Carcinoma, Non-Small-Cell Lung
Conditions
Brief summary
The primary purpose of this study is to evaluate the efficacy of the study drug known as LY2875358, administered alone or in combination with a second drug named Erlotinib, in participants affected by a defined type of lung cancer (MET biomarker diagnostic positive Non-Small-Cell Lung Cancer) that experienced a disease progression during the most recent treatment with Erlotinib.
Interventions
Administered IV
Administered Orally
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of metastatic Stage IV NSCLC * At least 1 measurable extra-central nervous system (CNS) lesion * Documented radiographic progression while on continuous treatment with erlotinib monotherapy * Objective clinical benefit from erlotinib treatment as defined by either documented partial or complete response or stable disease ≥6 months or, if most recent erlotinib treatment has been initiated based on documented epidermal growth factor receptor mutation (EGFRmt) status, at least 12 weeks stable disease * Determined to be MET diagnostic positive (+) * Availability of a tumor sample post-erlotinib progression * Eastern Cooperative Oncology Group (ECOG) performance status ≤2 * Have adequate organ function
Exclusion criteria
* Are currently enrolled in, or discontinued within the last 30 days from, a clinical trial involving an investigational product or non-approved use of a drug or device * Have previously been treated with LY2875358 or any other MET-targeting experimental therapeutic * Have a serious concomitant systemic disorder or significant cardiac disease * Have interstitial pneumonia or interstitial fibrosis of the lung or have pleural effusion, pericardial fluids or ascites, requiring drainage every other week or more frequently * Have a history of another malignancy except for basal or squamous cell skin cancer and/or in situ carcinoma of the cervix, or other solid tumors treated curatively and without evidence of recurrence for at least 3 years prior to the study * Have major surgery less than 2 weeks prior initiation of study treatment therapy * Pregnant or lactating women * Have symptomatic CNS metastasis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) | Baseline to Objective Disease Progression or Start of New Anticancer Therapy (Up to 15 Months) | ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, CR was defined as the disappearance of all target and non-target lesions; PR defined as a \>30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to Progressive Disease | Baseline to Objective Disease Progression (Up to 24 Months) | — |
| Change in Tumor Size (CTS) | Baseline to Measurement with Smallest Tumor Size (Up to 24 Months) | Zero participants analyzed. CTS data was not collected for analysis due to N=0 CR and N=3 PR. |
| Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)] | Baseline to Objective Disease Progression or Participant Stops Study (Up to 24 Months) | Participants achieved disease control if they had a best overall response of PR, CR or SD. According to RECIST v1.1, CR was the disappearance of all non-nodal target lesions, with the short axes of any target lymph node reduced to \<10 mm, the disappearance of all nontarget lesions, and the normalization of tumor marker levels (if tumor markers were initially above the upper limit of normal \[ULN\]); PR was defined as at least a 30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph node), taking as reference the baseline sum diameter. SD was neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD, taking as reference the smallest sum diameter since treatment started. The percentage of participants who achieved disease control equals (number of participants with CR, PR, or SD)/(number of participants assessed)\*100. |
| Duration of Response (DoR) | Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up to 24 Months) | Zero participants analyzed. Duration of Response for CR and PR data was not collected for analysis due to N=0 CR and N=3 PR. |
| Overall Survival (OS) | Baseline to Death Due to Any Cause (Up to 24 Months) | OS was defined as duration from the date of study enrollment to the date of death from any cause. Participants not known to have died as of the data inclusion cut-off date were censored at the date of last contact. The last contact for participants in post-discontinuation was the last date participant was known to be alive. |
| Progression Free Survival (PFS) | Baseline to Objective Disease Progression or Death (Up to 24 Months) | PFS defined as date of randomization until the date of objectively determined progression defined by Response Evaluation Criteria in Solid Tumors criteria or death from any cause, whichever is first. Progressive disease (PD) defined as ≥20% increase in sum of diameter of target lesion with the sum demonstrating an increase of ≥5 mm; appearance of ≥1 new lesions or unequivocal progression of non- target lesions. Participants with no baseline disease assessment were censored at randomization date, regardless of whether or not objectively determined PD or death was observed; participants not known to have died or to have objective progression as of data inclusion cutoff were censored at last post baseline radiological assessment date or randomization date, if there was no post baseline radiological assessment. |
| Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months) | The EORTC lung module QLQ-LC13 comprises 13 items consisting of one multi-item scale to assess dyspnea and a series of single-item measures assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines. The higher scores represent a greater degree of symptoms. |
| Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months) | The EQ-5D is a generic, multidimensional, health status instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood using a 3-level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score ranged from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension). A negative change indicated a worsening of the participant's health status. Additionally, participants will indicate their current health status by marking on a continuum ranging from 100 (best imaginable health state) to 0 (worst imaginable health state). |
| Pharmacokinetics (PK): Area Under the Concentration (AUC) of Emibetuzumab | Cycle1 Day 1 (C1 D1): Pre-dose and End of infusion; C1 D8: Pre-dose; C1 D15, C2 D1, C2 D15, C3 D1, C3 D15, C4 D1, C4 D15: Pre-dose and End of Infusion | AUC(0-tlast) = area under the concentration versus time curve from time zero through the last quantifiable sample. |
| Number of Participants With Anti-Emibetuzumab Antibody (ADA) Response | Baseline through 30-Day Follow-Up (Up to 24 Months) | — |
| Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months) | EORTC QLQ-C30 v3.0 is a self-administered questionnaire with multidimensional scales that measures 5 functional domains (physical, role, cognitive, emotional, and social), global health status, and symptom scales of fatigue, pain, nausea and vomiting, dyspnea, loss of appetite, insomnia, constipation and diarrhea, and financial difficulties. A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines. For functional domains and global health status, higher scores represent a better level of functioning. For symptoms scales, higher scores represented a greater degree of symptoms. |
Countries
Belgium, France, Germany, Israel, Italy, Netherlands, South Korea, Spain, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Arm A: Emibetuzumab Plus Erlotinib 750 milligram (mg) Emibetuzumab (LY2875358) flat dose given as a 1.5 hour intravenous (IV) infusion on Days 1 and 15 of a 28-day cycle and Erlotinib 150 mg given orally once daily on a 28-day cycle. | 83 |
| Arm B: Emibetuzumab 750 mg Emibetuzumab flat dose given as a 1.5-hour IV infusion on Days 1 and 15 of a 28-day cycle. | 28 |
| Total | 111 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 2 | 1 |
| Overall Study | Consent withdrawn by subject | 1 | 1 |
| Overall Study | Death | 3 | 0 |
| Overall Study | Physician Decision | 1 | 1 |
| Overall Study | Progressive Disease | 1 | 0 |
Baseline characteristics
| Characteristic | Arm A: Emibetuzumab Plus Erlotinib | Arm B: Emibetuzumab | Total |
|---|---|---|---|
| Age, Continuous | 64.2 years STANDARD_DEVIATION 10.8 | 60.9 years STANDARD_DEVIATION 12 | 63.3 years STANDARD_DEVIATION 11.2 |
| ECOG Performance Status ECOG 0 | 18 Participants | 9 Participants | 27 Participants |
| ECOG Performance Status ECOG 1 | 60 Participants | 17 Participants | 77 Participants |
| ECOG Performance Status ECOG 2 | 5 Participants | 2 Participants | 7 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 4 Participants | 0 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 70 Participants | 21 Participants | 91 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 9 Participants | 7 Participants | 16 Participants |
| Pathological Diagnosis Large Cell Carcinoma | 0 Participants | 1 Participants | 1 Participants |
| Pathological Diagnosis Lung Adenocarcinoma | 77 Participants | 22 Participants | 99 Participants |
| Pathological Diagnosis Other Subtypes of Lung Cancer | 3 Participants | 4 Participants | 7 Participants |
| Pathological Diagnosis Squamous Cell Carcinoma | 3 Participants | 1 Participants | 4 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 10 Participants | 3 Participants | 13 Participants |
| Race (NIH/OMB) Black or African American | 4 Participants | 0 Participants | 4 Participants |
| Race (NIH/OMB) More than one race | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 4 Participants | 2 Participants | 6 Participants |
| Race (NIH/OMB) White | 64 Participants | 23 Participants | 87 Participants |
| Region of Enrollment Belgium | 9 Participants | 0 Participants | 9 Participants |
| Region of Enrollment France | 5 Participants | 2 Participants | 7 Participants |
| Region of Enrollment Germany | 4 Participants | 1 Participants | 5 Participants |
| Region of Enrollment Israel | 7 Participants | 4 Participants | 11 Participants |
| Region of Enrollment Italy | 3 Participants | 0 Participants | 3 Participants |
| Region of Enrollment Netherlands | 5 Participants | 5 Participants | 10 Participants |
| Region of Enrollment South Korea | 3 Participants | 3 Participants | 6 Participants |
| Region of Enrollment Spain | 9 Participants | 1 Participants | 10 Participants |
| Region of Enrollment United Kingdom | 6 Participants | 3 Participants | 9 Participants |
| Region of Enrollment United States | 32 Participants | 9 Participants | 41 Participants |
| Sex: Female, Male Female | 55 Participants | 20 Participants | 75 Participants |
| Sex: Female, Male Male | 28 Participants | 8 Participants | 36 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 83 | 0 / 28 |
| other Total, other adverse events | 82 / 83 | 28 / 28 |
| serious Total, serious adverse events | 36 / 83 | 11 / 28 |
Outcome results
Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR])
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, CR was defined as the disappearance of all target and non-target lesions; PR defined as a \>30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100.
