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CompletedNCT01196078Updated Jul 27, 2015Results posted

A Study of Tarceva (Erlotinib) in Elderly Patients With Advanced Non-Small Cell Lung Cancer

A Phase 4 interventional study of erlotinib [Tarceva] and vinorelbine in Non-Small Cell Lung Cancer, sponsored by Hoffmann-La Roche. Completed at 1 site in Taiwan. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2015-07-27.

Sponsored by Hoffmann-La Roche · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
114
Allocation
Randomized
Ages
70 Years and older
Sex
All
01

Study summary

This study will compare the efficacy and safety of Tarceva (erlotinib) and vinorelbine in chemo-naive elderly patients with advanced non-small cell lung cancer. Patients will be randomized to receive either Tarceva (150 mg po daily) or vinorelbine (60 mg/m2 on days 1 and 8 of cycle 1 and 80 mg/m2 for the other 21 days cycles). The anticipated time on study treatment is until disease progression.

02

Conditions studied

  • Non-Small Cell Lung Cancer
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 114 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
70 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients, >=70 years of age
  • Non-small cell lung cancer
  • Naive to prior chemotherapy or specific immunotherapy
  • Presence of at least 1 measurable lesion

Exclusion criteria

Exclusion Criteria:

  • Active non-controlled infection or disease
  • CNS metastases
  • Any other malignancies (other than adequately treated basal cell cancer of skin, or in situ cancer of the cervix)
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
114 participants (actual)

Study arms

  • Experimental
    1

    Drug: erlotinib [Tarceva]

  • Active comparator
    2

    Drug: vinorelbine

Interventions

  • Drugerlotinib [Tarceva]

    150 mg, orally once a day for up to 6 cycles of 21 days each

  • Drugvinorelbine

    60 mg/m2, orally on days 1 and 8 of cycle 1, 80 mg/m2 for the other cycles

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving a Best Overall Response of Complete Response (CR) or Partial Response (PR)

    CR was defined as disappearance of all target lesions. PR was defined as at least a 30 percent (%) decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Participants experiencing either a CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST) were classified as responders. Participants with tumour assessment unevaluable were viewed as non-responders.

    Time frame: Screening, Day 1 of Cycles 3 and 5 and at End of treatment up to 1 year

Secondary outcomes

  1. Percentage of Participants Achieving Disease Control

    Disease control was defined as achieving a best overall response of CR, PR, or stable disease (SD) according to RECIST criteria. Participants with tumor assessment unevaluable were viewed as uncontrolled.

    Time frame: Screening, Day 1 of Cycles 3 and 5 and at End of treatment up to 1 year

  2. Duration of Response Among Participants Who Achieved Either a CR or PR

    Duration of response was defined similarly for complete and partial responders. Complete response lasted from the date the complete response was first recorded to the date on which progressive disease was first noted or date of death. Partial response lasted from the date of partial response to the date of the first observation of progressive disease or date of death.

    Time frame: Screening, Day 1 of Cycles 3 and 5, every 4th cycle during post-study treatment, and every 3 cycles during follow-up

  3. Percentage of Participants With Disease Progression

    Progressive disease was defined using RECIST as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

    Time frame: Day 1 of Cycles 1, 3, and 5 or first documentation of progressive disease or death

  4. Time to Disease Progression

    Time to disease progression was defined as the interval between the day of randomization and the first documentation of progressive disease or death.

    Time frame: Day 1 of Cycles 1, 3, and 5 or first documentation of progressive disease or death

  5. Overall Survival: Percentage of Participants With an Progressive Disease or Death

    Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Participants without follow-up assessment were censored at the day of last dose and participants with no postbaseline information were censored at the time of randomization. Progressive disease was defined per RECIST as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

    Time frame: Day 1 of Cycles 1 through 6 to date of death or date of last follow-up assessment

  6. Overall Survival: Time to Event

    Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Participants without follow-up assessment were censored at the day of last dose and participants with no post baseline information were censored at the time of randomization. Overall median time to event was assessed for the population that experienced an event.

