT02367781)
Timeframe: Up to 41 months after first patient enrolled, years 1 and 2 reported
Intervention | Percentage of participants (Number) |
---|
| Event Free Rate (%) at Year 1 ITT WT | Event Free Rate (%) at Year 2 ITT WT | Event Free Rate (%) at Year 1 ITT | Event Free Rate (%) at Year 2 ITT |
---|
Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 62.02 | 40.43 | 61.65 | 39.73 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 54.56 | 32.36 | 54.47 | 32.21 |
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Duration of Response (DOR) as Determined by the Investigator Using RECIST v1.1 in ITT-WT Population, ITT Population, and PD-L1 Expression Population and PD-L1 Expression WT Population
DOR,defined for participants with objective response (OR) as time from 1st documented OR to documented disease progression as determined by investigator using RECIST v1.1,or death from any cause,whichever occurs 1st.ITT defined as all randomized participants,regardless of receipt of assigned treatment.ITT-WT defined as ITT population excluding participants with activating EGFR mutation or ALK translocation.PD-L1 expression population is defined as one of following:PD-L1 IHC TC1/2/3 or IC1/2/3 population,defined as ITT participants with PD-L1 IHC TC1/2/3 or IC1/2/3 expression in baseline tumor tissue;PD-L1 IHC TC2/3 or IC2/3 population, defined as ITT participants with PD-L1 IHC TC2/3 or IC2/3 expression in baseline tumor tissue;PD-L1 IHC TC3 or IC3 population,defined as ITT participants with PD-L1 IHC TC3 or IC3 expression in baseline tumor tissue.PD-L1 expression WT is defined as PD-L1 expression population excluding participants with activating EGFR mutation or ALK translocation. (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Months (Median) |
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| ITT Population | ITT-WT Population | TC1/2/3 or IC1/2/3 ITT Population | TC1/2/3 or IC1/2/3 ITT WT Population |
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Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 6.2 | 6.7 | 7.2 | 7.2 |
,Arm B (Nab-Paclitaxel+Carboplatin) | 5.4 | 5.4 | 5.0 | 5.0 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms Score Using the Symptoms in Lung Cancer (SILC) Scale
Change from baseline per SILC scale will be analyzed for each lung cancer symptoms scores. SILC questionnaire comprises 3 individual symptoms & are scored at individual symptom level, thus have a dyspnea score, chest pain score, & cough score. There are a total of 9 questions in SILC questionnaire, each question has a minimum value of 0 & maximum value of 4. Each individual symptom score is calculated as average of responses for symptom items. 'Chest pain' score is mean of question 1 & 2, 'Cough' score is mean of question 3 & 4 and 'Dyspnea' score is mean of question 5 to 9 in SILC questionnaire. An increase in score is suggestive of a worsening in symptomology. A score change of ≥0.3 points for dyspnea & cough symptom scores is considered to be clinically significant; whereas a score change of≥0.5 points for chest pain score is considered to be clinically significant. (NCT02367781)
Timeframe: Up to approximately 35 months after first subject enrolled
Intervention | Units on a scale (Mean) |
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| Chest Pain, Week 1 | Chest Pain, Week 2 | Chest Pain, Week 3 | Chest Pain, Week 4 | Chest Pain, Week 5 | Chest Pain, Week 6 | Chest Pain, Week 7 | Chest Pain, Week 8 | Chest Pain, Week 9 | Chest Pain, Week 10 | Chest Pain, Week 11 | Chest Pain, Week 12 | Chest Pain, Week 13 | Chest Pain, Week 14 | Chest Pain, Week 15 | Chest Pain, Week 16 | Chest Pain, Week 17 | Chest Pain, Week 18 | Chest Pain, Week 19 | Chest Pain, Week 20 | Chest Pain, Week 21 | Chest Pain, Week 22 | Chest Pain, Week 23 | Chest Pain, Week 24 | Chest Pain, Week 25 | Chest Pain, Week 26 | Chest Pain, Week 27 | Chest Pain, Week 28 | Chest Pain, Week 29 | Chest Pain, Week 30 | Chest Pain, Week 31 | Chest Pain, Week 32 | Chest Pain, Week 33 | Chest Pain, Week 34 | Chest Pain, Week 35 | Chest Pain, Week 36 | Chest Pain, Week 37 | Chest Pain, Week 38 | Chest Pain, Week 39 | Chest Pain, Week 40 | Chest Pain, Week 41 | Chest Pain, Week 42 | Chest Pain, Week 43 | Chest Pain, Week 44 | Chest Pain, Week 45 | Chest Pain, Week 46 | Chest Pain, Week 47 | Chest Pain, Week 48 | Chest Pain, Week 49 | Chest Pain, Week 50 | Chest Pain, Week 51 | Chest Pain, Week 52 | Chest Pain, Week 53 | Chest Pain, Week 54 | Chest Pain, Week 55 | Chest Pain, Week 56 | Chest Pain, Week 57 | Chest Pain, Week 58 | Chest Pain, Week 59 | Chest Pain, Week 60 | Chest Pain, Week 61 | Chest Pain, Week 62 | Chest Pain, Week 63 | Chest Pain, Week 64 | Chest Pain, Week 65 | Chest Pain, Week 66 | Chest Pain, Week 67 | Chest Pain, Week 68 | Chest Pain, Week 69 | Chest Pain, Week 70 | Chest Pain, Week 71 | Chest Pain, Week 72 | Chest Pain, Week 73 | Chest Pain, Week 74 | Chest Pain, Week 75 | Chest Pain, Week 76 | Chest Pain, Week 77 | Chest Pain, Week 78 | Chest Pain, Week 79 | Chest Pain, Week 80 | Chest Pain, Week 81 | Chest Pain, Week 82 | Chest Pain, Week 83 | Chest Pain, Week 84 | Chest Pain, Week 85 | Chest Pain, Week 86 | Chest Pain, Week 87 | Chest Pain, Week 88 | Chest Pain, Week 89 | Chest Pain, Week 90 | Chest Pain, Week 91 | Chest Pain, Week 92 | Chest Pain, Week 93 | Chest Pain, Survival Follow-Up Month 1 | Chest Pain, Survival Follow-Up Month 2 | Chest Pain, Survival Follow-Up Month 3 | Chest Pain, Survival Follow-Up Month 4 | Chest Pain, Survival Follow-Up Month 5 | Chest Pain, Survival Follow-Up Month 6 | Cough, Week 1 | Cough, Week 2 | Cough, Week 3 | Cough, Week 4 | Cough, Week 5 | Cough, Week 6 | Cough, Week 7 | Cough, Week 8 | Cough, Week 9 | Cough, Week 10 | Cough, Week 11 | Cough, Week 12 | Cough, Week 13 | Cough, Week 14 | Cough, Week 15 | Cough, Week 16 | Cough, Week 17 | Cough, Week 18 | Cough, Week 19 | Cough, Week 20 | Cough, Week 21 | Cough, Week 22 | Cough, Week 23 | Cough, Week 24 | Cough, Week 25 | Cough, Week 26 | Cough, Week 27 | Cough, Week 28 | Cough, Week 29 | Cough, Week 30 | Cough, Week 31 | Cough, Week 32 | Cough, Week 33 | Cough, Week 34 | Cough, Week 35 | Cough, Week 36 | Cough, Week 37 | Cough, Week 38 | Cough, Week 39 | Cough, Week 40 | Cough, Week 41 | Cough, Week 42 | Cough, Week 43 | Cough, Week 44 | Cough, Week 45 | Cough, Week 46 | Cough, Week 47 | Cough, Week 48 | Cough, Week 49 | Cough, Week 50 | Cough, Week 51 | Cough, Week 52 | Cough, Week 53 | Cough, Week 54 | Cough, Week 55 | Cough, Week 56 | Cough, Week 57 | Cough, Week 58 | Cough, Week 59 | Cough, Week 60 | Cough, Week 61 | Cough, Week 62 | Cough, Week 63 | Cough, Week 64 | Cough, Week 65 | Cough, Week 66 | Cough, Week 67 | Cough, Week 68 | Cough, Week 69 | Cough, Week 70 | Cough, Week 71 | Cough, Week 72 | Cough, Week 73 | Cough, Week 74 | Cough, Week 75 | Cough, Week 76 | Cough, Week 77 | Cough, Week 78 | Cough, Week 79 | Cough, Week 80 | Cough, Week 81 | Cough, Week 82 | Cough, Week 83 | Cough, Week 84 | Cough, Week 85 | Cough, Week 86 | Cough, Week 87 | Cough, Week 88 | Cough, Week 89 | Cough, Week 90 | Cough, Week 91 | Cough, Week 92 | Cough, Week 93 | Cough, Survival Follow-Up Month 1 | Cough, Survival Follow-Up Month 2 | Cough, Survival Follow-Up Month 3 | Cough, Survival Follow-Up Month 4 | Cough, Survival Follow-Up Month 5 | Cough, Survival Follow-Up Month 6 | Dyspnoea, Week 1 | Dyspnoea, Week 2 | Dyspnoea, Week 3 | Dyspnoea, Week 4 | Dyspnoea, Week 5 | Dyspnoea, Week 6 | Dyspnoea, Week 7 | Dyspnoea, Week 8 | Dyspnoea, Week 9 | Dyspnoea, Week 10 | Dyspnoea, Week 11 | Dyspnoea, Week 12 | Dyspnoea, Week 13 | Dyspnoea, Week 14 | Dyspnoea, Week 15 | Dyspnoea, Week 16 | Dyspnoea, Week 17 | Dyspnoea, Week 18 | Dyspnoea, Week 19 | Dyspnoea, Week 20 | Dyspnoea, Week 21 | Dyspnoea, Week 22 | Dyspnoea, Week 23 | Dyspnoea, Week 24 | Dyspnoea, Week 25 | Dyspnoea, Week 26 | Dyspnoea, Week 27 | Dyspnoea, Week 28 | Dyspnoea, Week 29 | Dyspnoea, Week 30 | Dyspnoea, Week 31 | Dyspnoea, Week 32 | Dyspnoea, Week 33 | Dyspnoea, Week 34 | Dyspnoea, Week 35 | Dyspnoea, Week 36 | Dyspnoea, Week 37 | Dyspnoea, Week 38 | Dyspnoea, Week 39 | Dyspnoea, Week 40 | Dyspnoea, Week 41 | Dyspnoea, Week 42 | Dyspnoea, Week 43 | Dyspnoea, Week 44 | Dyspnoea, Week 45 | Dyspnoea, Week 46 | Dyspnoea, Week 47 | Dyspnoea, Week 48 | Dyspnoea, Week 49 | Dyspnoea, Week 50 | Dyspnoea, Week 51 | Dyspnoea, Week 52 | Dyspnoea, Week 53 | Dyspnoea, Week 54 | Dyspnoea, Week 55 | Dyspnoea, Week 56 | Dyspnoea, Week 57 | Dyspnoea, Week 58 | Dyspnoea, Week 59 | Dyspnoea, Week 60 | Dyspnoea, Week 61 | Dyspnoea, Week 62 | Dyspnoea, Week 63 | Dyspnoea, Week 64 | Dyspnoea, Week 65 | Dyspnoea, Week 66 | Dyspnoea, Week 67 | Dyspnoea, Week 68 | Dyspnoea, Week 69 | Dyspnoea, Week 70 | Dyspnoea, Week 71 | Dyspnoea, Week 72 | Dyspnoea, Week 73 | Dyspnoea, Week 74 | Dyspnoea, Week 75 | Dyspnoea, Week 76 | Dyspnoea, Week 77 | Dyspnoea, Week 78 | Dyspnoea, Week 79 | Dyspnoea, Week 80 | Dyspnoea, Week 81 | Dyspnoea, Week 82 | Dyspnoea, Week 83 | Dyspnoea, Week 84 | Dyspnoea, Week 85 | Dyspnoea, Week 86 | Dyspnoea, Week 87 | Dyspnoea, Week 88 | Dyspnoea, Week 89 | Dyspnoea, Week 90 | Dyspnoea, Week 91 | Dyspnoea, Week 92 | Dyspnoea, Week 93 | Dyspnoea, Survival Follow-Up Month 1 | Dyspnoea, Survival Follow-Up Month 2 | Dyspnoea, Survival Follow-Up Month 3 | Dyspnoea, Survival Follow-Up Month 4 | Dyspnoea, Survival Follow-Up Month 5 | Dyspnoea, Survival Follow-Up Month 6 |
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Arm B (Nab-Paclitaxel+Carboplatin) | 0.14 | 0.03 | 0.01 | 0.01 | 0.00 | 0.03 | 0.03 | -0.14 | -0.01 | -0.07 | 0.01 | -0.10 | -0.03 | -0.17 | -0.19 | -0.16 | -0.14 | -0.07 | -0.16 | -0.22 | -0.32 | -0.11 | -0.19 | -0.43 | -0.24 | -0.13 | -0.15 | -0.07 | -0.04 | -0.28 | -0.12 | -0.30 | -0.18 | -0.17 | 0.05 | -0.35 | -0.10 | -0.05 | -0.22 | -0.39 | -0.19 | -0.41 | -0.22 | 0.00 | -0.07 | -0.07 | -0.15 | -0.18 | -0.72 | -0.19 | -0.50 | -0.36 | -0.33 | -0.21 | -0.30 | -0.33 | -0.40 | -0.50 | -0.63 | -0.50 | -0.20 | -0.40 | -0.10 | 0.38 | 0.17 | 0.25 | 0.13 | -0.25 | -0.17 | 0.00 | 0.00 | -1.00 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -0.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | -1.50 | 0.22 | -0.16 | -0.08 | -0.07 | -0.02 | 0.02 | 0.04 | 0.04 | -0.09 | -0.10 | -0.09 | -0.08 | -0.06 | -0.21 | -0.13 | -0.07 | -0.15 | -0.11 | -0.04 | -0.18 | -0.05 | -0.25 | -0.21 | -0.33 | -0.40 | -0.31 | -0.33 | -0.24 | -0.41 | -0.54 | -0.47 | -0.34 | -0.48 | -0.43 | -0.46 | -0.46 | -0.38 | -0.12 | -0.52 | -0.33 | 0.00 | -0.20 | -0.45 | -0.03 | -0.17 | -0.50 | -0.22 | -0.41 | -0.13 | -0.16 | -0.14 | -0.03 | -0.12 | 0.14 | -0.56 | -0.19 | -0.40 | -0.21 | -0.17 | -0.07 | 0.10 | 0.17 | 0.00 | 0.13 | 0.13 | 0.38 | 0.80 | 0.50 | 0.50 | 0.00 | 0.83 | 0.63 | 0.38 | 0.13 | 0.17 | 0.17 | 0.33 | -1.50 | -0.50 | -0.50 | -0.50 | -0.50 | -0.50 | 0.00 | 1.00 | 1.00 | -0.50 | 1.00 | 0.50 | 1.00 | 1.50 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | -0.01 | -0.31 | -0.13 | -0.45 | -0.27 | -0.29 | 0.23 | 0.31 | 0.32 | 0.45 | 0.42 | 0.51 | 0.60 | 0.53 | 0.62 | 0.75 | 0.60 | 0.74 | 0.76 | 0.61 | 0.71 | 0.67 | 0.68 | 0.62 | 0.54 | 0.54 | 0.39 | 0.41 | 0.41 | 0.31 | 0.20 | 0.30 | 0.30 | 0.22 | 0.33 | 0.27 | 0.26 | 0.38 | 0.19 | 0.30 | 0.46 | 0.34 | 0.10 | 0.51 | 0.26 | 0.04 | 0.18 | 0.08 | 0.41 | 0.29 | 0.31 | 0.47 | 0.45 | 0.29 | 0.00 | 0.43 | 0.06 | 0.29 | 0.30 | 0.40 | 0.44 | 0.53 | 0.24 | 0.35 | 0.35 | 0.50 | 0.60 | 0.72 | 0.56 | -0.50 | 0.07 | 0.50 | 0.40 | 0.40 | 0.73 | 0.73 | 0.60 | 0.60 | -1.80 | -1.00 | -1.00 | -1.00 | -1.50 | -1.00 | -1.00 | -1.00 | -0.80 | -0.80 | -1.00 | -1.00 | -0.80 | -1.00 | -1.00 | -1.00 | -1.00 | -1.00 | -1.00 | -0.80 | -0.80 | 0.60 | 0.46 | 0.61 | 0.45 | 0.48 | 0.54 |
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Progression-Free Survival (PFS) as Determined by the Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) in the ITT-WT Population
PFS is defined as the time between the date of randomization and the date of first documented disease progression as determined by the investigator according to RECIST v1.1 or death from any cause, whichever occurs first in the ITT-WT population. (NCT02367781)
Timeframe: Up to approximately 35 months after first patient enrolled
Intervention | Months (Median) |
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Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 7.0 |
Arm B (Nab-Paclitaxel+Carboplatin) | 5.5 |
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Percentage of Participants With an Objective Response (OR) (Complete Response [CR] or Partial Response [PR]) as Determined by the Investigator Using RECIST v1.1 in the ITT-WT Population
ORR (confirmation not required) is defined as the proportion of participants with an objective response, either CR or PR, with the use of RECIST v1.1, as determined by the investigator in the ITT-WT population. (NCT02367781)
Timeframe: Up to approximately 41 months after first subject enrolled
Intervention | Percentage of participants (Number) |
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Arm A (Atezolizumab+Nab-Paclitaxel+Carboplatin) | 60.2 |
Arm B (Nab-Paclitaxel+Carboplatin) | 41.0 |
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Duration of Response (DOR) in the TC3 or IC3-WT Populations
DOR is defined as the time from the first occurrence of a documented objective response to the time of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. (NCT02409342)
Timeframe: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Number) |
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Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 6.7 |
Atezolizumab | NA |
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TTD as Assessed Using EORTC QLQ Supplementary Lung Cancer Module (EORTC QLQ-LC13) in the TC3 or IC3-WT Populations
TTD in patient-reported lung cancer symptoms, defined as time from randomization to deterioration (10-point change) in any of the following symptom subscales (cough, dyspnea [multi-item scale], and chest pain), whichever occurs first, as measured by the EORTC QLQ-LC13. EORTC QLQ-LC13 module incorporates one multi-item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
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| Cough | Dyspnea | Chest pain |
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Atezolizumab | NA | 11.1 | NA |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | NA | 11.8 | NA |
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Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations
Change from baseline in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Score on a scale (Mean) |
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| Chest Pain, Week 1 | Chest Pain, Week 2 | Chest Pain, Week 3 | Chest Pain, Week 4 | Chest Pain, Week 5 | Chest Pain, Week 6 | Chest Pain, Week 7 | Chest Pain, Week 8 | Chest Pain, Week 9 | Chest Pain, Week 10 | Chest Pain, Week 11 | Chest Pain, Week 12 | Chest Pain, Week 13 | Chest Pain, Week 14 | Chest Pain, Week 15 | Chest Pain, Week 16 | Chest Pain, Week 17 | Chest Pain, Week 18 | Chest Pain, Week 19 | Chest Pain, Week 20 | Chest Pain, Week 21 | Chest Pain, Week 22 | Chest Pain, Week 23 | Chest Pain, Week 24 | Chest Pain, Week 25 | Chest Pain, Week 26 | Chest Pain, Week 27 | Chest Pain, Week 28 | Chest Pain, Week 29 | Chest Pain, Week 30 | Chest Pain, Week 31 | Chest Pain, Week 32 | Chest Pain, Week 33 | Chest Pain, Week 34 | Chest Pain, Week 35 | Chest Pain, Week 36 | Chest Pain, Week 37 | Chest Pain, Week 38 | Chest Pain, Week 39 | Chest Pain, Week 40 | Chest Pain, Week 41 | Chest Pain, Week 42 | Chest Pain, Week 43 | Chest Pain, Week 44 | Chest Pain, Week 45 | Chest Pain, Week 46 | Chest Pain, Week 47 | Chest Pain, Week 48 | Chest Pain, Week 49 | Chest Pain, Week 50 | Chest Pain, Week 51 | Chest Pain, Week 52 | Chest Pain, Week 53 | Chest Pain, Week 54 | Chest Pain, Week 55 | Chest Pain, Week 56 | Chest Pain, Week 57 | Chest Pain, Week 58 | Chest Pain, Week 59 | Chest Pain, Week 60 | Chest Pain, Week 61 | Chest Pain, Week 62 | Chest Pain, Week 63 | Chest Pain, Week 64 | Chest Pain, Week 65 | Chest Pain, Week 66 | Chest Pain, Week 67 | Chest Pain, Week 68 | Chest Pain, Week 69 | Chest Pain, Week 70 | Chest Pain, Week 71 | Chest Pain, Week 72 | Chest Pain, Week 73 | Chest Pain, Week 74 | Chest Pain, Week 75 | Chest Pain, Week 76 | Chest Pain, Week 77 | Chest Pain, Week 78 | Chest Pain, Week 79 | Chest Pain, Week 80 | Chest Pain, Week 81 | Chest Pain, Week 82 | Chest Pain, Week 83 | Chest Pain, Week 84 | Chest Pain, Week 85 | Chest Pain, Week 86 | Chest Pain, Week 87 | Cough, Week 1 | Cough, Week 2 | Cough, Week 3 | Cough, Week 4 | Cough, Week 5 | Cough, Week 6 | Cough, Week 7 | Cough, Week 8 | Cough, Week 9 | Cough, Week 10 | Cough, Week 11 | Cough, Week 12 | Cough, Week 13 | Cough, Week 14 | Cough, Week 15 | Cough, Week 16 | Cough, Week 17 | Cough, Week 18 | Cough, Week 19 | Cough, Week 20 | Cough, Week 21 | Cough, Week 22 | Cough, Week 23 | Cough, Week 24 | Cough, Week 25 | Cough, Week 26 | Cough, Week 27 | Cough, Week 28 | Cough, Week 29 | Cough, Week 30 | Cough, Week 31 | Cough, Week 32 | Cough, Week 33 | Cough, Week 34 | Cough, Week 35 | Cough, Week 36 | Cough, Week 37 | Cough, Week 38 | Cough, Week 39 | Cough, Week 40 | Cough, Week 41 | Cough, Week 42 | Cough, Week 43 | Cough, Week 44 | Cough, Week 45 | Cough, Week 46 | Cough, Week 47 | Cough, Week 48 | Cough, Week 49 | Cough, Week 50 | Cough, Week 51 | Cough, Week 52 | Cough, Week 53 | Cough, Week 54 | Cough, Week 55 | Cough, Week 56 | Cough, Week 57 | Cough, Week 58 | Cough, Week 59 | Cough, Week 60 | Cough, Week 61 | Cough, Week 62 | Cough, Week 63 | Cough, Week 64 | Cough, Week 65 | Cough, Week 66 | Cough, Week 67 | Cough, Week 68 | Cough, Week 69 | Cough, Week 70 | Cough, Week 71 | Cough, Week 72 | Cough, Week 73 | Cough, Week 74 | Cough, Week 75 | Cough, Week 76 | Cough, Week 77 | Cough, Week 78 | Cough, Week 79 | Cough, Week 80 | Cough, Week 81 | Cough, Week 82 | Cough, Week 83 | Cough, Week 84 | Cough, Week 85 | Cough, Week 86 | Cough, Week 87 | Dyspnoea, Week 1 | Dyspnoea, Week 2 | Dyspnoea, Week 3 | Dyspnoea, Week 4 | Dyspnoea, Week 5 | Dyspnoea, Week 6 | Dyspnoea, Week 7 | Dyspnoea, Week 8 | Dyspnoea, Week 9 | Dyspnoea, Week 10 | Dyspnoea, Week 11 | Dyspnoea, Week 12 | Dyspnoea, Week 13 | Dyspnoea, Week 14 | Dyspnoea, Week 15 | Dyspnoea, Week 16 | Dyspnoea, Week 17 | Dyspnoea, Week 18 | Dyspnoea, Week 19 | Dyspnoea, Week 20 | Dyspnoea, Week 21 | Dyspnoea, Week 22 | Dyspnoea, Week 23 | Dyspnoea, Week 24 | Dyspnoea, Week 25 | Dyspnoea, Week 26 | Dyspnoea, Week 27 | Dyspnoea, Week 28 | Dyspnoea, Week 29 | Dyspnoea, Week 30 | Dyspnoea, Week 31 | Dyspnoea, Week 32 | Dyspnoea, Week 33 | Dyspnoea, Week 34 | Dyspnoea, Week 35 | Dyspnoea, Week 36 | Dyspnoea, Week 37 | Dyspnoea, Week 38 | Dyspnoea, Week 39 | Dyspnoea, Week 40 | Dyspnoea, Week 41 | Dyspnoea, Week 42 | Dyspnoea, Week 43 | Dyspnoea, Week 44 | Dyspnoea, Week 45 | Dyspnoea, Week 46 | Dyspnoea, Week 47 | Dyspnoea, Week 48 | Dyspnoea, Week 49 | Dyspnoea, Week 50 | Dyspnoea, Week 51 | Dyspnoea, Week 52 | Dyspnoea, Week 53 | Dyspnoea, Week 54 | Dyspnoea, Week 55 | Dyspnoea, Week 56 | Dyspnoea, Week 57 | Dyspnoea, Week 58 | Dyspnoea, Week 59 | Dyspnoea, Week 60 | Dyspnoea, Week 61 | Dyspnoea, Week 62 | Dyspnoea, Week 63 | Dyspnoea, Week 64 | Dyspnoea, Week 65 | Dyspnoea, Week 66 | Dyspnoea, Week 67 | Dyspnoea, Week 68 | Dyspnoea, Week 69 | Dyspnoea, Week 70 | Dyspnoea, Week 71 | Dyspnoea, Week 72 | Dyspnoea, Week 73 | Dyspnoea, Week 74 | Dyspnoea, Week 75 | Dyspnoea, Week 76 | Dyspnoea, Week 77 | Dyspnoea, Week 78 | Dyspnoea, Week 79 | Dyspnoea, Week 80 | Dyspnoea, Week 81 | Dyspnoea, Week 82 | Dyspnoea, Week 83 | Dyspnoea, Week 84 | Dyspnoea, Week 85 | Dyspnoea, Week 86 | Dyspnoea, Week 87 |
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Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 0.57 | 0.42 | 0.25 | 0.15 | 0.27 | 0.30 | 0.23 | 0.17 | 0.27 | 0.30 | 0.26 | 0.22 | 0.07 | 0.07 | 0.10 | 0.00 | 0.22 | 0.11 | 0.11 | 0.20 | 0.03 | 0.30 | 0.00 | -0.09 | 0.27 | 0.12 | 0.05 | 0.00 | -0.25 | 0.21 | 0.18 | 0.41 | 0.00 | 0.40 | 0.00 | 0.06 | 0.31 | 0.23 | 0.22 | 0.43 | 0.36 | 0.25 | 0.30 | 0.14 | 0.63 | 0.30 | 0.50 | 0.50 | 1.00 | 0.80 | 0.88 | 0.75 | 0.70 | 1.13 | 1.17 | 0.38 | 0.67 | 1.17 | 1.00 | 0.50 | 1.00 | 0.83 | 0.50 | 0.00 | 0.00 | 0.00 | 1.00 | 0.75 | 0.50 | 1.00 | 0.50 | 1.00 | 1.50 | 0.50 | 0.75 | 0.50 | 0.50 | 1.00 | 0.50 | 0.75 | 0.75 | 0.00 | 0.00 | 0.50 | 0.00 | 0.00 | 0.00 | 0.13 | -0.01 | -0.03 | -0.02 | -0.01 | -0.18 | -0.20 | -0.10 | -0.24 | -0.07 | 0.02 | -0.08 | -0.09 | -0.20 | -0.05 | -0.10 | -0.04 | 0.02 | -0.23 | 0.00 | -0.17 | -0.20 | -0.22 | -0.13 | -0.45 | -0.46 | -0.50 | -0.45 | -0.50 | -0.88 | -0.86 | -0.73 | -0.77 | -0.80 | -0.14 | -0.17 | -0.25 | 0.05 | -0.50 | -0.36 | 0.21 | 0.17 | 0.10 | 0.36 | 0.25 | 0.10 | 0.50 | 0.17 | 0.67 | 0.30 | 0.13 | 0.63 | 0.70 | 0.50 | 0.67 | 0.50 | 0.50 | 0.67 | 0.33 | 0.75 | 0.50 | 0.33 | 0.00 | 0.00 | 0.50 | 0.00 | 0.25 | 0.25 | 0.25 | 0.25 | 0.00 | -0.50 | 0.00 | 0.00 | 0.00 | 0.25 | 0.00 | 0.25 | 0.00 | 0.25 | 0.25 | 0.00 | 0.00 | 0.50 | 0.00 | 0.00 | 0.00 | 0.42 | 0.33 | 0.25 | 0.43 | 0.55 | 0.50 | 0.63 | 0.50 | 0.46 | 0.43 | 0.36 | 0.39 | 0.43 | 0.26 | 0.36 | 0.18 | 0.48 | 0.39 | 0.29 | 0.60 | 0.27 | 0.55 | 0.34 | 0.36 | 0.22 | 0.32 | 0.35 | 0.35 | 0.20 | 0.18 | 0.18 | 0.22 | 0.20 | 0.16 | 0.11 | 0.11 | 0.28 | 0.40 | 0.27 | 0.57 | 0.31 | 0.30 | 0.40 | 0.49 | 0.65 | 0.56 | 0.30 | 0.60 | 1.40 | 0.24 | 1.05 | 1.10 | 0.76 | 1.10 | 1.00 | 0.40 | 0.53 | 0.80 | 0.60 | 1.20 | 0.73 | 0.67 | 0.30 | 0.20 | 0.60 | 0.40 | 0.50 | 0.20 | 0.30 | 0.30 | 0.10 | 0.00 | 0.00 | 0.20 | 0.30 | 0.30 | 0.40 | 0.30 | 0.10 | 0.50 | 0.40 | 0.60 | 0.60 | 0.80 | 0.60 | 0.40 | 0.40 |
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Time to Deterioration (TTD) in Patient-reported Lung Cancer Symptoms Score as Assessed by the Symptoms in Lung Cancer (SILC) Scale Symptom Score in the TC3 or IC3-WT Populations
TTD in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Atezolizumab | 3.5 | 1.3 | 1.7 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 3.4 | 1.0 | 1.1 |
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Overall Survival (OS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Intervention | Months (Median) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 19.9 | 18.9 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 16.1 | 14.7 |
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Percentage of Participants Who Are Alive at 1 Year in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
(NCT02409342)
Timeframe: Baseline to 1 year or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Intervention | Percentage of participants (Number) |
---|
| 1-Year TC2/3 or IC2/3-WT Population | 1-Year TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 63.39 | 59.95 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 58.65 | 54.89 |
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Percentage of Participants Who Are Alive at 2 Years in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
(NCT02409342)
Timeframe: Baseline to 2 years or death, whichever occurs first until clinical cut-off date on 4 February 2020 (up to approximately 54.5 months)
Intervention | Percentage of participants (Number) |
---|
| 2-Years TC2/3 or IC2/3-WT Population | 2-Years TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 44.15 | 41.76 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 35.42 | 30.82 |
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Percentage of Participants With Anti-therapeutic Antibodies (ATAs)
(NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
| Baseline evaluable participants | Post-baseline evaluable participants |
---|
Atezolizumab | 1.4 | 24.3 |
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Change From Baseline in Patient-reported Lung Cancer Symptoms Score as Assessed by the SILC Scale Symptom Score in the TC3 or IC3-WT Populations
Change from baseline in each of the patient-reported lung cancer symptoms with use of the SILC scale. The SILC scale is a nine-item content valid self-report measure of lung cancer symptoms. It measures severity of cough, dyspnea, and chest pain with a total symptom severity score. Each SILC symptom scale (dyspnea, cough, chest pain) score was calculated as the average of the component items (range 0 to 4). An increase in score suggested worsening in symptomatology. A symptom score change of 0.3 points for the dyspnea and cough scores was considered to be clinically significant; whereas a symptom score change of 0.5 points for the chest pain score was considered to be clinically significant. (NCT02409342)
Timeframe: Baseline until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Score on a scale (Mean) |
---|
| Chest Pain, Week 1 | Chest Pain, Week 2 | Chest Pain, Week 3 | Chest Pain, Week 4 | Chest Pain, Week 5 | Chest Pain, Week 6 | Chest Pain, Week 7 | Chest Pain, Week 8 | Chest Pain, Week 9 | Chest Pain, Week 10 | Chest Pain, Week 11 | Chest Pain, Week 12 | Chest Pain, Week 13 | Chest Pain, Week 14 | Chest Pain, Week 15 | Chest Pain, Week 16 | Chest Pain, Week 17 | Chest Pain, Week 18 | Chest Pain, Week 19 | Chest Pain, Week 20 | Chest Pain, Week 21 | Chest Pain, Week 22 | Chest Pain, Week 23 | Chest Pain, Week 24 | Chest Pain, Week 25 | Chest Pain, Week 26 | Chest Pain, Week 27 | Chest Pain, Week 28 | Chest Pain, Week 29 | Chest Pain, Week 30 | Chest Pain, Week 31 | Chest Pain, Week 32 | Chest Pain, Week 33 | Chest Pain, Week 34 | Chest Pain, Week 35 | Chest Pain, Week 36 | Chest Pain, Week 37 | Chest Pain, Week 38 | Chest Pain, Week 39 | Chest Pain, Week 40 | Chest Pain, Week 41 | Chest Pain, Week 42 | Chest Pain, Week 43 | Chest Pain, Week 44 | Chest Pain, Week 45 | Chest Pain, Week 46 | Chest Pain, Week 47 | Chest Pain, Week 48 | Chest Pain, Week 49 | Chest Pain, Week 50 | Chest Pain, Week 51 | Chest Pain, Week 52 | Chest Pain, Week 53 | Chest Pain, Week 54 | Chest Pain, Week 55 | Chest Pain, Week 56 | Chest Pain, Week 57 | Chest Pain, Week 58 | Chest Pain, Week 59 | Chest Pain, Week 60 | Chest Pain, Week 61 | Chest Pain, Week 62 | Chest Pain, Week 63 | Chest Pain, Week 64 | Chest Pain, Week 65 | Chest Pain, Week 66 | Chest Pain, Week 67 | Chest Pain, Week 68 | Chest Pain, Week 69 | Chest Pain, Week 70 | Chest Pain, Week 71 | Chest Pain, Week 72 | Chest Pain, Week 73 | Chest Pain, Week 74 | Chest Pain, Week 75 | Chest Pain, Week 76 | Chest Pain, Week 77 | Chest Pain, Week 78 | Chest Pain, Week 79 | Chest Pain, Week 80 | Chest Pain, Week 81 | Chest Pain, Week 82 | Chest Pain, Week 83 | Chest Pain, Week 84 | Chest Pain, Week 85 | Chest Pain, Week 86 | Chest Pain, Week 87 | Chest Pain, Week 88 | Chest Pain, Week 89 | Chest Pain, Week 90 | Chest Pain, Week 91 | Chest Pain, Week 92 | Chest Pain, Week 93 | Chest Pain, Week 94 | Chest Pain, Week 95 | Chest Pain, Week 96 | Chest Pain, Week 97 | Chest Pain, Week 98 | Chest Pain, Week 99 | Chest Pain, Week 100 | Chest Pain, Week 101 | Chest Pain, Week 102 | Chest Pain, Week 103 | Chest Pain, Week 104 | Chest Pain, Week 105 | Chest Pain, Week 106 | Chest Pain, Week 107 | Chest Pain, Week 108 | Chest Pain, Week 109 | Chest Pain, Week 110 | Chest Pain, Week 111 | Chest Pain, Week 112 | Chest Pain, Week 113 | Chest Pain, Week 114 | Chest Pain, Week 115 | Chest Pain, Week 116 | Chest Pain, Week 117 | Chest Pain, Week 118 | Chest Pain, Week 119 | Chest Pain, Week 120 | Chest Pain, Week 121 | Chest Pain, Week 122 | Chest Pain, Week 123 | Chest Pain, Week 124 | Chest Pain, Week 125 | Chest Pain, Week 126 | Chest Pain, Week 127 | Chest Pain, Week 128 | Chest Pain, Week 129 | Chest Pain, Week 130 | Chest Pain, Week 131 | Cough, Week 1 | Cough, Week 2 | Cough, Week 3 | Cough, Week 4 | Cough, Week 5 | Cough, Week 6 | Cough, Week 7 | Cough, Week 8 | Cough, Week 9 | Cough, Week 10 | Cough, Week 11 | Cough, Week 12 | Cough, Week 13 | Cough, Week 14 | Cough, Week 15 | Cough, Week 16 | Cough, Week 17 | Cough, Week 18 | Cough, Week 19 | Cough, Week 20 | Cough, Week 21 | Cough, Week 22 | Cough, Week 23 | Cough, Week 24 | Cough, Week 25 | Cough, Week 26 | Cough, Week 27 | Cough, Week 28 | Cough, Week 29 | Cough, Week 30 | Cough, Week 31 | Cough, Week 32 | Cough, Week 33 | Cough, Week 34 | Cough, Week 35 | Cough, Week 36 | Cough, Week 37 | Cough, Week 38 | Cough, Week 39 | Cough, Week 40 | Cough, Week 41 | Cough, Week 42 | Cough, Week 43 | Cough, Week 44 | Cough, Week 45 | Cough, Week 46 | Cough, Week 47 | Cough, Week 48 | Cough, Week 49 | Cough, Week 50 | Cough, Week 51 | Cough, Week 52 | Cough, Week 53 | Cough, Week 54 | Cough, Week 55 | Cough, Week 56 | Cough, Week 57 | Cough, Week 58 | Cough, Week 59 | Cough, Week 60 | Cough, Week 61 | Cough, Week 62 | Cough, Week 63 | Cough, Week 64 | Cough, Week 65 | Cough, Week 66 | Cough, Week 67 | Cough, Week 68 | Cough, Week 69 | Cough, Week 70 | Cough, Week 71 | Cough, Week 72 | Cough, Week 73 | Cough, Week 74 | Cough, Week 75 | Cough, Week 76 | Cough, Week 77 | Cough, Week 78 | Cough, Week 79 | Cough, Week 80 | Cough, Week 81 | Cough, Week 82 | Cough, Week 83 | Cough, Week 84 | Cough, Week 85 | Cough, Week 86 | Cough, Week 87 | Cough, Week 88 | Cough, Week 89 | Cough, Week 90 | Cough, Week 91 | Cough, Week 92 | Cough, Week 93 | Cough, Week 94 | Cough, Week 95 | Cough, Week 96 | Cough, Week 97 | Cough, Week 98 | Cough, Week 99 | Cough, Week 100 | Cough, Week 101 | Cough, Week 102 | Cough, Week 103 | Cough, Week 104 | Cough, Week 105 | Cough, Week 106 | Cough, Week 107 | Cough, Week 108 | Cough, Week 109 | Cough, Week 110 | Cough, Week 111 | Cough, Week 112 | Cough, Week 113 | Cough, Week 114 | Cough, Week 115 | Cough, Week 116 | Cough, Week 117 | Cough, Week 118 | Cough, Week 119 | Cough, Week 120 | Cough, Week 121 | Cough, Week 122 | Cough, Week 123 | Cough, Week 124 | Cough, Week 125 | Cough, Week 126 | Cough, Week 127 | Cough, Week 128 | Cough, Week 129 | Cough, Week 130 | Cough, Week 131 | Dyspnoea, Week 1 | Dyspnoea, Week 2 | Dyspnoea, Week 3 | Dyspnoea, Week 4 | Dyspnoea, Week 5 | Dyspnoea, Week 6 | Dyspnoea, Week 7 | Dyspnoea, Week 8 | Dyspnoea, Week 9 | Dyspnoea, Week 10 | Dyspnoea, Week 11 | Dyspnoea, Week 12 | Dyspnoea, Week 13 | Dyspnoea, Week 14 | Dyspnoea, Week 15 | Dyspnoea, Week 16 | Dyspnoea, Week 17 | Dyspnoea, Week 18 | Dyspnoea, Week 19 | Dyspnoea, Week 20 | Dyspnoea, Week 21 | Dyspnoea, Week 22 | Dyspnoea, Week 23 | Dyspnoea, Week 24 | Dyspnoea, Week 25 | Dyspnoea, Week 26 | Dyspnoea, Week 27 | Dyspnoea, Week 28 | Dyspnoea, Week 29 | Dyspnoea, Week 30 | Dyspnoea, Week 31 | Dyspnoea, Week 32 | Dyspnoea, Week 33 | Dyspnoea, Week 34 | Dyspnoea, Week 35 | Dyspnoea, Week 36 | Dyspnoea, Week 37 | Dyspnoea, Week 38 | Dyspnoea, Week 39 | Dyspnoea, Week 40 | Dyspnoea, Week 41 | Dyspnoea, Week 42 | Dyspnoea, Week 43 | Dyspnoea, Week 44 | Dyspnoea, Week 45 | Dyspnoea, Week 46 | Dyspnoea, Week 47 | Dyspnoea, Week 48 | Dyspnoea, Week 49 | Dyspnoea, Week 50 | Dyspnoea, Week 51 | Dyspnoea, Week 52 | Dyspnoea, Week 53 | Dyspnoea, Week 54 | Dyspnoea, Week 55 | Dyspnoea, Week 56 | Dyspnoea, Week 57 | Dyspnoea, Week 58 | Dyspnoea, Week 59 | Dyspnoea, Week 60 | Dyspnoea, Week 61 | Dyspnoea, Week 62 | Dyspnoea, Week 63 | Dyspnoea, Week 64 | Dyspnoea, Week 65 | Dyspnoea, Week 66 | Dyspnoea, Week 67 | Dyspnoea, Week 68 | Dyspnoea, Week 69 | Dyspnoea, Week 70 | Dyspnoea, Week 71 | Dyspnoea, Week 72 | Dyspnoea, Week 73 | Dyspnoea, Week 74 | Dyspnoea, Week 75 | Dyspnoea, Week 76 | Dyspnoea, Week 77 | Dyspnoea, Week 78 | Dyspnoea, Week 79 | Dyspnoea, Week 80 | Dyspnoea, Week 81 | Dyspnoea, Week 82 | Dyspnoea, Week 83 | Dyspnoea, Week 84 | Dyspnoea, Week 85 | Dyspnoea, Week 86 | Dyspnoea, Week 87 | Dyspnoea, Week 88 | Dyspnoea, Week 89 | Dyspnoea, Week 90 | Dyspnoea, Week 91 | Dyspnoea, Week 92 | Dyspnoea, Week 93 | Dyspnoea, Week 94 | Dyspnoea, Week 95 | Dyspnoea, Week 96 | Dyspnoea, Week 97 | Dyspnoea, Week 98 | Dyspnoea, Week 99 | Dyspnoea, Week 100 | Dyspnoea, Week 101 | Dyspnoea, Week 102 | Dyspnoea, Week 103 | Dyspnoea, Week 104 | Dyspnoea, Week 105 | Dyspnoea, Week 106 | Dyspnoea, Week 107 | Dyspnoea, Week 108 | Dyspnoea, Week 109 | Dyspnoea, Week 110 | Dyspnoea, Week 111 | Dyspnoea, Week 112 | Dyspnoea, Week 113 | Dyspnoea, Week 114 | Dyspnoea, Week 115 | Dyspnoea, Week 116 | Dyspnoea, Week 117 | Dyspnoea, Week 118 | Dyspnoea, Week 119 | Dyspnoea, Week 120 | Dyspnoea, Week 121 | Dyspnoea, Week 122 | Dyspnoea, Week 123 | Dyspnoea, Week 124 | Dyspnoea, Week 125 | Dyspnoea, Week 126 | Dyspnoea, Week 127 | Dyspnoea, Week 128 | Dyspnoea, Week 129 | Dyspnoea, Week 130 | Dyspnoea, Week 131 |
---|
Atezolizumab | 0.31 | 0.33 | 0.43 | 0.43 | 0.28 | 0.25 | 0.30 | 0.20 | 0.33 | 0.25 | 0.21 | 0.33 | 0.30 | 0.27 | 0.45 | 0.19 | 0.22 | 0.26 | 0.23 | 0.23 | 0.11 | 0.19 | 0.33 | 0.18 | 0.29 | 0.11 | 0.20 | 0.23 | 0.18 | 0.32 | 0.33 | 0.35 | 0.04 | 0.31 | 0.28 | 0.08 | 0.39 | 0.31 | 0.14 | 0.30 | 0.30 | 0.33 | 0.18 | 0.42 | 0.31 | 0.37 | 0.31 | 0.17 | 0.47 | 0.20 | 0.31 | 0.54 | 0.29 | 0.25 | 0.15 | 0.29 | 0.08 | 0.19 | 0.00 | 0.38 | 0.36 | 0.43 | 0.29 | 0.40 | 0.35 | 0.45 | -0.09 | 0.39 | 0.50 | 0.18 | 0.45 | 0.42 | 0.27 | 0.50 | 0.33 | 0.00 | 0.19 | 0.21 | 0.31 | 0.72 | 0.08 | 0.08 | 0.50 | 0.43 | 0.38 | 0.21 | 0.29 | 0.43 | -0.20 | 0.07 | -0.07 | 0.33 | 0.50 | 0.20 | 0.33 | 0.33 | 0.50 | 0.33 | 0.88 | 0.50 | 0.83 | 0.50 | 0.63 | 1.00 | 1.00 | 0.50 | 1.00 | 1.50 | 1.75 | 2.00 | 1.50 | 1.50 | 1.50 | 2.00 | 1.75 | 2.00 | 2.00 | 2.00 | 1.75 | 2.50 | 2.00 | 3.00 | 2.50 | 3.00 | 3.00 | 3.00 | 2.00 | 3.00 | 3.00 | 2.00 | 2.00 | 0.10 | 0.19 | -0.01 | -0.03 | 0.00 | -0.18 | -0.06 | -0.13 | -0.06 | -0.10 | -0.07 | -0.09 | -0.20 | -0.07 | -0.19 | -0.19 | -0.21 | -0.26 | -0.27 | -0.33 | -0.19 | -0.17 | 0.05 | -0.12 | 0.14 | -0.03 | -0.05 | 0.08 | 0.05 | 0.12 | 0.05 | -0.04 | -0.29 | -0.02 | -0.09 | -0.36 | -0.04 | -0.07 | -0.20 | -0.39 | 0.05 | -0.20 | 0.03 | -0.11 | -0.26 | 0.08 | -0.03 | 0.23 | 0.26 | 0.00 | 0.06 | 0.27 | 0.38 | 0.07 | 0.12 | 0.14 | 0.15 | 0.08 | 0.06 | -0.04 | 0.00 | 0.14 | -0.04 | 0.35 | 0.12 | 0.45 | -0.09 | 0.61 | 0.50 | 0.23 | 0.55 | 0.42 | 0.64 | 0.56 | 0.67 | 0.31 | 0.56 | 0.36 | 0.63 | 0.33 | 0.58 | 0.25 | 0.67 | 0.29 | 0.38 | 0.57 | 0.64 | 0.64 | 0.50 | 0.43 | 0.50 | 0.67 | 0.79 | 0.30 | 0.67 | 0.58 | 0.57 | 0.67 | 0.25 | 0.60 | 0.50 | 0.50 | 0.25 | 0.00 | 0.33 | -0.50 | 0.00 | 0.00 | 0.50 | 0.50 | 0.50 | 0.00 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 0.50 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 0.12 | 0.29 | 0.25 | 0.28 | 0.21 | 0.21 | 0.32 | 0.25 | 0.34 | 0.49 | 0.24 | 0.35 | 0.23 | 0.26 | 0.39 | 0.26 | 0.16 | 0.21 | 0.33 | 0.23 | 0.40 | 0.22 | 0.38 | 0.42 | 0.50 | 0.28 | 0.37 | 0.45 | 0.38 | 0.54 | 0.41 | 0.58 | 0.36 | 0.28 | 0.27 | -0.02 | 0.42 | 0.50 | 0.25 | 0.44 | 0.53 | 0.52 | 0.41 | 0.31 | 0.53 | 0.37 | 0.39 | 0.39 | 0.47 | 0.53 | 0.59 | 0.72 | 0.40 | 0.63 | 0.72 | 0.61 | 0.45 | 0.60 | 0.18 | 0.57 | 0.54 | 0.66 | 0.77 | 0.66 | 0.94 | 0.67 | 0.33 | 0.82 | 0.74 | 0.75 | 0.84 | 0.80 | 0.67 | 0.89 | 0.71 | 0.53 | 0.65 | 0.40 | 0.55 | 0.69 | 0.53 | 0.53 | 0.87 | 0.89 | 0.83 | 0.66 | 0.66 | 1.20 | 0.56 | 0.74 | 0.51 | 0.87 | 1.20 | 0.48 | 0.87 | 1.13 | 1.26 | 0.80 | 0.70 | 0.88 | 1.13 | 0.96 | 0.55 | 1.07 | 1.07 | 0.40 | 1.13 | 1.50 | 1.30 | 1.50 | 1.60 | 1.50 | 1.50 | 1.60 | 1.40 | 1.30 | 1.50 | 1.30 | 1.50 | 2.20 | 2.40 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 | 2.20 |
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Progression-free Survival (PFS) in the TC3 or IC3-WT Populations
PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. PFS could not be formally tested. (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 5.0 |
Atezolizumab | 8.1 |
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Percentage of Participants With Objective Response (ORR) in the TC3 or IC3-WT Populations
Objective response (partial response plus complete response) as determined by the investigator according to RECIST v1.1. (NCT02409342)
Timeframe: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 10 Sep 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 28.6 |
Atezolizumab | 38.3 |
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Percentage of Participants With at Least One Adverse Event
Percentage of participants with at least one adverse event. (NCT02409342)
Timeframe: Baseline up to until data cut-off on 8 March 2022 (up to approximately 79.5 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 95.1 |
Atezolizumab | 92.3 |
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Percentage of Participants Who Are Alive at 2 Years in the TC3 or IC3-WT Populations
(NCT02409342)
Timeframe: Baseline to 2 years or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 24.79 |
Atezolizumab | 45.49 |
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Percentage of Participants Who Are Alive at 1 Year in the TC3 or IC3-WT Populations
(NCT02409342)
Timeframe: Baseline to 1 year or death, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Percentage of participants (Number) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 50.64 |
Atezolizumab | 64.90 |
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Progression-free Survival (PFS) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. PFS could not be formally tested. (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Intervention | Months (Number) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 7.3 | 5.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 5.5 | 5.6 |
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OS in Participants With PD-L1 Expression
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| SP263 >=50%-WT Population | SP263 >=25%-WT Population | SP263 =1%-WT Population |
---|
Atezolizumab | 19.5 | 18.2 | 17.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 16.1 | 12.6 | 14.0 |
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Minimum Observed Serum Concentration (Cmin) of Atezolizumab
(NCT02409342)
Timeframe: Prior to infusion (0 hour) on Day 1 of Cycles 2, 3, 4, 8, 16, and every eighth cycle thereafter, and at treatment discontinuation until data cut-off on 10 September 2018 (up to approximately 38 months) (cycle duration = 21 days)
Intervention | micrograms per milliliter (μg/ mL) (Mean) |
---|
| Cycle 2 Day 1 | Cycle 3 Day 1 | Cycle 4 Day 1 | Cycle 8 Day 1 | Cycle 16 Day 1 | Cycle 24 Day 1 | Cycle 32 Day 1 | Cycle 40 Day 1 | Cycle 48 Day 1 | Treatment Discontinuation Visit |
---|
Atezolizumab | 76.7 | 121 | 154 | 201 | 213 | 245 | 276 | 252 | 555 | 121 |
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Investigator-Assessed PFS in Participants With PD-L1 Expression According to RECIST v1.1
Investigator-assessed PFS according to RECIST v1.1 in the PD-L1 (defined with SP263 IHC assay) (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| SP263 >=50%-WT Population | SP263 >=25%-WT Population | SP263 >=1%-WT Population |
---|
Atezolizumab | 7.0 | 6.9 | 6.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 4.9 | 4.9 | 5.4 |
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Investigator-Assessed PFS in Participants With bTMB According to RECIST v1.1
PFS according to RECIST v1.1 in the bTMB subpopulations. (NCT02409342)
Timeframe: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| bTMB >=10-WT Population | bTMB >=16-WT Population | bTMB >=20-WT Population |
---|
Atezolizumab | 5.5 | 6.8 | 6.8 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 4.3 | 4.4 | 5.2 |
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OS in Participants With Blood Tumor Mutational Burden (bTMB)
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
| bTMB >=10-WT Population | bTMB >=16-WT Population | bTMB >=20-WT Population |
---|
Atezolizumab | 11.2 | 13.9 | 17.2 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 10.3 | 8.5 | 10.5 |
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Overall Survival (OS) in the TC3 or IC3-WT Populations
OS is defined as the time from randomization to death from any cause. (NCT02409342)
Timeframe: From randomization to death from any cause until data cut-off on 10 September 2018 (up to approximately 38 months)
Intervention | Months (Median) |
---|
Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 13.1 |
Atezolizumab | 20.2 |
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Maximum Observed Serum Concentration (Cmax) of Atezolizumab
(NCT02409342)
Timeframe: 0 hour (predose) and 30 minutes after atezolizumab infusion on Day 1 (infusion duration = up to 1 hour)
Intervention | micrograms per milliliter (μg/ mL) (Mean) |
---|
Atezolizumab | 411 |
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Percentage of Participants With Objective Response (ORR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
Objective response (partial response plus complete response) as determined by the investigator according to RECIST v1.1. (NCT02409342)
Timeframe: Every 6 weeks for 48 weeks following Day 1, thereafter every 9 weeks after completion of Week 48 tumor assessment, regardless of treatment delays, until radiographic disease progression until data cut-off on 4 Feb 2020 (up to approximately 54.5 months)
Intervention | Percentage of participants (Number) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 33.7 | 31.4 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 32.1 | 32.1 |
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Duration of Response (DOR) in the TC2/3 or IC2/3-WT and TC1/2/3 or IC1/2/3-WT Populations
DOR is defined as the time from the first occurrence of a documented objective response to the time of disease progression, as determined by the investigator with use of RECIST v1.1, or death from any cause, whichever occurs first. (NCT02409342)
Timeframe: From first occurrence of a complete response or partial response, whichever occurs first, until first date that progressive disease or death is documented, whichever occurs first until data cut-off on 4 February 2020 (up to approximately 54.5 months)
Intervention | Months (Number) |
---|
| TC2/3 or IC2/3-WT Population | TC1/2/3 or IC1/2/3-WT Population |
---|
Atezolizumab | 38.9 | 26.3 |
,Chemotherapy (Carboplatin/ Cisplatin) + (Pemetrexed/ Gemcitabine) | 5.8 | 5.7 |
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Overall Survival
Examined by estimating a Kaplan-Meier survival curve using all patients enrolled. (NCT02426658)
Timeframe: The duration of time from the start of treatment to date of death or date of last contact, assessed up to 2 years
Intervention | months (Median) |
---|
Treatment (Pemetrexed Disodium) | 2.4 |
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Time to Tumor Progression
It will be determined whether each patient has a progression (or dies) before or after 12 weeks. A 95% exact (Clopper Pearson) confidence interval will then be around the proportion with PFS greater than or equal to 12 weeks. If this confidence interval includes 50% then that would provide evidence that the therapy is potentially promising. If the upper bound of the confidence interval does not include 50% then this would indicate that the treatment may not be promising for patients. In addition, a Kaplan Meier survival curve will be constructed to describe the time to progression data. (NCT02426658)
Timeframe: The duration of time from the start of treatment to the time of progression, death, or date of last contact, assessed up to 2 years
Intervention | months (Median) |
---|
Treatment (Pemetrexed Disodium) | 2.0 |
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Change in Quality of Life (QOL), Assessed by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (QLQ-C30) and QLQ-Lung Cancer 13-item (LC13)
Quality of life will be assessed at each treatment time (i.e. every three weeks). A longitudinal mixed models analysis will be used to look at QOL over the time course. A paired t-test will also be calculated to see if the average change is more than 0 (worsening) versus a two-sided alternative that the difference is 0 or better. Score range from 0-100 (1 = not at all, 2 = a little, 3 = quite a bit, or 4 = very much). The higher the score, the greater the change in the quality of life for the worse. (NCT02426658)
Timeframe: Baseline to 12 weeks
Intervention | score on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Treatment (Pemetrexed Disodium) | 51.2821 | 58.3333 |
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Incidence of Hematologic Toxicity, Graded According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0
The number and type of toxicities observed during this protocol will be estimated, focusing on unexpected grade 3 or higher toxicities. No formal statistical tests will be done on these estimates. (NCT02426658)
Timeframe: Up to 30 days
Intervention | Participants (Count of Participants) |
---|
| Anemia | CD4 lymphocyte decreased | Febrile neutropenia | Leukocytosis | Lymphocyte count decreased | Neutrophil count decreased | Platelet count decreased | White blood cell count decreased |
---|
Treatment (Pemetrexed Disodium) | 13 | 3 | 1 | 1 | 9 | 11 | 10 | 10 |
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Response Rate
Response rate will be estimated every 6 weeks for patients, and these estimates will be presented with confidence intervals. (NCT02426658)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
| Partial response | Stable disease | Progressive disease |
---|
Treatment (Pemetrexed Disodium) | 1 | 6 | 2 |
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Phase 1b: Frequency of Treatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE v4.03.
