Skip to content

A Study of Tarceva (Erlotinib) to Compare Two Different Doses in in Currently Smoking Patients With Advanced or Metastatic Non-Small Cell Lung Cancer (CURRENTS)

A Prospective, Double-blind Randomized Phase III Study of 300 mg Versus 150 mg Erlotinib in Current Smokers With Locally Advanced or Metastatic NSCLC in Second-line Setting After Failure on Chemotherapy (CURRENTS)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01183858
Enrollment
315
Registered
2010-08-18
Start date
2010-10-31
Completion date
2014-02-28
Last updated
2015-08-19

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

Conditions

Non-Small Cell Lung Cancer

Brief summary

This prospective, double-blind, randomized study will evaluate the safety and efficacy of two dose levels of erlotinib \[Tarceva\] on progression-free survival, response and disease control rates and overall survival in patients with advanced or metastatic non-small cell lung cancer (NSCLC) after failure of first-line platinum-based chemotherapy. Patients must be current smokers and not intending to stop smoking during the study. Patients will be randomized to receive either 150 mg or 300 mg of study drug as single daily oral doses. Treatment will continue until disease progression.

Interventions

DRUGErlotinib [Tarceva]

Single daily oral dose

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Adult patients aged ≥18 years * inoperable, locally advanced (stage IIIB/IV) with supraclavicular lymph node metastases or malignant pleural or pericardial effusion) or metastatic (stage IV) non-small cell lung cancer (NSCLC) * Disease must be characterized according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria * Patients have received one prior platinum-based chemotherapy regimen for advanced NSCLC, but must have recovered from any treatment-related toxicity * Eastern Cooperative Oncology Group (ECOG) performance status 0-2 * Life expectancy ≥12 weeks * Current cigarette smoker (having smoked \>100 cigarettes in entire lifetime and currently smoking on average ≥1 cigarette per day), not intending to stop during the study

Exclusion criteria

* Prior antibody or small molecule therapy against Epidermal growth factor receptor (EGFR) * Radiotherapy within 28 days prior to enrollment * Received more than one line of chemotherapy for locally advanced/metastatic NSCLC (first-line maintenance chemotherapy after first-line platinum-based chemotherapy is allowed)

Design outcomes

Primary

MeasureTime frameDescription
Progression-Free Survival (PFS)Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 Months)PFS is defined as the time from randomization to the date of first occurrence of disease progression or death. For target lesions, Progressive Disease (PD) was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.
Progression-Free Survival (PFS) at the End of StudyRandomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)PFS is defined as the time from randomization to the date of first occurrence of disease progression or death. For target lesions, Progressive Disease (PD) was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.

Secondary

MeasureTime frameDescription
Disease Control Rate (DCR)Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans. Disease control rates were measured according to RECIST version 1.1 criteria. A participant was defined as having controlled disease if they sustained a Complete Response (CR) or Partial Response (PR) for at least 4 weeks during randomized treatment (confirmed response), or Stable Disease (SD) for at least 6 weeks. Patients with no tumor assessment after the start of study treatment were considered as having uncontrolled disease. The percentage of participants with Disease Control is presented.
Time to Progression (TTP)Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. Time to progression (TTP) in weeks was defined as the time from randomization to the date of disease progression. Participants without event were censored at the date of the last tumor assessment when the patient was known to be progression free.
Overall Survival (OS)Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)OS defined as the time from randomization to the date of death due to any cause.
Overall Survival (OS) at the End of StudyRandomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)OS defined as the time from randomization to the date of death due to any cause.
Number of Participants With Adverse Events (AEs) at the End of the StudyRandomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events. A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. Adverse Events in the following categories are presented: Adverse Events, Serious Adverse Events, AEs leading to withdrawal from treatment and AEs leading to death.
Overall Response Rate (ORR)Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. A participant was defined as a responder if they sustained a complete response (CR) or partial response (PR) for at least 4 weeks during randomized treatment (confirmed response). Patients with no tumor assessment after the start of study treatment were to be considered as non-responders. The percentage of participants in each best response category is presented.

Countries

China, Denmark, Egypt, France, Germany, Netherlands, Spain, Switzerland, Turkey (Türkiye)

Participant flow

Pre-assignment details

315 participants were randomized. 313 participants were included in the Intent-to -treat (ITT) population. The ITT population excluded 2 randomized participants: 1 participant randomized in error and 1 participant with missing source data.

Participants by arm

ArmCount
Erlotinib 150 mg
Erlotinib 150 mg single daily oral dose until disease progression.
154
Erlotinib 300 mg
Erlotinib 300 mg single daily oral dose until disease progression.
159
Total313

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdministrative/Other66
Overall StudyAdverse Event1411
Overall StudyDeath not related to Progressive Disease56
Overall StudyDeath related to Progressive Disease45
Overall StudyDiscontinued Smoking31
Overall StudyInsufficient Therapeutic Response20
Overall StudyInvestigator's Decision03
Overall StudyLost to Follow-up11
Overall StudyProgressive Disease112115
Overall StudyProtocol Violation10
Overall StudyRefused Treatment14
Overall StudyWithdrew Consent44

Baseline characteristics

CharacteristicErlotinib 150 mgErlotinib 300 mgTotal
Age, Continuous59.7 years
STANDARD_DEVIATION 9.25
59.2 years
STANDARD_DEVIATION 9.14
59.4 years
STANDARD_DEVIATION 9.18
Sex: Female, Male
Female
34 Participants35 Participants69 Participants
Sex: Female, Male
Male
120 Participants124 Participants244 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
115 / 154128 / 158
serious
Total, serious adverse events
29 / 15435 / 158

Outcome results

Primary

Progression-Free Survival (PFS)

PFS is defined as the time from randomization to the date of first occurrence of disease progression or death. For target lesions, Progressive Disease (PD) was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.

