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Brief Title: Study of Efficacy and Safety of Canakinumab as Adjuvant Therapy in Adult Subjects With Stages AJCC/UICC v. 8 II-IIIA and IIIB (T>5cm N2) Completely Resected Non-small Cell Lung Cancer Acronym: CANOPY-A

A Phase III, Multicenter, Randomized, Double Blind, Placebo-controlled Study Evaluating the Efficacy and Safety of Canakinumab Versus Placebo as Adjuvant Therapy in Adult Subjects With Stages AJCC/UICC v. 8 II -IIIA and IIIB (T>5cm N2) Completely Resected (R0) Non-small Cell Lung Cancer (NSCLC)

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03447769
Acronym
Canopy-A
Enrollment
1382
Registered
2018-02-27
Start date
2018-03-16
Completion date
2023-02-07
Last updated
2024-10-09

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

Keywords

Non-Small Cell Lung Cancer, NSCLC, ACZ885, canakinumab, adjuvant, AJCC/UICC v. 8 stages II-IIIA and IIIB (T>5cm N2)

Brief summary

The primary purpose of the study was to compare the efficacy and safety of canakinumab versus placebo as adjuvant therapy in adult subjects with stages II -IIIA according to the 8th edition of the American Joint Committee on Cancer (AJCC)/Union for International Cancer Control (UICC) and the subset of IIIB (T\>5cm N2 disease) completely resected (R0) non-small cell lung cancer (NSCLC).

Detailed description

This was a phase III, multicenter, randomized, double-blind study to evaluate the efficacy and safety of canakinumab as adjuvant therapy in adult patients with stages AJCC/UICC v.8 II-IIIA and IIIB (T\>5 cm N2) completely resected (R0) NSCLC. Approximately 1500 patients were planned to be randomized 1:1 to canakinumab, 200 mg subcutaneously (s.c.) every 3 weeks or matching placebo s.c. every 3 weeks. Patients were planned to continue their assigned treatment until they completed 18 cycles (cycle= 21 days) or experienced any one of the following: non-small cell lung cancer (NSCLC) disease recurrence as determined by Investigator; unacceptable toxicity that precluded further treatment; treatment discontinuation at the discretion of the Investigator or patient; start of a new antineoplastic therapy; death, or loss to follow-up, whichever occurred first. All patients who discontinued from the study treatment were to be followed up every 12 weeks for survival until the final OS analysis or death, loss to follow-up or withdrawal of consent for survival follow-up.

Interventions

DRUGCanakinumab

200 mg of canakinumab administered subcutaneously on day 1 of every 21-day cycle for 18 cycles. Canakinumab solution for injection was provided by Novartis as ready-to-use pre-filled syringes to be administered by study personnel.

DRUGPlacebo

Placebo administered subcutaneously on day 1 of every 21-day cycle for 18 cycles. Placebo solution for injection was provided by Novartis as ready-to-use pre-filled syringes to be administered by study personnel.

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: * Had completely resected (R0) NSCLC AJCC/UICC v. 8 stage IIA-IIIA and IIIB (N2 disease only) OR had NSCLC Stage IIA-IIIA, IIIB (N2 disease only) and were candidates for complete resection surgery. * Cisplatin-based chemotherapy was mandatory for all subjects (Exception: In subjects with stage IIA disease with no nodal involvement, cisplatin-based chemotherapy could be administered if recommended by the treating physician). When required, a minimum of two cycles of cisplatin-based chemotherapy was mandatory, after which additional therapies could be given based upon local clinical practice and/or guidelines. Typically, chemotherapy was initiated within 60 days of surgery. * Radiation therapy was allowed if indicated as per local guidelines or practice. * Had recovered from all toxicities related to prior systemic therapy to grade ≤ 1 (CTCAE v 5.0). Exception to this criterion: subjects with any grade of alopecia and grade 2 or less neuropathy were allowed to enter the study * Had ECOG performance status (PS) of 0 or 1 Key

Exclusion criteria

* Had unresectable or metastatic disease, positive microscopic margins on the pathology report, and/or gross disease remaining at the time of surgery * Had received any neoadjuvant therapy * Had presence or history of a malignant disease, other than the resected NSCLC, that had been diagnosed and/or required therapy within the past 3 years Exceptions to this exclusion included the following: completely resected basal cell and squamous cell skin cancers, completely resected carcinoma in situ of any type and hormonal maintenance for breast and prostate cancer \> 3 years. * Had a history of current diagnosis of cardiac disease * Had uncontrolled diabetes * Had known active or recurrent hepatic disorder including cirrhosis, hepatitis B and C (positive or indeterminate central laboratory results) * Subjects had to be evaluated for tuberculosis as per local treatment guidelines or clinical practice. Subjects with active tuberculosis were not eligible. * Had suspected or proven immunocompromised state as described in the protocol * Had live and attenuated vaccination within 3 months prior to first dose of study drug (e.g. MMR, Yellow Fever, Rotavirus, Smallpox, etc.).

