Study to Test the Efficacy of the Vaccine GSK 249553 in Treating Non-small-cell Lung Cancer After Tumour Removal by Surgery
Study Details
Study Description
Brief Summary
Patients will receive injections of GSK 249553 vaccine . Appropriate tests will be performed to assess the safety of the treatment and its ability to induce an immune response.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
This Phase IIb study will be conducted at centres in several European countries according to a multicentre, international, randomised, double-blind design. It will provide information about the clinical and immunological efficacy and the tolerability of GSK 249553 when this is administered to patients with stage IB, II NSCLC. The study treatment will be administered by intramuscular injection; first administration will take place 4-6 weeks after surgery. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: GSK 249553 Group Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Biological: GSK 249553 vaccine
Intramuscular injection, 13 doses
|
Placebo Comparator: Placebo Group Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Biological: Placebo
Intramuscular administration, 13 doses
|
Outcome Measures
Primary Outcome Measures
- Number of Patients Reporting Confirmed Non-small-cell Lung Cancer (NSCLC) Recurrence [Over a median follow-up time of 28 months post-Dose 1]
Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. The time to recurrence was defined as the interval from the date of surgical resection to the date of recurrence. The latter was defined as the date of the first study assessment at which new lesion(s) were found and confirmed by appropriate imaging.
Secondary Outcome Measures
- Percentage of Patients With Disease Recurrence [At 6, 12, 18, 24 and 30 months after enrolment]
Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. The time to recurrence was defined as the interval from the date of surgical resection to the date of recurrence. The latter was defined as the date of the first study assessment at which new lesion(s) were found and confirmed by appropriate imaging.
- Number of Patients Reporting Confirmed Non-small-cell Lung Cancer (NSCLC) Recurrence or Death - Disease Free Survival (DFS) [Over a median follow-up time of 44 months post-Dose 1]
Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. The time to recurrence was defined as the interval from the date of surgical resection to the date of recurrence. The latter was defined as the date of the first study assessment at which new lesion(s) were found and confirmed by appropriate imaging.
- Number of Participants Who Died - Overall Survival (OS) [Over a median follow-up time of 44 months post-Dose 1]
Overall Survival (OS) was based on total number of deaths, irrespective of cause of death. Non-small-cell Lung Cancer Overall Survival (NSCLC-OS) was based on total number of deaths due to lung cancer; deaths due to other or to unknown causes were censored appropriately.
- Number of Subjects Seropositive Against MAGE-A3 [At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients)]
A seropositive subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 27.000 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
- Anti- MAGE-A3 Antibody Concentrations [At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients)]
Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
- Number of Subjects Seropositive Against Protein D (PD) Antigens [At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients)]
A seropositive subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 100.000 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
- Anti-protein D (Anti-PD) Antibody Concentrations [At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients)]
Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
- Number of Subjects With Cell-mediated Immunity (CMI) Cluster of Differentiation (CD) 4+ Response [At Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients)]
Responders were patients with at least 5x10-⁶ increase in minimal CD4 precursor frequency versus baseline. Any = at least one post treatment time point.
- Number of Subjects With Cell-mediated Immunity (CMI) Cluster of Differentiation (CD) 8+ Response [At Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients)]
Responders were patients with at least 5x10-⁶ increase in minimal CD8 precursor frequency versus baseline. Any = at least one post treatment time point.
- Number of Subjects With Cell-mediated Immunity (CMI) CD4+ or CD8+ Response [At Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Month 60]
Responders are patients with at least 5x10-⁶ increase in minimal CD4 or CD8 precursor frequency versus baseline. Any = at least one post treatment time point.
- Number of Patients Reporting Non-small-cell Lung Cancer (NSCLC) Recurrence by Gene Signature [Over a median follow up time of 86 months]
Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. Gene expression profiling was performed by qRT-PCR in primary tumor samples taken at the time of resection of the tumor, and thus before any study treatment. Gene signature positive (GS+) and negative (GS-) profiles were assessed with a 61-set gene signature (GS) and a classifier which were defined in the Phase II melanoma EORTC 16032-18031 study.
- Number of Subjects With Any and Grade 3 Solicited Local Symptoms [During the 8-day (Days 0-7) post-vaccination period, across doses]
Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.
- Number of Subjects With Any, Grade 2/3/4 and Related Solicited General Symptoms [During the 8-day (Days 0-7) post-vaccination period, across doses]
Assessed solicited general symptoms were fatigue, headache, myalgia, nasea, rigors/chills, sweating/diaphoresis, temperature [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)], vomiting. Any = occurrence of the symptom regardless of intensity grade. Grade 4 Fatigue = Bedridden or disabling. Grade 4 Headache, Myalgia = Disabling. Grade 3 Nausea = No significant intake, requiring i.v. fluids. Grade 3 Rigors/Chills = Not responsive to narcotic medication. Grade 2 Sweating/Diaphoresis = Frequent or drenching. Grade 4 Vomiting = Requiring parenteral nutrition; or physiologic consequences requiring intensive care; haemodynamic collapse. Grade 3 fever = fever higher than (>) 40.0 °C for more than 24 hours. Related = symptom assessed by the investigator as related to the vaccination.
- Number of Subjects With Any Unsolicited Adverse Events (AEs) [Within the 31-day (Days 0-30) post-vaccination period]
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
- Number of Subjects With Serious Adverse Events (SAEs) [Throughout the study (Day 0 - Month 86)]
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
- Number of Subjects With Normal and Abnormal Urinalysis Parameters [At Month 6, Month 12, Month 18, Month 24 and Month 30]
The parameters analysed were Protein, Red Blood Cells (RBC) and White Blood Cells (WBC), with respect to normal laboratory ranges. The subjects were grouped by status at baseline.
- Number of Subjects With Normal and Abnormal Hematological Parameters [At Month 6, Month 12, Month 18, Month 24 and Month 30]
The parameters analysed were Basophils (BAS), Eosinophils (EOS), Haemoglobin (HGB), Lymphocytes (LYM), Monocytes (MON), Neutrophils (NEU), Platelets (PLA), Red Blood Cells (RBC), Sedimentations rate (SED) and White Blood Cells (WBC), with respect to normal laboratory ranges. The subjects were grouped by status at baseline.