The number and percent of patients with a given TEAE will be summarized overall and by system organ class and preferred term by treatment group. The number and percent of patients with TEAEs will be tabulated by maximum severity. (NCT02439450)
Timeframe: Up to 3 years
Intervention | Participants (Count of Participants) |
---|
Arm 5: Viagenpumatucel-L + Nivolumab CPI Naive | 47 |
Arm 6: Viagenpumatucel-L + Pembrolizumab | 66 |
Arm 5: Viagenpumatucel-L + Nivolumab CPI Progressor | 2 |
Arm 6: Viagenpumatucel-L + Pembrolizumab + Pemetrexed | 4 |
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DoR; PD-L1 (TC >=1%) Analysis Set Population
The DoR per RECIST 1.1 using BICR assessments was defined as the time from the date of first documented response (CR or PR) until the first date of documented progression or death in the absence of disease progression (ie, date of PFS event or censoring - date of first response + 1). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs 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 TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | NA |
Durvalumab + Tremelimumab | NA |
SoC Chemotherapy | 4.4 |
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DoR; FAS Population
The DoR per RECIST 1.1 using BICR assessments 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 (ie, date of PFS event or censoring - date of first response + 1). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs 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 TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | NA |
Durvalumab + Tremelimumab | NA |
SoC Chemotherapy | 4.3 |
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Ctrough_ss of Tremelimumab
Blood samples were collected to determine the Ctrough_ss of tremelimumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Pre-dose at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab + Tremelimumab | 4.9 |
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Cmax_ss of Tremelimumab
Blood samples were collected to determine the Cmax_ss of tremelimumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Within 1 hour after end of infusion on infusion day at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab + Tremelimumab | 24.8 |
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PFS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs Durvalumab Monotherapy
The PFS per RECIST 1.1 using BICR assessments 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 withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). The PD was defined as at least a 20% increase in the sum of diameters of TLs and an absolute increase of at least 5 mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 4.7 |
Durvalumab + Tremelimumab | 3.9 |
SoC Chemotherapy | 5.4 |
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Serum Concentrations of Tremelimumab
Blood samples were collected to determine the serum concentration of tremelimumab. (NCT02453282)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0 and 12, and at follow-up Month 3.
Intervention | mcg/mL (Mean) |
---|
| At Week 0: Pre-infusion | At Week 0: End of infusion | At Week 12: Pre-infusion | At Week 12: End of infusion | At follow-up Month 3 |
---|
Durvalumab + Tremelimumab | NA | 22.6 | 4.9 | 24.8 | 0.5 |
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Serum Concentrations of Durvalumab
Blood samples were collected to determine the serum concentration of durvalumab. (NCT02453282)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0, 12 and 24, and at follow-up Month 3.
Intervention | microgram per milliliter (mcg/mL) (Mean) |
---|
| At Week 0: Pre-infusion | At Week 0: End of infusion | At Week 12: Pre-infusion | At Week 12: End of infusion | At Week 24: Pre-infusion | At Week 24: End of infusion | At follow-up Month 3 |
---|
Durvalumab + Tremelimumab | NA | 444.3 | 140.8 | 506.1 | 197.0 | 553.2 | 41.4 |
,Durvalumab Monotherapy | NA | 484.5 | 139.5 | 625.3 | 163.0 | 598.2 | 49.3 |
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Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab
Blood samples were measured for the presence of ADAs and ADA-neutralizing antibodies (nAb) for durvalumab using validated assays. Tiered analysis was performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples were employed. Immunogenicity results were analyzed by summarizing the number of participants who developed detectable ADAs against durvalumab. Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02453282)
Timeframe: At Weeks 0, 12, and 24; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any time | Treatment-emergent ADA positive | ADA positive at baseline and post-baseline | ADA positive at post-baseline only | ADA positive at baseline only | Treatment-boosted ADA | Persistent positive | Transient positive | nAb positive at any visit |
---|
Durvalumab + Tremelimumab | 14 | 8 | 1 | 8 | 5 | 0 | 9 | 0 | 1 |
,Durvalumab Monotherapy | 17 | 8 | 3 | 8 | 6 | 0 | 8 | 3 | 2 |
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Number of Participants With ADA Response to Tremelimumab
Blood samples were measured for the presence of ADAs and ADA-nAb for tremelimumab using validated assays. Tiered analysis was performed to include screening, confirmatory, and titer assay components, and positive-negative cut points previously statistically determined from drug-naïve validation samples were employed. Immunogenicity results were analyzed by summarizing the number of participants who developed detectable ADAs against tremelimumab. Persistently positive is defined as having at least 2 post-baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least one post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02453282)
Timeframe: At Weeks 0 and 12; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any time | Treatment-emergent ADA positive | ADA positive at baseline and post-baseline | ADA positive at post-baseline only | ADA positive at baseline only | Treatment-boosted ADA | Persistent positive | Transient positive | nAb positive at any visit |
---|
Durvalumab + Tremelimumab | 33 | 28 | 1 | 28 | 4 | 0 | 25 | 4 | 25 |
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Trough Serum Concentration at Steady State (Ctrough_ss) of Durvalumab
Blood samples were collected to determine the Ctrough_ss of durvalumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Pre-dose at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab Monotherapy | 139.5 |
Durvalumab + Tremelimumab | 140.8 |
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Time From Randomization to Second Progression (PFS2); PD-L1 (TC >=25%) Analysis Set Population
The PFS2 was defined as the time from the date of randomization to the earliest of the progression events (subsequent to that used for the primary variable PFS and excluding any confirmation of progression scans performed for first progression) or death (ie, date of PFS2 event or censoring - date of randomization + 1). The second progression event was determined by local standard clinical practice which may have included any of the following: objective radiological imaging, symptomatic progression, or death. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to Week 48, then every 8 weeks thereafter until 1st progression. Disease then assessed per local practice until 2nd progression. Assessed up to data cut-off date (maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 12.7 |
Durvalumab + Tremelimumab | 10.9 |
SoC Chemotherapy | 10.4 |
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Progression-Free Survival (PFS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs SoC Chemotherapy
The PFS per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1) using blinded independent central review (BICR) assessments 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 withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). Progressive disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions (TLs) and an absolute increase of at least 5 millimeter (mm), taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab + Tremelimumab | 3.9 |
SoC Chemotherapy | 5.4 |
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PFS2; PD-L1 (TC >=1%) Analysis Set Population
The PFS2 was defined as the time from the date of randomization to the earliest of the progression events (subsequent to that used for the primary variable PFS and excluding any confirmation of progression scans performed for first progression) or death (ie, date of PFS2 event or censoring - date of randomization + 1). The second progression event was determined by local standard clinical practice which may have included any of the following: objective radiological imaging, symptomatic progression, or death. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to Week 48, then every 8 weeks thereafter until 1st progression. Disease then assessed per local practice until 2nd progression. Assessed up to data cut-off date (maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 10.6 |
Durvalumab + Tremelimumab | 9.4 |
SoC Chemotherapy | 10.5 |
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PFS2; FAS Population
The PFS2 was defined as the time from the date of randomization to the earliest of the progression events (subsequent to that used for the primary variable PFS and excluding any confirmation of progression scans performed for first progression) or death (ie, date of PFS2 event or censoring - date of randomization + 1). The second progression event was determined by local standard clinical practice which may have included any of the following: objective radiological imaging, symptomatic progression, or death. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to Week 48, then every 8 weeks thereafter until 1st progression. Disease then assessed per local practice until 2nd progression. Assessed up to data cut-off date (maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 9.3 |
Durvalumab + Tremelimumab | 9.8 |
SoC Chemotherapy | 10.1 |
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PFS; PD-L1 (TC >=1%) Analysis Set Population
The PFS per RECIST 1.1 using BICR assessments 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 withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). The PD was defined as at least a 20% increase in the sum of diameters of TLs and an absolute increase of at least 5 mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 3.6 |
Durvalumab + Tremelimumab | 2.8 |
SoC Chemotherapy | 5.5 |
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PFS; FAS Population
The PFS per RECIST 1.1 using BICR assessments 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 withdraw from randomized therapy or received another anti-cancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1). The PD was defined as at least a 20% increase in the sum of diameters of TLs and an absolute increase of at least 5 mm, taking as reference the smallest sum of diameters since treatment started including the baseline sum of diameters. Median PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 2.8 |
Durvalumab + Tremelimumab | 2.9 |
SoC Chemotherapy | 5.4 |
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Percentage of Participants APF12; PD-L1 (TC >=1%) Analysis Set Population
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 using BICR assessments at 12 months after randomization. The PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 27.0 |
Durvalumab + Tremelimumab | 20.4 |
SoC Chemotherapy | 14.9 |
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Percentage of Participants APF12; FAS Population
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 using BICR assessments at 12 months after randomization. The PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 22.5 |
Durvalumab + Tremelimumab | 19.8 |
SoC Chemotherapy | 13.8 |
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Percentage of Participants Alive and Progression Free at 12 Months (APF12); PD-L1 (TC >=25%) Analysis Set Population
The APF12 was defined as the percentage of participants who were alive and progression free per RECIST v1.1 using BICR assessments at 12 months after randomization. The PFS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 32.3 |
Durvalumab + Tremelimumab | 25.8 |
SoC Chemotherapy | 14.3 |
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Overall Survival (OS); PD-L1 (TC >=25%) Analysis Set Population, Durvalumab Monotherapy Vs SoC Chemotherapy and Durvalumab + Tremelimumab Vs SoC Chemotherapy
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 16.3 |
Durvalumab + Tremelimumab | 11.9 |
SoC Chemotherapy | 12.9 |
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OS; PD-L1 (TC >=25%) Analysis Set Population, Durvalumab + Tremelimumab Vs Durvalumab Monotherapy
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 16.3 |
Durvalumab + Tremelimumab | 11.9 |
SoC Chemotherapy | 12.9 |
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OS; PD-L1 (TC >=1%) Analysis Set Population
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 14.6 |
Durvalumab + Tremelimumab | 10.9 |
SoC Chemotherapy | 12.3 |
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OS; FAS Population
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis were censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02453282)
Timeframe: From baseline until death due to any cause, assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | 12.3 |
Durvalumab + Tremelimumab | 11.2 |
SoC Chemotherapy | 11.8 |
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ORR; PD-L1 (TC >=1%) Analysis Set Population
The ORR per RECIST 1.1 using BICR assessments was defined as the percentage of participants with at least 1 visit response of CR or PR. The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs 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 TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 26.5 |
Durvalumab + Tremelimumab | 25.3 |
SoC Chemotherapy | 33.6 |
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ORR; FAS Population
The ORR per RECIST 1.1 using BICR assessments was defined as the percentage of participants with at least 1 visit response of CR or PR. The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs 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 TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 22.2 |
Durvalumab + Tremelimumab | 24.7 |
SoC Chemotherapy | 30.1 |
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Objective Response Rate (ORR); PD-L1 (TC >=25%) Analysis Set Population
The ORR per RECIST 1.1 using BICR assessments was defined as the percentage of participants with at least 1 visit response of Complete Response (CR) or Partial Response (PR). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs 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 TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | percentage of participants (Number) |
---|
Durvalumab Monotherapy | 35.6 |
Durvalumab + Tremelimumab | 34.4 |
SoC Chemotherapy | 37.7 |
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Maximum Serum Concentration at Steady State (Cmax_ss) of Durvalumab
Blood samples were collected to determine the Cmax_ss of durvalumab. Steady state was defined as Cycle 4 (Week 12). PK parameters were determined using standard non-compartmental methods. (NCT02453282)
Timeframe: Within 1 hour after end of infusion on infusion day at Week 12.
Intervention | mcg/mL (Mean) |
---|
Durvalumab Monotherapy | 625.3 |
Durvalumab + Tremelimumab | 506.1 |
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Duration of Response (DoR); PD-L1 (TC >=25%) Analysis Set Population
The DoR per RECIST 1.1 using BICR assessments 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 (ie, date of PFS event or censoring - date of first response + 1). The CR was defined as disappearance of all TLs (any pathological lymph nodes selected as TLs 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 TLs (taking as reference the baseline sum of diameters as long as criteria for PD are not met). (NCT02453282)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 48 weeks relative to the date of randomization, then every 8 weeks thereafter until confirmed disease progression. Assessed up to the data cut-off date (a maximum of approximately 3 years).
Intervention | months (Median) |
---|
Durvalumab Monotherapy | NA |
Durvalumab + Tremelimumab | NA |
SoC Chemotherapy | 4.4 |
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Duration of Response (DoR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response (CR or PR) until the first date of documented progression or death in the absence of PD (ie, date of PFS event or censoring - date of first response + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 11.6 | 10.6 | 11.5 |
,Global: SoC Chemotherapy | 4.2 | 4.3 | 4.3 |
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DoR; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"DoR (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of first documented response (CR or PR) until the first date of documented progression or death in the absence of PD (ie, date of PFS event or censoring - date of first response + 1).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| PD-L1-negative NSCLC analysis set | FAS |
---|
China: Durvalumab + Tremelimumab | 10.5 | 12.9 |
,China: SoC Chemotherapy | 6.1 | 6.1 |
,Global: Durvalumab + Tremelimumab | 10.2 | 11.1 |
,Global: SoC Chemotherapy | 4.9 | 4.9 |
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APF12; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"The APF12 was defined as the percentage of patients who were alive and progression free at 12 months from randomization (ie, PFS rate at 12 months).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
| PD-L1-negative NSCLC analysis set | FAS |
---|
China: Durvalumab + Tremelimumab | 15.6 | 23.9 |
,China: SoC Chemotherapy | 11.3 | 16.6 |
,Global: Durvalumab + Tremelimumab | 18.2 | 20.2 |
,Global: SoC Chemotherapy | 12.1 | 14.9 |
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Objective Response Rate (ORR); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets
"The ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with at least 1 visit response of complete response (CR) or partial response (PR) prior to PD.~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay.~tTMB ≥14 mut/Mb, tTMB ≥12 mut/Mb, tTMB ≥10 mut/Mb and tTMB ≥8 mut/Mb analysis sets included the subset of participants in FAS whose tTMB status was ≥14 mut/Mb, ≥12 mut/Mb, ≥10 mut/Mb and ≥8 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | percentage of participants (Number) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set | tTMB ≥14 mut/Mb analysis set | tTMB ≥12 mut/Mb analysis set | tTMB ≥10 mut/Mb analysis set | tTMB ≥8 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 27.5 | 31.2 | 28.7 | 61.3 | 42.6 | 37.7 | 36.7 |
,Global: SoC Chemotherapy | 43.3 | 46.1 | 42.0 | 44.7 | 41.8 | 42.5 | 41.2 |
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OS; China Cohort: China Programmed Cell Death Ligand 1 (PD-L1) Negative NSCLC Analysis Set
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the China cohort DCO date (a maximum of approximately 44 months).
Intervention | months (Median) |
---|
China: Durvalumab + Tremelimumab | 15.0 |
China: SoC Chemotherapy | 11.7 |
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Serum Concentrations of Durvalumab
Blood samples were collected to determine the serum concentration of durvalumab. (NCT02542293)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0 and 12; pre-dose on Week 24 and at follow-up Month 3
Intervention | microgram per milliliter (µg/mL) (Geometric Mean) |
---|
| Week 0: Pre-infusion | Week 0: End of infusion | Week 12: Pre-infusion | Week 12: End of infusion | Week 24: Pre-infusion | Follow-up Month 3 |
---|
China: Durvalumab + Tremelimumab | NA | 392.7 | 72.4 | 448.9 | 85.6 | 5.4 |
,Global: Durvalumab + Tremelimumab | NA | 418.6 | 77.5 | 434.3 | 108.8 | 8.8 |
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Time From Randomization to Second Progression or Death (PFS2); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"The PFS2 was defined as the time from the date of randomization to the earliest of the progression events subsequent to that used for the primary variable PFS, or death (ie, date of PFS2 event or censoring - date of randomization + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 10.6 | 10.9 | 9.9 |
,Global: SoC Chemotherapy | 8.6 | 10.5 | 9.0 |
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Serum Concentrations of Tremelimumab
Blood samples were collected to determine the serum concentration of tremelimumab. (NCT02542293)
Timeframe: Pre-dose and within 1 hour after end of infusion at Week 0 and 12, and at follow-up Month 3
Intervention | µg/mL (Geometric Mean) |
---|
| Week 0: Pre-infusion | Week 0: End of infusion | Week 12: Pre-infusion | Week 12: End of infusion | Follow-up Month 3 |
---|
China: Durvalumab + Tremelimumab | NA | 18.4 | 3.3 | 23.2 | NA |
,Global: Durvalumab + Tremelimumab | NA | 20.3 | 3.4 | 20.8 | NA |
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Overall Survival (OS); Global Cohort: Blood Tumor Mutational Burden (bTMB) ≥20 Mutations Per Megabase (Mut/Mb) Analysis Set
The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global cohort DCO date (a maximum of approximately 44 months).
Intervention | months (Median) |
---|
Global: Durvalumab + Tremelimumab | 11.7 |
Global: SoC Chemotherapy | 9.1 |
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Number of Participants With ADA Response to Tremelimumab
Blood samples were measured for the presence of ADAs and ADA-nAb for tremelimumab using validated assays. ADA prevalence is defined as the percentage of participants with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as the sum of treatment-induced ADA and treatment-boosted ADA. ADA incidence is the percentage of participants who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted to >=4 fold during the study period. Persistently positive is defined as having at least 2 post baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least 1 post baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02542293)
Timeframe: At Weeks 0 and 12; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (positive post-baseline only) | ADA positive post-baseline and positive at baseline | Persistent positive | Transient positive | nAb positive at any visit | ADA positive at baseline and not detected post-baseline |
---|
China: Durvalumab + Tremelimumab | 2 | 1 | 0 | 1 | 1 | 0 | 2 | 0 | 0 |
,Global: Durvalumab + Tremelimumab | 49 | 37 | 1 | 36 | 4 | 29 | 11 | 33 | 9 |
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Number of Participants With Anti-Drug Antibody (ADA) Response to Durvalumab
Blood samples were measured for the presence of ADAs and ADA-neutralizing antibodies (nAb) for durvalumab using validated assays. ADA prevalence is defined as the percentage of participants with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as the sum of treatment-induced ADA and treatment-boosted ADA. ADA incidence is the percentage of participants who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted to >=4 fold during the study period. Persistently positive is defined as having at least 2 post baseline ADA positive measurements with at least 16 weeks (112 days) between the first and last positive measurements, or an ADA positive result at the last available assessment. Transiently positive is defined as having at least 1 post baseline ADA positive measurement and not fulfilling the conditions for persistently positive. (NCT02542293)
Timeframe: At Weeks 0, 12, and 24; 3 and 6 months after last dose of study treatment.
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (positive post-baseline only) | ADA positive post-baseline and positive at baseline | Persistent positive | Transient positive | nAb positive at any visit | ADA positive at baseline and not detected post-baseline |
---|
China: Durvalumab + Tremelimumab | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 |
,Global: Durvalumab + Tremelimumab | 26 | 12 | 0 | 12 | 1 | 11 | 2 | 3 | 13 |
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ORR; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets
"The ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with at least 1 visit response of CR or PR prior to PD.~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses.~PD-L1 TC ≥25% and PD-L1 TC ≥50% analysis sets included the subset of participants in the FAS whose PD-L1 status was TC ≥25% and TC ≥50% membrane expression in tumoral tissue, respectively at baseline as defined by the Ventana SP263 PD-L1 Assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | percentage of participants (Number) |
---|
| PD-L1-negative NSCLC analysis set | FAS | PD-L1 TC ≥25% analysis set | PD-L1 TC ≥50% analysis set |
---|
China: Durvalumab + Tremelimumab | 23.1 | 35.9 | 54.8 | 60.0 |
,China: SoC Chemotherapy | 41.4 | 39.0 | 40.6 | 46.4 |
,Global: Durvalumab + Tremelimumab | 23.1 | 25.9 | 35.2 | 37.4 |
,Global: SoC Chemotherapy | 38.8 | 41.7 | 43.9 | 44.0 |
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OS at Months 12, 18 and 24; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Months 12, 18 and 24
Intervention | percentage of participants (Number) |
---|
| Month 12: PD-L1-negative NSCLC analysis set | Month 12: FAS | Month 18: PD-L1-negative NSCLC analysis set | Month 18: FAS | Month 24: PD-L1-negative NSCLC analysis set | Month 24: FAS |
---|
China: Durvalumab + Tremelimumab | 68.0 | 72.8 | 44.0 | 54.6 | 36.0 | 44.2 |
,China: SoC Chemotherapy | 46.4 | 53.1 | 39.3 | 41.8 | 17.9 | 30.4 |
,Global: Durvalumab + Tremelimumab | 47.8 | 47.7 | 34.1 | 34.8 | 22.1 | 25.7 |
,Global: SoC Chemotherapy | 52.8 | 50.0 | 34.5 | 34.6 | 22.3 | 23.4 |
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OS at Months 12, 18 and 24; Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"The OS was defined as the time from the date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Months 12, 18 and 24
Intervention | percentage of participants (Number) |
---|
| Month 12: bTMB ≥20 mut/Mb analysis set | Month 12: bTMB ≥16 mut/Mb analysis set | Month 12: bTMB ≥12 mut/Mb analysis set | Month 18: bTMB ≥20 mut/Mb analysis set | Month 18: bTMB ≥16 mut/Mb analysis set | Month 18: bTMB ≥12 mut/Mb analysis set | Month 24: bTMB ≥20 mut/Mb analysis set | Month 24: bTMB ≥16 mut/Mb analysis set | Month 24: bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 49.3 | 50.5 | 46.9 | 36.2 | 35.5 | 29.4 | 26.1 | 24.0 | 21.3 |
,Global: SoC Chemotherapy | 40.8 | 48.9 | 44.6 | 20.4 | 28.5 | 27.8 | 13.6 | 18.2 | 19.0 |
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OS; Global and China Cohorts: FAS, PD-L1 Tumor Cell (TC) ≥25%, and PD-L1 TC ≥50% Analysis Sets
"The OS was defined as time from date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on last recorded date on which participant was known to be alive.~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment. Any participants recruited in China, after global recruitment had ended, were not included in the FAS.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses.~PD-L1 TC ≥25% and PD-L1 TC ≥50% analysis sets included the subset of participants in the FAS whose PD-L1 status was TC ≥25% and TC ≥50% membrane expression in tumoral tissue, respectively at baseline as defined by the Ventana SP263 PD-L1 Assay." (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global or China cohort DCO dates, as applicable (a maximum of approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| FAS | PD-L1 TC ≥25% analysis set | PD-L1 TC ≥50% analysis set |
---|
China: Durvalumab + Tremelimumab | 20.0 | 36.6 | 36.6 |
,China: SoC Chemotherapy | 14.1 | 15.8 | 15.8 |
,Global: Durvalumab + Tremelimumab | 10.9 | 12.2 | 14.1 |
,Global: SoC Chemotherapy | 12.1 | 10.4 | 10.5 |
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OS; Global Cohort: bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, PD-L1-Negative NSCLC, bTMB <20 Mut/Mb, bTMB Non-Evaluable Population, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets
"OS was defined as time from date of randomization until death due to any cause (ie, date of death or censoring - date of randomization + 1). Any participant not known to have died at time of analysis was censored based on last recorded date on which participant was known to be alive.~bTMB ≥16 mut/Mb, bTMB ≥12 mut/Mb and bTMB <20 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥16 mut/Mb, ≥12 mut/Mb and <20 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay.~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~bTMB non-evaluable analysis set included the subset of participants in FAS whose bTMB status at baseline could not be determined by the GuardantOMNI CDx assay or whose sample was not available.~tTMB analysis sets are defined same as the bTMB analysis sets (NCT02542293)
Timeframe: From baseline (Day 1, Week 0) until death due to any cause, assessed up to the Global cohort DCO date (a maximum of approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set | PD-L1 negative analysis set | bTMB <20 mut/Mb analysis set | bTMB non-evaluable analysis set | tTMB ≥14 mut/Mb analysis set | tTMB ≥12 mut/Mb analysis set | tTMB ≥10 mut/Mb analysis set | tTMB ≥8 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 12.1 | 10.9 | 11.1 | 9.9 | 9.3 | 17.5 | 11.1 | 11.1 | 11.0 |
,Global: SoC Chemotherapy | 11.9 | 10.3 | 12.5 | 11.5 | 10.4 | 10.6 | 13.9 | 10.6 | 10.2 |
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Alive and Progression-Free at 12 Months (APF12); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, and bTMB ≥12 Mut/Mb Analysis Sets
"The APF12 was defined as the percentage of participants who were alive and progression free at 12 months from randomization (ie, PFS rate at 12 months).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline then every 6 weeks up to 12 months.
Intervention | percentage of participants (Number) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 25.6 | 22.0 | 21.6 |
,Global: SoC Chemotherapy | 7.0 | 12.3 | 13.8 |
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PFS; Global and China Cohorts: PD-L1-Negative NSCLC, FAS, PD-L1 TC ≥25%, and PD-L1 TC ≥50% Analysis Sets
"PFS (per RECIST 1.1 using Investigator assessments) was defined as time from date of randomization until date of objective PD or death regardless of whether participant withdrew from randomized therapy or received another anticancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1).~PD-L1-negative analysis set included subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: FAS included all randomized participants prior to end of global recruitment.~China Cohort: China FAS included all randomized participants in China cohort and were used for all China only efficacy analyses.~PD-L1 TC ≥25% and PD-L1 TC ≥50% analysis sets included subset of participants in FAS whose PD-L1 status was TC ≥25% and TC ≥50% membrane expression in tumoral tissue, respectively at baseline as defined by the Ventana SP263 PD-L1 Assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| PD-L1-negative NSCLC analysis set | FAS | PD-L1 TC ≥25% analysis set | PD-L1 TC ≥50% analysis set |
---|
China: Durvalumab + Tremelimumab | 5.1 | 4.2 | 6.8 | 6.8 |
,China: SoC Chemotherapy | 6.0 | 6.0 | 5.7 | 5.7 |
,Global: Durvalumab + Tremelimumab | 4.1 | 4.0 | 4.2 | 4.6 |
,Global: SoC Chemotherapy | 5.6 | 5.6 | 5.4 | 5.4 |
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Progression-Free Survival (PFS); Global Cohort: bTMB ≥20 Mut/Mb, bTMB ≥16 Mut/Mb, bTMB ≥12 Mut/Mb, tTMB ≥14 Mut/Mb, tTMB ≥12 Mut/Mb, tTMB ≥10 Mut/Mb, and tTMB ≥8 Mut/Mb Analysis Sets
"The PFS (per Response Evaluation Criteria in Solid Tumors, version 1.1 [RECIST 1.1] using Investigator assessments) was defined as the time from the date of randomization until the date of objective PD or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy prior to progression (ie, date of PFS event or censoring - date of randomization + 1).~bTMB ≥20 mut/Mb, bTMB ≥16 mut/Mb and bTMB ≥12 mut/Mb analysis sets included the subset of participants in FAS whose bTMB status was ≥20 mut/Mb, ≥16 mut/Mb and ≥12 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay.~tTMB ≥14 mut/Mb, tTMB ≥12 mut/Mb, tTMB ≥10 mut/Mb and tTMB ≥8 mut/Mb analysis sets included the subset of participants in FAS whose tTMB status was ≥14 mut/Mb, ≥12 mut/Mb, ≥10 mut/Mb and ≥8 mut/Mb, respectively at baseline as defined by the GuardantOMNI CDx assay." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global cohort DCO date (approximately 44 months).
Intervention | months (Median) |
---|
| bTMB ≥20 mut/Mb analysis set | bTMB ≥16 mut/Mb analysis set | bTMB ≥12 mut/Mb analysis set | tTMB ≥14 mut/Mb analysis set | tTMB ≥12 mut/Mb analysis set | tTMB ≥10 mut/Mb analysis set | tTMB ≥8 mut/Mb analysis set |
---|
Global: Durvalumab + Tremelimumab | 4.2 | 4.2 | 3.9 | 8.7 | 5.2 | 4.3 | 4.4 |
,Global: SoC Chemotherapy | 5.1 | 5.5 | 5.1 | 5.8 | 5.8 | 5.1 | 5.0 |
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PFS2; Global and China Cohorts: PD-L1-Negative NSCLC and FAS Analysis Sets
"The PFS2 was defined as the time from the date of randomization to the earliest of the progression events subsequent to that used for the primary variable PFS, or death (ie, date of PFS2 event or censoring - date of randomization + 1).~PD-L1-negative analysis set included the subset of participants in FAS whose PD-L1 status was PD-L1-negative at baseline as defined by the Ventana SP263 PD-L1 Assay (ie, <1% PD-L1-membrane expression in tumoral tissue).~Global Cohort: The FAS included all randomized participants prior to the end of global recruitment.~China Cohort: The China FAS included all randomized participants in the China cohort and were used for all China only efficacy analyses." (NCT02542293)
Timeframe: Tumour scans performed at baseline and every 6 weeks up to 48 weeks relative to date of randomization, then every 8 weeks thereafter until confirmed PD/death. Up to Global or China cohort DCO dates, as applicable (approximately 44 months) for each cohort.
