TIGER-3: Open Label, Multicenter Study of Rociletinib (CO-1686) Mono Therapy Versus Single-agent Cytotoxic Chemotherapy in Patients With Mutant EGFR NSCLC Who Have Failed at Least One Previous EGFR-Directed TKI and Platinum-doublet Chemotherapy
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ClinicalTrials.gov Identifier: NCT02322281 |
Recruitment Status :
Terminated
(Sponsor discontinued development of CO-1686 for NSCLC)
First Posted : December 23, 2014
Results First Posted : July 23, 2019
Last Update Posted : August 14, 2019
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Non-small Cell Lung Cancer |
Interventions |
Drug: Rociletinib Drug: Pemetrexed or gemcitabine or paclitaxel or docetaxel |
Enrollment | 149 |
Recruitment Details | 149 subjects recruited from 83 sites in 10 countries and randomized (1:1) to treatment with rociletinib or single-agent cytotoxic chemotherapy (investigator's choice of pemetrexed, gemcitabine, docetaxel, or paclitaxel). Crossover to rociletinib treatment permitted for comparator chemotherapy treated subjects but only after eligibility confirmed. |
Pre-assignment Details |
Arm/Group Title | Rociletinib 500 mg BID | Rociletinib 625 mg BID | Chemotherapy |
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Starting dose of 500mg. Taken orally twice daily (continuous 21 day treatment cycle). Treatment duration until radiographically confirmed disease progression. | Starting dose of 625mg. Taken orally twice daily (continuous 21 day treatment cycle). Treatment duration until radiographically confirmed disease progression. |
Pemetrexed - 500 mg/m2 pemetrexed given intravenously on Day 1 of each 21-day cycle. Gemcitabine - 1250 mg/m2 gemcitabine given intravenously on Day 1 and 8 of each 21-day cycle. Paclitaxel - 80 mg/m2 paclitaxel given intravenously on a weekly basis as part of a continuous 21-day cycle; i.e. dosing will be on Days 1, 8, and 15 of each 21-day cycle. Docetaxel - 75 mg/m2 docetaxel (60 mg/m2 for patients residing in East-Asian territories) given intravenously on Day 1 of each 21-day cycle. or 35 mg/m2 docetaxel given intravenously on a weekly basis as part of a continuous 21-day cycle; i.e. dosing will be on Days 1, 8, and 15 of each 21-day cycle. Treatment duration until radiographically confirmed disease progression. |
Period Title: Overall Study | |||
Started | 53 | 22 | 74 |
Crossed Over to Rociletinib 500 mg BID | 0 | 0 | 36 |
Crossed Over to Rociletinib 625 mg BID | 0 | 0 | 3 |
Completed | 0 [1] | 0 [1] | 0 [1] |
Not Completed | 53 | 22 | 74 |
Reason Not Completed | |||
Progressive Disease | 42 | 14 | 49 |
Adverse Event | 3 | 4 | 6 |
Death | 3 | 3 | 3 |
Withdrawal by Subject | 1 | 1 | 6 |
Physician Decision | 2 | 0 | 5 |
Study Terminated by Sponsor | 2 | 0 | 0 |
Missing | 0 | 0 | 1 |
Miscellaneous | 0 | 0 | 4 |
[1]
Patients who are off study for any reason.
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Arm/Group Title | Rociletinib 500 mg BID | Rociletinib 625 mg BID | Chemotherapy | Total | |
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Starting dose of 500mg. Taken orally twice daily (continuous 21 day treatment cycle). Treatment duration until radiographically confirmed disease progression. | Starting dose of 625mg. Taken orally twice daily (continuous 21 day treatment cycle). Treatment duration until radiographically confirmed disease progression. |
Pemetrexed - 500 mg/m2 pemetrexed given intravenously on Day 1 of each 21-day cycle. Gemcitabine - 1250 mg/m2 gemcitabine given intravenously on Day 1 and 8 of each 21-day cycle. Paclitaxel - 80 mg/m2 paclitaxel given intravenously on a weekly basis as part of a continuous 21-day cycle; i.e. dosing will be on Days 1, 8, and 15 of each 21-day cycle. Docetaxel - 75 mg/m2 docetaxel (60 mg/m2 for patients residing in East-Asian territories) given intravenously on Day 1 of each 21-day cycle. or 35 mg/m2 docetaxel given intravenously on a weekly basis as part of a continuous 21-day cycle; i.e. dosing will be on Days 1, 8, and 15 of each 21-day cycle. Treatment duration until radiographically confirmed disease progression. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 53 | 22 | 74 | 149 | |
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[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants | |
61.6 (11.66) | 63.4 (12.30) | 61.4 (9.84) | 61.8 (10.84) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants | |
Female |
35 66.0%
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13 59.1%
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39 52.7%
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87 58.4%
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Male |
18 34.0%
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9 40.9%
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35 47.3%
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62 41.6%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants | |
Hispanic or Latino |
4 7.5%
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0 0.0%
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3 4.1%
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7 4.7%
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Not Hispanic or Latino |
46 86.8%
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22 100.0%
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68 91.9%
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136 91.3%
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Unknown or Not Reported |
3 5.7%
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0 0.0%
|
3 4.1%
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6 4.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
|
|
Asian |
23 43.4%
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6 27.3%
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30 40.5%
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59 39.6%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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1 1.4%
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1 0.7%
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Black or African American |
2 3.8%
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0 0.0%
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3 4.1%
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5 3.4%
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White |
24 45.3%
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15 68.2%
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38 51.4%
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77 51.7%
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More than one race |
0 0.0%
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1 4.5%
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1 1.4%
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2 1.3%
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|
Unknown or Not Reported |
4 7.5%
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0 0.0%
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1 1.4%
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5 3.4%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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White | Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants |
24 45.3%
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15 68.2%
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38 51.4%
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77 51.7%
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Asian | Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants |
23 43.4%
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6 27.3%
|
30 40.5%
|
59 39.6%
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Non-White, Non-Asian | Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants |
6 11.3%
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1 4.5%
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6 8.1%
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13 8.7%
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Number of Previous Therapies
Median (Full Range) Unit of measure: Therapies |
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Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants | |
3.0
(1.0 to 8.0)
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3.0
(2.0 to 6.0)
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3.0
(0.0 to 13.0)
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3.0
(0.0 to 13.0)
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Time Since Diagnosis of NSCLC
[1] Mean (Standard Deviation) Unit of measure: Months |
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Number Analyzed | 53 participants | 22 participants | 73 participants | 148 participants | |
42.6 (35.54) | 37.5 (16.92) | 39.0 (25.10) | 40.1 (28.29) | ||
[1]
Measure Analysis Population Description: Information missing for one patient in the Chemotherapy treatment group.
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History of CNS Metastases
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 53 participants | 22 participants | 74 participants | 149 participants | |
23 43.4%
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9 40.9%
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31 41.9%
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63 42.3%
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Name/Title: | Vi Nguyen |
Organization: | Clovis Oncology |
Phone: | +1 415 915 9982 |
EMail: | vnguyen@clovisoncology.com |
Responsible Party: | Clovis Oncology, Inc. |
ClinicalTrials.gov Identifier: | NCT02322281 |
Other Study ID Numbers: |
CO-1686-020 (TIGER-3) |
First Submitted: | December 17, 2014 |
First Posted: | December 23, 2014 |
Results First Submitted: | March 19, 2019 |
Results First Posted: | July 23, 2019 |
Last Update Posted: | August 14, 2019 |