A Study of Tarceva (Erlotinib) in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer Following 4 Cycles of Platinum-based Chemotherapy Without Disease Progression

Study Description

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Brief Summary:

This open-label, single-arm study will evaluate the safety and efficacy of Tarceva (erlotinib) in patients with locally advanced or metastatic non-small cell lung cancer who have completed 4 cycles of standard platinum-based chemotherapy without progression. Patients will receive Tarceva at a dose of 150 mg orally daily until disease progression or unacceptable toxicity occurs.

Condition or disease	Intervention/treatment	Phase
Non-Small Cell Lung Cancer	Drug: Erlotinib	Phase 4

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	51 participants
Allocation:	Non-Randomized
Intervention Model:	Single Group Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	A Multi-centre, Open-label, Phase IV, Interventional Study to Evaluate the Efficacy of Erlotinib (Tarceva®) Following 4 Cycles of Platinum-based Chemotherapy in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) Who Have Not Experienced Disease Progression or Unacceptable Toxicity During Chemotherapy
Study Start Date :	March 2011
Actual Primary Completion Date :	September 2013
Actual Study Completion Date :	September 2013

Arms and Interventions

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Arm	Intervention/treatment
Experimental: Erlotinib; Participants received erlotinib 150 mg orally once a day for 48 weeks.	Drug: Erlotinib; Erlotinib was supplied as tablets.; Other Name: Tarceva

Outcome Measures

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Primary Outcome Measures :

1. Percentage of Participants With Progression-free Survival at Week 52 [ Time Frame: From the date of enrolment in the study until the date of disease progression or death from any cause (up to 2 years, 6 months). ]
   A participant had progression-free survival if they did not have disease progression and were alive. Tumor assessments were done by magnetic resonance imaging according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions. All measurable lesions up to a maximum of 2 lesions per organ and 5 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline. Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter.

Secondary Outcome Measures :

1. Progression-free Survival (PFS) [ Time Frame: From the date of enrolment until the end of the study (up to 2 years, 6 months). ]
   PFS was defined as the time from the date of enrolment to the date of disease progression (PD) or death, whichever occurred first. Tumor assessments were done by magnetic resonance imaging according to RECIST v1.1. PD was defined as at least a 20% increase in the sum of the longest diameter of target lesions (TL), taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-TLs. All measurable lesions up to a maximum of 2 lesions per organ and 5 lesions in total, representative of all involved organs, should be identified as TLs at Baseline. TLs should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all TLs will be calculated and reported as the Baseline sum longest diameter.
2. Overall Survival [ Time Frame: From the date of enrolment until the end of the study (up to 2 years, 6 months). ]
   Overall survival was defined as the time from the date of enrolment to the date of death from any cause.
3. Percentage of Participants With a Complete Response (CR) or a Partial Response (PR) [ Time Frame: From the date of enrolment until the end of the study (up to 2 years, 6 months). ]
   A CR was defined as the disappearance of all target lesions. A PR was defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the Baseline sum longest diameter. All measurable lesions up to a maximum of 2 lesions per organ and 5 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline. All other lesions (or sites of disease) should be identified as non-target lesions. Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically). A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter. Tumor assessments were done by magnetic resonance imaging according to RECIST v1.1.
4. Percentage of Participants With Disease Control [ Time Frame: From the date of enrolment until the end of the study (up to 2 years, 6 months). ]
   A participant with disease control was defined as a participant with either a complete response (CR), a partial response (PR), or stable disease (SD), as determined using RECIST v1.1. A CR was defined as the disappearance of all target lesions (TL). A PR was defined as at least a 30% decrease in the sum of the longest diameter of TLs taking as reference the Baseline sum longest diameter (SLD). SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest SLD since treatment started. For non-TLs, SD was defined as the persistence of 1 or more lesions. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the unequivocal progression of existing non-TLs. A SLD for all TLs will be calculated and reported as the Baseline SLD. Tumor assessments were done by magnetic resonance imaging according to RECIST v1.1.

Eligibility Criteria

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Ages Eligible for Study:	18 Years and older (Adult, Older Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• Adult patients ≥ 18 years of age.
• Histologically documented non-small cell lung cancer (NSCLC).
• Locally advanced or recurrent (Stage IIIB) or metastatic (Stage IV) disease.
• Completion of 4 cycles of an acceptable, standard, platinum-based chemotherapy doublet without progression.
• Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
• Patients of reproductive potential must agree to use effective contraception.

Exclusion Criteria:

• Prior exposure to agents directed at the human epidermal growth factor receptor (HER) axis (eg, gefitinib, cetuximab, trastuzumab).
• Prior treatment with any monoclonal antibody therapy.
• Any other malignancies within the previous 5 years, except for adequately treated carcinoma in situ of the cervix or squamous cell skin cancer.
• Clinically significant cardiovascular, hepatic, renal, or metabolic disease or active infection
• Pre-existing interstitial lung disease.
• Human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) infection.
• Pregnant or lactating women.

Contacts and Locations

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Locations

India
Bangalore, India, 560027
Chennai, India, 600035
Delhi, India, 110085
Hyderabad, India, 500 034
Jaipur, India, 302 017
Kolkata, India, 700026
Nasik, India, 422005

Sponsors and Collaborators

Hoffmann-La Roche

Investigators

Study Director:	Clinical Trials	Hoffmann-La Roche

More Information

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Responsible Party:	Hoffmann-La Roche
ClinicalTrials.gov Identifier:	NCT01230710 History of Changes
Other Study ID Numbers:	ML25478
First Posted:	October 29, 2010
Results First Posted:	March 30, 2015
Last Update Posted:	March 30, 2015
Last Verified:	March 2015

Additional relevant MeSH terms:

Lung Neoplasms; Carcinoma, Non-Small-Cell Lung; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Bronchial Neoplasms; Erlotinib Hydrochloride	Disease Progression; Respiratory Tract Diseases; Carcinoma, Bronchogenic; Disease Attributes; Pathologic Processes; Antineoplastic Agents; Protein Kinase Inhibitors; Enzyme Inhibitors; Molecular Mechanisms of Pharmacological Action