Phase 3, Randomized, Open-label Study Of The Efficacy And Safety Of Crizotinib Versus Pemetrexed/Cisplatin Or Pemetrexed/Carboplatin In Previously Untreated Patients With Non-squamous Carcinoma Of The Lung Harboring A Translocation Or Inversion Event Involving The Anaplastic Lymphoma Kinase (Alk) Gene Locus.
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 343
- 试验地点
- 219
- 主要终点
- Progression-Free Survival (PFS) Based on IRR
研究概览
简要总结
This study will evaluate the anti-cancer effects of crizotinib when compared with standard chemotherapy in patients with ALK positive lung cancer.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Proven diagnosis of locally advanced not suitable for local treatment, recurrent and metastatic non-squamous cell carcinoma of the lung
- •Positive for translocation or inversion events involving the ALK gene locus
- •No prior systemic treatment for locally advanced or metastatic disease; Patients with brain metastases only if treated and neurologically stable with no ongoing requirement for corticosteroids
- •Evidence of a personally signed and dated informed consent document and willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures including completion of patient reported outcome [PRO] measures.
- •18 years of age or older with the exception of India which has an upper age limit of 65 years old
排除标准
- •Current treatment on another therapeutic clinical trial.
- •Prior therapy directly targeting ALK.
- •Any of the following within the 3 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. - - Appropriate treatment with anticoagulants is permitted.
- •Ongoing cardiac dysrhythmias of NCI CTCAE Grade >=2, uncontrolled atrial fibrillation of any grade, or QTc interval >470 msec.
- •Pregnancy or breastfeeding.
- •Use of drugs or foods that are known potent CYP3A4 inducers/inhibitors Concurrent use of drugs that are CYP3A4 substrates with narrow therapeutic indices.
- •Known HIV infection
- •Known interstitial lung disease or interstitial fibrosis
- •Other severe acute or chronic medical conditions (including severe gastrointestinal conditions such as diarrhea or ulcer) or psychiatric conditions, or laboratory abnormalities that would impart, in the judgment of the investigator and/or sponsor, excess risk associated with study participation or study drug administration, and which would, therefore, make the patient inappropriate for entry into this study
研究组 & 干预措施
A
干预措施: treatment (Drug)
B
干预措施: treatment (Drug)
结局指标
主要结局
Progression-Free Survival (PFS) Based on IRR
时间窗: Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months)
PFS was defined as the time from the date of randomization in study until the date of first documented objective tumor progression (according to RECIST v1.1 as determined by IRR) or death (due to any cause), whichever occurred first. PFS (in months) was calculated as (first event date - randomization date +1)/30.44. Objective progression was defined as a 20 percent (%) increase in the sum of the diameters of target measurable lesions taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study), with a minimum absolute increase of 5 millimeter (mm) or clear progression of pre-existing non-target lesions, or the appearance of any new clear lesions.
次要结局
- Overall Survival (OS)(From randomization to death or last date known alive for those not known to have died (up to 72 months))
- Overall Survival Probability at Month 12 and 18(Month 12, 18)
- Objective Response Rate (ORR): Percentage of Participants With Objective Response as Assessed by IRR(Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months))
- Duration of Response (DR) Based on IRR(From objective response to date of progression, death or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months))
- Time to Tumor Response (TTR) Based on IRR(Randomization to first documentation of objective tumor response (up to 35 months))
- Percentage of Participants With Disease Control at Week 12 Based on IRR(Week 12)
- Time to Progression (TTP) Based on IRR(Randomization to objective progression or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months))
- Time to Intracranial Progression (IC-TTP) Based on IRR(Randomization to objective intracranial progression or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months))
- Time to Extracranial Progression (EC-TTP) Based on IRR(Randomization to objective extracranial progression or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months))
- Percentage of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)(Baseline up to follow up period (up to 72 months))
- Percentage of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)(Baseline up to follow up period (up to 72 months))
- Percentage of Participants With Adverse Events (AEs) According to Maximum Severity(Baseline up to follow up period (up to 72 months))
- Plasma Predose Concentration (Ctrough) of Crizotinib and Its Metabolite PF-06260182(Predose at Day 1 of Cycle 2, 3 and 5)
- Percentage of Participants For Each Anaplastic Lymphoma Kinase (ALK) Gene Fusion Variants(28 days prior to day 1 of study treatment)
- Objective Response Rate (ORR) of Anaplastic Lymphoma Kinase (ALK) Variant Groups Based on IRR(Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months))
- Time to Deterioration (TTD) in Chest Pain, Dyspnea or Cough(From randomization of treatment up to deterioration while on study treatment (up to 35 months))
- Change From Baseline in Functioning and Global Quality of Life (QOL) as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)(Baseline, From Cycle 1 Day 1 up to end of study treatment or crossover to crizotinib arm (up to 35 months))
- Change From Baseline Scores in QLQ-C30 Symptoms as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)(Baseline, From Cycle 1 Day 1 up to end of study treatment or crossover to crizotinib arm (up to 35 months))
- Change From Baseline in Lung Cancer Symptom Scores as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer 13 (QLQ- LC13)(Baseline, From Cycle 1 Day 1 up to end of study treatment or crossover to crizotinib arm (up to 35 months))
- Change From Baseline in General Health Status as Assessed by EuroQol 5D (EQ-5D)- Visual Analog Scale (VAS)(Baseline, From Cycle 1 Day 1 up to end of study treatment or crossover to crizotinib arm (up to 35 months))
- Percentage of Participants With Hospital Admissions-Healthcare Resource Utilization (HCRU)(Baseline up to follow up period (up to 72 months))
- Percentage of Participants With Laboratory Test Abnormalities By Maximum Severity: National Cancer Institute Common Terminology Criteria for Adverse Event (Version 4.0) Grade 1 to 4 Hematological Test Abnormalities(Baseline up to follow up period (up to 72 months))
- Percentage of Participants With Laboratory Test Abnormalities By Maximum Severity: National Cancer Institute Common Terminology Criteria for Adverse Event (Version 4.0) Grade 1 to 4 Chemistry Test Abnormalities(Baseline up to follow up period (up to 72 months))
