A Phase 3 interventional study of Pemetrexed and Gemcitabine in Non Small Cell Lung Cancer, sponsored by Eli Lilly and Company. Completed at 8 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-12-13.
Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Treatment
The purpose of this study is to compare the efficacy and safety of two different chemotherapy types in the first line treatment of advanced Non-Small Cell Lung Cancer (NSCLC).
7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.
This study's enrollment of 256 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.
Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Pemetrexed · Drug: Cisplatin
Drug: Gemcitabine · Drug: Cisplatin
500 milligrams/square meter (mg/m²) administered intravenously on Day 1 of each 21-day cycle, for 6 cycles
Also known as: Alimta, LY231514
1250 mg/m² administered intravenously on Day 1 and Day 8 of each 21-day cycle, for 6 cycles
Also known as: Gemzar, LY188011
75 mg/m² administered intravenously on day 1 of each 21 day cycle, for 6 cycles
Overall Survival (OS)
OS was defined as the duration from date of randomization to date of death from any cause. Participants who were alive were censored at the date of last contact.
Time frame: Randomization to date of death from any cause up to 35.8 months post-randomization
Progression Free Survival (PFS)
PFS was defined as the date of randomization to date of first observation of clinical or objective progressive disease (PD) or death due to any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of one or more new lesions. Participants who were not known to have died or had PD were censored at the date of last contact.
Time frame: Randomization to first date of Progressive Disease (PD) or death from any cause up to 33.0 months post-randomization
Time to Progressive Disease (TtPD)
TtPD defined as the time from study randomization to the first date of progressive disease (PD). PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who were not known to have PD or who died without PD were censored at the date of last of last tumor assessment.
Time frame: Randomization to first date of PD up to 23.7 months post-randomization
Duration of Response (DoR)
DoR was defined as the time from first objective status assessment of complete response (CR) or partial response (PR) to the first time progressive disease (PD) or death as a result of any cause. Response using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. Participants who are not known to have died or to have PD were censored at the date of last contact. PD assessed using RECIST v1.0 and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions
Time frame: Date of first response to the date of (PD) or death from any cause up to 22.9 months post-randomization
Time to Treatment Failure (TtTF)
TtTF was defined as date of randomization until the date of discontinuation of study treatment due to adverse event, progressive disease (PD), or death from any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who discontinued study treatment for any other reason were censored at the date of discontinuation of study treatment. Participants still on study drug at data-inclusion cut-off date were censored at the cut-off date.
Time frame: Randomization until date of discontinuation of study treatment due to adverse events, PD, or death from any cause up to 6.3 months post-randomization
Tumor Response Rate
Tumor response rate was the percentage of participants with confirmed best tumor response of complete response (CR) or partial response (PR) using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. Progressive disease (PD) assessed using RECIST v1.0 criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions.
Time frame: Randomization until date of objective PD or death from any cause up to 35.8 months post-randomization
Risk/Benefit Ratio
Risk/benefit ratio was calculated as the percentage of participants who experienced a study-drug related toxicity of Common Terminology Criteria for Adverse Events (CTCAE v3.0) Cancer Therapy Evaluation Program (CTEP) Grade 3 or higher, divided by the Kaplan-Meier estimated percentage of participants surviving one year.
Time frame: Randomization to date of death from any cause up to 35.8 months post-randomization
Disease Control Rate (DCR)
DCR was the percentage of participants with Complete Response (CR), Partial Response (PR), and Stable Disease (SD). Response determined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions; PR was defined as at least a 30% decrease in sum of longest diameter of target lesions; progressive disease (PD) 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions; SD was defined as small changes that did not meet the above criteria.
Time frame: Randomization to date of objective PD or death from any cause up to 35.8 months post-randomization
Survival Without Toxicity (SWT)
SWT was defined as the time from randomization to a study-drug related toxicity. Toxicity was defined as Common Terminology Criteria for Adverse Events (CTCAE v3.0) Grade 3 or 4 or death. Participants who do not have a CTCAE Grade 3 or higher toxicity and are alive will be censored at the date of last contact.
Time frame: Randomization to date of toxicity or date of death up to 34.6 months post-randomization
| Milestone | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Started | 126 | 130 |
| Received at least 1 dose of study drug | 125 | 127 |
| Completed | 120 | 119 |
| Not completed | 6 | 11 |
| Withdrew: Lost to follow-up | 4 | 6 |
| Withdrew: Withdrawal by subject | 1 | 4 |
| Withdrew: Physician decision | 1 | 1 |
OS was defined as the duration from date of randomization to date of death from any cause. Participants who were alive were censored at the date of last contact.
| months | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Overall Survival (OS) | 17.54 (13.34 to 22.67) | 15.51 (13.70 to 19.29) |
PFS was defined as the date of randomization to date of first observation of clinical or objective progressive disease (PD) or death due to any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of one or more new lesions. Participants who were not known to have died or had PD were censored at the date of last contact.
| months | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Progression Free Survival (PFS) | 5.88 (4.99 to 6.47) | 5.85 (5.59 to 6.41) |
TtPD defined as the time from study randomization to the first date of progressive disease (PD). PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who were not known to have PD or who died without PD were censored at the date of last of last tumor assessment.
