Trial Outcomes & Findings for A Study Of Lapatinib Versus Placebo Followed By Chemoradiation In Patients With Locally Advanced Head And Neck Cancer (NCT NCT00371566)

NCT ID: NCT00371566

Last Updated: 2010-04-06

Results Overview

Apoptotic Index-TUNEL Assay is a method which counts a total of at least 1000 neoplastic nuclei(Cells with morphological changes defining cell death) subdivided in 10 fields chosen randomly at 400x magnification. A 'responder' was defined as having 20% cell death.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

107 participants

Primary outcome timeframe

Baseline and Week 2

Results posted on

2010-04-06

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the institutions standard of care)
Lapatinib
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Treatment Phase
STARTED
36
71
Treatment Phase
COMPLETED
36
68
Treatment Phase
NOT COMPLETED
0
3
Chemoradiation Phase
STARTED
36
68
Chemoradiation Phase
COMPLETED
31
65
Chemoradiation Phase
NOT COMPLETED
5
3
Follow Up Phase
STARTED
31
65
Follow Up Phase
COMPLETED
28
58
Follow Up Phase
NOT COMPLETED
3
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the institutions standard of care)
Lapatinib
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Treatment Phase
Withdrawal by Subject
0
1
Treatment Phase
Adverse Event
0
1
Treatment Phase
Protocol Violation
0
1
Chemoradiation Phase
Physician Decision
2
0
Chemoradiation Phase
Withdrawal by Subject
0
1
Chemoradiation Phase
Non compliant
0
1
Chemoradiation Phase
Progressive Disease
1
1
Chemoradiation Phase
Death
2
0
Follow Up Phase
Death
0
5
Follow Up Phase
Disease progression
1
0
Follow Up Phase
Withdrawal by Subject
0
1
Follow Up Phase
Physician Decision
1
1
Follow Up Phase
Lost to Follow-up
1
0

Baseline Characteristics

A Study Of Lapatinib Versus Placebo Followed By Chemoradiation In Patients With Locally Advanced Head And Neck Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=71 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Total
n=107 Participants
Total of all reporting groups
Age Continuous
56.2 years
STANDARD_DEVIATION 10.47 • n=5 Participants
57.7 years
STANDARD_DEVIATION 11.01 • n=7 Participants
57.1 years
STANDARD_DEVIATION 10.83 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
16 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
55 Participants
n=7 Participants
87 Participants
n=5 Participants
Race/Ethnicity, Customized
White
21 participants
n=5 Participants
39 participants
n=7 Participants
60 participants
n=5 Participants
Race/Ethnicity, Customized
African American
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
3 participants
n=5 Participants
11 participants
n=7 Participants
14 participants
n=5 Participants
Race/Ethnicity, Customized
Asian-Central and South Asian Heritage
9 participants
n=5 Participants
19 participants
n=7 Participants
28 participants
n=5 Participants
Race/Ethnicity, Customized
Asian-Japanese East/South east Heritage
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
Race/Ethnicity, Customized
Asian-Mixed Heritage
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 2

Population: The Intent-to-treat (ITT) population comprised of all subjects who were randomised to study treatment, regardless of whether they actually received study medication.

Apoptotic Index-TUNEL Assay is a method which counts a total of at least 1000 neoplastic nuclei(Cells with morphological changes defining cell death) subdivided in 10 fields chosen randomly at 400x magnification. A 'responder' was defined as having 20% cell death.

Outcome measures

Outcome measures
Measure
Placebo
n=27 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=57 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Change From Baseline of the Apoptotic Index During Treatment Phase
6.2 Percentage of positive cells
Standard Deviation 12.10
4.2 Percentage of positive cells
Standard Deviation 5.53

SECONDARY outcome

Timeframe: Baseline and Week 2

Population: The mITT (modified Intent-to-Treat) population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumor biopsy sample for the primary endpoint analysis.

The Ki-67 protein is expressed in all phases of the cell cycle except G0 (low level phase) and serves as a good marker for cell proliferation. Scoring is assessed by point counting 500 to 1000 cells, and is reported as percent positive cells. 20% positive cells to define "positive" (i.e. high risk)

Outcome measures

Outcome measures
Measure
Placebo
n=27 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=57 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Change From Baseline of Cell Proliferation Rate of the Ki-67 Proliferative Index in Tumour Biopsy Samples During Treatment Phase
-1.2 Percent of positive cells
Standard Deviation 7.90
-5.6 Percent of positive cells
Standard Deviation 12.53

SECONDARY outcome

Timeframe: Baseline and End of Treatment (Week 2 - 6)

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

Over all: Complete Response (CR)- absence of lesions. Partial Response (PR)- CR or PR of target lesions and incomplete response (IC) or stable disease (SD) in other lesions with no new lesions or progressive disease (PD). Stable Disease (SD)-no PD or Response. Progressive Disease (PD)-PD or new lesions. Not Evaluable(NE)- no other definitions. Number of subjects included those who had a scan immediately post lapatanib/placebo monotherapy.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=20 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Overall Radiological Response After Treatment Phase in mITT Population
Complete Response
0 Participants
1 Participants
Overall Radiological Response After Treatment Phase in mITT Population
Stable Disease
10 Participants
12 Participants
Overall Radiological Response After Treatment Phase in mITT Population
Progressive Disease
2 Participants
0 Participants
Overall Radiological Response After Treatment Phase in mITT Population
Partial Response
0 Participants
3 Participants
Overall Radiological Response After Treatment Phase in mITT Population
Non-Evaluable
0 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline and End of Follow-up (Week 19 - 25)

