A Study of Tarceva (Erlotinib) in Combination With Platinum Based Chemotherapy in Patients With Non-Small Cell Lung Cancer.

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT01998919
Collaborator
(none)
154
19
2
63
8.1
0.1

Study Details

Study Description

Brief Summary

This study will evaluate the efficacy and safety of sequential administration of Tarceva and gemcitabine/platinum chemotherapy in patients with stage IIIb/IV non-small cell lung cancer. Patients will be randomized to receive Tarceva (150 mg po) or placebo on days 15-28 of a 4 week cycle of intravenous platinum-based chemotherapy, for a total of 6 cycles. The anticipated time on study treatment is until disease progression or unacceptable toxicity.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
154 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomised, Placebo-controlled, Double-blind Phase II of Sequential Administration of Tarceva (Erlotinib) or Placebo in Combination With Gemcitabine/Platinum as First-line Treatment in Patients With Stage IIIB/IV Non-small Cell Lung Cancer (NSCLC).
Study Start Date :
Aug 1, 2006
Actual Primary Completion Date :
Nov 1, 2011
Actual Study Completion Date :
Nov 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: Tarceva + gemcitabine/platinum

Drug: erlotinib [Tarceva]
150 mg orally daily Days 15 to 28 of each 4-week cycle for 6 cycles, followed by 150 mg orally daily

Drug: gemcitabine
1250 mg/m2 iv Days 1 and 8 of each 4-week cycle, 6 cycles

Drug: cisplatin
75 mg/m2 iv Day 1 of each 4.wek cycle, 6 cycles; or carboplatin

Drug: carboplatin
5 x AUC iv Day 1 of each 4.week cycle, 6 cycles; or cisplatin

Placebo Comparator: Placebo + gemcitabine/platinum

Drug: placebo
orally daily Days 15 to 28 of each 4-week cycle for 6 cycles, followed by daily oral application

Drug: gemcitabine
1250 mg/m2 iv Days 1 and 8 of each 4-week cycle, 6 cycles

Drug: cisplatin
75 mg/m2 iv Day 1 of each 4.wek cycle, 6 cycles; or carboplatin

Drug: carboplatin
5 x AUC iv Day 1 of each 4.week cycle, 6 cycles; or cisplatin

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Non-Progression at Week 8 as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) [Week 8]

    Non-progression defined as documented best overall tumor response of complete response (CR), partial response (PR), or stable disease (SD; where SD was maintained for greater than [>]8 weeks) per RECIST. Investigator's assessment of response used in all analyses. CR equals (=)disappearance of all target lesions; PR=at least a 30 percent (%) decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD; SD=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference smallest sum LD since treatment started.

Secondary Outcome Measures

  1. Percentage of Participants With Non-Progression at Week 16 as Assessed by RECIST [Week 16]

    Non-progression defined as documented best overall tumor response of CR, PR, or SD (where SD was maintained for >16 weeks) per RECIST.

  2. Percentage of Participants With Confirmed CR or PR as Assessed by RECIST [Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases]

    CR=disappearance of all target lesions; PR=at least a 30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD.

  3. Duration of Response [Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-study Phases]

    Duration of Response was defined similarly for complete responders and partial responders. CR was defined as the date CR was first recorded to the date on which PD was first noted or date of death. PR was defined as the date the first PR was recorded to the date of the first observation of PD or date of death.

  4. Time to Progression [Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases]

    Time to progression was defined as the interval between the day of randomization and the first documentation of PD. Participants who were withdrawn from the study without documented progression and for whom there exists CRF evidence that evaluations have been made, were censored at 1) the date of the last tumor assessment, 2) last date in the drug log, or 3) last date of follow-up when the participant was known to be progression free, whichever was last. Participants without post-baseline tumor assessments but known to be alive were censored at the time of randomization.

  5. Progression-Free Survival (PFS) [Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases]

    PFS was defined as the interval between the day of randomization and the date of first documentation of progressive disease or date of death, whichever came first.

