Carcinoma, Non-Small Cell Lung
Conditions
Keywords
non-squamous NSCLC, axitinib, pemetrexed/cisplatin
Brief summary
AG-013736 (axitinib) in combination with cisplatin and pemetrexed will be evaluated as first-line treatment of patients with locally advanced, recurrent, or metastatic non-squamous, non small cell lung cancer (NSCLC).
Interventions
5mg BID po up to max 10mg BID po
Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed diagnosis of adeno-, large cell or bronchioalveolar non-small cell lung cancer * Cytologic specimens for diagnosis or for cell type classification must have been obtained from bronchial brushings or washings or from needle aspiration of a defined lesion. Sputum cytology alone will not be acceptable for diagnosis or for cell type classification. * Patients with mixed NSCLC with predominantly squamous cell carcinoma should be classified as squamous and thus do not qualify for this study. * Stage IIIB with malignant effusion (with cytologic confirmation of malignant pleural or pericardial effusion), Stage IV, or recurrent disease after definitive loco-regional therapy. * Candidate for primary treatment with cisplatin and pemetrexed
Exclusion criteria
* Any histological/cytological evidence of predominantly squamous NSCLC. * Small cell or carcinoid lung cancer patients are also ineligible. * NSCLC that cannot be classified as one of the eligible histologies (adenocarcinoma, large cell or bronchioalveolar). * Prior systemic therapy for Stage IIIB (with malignant effusion), Stage IV, or recurrent NSCLC. (Prior treatment with systemic therapy as adjuvant chemotherapy or in conjunction with radiotherapy for Stage II or III NSCLC is permitted if the last dose of chemotherapy was completed 12 months or more prior to randomization). * Prior treatment with a VEGF or VEGFR inhibitor.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression-Free Survival (PFS) | Phase 2 baseline until the date of first documented progression or death due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks | Time in months from the date of randomization to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus minus the date of randomization plus 1) divided by 30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]); death was determined from AE data (where the outcome was Death) or from the end of study data. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) | Baseline until death or collected bimonthly following discontinuation of study treatment until at least 1 year after randomization of the last participant | Time in months from the date of randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 30.4. Death was determined from AE data (where outcome was death) or from follow-up contact data (where the participant current status was death). |
| Percentage of Participants With Objective Response (OR) | Phase 2 baseline until the date of first documented progression or discontinuation from the study due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks | Percentage of participants with OR based assessment of confirmed complete response (CR)/confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors(RECIST).Confirmed responses: those persist on repeat imaging study at least 4 weeks after initial documentation of response.CR: disappearance of all lesions (target/non target) and no appearance of new lesions.PR: those with at least 30 % decrease in sum of longest dimensions of target lesions taking as reference baseline sum longest dimensions,without progression of non target lesions and no appearance of new lesions. |
| Duration of Response (DR) | Phase 2 baseline until the date of first documented progression or discontinuation from the study due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks | Time in months from the first documentation of objective tumor response to objective tumor progression or death due to any cause, whichever occurs first. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response. |
| Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Phase 2 baseline (Cycle1/Day1), Cycle1/Day8, then Day 1 and 8 of each cycle of chemotherapy (C) up to CycleC6, Day 1 of each cycle of single-agent phase (A) up to CycleA8 and end of treatment (EOT) | Symptom severity score is comprised of average of 13 MDASI core items (pain, fatigue, nausea, disturbed sleep, distressed, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sadness, vomiting, numbness or tingling) and ranges from 0 to 10. Participants were asked to rate severity of each symptom at their worst in last 24 hours; each item rated from 0 to 10, with 0 = symptom not present and 10 = as bad as you can imagine. Lower scores indicated better outcome. |
| Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Phase 2 baseline (Cycle1/Day1), Cycle1/Day8, then Day 1 and 8 of each cycle of chemotherapy (C) up to CycleC6, Day 1 of each cycle of single-agent phase (A) up to CycleA8 and EOT | Symptom interference score is comprised of average of 6 function items from MDASI core (general activity, mood, work, relations with others, walking, and enjoyment of life) and ranges from 0 to 10. Participants were asked to rate how much symptoms have interfered in last 24 hours; each item rated from 0 to 10, with 0 = did not interfere and 10 = interfered completely. Lower scores indicated better outcome. |
Countries
Italy, Japan, Poland, Romania, Russia, Spain, Switzerland, Taiwan, Ukraine, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Axitinib + Pemetrexed/Cisplatin (Phase 1) Lead-in axitinib (AG-013736) tablet at a starting dose of 5 milligram (mg) orally twice daily (BID) from Day -5, -4 or -3 till Day 18 of Cycle 1 then continuously from Day 3 of Cycle 2 along with pemetrexed 500 milligram per square meter (mg/m\^2) infusion and cisplatin 75 mg/m\^2 infusion over a 2 hour period on Day 1 of each cycle up to 6 cycles of length 21 days each in chemotherapy phase and axitinib (AG-013736) tablet 5 mg orally BID in single-agent maintenance phase. Treatment was continued until progression of disease, unmanageable adverse events (AEs), or participant withdrawal. | 10 |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) Axitinib (AG-013736) tablet at a starting dose of 5 mg orally BID along with pemetrexed 500 mg/m\^2 infusion and cisplatin 75 mg/m\^2 infusion over a 2 hour period on Day 1 of each cycle up to 6 cycles of length 21 days each in chemotherapy phase and axitinib (AG-013736) tablet 5 mg orally BID in single-agent maintenance phase. Treatment was continued until progression of disease, unmanageable AEs, or participant withdrawal. | 55 |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) Axitinib (AG-013736) tablet at a starting dose of 5 mg orally BID from Day 2-19 in cycles of chemotherapy phase, except the last cycle, where axitinib (AG-013736) was administered on Day 2-21 along with pemetrexed 500 mg/m\^2 infusion and cisplatin 75 mg/m\^2 infusion over a 2 hour period on Day 1 of each cycle up to 6 cycles of length 21 days each in chemotherapy phase and axitinib (AG-013736) tablet 5 mg orally BID in single-agent maintenance phase. Treatment was continued until progression of disease, unmanageable AEs, or participant withdrawal. | 58 |
| Pemetrexed/Cisplatin (Phase 2) Pemetrexed 500 mg/m\^2 infusion and cisplatin 75 mg/m\^2 infusion over a 2 hour period on Day 1 of each cycle up to 6 cycles of length 21 days each in chemotherapy phase. Treatment was continued until progression of disease, unmanageable AEs, or participant withdrawal. | 57 |
| Total | 180 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Phase 1 | Death | 6 | 0 | 0 | 0 |
| Phase 1 | Other | 4 | 0 | 0 | 0 |
| Phase 2 | Death | 0 | 37 | 48 | 31 |
| Phase 2 | Lost to Follow-up | 0 | 1 | 1 | 4 |
| Phase 2 | Other | 0 | 1 | 2 | 4 |
| Phase 2 | Protocol Violation | 0 | 2 | 0 | 1 |
| Phase 2 | Randomized but not treated | 0 | 0 | 0 | 2 |
| Phase 2 | Study Terminated by Sponsor | 0 | 13 | 7 | 14 |
| Phase 2 | Withdrawal by Subject | 0 | 1 | 0 | 1 |
Baseline characteristics
| Characteristic | Total | Axitinib + Pemetrexed/Cisplatin (Phase 1) | Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Pemetrexed/Cisplatin (Phase 2) |
|---|---|---|---|---|---|
| Age, Customized Greater Than or Equal to 65 Years | 63 participants | 5 participants | 20 participants | 24 participants | 14 participants |
| Age, Customized Less Than 65 Years | 117 participants | 5 participants | 35 participants | 34 participants | 43 participants |
| Sex: Female, Male Female | 63 Participants | 1 Participants | 21 Participants | 21 Participants | 20 Participants |
| Sex: Female, Male Male | 117 Participants | 9 Participants | 34 Participants | 37 Participants | 37 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 10 / 10 | 54 / 55 | 56 / 58 | 54 / 55 |
| serious Total, serious adverse events | 1 / 10 | 19 / 55 | 20 / 58 | 13 / 55 |
Outcome results
Progression-Free Survival (PFS)
Time in months from the date of randomization to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus minus the date of randomization plus 1) divided by 30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]); death was determined from AE data (where the outcome was Death) or from the end of study data.