    Time frame: Day 1 of Cycles 1 through 6 to date of death or date of last follow-up assessment

  7. Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT) Questionnaire

    The FACT Questionnaire contains 4 general and 1 lung cancer symptom-specific subscale, including Physical Well-Being (PWB), Social/family Well-Being (SWB), Emotional Well-Being (EWB), Functional Well-Being (FWB), and the 8-item Lung Cancer Subscale (LCS) that assess symptoms commonly reported by participants with lung cancer. Each subscale was assessed by a five-point scale from 0 (not at all) to 4 (very much) to determine the quality of life. PWB, SWB and FWB scores ranged from 0-28 and EWB scores ranged from 0-24. LCS scores ranged from 0-36. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. The FACT-L score ranges from 0 to 136, with higher scores indicating better quality of life.

    Time frame: Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study

  8. Changes in Quality of Life as Measured by the FACT Questionnaire

    The FACT Questionnaire contains 4 general and 1 lung cancer symptom-specific subscale, including PWB, SWB, EWB, FWB, and the 8-item LCS that assess symptoms commonly reported by participants with lung cancer. Each subscale was assessed by a five-point scale from 0 (not at all) to 4 (very much) to determine the quality of life. PWB, SWB and FWB scores ranged from 0-28 and EWB scores ranged from 0-24. LCS scores ranged from 0-36. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. For PWB, FWB, SWB, and EWB scores and disease-specific subscale score, response of down, up or no change were defined as score changes of less than or equal to (≤)2, greater than or equal to (≥)+2, or between these values.

    Time frame: Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study

  9. Percentage of Participants With Changes in Quality of Life as Measured by FACT Questionnaire Scores by Category of Change

    The FACT and the FACT-L contain 4 general and 1 lung cancer symptom-specific subscale, including PWB, SWB, EWB, FWB, and the 8-item LCS that assess symptoms commonly reported by participants with lung cancer. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented Worsened'. For PWB, FWB, SWB, and EWB scores and disease-specific subscale score, higher scores indicated a better outcome; a response of down, up, or no change was defined as a score change of ≤ -2 (score down), ≥ +2 (score up), or between these values.

    Time frame: Baseline and End of study

  10. Changes in Quality of Life as Assessed by FACT-L (Lung Symptoms) Questionnaire

    The LCS consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition) rated on a five-point scale from 0 (not at all) to 4 (very much). The LCS total score is the sum of the scores from the 7 items. For clear thinking and good appetite, the higher score represented 'Improved'; for other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. The change of FACT-L subscore was the change from baseline to endpoint. The LCS of FACT-L is an independently validated tool that measures the disease-related symptoms of lung cancer on an overall scale of 0 (most symptomatic) to 28 (asymptomatic).

    Time frame: Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study

  11. Percentage of Participants With Changes in FACT-L (Lung Symptoms) by Category of Change

    The LCS consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition). The LCS total score is the sum of the scores from the 7 items, each rated on a five-point scale from 0 (not at all) to 4 (very much). For clear thinking and good appetite, the higher score represented 'Improved'; for other subscales and questionnaires, the higher score represented 'Worsened'. For each FACT-L question, the response status was defined as down, up, or no change if the score at endpoint was smaller (score down), larger than (score up), or the same as (no change) that at baseline.

    Time frame: Baseline and End of study

07

Results

Posted Jul 27, 2015

Participant flow

Participant flow — Overall Study
MilestoneErlotinibVinorelbine
Started5757
Completed2420
Not completed3337
Withdrew: Withdrawal by subject35
Withdrew: Adverse event44
Withdrew: Protocol violation21
Withdrew: Lack of efficacy1723
Withdrew: Lost to follow-up10
Withdrew: Death64

Outcome measures

PrimaryPercentage of Participants Achieving a Best Overall Response of Complete Response (CR) or Partial Response (PR)

CR was defined as disappearance of all target lesions. PR was defined as at least a 30 percent (%) decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Participants experiencing either a CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST) were classified as responders. Participants with tumour assessment unevaluable were viewed as non-responders.