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

Over all: Complete Response(CR)-absence of lesions. Partial Response(PR)- CR or PR of target lesions and incomplete response (IC) or stable disease (SD)in other lesions with no new lesions or progressive disease (PD). Stable Disease(SD)-no PD or Response. Progressive Disease(PD)-PD or new lesions. Not Evaluable(NE)- no other definitions. Number of subjects included those who were considered evaluable if they completed a full course of chemoradiotherapy and were able to provide a baseline and follow-up scan following the completion of chemoradiation.

Outcome measures

Outcome measures
Measure
Placebo
n=23 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=47 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Overall Radiological Response After Follow-up Phase in mITT Population
Complete Response
2 Participants
11 Participants
Overall Radiological Response After Follow-up Phase in mITT Population
Partial Response
13 Participants
29 Participants
Overall Radiological Response After Follow-up Phase in mITT Population
Stable Disease
2 Participants
3 Participants
Overall Radiological Response After Follow-up Phase in mITT Population
Progressive Disease
6 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline and End of Treatment (Week 2 - 6)

Population: The Intent-to-treat (ITT) population comprised of all subjects who were randomised to study treatment, regardless of whether they actually received study medication.

Over all: Complete Response (CR)-absence of lesions. Partial Response (PR)- CR or PR of target lesions and incomplete response (IC) or stable disease (SD) in other lesions with no new lesions or progressive disease (PD). Stable Disease (SD)-no PD or Response. Progressive Disease (PD)-PD or new lesions. Not Evaluable(NE)- no other definitions.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=24 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Overall Radiological Response After Treatment Phase in ITT Population
Non-Evaluable
0 Participants
5 Participants
Overall Radiological Response After Treatment Phase in ITT Population
Complete Response
0 Participants
1 Participants
Overall Radiological Response After Treatment Phase in ITT Population
Partial Response
0 Participants
3 Participants
Overall Radiological Response After Treatment Phase in ITT Population
Stable Disease
12 Participants
15 Participants
Overall Radiological Response After Treatment Phase in ITT Population
Progressive Disease
4 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and End of Follow-up (week 19 - 25)

Population: The Intent-to-treat (ITT) population comprised of all subjects who were randomised to study treatment, regardless of whether they actually received study medication.

Over all: Complete Response (CR) - absence of lesions. Partial Response (PR) - CR or PR of target lesions and incomplete response (IC) or stable disease (SD) in other lesions with no new lesions or progressive disease (PD). Stable Disease (SD)- no PD or Response. Progressive Disease (PD)- PD or new lesions. Not Evaluable(NE)- no other definitions.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=58 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Overall Radiological Response After Follow-up Phase in ITT Population
Complete Response
2 Participants
16 Participants
Overall Radiological Response After Follow-up Phase in ITT Population
Partial Response
17 Participants
34 Participants
Overall Radiological Response After Follow-up Phase in ITT Population
Stable Disease
2 Participants
4 Participants
Overall Radiological Response After Follow-up Phase in ITT Population
Progressive Disease
9 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. mITT FOLLOW-UP Population of Circulation Tumor Cells

This measures the participants with Circulating Tumor Cells (CTC's)Pre-Treatment numbers of 0 to \>= 4. CTC's are tumor cells that escape from the primary tumor into the bloodstream and travel through the circulation to distant sites where they develop into secondary tumors.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=22 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Number of Circulating Tumor Cells at Baseline in mITT Population
Number of CTC's 1
2 Participants
1 Participants
Number of Circulating Tumor Cells at Baseline in mITT Population
Number of CTC's 2
1 Participants
0 Participants
Number of Circulating Tumor Cells at Baseline in mITT Population
Number of CTC's ≥4
0 Participants
1 Participants
Number of Circulating Tumor Cells at Baseline in mITT Population
No result
2 Participants
2 Participants
Number of Circulating Tumor Cells at Baseline in mITT Population
Number of CTC's 0
7 Participants
18 Participants
Number of Circulating Tumor Cells at Baseline in mITT Population
Number of CTC's 3
0 Participants
0 Participants

SECONDARY outcome

Timeframe: End of Treatment (week 2 - 6)

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

This measures the participants with Circulating Tumor Cells (CTC's) after treatment numbers of 0 to \>= 4. CTC's are tumor cells that escape from the primary tumor into the bloodstream and travel through the circulation to distant sites where they develop into secondary tumors.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=19 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Number of Participants With Circulating Tumor Cells After Treatment Phase in mITT Population
Number of CTC's >=4
0 Participants
2 Participants
Number of Participants With Circulating Tumor Cells After Treatment Phase in mITT Population
Number of CTC's 0
12 Participants
13 Participants
Number of Participants With Circulating Tumor Cells After Treatment Phase in mITT Population
Number of CTC's 1
0 Participants
3 Participants
Number of Participants With Circulating Tumor Cells After Treatment Phase in mITT Population
Number of CTC's 2
0 Participants
1 Participants
Number of Participants With Circulating Tumor Cells After Treatment Phase in mITT Population
Number of CTC's 3
0 Participants
0 Participants
Number of Participants With Circulating Tumor Cells After Treatment Phase in mITT Population
No result
1 Participants
0 Participants

SECONDARY outcome

Timeframe: End of Chemoradiotherapy (week 10 - 13)

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

This measures the participants with Circulating Tumor Cells (CTC's) after chemoradiotherapy numbers of 0 to \>= 4. CTC's are tumor cells that escape from the primary tumor into the bloodstream and travel through the circulation to distant sites where they develop into secondary tumors.

