Trial Outcomes & Findings for Study of Pemetrexed and Carboplatin Compared With Etoposide Carboplatin to Treat Extensive-Stage Small Cell Lung Cancer (NCT NCT00363415)

NCT ID: NCT00363415

Last Updated: 2009-10-28

Results Overview

Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

908 participants

Primary outcome timeframe

baseline to date of death from any cause (up to 19.6 months)

Results posted on

2009-10-28

Participant Flow

Participants who received at least one dose of study drug were, per protocol, the patient population used for the summary of safety data (eg, Serious Adverse Events).

Participant milestones

Participant milestones
Measure
Pemetrexed + Carboplatin
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Overall Study
STARTED
453
455
Overall Study
Received at Least One Dose of Study Drug
433
447
Overall Study
COMPLETED
92
206
Overall Study
NOT COMPLETED
361
249

Reasons for withdrawal

Reasons for withdrawal
Measure
Pemetrexed + Carboplatin
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Overall Study
Progressive Disease
196
107
Overall Study
Sponsor Decision
67
31
Overall Study
Death
32
29
Overall Study
Adverse Event
24
15
Overall Study
Physician Decision
18
35
Overall Study
Entry Criteria Not Met
11
10
Overall Study
Withdrawal by Subject
9
15
Overall Study
Lost to Follow-up
3
3
Overall Study
Protocol Violation
1
4

Baseline Characteristics

Study of Pemetrexed and Carboplatin Compared With Etoposide Carboplatin to Treat Extensive-Stage Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pemetrexed + Carboplatin
n=453 Participants
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
n=455 Participants
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Total
n=908 Participants
Total of all reporting groups
Age, Customized
<=65 years
267 participants
n=93 Participants
275 participants
n=4 Participants
542 participants
n=27 Participants
Age, Customized
>65 years
186 participants
n=93 Participants
180 participants
n=4 Participants
366 participants
n=27 Participants
Sex: Female, Male
Female
128 Participants
n=93 Participants
125 Participants
n=4 Participants
253 Participants
n=27 Participants
Sex: Female, Male
Male
325 Participants
n=93 Participants
330 Participants
n=4 Participants
655 Participants
n=27 Participants
Region of Enrollment
United States
92 participants
n=93 Participants
83 participants
n=4 Participants
175 participants
n=27 Participants
Region of Enrollment
Portugal
9 participants
n=93 Participants
7 participants
n=4 Participants
16 participants
n=27 Participants
Region of Enrollment
Taiwan
11 participants
n=93 Participants
12 participants
n=4 Participants
23 participants
n=27 Participants
Region of Enrollment
Greece
7 participants
n=93 Participants
8 participants
n=4 Participants
15 participants
n=27 Participants
Region of Enrollment
Spain
16 participants
n=93 Participants
21 participants
n=4 Participants
37 participants
n=27 Participants
Region of Enrollment
Russian Federation
30 participants
n=93 Participants
16 participants
n=4 Participants
46 participants
n=27 Participants
Region of Enrollment
Italy
7 participants
n=93 Participants
8 participants
n=4 Participants
15 participants
n=27 Participants
Region of Enrollment
India
12 participants
n=93 Participants
14 participants
n=4 Participants
26 participants
n=27 Participants
Region of Enrollment
France
19 participants
n=93 Participants
10 participants
n=4 Participants
29 participants
n=27 Participants
Region of Enrollment
Australia
21 participants
n=93 Participants
19 participants
n=4 Participants
40 participants
n=27 Participants
Region of Enrollment
South Africa
0 participants
n=93 Participants
1 participants
n=4 Participants
1 participants
n=27 Participants
Region of Enrollment
Netherlands
17 participants
n=93 Participants
17 participants
n=4 Participants
34 participants
n=27 Participants
Region of Enrollment
China
14 participants
