Trial Outcomes & Findings for Pemetrexed or Docetaxel With or Without Erlotinib in Stage IIIB or Stage IV Non-Small Cell Lung Cancer (NCT NCT00660816)

NCT ID: NCT00660816

Last Updated: 2015-10-12

Results Overview

From the date of randomization to the date of disease progression or the date of death, whichever occurs first and censored at the date of last followed for those survivors without disease progression.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

46 participants

Primary outcome timeframe

18 months after enrollment of last patient

Results posted on

2015-10-12

Participant Flow

Participant milestones

Participant milestones
Measure
Active Comparator
Alimta or Taxotere alone
Experimental
Alimta or Taxotere and Tarceva
Overall Study
STARTED
24
22
Overall Study
COMPLETED
4
3
Overall Study
NOT COMPLETED
20
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Active Comparator
Alimta or Taxotere alone
Experimental
Alimta or Taxotere and Tarceva
Overall Study
Adverse Event
1
2
Overall Study
Withdrawal by Subject
1
0
Overall Study
Death
0
2
Overall Study
Lack of Efficacy
1
0
Overall Study
Physician Decision
0
2
Overall Study
Protocol Violation
1
0
Overall Study
Disease Progression
16
12
Overall Study
Complicating Disease
0
1

Baseline Characteristics

Pemetrexed or Docetaxel With or Without Erlotinib in Stage IIIB or Stage IV Non-Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Comparator
n=24 Participants
Alimta or Taxotere alone
Experimental
n=22 Participants
Alimta or Taxotere and Tarceva
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
67.0 years
FULL_RANGE 11.08 • n=39 Participants
63.6 years
FULL_RANGE 10.62 • n=41 Participants
65.3 years
FULL_RANGE 10.78 • n=35 Participants
Sex: Female, Male
Female
19 Participants
n=39 Participants
12 Participants
n=41 Participants
31 Participants
n=35 Participants
Sex: Female, Male
Male
5 Participants
n=39 Participants
10 Participants
n=41 Participants
15 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=39 Participants
0 Participants
n=41 Participants
3 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=39 Participants
20 Participants
n=41 Participants
38 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=39 Participants
2 Participants
n=41 Participants
5 Participants
n=35 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=39 Participants
0 Participants
n=41 Participants
1 Participants
n=35 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=39 Participants
4 Participants
n=41 Participants
5 Participants
n=35 Participants
Race (NIH/OMB)
White
20 Participants
n=39 Participants
15 Participants
n=41 Participants
35 Participants
n=35 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=39 Participants
3 Participants
n=41 Participants
5 Participants
n=35 Participants
Region of Enrollment
United States
24 participants
n=39 Participants
22 participants
n=41 Participants
46 participants
n=35 Participants

PRIMARY outcome

Timeframe: 18 months after enrollment of last patient

From the date of randomization to the date of disease progression or the date of death, whichever occurs first and censored at the date of last followed for those survivors without disease progression.

Outcome measures

Outcome measures
Measure
Active Comparator
n=24 Participants
Alimta or Taxotere alone
Experimental
n=22 Participants
Alimta or Taxotere and Tarceva
Progression-free Survival
5.5 Months
Interval 2.6 to 6.6
4.4 Months
Interval 2.9 to 7.5

SECONDARY outcome

Timeframe: 36 months after enrollment of last patient

Measured from the date of randomization to the date of death, whichever occurs first and censored at the date of last followed for those survivors

Outcome measures

Outcome measures
Measure
Active Comparator
n=24 Participants
Alimta or Taxotere alone
Experimental
n=22 Participants
Alimta or Taxotere and Tarceva
Overall Survival
16.4 Months
Interval 6.6 to 39.0
14.2 Months
Interval 7.0 to 23.9

SECONDARY outcome

Timeframe: 36 months after enrollment of last evaluable patient

Population: Patients with a complete response, partial response, stable disease, or progressive disease