Intervention | months (Median) |
---|
| PD-L1-negative NSCLC analysis set | FAS |
---|
China: Durvalumab + Tremelimumab | 13.8 | 15.5 |
,China: SoC Chemotherapy | 10.3 | 12.9 |
,Global: Durvalumab + Tremelimumab | 9.1 | 9.4 |
,Global: SoC Chemotherapy | 12.4 | 10.4 |
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Overall Survival (OS), Groups A-C Only
Overall survival (OS) is defined as the time from randomization to the date of death. (NCT02574078)
Timeframe: up to approximately 60 months
Intervention | Months (Median) |
---|
Group A, Cohort A, Nivo | 20.0 |
Group A, Cohort A, Beva + Nivo | 30.8 |
Group A, Cohort A, Beva | 18.1 |
Group A, Cohort B, Nivo | 28.9 |
Group A, Cohort B, Peme + Nivo | 17.4 |
Group A, Cohort B, Peme | 18.4 |
Group B, Nivo | NA |
Group B, BSC | 13.6 |
Group C, Nivo | 3.9 |
Group C, ICC | 15.8 |
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Overall Survival (OS), Group D Only
Overall survival (OS) is defined as the time from randomization to the date of death. (NCT02574078)
Timeframe: up to approximately 60 months
Intervention | months (Median) |
---|
Group D, Nivo + Erlo | NA |
Group D, Erlo | 34.8 |
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Objective Response Rate (ORR), Groups A-E
"Objective response rate (ORR) is defined as the number and percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR). Best overall response (BOR) is defined as the best response designation, recorded between the date of first dose and the date of the initial objectively documented tumor progression per RECIST v1.1 or the date of subsequent therapy, whichever occurs first.~Confidence interval based on the Clopper and Pearson method." (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | Percentage of participants (Number) |
---|
Group A, Cohort A, Nivo | 23.1 |
Group A, Cohort A, Beva + Nivo | 16.7 |
Group A, Cohort A, Beva | 12.5 |
Group A, Cohort B, Nivo | 29.4 |
Group A, Cohort B, Peme + Nivo | 21.2 |
Group A, Cohort B, Peme | 3.1 |
Group B, Nivo | 18.8 |
Group B, BSC | 5.9 |
Group C, Nivo | 20.8 |
Group C, ICC | 15.4 |
Group D, Nivo + Erlo | 64.7 |
Group D, Erlo | 62.5 |
Group E | 23.1 |
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Duration of Response (DOR), Groups A-D Only
"Duration of response (DOR) is defined as the time from first confirmed response (complete response (CR) or partial response (PR)) to the date of the initial objectively documented tumor progression as determined using RECIST 1.1 criteria or death due to any cause, whichever occurs first.~Median computed using Kaplan-Meier method." (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | months (Median) |
---|
Group A, Cohort A, Nivo | 12.780 |
Group A, Cohort A, Beva + Nivo | NA |
Group A, Cohort A, Beva | 17.084 |
Group A, Cohort B, Nivo | 12.912 |
Group A, Cohort B, Peme + Nivo | 8.542 |
Group A, Cohort B, Peme | 14.982 |
Group B, Nivo | NA |
Group B, BSC | NA |
Group C, Nivo | 3.877 |
Group C, ICC | 2.940 |
Group D, Nivo + Erlo | 8.805 |
Group D, Erlo | 10.152 |
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Progression-Free Survival (PFS), Group E Only
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented tumor progression, as determined by investigators (per RECIST v1.1), or death due to any cause, whichever occurs first. (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | months (Median) |
---|
Group E | 9.63 |
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Progression-Free Survival (PFS), Groups A-D Only
Progression-free survival (PFS) is defined as the time from randomization to the date of the first documented tumor progression, as determined by investigators (per RECIST v1.1), or death due to any cause, whichever occurs first. (NCT02574078)
Timeframe: up to approximately 48 months
Intervention | Months (Median) |
---|
Group A, Cohort A, Nivo | 15.0 |
Group A, Cohort A, Beva + Nivo | 6.7 |
Group A, Cohort A, Beva | 6.0 |
Group A, Cohort B, Nivo | 5.9 |
Group A, Cohort B, Peme + Nivo | 8.1 |
Group A, Cohort B, Peme | 5.0 |
Group B, Nivo | 9.6 |
Group B, BSC | 2.3 |
Group C, Nivo | 2.7 |
Group C, ICC | 6.7 |
Group D, Nivo + Erlo | 11.0 |
Group D, Erlo | 11.0 |
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Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 16.8 |
Chemotherapy | 13.0 |
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Overall Survival (OS) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 18.7 |
Chemotherapy | 13.3 |
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Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 19.3 |
Chemotherapy | 15.3 |
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Overall Survival (OS) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 20.1 |
Chemotherapy | 14.9 |
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Overall Survival (OS) in Full Analysis Set (FAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 15.0 |
Chemotherapy | 14.3 |
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Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
DOR was defined for participants with confirmed response, as the time from first documentation of objective response (Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 19.4 |
Chemotherapy | 8.4 |
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Duration of Response (DOR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
DOR was defined for participants with confirmed response, as the time from first documentation of objective response (Complete Response [CR] or Partial Response [PR]) to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 35.9 |
Chemotherapy | 8.4 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
EORTC 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 EORTC QLQ-LC13 module generated one multiple-item score assessing dyspnea and a series of single item scores assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in chest, pain in arms or shoulder and pain in other parts. Score range: 0 (no burden of symptom domain or single symptom item) to 100 (highest burden of symptoms for symptom domains and single items). (NCT02576574)
Timeframe: Baseline, End of treatment (up to Week 283.9)
Intervention | score on a scale (Mean) |
---|
| Dyspnea | Coughing | Hemoptysis | Sore mouth | Dysphagia | Peripheral neuropathy | Alopecia | Pain in chest | Pain in arm or shoulder | Pain in other parts |
---|
Avelumab Weekly | 6.1 | -0.6 | -0.6 | 0.6 | 3.8 | 0.6 | -2.5 | 2.5 | 4.4 | 10.1 |
,Chemotherapy | 4.9 | -5.2 | 0.0 | 1.9 | -0.5 | 9.9 | 15.0 | -0.5 | 1.4 | 1.4 |
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Change From Baseline in European Quality Of Life 5-dimensions (EQ-5D-5L) Visual Analog Scale (VAS) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
EQ-5D-5L is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive overall score using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine. (NCT02576574)
Timeframe: Baseline, End of treatment (Week 283.9)
Intervention | millimeter (Mean) |
---|
Avelumab Weekly | -10.3 |
Chemotherapy | -3.9 |
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Number of Participants With At Least One Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) for Avelumab
Serum samples were analyzed by a validated electrochemiluminesce immunoassay to detect the presence of antidrug antibodies (ADA). Samples that screened positive were subsequently tested in a confirmatory assay were tested for neutralizing antibodies (nAb). Number of participants with ADA or nAb positive results for Avelumab were reported. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| ADAs to Avelumab | NAbs to Avelumab |
---|
Avelumab Biweekly | 66 | 43 |
,Avelumab Weekly | 38 | 18 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Heart Rate Increase/Decrease
The number of participants with maximal on-treatment (TR) changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) heart rate (HR) (beats per minute [bpm]) were reported by using criteria: Ic./Dc. BS HR <100/>=100 bpm, on treatment change =<20 bpm, >20 - =<40 bpm, >40 bpm and missing; Ic./Dc. BS HR missing, on treatment change missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. BS HR <100 bpm, on TR change =<20 bpm | Ic. BS HR <100 bpm, on TR change >20 - =<40 bpm | Ic. BS HR <100 bpm, on TR change >40 bpm | Ic. BS HR <100 bpm, on TR change missing | Ic. BS HR >= 100 bpm, on TR change =<20 bpm | Ic. BS HR >= 100 bpm, on TR change >20 - =<40 bpm | Ic. BS HR >= 100 bpm, on TR change >40 bpm | Ic. BS HR >= 100 bpm, on TR change missing | Ic. BS HR missing, on TR change missing | Dc. BS HR <100 bpm, on TR change =<20 bpm | Dc. BS HR <100 bpm, on TR change >20 - =<40 bpm | Dc. BS HR <100 bpm, on TR change >40 bpm | Dc. BS HR <100 bpm, on TR change missing | Dc. BS HR >= 100 bpm, on TR change =<20 bpm | Dc. BS HR >= 100 bpm, on TR change >20 - =<40 bpm | Dc. BS HR >= 100 bpm, on TR change >40 bpm | Dc. BS HR >= 100 bpm, on TR change missing | Dc. BS HR missing, on TR change missing |
---|
Avelumab Biweekly | 206 | 86 | 21 | 14 | 31 | 0 | 0 | 3 | 0 | 267 | 44 | 2 | 14 | 14 | 6 | 11 | 3 | 0 |
,Avelumab Weekly | 202 | 66 | 12 | 5 | 30 | 2 | 0 | 1 | 0 | 227 | 52 | 1 | 5 | 13 | 12 | 7 | 1 | 0 |
,Chemotherapy | 332 | 85 | 9 | 16 | 46 | 3 | 0 | 7 | 2 | 385 | 40 | 1 | 16 | 20 | 26 | 3 | 7 | 2 |
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Overall Survival (OS) in Modified Full Analysis Set (mFAS)
OS is defined as the time from randomization to the date of death, regardless of the actual cause of the participant's death. The participants who were still alive at the time of data analysis or who were lost to follow-up OS time was censored at the last recorded date that the participant was known to be alive before the data cutoff date. OS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 15.4 |
Chemotherapy | 14.8 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Body Temperature Increase
The number of participants with changes from baseline in increased Body Temperature (degree Celsius [°C]) were reported by using criteria: Baseline temperature (temp.) less than (<) 37°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, greater than or equal to (>=)3°C and missing; Baseline temp. 37 - <38°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. 38 - <39°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. 39-<40°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. >=40°C, on treatment change <1°C, 1 - <2°C, 2 - <3°C, >=3°C and missing; Baseline temp. missing, on treatment change missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Baseline temp. <37°C, on treatment change <1°C | Baseline temp.<37°C, on treatment change 1 - <2°C | Baseline temp. <37°C, on treatment change 2 - <3°C | Baseline temp. <37°C, on treatment change >=3°C | Baseline temp. <37°C, on treatment change missing | Baseline temp. 37 - <38°C, on treatment change <1°C | Baseline temp. 37 - <38°C, on treatment change 1 - <2°C | Baseline temp. 37 - <38°C, on treatment change 2 - <3°C | Baseline temp. 37 - <38°C, on treatment change >=3°C | Baseline temp. 37 - <38°C, on treatment change missing | Baseline temp. 38 - <39°C, on treatment change <1°C | Baseline temp. 38 - <39°C, on treatment change 1 - <2°C | Baseline temp. 38 - <39°C, on treatment change 2 - <3°C | Baseline temp. 38 - <39°C, on treatment change >=3°C | Baseline temp. 38 - <39°C, on treatment change missing | Baseline temp. 39 - <40°C, on treatment change <1°C | Baseline temp. 39 - <40°C, on treatment change 1 - <2°C | Baseline temp. 39 - <40°C, on treatment change 2 - <3°C | Baseline temp. 39 - <40°C, on treatment change >=3°C | Baseline temp. 39 - <40°C, on treatment change missing | Baseline temp. >=40°C, on treatment change <1°C | Baseline temp. >=40°C, on treatment change 1 - <2°C | Baseline temp. >=40°C, on treatment change 2 - <3°C | Baseline temp. >=40°C, on treatment change >=3°C | Baseline temp. >=40°C, on treatment change missing | Baseline temp. missing, on treatment change missing |
---|
Avelumab Biweekly | 271 | 45 | 3 | 0 | 16 | 23 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Avelumab Weekly | 256 | 32 | 2 | 1 | 6 | 19 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Chemotherapy | 403 | 33 | 0 | 0 | 21 | 37 | 1 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
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Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score Versus (Vs) Worst Post-baseline Score
ECOG performance status measured to assess participant's performance status on a scale of 0 to 5, where 0 = Fully active, able to carry on all pre-disease activities without restriction; 1 = Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2 = Ambulatory and capable of all selfcare but unable to carry out any work activities; 3 = Capable of only limited self-care, confined to bed/chair for more than 50 percent of waking hours; 4 = Completely disabled, cannot carry on any self-care, totally confined to bed/chair; 5 = dead. ECOG performance status was reported in terms of number of participants with baseline value vs worst post-baseline value (that is [i.e.] highest score). (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Baseline score 0, worst post-baseline score 0 | Baseline score 0, worst post-baseline score 1 | Baseline score 0, worst post-baseline score 2 | Baseline score 0, worst post-baseline score 3 | Baseline score 0, worst post-baseline score 4 | Baseline score 0, worst post-baseline score 5 | Baseline score 0, worst post-baseline score Missing | Baseline score 1, worst post-baseline score 0 | Baseline score 1, worst post-baseline score 1 | Baseline score 1, worst post-baseline score 2 | Baseline score 1, worst post-baseline score 3 | Baseline score 1, worst post-baseline score 4 | Baseline score 1, worst post-baseline score 5 | Baseline score 1, worst post-baseline score Missing | Baseline score >=2, worst post-baseline score 0 | Baseline score >=2, worst post-baseline score 1 | Baseline score >=2, worst post-baseline score 2 | Baseline score >=2, worst post-baseline score 3 | Baseline score >=2, worst post-baseline score 4 | Baseline score >=2, worst post-baseline score 5 | Baseline score >=2, worst post-baseline score missing | Baseline score missing, worst post-baseline score 0 | Baseline score missing, worst post-baseline score 1 | Baseline score missing, worst post-baseline score 2 | Baseline score missing, worst post-baseline score 3 | Baseline score missing, worst post-baseline score 4 | Baseline score missing, worst post-baseline score 5 | Baseline score missing, worst post-baseline score missing |
---|
Avelumab Biweekly | 50 | 56 | 8 | 1 | 1 | 0 | 6 | 1 | 168 | 35 | 16 | 3 | 5 | 10 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Avelumab Weekly | 35 | 49 | 9 | 7 | 0 | 0 | 4 | 2 | 153 | 32 | 18 | 1 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Chemotherapy | 84 | 83 | 11 | 4 | 0 | 1 | 4 | 4 | 233 | 46 | 6 | 4 | 3 | 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set
EORTC 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 EORTC QLQ-LC13 module generated one multiple-item score assessing dyspnea and a series of single item scores assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain in chest, pain in arms or shoulder and pain in other parts. Score range: 0 (no burden of symptom domain or single symptom item) to 100 (highest burden of symptoms for symptom domains and single items). (NCT02576574)
Timeframe: Baseline, End of treatment (up to Week 283.9)
Intervention | score on a scale (Mean) |
---|
| Dyspnea | Coughing | Hemoptysis | Sore mouth | Dysphagia | Peripheral neuropathy | Alopecia | Pain in chest | Pain in arm or shoulder | Pain in other parts |
---|
Avelumab Biweekly | 7.3 | 2.4 | -1.8 | 3.0 | 3.0 | 3.6 | 0.0 | -4.2 | 0.6 | 1.8 |
,Chemotherapy | 5.2 | -4.3 | 1.5 | 1.9 | -0.6 | 10.8 | 14.2 | -1.5 | 1.9 | 1.5 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Modified Full Analysis Set (mFAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 5.6 |
Chemotherapy | 5.6 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in Moderate and High Programmed Death Ligand 1 (PD-L1)+ Full Analysis Set (FAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 6.9 |
Chemotherapy | 5.6 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Modified Full Analysis Set (mFAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Weekly | 7.5 |
Chemotherapy | 5.6 |
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Independent Review Committee (IRC) in High Programmed Death Ligand 1 (PD-L1) + Full Analysis Set (FAS)
PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was measured using Kaplan-Meier (KM) estimates. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | months (Median) |
---|
Avelumab Biweekly | 8.4 |
Chemotherapy | 5.6 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Modified Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Number) |
---|
Avelumab Weekly | 30.6 |
Chemotherapy | 30.6 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Systolic Blood Pressure Increase/Decrease and Maximal Diastolic Blood Pressure Increase/Decrease
The number of participants with maximal on-treatment changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) Systolic Blood Pressure (SBP) and diastolic blood pressure (DBP) (millimeter of mercury [mmHg]) were reported by using criteria: Ic./Dc. BS SBP <140 mmHg and >=140 mmHg, on maximal treatment (TR) change =<20 mmHg, >20 - =<40 mmHg, >40 mmHg and missing; Ic./Dc. BS SBP missing, on maximal treatment (TR) change missing; Ic./Dc. BS DBP <90 mmHg and >= 90 mmHg, on maximal TR change =<20 mmHg, >20 - =<40 mmHg, >40 mmHg and missing; Ic./Dc. BS DBP missing on maximal TR change missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. BS SBP <140 mmHg, on TR change =<20 mmHg | Ic. BS SBP <140 mmHg, on TR change >20 - =<40 mmHg | Ic. BS SBP <140 mmHg, on TR change >40 mmHg | Ic. BS SBP <140 mmHg, on TR change missing | Ic. BS SBP >=140 mmHg, on TR change =<20 mmHg | Ic. BS SBP >=140 mmHg, on TR change >20 - =<40 mmHg | Ic. BS SBP >=140 mmHg, on TR change >40 mmHg | Ic. BS SBP > = 140 mmHg, on TR change missing | Ic. BS SBP missing, on TR change missing | Dc. BS SBP <140 mmHg, on TR change =<20 mmHg | Dc. BS SBP <140 mmHg, on TR change >20 - =<40 mmHg | Dc. BS SBP <140 mmHg, on TR change >40 mmHg | Dc. BS SBP <140 mmHg, on TR change missing | Dc. BS SBP >=140 mmHg, on TR change =<20 mmHg | Dc. BS SBP >=140 mmHg, on TR change >20 - =<40 mmHg | Dc. BS SBP >=140 mmHg, on TR change >40 mmHg | Dc. BS SBP > = 140 mmHg, on TR change missing | Dc. BS SBP missing, on TR change missing | Ic. BS DBP <90 mmHg, on TR change =<20 mmHg | Ic. BS DBP <90 mmHg, on TR change >20 - =<40 mmHg | Ic. BS DBP <90 mmHg, on TR change >40 mmHg | Ic. BS DBP <90 mmHg, on TR change missing | Ic. BS DBP missing, on TR change missing | Ic. BS DBP >=90 mmHg, on TR change =<20 mmHg | Ic. BS DBP >=90 mmHg, on TR change >20 - =<40 mmHg | Ic. BS DBP >=90 mmHg, on TR change >40 mmHg | Ic. BS DBP >=90 mmHg, on TR change missing | Dc. BS DBP <90 mmHg, on TR change =<20 mmHg | Dc. BS DBP <90 mmHg, on TR change >20 - =<40 mmHg | Dc. BS DBP <90 mmHg, on TR change >40 mmHg | Dc. BS DBP <90 mmHg, on TR change missing | Dc. BS DBP >=90 mmHg, on TR change =<20 mmHg | Dc. BS DBP >=90 mmHg,on TR change >20 - =<40 mmHg | Dc. BS DBP >=90 mmHg, on TR change >40 mmHg | Dc. BS DBP >=90 mmHg, on TR change missing | Dc. BS DBP missing, on TR change missing |
---|
Avelumab Biweekly | 219 | 61 | 16 | 14 | 41 | 7 | 0 | 3 | 0 | 220 | 70 | 6 | 14 | 11 | 25 | 12 | 3 | 0 | 272 | 48 | 0 | 17 | 0 | 24 | 0 | 0 | 0 | 279 | 38 | 3 | 17 | 11 | 12 | 1 | 0 | 0 |
,Avelumab Weekly | 209 | 56 | 16 | 4 | 26 | 5 | 0 | 2 | 0 | 204 | 70 | 7 | 4 | 6 | 15 | 10 | 2 | 0 | 260 | 37 | 1 | 5 | 0 | 12 | 1 | 1 | 1 | 264 | 33 | 1 | 5 | 5 | 9 | 0 | 1 | 0 |
,Chemotherapy | 278 | 104 | 10 | 21 | 78 | 5 | 1 | 2 | 1 | 322 | 69 | 1 | 21 | 32 | 34 | 18 | 2 | 1 | 402 | 45 | 1 | 23 | 1 | 28 | 0 | 0 | 0 | 415 | 32 | 1 | 23 | 18 | 10 | 0 | 0 | 1 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Weight Increase/Decrease
The number of participants with maximal on-treatment changes from baseline in Increase (Ic.)/Decrease (Dc.) in maximal weight were reported by using criteria: Ic./Dc. From baseline, on treatment (TR) change <10 percentage (%), >=10% and missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. from baseline, on TR change <10% | Ic. from baseline, on TR change >=10% | Ic. from baseline, on TR change missing | Dc. from baseline, on TR change <10% | Dc. from baseline, on TR change >=10% | Dc. from baseline, on TR change missing |
---|
Avelumab Biweekly | 302 | 38 | 21 | 296 | 44 | 21 |
,Avelumab Weekly | 280 | 28 | 10 | 258 | 50 | 10 |
,Chemotherapy | 436 | 39 | 25 | 423 | 52 | 25 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in Moderate and High PD-L1+ Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Number) |
---|
Avelumab Biweekly | 33.5 |
Chemotherapy | 30.3 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ Modified HRQoL Analysis Set
EORTC QLQ-C30 was a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). The EORTC QLQ-C30 GHS/QoL score ranged from 0 to 100; High score indicated better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL. (NCT02576574)
Timeframe: Baseline, End of treatment (Week 283.9)
Intervention | score on a scale (Mean) |
---|
Avelumab Weekly | -12.9 |
Chemotherapy | -4.5 |
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Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) Global Health Status at End of Treatment (EOT) in High Programmed Death Ligand 1 (PD-L1)+ HRQoL Analysis Set
EORTC QLQ-C30 was a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consisted of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). The EORTC QLQ-C30 GHS/QoL score ranged from 0 to 100; High score indicated better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL. (NCT02576574)
Timeframe: Baseline, End of treatment (up to Week 283.9)
Intervention | score on a scale (Mean) |
---|
Avelumab Biweekly | -0.3 |
Chemotherapy | -6.1 |
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Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Electrocardiogram (ECG) Parameters
ECG parameters included heart rate, PR interval, QRS interval, corrected QT interval using Bazett's formula (QTcB) and corrected QT interval using Fridericia's formula (QTcF). PCSA criteria for abnormal value of ECG parameters: any heart rate <= 50 bpm and decrease from baseline >=20 bpm , any hear rate >= 120 bpm and increase from baseline >= 20 bpm; PR interval: >= 220 milliseconds (ms) and increase from baseline >= 20 ms; QRS interval >= 120 ms; QTcF > 450 ms, > 480 ms, > 500 ms, QTcF increase from baseline > 30 ms and QTcF increase from baseline > 60 ms; QTcB > 450 ms, > 480 ms, > 500 ms, QTcB increase from baseline > 30 ms and QTcB increase from baseline > 60 ms. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Heart Rate <= 50 bpm and decrease from baseline >= 20 bpm | Heart Rate >= 120 bpm and decrease from baseline >= 20 bpm | PR interval >= 220 ms and increase from baseline >= 20 ms | QRS interval >= 120 ms | QTcF > 450 ms | QTcF > 480 ms | QTcF > 500 ms | QTcF increase from baseline > 30 ms | QTcF increase from baseline > 60 ms | QTcB > 450 ms | QTcB > 480 ms | QTcB > 500 ms | QTcB increase from baseline > 30 ms | QTcB increase from baseline > 60 ms |
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Avelumab Biweekly | 1 | 10 | 0 | 18 | 19 | 5 | 3 | 20 | 6 | 49 | 13 | 6 | 32 | 11 |
,Avelumab Weekly | 1 | 6 | 5 | 10 | 13 | 4 | 1 | 12 | 1 | 31 | 11 | 5 | 25 | 7 |
,Chemotherapy | 0 | 7 | 3 | 15 | 24 | 11 | 5 | 39 | 13 | 70 | 24 | 16 | 49 | 19 |
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Number of Participants With Shift From Baseline to Greater Than or Equal to (>=) Grade 3 in Laboratory Parameter Values Based on National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 4.03
Number of participants with shifts from Baseline values (Grade 0/1/2/3) to abnormal post-baseline values (shift to >= Grade 4) were reported as per NCI-CTCAE, v4.03 graded from Grade 1 to 5. Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening; Grade 5: Death. Shifts in laboratory parameter (anemia, lymphocyte count decreased, neutrophil count decreased, platelet count decreased, white blood cell count decreased, alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatine phosphokinase increased, creatinine increased and Hyperglycemia) were reported. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Anemia: Grade 0 to Grade 3 | Anemia: Grade 1 to Grade 3 | Anemia: Grade 2 to Grade 3 | Lymphocyte count decreased: Grade 0 to Grade 3 | Lymphocyte count decreased: Grade 0 to Grade 4 | Lymphocyte count decreased: Grade 1 to Grade 3 | Lymphocyte count decreased: Grade 2 to Grade 3 | Lymphocyte count decreased: Grade 2 to Grade 4 | Lymphocyte count decreased: Grade 3 to Grade 4 | Neutrophil count decreased: Grade 0 to Grade 3 | Neutrophil count decreased: Grade 0 to Grade 4 | Neutrophil count decreased: Grade 1 to Grade 3 | Platelet count decreased: Grade 0 to Grade 3 | Platelet count decreased: Grade 0 to Grade 4 | Platelet count decreased: Grade 1 to Grade 3 | White blood cell count decreased: Grade 0 to Grade 3 | White blood cell count decreased: Grade 0 to Grade 4 | Alanine aminotransferase increased: Grade 0 to Grade 3 | Alanine aminotransferase increased: Grade 0 to Grade 4 | Alanine aminotransferase increased: Grade 1 to Grade 3 | Alkaline phosphatase increased: Grade 0 to Grade 3 | Alkaline phosphatase increased: Grade 1 to Grade 3 | Alkaline phosphatase increased: Grade 1 to Grade 4 | Alkaline phosphatase increased: Grade 2 to Grade 3 | Aspartate aminotransferase increased: Grade 0 to Grade 3 | Aspartate aminotransferase increased: Grade 0 to Grade 4 | Aspartate aminotransferase increased: Grade 1 to Grade 3 | Blood bilirubin increased: Grade 0 to Grade 3 | Blood bilirubin increased: Grade 0 to Grade 4 | Creatine phosphokinase increased: Grade 0 to Grade 3 | Creatine phosphokinase increased: Grade 0 to Grade 4 | Creatine phosphokinase increased: Grade 1 to Grade 4 | Creatine phosphokinase increased: Grade 2 to Grade 3 | Creatinine increased: Grade 0 to Grade 3 | Creatinine increased: Grade 1 to Grade 3 | Hyperglycemia: Grade 0 to Grade 3 | Hyperglycemia: Grade 0 to Grade 4 |
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Avelumab Biweekly | 4 | 4 | 4 | 16 | 1 | 2 | 7 | 0 | 0 | 4 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 12 | 1 | 1 | 0 | 1 | 0 | 0 | 7 | 1 | 0 | 0 | 0 | 6 | 5 | 0 | 0 | 6 | 0 | 21 | 0 |
,Avelumab Weekly | 2 | 5 | 6 | 15 | 2 | 10 | 6 | 0 | 0 | 4 | 3 | 0 | 1 | 3 | 1 | 3 | 1 | 8 | 1 | 0 | 3 | 3 | 0 | 1 | 4 | 2 | 0 | 4 | 1 | 5 | 0 | 1 | 1 | 4 | 0 | 20 | 0 |
,Chemotherapy | 58 | 30 | 6 | 31 | 3 | 12 | 12 | 1 | 1 | 65 | 25 | 1 | 18 | 20 | 0 | 24 | 11 | 5 | 3 | 2 | 1 | 1 | 1 | 0 | 3 | 2 | 1 | 3 | 0 | 1 | 0 | 0 | 0 | 4 | 1 | 35 | 3 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and AEs of Special Interest (AESIs)
Adverse event (AE) was defined as any untoward medical occurrence in a participant, which does not necessarily have causal relationship with treatment. A serious AE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in participant hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. The term TEAEs were those events with onset dates occurring during the on-treatment period or if the worsening of an event is during the on-treatment period TEAEs included both serious TEAEs and non-serious TEAEs. Any AE that was suspicious to be a potential Immune-related adverse event (irAE) including infusion related reactions were considered AESIs. Number of participants with TEAEs and AESIs were reported. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| TEAEs | AESIs |
---|
Avelumab Biweekly | 346 | 158 |
,Avelumab Weekly | 308 | 160 |
,Chemotherapy | 484 | 173 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Modified Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Median) |
---|
Avelumab Weekly | 34.6 |
Chemotherapy | 30.2 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Independent Review Committee (IRC) in High PD-L1+ Full Analysis Set
Confirmed objective response was defined as the percentage of participants with a confirmed objective response of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to approximately 71.5 months)
Intervention | percentage of participants (Number) |
---|
Avelumab Biweekly | 37.7 |
Chemotherapy | 30.1 |
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Number of Participants With Maximal On-Treatment Changes From Baseline in Vital Signs - Maximal Respiration Rate Increase/Decrease
The number of participants with maximal on-treatment (TR) changes from baseline (BS) in Increase (Ic.)/Decrease (Dc.) maximal Respiration Rate (RR) were reported by using criteria: Ic./Dc. BS RR <20 breaths per minute (breaths/min), on TR change =<5 breaths/min, >5 - =<10 breaths/min, >10 breaths/min and missing. Ic./Dc. BS RR missing, on TR change missing. Ic./Dc. BS RR >=20 breaths/min, on TR change =<5 breaths/min, >5 - =<10 breaths/min, >10 breaths/min and missing. (NCT02576574)
Timeframe: Time from date of randomization up to data cutoff (assessed up to 71.5 months)
Intervention | Participants (Count of Participants) |
---|
| Ic. BS RR <20 breaths/min, on TR change =<5 breaths/min | Ic.BS RR<20 breaths/min, on TR change >5 - = <10 breaths/min | Ic. BS RR <20 breaths/min, on TR change >10 breaths/min | Ic. BS RR <20 breaths/min, on TR change missing | Ic. BS RR >=20 breaths/min, on TR change =<5 breaths/min | Ic.BS RR >=20 breaths/min, on TR change >5 - =<10 breaths/min | Ic. BS RR >=20 breaths/min, on TR change >10 breaths/min | Ic. BS RR >=20 breaths/min, on TR change missing | Ic. BS RR missing, on TR change missing | Dc. BS RR <20 breaths/min, on TR change =<5 breaths/min | Dc. BS RR <20 breaths/min, on TR change >5 - =<10 breaths/min | Dc. BS RR <20 breaths/min, on TR change >10 breaths/min | Dc. BS RR <20 breaths/min, on TR change missing | Dc. BS RR >=20 breaths/min, on TR ch =<5 breaths/min | Dc.BS RR >=20 breaths/min, on TR change >5 - =<10 breaths/min | Dc. BS RR >=20 breaths/min, on TR change >10 breaths/min | Dc. BS RR >=20 breaths/min, on TR change missing | Dc. BS RR missing, on TR change missing |
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Avelumab Biweekly | 221 | 18 | 1 | 11 | 89 | 5 | 3 | 7 | 6 | 232 | 8 | 0 | 11 | 79 | 14 | 4 | 7 | 6 |
,Avelumab Weekly | 224 | 13 | 1 | 4 | 68 | 4 | 1 | 2 | 1 | 236 | 2 | 0 | 4 | 58 | 13 | 2 | 2 | 1 |
,Chemotherapy | 306 | 26 | 2 | 14 | 124 | 2 | 0 | 15 | 11 | 325 | 8 | 1 | 14 | 101 | 22 | 3 | 15 | 11 |
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Number of Participants Who Experienced an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a study participant administered study drug and which does not necessarily have to have a causal relationship with this study drug. For participants who switched from the Control group to receiving pembro, AEs that occurred after the first dose of pembro are excluded from this interim analysis, but will be included in the final analysis. The number of participants who experienced an AE is presented. (NCT02578680)
Timeframe: Through Database Cutoff Date of 08-Nov-2017 (Up to approximately 21 months); Serious AEs: Up to 90 days after last dose of study treatment, Other AEs: Up to 30 days after last dose of study treatment
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 404 |
Control | 200 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Blinded Central Imaging
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. Note: The appearance of one or more new lesions was also considered PD. The PFS per RECIST 1.1 is presented. (NCT02578680)
Timeframe: Through Database Cutoff Date of 08-Nov-2017 (Up to approximately 21 months)
Intervention | Months (Median) |
---|
Pembrolizumab | 8.8 |
Control | 4.9 |
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Number of Participants Who Discontinued Any Study Drug Due to an AE
The number of participants who discontinued any randomized study drug due to an AE is presented. (NCT02578680)
Timeframe: Through Database Cutoff Date of 08-Nov-2017 (Up to approximately 21 months)
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 112 |
Control | 30 |
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Duration of Response (DOR) Per RECIST 1.1 as Assessed by Blinded Central Imaging
For participants who demonstrated a confirmed CR (disappearance of all target lesions) or PR (≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR was defined as the time from first documented evidence of a CR or PR until PD or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. Note: The appearance of one or more new lesions was also considered PD. DOR assessments were based on blinded central imaging review with confirmation. The DOR per RECIST 1.1 for all participants who experienced a confirmed CR or PR is presented. (NCT02578680)
Timeframe: From time of first documented evidence of CR or PR through database cutoff date of 08-Nov-2017 (Up to approximately 21 months)
Intervention | Months (Median) |
---|
Pembrolizumab | 11.2 |
Control | 7.8 |
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Overall Response Rate (ORR) Per RECIST 1.1 as Assessed by Blinded Central Imaging
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: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The percentage of participants who experienced a CR or PR is presented. (NCT02578680)
Timeframe: Through Database Cutoff Date of 08-Nov-2017 (Up to approximately 21 months)
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 47.6 |
Control | 18.9 |
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Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up. The OS is presented. (NCT02578680)
Timeframe: Through Database Cutoff Date of 08-Nov-2017 (Up to approximately 21 months)
Intervention | Months (Median) |
---|
Pembrolizumab | NA |
Control | 11.3 |
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Overall Response Rate (ORR) Per RECIST 1.1
The primary objective of this randomized phase II trial to determine the overall response rate (ORR per RECIST 1.1) in Chemotherapy naive patients with stage IV NSCLC after the administration of standard platinum-based chemotherapy before MK-3475 (arm A) and administration of MK-3475 administered before standard platinum-based chemotherapy (arm B). Overall Response (OR) = CR + PR. (NCT02591615)
Timeframe: 18 Months
Intervention | proportion of participants (Number) |
---|
Arm A (Both Squamous and Non-Squamous) | 0.395 |
Arm B (Both Squamous and Non-Squamous) | 0.404 |
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Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
To characterize the adverse events related to MK-3475 by frequency, type and grade in patients with Chemotherapy naive advanced NSCLC based on the sequence of administration with first-line chemotherapy. A count of participants experiencing an adverse event is summarized here, the detailed summary is in the adverse events section of this report. (NCT02591615)
Timeframe: 24 Months
Intervention | participants (Number) |
---|
Arm A Squamous Carcinoma | 9 |
Arm A Non-squamous Carcinoma | 34 |
Arm B Squamous Carcinoma | 10 |
Arm B Non-squamous Carcinoma | 37 |
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Compare Progression-Free Survival (PFS) Per RECIST 1.1
To compare the progression-free survival (PFS) per RECIST 1.1 in previously untreated patients with advanced NSCLC treated with first line carboplatin-based chemotherapy followed by MK-3475 to patients treated with MK-3475 prior to first-line carboplatin-based chemotherapy. (NCT02591615)
Timeframe: 24 Months
Intervention | Months (Median) |
---|
Arm A (Both Squamous and Non-Squamous) | 5.8 |
Arm B (Both Squamous and Non-Squamous) | 4.0 |
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Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC30 Score for ITT Population
TTD in the overall population is defined as time from randomization to the earliest time with a ≥10-point increase from baseline for symptoms domains (or decrease for functioning domains from baseline for cough, dyspnea [single item and multi-item scales] chest pain [single item], pain in arm/shoulder and fatigue as measured by the EORTC QLQ-C30. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | months (Median) |
---|
| Dyspnoea score | Fatigue score |
---|
Active Comparator: Premetrexed/Docetaxel | 8.3 | 1.2 |
,Experimental: Alectinib | 13.3 | 5.6 |
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Plasma Concentration of Alectinib
(NCT02604342)
Timeframe: Predose (2 hours) at Baseline, Week 3 and Week 6
Intervention | nanogram/milliliter (ng/mL) (Geometric Mean) |
---|
Experimental: Alectinib | 559 |
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Duration of Response for Lesions in the CNS (C-DOR) Using RECIST Version 1.1 as Assessed by IRC
DOR was defined as the time from when response (CR or PR) was first documented to first documented disease progression or death, whichever occurred first. C-DOR was defined in a similar way for lesions in the CNS, taking into account all lesions in the body. DOR was evaluated for participants who had a BOR of CR or PR. (NCT02604342)
Timeframe: From the first documented CR or PR to the first documented disease progression, death, or study end (up to 33 months)
Intervention | months (Median) |
---|
Experimental: Alectinib | 13.9 |
Active Comparator: Premetrexed/Docetaxel | NA |
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Overall Survival (OS)
Overall survival (OS) was defined as the time from randomization to death from any cause. OS was confounded by cross-over of participants to the alectinib arm. (NCT02604342)
Timeframe: Randomization to death from any cause, through study end (up to 33 months)
Intervention | months (Median) |
---|
Experimental: Alectinib | 27.8 |
Active Comparator: Premetrexed/Docetaxel | NA |
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Percentage of Participants With Adverse Events (AEs)
An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | Percentage of Participants (Number) |
---|
Experimental: Alectinib | 89.6 |
Active Comparator: Premetrexed/Docetaxel | 89.2 |
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Percentage of Participants With Disease Control in C-ITT Population Using RECIST Version 1.1 as Assessed by IRC
Disease Control Rate (DCR) was defined as the percentage of participants who attained CR, PR, or stable disease (SD) of at least 5 weeks. As per RECIST v1.1, CR: Disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm, PR: At least a 30% decrease in the sum of the 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 of diameters since the treatment started. (NCT02604342)
Timeframe: From first documented CR, PR, or SD lasting at least 5 weeks through study end (up to 33 months)
Intervention | percentage of participants (Number) |
---|
Experimental: Alectinib | 82.7 |
Active Comparator: Premetrexed/Docetaxel | 25.0 |
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Percentage of Participants With ORR in C-ITT Population Using RECIST Version 1.1 as Assessed by IRC
ORR was defined as the percentage of participants who attained CR or PR. As per RECIST v1.1, CR: Disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm, PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | percentage of participants (Number) |
---|
Experimental: Alectinib | 48.1 |
Active Comparator: Premetrexed/Docetaxel | 0.0 |
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PFS Using RECIST Version 1.1 as Assessed by IRC
"PFS was defined as the time from randomization to the first documented disease progression, as determined using RECIST v1.1, or death from any cause, whichever occurred first. As per RECIST v1.1, disease progression is a 20% increase in the sum of the diameters of target lesions, an increase in size of measurable lesions by at least 5 mm and the appearance of new lesions.~This outcome measure was assessed as part of the primary analysis and was not repeated during final analysis." (NCT02604342)
Timeframe: Approximately 15 months (Tumor assessments at baseline, every 6 weeks until progressive disease (PD), death or withdrawal from study prior to PD)
Intervention | months (Median) |
---|
Experimental: Alectinib | 7.1 |
Active Comparator: Premetrexed/Docetaxel | 1.6 |
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Progression-Free Survival (PFS) Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Investigator
PFS was defined as the time from randomization to the first documented disease progression, as determined using RECIST v1.1, or death from any cause, whichever occurred first. As per RECIST v1.1, disease progression is a 20% increase in the sum of the diameters of target lesions, an increase in size of measurable lesions by at least 5 millimeter (mm) and the appearance of new lesions. (NCT02604342)
Timeframe: Randomization to first documented disease progression, death from any cause, or study end (up to 33 months)
Intervention | months (Median) |
---|
Experimental: Alectinib | 10.9 |
Active Comparator: Premetrexed/Docetaxel | 1.4 |
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Time to CNS Progression in C-ITT Population Using RECIST Version 1.1 as Assessed by IRC
"Time to CNS progression was defined as the time from randomization until radiographic evidence of CNS progression. As per RECIST v1.1, disease progression is a 20% increase in the sum of the diameters of target lesions, an increase in size of measurable lesions by at least 5 mm and the appearance of new lesions.~This outcome measure assessment was part of the primary analysis and was not repeated during final analysis." (NCT02604342)
Timeframe: Approximately 15 months (Tumor assessments at baseline, every 6 weeks until progressive disease (PD), death or withdrawal from study prior to PD)
Intervention | months (Median) |
---|
Experimental: Alectinib | NA |
Active Comparator: Premetrexed/Docetaxel | 1.6 |
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TTD in Composite of Three Symptoms (Cough, Dyspnea, and Chest Pain) Using EORTC QLQ-LC13 Score for C-ITT Population
TTD for a composite of three symptoms (cough, dyspnea, chest pain) in the overall population is defined as time from randomization to the earliest time with a ≥10-point increase from baseline for any component of the composite of the three following symptoms [cough, dyspnea [multi-item subscales QLQ-LC13] and chest pain]) as measured by the EORTC QLQ-LC13. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | months (Median) |
---|
Experimental: Alectinib | 2.8 |
Active Comparator: Premetrexed/Docetaxel | 1.4 |
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TTD in Composite of Three Symptoms (Cough, Dyspnea, and Chest Pain) Using EORTC QLQ-LC13 Score for ITT Population
TTD for a composite of three symptoms (cough, dyspnea, chest pain) in the overall population is defined as time from randomization to the earliest time with a ≥10-point increase from baseline for any component of the composite of the three following symptoms [cough, dyspnea [multi-item subscales QLQ-LC13] and chest pain]) as measured by the EORTC QLQ-LC13. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | months (Median) |
---|
Experimental: Alectinib | 1.4 |
Active Comparator: Premetrexed/Docetaxel | 1.4 |
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Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) Over Time
Percentage of participants who filled out an EORTC QLQ-C30 questionnaire at a visit. The EORTC QLQ-C30 questionnaire consisted of 30 questions generating five functional scores (physical, role, cognitive, emotional, and social); a global health status/global quality of life scale score; three symptom scale scores (fatigue, pain, and nausea and vomiting); and six stand alone one-item scores that capture additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea) and perceived financial burden. (NCT02604342)
Timeframe: Baseline through Week 138
Intervention | percentage of participants (Number) |
---|
| Baseline | Treatment - Week 3 | Treatment - Week 6 | Treatment - Week 12 | Treatment - Week 18 | Treatment - Week 24 | Treatment - Week 30 | Treatment - Week 36 | Treatment - Week 42 | Treatment - Week 48 | Treatment - Week 54 | Treatment - Week 60 | Treatment - Week 66 | Treatment - Week 72 |
---|
Active Comparator: Premetrexed/Docetaxel | 85.0 | 83.3 | 60.0 | 80.0 | 50.0 | 100 | 66.7 | 66.7 | 66.7 | 100 | 100 | 100 | 100 | 100 |
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Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) Over Time
Percentage of participants who filled out an EORTC QLQ-C30 questionnaire at a visit. The EORTC QLQ-C30 questionnaire consisted of 30 questions generating five functional scores (physical, role, cognitive, emotional, and social); a global health status/global quality of life scale score; three symptom scale scores (fatigue, pain, and nausea and vomiting); and six stand alone one-item scores that capture additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea) and perceived financial burden. (NCT02604342)
Timeframe: Baseline through Week 138
Intervention | percentage of participants (Number) |
---|
| Baseline | Treatment - Week 3 | Treatment - Week 6 | Treatment - Week 12 | Treatment - Week 18 | Treatment - Week 24 | Treatment - Week 30 | Treatment - Week 36 | Treatment - Week 42 | Treatment - Week 48 | Treatment - Week 54 | Treatment - Week 60 | Treatment - Week 66 | Treatment - Week 72 | Treatment - Week 78 | Treatment - Week 84 | Treatment - Week 90 | Treatment - Week 96 | Treatment - Week 102 | Treatment - Week 108 | Treatment - Week 114 | Treatment - Week 120 | Treatment - Week 126 | Treatment - Week 132 | Treatment - Week 138 |
---|
Experimental: Alectinib | 92.4 | 96.1 | 97.2 | 95.5 | 88.5 | 91.1 | 96.2 | 89.8 | 95.3 | 100 | 97.1 | 100 | 89.7 | 88.9 | 84.6 | 78.3 | 88.9 | 93.8 | 84.6 | 100 | 83.3 | 100 | 100 | 100 | 100 |
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Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer-13 (EORTC QLQ-LC13) Over Time
Percentage of participants who filled out an EORTC QLQ-LC13 questionnaire at a visit. The EORTC QLQ-LC13 module generated one multiple-item scale score assessing dyspnea and a series of single item scores assessing chest pain, arm/shoulder pain, pain in other parts, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. (NCT02604342)
Timeframe: Baseline through Week 138
Intervention | percentage of participants (Number) |
---|
| Baseline | Treatment - Week 3 | Treatment - Week 6 | Treatment - Week 12 | Treatment - Week 18 | Treatment - Week 24 | Treatment - Week 30 | Treatment - Week 36 | Treatment - Week 42 | Treatment - Week 48 | Treatment - Week 54 | Treatment - Week 60 | Treatment - Week 66 | Treatment - Week 72 |
---|
Active Comparator: Premetrexed/Docetaxel | 82.5 | 83.3 | 63.3 | 80.0 | 50.0 | 100 | 66.7 | 66.7 | 66.7 | 100 | 100 | 100 | 100 | 100 |
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Compliance of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer-13 (EORTC QLQ-LC13) Over Time
Percentage of participants who filled out an EORTC QLQ-LC13 questionnaire at a visit. The EORTC QLQ-LC13 module generated one multiple-item scale score assessing dyspnea and a series of single item scores assessing chest pain, arm/shoulder pain, pain in other parts, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. (NCT02604342)
Timeframe: Baseline through Week 138
Intervention | percentage of participants (Number) |
---|
| Baseline | Treatment - Week 3 | Treatment - Week 6 | Treatment - Week 12 | Treatment - Week 18 | Treatment - Week 24 | Treatment - Week 30 | Treatment - Week 36 | Treatment - Week 42 | Treatment - Week 48 | Treatment - Week 54 | Treatment - Week 60 | Treatment - Week 66 | Treatment - Week 72 | Treatment - Week 78 | Treatment - Week 84 | Treatment - Week 90 | Treatment - Week 96 | Treatment - Week 102 | Treatment - Week 108 | Treatment - Week 114 | Treatment - Week 120 | Treatment - Week 126 | Treatment - Week 132 | Treatment - Week 138 |
---|
Experimental: Alectinib | 92.4 | 96.1 | 97.2 | 95.5 | 88.5 | 91.1 | 96.2 | 87.8 | 95.3 | 100 | 97.1 | 100 | 89.7 | 88.9 | 84.6 | 78.3 | 88.9 | 100 | 84.6 | 100 | 83.3 | 80.0 | 100 | 100 | 100 |
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Compliance of European Quality of Life (EuroQoL) 5 Dimension 5 Levels (EQ-5D-5L) Questionnaire Over Time
Percentage of participants who filled out an ED-5D-5L questionnaire at a visit. EQ-5D-5L: A generic preference-based health utility measure that provides a single index value for health status. The instrument consists of two parts. The first part, health-state classification, contains five dimensions of health: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. (NCT02604342)
Timeframe: Baseline through Week 60
Intervention | percentage of participants (Number) |
---|
| Treatment - Week 0 | Treatment - Week 3 | Treatment - Week 6 | Treatment - Week 12 | Treatment - Week 18 | Treatment - Week 24 | Treatment - Week 30 | Treatment - Week 36 | Treatment - Week 42 | Treatment - Week 48 |
---|
Active Comparator: Premetrexed/Docetaxel | 82.9 | 78.8 | 58.6 | 80 | 66.7 | 100 | 66.7 | 50 | 50 | 0 |
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Compliance of European Quality of Life (EuroQoL) 5 Dimension 5 Levels (EQ-5D-5L) Questionnaire Over Time
Percentage of participants who filled out an ED-5D-5L questionnaire at a visit. EQ-5D-5L: A generic preference-based health utility measure that provides a single index value for health status. The instrument consists of two parts. The first part, health-state classification, contains five dimensions of health: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. (NCT02604342)
Timeframe: Baseline through Week 60
Intervention | percentage of participants (Number) |
---|
| Treatment - Week 0 | Treatment - Week 3 | Treatment - Week 6 | Treatment - Week 12 | Treatment - Week 18 | Treatment - Week 24 | Treatment - Week 30 | Treatment - Week 36 | Treatment - Week 42 | Treatment - Week 48 | Treatment - Week 54 | Treatment - Week 60 |
---|
Experimental: Alectinib | 88.9 | 86.6 | 91.9 | 86.8 | 72.1 | 82.4 | 80 | 80 | 91.7 | 62.5 | 100 | 50 |
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Duration of Response (DOR) Using RECIST Version 1.1 as Assessed by Investigator and IRC
"DOR was defined as the time from when response (CR or PR) was first documented to first documented disease progression or death, whichever occurred first. DOR was evaluated for participants who had a best overall response (BOR) of CR or PR.~The IRC assessment was part of the primary analysis and was not repeated during final analysis." (NCT02604342)
Timeframe: From the first documented CR or PR to the first documented disease progression, death, or study end (up to 33 months)
Intervention | months (Median) |
---|
| Assessed by Investigator | Assessed by IRC |
---|
Active Comparator: Premetrexed/Docetaxel | 2.7 | NA |
,Experimental: Alectinib | 12.0 | 9.7 |
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Percentage of Participants With Disease Control Using RECIST Version 1.1 as Assessed by Investigator and IRC
"Disease control rate (DCR) was defined as the percentage of participants who attained CR, PR, or stable disease (SD) of at least 5 weeks. As per RECIST v1.1, CR: Disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm, PR: At least a 30% decrease in the sum of the 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 of diameters since the treatment started.~The IRC assessment was part of the primary analysis and was not repeated during final analysis." (NCT02604342)
Timeframe: Approximately 15 months (Tumor assessments at baseline, every 6 weeks until progressive disease (PD), death or withdrawal from study prior to PD)
Intervention | percentage of participants (Number) |
---|
| Assessed by Investigator | Assessed by IRC |
---|
Active Comparator: Premetrexed/Docetaxel | 25.0 | 48.6 |
,Experimental: Alectinib | 86.1 | 76.4 |
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Percentage of Participants With Objective Response of CR or PR Using RECIST Version 1.1 as Assessed by Investigator and IRC
"ORR was defined as the percentage of participants who attained CR or PR. As per RECIST v1.1, CR: Disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm, PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.~The IRC assessment was part of the primary analysis and was not repeated during final analysis." (NCT02604342)
Timeframe: Approximately 15 months (Tumor assessments at baseline, every 6 weeks until progressive disease (PD), death or withdrawal from study prior to PD)
Intervention | percentage of participants (Number) |
---|
| Assessed by Investigator | Assessed by IRC |
---|
Active Comparator: Premetrexed/Docetaxel | 2.5 | 11.4 |
,Experimental: Alectinib | 50.6 | 36.1 |
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PFS in C-ITT Population Using RECIST Version 1.1 as Assessed by Investigator and IRC
"PFS was defined as the time from randomization to the first documented disease progression, as determined using RECIST v1.1, or death from any cause, whichever occurred first. As per RECIST v1.1, disease progression is a 20% increase in the sum of the diameters of target lesions, an increase in size of measurable lesions by at least 5 mm and the appearance of new lesions.~This outcome measure assessment was part of the primary analysis and was not repeated during final analysis." (NCT02604342)
Timeframe: Approximately 15 months (Tumor assessments at baseline, every 6 weeks until progressive disease (PD), death or withdrawal from study prior to PD)
Intervention | months (Median) |
---|
| Assessed by Investigator | Assessed by IRC |
---|
Active Comparator: Premetrexed/Docetaxel | 1.4 | 1.5 |
,Experimental: Alectinib | 9.7 | 8.1 |
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Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC13 Score for C-ITT Population
TTD in the overall population is defined as time from randomization to the earliest time with a ≥10-point increase from baseline for symptoms domains (or decrease for functioning domains from baseline for cough, dyspnea [single item and multi-item scales] chest pain [single item], pain in arm/shoulder and fatigue as measured by the EORTC QLQ-LC13. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | months (Median) |
---|
| Coughing score | Dyspnoea score | Pain in chest score | Pain in arm or shoulder score |
---|
Active Comparator: Premetrexed/Docetaxel | 16.6 | 1.4 | NA | 1.7 |
,Experimental: Alectinib | NA | 9.7 | NA | 11.1 |
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Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC13 Score for ITT Population
TTD in the overall population is defined as time from randomization to the earliest time with a ≥10-point increase from baseline for symptoms domains (or decrease for functioning domains from baseline for cough, dyspnea [single item and multi-item scales] chest pain [single item], pain in arm/shoulder and fatigue as measured by the EORTC QLQ-LC13. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | months (Median) |
---|
| Coughing score | Dyspnoea score | Pain in chest score | Pain in arm or shoulder score |
---|
Active Comparator: Premetrexed/Docetaxel | 16.6 | 3.3 | NA | 1.9 |
,Experimental: Alectinib | 18.1 | 4.1 | NA | 12.5 |
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Time to Deterioration (TTD) in Lung Cancer Symptoms Using EORTC QLQ-LC30 Score for C-ITT Population
TTD in the overall population is defined as time from randomization to the earliest time with a ≥10-point increase from baseline for symptoms domains (or decrease for functioning domains from baseline for cough, dyspnea [single item and multi-item scales] chest pain [single item], pain in arm/shoulder and fatigue as measured by the EORTC QLQ-C30. (NCT02604342)
Timeframe: Baseline through study end (up to 33 months)
Intervention | months (Median) |
---|
| Dyspnoea score | Fatigue score |
---|
Active Comparator: Premetrexed/Docetaxel | 8.3 | 1.0 |
,Experimental: Alectinib | 16.6 | 14.4 |
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The 2-year Survival Rate After Initial Study Treatment.
The proportion of patients who are alive at 2 years following initiation of study treatment. (NCT02624700)
Timeframe: 2 years 3 months
Intervention | Participants (Count of Participants) |
---|
A: Pemetrexed + Sorafenib | 1 |
B: Pemetrexed + Sorafenib | 0 |
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Number of Participants at Risk and Affected by Adverse Events (AEs)
To further characterize the safety and side effect profile of the combination. All participants' AEs will be listed and summary descriptive statistics will be calculated.The Adverse events (AEs) are reported using criteria in the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (CTCAE v4.0). (NCT02624700)
Timeframe: 2 years 3 months
Intervention | Participants (Count of Participants) |
---|
| At Risk | Affected |
---|
A: Pemetrexed + Sorafenib | 9 | 9 |
,B: Pemetrexed + Sorafenib | 4 | 4 |
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The Duration of Progression-free Survival (PFS).