- Number of Subjects With Normal and Abnormal Biochemical Parameters [At Month 6, Month 12, Month 18, Month 24 and Month 30]
The parameters analysed were Albumin (ALB), Bicarbonate (BIC), Blood urea nitrogen (BUN), Calcium (CAL), Chloride (CHL), Cholesterol (CHO), Creatinine (CREA), Glucose (GLU), Magnesium (MAG), Phosphate (PHO), Potassium (POT), Sodium (SOD), Total protein (TPROT), Total bilirubin (TBIL), Triglycerides (TRIG) and Uric acid (UAC), with respect to normal laboratory ranges. The subjects were grouped by status at baseline.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Written informed consent has been obtained prior to surgical tumour resection and prior to the performance of any other protocol-specific procedures.
-
At least 18 years of age at the time of resection.
-
Pathologically proven, surgically staged squamous or non-squamous IB, IIA or IIB NSCLC, and complete surgical resection.
-
The operative technique for resection of the patient's tumour involves at least a lobectomy or a sleeve lobectomy, conforming to all of the following criteria:
-
Removal of all gross disease with negative resection margins, by lobectomy, sleeve resection, bilobectomy or pneumonectomy, based on intra-operative findings.
-
The level of nodal sampling is at least as follows:
Levels 4, 7, 10 in both right upper and right middle lobes Levels 4, 7, 9, 10 in right lower lobe Levels 5, 6, 7 in left upper lobe Levels 7, 9, 10 in left lower lobe. or at the maximum defined as systematic radical mediastinal lymphadenectomy: all ipsilateral and easily accessible lymph-node levels must be removed, independently of the location of the primary tumour. The level of nodal sampling is as follows: Levels 2, 4, 7, 8, 9, 10 in right-sided tumours, Levels 5, 6, 7, 8, 9, 10 in left-sided tumours
-
Tumour shows expression of MAGE-3 antigen.
-
Recovered from surgery for at least 4 weeks and not more than 6 weeks.
-
ECOG performance status of ≤ 1 at the time of randomisation.
-
Laboratory criteria (all of the following must be fulfilled): adequate bone marrow reserve, adequate renal function, adequate hepatic function, serum bilirubin within normal range, negative HIV antibody test, negative HBV antigen test, negative HCV antibody test.
-
(For females): EITHER not of child-bearing potential OR sexually abstinent OR all of the following: negative urine/serum β-HCG pregnancy test, use of adequate contraceptive precautions for 30 days before first vaccination. Agree to continue such precautions for 2 months after completion of the course of vaccination.
Exclusion Criteria:
-
Received any anti-cancer specific treatment including radiotherapy, prior to surgery, unless the treatment was for previous malignancies allowed by the protocol, i.e., basal and localised squamous-cell skin carcinoma that has been successfully treated, or carcinoma in situ of the cervix (see exclusion criterion no. 10).
-
Candidate for post-surgery radiation therapy or any kind of anti-cancer-specific treatment.
-
Pregnant/lactating.
-
(For female patients of child-bearing potential): not agree to practice an effective method of contraception.
-
Uncontrolled bleeding disorder.
-
Autoimmune disease.
-
History of anaphylaxis or severe allergic reaction.
-
Undergone splenectomy or radiation to the spleen.
-
Received a major organ allograft.
-
Malignancies at other sites (except (i) basal and localised squamous-cell skin carcinoma that has been successfully treated, and (ii) carcinoma in situ of the cervix).
-
Concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk.
-
Uncontrolled congestive heart failure or hypertension.
-
Unstable heart disease or uncontrolled arrhythmia at the time of enrolment.
-
Psychiatric or addictive disorders that may compromise ability to give informed consent, or to comply with the trial procedures.
-
Any evidence of residual tumour after surgery.
-
Require concomitant treatment with systemic corticosteroids, or any other immunosuppressive agents.
-
Received chemotherapy, immunotherapy related to NSCLC.
-
Need home oxygenation.
-
Received any investigational or non-registered drug or vaccine other than the study vaccine within the 30 days preceding the first dose of study vaccine, or plans to receive such a drug during the study period.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | GSK Investigational Site | Bruxelles | Belgium | 1200 | |
2 | GSK Investigational Site | Edegem | Belgium | 2650 | |
3 | GSK Investigational Site | Gent | Belgium | 9000 | |
4 | GSK Investigational Site | Leuven | Belgium | 3000 | |
5 | GSK Investigational Site | Tallinn | Estonia | 13419 | |
6 | GSK Investigational Site | Tartu | Estonia | 51014 | |
7 | GSK Investigational Site | Helsinki | Finland | 00029 | |
8 | GSK Investigational Site | Tampere | Finland | 33520 | |
9 | GSK Investigational Site | Pessac | France | 33600 | |
10 | GSK Investigational Site | Rennes Cedex 09 | France | 35033 | |
11 | GSK Investigational Site | Freiburg | Baden-Wuerttemberg | Germany | 79106 |
12 | GSK Investigational Site | Heidelberg | Baden-Wuerttemberg | Germany | 69126 |
13 | GSK Investigational Site | Villingen-Schwenningen | Baden-Wuerttemberg | Germany | 78050 |
14 | GSK Investigational Site | Ebensfeld | Bayern | Germany | 96250 |
15 | GSK Investigational Site | Gauting | Bayern | Germany | 82131 |
16 | GSK Investigational Site | Muenchen | Bayern | Germany | 81675 |
17 | GSK Investigational Site | Frankfurt | Hessen | Germany | 60488 |
18 | GSK Investigational Site | Offenbach | Hessen | Germany | 63069 |