n=93 Participants
18 participants
n=4 Participants
32 participants
n=27 Participants
Region of Enrollment
Korea, Republic of
17 participants
n=93 Participants
15 participants
n=4 Participants
32 participants
n=27 Participants
Region of Enrollment
Turkey
15 participants
n=93 Participants
13 participants
n=4 Participants
28 participants
n=27 Participants
Region of Enrollment
Austria
5 participants
n=93 Participants
14 participants
n=4 Participants
19 participants
n=27 Participants
Region of Enrollment
United Kingdom
16 participants
n=93 Participants
18 participants
n=4 Participants
34 participants
n=27 Participants
Region of Enrollment
Hungary
19 participants
n=93 Participants
13 participants
n=4 Participants
32 participants
n=27 Participants
Region of Enrollment
Argentina
2 participants
n=93 Participants
6 participants
n=4 Participants
8 participants
n=27 Participants
Region of Enrollment
Belgium
12 participants
n=93 Participants
17 participants
n=4 Participants
29 participants
n=27 Participants
Region of Enrollment
Brazil
4 participants
n=93 Participants
7 participants
n=4 Participants
11 participants
n=27 Participants
Region of Enrollment
Poland
29 participants
n=93 Participants
34 participants
n=4 Participants
63 participants
n=27 Participants
Region of Enrollment
Romania
20 participants
n=93 Participants
23 participants
n=4 Participants
43 participants
n=27 Participants
Region of Enrollment
Germany
58 participants
n=93 Participants
59 participants
n=4 Participants
117 participants
n=27 Participants
Region of Enrollment
New Zealand
1 participants
n=93 Participants
2 participants
n=4 Participants
3 participants
n=27 Participants
Eastern Cooperative Oncology Group Performance Status
0 - Fully Active
133 participants
n=93 Participants
121 participants
n=4 Participants
254 participants
n=27 Participants
Eastern Cooperative Oncology Group Performance Status
1 - Ambulatory, Restricted Strenuous Activity
265 participants
n=93 Participants
277 participants
n=4 Participants
542 participants
n=27 Participants
Eastern Cooperative Oncology Group Performance Status
2 - Ambulatory, No Work Activities
54 participants
n=93 Participants
55 participants
n=4 Participants
109 participants
n=27 Participants
Eastern Cooperative Oncology Group Performance Status
3 - Partially Confined to Bed, Limited Self Care
1 participants
n=93 Participants
0 participants
n=4 Participants
1 participants
n=27 Participants
Eastern Cooperative Oncology Group Performance Status
Not Reported
0 participants
n=93 Participants
2 participants
n=4 Participants
2 participants
n=27 Participants
History of Brain Metastases
No
410 participants
n=93 Participants
412 participants
n=4 Participants
822 participants
n=27 Participants
History of Brain Metastases
Yes
43 participants
n=93 Participants
41 participants
n=4 Participants
84 participants
n=27 Participants
History of Brain Metastases
Not Reported
0 participants
n=93 Participants
2 participants
n=4 Participants
2 participants
n=27 Participants
Race/Ethnicity
Caucasian
391 participants
n=93 Participants
379 participants
n=4 Participants
770 participants
n=27 Participants
Race/Ethnicity
East Asian
43 participants
n=93 Participants
49 participants
n=4 Participants
92 participants
n=27 Participants
Race/Ethnicity
West Asian
12 participants
n=93 Participants
12 participants
n=4 Participants
24 participants
n=27 Participants
Race/Ethnicity
African
5 participants
n=93 Participants
8 participants
n=4 Participants
13 participants
n=27 Participants
Race/Ethnicity
Hispanic
1 participants
n=93 Participants
5 participants
n=4 Participants
6 participants
n=27 Participants
Race/Ethnicity
Aboriginal and/or Torres Strait Islander
0 participants
n=93 Participants
2 participants
n=4 Participants
2 participants
n=27 Participants
Race/Ethnicity
Native American
1 participants
n=93 Participants
0 participants
n=4 Participants
1 participants
n=27 Participants

