Trial Outcomes & Findings for Cetuximab and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer (NCT NCT00124618)

NCT ID: NCT00124618

Last Updated: 2016-07-06

Results Overview

Eleven-month survival was chosen as the survival endpoint in this trial because it represents an improvement over the median survival that is observed with radiation alone. 11-month survival will be considered synonymous with "success", unless specified otherwise. The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. All evaluable patients will be followed from the time of protocol enrollment until death or a minimum of 11 months.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

58 participants

Primary outcome timeframe

From baseline to 11 months.

Results posted on

2016-07-06

Participant Flow

This study enrolled a total of 58 patients. All patients received study treatment, and one patient was deemed ineligible during an North Central Cancer Treatment Group (NCCTG) audit. This analysis includes all 58 patients, with the exception of Overall Survival (OS), Time to Progression (TTP), and response which remove the ineligible patient.

Participant milestones

Participant milestones
Measure
Cetuximab/Radiation
Cetuximab (C225) and Radiation therapy
Overall Study
STARTED
58
Overall Study
COMPLETED
57
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Cetuximab/Radiation
Cetuximab (C225) and Radiation therapy
Overall Study
Ineligible
1

Baseline Characteristics

Cetuximab and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cetuximab/Radiation
n=58 Participants
Cetuximab (C225) and Radiation therapy
Age, Customized
Median Age in years (Range)
77 years
n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
Sex: Female, Male
Male
35 Participants
n=5 Participants
Region of Enrollment
United States
58 participants
n=5 Participants

PRIMARY outcome

Timeframe: From baseline to 11 months.

Population: This study enrolled a total of 58 patients. All patients received study treatment, and one patient was deemed ineligible during an NCCTG audit. This analysis includes all 57 patients. Forty of 57 patients (70%) reached the 11-month survival primary point.

Eleven-month survival was chosen as the survival endpoint in this trial because it represents an improvement over the median survival that is observed with radiation alone. 11-month survival will be considered synonymous with "success", unless specified otherwise. The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. All evaluable patients will be followed from the time of protocol enrollment until death or a minimum of 11 months.

Outcome measures

Outcome measures
Measure
Cetuximab/Radiation
n=57 Participants
Cetuximab (C225) and Radiation therapy
11-month Survival Rate
70 percentage of participants

SECONDARY outcome

Timeframe: From baseline to up to 3 years

Survival time is defined as the time from registration to death due to any cause. The distribution of survival time will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Cetuximab/Radiation
n=57 Participants
Cetuximab (C225) and Radiation therapy
Survival Time
15.1 months
Interval 13.1 to 19.3

SECONDARY outcome

Timeframe: From Baseline to up to 3 years

Time to disease progression is defined as the time from registration to documentation of disease progression. If a patient dies without a documentation of disease progression, the patient will be considered to have had tumor progression at the time of their death unless there is sufficient documented evidence to conclude no progression occurred prior to death.

Outcome measures

Outcome measures
Measure
Cetuximab/Radiation
n=57 Participants
Cetuximab (C225) and Radiation therapy
Time to Disease Progression
7.2 months
Interval 5.8 to 8.6

SECONDARY outcome

Timeframe: Baseline, 1 month and 4 months after completion of treatment and then every 3 months until Progressive Disease (PD) or up to a maximum of 3 years from registration

A confirmed tumor response is defined to be a Complete Response (CR) or Partial Response (PR) noted as the objective status on 2 consecutive evaluations at least 3 months apart. All patients meeting the eligibility criteria who have signed a consent form and have begun treatment will be evaluable for response.

Outcome measures

Outcome measures
Measure
Cetuximab/Radiation
n=57 Participants
Cetuximab (C225) and Radiation therapy
Tumor Response (Complete and Partial)
Number of patients with Partial Response (PR)
15 participants
Tumor Response (Complete and Partial)
Number of patients with Complete Response (CR)
0 participants

Adverse Events

Cetuximab/Radiation

Serious events: 3 serious events
Other events: 58 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cetuximab/Radiation
n=58 participants at risk
Cetuximab (C225) and Radiation therapy
Gastrointestinal disorders
Diarrhea
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Gastrointestinal disorder
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Nausea
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Vomiting
1.7%
1/58 • Number of events 1
Infections and infestations
Pneumonia
1.7%
1/58 • Number of events 1
Infections and infestations
Urinary tract infection
1.7%
1/58 • Number of events 1
Metabolism and nutrition disorders
Dehydration
1.7%
1/58 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.7%
1/58 • Number of events 1