Progression-free survival (PFS) defined as the time (in days) from initiation of study treatment until documented disease progression or death, whichever occurs first. (NCT02624700)
Timeframe: 2 years 3 months
Intervention | Days (Number) |
---|
| Participant A | Participant B | Participant C | Participant D | Participant E | Participant F | Participant G | Participant H | Participant I | Participant J | Participant K | Participant L | Participant M |
---|
A: Pemetrexed + Sorafenib | 141 | 60 | 28 | 120 | 259 | 59 | 64 | 49 | 56 | NA | NA | NA | NA |
,B: Pemetrexed + Sorafenib | NA | NA | NA | NA | NA | NA | NA | NA | NA | 22 | 100 | 160 | 19 |
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Changes Between Initial and Post Treatment Dimensions of Periapical Lesions
Changes in the dimensions of periapical lesions will be performed according to the analysis of initial and post treatment radiographs (baseline, 3, 6, 12, and 24-months subsequent to obturation) after being photographed using a digital camera Kodak EasyShare Max (Z990) with millimetre measurer in order to obtain interpretation of sizes of periapical lesions during conversion of pixels in mm2 by digital data processing in Adobe Photoshop CS software. Sucessful radiographic assessment will include decrease in size of the periapical lesion at the recall time of 24 months. (NCT02625298)
Timeframe: baseline, 3, 6, 12 and 24 months
Intervention | square millimeters (Mean) |
---|
| Initial | Baseline | 3 months | 6 months | 12 months | 24 months |
---|
MTA+ Cercamed | 34.04 | 17.54 | 12.01 | 7.86 | 4.85 | 2.48 |
,ProRoot MTA | 37.34 | 16.20 | 12.74 | 11.59 | 8.38 | 2.99 |
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Presence of Clinical Symptoms
Clinical examination will be used to assess the presence of spontaneous or provoked pain, discomfort during chewing, numbness or tenderness to percussion and/or palpation, altered tooth mobility, tooth crown discoloration or abscess and/or sinus tract. (NCT02625298)
Timeframe: baseline
Intervention | participants (Number) |
---|
| spontaneous or provoked pain | discomfort during chewing | numbness | tenderness to percussion and/or palpation | altered tooth mobility | tooth crown discoloration | abscess and/or sinus tract |
---|
MTA+ Cercamed | 5 | 6 | 1 | 2 | 1 | 1 | 0 |
,ProRoot MTA | 5 | 8 | 3 | 2 | 2 | 1 | 1 |
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Percentage of Participants With Anti-Therapeutic Antibodies (ATAs) of Atezolizumab
Baseline prevalence and post-baseline incidence of anti-drug antibodies (ADA) to Atezolizumab in the Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed) (NCT02657434)
Timeframe: Prd (0 h) on D1 of Cy1,2,3,4,8,16 (Cy length=21 days) and thereafter on D1 of every 8th cycle, at treatment discontinuation & then every 30 days (up to 120 days) after last dose of atezolizumab (up to app 25 months)
Intervention | Percentage of Participants (Number) |
---|
| Baseline Evaluable Participants | Post-Baseline Evaluable Participants |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 1.8 | 35.4 |
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Percentage of Participants With an Objective Response (Complete Response [CR] or Partial Response [PR]) Assessed by the Investigator Using RECIST V1.1
An objective response is defined as either an unconfirmed CR or a PR, as determined by the investigator using RECIST v1.1. Objective Response Rate is defined as the proportion of patients who had an objective response. (NCT02657434)
Timeframe: Randomization up to approximately 25 months
Intervention | Percentage of Participants (Number) |
---|
| Responders | Non-Responders |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 51.7 | 48.3 |
,Arm B (Carboplatin or Cisplatin + Pemetrexed) | 37.4 | 62.6 |
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Minimum Observed Serum Atezolizumab Concentration (Cmin)
Minimum observed serum atezolizumab concentration (Cmin) prior to infusion at selected cycles (Arm A) (NCT02657434)
Timeframe: Predose (Prd; 0 hour [h]) on D1 of Cy 2,3,4,8,16 (Cy length=21 days) and thereafter on D1 of every 8th cycle (up to approximately 25 months)
Intervention | μg/mL (Mean) |
---|
| Cy2D1 | Cy3D1 | Cy4D1 | Cy8D1 | Cy16D1 | Cy24D1 | Treatment Discontinuation Visit | Day 120 Post Last Dose |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 69.8 | 115 | 151 | 221 | 234 | 257 | 129 | 13.4 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by EORTC Quality-of-Life Lung Cancer Module (QLQ-LC13) Symptom Score
The EORTC QLQ-LC13 module incorporates one multiple item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. The EORTC QLQ-LC13 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however, a high score for a symptom scale or item represents a high level of symptomatology or problems. A≥10-point change in the symptoms subscale score is perceived by patients as clinically significant (Osoba et al. 1998). (NCT02657434)
Timeframe: Baseline up to 3 and 6 months after disease progression or loss of clinical benefit (up to approximately 25 months)
Intervention | Units on a scale (Mean) |
---|
| Coughing: Week 3 | Coughing: Week 6 | Coughing: Week 9 | Coughing: Week 12 | Coughing: Week 15 | Coughing: Week 18 | Coughing: Week 21 | Coughing: Week 24 | Coughing: Week 27 | Coughing: Week 30 | Coughing: Week 33 | Coughing: Week 36 | Coughing: Week 39 | Coughing: Week 42 | Coughing: Week 45 | Coughing: Week 48 | Coughing: Week 51 | Coughing: Week 54 | Coughing: Week 57 | Coughing: Week 60 | Coughing: Week 63 | Coughing: Week 66 | Coughing: Week 69 | Coughing: Week 72 | Coughing: Week 75 | Coughing: Week 78 | Coughing: Week 81 | Coughing: Week 84 | Coughing: Week 87 | Coughing: Week 90 | Coughing: Week 93 | Coughing: Time of First Pd | Coughing: Time of Last Tx Dose | Coughing: Survival Follow-Up Week 12 | Coughing: Survival Follow-Up Week 24 | Dyspnoea: Week 3 | Dyspnoea: Week 6 | Dyspnoea: Week 9 | Dyspnoea: Week 12 | Dyspnoea: Week 15 | Dyspnoea: Week 18 | Dyspnoea: Week 21 | Dyspnoea: Week 24 | Dyspnoea: Week 27 | Dyspnoea: Week 30 | Dyspnoea: Week 33 | Dyspnoea: Week 36 | Dyspnoea: Week 39 | Dyspnoea: Week 42 | Dyspnoea: Week 45 | Dyspnoea: Week 48 | Dyspnoea: Week 51 | Dyspnoea: Week 54 | Dyspnoea: Week 57 | Dyspnoea: Week 60 | Dyspnoea: Week 63 | Dyspnoea: Week 66 | Dyspnoea: Week 69 | Dyspnoea: Week 72 | Dyspnoea: Week 75 | Dyspnoea: Week 78 | Dyspnoea: Week 81 | Dyspnoea: Week 84 | Dyspnoea: Week 87 | Dyspnoea: Week 90 | Dyspnoea: Week 93 | Dyspnoea: Time of First PD | Dyspnoea: Time of Last Tx Dose | Dyspnoea: Survival Follow-Up Week 12 | Dyspnoea: Survival Follow-Up Week 24 | Pain In Chest: Week 3 | Pain In Chest: Week 6 | Pain In Chest: Week 9 | Pain In Chest: Week 12 | Pain In Chest: Week 15 | Pain In Chest: Week 18 | Pain In Chest: Week 21 | Pain In Chest: Week 24 | Pain In Chest: Week 27 | Pain In Chest: Week 30 | Pain In Chest: Week 33 | Pain In Chest: Week 36 | Pain In Chest: Week 39 | Pain In Chest: Week 42 | Pain In Chest: Week 45 | Pain In Chest: Week 48 | Pain In Chest: Week 51 | Pain In Chest: Week 54 | Pain In Chest: Week 57 | Pain In Chest: Week 60 | Pain In Chest: Week 63 | Pain In Chest: Week 66 | Pain In Chest: Week 69 | Pain In Chest: Week 72 | Pain In Chest: Week 75 | Pain In Chest: Week 78 | Pain In Chest: Week 81 | Pain In Chest: Week 84 | Pain In Chest: Week 87 | Pain In Chest: Week 90 | Pain In Chest: Week 93 | Pain In Chest: Time of First Pd | Pain In Chest: Time of Last Tx Dose | Pain In Chest: Survival Follow-Up Week 12 | Pain In Chest: Survival Follow-Up Week 24 | Pain In Arm Or Shoulder: Week 3 | Pain In Arm Or Shoulder: Week 6 | Pain In Arm Or Shoulder: Week 9 | Pain In Arm Or Shoulder: Week 12 | Pain In Arm Or Shoulder: Week 15 | Pain In Arm Or Shoulder: Week 18 | Pain In Arm Or Shoulder: Week 21 | Pain In Arm Or Shoulder: Week 24 | Pain In Arm Or Shoulder: Week 27 | Pain In Arm Or Shoulder: Week 30 | Pain In Arm Or Shoulder: Week 33 | Pain In Arm Or Shoulder: Week 36 | Pain In Arm Or Shoulder: Week 39 | Pain In Arm Or Shoulder: Week 42 | Pain In Arm Or Shoulder: Week 45 | Pain In Arm Or Shoulder: Week 48 | Pain In Arm Or Shoulder: Week 51 | Pain In Arm Or Shoulder: Week 54 | Pain In Arm Or Shoulder: Week 57 | Pain In Arm Or Shoulder: Week 60 | Pain In Arm Or Shoulder: Week 63 | Pain In Arm Or Shoulder: Week 66 | Pain In Arm Or Shoulder: Week 69 | Pain In Arm Or Shoulder: Week 72 | Pain In Arm Or Shoulder: Week 75 | Pain In Arm Or Shoulder: Week 78 | Pain In Arm Or Shoulder: Week 81 | Pain In Arm Or Shoulder: Week 84 | Pain In Arm Or Shoulder: Week 87 | Pain In Arm Or Shoulder: Week 90 | Pain In Arm Or Shoulder: Week 93 | Pain In Arm Or Shoulder: Time of First Pd | Pain In Arm Or Shoulder: Time of Last Tx Dose | Pain In Arm Or Shoulder:Survival Follow-Up Week 12 | Pain In Arm Or Shoulder:Survival Follow-Up Week 24 |
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Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | -3.41 | -9.82 | -8.29 | -10.71 | -11.53 | -11.63 | -10.50 | -10.03 | -11.65 | -11.39 | -11.97 | -12.94 | -13.41 | -14.70 | -14.72 | -13.92 | -10.97 | -13.81 | -13.53 | -10.71 | -12.82 | -12.61 | -11.90 | -16.67 | -18.84 | -23.81 | -18.52 | -29.17 | -25.00 | -16.67 | 0.00 | -10.48 | -8.13 | -6.94 | -14.29 | -1.41 | -1.17 | -3.34 | -0.46 | -1.12 | -3.88 | -1.45 | -0.42 | -2.08 | -2.78 | -3.02 | -2.91 | -4.95 | -6.33 | -3.61 | -5.34 | -1.69 | -1.90 | -4.99 | -0.40 | -6.55 | -4.50 | -4.76 | -1.52 | -6.76 | -3.17 | -9.88 | -6.94 | -2.78 | 5.56 | 22.22 | -0.16 | 0.44 | 13.43 | 4.76 | 0.81 | -6.32 | -4.24 | -0.60 | -3.56 | -3.36 | -2.74 | -4.76 | -2.71 | -3.06 | -3.88 | -2.91 | -3.99 | -7.17 | -5.63 | -4.64 | -5.49 | -4.29 | -5.80 | -3.57 | -6.84 | -4.50 | -5.95 | -4.55 | 0.00 | 0.00 | 7.41 | 4.17 | 8.33 | 0.00 | 0.00 | -3.81 | -0.83 | -2.78 | -4.76 | -2.60 | -5.44 | -8.09 | -4.37 | -7.34 | -6.26 | -1.83 | -5.26 | -3.79 | -3.33 | -1.94 | -3.24 | -3.99 | -8.60 | -6.06 | -4.22 | -3.38 | -6.19 | -2.90 | -4.17 | -3.42 | -1.80 | -7.14 | -7.58 | -8.70 | -2.38 | 3.70 | 4.17 | -16.67 | 0.00 | 0.00 | 1.90 | 0.33 | 5.56 | 0.00 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire-Core 30 (QLQ-C30) Symptom Score
EORTC QLQ-C30 is a validated and reliable self-report measure that consists of 30 questions that assess five aspects of patient functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, pain), global health/quality of life, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). EORTC QLQ-C30 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however a high score for a symptom scale or item represents a high level of symptomatology or problems. A ≥10-point change in the symptoms subscale score is perceived by patients as clinically significant (Osoba et al. 1998). (NCT02657434)
Timeframe: Baseline up to 3 and 6 months after disease progression or loss of clinical benefit (up to approximately 25 months)
Intervention | Units on a scale (Mean) |
---|
| Dyspnoea: Week 3 | Dyspnoea: Week 6 | Dyspnoea: Week 9 | Dyspnoea: Week 12 | Dyspnoea: Week 15 | Dyspnoea: Week 18 | Dyspnoea: Week 21 | Dyspnoea: Week 24 | Dyspnoea: Week 27 | Dyspnoea: Week 30 | Dyspnoea: Week 33 | Dyspnoea: Week 36 | Dyspnoea: Week 39 | Dyspnoea: Week 42 | Dyspnoea: Week 45 | Dyspnoea: Week 48 | Dyspnoea: Week 51 | Dyspnoea: Week 54 | Dyspnoea: Week 57 | Dyspnoea: Week 60 | Dyspnoea: Week 63 | Dyspnoea: Week 66 | Dyspnoea: Week 69 | Dyspnoea: Week 72 | Dyspnoea: Week 75 | Dyspnoea: Week 78 | Dyspnoea: Week 81 | Dyspnoea: Week 84 | Dyspnoea: Week 87 | Dyspnoea: Week 90 | Dyspnoea: Survival Follow-Up Week 12 | Dyspnoea: Survival Follow-Up Week 24 |
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Arm B (Carboplatin or Cisplatin + Pemetrexed) | -1.95 | -1.23 | 0.20 | -0.91 | -1.67 | -2.12 | -5.67 | -2.75 | -2.53 | -1.25 | -1.83 | -3.83 | -1.67 | -3.27 | -6.25 | -5.13 | -14.81 | -9.68 | -7.69 | -11.11 | -7.69 | -9.52 | -16.67 | -4.17 | -6.67 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 9.20 | 5.26 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by European Organization for the Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire-Core 30 (QLQ-C30) Symptom Score
EORTC QLQ-C30 is a validated and reliable self-report measure that consists of 30 questions that assess five aspects of patient functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, pain), global health/quality of life, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). EORTC QLQ-C30 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however a high score for a symptom scale or item represents a high level of symptomatology or problems. A ≥10-point change in the symptoms subscale score is perceived by patients as clinically significant (Osoba et al. 1998). (NCT02657434)
Timeframe: Baseline up to 3 and 6 months after disease progression or loss of clinical benefit (up to approximately 25 months)
Intervention | Units on a scale (Mean) |
---|
| Dyspnoea: Week 3 | Dyspnoea: Week 6 | Dyspnoea: Week 9 | Dyspnoea: Week 12 | Dyspnoea: Week 15 | Dyspnoea: Week 18 | Dyspnoea: Week 21 | Dyspnoea: Week 24 | Dyspnoea: Week 27 | Dyspnoea: Week 30 | Dyspnoea: Week 33 | Dyspnoea: Week 36 | Dyspnoea: Week 39 | Dyspnoea: Week 42 | Dyspnoea: Week 45 | Dyspnoea: Week 48 | Dyspnoea: Week 51 | Dyspnoea: Week 54 | Dyspnoea: Week 57 | Dyspnoea: Week 60 | Dyspnoea: Week 63 | Dyspnoea: Week 66 | Dyspnoea: Week 69 | Dyspnoea: Week 72 | Dyspnoea: Week 75 | Dyspnoea: Week 78 | Dyspnoea: Week 81 | Dyspnoea: Week 84 | Dyspnoea: Week 87 | Dyspnoea: Week 90 | Dyspnoea: Week 93 | Dyspnoea: Survival Follow-Up Week 12 | Dyspnoea: Survival Follow-Up Week 24 |
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Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | -1.39 | -4.71 | -6.33 | -3.39 | -2.44 | -3.44 | -2.89 | -2.45 | -1.32 | -2.71 | -3.74 | -6.67 | -8.42 | -9.12 | -2.11 | -7.41 | -2.92 | -2.78 | -5.63 | 0.00 | -5.13 | -1.80 | -3.57 | 0.00 | -5.80 | -4.76 | -11.11 | -4.17 | 8.33 | 0.00 | 0.00 | 8.00 | -14.29 |
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Duration of Response (DOR) as Determined by the Investigator Using RECIST v1.1
DOR is defined as the time interval from the date of the first occurrence of a CR or PR (whichever status is recorded first) until the first date that progressive disease or death is documented, whichever occurs first. (NCT02657434)
Timeframe: Randomization up to approximately 25 months
Intervention | Months (Number) |
---|
Arm B (Carboplatin or Cisplatin + Pemetrexed) | 6.4 |
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 9.5 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms as Reported Using the Symptoms in Lung Cancer (SILC) Scale Score
Change from baseline per SILC scale will be analyzed for each lung cancer symptoms scores. SILC questionnaire comprises 3 individual symptoms & are scored at individual symptom level, thus have a dyspnea score, chest pain score, & cough score. There are a total of 9 questions in SILC questionnaire, each question has a minimum value of 0 & maximum value of 4. Each individual symptom score is calculated as average of responses for symptom items. 'Chest pain' score is mean of question 1 & 2, 'Cough' score is mean of question 3 & 4 and 'Dyspnea' score is mean of question 5 to 9 in SILC questionnaire. An increase in score is suggestive of a worsening in symptomology. A score change of ≥0.3 points for dyspnea & cough symptom scores is considered to be clinically significant; whereas a score change of≥0.5 points for chest pain score is considered to be clinically significant. (NCT02657434)
Timeframe: Baseline up to 3 and 6 months after disease progression or loss of clinical benefit (up to approximately 25 months)
Intervention | Units on a scale (Mean) |
---|
| Chest Pain: Week 1 | Chest Pain: Week 2 | Chest Pain: Week 3 | Chest Pain: Week 4 | Chest Pain: Week 5 | Chest Pain: Week 6 | Chest Pain: Week 7 | Chest Pain: Week 8 | Chest Pain: Week 9 | Chest Pain: Week 10 | Chest Pain: Week 11 | Chest Pain: Week 12 | Chest Pain: Week 13 | Chest Pain: Week 14 | Chest Pain: Week 15 | Chest Pain: Week 16 | Chest Pain: Week 17 | Chest Pain: Week 18 | Chest Pain: Week 19 | Chest Pain: Week 20 | Chest Pain: Week 21 | Chest Pain: Week 22 | Chest Pain: Week 23 | Chest Pain: Week 24 | Chest Pain: Week 25 | Chest Pain: Week 26 | Chest Pain: Week 27 | Chest Pain: Week 28 | Chest Pain: Week 29 | Chest Pain: Week 30 | Chest Pain: Week 31 | Chest Pain: Week 32 | Chest Pain: Week 33 | Chest Pain: Week 34 | Chest Pain: Week 35 | Chest Pain: Week 36 | Chest Pain: Week 37 | Chest Pain: Week 38 | Chest Pain: Week 39 | Chest Pain: Week 40 | Chest Pain: Week 41 | Chest Pain: Week 42 | Chest Pain: Week 43 | Chest Pain: Week 44 | Chest Pain: Week 45 | Chest Pain: Week 46 | Chest Pain: Week 47 | Chest Pain: Week 48 | Chest Pain: Week 49 | Chest Pain: Week 50 | Chest Pain: Week 51 | Chest Pain: Week 52 | Chest Pain: Week 53 | Chest Pain: Week 54 | Chest Pain: Week 55 | Chest Pain: Week 56 | Chest Pain: Week 57 | Chest Pain: Week 58 | Chest Pain: Week 59 | Chest Pain: Week 60 | Chest Pain: Week 61 | Chest Pain: Week 62 | Chest Pain: Week 63 | Chest Pain: Week 64 | Chest Pain: Week 65 | Chest Pain: Week 66 | Chest Pain: Week 67 | Chest Pain: Week 68 | Chest Pain: Week 69 | Chest Pain: Week 70 | Chest Pain: Week 71 | Chest Pain: Week 72 | Chest Pain: Week 73 | Chest Pain: Week 74 | Chest Pain: Week 75 | Chest Pain: Week 76 | Chest Pain: Week 77 | Chest Pain: Week 78 | Chest Pain: Week 79 | Chest Pain: Week 80 | Chest Pain: Week 81 | Chest Pain: Week 82 | Chest Pain: Week 83 | Chest Pain: Week 84 | Chest Pain: Week 85 | Chest Pain: Week 86 | Chest Pain: Week 87 | Chest Pain: Week 88 | Chest Pain: Week 89 | Chest Pain: Week 90 | Chest Pain: Week 91 | Chest Pain: Time of First Pd | Chest Pain: Time of Last Tx Dose | Cough: Week 1 | Cough: Week 2 | Cough: Week 3 | Cough: Week 4 | Cough: Week 5 | Cough: Week 6 | Cough: Week 7 | Cough: Week 8 | Cough: Week 9 | Cough: Week 10 | Cough: Week 11 | Cough: Week 12 | Cough: Week 13 | Cough: Week 14 | Cough: Week 15 | Cough: Week 16 | Cough: Week 17 | Cough: Week 18 | Cough: Week 19 | Cough: Week 20 | Cough: Week 21 | Cough: Week 22 | Cough: Week 23 | Cough: Week 24 | Cough: Week 25 | Cough: Week 26 | Cough: Week 27 | Cough: Week 28 | Cough: Week 29 | Cough: Week 30 | Cough: Week 31 | Cough: Week 32 | Cough: Week 33 | Cough: Week 34 | Cough: Week 35 | Cough: Week 36 | Cough: Week 37 | Cough: Week 38 | Cough: Week 39 | Cough: Week 40 | Cough: Week 41 | Cough: Week 42 | Cough: Week 43 | Cough: Week 44 | Cough: Week 45 | Cough: Week 46 | Cough: Week 47 | Cough: Week 48 | Cough: Week 49 | Cough: Week 50 | Cough: Week 51 | Cough: Week 52 | Cough: Week 53 | Cough: Week 54 | Cough: Week 55 | Cough: Week 56 | Cough: Week 57 | Cough: Week 58 | Cough: Week 59 | Cough: Week 60 | Cough: Week 61 | Cough: Week 62 | Cough: Week 63 | Cough: Week 64 | Cough: Week 65 | Cough: Week 66 | Cough: Week 67 | Cough: Week 68 | Cough: Week 69 | Cough: Week 70 | Cough: Week 71 | Cough: Week 72 | Cough: Week 73 | Cough: Week 74 | Cough: Week 75 | Cough: Week 76 | Cough: Week 77 | Cough: Week 78 | Cough: Week 79 | Cough: Week 80 | Cough: Week 81 | Cough: Week 82 | Cough: Week 83 | Cough: Week 84 | Cough: Week 85 | Cough: Week 86 | Cough: Week 87 | Cough: Week 88 | Cough: Week 89 | Cough: Week 90 | Cough: Week 91 | Cough: Time of First Pd | Cough: Time of Last Tx Dose | Dyspnoea: Week 1 | Dyspnoea: Week 2 | Dyspnoea: Week 3 | Dyspnoea: Week 4 | Dyspnoea: Week 5 | Dyspnoea: Week 6 | Dyspnoea: Week 7 | Dyspnoea: Week 8 | Dyspnoea: Week 9 | Dyspnoea: Week 10 | Dyspnoea: Week 11 | Dyspnoea: Week 12 | Dyspnoea: Week 13 | Dyspnoea: Week 14 | Dyspnoea: Week 15 | Dyspnoea: Week 16 | Dyspnoea: Week 17 | Dyspnoea: Week 18 | Dyspnoea: Week 19 | Dyspnoea: Week 20 | Dyspnoea: Week 21 | Dyspnoea: Week 22 | Dyspnoea: Week 23 | Dyspnoea: Week 24 | Dyspnoea: Week 25 | Dyspnoea: Week 26 | Dyspnoea: Week 27 | Dyspnoea: Week 28 | Dyspnoea: Week 29 | Dyspnoea: Week 30 | Dyspnoea: Week 31 | Dyspnoea: Week 32 | Dyspnoea: Week 33 | Dyspnoea: Week 34 | Dyspnoea: Week 35 | Dyspnoea: Week 36 | Dyspnoea: Week 37 | Dyspnoea: Week 38 | Dyspnoea: Week 39 | Dyspnoea: Week 40 | Dyspnoea: Week 41 | Dyspnoea: Week 42 | Dyspnoea: Week 43 | Dyspnoea: Week 44 | Dyspnoea: Week 45 | Dyspnoea: Week 46 | Dyspnoea: Week 47 | Dyspnoea: Week 48 | Dyspnoea: Week 49 | Dyspnoea: Week 50 | Dyspnoea: Week 51 | Dyspnoea: Week 52 | Dyspnoea: Week 53 | Dyspnoea: Week 54 | Dyspnoea: Week 55 | Dyspnoea: Week 56 | Dyspnoea: Week 57 | Dyspnoea: Week 58 | Dyspnoea: Week 59 | Dyspnoea: Week 60 | Dyspnoea: Week 61 | Dyspnoea: Week 62 | Dyspnoea: Week 63 | Dyspnoea: Week 64 | Dyspnoea: Week 65 | Dyspnoea: Week 66 | Dyspnoea: Week 67 | Dyspnoea: Week 68 | Dyspnoea: Week 69 | Dyspnoea: Week 70 | Dyspnoea: Week 71 | Dyspnoea: Week 72 | Dyspnoea: Week 73 | Dyspnoea: Week 74 | Dyspnoea: Week 75 | Dyspnoea: Week 76 | Dyspnoea: Week 77 | Dyspnoea: Week 78 | Dyspnoea: Week 79 | Dyspnoea: Week 80 | Dyspnoea: Week 81 | Dyspnoea: Week 82 | Dyspnoea: Week 83 | Dyspnoea: Week 84 | Dyspnoea: Week 85 | Dyspnoea: Week 86 | Dyspnoea: Week 87 | Dyspnoea: Week 88 | Dyspnoea: Week 89 | Dyspnoea: Week 90 | Dyspnoea: Week 91 | Dyspnoea: Time of First Pd | Dyspnoea: Time of Last Tx Dose |
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Arm B (Carboplatin or Cisplatin + Pemetrexed) | 0.20 | -0.01 | -0.05 | 0.03 | -0.02 | -0.05 | 0.07 | 0.03 | 0.06 | 0.03 | 0.02 | -0.02 | -0.05 | -0.07 | 0.13 | 0.02 | 0.02 | -0.06 | -0.15 | -0.02 | 0.03 | 0.04 | -0.08 | -0.02 | 0.05 | -0.05 | 0.04 | 0.24 | 0.06 | 0.01 | 0.02 | 0.21 | 0.04 | 0.21 | 0.33 | 0.15 | 0.15 | 0.12 | 0.20 | 0.15 | -0.05 | -0.06 | -0.22 | -0.10 | -0.20 | -0.06 | 0.02 | 0.02 | -0.09 | -0.13 | -0.02 | 0.14 | 0.13 | 0.11 | 0.12 | 0.13 | 0.12 | 0.27 | 0.23 | 0.14 | 0.23 | 0.46 | 0.25 | 0.15 | 0.11 | 0.42 | 0.36 | 0.33 | 0.07 | 0.25 | 0.30 | -0.13 | 0.13 | 0.38 | 0.38 | 0.00 | -0.25 | -0.75 | 0.00 | -0.25 | -0.25 | -0.75 | -0.25 | 0.00 | -1.00 | 0.00 | -1.00 | -1.00 | -1.00 | 0.00 | 0.00 | 0.28 | 0.17 | -0.08 | -0.13 | -0.05 | -0.11 | -0.14 | -0.16 | -0.22 | -0.20 | -0.17 | -0.22 | -0.21 | -0.13 | -0.24 | -0.23 | -0.11 | -0.20 | -0.20 | -0.19 | -0.25 | -0.25 | -0.19 | -0.29 | -0.34 | -0.27 | -0.24 | -0.25 | -0.19 | -0.19 | -0.25 | -0.08 | -0.13 | 0.01 | 0.05 | -0.10 | -0.27 | 0.01 | -0.11 | 0.02 | 0.02 | -0.10 | -0.27 | -0.31 | -0.20 | 0.00 | -0.18 | -0.25 | -0.43 | -0.26 | -0.50 | -0.37 | -0.45 | -0.29 | -0.24 | -0.27 | -0.10 | -0.30 | -0.41 | -0.17 | -0.31 | -0.55 | -0.23 | 0.04 | -0.29 | -0.45 | -0.61 | -0.17 | -0.64 | -0.75 | -0.57 | -0.83 | -0.90 | -1.25 | -0.63 | -0.63 | -0.63 | -1.00 | -0.50 | -1.00 | -0.25 | -0.50 | -0.50 | -0.50 | -1.00 | -0.50 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | -0.08 | -0.15 | 0.20 | 0.11 | 0.10 | 0.21 | 0.22 | 0.23 | 0.30 | 0.35 | 0.34 | 0.46 | 0.39 | 0.38 | 0.34 | 0.44 | 0.45 | 0.37 | 0.35 | 0.35 | 0.30 | 0.30 | 0.22 | 0.16 | 0.24 | 0.30 | 0.50 | 0.30 | 0.43 | 0.46 | 0.43 | 0.45 | 0.35 | 0.48 | 0.36 | 0.47 | 0.42 | 0.59 | 0.53 | 0.59 | 0.65 | 0.62 | 0.63 | 0.50 | 0.32 | 0.58 | 0.49 | 0.55 | 0.53 | 0.55 | 0.63 | 0.52 | 0.67 | 0.72 | 0.81 | 0.82 | 0.77 | 0.84 | 0.68 | 0.77 | 0.66 | 0.73 | 0.85 | 0.95 | 0.67 | 0.46 | 0.40 | 0.67 | 0.37 | 0.47 | 0.43 | 0.33 | 0.40 | -0.05 | 0.45 | 0.50 | 0.55 | -0.07 | 0.00 | 0.00 | 0.00 | 0.10 | 0.10 | 0.00 | 0.00 | 0.00 | 0.20 | 0.00 | 0.20 | 0.20 | 0.20 | 0.20 | 0.00 | 0.58 | 0.47 |
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Maximum Observed Serum Atezolizumab Concentration (Cmax)
Maximum observed serum atezolizumab concentration (Cmax) after infusion (Arm A) (NCT02657434)
Timeframe: Day 1 of Cycle 1 (Cycle length=21 days)
Intervention | μg/mL (Mean) |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 403 |
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Overall Survival (OS)
OS is defined as time from randomization to death from any cause. (NCT02657434)
Timeframe: Randomization up to approximately 39 months
Intervention | Months (Median) |
---|
Arm B (Carboplatin or Cisplatin + Pemetrexed) | 13.6 |
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 17.5 |
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Overall Survival Rate at Year 1
The Overall Survival Rate at the 1-year landmark time point is defined as the probabilities that participants are alive 1-year after randomization. (NCT02657434)
Timeframe: Year 1
Intervention | Percentage (Number) |
---|
Arm B (Carboplatin or Cisplatin + Pemetrexed) | 55.04 |
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 59.72 |
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Overall Survival Rate Year 2
The Overall Survival Rate at the 2-year landmark time point is defined as the probabilities that participants are alive 2-years after randomization. (NCT02657434)
Timeframe: Year 2
Intervention | Percentage (Number) |
---|
Arm B (Carboplatin or Cisplatin + Pemetrexed) | 34.01 |
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 39.13 |
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Progression Free Survival (PFS) as Assessed by the Investigator Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
PFS is defined as the time from randomization to the first occurrence of disease progression as determined by the investigator using RECIST v1.1 or death from any cause, whichever occurred first. (NCT02657434)
Timeframe: Randomization up to approximately 39 months
Intervention | Months (Median) |
---|
Arm B (Carboplatin or Cisplatin + Pemetrexed) | 5.2 |
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 7.7 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms as Assessed by EORTC Quality-of-Life Lung Cancer Module (QLQ-LC13) Symptom Score
The EORTC QLQ-LC13 module incorporates one multiple item scale to assess dyspnea and a series of single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. The EORTC QLQ-LC13 is scored according to the EORTC scoring manual (Fayers et al. 2001). All EORTC scales and single-item measures are linearly transformed so that each score has a range of 0-100. A high score for a functional/global health status scale represents a high or healthy level of functioning/HRQoL (Health-Related Quality of Life); however, a high score for a symptom scale or item represents a high level of symptomatology or problems. A≥10-point change in the symptoms subscale score is perceived by patients as clinically significant (Osoba et al. 1998). (NCT02657434)
Timeframe: Baseline up to 3 and 6 months after disease progression or loss of clinical benefit (up to approximately 25 months)
Intervention | Units on a scale (Mean) |
---|
| Coughing: Week 3 | Coughing: Week 6 | Coughing: Week 9 | Coughing: Week 12 | Coughing: Week 15 | Coughing: Week 18 | Coughing: Week 21 | Coughing: Week 24 | Coughing: Week 27 | Coughing: Week 30 | Coughing: Week 33 | Coughing: Week 36 | Coughing: Week 39 | Coughing: Week 42 | Coughing: Week 45 | Coughing: Week 48 | Coughing: Week 51 | Coughing: Week 54 | Coughing: Week 57 | Coughing: Week 60 | Coughing: Week 63 | Coughing: Week 66 | Coughing: Week 69 | Coughing: Week 72 | Coughing: Week 75 | Coughing: Week 78 | Coughing: Week 81 | Coughing: Week 84 | Coughing: Week 87 | Coughing: Week 90 | Coughing: Time of First Pd | Coughing: Time of Last Tx Dose | Coughing: Survival Follow-Up Week 12 | Coughing: Survival Follow-Up Week 24 | Dyspnoea: Week 3 | Dyspnoea: Week 6 | Dyspnoea: Week 9 | Dyspnoea: Week 12 | Dyspnoea: Week 15 | Dyspnoea: Week 18 | Dyspnoea: Week 21 | Dyspnoea: Week 24 | Dyspnoea: Week 27 | Dyspnoea: Week 30 | Dyspnoea: Week 33 | Dyspnoea: Week 36 | Dyspnoea: Week 39 | Dyspnoea: Week 42 | Dyspnoea: Week 45 | Dyspnoea: Week 48 | Dyspnoea: Week 51 | Dyspnoea: Week 54 | Dyspnoea: Week 57 | Dyspnoea: Week 60 | Dyspnoea: Week 63 | Dyspnoea: Week 66 | Dyspnoea: Week 69 | Dyspnoea: Week 72 | Dyspnoea: Week 75 | Dyspnoea: Week 78 | Dyspnoea: Week 81 | Dyspnoea: Week 84 | Dyspnoea: Week 87 | Dyspnoea: Week 90 | Dyspnoea: Time of First PD | Dyspnoea: Time of Last Tx Dose | Dyspnoea: Survival Follow-Up Week 12 | Dyspnoea: Survival Follow-Up Week 24 | Pain In Chest: Week 3 | Pain In Chest: Week 6 | Pain In Chest: Week 9 | Pain In Chest: Week 12 | Pain In Chest: Week 15 | Pain In Chest: Week 18 | Pain In Chest: Week 21 | Pain In Chest: Week 24 | Pain In Chest: Week 27 | Pain In Chest: Week 30 | Pain In Chest: Week 33 | Pain In Chest: Week 36 | Pain In Chest: Week 39 | Pain In Chest: Week 42 | Pain In Chest: Week 45 | Pain In Chest: Week 48 | Pain In Chest: Week 51 | Pain In Chest: Week 54 | Pain In Chest: Week 57 | Pain In Chest: Week 60 | Pain In Chest: Week 63 | Pain In Chest: Week 66 | Pain In Chest: Week 69 | Pain In Chest: Week 72 | Pain In Chest: Week 75 | Pain In Chest: Week 78 | Pain In Chest: Week 81 | Pain In Chest: Week 84 | Pain In Chest: Week 87 | Pain In Chest: Week 90 | Pain In Chest: Time of First Pd | Pain In Chest: Time of Last Tx Dose | Pain In Chest: Survival Follow-Up Week 12 | Pain In Chest: Survival Follow-Up Week 24 | Pain In Arm Or Shoulder: Week 3 | Pain In Arm Or Shoulder: Week 6 | Pain In Arm Or Shoulder: Week 9 | Pain In Arm Or Shoulder: Week 12 | Pain In Arm Or Shoulder: Week 15 | Pain In Arm Or Shoulder: Week 18 | Pain In Arm Or Shoulder: Week 21 | Pain In Arm Or Shoulder: Week 24 | Pain In Arm Or Shoulder: Week 27 | Pain In Arm Or Shoulder: Week 30 | Pain In Arm Or Shoulder: Week 33 | Pain In Arm Or Shoulder: Week 36 | Pain In Arm Or Shoulder: Week 39 | Pain In Arm Or Shoulder: Week 42 | Pain In Arm Or Shoulder: Week 45 | Pain In Arm Or Shoulder: Week 48 | Pain In Arm Or Shoulder: Week 51 | Pain In Arm Or Shoulder: Week 54 | Pain In Arm Or Shoulder: Week 57 | Pain In Arm Or Shoulder: Week 60 | Pain In Arm Or Shoulder: Week 63 | Pain In Arm Or Shoulder: Week 66 | Pain In Arm Or Shoulder: Week 69 | Pain In Arm Or Shoulder: Week 72 | Pain In Arm Or Shoulder: Week 75 | Pain In Arm Or Shoulder: Week 78 | Pain In Arm Or Shoulder: Week 81 | Pain In Arm Or Shoulder: Week 84 | Pain In Arm Or Shoulder: Week 87 | Pain In Arm Or Shoulder: Week 90 | Pain In Arm Or Shoulder: Time of First Pd | Pain In Arm Or Shoulder: Time of Last Tx Dose | Pain In Arm Or Shoulder:Survival Follow-Up Week 12 | Pain In Arm Or Shoulder:Survival Follow-Up Week 24 |
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Arm B (Carboplatin or Cisplatin + Pemetrexed) | -2.50 | -3.57 | -1.85 | -3.91 | -6.33 | -4.00 | -6.00 | -4.81 | -3.85 | 0.42 | -0.46 | -6.11 | -5.00 | -8.97 | -13.19 | -7.69 | -17.59 | -17.20 | -11.54 | -14.04 | -10.26 | -9.52 | -11.11 | -8.33 | -13.33 | -16.67 | -16.67 | -33.33 | 0.00 | -33.33 | -6.01 | -5.19 | 3.57 | -8.77 | 0.21 | 0.12 | 0.89 | 1.15 | 0.00 | -1.07 | -3.56 | -2.29 | -0.71 | 1.25 | 0.77 | -1.11 | 1.30 | -0.43 | -2.08 | -4.56 | -9.88 | -6.45 | -2.99 | -11.11 | -6.84 | -9.52 | -16.67 | -5.56 | -6.67 | 0.00 | 11.11 | 0.00 | 0.00 | 0.00 | 2.37 | 3.96 | 9.92 | 4.68 | -1.25 | 0.71 | 0.82 | -2.07 | -1.46 | -3.47 | -3.33 | -2.41 | -5.13 | -4.17 | -0.46 | -1.67 | -3.89 | -7.69 | -6.25 | -7.69 | -11.11 | -7.53 | -1.28 | 0.00 | -5.13 | -4.76 | -16.67 | -8.33 | -6.67 | 0.00 | 0.00 | 0.00 | -33.33 | -33.33 | 6.56 | 1.34 | 5.95 | 1.75 | -4.69 | -4.46 | -2.88 | -6.90 | -3.89 | -5.07 | -6.00 | -2.41 | -5.56 | 1.25 | -5.56 | -1.67 | -5.00 | 0.00 | -0.69 | -1.71 | -2.78 | -1.08 | -1.28 | -5.26 | -5.13 | 4.76 | 0.00 | -8.33 | -6.67 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 2.19 | -0.50 | 13.10 | 1.75 |
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Plasma Concentrations for Pemetrexed in Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed)
(NCT02657434)
Timeframe: Prd (0 h), 5-10 mins before end of pemetrexed infusion (infusion duration=10 mins), 1 h post-infusion on D1 of Cy1,3 (Cy length=21 days)
Intervention | ng/mL (Mean) |
---|
| Cy1D1 Predose | Cy1D1 Before End of Infusion | Cy1D1 Post Infusion | Cy3D1 Predose | Cy3D1 Before End of Inufsion | Cy3D1 Post Infusion |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | NA | 86500 | 43600 | 1.83 | 79400 | 50100 |
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Change From Baseline in Patient-Reported Lung Cancer Symptoms as Reported Using the Symptoms in Lung Cancer (SILC) Scale Score
Change from baseline per SILC scale will be analyzed for each lung cancer symptoms scores. SILC questionnaire comprises 3 individual symptoms & are scored at individual symptom level, thus have a dyspnea score, chest pain score, & cough score. There are a total of 9 questions in SILC questionnaire, each question has a minimum value of 0 & maximum value of 4. Each individual symptom score is calculated as average of responses for symptom items. 'Chest pain' score is mean of question 1 & 2, 'Cough' score is mean of question 3 & 4 and 'Dyspnea' score is mean of question 5 to 9 in SILC questionnaire. An increase in score is suggestive of a worsening in symptomology. A score change of ≥0.3 points for dyspnea & cough symptom scores is considered to be clinically significant; whereas a score change of≥0.5 points for chest pain score is considered to be clinically significant. (NCT02657434)
Timeframe: Baseline up to 3 and 6 months after disease progression or loss of clinical benefit (up to approximately 25 months)
Intervention | Units on a scale (Mean) |
---|
| Chest Pain: Week 1 | Chest Pain: Week 2 | Chest Pain: Week 3 | Chest Pain: Week 4 | Chest Pain: Week 5 | Chest Pain: Week 6 | Chest Pain: Week 7 | Chest Pain: Week 8 | Chest Pain: Week 9 | Chest Pain: Week 10 | Chest Pain: Week 11 | Chest Pain: Week 12 | Chest Pain: Week 13 | Chest Pain: Week 14 | Chest Pain: Week 15 | Chest Pain: Week 16 | Chest Pain: Week 17 | Chest Pain: Week 18 | Chest Pain: Week 19 | Chest Pain: Week 20 | Chest Pain: Week 21 | Chest Pain: Week 22 | Chest Pain: Week 23 | Chest Pain: Week 24 | Chest Pain: Week 25 | Chest Pain: Week 26 | Chest Pain: Week 27 | Chest Pain: Week 28 | Chest Pain: Week 29 | Chest Pain: Week 30 | Chest Pain: Week 31 | Chest Pain: Week 32 | Chest Pain: Week 33 | Chest Pain: Week 34 | Chest Pain: Week 35 | Chest Pain: Week 36 | Chest Pain: Week 37 | Chest Pain: Week 38 | Chest Pain: Week 39 | Chest Pain: Week 40 | Chest Pain: Week 41 | Chest Pain: Week 42 | Chest Pain: Week 43 | Chest Pain: Week 44 | Chest Pain: Week 45 | Chest Pain: Week 46 | Chest Pain: Week 47 | Chest Pain: Week 48 | Chest Pain: Week 49 | Chest Pain: Week 50 | Chest Pain: Week 51 | Chest Pain: Week 52 | Chest Pain: Week 53 | Chest Pain: Week 54 | Chest Pain: Week 55 | Chest Pain: Week 56 | Chest Pain: Week 57 | Chest Pain: Week 58 | Chest Pain: Week 59 | Chest Pain: Week 60 | Chest Pain: Week 61 | Chest Pain: Week 62 | Chest Pain: Week 63 | Chest Pain: Week 64 | Chest Pain: Week 65 | Chest Pain: Week 66 | Chest Pain: Week 67 | Chest Pain: Week 68 | Chest Pain: Week 69 | Chest Pain: Week 70 | Chest Pain: Week 71 | Chest Pain: Week 72 | Chest Pain: Week 73 | Chest Pain: Week 74 | Chest Pain: Week 75 | Chest Pain: Week 76 | Chest Pain: Week 77 | Chest Pain: Week 78 | Chest Pain: Week 79 | Chest Pain: Week 80 | Chest Pain: Week 81 | Chest Pain: Week 82 | Chest Pain: Week 83 | Chest Pain: Week 84 | Chest Pain: Week 85 | Chest Pain: Week 86 | Chest Pain: Week 87 | Chest Pain: Week 88 | Chest Pain: Week 89 | Chest Pain: Week 90 | Chest Pain: Week 91 | Chest Pain: Week 92 | Chest Pain: Week 93 | Chest Pain: Week 94 | Chest Pain: Week 95 | Chest Pain: Time of First Pd | Chest Pain: Time of Last Tx Dose | Cough: Week 1 | Cough: Week 2 | Cough: Week 3 | Cough: Week 4 | Cough: Week 5 | Cough: Week 6 | Cough: Week 7 | Cough: Week 8 | Cough: Week 9 | Cough: Week 10 | Cough: Week 11 | Cough: Week 12 | Cough: Week 13 | Cough: Week 14 | Cough: Week 15 | Cough: Week 16 | Cough: Week 17 | Cough: Week 18 | Cough: Week 19 | Cough: Week 20 | Cough: Week 21 | Cough: Week 22 | Cough: Week 23 | Cough: Week 24 | Cough: Week 25 | Cough: Week 26 | Cough: Week 27 | Cough: Week 28 | Cough: Week 29 | Cough: Week 30 | Cough: Week 31 | Cough: Week 32 | Cough: Week 33 | Cough: Week 34 | Cough: Week 35 | Cough: Week 36 | Cough: Week 37 | Cough: Week 38 | Cough: Week 39 | Cough: Week 40 | Cough: Week 41 | Cough: Week 42 | Cough: Week 43 | Cough: Week 44 | Cough: Week 45 | Cough: Week 46 | Cough: Week 47 | Cough: Week 48 | Cough: Week 49 | Cough: Week 50 | Cough: Week 51 | Cough: Week 52 | Cough: Week 53 | Cough: Week 54 | Cough: Week 55 | Cough: Week 56 | Cough: Week 57 | Cough: Week 58 | Cough: Week 59 | Cough: Week 60 | Cough: Week 61 | Cough: Week 62 | Cough: Week 63 | Cough: Week 64 | Cough: Week 65 | Cough: Week 66 | Cough: Week 67 | Cough: Week 68 | Cough: Week 69 | Cough: Week 70 | Cough: Week 71 | Cough: Week 72 | Cough: Week 73 | Cough: Week 74 | Cough: Week 75 | Cough: Week 76 | Cough: Week 77 | Cough: Week 78 | Cough: Week 79 | Cough: Week 80 | Cough: Week 81 | Cough: Week 82 | Cough: Week 83 | Cough: Week 84 | Cough: Week 85 | Cough: Week 86 | Cough: Week 87 | Cough: Week 88 | Cough: Week 89 | Cough: Week 90 | Cough: Week 91 | Cough: Week 92 | Cough: Week 93 | Cough: Week 94 | Cough: Week 95 | Cough: Time of First Pd | Cough: Time of Last Tx Dose | Dyspnoea: Week 1 | Dyspnoea: Week 2 | Dyspnoea: Week 3 | Dyspnoea: Week 4 | Dyspnoea: Week 5 | Dyspnoea: Week 6 | Dyspnoea: Week 7 | Dyspnoea: Week 8 | Dyspnoea: Week 9 | Dyspnoea: Week 10 | Dyspnoea: Week 11 | Dyspnoea: Week 12 | Dyspnoea: Week 13 | Dyspnoea: Week 14 | Dyspnoea: Week 15 | Dyspnoea: Week 16 | Dyspnoea: Week 17 | Dyspnoea: Week 18 | Dyspnoea: Week 19 | Dyspnoea: Week 20 | Dyspnoea: Week 21 | Dyspnoea: Week 22 | Dyspnoea: Week 23 | Dyspnoea: Week 24 | Dyspnoea: Week 25 | Dyspnoea: Week 26 | Dyspnoea: Week 27 | Dyspnoea: Week 28 | Dyspnoea: Week 29 | Dyspnoea: Week 30 | Dyspnoea: Week 31 | Dyspnoea: Week 32 | Dyspnoea: Week 33 | Dyspnoea: Week 34 | Dyspnoea: Week 35 | Dyspnoea: Week 36 | Dyspnoea: Week 37 | Dyspnoea: Week 38 | Dyspnoea: Week 39 | Dyspnoea: Week 40 | Dyspnoea: Week 41 | Dyspnoea: Week 42 | Dyspnoea: Week 43 | Dyspnoea: Week 44 | Dyspnoea: Week 45 | Dyspnoea: Week 46 | Dyspnoea: Week 47 | Dyspnoea: Week 48 | Dyspnoea: Week 49 | Dyspnoea: Week 50 | Dyspnoea: Week 51 | Dyspnoea: Week 52 | Dyspnoea: Week 53 | Dyspnoea: Week 54 | Dyspnoea: Week 55 | Dyspnoea: Week 56 | Dyspnoea: Week 57 | Dyspnoea: Week 58 | Dyspnoea: Week 59 | Dyspnoea: Week 60 | Dyspnoea: Week 61 | Dyspnoea: Week 62 | Dyspnoea: Week 63 | Dyspnoea: Week 64 | Dyspnoea: Week 65 | Dyspnoea: Week 66 | Dyspnoea: Week 67 | Dyspnoea: Week 68 | Dyspnoea: Week 69 | Dyspnoea: Week 70 | Dyspnoea: Week 71 | Dyspnoea: Week 72 | Dyspnoea: Week 73 | Dyspnoea: Week 74 | Dyspnoea: Week 75 | Dyspnoea: Week 76 | Dyspnoea: Week 77 | Dyspnoea: Week 78 | Dyspnoea: Week 79 | Dyspnoea: Week 80 | Dyspnoea: Week 81 | Dyspnoea: Week 82 | Dyspnoea: Week 83 | Dyspnoea: Week 84 | Dyspnoea: Week 85 | Dyspnoea: Week 86 | Dyspnoea: Week 87 | Dyspnoea: Week 88 | Dyspnoea: Week 89 | Dyspnoea: Week 90 | Dyspnoea: Week 91 | Dyspnoea: Week 92 | Dyspnoea: Week 93 | Dyspnoea: Week 94 | Dyspnoea: Week 95 | Dyspnoea: Time of First Pd | Dyspnoea: Time of Last Tx Dose |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | 0.30 | 0.21 | 0.06 | 0.03 | -0.01 | -0.02 | -0.04 | -0.07 | -0.03 | 0.02 | 0.04 | -0.01 | 0.05 | 0.06 | 0.08 | 0.08 | 0.00 | 0.12 | 0.02 | -0.01 | 0.01 | 0.02 | 0.04 | 0.09 | 0.14 | 0.09 | 0.04 | 0.03 | 0.04 | 0.04 | 0.05 | -0.01 | 0.03 | 0.11 | 0.11 | 0.17 | 0.06 | 0.04 | 0.13 | 0.04 | 0.09 | 0.03 | 0.13 | 0.10 | 0.03 | 0.08 | 0.09 | 0.05 | 0.03 | 0.00 | 0.12 | 0.00 | -0.01 | -0.08 | 0.03 | 0.04 | -0.01 | -0.12 | -0.23 | -0.15 | 0.00 | -0.04 | -0.06 | 0.09 | -0.03 | 0.13 | 0.02 | 0.12 | -0.05 | 0.03 | 0.04 | -0.22 | -0.10 | -0.02 | -0.07 | -0.06 | -0.21 | -0.25 | -0.18 | -0.12 | -0.25 | 0.00 | -0.50 | -0.30 | -0.20 | -0.50 | 0.50 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.50 | 0.20 | 0.13 | -0.06 | -0.08 | -0.07 | -0.22 | -0.33 | -0.33 | -0.22 | -0.28 | -0.29 | -0.35 | -0.33 | -0.40 | -0.37 | -0.34 | -0.33 | -0.33 | -0.31 | -0.31 | -0.36 | -0.39 | -0.36 | -0.41 | -0.44 | -0.29 | -0.27 | -0.22 | -0.32 | -0.32 | -0.34 | -0.34 | -0.37 | -0.45 | -0.44 | -0.29 | -0.32 | -0.31 | -0.37 | -0.31 | -0.33 | -0.35 | -0.30 | -0.31 | -0.37 | -0.36 | -0.41 | -0.34 | -0.29 | -0.38 | -0.40 | -0.40 | -0.15 | -0.10 | -0.13 | -0.16 | -0.35 | -0.26 | -0.25 | -0.45 | -0.50 | -0.52 | -0.38 | -0.53 | -0.57 | -0.49 | -0.39 | -0.43 | -0.47 | -0.35 | -0.53 | -0.43 | -0.56 | -0.72 | -0.77 | -0.54 | -0.67 | -0.65 | -0.82 | -0.57 | -0.64 | -1.04 | -0.79 | -0.89 | 0.13 | -0.20 | 0.00 | -0.38 | -0.83 | -0.88 | 0.00 | 0.25 | -0.50 | 0.50 | 0.50 | 0.50 | 0.00 | -0.45 | -0.29 | 0.16 | 0.15 | 0.12 | 0.17 | 0.17 | 0.16 | 0.25 | 0.24 | 0.17 | 0.16 | 0.26 | 0.22 | 0.30 | 0.22 | 0.19 | 0.26 | 0.15 | 0.22 | 0.22 | 0.27 | 0.22 | 0.28 | 0.22 | 0.24 | 0.28 | 0.24 | 0.24 | 0.25 | 0.20 | 0.21 | 0.15 | 0.16 | 0.17 | 0.24 | 0.23 | 0.22 | 0.24 | 0.22 | 0.19 | 0.19 | 0.16 | 0.17 | 0.22 | 0.23 | 0.21 | 0.23 | 0.14 | 0.14 | 0.16 | 0.24 | 0.30 | 0.27 | 0.22 | 0.23 | 0.16 | 0.18 | 0.11 | 0.16 | 0.07 | 0.27 | 0.23 | 0.16 | 0.27 | 0.14 | 0.12 | 0.16 | 0.26 | 0.25 | 0.16 | 0.07 | 0.13 | 0.06 | 0.09 | 0.27 | 0.45 | 0.02 | 0.09 | 0.03 | 0.19 | -0.26 | -0.17 | 0.18 | 0.45 | 0.60 | 0.32 | -0.15 | -0.47 | -0.70 | -0.20 | -0.50 | -0.50 | -0.70 | -0.40 | -0.80 | -1.00 | 0.40 | 0.18 |
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Plasma Concentrations for Cisplatin in Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed)
(NCT02657434)
Timeframe: Prd (0 h), 5-10 mins before end of cisplatin infusion (infusion duration=30-60 mins), 1 h post-infusion on D1 of Cy1,3 (Cy length=21 days)
Intervention | ng/mL (Mean) |
---|
| Cy1D1 Predose | Cy1D1 Before End of Infusion | Cy1D1 Post Infusion | Cy3D1 Predose | Cy3D1 Before End of Infusion | Cy3D1 Post Infusion |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | NA | 3630 | 2400 | 290 | 3020 | 2740 |
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Plasma Concentrations for Carboplatin in Arm A(Atezolizumab + Carboplatin or Cisplatin + Pemetrexed)
(NCT02657434)
Timeframe: Prd (0 h), 5-10 minutes (mins) before end of carboplatin infusion (infusion duration=1-2 h), 1 h post-infusion on D1 of Cy1,3 (Cy length=21 days)
Intervention | ng/mL (Mean) |
---|
| Cy1D1 Predose | Cy1D1 Before End of Infusion | Cy1D1 Post Infusion | Cy3D1 Predose | Cy3D1 Before End of Infusion | Cy3D1 Post Infusion |
---|
Arm A (Atezolizumab + Carboplatin or Cisplatin + Pemetrexed | NA | 14900 | 12800 | 220 | 17900 | 13900 |
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Number of Participants With Laboratory Abnormalities in Hepatic Tests - Part 2
Number of participant with specific liver laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy. (NCT02659059)
Timeframe: From first dose to 30 days post last dose
Intervention | Participants (Count of Participants) |
---|
| ALT OR AST >3XULN | ALT OR AST >5XULN | ALT OR AST >10XULN | ALT OR AST >20XULN | TOTAL BILIRUBIN >2XULN | Concurrent ALT OR AST >3XULN & BILIRUBIN >2XULN within 1 day | Concurrent ALT OR AST >3XULN & BILIRUBIN >2XULN within 30 days |
---|
Nivolumab+Ipilimumab+Chemotherapy | 2 | 2 | 1 | 1 | 0 | 0 | 0 |
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Progression Free Survival (PFS) - Part 1
Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (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. (NCT02659059)
Timeframe: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)
Intervention | Months (Median) |
---|
Nivolumab+Ipilimumab | 5.19 |
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Overall Survival (OS) - Part 2
Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. (NCT02659059)
Timeframe: From the date of first treatment to the date of death due to any cause (Up to approximately 59 months)
Intervention | Months (Median) |
---|
Nivolumab+Ipilimumab+Chemotherapy | 19.35 |
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Overall Survival (OS) - Part 1
Overall survival (OS) was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive. (NCT02659059)
Timeframe: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)
Intervention | Months (Median) |
---|
Nivolumab+Ipilimumab | 20.83 |
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Objective Response Rate (ORR) - Part 2
"Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on investigator assessment.~CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT02659059)
Timeframe: From first dose up to approximately 59 months
Intervention | Percentage of participants (Number) |
---|
Nivolumab+Ipilimumab+Chemotherapy | 47.2 |
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Objective Response Rate (ORR) - Part 1
"Objective response rate (ORR) was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.~CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT02659059)
