A Phase 3 interventional study of Erlotinib and Placebo in Non-small Cell Lung Cancer, sponsored by OSI Pharmaceuticals. Completed at 295 sites in 19 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-09-17.
Sponsored by OSI Pharmaceuticals · Phase 3, Interventional, and Treatment
This is a study to evaluate the effectiveness of erlotinib compared with a placebo sugar pill following complete surgical removal of the tumor with or without chemotherapy after surgery in Stage IB-IIIA NSCLC patients.
After the initiation of the study, the sponsor became aware of an error in the drug dispensing module of the interactive voice response such that most patients who were randomized prior to 07 November 2007 were dispensed the incorrect study drug at least once. Since the integrity of the data from these patients was seriously compromised, these patients were considered unevaluable for the protocol-specified analyses. These participants are referred to as the breached protocol cohort (BPC) and those still on study treatment at the time of the breach were offered the option of receiving open-label erlotinib for up to 2 years (including posttreatment and long-term follow-up assessments), not receiving open-label erlotinib but remaining in the study for posttreatment and long-term follow-up assessment, or withdrawing consent from treatment and further assessments. Participants who had discontinued study treatment prior to the breach were not offered open-label erlotinib and remained in long-term follow-up. Data from the BPC participants were analyzed separately and were not included in the assessments of primary or secondary endpoints in the randomized cohort and were not considered part of the primary analyses.The sample size for the randomized cohort was not changed due to the BPC and the data from RC and BPC were analyzed separately.
7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.
This study's enrollment of 1,252 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →OSI Pharmaceuticals is the lead sponsor of 15 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Able to start drug under the following timelines:
Exclusion Criteria:
Participants received 150 mg/day erlotinib orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity.
Drug: Erlotinib
Participants received matching placebo tablets orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity.
Drug: Placebo
150 mg tablet
Also known as: OSI-774, Tarceva
Placebo tablet
Disease Free Survival (DFS)
DFS is the time from the date of randomization until the first day non-small cell lung cancer (NSCLC) relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months).
Disease Free Survival (DFS)
DFS is the time from the date of randomization until the first day that non-small cell lung cancer (NSCLC) relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cutoff date of 11 June 2014 (maximum time on follow-up was 78 months).
Overall Survival (OS)
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months).
Overall Survival (OS)
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 11 June 2014 (maximum time on follow-up was 78 months).
Disease-free Survival in Participants With EGFR Mutation - Positive Tumors
Disease-free survival (DFS) is the time from the date of randomization until the first day NSCLC relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months).
Disease-free Survival in Participants With EGFR Mutation - Positive Tumors
Disease-free survival (DFS) is the time from the date of randomization until the first day NSCLC relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 11 June 2014 (maximum time on follow-up was 78 months).
Overall Survival in Participants With EGFR Mutation - Positive Tumors
Overall survival is defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 08 April 2013 (maximum time on follow-up was 64 months)
Overall Survival in Participants With EGFR Mutation - Positive Tumors
Overall survival is defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
Time frame: Every 3 months during active phase and every 6 months during long term follow-up up to 5 years and yearly thereafter until the data cut-off date of 11 June 2014 (maximum time on follow-up was 78 months)
Number of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a study participant and did not necessarily have a causal relationship with study treatment. An AE was considered serious if it resulted in death, a life-threatening situation, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect in the offspring of a participant, other important medical events, or is on the Astellas Always Serious List. A drug-related AE was any AE with at least a possible relationship to study treatment as assessed by the investigator. Severity was graded by the investigator according to the National Cancer Institute Common Terminology Criteria for Adverse Events, v3.0, where Grade 1=Mild AE; Grade=2 Moderate AE; Grade 3=Severe AE; Grade 4=Life-threatening or disabling; Grade 5=Death related to AE. AEs leading to death include deaths that occurred more than 30 days after the last dose of study drug.