Time frame: Phase 2 baseline until the date of first documented progression or death due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks
Population: Full analysis (FA) population, included all participants randomized with study medication assignment designated according to initial randomization, regardless of whether participants received study medication or received a different drug from that to which they were randomized.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Progression-Free Survival (PFS) | 8.0 months |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Progression-Free Survival (PFS) | 8.1 months |
| Pemetrexed/Cisplatin (Phase 2) | Progression-Free Survival (PFS) | 7.1 months |
Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score
Symptom interference score is comprised of average of 6 function items from MDASI core (general activity, mood, work, relations with others, walking, and enjoyment of life) and ranges from 0 to 10. Participants were asked to rate how much symptoms have interfered in last 24 hours; each item rated from 0 to 10, with 0 = did not interfere and 10 = interfered completely. Lower scores indicated better outcome.
Time frame: Phase 2 baseline (Cycle1/Day1), Cycle1/Day8, then Day 1 and 8 of each cycle of chemotherapy (C) up to CycleC6, Day 1 of each cycle of single-agent phase (A) up to CycleA8 and EOT
Population: FA population; 'N' (number of participants analyzed) signifies participants evaluable for this measure and 'n' is number of participants analyzed at specific time point for each treatment arm respectively.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA5/Day1 (n= 17, 23, 12) | 0.36 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC5/Day1 (n= 35, 34, 29) | 0.14 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC2/Day8 (n= 39, 38, 34) | 2.00 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA4/Day1 (n= 22, 25, 0) | 0.33 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC5/Day8 (n= 29, 26, 25) | 0.78 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at EOT (n= 40, 35, 31) | 0.69 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA3/Day1 (n= 27, 26, 10) | 0.02 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC6/Day1 (n= 27, 28, 28) | 0.18 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA8/Day1 (n= 15, 14, 10) | -0.07 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA2/Day1 (n= 32, 30, 14) | 0.25 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC6/Day8 (n= 25, 25, 21) | 1.00 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC3/Day1 (n= 45, 47, 39) | 0.64 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA1/Day1 (n= 35, 33, 21) | 0.49 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA10/Day1 (n= 0, 10, 0) | NA units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA7/Day1 (n= 15, 15, 0) | 0.12 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC3/Day8 (n= 38, 35, 32) | 1.54 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC2/Day1 (n= 51, 51, 41) | 0.27 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | 2.36 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC4/Day1 (n= 43, 43, 38) | 0.72 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC1/Day 8, (n= 49, 49, 50) | 1.48 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA6/Day1 (n= 17, 16, 10) | 0.16 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC4/Day8 (n= 33, 33, 27) | 1.39 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA9/Day1 (n= 13, 11, 0) | -0.13 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA6/Day1 (n= 17, 16, 10) | 0.28 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | 2.97 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC1/Day 8, (n= 49, 49, 50) | -0.03 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC2/Day1 (n= 51, 51, 41) | -0.24 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC2/Day8 (n= 39, 38, 34) | 0.03 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC3/Day1 (n= 45, 47, 39) | -0.21 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC3/Day8 (n= 38, 35, 32) | 0.28 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC4/Day1 (n= 43, 43, 38) | 0.11 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC4/Day8 (n= 33, 33, 27) | 1.08 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC5/Day1 (n= 35, 34, 29) | -0.05 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC5/Day8 (n= 29, 26, 25) | 0.88 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC6/Day1 (n= 27, 28, 28) | 0.17 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC6/Day8 (n= 25, 25, 21) | 1.04 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA1/Day1 (n= 35, 33, 21) | 0.39 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA2/Day1 (n= 32, 30, 14) | 0.16 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA3/Day1 (n= 27, 26, 10) | -0.20 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA4/Day1 (n= 22, 25, 0) | 0.23 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA5/Day1 (n= 17, 23, 12) | 0.12 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA7/Day1 (n= 15, 15, 0) | 0.00 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA8/Day1 (n= 15, 14, 10) | 0.30 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA9/Day1 (n= 13, 11, 0) | 1.05 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA10/Day1 (n= 0, 10, 0) | 1.03 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at EOT (n= 40, 35, 31) | 0.69 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA9/Day1 (n= 13, 11, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA4/Day1 (n= 22, 25, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC4/Day8 (n= 33, 33, 27) | 1.20 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC1/Day 8, (n= 49, 49, 50) | 0.81 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA5/Day1 (n= 17, 23, 12) | 0.40 