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NCT00126581

Erlotinib Hydrochloride With or Without Carboplatin and Paclitaxel in Treating Patients With Stage III-IV Non-small Cell Lung Cancer

Completed Phase 2 Results posted Last updated 7 August 2019
What this trial tests

Phase 2 trial testing Carboplatin in Lung Adenocarcinoma in 188 participants. Completed in 28 November 2017.

Timeline
15 August 2005
Primary endpoint
30 June 2010
28 November 2017

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment188
Start date15 August 2005
Primary completion30 June 2010
Estimated completion28 November 2017
Sites96 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Lung Adenocarcinoma or Lung Adenosquamous Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

18 Weeks Progression Free Survival (PFS) Rate Primary · At 18 weeks

The product limit estimator developed by Kaplan Meier will be used to graphically describe progression free survival for patients randomized to each study arm. The 18 week progression-free survival rate was defined as the proportion of patients that were alive progression-free 18 weeks after registration into the study. Disease progression was assessed per modified RECIST criteria, and defined as at least a 20% increase in the sum of the longest diameters of target lesions, in either primary or nodal lesions, taking as reference the smallest sum longest diameter recorded since the baseline me

GroupValue95% CI
Arm A: Erlotinib52NA – NA
Arm B: Erlotinib/Carboplatin/Paclitaxel69NA – NA
Overall Response Rate Secondary · Duration of Study (up to 3 years)

The proportion of patients who respond (completely or partially) to each combination regimen will be estimated. An exact binomial confidence interval will be computed for these estimates. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR): disappearance of all target lesions; Partial Response (PR) 30% decrease in sum of longest diameter of target lesions

GroupValue95% CI
Arm A: Erlotinib3524 – 46
Arm B: Erlotinib/Carboplatin/Paclitaxel4636 – 56
Number of Participants With Grade 3, 4 or 5 Adverse Event at Least Possibly Related to Treatment. Secondary · Duration of study (up to 3 years)

The National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 3. Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life Threatening; Grade 5: Death.

GroupValue95% CI
Arm A: Erlotinib20
Arm B: Erlotinib/Carboplatin/Paclitaxel52
Overall Survival Secondary · Time from randomization to death (up to 3 years)

Overall survival (OS) is defined as the time from patient randomization (arm assignment) to death from any cause. The median OS with 95% CI was estimated using the Kaplan-Meier method.

GroupValue95% CI
Arm A: Erlotinib24.618.4 – 33.8
Arm B: Erlotinib/Carboplatin/Paclitaxel19.814.4 – 27.8
Progression Free Survival (PFS) by Epidermal Growth Factor Receptor (EGFR) Mutation Status Secondary · Duration of treatment (up to 3 years)

PFS was defined as the time from registration until disease progression or death, whichever occurs first. The median PFS with 95% CI was estimated using the Kaplan-Meier method. Progression is defined as in the primary outcome measure. EGFR mutations were performed at the Dana-Farber Cancer Institute using a sensitive heteroduplex method coupled with enzymatic digestion as previously reported (Janne PA, et al: A rapid and sensitive enzymatic method for epidermal growth factor receptor mutation screening. Clin Cancer Res 12:751-758, 2006). All positive findings were independently verified and

EGFR Mutant
GroupValue95% CI
Arm A: Erlotinib14.17.0 – 19.6
Arm B: Erlotinib/Carboplatin/Paclitaxel17.28.2 – 28.7
EGFR Wild Type
GroupValue95% CI
Arm A: Erlotinib2.61.4 – 3.9
Arm B: Erlotinib/Carboplatin/Paclitaxel4.82.8 – 5.6
Overall Response Rate by EGFR Mutation Status Secondary · Duration of study (up to 3 years)

Response and EGFR mutation status are defined in previous outcome measures.

EGFR Mutant
GroupValue95% CI
Arm A: Erlotinib7051 – 84
Arm B: Erlotinib/Carboplatin/Paclitaxel7318 – 44
EGFR Wild Type
GroupValue95% CI
Arm A: Erlotinib93 – 22
Arm B: Erlotinib/Carboplatin/Paclitaxel3018 – 44
Progression Free Survival With KRAS Mutation Status Secondary · Duration of study (up to 3 years)

Progression free survival is defined in previous outcome measures. GIven the small number of KRAS mutant participants, the analysis combines data from both arms.

GroupValue95% CI
Mutant42.8 – 12.4
Wild Type6.75.3 – 8.0
Overall Response Rate With KRAS Mutational Status Secondary · Duration of study (up to 3 years)

Overall response is defined in previous outcome measures. GIven the small number of KRAS mutant participants in each treatment arm, the analysis combines data from both arms.

