Trial Outcomes & Findings for S0429: Docetaxel, Cetuximab, and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer (NCT NCT00288054)

NCT ID: NCT00288054

Last Updated: 2013-01-04

Results Overview

The primary endpoint will be the rate of Grade 3 or greater esophagitis and/or pneumonitis within 4 months after discontinuation of radiation therapy.

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Weekly for the first 8 weeks, then every 4 weeks thereafter for up to 4 months after complettion of radiotherapy.

Results posted on

2013-01-04

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1: Cetuximab + Radiotherapy (no Docetaxel)
Eligible patients who began protocol treatment were included in the analysis.
Overall Study
STARTED
24
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
24

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: Cetuximab + Radiotherapy (no Docetaxel)
Eligible patients who began protocol treatment were included in the analysis.
Overall Study
Protocol Violation
2
Overall Study
Lack of Efficacy
16
Overall Study
Adverse Event
3
Overall Study
Withdrawal by Subject
1
Overall Study
Not protocol specified
2

Baseline Characteristics

S0429: Docetaxel, Cetuximab, and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: Cetuximab + Radiotherapy (no Docetaxel)
n=22 Participants
Eligible patients who began protocol treatment were included in the analysis.
Age Continuous
72 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Weekly for the first 8 weeks, then every 4 weeks thereafter for up to 4 months after complettion of radiotherapy.

Population: Eligible patients who received protocol treatment were included in the analysis.

The primary endpoint will be the rate of Grade 3 or greater esophagitis and/or pneumonitis within 4 months after discontinuation of radiation therapy.

Outcome measures

Outcome measures
Measure
Cetuximab + Chest Radiation Therapy
n=22 Participants
Treatment-related Esophagitis or Pneumonitis
5 percentage of participants
Interval 0.0 to 23.0

SECONDARY outcome

Timeframe: Weekly for the first 8 weeks, then every 4 weeks while subject on protocol treatment.

Population: Eligible patients who received protocol treatment.

Only adverse events that are possibly, probably or definitely related to study drug are reported.

Outcome measures

Outcome measures
Measure
Cetuximab + Chest Radiation Therapy
n=22 Participants
Toxicity
Pain - Head/headache
1 Participants
Toxicity
Allergic reaction/hypersensitivity
1 Participants
Toxicity
Ataxia (incoordination)
1 Participants
Toxicity
Burn
1 Participants
Toxicity
Cardiac troponin I (cTnI)
1 Participants
Toxicity
Cough
1 Participants
Toxicity
Dehydration
1 Participants
Toxicity
Diarrhea
1 Participants
Toxicity
Dyspnea (shortness of breath)
3 Participants
Toxicity
Esophagitis
1 Participants
Toxicity
Fatigue (asthenia, lethargy, malaise)
1 Participants
Toxicity
Hypoxia
1 Participants
Toxicity
Inf (clin/microbio) w/Gr 3-4 neuts - Lung
1 Participants
Toxicity
Left ventricular diastolic dysfunction
1 Participants
Toxicity
Lymphopenia
4 Participants
Toxicity
Magnesium, serum-low (hypomagnesemia)
3 Participants
Toxicity
Muscle weakness, not d/t neuropathy - Extrem-lower
1 Participants
Toxicity
Neurology-Other (Specify)
1 Participants
Toxicity
Neutrophils/granulocytes (ANC/AGC)
1 Participants
Toxicity
Pain - Skin
1 Participants
Toxicity
Potassium, serum-low (hypokalemia)
1 Participants
Toxicity
Rash: acne/acneiform
2 Participants
Toxicity
Syncope (fainting)
1 Participants
Toxicity
Thrombosis/thrombus/embolism
1 Participants

SECONDARY outcome

Timeframe: weekly while patient is on protocol treatment, then monthly thereafter.

Population: Eligible patients who began protocol treatment were included in the analysis.

The duration form the date of enrollment until the date of death due to any cause. Patients last known to be alive are censored at the date of last contact.

Outcome measures

Outcome measures
Measure
Cetuximab + Chest Radiation Therapy
n=22 Participants
Overall Survival
14 months
Interval 8.0 to 24.0

SECONDARY outcome

Timeframe: At week 10, week 22, and then every 3 months until progression for up to 3 years after enrollment.

Population: Eligible patients who began protocol treatment were included in the analysis.

Duration from the date of enrollment until the date of progression (as defined by RECIST: \>= 20% increase over baseline in the sum of longest diameters, or appearance of new lesions, or non-measurable disease that is clearly worsening in the opinion of the treating investigator, or symptomatic deterioration) or death due to any cause. Patients last known to be alive and free of disease progression are censored at the date of last contact.

Outcome measures

Outcome measures
Measure
Cetuximab + Chest Radiation Therapy
n=22 Participants
Progression-free Survival.
8 months
Interval 5.0 to 9.0

SECONDARY outcome

Timeframe: Week 10 and week 22

Population: Eligible patients who began protocol treatment and who had measurable disease (as defined by RECIST) at baseline were included in the analysis.

