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Phase 2 Completed N=30 Randomized Double-blind Treatment

A Study In Patients With Non-Small Cell Lung Cancer Testing If Erlotinib Plus SU011248 (Sunitinib) Is Better Than Erlotinib Alone

Source: ClinicalTrials.gov NCT00265317 ↗
Enrolled (actual)
30
Serious AEs
43.7%
Results posted
Jun 2011
Primary outcomePrimary: Progression-Free Survival (PFS) — 12.3; 8.5 Weeks — p=0.3206

Summary

This study will test whether treatment with erlotinib plus SU011248 is better than erlotinib alone in patients with advanced/metastatic lung cancer who have received previous treatment with a platinum-based regimen

Outcome Measures

OutcomeResultp-value
PRIMARY
Progression-Free Survival (PFS)
12.3; 8.5 0.3206
SECONDARY
Percentage of Participants With Objective Response
4.62; 2.99 0.6251
SECONDARY
Time to Tumor Progression (TTP)
12.3; 10.1 0.3732
SECONDARY
Duration of Response (DR)
SECONDARY
Overall Survival (OS)
8.2; 7.6 0.6171
SECONDARY
Percentage of Participants Surviving at 1 Year
32; 42
SECONDARY
Area Under the Curve From Time Zero to 24 Hours [AUC(0-24)] of Erlotinib
12.96; 11.87
SECONDARY
AUC(0-24) of Sunitinib
372.76; 231.61
SECONDARY
AUC(0-24) of SU-012662 (Metabolite of Sunitinib)
50.06; 99.57
SECONDARY
AUC(0-24) of Total Drug (Sunitinib + SU-012662)
422.93; 331.45
SECONDARY
Maximum Observed Plasma Concentration (Cmax) of Erlotinib
0.99; 0.86
SECONDARY
Cmax of Sunitinib
21.61; 13.59
SECONDARY
Cmax of SU-012662 (Metabolite of Sunitinib)
3.09; 6.83
SECONDARY
Cmax of Total Drug (Sunitinib + SU-012662)
24.51; 20.09
SECONDARY
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC0-inf) for Erlotinib
SECONDARY
AUC(0-inf) for Sunitinib
SECONDARY
AUC(0-inf) for SU-012662 (Metabolite of Sunitinib)
SECONDARY
AUC(0-inf) for Total Drug (Sunitinib + SU-012662)
SECONDARY
Plasma Decay Half-life (t1/2) of Erlotinib
SECONDARY
Plasma Decay Half-life (t1/2) of Sunitinib
SECONDARY
Erlotinib Clearance at Steady State After Oral Administration (CL/F)
5.52
SECONDARY
Sunitinib Clearance at Steady State After Oral Administration (CL/F)
63.28
SECONDARY
Time to Reach Maximum Observed Plasma Concentration (Tmax) for Erlotinib
2.00; 2.00
SECONDARY
Tmax for Sunitinib
6.00; 6.00
SECONDARY
Tmax for SU-012662 (Metabolite of Sunitinib)
4.00; 4.00
SECONDARY
Tmax for Total Drug (Sunitinib + SU-012662)
6.00; 5.00
SECONDARY
Dose-Corrected Observed Plasma Trough Concentrations (Ctrough) for Erlotinib on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
1.46; 1.07; 1.11; 1.00; 1.00; 1.16
SECONDARY
Dose-Corrected Ctrough for Erlotinib on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
1.14; 1.46; 1.07; 0.99; 0.98; 1.09
SECONDARY
Dose-Corrected Ctrough for Sunitinib on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
22.94; 21.48; 19.93; 18.58; 22.07; 24.85
SECONDARY
Dose-Corrected Ctrough for Sunitinib on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
18.80; 22.94; 21.48; 20.58; 17.26; 20.16
SECONDARY
Dose-Corrected Ctrough for SU-012662 (Metabolite of Sunitinib) on Day 1 of Cycles 3-13 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
21.02; 19.26; 15.74; 15.38; 15.04; 17.13
SECONDARY
Dose-Corrected Ctrough for SU-012662 (Metabolite of Sunitinib) on Day 15 Cycle 1 (Original), Day 1 of Cycle 3 (Original and Amended, Arms A and B), and Day 1 of Cycles 1-18 (Randomized)
18.08; 21.02; 19.26; 16.41; 15.26; 15.05
SECONDARY
Percentage of Participants With Epidermal Growth Factor Receptor (EGFR) Expression by Immunohistochemistry (IHC) Using 0 Percent [%] Cutoff
35; 36; 38; 36; 26; 28
SECONDARY
PFS in Subgroups That Were Defined by EGFR Expression (Using 0% Cutoff)
16.0; 11.7; 8.1; 8.5; 12.3; 8.4 0.2247
SECONDARY
