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CompletedNCT03743064Updated Oct 6, 2026Results posted

A Study to Evaluate the Efficacy and Safety of Anamorelin HCl for the Treatment of Malignancy Associated Weight Loss and Anorexia in Adult Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) - 2

A Phase 3 interventional study of anamorelin HCl and Placebo Oral Tablet in Cachexia; Cancer and Non Small Cell Lung Cancer, sponsored by Helsinn Healthcare SA. Completed at 65 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by Helsinn Healthcare SA · Phase 3, Interventional, and Treatment

Updated Oct 6, 2026Title changed15 sites added+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
318
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial was to compare the efficacy and safety of anamorelin HCl (the investigational drug) to that of placebo (tablet with no drug) in patients with advanced non-small cell lung cancer and cachexia (cancer-related weight loss). The main question it aimed to answer was as follows: Do patients who receive anamorelin HCl gain more body weight and show more improvement in anorexia symptoms than those who receive placebo.

Approximately 316 patients were to be enrolled in the study. Of these patients, an equal number were to be assigned to each treatment group (anamorelin HCl or placebo). Participants were to take their assigned study drug by mouth once daily for a total of 24 weeks. During this treatment period, the patients were to visit the clinical study site every 3 weeks for health and other study-related assessments. Two weeks after the last treatment, patients were to receive a follow-up phone call.

Read the detailed description

The study was a multicenter, randomized, double-blind, parallel-group, placebo-controlled study to evaluate the efficacy and safety of anamorelin HCl. It was planned that approximately 316 patients with advanced NSCLC with cachexia were to be randomized 1:1 to anamorelin HCl 100 mg or placebo (158 patients per treatment group). The study treatment was to be taken orally once daily for a total of 24 weeks. Patients were instructed to take the study drug at least 1 hour before their first meal of the day.

Central randomization was stratified by line of systemic anti-cancer treatment (first line vs second line vs third line or higher), by type of anti-cancer therapy (immunotherapy vs non-immunotherapy), and by baseline score of 5 IASS (≤10 vs >10). Patients who had never received anti-cancer treatment prior to entering the study but who met all eligibility criteria were eligible to enter the study and were assigned to receive first line treatment in the Interactive Web Response System (IWRS).

Patients were to visit the site every 3 weeks for the study Treatment Period of 24 weeks. A follow-up telephone visit was to be scheduled at Week 26. Thus, patients were enrolled in the study for a maximum duration of 27 weeks (including a 1-week Screening Period, a 24-week Treatment Period, and a 2-week Follow-up Period). Each patient was scheduled to have a total of 10 planned visits plus 1 telephone contact for the Follow-up Visit.

02

Conditions studied

  • Cachexia; Cancer
  • Non Small Cell Lung Cancer
03

In context

Cachexia

331 studies on the registry are indexed under Cachexia; 75 are open to participants now.

This study's enrollment of 318 is above the median of 74 across 226 interventional studies indexed under Cachexia.

Browse Cachexia studies →

Lead sponsor

Helsinn Healthcare SA is the lead sponsor of 32 studies on the registry; 1 is open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 7 (88%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Signed written
  2. Female or male ≥18 years of age
  3. Documented histologic or cytologic diagnosis of American Joint Committee on Cancer (AJCC) Stage III or IV NSCLC. Stage III patient must have unresectable disease
  4. \< 20 kg/m2 with involuntary weight loss of >2% within 6 months prior to screening
  5. Ongoing problems with appetite/eating associated with the underlying cancer, as determined by having score of ≤ 17 points on the 5-item Anorexia Symptom Scale and ≤ 37 points on the 12-item FAACT A/CS
  6. Patient receiving or not receiving systemic anti-cancer treatment at the time of screening are eligible to participate. Systemic anti-cancer treatment includes first, second, third treatment line with chemotherapy/radiation therapy, immunotherapy or targeted therapy.

