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A Study In Patients With Non-Small Cell Lung Cancer To Test If Erlotinib Plus SU011248 Is Better Than Erlotinib Alone

A Multicenter, Randomized, Double-Blind, Controlled Phase 3, Efficacy And Safety Study Of Sunitinib (SU011248) In Patients With Advanced/Metastatic Non-Small Cell Lung Cancer Treated With Erlotinib

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00457392
Enrollment
960
Registered
2007-04-06
Start date
2007-07-31
Completion date
2012-12-31
Last updated
2013-10-29

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

Conditions

Carcinoma, Non-Small Cell Lung

Keywords

Non-small cell lung cancer, sunitinib, erlotinib, Phase 3

Brief summary

This study will test whether treatment with erlotinib plus SU011248 is better than erlotinib alone in patients with advanced/metastatic lung cancer who have received previous treatment with a platinum-based regimen.

Interventions

DRUGerlotinib

plus erlotinib 150 mg daily by tablets in a continuous regimen until progression or unacceptable toxicity

DRUGsunitinib

Sunitinib 37.5 mg daily by oral capsules in a continuous regimen

DRUGplacebo

Placebo daily by oral capsules in a continuous regimen

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Patients with locally advanced/metastatic non-small cell lung cancer * Prior treatment with no more than 2 chemotherapy regimens including a platinum-based regimen

Exclusion criteria

* Prior treatment with any receptor tyrosine kinase inhibitors, VEGF inhibitor (with the exception of bevacizumab) or other angiogenesis inhibitors * History of or known brain metastases

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS)Baseline to death or 28 days after last dose for the last participantOverall survival is the duration from assignment to study medication to death. For participants who are alive, overall survival is censored at the last contact.

Secondary

MeasureTime frameDescription
Progression-Free Survival (PFS)Baseline to disease progression or death due to any cause or 28 days after last doseTime in weeks from assignment to study medication to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from adverse event (AE) data (where the outcome was Death).
Percentage of Participants With Objective Response (OR)Baseline to disease progression or discontinuation from study or 28 days after last dosePercentage of participants with OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.0. Confirmed response are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as disappearance of all lesions (target and/or non target). PR are those with at least 30% decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent.
Duration of Response (DR)Baseline to disease progression or death or discontinuation from study or 28 days after last doseTime in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7.
One-year Survival ProbabilityBaseline until death or until 28 days after last dose for the last participantThe 1 year survival probability was defined as the probability of survival at one year after the date of the start of the study treatment based on the Kaplan Meier estimate.
EuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility ScoreBaseline and End of Treatment (EOT) or WithdrawalEQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state.

Countries

Argentina, Austria, Belgium, Brazil, Canada, Chile, Colombia, Czechia, Denmark, Germany, Greece, Hong Kong, Hungary, Italy, Netherlands, Norway, Poland, Russia, Slovakia, South Korea, Spain, Switzerland, Taiwan, Thailand, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Sunitinib + Erlotinib
Sunitinib capsule administered orally at a dose of 37.5 milligram (mg) daily (continuous regimen) in a 4 week cycle. Erlotinib administered orally at a dose of 150 mg daily.
480
Erlotinib
Placebo capsule matched to sunitinib administered orally daily (continuous regimen) in a 4 week cycle. Erlotinib 150 mg tablet orally daily.
480
Total960

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event8441
Overall StudyDeath106106
Overall StudyGlobal Deterioration of Health Status228
Overall StudyLost to Follow-up67
Overall StudyObjective Progression or Relapse229296
Overall StudyOther74
Overall StudyProtocol Violation43
Overall StudyRandomized, Not Treated73
Overall StudyStudy Terminated by Sponsor14
Overall StudyWithdrawal by Subject148

Baseline characteristics

CharacteristicSunitinib + ErlotinibErlotinibTotal
Age Continuous61.10 Years
STANDARD_DEVIATION 9.97
60.80 Years
STANDARD_DEVIATION 9.13
60.90 Years
STANDARD_DEVIATION 9.56
Sex: Female, Male
Female
183 Participants196 Participants379 Participants
Sex: Female, Male
Male
297 Participants284 Participants581 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
463 / 473461 / 477
serious
Total, serious adverse events
207 / 473181 / 477

Outcome results

Primary

Overall Survival (OS)

Overall survival is the duration from assignment to study medication to death. For participants who are alive, overall survival is censored at the last contact.

Time frame: Baseline to death or 28 days after last dose for the last participant

Population: The Full Analysis (FA) set included all participants who were randomized, with study drug assignment designated according to actual randomization, regardless of whether participants received study drug according to the randomization schedule, or received a different drug from that to which they were randomized.