Other adverse events

Other adverse events
Measure
Cetuximab/Radiation
n=58 participants at risk
Cetuximab (C225) and Radiation therapy
Blood and lymphatic system disorders
Hemoglobin decreased
5.2%
3/58 • Number of events 4
Cardiac disorders
Arrhythmia
1.7%
1/58 • Number of events 1
Cardiac disorders
Cardiac disorder
1.7%
1/58 • Number of events 1
Cardiac disorders
Myocardial ischemia
1.7%
1/58 • Number of events 2
Eye disorders
Extraocular muscle paresis
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Constipation
12.1%
7/58 • Number of events 18
Gastrointestinal disorders
Diarrhea
19.0%
11/58 • Number of events 30
Gastrointestinal disorders
Dyspepsia
6.9%
4/58 • Number of events 5
Gastrointestinal disorders
Dysphagia
17.2%
10/58 • Number of events 19
Gastrointestinal disorders
Ear, nose and throat examination abnormal
32.8%
19/58 • Number of events 47
Gastrointestinal disorders
Esophageal mucositis
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Esophageal pain
5.2%
3/58 • Number of events 4
Gastrointestinal disorders
Esophageal stenosis
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Esophagitis
5.2%
3/58 • Number of events 4
Gastrointestinal disorders
Mucositis oral
31.0%
18/58 • Number of events 46
Gastrointestinal disorders
Nausea
43.1%
25/58 • Number of events 72
Gastrointestinal disorders
Oral pain
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Rectal pain
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Upper gastrointestinal hemorrhage
1.7%
1/58 • Number of events 1
Gastrointestinal disorders
Vomiting
32.8%
19/58 • Number of events 31
General disorders
Chills
3.4%
2/58 • Number of events 4
General disorders
Death NOS
1.7%
1/58 • Number of events 1
General disorders
Disease progression
3.4%
2/58 • Number of events 2
General disorders
Fatigue
41.4%
24/58 • Number of events 68
General disorders
Pain
3.4%
2/58 • Number of events 7
Immune system disorders
Hypersensitivity
6.9%
4/58 • Number of events 5
Infections and infestations
Nail infection
1.7%
1/58 • Number of events 1
Infections and infestations
Pneumonia
20.7%
12/58 • Number of events 17
Infections and infestations
Skin infection
1.7%
1/58 • Number of events 3
Infections and infestations
Urinary tract infection
3.4%
2/58 • Number of events 2
Injury, poisoning and procedural complications
Aortic injury
1.7%
1/58 • Number of events 1
Injury, poisoning and procedural complications
Dermatitis radiation
5.2%
3/58 • Number of events 4
Investigations
Alanine aminotransferase increased
1.7%
1/58 • Number of events 1
Investigations
INR increased
1.7%
1/58 • Number of events 1
Investigations
Leukocyte count decreased
20.7%
12/58 • Number of events 24
Investigations
Lymphocyte count decreased
8.6%
5/58 • Number of events 11
Investigations
Neutrophil count decreased
1.7%
1/58 • Number of events 1
Investigations
Platelet count decreased
8.6%
5/58 • Number of events 16
Investigations
Weight loss
3.4%
2/58 • Number of events 4
Metabolism and nutrition disorders
Anorexia
22.4%
13/58 • Number of events 48
Metabolism and nutrition disorders
Blood glucose increased
5.2%
3/58 • Number of events 6
Metabolism and nutrition disorders
Dehydration
12.1%
7/58 • Number of events 9
Metabolism and nutrition disorders
Serum albumin decreased
1.7%
1/58 • Number of events 1
Metabolism and nutrition disorders
Serum calcium decreased
1.7%
1/58 • Number of events 1
Metabolism and nutrition disorders
Serum magnesium decreased
37.9%
22/58 • Number of events 64
Metabolism and nutrition disorders
Serum phosphate decreased
3.4%
2/58 • Number of events 6
Metabolism and nutrition disorders
Serum potassium decreased
1.7%
1/58 • Number of events 1
Metabolism and nutrition disorders
Serum potassium increased
1.7%
1/58 • Number of events 2
Metabolism and nutrition disorders
Serum sodium decreased
5.2%
3/58 • Number of events 3
Musculoskeletal and connective tissue disorders
Arthralgia
1.7%
1/58 • Number of events 1
Musculoskeletal and connective tissue disorders
Bone pain
1.7%
1/58 • Number of events 2
Musculoskeletal and connective tissue disorders
Chest wall pain
1.7%
1/58 • Number of events 3
Musculoskeletal and connective tissue disorders
Muscle weakness
3.4%
2/58 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
3.4%
2/58 • Number of events 6
Musculoskeletal and connective tissue disorders
Myalgia
5.2%
3/58 • Number of events 5
Musculoskeletal and connective tissue disorders
Pain in extremity
1.7%
1/58 • Number of events 2
Nervous system disorders
Ataxia
1.7%
1/58 • Number of events 1
Nervous system disorders
Dizziness
6.9%
4/58 • Number of events 5
Nervous system disorders
Extrapyramidal disorder
1.7%
1/58 • Number of events 1
Nervous system disorders
Headache
12.1%
7/58 • Number of events 7
Nervous system disorders
Peripheral motor neuropathy
1.7%
1/58 • Number of events 2
Nervous system disorders
Peripheral sensory neuropathy
1.7%
1/58 • Number of events 1
Psychiatric disorders
Agitation
1.7%
1/58 • Number of events 1
Psychiatric disorders
Confusion
3.4%
2/58 • Number of events 2
Psychiatric disorders
Depression
3.4%
2/58 • Number of events 3
Psychiatric disorders
Insomnia
3.4%
2/58 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Bronchial obstruction
1.7%
1/58 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
8.6%
5/58 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Dyspnea
20.7%
12/58 • Number of events 19
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.7%
1/58 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngeal examination abnormal
13.8%
8/58 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
31.0%
18/58 • Number of events 56
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
1.7%
1/58 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Pleural effusion
1.7%
1/58 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonitis
6.9%
4/58 • Number of events 5
Skin and subcutaneous tissue disorders
Dry skin
5.2%
3/58 • Number of events 4
Skin and subcutaneous tissue disorders
Nail disorder
20.7%
12/58 • Number of events 38
Skin and subcutaneous tissue disorders
Pruritus
5.2%
3/58 • Number of events 4
Skin and subcutaneous tissue disorders
Rash acneiform
1.7%
1/58 • Number of events 3
Skin and subcutaneous tissue disorders
Rash desquamating
86.2%
50/58 • Number of events 258
Skin and subcutaneous tissue disorders
Skin disorder
3.4%
2/58 • Number of events 5
Skin and subcutaneous tissue disorders
Sweating
1.7%
1/58 • Number of events 1
Vascular disorders
Hypotension
1.7%
1/58 • Number of events 2
Vascular disorders
Thrombosis
1.7%
1/58 • Number of events 1

Additional Information

Aminah Jatoi, M.D.

Mayo Clinic

Phone: 507/538-0268

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place