    Patient not receiving systemic anti-cancer treatment is eligible if:

    1. Not planning to receive anti-cancer treatment and/or at least 14 days must be elapsed from the completion of prior treatment at the day of screening, in case underwent previous cycle OR
    2. Planning to receive anti-cancer treatment within 14 days from randomization and/or at least 14 days must be elapsed from the completion of prior treatment at the day of screening, in case underwent previous cycle OR
    3. Patient on palliative care treatment
  7. performance status 0,1 or 2 at screening
  8. (SGOT) and ALT (SGPT) ≤ 3 x or if hepatic are present ≤ 5 x ULN
  9. Adequate renal function, defined as creatinine ≤2 ULN, or calculated >30 ml/minute
  10. Female patient shall be: a) of non- or b) of childbearing potential using reliable measures and having a negative urine pregnancy test within 24 hours prior to first dose of product.

    Notes:

    1. Female patient of non-childbearing potential are defined as being in state since at least 1 year; or having documented surgical sterilization or hysterectomy at least 3 months before study participation.
    2. Reliable contraceptive measures include implants, injectables, combined oral contraceptives, intrauterine devices, vasectomized partner or complete (long term) sexual abstinence.
  11. The patient must be willing and able to comply with the protocol tests and procedures All inclusion criteria will be checked at screening visit (Visit 1).

Exclusion criteria

Exclusion Criteria:

  1. Patient with other forms of lung cancer (e.g., small cell, neuroendocrine tumors)
  2. Woman who is pregnant or breast-feeding
  3. Reversible causes of reduced food intake, as determined by the Investigator. These causes may include but are not limited to:

    1. Grade 3 or 4 oral mucositis,
    2. NCI CTCAE Grade 3 or 4 GI disorders [nausea, vomiting, diarrhea, and constipation],
    3. mechanical obstructions making patient unable to eat, or
    4. severe depression
  4. Patient undergoing major surgery (central venous access placement and tumor are not considered major surgery) within 4 weeks prior to randomization. Patient must be well recovered from acute effects of surgery prior to screening. Patient should not have plans to undergo major surgical procedures during the treatment period
  5. Patient currently taking androgenic compounds (including but not limited to testosterone, testosterone-like agents, oxandrolone, megestrol acetate, , olanzapine, mirtazapine (however, long-term use of mirtazapine for depression for at least four weeks prior to screening is allowed), dronabinol or marijuana (cannabis) or any other prescription medication or off-label products intended to increase appetite or treat unintentional weight loss
  6. Patient with pleural effusion requiring thoracentesis, pericardial effusion requiring drainage, edema or evidence of ascites
  7. Patient with uncontrolled or significant cardiovascular disease, including:

    1. History of myocardial infarction within the past 3 months
    2. A-V block of second or third degree (may be eligible if currently have a pacemaker)
    3. Unstable angina
    4. Congestive heart failure within the past 3 months, if defined as class III-IV
    5. Any history of ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, Wolff-Parkinson-White (WPW) syndrome, or torsade de pointes)
    6. Uncontrolled hypertension (blood pressure >150 mm Hg systolic and >95 mm Hg diastolic)
    7. Heart rate \< 50 beats per minute on pre-entry and patient is symptomatic
  8. Patient on drugs that may prolong the PR or QRS interval durations, such as any of the antiarrhythmic medications Class I (Fast sodium (Na) channel blockers)
  9. Patient unable to readily swallow oral tablets
  10. Patient with severe gastrointestinal disease (including esophagitis, gastritis, malabsorption)
  11. Patient with history of gastrectomy
  12. Patient with uncontrolled diabetes mellitus or unmonitored diabetes mellitus
  13. Patient with cachexia caused by other reasons, as determined by the investigator such as:

    1. Severe requiring use of home O2,
    2. New York Heart Association (NYHA) class III-IV heart failure
    3. AIDS
    4. Uncontrolled thyroid disease
  14. Patient receiving strong inhibitors within 14 days of randomization
  15. Patient currently receiving tube feedings or parenteral nutrition (either total or partial).
  16. Current excessive alcohol or illicit drug use
  17. Any condition, including the presence of laboratory abnormalities, which in the Investigator's opinion, places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study
  18. Enrollment in a previous study with anamorelin HCl
  19. Patient actively receiving a concurrent agent, or having received an investigational agent within 28 days of Day 1 All exclusion criteria will be checked at screening visit (Visit 1).
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
318 participants (actual)

