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A Study of Erlotinib (Tarceva) After Surgery With or Without Adjuvant Chemotherapy in Non-Small Cell Lung Carcinoma (NSCLC) Patients Who Have Epidermal Growth Factor Receptor (EGFR) Positive Tumors

A Multi-center, Randomized, Double-blind, Placebo-controlled, Phase 3 Study of Single-agent Tarceva® (Erlotinib) Following Complete Tumor Resection With or Without Adjuvant Chemotherapy in Patients With Stage IB-IIIA Non-small Cell Lung Carcinoma Who Have EGFR-positive Tumors

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00373425
Acronym
RADIANT
Enrollment
1252
Registered
2006-09-08
Start date
2006-09-30
Completion date
2014-06-30
Last updated
2015-09-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-small Cell Lung Cancer

Keywords

Adjuvant Non-small Cell Lung Cancer, Tarceva, Early-stage Lung Cancer, Adjuvant, RADIANT, NSCLC, EGFR-positive tumor, Stage IB Non-small Cell Lung Cancer, Stage II Non-small Cell Lung Cancer, Stage IIIA Non-small Cell Lung Cancer

Brief summary

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.

Detailed description

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.

Interventions

DRUGErlotinib

150 mg tablet

DRUGPlacebo

Placebo tablet

Sponsors

OSI Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Primary tissue from patient's surgery must be epidermal growth factor receptor (EGFR)-positive by certain tests * Patients may have up to 4 cycles of chemotherapy after surgery * Complete removal of the tumor by surgery * Able to start drug under the following timelines: * 6 months from the day of surgery for patients who get chemotherapy * 3 months from the day of surgery for those who do not get chemotherapy * Confirmed diagnosis of Stage IB-IIIA NSCLC * Patients must be accessible for follow-up visits

Exclusion criteria

* History of prior radiotherapy for NSCLC either before or after surgery * History of heart disease or uncontrolled heart arrhythmias within the previous year * History of poorly controlled gastrointestinal (GI) disorders that could affect the absorption of study drug * History of other cancer except certain skin or cervical cancers, patients who have had other cancer are eligible if they have remained disease free for at least 5 years * Patients who have received chemotherapy for NSCLC before surgery * Tumors with mixed histology of NSCLC and Small Cell Lung Cancer (SCLC). Patients with carcinoid tumors are not eligible.

Design outcomes

Primary

MeasureTime frameDescription
Disease Free Survival (DFS)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).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.

Secondary

MeasureTime frameDescription
Overall Survival (OS)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 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.
Disease-free Survival in Participants With EGFR Mutation - Positive TumorsEvery 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) 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.
Overall Survival in Participants With EGFR Mutation - Positive TumorsEvery 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 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.
Number of Participants With Adverse Events (AEs)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.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.

Countries

Argentina, Australia, Austria, Belgium, Canada, Czechia, France, Germany, Greece, Hungary, Italy, Poland, Romania, Russia, South Korea, Spain, Taiwan, United Kingdom, United States

Participant flow

Recruitment details

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.

Pre-assignment details

Participants randomized prior to 7 November 2007 comprise the Breached-Protocol Cohort (BPC); those who had not discontinued were offered open-label erlotinib for up to 2 years. Participants randomized subsequently are referred to as the Randomized Cohort.

Participants by arm

ArmCount
RC: Erlotinib
Participants in the randomized cohort (RC) who 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.
623
RC: Placebo
Participants in the randomized cohort (RC) who received matching placebo tablets orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity.
350
BPC-NOLC: Erlotinib/Placebo
The BPC no open-label cohort (BPC-NOLC) includes participants randomized prior to 07 November 2007 who did not participate in the open-label erlotinib period and who were previously randomized to receive either erlotinib or placebo in the blinded period, and received at least one dose of erlotinib.
134
BPC-NOLC: Placebo Only
The BPC no open-label cohort (BPC-NOLC) includes participants randomized prior to 07 November 2007 who did not participate in the open-label erlotinib period and who were previously randomized to receive either erlotinib or placebo in the blinded period, and did not receive any erlotinib.
11
BPC-OLC: Erlotinib
The BPC open-label cohort (BPC-OLC) includes participants randomized prior to 07 November 2007 who received at least 1 dose of study drug after being randomized, who entered the open-label erlotinib period. Data presented for the BPC-OLC included data from both the blinded period and the open-label erlotinib period.
132
Total1,250