Design outcomes

Primary

MeasureTime frameDescription
Disease Free Survival (DFS) by Local InvestigatorUp to approximately 4 yearsDFS is the time from the date of randomization to the date of the first documented NSCLC disease recurrence as assessed by local investigator radiologically or death due to any cause. Disease recurrence included diagnoses of new primary lung malignancies. Clinical deterioration was not considered as a recurrence of disease. In case of non-conclusive radiological evidence, a biopsy assessment was performed to confirm NSCLC recurrence. The median DFS was estimated using the Kaplan-Meier method. DFS was censored if no DFS event was observed prior to the analysis cut-off date or subjects who received any subsequent anti-neoplastic therapy for NSCLC. The censoring date was the date of last assessment before the cut-off date or NSCLC related anti-neoplastic therapy date.

Secondary

MeasureTime frameDescription
Overall Survival (OS) in PD-L1 SubgroupsUp to approximately 4.3 yearsOverall Survival (OS) is the time from the date of randomization to the date of death due to any cause. The OS was censored at the latest date the subject was known to be alive. The OS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier curves, medians and 95% confidence intervals of the medians were presented for each treatment group. OS analysis was performed by programmed cell death-ligand 1 (PD-L1) expression status: PD-L1 \<1%, PD-L1 ≥1% and \<49%, and PD-L1 ≥50%.
Overall Survival (OS) in CD8 Subgroupsup to approximately 4.3 yearsOverall Survival (OS) is the time from the date of randomization to the date of death due to any cause. The OS was censored at the latest date the subject was known to be alive. The OS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier medians and 95% confidence intervals of the medians were presented for each treatment group. OS analysis was performed by CD8 subgroups with the median of baseline CD8 expression as cut-off.
Lung Cancer Specific Survival (LCSS)Up to approximately 4.3 yearsLCSS is defined as the time from date of randomization to the date of death due to lung cancer. The LCSS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier medians and 95% confidence intervals of the medians were presented for each treatment group.
Disease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsUp to approximately 4 yearsDFS is the time from the date of randomization to the date of the first documented NSCLC disease recurrence as assessed by local investigator radiologically or death due to any cause. Disease recurrence included diagnoses of new primary lung malignancies. Clinical deterioration was not considered as a recurrence of disease. In case of non-conclusive radiological evidence, a biopsy assessment was performed to confirm NSCLC recurrence. The median DFS was estimated using the Kaplan-Meier method. DFS was censored if no DFS event was observed prior to the analysis cut-off date or subjects who received any subsequent anti-neoplastic therapy for NSCLC. The censoring date was the date of last assessment before the cut-off date or NSCLC related anti-neoplastic therapy date. DFS analysis was performed by baseline programmed cell death-ligand 1 (PD-L1) expression status: PD-L1 \<1%, PD-L1 ≥1% and \<49%, and PD-L1 ≥50%.
Disease Free Survival (DFS) by Local Investigator in CD8 SubgroupsUp to approximately 4 yearsDFS is the time from the date of randomization to the date of the first documented NSCLC disease recurrence as assessed by local investigator radiologically or death due to any cause. Disease recurrence included diagnoses of new primary lung malignancies. Clinical deterioration was not considered as a recurrence of disease. In case of non-conclusive radiological evidence, a biopsy assessment was performed to confirm NSCLC recurrence. The median DFS was estimated using the Kaplan-Meier method. DFS was censored if no DFS event was observed prior to the analysis cut-off date or subjects who received any subsequent anti-neoplastic therapy for NSCLC. The censoring date was the date of last assessment before the cut-off date or NSCLC related anti-neoplastic therapy date. DFS analysis was performed by CD8 subgroups with the median of baseline CD8 expression as cut-off.
Canakinumab Serum ConcentrationsCycle 1 on day 1 (pre-dose), day 8 and 15; Cycle 2, 4, 6, 9 and 12 on day 1 (pre-dose). Cycle=21 daysSerum concentrations of canakinumab were determinded using an ELISA method.
Overall Survival (OS)Up to approximately 4.3 yearsOverall Survival (OS) is the time from the date of randomization to the date of death due to any cause. The OS was censored at the latest date the subject was known to be alive. The OS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier medians and 95% confidence intervals of the medians were presented for each treatment group.
Canakinumab ADA IncidenceFrom baseline up to 130 days after end of treatment, assessed up to approx. 1.5 yearsCanakinumab ADA incidence on-treatment was calculated as the percentage of participants who were treatment-induced ADA positive (post-baseline ADA positive with ADA-negative sample at baseline) and treatment-boosted ADA positive (post-baseline ADA positive with titer that was at least the fold titer change greater than the ADA-positive baseline titer)