PRIMARY outcome

Timeframe: baseline to date of death from any cause (up to 19.6 months)

Population: Number of participants with events. In the pemetrexed+carboplatin group, 242 participants were censored. In the etoposide+carboplatin group, 288 participants were censored.

Overall survival is the duration from enrollment to death. For patients who are alive, overall survival is censored at the last contact.

Outcome measures

Outcome measures
Measure
Pemetrexed + Carboplatin
n=211 Participants
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
n=167 Participants
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Overall Survival
8.1 months
Interval 7.3 to 9.1
10.6 months
Interval 9.7 to 11.6

SECONDARY outcome

Timeframe: baseline to date of death from any cause (up to 19.6 months)

Population: Number of randomized participants.

The effects of individual baseline factors (sex, race, Eastern Cooperative Oncology Group (ECOG) performance, region, lactate dehydrogenase (LDH), age, number of metastatic sites, and history of brain metastases) on overall survival are reported. For two subgroups - LDH\<=upper limit of normal and brain metastases=yes, the upper limits of the 95% confidence interval were not calculable for the etoposide+carboplatin group - instead the number of participants in these two subgroups are presented as a post-hoc outcome measure.

Outcome measures

Outcome measures
Measure
Pemetrexed + Carboplatin
n=453 Participants
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
n=455 Participants
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Overall Survival (Subgroups)
Region: United States (n=92, n=83)
8.1 months
Interval 7.3 to 9.8
11.3 months
Interval 9.3 to 12.9
Overall Survival (Subgroups)
Sex: Male (n=325, n=330)
8.2 months
Interval 7.2 to 9.1
10.4 months
Interval 9.3 to 11.5
Overall Survival (Subgroups)
Sex: Female (n=128, n=125)
8.1 months
Interval 7.2 to 9.7
11.6 months
Interval 10.3 to 13.0
Overall Survival (Subgroups)
Race: Caucasian (n=391, n=379)
8.2 months
Interval 7.6 to 9.4
11.2 months
Interval 9.9 to 12.0
Overall Survival (Subgroups)
Race: Non-Caucasian (n=62, n=76)
7.1 months
Interval 5.7 to 9.1
8.7 months
Interval 7.2 to 14.9
Overall Survival (Subgroups)
ECOG: 0 or 1 (n=398, n=398)
8.5 months
Interval 7.8 to 9.4
11.3 months
Interval 10.1 to 12.0
Overall Survival (Subgroups)
ECOG: 2 (n=54, n=55)
6.2 months
Interval 3.7 to 7.3
5.2 months
Interval 3.9 to 9.5
Overall Survival (Subgroups)
Region: European Union (n=279, n=278)
8.5 months
Interval 7.2 to 9.7
11.2 months
Interval 9.5 to 12.9
Overall Survival (Subgroups)
Region: Intercontinential Region (n=82, n=94)
7.2 months
Interval 6.1 to 8.6
9.9 months
Interval 8.5 to 11.9
Overall Survival (Subgroups)
LDH: >Upper Limit of Normal (n=276, n=273)
7.2 months
Interval 6.5 to 8.3
9.3 months
Interval 8.0 to 10.4
Overall Survival (Subgroups)
Age: <= 65 years (n=267, n=275)
8.4 months
Interval 7.5 to 9.7
11.5 months
Interval 10.3 to 12.9
Overall Survival (Subgroups)
Age: >65 years (n=186, n=180)
7.7 months
Interval 7.1 to 9.0
9.7 months
Interval 8.7 to 11.3
Overall Survival (Subgroups)
Number Metastatic Sites: <=2 (n=172, n=204)
10.0 months
Interval 8.6 to 13.5
11.5 months
Interval 10.1 to 13.2
Overall Survival (Subgroups)
Number Metastatic Sites: >=3 (n=273, n=246)
7.7 months
Interval 7.2 to 8.2
10.3 months
Interval 9.3 to 11.3
Overall Survival (Subgroups)
History of Brain Metastases: No (n=410, n=412)
8.2 months
Interval 7.3 to 9.1
10.6 months
Interval 9.5 to 11.6

SECONDARY outcome

Timeframe: baseline to measured progressive disease (up to 14.7 months)

Population: All randomized participants. Number of participants censored: 113 in Pemetrexed+Carboplatin; 150 in Etoposide+Carboplatin.

The period from study entry until disease progression, death or date of last contact.

Outcome measures

Outcome measures
Measure
Pemetrexed + Carboplatin
n=453 Participants
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
n=455 Participants
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Progression Free Survival
3.8 months
Interval 3.5 to 4.2
5.4 months
Interval 5.2 to 5.7

SECONDARY outcome

Timeframe: baseline and 6 cycles (21-day cycles)

Population: Number of randomized participants with baseline and non-missing value at respective cycle.

FACT-L measures following domains of health-related quality of life (HR-QL): physical well-being, social/family well-being, emotional well-being, functional well-being, and additional concerns of lung cancer. Total scores range from 0 to 136, with higher scores representing better HR-QL. A clinically meaningful change is considered to be 5 points.

Outcome measures

Outcome measures
Measure
Pemetrexed + Carboplatin
n=384 Participants
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
n=383 Participants
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Baseline (n=384, n=383)
87.42 units on a scale
Standard Deviation 15.40
87.79 units on a scale
Standard Deviation 16.63
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Cycle 1 Change from Baseline (n=270, n=275)
-0.22 units on a scale
Standard Deviation 12.48
1.55 units on a scale
Standard Deviation 11.11
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Cycle 2 Change from Baseline (n=283, n=310)
0.17 units on a scale
Standard Deviation 13.72
1.73 units on a scale
Standard Deviation 12.73
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Cycle 3 Change from Baseline (n=225, n=277)
0.06 units on a scale
Standard Deviation 14.61
1.70 units on a scale
Standard Deviation 13.98
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Cycle 4 Change from Baseline (n=199, n=259)
-0.14 units on a scale
Standard Deviation 15.28
1.69 units on a scale
Standard Deviation 13.42
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Cycle 5 Change from Baseline (n=140, n=203)
0.27 units on a scale
Standard Deviation 16.34
1.94 units on a scale
Standard Deviation 14.06
Change From Baseline to Each Cycle in Functional Assessment of Cancer Therapy - Lung (FACT-L)
Cycle 6 Change from Baseline (n=98, n=146)
0.34 units on a scale
Standard Deviation 17.56
3.73 units on a scale
Standard Deviation 14.97

SECONDARY outcome

Timeframe: baseline to date of death due to any cause (up to 19.6 months)

Population: The upper limit of the 95% Confidence Intervals (CI) were not calculable for these two subgroups in the etoposide+carboplatin group so medians and lower limits of the 95% CI are not presented. A post-hoc outcome measure table provides the number of participants in each subgroup.

