Trial Outcomes & Findings for Nintedanib in Treating Patients With Advanced Non-Small Cell Lung Cancer Who Have Failed Up to Two Previous Chemotherapy Regimens (NCT NCT01948141)

NCT ID: NCT01948141

Last Updated: 2017-06-08

Results Overview

The 6-month PFS rate was defined as the proportion of patients who were alive and progression-free at 6 months after start of study treatment. Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

At 6 months

Results posted on

2017-06-08

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Nintedanib)
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO laboratory biomarker analysis: Correlative studies
Overall Study
STARTED
6
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nintedanib in Treating Patients With Advanced Non-Small Cell Lung Cancer Who Have Failed Up to Two Previous Chemotherapy Regimens

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Nintedanib)
n=6 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO laboratory biomarker analysis: Correlative studies
Age, Continuous
68.5 years
STANDARD_DEVIATION 5.3 • n=39 Participants
Sex: Female, Male
Female
2 Participants
n=39 Participants
Sex: Female, Male
Male
4 Participants
n=39 Participants

PRIMARY outcome

Timeframe: At 6 months

Population: All patients in FGFR1 amplified group

The 6-month PFS rate was defined as the proportion of patients who were alive and progression-free at 6 months after start of study treatment. Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=2 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
6-month Progression Free Survival (PFS) Rate Within the Entire FGFR1 Amplified Group
0 percentage of participants
Interval 0.0 to 65.8

SECONDARY outcome

Timeframe: Time from study entry to the first of either disease progression or death, assessed at 6 months

Population: All treated and eligible patients. One participant was not done due to not enough tissue.

The 6-month PFS rate was defined as the proportion of patients who were alive and progression-free at 6 months after start of study treatment.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=5 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
Compare the 6-month PFS Rate for the Entire FGFR1 Amplified Group Versus the FGFR1 Non-amplified Patients.
Amplified
0 percentage of participants
Compare the 6-month PFS Rate for the Entire FGFR1 Amplified Group Versus the FGFR1 Non-amplified Patients.
Non-amplified
0 percentage of participants
Compare the 6-month PFS Rate for the Entire FGFR1 Amplified Group Versus the FGFR1 Non-amplified Patients.
Total
0 percentage of participants

SECONDARY outcome

Timeframe: Time from study entry to the first of either disease progression or death, assessed at 6 months

Population: All treated and eligible patients. One participant was not done due to not enough tissue.

The 6-month PFS rate was defined as the proportion of patients who were alive and progression-free at 6 months after start of study treatment.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=5 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
Compare the 6-month PFS Rate for Each FGFR1 Amplified Group (Low, Intermediate, and High) Versus FGFR1 Non-amplified Patients.
Non-amplified
0 percentage of participants
Compare the 6-month PFS Rate for Each FGFR1 Amplified Group (Low, Intermediate, and High) Versus FGFR1 Non-amplified Patients.
Intermediate amplification
0 percentage of participants
Compare the 6-month PFS Rate for Each FGFR1 Amplified Group (Low, Intermediate, and High) Versus FGFR1 Non-amplified Patients.
High amplificiation
0 percentage of participants
Compare the 6-month PFS Rate for Each FGFR1 Amplified Group (Low, Intermediate, and High) Versus FGFR1 Non-amplified Patients.
Total
0 percentage of participants

SECONDARY outcome

Timeframe: Time from study entry to the first of either disease progression or death, assessed at 6 months

Population: No comparison was done do versus historical controls because it was inappropriate due to the small number of patients available.

The 6-month PFS rate was defined as the proportion of patients who were alive and progression-free at 6 months after start of study treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From study entry to death from any cause, assessed up to 3 years

Overall survival (OS) was defined as the time from study entry to death from any cause.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=6 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
Overall Survival (OS)
Amplified
10.2 months
Interval 4.0 to 16.4
Overall Survival (OS)
Non-amplified
5.8 months
Interval 4.6 to 23.7
Overall Survival (OS)
Overall
10.6 months
Interval 4.0 to 23.7

SECONDARY outcome

Timeframe: Up to 3 years

Population: All treated and eligible patients. No statistics computed due to all patients were non-response in both groups.

Tumor Response rate was defined as the proportion of patients who had Complete Response (CR) or Partial Response (PR) by RECIST 1.1 Criteria. Complete Response (CR): Disappearance of all target lesions. Any lymph nodes must have a reduction in short axis to \< 10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=6 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
Tumor Response Rate
Amplified
0 percentage of participants
Interval 0.0 to 66.0
Tumor Response Rate
Non-amplified
0 percentage of participants
Interval 0.0 to 56.0
Tumor Response Rate
Total
0 percentage of participants
Interval 0.0 to 39.0

SECONDARY outcome

Timeframe: Up to 30 days post-treatment

Population: All treated and eligible patients. No statistics computed due to all patients had AEs in both groups.