ArmMeasureValue (MEDIAN)
Sunitinib + ErlotinibOverall Survival (OS)9.0 Months
ErlotinibOverall Survival (OS)8.5 Months
Comparison: Differences in OS between treatment arms was analyzed by the 1-sided log rank test, stratified for smoking status (ever versus never), prior bevacizumab therapy (yes versus no) and epidermal growth factor receptor (EGFR) status (positive, versus negative, versus unknown).p-value: 0.193395% CI: [0.822, 1.079]Log Rank
Secondary

Duration of Response (DR)

Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7.

Time frame: Baseline to disease progression or death or discontinuation from study or 28 days after last dose

Population: DR was calculated for the subgroup of participants from the FA set, with a confirmed objective tumor response.

ArmMeasureValue (MEDIAN)
Sunitinib + ErlotinibDuration of Response (DR)39.6 Weeks
ErlotinibDuration of Response (DR)32.3 Weeks
Secondary

EuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility Score

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state.

Time frame: Baseline and End of Treatment (EOT) or Withdrawal

Population: Patients Reported Outcome (PRO) Analysis Set included participants from the FA population who had at least one EQ-5D assessment while on treatment. The 'n' signifies those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Sunitinib + ErlotinibEuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility ScoreBaseline0.750 Units on a scaleStandard Deviation 0.239
Sunitinib + ErlotinibEuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility ScoreEnd of Treatment (n= 285, 301)0.615 Units on a scaleStandard Deviation 0.348
ErlotinibEuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility ScoreBaseline0.716 Units on a scaleStandard Deviation 0.263
ErlotinibEuroQol 5-Dimension Questionnaire (EQ-5D)- Health State Profile Utility ScoreEnd of Treatment (n= 285, 301)0.598 Units on a scaleStandard Deviation 0.339
Secondary

One-year Survival Probability

The 1 year survival probability was defined as the probability of survival at one year after the date of the start of the study treatment based on the Kaplan Meier estimate.

Time frame: Baseline until death or until 28 days after last dose for the last participant

Population: The FA set included all participants who were randomized, with study drug assignment designated according to actual randomization, regardless of whether participants received study drug according to the randomization schedule, or received a different drug from that to which they were randomized.

ArmMeasureValue (NUMBER)
Sunitinib + ErlotinibOne-year Survival Probability40.0 Percent chance of survival
ErlotinibOne-year Survival Probability37.0 Percent chance of survival
Secondary

Percentage of Participants With Objective Response (OR)

Percentage of participants with OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.0. Confirmed response are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as disappearance of all lesions (target and/or non target). PR are those with at least 30% decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent.

Time frame: Baseline to disease progression or discontinuation from study or 28 days after last dose

Population: The FA set included all participants who were randomized, with study drug assignment designated according to actual randomization, regardless of whether participants received study drug according to the randomization schedule, or received a different drug from that to which they were randomized.

ArmMeasureValue (NUMBER)
Sunitinib + ErlotinibPercentage of Participants With Objective Response (OR)10.60 Percentage of participants
ErlotinibPercentage of Participants With Objective Response (OR)6.90 Percentage of participants
Comparison: The Cochran-Mantel-Haenszel (CMH) test stratified for smoking status (ever versus never), prior bevacizumab therapy (yes versus no) and EGFR status (positive, versus negative, versus unknown) was used to compare ORR between the 2 treatment arms. The relative risk ratio estimator was used to contrast the treatment effects on response rates. A point estimate of relative risk ratio and 2-sided 95% CI was calculated.p-value: 0.047195% CI: [1.002, 2.289]Cochran-Mantel-Haenszel
Secondary

Progression-Free Survival (PFS)

Time in weeks from assignment to study medication to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from adverse event (AE) data (where the outcome was Death).

Time frame: Baseline to disease progression or death due to any cause or 28 days after last dose

Population: The FA set included all participants who were randomized, with study drug assignment designated according to actual randomization, regardless of whether participants received study drug according to the randomization schedule, or received a different drug from that to which they were randomized.

ArmMeasureValue (MEDIAN)
Sunitinib + ErlotinibProgression-Free Survival (PFS)15.5 Weeks
ErlotinibProgression-Free Survival (PFS)8.7 Weeks
Comparison: Differences in PFS between treatment arms was analyzed by the 1-sided log rank test, stratified for smoking status (ever versus never), prior bevacizumab therapy (yes versus no) and EGFR status (positive, versus negative, versus unknown).p-value: 0.002395% CI: [0.695, 0.937]Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026