Timeframe: From first dose up to approximately 72 months
Intervention | Percentage of participants (Number) |
---|
Nivolumab+Ipilimumab | 32.3 |
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Number of Participants With Dose Limiting Toxicities (DLTs) - Part 2
"Dose limiting toxicities (DLTs) were defined as any of the items listed below.~Any Grade 2 drug-related uveitis or eye pain that does not respond to topical therapy and does not improve to Grade 1 severity within the re-treatment period OR requires systemic treatment.~Any Grade 2 drug-related pneumonitis or interstitial lung disease that does not resolve to dose delay and systemic steroids in 14 days.~Any Grade 3 non-skin drug-related adverse event with the exception of laboratory abnormalities that cannot be alleviated or controlled by appropriate care within 14 days.~Any Grade 4 drug-related adverse event including laboratory abnormalities except Grade 4 leukopenia or neutropenia lasting < 14 days and asymptomatic amylase/lipase elevation.~Drug-related hepatic function laboratory abnormalities." (NCT02659059)
Timeframe: 9 weeks after first dose
Intervention | Participants (Count of Participants) |
---|
Nivolumab+Ipilimumab+Chemotherapy | 1 |
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Number of Participants With Adverse Events (AEs) - Part 2
Number of participants with adverse events (AEs) including serious adverse events (SAEs) and deaths graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy. (NCT02659059)
Timeframe: Deaths are from first dose to database lock (Up to 24 months). AEs and SAEs are from first dose to 30 days post last dose
Intervention | Participants (Count of Participants) |
---|
| Adverse Events (AEs) | Serious Adverse Events (SAEs) | Deaths due to Disease progression | Deaths due to Study drug toxicity | Deaths due to unknown causes | Deaths due to other causes |
---|
Nivolumab+Ipilimumab+Chemotherapy | 36 | 26 | 9 | 0 | 1 | 6 |
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Progression Free Survival (PFS) by Tumor Mutation Burden (TMB) Levels - Part 1
"Progression Free Survival (PFS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (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.~High TMB = ≥ 10 mutations per megabase Low TMB = < 10 mutations per megabase" (NCT02659059)
Timeframe: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)
Intervention | Months (Median) |
---|
| High TMB (>=10 Mutations/MB) | Low TMB (<10 Mutations/MB) |
---|
Nivolumab+Ipilimumab | 10.84 | 2.79 |
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Progression Free Survival (PFS) - Part 2
Progression Free Survival (PFS) was defined as the time between the date of first dose and the first date of documented progression, as determined by investigator (per RECIST 1.1), or death due to any cause, whichever occurred first. Progressive Disease (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. (NCT02659059)
Timeframe: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 59 months)
Intervention | Months (Median) |
---|
Nivolumab+Ipilimumab+Chemotherapy | 10.81 |
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Progression Free Survival (PFS) by PD-L1 Expression Levels - Part 1
"Progression Free Survival (PFS) by PD-L1 expression levels was defined as the time between the date of first dose and the first date of documented progression, as determined by blinded independent central review (BICR), or death due to any cause, whichever occurred first. Progressive Disease (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.~PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 <1% = PD-L1 negative (membranous staining in <1% tumor cells)" (NCT02659059)
Timeframe: From first dose to the first date of documented progression, or death due to any cause, whichever occurred first (Up to approximately 72 months)
Intervention | Months (Median) |
---|
| PD-L1 ≥1% | PD-L1 <1% |
---|
Nivolumab+Ipilimumab | 6.80 | 2.92 |
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Overall Survival (OS) by Tumor Mutation Burden (TMB) Levels - Part 1
"Overall survival (OS) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.~High TMB = ≥ 10 mutations per megabase Low TMB = < 10 mutations per megabase" (NCT02659059)
Timeframe: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)
Intervention | Months (Median) |
---|
| High TMB (>=10 Mutations/MB) | Low TMB (<10 Mutations/MB) |
---|
Nivolumab+Ipilimumab | 47.31 | 11.33 |
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Overall Survival (OS) by PD-L1 Expression Levels - Part 1
"Overall survival (OS) by PD-L1 expression levels was defined as the time from date of first treatment to the date of death due to any cause. A participant who has not died will be censored at the last known date alive.~PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 <1% = PD-L1 negative (membranous staining in <1% tumor cells)" (NCT02659059)
Timeframe: From the date of first treatment to the date of death due to any cause (Up to approximately 72 months)
Intervention | Months (Median) |
---|
| PD-L1 ≥1% | PD-L1 <1% |
---|
Nivolumab+Ipilimumab | 26.51 | 13.70 |
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Objective Response Rate (ORR) by Tumor Mutation Burden (TMB) Levels - Part 1
"Objective response rate (ORR) by tumor mutational burden (TMB) using DNA derived from tumor specimens was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.~CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.~High TMB = ≥ 10 mutations per megabase Low TMB = < 10 mutations per megabase" (NCT02659059)
Timeframe: From first dose up to approximately 72 months
Intervention | Percentage of participants (Number) |
---|
| High TMB (>=10 Mutations/MB) | Low TMB (<10 Mutations/MB) |
---|
Nivolumab+Ipilimumab | 52.1 | 16.0 |
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Objective Response Rate (ORR) by PD-L1 Positive and Negative Levels - Part 1
Objective response rate (ORR) in PD-L1 positive (PD-L1 ≥1%) and PD-L1 negative (PD-L1 <1%) participants was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment. (NCT02659059)
Timeframe: From first dose to database lock (Up to 18 months)
Intervention | Percentage of participants (Number) |
---|
| PD-L1 ≥1% | PD-L1 <1% |
---|
Nivolumab+Ipilimumab | 41.3 | 14.9 |
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Objective Response Rate (ORR) by PD-L1 Expression Levels-Part 1
"Objective response rate (ORR) by PD-L1 expression levels was defined as the percentage of treated participants with confirmed complete response (CR) or partial response (PR) per RECIST 1.1 based on Blinded Independent Central Review (BICR) assessment.~CR = Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.~PR = At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.~PD-L1 ≥1% = PD-L1 positive (membranous staining in ≥ 1% tumor cells) PD-L1 <1% = PD-L1 negative (membranous staining in <1% tumor cells)" (NCT02659059)
Timeframe: From first dose up to approximately 72 months
Intervention | Percentage of participants (Number) |
---|
| PD-L1 ≥1% | PD-L1 <1% |
---|
Nivolumab+Ipilimumab | 44.2 | 17.1 |
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Number of Participants With Laboratory Abnormalities in Thyroid Tests - Part 2
Number of participants with specific thyroid laboratory abnormalities graded by Common Terminology Criteria for Adverse Events (CTCAE v4.0) to determine the safety and tolerability of Nivolumab and Ipilimumab combined with chemotherapy. (NCT02659059)
Timeframe: From first dose to 30 days post last dose
Intervention | Participants (Count of Participants) |
---|
| TSH > ULN | TSH > ULN with TSH <= ULN at baseline | TSH > ULN with at least one FT3/FT4 test value < LLN | TSH > ULN with all other FT3/FT4 test values ≥ LLN | TSH > ULN with FT3/FT4 test missing | TSH < LLN | TSH < LLN with TSH >= LLN at baseline | TSH < LLN with at least one FT3/FT4 test value > ULN | TSH < LLN with all other FT3/FT4 test values <= ULN | TSH < LLN with FT3/Ft4 test missing |
---|
Nivolumab+Ipilimumab+Chemotherapy | 10 | 7 | 8 | 1 | 1 | 13 | 12 | 7 | 6 | 0 |
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Overall Survival
"Overall survival is defined as the time from randomization until death. In the event that no death was documented prior to study termination or analysis cutoff, OS was censored at the last known date the subject was known to be alive, either through completion of on-study visits or through survival follow-up contact.~The treatment effect on OS was evaluated using the stratified log-rank test (stratified by tumor histology).~The Kaplan-Meier curves were also plotted. A Cox proportional hazard model with an adjustment for tumor histology (biphasic vs sarcomatoid) was used to compute the estimated hazard ratio and two-sided 95% CI. The treatment effect on OS was evaluated using the stratified log-rank test (stratified by tumor histology). The significance level to be used in the OS analysis at the final analysis was based on α = 0.04999 (two-sided)." (NCT02709512)
Timeframe: 18 months
Intervention | months (Median) |
---|
Drug: ADI-PEG 20 Plus Pem Platinum | 9.30 |
Drug: Placebo Plus Pem Platinum | 7.66 |
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Overall Survival Phase 3 Interim Analysis
"The primary analysis of OS Phase 3 was performed at the interim analysis. This was performed once 50% of the planned OS events for phase 3 have occurred (ie, 169 of the 338 planned OS events). This interim analysis will evaluate OS in the ITT population in an unblinded manner. The OS data at the second interim analysis will be analyzed to support the following decisions:~Futility stopping: Terminate the study due to futility at the interim analysis. Sample size re-estimation: Increase the target number of OS events after the second interim analysis.. The treatment effect on OS will be evaluated using the stratified log-rank test (stratified by tumor histology)." (NCT02709512)
Timeframe: Approximately 18 months
Intervention | months (Median) |
---|
Drug: ADI-PEG 20 Plus Pem Platinum | 9.82 |
Drug: Placebo Plus Pem Platinum | 7.49 |
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Progression Free Survival
The key secondary endpoint for the phase 3 portion is PFS, which will be analyzed only if the analysis of OS is statistically significant at the final analysis, with alpha level of 0.05 (two-sided) using the same statistical methodologies as applied to OS. (NCT02709512)
Timeframe: approximately 18 months
Intervention | months (Median) |
---|
Drug: ADI-PEG 20 Plus Pem Platinum | 6.24 |
Drug: Placebo Plus Pem Platinum | 5.65 |
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Response Rate
"Objective Response Rate is calculated as the proportion of subjects whose best tumor response from all post-baseline tumor assessments is complete response (CR) or partial response (PR). The best tumor response is the best response recorded from the start of the treatment until the end of treatment taking into account any requirement for confirmation.~To test Objective Response Rate significance, a Relative Risk Ratio (ADI-PEG 20 / Placebo) was calculated as the common relative risk of having a response (CR or PR) based on the Mantel-Haenszel estimator controlling for tumor histology (biphasic versus sarcomatoid)." (NCT02709512)
Timeframe: approximately 18 months
Intervention | Participants (Count of Participants) |
---|
Drug: ADI-PEG 20 Plus Pem Platinum | 12 |
Drug: Placebo Plus Pem Platinum | 12 |
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Number of Subjects With NSCLC Who Achieved DCB
Objective response to study treatment will be assessed by RECIST 1.1 by a study radiologist. Partial and complete responses will be confirmed by a repeat imaging occurring at least 4 weeks after the initial identification of response; unconfirmed responses will be considered stable or progressive disease dependent on results of the second CT scan. Durable clinical benefit (DCB) will be defined as stable disease (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), OR complete response (disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm.), OR partial response (At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) lasting longer than 6 months. (NCT02710396)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
Cohort 1 | 3 |
Cohort 2 | 0 |
Cohort 3 | 0 |
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Objective Response Rate (ORR)
ORR is defined as participants with a partial (At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) or complete response (Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm) as assessed by RECIST 1.1 criteria. (NCT02710396)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|
Cohort 1 | 4 |
Cohort 2 | 1 |
Cohort 3 | 0 |
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Progression Free Survival (PFS)
The length of time from treatment initiation to progression of disease (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. The appearance of one or more new lesions is also considered progression) as assessed by RECIST 1.1. (NCT02710396)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|
Cohort 1 | 4.80 |
Cohort 2 | 3.94 |
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Overall Survival (OS)
The length of time from the start of treatment to death. (NCT02710396)
Timeframe: Up to 28 months
Intervention | Months (Median) |
---|
Cohort 1 | 14.06 |
Cohort 2 | 23.49 |
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Trough Concentration (Ctrough) of Pembrolizumab in Part B Cycles 1, 2, 4, 6, and 8
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose for participants that received either dose regimen in Part B for Cohort 1, Cohort 2, Cohort 3, and Cohorts 1+2+3 combined. Per protocol, blood sampling for Ctrough was taken at pre-dose prior to the Cycle 1, 2, 4, 6, and 8 infusion. Cycle 1 length was 28 days (21-day pembrolizumab treatment cycle starting at Day 8 of Cycle 1). Cycle 2, 4, 6, and 8 length was 21 days. Ctrough is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Predose prior to the Cycles 1, 2, 4, 6, and 8 infusion
Intervention | µg/mL (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 4 | Cycle 6 | Cycle 8 |
---|
Part B Cohort 1: Pembrolizumab+Cisplatin+Pemetrexed | NA | 16.6 | 37.8 | 53.8 | 65.4 |
,Part B Cohort 2: Pembrolizumab+Carboplatin+Pemetrexed | NA | 17.4 | 28.1 | 40.5 | 52.7 |
,Part B Cohort 3: Pembrolizumab+Carboplatin+Paclitaxel | NA | 8.69 | 25.4 | 21.5 | 34.5 |
,Part B Combined Cohorts 1, 2, and 3 | NA | 13.3 | 31.5 | 38.6 | 50.3 |
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Maximum Concentration (Cmax) of Epacadostat in Part A
Cmax was the maximum observed concentration of epacadostat in plasma for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, Cmax for Cohort 1 was measured on Days 1, 5, and 12 and Cmax for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). Cmax is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | nM (Geometric Mean) |
---|
| Day 5 |
---|
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 852 |
,Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 371 |
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Maximum Concentration (Cmax) of Pembrolizumab in Part B Cycle 1
Cmax was the maximum observed concentration of pembrolizumab in serum for participants that received either dose regimen in Part B for Cohort 1, Cohort 2, Cohort 3, and Cohorts 1+2+ 3 combined. Per protocol, the analysis for the Cmax of pembrolizumab was performed in Cycle 1 only. Blood samples were collected predose and postdose within 30 minutes post pembrolizumab infusion during Cycle 1 (21-day pembrolizumab treatment cycle starting at Day 8 of Cycle 1). Cmax is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (21-day pembrolizumab treatment cycle starting at Day 8 of Cycle 1): Day 1 predose and postdose within 30 minutes after the end of pembrolizumab infusion
Intervention | µg/mL (Geometric Mean) |
---|
Part B Cohort 1: Pembrolizumab+Cisplatin+Pemetrexed | 73.8 |
Part B Cohort 2: Pembrolizumab+Carboplatin+Pemetrexed | 64.3 |
Part B Cohort 3: Pembrolizumab+Carboplatin+Paclitaxel | 65.3 |
Part B Combined Cohorts 1, 2, and 3 | 68.0 |
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Trough Concentration (Ctrough) of Pembrolizumab in Part A Cycles 1, 2, 4, 6, and 8
Ctrough was the lowest concentration of pembrolizumab in serum just before the next dose for participants that received either dose regimen in Part A for Cohort 1 combined, Cohort 2 combined, and Cohorts 1+2 combined. Per protocol, blood sampling for Ctrough was taken at predose prior to the Cycle 1, 2, 4, 6, and 8 infusion. Cycle 1 length was 28 days (21-day pembrolizumab treatment cycle starting at Day 8 of Cycle 1). Cycle 2, 4, 6, and 8 length was 21 days. Ctrough is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Predose prior to the Cycles 1, 2, 4, 6, and 8 infusion
Intervention | µg/mL (Geometric Mean) |
---|
| Cycle 1 | Cycle 2 | Cycle 4 | Cycle 6 | Cycle 8 |
---|
Part A Combined Cohort 1 | NA | 17.3 | 24.5 | 28.5 | 38.2 |
,Part A Combined Cohort 2 | NA | 17.9 | 41.8 | 51.0 | 47.9 |
,Part A Combined Cohorts 1 And 2 | NA | 17.6 | 35.0 | 39.8 | 45.2 |
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Trough Concentration (Ctrough) of Epacadostat in Part A
Ctrough was the lowest concentration of epacadostat in plasma just before the next dose for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, Ctrough for Cohort 1 was measured on Days 1, 5, and 12 and Ctrough for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). Ctrough is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose
Intervention | nM (Geometric Mean) |
---|
| Day 1 | Day 5 | Day 12 |
---|
Part A Cohort 1: Epacadostat 100 mg | NA | 87.7 | 95.4 |
,Part A Cohort 1: Epacadostat 25 mg | NA | NA | NA |
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Trough Concentration (Ctrough) of Epacadostat in Part A
Ctrough was the lowest concentration of epacadostat in plasma just before the next dose for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, Ctrough for Cohort 1 was measured on Days 1, 5, and 12 and Ctrough for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). Ctrough is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose
Intervention | nM (Geometric Mean) |
---|
| Day 5 |
---|
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 106.0 |
,Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | NA |
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Time to Maximum Concentration (Tmax) of Epacadostat in Part A
Tmax was the time required to reach the maximum concentration of epacadostat in plasma for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, Tmax for Cohort 1 was measured on Days 1, 5, and 12 and Tmax for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). Tmax is presented as a Median with a full range. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | hours (Median) |
---|
| Day 1 | Day 5 | Day 12 |
---|
Part A Cohort 1: Epacadostat 100 mg | 2.00 | 2.00 | 2.00 |
,Part A Cohort 1: Epacadostat 25 mg | 2.00 | 2.00 | 2.00 |
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Maximum Concentration (Cmax) of Pembrolizumab in Part A Cycle 1
Cmax was the maximum observed concentration of pembrolizumab in serum for participants that received either dose regimen in Part A for Cohort 1 combined, Cohort 2 combined, and Cohorts 1+2 combined. Per protocol, the analysis for the Cmax of pembrolizumab was performed in Cycle 1 only. Blood samples were collected predose and postdose within 30 minutes post pembrolizumab infusion during Cycle 1 (21-day pembrolizumab treatment cycle starting at Day 8 of Cycle 1). Cmax is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (21-day pembrolizumab treatment cycle starting at Day 8 of Cycle 1): Day 1 predose and postdose within 30 minutes after the end of pembrolizumab infusion
Intervention | µg/mL (Geometric Mean) |
---|
Part A Combined Cohort 1 | 80.0 |
Part A Combined Cohort 2 | 73.8 |
Part A Combined Cohorts 1 and 2 | 76.2 |
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Time to Maximum Concentration (Tmax) of Epacadostat in Part A
Tmax was the time required to reach the maximum concentration of epacadostat in plasma for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, Tmax for Cohort 1 was measured on Days 1, 5, and 12 and Tmax for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). Tmax is presented as a Median with a full range. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | hours (Median) |
---|
| Day 5 |
---|
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 2.00 |
,Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 2.00 |
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Terminal Half-Life (t1/2) of Epacadostat in Part A
t1/2 was the time required to divide the epacadostat concentration by two after reaching pseudo-equilibrium. Plasma t1/2 was measured for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, t1/2 for Cohort 1 was measured on Days 1, 5, and 12 and t1/2 for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). t1/2 is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | hours (Geometric Mean) |
---|
| Day 1 | Day 5 | Day 12 |
---|
Part A Cohort 1: Epacadostat 100 mg | 2.55 | 2.82 | 2.43 |
,Part A Cohort 1: Epacadostat 25 mg | 3.94 | 3.01 | 4.27 |
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Terminal Half-Life (t1/2) of Epacadostat in Part A
t1/2 was the time required to divide the epacadostat concentration by two after reaching pseudo-equilibrium. Plasma t1/2 was measured for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, t1/2 for Cohort 1 was measured on Days 1, 5, and 12 and t1/2 for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). t1/2 is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | hours (Geometric Mean) |
---|
| Day 5 |
---|
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 3.77 |
,Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 2.62 |
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Maximum Concentration (Cmax) of Epacadostat in Part A
Cmax was the maximum observed concentration of epacadostat in plasma for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, Cmax for Cohort 1 was measured on Days 1, 5, and 12 and Cmax for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). Cmax is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | nM (Geometric Mean) |
---|
| Day 1 | Day 5 | Day 12 |
---|
Part A Cohort 1: Epacadostat 100 mg | 1060 | 1100 | 1200 |
,Part A Cohort 1: Epacadostat 25 mg | 327 | 269 | 294 |
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Area Under the Concentration-Time Curve From Zero to the Time of the Last Measurable Concentration (AUC0-t) of Epacadostat in Part A
AUC0-t was defined as the AUC from zero to the time of the last measurable concentration of epacadostat in plasma for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, AUC0-t for Cohort 1 was measured on Days 1, 5, and 12 and AUC0-t for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). AUC0-t is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | nM•hour (Geometric Mean) |
---|
| Day 1 | Day 5 | Day 12 |
---|
Part A Cohort 1: Epacadostat 100 mg | 4250 | 4670 | 4710 |
,Part A Cohort 1: Epacadostat 25 mg | 855 | 1060 | 1020 |
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Number of Participants Who Experienced At Least One Adverse Event (AE)
An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. The number of participants who experienced an AE was reported for each arm. (NCT02862457)
Timeframe: Up to approximately 39.7 months
Intervention | Participants (Count of Participants) |
---|
Part A Cohort 1: Epacadostat 25 mg | 3 |
Part A Cohort 1: Epacadostat 100 mg | 2 |
Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 3 |
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 6 |
Part B Cohort 1: Pembrolizumab+Cisplatin+Pemetrexed | 7 |
Part B Cohort 2: Pembrolizumab+Carboplatin+Pemetrexed | 6 |
Part B Cohort 3: Pembrolizumab+Carboplatin+Paclitaxel | 6 |
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Number of Participants Who Discontinued Study Treatment Due to An Adverse Event (AE)
An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. The number of participants who discontinued due to an AE was reported for each arm. (NCT02862457)
Timeframe: Up to approximately 38.5 months
Intervention | Participants (Count of Participants) |
---|
Part A Cohort 1: Epacadostat 25 mg | 0 |
Part A Cohort 1: Epacadostat 100 mg | 1 |
Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 0 |
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 1 |
Part B Cohort 1: Pembrolizumab+Cisplatin+Pemetrexed | 0 |
Part B Cohort 2: Pembrolizumab+Carboplatin+Pemetrexed | 3 |
Part B Cohort 3: Pembrolizumab+Carboplatin+Paclitaxel | 3 |
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Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (NCI-CTCAE v.4.0)
A DLT was defined as the occurrence of any treatment-emergent adverse event occurring up to and including Study Day 7 for Part A Cohort 1 or Day 21 for Part A Cohort 2 and Part B. The following criteria defined DLTs: Grade (G) 4 thrombocytopenia; G4 neutropenia (despite optimal supportive care in Part B) lasting >1 week; febrile neutropenia (only if considered clinically significant in Part B); G4 toxicity; G3 laboratory abnormality lasting >1 week: G3 toxicity excluding nausea or vomiting controlled within 72 hours, rash in the absence of desquamation, no mucosal involvement, does not require systemic steroids, and resolves to G1 by the next scheduled dose of pembrolizumab or 14 days; G2 or higher episcleritis, uveitis, or iritis; unable to receive 75% of epacadostat or 1 dose of pembrolizumab during the DLT observation period because of toxicity, even if the toxicity does not meet DLT criteria; or >2 week delay in initiating Cycle 2 due to toxicity. (NCT02862457)
Timeframe: Up to Day 7 for Part A Cohort 1; up to Day 21 for Part A Cohort 2 and Part B
Intervention | Participants (Count of Participants) |
---|
Part A Cohort 1: Epacadostat 25 mg | 0 |
Part A Cohort 1: Epacadostat 100 mg | 0 |
Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 0 |
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 1 |
Part B Cohort 1: Pembrolizumab+Cisplatin+Pemetrexed | 1 |
Part B Cohort 2: Pembrolizumab+Carboplatin+Pemetrexed | 2 |
Part B Cohort 3: Pembrolizumab+Carboplatin+Paclitaxel | 2 |
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Area Under the Concentration-Time Curve From Zero to the Time of the Last Measurable Concentration (AUC0-t) of Epacadostat in Part A
AUC0-t was defined as the AUC from zero to the time of the last measurable concentration of epacadostat in plasma for epacadostat administered alone (Cohort 1) and epacadostat administered with pembrolizumab (Cohort 2). Per protocol, AUC0-t for Cohort 1 was measured on Days 1, 5, and 12 and AUC0-t for Cohort 2 was measured on Day 5 only. Blood samples were collected pre-dose and post-dose at multiple time points up to 12 days during Cycle 1 (28-day cycle). AUC0-t is presented as a geometric mean with a percent geometric coefficient of variation. (NCT02862457)
Timeframe: Cycle 1 (28-day cycle): Days 1, 5, and 12 at predose and 0.5, 1, 2, 4, 6, 8 and 10 hours postdose
Intervention | nM•hour (Geometric Mean) |
---|
| Day 5 |
---|
Part A Cohort 2: Epacadostat 100 mg+Pembrolizumab | 3950 |
,Part A Cohort 2: Epacadostat 25 mg+Pembrolizumab | 1260 |
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Overall Survival (OS)
"Overall Survival (OS) is defined as the time between the date of randomization and the date of death due to any cause. OS will be censored on the last date a participant was known to be alive.~Median based on Kaplan-Meier Estimates" (NCT02864251)
Timeframe: From randomization to the date of death due to any cause (up to approximately 67 months)
Intervention | Months (Median) |
---|
Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 19.35 |
Arm B: Nivolumab Plus Ipilimumab | 17.12 |
Arm C: Platinum Doublet Chemotherapy | 15.90 |
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Objective Response Rate (ORR) by Blinded Independent Centralized Review (BICR)
"ORR is number of randomized participants who have confirmed best overall response (BOR) of complete response (CR) or partial response (PR) using RECIST v1.1 criteria by BICR assessment.~BOR is the best response designation, between randomization and objectively documented progression per RECIST v1.1 criteria by BICR or the date of subsequent anti-cancer therapy, whichever occurs first.~PR is at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum diameters as reference. CR is disappearance of all target lesions and a reduction in the short axis of pathological lymph nodes to <10 mm (whether target or non-target).~Radiographic tumor response assessments from Week 7 (± 7 days), then every 6 weeks (± 7 days) until Week 49 and every 12 weeks (± 7 days) thereafter, until disease progression, treatment discontinued, or the start of subsequent anti-cancer therapy.~CR+PR, confidence interval based on the Clopper and Pearson method." (NCT02864251)
Timeframe: From randomization to the date of objectively documented progression, date of death, or the date of subsequent therapy (up to approximately 67 months)
Intervention | Percent of Participants (Number) |
---|
Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 30.6 |
Arm B: Nivolumab Plus Ipilimumab | 13.7 |
Arm C: Platinum Doublet Chemotherapy | 26.7 |
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Duration of Response (DOR) by Blinded Independent Centralized Review (BICR)
"DOR is the time between the date of first response (CR or PR) and the date of first documented disease progression as determined by Response Evaluation Criteria In Solid Tumors (RECIST 1.1) or death due to any cause (death occurring after re-treatment or randomization to new combination treatment was not included), whichever occurred first.~PR is at least a 30% decrease in the sum of diameters of target lesions, using the baseline sum diameters as reference. CR is disappearance of all target lesions and a reduction in the short axis of pathological lymph nodes to <10 mm (whether target or non-target).~Radiographic tumor response assessments from Week 7 (± 7 days), then every 6 weeks (± 7 days) until Week 49 and every 12 weeks (± 7 days) thereafter, until disease progression, treatment discontinued, or the start of subsequent anti-cancer therapy.~Participants who neither progress nor die were censored on the date of their last assessment.~Median computed using Kaplan-Meier method" (NCT02864251)
Timeframe: From randomization to the date of first documented disease progression or death due to any cause (approximately 67 months)
Intervention | Months (Median) |
---|
Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 6.67 |
Arm B: Nivolumab Plus Ipilimumab | 50.04 |
Arm C: Platinum Doublet Chemotherapy | 5.55 |
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12 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR)
The PFSR at 12 months is defined as the percent of treated participants remaining progression free and surviving at 12 months since the first dosing date. Progression is the appearance of one or more new lesions. Point estimates are derived from Kaplan-Meier analyses. (NCT02864251)
Timeframe: 12 Months after first treatment dose
Intervention | Percent of Participants (Number) |
---|
Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 21.2 |
Arm B: Nivolumab Plus Ipilimumab | 12.2 |
Arm C: Platinum Doublet Chemotherapy | 15.9 |
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9 Month Progression Free Survival Rates (PFSR) by Blinded Independent Centralized Review (BICR)
"The PFSR at 9 months is defined as the percent of treated participants remaining progression free and surviving at 9 months since the first dosing date. Progression is the appearance of one or more new lesions.~Point estimates are derived from Kaplan-Meier analyses." (NCT02864251)
Timeframe: 9 months after first treatment dose
Intervention | Percent of Participants (Number) |
---|
Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 25.9 |
Arm B: Nivolumab Plus Ipilimumab | 12.2 |
Arm C: Platinum Doublet Chemotherapy | 19.8 |
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Progression Free Survival (PFS) by Blinded Independent Centralized Review (BICR)
"PFS is defined as the time between the date of randomization and the date of first documented tumor progression, as determined by BICR (per RECIST v1.1 criteria), or death due to any cause, whichever occurs first.~Participants who died without reported progression will be considered to have progressed on the date of their death. Subsequent therapy was accounted for by censoring at the last evaluable tumor assessment on or prior to the date of subsequent therapy.~Progression is the appearance of one or more new lesions. RECIST - response evaluation criteria in solid tumors is a standard system to measure tumor response to treatment.~Based on Kaplan-Meier estimates" (NCT02864251)
Timeframe: From randomization to the date of first documented tumor progression or death (approximately 58 months)
Intervention | Months (Median) |
---|
Arm A: Nivolumab Plus Platinum-doublet Chemotherapy | 5.59 |
Arm B: Nivolumab Plus Ipilimumab | 1.54 |
Arm C: Platinum Doublet Chemotherapy | 5.45 |
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Progression Free Survival (PFS)
Progression Free Survival is defined as the time between the date of randomization and the date of first documented tumor progression per Blinded Independent Central Review (BICR) assessments (using adapted m-RECIST and RECIST 1.1), or death due to any cause, whichever occurs first. Participants who received subsequent anticancer therapy prior to documented progression were censored at the date of the last evaluable tumor assessment conducted on or prior to the date of initiation of the subsequent anticancer therapy. (NCT02899299)
Timeframe: Up to 40 months
Intervention | Months (Median) |
---|
Treatment A | 6.77 |
Treatment B | 7.20 |
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Objective Response Rate (ORR) According to PD-L1 Expression Level
PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by objective response rate (ORR) analysis. (NCT02899299)
Timeframe: Up to 40 months
Intervention | Percentage of Participants (Number) |
---|
| <1% PD-L1 | ≥1% PD-L1 |
---|
Treatment A | 21.1 | 43.5 |
,Treatment B | 38.5 | 44.3 |
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Disease Control Rate (DCR)
Disease Control Rate is defined as the percentage of all randomized participants whose Best Overall Response was Complete Response, Partial Response, Stable Disease or Non-CR/Non-PD per adapted m-RECIST and RECIST 1.1 as assessed by Blinded Independent Central Review (BICR). (NCT02899299)
Timeframe: Up to 40 months
Intervention | Percentage of Participants (Number) |
---|
Treatment A | 76.6 |
Treatment B | 85.1 |
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Objective Response Rate (ORR)
Objective Response Rate is defined as the percentage of randomized participants who achieve a best overall response of complete response or partial response per Blinded Independent Central Review (BICR) assessments (Per adapted m-RECIST for pleural mesothelioma and RECIST 1.1, confirmation of response required). (NCT02899299)
Timeframe: Up to 40 months
Intervention | Percentage of Participants (Number) |
---|
Treatment A | 39.6 |
Treatment B | 42.7 |
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Overall Survival (OS)
Overall Survival was defined as the time from randomization to the date of death due to any cause. A participant who has not died was censored at last known date alive. (NCT02899299)
Timeframe: From randomization to the date of death (Up to 40 Months)
Intervention | Months (Median) |
---|
Treatment A | 18.07 |
Treatment B | 14.09 |
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Progression Free Survival (PFS) According to PD-L1 Expression Level
PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by progression free survival (PFS) analysis. (NCT02899299)
Timeframe: Up to 40 months
Intervention | Months (Median) |
---|
| <1% PD-L1 | ≥1% PD-L1 |
---|
Treatment A | 4.14 | 6.97 |
,Treatment B | 8.31 | 7.06 |
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Overall Survival (OS) According to PD-L1 Expression Level
PD-L1 Expression is defined as the percent of tumor cells membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 immunohistochemistry (IHC) assay. This is referred to as quantifiable PD-L1 expression and efficacy is determined by overall survival (OS) analysis. (NCT02899299)
Timeframe: Up to 40 months
Intervention | Months (Median) |
---|
| <1% PD-L1 | ≥1% PD-L1 |
---|
Treatment A | 17.28 | 18.04 |
,Treatment B | 16.49 | 13.27 |
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Area Under the Concentration-time Curve From Zero Time (Predose) to the Time of the Last Measurable Concentration (AUC0-t)
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, and 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | h*ug/ml (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 4800 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 12300 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 39800 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 10800 |
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The Half-life (t1/2) of IBI308 in Plasma After Single Dose Administration
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | Days (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 17 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 12.7 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 12.5 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 16.1 |
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Time to Maximum Concentration (Tmax) of Sintilimab in Solid Tumor Participants
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | hours (Median) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 1.05 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 2.07 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 2.27 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 1.93 |
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Clearance of IBI308 in Plasma After Single Dose Administration
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | ml/h (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 8.53 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 11.7 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 13.7 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 12.9 |
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DOR According to RECIST 1.1 as Assessed by Investigator
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | NA |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | NA |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 368.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | NA |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 170.5 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 181.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | NA |
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Maximum Concentration (Cmax) of Sintilimab in Solid Tumor Participants
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | ug/ml (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 21.9 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 69.7 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 220 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 54.6 |
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TTR According to RECIST 1.1 as Assessed by Investigator
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 63.0 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 64.0 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 63.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 63.0 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 62.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 63.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | 62.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | 62.0 |
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Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
(NCT02937116)
Timeframe: Up to 28 days in Cycle 1
Intervention | Participants (Number) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 0 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 0 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 0 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 0 |
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Volume of Distribution of IBI308 in Plasma After Single Dose Administration
(NCT02937116)
Timeframe: Cycle 1: pre-dose, post-dose at 0, 1, 6 hours, and Days 2, 3, 8, 15, and 22, and 29
Intervention | L (Geometric Mean) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 5.02 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 5.14 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 5.95 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 7.2 |
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PFS According to RECIST 1.1 as Assessed by Investigator
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 62.0 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 66.0 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 84.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 377.0 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 194.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 230.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | NA |
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OS for Participants
(NCT02937116)
Timeframe: Through out the study
Intervention | Days (Median) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 518.0 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 342.0 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 431.0 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 566.0 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 461.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | NA |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | NA |
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Objective Response Rate (ORR) According to RECIST 1.1 as Assessed by Independent Review Committee by Investigator
ORR was defined as the percentage of participants in the analysis population who had achieved BOR of CR or PR according to RECIST 1.1. (NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | percentage of participants (Number) |
---|
MEL: Sintilimab 200mg Q3W (Cohort A) | 4.5 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 14.9 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 13.5 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 61.9 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 55.0 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 85.0 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | 42.9 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | 14.3 |
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Number of All Study Participants Who Demonstrate a Tumor Response
(NCT02937116)
Timeframe: Through out the study (up to 2 years)
Intervention | Participants (Number) |
---|
Solid Tumors: Sintilimab 1mg/kg Q2W (Part A1) | 0 |
Solid Tumors: Sintilimab 3mg/kg Q2W (Part A2) | 1 |
Solid Tumors: Sintilimab 10mg/kg Q2W (Part A3) | 0 |
Solid Tumors: Sintilimab 200mg/kg Q3W (Part A4) | 1 |
MEL: Sintilimab 200mg Q3W (Cohort A) | 1 |
Malignant Tumor or Neuroendocrine Tumor: Sintilimab 200mg Q3W (Cohort B) | 13 |
NSCLC: Sintilimab 200mg Q3W (Cohort C) | 5 |
nsNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort D) | 13 |
scNSCLC: Sintilimab 200mg Q3W + Chemotherapy (Cohort E) | 11 |
Gastric or Gastroesophageal Junction Adenocarcinoma: Sintilimab 200mg Q3W + Chemotherapy (Cohort F) | 17 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort G) | 3 |
Neuroendocrine Tumors: Sintilimab 200mg Q3W + Chemotherapy (Cohort H) | 1 |
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Part 3 Schedule Finding: Incidence of Dose-limiting Toxicity (DLT) During the DLT Evaluation Window
Part 3 of the study was a schedule finding phase to establish the recommended phase 2 dosing schedules for Part 4 and assess the safety and tolerability for the NKTR-214/nivolumab/ipilimumab triplet combination. The results presented are for the DLT Population. (NCT02983045)
Timeframe: Dose-limiting toxicities (DLTs) were assessed during a 3-week (21-day) DLT evaluation period beginning with the first dose of ipilimumab.