  6. Overall Survival [Date of randomization until date of death or date of last follow-up assessment]

    Overall Survival (OS) was defined as the time from the date of randomization to the date of death, regardless of the cause of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • adult patients, >=18 years of age;

  • histologically documented advanced or recurrent stage IIIB or IV non-small cell lung cancer;

  • measurable disease;

  • no previous chemotherapy for non-small cell lung cancer.

Exclusion Criteria:
  • unstable systemic disease;

  • any other malignancies in the last 5 years.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Campbelltown Australia 2560
2 Camperdown Australia 2050
3 Liverpool Australia 2170
4 Guangzhou China 510060
5 Guangzhou China 510080
6 Shanghai China 200030
7 Shanghai China 200433
8 Hong Kong Hong Kong
9 Jakarta Indonesia 10410
10 Jakarta Indonesia 10430
11 Jogjakarta Indonesia 55284
12 Semarang Indonesia 50136
13 Kyunggi-do Korea, Republic of 411-769
14 Manila Philippines 1000
15 Metro Manila Philippines 1502
16 Taipei Taiwan 100
17 Taipei Taiwan
18 Bangkok Thailand 10400
19 Bangkok Thailand 10700

Sponsors and Collaborators

  • Hoffmann-La Roche

Investigators

  • Study Chair: Clinical Trials, Hoffmann-La Roche

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT01998919
Other Study ID Numbers:
  • MO18633
First Posted:
Dec 2, 2013
Last Update Posted:
Jan 13, 2015
Last Verified:
Dec 1, 2014

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, orally (PO), on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 milligrams per square meter (mg/m^2) via intravenous (IV) infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 times [x] area under the serum concentration-time curve [AUC]), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Period Title: Overall Study
STARTED 79 74
Randomized 78 76
COMPLETED 37 39
NOT COMPLETED 42 35

Baseline Characteristics

Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy Total
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via intravenous (IV) infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily. Total of all reporting groups
Overall Participants 78 76 154
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
56.5
(10.06)
56.4
(10.43)
56.45
(10.245)
Sex: Female, Male (Count of Participants)
Female
24
30.8%
22
28.9%
46
29.9%
Male
54
69.2%
54
71.1%
108
70.1%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Non-Progression at Week 8 as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST)
Description Non-progression defined as documented best overall tumor response of complete response (CR), partial response (PR), or stable disease (SD; where SD was maintained for greater than [>]8 weeks) per RECIST. Investigator's assessment of response used in all analyses. CR equals (=)disappearance of all target lesions; PR=at least a 30 percent (%) decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD; SD=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference smallest sum LD since treatment started.
Time Frame Week 8

Outcome Measure Data

Analysis Population Description
FAS; for analysis, participants were assigned the treatment group to which they were randomized, regardless of the treatment they actually received.
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 78 76
Number (95% Confidence Interval) [percentage of participants]
76.9
98.6%
80.3
105.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 3.34
Confidence Interval (2-Sided) 95%
-10.3 to 17.0
Parameter Dispersion Type:
Value:
Estimation Comments Approximate 95% CI for difference of two rates using Hauck-Anderson method.
2. Secondary Outcome
Title Percentage of Participants With Non-Progression at Week 16 as Assessed by RECIST
Description Non-progression defined as documented best overall tumor response of CR, PR, or SD (where SD was maintained for >16 weeks) per RECIST.
Time Frame Week 16

Outcome Measure Data

Analysis Population Description
FAS
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 78 76
Number (95% Confidence Interval) [percentage of participants]
53.8
69%
64.5
84.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 10.63
Confidence Interval (2-Sided) 95%
-5.6 to 26.8
Parameter Dispersion Type:
Value:
Estimation Comments Approximate 95% CI for difference of two rates using Hauck-Anderson method.
3. Secondary Outcome
Title Percentage of Participants With Confirmed CR or PR as Assessed by RECIST
Description CR=disappearance of all target lesions; PR=at least a 30% decrease in sum of LD of target lesions, taking as reference the baseline sum LD.
Time Frame Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases

Outcome Measure Data

Analysis Population Description
FAS
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 78 76
Number (95% Confidence Interval) [percentage of participants]
24.4
31.3%
36.8
48.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 12.48
Confidence Interval (2-Sided) 95%
-2.7 to 27.7
Parameter Dispersion Type:
Value:
Estimation Comments Approximate 95% CI for difference of two rates using Hauck-Anderson method.
4. Secondary Outcome
Title Duration of Response
Description Duration of Response was defined similarly for complete responders and partial responders. CR was defined as the date CR was first recorded to the date on which PD was first noted or date of death. PR was defined as the date the first PR was recorded to the date of the first observation of PD or date of death.
Time Frame Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-study Phases

Outcome Measure Data

Analysis Population Description
FAS; only participants with CR or PR were included in the analysis.
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 19 28
Median (95% Confidence Interval) [weeks]
24.1
38.4
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0075
Comments
Method Log Rank
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0099
Comments
Method Wald test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.42
Confidence Interval (2-Sided) 95%
0.22 to 0.81
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Time to Progression
Description Time to progression was defined as the interval between the day of randomization and the first documentation of PD. Participants who were withdrawn from the study without documented progression and for whom there exists CRF evidence that evaluations have been made, were censored at 1) the date of the last tumor assessment, 2) last date in the drug log, or 3) last date of follow-up when the participant was known to be progression free, whichever was last. Participants without post-baseline tumor assessments but known to be alive were censored at the time of randomization.
Time Frame Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases

Outcome Measure Data

Analysis Population Description
FAS Population
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 78 76
Median (95% Confidence Interval) [weeks]
24.1
31.4
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Log Rank
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Wald Test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.48
Confidence Interval (2-Sided) 95%
0.33 to 0.70
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Progression-Free Survival (PFS)
Description PFS was defined as the interval between the day of randomization and the date of first documentation of progressive disease or date of death, whichever came first.
Time Frame Screening/Baseline, Day 22 of Cycles 2, 4 and 6 and every 8 weeks in Post-Study and Off-Study Phases

Outcome Measure Data

Analysis Population Description
FAS Population
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 78 76
Median (95% Confidence Interval) [weeks]
23.4
30.4
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method Log Rank
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Wald test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.47
Confidence Interval (2-Sided) 95%
0.33 to 0.68
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Overall Survival
Description Overall Survival (OS) was defined as the time from the date of randomization to the date of death, regardless of the cause of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment.
Time Frame Date of randomization until date of death or date of last follow-up assessment

