Trial Outcomes & Findings for Afatinib in Patients With Non Small Cell Lung Cancer (NSCLC) With Epidermal Growth Factor Receptor (EGFR) Mutations (NCT NCT02044380)

NCT ID: NCT02044380

Last Updated: 2017-03-31

Results Overview

Safety was assessed by: 1. All serious adverse events (SAEs) 2. All adverse events (AEs) leading to treatment discontinuation or dose reduction of afatinib 3. Non-serious AEs assessed by the treating physician as related to afatinib.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

14 participants

Primary outcome timeframe

From first administration of treatment until 28 days after last drug administration, up to 80 weeks.

Results posted on

2017-03-31

Participant Flow

This open-label, multicenter, single-arm trial evaluated the safety \& tolerability of the investigational drug afatinib.All entered patients in this trial (i.e., patients that had been treated with the trial medication) received continuous treatment of afatinib in the absence of disease progression or meeting any other trial withdrawal criteria.

The planned trial end date was 10 February 2016. On the end date, all patients on treatment that met the approved label indication were planned to be switched to commercially available afatinib.

Participant milestones

Participant milestones
Measure
Afatinib 40 mg
Patient to receive a film coated tablet containing 40 mg afatinib once a day, with the option to reduce the dose to 30 or 20 mg/day, based on individual tolerability.
Overall Study
STARTED
14
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Afatinib in Patients With Non Small Cell Lung Cancer (NSCLC) With Epidermal Growth Factor Receptor (EGFR) Mutations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Afatinib 40 mg
n=14 Participants
Patient to receive a film coated tablet containing 40 mg afatinib once a day, with the option to reduce the dose to 30 or 20 mg/day, based on individual tolerability.
Age, Continuous
66.0 Years
STANDARD_DEVIATION 10.8 • n=99 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants

PRIMARY outcome

Timeframe: From first administration of treatment until 28 days after last drug administration, up to 80 weeks.

Population: Treated set

Safety was assessed by: 1. All serious adverse events (SAEs) 2. All adverse events (AEs) leading to treatment discontinuation or dose reduction of afatinib 3. Non-serious AEs assessed by the treating physician as related to afatinib.

Outcome measures

Outcome measures
Measure
Afatinib 40 mg
n=14 Participants
Patient to receive a film coated tablet containing 40 mg afatinib once a day, with the option to reduce the dose to 30 or 20 mg/day, based on individual tolerability.
Safety Assesment
Investigator defined drug-related AEs
92.9 Percentage of participants
Safety Assesment
AEs leading to dose reduction
35.7 Percentage of participants
Safety Assesment
AEs leading to discont. of trial drug
35.7 Percentage of participants
Safety Assesment
Serious AEs
21.4 Percentage of participants

Adverse Events

Afatinib 40 mg

Serious events: 3 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Afatinib 40 mg
n=14 participants at risk
Patient to receive a film coated tablet containing 40 mg afatinib once a day, with the option to reduce the dose to 30 or 20 mg/day, based on individual tolerability.
Blood and lymphatic system disorders
Febrile neutropenia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Pneumonia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Injury, poisoning and procedural complications
Radiation associated pain
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Blood and lymphatic system disorders
Neutropenia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Cardiac disorders
Atrial fibrillation
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.

Other adverse events

Other adverse events
Measure
Afatinib 40 mg
n=14 participants at risk
Patient to receive a film coated tablet containing 40 mg afatinib once a day, with the option to reduce the dose to 30 or 20 mg/day, based on individual tolerability.
Cardiac disorders
Tachycardia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Eye disorders
Growth of eyelashes
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Eye disorders
Lacrimation increased
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Eye disorders
Retinal tear
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Eye disorders
Vitreous floaters
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Abdominal pain upper
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Constipation
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Diarrhoea
92.9%
13/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Dyspepsia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Dysphagia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Faeces soft
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Flatulence
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Gastritis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Glossitis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Haematochezia
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Haemorrhoids
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Hiatus hernia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Melaena
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Mouth ulceration
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Nausea
42.9%
6/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Oesophagitis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Rectal prolapse
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Stomatitis
21.4%
3/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Toothache
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Gastrointestinal disorders
Vomiting
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Body tinea
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Conjunctivitis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Fungal skin infection
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Lower respiratory tract infection
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Omphalitis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Paronychia
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Pneumonia
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Sinusitis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Upper respiratory tract infection
21.4%
3/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Infections and infestations
Urinary tract infection
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Injury, poisoning and procedural complications
Procedural pain
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Injury, poisoning and procedural complications
Skin abrasion
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Investigations
Blood alkaline phosphatase increased
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Investigations
Blood calcium decreased
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Investigations
Blood creatinine increased
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Metabolism and nutrition disorders
Decreased appetite
42.9%
6/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Metabolism and nutrition disorders
Dehydration
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Metabolism and nutrition disorders
Hypokalaemia
21.4%
3/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Metabolism and nutrition disorders
Hyponatraemia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Musculoskeletal and connective tissue disorders
Muscle spasms
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Musculoskeletal and connective tissue disorders
Musculoskeletal discomfort
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Musculoskeletal and connective tissue disorders
Neck mass
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Musculoskeletal and connective tissue disorders
Pain in extremity
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Amnesia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Dizziness
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Dysgeusia
35.7%
5/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Head discomfort
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Headache
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Muscle spasticity
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Nervous system disorders
Restless legs syndrome
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Psychiatric disorders
Insomnia
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Psychiatric disorders
Mood altered
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Psychiatric disorders
Nightmare
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Renal and urinary disorders
Urinary hesitation
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Reproductive system and breast disorders
Breast pain
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Cough
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Dry throat
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Epistaxis
21.4%
3/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Nasal dryness
21.4%
3/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Nasal ulcer
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Alopecia
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Dermatitis
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Dermatitis acneiform
35.7%
5/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Dry skin
21.4%
3/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Exfoliative rash
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Nail disorder
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Pruritus
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Rash
42.9%
6/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Scab
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Skin fissures
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Skin irritation
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Skin and subcutaneous tissue disorders
Skin ulcer
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Vascular disorders
Hot flush
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Vascular disorders
Hypertension
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Vascular disorders
Hypotension
14.3%
2/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
General disorders
Asthenia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
General disorders
Fatigue
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
General disorders
Mucosal inflammation
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
General disorders
Oedema peripheral
28.6%
4/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
General disorders
Pyrexia
7.1%
1/14 • From first administration of treatment until 28 days after last drug administration, up to 80 weeks.

Additional Information

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Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
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