Time frame:
Screening, Day 1 of Cycles 3 and 5 and at End of treatment up to 1 year
Reported as:
Number · percentage of participants
Percentage of Participants Achieving a Best Overall Response of Complete Response (CR) or Partial Response (PR)
percentage of participantsErlotinibVinorelbine
Percentage of Participants Achieving a Best Overall Response of Complete Response (CR) or Partial Response (PR)22.818.93
Statistical analysis
  • Erlotinib vs Vinorelbine · Regression, Logistic · p = 0.0388 (Between-treatment difference computed using logistic regression with treatment and multiple factors (gender, Eastern Cooperative Oncology Group \[ECOG\] status, histology status, and smoking status) as explanatory variables.) · Difference in percentages: 13.88 · 95% CI -0.22 to 26.1995% confidence interval (CI) for the difference in tumor response rate determined using Hauck-Anderson approach.
SecondaryPercentage of Participants Achieving Disease Control

Disease control was defined as achieving a best overall response of CR, PR, or stable disease (SD) according to RECIST criteria. Participants with tumor assessment unevaluable were viewed as uncontrolled.

Time frame:
Screening, Day 1 of Cycles 3 and 5 and at End of treatment up to 1 year
Reported as:
Number · percentage of participants
Percentage of Participants Achieving Disease Control
percentage of participantsErlotinibVinorelbine
Percentage of Participants Achieving Disease Control71.9357.14
Statistical analysis
  • Erlotinib vs Vinorelbine · Regression, Logistic · p = 0.1061 (Between-treatment difference computed using logistic regression with treatment and multiple factors (gender, ECOG status, histology status, and smoking status) as explanatory variables.) · Difference in percentages: 14.79 · 95% CI -3.54 to 31.3395% CI for the difference in the disease control rate determined using Hauck-Anderson approach.
SecondaryDuration of Response Among Participants Who Achieved Either a CR or PR

Duration of response was defined similarly for complete and partial responders. Complete response lasted from the date the complete response was first recorded to the date on which progressive disease was first noted or date of death. Partial response lasted from the date of partial response to the date of the first observation of progressive disease or date of death.

Time frame:
Screening, Day 1 of Cycles 3 and 5, every 4th cycle during post-study treatment, and every 3 cycles during follow-up
Reported as:
Median · months
Duration of Response Among Participants Who Achieved Either a CR or PR
monthsErlotinibVinorelbine
Duration of Response Among Participants Who Achieved Either a CR or PR10.89 (5.48 to 22.23)8.75 (2.75 to NA)
Statistical analysis
  • Erlotinib vs Vinorelbine · Log Rank · p = 0.9505
SecondaryPercentage of Participants With Disease Progression

Progressive disease was defined using RECIST as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Time frame:
Day 1 of Cycles 1, 3, and 5 or first documentation of progressive disease or death
Reported as:
Number · percentage of participants
Percentage of Participants With Disease Progression
percentage of participantsErlotinibVinorelbine
Percentage of Participants With Disease Progression63.1658.93
SecondaryTime to Disease Progression

Time to disease progression was defined as the interval between the day of randomization and the first documentation of progressive disease or death.

Time frame:
Day 1 of Cycles 1, 3, and 5 or first documentation of progressive disease or death
Reported as:
Median · months
Time to Disease Progression
monthsErlotinibVinorelbine
Time to Disease Progression6.66 (4.43 to 9.05)3.87 (2.49 to 6.92)
Statistical analysis
  • Erlotinib vs Vinorelbine · Log Rank · p = 0.2314Data were stratified by gender, ECOG status, histology status, and smoking status.
SecondaryOverall Survival: Percentage of Participants With an Progressive Disease or Death

Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Participants without follow-up assessment were censored at the day of last dose and participants with no postbaseline information were censored at the time of randomization. Progressive disease was defined per RECIST as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Time frame:
Day 1 of Cycles 1 through 6 to date of death or date of last follow-up assessment
Reported as:
Number · percentage of participants
Overall Survival: Percentage of Participants With an Progressive Disease or Death
percentage of participantsErlotinibVinorelbine
Overall Survival: Percentage of Participants With an Progressive Disease or Death56.1448.21
SecondaryOverall Survival: Time to Event

Overall survival was defined as the time from the date of randomization to the date of death. Participants who were alive at the time of the analysis were censored at the date of the last follow-up assessment. Participants without follow-up assessment were censored at the day of last dose and participants with no post baseline information were censored at the time of randomization. Overall median time to event was assessed for the population that experienced an event.