The effects of individual baseline factors (lactate dehydrogenase (LDH) and history of brain metastases) on overall survival are reported. The Upper Limits of the 95% Confidence Intervals were not calculable for these factors in the Etoposide+Carboplatin group. The number of participants in these subgroup are instead presented as a Post-Hoc Outcome Measure.

Outcome measures

Outcome data not reported

POST_HOC outcome

Timeframe: baseline to date of death due to any cause (up to 19.6 months)

Population: Number of randomized participants.

Number of participants with Low Density Lipoprotein \<=upper limit of normal and the number of participants with a history of brain metastases. This post-hoc outcome replaces the one for Overall Survival (Subgroups: LDH\<=Upper Limit of Normal and History of Brain Metastases=Yes).

Outcome measures

Outcome measures
Measure
Pemetrexed + Carboplatin
n=453 Participants
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Etoposide + Carboplatin
n=455 Participants
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles
Number of Participants in Subgroups: LDH<=Upper Limit of Normal and History of Brain Metastases=Yes
LDH: <=Upper Limit of Normal
167 participants
169 participants
Number of Participants in Subgroups: LDH<=Upper Limit of Normal and History of Brain Metastases=Yes
History of Brain Metastases: Yes
43 participants
41 participants

Adverse Events

Pemetrexed + Carboplatin

Serious events: 150 serious events
Other events: 425 other events
Deaths: 0 deaths