Time frame: From the date of first dose of study drug until 30 days after the last dose. The median time on treatment was 11.9 months for erlotinib and 21.9 months for placebo. Data are based off the 11 June 2014 data cut-off date.
Patients with stage IB to IIIA epidermal growth factor receptor (EGFR)-positive non-small cell lung cancer (NSCLC) were enrolled globally. 1252 patients were enrolled however 2 patients did not have adequate Health Insurance Portability and Accountability Act (HIPAA) documentation and were removed from the database.
| Milestone | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib |
|---|---|---|---|---|---|
| Started | 623 | 350 | 134 | 11 | 132 |
| Received treatment | 612 | 342 | 134 | 7 | 132 |
| Completed | 253 | 197 | 0 | 0 | 60 |
| Not completed | 370 | 153 | 134 | 11 | 72 |
| Withdrew: Relapse of nsclc | 116 | 104 | 19 | 2 | 26 |
| Withdrew: Adverse event | 191 | 22 | 59 | 0 | 34 |
| Withdrew: Patient request | 35 | 18 | 43 | 6 | 7 |
| Withdrew: Medical/ethical/noncompliance reason | 21 | 9 | 10 | 2 | 5 |
| Withdrew: Death | 7 | 0 | 3 | 1 | 0 |
DFS is the time from the date of randomization until the first day non-small cell lung cancer (NSCLC) relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date.
| months | Erlotinib | Placebo |
|---|---|---|
| Disease Free Survival (DFS) | 50.5 (44.7 to NA) | 48.2 (36.0 to NA) |
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive.
| months | Erlotinib | Placebo |
|---|---|---|
| Overall Survival (OS) | NA (NA to NA) | NA (NA to NA) |
Overall survival was defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive.
| months | Erlotinib | Placebo |
|---|---|---|
| Overall Survival (OS) | NA (77.9 to NA) | NA (NA to NA) |
Disease-free survival (DFS) is the time from the date of randomization until the first day NSCLC relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
| months | Erlotinib | Placebo |
|---|---|---|
| Disease-free Survival in Participants With EGFR Mutation - Positive Tumors | 46.4 (39.8 to NA) | 28.5 (16.7 to NA) |
Disease-free survival (DFS) is the time from the date of randomization until the first day NSCLC relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
| months | Erlotinib | Placebo |
|---|---|---|
| Disease-free Survival in Participants With EGFR Mutation - Positive Tumors | 47.8 (39.8 to 60.8) | 28.5 (16.7 to 61.4) |
DFS is the time from the date of randomization until the first day that non-small cell lung cancer (NSCLC) relapse is documented by radiological exam and/or biopsy, or until death in the absence of relapse. After randomization, NSCLC relapse was based on radiological evidence or biopsy, as determined by the investigator. Participants without a DFS event were censored on the last adequate radiological assessment date.
| months | Erlotinib | Placebo |
|---|---|---|
| Disease Free Survival (DFS) | 55.0 (47.0 to 64.5) | 56.2 (39.7 to 65.6) |
Overall survival is defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
| months | Erlotinib | Placebo |
|---|---|---|
| Overall Survival in Participants With EGFR Mutation - Positive Tumors | NA (NA to NA) | NA (55.4 to NA) |
Overall survival is defined as the time from the date of randomization until the documented date of death. Participants who were still alive were censored on the last day they were known to be alive. Activating EGFR mutation-positive is defined as exon 19 deletion or exon 21 L858R (or both) detected.