Outcome Measure Data

Analysis Population Description
FAS Population
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
Measure Participants 78 76
Median (95% Confidence Interval) [weeks]
75.7
74.1
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5991
Comments
Method Log Rank
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo Plus Chemotherapy, Erlotinib Plus Chemotherapy
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3774
Comments
Method Wald test
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.84
Confidence Interval (2-Sided) 95%
0.58 to 1.23
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame Adverse events were recorded throughout primary and post-study treatment phases and for 28 days after last study dose.
Adverse Event Reporting Description The Safety Analysis Population (SAP) included all participants who received at least 1 dose/infusion and had at least 1 post-baseline safety assessment. For analysis, participants were assigned to the treatment group of the first received dose irrespective of subsequent changes in treatment.
Arm/Group Title Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Arm/Group Description Participants received placebo tablets, PO, on Days 15 to 28 of a 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive placebo tablets daily. Participants received erlotinib tablets, 150 mg per day, PO on Days 15 to 28 of every 4-week cycle; participants also received platinum-based doublet chemotherapy: gemcitabine 1250 mg/m^2 via IV infusion on Days 1 and 8 and either cisplatin (75 mg/m^2) or carboplatin (5 x AUC), via IV infusion, per investigator discretion, on Day 1. Participants received study drugs for a maximum of 6 cycles until disease progression, unacceptable toxicity or death. After 6 cycles, participants may have continued to receive erlotinib monotherapy, 150 mg daily.
All Cause Mortality
Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 17/79 (21.5%) 17/74 (23%)
Blood and lymphatic system disorders
Anaemia 5/79 (6.3%) 5/74 (6.8%)
Febrile neutropenia 1/79 (1.3%) 1/74 (1.4%)
Thrombocytopenia 2/79 (2.5%) 0/74 (0%)
Bone marrow failure 1/79 (1.3%) 0/74 (0%)
Cardiac disorders
Myocardial infarction 0/79 (0%) 1/74 (1.4%)
Gastrointestinal disorders
Nausea 1/79 (1.3%) 1/74 (1.4%)
Vomiting 2/79 (2.5%) 0/74 (0%)
Constipation 1/79 (1.3%) 0/74 (0%)
Upper gastrointestinal haemorrhage 1/79 (1.3%) 0/74 (0%)
General disorders
Fatigue 1/79 (1.3%) 1/74 (1.4%)
Pain 1/79 (1.3%) 0/74 (0%)
Pyrexia 1/79 (1.3%) 0/74 (0%)
Hepatobiliary disorders
Hepatic function abnormal 0/79 (0%) 1/74 (1.4%)
Infections and infestations
Pneumonia 0/79 (0%) 2/74 (2.7%)