19 | GSK Investigational Site | Delmenhorst | Niedersachsen | Germany | 27753 |
20 | GSK Investigational Site | Hemer | Nordrhein-Westfalen | Germany | 58675 |
21 | GSK Investigational Site | Witten | Nordrhein-Westfalen | Germany | 58455 |
22 | GSK Investigational Site | Kaiserslautern | Rheinland-Pfalz | Germany | 67655 |
23 | GSK Investigational Site | Mainz | Rheinland-Pfalz | Germany | 55131 |
24 | GSK Investigational Site | Halle (Saale) | Sachsen-Anhalt | Germany | 06114 |
25 | GSK Investigational Site | Halle | Sachsen-Anhalt | Germany | 06120 |
26 | GSK Investigational Site | Leipzig | Sachsen | Germany | 04129 |
27 | GSK Investigational Site | Grosshansdorf | Schleswig-Holstein | Germany | 22927 |
28 | GSK Investigational Site | Bad Berka | Thueringen | Germany | 99437 |
29 | GSK Investigational Site | Berlin | Germany | 14109 | |
30 | GSK Investigational Site | Marousi | Greece | 15125 | |
31 | GSK Investigational Site | Rio-Patras | Greece | 26504 | |
32 | GSK Investigational Site | Thessaloniki | Greece | 57010 | |
33 | GSK Investigational Site | Pordenone | Friuli-Venezia-Giulia | Italy | 33170 |
34 | GSK Investigational Site | Udine | Friuli-Venezia-Giulia | Italy | 33100 |
35 | GSK Investigational Site | Genova | Liguria | Italy | 16132 |
36 | GSK Investigational Site | Perugia | Umbria | Italy | 06156 |
37 | GSK Investigational Site | Venezia | Veneto | Italy | 30122 |
38 | GSK Investigational Site | Rigas Rajons | Latvia | LV 2118 | |
39 | GSK Investigational Site | Riga | Latvia | LV 1002 | |
40 | GSK Investigational Site | Vilnius | Lithuania | LT-01102 | |
41 | GSK Investigational Site | Amsterdam | Netherlands | ||
42 | GSK Investigational Site | Nijmegen | Netherlands | 6525 GA | |
43 | GSK Investigational Site | Oslo | Norway | ||
44 | GSK Investigational Site | Trondheim | Norway | 7006 | |
45 | GSK Investigational Site | Checiny | Poland | 26-060 | |
46 | GSK Investigational Site | Gdansk | Poland | 80-211 | |
47 | GSK Investigational Site | Poznan | Poland | 60-569 | |
48 | GSK Investigational Site | Tuszyn | Poland | ||
49 | GSK Investigational Site | Warszawa | Poland | ||
50 | GSK Investigational Site | Zakopane | Poland | 34-500 | |
51 | GSK Investigational Site | Barcelona | Spain | 08036 | |
52 | GSK Investigational Site | La Coruña | Spain | 15006 | |
53 | GSK Investigational Site | Madrid | Spain | 28035 | |
54 | GSK Investigational Site | Madrid | Spain | 28040 | |
55 | GSK Investigational Site | Madrid | Spain | 28047 | |
56 | GSK Investigational Site | Oviedo | Spain | 33006 | |
57 | GSK Investigational Site | Palma de Mallorca | Spain | 07014 | |
58 | GSK Investigational Site | Santander | Spain | 38008 | |
59 | GSK Investigational Site | Valencia | Spain | 46010 | |
60 | GSK Investigational Site | Hull | United Kingdom | HU8 9HE | |
61 | GSK Investigational Site | London | United Kingdom | SE1 9RS | |
62 | GSK Investigational Site |
Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Passlick B et al. MAGE-A3 Antigen-Specific Cancer Immunotherapeutic (ASCI) as adjuvant therapy in resected stage IB/II Non-Small Cell Lung Cancer (NSCLC): from proof-of-concept to Phase III trial (MAGRIT). Abstract presented at the European Multidisciplinary Conference in Thoracic Oncology (EMCTO), Lugano, Switzerland. 1-3 May 2009; 64 (suppl. 1):S45 (102PD).
- Vansteenkiste J et al. Activity of MAGE-A3 cancer immunotherapeutic as adjuvant therapy in stage IB/II Non-Small Cell Lung Cancer (NSCLC): Final results of a multi-center, double-blind, randomized, placebo-controlled Phase II study. Abstract presented at the 12th Conference on Lung Cancer (WCLC), Seoul, Korea. 2-6 September 2007.
- Vansteenkiste J et al. Adjuvant therapy in stage IB/II Non-Small Cell Lung Cancer (NSCLC): Final results of a multi-center, double-blind, randomized, placebo-controlled Phase II study evaluating the MAGE-A3 cancer immunotherapeutic. Abstract presented at The 14th European Cancer Conference (ECCO) (formerly ECCO14/ESTRO 26), Barcelona, Spain. 23-27 September 2007.
- Vansteenkiste J et al. Multi-center, double-blind, randomized, placebo-controlled Phase II study to assess the efficacy of recombinant MAGE-A3 vaccine as adjuvant therapy in stage IB/II MAGE-A3-positive, completely resected, Non-Small Cell Lung Cancer (NSCLC). Abstract presented at the 43rd Annual Meeting American Society of Clinical Oncology (ASCO), Chicago, IL. 1-5 June 2007.
- Vansteenkiste J et al. Multi-center, double-blind, randomized, placebo-controlled phase II study to assess the efficacy of recombinant MAGE-A3 vaccine as adjuvant therapy in stage IB/II MAGE-A3-positive, completely resected, non-small-cell lung cancer (NSCLC). Abstract presented at the 42nd Annual Meeting American Society of Clinical Oncology (ASCO), Atlanta, GA. 2-6 June 2006.
- Vansteenkiste J et al. Phase II randomized study of MAGE-A3 immunotherapeutic as adjuvant therapy in stage IB/II Non-Small Cell Lung Cancer (NSCLC): 44 month follow-up, humoral and cellular immune response data. European Society for Medical Oncology (IASLC-ESMO) Abstract presented at the 1st European Lung Cancer Conference (ELCC), Geneva, Switzerland. 23-26 April 2008; 3 (4 suppl.1):S55-56.
- Zielinski M et al. MAGE-A3 Antigen-Specific Cancer Immunotherapeutic (ASCI) as adjuvant therapy in resected stage IB/II Non-Small Cell Lung Cancer (NSCLC): from proof-of-concept to Phase III trial (MAGRIT). Abstract presented at the 17th European Conference on General Thoracic Surgery (ECGTS), Krakow, Poland. 31 May-3 June 2009.