Time to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnaireFrom baseline up to approximately 4 yearsThe Lung Cancer module of the EORTC's quality of life questionnaire (EORTC QLQ-LC13) was used in conjunction with the EORTC QLQ-C30 and provided information on an additional 13 items specifically related to lung cancer. The lung cancer module incorporated one multi-item scale to assess dyspnea, and 9 single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. All of the domain scores ranged from 0 to 100. A high score indicated a high level of symptoms. The time to definitive 10 point deterioration symptom scores of pain, cough and dyspnea was defined as the time from the date of randomization to the date of event, which was defined as at least 10 points relative to baseline worsening of the EORTC QLQ-LC13 symptom score with no later change below this threshold or death due to any cause, whichever occurred earlier.
Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireFrom baseline up to approximately 4 yearsThe EORTC QLQ-C30 was a questionnaire developed to assess the health-related quality of life of cancer participants. It assessed 15 domains consisting of 5 functional domains (physical, role, emotional, cognitive, social) and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status/QoL scale. All domain scores ranged from 0 to 100. A high score for the functional or global health status scales indicated a high level of functioning or QoL; a high score for a symptom scale indicated a high level of symptoms. The time to definitive 10 point deterioration of global health status/QoL, shortness of breath and pain was defined as the time from the date of randomization to the date of event, which was defined as at least 10 points relative to baseline worsening of the EORTC QLQ-C30 score with no later change below this threshold or death due to any cause, whichever occured earlier.
Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnaireFrom baseline up to approximately 4 yearsThe Lung Cancer module of the EORTC's quality of life questionnaire (EORTC QLQ-LC13) was used in conjunction with the EORTC QLQ-C30 and provided information on an additional 13 items specifically related to lung cancer. The lung cancer module incorporated one multi-item scale to assess dyspnea, and 9 single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. All of the domain scores ranged from 0 to 100. A high score indicated a high level of symptoms. The time to first 10 point deterioration symptom scores of pain, cough and dyspnea was defined as the time from the date of randomization to the first onset of at least 10 points absolute increase from baseline (worsening) in symptoms scores or death due to any cause, whichever occurred earlier.
Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireFrom baseline up to approximately 4 yearsThe EORTC QLQ-C30 was a questionnaire developed to assess the health-related quality of life of cancer participants. It assessed 15 domains consisting of 5 functional domains (physical, role, emotional, cognitive, social) and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status/QoL scale. All domain scores ranged from 0 to 100. A high score for the functional or global health status scales indicated a high level of functioning or QoL; a high score for a symptom scale indicated a high level of symptoms. The time to first 10 point deterioration of global health status/QoL, shortness of breath and pain scores was defined as the time from the date of randomization to the first onset of at least 10 points absolute increase from baseline (worsening) in symptoms scores or death due to any cause, whichever occurred earlier.
Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Baseline, every 3 weeks for 14 months; end of treatment; every 4 weeks up to 130 days post-treatment; at 18,24,30,36 and 48 months post-randomization (if no recurrence); 7 and 28 days post-disease progression, up to approx. 4 years.EQ-5D-5L was a standardized questionnaire that measured health-related QoL. EQ-5D-5L consisted of 2 components: a health state profile and a visual analogue scale. The health state profile included five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, each with five levels ranging from 1 (no problems) to 5 (extreme problems). The EQ-5D-5L health state profile responses were converted into single index utility score, ranging from -1 to 1, where lower scores representing a higher level of dysfunction. Published weights are available enabling the calculation of the utility score. A positive change from baseline indicated improvement. This endpoint was assessed throughout the study, including safety and efficacy follow-up (FU) visits. Safety FU visits: every 4 weeks after end of treatment up to 130 days post-last dose. Efficacy FU visits: at 18, 24, 30, 36 and 48 months post-randomization (if no recurrence observed during treatment or safety FU)
Canakinumab Anti-drug Antibody (ADA) Prevalence at BaselineBaselineCanakinumab ADA prevalence at baseline was calculated as the percentage of participants who had an ADA positive result at baseline

Countries

Argentina, Austria, Brazil, Bulgaria, Canada, Chile, China, Colombia, Czechia, France, Georgia, Germany, Greece, Hong Kong, Hungary, Iceland, India, Israel, Italy, Japan, Jordan, Lebanon, Malaysia, Norway, Panama, Peru, Philippines, Poland, Portugal, Romania, Russia, Slovenia, South Korea, Spain, Switzerland, Taiwan, Thailand, Turkey (Türkiye), United Kingdom, United States, Vietnam

Participant flow

Recruitment details

The study was conducted across 290 centers in 41 countries. A total of 1830 subjects were screened of which 1382 participants were randomized to treatment on a 1:1 basis.

Pre-assignment details

1 participant randomized in the canakinumab arm was never treated due to subject decision. The numbers in the patient disposition table correspond to the treatment period.

Participants by arm

ArmCount
Canakinumab
Participants receive 200mg of canakinumab subcutaneously every 3 weeks for up to 18 cycles (approximately 54 weeks)
693
Placebo
Participants receive canakinumab placebo subcutaneously every 3 weeks for up to 18 cycles (approximately 54 weeks)
689
Total1,382

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event3431
Overall StudyDeath27
Overall StudyLost to Follow-up01
Overall StudyPatient decision2727
Overall StudyPhysician Decision135
Overall StudyProgressive disease138148
Overall StudyProtocol deviation46
Overall StudyStudy terminated by Sponsor6044
Overall StudyTechnical problems10

Baseline characteristics

CharacteristicCanakinumabPlaceboTotal
Age, Continuous61.5 Years
STANDARD_DEVIATION 8.9
61.6 Years
STANDARD_DEVIATION 9
61.6 Years
STANDARD_DEVIATION 8.95
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants5 Participants5 Participants
Race/Ethnicity, Customized
Asian
248 Participants236 Participants484 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants4 Participants7 Participants
Race/Ethnicity, Customized
Missing
49 Participants52 Participants101 Participants
Race/Ethnicity, Customized
Multiple
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
393 Participants391 Participants784 Participants
Sex: Female, Male
Female
263 Participants257 Participants520 Participants
Sex: Female, Male
Male
430 Participants432 Participants862 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 1,3829 / 69253 / 67117 / 68951 / 662
other
Total, other adverse events
0 / 0465 / 6920 / 0455 / 6890 / 0
serious
Total, serious adverse events
0 / 0141 / 6920 / 0146 / 6890 / 0

Outcome results

Primary

Disease Free Survival (DFS) by Local Investigator

DFS is the time from the date of randomization to the date of the first documented NSCLC disease recurrence as assessed by local investigator radiologically or death due to any cause. Disease recurrence included diagnoses of new primary lung malignancies. Clinical deterioration was not considered as a recurrence of disease. In case of non-conclusive radiological evidence, a biopsy assessment was performed to confirm NSCLC recurrence. The median DFS was estimated using the Kaplan-Meier method. DFS was censored if no DFS event was observed prior to the analysis cut-off date or subjects who received any subsequent anti-neoplastic therapy for NSCLC. The censoring date was the date of last assessment before the cut-off date or NSCLC related anti-neoplastic therapy date.

Time frame: Up to approximately 4 years

Population: Full Analysis Set (FAS) including all participants to whom study treatment was assigned by randomization

ArmMeasureValue (MEDIAN)
CanakinumabDisease Free Survival (DFS) by Local Investigator35.02 Months
PlaceboDisease Free Survival (DFS) by Local Investigator29.73 Months
p-value: 0.25895% CI: [0.78, 1.14]Stratified log-rank test
Secondary

Canakinumab ADA Incidence

Canakinumab ADA incidence on-treatment was calculated as the percentage of participants who were treatment-induced ADA positive (post-baseline ADA positive with ADA-negative sample at baseline) and treatment-boosted ADA positive (post-baseline ADA positive with titer that was at least the fold titer change greater than the ADA-positive baseline titer)

Time frame: From baseline up to 130 days after end of treatment, assessed up to approx. 1.5 years

Population: All subjects who received at least one dose of canakinumab

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CanakinumabCanakinumab ADA Incidence7 Participants
Secondary

Canakinumab Anti-drug Antibody (ADA) Prevalence at Baseline

Canakinumab ADA prevalence at baseline was calculated as the percentage of participants who had an ADA positive result at baseline

Time frame: Baseline

Population: All subjects who received at least one dose of canakinumab

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CanakinumabCanakinumab Anti-drug Antibody (ADA) Prevalence at Baseline8 Participants
Secondary

Canakinumab Serum Concentrations

Serum concentrations of canakinumab were determinded using an ELISA method.

Time frame: Cycle 1 on day 1 (pre-dose), day 8 and 15; Cycle 2, 4, 6, 9 and 12 on day 1 (pre-dose). Cycle=21 days

Population: The Pharmacokinetic analysis set (PAS) including all subjects who received at least one dose of canakinumab and provided at least one evaluable PK sample.

ArmMeasureGroupValue (MEAN)Dispersion
CanakinumabCanakinumab Serum ConcentrationsCycle 1 Day 10 ug/mlStandard Deviation 0
CanakinumabCanakinumab Serum ConcentrationsCycle 1 Day 818.1 ug/mlStandard Deviation 6.53
CanakinumabCanakinumab Serum ConcentrationsCycle 1 Day 1516.9 ug/mlStandard Deviation 5.43
CanakinumabCanakinumab Serum ConcentrationsCycle 2 Day 115.0 ug/mlStandard Deviation 4.91
CanakinumabCanakinumab Serum ConcentrationsCycle 4 Day 129.7 ug/mlStandard Deviation 10.3
CanakinumabCanakinumab Serum ConcentrationsCycle 6 Day 134.7 ug/mlStandard Deviation 13
CanakinumabCanakinumab Serum ConcentrationsCycle 9 Day 137.1 ug/mlStandard Deviation 14.5
CanakinumabCanakinumab Serum ConcentrationsCycle 12 Day 138.6 ug/mlStandard Deviation 15.5
Secondary

Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)

EQ-5D-5L was a standardized questionnaire that measured health-related QoL. EQ-5D-5L consisted of 2 components: a health state profile and a visual analogue scale. The health state profile included five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, each with five levels ranging from 1 (no problems) to 5 (extreme problems). The EQ-5D-5L health state profile responses were converted into single index utility score, ranging from -1 to 1, where lower scores representing a higher level of dysfunction. Published weights are available enabling the calculation of the utility score. A positive change from baseline indicated improvement. This endpoint was assessed throughout the study, including safety and efficacy follow-up (FU) visits. Safety FU visits: every 4 weeks after end of treatment up to 130 days post-last dose. Efficacy FU visits: at 18, 24, 30, 36 and 48 months post-randomization (if no recurrence observed during treatment or safety FU)

Time frame: Baseline, every 3 weeks for 14 months; end of treatment; every 4 weeks up to 130 days post-treatment; at 18,24,30,36 and 48 months post-randomization (if no recurrence); 7 and 28 days post-disease progression, up to approx. 4 years.

Population: All participants to whom study treatment was assigned by randomization with data available at the specified time points. Number analyzed refers to the number of participants with an evaluable value at the specified time point.

ArmMeasureGroupValue (MEAN)Dispersion
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 540.0 Score on a scaleStandard Deviation 0.18
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 300.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 570.0 Score on a scale
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 180.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 60-0.2 Score on a scale
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 330.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 630.0 Score on a scale
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 690.0 Score on a scale
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 10.0 Score on a scaleStandard Deviation 0.15
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 120.0 Score on a scaleStandard Deviation 0.12
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 20.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 360.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 30.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 210.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 40.0 Score on a scaleStandard Deviation 0.15
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 390.0 Score on a scaleStandard Deviation 0.15
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 50.0 Score on a scaleStandard Deviation 0.15
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 90.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 10.0 Score on a scaleStandard Deviation 0.16
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 420.0 Score on a scaleStandard Deviation 0.15
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 20.0 Score on a scaleStandard Deviation 0.15
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 240.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 30.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 450.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 40.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 150.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 50.0 Score on a scaleStandard Deviation 0.1
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 480.0 Score on a scaleStandard Deviation 0.14
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)7 days post disease progression-0.1 Score on a scaleStandard Deviation 0.16
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 270.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)28 days post disease progression-0.1 Score on a scaleStandard Deviation 0.18
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 30.0 Score on a scaleStandard Deviation 0.11
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 510.0 Score on a scaleStandard Deviation 0.13
CanakinumabChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 60.0 Score on a scaleStandard Deviation 0.13
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)28 days post disease progression-0.1 Score on a scaleStandard Deviation 0.18
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 30.0 Score on a scaleStandard Deviation 0.12
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 60.0 Score on a scaleStandard Deviation 0.12
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 90.0 Score on a scaleStandard Deviation 0.13
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 120.0 Score on a scaleStandard Deviation 0.12
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 150.0 Score on a scaleStandard Deviation 0.12
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 180.0 Score on a scaleStandard Deviation 0.13
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 210.0 Score on a scaleStandard Deviation 0.15
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 240.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 270.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 300.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 330.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 360.0 Score on a scaleStandard Deviation 0.15
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 390.0 Score on a scaleStandard Deviation 0.13
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 420.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 450.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 480.0 Score on a scaleStandard Deviation 0.15
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 510.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 540.1 Score on a scaleStandard Deviation 0.12
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 57-0.1 Score on a scale
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Week 60-0.1 Score on a scale
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 10.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 20.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 30.0 Score on a scaleStandard Deviation 0.15
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 40.0 Score on a scaleStandard Deviation 0.16
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Safety FU 50.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 10.0 Score on a scaleStandard Deviation 0.14
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 20.0 Score on a scaleStandard Deviation 0.16
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 30.0 Score on a scaleStandard Deviation 0.15
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 40.0 Score on a scaleStandard Deviation 0.15
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)Efficacy FU 5-0.1 Score on a scaleStandard Deviation 0.17
PlaceboChange From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L)7 days post disease progression-0.1 Score on a scaleStandard Deviation 0.22
Secondary

Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups

DFS is the time from the date of randomization to the date of the first documented NSCLC disease recurrence as assessed by local investigator radiologically or death due to any cause. Disease recurrence included diagnoses of new primary lung malignancies. Clinical deterioration was not considered as a recurrence of disease. In case of non-conclusive radiological evidence, a biopsy assessment was performed to confirm NSCLC recurrence. The median DFS was estimated using the Kaplan-Meier method. DFS was censored if no DFS event was observed prior to the analysis cut-off date or subjects who received any subsequent anti-neoplastic therapy for NSCLC. The censoring date was the date of last assessment before the cut-off date or NSCLC related anti-neoplastic therapy date. DFS analysis was performed by CD8 subgroups with the median of baseline CD8 expression as cut-off.

Time frame: Up to approximately 4 years

Population: Participants to whom study treatment was assigned by randomization with a valid baseline measurement of CD8 expression

ArmMeasureGroupValue (MEDIAN)
CanakinumabDisease Free Survival (DFS) by Local Investigator in CD8 SubgroupsCD8 < median26.58 Months
CanakinumabDisease Free Survival (DFS) by Local Investigator in CD8 SubgroupsCD8 ≥ median46.95 Months
PlaceboDisease Free Survival (DFS) by Local Investigator in CD8 SubgroupsCD8 < medianNA Months
PlaceboDisease Free Survival (DFS) by Local Investigator in CD8 SubgroupsCD8 ≥ medianNA Months
Comparison: CD8 \< medianp-value: 0.87295% CI: [0.87, 1.72]Stratified log-rank test
Comparison: CD8 ≥ medianp-value: 0.30395% CI: [0.62, 1.33]Stratified log-rank test
Secondary

Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups

DFS is the time from the date of randomization to the date of the first documented NSCLC disease recurrence as assessed by local investigator radiologically or death due to any cause. Disease recurrence included diagnoses of new primary lung malignancies. Clinical deterioration was not considered as a recurrence of disease. In case of non-conclusive radiological evidence, a biopsy assessment was performed to confirm NSCLC recurrence. The median DFS was estimated using the Kaplan-Meier method. DFS was censored if no DFS event was observed prior to the analysis cut-off date or subjects who received any subsequent anti-neoplastic therapy for NSCLC. The censoring date was the date of last assessment before the cut-off date or NSCLC related anti-neoplastic therapy date. DFS analysis was performed by baseline programmed cell death-ligand 1 (PD-L1) expression status: PD-L1 \<1%, PD-L1 ≥1% and \<49%, and PD-L1 ≥50%.

Time frame: Up to approximately 4 years

Population: Participants to whom study treatment was assigned by randomization with a valid baseline measurement of PD-L1 expression.

ArmMeasureGroupValue (MEDIAN)
CanakinumabDisease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsPD-L1 <1%30.72 Months
CanakinumabDisease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsPD-L1 ≥1% and <49%30.42 Months
CanakinumabDisease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsPD-L1 ≥50%46.95 Months
PlaceboDisease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsPD-L1 <1%NA Months
PlaceboDisease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsPD-L1 ≥1% and <49%NA Months
PlaceboDisease Free Survival (DFS) by Local Investigator in PD-L1 SubgroupsPD-L1 ≥50%NA Months
Comparison: PD-L1 \<1%p-value: 0.67695% CI: [0.76, 1.58]Stratified log-rank test
Comparison: PD-L1 ≥1% and \<49%p-value: 0.03695% CI: [0.34, 1.05]Stratified log-rank test
Comparison: PD-L1 ≥50%p-value: 0.82395% CI: [0.73, 2.43]Stratified log-rank test
Secondary

Lung Cancer Specific Survival (LCSS)

LCSS is defined as the time from date of randomization to the date of death due to lung cancer. The LCSS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier medians and 95% confidence intervals of the medians were presented for each treatment group.

Time frame: Up to approximately 4.3 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureValue (MEDIAN)
CanakinumabLung Cancer Specific Survival (LCSS)51.12 Months
PlaceboLung Cancer Specific Survival (LCSS)NA Months
Secondary

Overall Survival (OS)

Overall Survival (OS) is the time from the date of randomization to the date of death due to any cause. The OS was censored at the latest date the subject was known to be alive. The OS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier medians and 95% confidence intervals of the medians were presented for each treatment group.

Time frame: Up to approximately 4.3 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureValue (MEDIAN)
CanakinumabOverall Survival (OS)51.12 Months
PlaceboOverall Survival (OS)NA Months
Secondary

Overall Survival (OS) in CD8 Subgroups

Overall Survival (OS) is the time from the date of randomization to the date of death due to any cause. The OS was censored at the latest date the subject was known to be alive. The OS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier medians and 95% confidence intervals of the medians were presented for each treatment group. OS analysis was performed by CD8 subgroups with the median of baseline CD8 expression as cut-off.

Time frame: up to approximately 4.3 years

Population: Participants to whom study treatment was assigned by randomization with a valid baseline measurement of CD8 expression

ArmMeasureGroupValue (MEDIAN)
CanakinumabOverall Survival (OS) in CD8 SubgroupsCD8 < median46.95 Months
CanakinumabOverall Survival (OS) in CD8 SubgroupsCD8 ≥ median51.12 Months
PlaceboOverall Survival (OS) in CD8 SubgroupsCD8 < medianNA Months
PlaceboOverall Survival (OS) in CD8 SubgroupsCD8 ≥ medianNA Months
Secondary

Overall Survival (OS) in PD-L1 Subgroups

Overall Survival (OS) is the time from the date of randomization to the date of death due to any cause. The OS was censored at the latest date the subject was known to be alive. The OS distribution was estimated using the Kaplan-Meier method, and Kaplan-Meier curves, medians and 95% confidence intervals of the medians were presented for each treatment group. OS analysis was performed by programmed cell death-ligand 1 (PD-L1) expression status: PD-L1 \<1%, PD-L1 ≥1% and \<49%, and PD-L1 ≥50%.

Time frame: Up to approximately 4.3 years

Population: Participants to whom study treatment was assigned by randomization with a valid baseline measurement of PD-L1 expression.

ArmMeasureGroupValue (MEDIAN)
CanakinumabOverall Survival (OS) in PD-L1 SubgroupsPD-L1 <1%NA Months
CanakinumabOverall Survival (OS) in PD-L1 SubgroupsPD-L1 ≥1% and <49%46.95 Months
CanakinumabOverall Survival (OS) in PD-L1 SubgroupsPD-L1 ≥50%51.12 Months
PlaceboOverall Survival (OS) in PD-L1 SubgroupsPD-L1 <1%NA Months
PlaceboOverall Survival (OS) in PD-L1 SubgroupsPD-L1 ≥1% and <49%NA Months
PlaceboOverall Survival (OS) in PD-L1 SubgroupsPD-L1 ≥50%NA Months
Secondary

Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire

The EORTC QLQ-C30 was a questionnaire developed to assess the health-related quality of life of cancer participants. It assessed 15 domains consisting of 5 functional domains (physical, role, emotional, cognitive, social) and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status/QoL scale. All domain scores ranged from 0 to 100. A high score for the functional or global health status scales indicated a high level of functioning or QoL; a high score for a symptom scale indicated a high level of symptoms. The time to definitive 10 point deterioration of global health status/QoL, shortness of breath and pain was defined as the time from the date of randomization to the date of event, which was defined as at least 10 points relative to baseline worsening of the EORTC QLQ-C30 score with no later change below this threshold or death due to any cause, whichever occured earlier.

Time frame: From baseline up to approximately 4 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureGroupValue (MEDIAN)
CanakinumabTime to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireGlobal health status/QoL34.99 Months
CanakinumabTime to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireShortness of breathNA Months
CanakinumabTime to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnairePain29.93 Months
PlaceboTime to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireGlobal health status/QoL35.15 Months
PlaceboTime to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireShortness of breath35.15 Months
PlaceboTime to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnairePain36.44 Months
Secondary

Time to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 Questionnaire

The Lung Cancer module of the EORTC's quality of life questionnaire (EORTC QLQ-LC13) was used in conjunction with the EORTC QLQ-C30 and provided information on an additional 13 items specifically related to lung cancer. The lung cancer module incorporated one multi-item scale to assess dyspnea, and 9 single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. All of the domain scores ranged from 0 to 100. A high score indicated a high level of symptoms. The time to definitive 10 point deterioration symptom scores of pain, cough and dyspnea was defined as the time from the date of randomization to the date of event, which was defined as at least 10 points relative to baseline worsening of the EORTC QLQ-LC13 symptom score with no later change below this threshold or death due to any cause, whichever occurred earlier.