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC4/Day1 (n= 43, 43, 38) | 0.28 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC3/Day8 (n= 38, 35, 32) | 0.41 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA6/Day1 (n= 17, 16, 10) | 0.12 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC3/Day1 (n= 45, 47, 39) | 0.03 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at EOT (n= 40, 35, 31) | 0.91 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA7/Day1 (n= 15, 15, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC2/Day8 (n= 39, 38, 34) | 0.52 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA10/Day1 (n= 0, 10, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC6/Day8 (n= 25, 25, 21) | 1.20 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA8/Day1 (n= 15, 14, 10) | 0.42 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA1/Day1 (n= 35, 33, 21) | 0.96 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC6/Day1 (n= 27, 28, 28) | 0.66 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC2/Day1 (n= 51, 51, 41) | 0.30 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA2/Day1 (n= 32, 30, 14) | 0.10 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC5/Day8 (n= 29, 26, 25) | 0.76 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | 2.64 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleA3/Day1 (n= 27, 26, 10) | 0.27 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference Score | Change at CycleC5/Day1 (n= 35, 34, 29) | 0.49 units on a scale |
Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score
Symptom severity score is comprised of average of 13 MDASI core items (pain, fatigue, nausea, disturbed sleep, distressed, shortness of breath, remembering things, lack of appetite, drowsy, dry mouth, sadness, vomiting, numbness or tingling) and ranges from 0 to 10. Participants were asked to rate severity of each symptom at their worst in last 24 hours; each item rated from 0 to 10, with 0 = symptom not present and 10 = as bad as you can imagine. Lower scores indicated better outcome.
Time frame: Phase 2 baseline (Cycle1/Day1), Cycle1/Day8, then Day 1 and 8 of each cycle of chemotherapy (C) up to CycleC6, Day 1 of each cycle of single-agent phase (A) up to CycleA8 and end of treatment (EOT)
Population: FA population; 'N' (number of participants analyzed) signifies participants evaluable for this measure and 'n' is number of participants analyzed at specific time point for each treatment arm respectively.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA5/Day1 (n= 17, 23, 12) | 0.19 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC5/Day1 (n= 35, 34, 29) | 0.59 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC2/Day8 (n= 39, 38, 34) | 1.52 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA4/Day1 (n= 22, 25, 0) | 0.03 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC5/Day8 (n= 29, 26, 25) | 1.19 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at EOT (n= 40, 35, 31) | 0.66 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA3/Day1 (n= 27, 26, 10) | 0.25 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC6/Day1 (n= 27, 28, 28) | 0.67 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA8/Day1 (n= 15, 14, 10) | -0.28 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA2/Day1 (n= 32, 30, 14) | 0.36 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC6/Day8 (n= 25, 25, 21) | 1.44 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC3/Day1 (n= 45, 47, 39) | 0.57 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA1/Day1 (n= 35, 33, 21) | 0.63 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA10/Day1 (n= 0, 10, 0) | NA units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA7/Day1 (n= 15, 15, 0) | -0.26 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC3/Day8 (n= 38, 35, 32) | 1.33 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC2/Day1 (n= 51, 51, 41) | 0.12 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | 1.75 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC4/Day1 (n= 43, 43, 38) | 0.85 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC1/Day 8, (n= 49, 49, 50) | 1.55 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA6/Day1 (n= 17, 16, 10) | 0.10 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC4/Day8 (n= 33, 33, 27) | 1.37 units on a scale |
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA9/Day1 (n= 13, 11, 0) | -0.46 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA6/Day1 (n= 17, 16, 10) | -0.23 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | 2.09 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC1/Day 8, (n= 49, 49, 50) | 0.36 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC2/Day1 (n= 51, 51, 41) | -0.05 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC2/Day8 (n= 39, 38, 34) | 0.39 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC3/Day1 (n= 45, 47, 39) | 0.29 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC3/Day8 (n= 38, 35, 32) | 0.87 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC4/Day1 (n= 43, 43, 38) | 0.48 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC4/Day8 (n= 33, 33, 27) | 0.90 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC5/Day1 (n= 35, 34, 29) | 0.48 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC5/Day8 (n= 29, 26, 25) | 0.82 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC6/Day1 (n= 27, 28, 28) | 0.42 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC6/Day8 (n= 25, 25, 21) | 0.85 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA1/Day1 (n= 35, 33, 21) | 0.24 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA2/Day1 (n= 32, 30, 14) | -0.01 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA3/Day1 (n= 27, 26, 10) | 0.01 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA4/Day1 (n= 