| months | Erlotinib | Placebo |
|---|---|---|
| Overall Survival in Participants With EGFR Mutation - Positive Tumors | NA (NA to NA) | NA (NA to NA) |
An AE was defined as any untoward medical occurrence in a study participant and did not necessarily have a causal relationship with study treatment. An AE was considered serious if it resulted in death, a life-threatening situation, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect in the offspring of a participant, other important medical events, or is on the Astellas Always Serious List. A drug-related AE was any AE with at least a possible relationship to study treatment as assessed by the investigator. Severity was graded by the investigator according to the National Cancer Institute Common Terminology Criteria for Adverse Events, v3.0, where Grade 1=Mild AE; Grade=2 Moderate AE; Grade 3=Severe AE; Grade 4=Life-threatening or disabling; Grade 5=Death related to AE. AEs leading to death include deaths that occurred more than 30 days after the last dose of study drug.
| participants | Erlotinib | Placebo |
|---|---|---|
| Any adverse event (AE) | 599 | 307 |
| Grade 3 or higher adverse event | 279 | 96 |
| Serious adverse event (SAE) | 118 | 79 |
| AE leading to discontinuation of study drug | 205 | 29 |
| AE leading to death | 14 | 5 |
| AE leading to dose reduction | 150 | 9 |
| AE leading to dose interruption | 114 | 23 |
| AE leading to dose interruption and reduction | 156 | 5 |
| Drug-related AE | 572 | 181 |
| Drug-related serious AE | 15 | 5 |
| Drug-related AE leading to discontinuation | 163 | 8 |
Collected over From the first dose of study drug until 30 days after the last dose. Maximum time on treatment for the Randomized Cohort was 24 months; maximum time on treatment for the BPC was 13 months on blinded study drug and 26 months on open-label erlotinib.. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| RC: Erlotinib | — | 118/611 (19.3%) | 590/611 (96.6%) |
| RC: Placebo | — | 79/343 (23%) | 288/343 (84%) |
| BPC-NOLC: Erlotinib/Placebo | — | 21/134 (15.7%) | 125/134 (93.3%) |
| BPC-NOLC: Placebo Only | — | 1/11 (9.1%) | 4/11 (36.4%) |
| BPC-OLC: Erlotinib | — | 41/132 (31.1%) | 130/132 (98.5%) |
| Event | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib |
|---|---|---|---|---|---|
| ApnoeaRespiratory, thoracic and mediastinal disorders | 0/611 | 0/343 | 0/134 | 1/11 | 0/132 |
| PneumoniaInfections and infestations | 8/611 | 2/343 | 2/134 | 0/11 | 3/132 |
| Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 3/611 | 1/343 | 0/134 | 0/11 | 3/132 |
| Lung neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 5/611 | 3/343 | 0/134 | 0/11 | 2/132 |
| Small cell lung cancer stage unspecifiedNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/611 | 0/343 | 0/134 | 0/11 | 2/132 |
| Mental status changesPsychiatric disorders | 0/611 | 1/343 | 0/134 | 0/11 | 2/132 |
| NauseaGastrointestinal disorders | 0/611 | 1/343 | 2/134 | 0/11 | 1/132 |
| VomitingGastrointestinal disorders | 0/611 | 1/343 | 2/134 | 0/11 | 1/132 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 6/611 | 5/343 | 0/134 | 0/11 | 1/132 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 3/611 | 5/343 | 0/134 | 0/11 | 0/132 |
| Event | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib |
|---|---|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 318/611 | 54/343 | 54/134 | 0/11 | 86/132 |
| RashSkin and subcutaneous tissue disorders | 356/611 | 58/343 | 51/134 | 0/11 | 72/132 |