Outcome measures

Outcome measures
Measure
Placebo
n=5 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=2 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Number of Participants With Circulating Tumor Cells After Chemoradiotherapy Phase in mITT Population
Number of CTC's 1
0 Participants
0 Participants
Number of Participants With Circulating Tumor Cells After Chemoradiotherapy Phase in mITT Population
Number of CTC's 2
0 Participants
0 Participants
Number of Participants With Circulating Tumor Cells After Chemoradiotherapy Phase in mITT Population
Number of CTC's 3
1 Participants
0 Participants
Number of Participants With Circulating Tumor Cells After Chemoradiotherapy Phase in mITT Population
Number of CTC's >=4
0 Participants
0 Participants
Number of Participants With Circulating Tumor Cells After Chemoradiotherapy Phase in mITT Population
Number of CTC's 0
4 Participants
2 Participants
Number of Participants With Circulating Tumor Cells After Chemoradiotherapy Phase in mITT Population
No result
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and Week 2

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

Estrogen Receptor (ER) variants, ERB-B2 and ERB B-5 consist of the major proportion of ER expression both in normal and cancer tissues. The exact role of these markers are unknown. Acronyms defined: ICH (immunohistochemical) and FISH (fluorescence in situ hybridization).

Outcome measures

Outcome measures
Measure
Placebo
n=27 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=57 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Baseline 3+ expressed
23 Participants
45 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Treatment 3+ expressed
23 Participants
48 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by FISH-Treatment Non Amplified
0 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Baseline 0 expressed
19 Participants
42 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Treatment 0 expressed
15 Participants
26 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Treatment 1+ expressed
11 Participants
29 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Treatment 3+ expressed
0 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by FISH-Baseline Amplified
2 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Baseline 0 expressed
0 Participants
3 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Baseline 1+ expressed
13 Participants
31 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Baseline 3+ expressed
3 Participants
5 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Treatment 3+ expressed
2 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Baseline 0 expressed
13 Participants
25 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Treatment 0 expressed
13 Participants
24 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Baseline 1+ expressed
12 Participants
30 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Treatment 1+ expressed
12 Participants
29 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Treatment 3+ expressed
0 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Baseline - Missing expression
1 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Treatment Missing expression
1 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Baseline 0 expressed
2 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Treatment 0 expressed
2 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Baseline 1+ expressed
2 Participants
2 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Treatment 1+ expressed
1 Participants
4 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Baseline 2+ expressed
0 Participants
10 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by IHC-Treatment 2+ expressed
1 Participants
5 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by FISH-Baseline Amplified
8 Participants
17 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by FISH-Treatment Amplified
0 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB1 by FISH-Baseline Non Amplified
19 Participants
40 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Baseline 1+ expressed
6 Participants
13 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Baseline 2+ expressed
2 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Treatment 2+ expressed
1 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by IHC-Baseline 3+ expressed
0 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by FISH-Treatment Amplified
0 Participants
0 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by FISH-Baseline Non Amplified
25 Participants
54 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
ErbB2 by FISH-Treatment Non Amplified
0 Participants
2 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Treatment 1+ expressed
14 Participants
38 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Baseline 2+ expressed
11 Participants
18 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB1 by IHC-Treatment 2+ expressed
11 Participants
15 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Baseline 2+ expressed
1 Participants
1 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Treatment 2+ expressed
1 Participants
4 Participants
Number of Biomarkers Including ErbB1, ErbB2, pErbB1, and pErb2 at Baseline and During Treatment Phase
pErbB2 by IHC-Baseline 3+ expressed
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 2

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

Tumor Suppressor p53 is welcomed and described as "the guardian angel gene," it conserves stability by preventing genome mutation. Human Papillomavirus (HPV) biomarker is un-welcomed and is found to be an important precursor cancers of the head and neck. HPV biomarkers have the ability to bind to and inactivate the Tumor Suppressor p53 biomarker.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=71 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
Tumor Protein 53 - 3+ expression
14 Participants
19 Participants
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
Tumor Protein 53 - missing expression
0 Participants
0 Participants
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
HPV - Negative
36 Participants
64 Participants
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
HPV - Positive
0 Participants
5 Participants
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
Tumor Protein 53 - 0 expression
14 Participants
25 Participants
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
Tumor Protein 53 - 1+ expression
5 Participants
14 Participants
Number of Biomarkers Including Tumor Protein 53 and HPV During Treatment Phase
Tumor Protein 53 - 2+ expression
3 Participants
11 Participants

SECONDARY outcome

Timeframe: Week 1 through Week 6

Population: The Intent-to-treat (ITT) population comprised of all subjects who were randomised to study treatment, regardless of whether they actually received study medication.

Toxicity Grading scale 0=none, 1=transient symptom, 2=mild symptom that does not interfere with activities of daily living (ADL's) 3=mild but interfers with ADL's w/o hospitalization. 4=requires hopitalization 5=Death.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Acne - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Diarrhea - Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Hyperglycaemia - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Hyperglycaemia - Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Tumor Haemorrhage - Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Tumor Haemorrhage - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Rash - Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Rash - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Rash - Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Acne - Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Acne - Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Diarrhea - Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Diarrhea - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Anaemia - Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Anaemia - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Anaemia - Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Hyperglycaemia - Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Pain in jaw - Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Pain in jaw - Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Pain in jaw - Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade Started During Treatment Phase
Tumor Haemorrhage - Grade 5
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 10 through 25

Population: The Intent-to-treat (ITT) population comprised of all subjects who were randomised to study treatment, regardless of whether they actually received study medication.

Toxicity Grading scale 0=none, 1= transient symptom, 2=mild symptom that does not interfere with activities of daily living (ADL's) 3=mild but interfers with ADL's w/o hospitalization. 4=requires hopitalization 5=Death.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Intestinal Perforation-Grade 5
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dyspnoea-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Skin Reaction-Grade 4
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Skin Reaction-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Neutropenia-Grade 3
3 Participants
4 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Neutropenia-Grade 4
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Neutropenia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Asthenia-Grade 3
2 Participants
3 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Soft Tissue Inflamation-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Odynophagia-Grade 3
2 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Odynophagia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Odynophagia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
General Physical Health deterioration-Grade 3
0 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
General Physical Health deterioration-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
General Physical Health deterioration-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Rash-Grade 3
0 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Rash-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Radiation Skin Injury-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dysphagia-Grade 3
3 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Nausea-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Stomatitis-Grade 3
1 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Pain-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Pain-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Constipation-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Constipation-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Skin Ulcer-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dysphonia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dysphonia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Leucopenia-Grade 3
2 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Leucopenia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Leucopenia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
AST increase-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
AST increase-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
AST increase-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Trimus-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Diplopia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Diplopia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Renal Failure-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Renal Failure-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Localized edema-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Respiratory tract infection-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Staphyloccocal sepsis-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Staphyloccocal sepsis-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Staphyloccocal sepsis-Grade 5
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Hyponatraemia-Grade 3
2 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Hyponatraemia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Hypernatraemia-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Hypernatraemia-Grade 4
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Hypernatraemia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Post Procedural Haemorrhage-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Blood Creatinine Increased-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Haematocrit decreased-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Haematocrit decreased-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Haematocrit decreased-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Haemoglobin decreased-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Haemoglobin decreased-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Ventricular Fibrillation-Grade 5
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Intestinal Perforation-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dyspnoea-Grade 4
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Lymphopenia-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Lymphopenia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Cardio-respiratory arrest-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Cardio-respiratory arrest-Grade 5
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dyspnoea-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Anaemia-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Anaemia-Grade 4
0 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Anaemia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Lymphopenia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Cardio-respiratory arrest-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Mucosal Inflamation-Grade 3
3 Participants
24 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Mucosal Inflamation-Grade 4
0 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Mucosal Inflamation-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Skin Reaction-Grade 3
3 Participants
6 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Asthenia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Asthenia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Soft Tissue Inflamation-Grade 3
1 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Soft Tissue Inflamation-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Rash-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Radiation Skin Injury-Grade 3
0 Participants
2 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Radiation Skin Injury-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dysphagia-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dysphagia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Nausea-Grade 3
1 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Nausea-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Stomatitis-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Stomatitis-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Radiation mucositis-Grade 3
2 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Radiation mucositis-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Radiation mucositis-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Weight decrease-Grade 3
1 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Weight decrease-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Weight decrease-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Pain-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Constipation-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Skin Ulcer-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Skin Ulcer-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dysphonia-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Trimus-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Trimus-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Bipolar disorder-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Bipolar disorder-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Bipolar disorder-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Diplopia-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Peripheral Embolism-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Peripheral Embolism-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Peripheral Embolism-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Renal Failure-Grade 3
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Localized edema-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Localized edema-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Vomiting-Grade 3
3 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Vomiting-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Vomiting-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Respiratory failure-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Respiratory failure-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Respiratory failure-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Respiratory tract infection-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Respiratory tract infection-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Sepsis-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Sepsis-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Sepsis-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Hyponatraemia-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Ketoacidosis-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Ketoacidosis-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Ketoacidosis-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Post Procedural Haemorrhage-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Post Procedural Haemorrhage-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Blood Creatinine Increased-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Blood Creatinine Increased-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Haemoglobin decreased-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Back Pain-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Back Pain-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Back Pain-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Deep Vein Thrombosis-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Deep Vein Thrombosis-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Deep Vein Thrombosis-Grade 5
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Ventricular Fibrillation-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Ventricular Fibrillation-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Intestinal Perforation-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Sudden Death-Grade 3
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Sudden Death-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Sudden Death-Grade 5
0 Participants
1 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dry Mouth-Grade 3
1 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dry Mouth-Grade 4
0 Participants
0 Participants
Summary of Adverse Events by Maximum Toxicity Grade (Grade 3 or Higher) Started During or After the Chemoradiotherapy Phase
Dry Mouth-Grade 5
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

Position Emission Tomography (PET) scans 3-D images are read alongside CT or magnetic resonance imaging (MRI) scans, the combination gives both anatomic and metabolic information. CT = Computerized axial tomography; a type of x-ray for dense areas of the body. MRI = Magnetic Resonance Imaging which captures a picture using Magnets. Better = improvement in response, Worse = response was downgraded.