Time frame: Baseline to Objective Disease Progression or Start of New Anticancer Therapy (Up to 15 Months)
Population: All participants who are MET diagnostic positive based on the results of their post-erlotinib progression tumor sample and resistance to erlotinib.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) | 3.0 percentage of participants |
| Arm B: Emibetuzumab | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) | 4.3 percentage of participants |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) | 3.8 percentage of participants |
| MET-High Analysis Population (Emibetuzumab) | Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) | 4.8 percentage of participants |
Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13)
The EORTC lung module QLQ-LC13 comprises 13 items consisting of one multi-item scale to assess dyspnea and a series of single-item measures assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines. The higher scores represent a greater degree of symptoms.
Time frame: Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months)
Population: All randomized participants with EORTC QLQ-LC13 values at baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Dysphagia | 7.7 units on a scale | Standard Deviation 25.5 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Coughing | 14.1 units on a scale | Standard Deviation 35.5 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Chest | -1.3 units on a scale | Standard Deviation 11.7 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Peripheral Neuropathy | -5.1 units on a scale | Standard Deviation 22.5 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Other Parts | 8.0 units on a scale | Standard Deviation 30.9 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Alopecia | -5.3 units on a scale | Standard Deviation 34.3 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Sore Mouth | 7.7 units on a scale | Standard Deviation 25.5 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Hemoptysis | 2.6 units on a scale | Standard Deviation 9.1 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Shoulder or Arm | -2.6 units on a scale | Standard Deviation 28.2 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Other Parts | 16.7 units on a scale | Standard Deviation 45.9 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Coughing | 16.7 units on a scale | Standard Deviation 35 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Hemoptysis | 0 units on a scale | Standard Deviation 0 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Sore Mouth | 5.6 units on a scale | Standard Deviation 13.6 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Dysphagia | 5.6 units on a scale | Standard Deviation 13.6 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Peripheral Neuropathy | 5.6 units on a scale | Standard Deviation 13.6 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Alopecia | 0 units on a scale | Standard Deviation 0 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Chest | 5.6 units on a scale | Standard Deviation 13.6 |
| Arm B: Emibetuzumab | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Shoulder or Arm | 0 units on a scale | Standard Deviation 0 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Dysphagia | 9.5 units on a scale | Standard Deviation 26.1 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Other Parts | 3.3 units on a scale | Standard Deviation 32.3 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Chest | 1.7 units on a scale | Standard Deviation 13.1 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Sore Mouth | 12.7 units on a scale | Standard Deviation 22.3 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Coughing | 17.5 units on a scale | Standard Deviation 35.9 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Pain in Shoulder or Arm | 3.2 units on a scale | Standard Deviation 25.6 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Peripheral Neuropathy | -4.8 units on a scale | Standard Deviation 21.8 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Hemoptysis | 3.2 units on a scale | Standard Deviation 10 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EORTC Quality of Life Questionnaires Lung Cancer 13 (QLQ-LC13) | Alopecia | 4.8 units on a scale | Standard Deviation 19.1 |
Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30)
EORTC QLQ-C30 v3.0 is a self-administered questionnaire with multidimensional scales that measures 5 functional domains (physical, role, cognitive, emotional, and social), global health status, and symptom scales of fatigue, pain, nausea and vomiting, dyspnea, loss of appetite, insomnia, constipation and diarrhea, and financial difficulties. A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines. For functional domains and global health status, higher scores represent a better level of functioning. For symptoms scales, higher scores represented a greater degree of symptoms.