Time frame:
Day 1 of Cycles 1 through 6 to date of death or date of last follow-up assessment
Reported as:
Median · months
Overall Survival: Time to Event
monthsErlotinibVinorelbine
Overall Survival: Time to Event11.21 (6.79 to 19.57)10.36 (7.67 to NA)
Statistical analysis
  • Erlotinib vs Vinorelbine · Log Rank · p = 0.9894Data were stratified by gender, ECOG status, histology status, and smoking status.
SecondaryQuality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT) Questionnaire

The FACT Questionnaire contains 4 general and 1 lung cancer symptom-specific subscale, including Physical Well-Being (PWB), Social/family Well-Being (SWB), Emotional Well-Being (EWB), Functional Well-Being (FWB), and the 8-item Lung Cancer Subscale (LCS) that assess symptoms commonly reported by participants with lung cancer. Each subscale was assessed by a five-point scale from 0 (not at all) to 4 (very much) to determine the quality of life. PWB, SWB and FWB scores ranged from 0-28 and EWB scores ranged from 0-24. LCS scores ranged from 0-36. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. The FACT-L score ranges from 0 to 136, with higher scores indicating better quality of life.

Time frame:
Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study
Reported as:
Mean · units on a scale
Quality of Life as Measured by the Functional Assessment of Cancer Therapy (FACT) Questionnaire
units on a scaleErlotinibVinorelbine
PWB, Baseline (n=56,53)6.8 ± 4.06.2 ± 3.7
PWB, Cycle 2 (n=52,42)8.1 ± 3.77.5 ± 4.4
PWB, Cycle 3 (n=41,28)8.9 ± 4.35.7 ± 4.2
PWB, Cycle 4 (n=37,28)9.4 ± 4.07.8 ± 6.1
PWB, Cycle 5 (n=30,22)8.8 ± 4.37.7 ± 5.5
PWB, Cycle 6 (n=25,20)9.3 ± 5.06.4 ± 5.5
PWB, End of Study (n=52,48)10.8 ± 5.27.8 ± 4.5
SWB, Baseline (n=55,53)15.9 ± 6.315.2 ± 6.8
SWB, Cycle 2 (n=52,40)15.5 ± 6.714.7 ± 7.2
SWB, Cycle 3 (n=42,30)16.0 ± 6.916.5 ± 6.8
SWB, Cycle 4 (n=37,27)15.9 ± 7.016.1 ± 7.1
SWB, Cycle 5 (n=28,21)15.7 ± 7.015.1 ± 7.7
SWB, Cycle 6 (n=26,18)15.2 ± 7.817.4 ± 7.1
SWB, End of Study (n=52,47)14.4 ± 7.114.3 ± 7.6
EWB, Baseline (n=57,55)7.8 ± 3.76.5 ± 3.4
EWB, Cycle 2 (n=52,43)6.7 ± 3.85.9 ± 3.2
EWB, Cycle 3 (n=42,29)6.4 ± 3.55.6 ± 2.8
EWB, Cycle 4 (n=37,27)7.0 ± 3.66.0 ± 4.6
EWB, Cycle 5 (n=29,21)6.3 ± 3.65.5 ± 4.7
EWB, Cycle 6 (n=25,20)6.5 ± 3.54.8 ± 3.1
EWB, End of Study (n=52,50)7.1 ± 4.16.0 ± 3.4
FWB, Baseline (n=56,55)12.3 ± 6.213.3 ± 7.4
FWB, Cycle 2 (n=51,41)12.9 ± 7.112.9 ± 7.1
FWB, Cycle 3 (n=41,27)13.0 ± 7.412.9 ± 6.9
FWB, Cycle 4 (n=37,26)12.8 ± 7.211.3 ± 7.8
FWB, Cycle 5 (n=29,22)12.7 ± 6.212.0 ± 7.6
FWB, Cycle 6 (n=25,20)11.7 ± 6.411.4 ± 6.3
FWB, End of Study (n=51,50)11.1 ± 7.211.5 ± 7.2
LCS, Baseline (n=56,54)11.0 ± 3.211.1 ± 3.8
LCS, Cycle 2 (n=50,45)10.8 ± 3.111.2 ± 3.5
LCS, Cycle 3 (n=42,30)11.0 ± 3.110.5 ± 3.2
LCS, Cycle 4 (n=37,27)11.3 ± 3.110.2 ± 3.2
LCS, Cycle 5 (n=28,21)10.8 ± 3.010.0 ± 3.9
LCS, Cycle 6 (n=26,20)10.4 ± 2.99.9 ± 4.0
LCS, End of Study (n=52,50)11.1 ± 3.210.8 ± 3.2
SecondaryChanges in Quality of Life as Measured by the FACT Questionnaire