Outcome measures

Outcome measures
Measure
Placebo
n=11 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=14 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Comparison of Overall Response During Treatment Phase Using CT/MRI and PET Information
Worse
0 Participants
3 Participants
Comparison of Overall Response During Treatment Phase Using CT/MRI and PET Information
Better
2 Participants
3 Participants
Comparison of Overall Response During Treatment Phase Using CT/MRI and PET Information
Same
8 Participants
6 Participants
Comparison of Overall Response During Treatment Phase Using CT/MRI and PET Information
Any Unknown
0 Participants
0 Participants
Comparison of Overall Response During Treatment Phase Using CT/MRI and PET Information
Missing
1 Participants
0 Participants
Comparison of Overall Response During Treatment Phase Using CT/MRI and PET Information
Not Evaluable
0 Participants
2 Participants

SECONDARY outcome

Timeframe: weeks 19 - 25

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis.

Position Emission Tomography (PET) scans 3-D images are read alongside CT or magnetic resonance imaging (MRI) scans, the combination gives both anatomic and metabolic information. CT = Computerized axial tomography; a type of x-ray for dense areas of the body. MRI = Magnetic Resonance Imaging which captures a picture using Magnets. Better = improvement in response, Worse = response was downgraded.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=17 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Comparison of Overall Response During Follow up Phase Using CT/MRI and PET Information
Same
11 Participants
10 Participants
Comparison of Overall Response During Follow up Phase Using CT/MRI and PET Information
Any Unknown
0 Participants
0 Participants
Comparison of Overall Response During Follow up Phase Using CT/MRI and PET Information
Missing
1 Participants
0 Participants
Comparison of Overall Response During Follow up Phase Using CT/MRI and PET Information
Better
0 Participants
2 Participants
Comparison of Overall Response During Follow up Phase Using CT/MRI and PET Information
Worse
1 Participants
5 Participants
Comparison of Overall Response During Follow up Phase Using CT/MRI and PET Information
Not Evaluable
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 1 through 25

Population: Safety population consisted of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Definition of an adverse event is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Asthenia
17 Participants
21 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Dysphagia
12 Participants
21 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Vomiting
13 Participants
17 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Mucosal Inflammation
24 Participants
48 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Odynophagia
13 Participants
23 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Nausea
8 Participants
20 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Dry Mouth
8 Participants
15 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Neutropenia
10 Participants
13 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Radiation Skin Injury
8 Participants
13 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Constipation
8 Participants
12 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Skin Reaction
7 Participants
11 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Pharyngolaryngeal Pain
6 Participants
11 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Anorexia
11 Participants
10 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Dysphonia
8 Participants
8 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Pyrexia
6 Participants
6 Participants
Summary of Adverse Events Experienced by 15% or More Subjects in Either Treatment Group
Leukopenia
7 Participants
3 Participants

SECONDARY outcome

Timeframe: Week 10 through 25

Population: Safety population consisted of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Events which started during or After the Chemoradiotherapy Phase. Definition of a serious adverse event is any untoward medicinal occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Summary of Fatal/Serious Adverse Events During or After Chemoradiotherapy Phase
Intestinal perforation
0 Participants
1 Participants
Summary of Fatal/Serious Adverse Events During or After Chemoradiotherapy Phase
Cardio-respiratory arrest
0 Participants
1 Participants
Summary of Fatal/Serious Adverse Events During or After Chemoradiotherapy Phase
Respiratory tract infection
0 Participants
1 Participants
Summary of Fatal/Serious Adverse Events During or After Chemoradiotherapy Phase
Sudden death
0 Participants
1 Participants
Summary of Fatal/Serious Adverse Events During or After Chemoradiotherapy Phase
Ventricular fibrillation
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 10 through 25

Population: Safety population consisted of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Events which started during or After Chemoradiotherapy Phase. Definition of a serious adverse event is any untoward medicinal occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Mucosal inflammation
2 Participants
3 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Constipation
0 Participants
2 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Asthenia
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Cardio-respiratory arrest
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Chronic obstructive pulmonary disease
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Dehydration
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
General physical health deterioration
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Respiratory tract infection
2 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Skin ulcer
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Sudden death
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Electrolyte imbalance
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Diabetic ketoacidosis
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Ketoacidosis
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Pyrexia
2 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Weight decreased
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Bipolar disorder
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Intestinal perforation
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Peripheral embolism
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Renal failure
0 Participants
1 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Lobar pneumonia
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Neutropenia
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Parotitis
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Pneumonia aspiration
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Post procedural haemorrhage
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Renal Impairment
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Sepsis
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Septic shock
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Upper respiratory tract infection
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Ventricular fibrillation
1 Participants
0 Participants
Summary of Serious Adverse Events During or After Chemoradiotherapy Phase
Vomiting
2 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 10 through 25

Population: Safety population consisted of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Events which started during or after Chemoradiotherapy Phase. "Grade 3" are severe and undesirable Adverse Event (significant symptoms requiring hospitalization or invasive intervention; transfusion; elective interventional radiological procedure; therapeutic endoscopy or operation).

