Trial Outcomes & Findings for Study of Cetuximab With Radiation Followed by Consolidation Chemotherapy for NSCLC (NCT NCT00492206)

NCT ID: NCT00492206

Last Updated: 2017-02-01

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

Up to 36 months

Results posted on

2017-02-01

Participant Flow

Subjects recruited from the surgically unresectable stage IIIA or IIIB NSCLC patient populations

Non-Small Cell Lung Cancer, unresectable limited to Stage IIIA/B.

Participant milestones

Participant milestones
Measure
Chest Radiotherapy + Cetuximab + Consolidation Therapy With ca
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Overall Study
STARTED
40
Overall Study
COMPLETED
40
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Cetuximab With Radiation Followed by Consolidation Chemotherapy for NSCLC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chest Radiotherapy + Cetuximab + Consolidation Therapy With ca
n=40 Participants
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Age, Continuous
67 years
n=5 Participants
Gender
Female
14 Participants
n=5 Participants
Gender
Male
26 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
37 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 36 months

Population: Patients with surgically unresectable stage IIIA or IIIB NSCLC. Survival analysis excluded the two ineligible patients with advanced NSCLC (N = 38).

Outcome measures

Outcome measures
Measure
Received ≥1 Dose of Cetuximab
n=38 Participants
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Overall Survival (OS)
19.4 months
Interval 15.4 to 26.0

SECONDARY outcome

Timeframe: Up to 36 months

Population: Patients with surgically unresectable stage IIIA or IIIB NSCLC. Survival analysis excluded the two ineligible patients with advanced NSCLC.

Response and progression were evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) Committee \[JNCI 92(3):205-216, 2000\]. Progressive Disease was defined as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Received ≥1 Dose of Cetuximab
n=38 Participants
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Progression-free Survival (PFS)
9.3 months
Interval 8.5 to 17.2

SECONDARY outcome

Timeframe: Up to 12 weeks after treatment initiation

Population: Patients who received concurrent radiotherapy + cetuximab + consolidation therapy, and patients who did not receive cetuximab

The Best Overall Response is the best response (Complete Response, Partial Response, Stable Disease, Progressive Disease) recorded from the start of the study treatment until the disease progression/recurrence at end of study. Response and progression were evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) Committee \[JNCI 92(3):205-216, 2000\]. Complete Response (CR) is the Disappearance of all target lesions and Partial Response (PR) is at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
Received ≥1 Dose of Cetuximab
n=40 Participants
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Best Overall Response Rate (ORR) (Number of Participants)
Complete Response (CR) Rate
4 participants
Best Overall Response Rate (ORR) (Number of Participants)
Partial Response (PR) Rate
18 participants
Best Overall Response Rate (ORR) (Number of Participants)
Stable Disease
4 participants
Best Overall Response Rate (ORR) (Number of Participants)
Progressive Disease
6 participants
Best Overall Response Rate (ORR) (Number of Participants)
Not evaluable
8 participants

SECONDARY outcome

Timeframe: approx. 5 years

Population: Participants with baseline tumor tissue available for EGFR status analysis by fluorescence in situ hybridization (FISH). Akt, pAkt, and MAPKinase analyses were not conducted.

EGFR (epidermal growth factor receptor) gene mutation status and Akt, pAkt, and MAPKinase in participant tumor tissue.

Outcome measures

Outcome measures
Measure
Received ≥1 Dose of Cetuximab
n=26 baseline tumor tissue
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
EGFR (Epidermal Growth Factor Receptor) Gene Mutation and Akt, pAkt, and MAPKinase
65 percentage of tumors

Adverse Events

Chest Radiotherapy + Cetuximab + Consolidation Therapy With ca

Serious events: 11 serious events
Other events: 38 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Chest Radiotherapy + Cetuximab + Consolidation Therapy With ca
n=40 participants at risk
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
2.5%
1/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Constitutional Symptoms - Other (Specify, __)
2.5%
1/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
17.5%
7/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Cardiac disorders
Hypotension
5.0%
2/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.0%
2/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Leukocytes (total WBC)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy), Extraocular
2.5%
1/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Neuropathy: sensory
2.5%
1/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
20.0%
8/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Abdomen NOS
5.0%
2/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Rigors/chills
2.5%
1/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Cardiac disorders
Supraventricular and nodal arrhythmia, Atrial fibrillation
5.0%
2/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)

