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NCT01310036

A Study of Tarceva (Erlotinib) as First Line Therapy in Participants With Non-Small Cell Lung Cancer Harbouring Epidermal Growth Factor Receptor (EGFR) Mutations

Completed Phase 2 Results posted Last updated 12 September 2018
What this trial tests

Phase 2 trial testing Erlotinib in Non-Squamous Non-Small Cell Lung Cancer in 208 participants. Completed in 30 December 2016.

Timeline
30 April 2011
Primary endpoint
14 February 2014
30 December 2016

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment208
Start date30 April 2011
Primary completion14 February 2014
Estimated completion30 December 2016
Sites22 locations across Hong Kong, Thailand, Taiwan, South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

18 and older, any sex, with Non-Squamous 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.

Progression-free Survival Per RECIST, v. 1.1 (PFS1) Primary · Approximately 68 months

PFS1 was defined as time from first dose until documented progressive disease (PD), assessed per Response Evaluation Criteria in Solid Tumors RECIST, v. 1.1, or death from any cause, whichever occurred first. PD was defined as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 mm in the sum of diameters of target lesions; and the appearance of one or more new lesions.

GroupValue95% CI
Erlotinib11.0009.267 – 11.200
Progression-free Survival Per Investigator (PFS2) Secondary · Approximately 68 months

PFS2 was defined as time from first study dose to off-erlotinib progressive disease (PD), assessed by the investigator based on overall clinical evaluation.

GroupValue95% CI
Erlotinib15.00013.067 – 18.700
Objective Response Rate (ORR) for All Participants and Participants With EGFR Mutation E19del or L858R Secondary · Approximately 68 months

ORR was defined as the occurrence of either a confirmed complete (CR) or a partial response (PR, as a best overall response), as determined by RECIST, v. 1.1 criteria. CR was defined as disappearance of all target lesions. PR was defined as least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

All Participants
GroupValue95% CI
Erlotinib72.364.3 – 79.3
EGFR Mutation E19del or L858R
GroupValue95% CI
Erlotinib72.964.9 – 80.0
Disease Control Rate (DCR) for All Participants and Participants With EGFR Mutation E19del or L858R Secondary · Approximately 68 months

DCR was defined as CR + PR + Stable disease (SD). CR was defined as disappearance of all target lesions. PR was defined as least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study. PD was defined as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute incr

All Participants
GroupValue95% CI
Erlotinib84.577.6 – 89.9
EGFR Mutation E19del or L858R
GroupValue95% CI
Erlotinib85.478.6 – 90.7
Progression-free Survival for Participants With EGFR Mutation E19del or L858R Per RECIST, v. 1.1 (PFS1) Secondary · Approximately 68 months

PFS1 was defined as time from first dose until documented progressive disease (PD), assessed per Response Evaluation Criteria in Solid Tumors RECIST, v. 1.1, or death from any cause, whichever occurred first. PD was defined as: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, including baseline; an absolute increase of at least 5 mm in the sum of diameters of target lesions; and the appearance of one or more new lesions.

GroupValue95% CI
Erlotinib11.0009.267 – 11.200
Overall Survival (OS) for All Participants and Participants With EGFR Mutation E19del or L858R Secondary · Approximately 68 months

OS was defined as the time from baseline to the date of death from any cause.

All Participants
GroupValue95% CI
Erlotinib31.63328.100 – 36.133
EGFR Mutation E19del or L858R
GroupValue95% CI
Erlotinib31.80028.100 – 36.133
Number of Participants With Adverse Events Secondary · Approximately 68 months

An adverse event is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug.

GroupValue95% CI
Erlotinib206

Adverse events — posted to ClinicalTrials.gov

Time frame: Approximately 68 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Erlotinib
Serious: 59/207 (29%)
Deaths:

Serious adverse events (62 terms)

ReactionSystemErlotinib
PneumoniaInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
CellulitisInfections and infestations
Herpes zosterInfections and infestations
Lower respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
FatigueGeneral disorders
PyrexiaGeneral disorders
DeathGeneral disorders
Cerebral infarctionNervous system disorders
HepatitisHepatobiliary disorders
HyponatraemiaMetabolism and nutrition disorders
Acute kidney injuryRenal and urinary disorders
Dengue feverInfections and infestations
InfectionInfections and infestations
Infective exacerbation of bronchiectasisInfections and infestations
Parainfluenzae virus infectionInfections and infestations
Septic shockInfections and infestations
Staphylococcal scalded skin syndromeInfections and infestations
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (43 terms — click to expand)