Intervention | Participants (Count of Participants) |
---|
| Patients with at least one event | Endocrine disorders: Adrenal insufficiency | Endocrine disorders: Hyperthyroidism | Metabolism and nutrition disorders: Hyponatraemia |
---|
Schedule Finding (Schedule 1): NKTR-214 + Nivolumab + Ipilimumab | 1 | 0 | 0 | 1 |
,Schedule Finding (Schedule 2): NKTR-214 + Nivolumab + Ipilimumab | 1 | 1 | 0 | 0 |
,Schedule Finding (Schedule 3): NKTR-214 + Nivolumab + Ipilimumab | 1 | 0 | 1 | 0 |
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Part 2 and Part 4: Objective Response Rate (ORR) Per RECIST 1.1 at Recommended Phase 2 Dose (RP2D)
"Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) at Recommended Phase 2 Dose (RP2D).~ORR is defined as the percentage of enrolled participants who achieved a Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR). CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to <10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR is calculated as the sum of CR and PR." (NCT02983045)
Timeframe: Tumor assessment at Screening then every 8 weeks (± 7 days) from Cycle 1 Day 1 and end of treatment (unless scan done within 4 weeks) up to approximately 27 months.
Intervention | Participants (Count of Participants) |
---|
Part 2 Dose Expansion: NKTR-214 (0.006 mg/kg) q3w + Nivolumab (360 mg) q3w | 64 |
Part 4 Dose Expansion of NKTR-214 + Nivolumab + Ipilimumab | 3 |
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Part 1 Dose Escalation: Incidence of Dose-limiting Toxicity (DLT) During the DLT Evaluation Window
Part 1of the study was a dose-escalation phase that evaluated the safety and tolerability and defined the maximum tolerated dose or recommended Phase 2 dose of the NKTR-214/nivolumab doublet across 5 dosage/schedule levels. The results presented are for the DLT Population. (NCT02983045)
Timeframe: Includes DLTs that occurred within the DLT window of at least 21 days after the first dose of study treatment (28 days for every 2 weeks dosing; 21 days for every 3 weeks dosing). Patients were counted only once under each preferred term.
Intervention | Participants (Count of Participants) |
---|
| At least 1 DLT | Metabolism and Nutrition Disorders: Acidosis | Metabolism and Nutrition Disorders: Hyperglycaemia | Vascular Disorders: Hypotension |
---|
Dose Escalation Cohort 1: NKTR-214 (0.006 mg/kg) q3w + Nivolumab (240 mg) q2w | 0 | 0 | 0 | 0 |
,Dose Escalation Cohort 2: NKTR-214 (0.006 mg/kg) q2w + Nivolumab (240 mg) q2w | 0 | 0 | 0 | 0 |
,Dose Escalation Cohort 3: NKTR-214 (0.003 mg/kg) q2w + Nivolumab (240 mg) q2w | 0 | 0 | 0 | 0 |
,Dose Escalation Cohort 4: NKTR-214 (0.006 mg/kg) q3w + Nivolumab (360 mg) q3w | 0 | 0 | 0 | 0 |
,Dose Escalation Cohort 5: NKTR-214 (0.009 mg/kg) q3w + Nivolumab (360 mg) q3w | 2 | 1 | 1 | 1 |
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Major Pathologic Response (MPR) Rate
Major pathologic response (MPR) rate is defined as number of randomized participants with = 10% residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR). Viable tumors in situ carcinoma should not be included in MPR calculation. (NCT02998528)
Timeframe: From randomization up to a median of 30 months after randomization.
Intervention | Participants (Count of Participants) |
---|
Arm B: Platinum Doublet Chemo | 16 |
Arm C: Nivo 360 mg + Platinum Doublet Chemo | 66 |
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Event-Free Survival (EFS)
Event-free survival (EFS) is defined as the length of time from randomization to any of the following events: any progression of disease precluding surgery, progression or recurrence disease based on blinded independent central review (BICR) assessment per response evaluation criteria in solid tumors (RECIST) 1.1 after surgery, or death due to any cause. Participants who don't undergo surgery for reason other than progression will be considered to have an event at progression or death. Progression is defined 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. (Note: the appearance of one or more new lesions is also considered progression). (NCT02998528)
Timeframe: From randomization to disease progression, reoccurrence, or death due to any cause. (Up to a median of 30 months)
Intervention | Months (Median) |
---|
Arm B: Platinum Doublet Chemo | 20.80 |
Arm C: Nivo 360 mg + Platinum Doublet Chemo | 31.57 |
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Pathologic Complete Response (pCR) Rate
Pathologic complete response (pCR) rate is defined as the number of randomized participants with absence of residual tumor in lung and lymph nodes as evaluated by blinded independent pathological review (BIPR). (NCT02998528)
Timeframe: From randomization up to a median of 30 months after randomization.
Intervention | Participants (Count of Participants) |
---|
Arm B: Platinum Doublet Chemo | 4 |
Arm C: Nivo 360 mg + Platinum Doublet Chemo | 43 |
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OS at 24 Months in PD-L1 TC >= 50% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 36.9 |
Platinum-based SoC | 32.6 |
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Alive and Progression-Free at 12 Months (APF12)
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 25.5 |
Platinum-based SoC | 13.3 |
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DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% LREM Analysis Set
DoR (per RECIST 1.1 using Investigator assessments) 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 (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 12.2 |
Platinum-based SoC | 4.2 |
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DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=50% Analysis Set
DoR (per RECIST 1.1 using Investigator assessments) 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 (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 12.2 |
Platinum-based SoC | 4.2 |
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DoR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >=25% LREM Analysis Set
DoR (per RECIST 1.1 using Investigator assessments) 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 (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.6 |
Platinum-based SoC | 4.2 |
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APF12 in PD-L1 TC >= 50% LREM Analysis Set
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 26.5 |
Platinum-based SoC | 14.5 |
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APF12 in PD-L1 TC >= 50% Analysis Set
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 26.1 |
Platinum-based SoC | 11.7 |
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APF12 in PD-L1 TC >= 25% LREM Analysis Set
The APF12 was defined as the Kaplan-Meier estimate of percentage of participants alive and progression free at 12 months based on PFS (per RECIST 1.1 as assessed using Investigator assessments) analysis. (NCT03003962)
Timeframe: From date of randomization until 12 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 24.1 |
Platinum-based SoC | 16.4 |
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Time to Deterioration of EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful symptom deterioration a decrease in the function scales or the global health status/ HRQoL from baseline of ≥10) that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | 9.2 | 3.6 | 9.8 |
,Platinum-based SoC | 8.2 | 3.6 | 6.6 |
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Time to Deterioration of EORTC QLQ-LC13
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful symptom deterioration a decrease in the function scales or the global health status/ HRQoL from baseline of ≥10) that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | 7.5 | 2.8 | 9.0 |
,Platinum-based SoC | 6.6 | 3.6 | 6.4 |
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Time to Deterioration of EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful deterioration a decrease in the function scales or the global health status/ HRQoL from baseline of ≥10) that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Global health status | Physical functioning | Appetite loss | Fatigue |
---|
Durvalumab | 7.4 | 7.4 | 9.3 | 5.5 |
,Platinum-based SoC | 5.5 | 4.7 | 3.7 | 1.8 |
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Time to Deterioration of EORTC QLQ-C30
Time to symptom deterioration was defined as the time from the date of randomization until the date if the first clinically meaningful deterioration (a decrease in the function scales or the global health status/ health-related quality of life [HRQoL] from baseline of ≥10) that was confirmed at a subsequent visit or death in the absence of a clinically meaningful symptom deterioration, regardless of whether the participant withdraws from the study treatment or received another anticancer therapy prior to symptom deterioration. The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. (NCT03003962)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
| Global health status | Physical functioning | Appetite loss | Fatigue |
---|
Durvalumab | 7.3 | 7.4 | 9.2 | 4.9 |
,Platinum-based SoC | 3.8 | 3.8 | 3.6 | 1.8 |
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Percentage of Participants With Antidrug Antibody (ADA) Response to Durvalumab
Treatment-emergent ADA positive was defined as either treatment-induced or treatment-boosted ADA. Treatment-boosted ADA was defined as a baseline positive ADA titer that was boosted to a 4-fold or higher-level following study drug administration. Persistently positive was defined as positive at least 2 post-baseline assessments with at least 16 weeks between the first and last positive assessment or positive at last post-baseline assessment. Transiently positive was defined as having at least 1 post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive. (NCT03003962)
Timeframe: Up to 24 weeks
Intervention | percentage of participants (Number) |
---|
| Treatment-emergent ADA positive | Treatment-boosted ADA | Persistently positive | Transiently positive |
---|
Durvalumab | 0.8 | 0.4 | 0 | 0.8 |
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Percentage of Participants With ADA Response to Durvalumab in LREM Analysis Set
Treatment-emergent ADA positive was defined as either treatment-induced or treatment-boosted ADA. Treatment-boosted ADA was defined as a baseline positive ADA titer that was boosted to a 4-fold or higher-level following study drug administration. Persistently positive was defined as positive at least 2 post-baseline assessments with at least 16 weeks between the first and last positive assessment or positive at last post-baseline assessment. Transiently positive was defined as having at least 1 post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive. (NCT03003962)
Timeframe: Up to 24 weeks
Intervention | percentage of participants (Number) |
---|
| Treatment-emergent ADA positive | Treatment-boosted ADA | Persistently positive | Transiently positive |
---|
Durvalumab | 1.0 | 0.5 | 0 | 1.0 |
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Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) 30-Item Core Quality of Life Questionnaire Version 3 (QLQ-C30)
The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. An outcome variable consisted of a score from 0 to 100. Higher scores on the global health status and functioning scales indicate better health status/function, but higher scores on symptom scales/items represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The mixed model repeated measures (MMRM) analysis of EORTC QLQ-C30 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Global health status | Physical functioning | Fatigue | Appetite loss |
---|
Durvalumab | -0.7 | -3.3 | 1.4 | -1.1 |
,Platinum-based SoC | -7.4 | -6.1 | 7.2 | 9.1 |
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Change From Baseline in EORTC QLQ-LC13 in PD-L1 TC >= 25% LREM Analysis Set
The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. An outcome variable consisted of a score from 0 to 100. Higher scores on symptom scales represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The MMRM analysis of EORTC QLQ-LC13 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | -6.6 | 2.9 | -0.7 |
,Platinum-based SoC | -8.6 | 3.9 | -1.0 |
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Change From Baseline in EORTC QLQ-C30 in PD-L1 TC >= 25% LREM Analysis Set
The EORTC QLQ-C30 consisted of 30 questions that were combined to produce 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea/vomiting), 5 individual items (dyspnea, insomnia, appetite loss, constipation, and diarrhea), and a global measure of health status. The EORTC QLQ-C30 was scored according to the EORTC QLQ-C30 scoring manual. An outcome variable consisted of a score from 0 to 100. Higher scores on the global health status and functioning scales indicate better health status/function, but higher scores on symptom scales/items represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The MMRM analysis of EORTC QLQ-C30 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Global health status | Physical functioning | Fatigue | Appetite loss |
---|
Durvalumab | -1.4 | -3.9 | 2.2 | -0.2 |
,Platinum-based SoC | -7.3 | -6.0 | 7.7 | 9.8 |
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Change From Baseline in EORTC 13-Item Lung Cancer Quality of Life Questionnaire (QLQ-LC13)
The QLQ-LC13 is a lung cancer specific module from the EORTC for lung cancer that comprised of 13 questions to assess lung cancer symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side-effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and pain medication. An outcome variable consisted of a score from 0 to 100. Higher scores on symptom scales represent greater symptom severity. Baseline was defined as the last non-missing assessment prior to randomization. The MMRM analysis of EORTC QLQ-LC13 considered all data from baseline to PD or 12 months. (NCT03003962)
Timeframe: Baseline and 12 months
Intervention | scores on a scale (Mean) |
---|
| Cough | Dyspnea | Chest pain |
---|
Durvalumab | -6.4 | 2.4 | -1.0 |
,Platinum-based SoC | -7.9 | 4.1 | -0.2 |
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Time From Randomization to Second Progression (PFS2)
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.3 |
Platinum-based SoC | 9.3 |
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Progression Free Survival (PFS) Based on Investigator Assessment According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
The PFS (per RECIST 1.1) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). Progression of disease per RECIST 1.1, when either 1 of the criteria met: Target lesion (TL): at least a 20% increase in the sum of diameters of TLs, for reference the smallest sum on study. In addition, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm). Non-target lesion (NTL): Unequivocal progression of existing NTLs. It may be due to an important progression in 1 lesion only or in several lesions. In all cases the progression must be clinically significant for the physician to consider changing (or stopping) therapy. New lesions: the presence of 1 or more new lesions was assessed as progression. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 5.4 |
Platinum-based SoC | 4.8 |
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Duration of Response (DoR) as Per RECIST 1.1 Using Investigator Assessment
DoR (per RECIST 1.1 using Investigator assessments) 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 (i.e. date of PFS event or censoring - date of first response + 1). DoR was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.9 |
Platinum-based SoC | 4.2 |
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Objective Response Rate (ORR) as Per RECIST 1.1 Using Investigator Assessment
ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with an unconfirmed response of complete response (CR) or partial response (PR). CR was defined as disappearance of all target lesions (TLs). Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 millimeter (mm). PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 37.6 |
Platinum-based SoC | 37.4 |
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ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 25% LREM Analysis Set
ORR (per RECIST 1.1 using Investigator assessments)was defined as the percentage of participants with an unconfirmed response of CR or PR. CR was defined as disappearance of all TLs. Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 38.5 |
Platinum-based SoC | 40.2 |
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ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% Analysis Set
ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with an unconfirmed response of CR or PR. CR was defined as disappearance of all TLs. Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 42.1 |
Platinum-based SoC | 40.7 |
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ORR as Per RECIST 1.1 Using Investigator Assessment in PD-L1 TC >= 50% LREM Analysis Set
ORR (per RECIST 1.1 using Investigator assessments) was defined as the percentage of participants with an unconfirmed response of CR or PR. CR was defined as disappearance of all TLs. Any pathological lymph nodes selected as TLs had a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of TLs, with reference the baseline sum of diameters if criteria for PD are not met. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | percentage of participants (Number) |
---|
Durvalumab | 44.0 |
Platinum-based SoC | 43.7 |
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OS at 18 Months
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months.
Intervention | percentage of participants (Number) |
---|
Durvalumab | 42.5 |
Platinum-based SoC | 34.2 |
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OS at 18 Months in PD-L1 TC > = 25% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 43.0 |
Platinum-based SoC | 41.4 |
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OS at 18 Months in PD-L1 TC >= 50% Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 43.2 |
Platinum-based SoC | 34.9 |
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OS at 18 Months in PD-L1 TC >= 50% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 18 months were defined as the Kaplan-Meier estimate of OS at 18 months. (NCT03003962)
Timeframe: From date of randomization till 18 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 44.3 |
Platinum-based SoC | 42.2 |
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OS at 24 Months
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 34.6 |
Platinum-based SoC | 27.2 |
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OS at 24 Months in PD-L1 TC > = 25% LREM Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 34.7 |
Platinum-based SoC | 32.8 |
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OS at 24 Months in PD-L1 TC >= 50% Analysis Set
OS was defined as the time from the date of randomization until death due to any cause. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. The percentage of participants alive at 24 months were defined as the Kaplan-Meier estimate of OS at 24 months. (NCT03003962)
Timeframe: From date of randomization till 24 months
Intervention | percentage of participants (Number) |
---|
Durvalumab | 37.0 |
Platinum-based SoC | 27.0 |
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PFS2 in PD-L1 TC >= 50% LREM Analysis Set
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 12.0 |
Platinum-based SoC | 10.9 |
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PFS2 in PD-L1 TC >= 50% Analysis Set
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.3 |
Platinum-based SoC | 8.8 |
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PFS2 in PD-L1 TC >= 25% LREM Analysis Set
PFS2 was defined as the time from the date of randomization to the earliest of the progression events defined according to local clinical practice (subsequent to that used for the primary variable PFS) or death (i.e., date of PFS2 event or censoring - date of randomization + 1). PFS2 was calculated using the Kaplan-Meier technique. (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) until confirmed objective disease progression. Disease then assessed as per local practice until 2nd progression or death (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 11.8 |
Platinum-based SoC | 10.9 |
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PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% LREM Analysis Set
The PFS (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 5.7 |
Platinum-based SoC | 5.5 |
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PFS Based on Investigator Assessment According to RECIST 1.1 in PD-L1 TC >= 50% Analysis Set
The PFS (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 5.6 |
Platinum-based SoC | 4.5 |
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PFS Based on Investigator Assessment According to RECIST 1.1 in LREM Analysis Set
The PFS (per RECIST 1.1 using Investigator assessments) was defined as the time from the date of randomization until the date of objective disease progression or death regardless of whether the participants withdrew from randomized therapy or received another anticancer therapy prior to progression (i.e., date of PFS event or censoring - date of randomization +1). (NCT03003962)
Timeframe: Tumor assessments (per RECIST 1.1) every 6 weeks for the first 48 weeks relative to the date of randomization and then every 8 weeks thereafter until confirmed objective disease progression (up to a maximum of approximately 69 months)
Intervention | months (Median) |
---|
Durvalumab | 5.5 |
Platinum-based SoC | 5.6 |
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Overall Survival (OS)
OS is defined as the time from the date of randomization until death due to any cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months [data cut-off (DCO) 27 October 2022]
Intervention | months (Median) |
---|
Durvalumab | 14.6 |
Platinum-based SoC | 12.8 |
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OS in PD-L1 TC >= 50% LREM Analysis Set
OS is defined as the time from the date of randomization until death due to ay cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 14.9 |
Platinum-based SoC | 14.9 |
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OS in PD-L1 TC >= 50% Analysis Set
OS is defined as the time from the date of randomization until death due to any cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 14.6 |
Platinum-based SoC | 11.8 |
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OS in Participants With LREM
OS is defined as the time from the date of randomization until death due to any cause (date of death or censoring-date of randomization + 1). Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive. (NCT03003962)
Timeframe: From date of randomization until death due to any cause. Assessed up to a maximum of approximately 69 months (DCO 27 October 2022)
Intervention | months (Median) |
---|
Durvalumab | 14.6 |
Platinum-based SoC | 15.0 |
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Number of Participants With Grade 3 or Grade 4 Adverse Events
Assess toxicity of Nivolumab plus single agent chemotherapy compared with single agent chemotherapy alone. Number of grade 3 and 4 toxicities as defined by the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE) v4. (NCT03041181)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| GR4 Thromboembolic Event | GR3 Adverse Events |
---|
Arm A | 0 | 0 |
,Arm B | 1 | 0 |
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Phases 1 and 2: Objective Response Rate (ORR)
ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. (NCT03085914)
Timeframe: Up to Week 18
Intervention | Participants (Count of Participants) |
---|
| Complete Response | Partial Response |
---|
Group A: Epa + Pembrolizumab + mFOLFOX6 | 0 | 5 |
,Group B: Epa + Pembrolizumab + Nab-Paclitaxel and Gemcitabine | 1 | 2 |
,Group C: Epa + Pembrolizumab + Paclitaxel and Carboplatin | 0 | 3 |
,Group D: Epa + Pembrolizumab + Pemetrexed and Platinum Agent | 0 | 2 |
,Group E: Epa + Pembrolizumab + Cyclophosphamide | 0 | 3 |
,Group F: Epa + Pembrolizumab + Gemcitabine and Platinum Agent | 0 | 1 |
,Group G: Epa + Pembrolizumab + 5-FU and Platinum Agent | 0 | 5 |
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Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of epacadostat, pembrolizumab, or chemotherapy. Serious adverse event is defined as an event that meets 1 of the following criteria: is fatal or life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability, incapacity, or a substantial disruption of a person's ability to conduct normal life functions, constitutes a congenital anomaly or birth defect,is a medically important event that may jeopardize the participant or may require medical or surgical intervention to prevent 1 of the outcomes listed above. (NCT03085914)
Timeframe: Up to 21 months
Intervention | Participants (Count of Participants) |
---|
| TEAE | Serious TEAE |
---|
Group A: Epa + Pembrolizumab + mFOLFOX6 | 9 | 5 |
,Group B: Epa + Pembrolizumab + Nab-Paclitaxel and Gemcitabine | 9 | 5 |
,Group C: Epa + Pembrolizumab + Paclitaxel and Carboplatin | 11 | 3 |
,Group D: Epa + Pembrolizumab + Pemetrexed and Platinum Agent | 9 | 6 |
,Group E: Epa + Pembrolizumab + Cyclophosphamide | 13 | 4 |
,Group F: Epa + Pembrolizumab + Gemcitabine and Platinum Agent | 8 | 6 |
,Group G: Epa + Pembrolizumab + 5-FU and Platinum Agent | 11 | 5 |
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Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
A DLT was defined as the occurrence of any of the protocol-specified toxicities occurring up to and including Day 28 for the cohorts where mFOLFOX6 and nab-paclitaxel/gemcitabine are administered and Day 21 for all other chemotherapy regimens in Phase 1, except those with a clear alternative explanation (eg, disease progression) or transient (≤ 72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination. (NCT03085914)
Timeframe: 28 days
Intervention | Participants (Count of Participants) |
---|
Group A: Epa + Pembrolizumab + mFOLFOX6 | 2 |
Group B: Epa + Pembrolizumab + Nab-Paclitaxel and Gemcitabine | 0 |
Group C: Epa + Pembrolizumab + Paclitaxel and Carboplatin | 0 |
Group D: Epa + Pembrolizumab + Pemetrexed and Platinum Agent | 0 |
Group E: Epa + Pembrolizumab + Cyclophosphamide | 0 |
Group F: Epa + Pembrolizumab + Gemcitabine and Platinum Agent | 3 |
Group G: Epa + Pembrolizumab + 5-FU and Platinum Agent | 0 |
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Objective Response Rate (ORR) Per Blinded Independent Central Review (BICR) by RECIST 1.1 of NKTR-214 Plus Pembrolizumab for Dose Expansion Cohorts 2 and 3.
"ORR per BICR by RECIST 1.1 for the Response Evaluable Population dose expansion Cohorts 2 and 3.~ORR is defined as the proportion of enrolled participants who achieved a Best Overall Response (BOR) of CR or PR. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR is calculated as the sum of CR and PR.~The Response Evaluable Population was subjects who received at least 1 dose (or partial dose) of study drug, had measurable disease (per RECIST 1.1) at baseline, and had at least 1 post-baseline assessment of tumor response." (NCT03138889)
Timeframe: Until disease progression, death, unacceptable toxicity, symptomatic deterioration, Investigator's decision to discontinue treatment, patient withdrew consent or lost to follow-up, or study terminated by Sponsor; or until maximum of 2 years.
Intervention | Participants (Count of Participants) |
---|
Dose Expansion Cohort 2: NKTR-214 (0.006 mg/kg) + Pembro (200 mg) | 13 |
Dose Expansion Cohort 3: NKTR-214 (0.010 mg/kg) + Pembro (200 mg) | 2 |
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Objective Response Rate (ORR) Per Investigator's Assessment by RECIST 1.1 of NKTR-214 at a Dose of 0.006 mg/kg With Pembrolizumab and Platinum-based Chemotherapy for Dose Expansion Cohorts 4+5.
"ORR per Investigator's Assessment* by RECIST 1.1 for the Response Evaluable Population dose expansion Cohorts 4 +5. The Response Evaluable Population was subjects who received at least 1 dose (or partial dose) of study drug, had measurable disease (per RECIST 1.1) at baseline, and had at least 1 post-baseline assessment of tumor response.~Objective response is the sum of confirmed complete response and confirmed partial response.~*Efficacy endpoint for Cohort 4 +5 is per Investigator's Assessment due to the early termination of the study and incompleteness of BICR data for these cohorts." (NCT03138889)
Timeframe: Until disease progression, death, unacceptable toxicity, symptomatic deterioration, Investigator's decision to discont. treatment, patient withdrew consent or lost to follow-up, or study terminated by Sponsor; or until maximum of 2 years.
Intervention | Participants (Count of Participants) |
---|
Dose Expansion Cohorts 4/5 | 2 |
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Number of Participants Experiencing Dose-Limiting Toxicities in Dose Optimization Cohort 1a
"DLTs were assesses in the Dose Optimization Cohort 1 a, which had doses of NKTR-214 as 0.008 mg/kg, 0.010 mg/kg, and 0.012 m/kg, I combination with pembrolizumab at 200 mg.~A single DLT (hypotension) was reported in 1 patient in dose optimization Cohort 1a." (NCT03138889)
Timeframe: DLTs were assessed at 21 days from Cycle 1
Intervention | Participants (Count of Participants) |
---|
| At least 1 DLT | Vascular Disorders: Hypotension |
---|
Dose Optimization Cohort 1a: NKTR-214 (0.008 mg/kg) + Pembro (200 mg) | 0 | 0 |
,Dose Optimization Cohort 1a: NKTR-214 (0.010 mg/kg) + Pembro (200 mg) | 1 | 1 |
,Dose Optimization Cohort 1a: NKTR-214 (0.012 mg/kg) + Pembro (200 mg) | 0 | 0 |
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Number of Participants With Treatment-Emergent Adverse Events [Safety and Tolerability] for Dose Optimization Cohort 1a.
Safety and Tolerability of NKTR-214 (starting at dose of 0.008 mg/kg) in combination with pembrolizumab (Keytruda®) as evaluated by incidence of drug-emergent Adverse Events (AEs), Serious Adverse Events (SAEs), AEs leading to drug discontinuation, and fatal AEs. (NCT03138889)
Timeframe: AEs reported starting immediately after first dose of study drug(s) until 100 days after the last dose of all study drugs, up to approximately 28 months.
Intervention | Participants (Count of Participants) |
---|
| Subjects Reporting at Least One TEAE | Subjects Reporting at Least One Serious TEAE | Subjects Reporting at Least One TEAE Leading to Death | Subjects Reporting at Least One TEAE Leading to Drug Discontinuation |
---|
NKTR-214 (0.008 mg/kg) + Pembro (200 mg) | 4 | 2 | 0 | 2 |
,NKTR-214 (0.010 mg/kg) + Pembro (200 mg) | 7 | 4 | 0 | 3 |
,NKTR-214 (0.012 mg/kg) + Pembro (200 mg) | 7 | 2 | 0 | 1 |
,Total | 18 | 8 | 0 | 6 |
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PK of Tremelimumab; Peak and Trough Serum Concentrations
To evaluate PK, blood samples were collected at pre-specified timepoints and peak and trough serum concentrations of tremelimumab were determined. Peak concentration on Week 0 is the post-infusion concentration of Week 0 (collected within 10 minutes of the end of infusion). Trough concentrations on Weeks 3 and 12 are the pre-infusion concentrations of Weeks 3 and 12, respectively. (NCT03164616)
Timeframe: Samples were collected post-dose on Day 1 (Week 0), pre-dose on Weeks 3 and 12 and at follow-up (3 months after the last valid dose). Assessed at the global cohort DCO of 12 March 2021.
Intervention | μg/mL (Geometric Mean) |
---|
| Week 0 | Week 3 | Week 12 | Follow-up (3 months) |
---|
T + D + SoC | 23.17 | 4.16 | 7.82 | 0.86 |
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Pharmacokinetics (PK) of Durvalumab; Peak and Trough Serum Concentrations
To evaluate PK, blood samples were collected at pre-specified timepoints and peak and trough serum concentrations of durvalumab were determined. Peak concentration on Week 0 is the post-infusion concentration of Week 0 (collected within 10 minutes of the end of infusion). Trough concentrations on Weeks 3 and 12 are the pre-infusion concentrations of Weeks 3 and 12, respectively. (NCT03164616)
Timeframe: Samples were collected post-dose on Day 1 (Week 0), pre-dose on Weeks 3 and 12 and at follow-up (3 months after the last valid dose). Assessed at the global cohort DCO of 12 March 2021.
Intervention | micrograms/milliliter (μg/mL) (Geometric Mean) |
---|
| Week 0 | Week 3 | Week 12 | Follow-up (3 months) |
---|
D + SoC | 505.01 | 91.53 | 212.11 | 16.06 |
,T + D + SoC | 418.80 | 82.08 | 195.62 | 13.42 |
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Number of Patients With Anti-Drug Antibody (ADA) Response to Durvalumab
Blood samples were collected at pre-specified timepoints and number of patients who developed detectable ADAs against durvalumab was determined. ADA prevalence is defined as percentage of patients with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as either treatment-induced ADA or treatment-boosted ADA. ADA incidence is percentage of patients who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted by ≥4-fold during the study period. Persistently positive is defined as having ≥2 post-baseline ADA positive measurements with ≥16 weeks (112 days) between the first and last positive, or an ADA positive result at the last available assessment. Transiently positive is defined as having ≥1 post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. Presence of neutralizing antibody (nAb) was tested for all ADA positive samples. (NCT03164616)
Timeframe: Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of study treatment (ie, durvalumab).
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (ADA positive post-baseline only) | ADA positive at baseline only | ADA positive post-baseline and positive at baseline | Persistently positive | Transiently positive | nAb positive at any visit |
---|
D + SoC | 33 | 19 | 1 | 18 | 13 | 2 | 7 | 13 | 3 |
,T + D + SoC | 42 | 29 | 2 | 27 | 8 | 7 | 8 | 26 | 3 |
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Number of Patients With ADA Response to Tremelimumab
Blood samples were collected at pre-specified timepoints and number of patients who developed detectable ADAs against tremelimumab was determined. ADA prevalence is defined as percentage of patients with positive ADA result at any time, baseline or post-baseline. Treatment-emergent ADA is defined as either treatment-induced ADA or treatment-boosted ADA. ADA incidence is percentage of patients who were treatment-emergent ADA-positive. Treatment-boosted ADA is defined as baseline positive ADA titer that was boosted by ≥4-fold during the study period. Persistently positive is defined as having ≥2 post-baseline ADA positive measurements with ≥16 weeks (112 days) between the first and last positive, or an ADA positive result at the last available assessment. Transiently positive is defined as having ≥1 post-baseline ADA positive measurement and not fulfilling the conditions for persistently positive. Presence of nAb was tested for all ADA positive samples. (NCT03164616)
Timeframe: Samples were collected on Day 1 (Week 0), Week 12 and at 3 months after the last dose of study treatment (ie, tremelimumab).
Intervention | Participants (Count of Participants) |
---|
| ADA positive at any visit (ADA prevalence) | Treatment-emergent ADA positive (ADA incidence) | Treatment-boosted ADA | Treatment-induced ADA (ADA positive post-baseline only) | ADA positive at baseline only | ADA positive post-baseline and positive at baseline | Persistently positive | Transiently positive | nAb positive at any visit |
---|
T + D + SoC | 44 | 38 | 3 | 35 | 4 | 5 | 22 | 18 | 31 |
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Time From Randomization to Second Progression (PFS2)
PFS2 was defined as the time from the date of randomization to the earliest of the progression event (subsequent to that used for the primary variable PFS) or death. The date of second progression was recorded by the Investigator and defined according to local standard clinical practice and could involve any of: objective radiological imaging, symptomatic progression or death. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | months (Median) |
---|
T + D + SoC | 10.4 |
D + SoC | 10.2 |
SoC Alone | 9.4 |
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Progression-Free Survival (PFS); D + SoC Compared With SoC Alone
PFS (per RECIST version 1.1 [RECIST 1.1] using Blinded Independent Central Review [BICR] assessments) was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. The final analysis of PFS in the global cohort was pre-specified after approximately 497 BICR PFS events occurred across the D + SoC and SoC alone treatment arms (75% maturity). (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | months (Median) |
---|
D + SoC | 5.5 |
SoC Alone | 4.8 |
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PFS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC
PFS (per RECIST 1.1 using BICR assessments) was defined as time from date of randomization until date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the patient withdrew from randomized therapy or received another anticancer therapy prior to progression. Median PFS was calculated using the Kaplan-Meier technique. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months.
Intervention | months (Median) |
---|
T + D + SoC | 6.2 |
D + SoC | 5.5 |
SoC Alone | 4.8 |
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Overall Survival (OS); D + SoC Compared With SoC Alone
OS was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. The final analysis of OS in the global cohort was pre-specified after approximately 532 OS events occurred across the D + SoC and SoC alone treatment arms (80% maturity). (NCT03164616)
Timeframe: From baseline until death due to any cause. Assessed until global cohort DCO of 12 March 2021 (maximum of approximately 45 months).
Intervention | months (Median) |
---|
D + SoC | 13.3 |
SoC Alone | 11.7 |
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OS; T + D + SoC Compared With SoC Alone and T + D + SoC Compared With D + SoC
OS was defined as the time from the date of randomization until death due to any cause. Any patient not known to have died at the time of analysis was censored based on the last recorded date on which the patient was known to be alive. Median OS was calculated using the Kaplan-Meier technique. (NCT03164616)
Timeframe: From baseline until death due to any cause. Assessed until global cohort DCO of 12 March 2021 (maximum of approximately 45 months).
Intervention | months (Median) |
---|
T + D + SoC | 14.0 |
D + SoC | 13.3 |
SoC Alone | 11.7 |
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Duration of Response (DoR)
DoR (per RECIST 1.1 using BICR assessments) was defined as the time from the date of first documented response until date of documented progression or death in the absence of disease progression. The end of response coincided with the date of progression or death from any cause used for the RECIST 1.1 PFS endpoint. The time of the initial response was defined as the latest of the dates contributing towards the first visit of PR or CR. Results are presented for the pre-specified DoR analysis using unconfirmed responses based on BICR. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | months (Median) |
---|
T + D + SoC | 7.4 |
D + SoC | 6.0 |
SoC Alone | 4.2 |
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Time to Deterioration of PRO Symptoms, Assessed Using EORTC QLQ-Lung Cancer Module 13 (QLQ-LC13)
The EORTC QLQ-LC13 is a disease-specific 13-item self-administered questionnaire for lung cancer, to be used in conjunction with the EORTC QLQ-C30. It comprises both multi-item and single-item measures of lung cancer-associated symptoms (ie, coughing, hemoptysis, dyspnea, and pain) and treatment-related symptoms from conventional chemotherapy and radiotherapy (ie, hair loss, neuropathy, sore mouth, and dysphagia). Scores from 0 to 100 were derived for each symptom item, with higher scores representing greater level of symptoms. Time to deterioration was defined as time from randomization until the date of first clinically meaningful deterioration that was confirmed at a subsequent visit or death (by any cause) in the absence of a clinically meaningful deterioration. (NCT03164616)
Timeframe: At baseline, Weeks 3, 6, 9, 12, 16 and 20, then Q4W until PD, on Day 28 and 2 months post-PD, then every 8 weeks until second progression/death (whichever came first). Assessed until global cohort DCO of 12 March 2021 (maximum of approximately 45 months).
Intervention | months (Median) |
---|
| QLQ-LC13 Cough | QLQ-LC13 Hemoptysis | QLQ-LC13 Dyspnea | QLQ-LC13 Pain in Chest | QLQ-LC13 Pain in Arm or Shoulder | QLQ-LC13 Pain in Other Parts |
---|
D + SoC | 11.0 | 14.0 | 5.0 | 9.5 | 8.9 | 8.9 |
,SoC Alone | 8.8 | 11.4 | 3.6 | 8.6 | 8.8 | 5.8 |
,T + D + SoC | 9.7 | 17.8 | 5.4 | 10.0 | 8.9 | 9.7 |
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Objective Response Rate (ORR)
ORR (per RECIST 1.1 using BICR assessments) was defined as the percentage of patients with at least one visit response of complete response (CR) or partial response (PR). Results are presented for the pre-specified ORR analysis using unconfirmed responses based on BICR. (NCT03164616)
Timeframe: Tumor scans performed at baseline, Week 6, Week 12 and then every 8 weeks relative to date of randomization until radiological progression. Assessed until global cohort DCO of 24 July 2019 (maximum of approximately 25 months).