Study arms

  • Experimental
    100 mg anamorelin HCl

    100 mg anamorelin HCl (administered as film-coated tablets in fasted condition) was to be taken orally once daily for a total of 24 weeks

    Drug: anamorelin HCl

  • Placebo comparator
    Placebo

    Placebo (administered as matching placebo tablets in fasted condition) was to be taken orally once daily for a total of 24 weeks

    Drug: Placebo Oral Tablet

Interventions

  • 100 mg anamorelin HCl (administered as 100 mg tablets in the fasted condition)

  • DrugPlacebo Oral Tablet

    Placebo (administered as matching placebo tablets in the fasted condition)

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline in Body Weight Over 12 Weeks

    This co-primary efficacy endpoint was mean change from baseline in body weight (kg) over 12 weeks in the anamorelin HCl group versus placebo group. Mean change was computed as sum of the changes from baseline over 12 weeks by the time of the last assessment (either week 12 or before in case of death), and then divided by the number of assessments (observed or imputed) from baseline up to the time of the last assessment.

    Time frame: Mean change from baseline over 12 weeks.

  2. Mean Change From Baseline in 5-item Anorexia Symptom Subscale (5-IASS) Over 12 Weeks

    This co-primary efficacy endpoint was mean change from baseline in 5-IASS (points) over 12 weeks in the anamorelin HCl group versus placebo group. Mean change was computed as sum of the changes from baseline over 12 weeks by the time of the last assessment (either week 12 or before in case of death), and then divided by the number of assessments (observed or imputed) from baseline up to the time of the last assessment. FAACT-A/CS (Functional Assessment Anorexia Cachexia Therapy) is a 12-item measure of patients' perceptions of anorexia/cachexia symptoms and concerns. From this questionnaire, the 5-item section referring to anorexia symptoms (i.e., "good appetite," "interest in food drops," "food tastes unpleasant," "get full quickly," and "difficulty eating rich/heavy foods") was used to assess 5-IASS. The range of possible scores is 0-20. Higher scores indicate lower levels of symptom burden.

    Time frame: Mean change from baseline over 12 weeks.

Secondary outcomes

  1. Duration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥0 kg)

    The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in body weight of ≥0 kg.

    Time frame: Duration of treatment benefit from baseline over 12 weeks.

  2. Duration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥1.5 kg)

    The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in body weight of ≥1.5 kg.

    Time frame: Duration of treatment benefit from baseline over 12 weeks.

  3. Duration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥0 Points)

    The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in 5- IASS of ≥0 points.

    Time frame: Duration of treatment benefit from baseline over 12 weeks.

  4. Duration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥3 Points)

    The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in 5- IASS of ≥3 points.

    Time frame: Duration of treatment benefit from baseline over 12 weeks.

07

Results

Posted Jun 26, 2024

Participant flow

Patients were enrolled at a total of 49 study sites in Australia (2 sites), Belgium (2 sites), Croatia (3 sites), Germany (3 sites), Poland (5 sites), Romania (7 sites), Russia (10 sites), Ukraine (8 sites), and USA (9 sites). First Patient Enrollment (date of randomization) was on 06MAY2019.

Participant flow — Overall Study
Milestone100 mg Anamorelin HClPlacebo
Started154164
Treated154164
Completed8390
Not completed7174
Withdrew: Adverse event79
Withdrew: Death2528
Withdrew: Lost to follow-up36
Withdrew: Withdrawal by subject2825
Withdrew: Physician decision24
Withdrew: Reported as "other" in clinical study report62

Outcome measures

PrimaryMean Change From Baseline in Body Weight Over 12 Weeks

This co-primary efficacy endpoint was mean change from baseline in body weight (kg) over 12 weeks in the anamorelin HCl group versus placebo group. Mean change was computed as sum of the changes from baseline over 12 weeks by the time of the last assessment (either week 12 or before in case of death), and then divided by the number of assessments (observed or imputed) from baseline up to the time of the last assessment.