Etoposide + Carboplatin

Serious events: 134 serious events
Other events: 438 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pemetrexed + Carboplatin
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles (Participants who received at least one dose of study drug)
Etoposide + Carboplatin
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles. (Participants who received at least one dose of study drug)
Blood and lymphatic system disorders
Agranulocytosis
0.00%
0/433
0.22%
1/447 • Number of events 1
Blood and lymphatic system disorders
Anaemia
4.2%
18/433 • Number of events 20
1.6%
7/447 • Number of events 7
Blood and lymphatic system disorders
Bone marrow failure
0.23%
1/433 • Number of events 1
0.00%
0/447
Blood and lymphatic system disorders
Febrile neutropenia
1.6%
7/433 • Number of events 8
3.1%
14/447 • Number of events 14
Blood and lymphatic system disorders
Leukopenia
0.92%
4/433 • Number of events 4
0.89%
4/447 • Number of events 4
Blood and lymphatic system disorders
Neutropenia
2.5%
11/433 • Number of events 12
4.3%
19/447 • Number of events 21
Blood and lymphatic system disorders
Splenic infarction
0.46%
2/433 • Number of events 2
0.00%
0/447
Blood and lymphatic system disorders
Thrombocytopenia
3.5%
15/433 • Number of events 18
1.6%
7/447 • Number of events 8
Cardiac disorders
Acute coronary syndrome
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Acute left ventricular failure
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Acute myocardial infarction
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Cardiac disorders
Angina pectoris
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Cardiac disorders
Angina unstable
0.00%
0/433
0.45%
2/447 • Number of events 2
Cardiac disorders
Atrial fibrillation
1.2%
5/433 • Number of events 5
0.00%
0/447
Cardiac disorders
Atrial flutter
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Cardiac arrest
0.46%
2/433 • Number of events 2
0.22%
1/447 • Number of events 1
Cardiac disorders
Cardiac failure
0.46%
2/433 • Number of events 2
0.00%
0/447
Cardiac disorders
Cardiac failure acute
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Cardiac failure congestive
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Cardiac disorders
Cardiac fibrillation
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Cardio-respiratory arrest
0.46%
2/433 • Number of events 2
0.22%
1/447 • Number of events 1
Cardiac disorders
Coronary artery insufficiency
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Left ventricular dysfunction
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Myocardial infarction
0.92%
4/433 • Number of events 4
0.22%
1/447 • Number of events 1
Cardiac disorders
Myocardial ischaemia
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Supraventricular tachycardia
0.23%
1/433 • Number of events 1
0.00%
0/447
Cardiac disorders
Ventricular fibrillation
0.23%
1/433 • Number of events 1
0.00%
0/447
Congenital, familial and genetic disorders
Tracheo-oesophageal fistula
0.23%
1/433 • Number of events 1
0.00%
0/447
Ear and labyrinth disorders
Vertigo
0.23%
1/433 • Number of events 1
0.00%
0/447
Endocrine disorders
Inappropriate antidiuretic hormone secretion
0.23%
1/433 • Number of events 1
0.45%
2/447 • Number of events 2
Eye disorders
Eyelid ptosis
0.00%
0/433
0.22%
1/447 • Number of events 1
Eye disorders
Retinal detachment
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Abdominal pain
0.92%
4/433 • Number of events 4
0.22%
1/447 • Number of events 1
Gastrointestinal disorders
Abdominal pain upper
0.46%
2/433 • Number of events 2
0.45%
2/447 • Number of events 2
Gastrointestinal disorders
Colitis
0.46%
2/433 • Number of events 2
0.00%
0/447
Gastrointestinal disorders
Constipation
0.92%
4/433 • Number of events 4
0.89%
4/447 • Number of events 4
Gastrointestinal disorders
Diarrhoea
2.5%
11/433 • Number of events 11
0.67%
3/447 • Number of events 3
Gastrointestinal disorders
Duodenal ulcer perforation
0.00%
0/433
0.22%
1/447 • Number of events 1
Gastrointestinal disorders
Dysphagia
0.69%
3/433 • Number of events 3
0.22%
1/447 • Number of events 1
Gastrointestinal disorders
Gastric ulcer
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Gastritis
0.00%
0/433
0.22%
1/447 • Number of events 1
Gastrointestinal disorders
Gastroduodenal ulcer
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Nausea
3.5%
15/433 • Number of events 18
0.45%
2/447 • Number of events 2
Gastrointestinal disorders
Oesophageal stenosis
0.00%
0/433
0.45%
2/447 • Number of events 2
Gastrointestinal disorders
Oral discomfort
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/433
0.45%
2/447 • Number of events 2
Gastrointestinal disorders
Proctitis
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Small intestinal obstruction
0.23%
1/433 • Number of events 1
0.00%
0/447
Gastrointestinal disorders
Vomiting
2.5%
11/433 • Number of events 11
0.89%
4/447 • Number of events 4
General disorders
Asthenia
0.92%
4/433 • Number of events 4
0.45%
2/447 • Number of events 2
General disorders
Chest discomfort
0.00%
0/433
0.22%
1/447 • Number of events 1
General disorders
Chest pain
0.92%
4/433 • Number of events 4
0.89%
4/447 • Number of events 4
General disorders
Condition aggravated
0.00%
0/433
0.22%
1/447 • Number of events 1
General disorders
Fatigue
0.69%
3/433 • Number of events 3
0.45%
2/447 • Number of events 2
General disorders
