Phase 3
N=376
LDK378 Versus Chemotherapy in Previously Untreated Patients With ALK Rearranged Non-small Cell Lung Cancer
Non-Small Cell Lung Cancer
Bottom Line
View on ClinicalTrials.gov: NCT01828099 ↗Enrolled (actual)
376
Serious AEs
44.0%
Results posted
Sep 2017
Primary outcome: Primary: Progression Free Survival (PFS) by Blinded Independent Review Committee (BIRC) — 16.6; 8.1 Months — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Ceritinib (Drug); Pemetrexed (Drug); Cisplatin (Drug); Carboplatin (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Jun 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Progression Free Survival (PFS) by Blinded Independent Review Committee (BIRC) |
16.6; 8.1 | <0.001 sig |
| SECONDARY Overall Survival (OS) |
62.9; 40.7 | — |
| SECONDARY Overall Response Rate (ORR) by BIRC Assessment |
72.5; 26.7 | — |
| SECONDARY Overall Response Rate (ORR) by Investigator Assessment |
73.5; 33.2 | — |
| SECONDARY Duration of Response (DOR) by BIRC Assessment |
23.9; 11.1 | — |
| SECONDARY Duration of Response (DOR) by Investigator Assessment |
22.6; 9.8 | — |
| SECONDARY Disease Control Rate (DCR) by BIRC Assessment |
84.7; 73.8 | — |
| SECONDARY Disease Control Rate (DCR) by Investigator Assessment |
89.4; 75.9 | — |
| SECONDARY Time to Response (TTR) by BIRC Assessment |
6.14; 13.36 | — |
| SECONDARY Time to Response (TTR) by Investigator Assessment |
6.29; 12.71 | — |
| SECONDARY PFS by Investigator Assessment |
16.8; 7.2 | — |
| SECONDARY Overall Intracranial Response Rate (OIRR) |
72.7; 27.3 | — |
| SECONDARY Intracranial Disease Control Rate (IDCR) |
86.4; 90.9 | — |
| SECONDARY Duration of Intracranial Response (DOIR) |
16.6; NA | — |
| SECONDARY Time to Definitive 10 Point Deterioration in the Composite Endpoint of Pain, Cough or Dyspnea in the European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 Questionnaire |
76.0; 14.9 | — |
| SECONDARY Time to Definitive Deterioration in the Composite Endpoint of Pain, Cough or Dyspnea in the Lung Cancer Symptom Scale (LCSS) |
104.0; 36.1 | — |
| SECONDARY Least Squares Mean Scores on the EORTC-QLQ C30 |
69.4; 63.7; 83.5; 77.6; 82.3; 76.6 | — |
| SECONDARY Least Squares Mean Scores on the EORTC QLQ- LC13 |
16.2; 23.3; 9.4; 11.8; 10.6; 12.3 | — |
| SECONDARY Least Squares Mean Scores on the Lung Cancer Symptom Scale (LCSS) |
20.9; 25.1; 27.4; 33.9; 8.0; 15.1 | — |
| SECONDARY Least Squares Mean Scores on the EQ-5D-5L Index |
0.80; 0.75 | — |
| SECONDARY Least Squares Mean Scores on the EQ-5D-5L Visual Analogue Score (VAS) |
77.2; 74.1 | — |
| SECONDARY Cmax of LDK378 |
162; 794 | — |
| SECONDARY Tmax of LDK378 |
6.00; 6.00 | — |
| SECONDARY Tlast of LDK378 |
24.0; 24.0 | — |
| SECONDARY AUC0-24 of LDK378 |
2540; 16600 | — |
Summary
To compare the efficacy and safety of ceritinib with standard first-line chemotherapy (pemetrexed plus cisplatin or carboplatin) in patients with stage IIIB (not candidates for definitive multimodality therapy) or stage IV, non-squamous non-small cell lung cancer (NSCLC) harboring a confirmed anaplastic lymphoma kinase (ALK) rearrangement, using the Ventana immunohistochemistry (IHC) test.
Eligibility Criteria
Key Inclusion Criteria
- The patient had a histologically or cytologically confirmed diagnosis of non-squamous Non-small cell lung cancer (NSCLC) that was Anaplastic lymphoma kinase (ALK) positive as assessed by the Ventana Immunohistochemistry (IHC) test. The test was performed at Novartis designated central laboratories.
- The patient had a newly diagnosed stage IIIB (who was not a candidate for definitive multimodality therapy) or stage IV NSCLC or relapsed locally advanced or metastatic NSCLC not previously treated with any systemic anti-cancer therapy (e.g. cytotoxic drugs, monoclonal antibody therapy, crizotinib or other ALK inhibitors, or other targeted therapies, either experimental or not), with the exception of neo-adjuvant or adjuvant therapy.
- The patient had at least one measurable lesion as defined by RECIST 1.1.
Key Exclusion Criteria
- The patient had known hypersensitivity to any of the excipients of LDK378 (microcrystalline cellulose, mannitol, crospovidone, colloidal silicon dioxide, and magnesium stearate).
- The patient had a history of severe hypersensitivity reaction to platinum-containing drugs, pemetrexed, or any known excipients of these drugs.
- The patient had symptomatic central nervous system (CNS) metastases and was neurologically unstable or had required increasing doses of steroids within the 2 weeks prior to screening to manage CNS symptoms.
Data sourced from ClinicalTrials.gov (NCT01828099). 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.