- 249553/004
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Period Title: Overall Study | ||
STARTED | 122 | 60 |
COMPLETED | 105 | 55 |
NOT COMPLETED | 17 | 5 |
Baseline Characteristics
Arm/Group Title | GSK 249553 Group | Placebo Group | Total |
---|---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Total of all reporting groups |
Overall Participants | 122 | 60 | 182 |
Age (Years) [Mean (Standard Deviation) ] | |||
Mean (Standard Deviation) [Years] |
62.5
(7.85)
|
62.6
(8.88)
|
62.53
(8.18)
|
Sex: Female, Male (Count of Participants) | |||
Female |
16
13.1%
|
7
11.7%
|
23
12.6%
|
Male |
106
86.9%
|
53
88.3%
|
159
87.4%
|
Race/Ethnicity, Customized (Count of Participants) | |||
White/Caucasian |
122
100%
|
60
100%
|
182
100%
|
Outcome Measures
Title | Number of Patients Reporting Confirmed Non-small-cell Lung Cancer (NSCLC) Recurrence |
---|---|
Description | Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. The time to recurrence was defined as the interval from the date of surgical resection to the date of recurrence. The latter was defined as the date of the first study assessment at which new lesion(s) were found and confirmed by appropriate imaging. |
Time Frame | Over a median follow-up time of 28 months post-Dose 1 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration. This analysis was based on the confirmed NSCLC recurrence so that patients withdrawn before imaging were removed. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 114 | 57 |
Count of Participants [Participants] |
37
30.3%
|
24
40%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | GSK 249553 Group, Placebo Group |
---|---|---|
Comments | Hazard ratio of GSK 249553 study product. | |
Type of Statistical Test | Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.256 |
Comments | Two-sided p value from Cox regression model adjusted for covariate(s) node/squam/stage to test the null hypothesis was: the distribution of time to recurrences was the same in each group (H0 = [HR=1]). | |
Method | Regression, Cox | |
Comments | The p value by log rank test was 0.1995. Criterion for evaluation of the objective: one sided p-value < 10% | |
Method of Estimation | Estimation Parameter | Hazard Ratio (HR) |
Estimated Value | 0.74 | |
Confidence Interval |
(2-Sided) 95% 0.44 to 1.24 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Patients With Disease Recurrence |
---|---|
Description | Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. The time to recurrence was defined as the interval from the date of surgical resection to the date of recurrence. The latter was defined as the date of the first study assessment at which new lesion(s) were found and confirmed by appropriate imaging. |
Time Frame | At 6, 12, 18, 24 and 30 months after enrolment |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration. This analysis was based on the confirmed NSCLC recurrence so that patients withdrawn before imaging were removed. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 114 | 57 |
Recurrence at Month 6 |
89.1
|
91.5
|
Recurrence at Month 12 |
78.6
|
70.8
|
Recurrence at Month 18 |
72.4
|
62.0
|
Recurrence at Month 24 |
68.8
|
58.3
|
Recurrence at Month 30 |
63.8
|
58.3
|
Title | Number of Patients Reporting Confirmed Non-small-cell Lung Cancer (NSCLC) Recurrence or Death - Disease Free Survival (DFS) |
---|---|
Description | Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. The time to recurrence was defined as the interval from the date of surgical resection to the date of recurrence. The latter was defined as the date of the first study assessment at which new lesion(s) were found and confirmed by appropriate imaging. |
Time Frame | Over a median follow-up time of 44 months post-Dose 1 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 122 | 60 |
Count of Participants [Participants] |
49
40.2%
|
29
48.3%
|
Title | Number of Participants Who Died - Overall Survival (OS) |
---|---|
Description | Overall Survival (OS) was based on total number of deaths, irrespective of cause of death. Non-small-cell Lung Cancer Overall Survival (NSCLC-OS) was based on total number of deaths due to lung cancer; deaths due to other or to unknown causes were censored appropriately. |
Time Frame | Over a median follow-up time of 44 months post-Dose 1 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 122 | 60 |
Deaths, any cause |
36
29.5%
|
21
35%
|
Deaths, NSCLC-related |
27
22.1%
|
13
21.7%
|
Title | Number of Subjects Seropositive Against MAGE-A3 |
---|---|
Description | A seropositive subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 27.000 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL). |
Time Frame | At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 119 | 57 |
Day 0 |
9
7.4%
|
6
10%
|
Week 6 |
88
72.1%
|
4
6.7%
|
Week 12 |
98
80.3%
|
5
8.3%
|
Month 9 |
75
61.5%
|
2
3.3%
|
Month 18 |
56
45.9%
|
2
3.3%
|
Month 24 |
52
42.6%
|
1
1.7%
|
Month 30 |
44
36.1%
|
2
3.3%
|
FU visit |
25
20.5%
|
1
1.7%
|
Title | Anti- MAGE-A3 Antibody Concentrations |
---|---|
Description | Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL). |
Time Frame | At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 119 | 57 |
Day 0 |
16.9
|
17.8
|
Week 6 |
120.1
|
17.0
|
Week 12 |
1017.4
|
18.7
|
Month 9 |
505.9
|
14.7
|
Month 18 |
673.7
|
14.7
|
Month 24 |
627.5
|
14.0
|
Month 30 |
783.0
|
14.8
|
FU visit |
187.8
|
16.1
|
Title | Number of Subjects Seropositive Against Protein D (PD) Antigens |
---|---|
Description | A seropositive subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 100.000 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL). |