GroupValue95% CI
Mutant2910 – 56
Wild Type4234 – 51

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A: Erlotinib
Serious: 21/81 (26%)
Deaths:
Arm B: Erlotinib/Carboplatin/Paclitaxel
Serious: 39/99 (39%)
Deaths:

Serious adverse events (125 terms)

ReactionSystemArm A: ErlotinibArm B: Erlotinib/Carboplat…
FatigueGeneral disorders
Leukocytes (total WBC)Investigations
NauseaGastrointestinal disorders
HemoglobinBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
Peripheral sensory neuropathyNervous system disorders
Neutrophils/granulocytes (ANC/AGC)Investigations
Rash: acne/acneiformSkin and subcutaneous tissue disorders
Platelet count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
AlopeciaSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Glucose serum-high (hyperglycemia)Metabolism and nutrition disorders
Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders
Sodium serum-low (hyponatremia)Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)Metabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
LymphopeniaInvestigations
Calcium serum-low (hypocalcemia)Metabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
Rash/desquamationSkin and subcutaneous tissue disorders
Thrombosis/thrombus/embolismVascular disorders
Febrile neutropeniaBlood and lymphatic system disorders
Aspartate aminotransferase increasedInvestigations
Magnesium serum-low (hypomagnesemia)Metabolism and nutrition disorders
Other adverse events (207 terms — click to expand)

ReactionSystemArm A: ErlotinibArm B: Erlotinib/Carboplat…
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
Rash: acne/acneiformSkin and subcutaneous tissue disorders
Leukocytes (total WBC)Investigations
HemoglobinBlood and lymphatic system disorders
Peripheral sensory neuropathyNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Neutrophils/granulocytes (ANC/AGC)Investigations
CoughRespiratory, thoracic and mediastinal disorders
Platelet count decreasedInvestigations
Rash/desquamationSkin and subcutaneous tissue disorders
Aspartate aminotransferase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Glucose serum-high (hyperglycemia)Metabolism and nutrition disorders
Blood bilirubin increasedInvestigations
Dry skinSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Albumin, serum-low (hypoalbuminemia)Metabolism and nutrition disorders
PainGastrointestinal disorders
InsomniaPsychiatric disorders
DysgeusiaNervous system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Potassium serum-low (hypokalemia)Metabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
Alkaline phosphataseInvestigations
DyspepsiaGastrointestinal disorders
CreatinineInvestigations
LymphopeniaInvestigations
Magnesium serum-low (hypomagnesemia)Metabolism and nutrition disorders
InfectionInfections and infestations
Sodium serum-low (hyponatremia)Metabolism and nutrition disorders
DizzinessNervous system disorders
Mucositis/stomatitis (functional/symptomatic)Gastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Calcium serum-low (hypocalcemia)Metabolism and nutrition disorders
Allergic reaction/hypersensitivity (including drug fever)Immune system disorders

Most-reported serious reactions: Fatigue, Leukocytes (total WBC), Nausea, Hemoglobin, Diarrhea, Peripheral sensory neuropathy, Neutrophils/granulocytes (ANC/AGC), Rash: acne/acneiform.

Data from ClinicalTrials.gov NCT00126581 adverse events section.

Sponsor's own description

This randomized phase II trial studies how well erlotinib hydrochloride with or without carboplatin and paclitaxel works in treating patients with stage III-IV non-small cell lung cancer. Erlotinib hydrochloride may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving erlotinib hydrochloride together with carboplatin and paclitaxel may kill more tumor cells than giving either drug alone.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Randomized phase II trial of erlotinib alone or with carboplatin and paclitaxel in patients who were never or light former smokers with advanced lung adenocarcinoma: CALGB 30406 trial.
    Jänne PA, Wang X, Socinski MA, Crawford J, et al · · 2012 · cited 194× · PMID 22547605 · DOI 10.1200/jco.2011.40.1315
  2. Delay of treatment change after objective progression on first-line erlotinib in epidermal growth factor receptor-mutant lung cancer.
    Lo PC, Dahlberg SE, Nishino M, Johnson BE, et al · · 2015 · cited 37× · PMID 25876525 · DOI 10.1002/cncr.29397
  3. Identification of cardiotoxicity related to non-small cell lung cancer (NSCLC) treatments: A systematic review.
    Chan SHY, Khatib Y, Webley S, Layton D, et al · · 2023 · cited 10× · PMID 37383708 · DOI 10.3389/fphar.2023.1137983
  4. An updated network meta-analysis of EGFR-TKIs and combination therapy in the first-line treatment of advanced EGFR mutation positive non-small cell lung cancer.
    Qi Y, Xia X, Shao L, Guo L, et al · · 2022 · cited 7× · PMID 35978809 · DOI 10.3389/fonc.2022.616546
  5. The Landscape of Clinical Trials in Never-Smoker Non-Small-Cell Lung Cancer: Registered Evidence and Persistent Gaps
    Ramos R, Sousa C, Vale N. · · 2026

Verify or expand the search:

Other trials of Carboplatin

Trials testing the same drug.

Other recruiting trials for Lung Adenocarcinoma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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