Diverticulitis 1/79 (1.3%) 0/74 (0%)
Infection 1/79 (1.3%) 0/74 (0%)
Lower Respiratory Tract Infection 0/79 (0%) 1/74 (1.4%)
Lymphangitis 0/79 (0%) 1/74 (1.4%)
Pyelonephritis acute 0/79 (0%) 1/74 (1.4%)
Injury, poisoning and procedural complications
Femur fracture 1/79 (1.3%) 0/74 (0%)
Forearm fracture 0/79 (0%) 1/74 (1.4%)
Metabolism and nutrition disorders
Diabetes mellitus inadequate control 0/79 (0%) 1/74 (1.4%)
Nervous system disorders
Cerebrovascular accident 1/79 (1.3%) 1/74 (1.4%)
Cerebral infarction 1/79 (1.3%) 0/74 (0%)
Haemorrhage intracranial 0/79 (0%) 1/74 (1.4%)
Renal and urinary disorders
Renal Impairment 0/79 (0%) 1/74 (1.4%)
Respiratory, thoracic and mediastinal disorders
Dyspnoea 3/79 (3.8%) 1/74 (1.4%)
Haemoptysis 1/79 (1.3%) 0/74 (0%)
Other (Not Including Serious) Adverse Events
Placebo Plus Chemotherapy Erlotinib Plus Chemotherapy
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 74/79 (93.7%) 73/74 (98.6%)
Blood and lymphatic system disorders
Anaemia 12/79 (15.2%) 19/74 (25.7%)
Neutropenia 17/79 (21.5%) 17/74 (23%)
Thrombocytopenia 6/79 (7.6%) 6/74 (8.1%)
Leukopenia 4/79 (5.1%) 4/74 (5.4%)
Lymph node pain 0/79 (0%) 1/74 (1.4%)
Lymphadenopathy 0/79 (0%) 1/74 (1.4%)
Cardiac disorders
Palpitations 1/79 (1.3%) 2/74 (2.7%)
Angina pectoris 0/79 (0%) 1/74 (1.4%)
Arrhythmia 1/79 (1.3%) 0/74 (0%)
Tachycardia 1/79 (1.3%) 0/74 (0%)
Ear and labyrinth disorders
Tinnitus 4/79 (5.1%) 1/74 (1.4%)
Deafness 0/79 (0%) 1/74 (1.4%)
Ear disorder 0/79 (0%) 1/74 (1.4%)
Hypoacusis 1/79 (1.3%) 0/74 (0%)
Vertigo 0/79 (0%) 1/74 (1.4%)
Eye disorders
Dry eye 1/79 (1.3%) 3/74 (4.1%)
Vision blurred 2/79 (2.5%) 1/74 (1.4%)
Conjunctivitis 0/79 (0%) 2/74 (2.7%)
Abnormal sensation in eye 1/79 (1.3%) 0/74 (0%)
Conjunctivitis allergic 0/79 (0%) 1/74 (1.4%)
Eye pain 0/79 (0%) 1/74 (1.4%)
Eye pruritus 1/79 (1.3%) 0/74 (0%)
Eyelid oedema 0/79 (0%) 1/74 (1.4%)
Lacrimation increased 1/79 (1.3%) 0/74 (0%)
Meibomian gland dysfunction 0/79 (0%) 1/74 (1.4%)
Visual impairment 0/79 (0%) 1/74 (1.4%)
Gastrointestinal disorders
Nausea 37/79 (46.8%) 34/74 (45.9%)
Vomiting 29/79 (36.7%) 22/74 (29.7%)
Constipation 25/79 (31.6%) 22/74 (29.7%)
Diarrhoea 20/79 (25.3%) 26/74 (35.1%)
Stomatitis 3/79 (3.8%) 9/74 (12.2%)
Abdominal pain upper 4/79 (5.1%) 5/74 (6.8%)
Abdominal pain 3/79 (3.8%) 5/74 (6.8%)
Mouth ulceration 0/79 (0%) 6/74 (8.1%)
Abdominal distension 4/79 (5.1%) 3/74 (4.1%)
Dry mouth 4/79 (5.1%) 1/74 (1.4%)
Toothache 3/79 (3.8%) 3/74 (4.1%)
Dysphagia 2/79 (2.5%) 2/74 (2.7%)
Dyspepsia 1/79 (1.3%) 2/74 (2.7%)
Gastritis 0/79 (0%) 3/74 (4.1%)
Glossitis 0/79 (0%) 2/74 (2.7%)
Abdominal discomfort 1/79 (1.3%) 0/74 (0%)