Intervention | percentage of patients (Number) |
---|
T + D + SoC | 46.3 |
D + SoC | 48.5 |
SoC Alone | 33.4 |
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Objective Response Rate (ORR) by BICR by PD-LI Tumor Cell Expression
PD-L1 expression was defined as the percent of tumor cells with membrane staining in a minimum of 100 evaluable tumor cells per validated Dako PD-L1 IHC 28-8 pharmDx test. PD-L1 expression was classified as PD-L1 ≥1% (≥1% tumor cells with membrane staining in a minimum of a hundred evaluable tumor cells), PD-L1 < 1% and PD-L1 not quantifiable (without quantifiable PD-L1 expression), PD-L1 expression ≥ 50%, PD-L1 expression 1 to 49% (NCT03215706)
Timeframe: From date of randomization until date of documented tumor progression or subsequent anti-cancer therapy, whichever occurs first (assessed up to October 2019, approximately 23 months)
Intervention | Percentage of Participants (Number) |
---|
| BASELINE PD-L1 EXPRESSION ≥1% | BASELINE PD-L1 EXPRESSION < 1% | Non-Quantifiable PD-L1 Expression | BASELINE PD-L1 EXPRESSION 1 - 49% | BASELINE PD-L1 EXPRESSION >= 50% |
---|
Treatment A | 41.9 | 31.1 | 33.3 | 37.8 | 48.7 |
,Treatment B | 27.6 | 20.9 | 28.0 | 24.5 | 30.9 |
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Duration of Response (DoR)
DoR was defined as the time between the date of first confirmed documented response (CR or PR) to the date of the first documented BICR-assessed tumor progression (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who started subsequent therapy (including palliative local therapy) without a prior reported progression were censored at the last evaluable tumor assessments prior to initiation of the subsequent anticancer therapy (including palliative local therapy). Participants who died without a reported prior progression were considered to have progressed on the date of their death. For subjects who neither progressed nor died, DoR was censored on the date of their last evaluable tumor assessment. DoR was evaluated for responders (confirmed CR or PR) only. (NCT03215706)
Timeframe: From date of first confirmed response to date of tumor progression (assessed up to October 2019, approximately 23 months)
Intervention | Months (Median) |
---|
Treatment A | 10.02 |
Treatment B | 5.09 |
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Objective Response Rate (ORR) by BICR
ORR was defined as the number of randomized participants with a best overall response (BOR) of confirmed CR or PR based on BICR assessments (using RECIST v1.1 criteria), divided by the number of all randomized participants. BOR was recorded between the date of randomization and the date of objectively documented progression per RECIST 1.1 or the date of initiation of palliative local therapy or the date of initiation of subsequent anti-cancer therapy, whichever occurred first. For participants without documented progression or palliative local therapy or subsequent anti-cancer 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 RECIST 1.1 defined progression. (NCT03215706)
Timeframe: From date of randomization until date of documented tumor progression or subsequent anti-cancer therapy, whichever occurs first (assessed up to October 2019, approximately 23 months)
Intervention | Percentage of Participants (Number) |
---|
Treatment A | 37.7 |
Treatment B | 25.1 |
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Overall Survival (OS)
OS was defined as the time from randomization to the date of death from any cause. OS was censored on the last date a subject was known to be alive. Survival follow-up was to be conducted every 3 months after participants's off-treatment date. (NCT03215706)
Timeframe: From date of randomization to date of death (assessed up to October 2019, approximately 23 months)
Intervention | Months (Median) |
---|
Treatment A | 14.13 |
Treatment B | 10.74 |
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Progression Free Survival (PFS) by BICR
PFS (primary definition) was defined as the time from the randomization date to the date of the first documented tumor progression based on BICR assessment (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who died without a reported prior progression were considered to have progressed on the date of their death. Participants who had not progressed or died were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the randomization date. Participants who started any palliative local therapy or subsequent anticancer therapy without a prior reported progression were censored at the last evaluable tumor assessment prior to initiation of the palliative local therapy or subsequent anti-cancer therapy, whichever procedure occurred first. (NCT03215706)
Timeframe: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2019, approximately 23 months)
Intervention | Months (Median) |
---|
Treatment A | 6.83 |
Treatment B | 4.96 |
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Time to Response (TTR)
TTR was defined as the time from randomization to the date of the first confirmed documented response (CR or PR), as assessed by the BICR. TTR was evaluated for responders (confirmed CR or PR) only. (NCT03215706)
Timeframe: From date of randomization to date of first confirmed documented response (assessed up to October 2019, approximately 23 months)
Intervention | Months (Median) |
---|
Treatment A | 2.51 |
Treatment B | 1.56 |
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OS by PD-L1 Tumor Cell Expression
OS was defined as the time from randomization to the date of death from any cause. OS was censored on the last date a subject was known to be alive. Survival follow-up was to be conducted every 3 months after participants's off-treatment date. (NCT03215706)
Timeframe: From date of randomization to date of death (assessed up to October 2019, approximately 23 months)
Intervention | Months (Median) |
---|
| < 1% PD-L1 Expression | >= 1% PD-L1 Expression | with 1-49% PD-L1 Expression | with >= 50% PD-L1 Expression | Non-Quantifiable PD-L1 Expression |
---|
Treatment A | 14.03 | 14.23 | 14.46 | 14.13 | 10.84 |
,Treatment B | 9.95 | 10.58 | 10.25 | 11.86 | 17.05 |
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PFS by BICR by PD-L1 Tumor Cell Expression
PFS (primary definition) was defined as the time from the randomization date to the date of the first documented tumor progression based on BICR assessment (per RECIST 1.1), or death from any cause, whichever occurred first. Participants who died without a reported prior progression were considered to have progressed on the date of their death. Participants who had not progressed or died were censored on the date of their last evaluable tumor assessment. Participants who did not have any on-study tumor assessments and did not die were censored on the randomization date. Participants who started any palliative local therapy or subsequent anticancer therapy without a prior reported progression were censored at the last evaluable tumor assessment prior to initiation of the palliative local therapy or subsequent anti-cancer therapy, whichever procedure occurred first. (NCT03215706)
Timeframe: From date of randomization until date of documented tumor progression or death due to any cause, whichever occurs first (assessed up to October 2019, approximately 23 months)
Intervention | Months (Median) |
---|
| < 1% PD-L1 Expression | >= 1% PD-L1 Expression | with 1-49% PD-L1 Expression | with >= 50% PD-L1 Expression | Non-Quantifiable PD-L1 Expression |
---|
Treatment A | 5.82 | 7.03 | 6.74 | 8.28 | 6.14 |
,Treatment B | 4.86 | 4.70 | 5.29 | 4.27 | 5.78 |
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Duration Of Response
"Time from the first documentation of objective tumor response (CR or PR) to the first documentation of objective tumor progression or death due to any cause, whichever occurs first~Complete Response (CR): 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 diameters of target lesions, taking as reference the baseline sum 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 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)." (NCT03256136)
Timeframe: From the first documented response until disease progression or death, up to approximately 2 years
Intervention | months (Median) |
---|
Nivolumab Plus Ipilimumab EGFR | NA |
Nivolumab Plus Ipilimumab ALK | NA |
Nivolumab + Carboplatin + Pemetrexed With EGFR Chemo Naive | 0.9 |
Nivolumab + Carboplatin + Pemetrexed ALK Chemo Naive | 1.4 |
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Progression Free Survival (PFS)
"Time from initiation of the study drugs to progression or death, whichever occurs first. Disease progression was assessed via RECIST 1.1~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 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).~Confidence Intervals (CIs) were calculated using the Kaplan Meier (KM) method" (NCT03256136)
Timeframe: From the start of treatment until disease progression or death due to any cause, up to approximately 2 years
Intervention | months (Median) |
---|
Nivolumab Plus Ipilimumab EGFR | 1.3 |
Nivolumab Plus Ipilimumab ALK | 0.7 |
Nivolumab + Carboplatin + Pemetrexed With EGFR Chemo Naive | 4.65 |
Nivolumab + Carboplatin + Pemetrexed ALK Chemo Naive | 2.8 |
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Disease Control Rate (DCR), Presented in Numbers of Participants
"The number of patients that achieved either complete response (CR), partial response (PR), or stable disease (SD) per 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 <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.~Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study." (NCT03256136)
Timeframe: Up to approximately 2 years
Intervention | Participants (Count of Participants) |
---|
Nivolumab Plus Ipilimumab EGFR | 0 |
Nivolumab Plus Ipilimumab ALK | 0 |
Nivolumab + Carboplatin + Pemetrexed With EGFR Chemo Naive | 3 |
Nivolumab + Carboplatin + Pemetrexed ALK Chemo Naive | 1 |
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Overall Survival (OS)
Time from initiation of the study drugs to date of death due to any cause. CIs are the KM estimate CIs. (NCT03256136)
Timeframe: From the start of treatment until death due to any cause, up to approximately 2 years
Intervention | months (Median) |
---|
Nivolumab Plus Ipilimumab EGFR | 22.3 |
Nivolumab Plus Ipilimumab ALK | 7.6 |
Nivolumab + Carboplatin + Pemetrexed With EGFR Chemo Naive | 7.75 |
Nivolumab + Carboplatin + Pemetrexed ALK Chemo Naive | 15.9 |
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Objective Response Rate (ORR), Presented in Numbers of Participants
"Complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST 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 <10 mm.~Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters." (NCT03256136)
Timeframe: Up to approximately 2 years
Intervention | Participants (Count of Participants) |
---|
Nivolumab Plus Ipilimumab EGFR | 0 |
Nivolumab Plus Ipilimumab ALK | 0 |
Nivolumab + Carboplatin + Pemetrexed With EGFR Chemo Naive | 1 |
Nivolumab + Carboplatin + Pemetrexed ALK Chemo Naive | 1 |
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Part A: Area Under the Plasma Concentration From Time Zero to Infinity (AUC[0-infinity]) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | NA |
Part A: TSR-042 and Niraparib 300 mg QD | NA |
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Part A: AUC at Steady State (AUCss) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 16.3481 |
Part A: TSR-042 and Niraparib 300 mg QD | 29.4312 |
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Part A: AUC(0-infinity) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | NA |
Part A: TSR-042 and Niraparib 300 mg QD | NA |
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Part A: Cmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 158.6875 |
Part A: TSR-042 and Niraparib 300 mg QD | 138.9167 |
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Part A: Ctau of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 33.6000 |
Part A: TSR-042 and Niraparib 300 mg QD | 29.8000 |
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Part A: Disease Control Rate
Disease Control Rate is defined as the percentage of participants who had achieved CR, PR, or stable disease (SD) per RECIST version 1.1. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Percentage of participants (Number) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 43.8 |
Part A: TSR-042 and Niraparib 300 mg QD | 33.3 |
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Part A: Duration of Response
Duration of response is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression by RECIST version 1.1 or death by any cause. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Months (Median) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 7.59 |
Part A: TSR-042 and Niraparib 300 mg QD | NA |
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Part A: Maximum Observed Plasma (Cmax) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0.460600 |
Part A: TSR-042 and Niraparib 300 mg QD | 0.625667 |
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Part A: Number of Participants With Dose-limiting Toxicity (DLT)
An event was considered a DLT if it occurred within the first 21 days of treatment, and met one of following DLT criteria:hematologic toxicity- Grade4 thrombocytopenia persists for >=7 days from the time of adverse event(AE) onset, Grade 4 neutropenia, Grade 4 or Grade 3 febrile neutropenia persists for >=7 days, Grade4 or Grade3 anemia requiring blood transfusion, Grade 3 thrombocytopenia associated with clinically significant bleeding, Grade 3 neutropenia associated with infection as described in Common Terminology Criteria for Adverse Events (CTCAE) version 4.0, drug related Grade 3 or 4 non-hematologic toxicity, drug related Grade 3 or 4 nonhematologic laboratory abnormality if any of the following also occur: abnormality leads to hospitalization and abnormality persists for >=7 days from the time of AE onset; drug related toxicity leading to prolonged delay (>2 weeks) in initiating Cycle 2. DLTs were collected during first cycle to establish recommended phase 2 dose (RP2D). (NCT03307785)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 2 |
Part A: TSR-042 and Niraparib 300 mg QD | 0 |
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Part A: Number of Participants With Positive Anti-TSR-042 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-042. The presence of anti-TSR-042 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). Anti-drug Antibody Population consisted of all participants who received at least 1 dose of study treatment and had provided a pre-dose blood sample and at least 1 post-dose blood sample at or after 96 hours. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Participants (Count of Participants) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0 |
Part A: TSR-042 and Niraparib 300 mg QD | 0 |
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Part A: Objective Response Rate
Objective Response Rate is defined as the percentage of participants who achieved confirmed complete response (CR) or partial response (PR), evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 based on Investigator assessment; where CR=Disappearance of all target lesions. Any pathological lymph nodes must be <10 millimeters (mm) in the short axis. PR=At least a 30 percent (%) decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Percentage of participants (Number) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 25.0 |
Part A: TSR-042 and Niraparib 300 mg QD | 0 |
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Part A: Observed Concentration at the End of the Dosing Interval (Ctau) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0.191953 |
Part A: TSR-042 and Niraparib 300 mg QD | 0.342333 |
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Part A: Progression-free Survival
Progression-free Survival is defined as the date of first dose to the date of disease progression or death due to any cause, whichever occurs earlier. Progressive Disease (PD) 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. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Months (Median) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 6.2 |
Part A: TSR-042 and Niraparib 300 mg QD | 2.8 |
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Part A: Time to Reach Maximum Plasma Concentration (Tmax) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 2.250 |
Part A: TSR-042 and Niraparib 300 mg QD | 4.083 |
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Part A: Tmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0.817 |
Part A: TSR-042 and Niraparib 300 mg QD | 1.750 |
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Part B: AUC(0-infinity) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | NA |
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Part B: Cmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 148.2000 |
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Part B: Ctau of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 33.9778 |
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Part B: Disease Control Rate
Disease Control Rate is defined as the percentage of participants who had achieved CR, PR, or SD per RECIST version 1.1. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Percentage of participants (Number) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 57.1 |
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Part B: Number of Participants With DLT
An event was considered a DLT if it occurred within the first 21 days of treatment, and met one of following DLT criteria:hematologic toxicity- Grade4 thrombocytopenia persists for >=7 days from the time of AE onset, Grade 4 neutropenia, Grade 4 or Grade 3 febrile neutropenia persists for >=7 days, Grade4 or Grade3 anemia requiring blood transfusion, Grade 3 thrombocytopenia associated with clinically significant bleeding, Grade 3 neutropenia associated with infection as described in CTCAE version 4.0, drug related Grade 3 or 4 non-hematologic toxicity, drug related Grade 3 or 4 nonhematologic laboratory abnormality if any of the following also occur: abnormality leads to hospitalization and abnormality persists for >=7 days from the time of AE onset; drug related toxicity leading to prolonged delay (>2 weeks) in initiating Cycle 2. DLTs were collected during first cycle to establish RP2D. (NCT03307785)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 1 |
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Part B: Number of Participants With Positive Anti-TSR-042 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-042. The presence of anti-TSR-042 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Participants (Count of Participants) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 4 |
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Part B: Objective Response Rate
Objective Response Rate is defined as the percentage of participants who achieved confirmed CR or PR, evaluated using RECIST version 1.1 based on Investigator assessment; where CR=Disappearance of all target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR=At least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Percentage of participants (Number) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 42.9 |
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Part F: Number of Participants With Non-serious TEAEs, STEAEs and AESIs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An SAE is defined as any untoward medical occurrence that, at any dose; 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 or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with TEAEs, SAEs and AESIs are reported. (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Participants (Count of Participants) |
---|
| Non-serious TEAEs | STEAEs | AESIs |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | 1 | 0 | 0 |
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Part E: Number of Participants With Non-serious TEAEs, STEAEs and AESIs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An SAE is defined as any untoward medical occurrence that, at any dose; 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 or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with TEAEs, SAEs and AESIs are reported. (NCT03307785)
Timeframe: Up to 4.4 months
Intervention | Participants (Count of Participants) |
---|
| Non-serious TEAEs | STEAEs | AESIs |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | 2 | 2 | 0 |
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Part D: Vz of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=3 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 5.4955 | 6.1542 | 9.8356 |
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Part D: Vss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=3 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 5.1493 | 5.6399 | 8.0614 |
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Part D: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=4 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 0.500 | 0.550 | 0.500 |
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Part D: Number of Participants With Non-serious TEAEs, STEAEs and AESIs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An SAE is defined as any untoward medical occurrence that, at any dose; 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 or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with TEAEs, SAEs and AESIs are reported. (NCT03307785)
Timeframe: Up to 9.5 months
Intervention | Participants (Count of Participants) |
---|
| Non-serious TEAEs | STEAEs | AESIs |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 6 | 3 | 0 |
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Part D: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=4 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 256.8000 | 416.0000 | 429.7500 |
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Part D: CL of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=3 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 0.0102 | 0.0087 | 0.0104 |
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Part D: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=3 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 51140.4410 | 118845.3928 | 96800.1534 |
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Part D: AUC0-t of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=6 | Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=4 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 32819.5401 | 52409.0255 | 119847.0999 | 77794.6422 |
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Part C: Vz/F of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 2, n=2,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 551.4003 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 559.3634 |
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Part C: Vz of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5,5 | Cycle 5, n=4,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 6.6462 | 6.1698 | 9.6347 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 5.8922 | 5.2066 | 8.5098 |
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Part C: Vss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5,5 | Cycle 5, n=4,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 6.4567 | 6.2405 | 8.9478 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 5.5177 | 4.8035 | 7.7750 |
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Part C: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 4, n=5,7 | Cycle 5, n=5,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 1.517 | 2.083 | 2.000 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 0.617 | 0.825 | 2.417 |
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Part C: Tmax,ss of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 2, n=4,4 | Cycle 5, n=4,3 | Cycle 11, n=3,1 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 4.950 | 2.158 | 2.000 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 3.958 | 1.967 | 2.083 |
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Part C: Number of Participants With Non-serious TEAEs, STEAEs and AESIs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An SAE is defined as any untoward medical occurrence that, at any dose; 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 or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with TEAEs, SAEs and AESIs are reported. (NCT03307785)
Timeframe: Up to 22.5 months
Intervention | Participants (Count of Participants) |
---|
| Non-serious TEAEs | STEAEs | AESIs |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 5 | 3 | 0 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 7 | 3 | 0 |
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Part C: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=4,6 | Cycle 5, n=5,6 | Cycle 11, n=3,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 70.4250 | 82.9800 | 105.4667 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 64.2667 | 53.1500 | 60.9500 |
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Part C: Ctau,ss of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 2, n=5,4 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 0.484000 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 1.094250 |
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Part C: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=5,7 | Cycle 5, n=5,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 234.4000 | 325.2000 | 349.7500 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 227.1429 | 417.3333 | 321.0000 |
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Part C: Cmax,ss of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 2, n=4,4 | Cycle 5, n=4,3 | Cycle 11, n=3,1 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 0.854500 | 0.709750 | 0.468333 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 1.404750 | 1.073667 | 0.638000 |
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Part C: CL/F of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 2, n=2,4 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 10.3777 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 14.4947 |
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Part C: CL of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 4, n=5,5 | Cycle 5, n=5,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 0.0100 | 0.0082 | 0.0079 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 0.0104 | 0.0082 | 0.0086 |
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Part C: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 4, n=5,5 | Cycle 5, n=5,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 55974.4268 | 137399.5881 | 147907.5379 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 50924.1510 | 131288.0291 | 119189.5905 |
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Part C: AUC0-t of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=6,7 | Cycle 4, n=5,7 | Cycle 5, n=5,6 | Cycle 11, n=4,2 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 29830.6542 | 54268.1379 | 137777.3188 | 143070.3093 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 26311.1789 | 49198.8237 | 131281.9046 | 119161.8795 |
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Part C: AUC0-t of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=6,7 | Cycle 2, n=4,4 |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 3.4513 | 14.7473 |
,Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 11.3601 | 24.9691 |
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Part B: Vz of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=10 | Cycle 5, n=8 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 5.3661 | 7.2627 | 8.0529 |
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Part B: Vss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=10 | Cycle 5, n=8 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 5.1893 | 6.7701 | 7.4351 |
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Part B: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 4, n=10 | Cycle 5, n=9 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 0.575 | 1.500 | 0.542 |
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Part B: Number of Participants With Non-serious TEAEs, STEAEs and AESIs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An SAE is defined as any untoward medical occurrence that, at any dose; 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 or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with TEAEs, SAEs and AESIs are reported. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Participants (Count of Participants) |
---|
| Non-Serious TEAEs | STEAEs | AESIs |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 14 | 9 | 0 |
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Part B: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=9 | Cycle 5, n=8 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 67.2444 | 59.3000 | 57.4833 |
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Part B: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=10 | Cycle 5, n=9 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 225.8000 | 421.1111 | 446.6667 |
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Part B: CL of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 4, n=10 | Cycle 5, n=8 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 0.0098 | 0.0082 | 0.0092 |
[back to top]
Part B: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 4, n=10 | Cycle 5, n=8 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 55073.0926 | 130694.9752 | 117033.3612 |
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Part B: AUC0-t of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=14 | Cycle 4, n=10 | Cycle 5, n=9 | Cycle 11, n=6 |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 28097.9846 | 54730.0053 | 124309.5455 | 117030.4081 |
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Part A: Volume of Distribution After Oral Administration (Vz/F) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 1, n=1,0 | Cycle 2, n=8,2 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 380.1478 | 716.1418 |
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Part A: Volume of Distribution After Oral Administration (Vz/F) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 2, n=8,2 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 487.8826 |
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Part A: Volume of Distribution After Intravenous Administration (Vz) of of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5,2 | Cycle 5, n=8,1 | Cycle 11, n=4,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 5.6925 | 6.8811 | 7.4795 |
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Part A: Volume of Distribution After Intravenous Administration (Vz) of of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5,2 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 10.3984 | 6.3070 |
[back to top]
Part C: Ctau of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 37.2750 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 28.7500 |
[back to top]
Part C: Ctau of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 0.161233 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 0.478714 |
[back to top]
Part C: Cmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 138.6667 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 158.4857 |
[back to top]
Part C: Cmax of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 0.243667 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 0.891571 |
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Part F: AUC0-t of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168 and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part F: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: CL of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: CL of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Cmax of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168 and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Cmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Cmax,ss of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part C: AUCss of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 21.4926 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 26.5006 |
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Part C: AUC(0-infinity) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | NA |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | NA |
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Part C: AUC(0-infinity) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | NA |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | NA |
[back to top]
Part B: Tmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 1.000 |
[back to top]
Part B: Progression-free Survival
Progression-free Survival is defined as the date of first dose to the date of disease progression or death due to any cause, whichever occurs earlier. PD 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. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Months (Median) |
---|
Part B: TSR-042 and Carboplatin-paclitaxel | 17.6 |
[back to top]
Part A: Tmax at Steady State (Tmax,ss) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 2, n=10,3 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 2.250 |
[back to top]
Part A: Tmax at Steady State (Tmax,ss) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 2, n=10,3 | Cycle 5, n=7,0 | Cycle 11, n=2,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 4.008 | 2.000 | 1.817 |
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Part A: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 4, n=9,4 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 1.300 | 2.783 |
[back to top]
Part A: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
| Cycle 4, n=9,4 | Cycle 5, n=8,1 | Cycle 11, n=5,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 1.500 | 0.625 | 0.567 |
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Part A: Volume of Distribution After Intravenous Administration (Vss) of of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5,2 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 9.8680 | 5.9659 |
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Part A: Volume of Distribution After Intravenous Administration (Vss) of of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
| Cycle 4, n=5,2 | Cycle 5, n=8,1 | Cycle 11, n=4,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 5.5647 | 6.6580 | 7.3107 |
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Part F: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part F: Ctau of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Ctau of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Ctau,ss of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: AUCss of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part F: Disease Control Rate
Disease Control Rate is defined as the percentage of participants who had achieved CR, PR, or SD per RECIST version 1.1. (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Percentage of participants (Number) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | 100 |
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Part F: Duration of Response
Duration of response is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression by RECIST version 1.1 or death by any cause. (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Months (Median) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part F: Number of Participants With DLT
An event was considered a DLT if it occurred within the first 21 days of treatment, and met one of following DLT criteria:hematologic toxicity- Grade4 thrombocytopenia persists for >=7 days from the time of AE onset, Grade 4 neutropenia, Grade 4 or Grade 3 febrile neutropenia persists for >=7 days, Grade4 or Grade3 anemia requiring blood transfusion, Grade 3 thrombocytopenia associated with clinically significant bleeding, Grade 3 neutropenia associated with infection as described in CTCAE version 4.0, drug related Grade 3 or 4 non-hematologic toxicity, drug related Grade 3 or 4 nonhematologic laboratory abnormality if any of the following also occur: abnormality leads to hospitalization and abnormality persists for >=7 days from the time of AE onset; drug related toxicity leading to prolonged delay (>2 weeks) in initiating Cycle 2. DLTs were collected during first cycle to establish RP2D. (NCT03307785)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | 0 |
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Part F: Number of Participants With Positive Anti-TSR-022 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-022. The presence of anti-TSR-022 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Participants (Count of Participants) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part F: Number of Participants With Positive Anti-TSR-042 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-042. The presence of anti-TSR-042 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Participants (Count of Participants) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part F: Objective Response Rate
Objective Response Rate is defined as the percentage of participants who achieved confirmed CR or PR, evaluated using RECIST version 1.1 based on Investigator assessment; where CR=Disappearance of all target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR=At least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters. (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Percentage of participants (Number) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | 0 |
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Part F: AUC0-t of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168 and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: AUC(0-infinity) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: AUC(0-infinity) of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168 and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168 and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Vz of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Vss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Tmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
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Part E: Progression-free Survival
Progression-free Survival is defined as the date of first dose to the date of disease progression or death due to any cause, whichever occurs earlier. PD 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. (NCT03307785)
Timeframe: Up to 4.4 months
Intervention | Months (Median) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Objective Response Rate
Objective Response Rate is defined as the percentage of participants who achieved confirmed CR or PR, evaluated using RECIST version 1.1 based on Investigator assessment; where CR=Disappearance of all target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR=At least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters. (NCT03307785)
Timeframe: Up to 4.4 months
Intervention | Percentage of participants (Number) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | 0 |
[back to top]
Part E: Number of Participants With Positive Anti-TSR-042 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-042. The presence of anti-TSR-042 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). (NCT03307785)
Timeframe: Up to 4.4 months
Intervention | Participants (Count of Participants) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | 0 |
[back to top]
Part E: Number of Participants With DLT
An event was considered a DLT if it occurred within the first 21 days of treatment, and met one of following DLT criteria:hematologic toxicity- Grade4 thrombocytopenia persists for >=7 days from the time of AE onset, Grade 4 neutropenia, Grade 4 or Grade 3 febrile neutropenia persists for >=7 days, Grade4 or Grade3 anemia requiring blood transfusion, Grade 3 thrombocytopenia associated with clinically significant bleeding, Grade 3 neutropenia associated with infection as described in CTCAE version 4.0, drug related Grade 3 or 4 non-hematologic toxicity, drug related Grade 3 or 4 nonhematologic laboratory abnormality if any of the following also occur: abnormality leads to hospitalization and abnormality persists for >=7 days from the time of AE onset; drug related toxicity leading to prolonged delay (>2 weeks) in initiating Cycle 2. DLTs were collected during first cycle to establish RP2D. (NCT03307785)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | 0 |
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Part E: Duration of Response
Duration of response is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression by RECIST version 1.1 or death by any cause. (NCT03307785)
Timeframe: Up to 4.4 months
Intervention | Months (Median) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
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Part E: Disease Control Rate
Disease Control Rate is defined as the percentage of participants who had achieved CR, PR, or SD per RECIST version 1.1. (NCT03307785)
Timeframe: Up to 4.4 months
Intervention | Percentage of participants (Number) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | 0 |
[back to top]
Part E: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Ctau of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: Cmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: CL of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: AUC0-t of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part E: AUC(0-infinity) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part E: TSR-042 and Carboplatin-pemetrexed | NA |
[back to top]
Part D: Tmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 1.250 |
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Part F: Progression-free Survival
Progression-free Survival is defined as the date of first dose to the date of disease progression or death due to any cause, whichever occurs earlier. PD 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. (NCT03307785)
Timeframe: Up to 3.5 months
Intervention | Months (Median) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Tmax of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Tmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Tmax,ss of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Tmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Vss of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Vss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Vz of TSR-022
Blood samples were collected at indicated time points. PK parameters of TSR-022 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
[back to top]
Part F: Vz of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 1, 2, 3, 24, 48, 96, 168, and 336 hours post-dose; Cycle 2: Pre-dose; Cycle 5: Pre-dose, 0.5, 2, 24, 48, 96, 168, and 336 hours post-dose (each cycle was 21 days)
Intervention | Liter (Mean) |
---|
Part F: TSR-042, TSR-022, and Carboplatin-pemetrexed | NA |
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Part A: Area Under the Plasma Concentration From Time Zero to t (AUC[0-t]) of Niraparib
Blood samples were collected at indicated time points. Pharmacokinetic (PK) parameters of niraparib were calculated using non-compartmental methods. PK population consisted of all participants who received at least 1 dose of study treatment and had at least 1 PK sample. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=15,6 | Cycle 2, n=10,3 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 6.0430 | 14.9172 |
,Part A: TSR-042 and Niraparib 300 mg QD | 7.8341 | 29.3024 |
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Part A: AUC(0-t) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=16,6 | Cycle 4, n=9,4 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 29420.8347 | 29311.8182 | 141328.9288 |
[back to top]
Part A: AUC(0-t) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 1, n=16,6 | Cycle 4, n=9,4 | Cycle 5, n=8,1 | Cycle 11, n=5,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 26827.7703 | 55408.3992 | 137108.2574 | 139591.8834 |
[back to top]
Part A: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 4, n=7,2 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 46122.3924 | 141306.3782 |
[back to top]
Part A: AUCss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Mean) |
---|
| Cycle 4, n=7,2 | Cycle 5, n=8,1 | Cycle 11, n=4,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 58598.5076 | 135171.2753 | 151575.3645 |
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Part A: Clearance After Intravenous Administration (CL) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 4, n=7,2 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 0.0110 | 0.0071 |
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Part A: Clearance After Intravenous Administration (CL) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 4, n=7,2 | Cycle 5, n=8,1 | Cycle 11, n=4,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0.0090 | 0.0081 | 0.0072 |
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Part A: Clearance After Oral Administration (CL/F) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 2, n=8,2 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 10.2833 |
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Part A: Clearance After Oral Administration (CL/F) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Liter per hour (Mean) |
---|
| Cycle 1, n=1,0 | Cycle 2, n=8,2 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 28.5638 | 16.6295 |
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Part A: Cmax at Steady State (Cmax,ss) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 2, n=10,3 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 1.706667 |
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Part D: Progression-free Survival
Progression-free Survival is defined as the date of first dose to the date of disease progression or death due to any cause, whichever occurs earlier. PD 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. (NCT03307785)
Timeframe: Up to 9.5 months
Intervention | Months (Median) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 7.6 |
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Part D: Objective Response Rate
Objective Response Rate is defined as the percentage of participants who achieved confirmed CR or PR, evaluated using RECIST version 1.1 based on Investigator assessment; where CR=Disappearance of all target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR=At least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters. (NCT03307785)
Timeframe: Up to 9.5 months
Intervention | Percentage of participants (Number) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 50.0 |
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Part D: Number of Participants With Positive Anti-TSR-042 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-042. The presence of anti-TSR-042 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). (NCT03307785)
Timeframe: Up to 9.5 months
Intervention | Participants (Count of Participants) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 0 |
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Part D: Number of Participants With DLT
An event was considered a DLT if it occurred within the first 21 days of treatment, and met one of following DLT criteria:hematologic toxicity- Grade4 thrombocytopenia persists for >=7 days from the time of AE onset, Grade 4 neutropenia, Grade 4 or Grade 3 febrile neutropenia persists for >=7 days, Grade4 or Grade3 anemia requiring blood transfusion, Grade 3 thrombocytopenia associated with clinically significant bleeding, Grade 3 neutropenia associated with infection as described in CTCAE version 4.0, drug related Grade 3 or 4 non-hematologic toxicity, drug related Grade 3 or 4 nonhematologic laboratory abnormality if any of the following also occur: abnormality leads to hospitalization and abnormality persists for >=7 days from the time of AE onset; drug related toxicity leading to prolonged delay (>2 weeks) in initiating Cycle 2. DLTs were collected during first cycle to establish RP2D. (NCT03307785)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 0 |
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Part D: Disease Control Rate
Disease Control Rate is defined as the percentage of participants who had achieved CR, PR, or SD per RECIST version 1.1. (NCT03307785)
Timeframe: Up to 9.5 months
Intervention | Percentage of participants (Number) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 83.3 |
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Part D: Ctau of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 36.5250 |
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Part D: Cmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 188.5000 |
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Part D: AUC(0-infinity) of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycles 1 and 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Hours*microgram per milliliter (Geometric Mean) |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | NA |
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Part C: Tmax of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 1.200 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 0.583 |
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Part A: Cmax at Steady State (Cmax,ss) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 2, n=10,3 | Cycle 5, n=7,0 | Cycle 11, n=2,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0.925900 | 0.839071 | 0.768000 |
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Part A: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=9,4 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 178.5000 | 319.0000 |
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Part A: Cmax,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=9,4 | Cycle 5, n=8,1 | Cycle 11, n=5,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 222.5556 | 393.8750 | 405.4000 |
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Part A: Ctau at Steady State (Ctau,ss) of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 2: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose; Cycles 5 and 11: Pre-dose, 2 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 2, n=11,6 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 0.507900 |
,Part A: TSR-042 and Niraparib 300 mg QD | 0.622000 |
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Part A: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=8,1 | Cycle 5, n=8,1 |
---|
Part A: TSR-042 and Niraparib 300 mg QD | 63.3000 | 71.2000 |
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Part A: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=8,1 | Cycle 5, n=8,1 | Cycle 11, n=4,0 |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 77.3625 | 68.5500 | 93.8000 |
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Part A: Number of Participants With Non-serious Treatment-emergent Adverse Events (TEAEs), Serious TEAEs (STEAEs) and Adverse Events of Special Interest (AESIs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An SAE is defined as any untoward medical occurrence that, at any dose; 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 or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with TEAEs, SAEs and AESIs are reported. (NCT03307785)
Timeframe: Up to 28.5 months
Intervention | Participants (Count of Participants) |
---|
| Non-serious TEAEs | STEAEs | AESIs |
---|
Part A: TSR-042 and Niraparib 200 mg QD | 16 | 11 | 1 |
,Part A: TSR-042 and Niraparib 300 mg QD | 6 | 4 | 1 |
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Part D: Ctau,ss of TSR-042
Blood samples were collected at indicated time points. PK parameters of TSR-042 were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 4: Pre-dose, 0.5, 2, 24, 96, 168, 336 and 504 hours post-dose; Cycles 5 and 11: Pre-dose, 0.5, 2, 24, 96, 168, 336, 504 and 1008 hours post-dose (each cycle was 21 days)
Intervention | Microgram per milliliter (Mean) |
---|
| Cycle 4, n=5 | Cycle 5, n=5 | Cycle 11, n=3 |
---|
Part D: TSR-042, Carboplatin-paclitaxel and Bevacizumab | 53.5200 | 48.0800 | 43.3000 |
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Part C: Tmax of Niraparib
Blood samples were collected at indicated time points. PK parameters of niraparib were calculated using non-compartmental methods. (NCT03307785)
Timeframe: Cycle 1: Pre-dose, 1, 2, 4, 6, 8 and 24 hours post-dose (each cycle was 21 days)
Intervention | Hours (Median) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 3.975 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 4.050 |
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Part C: Progression-free Survival
Progression-free Survival is defined as the date of first dose to the date of disease progression or death due to any cause, whichever occurs earlier. PD 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. (NCT03307785)
Timeframe: Up to 22.5 months
Intervention | Months (Median) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | NA |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 9.1 |
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Part C: Objective Response Rate
Objective Response Rate is defined as the percentage of participants who achieved confirmed CR or PR, evaluated using RECIST version 1.1 based on Investigator assessment; where CR=Disappearance of all target lesions. Any pathological lymph nodes must be <10 mm in the short axis. PR=At least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters. (NCT03307785)
Timeframe: Up to 22.5 months
Intervention | Percentage of participants (Number) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 50.0 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 14.3 |
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Part C: Number of Participants With Positive Anti-TSR-042 Antibodies
Serum samples were collected at indicated time points and tested for the presence of antibodies that bind to TSR-042. The presence of anti-TSR-042 antibodies were assessed using a tiered approach using electrochemiluminescence (that is, screening, confirmation, titer, and neutralizing antibody assay). (NCT03307785)
Timeframe: Up to 22.5 months
Intervention | Participants (Count of Participants) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 0 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 0 |
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Part C: Number of Participants With DLT
An event was considered a DLT if it occurred within the first 21 days of treatment, and met one of following DLT criteria:hematologic toxicity- Grade4 thrombocytopenia persists for >=7 days from the time of AE onset, Grade 4 neutropenia, Grade 4 or Grade 3 febrile neutropenia persists for >=7 days, Grade4 or Grade3 anemia requiring blood transfusion, Grade 3 thrombocytopenia associated with clinically significant bleeding, Grade 3 neutropenia associated with infection as described in CTCAE version 4.0, drug related Grade 3 or 4 non-hematologic toxicity, drug related Grade 3 or 4 nonhematologic laboratory abnormality if any of the following also occur: abnormality leads to hospitalization and abnormality persists for >=7 days from the time of AE onset; drug related toxicity leading to prolonged delay (>2 weeks) in initiating Cycle 2. DLTs were collected during first cycle to establish RP2D. (NCT03307785)
Timeframe: 21 days
Intervention | Participants (Count of Participants) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 1 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 1 |
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Part C: Disease Control Rate
Disease Control Rate is defined as the percentage of participants who had achieved CR, PR, or SD per RECIST version 1.1. (NCT03307785)
Timeframe: Up to 22.5 months
Intervention | Percentage of participants (Number) |
---|
Part C: TSR-042, Niraparib 200 mg QD and Bevacizumab | 83.3 |
Part C: TSR-042, Niraparib 300 mg QD and Bevacizumab | 85.7 |
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Absolute Value of Tumor Mutational Burden (TMB) in Tumor Tissue
Mutational load within tumor tissue was defined as number per megabase of the genome, coding, base substitution, and indel mutations present in the sample. Mutational load was determined in whole blood samples using next generation deoxyribonucleic acid (DNA) sequencing followed by computational analysis. (NCT03317496)
Timeframe: Pre-dose on Day 1 of Cycle 1
Intervention | Mutations per megabase (Mean) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 4.3 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 2.8 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 4.4 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 2.5 |
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Duration of Response (DOR) as Per RECIST v 1.1 by Investigator Assessment
DOR was defined as time from first documentation of objective response (confirmed CR or PR) to the date of first PD documentation or death due to any cause, whichever occurs first. CR: disappearance of target and non-target lesions, with exception of nodal disease and normalization of tumor markers. All nodes, target and non-target must have short axis measures less than (<)10 millimeter(mm). PR: >=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. PD: >=20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm, appearance of one or more new lesions was considered PD. Median DOR was not derived for < 5 participants. (NCT03317496)
Timeframe: From date of first documented response to date of first documented PD or death due to any cause, whichever occurred first (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 9.6 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | NA |
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Number of Participants With Grade 3 or Higher TEAEs Based on National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) v 4.03
AE was any untoward medical occurrence in a participant who received any study drug without regard to possibility of causal relationship. TEAEs were those events with onset dates occurring during the on-treatment period. On-treatment period was defined as time from first dose of any study treatment and up to 30 days after last dose or start day of new anti-cancer drug therapy minus 1 day, whichever occurred first. TEAEs were graded by the investigator using NCI CTCAE v 4.03 as Grade 1 = mild; Grade 2 = moderate; Grade 3 = severe; Grade 4 = life-threatening; Grade 5 = death. In this outcome measure, number of participants with grade 3 or higher TEAEs were reported. (NCT03317496)
Timeframe: From start of the treatment up to 30 days after last dose or start of new anticancer therapy minus 1 day, whichever occurred first (maximum up to 5 years approximately)
Intervention | Participants (Count of Participants) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 5 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 12 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 6 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 37 |
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Overall Survival (OS)
OS was defined as the time from the first dose of study treatment to the date of death due to any cause. Participants last known to be alive were censored at the date of last contact. The median duration of OS was not derived for less than (<) 10 participants. (NCT03317496)
Timeframe: From first dose of study treatment until death due to any cause (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 18.1 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 15.1 |
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Percentage of Participants With Confirmed Objective Response (OR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 by Investigator Assessment
OR: complete response(CR) or partial response(PR)determined by investigator according to RECIST v1.1 from date of first dose of study treatment until date of first documentation of progressive disease(PD),confirmed by repeat assessments performed no less than 4 weeks after first response. CR: disappearance of target and non-target lesions, with exception of nodal disease and normalization of tumor markers. All nodes, target and non-target must have short axis measures less than (<)10 millimeter(mm). PR: >=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. PD: >=20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm, appearance of one or more new lesions was considered PD. (NCT03317496)
Timeframe: From start of the treatment until disease progression or death due to any cause, whichever occurred first (maximum up to 3.5 years approximately)
Intervention | Percentage of Participants (Number) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 50.0 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 53.8 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 33.3 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 39.0 |
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Phase 1b Lead-in: Number of Participants With Dose-Limiting Toxicities (DLT)
DLTs=occurrence of any AEs attributable to study treatment in first 2 treatment cycles:Hematologic: grade(G)4 neutropenia lasting >7days;febrile neutropenia with body temperature >=38 degree Celsius for >1hour; G>=3 neutropenic infection(absolute neutrophil count <1.0*10^9/L),G>=3 thrombocytopenia (platelet count<50.0-25.0*10^9/L)with bleeding;G4 thrombocytopenia(PC<25.0*10^9/L),G4 anemia(life-threatening).Non-hematologic: any G4 toxicities;G3 toxicities persisting for >3days despite medical treatment(nausea,vomiting,diarrhea)except endocrinopathies controlled with hormonal therapy;ALT/AST >3*upper limit of normal(ULN)if normal at baseline or 2*Baseline(>ULN at baseline)with total bilirubin >2*ULN and alkaline phosphatase <2*ULN;G3 QTcF prolongation after correction of any reversible cause(electrolyte abnormalities/hypoxia).Delay of >=3weeks in scheduled administration/failure to deliver 75% of doses due to toxicities attributable to any study treatment. DLT-evaluable analysis set. (NCT03317496)
Timeframe: Day 1 up to Week 6 (first 2 treatment cycles; 1 cycle = 21 days)
Intervention | Participants (Count of Participants) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 0 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 1 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 0 |
Phase 1b Lead-in: Avelumab 1200mg+Gemcitabine/Cisplatin | 1 |
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Progression Free Survival (PFS) as Per RECIST v 1.1 by Investigator Assessment
PFS was defined as the time from the date of first dose of study treatment to the date of the first documentation of PD per RECIST v1.1 or death due to any cause, whichever occurred first. PD: >=20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 5mm, appearance of one or more new lesions was considered PD. The median duration of PFS was not derived for less than (<) 10 participants. (NCT03317496)
Timeframe: From start of treatment until disease progression or death due to any cause, whichever occurred first (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 9.8 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | NA |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 5.4 |
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Time-to-Tumor Response (TTR) as Per RECIST v 1.1 by Investigator Assessment
TTR was defined as the time from the date of first dose of study treatment to the first documentation of objective response (CR or PR) as assessed by investigator according to RECIST v 1.1. CR: disappearance of target and non-target lesions, with exception of nodal disease and normalization of tumor markers. All nodes, target and non-target must have short axis measures less than (<)10 millimeter(mm). PR: >=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. (NCT03317496)
Timeframe: From first dose of study treatment until first documentation of CR or PR (maximum up to 5 years approximately)
Intervention | Months (Median) |
---|
Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 2.8 |
Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 1.4 |
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 1.3 |
Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 1.5 |
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Number of Participants With Grade 3 or Higher Laboratory Abnormalities by CTCAE Grade
Participants with laboratory abnormalities of any Grade as per NCI CTCAE toxicity grading v4.03 were summarized:hematology(anemia,hemoglobin increased,lymphocyte count decreased,lymphocyte count increased, neutrophil count decreased,platelet count decreased and white blood cell decreased)and clinical chemistry(alanine aminotransferase increased,alkaline phosphatase,increased,aspartate,aminotransferase increased,blood bilirubin increased,cholesterol high,creatinine phosphokinase[cpk] increased,creatinine increased,gamma-glutamyl transferase[ggt] increased,hypercalcemia,hyperglycemia,hyperkalemia, hypermagnesemia,hypernatremia,hypertriglyceridemia,hypoalbuminemia,hypocalcemia,hypoglycemia,hypokalemia,hypomagnesemia,hyponatremia, hypophosphatemia,serum amylase increased and lipase increased).As per NCI CTCAE toxicity grading v4.03, Grade1=mild;Grade2=moderate;Grade3=severe;Grade4=life-threatening;Grade 5=death.Parameters with at least 1 participant with abnormal value are reported. (NCT03317496)
Timeframe: From screening up to 90 days after last dose of study drug (maximum up to 5 years approximately)
Intervention | Participants (Count of Participants) |
---|
| ALANINE AMINOTRANSFERASE INCREASED | ALKALINE PHOSPHATASE INCREASED | ASPARTATE AMINOTRANSFERASE INCREASED | BLOOD BILIRUBIN INCREASED | CPK INCREASED | CREATININE INCREASED | GGT INCREASED | HYPERGLYCEMIA | HYPERKALEMIA | HYPOKALEMIA | HYPONATREMIA | LIPASE INCREASED | SERUM AMYLASE INCREASED | HYPOPHOSPHATEMIA | HYPOMAGNESEMIA | HYPOCALCEMIA | HYPERTRIGLYCERIDEMIA | HYPERNATREMIA | HYPERMAGNESEMIA | HYPERCALCEMIA | ANEMIA | LYMPHOCYTE COUNT DECREASED | LYMPHOCYTE COUNT INCREASED | NEUTROPHIL COUNT DECREASED | PLATELET COUNT DECREASED | WHITE BLOOD CELL DECREASED |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 3 | 0 | 3 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 1 | 0 | 1 | 1 | 0 | 1 | 2 | 2 | 1 | 0 | 2 | 2 | 2 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 5 | 5 | 0 | 8 | 2 | 7 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 2 | 0 | 1 | 0 | 1 | 0 | 2 | 0 | 2 | 0 | 0 | 0 | 0 | 2 | 3 | 0 | 3 | 3 | 2 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 3 | 1 | 2 | 0 | 1 | 0 | 4 | 4 | 2 | 5 | 4 | 4 | 4 | 3 | 2 | 1 | 2 | 1 | 1 | 1 | 6 | 7 | 1 | 21 | 11 | 16 |
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Number of Participants With Programmed Death-Ligand 1 (PD-L1) Expression
PD-L1 expression was determined using the Ventana PD-L1 SP263 IHC assay. PD-L1-positive status in UC cohorts was defined using an algorithm that combines assessments of PD-L1 staining on tumor and immune cells scored by pathologists and in NSCLC cohorts was defined as PD-L1 expression on >=1% of tumor cells. PD-L1 expression at baseline and on-treatment were reported in this outcome measure. (NCT03317496)
Timeframe: Baseline and Cycle 2 Day 8 (each cycle of 21 days)
Intervention | Participants (Count of Participants) |
---|
| Baseline- Positive PD-L1 | Baseline- Negative PD-L1 | Baseline- Unknown PD-L1 | On-treatment (Cycle 2 Day 8)- Positive PD-L1 | On-treatment (Cycle 2 Day 8)- Negative PD-L1 | On-treatment (Cycle 2 Day 8)- Unknown PD-L1 |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 1 | 4 | 1 | 1 | 0 | 5 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 6 | 7 | 0 | 2 | 1 | 10 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 0 | 4 | 2 | 0 | 2 | 4 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 28 | 13 | 0 | 3 | 6 | 32 |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Adverse event (AE) was any untoward medical occurrence in a participants who received any study drug without regard to possibility of causal relationship. Serious adverse event was any untoward medical occurrence that at any dose resulted in any of following outcomes/deemed significant for any other reason: death; initial /prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. TEAEs were those events with onset dates occurring during the on-treatment period. On-treatment period was defined as time from first dose of any study treatment and up to 30 days after last dose or start day of new anti-cancer drug therapy minus 1 day, whichever occurred first. (NCT03317496)
Timeframe: From start of the treatment up to 30 days after last dose or start of new anticancer therapy minus 1 day, whichever occurred first (maximum up to 5 years approximately)
Intervention | Participants (Count of Participants) |
---|
| TEAEs | Serious TEAEs |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 6 | 5 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 13 | 9 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 6 | 3 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 40 | 20 |
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Serum Concentration of Avelumab
The lower limit of quantification (LLOQ) for avelumab was 0.2 micrograms per milliliter. Pharmacokinetic concentration analysis set was subset of safety analysis set and included participants who had at least one concentration measurement for avelumab or other study drugs which they were assigned to receive. Treatment groups with same dose and administration frequency were combined as pre-specified in reporting and analysis plan. (NCT03317496)
Timeframe: Pre-dose, 1 hour post-dose on Day 1 of Cycle 1, 2, 3, 6, 10, 14; 336 hours post-dose on Day 15 of Cycle 1, 2, 3 (each cycle of 21 days)
Intervention | Micrograms per milliliter (Geometric Mean) |
---|
| Cycle 1/Day 1- 1 hour | Cycle 1/Day 15- 336 hours | Cycle 2/Day 1- pre-dose | Cycle 2/Day 1- 1 hour | Cycle 2/Day 15- 336 hours | Cycle 3/Day 1- pre-dose | Cycle 3/Day 1- 1 hour | Cycle 3/Day 15- 336 hours | Cycle 6/Day 1- pre-dose | Cycle 6/Day 1- 1 hour | Cycle 10/Day 1- pre-dose | Cycle 10/Day 1- 1 hour | Cycle 14/Day 1- pre-dose | Cycle 14/Day 1- 1 hour |
---|
Phase 1b Lead-in: Avelumab 1200 mg + Pemetrexed/Carboplatin | 284.1 | 16.51 | 4.328 | 104.5 | 16.82 | 4.878 | 93.81 | 26.17 | 10.86 | 245.4 | 6.620 | 6.040 | 12.24 | 29.05 |
,Phase 1b Lead-in: Avelumab 800 mg + Gemcitabine/Cisplatin | 172.2 | 9.570 | 3.754 | 197.0 | 13.55 | 5.651 | 204.0 | 17.15 | 9.518 | 208.3 | 8.695 | 222.0 | 13.37 | 216.6 |
,Phase 1b Lead-in: Avelumab 800 mg + Pemetrexed/Carboplatin | 173.3 | 12.32 | 4.780 | 164.2 | 16.87 | 8.122 | 147.0 | 19.40 | 11.38 | 92.53 | 9.523 | 179.0 | 14.97 | 215.3 |
,Phase 1b Lead-in+Phase 2:Avelumab 1200mg+Gemcitabine/Cisplatin | 300.2 | 14.71 | 5.013 | 311.9 | 18.66 | 6.771 | 296.8 | 22.55 | 10.39 | 344.0 | 18.55 | 242.9 | 16.49 | 402.2 |
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Time to Response (TTR) by IRRC Assessment
TTR was defined as the time of participants from the first treatment administration to the first incidence of a confirmed CR (disappearance of all lesions) or PR (at least a 30% decrease in the sum of diameters [SOD] of target lesions, taking as reference the baseline SOD) according to RECIST 1.1, which was modified for this study to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ. The time from first treatment administration to the first incidence of treatment response was reported as the TTR (NCT03607539)
Timeframe: Trough Database Cutoff Date of 15-Nov-2019 (Up to approximately 16 months)
Intervention | Months (Median) |
---|
Sintilimab Combination | 1.51 |
Placebo Combination | 2.63 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Independent Radiographic Review Committee (IRRC)
PFS was defined as the time from randomization to the first documented PD or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD (NCT03607539)
Timeframe: Trough Database Cutoff Date of 15-Nov-2019 (Up to approximately 16 months)
Intervention | Months (Median) |
---|
Sintilimab Combination | 8.9 |
Placebo Combination | 5.0 |
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Duration of Response (DOR) by IRRC Assessment
(NCT03607539)
Timeframe: From time of first documented evidence of CR or PR trough Database Cutoff Date of 15-Nov-2019 (Up to approximately 16 months)
Intervention | Months (Median) |
---|
Sintilimab Combination | NA |
Placebo Combination | 5.52 |
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Overall Survival (OS)
The analysis population consisted of all randomized participants. (NCT03607539)
Timeframe: Trough Database Cutoff Date of 15-Nov-2019 (Up to approximately 16 months)
Intervention | Months (Median) |
---|
Sintilimab Combination | NA |
Placebo Combination | NA |
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Objective Response Rate (ORR) by IRRC Assessment
ORR was defined as the percentage of participants in the analysis population who had a confirmed CR (disappearance of all lesions) or PR (at least a 30% decrease in the sum of diameters [SOD] of target lesions, taking as reference the baseline SOD) according to RECIST 1.1, which was modified for this study to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ. The percentage of participants who experienced a confirmed CR or PR according to RECIST 1.1 as assessed by IRC was reported as the ORR (NCT03607539)
Timeframe: Trough Database Cutoff Date of 15-Nov-2019 (Up to approximately 16 months)
Intervention | Percentage of Participants (Number) |
---|
Sintilimab Combination | 51.9 |
Placebo Combination | 29.8 |
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Disease Control Rate (DCR) by IRRC Assessment
(NCT03607539)
Timeframe: Trough Database Cutoff Date of 15-Nov-2019 (Up to approximately 16 months)
Intervention | Percentage of Participants (Number) |
---|
Sintilimab Combination | 86.8 |
Placebo Combination | 75.6 |
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Number of Participants Who Discontinued From Study Treatment Due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued treatment due to an AE was assessed. (NCT03631784)
Timeframe: Up to approximately 1 year
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab + cCRT + Paclitaxel + Carboplatin | 48 |
Pembrolizumab + cCRT + Pemetrexed + Cisplatin | 26 |
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Percentage of Participants Who Developed Grade 3 or Higher Pneumonitis
Pneumonitis included the MedDRA preferred terms for radiation pneumonitis are acute interstitial pneumonitis, autoimmune lung disease, interstitial lung disease, pneumonitis, idiopathic pneumonia syndrome, organizing pneumonia, and immune-mediated pneumonitis. As per common terminology criteria for Adverse Events, version 4.0, pneumonitis was graded as follows: Grade (Gr) 1- asymptomatic, clinical or diagnostic observations only; intervention not indicated; Gr 2- symptomatic, medical intervention indicated, limiting instrumental activities of daily living (ADL); Gr 3- severe symptoms; limiting self-care activities of daily living (ADL), oxygen indicated; Gr 4- life-threatening respiratory compromise; urgent intervention indicated (e.g., tracheotomy or intubation); Gr 5- death. (NCT03631784)
Timeframe: Up to approximately 3 years
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + cCRT + Paclitaxel + Carboplatin | 8.0 |
Pembrolizumab + cCRT + Pemetrexed + Cisplatin | 6.9 |
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Number of Participants Who Experienced an Adverse Event (AE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants with at least one AE was assessed. (NCT03631784)
Timeframe: Up to approximately 1 1/4 years
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab + cCRT + Paclitaxel + Carboplatin | 108 |
Pembrolizumab + cCRT + Pemetrexed + Cisplatin | 101 |
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Overall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
ORR was defined as the percentage of participants who experienced 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) and was assessed using modified RECIST 1.1 by blinded independent central review (BICR). (NCT03631784)
Timeframe: Up to approximately 3 years
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab + cCRT + Paclitaxel + Carboplatin | 71.4 |
Pembrolizumab + cCRT + Pemetrexed + Cisplatin | 75.5 |
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Percentage of Participants Discontinuing Study Intervention Due to an AE.
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who discontinued the study intervention due to an AE is presented. (NCT03664024)
Timeframe: Up to ~28 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab Plus Platinum-doublet Chemotherapy | 38.5 |
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Percentage of Participants Who Experienced One or More Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who experienced an AE is presented. (NCT03664024)
Timeframe: Up to ~31 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab Plus Platinum-doublet Chemotherapy | 100 |
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Overall Survival (OS)
OS is defined as the time from the start of treatment to death due to any cause. The Kaplan-Meier estimate of median PFS using the product-limit (Kaplan-Meier) method for censored data is presented. (NCT03664024)
Timeframe: Up to ~36 months
Intervention | Months (Median) |
---|
Pembrolizumab Plus Platinum-doublet Chemotherapy | 18.1 |
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Objective Response Rate
Objective response rate is the proportion of participants who have a confirmed complete response (CR) or partial response (PR). Objective response rate is assessed by investigator review according to Response Evaluation Criteria in Solid Tumors (RECIST) 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 <10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Participants with missing data are considered non-responders. The percentage of participants with an ORR is presented. (NCT03664024)
Timeframe: Up to ~25 months
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab Plus Platinum-doublet Chemotherapy | 40.2 |
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Progression Free Survival (PFS)
PFS is defined as the time from enrollment to the first documented disease progression or death due to any cause, whichever occurs first as assessed by investigator review according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1). The Kaplan-Meier estimate of median PFS using the product-limit (Kaplan-Meier) method for censored data is presented. (NCT03664024)
Timeframe: Up to ~36 months
Intervention | Months (Median) |
---|
Pembrolizumab Plus Platinum-doublet Chemotherapy | 7.2 |
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Tumor Mutation Burden (TMB) in Cell-free Circulating Tumor Deoxyribonucleic Acid (ctDNA)
Cell-free ctDNA allows the exploration of tumor features from blood samples. TMB is a measure of mutational load in tumor cells and expressed as the number of somatic mutations per megabase (mut/MB) of DNA. The mean TMB in cell-free ctDNA of participants is presented. (NCT03664024)
Timeframe: Baseline (Day 1)
Intervention | Mut/MB (Mean) |
---|
Pembrolizumab Plus Platinum-doublet Chemotherapy Overall | 9 |
Pembrolizumab Plus Platinum-doublet Chemotherapy Responder | 8 |
Pembrolizumab Plus Platinum-doublet Chemotherapy Non-responder | 10 |
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Number of Participants With Adverse Events
To characterize the toxicity of carboplatin plus pemetrexed plus atezolizumab plus bevacizumab in immunotherapy and chemotherapy-naïve patients with stage IV non-squamous non-small cell lung cancer as defined by the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE) v5. (NCT03713944)
Timeframe: From C1D1 up to a maximum of 20 Months or until death
Intervention | Participants (Count of Participants) |
---|
| Patient had at least one adverse event of any grade | Patient had at least one grade 3 or greater adverse event | Patient had at least one grade 3 or greater treatment related adverse event | Patient had serious adverse event |
---|
Arm A | 30 | 24 | 19 | 12 |
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Disease Control Rate
Disease control rate will include complete response (CR], partial response (PR), and stable disease (SD), as per RECIST v1.1 criteria. (NCT03713944)
Timeframe: From C1D1 until death or up to a maximum of 28 months
Intervention | percentage of participants (Number) |
---|
Arm A | 92.9 |
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Overall Response Rate
"Overall Response rate will include confirmed complete response (CR) + confirmed partial response (PR), as determined as per RECIST v1.1 criteria and assessed by the local investigator or designee.~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." (NCT03713944)
Timeframe: From C1D1 until death or up to a maximum of 28 months.