Estimated based on the number of responses by excluding the dropouts who are not evaluable for response using a binomial distribution

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Alimta or Taxotere alone
Experimental
n=18 Participants
Alimta or Taxotere and Tarceva
Response Rate
2 participants
3 participants

SECONDARY outcome

Timeframe: 36 months after enrollment of last patient

Population: Patients with a complete response, partial response, stable disease, or progressive disease

Estimated based on number of evaluable patients with complete response, partial response or stable disease

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Alimta or Taxotere alone
Experimental
n=18 Participants
Alimta or Taxotere and Tarceva
Disease Stabilization Rate (e.g., Complete Response, Partial Response, and Stable Disease)
15 participants
16 participants

Adverse Events

Active Comparator

Serious events: 4 serious events
Other events: 24 other events
Deaths: 0 deaths

Experimental

Serious events: 17 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Active Comparator
n=24 participants at risk
Alimta or Taxotere alone
Experimental
n=22 participants at risk
Alimta or Taxotere and Tarceva
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/24
4.5%
1/22
Gastrointestinal disorders
Diarrhea
0.00%
0/24
4.5%
1/22
Gastrointestinal disorders
Dysphagia
0.00%
0/24
4.5%
1/22
Gastrointestinal disorders
Crohn's exacerbation
0.00%
0/24
4.5%
1/22
Gastrointestinal disorders
Nausea
0.00%
0/24
4.5%
1/22
General disorders
Fatigue
0.00%
0/24
4.5%
1/22
General disorders
Multi-organ failure
0.00%
0/24
4.5%
1/22
General disorders
Non-cardiac chest pain
4.2%
1/24
0.00%
0/22
Infections and infestations
Lung infection
4.2%
1/24
9.1%
2/22
Infections and infestations
Sepsis
0.00%
0/24
4.5%
1/22
Infections and infestations
Skin infection
0.00%
0/24
4.5%
1/22
Metabolism and nutrition disorders
Anorexia
0.00%
0/24
4.5%
1/22
Metabolism and nutrition disorders
Dehydration
0.00%
0/24
4.5%
1/22
Psychiatric disorders
Confusion
0.00%
0/24
9.1%
2/22
Renal and urinary disorders
Acute kidney injury
0.00%
0/24
4.5%
1/22
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/24
4.5%
1/22
Vascular disorders
Thromboembolic event
8.3%
2/24
0.00%
0/22

