Trial Outcomes & Findings for Afatinib After Chemoradiation and Surgery in Treating Patients With Stage III-IV Squamous Cell Carcinoma of the Head and Neck at High-Risk of Recurrence (NCT NCT01824823)

NCT ID: NCT01824823

Last Updated: 2023-06-28

Results Overview

DFS is defined as the time from randomization to the earlier of disease recurrence, second primary cancer, or death without recurrence.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

Assessed every 3 months for patients < 2 years from registration and every 6 months if patient is 2-3 years from registration and every 12 months if patient is 4-5 years from registration

Results posted on

2023-06-28

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A (Afatinib)
Patients receive afatinib PO QD on days 1-28.
Arm B (Placebo)
Patients receive placebo PO QD on days 1-28.
Overall Study
STARTED
2
1
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm A (Afatinib)
Patients receive afatinib PO QD on days 1-28.
Arm B (Placebo)
Patients receive placebo PO QD on days 1-28.
Overall Study
Lack of Efficacy
1
1
Overall Study
Off-treatment reason not submitted
1
0

Baseline Characteristics

Afatinib After Chemoradiation and Surgery in Treating Patients With Stage III-IV Squamous Cell Carcinoma of the Head and Neck at High-Risk of Recurrence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A (Afatinib)
n=2 Participants
Patients receive afatinib PO QD on days 1-28.
Arm B (Placebo)
n=1 Participants
Patients receive placebo PO QD on days 1-28.
Total
n=3 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Assessed every 3 months for patients < 2 years from registration and every 6 months if patient is 2-3 years from registration and every 12 months if patient is 4-5 years from registration

Population: All randomized patients

DFS is defined as the time from randomization to the earlier of disease recurrence, second primary cancer, or death without recurrence.

Outcome measures

Outcome measures
Measure
Arm A (Afatinib)
n=2 Participants
Patients receive afatinib PO QD on days 1-28.
Arm B (Placebo)
n=1 Participants
Patients receive placebo PO QD on days 1-28.
Disease-free Survival (DFS)
NA months
Interval 5.2 to
The estimated median DFS was not available by definition in the survival setting. The upper limit of the 95% CI was not calculable because an insufficient number of participants reached the event at the final time point for assessment.
NA months
Individual data could not be reported for patient privacy reasons as only 1 patient was enrolled in this arm.

Adverse Events

Arm A (Afatinib)

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Arm B (Placebo)

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A (Afatinib)
n=2 participants at risk
Patients receive afatinib PO QD on days 1-28.
Arm B (Placebo)
n=1 participants at risk
Patients receive placebo PO QD on days 1-28.
Skin and subcutaneous tissue disorders
Rash acneiform
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Rash maculo-papular
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Diarrhea
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Psychiatric disorders
Confusion
0.00%
0/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
100.0%
1/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.

Other adverse events

Other adverse events
Measure
Arm A (Afatinib)
n=2 participants at risk
Patients receive afatinib PO QD on days 1-28.
Arm B (Placebo)
n=1 participants at risk
Patients receive placebo PO QD on days 1-28.
Blood and lymphatic system disorders
Anemia
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Dry skin
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Rash acneiform
100.0%
2/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Endocrine disorders
Hyperthyroidism
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Diarrhea
100.0%
2/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Mucositis oral
100.0%
2/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Investigations
Lymphocyte count decreased
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Investigations
White blood cell decreased
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hyperglycemia
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
Musculoskeletal and connective tissue disorders
Spasticity
50.0%
1/2 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.
0.00%
0/1 • Assessed every 4 weeks while on treatment and for 30 days after the end of treatment.

Additional Information

Study Statistician

ECOG-ACRIN Statistical Office

Phone: 617-632-3012

Results disclosure agreements

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

Restriction type: LTE60