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event1912259034
Overall StudyDeath70310
Overall StudyMedical/ethical/noncompliance reason2191025
Overall StudyPatient request35184367
Overall StudyRelapse of NSCLC11610419226

Baseline characteristics

CharacteristicTotalRC: ErlotinibRC: PlaceboBPC-NOLC: Erlotinib/PlaceboBPC-NOLC: Placebo OnlyBPC-OLC: Erlotinib
Adjuvant Chemotherapy
No
599 participants308 participants150 participants71 participants6 participants64 participants
Adjuvant Chemotherapy
Yes
651 participants315 participants200 participants63 participants5 participants68 participants
Age, Continuous
Breached Protocol Cohort, No Open label
64.3 years
STANDARD_DEVIATION 9.13
NA yearsNA years64.4 years
STANDARD_DEVIATION 9.33
62.7 years
STANDARD_DEVIATION 6.23
NA years
Age, Continuous
Breached Protocol Cohort, Open label
61.8 years
STANDARD_DEVIATION 9.35
NA yearsNA yearsNA yearsNA years61.8 years
STANDARD_DEVIATION 9.35
Age, Continuous
Randomized Cohort
61.9 years
STANDARD_DEVIATION 9.3
62.0 years
STANDARD_DEVIATION 9.28
61.8 years
STANDARD_DEVIATION 9.34
NA yearsNA yearsNA years
Cigarette Smoking History
Current smoker
133 participants71 participants40 participants12 participants1 participants9 participants
Cigarette Smoking History
Former smoker
879 participants423 participants240 participants103 participants9 participants104 participants
Cigarette Smoking History
Never smoked or ≤ 100 cigarettes in lifetime
238 participants129 participants70 participants19 participants1 participants19 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Grade 0
753 participants385 participants211 participants75 participants5 participants77 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Grade 1
479 participants230 participants134 participants55 participants6 participants54 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Grade 2
15 participants6 participants5 participants3 participants0 participants1 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Not measured
3 participants2 participants0 participants1 participants0 participants0 participants
EGFR Gene Amplification
Negative
338 participants167 participants87 participants49 participants3 participants32 participants
EGFR Gene Amplification
Positive
892 participants445 participants255 participants84 participants8 participants100 participants
EGFR Gene Amplification
Undetermined
20 participants11 participants8 participants1 participants0 participants0 participants
Epidermal Growth Factor Receptor (EGFR) Mutation Status
Activating mutation not positive
68 participants30 participants27 participants5 participants0 participants6 participants
Epidermal Growth Factor Receptor (EGFR) Mutation Status
Activating mutation-positive
187 participants102 participants59 participants10 participants0 participants16 participants
Epidermal Growth Factor Receptor (EGFR) Mutation Status
Not Available
11 participants4 participants3 participants2 participants0 participants2 participants
Epidermal Growth Factor Receptor (EGFR) Mutation Status
Undetermined
47 participants29 participants16 participants1 participants0 participants1 participants
Epidermal Growth Factor Receptor (EGFR) Mutation Status
Wild-type
937 participants458 participants245 participants116 participants11 participants107 participants
Extent of Disease at Diagnosis
Stage IA
4 participants1 participants2 participants1 participants0 participants0 participants
Extent of Disease at Diagnosis
Stage IB
644 participants329 participants167 participants64 participants4 participants80 participants
Extent of Disease at Diagnosis
Stage IIA
86 participants42 participants24 participants10 participants1 participants9 participants
Extent of Disease at Diagnosis
Stage IIB
317 participants155 participants99 participants36 participants4 participants23 participants
Extent of Disease at Diagnosis
Stage IIIA
190 participants93 participants58 participants21 participants1 participants17 participants
Extent of Disease at Diagnosis
Stage IIIB
7 participants2 participants0 participants2 participants0 participants3 participants
Extent of Disease at Diagnosis
Stage IV
2 participants1 participants0 participants0 participants1 participants0 participants
Histology
Adenocarcinoma
730 participants367 participants211 participants73 participants3 participants76 participants
Histology
Mixed NSCLC
53 participants29 participants18 participants5 participants0 participants1 participants
Histology
Other
15 participants9 participants2 participants2 participants0 participants2 participants
Histology
Squamous cell carcinoma
412 participants196 participants111 participants48 participants8 participants49 participants
Histology
Undifferentiated large cell
40 participants22 participants8 participants6 participants0 participants4 participants
Race/Ethnicity, Customized
American Indian/Alaska Native
2 participants1 participants0 participants1 participants0 participants0 participants
Race/Ethnicity, Customized
Asian
200 participants107 participants60 participants15 participants1 participants17 participants
Race/Ethnicity, Customized
Black
33 participants14 participants11 participants4 participants0 participants4 participants
Race/Ethnicity, Customized
Hispanic or Latino
87 participants40 participants28 participants11 participants0 participants8 participants
Race/Ethnicity, Customized
Not Hispanic or Latino
1163 participants583 participants322 participants123 participants11 participants124 participants
Race/Ethnicity, Customized
Other
1 participants1 participants0 participants0 participants0 participants0 participants
Race/Ethnicity, Customized
White
1014 participants500 participants279 participants114 participants10 participants111 participants
Sex: Female, Male
Female
504 Participants257 Participants141 Participants47 Participants2 Participants57 Participants
Sex: Female, Male
Male
746 Participants366 Participants209 Participants87 Participants9 Participants75 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
590 / 611288 / 343125 / 1344 / 11130 / 132
serious
Total, serious adverse events
118 / 61179 / 34321 / 1341 / 1141 / 132