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
General physical health deterioration
0 Participants
2 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Nausea
1 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Stomatitis
1 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Radiation mucositis
2 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Constipation
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Peripheral embolism
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Haematocrit decreased
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Haemoglobin decreased
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Lymphopenia
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Dry mouth
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Mucosal inflammation
9 Participants
24 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Skin reaction
3 Participants
6 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Neutropenia
3 Participants
4 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Asthenia
2 Participants
3 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Soft tissue inflammation
1 Participants
2 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Odynophagia
2 Participants
2 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Rash
0 Participants
2 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Radiation skin injury
0 Participants
2 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Dysphagia
3 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Weight decreased
1 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Pain
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Skin ulcer
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Dysphonia
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Leucopenia
2 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Aspartate aminotransferase increased
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Trismus
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Bipolar disorder
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Diplopia
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Renal failure
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Localised oedema
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Vomiting
3 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Respiratory failure
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Respiratory tract infection
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Sepsis
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Hyponatraemia
2 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Ketoacidosis
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Post procedural haemorrhage
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Blood creatinine increased
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Back pain
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 3 During or After Chemoradiotherapy Phase
Deep vein thrombosis
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Week 10 through 25

Population: Safety population consisted of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Events which started during or after Chemoradiotherapy Phase. "Grade 4" are life-threatening or disabling Adverse Event (complicated by acute, life-threatening metabolic or cardiovascular complications such as circulatory failure, hemorrhage, sepsis. Life-threatening physiologic consequences; need for intensive care or emergent invasive procedure; emergent interventional radiological procedure, therapeutic endoscopy or operation).

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Adverse Events (AEs) by Maximum Toxicity Grade 4 During or After Chemoradiotherapy Phase
Mucosal inflammation
0 Participants
2 Participants
Adverse Events (AEs) by Maximum Toxicity Grade 4 During or After Chemoradiotherapy Phase
Neutropenia
1 Participants
0 Participants
Adverse Events (AEs) by Maximum Toxicity Grade 4 During or After Chemoradiotherapy Phase
Hypernatraemia
0 Participants
1 Participants
Adverse Events (AEs) by Maximum Toxicity Grade 4 During or After Chemoradiotherapy Phase
Dyspnoea
0 Participants
1 Participants
Adverse Events (AEs) by Maximum Toxicity Grade 4 During or After Chemoradiotherapy Phase
Skin reaction
0 Participants
1 Participants
Adverse Events (AEs) by Maximum Toxicity Grade 4 During or After Chemoradiotherapy Phase
Anaemia
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Week 10 through 25

Population: Safety population consisted of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Events which started during or after Chemoradiotherapy Phase. "Grade 5" are death related to Adverse Event.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Adverse Events by Maximum Toxicity Grade 5 During or After Chemoradiotherapy Phase
Intestinal perforation
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 5 During or After Chemoradiotherapy Phase
Respiratory tract infection
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 5 During or After Chemoradiotherapy Phase
Staphyloccocal sepsis
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 5 During or After Chemoradiotherapy Phase
Ventricular fibrillation
1 Participants
0 Participants
Adverse Events by Maximum Toxicity Grade 5 During or After Chemoradiotherapy Phase
Cardio-respiratory arrest
0 Participants
1 Participants
Adverse Events by Maximum Toxicity Grade 5 During or After Chemoradiotherapy Phase
Sudden death
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an administered contrast agent from -intra into the extravascular tissue over time. Ktrans estimates blood flow and relates to the ease of exchange into extravascular spaces. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g.,tissue perfusion, vessel permeability, vascular surface area, and extracellular/vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Ktrans Median (1/Min) After 2 - 4 Weeks of Treatment
-2.70 Percent change
Standard Deviation 25.364
6.15 Percent change
Standard Deviation 22.792

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

DCE-MRI tracks the diffusion of an intravascularly administered contrast agent into the extravascular tissue over time. Over a period of time, the contrast agent diffuses back into the vasculature (described by the rate constant or Kep). The lower the Kep, the longer the contrast remains in the extravascular space and is more prolonged. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g., vessel permeability, etc.) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Kep Mean (1/Min) After 2 - 4 Weeks of Treatment
10.30 Percent change
Standard Deviation 33.630
-14.54 Percent change
Standard Deviation 8.898

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

DCE-MRI tracks the diffusion of an intravascularly administered contrast agent into the extravascular tissue over time. Over a period of time, the contrast agent diffuses back into the vasculature (described by the rate constant or Kep). The lower the Kep, the longer the contrast remains in the extravascular space and is more prolonged. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g., vessel permeability, etc.) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Kep Perfused (1/Min) After 2 - 4 Weeks of Treatment
7.63 Percent change
Standard Deviation 26.965
-19.96 Percent change
Standard Deviation 8.662

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

DCE-MRI tracks the diffusion of an intravascularly administered contrast agent into the extravascular tissue over time. Over a period of time, the contrast agent diffuses back into the vasculature (described by the rate constant or Kep). The lower the Kep, the longer the contrast remains in the extravascular space and is more prolonged. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g., vessel permeability, etc.) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Kep Whole (1/Min) After 2 - 4 Weeks of Treatment
8.87 Percent change
Standard Deviation 29.875
-19.64 Percent change
Standard Deviation 6.716