The FACT Questionnaire contains 4 general and 1 lung cancer symptom-specific subscale, including PWB, SWB, EWB, FWB, and the 8-item LCS that assess symptoms commonly reported by participants with lung cancer. Each subscale was assessed by a five-point scale from 0 (not at all) to 4 (very much) to determine the quality of life. PWB, SWB and FWB scores ranged from 0-28 and EWB scores ranged from 0-24. LCS scores ranged from 0-36. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. For PWB, FWB, SWB, and EWB scores and disease-specific subscale score, response of down, up or no change were defined as score changes of less than or equal to (≤)2, greater than or equal to (≥)+2, or between these values.

Time frame:
Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study
Reported as:
Mean · units on a scale
Changes in Quality of Life as Measured by the FACT Questionnaire
units on a scaleErlotinibVinorelbine
PWB, Baseline (n=51,45)6.5 ± 3.86.0 ± 3.4
PWB, Endpoint (n=51,45)10.8 ± 5.27.8 ± 4.6
Change in PWB (n=51,45)4.3 ± 5.51.8 ± 4.7
SWB, Baseline (n=50,45)15.8 ± 6.515.4 ± 6.7
SWB, Endpoint (n=50,45)14.3 ± 7.214.4 ± 7.7
Change in SWB (n=50,45)-1.5 ± 4.8-1.0 ± 6.0
EWB, Baseline (n=52,48)7.9 ± 3.76.2 ± 3.2
EWB, Endpoint (n=52,48)7.1 ± 4.16.0 ± 3.4
Change in EWB (n=52,48)-0.8 ± 4.4-0.2 ± 4.0
FWB, Baseline (n=51,48)12.6 ± 6.213.4 ± 7.4
FWB, Endpoint (n=51,48)11.1 ± 7.211.7 ± 7.2
Change in FWB (n=51,48)-1.5 ± 5.1-1.7 ± 6.0
LCS, Baseline (n=51,47)10.9 ± 3.311.2 ± 4.0
LCS, Endpoint (n=51,47)11.2 ± 3.210.7 ± 3.0
Change in LCS (n=51,47)0.3 ± 3.3-0.4 ± 4.5
Statistical analysis
  • Erlotinib vs Vinorelbine · ANOVA · p = 0.0060
  • Erlotinib vs Vinorelbine · ANOVA · p = 0.6871
  • Erlotinib vs Vinorelbine · ANOVA · p = 0.5104
  • Erlotinib vs Vinorelbine · ANOVA · p = 0.9927
  • Erlotinib vs Vinorelbine · ANOVA · p = 0.3581
SecondaryPercentage of Participants With Changes in Quality of Life as Measured by FACT Questionnaire Scores by Category of Change

The FACT and the FACT-L contain 4 general and 1 lung cancer symptom-specific subscale, including PWB, SWB, EWB, FWB, and the 8-item LCS that assess symptoms commonly reported by participants with lung cancer. For subscales of FWB and SWB, questionnaires of EWB, and additional concerns questions, the higher score represented 'Improved'. For other subscales and questionnaires, the higher score represented Worsened'. For PWB, FWB, SWB, and EWB scores and disease-specific subscale score, higher scores indicated a better outcome; a response of down, up, or no change was defined as a score change of ≤ -2 (score down), ≥ +2 (score up), or between these values.

