Trial Outcomes & Findings for Etirinotecan Pegol (NKTR-102) in NSCLC (NCT NCT01773109)

NCT ID: NCT01773109

Last Updated: 2020-04-03

Results Overview

The primary objective of this phase 2 trial is to estimate the objective response rate (Complete Response or Partial Response, as measured by RECIST version 1.1) for patients with metastatic or recurrent NSCLC being treated with etirinotecan pegol after failure of second-line therapy.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

6 weeks

Results posted on

2020-04-03

Participant Flow

Participant milestones

Participant milestones
Measure
Etirinotecan Pegol
145 mg/m2 will be administered as an IV infusion over a course of 90 minutes on Day 1 of a 21 day cycle
Overall Study
STARTED
40
Overall Study
COMPLETED
37
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Etirinotecan Pegol
145 mg/m2 will be administered as an IV infusion over a course of 90 minutes on Day 1 of a 21 day cycle
Overall Study
Symptomatic Progression
2
Overall Study
Death
1

Baseline Characteristics

Etirinotecan Pegol (NKTR-102) in NSCLC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Etirinotecan Pegol
n=40 Participants
This Phase II, single-arm, open-label study is designed to investigate the efficacy and safety of etirinotecan pegol in patients with metastatic or recurrent NSCLC after failure of 2nd line therapy. Eligible patients will receive etirinotecan pegol at a dose of 145 mg/m2 iv every 3 weeks. One cycle will be defined as 3 weeks. Patients will be followed clinically every week for the first cycle with laboratory parameters and physical exam. Response will be determined with RECIST version 1.1 after 2 cycles of therapy. Patients with Stable disease (SD), partial response (PR) or complete response (CR) will continue on additional therapy for up to six cycles. In the absence of disease progression in subjects completing six full cycles, further treatment beyond cycle #6 will be left to the discretion of the treating physician and his/her staff. Patients with progressive disease will be taken off study and will be followed for overall survival.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=93 Participants
Age, Categorical
>=65 years
26 Participants
n=93 Participants
Age, Continuous
66 years
n=93 Participants
Sex: Female, Male
Female
18 Participants
n=93 Participants
Sex: Female, Male
Male
22 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=93 Participants
Race (NIH/OMB)
White
34 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=93 Participants

PRIMARY outcome

Timeframe: 6 weeks

The primary objective of this phase 2 trial is to estimate the objective response rate (Complete Response or Partial Response, as measured by RECIST version 1.1) for patients with metastatic or recurrent NSCLC being treated with etirinotecan pegol after failure of second-line therapy.

Outcome measures

Outcome measures
Measure
Etirinotecan Pegol
n=37 Participants
This Phase II, single-arm, open-label study is designed to investigate the efficacy and safety of etirinotecan pegol in patients with metastatic or recurrent NSCLC after failure of 2nd line therapy. Eligible patients will receive etirinotecan pegol at a dose of 145 mg/m2 iv every 3 weeks. One cycle will be defined as 3 weeks. Patients will be followed clinically every week for the first cycle with laboratory parameters and physical exam. Response will be determined with RECIST version 1.1 after 2 cycles of therapy. Patients with Stable disease (SD), partial response (PR) or complete response (CR) will continue on additional therapy for up to six cycles. In the absence of disease progression in subjects completing six full cycles, further treatment beyond cycle #6 will be left to the discretion of the treating physician and his/her staff. Patients with progressive disease will be taken off study and will be followed for overall survival.
Overall Objective Response Rate
Partial Response
2 Participants
Overall Objective Response Rate
Stable Disease
17 Participants
Overall Objective Response Rate
Progressive Disease
18 Participants

Adverse Events

Etirinotecan Pegol

Serious events: 5 serious events
Other events: 0 other events
Deaths: 37 deaths

Serious adverse events

Serious adverse events
Measure
Etirinotecan Pegol
n=40 participants at risk
Etirinotecan pegol (NKTR-102): 145mg/m2 intravenously every 3 weeks
Nervous system disorders
Treatment-related seconard maligancy
2.5%
1/40 • Number of events 1 • 7 months
As per CTCAE
Blood and lymphatic system disorders
Sepsis
2.5%
1/40 • Number of events 1 • 7 months
As per CTCAE
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
2.5%
1/40 • Number of events 1 • 7 months
As per CTCAE
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
2.5%
1/40 • Number of events 1 • 7 months
As per CTCAE
Blood and lymphatic system disorders
Thromboembolic Event
2.5%
1/40 • Number of events 1 • 7 months
As per CTCAE

Other adverse events

Adverse event data not reported

Additional Information

Dr. Charu Aggarwal

University of Pennsylvania (Abramson Cancer Center)

Phone: 2156624000

Results disclosure agreements

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