Other adverse events

Other adverse events
Measure
Active Comparator
n=24 participants at risk
Alimta or Taxotere alone
Experimental
n=22 participants at risk
Alimta or Taxotere and Tarceva
Gastrointestinal disorders
Constipation
50.0%
12/24 • Number of events 17
36.4%
8/22 • Number of events 13
Gastrointestinal disorders
Nausea
41.7%
10/24 • Number of events 16
36.4%
8/22 • Number of events 18
Gastrointestinal disorders
Diarrhea
25.0%
6/24 • Number of events 7
50.0%
11/22 • Number of events 17
Gastrointestinal disorders
Vomiting
12.5%
3/24 • Number of events 4
27.3%
6/22 • Number of events 8
Gastrointestinal disorders
Abdominal pain
16.7%
4/24 • Number of events 5
4.5%
1/22 • Number of events 3
Gastrointestinal disorders
Dyspepsia
8.3%
2/24 • Number of events 6
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Dysphagia
4.2%
1/24 • Number of events 1
9.1%
2/22 • Number of events 2
Gastrointestinal disorders
Gastritis
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 3
Gastrointestinal disorders
Mucositis oral
0.00%
0/24
9.1%
2/22 • Number of events 5
Gastrointestinal disorders
Oral pain
0.00%
0/24
9.1%
2/22 • Number of events 2
Gastrointestinal disorders
Colitis
0.00%
0/24
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Crohn's exacerbation
0.00%
0/24
4.5%
1/22 • Number of events 5
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
0.00%
0/24
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Rectal hemorrhage
0.00%
0/24
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Stomach pain
0.00%
0/24
4.5%
1/22 • Number of events 1
Investigations
Lymphocyte count decreased
45.8%
11/24 • Number of events 25
68.2%
15/22 • Number of events 64
Investigations
White blood cell decreased
41.7%
10/24 • Number of events 37
54.5%
12/22 • Number of events 43
Investigations
Aspartate aminotransferase increased
37.5%
9/24 • Number of events 11
27.3%
6/22 • Number of events 12
Investigations
Neutrophil count decreased
33.3%
8/24 • Number of events 24
31.8%
7/22 • Number of events 21
Investigations
Alkaline phosphatase increased
20.8%
5/24 • Number of events 7
31.8%
7/22 • Number of events 8
Investigations
Alanine aminotransferase increased
12.5%
3/24 • Number of events 3
31.8%
7/22 • Number of events 9
Investigations
Platelet count decreased
16.7%
4/24 • Number of events 10
27.3%
6/22 • Number of events 19
Investigations
Weight loss
4.2%
1/24 • Number of events 1
22.7%
5/22 • Number of events 8
Investigations
Creatinine increased
8.3%
2/24 • Number of events 2
4.5%
1/22 • Number of events 1
Investigations
Lymphocyte count increased
4.2%
1/24 • Number of events 3
9.1%
2/22 • Number of events 2
Investigations
Weight gain
8.3%
2/24 • Number of events 2
0.00%
0/22
Investigations
INR increased
0.00%
0/24
4.5%
1/22 • Number of events 4
Metabolism and nutrition disorders
Hyperglycemia
37.5%
9/24 • Number of events 16
50.0%
11/22 • Number of events 27
Metabolism and nutrition disorders
Anorexia
33.3%
8/24 • Number of events 14
36.4%
8/22 • Number of events 10
Metabolism and nutrition disorders
Hypoalbuminemia
25.0%
6/24 • Number of events 8
27.3%
6/22 • Number of events 11
Metabolism and nutrition disorders
Hyponatremia
12.5%
3/24 • Number of events 4
22.7%
5/22 • Number of events 5
Metabolism and nutrition disorders
Hypokalemia
8.3%
2/24 • Number of events 3
22.7%
5/22 • Number of events 6
Metabolism and nutrition disorders
Hypocalcemia
8.3%
2/24 • Number of events 2
18.2%
4/22 • Number of events 12
Metabolism and nutrition disorders
Dehydration
4.2%
1/24 • Number of events 1
18.2%
4/22 • Number of events 4
Metabolism and nutrition disorders
Hyperkalemia
16.7%
4/24 • Number of events 4
0.00%
0/22
Metabolism and nutrition disorders
Hypoglycemia
0.00%
0/24
13.6%
3/22 • Number of events 4
Metabolism and nutrition disorders
Hypophosphatemia
4.2%
1/24 • Number of events 2
4.5%
1/22 • Number of events 1
General disorders
Fatigue
58.3%
14/24 • Number of events 29
59.1%
13/22 • Number of events 28
General disorders
Edema limbs
25.0%
6/24 • Number of events 10
13.6%
3/22 • Number of events 4
General disorders
Non-cardiac chest pain
20.8%