Time frame:
Mean change from baseline over 12 weeks.
Reported as:
Least squares mean · kg
Mean Change From Baseline in Body Weight Over 12 Weeks
kg100 mg Anamorelin HClPlacebo
Mean Change From Baseline in Body Weight Over 12 Weeks1.822 ± 0.2630.538 ± 0.250
Statistical analysis
  • 100 mg Anamorelin HCl vs Placebo · ANOVA · p = <0.0001 · Mean difference (final values): 1.284 · 95% CI 0.718 to 1.851
PrimaryMean Change From Baseline in 5-item Anorexia Symptom Subscale (5-IASS) Over 12 Weeks

This co-primary efficacy endpoint was mean change from baseline in 5-IASS (points) over 12 weeks in the anamorelin HCl group versus placebo group. Mean change was computed as sum of the changes from baseline over 12 weeks by the time of the last assessment (either week 12 or before in case of death), and then divided by the number of assessments (observed or imputed) from baseline up to the time of the last assessment. FAACT-A/CS (Functional Assessment Anorexia Cachexia Therapy) is a 12-item measure of patients' perceptions of anorexia/cachexia symptoms and concerns. From this questionnaire, the 5-item section referring to anorexia symptoms (i.e., "good appetite," "interest in food drops," "food tastes unpleasant," "get full quickly," and "difficulty eating rich/heavy foods") was used to assess 5-IASS. The range of possible scores is 0-20. Higher scores indicate lower levels of symptom burden.

Time frame:
Mean change from baseline over 12 weeks.
Reported as:
Least squares mean · score on a scale
Mean Change From Baseline in 5-item Anorexia Symptom Subscale (5-IASS) Over 12 Weeks
score on a scale100 mg Anamorelin HClPlacebo
Mean Change From Baseline in 5-item Anorexia Symptom Subscale (5-IASS) Over 12 Weeks3.432 ± 0.3603.291 ± 0.342
Statistical analysis
  • 100 mg Anamorelin HCl vs Placebo · ANOVA · p = 0.7241 · Mean difference (final values): 0.141 · 95% CI -0.641 to 0.923
SecondaryDuration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥0 kg)

The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in body weight of ≥0 kg.

Time frame:
Duration of treatment benefit from baseline over 12 weeks.
Reported as:
Least squares mean · weeks
Duration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥0 kg)
weeks100 mg Anamorelin HClPlacebo
Duration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥0 kg)8.859 ± 0.5256.778 ± 0.496
Statistical analysis
  • 100 mg Anamorelin HCl vs Placebo · ANOVA · p = 0.0003 · Mean difference (final values): 2.081 · 95% CI 0.946 to 3.216
SecondaryDuration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥1.5 kg)

The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in body weight of ≥1.5 kg.

Time frame:
Duration of treatment benefit from baseline over 12 weeks.
Reported as:
Least squares mean · weeks
Duration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥1.5 kg)
weeks100 mg Anamorelin HClPlacebo
Duration in Treatment Benefit (Weeks) From Baseline Over 12 Weeks in Body Weight (≥1.5 kg)5.490 ± 0.4313.087 ± 0.409
Statistical analysis
  • 100 mg Anamorelin HCl vs Placebo · ANOVA · p = <0.0001 · Mean difference (final values): 2.404 · 95% CI 1.471 to 3.337
SecondaryDuration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥0 Points)

The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in 5- IASS of ≥0 points.

Time frame:
Duration of treatment benefit from baseline over 12 weeks.
Reported as:
Least squares mean · weeks
Duration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥0 Points)
weeks100 mg Anamorelin HClPlacebo
Duration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥0 Points)9.470 ± 0.3928.842 ± 0.370
Statistical analysis
  • 100 mg Anamorelin HCl vs Placebo · ANOVA · p = 0.1443 · Mean difference (final values): 0.629 · 95% CI -0.215 to 1.472
SecondaryDuration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥3 Points)

The duration of treatment benefit over 12 weeks was measured as the period, or the sum of the periods, over 12 weeks (or less in case of death), in which the patient observed a change from baseline in 5- IASS of ≥3 points.