| Dermatitis acneiformSkin and subcutaneous tissue disorders | 111/611 | 19/343 | 37/134 | 0/11 | 45/132 |
| Dry skinSkin and subcutaneous tissue disorders | 127/611 | 50/343 | 15/134 | 0/11 | 41/132 |
| PruritusSkin and subcutaneous tissue disorders | 161/611 | 51/343 | 21/134 | 0/11 | 29/132 |
| FatigueGeneral disorders | 118/611 | 49/343 | 23/134 | 0/11 | 34/132 |
| CoughRespiratory, thoracic and mediastinal disorders | 121/611 | 69/343 | 17/134 | 0/11 | 29/132 |
| NauseaGastrointestinal disorders | 84/611 | 44/343 | 17/134 | 1/11 | 28/132 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 85/611 | 61/343 | 15/134 | 0/11 | 18/132 |
| AlopeciaSkin and subcutaneous tissue disorders | 67/611 | 11/343 | 12/134 | 0/11 | 22/132 |
| Age, Continuous(years) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Randomized Cohort | 62.0 ± 9.28 | 61.8 ± 9.34 | NA ± NA | NA ± NA | NA ± NA | 61.9 ± 9.30 |
| Breached Protocol Cohort, No Open label | NA ± NA | NA ± NA | 64.4 ± 9.33 | 62.7 ± 6.23 | NA ± NA | 64.3 ± 9.13 |
| Breached Protocol Cohort, Open label | NA ± NA | NA ± NA | NA ± NA | NA ± NA | 61.8 ± 9.35 | 61.8 ± 9.35 |
| Sex: Female, Male(Participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Female | 257 | 141 | 47 | 2 | 57 | 504 |
| Male | 366 | 209 | 87 | 9 | 75 | 746 |
| Race/Ethnicity, Customized(participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| White | 500 | 279 | 114 | 10 | 111 | 1014 |
| Black | 14 | 11 | 4 | 0 | 4 | 33 |
| Asian | 107 | 60 | 15 | 1 | 17 | 200 |
| American Indian/Alaska Native | 1 | 0 | 1 | 0 | 0 | 2 |
| Other | 1 | 0 | 0 | 0 | 0 | 1 |
| Race/Ethnicity, Customized(participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Not Hispanic or Latino | 583 | 322 | 123 | 11 | 124 | 1163 |
| Hispanic or Latino | 40 | 28 | 11 | 0 | 8 | 87 |
| Eastern Cooperative Oncology Group (ECOG) Performance Status(participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Grade 0 | 385 | 211 | 75 | 5 | 77 | 753 |
| Grade 1 | 230 | 134 | 55 | 6 | 54 | 479 |
| Grade 2 | 6 | 5 | 3 | 0 | 1 | 15 |
| Not measured | 2 | 0 | 1 | 0 | 0 | 3 |
| Cigarette Smoking History(participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Never smoked or ≤ 100 cigarettes in lifetime | 129 | 70 | 19 | 1 | 19 | 238 |
| Former smoker | 423 | 240 | 103 | 9 | 104 | 879 |
| Current smoker | 71 | 40 | 12 | 1 | 9 | 133 |
| Histology(participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Adenocarcinoma | 367 | 211 | 73 | 3 | 76 | 730 |
| Squamous cell carcinoma | 196 | 111 | 48 | 8 | 49 | 412 |
| Undifferentiated large cell | 22 | 8 | 6 | 0 | 4 | 40 |
| Mixed NSCLC | 29 | 18 | 5 | 0 | 1 | 53 |
| Other | 9 | 2 | 2 | 0 | 2 | 15 |
| Extent of Disease at Diagnosis(participants) | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total |
|---|---|---|---|---|---|---|
| Stage IA | 1 | 2 | 1 | 0 | 0 | 4 |
| Stage IB | 329 | 167 | 64 | 4 | 80 | 644 |
| Stage IIA | 42 | 24 | 10 | 1 | 9 | 86 |
| Stage IIB | 155 | 99 | 36 | 4 | 23 | 317 |
| Stage IIIA | 93 | 58 | 21 | 1 | 17 | 190 |
| Stage IIIB | 2 | 0 | 2 | 0 | 3 | 7 |
| Stage IV | 1 | 0 | 0 | 1 | 0 | 2 |
3 further baseline measures are reported on the registry.
Showing the first 100 of 295 sites across 19 countries.
This study is completed, as verified in Sep 2015. You cannot join it, but the record below documents what was studied.
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OSI Pharmaceuticals