Epigastric discomfort 1/79 (1.3%) 0/74 (0%)
Gastrointestinal haemorrhage 1/79 (1.3%) 0/74 (0%)
Gastrointestinal pain 0/79 (0%) 1/74 (1.4%)
Gastrooesophageal reflux disease 1/79 (1.3%) 0/74 (0%)
Haematochezia 0/79 (0%) 1/74 (1.4%)
Haemorrhoidal haemorrhage 0/79 (0%) 1/74 (1.4%)
Haemorrhoids 0/79 (0%) 1/74 (1.4%)
Ileus 1/79 (1.3%) 0/74 (0%)
Lip ulceration 1/79 (1.3%) 0/74 (0%)
Oesophageal pain 0/79 (0%) 1/74 (1.4%)
Parotid gland enlargement 1/79 (1.3%) 0/74 (0%)
Periodontal disease 0/79 (0%) 1/74 (1.4%)
Rectal haemorrhage 0/79 (0%) 1/74 (1.4%)
Tongue ulceration 0/79 (0%) 1/74 (1.4%)
Tooth socket haemorrhage 0/79 (0%) 1/74 (1.4%)
General disorders
Fatigue 18/79 (22.8%) 23/74 (31.1%)
Pyrexia 11/79 (13.9%) 10/74 (13.5%)
Chest pain 10/79 (12.7%) 5/74 (6.8%)
Asthenia 5/79 (6.3%) 5/74 (6.8%)
Mucosal inflammation 1/79 (1.3%) 6/74 (8.1%)
Malaise 7/79 (8.9%) 2/74 (2.7%)
Chest discomfort 2/79 (2.5%) 3/74 (4.1%)
Pain 3/79 (3.8%) 2/74 (2.7%)
Chills 2/79 (2.5%) 2/74 (2.7%)
Influenza like illness 2/79 (2.5%) 2/74 (2.7%)
Oedema peripheral 1/79 (1.3%) 2/74 (2.7%)
Oedema 2/79 (2.5%) 0/74 (0%)
Catheter site swelling 0/79 (0%) 1/74 (1.4%)
Discomfort 0/79 (0%) 1/74 (1.4%)
Face oedema 1/79 (1.3%) 0/74 (0%)
Gait disturbance 0/79 (0%) 1/74 (1.4%)
Local swelling 1/79 (1.3%) 0/74 (0%)
Hepatobiliary disorders
Hyperbilirubinaemia 2/79 (2.5%) 4/74 (5.4%)
Hepatic function abnormal 1/79 (1.3%) 0/74 (0%)
Hepatic lesion 1/79 (1.3%) 0/74 (0%)
Immune system disorders
Hypersensitivity 1/79 (1.3%) 0/74 (0%)
Infections and infestations
Paronychia 0/79 (0%) 7/74 (9.5%)
Upper respiratory tract infection 6/79 (7.6%) 3/74 (4.1%)
Nasopharyngitis 4/79 (5.1%) 2/74 (2.7%)
Urinary tract infection 3/79 (3.8%) 1/74 (1.4%)
Pneumonia 2/79 (2.5%) 1/74 (1.4%)
Infection 1/79 (1.3%) 1/74 (1.4%)
Nail infection 0/79 (0%) 2/74 (2.7%)
Oral herpes 1/79 (1.3%) 1/74 (1.4%)
Abscess limb 0/79 (0%) 1/74 (1.4%)
Candidiasis 1/79 (1.3%) 0/74 (0%)
Cellulitis 1/79 (1.3%) 0/74 (0%)
Herpes virus infection 0/79 (0%) 1/74 (1.4%)
Laryngitis 0/79 (0%) 1/74 (1.4%)
Lower respiratory tract infection 0/79 (0%) 1/74 (1.4%)
Oral candidiasis 0/79 (0%) 1/74 (1.4%)
Pharyngitis 0/79 (0%) 1/74 (1.4%)
Sepsis 1/79 (1.3%) 0/74 (0%)
Tinea infection 0/79 (0%) 1/74 (1.4%)
Tinea versicolour 1/79 (1.3%) 0/74 (0%)
Tonsillitis 0/79 (0%) 1/74 (1.4%)
Injury, poisoning and procedural complications
Contusion 0/79 (0%) 2/74 (2.7%)
Wound 0/79 (0%) 1/74 (1.4%)
Investigations
Platelet count decreased 5/79 (6.3%) 7/74 (9.5%)
White blood cell count decreased 7/79 (8.9%) 5/74 (6.8%)
Neutrophil count decreased 5/79 (6.3%) 6/74 (8.1%)
Haemoglobin decreased 4/79 (5.1%) 6/74 (8.1%)
Alanine aminotransferase increased 8/79 (10.1%) 3/74 (4.1%)