General physical health deterioration
0.23%
1/433 • Number of events 1
0.00%
0/447
General disorders
Malaise
0.46%
2/433 • Number of events 2
0.00%
0/447
General disorders
Mucosal inflammation
0.00%
0/433
0.22%
1/447 • Number of events 1
General disorders
Pain
0.23%
1/433 • Number of events 1
0.00%
0/447
General disorders
Performance status decreased
0.00%
0/433
0.45%
2/447 • Number of events 2
General disorders
Pyrexia
0.69%
3/433 • Number of events 3
1.1%
5/447 • Number of events 6
General disorders
Sudden death
0.00%
0/433
0.22%
1/447 • Number of events 1
General disorders
Visceral oedema
0.00%
0/433
0.22%
1/447 • Number of events 1
Hepatobiliary disorders
Hepatic failure
0.00%
0/433
0.22%
1/447 • Number of events 1
Hepatobiliary disorders
Hepatic pain
0.23%
1/433 • Number of events 1
0.00%
0/447
Immune system disorders
Anaphylactic shock
0.23%
1/433 • Number of events 1
0.00%
0/447
Immune system disorders
Drug hypersensitivity
0.00%
0/433
0.22%
1/447 • Number of events 1
Immune system disorders
Hypersensitivity
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Bacterial sepsis
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Bronchopneumonia
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Infections and infestations
Candidiasis
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Catheter related infection
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Cellulitis
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Device related infection
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Diverticulitis
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Infections and infestations
Empyema
0.69%
3/433 • Number of events 3
0.45%
2/447 • Number of events 3
Infections and infestations
Encephalitis herpes
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Enteritis infectious
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Febrile infection
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Gastroenteritis
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Herpes zoster
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Infection
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Klebsiella sepsis
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Lower respiratory tract infection
0.46%
2/433 • Number of events 2
0.00%
0/447
Infections and infestations
Lung abscess
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Lung infection
0.46%
2/433 • Number of events 2
0.00%
0/447
Infections and infestations
Necrotising fasciitis
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Neutropenic sepsis
0.23%
1/433 • Number of events 1
0.45%
2/447 • Number of events 2
Infections and infestations
Pneumonia
4.6%
20/433 • Number of events 24
3.4%
15/447 • Number of events 16
Infections and infestations
Pneumonia necrotising
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Pneumonia primary atypical
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Infections and infestations
Pneumonia staphylococcal
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Pseudomembranous colitis
0.23%
1/433 • Number of events 1
0.00%
0/447
Infections and infestations
Respiratory tract infection
0.23%
1/433 • Number of events 1
0.67%
3/447 • Number of events 3
Infections and infestations
Sepsis
1.2%
5/433 • Number of events 5
1.1%
5/447 • Number of events 5
Infections and infestations
Septic shock
0.69%
3/433 • Number of events 3
0.00%
0/447
Infections and infestations
Staphylococcal infection
0.00%
0/433
0.22%
1/447 • Number of events 1
Infections and infestations
Upper respiratory tract infection
0.00%
0/433
0.45%
2/447 • Number of events 2
Infections and infestations
Urinary tract infection
0.69%
3/433 • Number of events 3
0.67%
3/447 • Number of events 3
Infections and infestations
Wound infection
0.23%
1/433 • Number of events 1
0.00%
0/447
Injury, poisoning and procedural complications
Chest injury
0.23%
1/433 • Number of events 2
0.00%
0/447
Injury, poisoning and procedural complications
Drug toxicity
0.23%
1/433 • Number of events 1
0.00%
0/447
Injury, poisoning and procedural complications
Fall
0.23%
1/433 • Number of events 1
0.00%
0/447
Injury, poisoning and procedural complications
Lung injury
0.23%
1/433 • Number of events 1
0.00%
0/447
Injury, poisoning and procedural complications
Overdose
0.23%
1/433 • Number of events 1
0.00%
0/447
Injury, poisoning and procedural complications
Poisoning
0.23%
1/433 • Number of events 1
0.00%
0/447
Injury, poisoning and procedural complications
Post-traumatic pain
0.23%
1/433 • Number of events 1
0.00%
0/447
Investigations
Blood bilirubin increased
0.23%
1/433 • Number of events 1
0.00%
0/447
Investigations
Blood creatinine increased
0.46%
2/433 • Number of events 2
0.22%
1/447 • Number of events 1
Investigations
Blood urea increased
0.23%
1/433 • Number of events 1
0.00%
0/447
Investigations
C-reactive protein increased
0.00%
0/433
0.22%
1/447 • Number of events 1
Investigations
Platelet count decreased
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Investigations
Weight decreased
0.00%
0/433
0.22%
1/447 • Number of events 1
Investigations
White blood cell count decreased
0.00%
0/433
0.22%
1/447 • Number of events 1
Metabolism and nutrition disorders
Anorexia
0.46%
2/433 • Number of events 2
0.00%
0/447
Metabolism and nutrition disorders
Dehydration
1.4%
6/433 • Number of events 6
0.89%
4/447 • Number of events 5
Metabolism and nutrition disorders
Fluid retention