Time frame: Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months)
Population: All randomized participants with EORTC QLQ-C30 values at baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Social | -12.5 units on a scale | Standard Deviation 29.6 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Role | -7.7 units on a scale | Standard Deviation 42 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Insomnia | -14.1 units on a scale | Standard Deviation 39.1 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Fatigue | 8.5 units on a scale | Standard Deviation 23.6 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Physical | -11.4 units on a scale | Standard Deviation 25.8 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Dyspnea | 9.0 units on a scale | Standard Deviation 32.1 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Nausea/vomiting | -1.3 units on a scale | Standard Deviation 31.2 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Constipation | 3.8 units on a scale | Standard Deviation 31.7 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Pain | 1.9 units on a scale | Standard Deviation 26 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Emotional | 1.7 units on a scale | Standard Deviation 29.9 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Finance | -6.7 units on a scale | Standard Deviation 23.6 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | QoL | -4.0 units on a scale | Standard Deviation 18.3 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Cognitive | -3.3 units on a scale | Standard Deviation 31.2 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Diarrhea | -5.3 units on a scale | Standard Deviation 41.6 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Appetite Loss | 6.4 units on a scale | Standard Deviation 36.5 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Appetite Loss | 29.2 units on a scale | Standard Deviation 41.5 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | QoL | -21.9 units on a scale | Standard Deviation 18.9 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Physical | -22.9 units on a scale | Standard Deviation 30.2 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Role | -35.4 units on a scale | Standard Deviation 35 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Emotional | -13.5 units on a scale | Standard Deviation 19.9 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Cognitive | -10.4 units on a scale | Standard Deviation 25.1 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Social | -16.7 units on a scale | Standard Deviation 39.8 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Fatigue | 31.9 units on a scale | Standard Deviation 33.8 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Nausea/vomiting | 0 units on a scale | Standard Deviation 0 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Pain | 14.6 units on a scale | Standard Deviation 24.3 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Dyspnea | 29.2 units on a scale | Standard Deviation 37.5 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Insomnia | -16.7 units on a scale | Standard Deviation 23.6 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Constipation | 33.3 units on a scale | Standard Deviation 50.4 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Diarrhea | 4.2 units on a scale | Standard Deviation 48.6 |
| Arm B: Emibetuzumab | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Finance | 8.3 units on a scale | Standard Deviation 42.7 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Social | -19.8 units on a scale | Standard Deviation 29.2 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Diarrhea | -1.5 units on a scale | Standard Deviation 43 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Insomnia | -15.9 units on a scale | Standard Deviation 43.7 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Cognitive | -9.8 units on a scale | Standard Deviation 29.4 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Emotional | -6.1 units on a scale | Standard Deviation 29.7 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Appetite Loss | 15.9 units on a scale | Standard Deviation 42.5 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Role | -21.0 units on a scale | Standard Deviation 39.3 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | QoL | -10.2 units on a scale | Standard Deviation 22.3 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Constipation | 17.4 units on a scale | Standard Deviation 38.8 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Nausea/vomiting | 0.7 units on a scale | Standard Deviation 39.1 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Physical | -19.0 units on a scale | Standard Deviation 27.4 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Pain | 2.2 units on a scale | Standard Deviation 28.6 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Fatigue | 16.9 units on a scale | Standard Deviation 30.7 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Finance | 3.0 units on a scale | Standard Deviation 30.7 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaires C30 (QLQ-C30) | Dyspnea | 14.5 units on a scale | Standard Deviation 38.7 |
Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D)
The EQ-5D is a generic, multidimensional, health status instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood using a 3-level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score ranged from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension). A negative change indicated a worsening of the participant's health status. Additionally, participants will indicate their current health status by marking on a continuum ranging from 100 (best imaginable health state) to 0 (worst imaginable health state).
Time frame: Baseline, Objective Disease Progression or Participants Stops Study (Up to 24 Months)
Population: All randomized participants with EQ-5D values at baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Index Score | -0.1 units on a scale | Standard Deviation 0.3 |
| Arm A: Emibetuzumab Plus Erlotinib | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Visual Analog Scale | -8.3 units on a scale | Standard Deviation 18 |
| Arm B: Emibetuzumab | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Index Score | -0.2 units on a scale | Standard Deviation 0.3 |
| Arm B: Emibetuzumab | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Visual Analog Scale | -12.5 units on a scale | Standard Deviation 21.7 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Index Score | -0.1 units on a scale | Standard Deviation 0.3 |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Change From Baseline in EuroQol 5-Dimensional Scale (EQ-5D) | Visual Analog Scale | -11.8 units on a scale | Standard Deviation 19.4 |
Change in Tumor Size (CTS)
Zero participants analyzed. CTS data was not collected for analysis due to N=0 CR and N=3 PR.
Time frame: Baseline to Measurement with Smallest Tumor Size (Up to 24 Months)
Population: Zero participants analyzed.CTS data was not collected for analysis due to N=0 CR and N=3 PR.
Duration of Response (DoR)
Zero participants analyzed. Duration of Response for CR and PR data was not collected for analysis due to N=0 CR and N=3 PR.
Time frame: Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up to 24 Months)
Population: Zero participants analyzed. Duration of Response for CR and PR data was not collected for analysis due to N=0 CR and N=3 PR.