22, 25, 0) | 0.07 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA5/Day1 (n= 17, 23, 12) | -0.12 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA7/Day1 (n= 15, 15, 0) | -0.33 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA8/Day1 (n= 15, 14, 10) | 0.30 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA9/Day1 (n= 13, 11, 0) | 0.34 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA10/Day1 (n= 0, 10, 0) | 0.61 units on a scale |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at EOT (n= 40, 35, 31) | 1.02 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA9/Day1 (n= 13, 11, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA4/Day1 (n= 22, 25, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC4/Day8 (n= 33, 33, 27) | 1.48 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC1/Day 8, (n= 49, 49, 50) | 0.95 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA5/Day1 (n= 17, 23, 12) | 0.30 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC4/Day1 (n= 43, 43, 38) | 0.37 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC3/Day8 (n= 38, 35, 32) | 1.15 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA6/Day1 (n= 17, 16, 10) | 0.14 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC3/Day1 (n= 45, 47, 39) | 0.32 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at EOT (n= 40, 35, 31) | 0.99 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA7/Day1 (n= 15, 15, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC2/Day8 (n= 39, 38, 34) | 0.69 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA10/Day1 (n= 0, 10, 0) | NA units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC6/Day8 (n= 25, 25, 21) | 1.28 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA8/Day1 (n= 15, 14, 10) | 0.02 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA1/Day1 (n= 35, 33, 21) | 0.68 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC6/Day1 (n= 27, 28, 28) | 0.67 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC2/Day1 (n= 51, 51, 41) | 0.39 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA2/Day1 (n= 32, 30, 14) | 0.14 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC5/Day8 (n= 29, 26, 25) | 1.16 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Phase 2 baseline (CycleC1/Day 1), (n= 55, 55, 53) | 1.80 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleA3/Day1 (n= 27, 26, 10) | 0.12 units on a scale |
| Pemetrexed/Cisplatin (Phase 2) | Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity Score | Change at CycleC5/Day1 (n= 35, 34, 29) | 0.72 units on a scale |
Duration of Response (DR)
Time in months from the first documentation of objective tumor response to objective tumor progression or death due to any cause, whichever occurs first. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response.
Time frame: Phase 2 baseline until the date of first documented progression or discontinuation from the study due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks
Population: Subgroup of participants from the FA population with a confirmed objective tumor response (CR or PR).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Duration of Response (DR) | 7.82 months |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Duration of Response (DR) | 6.73 months |
| Pemetrexed/Cisplatin (Phase 2) | Duration of Response (DR) | 7.10 months |
Overall Survival (OS)
Time in months from the date of randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 30.4. Death was determined from AE data (where outcome was death) or from follow-up contact data (where the participant current status was death).
Time frame: Baseline until death or collected bimonthly following discontinuation of study treatment until at least 1 year after randomization of the last participant
Population: FA population, included all participants randomized with study medication assignment designated according to initial randomization, regardless of whether participants received study medication or received a different drug from that to which they were randomized.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Overall Survival (OS) | 17.0 months |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Overall Survival (OS) | 14.7 months |
| Pemetrexed/Cisplatin (Phase 2) | Overall Survival (OS) | 15.9 months |
Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based assessment of confirmed complete response (CR)/confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors(RECIST).Confirmed responses: those persist on repeat imaging study at least 4 weeks after initial documentation of response.CR: disappearance of all lesions (target/non target) and no appearance of new lesions.PR: those with at least 30 % decrease in sum of longest dimensions of target lesions taking as reference baseline sum longest dimensions,without progression of non target lesions and no appearance of new lesions.
Time frame: Phase 2 baseline until the date of first documented progression or discontinuation from the study due to any cause or initiation of subsequent anticancer therapy, assessed every 6 weeks up to 84 weeks
Population: FA population, included all participants randomized with study medication assignment designated according to initial randomization, regardless of whether participants received study medication or received a different drug from that to which they were randomized.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2) | Percentage of Participants With Objective Response (OR) | 45.5 percentage of participants |
| Axitinib (Modified) + Pemetrexed/Cisplatin (Phase 2) | Percentage of Participants With Objective Response (OR) | 39.7 percentage of participants |
| Pemetrexed/Cisplatin (Phase 2) | Percentage of Participants With Objective Response (OR) | 26.3 percentage of participants |