Time Frame | At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 115 | 55 |
Day 0 |
45
36.9%
|
16
26.7%
|
Week 6 |
100
82%
|
19
31.7%
|
Week 12 |
99
81.1%
|
20
33.3%
|
Month 9 |
75
61.5%
|
12
20%
|
Month 18 |
56
45.9%
|
11
18.3%
|
Month 24 |
52
42.6%
|
7
11.7%
|
Month 30 |
43
35.2%
|
8
13.3%
|
FU visit |
26
21.3%
|
0
0%
|
Title | Anti-protein D (Anti-PD) Antibody Concentrations |
---|---|
Description | Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL). |
Time Frame | At Day 0, Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 115 | 55 |
Day 0 |
92.2
|
71.6
|
Week 6 |
711.7
|
78.9
|
Week 12 |
2694.0
|
87.7
|
Month 9 |
1455.8
|
88.3
|
Month 18 |
2029.0
|
85.9
|
Month 24 |
1587.7
|
78.9
|
Month 30 |
2018.4
|
78.8
|
FU visit |
812.6
|
50.0
|
Title | Number of Subjects With Cell-mediated Immunity (CMI) Cluster of Differentiation (CD) 4+ Response |
---|---|
Description | Responders were patients with at least 5x10-⁶ increase in minimal CD4 precursor frequency versus baseline. Any = at least one post treatment time point. |
Time Frame | At Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 37 | 14 |
Week 6 |
8
6.6%
|
2
3.3%
|
Week 12 |
7
5.7%
|
1
1.7%
|
Month 9 |
0
0%
|
1
1.7%
|
Month 18 |
2
1.6%
|
0
0%
|
Month 24 |
1
0.8%
|
1
1.7%
|
Month 30 |
2
1.6%
|
1
1.7%
|
FU visit |
2
1.6%
|
0
0%
|
Any |
15
12.3%
|
1
1.7%
|
Title | Number of Subjects With Cell-mediated Immunity (CMI) Cluster of Differentiation (CD) 8+ Response |
---|---|
Description | Responders were patients with at least 5x10-⁶ increase in minimal CD8 precursor frequency versus baseline. Any = at least one post treatment time point. |
Time Frame | At Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Follow-Up (FU) visit (Post Dose 13 at Month 42 for patients with full treatment course or Post last product dose + 12 months for the other patients) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 34 | 16 |
Week 6 |
2
1.6%
|
3
5%
|
Week 12 |
1
0.8%
|
0
0%
|
Month 9 |
3
2.5%
|
1
1.7%
|
Month 18 |
3
2.5%
|
1
1.7%
|
Month 24 |
0
0%
|
1
1.7%
|
Month 30 |
1
0.8%
|
0
0%
|
FU visit |
1
0.8%
|
1
1.7%
|
Any |
9
7.4%
|
6
10%
|
Title | Number of Subjects With Cell-mediated Immunity (CMI) CD4+ or CD8+ Response |
---|---|
Description | Responders are patients with at least 5x10-⁶ increase in minimal CD4 or CD8 precursor frequency versus baseline. Any = at least one post treatment time point. |
Time Frame | At Week 6, Week 12, Month 9, Month 18, Month 24, at Month 30 and at Month 60 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable patients for whom immunogenicity post product administration data were available for the considered assay. For each patient, data collected after major protocol violation were eliminated from ATP immunogenicity analyses. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 40 | 18 |
Week 6 |
10
8.2%
|
5
8.3%
|
Week 12 |
8
6.6%
|
1
1.7%
|
Month 9 |
3
2.5%
|
2
3.3%
|
Month 18 |
3
2.5%
|
1
1.7%
|
Month 24 |
1
0.8%
|
1
1.7%
|
Month 30 |
2
1.6%
|
1
1.7%
|
Month 60 |
2
1.6%
|
1
1.7%
|
Any |
21
17.2%
|
7
11.7%
|
Title | Number of Patients Reporting Non-small-cell Lung Cancer (NSCLC) Recurrence by Gene Signature |
---|---|
Description | Types of recurrence included local, regional and distant metastasis and second primary lung tumours, and comprised: Local recurrence, defined as a tumour within the same lung or at the bronchial stump; Regional recurrence, involving a clinically or radiologically manifest disease in the mediastinum or in supraclavicular nodes; and Distant recurrence, i.e., any tumour arising in the contralateral lung or outside the hemithorax. Gene expression profiling was performed by qRT-PCR in primary tumor samples taken at the time of resection of the tumor, and thus before any study treatment. Gene signature positive (GS+) and negative (GS-) profiles were assessed with a 61-set gene signature (GS) and a classifier which were defined in the Phase II melanoma EORTC 16032-18031 study. |
Time Frame | Over a median follow up time of 86 months |
Outcome Measure Data
Analysis Population Description |
---|
Analysis was performed on the Total Treated cohort Gene Signature set which included all subjects of the Total Treated cohort for whom ribonucleic acid (RNA) from their tumour samples was available to perform the gene signature test. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 106 | 51 |
GS+ |
13
10.7%
|
9
15%
|
GS- |
31
25.4%
|
12
20%
|
Title | Number of Subjects With Any and Grade 3 Solicited Local Symptoms |
---|---|
Description | Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site. |
Time Frame | During the 8-day (Days 0-7) post-vaccination period, across doses |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration and with a documented symptom sheet. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 121 | 58 |
Any Pain |
116
95.1%
|
36
60%
|
Grade 3 Pain |
59
48.4%
|
2
3.3%
|
Any Redness |
96
78.7%
|
24
40%
|
Grade 3 Redness |
66
54.1%
|
2
3.3%
|
Any Swelling |
91
74.6%
|
19
31.7%
|
Grade 3 Swelling |
52
42.6%
|
4
6.7%
|
Title | Number of Subjects With Any, Grade 2/3/4 and Related Solicited General Symptoms |
---|---|