5/24 • Number of events 5
18.2%
4/22 • Number of events 4
General disorders
Pain
8.3%
2/24 • Number of events 3
22.7%
5/22 • Number of events 6
General disorders
Fever
12.5%
3/24 • Number of events 3
13.6%
3/22 • Number of events 3
General disorders
Chills
8.3%
2/24 • Number of events 2
13.6%
3/22 • Number of events 3
General disorders
Flu like symptoms
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
General disorders
Localized edema
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
6/24 • Number of events 14
50.0%
11/22 • Number of events 13
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
6/24 • Number of events 7
31.8%
7/22 • Number of events 11
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
4.2%
1/24 • Number of events 1
9.1%
2/22 • Number of events 3
Reproductive system and breast disorders
Epistaxis
0.00%
0/24
13.6%
3/22 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hiccups
0.00%
0/24
9.1%
2/22 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hoarseness
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/24
9.1%
2/22 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pleural effusion
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Sinus disorder
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/24
9.1%
2/22 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.00%
0/24
4.5%
1/22 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Laryngeal hemorrhage
0.00%
0/24
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Voice alteration
0.00%
0/24
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/24
4.5%
1/22 • Number of events 1
Skin and subcutaneous tissue disorders
Rash maculo-papular
12.5%
3/24 • Number of events 3
31.8%
7/22 • Number of events 11
Skin and subcutaneous tissue disorders
Rash acneiform
8.3%
2/24 • Number of events 4
31.8%
7/22 • Number of events 46
Skin and subcutaneous tissue disorders
Dry skin
8.3%
2/24 • Number of events 2
27.3%
6/22 • Number of events 7
Skin and subcutaneous tissue disorders
Alopecia
8.3%
2/24 • Number of events 2
18.2%
4/22 • Number of events 4
Skin and subcutaneous tissue disorders
Pruritus
4.2%
1/24 • Number of events 1
9.1%
2/22 • Number of events 2
Skin and subcutaneous tissue disorders
Pain of skin
0.00%
0/24
9.1%
2/22 • Number of events 3
Skin and subcutaneous tissue disorders
"Skin and subcutaneous tissue disorders - Other, specify"
8.3%
2/24 • Number of events 2
0.00%
0/22
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
8.3%
2/24 • Number of events 2
0.00%
0/22
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/24
4.5%
1/22 • Number of events 2
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
0.00%
0/24
4.5%
1/22 • Number of events 1
Blood and lymphatic system disorders
Anemia
45.8%
11/24 • Number of events 29
50.0%
11/22 • Number of events 23
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/24
4.5%
1/22 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
12.5%
3/24 • Number of events 5
9.1%
2/22 • Number of events 3
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
8.3%
2/24 • Number of events 2
13.6%
3/22 • Number of events 6
Musculoskeletal and connective tissue disorders
Back pain
4.2%
1/24 • Number of events 1
13.6%
3/22 • Number of events 4
Musculoskeletal and connective tissue disorders
Chest wall pain
8.3%
2/24 • Number of events 2
4.5%
1/22 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
8.3%
2/24 • Number of events 5
4.5%
1/22 • Number of events 2
Musculoskeletal and connective tissue disorders
Pain in extremity
8.3%
2/24 • Number of events 2
4.5%
1/22 • Number of events 2
Musculoskeletal and connective tissue disorders
Bone pain
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Musculoskeletal and connective tissue disorders
"Musculoskeletal and connective tissue disorder - Other, specify"
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Musculoskeletal and connective tissue disorders
Neck pain
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Psychiatric disorders
Insomnia
25.0%
6/24 • Number of events 10
31.8%
7/22 • Number of events 13
Psychiatric disorders
Anxiety
16.7%