ReactionSystemErlotinib
DiarrhoeaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
ParonychiaInfections and infestations
Dermatitis acneiformSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Dry skinSkin and subcutaneous tissue disorders
Decreased appetiteMetabolism and nutrition disorders
StomatitisGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Mucosal inflammationGeneral disorders
FatigueGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Alanine aminotransferase increasedInvestigations
NauseaGastrointestinal disorders
HeadacheNervous system disorders
Dry eyeEye disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Aspartate aminotransferase increasedInvestigations
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
AcneSkin and subcutaneous tissue disorders
DizzinessNervous system disorders
Chest painGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
AnaemiaBlood and lymphatic system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Nail disorderSkin and subcutaneous tissue disorders
Mouth ulcerationGastrointestinal disorders
HypokalaemiaMetabolism and nutrition disorders
Skin exfoliationSkin and subcutaneous tissue disorders
EczemaSkin and subcutaneous tissue disorders
ConjunctivitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Blood bilirubin increasedInvestigations

Most-reported serious reactions: Pneumonia, Dyspnoea, Pneumothorax, Upper gastrointestinal haemorrhage, Back pain, Cellulitis, Herpes zoster, Lower respiratory tract infection.

Data from ClinicalTrials.gov NCT01310036 adverse events section.

Sponsor's own description

This open-label, single arm study will evaluate the safety and efficacy of Tarceva (erlotinib) as first-line therapy in participants with stage IV or recurrent non-small cell lung cancer who harbour epidermal growth factor receptor (EGFR) mutations. All participants will receive Tarceva 150 mg daily orally until disease progression or unacceptable toxicity occurs. At the investigator's discretion, participants may receive Tarceva beyond disease progression.

Publications & conference data

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

  1. Emerging paradigms in the development of resistance to tyrosine kinase inhibitors in lung cancer.
    Gainor JF, Shaw AT. · · 2013 · cited 263× · PMID 24101047 · DOI 10.1200/jco.2012.45.2029
  2. First-Line Erlotinib Therapy Until and Beyond Response Evaluation Criteria in Solid Tumors Progression in Asian Patients With Epidermal Growth Factor Receptor Mutation-Positive Non-Small-Cell Lung Cancer: The ASPIRATION Study.
    Park K, Yu CJ, Kim SW, Lin MC, et al · · 2016 · cited 171× · PMID 26720423 · DOI 10.1001/jamaoncol.2015.4921
  3. State of the art: Response assessment in lung cancer in the era of genomic medicine.
    Nishino M, Hatabu H, Johnson BE, McLoud TC. · · 2014 · cited 83× · PMID 24661292 · DOI 10.1148/radiol.14122524
  4. Using cfDNA and ctDNA as Oncologic Markers: A Path to Clinical Validation.
    Dao J, Conway PJ, Subramani B, Meyyappan D, et al · · 2023 · cited 56× · PMID 37686024 · DOI 10.3390/ijms241713219
  5. Radiographic assessment and therapeutic decisions at RECIST progression in EGFR-mutant NSCLC treated with EGFR tyrosine kinase inhibitors.
    Nishino M, Cardarella S, Dahlberg SE, Jackman DM, et al · · 2013 · cited 51× · PMID 23254265 · DOI 10.1016/j.lungcan.2012.11.007
  6. Mechanisms of resistance to irreversible epidermal growth factor receptor tyrosine kinase inhibitors and therapeutic strategies in non-small cell lung cancer.
    Xu J, Wang J, Zhang S. · · 2017 · cited 38× · PMID 29163853 · DOI 10.18632/oncotarget.21164
  7. Frontiers of ctDNA, targeted therapies, and immunotherapy in non-small-cell lung cancer.
    Zhu C, Zhuang W, Chen L, Yang W, et al · · 2020 · cited 32× · PMID 32206559 · DOI 10.21037/tlcr.2020.01.09
  8. Volumetric tumor growth in advanced non-small cell lung cancer patients with EGFR mutations during EGFR-tyrosine kinase inhibitor therapy: developing criteria to continue therapy beyond RECIST progression.
    Nishino M, Dahlberg SE, Cardarella S, Jackman DM, et al · · 2013 · cited 29× · PMID 23922022 · DOI 10.1002/cncr.28290

Verify or expand the search:

Other trials of Erlotinib

Trials testing the same drug.

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Trials by the same sponsor.

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