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an administered contrast agent from -intra into the extravascular tissue over time. Ktrans estimates blood flow and relates to the ease of exchange into extravascular spaces. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g.,tissue perfusion, vessel permeability, vascular surface area, and extracellular/vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Ktrans Mean (1/Min) After 2 - 4 Weeks of Treatment
-1.90 Percent change
Standard Deviation 27.965
4.02 Percent change
Standard Deviation 17.683

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an administered contrast agent from -intra into the extravascular tissue over time. Ktrans estimates blood flow and relates to the ease of exchange into extravascular spaces. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g.,tissue perfusion, vessel permeability, vascular surface area, and extracellular/vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Ktrans Perfused (1/Min) After 2 - 4 Weeks of Treatment
-1.44 Percent change
Standard Deviation 23.029
0.69 Percent change
Standard Deviation 34.213

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an administered contrast agent from -intra into the extravascular tissue over time. Ktrans estimates blood flow and relates to the ease of exchange into extravascular spaces. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g.,tissue perfusion, vessel permeability, vascular surface area, and extracellular/vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Ktrans Whole (1/Min) After 2 - 4 Weeks of Treatment
-2.02 Percent change
Standard Deviation 20.971
0.30 Percent change
Standard Deviation 31.783

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast - enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an intravascularly administered contrast agent from intravascular into the extravascular tissue over time. Initial area under the contrast (IAUC), tracks the concentration versus time curve 90 seconds after contrast injection (IAUC90). By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor microenvironment (e.g., tissue perfusion, vessel permeability, vascular surface area, and extracellular-extra vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of IAUC Median (90) After 2 - 4 Weeks of Treatment
-2.07 Percent change
Standard Deviation 30.188
14.08 Percent change
Standard Deviation 23.998

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast - enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an intravascularly administered contrast agent from intravascular into the extravascular tissue over time. Initial area under the contrast (IAUC), tracks the concentration versus time curve 90 seconds after contrast injection (IAUC90). By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor microenvironment (e.g., tissue perfusion, vessel permeability, vascular surface area, and extracellular-extra vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of IAUC Mean (90) After 2 - 4 Weeks of Treatment
-3.30 Percent change
Standard Deviation 28.415
13.48 Percent change
Standard Deviation 20.763

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast - enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an intravascularly administered contrast agent from intravascular into the extravascular tissue over time. Initial area under the contrast (IAUC), tracks the concentration versus time curve 90 seconds after contrast injection (IAUC90). By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor microenvironment (e.g., tissue perfusion, vessel permeability, vascular surface area, and extracellular-extra vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Perfused IAUC (90) After 2 - 4 Weeks of Treatment
-2.40 Percent change
Standard Deviation 29.521
12.57 Percent change
Standard Deviation 28.722

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

Dynamic Contrast - enhanced Magnetic Resonance Imaging (DCE-MRI) tracks the diffusion of an intravascularly administered contrast agent from intravascular into the extravascular tissue over time. Initial area under the contrast (IAUC), tracks the concentration versus time curve 90 seconds after contrast injection (IAUC90). By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor microenvironment (e.g., tissue perfusion, vessel permeability, vascular surface area, and extracellular-extra vascular volume fraction) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Whole IAUC(90) After 2 - 4 Weeks of Treatment
-2.43 Percent change
Standard Deviation 29.313
12.52 Percent change
Standard Deviation 28.974

SECONDARY outcome

Timeframe: Baseline, and Week 2 - 4

Population: The mITT population consisted of all subjects who were randomised to study treatment, did not miss lapatinib/placebo treatment for more than 7 consecutive days and had provided sufficient tumour biopsy sample for the primary endpoint analysis. DCE-MRI population

DCE-MRI tracks the diffusion of an intravascularly administered contrast agent into the extravascular tissue over time. Over a period of time, the contrast agent diffuses back into the vasculature (described by the rate constant or Kep). The lower the Kep, the longer the contrast remains in the extravascular space and is more prolonged. A volume transfer (i.e, 1/min) constant of contrast agent is used to determine vascular permeability. By plugging DCE-MRI results into an appropriate pharmacokinetic model, physiological parameters of the tumor (e.g., vessel permeability, etc.) are determined.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=4 Participants
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Relative Change From Baseline of Kep Median (1/Min) After 2 - 4 Weeks of Treatment
2.88 Percent change
Standard Deviation 19.177
-9.32 Percent change
Standard Deviation 10.002

