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NCT01104155

Eribulin Mesylate in Combination With Intermittent Erlotinib in Patients With Previously Treated, Advanced Non-Small Cell Lung Cancer

Completed Phase 2 Results posted Last updated 22 June 2023
What this trial tests

Phase 2 trial testing eribulin mesylate + erlotinib in Non-small Cell Lung Cancer in 123 participants. Completed in 18 January 2017.

Timeline
22 February 2010
Primary endpoint
7 April 2011
18 January 2017

Quick facts

Lead sponsorEisai Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment123
Start date22 February 2010
Primary completion7 April 2011
Estimated completion18 January 2017
Sites64 locations across Hong Kong, Malaysia, Taiwan, South Korea, Thailand, Singapore, United States

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Inc. — full company profile →

Who can join

18 and older, any sex, with Non-small Cell Lung Cancer. 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.

Objective Response Rate (ORR) Primary · From date of first dose of study drug until, or up to the date of data cutoff (07 Apr 2011)

ORR was defined as the percentage of participants whose best overall response (BOR) was either a confirmed complete response (CR) or a partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria for target lesions assessed by computed tomography (CT) or magnetic resonance imaging (MRI) and based on investigator assessment. CRs and PRs had to be confirmed by a repeat assessment of response (CR or PR) separated by at least 4 weeks (28 days). CR was defined as the disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to

GroupValue95% CI
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen12.75.6 – 23.5
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen16.78.3 – 28.5
Duration of Response (DOR) Secondary · From date of first document CR or PR (whichever was recorded first) until first documentation of disease progression or death due to any cause, or up to data cutoff (31 May 2013) up to 3.25 years

DOR was assessed for participants with a BOR of CR or PR, and was defined as the time from first documented evidence of CR or PR (whichever status was recorded first) until the first documented sign of disease progression or death (due to any cause), whichever was first. DOR was defined for participants with a confirmed CR or PR. For participants in the subset of responders who did not progress or die, duration of response was censored. DOR was analyzed using the Kaplan-Meier method.

GroupValue95% CI
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen9.42.7 – NA
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen9.75.6 – NA
Progression-Free Survival (PFS) Secondary · From date of first dose of study drug until documentation of disease progression or death from any cause (whichever occurred first), or up to data cutoff (31 May 2013) up to 3.25 years

PFS was measured as the time from the date of first administration of study treatment until the first documentation of disease progression or death (due to any cause), whichever occurred first, as determined by investigator assessment based on RECIST v1.1. Disease progression per RECIST v1.1 was defined as at least a 20% relative increase and 5 mm absolute increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. For participants who did not have an event (i.e. those who ha

GroupValue95% CI
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen3.51.9 – 4.7
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen3.83.3 – 5.5
Disease Control Rate (DCR) Secondary · From date of first dose of study drug until documentation of disease progression or death from any cause (whichever occurred first) or up to data cutoff (31 May 2013), up to approximately 3.25 years

DCR was defined as the percentage of participants who had a BOR of CR or PR, or stable disease (SD; duration of SD lasted for at least 7 weeks). To be assigned a BOR of SD, the time from the first administration of study drug until the date of documented SD was to be greater than or equal to 7 weeks (49 days). A participant's tumor assessment had to be at least 7 weeks following the randomization date to be consider SD. DCR and the corresponding exact Clopper-Pearson 95% CI were computed by treatment regimen. (CR + PR + SD)

GroupValue95% CI
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen47.634.9 – 60.6
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen63.349.9 – 75.4
Overall Survival (OS) Secondary · From date of first dose of study drug until date of death from any cause or up to data cutoff (31 May 2013), up to approximately 3.25 years

OS was defined as the length of time in months from the date of first administration of study drug until the date of death from any cause, and was based on the data cutoff date. In the absence of confirmation of death, participants were censored either at the date that the participant was last known to be alive or the date of study cutoff, whichever came first. OS and the corresponding 2-sided 95% CI was analyzed using the Kaplan-Meier method.