White blood cell count 6/79 (7.6%) 2/74 (2.7%)
Aspartate aminotransferase increased 5/79 (6.3%) 2/74 (2.7%)
Neutrophil count 4/79 (5.1%) 1/74 (1.4%)
Blood creatinine increased 2/79 (2.5%) 1/74 (1.4%)
Platelet count 2/79 (2.5%) 1/74 (1.4%)
Blood sodium decreased 1/79 (1.3%) 1/74 (1.4%)
Haemoglobin 1/79 (1.3%) 1/74 (1.4%)
Hepatic enzyme increased 2/79 (2.5%) 0/74 (0%)
Weight decreased 1/79 (1.3%) 1/74 (1.4%)
Weight increased 1/79 (1.3%) 1/74 (1.4%)
Alanine aminotransferase 1/79 (1.3%) 0/74 (0%)
Aspartate aminotransferase 1/79 (1.3%) 0/74 (0%)
Blood albumin decreased 0/79 (0%) 1/74 (1.4%)
Blood bilirubin increased 0/79 (0%) 1/74 (1.4%)
Blood creatinine abnormal 0/79 (0%) 1/74 (1.4%)
Blood potassium decreased 0/79 (0%) 1/74 (1.4%)
Blood pressure increased 1/79 (1.3%) 0/74 (0%)
Creatinine renal clearance decreased 1/79 (1.3%) 0/74 (0%)
Liver function test abnormal 0/79 (0%) 1/74 (1.4%)
Neutrophil percentage decreased 0/79 (0%) 1/74 (1.4%)
Sputum abnormal 0/79 (0%) 1/74 (1.4%)
Metabolism and nutrition disorders
Decreased appetite 33/79 (41.8%) 30/74 (40.5%)
Hypokalaemia 3/79 (3.8%) 1/74 (1.4%)
Hyponatraemia 3/79 (3.8%) 0/74 (0%)
Hyperglycaemia 2/79 (2.5%) 0/74 (0%)
Hypoalbuminaemia 2/79 (2.5%) 0/74 (0%)
Diabetes mellitus 1/79 (1.3%) 0/74 (0%)
Hyperkalaemia 0/79 (0%) 1/74 (1.4%)
Hyperuricaemia 1/79 (1.3%) 0/74 (0%)
Hypoproteinaemia 1/79 (1.3%) 0/74 (0%)
Musculoskeletal and connective tissue disorders
Myalgia 6/79 (7.6%) 7/74 (9.5%)
Back pain 7/79 (8.9%) 4/74 (5.4%)
Arthralgia 4/79 (5.1%) 4/74 (5.4%)
Bone pain 6/79 (7.6%) 1/74 (1.4%)
Musculoskeletal pain 3/79 (3.8%) 1/74 (1.4%)
Pain in extremity 1/79 (1.3%) 3/74 (4.1%)
Flank pain 1/79 (1.3%) 1/74 (1.4%)
Musculoskeletal chest pain 0/79 (0%) 2/74 (2.7%)
Neck pain 1/79 (1.3%) 1/74 (1.4%)
Muscle fatigue 0/79 (0%) 1/74 (1.4%)
Muscle spasms 0/79 (0%) 1/74 (1.4%)
Nervous system disorders
Dizziness 6/79 (7.6%) 7/74 (9.5%)
Dysgeusia 2/79 (2.5%) 5/74 (6.8%)
Neuropathy peripheral 1/79 (1.3%) 4/74 (5.4%)
Headache 9/79 (11.4%) 3/74 (4.1%)
Peripheral sensory neuropathy 4/79 (5.1%) 2/74 (2.7%)
Hypoaesthesia 3/79 (3.8%) 1/74 (1.4%)
Somnolence 2/79 (2.5%) 0/74 (0%)
Cognitive disorder 1/79 (1.3%) 0/74 (0%)
Disturbance in attention 0/79 (0%) 1/74 (1.4%)
Paraesthesia 1/79 (1.3%) 0/74 (0%)
Psychiatric disorders
Insomnia 11/79 (13.9%) 9/74 (12.2%)
Anxiety 2/79 (2.5%) 1/74 (1.4%)
Depression 1/79 (1.3%) 1/74 (1.4%)
Delirium 0/79 (0%) 1/74 (1.4%)
Renal and urinary disorders
Renal impairment 4/79 (5.1%) 3/74 (4.1%)
Dysuria 1/79 (1.3%) 0/74 (0%)
Proteinuria 0/79 (0%) 1/74 (1.4%)
Reproductive system and breast disorders
Breast swelling 0/79 (0%) 1/74 (1.4%)