Description | Assessed solicited general symptoms were fatigue, headache, myalgia, nasea, rigors/chills, sweating/diaphoresis, temperature [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)], vomiting. Any = occurrence of the symptom regardless of intensity grade. Grade 4 Fatigue = Bedridden or disabling. Grade 4 Headache, Myalgia = Disabling. Grade 3 Nausea = No significant intake, requiring i.v. fluids. Grade 3 Rigors/Chills = Not responsive to narcotic medication. Grade 2 Sweating/Diaphoresis = Frequent or drenching. Grade 4 Vomiting = Requiring parenteral nutrition; or physiologic consequences requiring intensive care; haemodynamic collapse. Grade 3 fever = fever higher than (>) 40.0 °C for more than 24 hours. Related = symptom assessed by the investigator as related to the vaccination. |
Time Frame | During the 8-day (Days 0-7) post-vaccination period, across doses |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration and with a documented symptom sheet. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 121 | 58 |
Any Fatigue |
87
71.3%
|
32
53.3%
|
Grade 4 Fatigue |
2
1.6%
|
1
1.7%
|
Related Fatigue |
78
63.9%
|
23
38.3%
|
Any Headache |
81
66.4%
|
24
40%
|
Grade 4 Headache |
1
0.8%
|
0
0%
|
Related Headache |
69
56.6%
|
16
26.7%
|
Any Myalgia |
90
73.8%
|
29
48.3%
|
Grade 4 Myalgia |
5
4.1%
|
1
1.7%
|
Related Myalgia |
77
63.1%
|
24
40%
|
Any Nausea |
46
37.7%
|
18
30%
|
Grade 3 Nausea |
1
0.8%
|
0
0%
|
Related Nausea |
42
34.4%
|
15
25%
|
Any Rigors/Chills |
62
50.8%
|
13
21.7%
|
Grade 3 Rigors/Chills |
8
6.6%
|
0
0%
|
Any Sweating/Diaphoresis |
62
50.8%
|
19
31.7%
|
Grade 2 Sweating/Diaphoresis |
25
20.5%
|
9
15%
|
Related Sweating/Diaphoresis |
53
43.4%
|
16
26.7%
|
Any Temperature |
45
36.9%
|
8
13.3%
|
Grade 3 Temperature |
0
0%
|
0
0%
|
Related Temperature |
40
32.8%
|
3
5%
|
Any Vomiting |
16
13.1%
|
9
15%
|
Grade 4 Vomiting |
0
0%
|
0
0%
|
Related Vomiting |
13
10.7%
|
7
11.7%
|
Title | Number of Subjects With Any Unsolicited Adverse Events (AEs) |
---|---|
Description | An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. |
Time Frame | Within the 31-day (Days 0-30) post-vaccination period |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 122 | 60 |
Count of Participants [Participants] |
95
77.9%
|
50
83.3%
|
Title | Number of Subjects With Serious Adverse Events (SAEs) |
---|---|
Description | Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. |
Time Frame | Throughout the study (Day 0 - Month 86) |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 122 | 60 |
Count of Participants [Participants] |
41
33.6%
|
21
35%
|
Title | Number of Subjects With Normal and Abnormal Urinalysis Parameters |
---|---|
Description | The parameters analysed were Protein, Red Blood Cells (RBC) and White Blood Cells (WBC), with respect to normal laboratory ranges. The subjects were grouped by status at baseline. |
Time Frame | At Month 6, Month 12, Month 18, Month 24 and Month 30 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort gene signature (GS) set, which included all subjects of the Total Treated cohort for whom ribonucleic acid (RNA) from their tumour samples was available to perform the gene signature test and with data available for the considered assay. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 100 | 50 |
Normal |
100
82%
|
50
83.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
86
70.5%
|
38
63.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
72
59%
|
33
55%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
23
38.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
100
82%
|
50
83.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
86
70.5%
|
38
63.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
72
59%
|
33
55%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
23
38.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
100
82%
|
50
83.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
86
70.5%
|
38
63.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
72
59%
|
33
55%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
23
38.3%
|
Abnormal |
0
0%
|
0
0%
|
Title | Number of Subjects With Normal and Abnormal Hematological Parameters |
---|---|
Description | The parameters analysed were Basophils (BAS), Eosinophils (EOS), Haemoglobin (HGB), Lymphocytes (LYM), Monocytes (MON), Neutrophils (NEU), Platelets (PLA), Red Blood Cells (RBC), Sedimentations rate (SED) and White Blood Cells (WBC), with respect to normal laboratory ranges. The subjects were grouped by status at baseline. |
Time Frame | At Month 6, Month 12, Month 18, Month 24 and Month 30 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration and with data available for the respective assay. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 122 | 59 |
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
119
97.5%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
109
89.3%
|
51
85%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
110
90.2%
|
51
85%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
111
91%
|
51
85%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
121
99.2%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
122
100%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
120
98.4%
|
59
98.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
110
90.2%
|
51
85%
|
Abnormal |
1
0.8%
|
0
0%
|
Title | Number of Subjects With Normal and Abnormal Biochemical Parameters |
---|---|
Description | The parameters analysed were Albumin (ALB), Bicarbonate (BIC), Blood urea nitrogen (BUN), Calcium (CAL), Chloride (CHL), Cholesterol (CHO), Creatinine (CREA), Glucose (GLU), Magnesium (MAG), Phosphate (PHO), Potassium (POT), Sodium (SOD), Total protein (TPROT), Total bilirubin (TBIL), Triglycerides (TRIG) and Uric acid (UAC), with respect to normal laboratory ranges. The subjects were grouped by status at baseline. |
Time Frame | At Month 6, Month 12, Month 18, Month 24 and Month 30 |