Other adverse events

Other adverse events
Measure
Chest Radiotherapy + Cetuximab + Consolidation Therapy With ca
n=40 participants at risk
Participants (with surgically unresectable stage IIIA or IIIB NSCLC) received Cetuximab 400 mg/m2 IV (week 0 only), External beam radiation (weeks 1 - 7) and Cetuximab 250 mg/m2 IV weekly thereafter (weeks 1 - 7). Weeks 4-6 was the pre-consolidation phase during which participants received Carboplatin AUC = 6 IV, Paclitaxel 200 mg/m\^2 IV Every 3 weeks x 3 Cycles. Cetuximab was given for up to a total of 26 weeks.
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Hemoglobin
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Lymphopenia
20.0%
8/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
50.0%
20/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Leukocytes (total WBC)
60.0%
24/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Cardiac disorders
Supraventricular and nodal arrhythmia, Atrial fibrillation
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Cardiac disorders
Supraventricular and nodal arrhythmia, Sinus tachycardia
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Cardiac disorders
Hypotension
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Constitutional Symptoms - Other (Specify, __)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Sweating (diaphoresis)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Rigors/chills
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
20.0%
8/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Insomnia
20.0%
8/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Weight loss
27.5%
11/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Fatigue (asthenia, lethargy, malaise)
72.5%
29/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (Specify, __)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Hyperpigmentation
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Nail changes
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Rash: dermatitis associated with radiation, Chemoradiation
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Pruritus/itching
12.5%
5/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
12.5%
5/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
20.0%
8/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Rash: dermatitis associated with radiation, Radiation
20.0%
8/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Dry skin
27.5%
11/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Rash/desquamation
35.0%
14/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
77.5%
31/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Hemorrhoids
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __)
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Heartburn/dyspepsia
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Taste alteration (dysgeusia)
17.5%
7/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Diarrhea
25.0%
10/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Esophagitis
27.5%
11/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam), Oral cavity
27.5%
11/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Vomiting
30.0%
12/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Constipation
35.0%
14/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
40.0%
16/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Anorexia
52.5%
21/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Gastrointestinal disorders
Nausea
57.5%
23/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Blood and lymphatic system disorders
Hemorrhage/Bleeding - Other (Specify, __)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils, Lung (pneumonia)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Infections and infestations
Infection - Other (Specify, __)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils, Upper airway NOS
12.5%
5/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Metabolism and nutrition disorders
AST, SGOT(serum glutamic oxaloacetic transaminase)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
25.0%
10/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other (Specify, __)
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Mood alteration, Depression
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Neurology - Other (Specify, __)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Neuropathy: motor
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Dizziness
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Mood alteration, Anxiety
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Syncope (fainting)
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Nervous system disorders
Neuropathy: sensory
32.5%
13/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Eye disorders
Dry eye syndrome
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Eye disorders
Watery eye (epiphora, tearing)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain - Other (Specify, __)
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Abdomen NOS
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Throat/pharynx/larynx
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Chest/thorax NOS
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Muscle
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Bone
12.5%
5/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Extremity-limb
12.5%
5/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Joint
12.5%
5/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Back
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
General disorders
Pain, Head/headache
30.0%
12/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Hypoxia
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
7.5%
3/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (Specify, __)
15.0%
6/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria (e.g., hoarseness, loss or alteration in voice, laryngitis)
17.5%
7/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
62.5%
25/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Respiratory, thoracic and mediastinal disorders
Cough
77.5%
31/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)
Vascular disorders
Thrombosis/thrombus/embolism
10.0%
4/40
Adverse events (AEs) include all AEs (those considered related or unrelated to study treatment)

Additional Information

Ahmad Tarhini, MD

University of Pittsburgh Cancer Institute

Phone: 412-648-6507

Results disclosure agreements

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

Restriction type: LTE60