Intervention | percentage of participants (Number) |
---|
Arm A | 42.9 |
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Overall Survival
To estimate the overall survival (OS) of carboplatin plus pemetrexed plus atezolizumab plus bevacizumab in immunotherapy and chemotherapy-naïve patients with stage IV non-squamous non-small cell lung cancer. (NCT03713944)
Timeframe: From C1D1 up to a maximum of 28 Months or until death
Intervention | months (Median) |
---|
Arm A | 22.4 |
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Progression Free Survival
Progression free survival (PFS) defined as the time from the initiation of treatment to the time when the criteria for disease progression is met as defined by RECIST v1.1 or death of any cause.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 (NCT03713944)
Timeframe: From C1D1 until progression or death up to maximum of 20 Months
Intervention | months (Median) |
---|
Arm A | 11.3 |
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Objective Response Rate (ORR), Per Investigator Assessment Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Criteria
"ORR= number of subjects with best overall response (BOR) of complete or partial response (CR, PR) divided by number of evaluable subjects. BOR= best response recorded from start of treatment to first progression (PD)/new anticancer therapy, otherwise last follow-up.~CR: disappearance of target and non-target lesions; no new lesions; pathological lymph nodes < 10mm.~PR: 30% decrease in target lesions; non-target lesions not progressed or not evaluated; no new lesions.~PD: 20% increase of target lesions and/or new lesion(s).~ORR was to be compared using Fisher's exact test within each ALK inhibitor treatment arm (each mutation vs. no mutation) and also within the subset of subjects with no mutation comparing each experimental arm vs. pemetrexed. Due to early accrual closure (few subjects), only the number of subjects with BOR of CR or PR are provided, by mutation, no statistical testing. Analysis was to occur after each patient was potentially followed ≥ 24 weeks." (NCT03737994)
Timeframe: Baseline to 24 weeks
Intervention | Participants (Count of Participants) |
---|
| Mutation = I1171: BOR of CR or PR | Mutation = None: BOR of CR or PR |
---|
Brigatinib | 0 | 1 |
,Lorlatinib | 1 | 2 |
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Progression-free Survival (PFS), Per Investigator Assessment Using RECIST v1.1 Criteria
Progression-free survival time is defined as the time from second step registration to the date of the first disease progression / progressive disease (PD), death, or last known follow-up (censored). Progressive disease is defined as a 20% increase of target lesions and/or new lesion(s). Percentage of participants progression-free at a given time (PFS) was to be estimated by the Kaplan-Meier method. Median PFS and PFS at specific time points was to be reported, with 95% confidence intervals, for each mutation (or no mutation)/regimen combination. Due to early accrual closure resulting in few participants, only the number of participants who progressed or died, by mutation, with no statistical testing. (NCT03737994)
Timeframe: Baseline to the date of the first disease progression / progressive disease, death, or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) |
---|
| Mutation = I1107: progression or death |
---|
LDK378 (Ceritinib) | 0 |
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Overall Survival (OS)
Survival time is defined as the time from second step registration to the date of death, or last known follow-up (censored). Percentage of participants alive at a given time (OS) was to be estimated by the Kaplan-Meier method. Median OS and OS at specific time points was to be reported, with 95% confidence intervals, for each mutation/regimen combination. Due to early accrual closure resulting in few patients, only the number of participants who died are provided, by mutation, and no statistical testing was done. (NCT03737994)
Timeframe: Baseline to the date of death or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) |
---|
| Mutation = I1171: deaths | Mutation = None: deaths |
---|
Brigatinib | 0 | 1 |
,Lorlatinib | 0 | 0 |
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Progression-free Survival (PFS), Per Investigator Assessment Using RECIST v1.1 Criteria
Progression-free survival time is defined as the time from second step registration to the date of the first disease progression / progressive disease (PD), death, or last known follow-up (censored). Progressive disease is defined as a 20% increase of target lesions and/or new lesion(s). Percentage of participants progression-free at a given time (PFS) was to be estimated by the Kaplan-Meier method. Median PFS and PFS at specific time points was to be reported, with 95% confidence intervals, for each mutation (or no mutation)/regimen combination. Due to early accrual closure resulting in few participants, only the number of participants who progressed or died, by mutation, with no statistical testing. (NCT03737994)
Timeframe: Baseline to the date of the first disease progression / progressive disease, death, or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) |
---|
| Mutation = none: progression or death |
---|
Ensartinib | 2 |
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Objective Response Rate (ORR), Per Investigator Assessment Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Criteria
"ORR= number of subjects with best overall response (BOR) of complete or partial response (CR, PR) divided by number of evaluable subjects. BOR= best response recorded from start of treatment to first progression (PD)/new anticancer therapy, otherwise last follow-up.~CR: disappearance of target and non-target lesions; no new lesions; pathological lymph nodes < 10mm.~PR: 30% decrease in target lesions; non-target lesions not progressed or not evaluated; no new lesions.~PD: 20% increase of target lesions and/or new lesion(s).~ORR was to be compared using Fisher's exact test within each ALK inhibitor treatment arm (each mutation vs. no mutation) and also within the subset of subjects with no mutation comparing each experimental arm vs. pemetrexed. Due to early accrual closure (few subjects), only the number of subjects with BOR of CR or PR are provided, by mutation, no statistical testing. Analysis was to occur after each patient was potentially followed ≥ 24 weeks." (NCT03737994)
Timeframe: Baseline to 24 weeks
Intervention | Participants (Count of Participants) |
---|
| Mutation = None: BOR of CR or PR |
---|
Ensartinib | 0 |
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Progression-free Survival (PFS), Per Investigator Assessment Using RECIST v1.1 Criteria
Progression-free survival time is defined as the time from second step registration to the date of the first disease progression / progressive disease (PD), death, or last known follow-up (censored). Progressive disease is defined as a 20% increase of target lesions and/or new lesion(s). Percentage of participants progression-free at a given time (PFS) was to be estimated by the Kaplan-Meier method. Median PFS and PFS at specific time points was to be reported, with 95% confidence intervals, for each mutation (or no mutation)/regimen combination. Due to early accrual closure resulting in few participants, only the number of participants who progressed or died, by mutation, with no statistical testing. (NCT03737994)
Timeframe: Baseline to the date of the first disease progression / progressive disease, death, or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) |
---|
| Mutation = I1107: progression or death | Mutation = none: progression or death |
---|
Brigatinib | 1 | 1 |
,Lorlatinib | 0 | 1 |
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Objective Response Rate (ORR), Per Investigator Assessment Using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 Criteria
"ORR= number of subjects with best overall response (BOR) of complete or partial response (CR, PR) divided by number of evaluable subjects. BOR= best response recorded from start of treatment to first progression (PD)/new anticancer therapy, otherwise last follow-up.~CR: disappearance of target and non-target lesions; no new lesions; pathological lymph nodes < 10mm.~PR: 30% decrease in target lesions; non-target lesions not progressed or not evaluated; no new lesions.~PD: 20% increase of target lesions and/or new lesion(s).~ORR was to be compared using Fisher's exact test within each ALK inhibitor treatment arm (each mutation vs. no mutation) and also within the subset of subjects with no mutation comparing each experimental arm vs. pemetrexed. Due to early accrual closure (few subjects), only the number of subjects with BOR of CR or PR are provided, by mutation, no statistical testing. Analysis was to occur after each patient was potentially followed ≥ 24 weeks." (NCT03737994)
Timeframe: Baseline to 24 weeks
Intervention | Participants (Count of Participants) |
---|
| Mutation = I1171: BOR of CR or PR |
---|
LDK378 (Ceritinib) | 0 |
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Duration of Overall Response, Per Investigator Assessment Using RECIST v1.1
"Duration of overall response (DOR) is defined as the time from the first occurrence of a documented BOR of CR or PR to the first date of recorded disease progression (PD) or death from any cause (whichever occurs first). BOR is the best response recorded from the start of treatment to first progression (PD)/new anticancer therapy, otherwise last follow-up.~CR: disappearance of target and non-target lesions; no new lesions; pathological lymph nodes < 10mm.~PR: 30% decrease in target lesions; non-target lesions not progressed or not evaluated; no new lesions.~PD: 20% increase of target lesions and/or new lesion(s).~Median DOR was to be estimated, with 95% confidence intervals, for each mutation/regimen combination using the Kaplan-Meier method. Due to early accrual closure resulting in few subjects, only the mean and range DOR are provided, by mutation, and no statistical testing was done." (NCT03737994)
Timeframe: Baseline to the date of the first disease progression / progressive disease, death, or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | months (Mean) |
---|
| Mutation = I1171 | Mutation = None |
---|
Lorlatinib | 27.9 | 19.2 |
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Duration of Overall Response, Per Investigator Assessment Using RECIST v1.1
"Duration of overall response (DOR) is defined as the time from the first occurrence of a documented BOR of CR or PR to the first date of recorded disease progression (PD) or death from any cause (whichever occurs first). BOR is the best response recorded from the start of treatment to first progression (PD)/new anticancer therapy, otherwise last follow-up.~CR: disappearance of target and non-target lesions; no new lesions; pathological lymph nodes < 10mm.~PR: 30% decrease in target lesions; non-target lesions not progressed or not evaluated; no new lesions.~PD: 20% increase of target lesions and/or new lesion(s).~Median DOR was to be estimated, with 95% confidence intervals, for each mutation/regimen combination using the Kaplan-Meier method. Due to early accrual closure resulting in few subjects, only the mean and range DOR are provided, by mutation, and no statistical testing was done." (NCT03737994)
Timeframe: Baseline to the date of the first disease progression / progressive disease, death, or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | months (Mean) |
---|
| Mutation = None |
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Brigatinib | 3.5 |
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Number of Participants by Highest Grade Adverse Event Reported
Common Terminology Criteria for Adverse Events (version 4.0) grades adverse event severity from 1=mild to 5=death. Summary data is provided in this outcome measure; see Adverse Events Module for specific adverse event data. (NCT03737994)
Timeframe: Baseline to the date of last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) | Participants (Count of Participants) |
---|
| Mutation = I110772512695 | Mutation = I110772512697 | Mutation = I110772512700 | Mutation = none72512697 | Mutation = none72512695 | Mutation = none72512698 |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 |
---|
Lorlatinib | 1 |
LDK378 (Ceritinib) | 1 |
LDK378 (Ceritinib) | 0 |
Brigatinib | 0 |
Lorlatinib | 0 |
Lorlatinib | 2 |
Ensartinib | 3 |
Brigatinib | 1 |
Ensartinib | 0 |
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Overall Survival (OS)
Survival time is defined as the time from second step registration to the date of death, or last known follow-up (censored). Percentage of participants alive at a given time (OS) was to be estimated by the Kaplan-Meier method. Median OS and OS at specific time points was to be reported, with 95% confidence intervals, for each mutation/regimen combination. Due to early accrual closure resulting in few patients, only the number of participants who died are provided, by mutation, and no statistical testing was done. (NCT03737994)
Timeframe: Baseline to the date of death or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) |
---|
| Mutation = None: deaths |
---|
Ensartinib | 2 |
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Overall Survival (OS)
Survival time is defined as the time from second step registration to the date of death, or last known follow-up (censored). Percentage of participants alive at a given time (OS) was to be estimated by the Kaplan-Meier method. Median OS and OS at specific time points was to be reported, with 95% confidence intervals, for each mutation/regimen combination. Due to early accrual closure resulting in few patients, only the number of participants who died are provided, by mutation, and no statistical testing was done. (NCT03737994)
Timeframe: Baseline to the date of death or last known follow-up. Maximum follow-up time was 33.6 months, median 8.9 months.
Intervention | Participants (Count of Participants) |
---|
| Mutation = I1171: deaths |
---|
LDK378 (Ceritinib) | 0 |
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Progression-free Survival
"Progression-free survival (PFS) based on investigator assessments according to Response Evaluation Criteria in Solid Tumours version 1.1.~PFS is defined as time from date of randomization until the date of objective radiological disease progression using Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST 1.1) or death (by any cause in the absence of progression)." (NCT03775486)
Timeframe: From randomization until date of objective radiological disease progression or death, or last evaluable assessment in the absence of progression, up to 18 months
Intervention | Participants (Count of Participants) |
---|
| RECIST progression: Target Lesions | RECIST progression: Non Target Lesions | RECIST progression: New Lesions | Death in the absence of progression | Censored subjects: Censored RECIST progression | Censored subjects: Censored death | Censored subjects: Progression-free at time of analysis | Censored subjects: Progression-free prior to lost to follow-up | Censored subjects: Progression-free prior to withdrawal of consent | Censored subjects: Progression-free prior to discontinuation due to other reason | Censored subjects: No post-baseline evaluable tumor assessment |
---|
Durvalumab/Olaparib Combination Therapy | 40 | 28 | 44 | 8 | 0 | 1 | 44 | 0 | 3 | 0 | 2 |
,Durvalumab/Placebo Therapy | 63 | 30 | 39 | 9 | 0 | 0 | 34 | 0 | 2 | 0 | 2 |
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Time to Deterioration in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13
"Disease-related symptoms assessed by time to deterioration (for maintenance phase) in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13.~Symptom deterioration is defined as an increase in the score from baseline of less than or equal to 10) that is confirmed at a subsequent assessment, or death (by any cause) in the absence of a clinically meaningful symptom deterioration.~NA is not applicable. The upper confidence limit was not calculable because of an insufficient number of participants with events." (NCT03775486)
Timeframe: From randomization until date of objective radiological disease progression or death, or last evaluable assessment in the absence of progression, up to 18 months
Intervention | months (Median) |
---|
| EORTC QLQ-LC13: Dyspnoea | EORTC QLQ-LC13: Coughing | EORTC QLQ-LC13: Haemoptysis | EORTC QLQ-LC13: Pain In Chest | EORTC QLQ-LC13: Pain In Arm Or Shoulder | EORTC QLQ-LC13: Pain In Other Parts |
---|
Durvalumab/Olaparib Combination Therapy | 10.0 | 11.7 | 15.0 | 13.8 | 15.0 | 10.3 |
,Durvalumab/Placebo Therapy | 9.7 | 10.6 | 12.6 | 11.5 | 9.7 | 10.6 |
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Time to Deterioration in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30
"Disease-related symptoms and health-related quality of life (HRQoL) assessed by time to deterioration (for maintenance phase) in EORTC QLQ-C30.~NA is not applicable. The upper confidence limit was not calculable because of an insufficient number of participants with events." (NCT03775486)
Timeframe: From randomization until date of first symptom deterioration that is confirmed, up to 18 months.
Intervention | time to deterioration (months) (Median) |
---|
| EORTC QLQ-C30: Fatigue | EORTC QLQ-C30: Nausea And Vomiting | EORTC QLQ-C30: Pain | EORTC QLQ-C30: Dyspnoea | EORTC QLQ-C30: Insomnia | EORTC QLQ-C30: Appetite Loss | EORTC QLQ-C30: Constipation | EORTC QLQ-C30: Diarrhoea | Physical Functioning | Role Functioning | Emotional Functioning | Cognitive Functioning | Social Functioning | Global Health Status/Quality of Life |
---|
Durvalumab/Olaparib Combination Therapy | 8.8 | 12.2 | 10.2 | 12.2 | 13.8 | 11.7 | 12.2 | 13.8 | 12.0 | 10.0 | 12.2 | 10.2 | 9.3 | 10.2 |
,Durvalumab/Placebo Therapy | 10 | 12.6 | 9.7 | 11.0 | 10.6 | 11.5 | 12.0 | 11.5 | 12.0 | 10.6 | 11.0 | 10.6 | 10.0 | 9.7 |
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Presence of Anti-drug Antibodies (ADAs) for Durvalumab
Presence of anti-drug antibodies (ADAs) for durvalumab, as assessed at 3, 6, 12, 16 and 20 weeks after start of treatment and every 12 weeks thereafter until 3 and 6 months after last dose of durvalumab (NCT03775486)
Timeframe: Assessed from start of initial therapy up to 2 years.
Intervention | Participants (Count of Participants) |
---|
| ADA prevalence (any ADA positive, baseline or post-baseline) | ADA incidence (treatment-induced or treatment-boosted) | ADA positive post-baseline and positive at baseline | ADA positive post-baseline and not detected at baseline (treatment-induced) | ADA not detected at post-baseline and positive at baseline | Treatment-boosted ADA | Persistent positive | Transient positive | Neutralizing anti-drug antibody positive at any visit |
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Durvalumab/Olaparib Combination Therapy | 11 | 5 | 0 | 5 | 6 | 0 | 0 | 5 | 1 |
,Durvalumab/Placebo Therapy | 9 | 4 | 1 | 4 | 4 | 0 | 3 | 2 | 1 |
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Overall Survival
"Overall survival (OS) across the maintenance phase.~OS is defined as time from date of randomization until the date of death by any cause" (NCT03775486)
Timeframe: From randomization until the date of death due to any cause, up to 18 months.
Intervention | Participants (Count of Participants) |
---|
| Death | Censored participants (still in survival at follow up or terminated study prior to death) |
---|
Durvalumab/Olaparib Combination Therapy | 44 | 90 |
,Durvalumab/Placebo Therapy | 45 | 90 |
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Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Lung Cancer (LC)13
"Disease-related symptoms assessed by change from baseline (for maintenance phase) in EORTC QLQ-LC13. Average adjusted mean over first 11 cycles is presented.~The EORTC QLQ-LC13 was scored according to the published scoring manual. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales in the EORTC QLQ-LC13. Higher scores on symptom scales represent greater symptom severity." (NCT03775486)
Timeframe: From randomization until date of objective radiological disease progression or death, or last evaluable assessment in the absence of progression, up to 18 months
Intervention | change from baseline score (Mean) |
---|
| EORTC QLQ-LC13: Dyspnoea | EORTC QLQ-LC13: Coughing | EORTC QLQ-LC13: Pain in chest |
---|
Durvalumab/Olaparib Combination Therapy | -1.27 | -2.14 | 1.31 |
,Durvalumab/Placebo Therapy | -0.76 | -3.09 | 3.57 |
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Duration of Response
"Duration of response (DoR) defined as time from the date of first documented response following randomization until the first date of documented progression or death in the absence of disease progression.~Percentage of participants remaining in response at 3, 6, 9 and 12 months estimated using the Kaplan-Meier method." (NCT03775486)
Timeframe: From date of first documented response until objective radiological disease progression or death, up to 18 months.
Intervention | percent (Number) |
---|
| Percentage of participants remaining in response at 3 months | Percentage of participants remaining in response at 6 months | Percentage of participants remaining in response at 9 months | Percentage of participants remaining in response at 12 months |
---|
Durvalumab/Olaparib Combination Therapy | 90.5 | 79.1 | 69.2 | 69.2 |
,Durvalumab/Placebo Therapy | 85.1 | 65.7 | 65.7 | 65.7 |
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Concentration of Durvalumab
Concentration (pharmacokinetics) of durvalumab (NCT03775486)
Timeframe: Assessed from start of initial therapy up to 2 years.
Intervention | μg/mL (Geometric Mean) |
---|
| Cycle 01 Day 01 (Initial Therapy Phase) Post dose | Cycle 02 Day 01 (Initial Therapy Phase) Pre dose | Cycle 04 Day 01 (Initial Therapy Phase) Pre dose | Cycle 01 (Maintenance Phase) Post dose | Cycle 02 (Maintenance Phase) Pre dose | Cycle 05 (Maintenance Phase) Pre dose | Cycle 08 (Maintenance Phase) Pre dose | Cycle 11 (Maintenance Phase) Pre dose | Cycle 14 (Maintenance Phase) Pre dose | Cycle 17 (Maintenance Phase) Pre dose | Cycle 20 (Maintenance Phase) Pre dose | Month 03 (Maintenance Phase) Pre dose |
---|
Durvalumab/Olaparib Combination Therapy | 417.152 | 76.812 | 155.461 | 535.078 | 159.157 | 166.644 | 198.932 | 210.794 | 276.612 | 264.096 | 528.046 | 12.289 |
,Durvalumab/Placebo Therapy | 453.724 | 76.959 | 154.947 | 524.306 | 160.315 | 147.848 | 154.057 | 186.092 | 182.042 | 217.137 | 112.276 | 12.769 |
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Change From Baseline in EORTC Quality of Life Questionnaire (QLQ) QLQ-C30
"Disease-related symptoms and health-related quality of life (HRQoL) assessed by change from baseline (for maintenance phase) in EORTC QLQ-C30. Average adjusted mean over first 11 cycles is presented.~The EORTC QLQ-C30 was scored according to the published scoring manual. An outcome variable consisting of a score from 0 to 100 was derived for each of the symptom scales, each of the function scales, and the global health status/QoL scale in the EORTC QLQ-C30. Higher scores on the global health status and function scales indicate better health status/function.~A high scale score represents a higher response level. Thus a high score for a functional scale represents a high / healthy level of functioning, a high score for the global health status / quality of life (QoL) represents a high QoL, but a high score for a symptom scale / item represents a high level of symptomatology / problems." (NCT03775486)
Timeframe: Includes all assessments occurring within the first 12 months of randomization or until disease progression, up to 18 months.
Intervention | change from baseline score (Mean) |
---|
| EORTC QLQ-C30: Fatigue | EORTC QLQ-C30: Appetite loss |
---|
Durvalumab/Olaparib Combination Therapy | 0.15 | -0.13 |
,Durvalumab/Placebo Therapy | -1.49 | -3.35 |
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Number of Participants With Positive Antidrug Antibodies (ADA)
Serum samples were analyzed by a validated assay method to detect the presence of antidrug antibodies (ADA). Number of participants with positive ADA were reported. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | Participants (Count of Participants) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 9 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 3 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 2 |
Cohort D: Bintrafusp Alfa + Docetaxel | 3 |
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Number of Participants With Dose-Limiting Toxicities (DLTs)
DLT was defined as Adverse Events(AEs) with any of following toxicities: Grade 4 nonhematologic toxicity or hematologic toxicity lasting more than equal to(>=) 7 days despite medical intervention; Grade 3 nausea, vomiting, and diarrhea lasting >= 3 days despite supportive care; Any Grade 3 or Grade 4 nonhematologic lab value leading to hospitalization or persisting for >= 7 days; Grade 3 or Grade 4: grade 3 is defined as absolute neutrophil count (ANC) less than (<) 1,000/Cubic Millimeter(mm3) with a temperature of > 38.3 degree Celsius (°C); grade 4 is defined as ANC < 1,000/mm3 with a temperature of > 38.3°C, with life-threatening consequences; Thrombocytopenia < 25,000/mm3 associated with bleeding not resulting in hemodynamic instability or a life-threatening bleeding resulting in urgent intervention; Bleeding events >= Grade 3 occurring within 5 days of bintrafusp alfa treatment; Prolonged delay(> 3 weeks) in initiating Cycle 2 due to treatment-related toxicity; Grade 5 toxicity. (NCT03840915)
Timeframe: Day 1 Week 1 up to Week 3
Intervention | Participants (Count of Participants) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 1 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 1 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 0 |
Cohort D: Bintrafusp Alfa + Docetaxel | 3 |
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Duration of Response (DOR)
DOR was defined for participants with confirmed response, as the time from first documentation of confirmed objective response (Complete Response [CR] or Partial Response [PR]) according to RECIST 1.1 to the date of first documentation of progression disease (PD) or death due to any cause, whichever occurred first. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the SLD of all lesions. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Results were calculated based on Kaplan-Meier estimates. (NCT03840915)
Timeframe: Time from first documentation of a confirmed objective response to PD or death due to any cause (assessed up to approximately 26 months)
Intervention | months (Median) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 9.6 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | NA |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 10.5 |
Cohort D: Bintrafusp Alfa + Docetaxel | 3.4 |
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether considered related to the medicinal product or protocol-specified procedure. Serious AE was defined AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAE was defined as events with onset date or worsening during the on-treatment period. TEAEs included serious TEAEs and non-serious TEAEs. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | Participants (Count of Participants) |
---|
| TEAEs | Serious TEAEs |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 40 | 31 |
,Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 9 | 5 |
,Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 9 | 6 |
,Cohort D: Bintrafusp Alfa + Docetaxel | 12 | 9 |
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Percentage of Participants With Confirmed Objective Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator (IRC)
Percentage of participants with confirmed objective response that is at least one overall assessment of complete response (CR) or partial response (PR) reported here. CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all lesions. Confirmed CR = at least 2 determinations of CR at least 4 weeks apart and before progression. Confirmed PR = at least 2 determinations of PR at least 4 weeks apart and before progression (and not qualifying for a CR). Confirmed objective response was determined according to RECIST v1.1 and as adjudicated by Investigator. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | Percentage of Participants (Number) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 45.0 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 66.7 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 44.4 |
Cohort D: Bintrafusp Alfa + Docetaxel | 16.7 |
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Overall Survival (OS)
OS was defined as the time from first administration of study intervention to the date of death due to any cause. The OS was analyzed by using the Kaplan-Meier method. (NCT03840915)
Timeframe: Time from first treatment assessed up to approximately 26 months
Intervention | months (Median) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 11.4 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 11.8 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | NA |
Cohort D: Bintrafusp Alfa + Docetaxel | 16.5 |
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Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1) Assessed by Investigator
PFS was defined as the time from first administration of study intervention until date of the first documentation of disease progression (PD) or death due to any cause, whichever occurred first. PD: At least a 20 percent (%) increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. Kaplan-Meier estimates was used to calculate PFS. (NCT03840915)
Timeframe: Time from first administration of study drug until the first documentation of PD or death, assessed up to approximately 26 months
Intervention | months (Median) |
---|
Cohort A: Bintrafusp Alfa + Cisplatin/Carboplatin + Pemetrexed | 5.0 |
Cohort B: Bintrafusp Alfa + Carboplatin + Paclitaxel or Nab-paclitaxel | 4.1 |
Cohort C: Bintrafusp Alfa + Cisplatin/Carboplatin + Gemcitabine | 5.4 |
Cohort D: Bintrafusp Alfa + Docetaxel | 2.6 |
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Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant administered a study treatment and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the study treatment or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of study treatment, was also an AE. The number of participants who discontinued study treatment due to an AE is presented. (NCT03850444)
Timeframe: Up to 56.7 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 26 |
Chemotherapy (SOC Treatment) | 22 |
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Number of Participants Who Experienced At Least One Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant administered a study treatment and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the study treatment or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of study treatment, was also an AE. The number of participants who experienced at least one AE is presented. (NCT03850444)
Timeframe: Up to 59.7 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 126 |
Chemotherapy (SOC Treatment) | 124 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1%
ORR was determined for participants with a TPS of ≥1%. ORR was determined per RECIST 1.1 and was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target and non-target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The percentage of participants who had a TPS ≥1% and who experienced a CR or PR is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 32.8 |
Chemotherapy (SOC Treatment) | 24.6 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20%
ORR was determined for participants with a TPS of ≥20%. ORR was determined per RECIST 1.1 and was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target and non-target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The percentage of participants who had a TPS ≥20% and who experienced a CR or PR is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 35.6 |
Chemotherapy (SOC Treatment) | 24.3 |
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Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50%
ORR was determined for participants with a TPS of ≥50%. ORR was determined per RECIST 1.1 and was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target and non-target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The percentage of participants who had a TPS ≥50% and who experienced a CR or PR is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Percentage of participants (Number) |
---|
Pembrolizumab | 41.7 |
Chemotherapy (SOC Treatment) | 24.3 |
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Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥1%
OS was determined for participants with a TPS of ≥1% and was defined as the time from randomization until death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. The OS for participants with a TPS ≥1% is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Months (Median) |
---|
Pembrolizumab | 20.0 |
Chemotherapy (SOC Treatment) | 13.7 |
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Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥20%
OS was determined for participants with a TPS of ≥20% and was defined as the time from randomization until death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. The OS for participants with a TPS ≥20% is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Months (Median) |
---|
Pembrolizumab | 20.0 |
Chemotherapy (SOC Treatment) | 13.7 |
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Overall Survival (OS) in Participants With a Tumor Proportion Score (TPS) of ≥50%
OS was determined for participants with a TPS of ≥50% and was defined as the time from randomization until death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. The OS for participants with a TPS ≥50% is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Months (Median) |
---|
Pembrolizumab | 20.0 |
Chemotherapy (SOC Treatment) | 14.0 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥1%
PFS was determined for participants with a TPS of ≥1% and was defined as the time from randomization until the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. The appearance of one or more new lesions or progression in non-target lesions was also considered PD. The PFS per RECIST 1.1 was calculated using the product-limit (Kaplan-Meier) method for censored data. The PFS for participants with a TPS ≥1% is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Months (Median) |
---|
Pembrolizumab | 6.3 |
Chemotherapy (SOC Treatment) | 6.4 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥20%
PFS was determined for participants with a TPS of ≥20% and was defined as the time from randomization until the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. The appearance of one or more new lesions or progression in non-target lesions was also considered PD. The PFS per RECIST 1.1 was calculated using the product-limit (Kaplan-Meier) method for censored data. The PFS for participants with a TPS ≥20% is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Months (Median) |
---|
Pembrolizumab | 6.3 |
Chemotherapy (SOC Treatment) | 6.5 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With a Tumor Proportion Score (TPS) of ≥50%
PFS was determined for participants with a TPS of ≥50% and was defined as the time from randomization until the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. The appearance of one or more new lesions or progression in non-target lesions was also considered PD. The PFS per RECIST 1.1 was calculated using the product-limit (Kaplan-Meier) method for censored data. The PFS for participants with a TPS ≥50% is presented. (NCT03850444)
Timeframe: Up to 23.2 months
Intervention | Months (Median) |
---|
Pembrolizumab | 8.3 |
Chemotherapy (SOC Treatment) | 6.5 |
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Overall Response Rate (ORR) Per RECIST 1.1 as Assessed by Blinded Central Imaging
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: ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters) per RECIST 1.1. The percentage of participants who experienced a CR or PR is presented. (NCT03950674)
Timeframe: Through Database Cutoff Date of 20-May-2019 (Up to approximately 31.2 months)
Intervention | Percentage of Participants (Number) |
---|
Pembrolizumab | 56.0 |
Control | 33.3 |
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Duration of Response (DOR) Per RECIST 1.1 as Assessed by Blinded Central Imaging
For participants who demonstrated a confirmed CR (disappearance of all target lesions) or PR (≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR was defined as the time from first documented evidence of a CR or PR until PD or death. DOR for participants who had not progressed or died at the time of analysis was censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. Note: The appearance of one or more new lesions was also considered PD. DOR assessments were based on blinded central imaging review with confirmation. The DOR per RECIST 1.1 for all participants who experienced a confirmed CR or PR is presented. (NCT03950674)
Timeframe: From time of first documented evidence of CR or PR through database cutoff date of 20-May-2019 (Up to approximately 31.2 months)
Intervention | Months (Median) |
---|
Pembrolizumab | 13.6 |
Control | 9.7 |
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Number of Participants Who Experienced an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a study participant administered study drug and which does not necessarily have to have a causal relationship with this study drug. The number of participants who experienced an AE is presented. (NCT03950674)
Timeframe: Through Database Cutoff Date of 20-May-2019 (Up to approximately 31.2 months)
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 25 |
Control | 15 |
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Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis were censored at the date of the last follow-up. The OS is presented. (NCT03950674)
Timeframe: Through Database Cutoff Date of 20-May-2019 (Up to approximately 31.2 months)
Intervention | Months (Median) |
---|
Pembrolizumab | NA |
Control | 25.9 |
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Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Blinded Central Imaging
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥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 ≥5 mm. Note: The appearance of one or more new lesions was also considered PD. The PFS per RECIST 1.1 is presented. (NCT03950674)
Timeframe: Through Database Cutoff Date of 20-May-2019 (Up to approximately 31.2 months)
Intervention | Months (Median) |
---|
Pembrolizumab | 16.5 |
Control | 7.1 |
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Number of Participants Who Discontinued Any Study Drug Due to an AE
The number of participants who discontinued any randomized study drug due to an AE is presented. (NCT03950674)
Timeframe: Up to approximately 24 months
Intervention | Participants (Count of Participants) |
---|
Pembrolizumab | 9 |
Control | 3 |
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Disease Control Rate (DCR)
"Percentage of participants with complete response (CR), partial response (PR), or stable disease as best response.~CR: Complete disappearance of all target and non-target lesions. No new lesions. No disease related symptoms. Any lymph nodes must have reduction in short axis to <1.0cm. All disease must be assessed using the same technique as baseline.~PR: Applies only to participants with at least one measurable lesion. At least 30% decrease under baseline of the sum of appropriate diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. All target measurable lesions must be assessed using the same techniques as baseline.~Stable disease: Does not qualify for CR, PR, Progression or Symptomatic Deterioration. All target measurable lesions must be assessed using the same techniques as baseline." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Percentage of participants (Number) |
---|
Standard of Care (Inv. Choice) | 73 |
Ramucirumab + Pembrolizumab | 75 |
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Duration of Response (DOR)
Time from date of first documentation of response (complete or partial) to date of first documentation of progression assessed by local review or symptomatic deterioration, or death due to any cause among participants who achieve a response. Participants last known to be alive without report of progression are censored at date of last disease assessment. For participants with a missing scan (or consecutive missing scans) whose subsequent scan determines progression, the expected date of the first missing scan (as defined by the disease assessment schedule) is used as the date of progression. (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | months (Median) |
---|
Standard of Care (Inv. Choice) | 5.6 |
Ramucirumab + Pembrolizumab | 12.9 |
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Investigator Assessed-progression-free Survival (IA-PFS)
"Time from date of registration to date of first documentation of progression assessed by local review or symptomatic deterioration, or death due to any cause. Participants last known to be alive without report of progression are censored at date of last disease assessment. For participants with a missing scan (or consecutive missing scans) whose subsequent scan determines progression, the expected date of the first missing scan is used as the date of progression.~Symptomatic deterioration: Global deterioration of health status requiring discontinuation of treatment without objective evidence of progression. Efforts should be made to obtain objective evidence of progression after discontinuation." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | months (Median) |
---|
Standard of Care (Inv. Choice) | 5.2 |
Ramucirumab + Pembrolizumab | 4.5 |
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Overall Survival (OS), Subgroup Analysis by Stratification Factors
Number of participants who died due to any cause. Participants last known to be alive are censored at date of last contact. (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Participants (Number) |
---|
| PD-L1: < 1% | PD-L1: >= 1% | Histology: Squamous | Histology: Non-squamous |
---|
Ramucirumab + Pembrolizumab | 21 | 19 | 18 | 27 |
,Standard of Care (Inv. Choice) | 21 | 27 | 24 | 27 |
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Investigator-Assessed Progression-Free Survival (IA-PFS), Subgroup Analysis by Stratification Factors
"Number of participants with progression assessed by local review or symptomatic deterioration, or death due to any cause. Participants last known to be alive without report of progression are censored at date of last disease assessment. For participants with a missing scan (or consecutive missing scans) whose subsequent scan determines progression, the expected date of the first missing scan is used as the date of progression.~Symptomatic deterioration: Global deterioration of health status requiring discontinuation of treatment without objective evidence of progression. Efforts should be made to obtain objective evidence of progression after discontinuation." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Participants (Number) |
---|
| Histology: Non-squamous | Histology: Squamous | PD-L1: < 1% | PD-L1: >= 1% |
---|
Ramucirumab + Pembrolizumab | 34 | 23 | 27 | 24 |
,Standard of Care (Inv. Choice) | 34 | 28 | 25 | 34 |
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Response Rate (RR)
"Percentage of participants with a complete or partial, confirmed or unconfirmed response.~Complete Response (CR): Complete disappearance of all target and non-target lesions. No new lesions. No disease related symptoms. Any lymph nodes (whether target or non-target) must have reduction in short axis to < 1.0 cm. All disease must be assessed using the same technique as baseline.~Partial Response (PR): Applies only to participants with at least one measurable lesion. Greater than or equal to 30% decrease under baseline of the sum of appropriate diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. All target measurable lesions must be assessed using the same techniques as baseline." (NCT03971474)
Timeframe: From date of registration to a maximum of 3 years or death
Intervention | Percentage of participants (Number) |
---|
Standard of Care (Inv. Choice) | 28 |
Ramucirumab + Pembrolizumab | 22 |
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Overall Survival (OS)
Time from date of registration to date of death due to any cause. Participants last known to be alive are censored at date of last contact. (NCT03971474)
Timeframe: From date of registration to a maximum of 2 years and 11 months or death
Intervention | months (Median) |
---|
Standard of Care (Inv. Choice) | 11.6 |
Ramucirumab + Pembrolizumab | 14.5 |
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the Maximum Tolerated Dose (MTD)
The primary endpoint was the MTD of anlotinib, at which less than 33% of patients experienced a DLT in the frst treatment cycle. A DLT involving hematological toxicity was defned as grade 4 and above, non-hematological toxicity as grade 3 and above, and liver and kidney function injury as grade 2 and above. (NCT04012619)
Timeframe: 1 month
Intervention | mg (Number) |
---|
Anlotinib Hydrochloride Combined With AP | 10 |
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Response Rate
Will be evaluated using the method of Kaplan-Meier. Confidence intervals for median times will be determined using the Brookmeyer-Crowley method. Confidence intervals around landmark times will be determined using Greenwood's formula for the variance and based on a log-log transformation applied on the survival function. Binary proportions will be calculated with associated confidence intervals for binary outcomes, such as response. Means and/or medians will be calculated for continuous outcomes. Confidence bounds will be provided for means and quartiles and ranges for median values. All confidence bounds will be presented as 95% bounds. (NCT04372927)
Timeframe: Through study completion (up to 4 months)
Intervention | participants (Number) |
---|
Treatment (Chemotherapy, Durvalumab, Radiation Therapy) | 0 |
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Frequency and Severity of Pneumonitis
The primary toxicity of interest is grade 3 or higher pneumonitis. The incidence of grade 3 or worse pneumonitis attributable to treatment will be evaluated and compared against the PACIFIC trial results. All toxicities of all grades will be monitored on study and reported. Binary proportions will be calculated with associated confidence intervals for binary outcomes, such as toxicity. (NCT04372927)
Timeframe: Through study completion (up to 4 months)
Intervention | participants (Number) |
---|
Treatment (Chemotherapy, Durvalumab, Radiation Therapy) | 1 |
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Frequency of Adverse Events
Frequency and severity of toxicities will be graded with Common Terminology Criteria for Adverse Events (CTCAE), version 5. Toxicities will be summarized as the proportion of patients with such toxicities, in addition to total number of toxicities (allowing for multiple toxicities within a patient) among all patients. All toxicities of all grades will be monitored on study and reported. Binary proportions will be calculated with associated confidence intervals for binary outcomes, such as toxicity. (NCT04372927)
Timeframe: Through study completion (up to 4 months)
Intervention | participants (Number) |
---|
Treatment (Chemotherapy, Durvalumab, Radiation Therapy) | 1 |
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Overall Survival (OS)
Will be evaluated using the method of Kaplan-Meier. Confidence intervals for median times will be determined using the Brookmeyer-Crowley method. Confidence intervals around landmark times will be determined using Greenwood's formula for the variance and based on a log-log transformation applied on the survival function. Binary proportions will be calculated with associated confidence intervals for binary outcomes, such as response. Means and/or medians will be calculated for continuous outcomes. Confidence bounds will be provided for means and quartiles and ranges for median values. All confidence bounds will be presented as 95% bounds. (NCT04372927)
Timeframe: From study registration to death due to any cause
Intervention | months (Mean) |
---|
Treatment (Chemotherapy, Durvalumab, Radiation Therapy) | 4 |
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Run-in Part: Number of Participants With Dose Limiting Toxicities (DLTs)
A DLT was defined as an adverse event (AE) or abnormal laboratory value assessed as unrelated to disease, progressive disease, inter-current illness, or concomitant medications, that despite optimal therapeutic intervention that occurred within the first 21 days of treatment with capmatinib in combination with osimertinib. (NCT04816214)
Timeframe: Up to 21 Days
Intervention | Participants (Count of Participants) |
---|
Run-in Part: Capmatinib + Osimertinib | 0 |
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Run-in Part: Disease Control Rate (DCR) as Per Investigator Assessment
DCR was defined as the percentage of participants with a BOR of CR, PR, and stable disease (SD) as per investigator judgment and according to RECIST v1.1. Criteria for CR: Disappearance of all lesions and pathologic lymph nodes; PR: ≥30% decrease in SLD of the target lesions or no new lesions or no progression of non-target lesions; SD: Neither sufficient shrinkage to qualify for PR or CR nor and increase in lesions which would qualify for PD. PD: ≥20% increase in SLD compared to the smallest SLD in the study, or progression of non-target lesions or new lesions. (NCT04816214)
Timeframe: From randomization up to end of study, assessed up to 39 weeks
Intervention | percentage of participants (Number) |
---|
Run-in Part: Capmatinib + Osimertinib | 66.7 |
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Run-in Part: Duration of Response (DOR) as Per Investigator Assessment
DOR was defined as the time from first documented response of CR or PR to the date of first documented PD or death due to any cause. Criteria for CR: Disappearance of all lesions and pathologic lymph nodes; PR: ≥30% decrease in the SLD of the target lesions or no new lesions or no progression of non-target lesions; PD: ≥20% increase in SLD compared to the smallest SLD in the study, or progression of non-target lesions or new lesions. (NCT04816214)
Timeframe: Up to disease progression or death or end of study, assessed up to 39 weeks
Intervention | months (Median) |
---|
Run-in Part: Capmatinib + Osimertinib | 6.93 |
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Run-in Part: Time to Response (TTR) as Per Investigator Assessment
TTR was defined as the duration of time between the date of fist dose of treatmwnr and the date of the first documented response of either CR or PR as per investigator judgment and according to RECIST v1.1 criteria. Criteria for CR: Disappearance of all lesions and pathologic lymph nodes; PR: ≥30% decrease in SLD of the target lesions or no new lesions or no progression of non-target lesions. (NCT04816214)
Timeframe: From first dose of treatment up to end of study, assessed up to 39 weeks
Intervention | months (Median) |
---|
Run-in Part: Capmatinib + Osimertinib | NA |
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Run-in Part: Number of Participants With at Least One Dose Interruption and Dose Reduction of Each Study Drug
Number of participants with at least one dose interruption and dose reduction were reported for each study drug. (NCT04816214)
Timeframe: From the first dose until last dose of study treatment, assessed up to 39 weeks
Intervention | Participants (Count of Participants) |
---|
| Dose Interruption: Capmatinib | Dose Interruption: Osimertinib | Dose Reduction: Capmatinib | Dose Reduction: Osimertinib |
---|
Run-in Part: Capmatinib + Osimertinib | 5 | 4 | 3 | 0 |
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Run-in Part: Time to Maximum Plasma Concentration (Tmax) of Capmatinib
"Blood samples were collected. Tmax of capmatinib was calculated from plasma concentration-time data using non-compartmental methods and summarized using descriptive statistics.~Actual recorded sampling times were considered for the calculations" (NCT04816214)
Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose on Days 1 and 15 of Cycle 1 (Cycle = 21 days)
Intervention | hours (Median) |
---|
| Day 1 | Day 15 |
---|
Run-in Part: Capmatinib + Osimertinib | 1.92 | 1.00 |
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Run-in Part: Maximum Plasma Concentration (Cmax) of Capmatinib
"Blood samples were collected. Cmax of capmatinib was calculated from plasma concentration-time data using non-compartmental methods and summarized using descriptive statistics.~Actual recorded sampling times were considered for the calculations" (NCT04816214)
Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose on Days 1 and 15 of Cycle 1 (Cycle = 21 days)
Intervention | nanograms per milliliter (ng/mL) (Mean) |
---|
| Day 1 | Day 15 |
---|
Run-in Part: Capmatinib + Osimertinib | 5510 | 5750 |
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Run-in Part: Progression-Free Survival (PFS) as Per Investigator Assessment
PFS was defined as the time (in months) from first dose of treatment to the date of the first documented progression or death due to any cause as per investigator judgment and according to RECIST v1.1. Progression was defined as a ≥20% increase in SLD compared to smallest SLD in the study, or progression of non-target lesions or new lesions. PFS was censored if no PFS event (progression or death) was observed. (NCT04816214)
Timeframe: From first dose of treatment until first documented progression or death or end of study, assessed up to 39 weeks
Intervention | months (Median) |
---|
Run-in Part: Capmatinib + Osimertinib | 4.58 |
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Run-in Part: Dose Intensity of Each Study Drug
Dose intensity was computed as the ratio of actual cumulative dose (milligrams) received and actual duration of exposure (weeks) to study drug. (NCT04816214)
Timeframe: From the first dose until last dose of study treatment, assessed up to 39 weeks
Intervention | milligrams per week (mg/week) (Mean) |
---|
| Capmatinib | Osimertinib |
---|
Run-in Part: Capmatinib + Osimertinib | 5042.8 | 534.9 |
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Run-in Part: Overall Response Rate (ORR) as Per Investigator Assessment
ORR was defined as the percentage of participants with a confirmed best overall response (BOR) of complete response (CR) or partial response (PR), as per investigator judgment and according to RECIST v1.1. Criteria for CR: Disappearance of all lesions and pathologic lymph nodes; PR: ≥30% decrease in the SLD of the target lesions or no new lesions or no progression of non-target lesions. (NCT04816214)
Timeframe: Up to end of study, assessed up to 39 weeks
Intervention | percentage of participants (Number) |
---|
Run-in Part: Capmatinib + Osimertinib | 50.0 |
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Run-in Part: Area Under the Curve to the Last Measurable Concentration (AUClast) of Capmatinib
Blood samples were collected. AUClast of capmatinib was calculated from plasma concentration-time data using non-compartmental methods and summarized using descriptive statistics. (NCT04816214)
Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose on Days 1 and 15 of Cycle 1 (Cycle = 21 days)
Intervention | nanograms*hours/milliliter (ng*hr/mL) (Mean) |
---|
| Day 1 | Day 15 |
---|
Run-in Part: Capmatinib + Osimertinib | 20100 | 21300 |
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