Outcome Measure Data
Analysis Population Description |
---|
The analyses were performed on the Total Treated cohort, which included all patients who were randomised and who received at least one dose of the randomised study product administration and with data available for the respective assay. |
Arm/Group Title | GSK 249553 Group | Placebo Group |
---|---|---|
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. |
Measure Participants | 97 | 45 |
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
33
55%
|
Abnormal |
0
0%
|
1
1.7%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
91
74.6%
|
43
71.7%
|
Abnormal |
1
0.8%
|
1
1.7%
|
Normal |
80
65.6%
|
33
55%
|
Abnormal |
0
0%
|
1
1.7%
|
Normal |
67
54.9%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
65
53.3%
|
30
50%
|
Abnormal |
0
0%
|
1
1.7%
|
Normal |
53
43.4%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
2
1.6%
|
0
0%
|
Abnormal |
3
2.5%
|
1
1.7%
|
Normal |
2
1.6%
|
0
0%
|
Abnormal |
3
2.5%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
2
1.6%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
2
1.6%
|
0
0%
|
Normal |
2
1.6%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
96
78.7%
|
44
73.3%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
85
69.7%
|
33
55%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
29
48.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
21
35%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
84
68.9%
|
34
56.7%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
69
56.6%
|
30
50%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
94
77%
|
45
75%
|
Abnormal |
2
1.6%
|
0
0%
|
Normal |
83
68%
|
32
53.3%
|
Abnormal |
1
0.8%
|
1
1.7%
|
Normal |
70
57.4%
|
28
46.7%
|
Abnormal |
0
0%
|
1
1.7%
|
Normal |
67
54.9%
|
29
48.3%
|
Abnormal |
1
0.8%
|
1
1.7%
|
Normal |
54
44.3%
|
22
36.7%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
96
78.7%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
83
68%
|
34
56.7%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
30
50%
|
Abnormal |
0
0%
|
1
1.7%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
96
78.7%
|
45
75%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
67
54.9%
|
31
51.7%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
45
75%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
34
56.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
31
51.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
22
36.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
97
79.5%
|
44
73.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
85
69.7%
|
33
55%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
70
57.4%
|
29
48.3%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
55
45.1%
|
21
35%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
0
0%
|
1
1.7%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
95
77.9%
|
44
73.3%
|
Abnormal |
1
0.8%
|
1
1.7%
|
Normal |
83
68%
|
34
56.7%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
69
56.6%
|
30
50%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
68
55.7%
|
29
48.3%
|
Abnormal |
0
0%
|
2
3.3%
|
Normal |
54
44.3%
|
22
36.7%
|
Abnormal |
1
0.8%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Normal |
1
0.8%
|
0
0%
|
Abnormal |
0
0%
|
0
0%
|
Adverse Events
Time Frame | All-Cause Mortality and SAEs: during the entire study period (Month 0 up to Month 86). Other Adverse Events - Solicited local and general symptoms: during the 8-day (Days 0-7) post-product administration period; - Unsolicited AEs: within the 31-day (Days 0-30) post-product administration period. | |||
---|---|---|---|---|
Adverse Event Reporting Description | Deaths, as study events, were not all recorded as SAEs. Only deaths occurring in patients without recurrence during the Treatment Phase of the study (up to Month 30) and recorded as fatal SAEs are reported and not all deaths reported without recurrence were classified as fatal SAEs. | |||
Arm/Group Title | GSK 249553 Group | Placebo Group | ||
Arm/Group Description | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of GSK 249553 vaccine, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | Male and female patients at least 18 years of age, with resectable non-small-cell lung cancer (NSCLC), who received 13 doses of placebo, administered intramuscularly in the deltoid or lateral regions of the thighs, alternatively on the right and left sides, according to the following schedule: 5 doses at 3-week intervals, followed by 8 doses at 3-month intervals. | ||
All Cause Mortality |
||||
GSK 249553 Group | Placebo Group | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 54/122 (44.3%) | 26/60 (43.3%) | ||
Serious Adverse Events |
||||
GSK 249553 Group | Placebo Group | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 41/122 (33.6%) | 21/60 (35%) | ||
Blood and lymphatic system disorders | ||||
Hyperglycaemia | 1/122 (0.8%) | 0/60 (0%) | ||
Lymphadenopathy | 0/122 (0%) | 1/60 (1.7%) | ||
Lymphocele | 1/122 (0.8%) | 0/60 (0%) | ||
Cardiac disorders | ||||
Myocardial infarction | 2/122 (1.6%) | 1/60 (1.7%) | ||
Acute myocardial infarction | 0/122 (0%) | 2/60 (3.3%) | ||
Cardiac failure | 1/122 (0.8%) | 1/60 (1.7%) | ||
Atrial fibrillation | 1/122 (0.8%) | 0/60 (0%) | ||
Myocardial ischemia | 0/122 (0%) | 1/60 (1.7%) | ||
Pericarditis | 0/122 (0%) | 1/60 (1.7%) | ||
Supraventricular tachycardia | 0/122 (0%) | 1/60 (1.7%) | ||
Coronary artery disease | 1/122 (0.8%) | 0/60 (0%) | ||
Gastrointestinal disorders | ||||
Malaise | 1/122 (0.8%) | 0/60 (0%) | ||
General disorders | ||||
Injection site reaction | 1/122 (0.8%) | 0/60 (0%) | ||
