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Phase 2 Completed N=204 Randomized Prevention

Study of Pemetrexed Versus Pemetrexed Plus Erlotinib as Treatment of Nonsquamous Non-Small Cell Lung Cancer (NSCLC)

Histological or Cytological Diagnosis of Locally Advanced or Metastatic NSCLC of Nonsquamous Histology and Not Amenable to Curative Therapy.
Source: ClinicalTrials.gov NCT00447057 ↗
Enrolled (actual)
204
Serious AEs
47.1%
Results posted
Oct 2011
Primary outcomePrimary: Progression Free Survival (PFS) — 2.9; 3.2 months — p=0.0047

Summary

This is a multicenter, randomized, Phase 2, open label, parallel trial to evaluate an effect of pemetrexed alone on nonsquamous non-small cell lung cancer (NSCLC) in a second-line setting (such as progression-free survival [PFS], disease control rate, best response rate, time to treatment failure [TTTF], overall survival [OS] and 1-year survival rates) compared to pemetrexed plus erlotinib combination.

Outcome Measures

OutcomeResultp-value
PRIMARY
Progression Free Survival (PFS)
2.9; 3.2 0.0047 sig
SECONDARY
Percentage of Participants With Best Response of Stable Disease (SD), Partial Response (PR) or Complete Response (CR) (Disease Control Rate)
51.8; 55.3 0.3909
SECONDARY
Percentage of Participants With Best Response of Complete Response (CR) or Partial Response (PR) (Response Rate)
10.8; 17.1 0.1808
SECONDARY
Time to Treatment Failure (TTTF)
2.4; 3.0 0.0034 sig
SECONDARY
Overall Survival (OS)
7.8; 11.8 0.0190 sig
SECONDARY
Percentage of Participants Surviving at 1 Year
34.1; 49.4
SECONDARY
Number of Participants With Adverse Events (AEs)
43; 53; 91; 98

Eligibility Criteria

Inclusion Criteria

  • Histological or cytological diagnosis of locally advanced or metastatic NSCLC that is of nonsquamous histology and not amenable to curative therapy.
  • Failure of previous treatment with one prior platinum-based chemotherapy regimen.
  • Good performance status.
  • Adequate bone marrow reserve, renal and hepatic functions.

Exclusion Criteria

  • Serious concomitant systemic disease.
  • Inability to take oral medication.
  • Inability or unwillingness to take vitamin supplementation and corticosteroids.
  • Pregnancy / Breast-feeding.
  • Treatment with certain medicines that prevent blood from clotting.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00447057). 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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