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Evaluation Of The Efficacy Of The Combination Of Axitinib With Pemetrexed And Cisplatin In The Treatment Of Non-Squamous Non-Small Cell Lung Cancer

Randomized Phase 2 Study Of Cisplatin/Pemetrexed With Or Without Axitinib (AG-013736) As First-Line Treatment For Patients With Non-Squamous Non-Small Cell Lung Cancer

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00768755
Enrollment
180
Registered
2008-10-08
Start date
2009-01-31
Completion date
2012-03-31
Last updated
2015-10-28

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-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

DRUGaxitinib

5mg BID po up to max 10mg BID po

DRUGchemotherapy

Pemetrexed(500mg/m2)/Cisplatin(75mg/m2) x max 6 cycles

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

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

MeasureTime frameDescription
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 weeksTime 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

MeasureTime frameDescription
Overall Survival (OS)Baseline until death or collected bimonthly following discontinuation of study treatment until at least 1 year after randomization of the last participantTime 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 weeksPercentage 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 weeksTime 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 ScorePhase 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 ScorePhase 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 EOTSymptom 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

ArmCount
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
Total180

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Phase 1Death6000
Phase 1Other4000
Phase 2Death0374831
Phase 2Lost to Follow-up0114
Phase 2Other0124
Phase 2Protocol Violation0201
Phase 2Randomized but not treated0002
Phase 2Study Terminated by Sponsor013714
Phase 2Withdrawal by Subject0101

Baseline characteristics

CharacteristicTotalAxitinib + 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 participants5 participants20 participants24 participants14 participants
Age, Customized
Less Than 65 Years
117 participants5 participants35 participants34 participants43 participants
Sex: Female, Male
Female
63 Participants1 Participants21 Participants21 Participants20 Participants
Sex: Female, Male
Male
117 Participants9 Participants34 Participants37 Participants37 Participants

Adverse events

Event typeEG000
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 / 1054 / 5556 / 5854 / 55
serious
Total, serious adverse events
1 / 1019 / 5520 / 5813 / 55

Outcome results

Primary

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.

ArmMeasureValue (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
Comparison: P-value was calculated using 1-sided log rank test, stratified by Eastern Cooperative Oncology Group (ECOG) performance status (0 or 1) and gender (male or female). Hazard ratio (HR): the stratified Cox model was fitted, using the same stratification variables as above.p-value: 0.303795% CI: [0.508, 1.36]Log Rank
Comparison: P-value was calculated using 1-sided log rank test, stratified by ECOG performance status (0 or 1) and gender (male or female). HR: the stratified Cox model was fitted, using the same stratification variables as above.p-value: 0.356595% CI: [0.58, 1.546]Log Rank
Secondary

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.

ArmMeasureGroupValue (MEAN)
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2)Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Interference ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScorePhase 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScorePhase 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScorePhase 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 ScoreChange 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 ScoreChange at CycleC5/Day1 (n= 35, 34, 29)0.49 units on a scale
Secondary

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.

ArmMeasureGroupValue (MEAN)
Axitinib (Continuous) + Pemetrexed/Cisplatin (Phase 2)Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Inventory (MDASI) Symptom Severity ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScorePhase 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScorePhase 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScoreChange 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 ScorePhase 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 ScoreChange 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 ScoreChange at CycleC5/Day1 (n= 35, 34, 29)0.72 units on a scale
Secondary

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).

ArmMeasureValue (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
Secondary

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.

ArmMeasureValue (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
Comparison: P-value was calculated using 1-sided log rank test, stratified by ECOG performance status (0 or 1) and gender (male or female). HR: the stratified Cox model was fitted, using the same stratification variables as above.p-value: 0.578595% CI: [0.648, 1.69]Log Rank
Comparison: P-value was calculated using 1-sided log rank test, stratified by ECOG performance status (0 or 1) and gender (male or female). HR: the stratified Cox model was fitted, using the same stratification variables as above.p-value: 0.939295% CI: [0.919, 2.285]Log Rank
Secondary

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.

ArmMeasureValue (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
Comparison: P-value was calculated using Cochran-Mantel-Haenszel (CMH) test stratified by ECOG performance status (0 or 1) and gender (male or female).p-value: 0.014395% CI: [1.047, 2.935]Cochran-Mantel-Haenszel
Comparison: P-value was calculated using CMH test stratified by ECOG performance status (0 or 1) and gender (male or female).p-value: 0.066595% CI: [0.87, 2.626]Cochran-Mantel-Haenszel

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