Trial Outcomes & Findings for Long Term Safety Observation of Crizotinib in Chinese NSCLC Population (NCT NCT03672643)

NCT ID: NCT03672643

Last Updated: 2024-11-08

Results Overview

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 death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

41 participants

Primary outcome timeframe

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)

Results posted on

2024-11-08

Participant Flow

A total of 41 Chinese participants who were previously recruited in Pfizer-sponsored Crizotinib studies (A8081005 \[NCT00932451\], A8081014 \[NCT01154140\], A8081029 \[NCT01639001\], A8081063 \[NCT01945021\]) were enrolled in the current study to continue treatment with Crizotinib.

Participant milestones

Participant milestones
Measure
Crizotinib
Participants received Crizotinib 250 milligrams (mg) orally twice daily (BID) administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
Overall Study
STARTED
41
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
41

Reasons for withdrawal

Reasons for withdrawal
Measure
Crizotinib
Participants received Crizotinib 250 milligrams (mg) orally twice daily (BID) administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
Overall Study
Adverse Event
3
Overall Study
Death
2
Overall Study
Withdrawal by Subject
1
Overall Study
Progressive disease
11
Overall Study
Global deterioration of health status
1
Overall Study
Refused further treatment
7
Overall Study
Rolled over to a continuous study for Crizotinib treatment
16

Baseline Characteristics

Long Term Safety Observation of Crizotinib in Chinese NSCLC Population

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Crizotinib
n=41 Participants
Participants received Crizotinib 250 mg orally BID administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
Age, Continuous
58.0 Years
STANDARD_DEVIATION 12.14 • n=99 Participants
Sex: Female, Male
Female
24 Participants
n=99 Participants
Sex: Female, Male
Male
17 Participants
n=99 Participants
Race/Ethnicity, Customized
Race: Asian
41 Participants
n=99 Participants
Race/Ethnicity, Customized
Ethnicity: Not Hispanic or Latino
41 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 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)

Population: Safety analysis set included all participants who received at least one dose of the study treatment.

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 death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event.

Outcome measures

Outcome measures
Measure
Crizotinib
n=41 Participants
Participants received Crizotinib 250 mg orally BID administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
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
Grade 3 or 4 AEs
19 Participants
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
Grade 5 AEs
2 Participants
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
AEs Leading to Treatment Discontinuation
4 Participants
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
SAEs
13 Participants

PRIMARY outcome

Timeframe: 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)

Population: Safety analysis set included all participants who received at least one dose of the study treatment.

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 any untoward medical occurrence at any dose that resulted in death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event.

Outcome measures

Outcome measures
Measure
Crizotinib
n=41 Participants
Participants received Crizotinib 250 mg orally BID administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
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
Treatment Related Grade 3 or 4 AEs
11 Participants
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
Treatment Related Grade 5 AEs
0 Participants
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
Treatment Related AEs Leading to Treatment Discontinuation
1 Participants
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
Treatment Related SAEs
4 Participants

Adverse Events

Crizotinib

Serious events: 13 serious events
Other events: 8 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Crizotinib
n=41 participants at risk
Participants received Crizotinib 250 mg orally BID administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
Gastrointestinal disorders
Crohn's disease
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Gastrointestinal disorders
Gastrointestinal haemorrhage
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Gastrointestinal disorders
Impaired gastric emptying
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Gastrointestinal disorders
Obstruction gastric
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Gastrointestinal disorders
Pancreatitis acute
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
General disorders
Disease progression
4.9%
2/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Infections and infestations
Anal abscess
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Infections and infestations
Herpes zoster
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Infections and infestations
Pneumonia
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Infections and infestations
Postoperative wound infection
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Infections and infestations
Pyelonephritis chronic
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Metabolism and nutrition disorders
Hypoalbuminaemia
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Metabolism and nutrition disorders
Hypoproteinaemia
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Nervous system disorders
Cerebral infarction
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Pregnancy, puerperium and perinatal conditions
Biochemical pregnancy
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Vascular disorders
Thrombosis
2.4%
1/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.

Other adverse events

Other adverse events
Measure
Crizotinib
n=41 participants at risk
Participants received Crizotinib 250 mg orally BID administered in treatment cycle of 28 days until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever occurred first.
Investigations
Neutrophil count decreased
19.5%
8/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
Investigations
White blood cell count decreased
7.3%
3/41 • 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)
Same event may appear as both non-SAE and SAE, but what is presented are distinct events. An event may be categorized as serious in 1 participant and non-serious in other participant, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER