Non-Small Cell Lung Cancer
Conditions
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
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.
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Disease Free Survival (DFS) by Local Investigator | Up to approximately 4 years | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) in PD-L1 Subgroups | Up to approximately 4.3 years | 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%. |
| Overall Survival (OS) in CD8 Subgroups | up to approximately 4.3 years | 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. |
| Lung Cancer Specific Survival (LCSS) | Up to approximately 4.3 years | 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. |
| Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | Up to approximately 4 years | 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%. |
| Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups | Up to approximately 4 years | 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. |
| Canakinumab Serum Concentrations | 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 | Serum concentrations of canakinumab were determinded using an ELISA method. |
| Overall Survival (OS) | Up to approximately 4.3 years | 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. |
| Canakinumab ADA Incidence | From baseline up to 130 days after end of treatment, assessed up to approx. 1.5 years | 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 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 | From baseline up to approximately 4 years | 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 to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | From baseline up to approximately 4 years | 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 to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | From baseline up to approximately 4 years | 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 to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | From baseline up to approximately 4 years | 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. |
| 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 Baseline | Baseline | Canakinumab 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
| Arm | Count |
|---|---|
| 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 |
| Total | 1,382 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 34 | 31 |
| Overall Study | Death | 2 | 7 |
| Overall Study | Lost to Follow-up | 0 | 1 |
| Overall Study | Patient decision | 27 | 27 |
| Overall Study | Physician Decision | 13 | 5 |
| Overall Study | Progressive disease | 138 | 148 |
| Overall Study | Protocol deviation | 4 | 6 |
| Overall Study | Study terminated by Sponsor | 60 | 44 |
| Overall Study | Technical problems | 1 | 0 |
Baseline characteristics
| Characteristic | Canakinumab | Placebo | Total |
|---|---|---|---|
| Age, Continuous | 61.5 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 Participants | 5 Participants | 5 Participants |
| Race/Ethnicity, Customized Asian | 248 Participants | 236 Participants | 484 Participants |
| Race/Ethnicity, Customized Black or African American | 3 Participants | 4 Participants | 7 Participants |
| Race/Ethnicity, Customized Missing | 49 Participants | 52 Participants | 101 Participants |
| Race/Ethnicity, Customized Multiple | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized White | 393 Participants | 391 Participants | 784 Participants |
| Sex: Female, Male Female | 263 Participants | 257 Participants | 520 Participants |
| Sex: Female, Male Male | 430 Participants | 432 Participants | 862 Participants |
Adverse events
| Event type | EG000 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 / 1,382 | 9 / 692 | 53 / 671 | 17 / 689 | 51 / 662 |
| other Total, other adverse events | 0 / 0 | 465 / 692 | 0 / 0 | 455 / 689 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 141 / 692 | 0 / 0 | 146 / 689 | 0 / 0 |
Outcome results
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Canakinumab | Disease Free Survival (DFS) by Local Investigator | 35.02 Months |
| Placebo | Disease Free Survival (DFS) by Local Investigator | 29.73 Months |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Canakinumab | Canakinumab ADA Incidence | 7 Participants |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Canakinumab | Canakinumab Anti-drug Antibody (ADA) Prevalence at Baseline | 8 Participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Canakinumab | Canakinumab Serum Concentrations | Cycle 1 Day 1 | 0 ug/ml | Standard Deviation 0 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 1 Day 8 | 18.1 ug/ml | Standard Deviation 6.53 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 1 Day 15 | 16.9 ug/ml | Standard Deviation 5.43 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 2 Day 1 | 15.0 ug/ml | Standard Deviation 4.91 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 4 Day 1 | 29.7 ug/ml | Standard Deviation 10.3 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 6 Day 1 | 34.7 ug/ml | Standard Deviation 13 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 9 Day 1 | 37.1 ug/ml | Standard Deviation 14.5 |
| Canakinumab | Canakinumab Serum Concentrations | Cycle 12 Day 1 | 38.6 ug/ml | Standard Deviation 15.5 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 54 | 0.0 Score on a scale | Standard Deviation 0.18 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 30 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 57 | 0.0 Score on a scale | — |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 18 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 60 | -0.2 Score on a scale | — |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 33 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 63 | 0.0 Score on a scale | — |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 69 | 0.0 Score on a scale | — |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 1 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 12 | 0.0 Score on a scale | Standard Deviation 0.12 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 2 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 36 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 3 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 21 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 4 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 39 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 5 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 9 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 1 | 0.0 Score on a scale | Standard Deviation 0.16 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 42 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 2 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 24 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 3 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 45 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 4 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 15 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 5 | 0.0 Score on a scale | Standard Deviation 0.1 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 48 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Canakinumab | Change 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 scale | Standard Deviation 0.16 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 27 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change 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 scale | Standard Deviation 0.18 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 3 | 0.0 Score on a scale | Standard Deviation 0.11 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 51 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Canakinumab | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 6 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Placebo | Change 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 scale | Standard Deviation 0.18 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 3 | 0.0 Score on a scale | Standard Deviation 0.12 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 6 | 0.0 Score on a scale | Standard Deviation 0.12 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 9 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 12 | 0.0 Score on a scale | Standard Deviation 0.12 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 15 | 0.0 Score on a scale | Standard Deviation 0.12 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 18 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 21 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 24 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 27 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 30 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 33 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 36 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 39 | 0.0 Score on a scale | Standard Deviation 0.13 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 42 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 45 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 48 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 51 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 54 | 0.1 Score on a scale | Standard Deviation 0.12 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 57 | -0.1 Score on a scale | — |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Week 60 | -0.1 Score on a scale | — |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 1 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 2 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 3 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 4 | 0.0 Score on a scale | Standard Deviation 0.16 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Safety FU 5 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 1 | 0.0 Score on a scale | Standard Deviation 0.14 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 2 | 0.0 Score on a scale | Standard Deviation 0.16 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 3 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 4 | 0.0 Score on a scale | Standard Deviation 0.15 |
| Placebo | Change From Baseline in the Utility Score of the EuroQoL- 5 Dimension- 5 Level (EQ-5D-5L) | Efficacy FU 5 | -0.1 Score on a scale | Standard Deviation 0.17 |
| Placebo | Change 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 scale | Standard Deviation 0.22 |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups | CD8 < median | 26.58 Months |
| Canakinumab | Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups | CD8 ≥ median | 46.95 Months |
| Placebo | Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups | CD8 < median | NA Months |
| Placebo | Disease Free Survival (DFS) by Local Investigator in CD8 Subgroups | CD8 ≥ median | NA Months |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | PD-L1 <1% | 30.72 Months |
| Canakinumab | Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | PD-L1 ≥1% and <49% | 30.42 Months |
| Canakinumab | Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | PD-L1 ≥50% | 46.95 Months |
| Placebo | Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | PD-L1 <1% | NA Months |
| Placebo | Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | PD-L1 ≥1% and <49% | NA Months |
| Placebo | Disease Free Survival (DFS) by Local Investigator in PD-L1 Subgroups | PD-L1 ≥50% | NA Months |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Canakinumab | Lung Cancer Specific Survival (LCSS) | 51.12 Months |
| Placebo | Lung Cancer Specific Survival (LCSS) | NA Months |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Canakinumab | Overall Survival (OS) | 51.12 Months |
| Placebo | Overall Survival (OS) | NA Months |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Overall Survival (OS) in CD8 Subgroups | CD8 < median | 46.95 Months |
| Canakinumab | Overall Survival (OS) in CD8 Subgroups | CD8 ≥ median | 51.12 Months |
| Placebo | Overall Survival (OS) in CD8 Subgroups | CD8 < median | NA Months |
| Placebo | Overall Survival (OS) in CD8 Subgroups | CD8 ≥ median | NA Months |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Overall Survival (OS) in PD-L1 Subgroups | PD-L1 <1% | NA Months |
| Canakinumab | Overall Survival (OS) in PD-L1 Subgroups | PD-L1 ≥1% and <49% | 46.95 Months |
| Canakinumab | Overall Survival (OS) in PD-L1 Subgroups | PD-L1 ≥50% | 51.12 Months |
| Placebo | Overall Survival (OS) in PD-L1 Subgroups | PD-L1 <1% | NA Months |
| Placebo | Overall Survival (OS) in PD-L1 Subgroups | PD-L1 ≥1% and <49% | NA Months |
| Placebo | Overall Survival (OS) in PD-L1 Subgroups | PD-L1 ≥50% | NA Months |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Global health status/QoL | 34.99 Months |
| Canakinumab | Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Shortness of breath | NA Months |
| Canakinumab | Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Pain | 29.93 Months |
| Placebo | Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Global health status/QoL | 35.15 Months |
| Placebo | Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Shortness of breath | 35.15 Months |
| Placebo | Time to Definitive 10 Point Deterioration of Global Health Status/Quality of Life (QoL), Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Pain | 36.44 Months |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | 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 | Pain | NA Months |
| Canakinumab | 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 | Cough | NA Months |
| Canakinumab | 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 | Dyspnea | 28.88 Months |
| Placebo | 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 | Pain | NA Months |
| Placebo | 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 | Cough | NA Months |
| Placebo | 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 | Dyspnea | 34.99 Months |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | Pain | 35.15 Months |
| Canakinumab | Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | Cough | 15.44 Months |
| Canakinumab | Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | Dyspnea | 4.17 Months |
| Placebo | Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | Pain | NA Months |
| Placebo | Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | Cough | 15.01 Months |
| Placebo | Time to First 10 Point Deterioration for Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire | Dyspnea | 4.86 Months |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Canakinumab | Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Global health status/QoL | 9.23 Months |
| Canakinumab | Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Shortness of breath | 29.14 Months |
| Canakinumab | Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Pain | 5.49 Months |
| Placebo | Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Global health status/QoL | 9.07 Months |
| Placebo | Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Shortness of breath | NA Months |
| Placebo | Time to First 10 Point Deterioration of Global Health Status/QoL, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire | Pain | 5.62 Months |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Canakinumab | All Collected Deaths | Pre-treatment deaths | 0 Participants |
| Canakinumab | All Collected Deaths | On-treatment deaths | 9 Participants |
| Canakinumab | All Collected Deaths | Post-treatment follow-up deaths | 53 Participants |
| Canakinumab | All Collected Deaths | All deaths | 62 Participants |
| Placebo | All Collected Deaths | All deaths | 68 Participants |
| Placebo | All Collected Deaths | Pre-treatment deaths | 0 Participants |
| Placebo | All Collected Deaths | Post-treatment follow-up deaths | 51 Participants |
| Placebo | All Collected Deaths | On-treatment deaths | 17 Participants |