Percentage of participants with adverse events. Incidence of Adverse Events (AEs) was Accessed by the National Cancer Institute (NCI) CTCAE Version 4.0.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=6 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
Incidence of Adverse Events (AEs)
Total
100 percentage of participants
Interval 61.0 to 100.0
Incidence of Adverse Events (AEs)
Amplified
100 percentage of participants
Interval 34.0 to 100.0
Incidence of Adverse Events (AEs)
Non-amplified
100 percentage of participants
Interval 44.0 to 100.0

SECONDARY outcome

Timeframe: Time from study entry to the first of either disease progression or death, assessed up to 3 years

Population: All treated patients

Progression-free survival (PFS) was defined as the time from study entry to the first of either disease progression or death.

Outcome measures

Outcome measures
Measure
Treatment (Nintedanib)
n=6 Participants
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO
Progression Free Survival
Overall
2.7 months
Interval 1.7 to 15.1
Progression Free Survival
Amplified
1.8 months
Interval 1.8 to 1.9
Progression Free Survival
Non-amplified
3.4 months
Interval 1.7 to 5.4

Adverse Events

Treatment (Nintedanib)

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Nintedanib)
n=6 participants at risk
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO laboratory biomarker analysis: Correlative studies
Infections and infestations
Septic shock
16.7%
1/6 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Nintedanib)
n=6 participants at risk
Patients receive nintedanib PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. nintedanib: Given PO laboratory biomarker analysis: Correlative studies
Cardiac disorders
Cardiac disorder
33.3%
2/6 • Number of events 2
Cardiac disorders
Sinus tachycardia
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
Abdominal pain
16.7%
1/6 • Number of events 2
Gastrointestinal disorders
Constipation
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
Diarrhoea
50.0%
3/6 • Number of events 8
Gastrointestinal disorders
Dysphagia
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
Flatulence
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
Gastrointestinal disorder
16.7%
1/6 • Number of events 4
Gastrointestinal disorders
Nausea
33.3%
2/6 • Number of events 2
Gastrointestinal disorders
Vomiting
33.3%
2/6 • Number of events 3
General disorders
Fatigue
66.7%
4/6 • Number of events 5
General disorders
Pyrexia
16.7%
1/6 • Number of events 1
Infections and infestations
Upper respiratory tract infection
16.7%
1/6 • Number of events 1
Injury, poisoning and procedural complications
Contusion
16.7%
1/6 • Number of events 1
Injury, poisoning and procedural complications
Fall
16.7%
1/6 • Number of events 1
Investigations
Alanine aminotransferase increased
16.7%
1/6 • Number of events 2
Investigations
Aspartate aminotransferase increased
33.3%
2/6 • Number of events 4
Investigations
Blood alkaline phosphatase increased
50.0%
3/6 • Number of events 5
Investigations
Gamma-glutamyltransferase increased
33.3%
2/6 • Number of events 4
Investigations
Lymphocyte count increased
16.7%
1/6 • Number of events 1
Investigations
Weight decreased
33.3%
2/6 • Number of events 2
Metabolism and nutrition disorders
Decreased appetite
33.3%
2/6 • Number of events 3
Metabolism and nutrition disorders
Dehydration
16.7%
1/6 • Number of events 1
Metabolism and nutrition disorders
Hypercalcaemia
16.7%
1/6 • Number of events 1
Metabolism and nutrition disorders
Hyperglycaemia
16.7%
1/6 • Number of events 1
Metabolism and nutrition disorders
Hyperkalaemia
16.7%
1/6 • Number of events 1
Metabolism and nutrition disorders
Hypoalbuminaemia
16.7%
1/6 • Number of events 1
Metabolism and nutrition disorders
Hyponatraemia
16.7%
1/6 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscular weakness
16.7%
1/6 • Number of events 1
Nervous system disorders
Dizziness
33.3%
2/6 • Number of events 3
Nervous system disorders
Peripheral sensory neuropathy
16.7%
1/6 • Number of events 1
Psychiatric disorders
Anxiety
16.7%
1/6 • Number of events 1
Psychiatric disorders
Depression
16.7%
1/6 • Number of events 1
Renal and urinary disorders
Proteinuria
16.7%
1/6 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
50.0%
3/6 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Dyspnoea
33.3%
2/6 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pleural effusion
16.7%
1/6 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumothorax
16.7%
1/6 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Productive cough
16.7%
1/6 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Upper-airway cough syndrome
16.7%
1/6 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
16.7%
1/6 • Number of events 1
Vascular disorders
Hypertension
33.3%
2/6 • Number of events 9

Additional Information

Senior Administrator, Compliance - Clinical Research Services

Roswell Park Cancer Institute

Phone: 716-845-2300

Results disclosure agreements

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