4/24 • Number of events 4
18.2%
4/22 • Number of events 4
Psychiatric disorders
Depression
12.5%
3/24 • Number of events 3
13.6%
3/22 • Number of events 4
Psychiatric disorders
Confusion
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 2
Nervous system disorders
Peripheral sensory neuropathy
16.7%
4/24 • Number of events 5
9.1%
2/22 • Number of events 2
Nervous system disorders
Dizziness
12.5%
3/24 • Number of events 5
9.1%
2/22 • Number of events 3
Nervous system disorders
Headache
8.3%
2/24 • Number of events 2
9.1%
2/22 • Number of events 2
Nervous system disorders
Dysgeusia
0.00%
0/24
9.1%
2/22 • Number of events 2
Nervous system disorders
Lethargy
0.00%
0/24
4.5%
1/22 • Number of events 1
Nervous system disorders
Paresthesia
0.00%
0/24
4.5%
1/22 • Number of events 1
Infections and infestations
Upper respiratory infection
8.3%
2/24 • Number of events 2
9.1%
2/22 • Number of events 2
Infections and infestations
Lung infection
8.3%
2/24 • Number of events 2
4.5%
1/22 • Number of events 3
Infections and infestations
"Infections and infestations - Other, specify"
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 2
Infections and infestations
Urinary tract infection
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Infections and infestations
Conjunctivitis infective
0.00%
0/24
4.5%
1/22 • Number of events 3
Infections and infestations
Papulopustular rash
0.00%
0/24
4.5%
1/22 • Number of events 1
Infections and infestations
Sepsis
0.00%
0/24
4.5%
1/22 • Number of events 1
Infections and infestations
Skin infection
0.00%
0/24
4.5%
1/22 • Number of events 1
Infections and infestations
Soft tissue infection
0.00%
0/24
4.5%
1/22 • Number of events 1
Vascular disorders
Flushing
12.5%
3/24 • Number of events 4
4.5%
1/22 • Number of events 1
Vascular disorders
Hot flashes
16.7%
4/24 • Number of events 4
0.00%
0/22
Vascular disorders
Thromboembolic event
12.5%
3/24 • Number of events 3
4.5%
1/22 • Number of events 1
Vascular disorders
Hypertension
12.5%
3/24 • Number of events 4
0.00%
0/22
Vascular disorders
Lymphocele
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Eye disorders
Blurred vision
12.5%
3/24 • Number of events 4
9.1%
2/22 • Number of events 2
Eye disorders
Watering eyes
8.3%
2/24 • Number of events 2
13.6%
3/22 • Number of events 5
Eye disorders
Dry eye
8.3%
2/24 • Number of events 2
4.5%
1/22 • Number of events 1
Eye disorders
Cataract
0.00%
0/24
4.5%
1/22 • Number of events 1
Eye disorders
Conjunctivitis
0.00%
0/24
4.5%
1/22 • Number of events 2
Eye disorders
"Eye disorders - Other, specify"
0.00%
0/24
4.5%
1/22 • Number of events 1
Renal and urinary disorders
"Renal and urinary disorders - Other, specify"
8.3%
2/24 • Number of events 2
9.1%
2/22 • Number of events 4
Renal and urinary disorders
Urinary frequency
4.2%
1/24 • Number of events 1
13.6%
3/22 • Number of events 4
Renal and urinary disorders
Chronic kidney disease
0.00%
0/24
9.1%
2/22 • Number of events 2
Renal and urinary disorders
Acute kidney injury
0.00%
0/24
4.5%
1/22 • Number of events 1
Renal and urinary disorders
Proteinuria
0.00%
0/24
4.5%
1/22 • Number of events 1
Renal and urinary disorders
Urine discoloration
0.00%
0/24
4.5%
1/22 • Number of events 1
Injury, poisoning and procedural complications
Bruising
8.3%
2/24 • Number of events 3
9.1%
2/22 • Number of events 2
Injury, poisoning and procedural complications
Fracture
4.2%
1/24 • Number of events 1
9.1%
2/22 • Number of events 2
Cardiac disorders
Sinus tachycardia
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Cardiac disorders
Atrial fibrillation
0.00%
0/24
4.5%
1/22 • Number of events 1
Cardiac disorders
Pericardial effusion
0.00%
0/24
4.5%
1/22 • Number of events 2
Cardiac disorders
Pericarditis
0.00%
0/24
4.5%
1/22 • Number of events 1
Ear and labyrinth disorders
"Ear and labyrinth disorders - Other, specify"
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
Ear and labyrinth disorders
Tinnitus
0.00%
0/24
4.5%
1/22 • Number of events 1

Additional Information

Dr. Afshin Dowlati

CCCC

Phone: 216-844-1228

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place