Afatinib in Patients With Non Small Cell Lung Cancer (NSCLC) With Epidermal Growth Factor Receptor (EGFR) Mutations
An Open Label Trial of Afatinib in Treatment-naive or Chemotherapy Pre-treated Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC) Harboring EGFR Mutation(s)
1 other identifier
interventional
14
1 country
5
Brief Summary
The main aim of this study is to evaluate the safety and tolerability of afatinib in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) harboring Epidermal Growth Factor Receptor (EGFR) mutation(s) and have never been treated with an EGFR-Tyrosine Kinase Inhibitor (TKI)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Mar 2014
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2014
CompletedFirst Posted
Study publicly available on registry
January 24, 2014
CompletedStudy Start
First participant enrolled
March 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedResults Posted
Study results publicly available
March 31, 2017
CompletedMarch 31, 2017
February 1, 2017
1.9 years
January 22, 2014
February 15, 2017
February 15, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Safety Assesment
Safety was assessed by: 1. All serious adverse events (SAEs) 2. All adverse events (AEs) leading to treatment discontinuation or dose reduction of afatinib 3. Non-serious AEs assessed by the treating physician as related to afatinib.
From first administration of treatment until 28 days after last drug administration, up to 80 weeks.
Study Arms (1)
Afatinib
EXPERIMENTALpatient to receive a tablet containing 40 mg afatinib once a day, with the option to reduce the dose to 30 or 20 mg/day, based on individual tolerability
Interventions
Eligibility Criteria
You may qualify if:
- Locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC)
- Epidermal Growth Factor Receptor (EGFR) mutation-positive results per the institution's testing methodology
- Male or female patients age \>=18 years
- Adequate organ function, defined as all of the following:
- Absolute neutrophil count (ANC) \>1500/mm3
- Platelet count\>75,000/mm3
- Serum creatinine\<1.5 times of the upper limit of (institutional) normal and/or creatinine clearance (measured or calculated)\>45ml/min
- Total bilirubin \<1.5 times upper limit of (institutional) normal
- Aspartate Amino Transferase (AST) or Alanine Amino Transferase (ALT) \< three times the upper limit of (institutional) normal (if related to liver metastases \< five times ULN)
- Eastern Cooperative Oncology Group (ECOG) score between 0-2
- Written informed consent by patient or guardian prior to admission into the trial that is consistent with International Conference on Harmonization (ICH)- Good Clinical Practice (GCP) guidelines and local law
- Recovery from any previous therapy related toxicity to \<=CTCAE Grade 1 at study entry (except for stable sensory neuropathy \<=CTCAE Grade 2 and alopecia)
You may not qualify if:
- Prior treatment with an EGFR tyrosine kinase inhibitor (TKI)
- Hormonal anti-cancer treatment within 2 weeks prior to start of trial treatment (continued use of anti-androgens and/or gonadorelin analogues for treatment of prostate cancer permitted)
- Radiotherapy within 28 days prior to drug administration, except as follows:
- Palliative radiation to organs other than chest may be allowed up to 2 weeks prior to drug administration, and
- Single dose palliative treatment for symptomatic metastases outside above allowance to be discussed with sponsor prior to enrolling
- Major surgery within 4 weeks before starting trial treatment or scheduled for surgery during the projected course of the trial
- Known hypersensitivity to afatinib or any of its excipients
- History or presence of clinically relevant cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure New York Heart Association (NYHA) classification of 3, unstable angina or poorly controlled arrhythmia as determined by the investigator. Myocardial infarction within 6 months prior to starting trial treatment
- Women of Child-Bearing Potential (WOCBP) and men who are able to father a child, unwilling to use adequate contraception prior to trial entry, for the duration of trial participation and for at least 2 weeks after treatment has ended
- Childbearing potential who:
- are nursing or
- are pregnant or
- are not using an acceptable method of birth control, or do not plan to continue using this method throughout the trial and/or do not agree to submit to pregnancy testing required by this protocol
- Any history of or concomitant condition that, in the opinion of the investigator, would compromise the patients ability to comply with the trial or interfere with the evaluation of safety for the trial drug
- Previous or concomitant malignancies at other sites, except effectively treated non-melanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ or effectively treated malignancy that has been in remission for more than 3 years and is considered to be cured
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
Boehringer Ingelheim Investigational Site
Barrie, Ontario, Canada
Boehringer Ingelheim Investigational Site
London, Ontario, Canada
Boehringer Ingelheim Investigational Site
Newmarket, Ontario, Canada
Boehringer Ingelheim Investigational Site
Toronto, Ontario, Canada
Boehringer Ingelheim Investigational Site
Montreal, Quebec, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Due to the small number of patients entered and treated in this trial (14 patients) relative to the planned enrollment goal (40 entered patients had been planned), no formal statistical analyses of efficacy data were performed.
Results Point of Contact
- Title
- Boehringer Ingelheim Call Center
- Organization
- Boehringer Ingelheim
Study Officials
- STUDY CHAIR
Boehringer Ingelheim
Boehringer Ingelheim
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 22, 2014
First Posted
January 24, 2014
Study Start
March 1, 2014
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
March 31, 2017
Results First Posted
March 31, 2017
Record last verified: 2017-02