Time frame: From baseline up to approximately 4 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureGroupValue (MEDIAN)
CanakinumabTime to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnairePainNA Months
CanakinumabTime to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnaireCoughNA Months
CanakinumabTime to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnaireDyspnea28.88 Months
PlaceboTime to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnairePainNA Months
PlaceboTime to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnaireCoughNA Months
PlaceboTime to Definitive 10 Point Deterioration Symptom Scores of Pain,Cough and Dyspnea Per European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ)- Lung Cancer (LC) 13 QuestionnaireDyspnea34.99 Months
Secondary

Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire

The Lung Cancer module of the EORTC's quality of life questionnaire (EORTC QLQ-LC13) was used in conjunction with the EORTC QLQ-C30 and provided information on an additional 13 items specifically related to lung cancer. The lung cancer module incorporated one multi-item scale to assess dyspnea, and 9 single items assessing pain, coughing, sore mouth, dysphagia, peripheral neuropathy, alopecia, and hemoptysis. All of the domain scores ranged from 0 to 100. A high score indicated a high level of symptoms. The time to first 10 point deterioration symptom scores of pain, cough and dyspnea was defined as the time from the date of randomization to the first onset of at least 10 points absolute increase from baseline (worsening) in symptoms scores or death due to any cause, whichever occurred earlier.

Time frame: From baseline up to approximately 4 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureGroupValue (MEDIAN)
CanakinumabTime to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnairePain35.15 Months
CanakinumabTime to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnaireCough15.44 Months
CanakinumabTime to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnaireDyspnea4.17 Months
PlaceboTime to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnairePainNA Months
PlaceboTime to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnaireCough15.01 Months
PlaceboTime to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 QuestionnaireDyspnea4.86 Months
Secondary

Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire

The EORTC QLQ-C30 was a questionnaire developed to assess the health-related quality of life of cancer participants. It assessed 15 domains consisting of 5 functional domains (physical, role, emotional, cognitive, social) and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status/QoL scale. All domain scores ranged from 0 to 100. A high score for the functional or global health status scales indicated a high level of functioning or QoL; a high score for a symptom scale indicated a high level of symptoms. The time to first 10 point deterioration of global health status/QoL, shortness of breath and pain scores was defined as the time from the date of randomization to the first onset of at least 10 points absolute increase from baseline (worsening) in symptoms scores or death due to any cause, whichever occurred earlier.

Time frame: From baseline up to approximately 4 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureGroupValue (MEDIAN)
CanakinumabTime to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireGlobal health status/QoL9.23 Months
CanakinumabTime to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireShortness of breath29.14 Months
CanakinumabTime to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnairePain5.49 Months
PlaceboTime to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireGlobal health status/QoL9.07 Months
PlaceboTime to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnaireShortness of breathNA Months
PlaceboTime to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 QuestionnairePain5.62 Months
Post Hoc

All Collected Deaths

Pre-treatment deaths were collected from day of participant's informed consent to the day before first dose of study medication. On-treatment deaths were collected from start of treatment to 130 days after last dose. Post-treatment follow-up deaths were collected from day 131 after last dose of study treatment to end of study.

Time frame: Pre-treatment: Up to 28 days prior to treatment. On-treatment: Up to approx. 1.5 years. Post-treatment follow-up: Up to approx. 4.3 years

Population: FAS including all participants to whom study treatment was assigned by randomization

ArmMeasureGroupValue (NUMBER)
CanakinumabAll Collected DeathsPre-treatment deaths0 Participants
CanakinumabAll Collected DeathsOn-treatment deaths9 Participants
CanakinumabAll Collected DeathsPost-treatment follow-up deaths53 Participants
CanakinumabAll Collected DeathsAll deaths62 Participants
PlaceboAll Collected DeathsAll deaths68 Participants
PlaceboAll Collected DeathsPre-treatment deaths0 Participants
PlaceboAll Collected DeathsPost-treatment follow-up deaths51 Participants
PlaceboAll Collected DeathsOn-treatment deaths17 Participants

Source: ClinicalTrials.gov · Data processed: Feb 22, 2026