Percentage of Participants With EGFR Expression by IHC (Using 10% Cutoff)
45; 54; 29; 18; 26; 28
SECONDARY
PFS in Subgroups That Were Defined by EGFR Expression (Using 10% Cutoff)
16.0; 10.4; 8.1; 8.1; 12.3; 8.4 0.3223
SECONDARY
Percentage of Participants With EGFR Gene Copy Number Increase
0; 1; 48; 42; 52; 57
SECONDARY
PFS in Subgroups That Were Defined by EGFR Gene Copy Number Increase
NA; NA; 12.3; 8.8; 12.0; 8.1 0.5526
SECONDARY
Percentage of Participants With EGFR Gene Amplification
0; 0; 48; 43; 52; 57
SECONDARY
PFS in Subgroups That Were Defined by EGFR Gene Amplification
12.3; 11.7; 12.0; 8.1 0.5839
SECONDARY
Percentage of Participants With EGFR Gene Mutation
6; 1; 32; 28; 62; 70
SECONDARY
PFS in Subgroups That Were Defined by EGFR Gene Mutation
19.1; NA; 9.0; 11.7; 12.0; 8.1 0.6324
SECONDARY
Percentage of Participants With KRAS (V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog) Gene Mutations
9; 6; 34; 28; 57; 66
SECONDARY
PFS in Subgroups That Were Defined by KRAS Gene Mutation
20.1; 7.5; 9.5; 12.1; 12.3; 8.3 0.2077
SECONDARY
Percentage of Participants With Germline Vascular Endothelial Growth Factor Receptor 2 (VEGFR2) Polymorphisms
44.9; 45.6; 9.6; 44.1; 47.1; 8.8
SECONDARY
PFS in Subgroups That Were Defined by Germline VEGFR2 Polymorphisms
9.00; 8.10; 17.00; 8.00; NA; 13.00 0.7423
SECONDARY
Overall Survival (OS) in Subgroups That Were Defined by Germline VEGFR2 Polymorphisms
8.20; 6.20; 6.40; 5.30; 11.60; 16.50 0.9486
SECONDARY
Percentage of Participants With Germline Platelet-derived Growth Factor Receptor Beta (PDGFRB) Polymorphisms
21.3; 52.9; 25.7; 48.5; 44.1; 7.4
SECONDARY
PFS in Subgroups That Were Defined by Germline PDGFRB Polymorphisms
12.30; 19.20; 9.00; 8.00; 12.00; 7.90 0.7301
SECONDARY
OS in Subgroups That Were Defined by Germline PDGFRB Polymorphisms
12.80; 9.60; 8.20; 6.20; 5.70; 5.60 0.8563
SECONDARY
Percentage of Participants by Tumor VEGFR Mutation
SECONDARY
Correlation of Polymorphisms in Stem Cell Factor Receptor (c-Kit), FMS-like Tyrosine Kinase 3 Receptor (FLT-3), and c-FMS With Blood Counts
SECONDARY
Percentage of Participants by Ribonucleic Acid (RNA) Expression Profile
45; 44; 52; 41; 3; 15
SECONDARY
PFS in Subgroups That Were Defined by RNA Expression Profile
19.1; 10.9; 12.3; 12.3; 9.5; 8.1 0.1667
SECONDARY
Health Related Quality of Life (HRQoL) and Lung Cancer Related Symptoms as Assessed With European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) Score
66.49; 62.26; 62.60; 57.43; 61.73; 59.12
SECONDARY
EORTC-QLQ-C30 Lung Cancer Module (LC13) Score
21.05; 25.56; 25.71; 26.08; 24.77; 26.03
SECONDARY
Number of Participants With Blood Pressure (BP) Greater Than 150/100 Millimeters of Mercury (mmHg)
10; 8
SECONDARY
Number of Participants With BP Greater Than 200/110 mmHg
1; 0
SECONDARY
Number of Participants on Anti-hypertensive Medications
SECONDARY
Plasma Concentration of VEGF-C at Baseline
474.15; 502.10 0.3681
SECONDARY
Plasma Concentration of Soluble VEGFR-2 at Baseline
10904.50; 10027 0.5982
SECONDARY
Plasma Concentration of Soluble VEGFR-3 at Baseline
23190; 23350 0.9807
SECONDARY
Plasma Concentration of Soluble KIT (sKIT) at Baseline
49520; 47242.50 0.3945

Eligibility Criteria

Inclusion Criteria

  • Patients with locally advanced/metastatic non-small cell lung cancer
  • Prior treatment with no more than 2 chemotherapy regimens including a platinum-based regimen

Exclusion Criteria

  • Prior treatment with any receptor tyrosine kinase inhibitors, Vascular endothelial growth factor (VEGF) inhibitors or other angiogenic inhibitors
  • History of or known brain metastases
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00265317). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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