Time frame: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 Months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureValue (MEDIAN)
Erlotinib 150 mgProgression-Free Survival (PFS)6.86 weeks
Erlotinib 300 mgProgression-Free Survival (PFS)7.00 weeks
p-value: 0.67195% CI: [0.83, 1.33]Log Rank
Primary

Progression-Free Survival (PFS) at the End of Study

PFS is defined as the time from randomization to the date of first occurrence of disease progression or death. For target lesions, Progressive Disease (PD) was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions. For non-target lesions, PD was defined as the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.

Time frame: Randomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureValue (MEDIAN)
Erlotinib 150 mgProgression-Free Survival (PFS) at the End of Study6.86 weeks
Erlotinib 300 mgProgression-Free Survival (PFS) at the End of Study7.00 weeks
p-value: 0.62595% CI: [0.84, 1.33]Log Rank
Secondary

Disease Control Rate (DCR)

Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans. Disease control rates were measured according to RECIST version 1.1 criteria. A participant was defined as having controlled disease if they sustained a Complete Response (CR) or Partial Response (PR) for at least 4 weeks during randomized treatment (confirmed response), or Stable Disease (SD) for at least 6 weeks. Patients with no tumor assessment after the start of study treatment were considered as having uncontrolled disease. The percentage of participants with Disease Control is presented.

Time frame: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureValue (NUMBER)
Erlotinib 150 mgDisease Control Rate (DCR)40.3 percentage of participants
Erlotinib 300 mgDisease Control Rate (DCR)36.5 percentage of participants
Secondary

Number of Participants With Adverse Events (AEs) at the End of the Study

An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events. A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. Adverse Events in the following categories are presented: Adverse Events, Serious Adverse Events, AEs leading to withdrawal from treatment and AEs leading to death.

Time frame: Randomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)

Population: Safety population included all randomized participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
Erlotinib 150 mgNumber of Participants With Adverse Events (AEs) at the End of the StudyAdverse Events (AEs)130 participants
Erlotinib 150 mgNumber of Participants With Adverse Events (AEs) at the End of the StudySerious Adverse Events29 participants
Erlotinib 150 mgNumber of Participants With Adverse Events (AEs) at the End of the StudyAEs leading to withdrawal18 participants
Erlotinib 150 mgNumber of Participants With Adverse Events (AEs) at the End of the StudyAEs leading to death12 participants
Erlotinib 300 mgNumber of Participants With Adverse Events (AEs) at the End of the StudyAEs leading to death13 participants
Erlotinib 300 mgNumber of Participants With Adverse Events (AEs) at the End of the StudyAdverse Events (AEs)141 participants
Erlotinib 300 mgNumber of Participants With Adverse Events (AEs) at the End of the StudyAEs leading to withdrawal15 participants
Erlotinib 300 mgNumber of Participants With Adverse Events (AEs) at the End of the StudySerious Adverse Events35 participants
Secondary

Overall Response Rate (ORR)

Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. A participant was defined as a responder if they sustained a complete response (CR) or partial response (PR) for at least 4 weeks during randomized treatment (confirmed response). Patients with no tumor assessment after the start of study treatment were to be considered as non-responders. The percentage of participants in each best response category is presented.

Time frame: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureGroupValue (NUMBER)
Erlotinib 150 mgOverall Response Rate (ORR)Partial Response7.1 percentage of participants
Erlotinib 150 mgOverall Response Rate (ORR)Progressive Disease44.8 percentage of participants
Erlotinib 150 mgOverall Response Rate (ORR)Stable Disease33.1 percentage of participants
Erlotinib 150 mgOverall Response Rate (ORR)Not Evaluable14.9 percentage of participants
Erlotinib 150 mgOverall Response Rate (ORR)Complete Response0.0 percentage of participants
Erlotinib 300 mgOverall Response Rate (ORR)Not Evaluable17.6 percentage of participants
Erlotinib 300 mgOverall Response Rate (ORR)Complete Response0.0 percentage of participants
Erlotinib 300 mgOverall Response Rate (ORR)Partial Response2.5 percentage of participants
Erlotinib 300 mgOverall Response Rate (ORR)Stable Disease34.0 percentage of participants
Erlotinib 300 mgOverall Response Rate (ORR)Progressive Disease45.9 percentage of participants
Secondary

Overall Survival (OS)

OS defined as the time from randomization to the date of death due to any cause.

Time frame: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureValue (MEDIAN)
Erlotinib 150 mgOverall Survival (OS)6.77 months
Erlotinib 300 mgOverall Survival (OS)6.83 months
Secondary

Overall Survival (OS) at the End of Study

OS defined as the time from randomization to the date of death due to any cause.

Time frame: Randomization to End of Study: 14 October 2010 - 7 February 2014 (Up to 39.8 months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureValue (MEDIAN)
Erlotinib 150 mgOverall Survival (OS) at the End of Study7.00 months
Erlotinib 300 mgOverall Survival (OS) at the End of Study6.90 months
Secondary

Time to Progression (TTP)

Tumor response was assessed by the investigator using computer tomography (CT) or magnetic resonance imaging (MRI) scans according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. Time to progression (TTP) in weeks was defined as the time from randomization to the date of disease progression. Participants without event were censored at the date of the last tumor assessment when the patient was known to be progression free.

Time frame: Randomization to Clinical Cutoff: 28 October 2013 (Up to 36.5 months)

Population: Intent-to-treat Population included all randomized participants. 2 participants were excluded from analysis: 1 participant randomized in error and 1 participant with missing source data.

ArmMeasureValue (MEDIAN)
Erlotinib 150 mgTime to Progression (TTP)9.86 weeks
Erlotinib 300 mgTime to Progression (TTP)9.14 weeks

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026