Outcome results

Primary

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).

Population: Randomized cohort full analysis set (all randomized participants).

ArmMeasureValue (MEDIAN)
ErlotinibDisease Free Survival (DFS)50.5 months
PlaceboDisease Free Survival (DFS)48.2 months
Comparison: The null hypothesis that DFS distributions of the 2 arms were equivalent was tested using an unstratified 2-sided log-rank test at the 0.05 level. The primary analysis of DFS was performed when at least 410 events had accrued. If the result of the primary analysis of DFS was statistically significant favoring the erlotinib treatment arm, the null hypothesis of no treatment difference of key secondary efficacy variables was tested under a hierarchical testing procedure.p-value: 0.323595% CI: [0.741, 1.104]Log Rank
Primary

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).

Population: Randomized cohort full analysis set (all randomized participants).

ArmMeasureValue (MEDIAN)
ErlotinibDisease Free Survival (DFS)55.0 months
PlaceboDisease Free Survival (DFS)56.2 months
Comparison: The null hypothesis that DFS distributions of the 2 arms were equivalent was tested using an unstratified 2-sided log-rank test at the 0.05 level.p-value: 0.56295% CI: [0.78, 1.144]Log Rank
Secondary

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).

Population: Randomized cohort full analysis set participants who are EGFR mutation positive

ArmMeasureValue (MEDIAN)
ErlotinibDisease-free Survival in Participants With EGFR Mutation - Positive Tumors47.8 months
PlaceboDisease-free Survival in Participants With EGFR Mutation - Positive Tumors28.5 months
Secondary

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).