| months | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Time to Progressive Disease (TtPD) | 5.82 (4.76 to 6.47) | 5.82 (5.55 to 6.34) |
DoR was defined as the time from first objective status assessment of complete response (CR) or partial response (PR) to the first time progressive disease (PD) or death as a result of any cause. Response using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions. Participants who are not known to have died or to have PD were censored at the date of last contact. PD assessed using RECIST v1.0 and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions
| months | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Duration of Response (DoR) | 4.53 (4.17 to 5.88) | 4.98 (3.55 to 6.41) |
TtTF was defined as date of randomization until the date of discontinuation of study treatment due to adverse event, progressive disease (PD), or death from any cause. PD assessed using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions. Participants who discontinued study treatment for any other reason were censored at the date of discontinuation of study treatment. Participants still on study drug at data-inclusion cut-off date were censored at the cut-off date.
| months | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Time to Treatment Failure (TtTF) | NA (NA to NA) | NA (NA to NA) |
Tumor response rate was the percentage of participants with confirmed best tumor response of complete response (CR) or partial response (PR) using Response Evaluation Criteria in Solid Tumor (RECIST v1.0) criteria. Complete Response (CR) was defined as the disappearance of all target lesions; Partial Response (PR) was defined as at least a 30% decrease in sum of longest diameter of target lesions. Progressive disease (PD) assessed using RECIST v1.0 criteria and 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions.
| percentage of participants | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Tumor Response Rate | 24.8 | 20.7 |
Risk/benefit ratio was calculated as the percentage of participants who experienced a study-drug related toxicity of Common Terminology Criteria for Adverse Events (CTCAE v3.0) Cancer Therapy Evaluation Program (CTEP) Grade 3 or higher, divided by the Kaplan-Meier estimated percentage of participants surviving one year.
| ratio | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Risk/Benefit Ratio | 0.70 | 0.83 |
DCR was the percentage of participants with Complete Response (CR), Partial Response (PR), and Stable Disease (SD). Response determined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions; PR was defined as at least a 30% decrease in sum of longest diameter of target lesions; progressive disease (PD) 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 ever recorded since study treatment started, or the appearance of 1 or more new lesions; SD was defined as small changes that did not meet the above criteria.
| percentage of participants | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Disease Control Rate (DCR) | 78.5 | 75.9 |
SWT was defined as the time from randomization to a study-drug related toxicity. Toxicity was defined as Common Terminology Criteria for Adverse Events (CTCAE v3.0) Grade 3 or 4 or death. Participants who do not have a CTCAE Grade 3 or higher toxicity and are alive will be censored at the date of last contact.
| months | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Survival Without Toxicity (SWT) | 5.85 (4.21 to 8.38) | 2.56 (1.68 to 3.78) |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pemetrexed Plus Cisplatin (PC) | — | 8/125 (6.4%) | 120/125 (96%) |
| Gemcitabine Plus Cisplatin (GC) | — | 9/127 (7.1%) | 123/127 (96.9%) |
| Event | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| Lung infectionInfections and infestations | 2/125 | 0/127 |
| Venous thrombosis limbVascular disorders | 2/125 | 0/127 |
| Bone marrow failureBlood and lymphatic system disorders | 0/125 | 2/127 |
| FatigueGeneral disorders | 1/125 | 0/127 |
| PyrexiaGeneral disorders | 1/125 | 0/127 |
| Neutrophil count decreasedInvestigations | 1/125 | 0/127 |
| HyponatraemiaMetabolism and nutrition disorders | 1/125 | 0/127 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 1/125 | 1/127 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 1/125 | 0/127 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 1/125 | 1/127 |
| Event | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) |
|---|---|---|
| NeutropeniaBlood and lymphatic system disorders | 52/125 | 65/127 |
| LeukopeniaBlood and lymphatic system disorders | 53/125 | 60/127 |
| NauseaGastrointestinal disorders | 56/125 | 59/127 |
| VomitingGastrointestinal disorders | 44/125 | 54/127 |
| Decreased appetiteMetabolism and nutrition disorders | 46/125 | 39/127 |
| AnaemiaBlood and lymphatic system disorders | 28/125 | 44/127 |
| FatigueGeneral disorders | 33/125 | 33/127 |
| Haemoglobin decreasedInvestigations | 21/125 | 33/127 |
| ConstipationGastrointestinal disorders | 21/125 | 32/127 |
| White blood cell count decreasedInvestigations | 25/125 | 32/127 |
All randomized participants.
| Age Continuous(years) | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) | Total |
|---|---|---|---|
| Mean | 56.6 ± 10.65 | 55.7 ± 9.95 | 56.1 ± 10.29 |
| Sex: Female, Male(Participants) | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) | Total |
|---|---|---|---|
| Female | 55 | 59 | 114 |
| Male | 71 | 71 | 142 |
| Ethnicity (NIH/OMB)(Participants) | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 126 | 130 | 256 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 126 | 130 | 256 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Pemetrexed Plus Cisplatin (PC) | Gemcitabine Plus Cisplatin (GC) | Total |
|---|---|---|---|
| China | 126 | 130 | 256 |
This study is completed, as verified in Oct 2013. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Eli Lilly and Company