Confirmed and unconfirmed complete and partial responses in the subset of patients with measurable disease (as defined per RECIST). A confirmed complete response (CR) is defined as disappearance of all disease, confirmed by a second determination of CR at least 4 weeks later. A confirmed partial response (PR) is defined as a \>= 30% decrease from baseline in the sum of longest diameters, confirmed by a second determination of PR at least 4 weeks later. A patient is considered to have measurable disease if they have at least one lesion with a longest diameter of \>= 2 cm by conventional CT, or \>= 1 cm by spiral CT.

Outcome measures

Outcome measures
Measure
Cetuximab + Chest Radiation Therapy
n=19 Participants
Response Rate
47 percentage of participants
Interval 24.0 to 71.0

Adverse Events

Cetuximab + Chest Radiation Therapy

Serious events: 5 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cetuximab + Chest Radiation Therapy
n=22 participants at risk
Cardiac disorders
Left ventricular diastolic dysfunction
4.5%
1/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Infections and infestations
Inf (clin/microbio) w/Gr 3-4 neuts - Lung
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Cardiac troponin I (cTnI)
4.5%
1/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
4.5%
1/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Bone
4.5%
1/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome (ARDS)
4.5%
1/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Vascular disorders
Thrombosis/thrombus/embolism
4.5%
1/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.

Other adverse events

Other adverse events
Measure
Cetuximab + Chest Radiation Therapy
n=22 participants at risk
Blood and lymphatic system disorders
Hemoglobin
36.4%
8/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Cardiac disorders
Cardiac-ischemia/infarction
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Cardiac disorders
SVT and nodal arrhythmia - Atrial fibrillation
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Cardiac disorders
SVT and nodal arrhythmia - Sinus tachycardia
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Eye disorders
Ocular/Visual-Other (Specify)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Eye disorders
Vision-blurred vision
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Constipation
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Diarrhea
40.9%
9/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
45.5%
10/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Esophagitis
40.9%
9/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Heartburn/dyspepsia
22.7%
5/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Hemorrhoids
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Nausea
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Pain - Esophagus
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Gastrointestinal disorders
Vomiting
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
General disorders
Constitutional Symptoms-Other (Specify)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
General disorders
Edema: limb
22.7%
5/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
General disorders
Fatigue (asthenia, lethargy, malaise)
68.2%
15/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
General disorders
Fever in absence of neutropenia, ANC lt1.0x10e9/L
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
General disorders
Pain-Other (Specify)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Immune system disorders
Allergic reaction/hypersensitivity
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Infections and infestations
Inf w/normal ANC or Gr 1-2 neutrophils - Skin
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Infections and infestations
Inf w/normal ANC or Gr 1-2 neutrophils - UTI
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Infections and infestations
Infection-Other (Specify)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Infections and infestations
Opportunistic inf associated w/gt=Gr 2 lymphopenia
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Injury, poisoning and procedural complications
Bruising (in absence of Gr 3-4 thrombocytopenia)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Injury, poisoning and procedural complications
Burn
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Injury, poisoning and procedural complications
Rash: dermatitis associated w/Chemoradiation
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
ALT, SGPT (serum glutamic pyruvic transaminase)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
AST, SGOT
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Alkaline phosphatase
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Creatinine
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
INR (of prothrombin time)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Leukocytes (total WBC)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Lymphopenia
31.8%
7/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Neutrophils/granulocytes (ANC/AGC)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Platelets
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Weight gain
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Investigations
Weight loss
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
27.3%
6/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Anorexia
27.3%
6/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Bicarbonate, serum-low
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
22.7%
5/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Dehydration
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
36.4%
8/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
27.3%
6/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
27.3%
6/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Sodium, serum-high (hypernatremia)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Muscle weakness, not d/t neuropathy - Extrem-lower
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Muscle weakness, not d/t neuropathy - body/general
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Back
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Chest wall
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Extremity-limb
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Joint
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Muscle
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Musculoskeletal and connective tissue disorders
Pain - Neck
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Nervous system disorders
Dizziness
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Nervous system disorders
Neurology-Other (Specify)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Nervous system disorders
Neuropathy: sensory
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Nervous system disorders
Ocular/Visual-Other (Specify)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Nervous system disorders
Pain - Head/headache
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Nervous system disorders
Taste alteration (dysgeusia)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Psychiatric disorders
Mood alteration - depression
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Renal and urinary disorders
Pain - Bladder
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Renal and urinary disorders
Urinary frequency/urgency
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Bronchospasm, wheezing
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Cough
40.9%
9/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
45.5%
10/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory - Lung
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory - Nose
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Hypoxia
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
27.3%
6/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other (Specify)
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Dry skin
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Nail changes
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Pain - Skin
9.1%
2/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Pruritus/itching
18.2%
4/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Rash/desquamation
27.3%
6/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
68.2%
15/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Vascular disorders
Hypertension
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.
Vascular disorders
Hypotension
13.6%
3/22 • Weekly for the first 8 weeks, then every 4 weeks while on protocol treatment.

Additional Information

Lung Committee Statistician

SWOG Statistical Center

Phone: 206-667-4623

Results disclosure agreements

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