Time frame:
Baseline and End of study
Reported as:
Number · percentage of participants
Percentage of Participants With Changes in Quality of Life as Measured by FACT Questionnaire Scores by Category of Change
percentage of participantsErlotinibVinorelbine
PWB, Score Down (n=51,45)7.822.2
PWB, No Change (n=51,45)33.331.1
PWB, Score Up (n=51,45)58.846.7
SWB, Score Down (n=50,45)40.037.8
SWB, No Change (n=50,45)40.040.0
SWB, Score Up (n=50,45)20.022.2
EWB, Score Down (n=52,48)38.533.3
EWB, No Change (n=52,48)38.541.7
EWB, Score Up (n=52,48)23.125.0
FWB, Score Down (n=51,48)41.241.7
FWB, No Change (n=51,48)33.335.4
FWB, Score Up (n=51,48)25.522.9
LCS, Score Down (n=51,47)17.631.9
LCS, No Change (n=51,47)47.140.4
LCS, Score Up (n=51,47)35.327.7
SecondaryChanges in Quality of Life as Assessed by FACT-L (Lung Symptoms) Questionnaire

The LCS consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition) rated on a five-point scale from 0 (not at all) to 4 (very much). The LCS total score is the sum of the scores from the 7 items. For clear thinking and good appetite, the higher score represented 'Improved'; for other subscales and questionnaires, the higher score represented 'Worsened'. Missing data were replaced by the valid post-baseline assessment before. The change of FACT-L subscore was the change from baseline to endpoint. The LCS of FACT-L is an independently validated tool that measures the disease-related symptoms of lung cancer on an overall scale of 0 (most symptomatic) to 28 (asymptomatic).

Time frame:
Baseline and Day 1 of Cycles 2, 3, 4, 5, 6 and End of study
Reported as:
Mean · units on a scale
Changes in Quality of Life as Assessed by FACT-L (Lung Symptoms) Questionnaire
units on a scaleErlotinibVinorelbine
Shortness of breath, Baseline (n=52,48)1.4 ± 0.71.4 ± 1.1
Shortness of breath, Endpoint (n=52,48)1.6 ± 1.01.3 ± 0.9
Shortness of breath, Change (n=52,48)0.2 ± 0.8-0.1 ± 1.2
Weight loss, Baseline (n=51,47)0.6 ± 0.80.8 ± 1.0
Weight loss, Endpoint (n=51,47)0.7 ± 0.90.6 ± 0.7
Weight loss, Change (n=51,47)0.1 ± 1.0-0.2 ± 1.2
Clear thinking, Baseline (n=52,48)2.4 ± 1.22.3 ± 1.3
Clear thinking, Endpoint (n=52,48)2.2 ± 1.32.4 ± 1.3
Clear thinking, Change (n=52,48)-0.2 ± 1.10.1 ± 1.5
Coughing, Baseline (n=52,48)1.3 ± 0.61.4 ± 1.0
Coughing, Endpoint (n=52,48)1.4 ± 0.71.4 ± 0.8
Coughing, Change (n=52,48)0.1 ± 0.8-0.0 ± 1.2
Hair loss, Baseline (n=52,48)0.3 ± 0.60.6 ± 1.1
Hair loss, Endpoint (n=52,48)0.4 ± 0.70.4 ± 0.6
Hair loss, Change (n=52,48)0.1 ± 0.8-0.1 ± 1.2
Good appetite, Baseline (n=52,48)1.9 ± 0.92.0 ± 1.2
Good appetite, Endpoint (n=52,48)1.7 ± 1.11.7 ± 1.0
Good appetite, Change (n=52,48)-0.3 ± 0.9-0.4 ± 1.3
Tightness in chest, Baseline (n=52,48)1.3 ± 0.81.2 ± 0.9
Tightness in chest, Endpoint (n=52,48)1.4 ± 0.81.3 ± 1.0
Tightness in chest, Change (n=52,48)0.1 ± 0.90.1 ± 1.2
Easy breathing, Baseline (n=52,48)1.7 ± 0.91.7 ± 1.1
Easy breathing, Endpoint (n=52,48)1.7 ± 0.91.6 ± 1.1
Easy breathing, Change (n=52,48)-0.1 ± 1.1-0.0 ± 1.3
SecondaryPercentage of Participants With Changes in FACT-L (Lung Symptoms) by Category of Change

The LCS consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition). The LCS total score is the sum of the scores from the 7 items, each rated on a five-point scale from 0 (not at all) to 4 (very much). For clear thinking and good appetite, the higher score represented 'Improved'; for other subscales and questionnaires, the higher score represented 'Worsened'. For each FACT-L question, the response status was defined as down, up, or no change if the score at endpoint was smaller (score down), larger than (score up), or the same as (no change) that at baseline.