0.23%
1/433 • Number of events 1
0.00%
0/447
Metabolism and nutrition disorders
Hyperglycaemia
0.46%
2/433 • Number of events 2
0.00%
0/447
Metabolism and nutrition disorders
Hypokalaemia
0.46%
2/433 • Number of events 2
0.00%
0/447
Metabolism and nutrition disorders
Hyponatraemia
1.4%
6/433 • Number of events 6
1.1%
5/447 • Number of events 5
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/433
0.45%
2/447 • Number of events 2
Musculoskeletal and connective tissue disorders
Back pain
0.69%
3/433 • Number of events 3
0.22%
1/447 • Number of events 1
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/433
0.22%
1/447 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.23%
1/433 • Number of events 1
0.00%
0/447
Musculoskeletal and connective tissue disorders
Neck pain
0.23%
1/433 • Number of events 1
0.00%
0/447
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/433
0.22%
1/447 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.23%
1/433 • Number of events 1
0.00%
0/447
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Intracranial tumour haemorrhage
0.00%
0/433
0.22%
1/447 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
0.00%
0/433
0.22%
1/447 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
0.23%
1/433 • Number of events 1
0.00%
0/447
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic pain
0.23%
1/433 • Number of events 1
0.00%
0/447
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour lysis syndrome
0.23%
1/433 • Number of events 1
0.00%
0/447
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Ataxia
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Carotid artery occlusion
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Cerebral haemorrhage
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Convulsion
0.46%
2/433 • Number of events 2
1.3%
6/447 • Number of events 6
Nervous system disorders
Diplegia
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Encephalopathy
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Epilepsy
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Hemiparesis
0.00%
0/433
0.22%
1/447 • Number of events 1
Nervous system disorders
Lethargy
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Nervous system disorder
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Speech disorder
0.00%
0/433
0.22%
1/447 • Number of events 1
Nervous system disorders
Spinal cord compression
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Transient ischaemic attack
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Unresponsive to stimuli
0.23%
1/433 • Number of events 1
0.00%
0/447
Nervous system disorders
Vocal cord paralysis
0.00%
0/433
0.22%
1/447 • Number of events 1
Psychiatric disorders
Confusional state
0.23%
1/433 • Number of events 1
0.45%
2/447 • Number of events 2
Psychiatric disorders
Insomnia
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Psychiatric disorders
Panic attack
0.23%
1/433 • Number of events 1
0.00%
0/447
Psychiatric disorders
Tobacco withdrawal symptoms
0.23%
1/433 • Number of events 1
0.00%
0/447
Renal and urinary disorders
Haematuria
0.00%
0/433
0.22%
1/447 • Number of events 1
Renal and urinary disorders
Renal failure
1.2%
5/433 • Number of events 5
0.22%
1/447 • Number of events 1
Renal and urinary disorders
Renal failure acute
0.46%
2/433 • Number of events 2
0.22%
1/447 • Number of events 1
Renal and urinary disorders
Urinary retention
0.00%
0/433
0.45%
2/447 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Bronchial secretion retention
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea
3.5%
15/433 • Number of events 16
3.4%
15/447 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Emphysema
0.00%
0/433
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.69%
3/433 • Number of events 3
0.67%
3/447 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hydropneumothorax
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Hydrothorax
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Hyperventilation
0.00%
0/433
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.23%
1/433 • Number of events 1
0.67%
3/447 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Obstructive airways disorder
0.23%
1/433 • Number of events 1
0.00%
0/447
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleurisy
0.00%
0/433
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.46%
2/433 • Number of events 2
0.67%
3/447 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.00%
0/433
0.45%
2/447 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.23%
1/433 • Number of events 1
0.22%
1/447 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.92%
4/433 • Number of events 4
0.00%
0/447
Surgical and medical procedures
Cardiac pacemaker battery replacement
0.00%
0/433
0.22%
1/447 • Number of events 1
Vascular disorders
Hypotension
0.00%
0/433
0.22%
1/447 • Number of events 1
Vascular disorders
Pelvic venous thrombosis
0.00%
0/433
0.22%
1/447 • Number of events 1
Vascular disorders
Shock haemorrhagic
0.00%
0/433
0.22%
1/447 • Number of events 1
Vascular disorders
Superior vena caval occlusion
0.92%
4/433 • Number of events 4
0.45%
2/447 • Number of events 2
Vascular disorders
Thrombophlebitis superficial
0.23%
1/433 • Number of events 1
0.00%
0/447
Vascular disorders
Thrombosis
0.23%
1/433 • Number of events 1
0.00%
0/447
Vascular disorders
Vascular insufficiency
0.23%
1/433 • Number of events 1
0.00%
0/447