Adverse Events

Placebo

Serious events: 14 serious events
Other events: 36 other events
Deaths: 0 deaths

Lapatinib

Serious events: 14 serious events
Other events: 69 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=36 participants at risk
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 participants at risk
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of mor than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Infections and infestations
Pyrexia
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour haemorrhage
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Musculoskeletal and connective tissue disorders
Abdominal strangulated hernia
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Mucosal Inflammation
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
4.3%
3/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Constipation
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
2.9%
2/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Respiratory Tract Infection
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Musculoskeletal and connective tissue disorders
Asthenia
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
General Physical Health deterioration
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Investigations
Sudden Death
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Intestinal perforation
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
Dehydration
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Renal and urinary disorders
Renal Failure
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Psychiatric disorders
Bipolar Disorder
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Skin and subcutaneous tissue disorders
Skin Ulcer
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Cardiac disorders
Peripheral Embolism
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Vomiting
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Lobar Pneumonia
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Infections and infestations
Parotitis
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Sepsis
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Septic Shock
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Infection
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Diabetic Ketoacidosis
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Electrolyte Imbalance
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Ketoacidosis
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Cardiac disorders
Ventricular Fibrillation
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Renal and urinary disorders
Renal Impairment
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Pneumonia Aspirations
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Neutropenia
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Injury, poisoning and procedural complications
Post Procedural Haemorrhage
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Weight Decrease
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Cardiac disorders
Ventricular fibrillation
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Renal and urinary disorders
Renal impairment
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Injury, poisoning and procedural complications
Post procedural hemorrhage
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Investigations
Weight decreased
2.8%
1/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Other adverse events

Other adverse events
Measure
Placebo
n=36 participants at risk
Subjects who were given Placebo for 2 to 6 weeks followed by 4 weeks of standard treatment of radiotherapy (of more than or equal to 65 Gy) and concurrent platinum-based Chemotherapy (based on the intitutions standard of care)
Lapatinib
n=69 participants at risk
Subjects who were given once daily dose of oral lapatinib 1500 mg for 2 -6 weeks, followed by 4 weeks of standard treatment of radiotherapy (of mor than or equal to 65 Gy) and concurrent platinum-based chemotherapy (based on the institutions standard care).
Gastrointestinal disorders
Mucosal inflammation
66.7%
24/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
69.6%
48/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Musculoskeletal and connective tissue disorders
Asthenia
47.2%
17/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
33.3%
23/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Odynophagia
36.1%
13/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
33.3%
23/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Dysphagia
36.1%
13/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
31.9%
22/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Nausea
25.0%
9/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
30.4%
21/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Skin and subcutaneous tissue disorders
Rash
13.9%
5/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
30.4%
21/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Vomiting
38.9%
14/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
26.1%
18/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Diarrhoea
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
26.1%
18/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Dry Mouth
22.2%
8/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
21.7%
15/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Anorexia
30.6%
11/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
20.3%
14/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Neutropenia
27.8%
10/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
18.8%
13/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Injury, poisoning and procedural complications
Radiation Skin Injury
22.2%
8/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
18.8%
13/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Constipation
25.0%
9/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
17.4%
12/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Dysphonia
22.2%
8/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
11.6%
8/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
Pain
16.7%
6/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
11.6%
8/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
Pyrexia
16.7%
6/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
10.1%
7/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
Soft tissue inflammation
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
Oedema
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
4.3%
3/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
General disorders
Face oedema
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Oral pain
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
14.5%
10/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Stomatitis
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Aphthous stomatitis
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
4.3%
3/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Aptyalism
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Toothache
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
4.3%
3/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Dyspepsia
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
5.8%
4/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Mouth hemorrhage
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Gastrointestinal disorders
Oesophagitis
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Skin and subcutaneous tissue disorders
Skin reaction
19.4%
7/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
15.9%
11/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Dehydration
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
10.1%
7/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Hyperglycemia
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
2.9%
2/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Hypoalbuminemia
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Metabolism and nutrition disorders
Hyponatremia
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Infections and infestations
Candidiasis
11.1%
4/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
5.8%
4/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Infections and infestations
Oral candidiasis
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Infections and infestations
Respiratory tract infection
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Infections and infestations
Oropharyngeal candidiasis
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Skin and subcutaneous tissue disorders
Dermatitis
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
4.3%
3/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
16.7%
6/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
17.4%
12/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Cough
13.9%
5/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
8.7%
6/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
4/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
2.9%
2/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Anemia
13.9%
5/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
14.5%
10/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Leukopenia
19.4%
7/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
5.8%
4/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Weight decreased
13.9%
5/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
13.0%
9/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Blood and lymphatic system disorders
Blood creatinine increased
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
2.9%
2/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Nervous system disorders
Dysgeusia
11.1%
4/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
15.9%
11/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Nervous system disorders
Headache
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
4.3%
3/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Nervous system disorders
Paraesthesia
11.1%
4/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Injury, poisoning and procedural complications
Radiation mucositis
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Musculoskeletal and connective tissue disorders
Neck pain
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Musculoskeletal and connective tissue disorders
Trismus
0.00%
0/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
7.2%
5/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Ear and labyrinth disorders
Hypoacusis
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
10.1%
7/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Ear and labyrinth disorders
Ear pain
11.1%
4/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
2.9%
2/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Ear and labyrinth disorders
Tinnitus
8.3%
3/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Vascular disorders
Pallor
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
1.4%
1/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
Vascular disorders
Hypertension
5.6%
2/36 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.
0.00%
0/69 • Started prior to and during Lapatanib/Placebo phase, during or after chemoradiotherapy phase.
Safety population used in this analysis consisting of all randomized subjects who took at least one dose of study medication. This population was based on the actual treatment received, if different to the randomized treatment allocation.

Additional Information

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Results disclosure agreements

  • Principal investigator is a sponsor employee : GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-centre trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
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