Time frame:
Duration of treatment benefit from baseline over 12 weeks.
Reported as:
Least squares mean · weeks
Duration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥3 Points)
weeks100 mg Anamorelin HClPlacebo
Duration of Treatment Benefit (Weeks) From Baseline Over 12 Weeks in 5-IASS (≥3 Points)5.143 ± 0.4104.992 ± 0.387
Statistical analysis
  • 100 mg Anamorelin HCl vs Placebo · ANOVA · p = 0.7376 · Mean difference (final values): 0.151 · 95% CI -0.734 to 1.036

Adverse events

Collected over Adverse events (AEs) were collected from the time of Informed Consent signature through Day 183 (+3) days post study drug administration on Day 1.. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
100 mg Anamorelin HCl25/154 (16.2%)44/154 (28.6%)114/154 (74%)
Placebo28/164 (17.1%)46/164 (28%)127/164 (77.4%)
Most frequent serious events
Showing 10 of 56
Most frequent serious events
Event100 mg Anamorelin HClPlacebo
Non-small cell lung cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)18/15419/164
AnaemiaBlood and lymphatic system disorders4/1543/164
Corona virus infectionInfections and infestations3/1542/164
PneumoniaInfections and infestations3/1543/164
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)2/1541/164
Cardiac disorderCardiac disorders2/1540/164
Pulmonary haemorrhageRespiratory, thoracic and mediastinal disorders0/1542/164
NeutropeniaBlood and lymphatic system disorders0/1542/164
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1540/164
Metastases to boneNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1540/164
Most frequent other events
Showing 10 of 38
Most frequent other events
Event100 mg Anamorelin HClPlacebo
AnaemiaBlood and lymphatic system disorders28/15438/164
AstheniaGeneral disorders19/15422/164
NauseaGastrointestinal disorders18/15412/164
Non-Small Cell Lung CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)10/15419/164
DyspnoeaRespiratory, thoracic and mediastinal disorders14/15410/164
Chest PainGeneral disorders13/1549/164
Sinus TachycardiaCardiac disorders7/15413/164
DizzinessNervous system disorders12/1545/164
DiarrhoeaGastrointestinal disorders10/1546/164
NeutropeniaBlood and lymphatic system disorders10/1546/164

Baseline characteristics

The Intent-to-Treat (ITT) Set included all randomized patients and was analyzed as per planned treatment.

Age, Continuous
Age, Continuous(Years)100 mg Anamorelin HClPlaceboTotal
Mean64.0 ± 8.4963.6 ± 9.7363.8 ± 9.14
Sex: Female, Male
Sex: Female, Male(Participants)100 mg Anamorelin HClPlaceboTotal
Female425092
Male112114226
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)100 mg Anamorelin HClPlaceboTotal
Hispanic or Latino011
Not Hispanic or Latino8715
Unknown or Not Reported146156302
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)100 mg Anamorelin HClPlaceboTotal
Asian448
Black or African American022
White148157305
Other011
Multiple202
Region of Enrollment
Region of Enrollment(Participants)100 mg Anamorelin HClPlaceboTotal
Romania5859117
Belgium235
United States8816
Ukraine383472
Poland111930
Australia134
Croatia5510
Russia272956
Germany448
Height
Height(cm)100 mg Anamorelin HClPlaceboTotal
Mean171.03 ± 8.690169.96 ± 9.164170.48 ± 8.940
Weight
Weight(kg)100 mg Anamorelin HClPlaceboTotal
Mean54.09 ± 7.02952.84 ± 7.92553.44 ± 7.519
Body Mass Index
Body Mass Index(kg/m^2)100 mg Anamorelin HClPlaceboTotal
Mean18.38 ± 1.32818.16 ± 1.57918.27 ± 1.465

5 further baseline measures are reported on the registry.

