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NCT03672643

Long Term Safety Observation of Crizotinib in Chinese NSCLC Population

Terminated Phase 4 Results posted Last updated 8 November 2024
What this trial tests

Phase 4 trial testing Crizotinib in ALK or ROS1-positive NSCLC in 41 participants. Terminated before completion.

Timeline
28 January 2019
Primary endpoint
28 September 2023
28 September 2023

Quick facts

Lead sponsorPfizer
PhasePhase 4
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment41
Start date28 January 2019
Primary completion28 September 2023
Estimated completion28 September 2023
Sites14 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with ALK or ROS1-positive NSCLC. 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.

Number of Participants With Grade 3 or 4 Adverse Events (AEs), Grade 5 AEs, AEs Lead to Treatment Discontinuation, Serious AEs (SAEs)- All Causality: Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03 Primary · From first dose of study treatment up to 28 days after last dose (maximum follow up approximately up to 52.3 months; maximum exposure to treatment was 51.3 months)

An AE was any untoward medical occurrence in a clinical study participant associated with the use of study intervention, whether or not considered related to the study intervention. According to NCI CTCAE version 4.03: Grade 3 indicates severe AE, Grade 4 indicates life-threatening consequences and urgent intervention indicated and Grade 5 indicates death related to AE. Participants who discontinued treatment due to AEs were captured under AEs leading to treatment discontinuation. SAE was any untoward medical occurrence at any dose that resulted in death; life-threatening (immediate risk of de

Grade 3 or 4 AEs
GroupValue95% CI
Crizotinib19
Grade 5 AEs
GroupValue95% CI
Crizotinib2
AEs Leading to Treatment Discontinuation
GroupValue95% CI
Crizotinib4
SAEs
GroupValue95% CI
Crizotinib13
Number of Participants With Grade 3 or 4 AEs, Grade 5 AEs, AEs Leading to Treatment Discontinuation and SAEs- Treatment Related: Assessed by NCI CTCAE v4.03 Primary · From first dose of study treatment up to 28 days after last dose (maximum follow up approximately up to 52.3 months; maximum exposure to treatment was 51.3 months)

An AE was any untoward medical occurrence in a clinical study participant associated with use of study intervention, whether or not considered related to study intervention. AEs that were related to treatment were evaluated in this outcome measure. Treatment relatedness was judged by investigator. According to NCI CTCAE version 4.03: Grade 3= severe AE, Grade 4= life-threatening consequences and urgent intervention indicated, Grade 5= death related to AE. Participants who discontinued treatment due to treatment related AEs were captured under AEs leading to treatment discontinuation. SAE was a

Treatment Related Grade 3 or 4 AEs
GroupValue95% CI
Crizotinib11
Treatment Related Grade 5 AEs
GroupValue95% CI
Crizotinib0
Treatment Related AEs Leading to Treatment Discontinuation
GroupValue95% CI
Crizotinib1
Treatment Related SAEs
GroupValue95% CI
Crizotinib4

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study treatment up to 28 days after last dose (maximum follow up approximately up to 52.3 months; maximum exposure to treatment was 51.3 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Crizotinib
Serious: 13/41 (32%)
Deaths: 3/41

Serious adverse events (18 terms)

ReactionSystemCrizotinib
Disease progressionGeneral disorders
Crohn's diseaseGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Impaired gastric emptyingGastrointestinal disorders
Obstruction gastricGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Anal abscessInfections and infestations
Herpes zosterInfections and infestations
PneumoniaInfections and infestations
Postoperative wound infectionInfections and infestations
Pyelonephritis chronicInfections and infestations
HypoalbuminaemiaMetabolism and nutrition disorders
HypoproteinaemiaMetabolism and nutrition disorders
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral infarctionNervous system disorders
Biochemical pregnancyPregnancy, puerperium and perinatal conditions
Pleural effusionRespiratory, thoracic and mediastinal disorders
ThrombosisVascular disorders
Other adverse events (2 terms — click to expand)

ReactionSystemCrizotinib
Neutrophil count decreasedInvestigations
White blood cell count decreasedInvestigations

Most-reported serious reactions: Disease progression, Crohn's disease, Gastrointestinal haemorrhage, Impaired gastric emptying, Obstruction gastric, Pancreatitis acute, Anal abscess, Herpes zoster.

Data from ClinicalTrials.gov NCT03672643 adverse events section.

Sponsor's own description

This study is to allow access to crizotinib who were treated in previous Pfizer-sponsored studies in China.

Publications & conference data

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

  1. Tumor biomarkers for diagnosis, prognosis and targeted therapy.
    Zhou Y, Tao L, Qiu J, Xu J, et al · · 2024 · cited 379× · PMID 38763973 · DOI 10.1038/s41392-024-01823-2
  2. Safety and efficacy of anaplastic lymphoma kinase tyrosine kinase inhibitors in non‑small cell lung cancer (Review).
    Wang L, Wang W. · · 2021 · cited 42× · PMID 33200229 · DOI 10.3892/or.2020.7851
  3. Recent advances in the treatment of non-small cell lung cancer with MET inhibitors.
    Zhang D, Zhang W, Liu H, Liu P, et al · · 2024 · cited 1× · PMID 39720556 · DOI 10.3389/fchem.2024.1501844

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