Time frame:
Baseline and End of study
Reported as:
Number · percentage of participants
Percentage of Participants With Changes in FACT-L (Lung Symptoms) by Category of Change
percentage of participantsErlotinibVinorelbine
Shortness of breath, Score Down (n=52,48)17.318.8
Shortness of breath, No Change (n=52,48)51.958.3
Shortness of breath, Score Up (n=52,48)30.822.9
Weight loss, Score Down (n=51,47)19.631.9
Weight loss, No Change (n=51,47)51.044.7
Weight loss, Score Up (n=51,47)29.423.4
Clear thinking, Score Down (n=52,48)26.927.1
Clear thinking No Change (n=52,48)53.843.8
Clear thinking, Score Up (n=52,48)19.229.2
Coughing, Score Down (n=52,48)21.222.9
Coughing, No Change (n=52,48)53.850.0
Coughing, Score Up (n=52,48)25.027.1
Hair loss, Score Down (n=52,48)13.518.8
Hair loss, No Change (n=52,48)65.460.4
Hair loss, Score Up (n=52,48)21.220.8
Good appetite, Score Down (n=52,48)26.935.4
Good appetite, No Change (n=52,48)61.545.8
Good appetite, Score Up (n=52,48)11.518.8
Tightness in chest, Score Down (n=52,48)17.322.9
Tightness in chest, No Change (n=52,48)55.854.2
Tightness in chest, Score Up (n=52,48)26.922.9
Easy breathing, Score Down (n=52,48)28.822.9
Easy breathing, No Change (n=52,48)48.158.3
Easy breathing, Score Up (n=52,48)23.118.8

Adverse events

Collected over Adverse Events were monitored continuously during the study treatment and for 28 days after the last intake of study medication. Only SAE were recorded during post study treatment phase and for 28 days after the last intake of study medication.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Erlotinib—19/57 (33.3%)54/55 (98.2%)
Vinorelbine—14/57 (24.6%)53/54 (98.1%)
Most frequent serious events
Showing 10 of 37
Most frequent serious events
EventErlotinibVinorelbine
PneumoniaInfections and infestations4/576/57
Febrile neutropeniaBlood and lymphatic system disorders0/573/57
NeutropeniaBlood and lymphatic system disorders0/571/57
Cardiogenic shockCardiac disorders1/570/57
Cardiopulmonary failureCardiac disorders1/570/57
Cardiac arrestCardiac disorders0/571/57
Gastrointestinal haemorrhageGastrointestinal disorders1/570/57
MelaenaGastrointestinal disorders0/571/57
VomitingGastrointestinal disorders0/571/57
AstheniaGeneral disorders1/570/57
Most frequent other events
Showing 10 of 27
Most frequent other events
EventErlotinibVinorelbine
RashSkin and subcutaneous tissue disorders38/553/54
Decreased appetiteMetabolism and nutrition disorders16/5524/54
DiarrhoeaGastrointestinal disorders20/557/54
Mouth ulcerationGastrointestinal disorders9/551/54
PyrexiaGeneral disorders3/558/54
ConstipationGastrointestinal disorders7/557/54
InsomniaPsychiatric disorders5/557/54
VomitingGastrointestinal disorders4/556/54
FatigueGeneral disorders1/556/54
NauseaGastrointestinal disorders3/555/54

Baseline characteristics

Intent-to-treat (ITT) population: all randomized participants who received at least one dose of study medication.

Age, Continuous
Age, Continuous(years)ErlotinibVinorelbineTotal
Mean78 ± 4.9878 ± 5.3278 ± 5.60
Sex: Female, Male
Sex: Female, Male(Participants)ErlotinibVinorelbineTotal
Female101121
Male474592
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Study locations

1 site
  • Taipei, Taiwan
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01196078
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Sep 8, 2010
Start date
Feb 2007
Primary completion
Dec 2010
Completion
Dec 2010
Results posted
Jul 27, 2015
Last update
Jul 27, 2015

Study contacts

Clinical Trials
study chair · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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