08

Study locations

65 sites
  • The University of Arizona Cancer Center - North Campus
    Tucson, Arizona 85719, United States
  • Pacific Cancer Medical Center, Inc
    Anaheim, California 92801, United States
  • CBCC Global Research Inc
    Bakersfield, California 93309, United States
  • Compassionate Care Research Group, Inc., at Compassionate Cancer Care Medical Group, Inc.
    Fountain Valley, California 92708, United States
  • Marin Cancer Care
    Greenbrae, California 94904, United States
  • Smilow Cancer Hospital at Yale-New Haven
    Waterbury, Connecticut 06708, United States
  • Bond & Steele Clinic P.A.
    Winter Haven, Florida 33881, United States
  • Presence Infusion Care
    Skokie, Illinois 60077, United States
  • Siouxland Regional Cancer Center dba June E.Nylen Cancer Center
    Sioux City, Iowa 51101, United States
  • Cancer Center of Kansas
    Wichita, Kansas 67214, United States
  • Cancer and Hematology Centers of Western Michigan
    Grand Rapids, Michigan 49503, United States
  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
  • New Jersey Hematology Oncology Associates Inc
    Brick, New Jersey 08724, United States
  • Hunterdon Hematology Oncology LLC
    Flemington, New Jersey 08822, United States
  • Hematology Oncology Center at Nyack Hospital
    Nyack, New York 10960, United States
  • University of Rochester, Medical Center
    Rochester, New York 14642, United States
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
  • Toledo Clinic Cancer Center-Toledo
    Toledo, Ohio 43623, United States
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030-4009, United States
  • Calvary Central Districts Hospital
    Elizabeth Vale, South Australia 5112, Australia
  • Flinders Medical Centre
    Bedford Park, 5042, Australia
  • St Vincent's Hospital Melbourne
    Fitzroy, 3065, Australia
  • Barwon Health, The McKellar Centre
    North Geelong, 3215, Australia
  • The Royal Melbourne Hospital
    Parkville, 3050, Australia
  • Gold Coast University Hospital
    Southport, 4215, Australia
  • Jules Bordet Institut
    Brussels, 1000, Belgium
  • Saint Luc University Hospital
    Brussels, 1200, Belgium
  • Charleroi Grand Hospital (GHDC)
    Charleroi, 6000, Belgium
  • University Hospital Antwerp (UZA)
    Edegem, 2650, Belgium
  • General Hospital Delta
    Roeselare, 8800, Belgium
  • General Hospital Pula
    Pula, 52 100, Croatia
  • University Hospital Center Split
    Split, 21000, Croatia
  • University Hospital Center Zagreb
    Zagreb, 10000, Croatia
  • Wladyslaw Bieganski Regional Specialist Hospital, Clinical Oncology Department
    Grudziądz, 86-300, Poland
  • "VEGAMED" Non-Public Healthcare Facility
    Katowice, 40-060, Poland
  • MSF Institute Ltd. Santa Familia Medical Institute
    Lodz, 90-302, Poland
  • MED - POLONIA Ltd.
    Poznan, 60-693, Poland
  • Specialist Hospital in Prabuty sp. z o.o. [limited liability company], Department of Pulmonology
    Prabuty, 82-550, Poland
  • Maria Skfodowska-Curie Institute of Oncology, Department of Lung and Thoracic Cancers
    Warsaw, 02-781, Poland
  • Mazovian Oncology Hospital, Oncology Outpatient Clinic
    Wieliszew, 05-135, Poland
  • "Prof. Dr. Ion Chiricuta" Institute of Oncology, Medical Oncology Department
    Cluj-Napoca, Cluj 400015, Romania
  • "Sf. Nectarie" Oncology Center, Medical Oncology Department
    Craiova, Dolj 200347, Romania
  • SC Oncopremium Team SRL, Medical Oncology Department
    Baia Mare, Maramureş 430291, Romania
  • Topmed Medical Center, Medical Oncology Department
    Târgu Mureş, Murers 540156, Romania
  • Sf. Ioan cel Nou Country Emergency Hospital, Oncology Department
    Suceava, Suceava 720237, Romania
  • S.C. Oncomed SRL, Medical Oncology Department
    Timișoara, Timiș County 300239, Romania
  • Alexandru Trestioreanu Institute of Oncology
    Bucharest, 022328, Romania
  • Republican Clinical Oncology Center
    Kazan', 420029, Russia
  • Pyatigorsk Interdistric Oncology Center
    Pyatigorsk, 357502, Russia
  • Oncology Center of Moskovskiy District
    Saint Petersburg, 196247, Russia
  • AV Medical Group
    Saint Petersburg, 197082, Russia
  • Palliative Care Center Devita
    Saint Petersburg, 197183, Russia
  • City Clinical Oncology Center
    Saint Petersburg, 198255, Russia
  • Samara Regional Clinical Oncology Center
    Samara, 443031, Russia
  • Ogaryov Mordovia National Research State University, Republican Oncology Center
    Saransk, 430032, Russia
  • Oncology Center #2
    Sochi, 354057, Russia
  • Volgograd Regional Clinical Oncology Center
    Volgograd, 400138, Russia
  • Publ Non- Profit Ent. under Kharkiv Reg. Council
    Kharkiv, Kharkiev Region 61166, Ukraine
  • Communal Non-Profit Enterprise "Regional Center of Oncology"
    Kharkiv, Kharkiev 61070, Ukraine
  • Medical Center "VERUM" Limited Liability Company
    Kyiv, Kyviv 3039, Ukraine
  • Public Entreprise "Poltava Regional Clinical Oncology Center under Poltava Regional Council"
    Poltava, Poltava Oblast 36011, Ukraine
  • Medical Center "MEDICAL PLAZA" of the Limited Liability Company "EKODNIPRO"
    Dnipro, Ukraine 49055, Ukraine
  • Private Enterprise "First Private Clinic"
    Kyiv, Ukraine 03037, Ukraine
  • Public Non-Profit Enterprise 'Ternopil Regional Clinical Oncology Center'' under Temopil Regional Council
    Ternopil, Ukraine 46023, Ukraine
  • Medical Center of Limited Liability Company "ONCOLIFE"
    Zaporizhzhya, Ukraine 69059, Ukraine
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