Population: Randomized cohort full analysis set participants who are EGFR mutation positive

ArmMeasureValue (MEDIAN)
ErlotinibDisease-free Survival in Participants With EGFR Mutation - Positive Tumors46.4 months
PlaceboDisease-free Survival in Participants With EGFR Mutation - Positive Tumors28.5 months
Secondary

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.

Population: Randomized Cohort, safety analysis set: all randomized participants who received at least one dose of study drug. One participant in the Randomized Cohort assigned to the erlotinib arm received placebo instead due to a dispensing error and is included in the placebo group for safety analyses.

ArmMeasureGroupValue (NUMBER)
ErlotinibNumber of Participants With Adverse Events (AEs)Any adverse event (AE)599 participants
ErlotinibNumber of Participants With Adverse Events (AEs)Grade 3 or higher adverse event279 participants
ErlotinibNumber of Participants With Adverse Events (AEs)Serious adverse event (SAE)118 participants
ErlotinibNumber of Participants With Adverse Events (AEs)AE leading to discontinuation of study drug205 participants
ErlotinibNumber of Participants With Adverse Events (AEs)AE leading to death14 participants
ErlotinibNumber of Participants With Adverse Events (AEs)AE leading to dose reduction150 participants
ErlotinibNumber of Participants With Adverse Events (AEs)AE leading to dose interruption114 participants
ErlotinibNumber of Participants With Adverse Events (AEs)AE leading to dose interruption and reduction156 participants
ErlotinibNumber of Participants With Adverse Events (AEs)Drug-related AE572 participants
ErlotinibNumber of Participants With Adverse Events (AEs)Drug-related serious AE15 participants
ErlotinibNumber of Participants With Adverse Events (AEs)Drug-related AE leading to discontinuation163 participants
PlaceboNumber of Participants With Adverse Events (AEs)Drug-related serious AE5 participants
PlaceboNumber of Participants With Adverse Events (AEs)Any adverse event (AE)307 participants
PlaceboNumber of Participants With Adverse Events (AEs)AE leading to dose reduction9 participants
PlaceboNumber of Participants With Adverse Events (AEs)Grade 3 or higher adverse event96 participants
PlaceboNumber of Participants With Adverse Events (AEs)Drug-related AE181 participants
PlaceboNumber of Participants With Adverse Events (AEs)Serious adverse event (SAE)79 participants
PlaceboNumber of Participants With Adverse Events (AEs)Drug-related AE leading to discontinuation8 participants
PlaceboNumber of Participants With Adverse Events (AEs)AE leading to discontinuation of study drug29 participants
PlaceboNumber of Participants With Adverse Events (AEs)AE leading to dose interruption23 participants
PlaceboNumber of Participants With Adverse Events (AEs)AE leading to dose interruption and reduction5 participants
PlaceboNumber of Participants With Adverse Events (AEs)AE leading to death5 participants
Secondary

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)

Population: Randomized cohort full analysis participants who were EGFR mutation positive

ArmMeasureValue (MEDIAN)
ErlotinibOverall Survival in Participants With EGFR Mutation - Positive TumorsNA months
PlaceboOverall Survival in Participants With EGFR Mutation - Positive TumorsNA months
Secondary

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)

Population: Randomized cohort full analysis participants who were EGFR mutation positive

ArmMeasureValue (MEDIAN)
ErlotinibOverall Survival in Participants With EGFR Mutation - Positive TumorsNA months
PlaceboOverall Survival in Participants With EGFR Mutation - Positive TumorsNA months
Secondary

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).

Population: Randomized cohort full analysis set

ArmMeasureValue (MEDIAN)
ErlotinibOverall Survival (OS)NA months
PlaceboOverall Survival (OS)NA months
Secondary

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).

Population: Randomized cohort full analysis set

ArmMeasureValue (MEDIAN)
ErlotinibOverall Survival (OS)NA months
PlaceboOverall Survival (OS)NA months

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026