Other adverse events

Other adverse events
Measure
Pemetrexed + Carboplatin
Pemetrexed: 500 mg/m2, intravenous (IV), every 21 days x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles (Participants who received at least one dose of study drug)
Etoposide + Carboplatin
Etoposide: 100 mg/m2, intravenous (IV), days 1-3 x 6 cycles Carboplatin: Area under the curve (AUC) 5, intravenous (IV), every 21 days x 6 cycles. (Participants who received at least one dose of study drug)
Blood and lymphatic system disorders
Anaemia
31.2%
135/433 • Number of events 175
34.7%
155/447 • Number of events 200
Blood and lymphatic system disorders
Leukopenia
7.6%
33/433 • Number of events 67
19.2%
86/447 • Number of events 179
Blood and lymphatic system disorders
Neutropenia
18.9%
82/433 • Number of events 141
56.4%
252/447 • Number of events 524
Blood and lymphatic system disorders
Thrombocytopenia
14.1%
61/433 • Number of events 117
21.0%
94/447 • Number of events 151
Cardiac disorders
Coronary artery disease
5.3%
23/433 • Number of events 23
5.4%
24/447 • Number of events 24
Endocrine disorders
Hypothyroidism
6.0%
26/433 • Number of events 26
2.7%
12/447 • Number of events 12
Gastrointestinal disorders
Abdominal pain
5.5%
24/433 • Number of events 26
6.0%
27/447 • Number of events 27
Gastrointestinal disorders
Constipation
31.2%
135/433 • Number of events 165
27.7%
124/447 • Number of events 155
Gastrointestinal disorders
Diarrhoea
14.3%
62/433 • Number of events 72
13.2%
59/447 • Number of events 69
Gastrointestinal disorders
Dyspepsia
5.5%
24/433 • Number of events 24
5.4%
24/447 • Number of events 26
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.5%
28/433 • Number of events 28
4.7%
21/447 • Number of events 21
Gastrointestinal disorders
Nausea
38.3%
166/433 • Number of events 261
35.6%
159/447 • Number of events 267
Gastrointestinal disorders
Stomatitis
5.1%
22/433 • Number of events 23
3.4%
15/447 • Number of events 19
Gastrointestinal disorders
Vomiting
16.4%
71/433 • Number of events 96
16.1%
72/447 • Number of events 106
General disorders
Asthenia
11.1%
48/433 • Number of events 55
9.6%
43/447 • Number of events 51
General disorders
Chest pain
22.6%
98/433 • Number of events 104
25.5%
114/447 • Number of events 127
General disorders
Fatigue
35.3%
153/433 • Number of events 177
40.7%
182/447 • Number of events 221
General disorders
Mucosal inflammation
5.1%
22/433 • Number of events 26
5.8%
26/447 • Number of events 33
General disorders
Oedema peripheral
8.8%
38/433 • Number of events 40
7.4%
33/447 • Number of events 41
General disorders
Pyrexia
6.0%
26/433 • Number of events 29
11.0%
49/447 • Number of events 59
Investigations
Haemoglobin decreased
5.1%
22/433 • Number of events 24
3.4%
15/447 • Number of events 15
Investigations
Weight decreased
13.9%
60/433 • Number of events 64
11.2%
50/447 • Number of events 53
Metabolism and nutrition disorders
Anorexia
24.9%
108/433 • Number of events 130
21.9%
98/447 • Number of events 120
Metabolism and nutrition disorders
Diabetes mellitus
10.4%
45/433 • Number of events 45
9.8%
44/447 • Number of events 44
Metabolism and nutrition disorders
Hypercholesterolaemia
10.4%
45/433 • Number of events 45
10.5%
47/447 • Number of events 47
Metabolism and nutrition disorders
Hyperglycaemia
5.3%
23/433 • Number of events 25
4.0%
18/447 • Number of events 26
Metabolism and nutrition disorders
Hypokalaemia
5.3%
23/433 • Number of events 24
3.8%
17/447 • Number of events 18
Metabolism and nutrition disorders
Hyponatraemia
5.8%
25/433 • Number of events 31
6.0%
27/447 • Number of events 37
Musculoskeletal and connective tissue disorders
Arthralgia
5.3%
23/433 • Number of events 24
8.5%
38/447 • Number of events 43
Musculoskeletal and connective tissue disorders
Back pain
14.1%
61/433 • Number of events 67
18.1%
81/447 • Number of events 91
Musculoskeletal and connective tissue disorders
Bone pain
3.5%
15/433 • Number of events 16
5.8%
26/447 • Number of events 26
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
5.3%
23/433 • Number of events 23
6.9%
31/447 • Number of events 33
Musculoskeletal and connective tissue disorders
Pain in extremity
6.7%
29/433 • Number of events 30
3.8%
17/447 • Number of events 18
Nervous system disorders
Dizziness
6.9%
30/433 • Number of events 34
9.2%
41/447 • Number of events 43
Nervous system disorders
Headache
11.3%
49/433 • Number of events 62
13.6%
61/447 • Number of events 78
Psychiatric disorders
Anxiety
10.4%
45/433 • Number of events 45
8.1%
36/447 • Number of events 36
Psychiatric disorders
Depression
9.5%
41/433 • Number of events 41
8.5%
38/447 • Number of events 38
Psychiatric disorders
Insomnia
16.6%
72/433 • Number of events 78
15.2%
68/447 • Number of events 78
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
15.9%
69/433 • Number of events 69
15.9%
71/447 • Number of events 71
Respiratory, thoracic and mediastinal disorders
Cough
48.5%
210/433 • Number of events 218
49.4%
221/447 • Number of events 239
Respiratory, thoracic and mediastinal disorders
Dysphonia
11.3%
49/433 • Number of events 50
9.4%
42/447 • Number of events 43
Respiratory, thoracic and mediastinal disorders
Dyspnoea
41.1%
178/433 • Number of events 189
40.7%
182/447 • Number of events 200
Respiratory, thoracic and mediastinal disorders
Haemoptysis
7.6%
33/433 • Number of events 34
7.2%
32/447 • Number of events 34
Respiratory, thoracic and mediastinal disorders
Productive cough
7.2%
31/433 • Number of events 31
4.5%
20/447 • Number of events 21
Skin and subcutaneous tissue disorders
Alopecia
6.2%
27/433 • Number of events 29
34.9%
156/447 • Number of events 158
Skin and subcutaneous tissue disorders
Rash
5.3%
23/433 • Number of events 24
5.6%
25/447 • Number of events 36
Vascular disorders
Hypertension
41.6%
180/433 • Number of events 181
38.5%
172/447 • Number of events 175

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

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

Restriction type: GT60