1 registry update since Sep 25, 2026
Sites
15 sites added, 15 sites removed
Show 15 added (6 Romania, 5 Ukraine, 2 Poland, 2 Russia)
  • MSF Institute Ltd. Santa Familia Medical Institute · Lodz, Poland
  • MED - POLONIA Ltd. · Poznan, Poland
  • "Prof. Dr. Ion Chiricuta" Institute of Oncology, Medical Oncology Department · Cluj-Napoca, Romania
  • "Sf. Nectarie" Oncology Center, Medical Oncology Department · Craiova, Romania
  • SC Oncopremium Team SRL, Medical Oncology Department · Baia Mare, Romania
  • Topmed Medical Center, Medical Oncology Department · Târgu Mureş, Romania
  • Sf. Ioan cel Nou Country Emergency Hospital, Oncology Department · Suceava, Romania
  • S.C. Oncomed SRL, Medical Oncology Department · Timișoara, Romania
  • Republican Clinical Oncology Center · Kazan', Russia
  • Palliative Care Center Devita · Saint Petersburg, Russia
  • Public Entreprise "Poltava Regional Clinical Oncology Center under Poltava Regional Council" · Poltava, Ukraine
  • Medical Center "MEDICAL PLAZA" of the Limited Liability Company "EKODNIPRO" · Dnipro, Ukraine
  • Private Enterprise "First Private Clinic" · Kyiv, Ukraine
  • Public Non-Profit Enterprise 'Ternopil Regional Clinical Oncology Center'' under Temopil Regional Council · Ternopil, Ukraine
  • Medical Center of Limited Liability Company "ONCOLIFE" · Zaporizhzhya, Ukraine
Show 15 removed
  • MED - POLONIA Ltd. · Poznań, Poland
  • MSF Institute Ltd. Santa Familia Medical Institute · Łódź, Poland
  • "Prof. Dr. Ion Chiricuta" Institute of Oncology, Medical Oncology Department · Cluj-Napoca, Romania
  • "Sf. Nectarie" Oncology Center, Medical Oncology Department · Craiova, Romania
  • SC Oncopremium Team SRL, Medical Oncology Department · Baia Mare, Romania
  • Topmed Medical Center, Medical Oncology Department · Târgu-Mureş, Romania
  • Sf. Ioan cel Nou Country Emergency Hospital, Oncology Department · Suceava, Romania
  • S.C. Oncomed SRL, Medical Oncology Department · Timisoara, Romania
  • Republican Clinical Oncology Center · Kazan, Russian Federation
  • Palliative Care Center Devita · St. Petersburg, Russian Federation
  • Public Entreprise "Poltava Regional Clinical Oncology Center under Poltava Regional Council" · Poltava, Ukraine
  • Medical Center "MEDICAL PLAZA" of the Limited Liability Company "EKODNIPRO" · Dnipro, Ukraine
  • Private Enterprise "First Private Clinic" · Kyiv, Ukraine
  • Public Non-Profit Enterprise 'Ternopil Regional Clinical Oncology Center'' under Temopil Regional Council · Ternopil', Ukraine
  • Medical Center of Limited Liability Company "ONCOLIFE" · Zaporizhzhya, Ukraine
Oct 6, 2026
Title
A Study to Evaluate the Efficacy and Safety of Anamorelin HCl for the Treatment of Malignancy Associated Weight Loss and Anorexia in Adult Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) - 2
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    15 sites added, 15 sites removed
    Show 15 added (6 Romania, 5 Ukraine, 2 Poland, 2 Russia)
    • MSF Institute Ltd. Santa Familia Medical Institute · Lodz, Poland