Number of Participants With Anti-Emibetuzumab Antibody (ADA) Response
Time frame: Baseline through 30-Day Follow-Up (Up to 24 Months)
Population: All participants who received at least one dose of study drug and have sufficient Anti-Emibetuzumab Antibody sample for the analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Number of Participants With Anti-Emibetuzumab Antibody (ADA) Response | 0 participants |
| Arm B: Emibetuzumab | Number of Participants With Anti-Emibetuzumab Antibody (ADA) Response | 0 participants |
Overall Survival (OS)
OS was defined as duration from the date of study enrollment to the date of death from any cause. Participants not known to have died as of the data inclusion cut-off date were censored at the date of last contact. The last contact for participants in post-discontinuation was the last date participant was known to be alive.
Time frame: Baseline to Death Due to Any Cause (Up to 24 Months)
Population: All participants who are MET diagnostic positive based on the results of their post-erlotinib progression tumor sample and resistance to erlotinib.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Overall Survival (OS) | 9.2 Months |
| Arm B: Emibetuzumab | Overall Survival (OS) | 8.2 Months |
Pharmacokinetics (PK): Area Under the Concentration (AUC) of Emibetuzumab
AUC(0-tlast) = area under the concentration versus time curve from time zero through the last quantifiable sample.
Time frame: Cycle1 Day 1 (C1 D1): Pre-dose and End of infusion; C1 D8: Pre-dose; C1 D15, C2 D1, C2 D15, C3 D1, C3 D15, C4 D1, C4 D15: Pre-dose and End of Infusion
Population: All participants who received Emibetuzumab on Cycle 1, Day 1, and contributed samples for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Pharmacokinetics (PK): Area Under the Concentration (AUC) of Emibetuzumab | 31400 Microgram*hour/milliliter (ug*hr/mL) | Geometric Coefficient of Variation 75 |
Progression Free Survival (PFS)
PFS defined as date of randomization until the date of objectively determined progression defined by Response Evaluation Criteria in Solid Tumors criteria or death from any cause, whichever is first. Progressive disease (PD) defined as ≥20% increase in sum of diameter of target lesion with the sum demonstrating an increase of ≥5 mm; appearance of ≥1 new lesions or unequivocal progression of non- target lesions. Participants with no baseline disease assessment were censored at randomization date, regardless of whether or not objectively determined PD or death was observed; participants not known to have died or to have objective progression as of data inclusion cutoff were censored at last post baseline radiological assessment date or randomization date, if there was no post baseline radiological assessment.
Time frame: Baseline to Objective Disease Progression or Death (Up to 24 Months)
Population: All participants who are MET diagnostic positive based on the results of their post-erlotinib progression tumor sample and resistance to erlotinib.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Progression Free Survival (PFS) | 3.3 Months |
| Arm B: Emibetuzumab | Progression Free Survival (PFS) | 1.6 Months |
Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)]
Participants achieved disease control if they had a best overall response of PR, CR or SD. According to RECIST v1.1, CR was the disappearance of all non-nodal target lesions, with the short axes of any target lymph node reduced to \<10 mm, the disappearance of all nontarget lesions, and the normalization of tumor marker levels (if tumor markers were initially above the upper limit of normal \[ULN\]); PR was defined as at least a 30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph node), taking as reference the baseline sum diameter. SD was neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD, taking as reference the smallest sum diameter since treatment started. The percentage of participants who achieved disease control equals (number of participants with CR, PR, or SD)/(number of participants assessed)\*100.
Time frame: Baseline to Objective Disease Progression or Participant Stops Study (Up to 24 Months)
Population: All participants who are MET diagnostic positive based on the results of their post-erlotinib progression tumor sample and resistance to erlotinib.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)] | 50 percentage of participants |
| Arm B: Emibetuzumab | Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)] | 26.1 percentage of participants |
| MET-High Analysis Population (Emibetuzumab + Erlotinib) | Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)] | 47.2 percentage of participants |
| MET-High Analysis Population (Emibetuzumab) | Secondary: Percentage of Participants Who Achieved Best Overall Disease Response of CR, PR or Stable Disease (SD) [Disease Control Rate (DCR)] | 28.6 percentage of participants |
Time to Progressive Disease
Time frame: Baseline to Objective Disease Progression (Up to 24 Months)
Population: All participants who are MET diagnostic positive based on the results of their post-erlotinib progression tumor sample and resistance to erlotinib.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm A: Emibetuzumab Plus Erlotinib | Time to Progressive Disease | 3.8 months |
| Arm B: Emibetuzumab | Time to Progressive Disease | 1.6 months |