Medical observation | 1/122 (0.8%) | 0/60 (0%) | ||
Immune system disorders | ||||
Sarcoidosis | 1/122 (0.8%) | 0/60 (0%) | ||
Infections and infestations | ||||
Bronchial fistula | 0/122 (0%) | 1/60 (1.7%) | ||
Bronchitis | 1/122 (0.8%) | 0/60 (0%) | ||
Cholecystitis infective | 0/122 (0%) | 1/60 (1.7%) | ||
Diabetic foot | 1/122 (0.8%) | 0/60 (0%) | ||
Empyema | 0/122 (0%) | 1/60 (1.7%) | ||
Localised infection | 0/122 (0%) | 1/60 (1.7%) | ||
Pancreatitis acute | 0/122 (0%) | 1/60 (1.7%) | ||
Pleurisy | 1/122 (0.8%) | 0/60 (0%) | ||
Wound infection | 0/122 (0%) | 1/60 (1.7%) | ||
Injury, poisoning and procedural complications | ||||
Head injury | 1/122 (0.8%) | 0/60 (0%) | ||
Procedural pain | 1/122 (0.8%) | 0/60 (0%) | ||
Metabolism and nutrition disorders | ||||
Diabetes mellitus inadequate control | 1/122 (0.8%) | 0/60 (0%) | ||
Electrolyte imbalance | 1/122 (0.8%) | 0/60 (0%) | ||
Gastritis | 1/122 (0.8%) | 0/60 (0%) | ||
Musculoskeletal and connective tissue disorders | ||||
Inguinal hernia | 1/122 (0.8%) | 1/60 (1.7%) | ||
Mechanical ileus | 1/122 (0.8%) | 0/60 (0%) | ||
Sciatica | 1/122 (0.8%) | 0/60 (0%) | ||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||
Metastases to central nervous system | 2/122 (1.6%) | 1/60 (1.7%) | ||
Bladder cancer | 1/122 (0.8%) | 0/60 (0%) | ||
Adrenal gland cancer metastatic | 0/122 (0%) | 1/60 (1.7%) | ||
Benign breast neoplasm | 1/122 (0.8%) | 0/60 (0%) | ||
Breast cancer | 0/122 (0%) | 1/60 (1.7%) | ||
Colon cancer | 1/122 (0.8%) | 0/60 (0%) | ||
Colon cancer metastatic | 1/122 (0.8%) | 0/60 (0%) | ||
Colonic polyp | 1/122 (0.8%) | 0/60 (0%) | ||
Gastric cancer | 1/122 (0.8%) | 0/60 (0%) | ||
Lung carcinoma cell type unspecified recurrent | 0/122 (0%) | 1/60 (1.7%) | ||
Metastases to bone | 1/122 (0.8%) | 0/60 (0%) | ||
Metastases to lung | 1/122 (0.8%) | 0/60 (0%) | ||
Non-small cell lung cancer | 1/122 (0.8%) | 0/60 (0%) | ||
Non-small cell lung cancer recurrent | 0/122 (0%) | 1/60 (1.7%) | ||
Nervous system disorders | ||||
Cerebral ischemia | 1/122 (0.8%) | 0/60 (0%) | ||
Cerebrovascular accident | 1/122 (0.8%) | 0/60 (0%) | ||
Diabetic neuropathy | 1/122 (0.8%) | 0/60 (0%) | ||
Hemiparesis | 1/122 (0.8%) | 0/60 (0%) | ||
Hypotonia | 1/122 (0.8%) | 0/60 (0%) | ||
Peripheral ischemia | 1/122 (0.8%) | 0/60 (0%) | ||
Psychiatric disorders | ||||
Anxiety | 1/122 (0.8%) | 0/60 (0%) | ||
Renal and urinary disorders | ||||
Renal failure | 1/122 (0.8%) | 0/60 (0%) | ||
Urethral cancer | 1/122 (0.8%) | 0/60 (0%) | ||
Urinary tract infection | 0/122 (0%) | 1/60 (1.7%) | ||
Bladder transitional cell carcinoma | 1/122 (0.8%) | 0/60 (0%) | ||
Metastases to kidney | 1/122 (0.8%) | 0/60 (0%) | ||
Reproductive system and breast disorders | ||||
Gynaecomastia | 0/122 (0%) | 1/60 (1.7%) | ||
Respiratory, thoracic and mediastinal disorders | ||||
Chronic obstructive pulmonary disease | 4/122 (3.3%) | 2/60 (3.3%) | ||
Pneumonia | 4/122 (3.3%) | 1/60 (1.7%) | ||
Dyspnoea | 2/122 (1.6%) | 0/60 (0%) | ||
Haemoptysis | 1/122 (0.8%) | 0/60 (0%) | ||
Hyperventilation | 1/122 (0.8%) | 0/60 (0%) | ||
Non-cardiac chest pain | 1/122 (0.8%) | 0/60 (0%) | ||
Pleural effusion | 1/122 (0.8%) | 0/60 (0%) | ||
Pneumothorax | 0/122 (0%) | 1/60 (1.7%) | ||
Pulmonary embolism | 0/122 (0%) | 1/60 (1.7%) | ||
Pulmonary oedema | 1/122 (0.8%) | 0/60 (0%) | ||
Skin and subcutaneous tissue disorders | ||||
Rash | 0/122 (0%) | 1/60 (1.7%) | ||
Small cell lung cancer stage unspecified | 1/122 (0.8%) | 0/60 (0%) | ||
Vascular disorders | ||||
Peripheral artery aneurysm | 1/122 (0.8%) | 0/60 (0%) | ||
Syncope | 1/122 (0.8%) | 0/60 (0%) | ||
Thoracic outlet syndrome | 1/122 (0.8%) | 0/60 (0%) | ||
Peripheral arterial occlusive disease | 1/122 (0.8%) | 0/60 (0%) | ||
Other (Not Including Serious) Adverse Events |
||||
GSK 249553 Group | Placebo Group | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 120/122 (98.4%) | 53/60 (88.3%) | ||
Gastrointestinal disorders | ||||
Abdominal pain | 0/122 (0%) | 0 | 4/60 (6.7%) | 4 |
Nausea | 46/122 (37.7%) | 174 | 18/60 (30%) | 70 |
Vomiting | 17/122 (13.9%) | 33 | 10/60 (16.7%) | 22 |
General disorders | ||||
Chest pain | 19/122 (15.6%) | 22 | 9/60 (15%) | 10 |
Chills | 62/122 (50.8%) | 267 | 13/60 (21.7%) | 43 |
Fatigue | 87/122 (71.3%) | 504 | 32/60 (53.3%) | 164 |
Pain | 116/122 (95.1%) | 947 | 36/60 (60%) | 208 |
Pyrexia | 45/122 (36.9%) | 120 | 8/60 (13.3%) | 12 |
Swelling | 91/122 (74.6%) | 552 | 19/60 (31.7%) | 69 |
Infections and infestations | ||||
Bronchitis | 7/122 (5.7%) | 10 | 0/60 (0%) | 0 |
Nasopharyngitis | 9/122 (7.4%) | 12 | 4/60 (6.7%) | 4 |
Respiratory tract infection | 1/122 (0.8%) | 1 | 3/60 (5%) | 3 |
Musculoskeletal and connective tissue disorders | ||||
Back pain | 4/122 (3.3%) | 4 | 4/60 (6.7%) | 4 |
Myalgia | 90/122 (73.8%) | 537 | 29/60 (48.3%) | 132 |
Nervous system disorders | ||||
Headache | 82/122 (67.2%) | 369 | 24/60 (40%) | 110 |
Respiratory, thoracic and mediastinal disorders | ||||
Cough | 33/122 (27%) | 49 | 15/60 (25%) | 19 |
Dyspnoea | 23/122 (18.9%) | 32 | 10/60 (16.7%) | 14 |
Productive cough | 4/122 (3.3%) | 5 | 7/60 (11.7%) | 7 |
Skin and subcutaneous tissue disorders | ||||
Erythema | 97/122 (79.5%) | 625 | 24/60 (40%) | 114 |
Hyperhidrosis | 62/122 (50.8%) | 271 | 20/60 (33.3%) | 94 |
Surgical and medical procedures | ||||
Hospitalisation | 17/122 (13.9%) | 24 | 7/60 (11.7%) | 11 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
Results Point of Contact
Name/Title | GSK Response Center |
---|---|
Organization | GlaxoSmithKline |
Phone | 866-435-7343 |
- 249553/004