    • MED - POLONIA Ltd. · Poznan, Poland
    • "Prof. Dr. Ion Chiricuta" Institute of Oncology, Medical Oncology Department · Cluj-Napoca, Romania
    • "Sf. Nectarie" Oncology Center, Medical Oncology Department · Craiova, Romania
    • SC Oncopremium Team SRL, Medical Oncology Department · Baia Mare, Romania
    • Topmed Medical Center, Medical Oncology Department · Târgu Mureş, Romania
    • Sf. Ioan cel Nou Country Emergency Hospital, Oncology Department · Suceava, Romania
    • S.C. Oncomed SRL, Medical Oncology Department · Timișoara, Romania
    • Republican Clinical Oncology Center · Kazan', Russia
    • Palliative Care Center Devita · Saint Petersburg, Russia
    • Public Entreprise "Poltava Regional Clinical Oncology Center under Poltava Regional Council" · Poltava, Ukraine
    • Medical Center "MEDICAL PLAZA" of the Limited Liability Company "EKODNIPRO" · Dnipro, Ukraine
    • Private Enterprise "First Private Clinic" · Kyiv, Ukraine
    • Public Non-Profit Enterprise 'Ternopil Regional Clinical Oncology Center'' under Temopil Regional Council · Ternopil, Ukraine
    • Medical Center of Limited Liability Company "ONCOLIFE" · Zaporizhzhya, Ukraine
    Show 15 removed
    • MED - POLONIA Ltd. · Poznań, Poland
    • MSF Institute Ltd. Santa Familia Medical Institute · Łódź, Poland
    • "Prof. Dr. Ion Chiricuta" Institute of Oncology, Medical Oncology Department · Cluj-Napoca, Romania
    • "Sf. Nectarie" Oncology Center, Medical Oncology Department · Craiova, Romania
    • SC Oncopremium Team SRL, Medical Oncology Department · Baia Mare, Romania
    • Topmed Medical Center, Medical Oncology Department · Târgu-Mureş, Romania
    • Sf. Ioan cel Nou Country Emergency Hospital, Oncology Department · Suceava, Romania
    • S.C. Oncomed SRL, Medical Oncology Department · Timisoara, Romania
    • Republican Clinical Oncology Center · Kazan, Russian Federation
    • Palliative Care Center Devita · St. Petersburg, Russian Federation
    • Public Entreprise "Poltava Regional Clinical Oncology Center under Poltava Regional Council" · Poltava, Ukraine
    • Medical Center "MEDICAL PLAZA" of the Limited Liability Company "EKODNIPRO" · Dnipro, Ukraine
    • Private Enterprise "First Private Clinic" · Kyiv, Ukraine
    • Public Non-Profit Enterprise 'Ternopil Regional Clinical Oncology Center'' under Temopil Regional Council · Ternopil', Ukraine
    • Medical Center of Limited Liability Company "ONCOLIFE" · Zaporizhzhya, Ukraine
    Title A Study to Evaluate the Efficacy and Safety of Anamorelin HCl for the Treatment of Malignancy Associated Weight Loss and Anorexia in Adult Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) - 2
    + 1 other change: index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03743064
Responsible party
Sponsor
First posted
Nov 15, 2018
Start date
May 6, 2019
Primary completion
Dec 27, 2022
Completion
Dec 27, 2022
Results posted
Jun 26, 2024
Last update
Oct 6, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Anamorelin

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