Menstruation irregular 0/79 (0%) 1/74 (1.4%)
Uterine haemorrhage 0/79 (0%) 1/74 (1.4%)
Respiratory, thoracic and mediastinal disorders
Cough 14/79 (17.7%) 14/74 (18.9%)
Dyspnoea 8/79 (10.1%) 6/74 (8.1%)
Haemoptysis 5/79 (6.3%) 4/74 (5.4%)
Oropharyngeal pain 2/79 (2.5%) 6/74 (8.1%)
Productive cough 3/79 (3.8%) 5/74 (6.8%)
Epistaxis 2/79 (2.5%) 4/74 (5.4%)
Hiccups 6/79 (7.6%) 3/74 (4.1%)
Rhinorrhoea 2/79 (2.5%) 3/74 (4.1%)
Dysphonia 1/79 (1.3%) 3/74 (4.1%)
Sneezing 1/79 (1.3%) 1/74 (1.4%)
Dyspnoea exertional 0/79 (0%) 1/74 (1.4%)
Nasal dryness 1/79 (1.3%) 0/74 (0%)
Pharyngeal ulceration 0/79 (0%) 1/74 (1.4%)
Pulmonary haemorrhage 0/79 (0%) 1/74 (1.4%)
Respiratory tract haemorrhage 0/79 (0%) 1/74 (1.4%)
Skin and subcutaneous tissue disorders
Alopecia 19/79 (24.1%) 20/74 (27%)
Dry skin 7/79 (8.9%) 17/74 (23%)
Pruritus 6/79 (7.6%) 10/74 (13.5%)
Rash 32/79 (40.5%) 48/74 (64.9%)
Acne 2/79 (2.5%) 8/74 (10.8%)
Dermatitis acneiform 1/79 (1.3%) 9/74 (12.2%)
Skin exfoliation 1/79 (1.3%) 3/74 (4.1%)
Rash papular 1/79 (1.3%) 2/74 (2.7%)
Hyperhidrosis 1/79 (1.3%) 1/74 (1.4%)
Nail disorder 0/79 (0%) 2/74 (2.7%)
Purpura 2/79 (2.5%) 0/74 (0%)
Rash pruritic 2/79 (2.5%) 0/74 (0%)
Decubitus ulcer 1/79 (1.3%) 0/74 (0%)
Dermatitis 0/79 (0%) 1/74 (1.4%)
Dermatitis allergic 1/79 (1.3%) 0/74 (0%)
Dyshidrosis 0/79 (0%) 1/74 (1.4%)
Eczema 0/79 (0%) 1/74 (1.4%)
Pruritus generalised 0/79 (0%) 1/74 (1.4%)
Rash erythematous 0/79 (0%) 1/74 (1.4%)
Rash maculo-papular 0/79 (0%) 1/74 (1.4%)
Seborrhoeic dermatitis 1/79 (1.3%) 0/74 (0%)
Skin discolouration 1/79 (1.3%) 0/74 (0%)
Skin hyperpigmentation 0/79 (0%) 1/74 (1.4%)
Skin ulcer 0/79 (0%) 1/74 (1.4%)
Vascular disorders
Hypertension 4/79 (5.1%) 3/74 (4.1%)
Hypotension 2/79 (2.5%) 0/74 (0%)
Flushing 1/79 (1.3%) 0/74 (0%)
Hot flush 0/79 (0%) 1/74 (1.4%)
Thrombosis 0/79 (0%) 1/74 (1.4%)
Vasculitis 1/79 (1.3%) 0/74 (0%)
Vein pain 1/79 (1.3%) 0/74 (0%)
Venous thrombosis limb 1/79 (1.3%) 0/74 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The study being conducted under this agreement is part of the overall study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the study, but after the first publication or presentation that involves the overall study. Sponsor may request that confidential information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.

Results Point of Contact

Name/Title Medical Communications
Organization Hoffmann- LaRoche
Phone 800-821-8590
Email genentech@druginfo.com
Responsible Party:
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT01998919
Other Study ID Numbers:
  • MO18633
First Posted:
Dec 2, 2013
Last Update Posted:
Jan 13, 2015
Last Verified:
Dec 1, 2014