GroupValue95% CI
Eribulin Mesylate Plus Erlotinib, 21 Day Regimen7.66.3 – 11.0
Eribulin Mesylate Plus Erlotinib, 28 Day Regimen8.56.2 – 13.1

Adverse events — posted to ClinicalTrials.gov

Time frame: From date of administration of first dose up to 30 days after the last dose, or up to approximately 6 years 11 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Eribulin Mesylate, 21 Day Cycle
Serious: 38/63 (60%)
Deaths: 59/63
Eribulin Mesylate, 28 Day Cycle
Serious: 27/60 (45%)
Deaths: 51/60

Serious adverse events (64 terms)

ReactionSystemEribulin Mesylate, 21 Day …Eribulin Mesylate, 28 Day …
Febrile neutropeniaBlood and lymphatic system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
Neutrophil count decreasedInvestigations
StomatitisGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
DehydrationMetabolism and nutrition disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Atrial fibrillationCardiac disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
Asthenia + FatigueGeneral disorders
CellulitisInfections and infestations
HypoglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Cardiac tamponadeCardiac disorders
Cardio-respiratory arrestCardiac disorders
Pericardial effusionCardiac disorders
EnteritisGastrointestinal disorders
NauseaGastrointestinal disorders
Other adverse events (82 terms — click to expand)

ReactionSystemEribulin Mesylate, 21 Day …Eribulin Mesylate, 28 Day …
DiarrhoeaGastrointestinal disorders
Asthenia + FatigueGeneral disorders
FatigueGeneral disorders
NeutropeniaBlood and lymphatic system disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Decreased appetiteMetabolism and nutrition disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
StomatitisGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
HypokalaemiaMetabolism and nutrition disorders
Dry skinSkin and subcutaneous tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Neuropathy based on broad MedDRA SMQNervous system disorders
Arthralgia + MyalgiaMusculoskeletal and connective tissue disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Peripheral NeuropathyNervous system disorders
Neutrophil count decreasedInvestigations
DizzinessNervous system disorders
InsomniaPsychiatric disorders
LeukopeniaBlood and lymphatic system disorders
Mucosal inflammationGeneral disorders
Upper respiratory tract infectionInfections and infestations
PruritusSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
Weight decreasedInvestigations
White blood cell count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders
Urinary tract infectionInfections and infestations

Most-reported serious reactions: Febrile neutropenia, Dyspnoea, Neutropenia, Pneumonia, Neutrophil count decreased, Stomatitis, Vomiting, Pyrexia.

Data from ClinicalTrials.gov NCT01104155 adverse events section.

Sponsor's own description

This is a Phase 2, multicenter, randomized study of two different dose regimens of eribulin mesylate in combination with intermittent erlotinib in patients with previously treated, advanced non-small cell lung cancer.

Publications & conference data

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

  1. The proportion of randomized controlled trials that inform clinical practice.
    Hutchinson N, Moyer H, Zarin DA, Kimmelman J. · · 2022 · cited 27× · PMID 35975784 · DOI 10.7554/elife.79491
  2. Eribulin mesylate in the treatment of metastatic breast cancer.
    Jain S, Cigler T. · · 2012 · cited 27× · PMID 22291464 · DOI 10.2147/btt.s19811
  3. The continuing role of chemotherapy for advanced non-small cell lung cancer in the targeted therapy era.
    Lwin Z, Riess JW, Gandara D. · · 2013 · cited 21× · PMID 24163748 · DOI 10.3978/j.issn.2072-1439.2013.08.47
  4. Randomized phase II study of two intercalated combinations of eribulin mesylate and erlotinib in patients with previously treated advanced non-small-cell lung cancer.
    Mok TS, Geater SL, Iannotti N, Thongprasert S, et al · · 2014 · cited 11× · PMID 24827127 · DOI 10.1093/annonc/mdu174

Verify or expand the search:

Other recruiting trials for Non-small Cell Lung Cancer

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing