Non Squamous Lung CancerPhase 3PROFILE 1014NCT01154140
A Clinical Trial Testing The Efficacy Of Crizotinib Versus Standard Chemotherapy Pemetrexed Plus Cisplatin Or Carboplatin In Patients With ALK Positive Non Squamous Cancer Of The Lung
A Phase 3 study testing treatment in people with Non Squamous Lung Cancer, run by Pfizer at 249 sites in 31 countries.
Trial summary
This study will evaluate the anti-cancer effects of crizotinib when compared with standard chemotherapy in patients with ALK positive lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non Squamous Lung Cancer
- What is being tested?
- treatment
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 343 participants
- Where
- 249 sitesin 31 countries
- Study dates
- 13 Jan 2011to 30 Nov 2016
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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.
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- 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
Trial locations and contacts
249 sites in 31 countries.
249 sites in 31 countries
United States84 sites
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
UNM Eye Clinic
Albuquerque, New Mexico, 87106
Georgia Cancer Specialists
Athens, Georgia, 30606
Georgia Cancer Specialists
Atlanta, Georgia, 30341
OHSU Knight Cancer Institute
Beaverton, Oregon, 97006
Tower Cancer Research Foundation
Beverly Hills, California, 90211-1850
Tower Hematology Oncology Medical Group
Beverly Hills, California, 90211-1850
Maine Center for Cancer Medicine
Biddeford, Maine, 04005
Kresge Eye Institute
Bingham Farms, Michigan, 48025
Lynn Cancer Institute Center for Hematology Oncology
Boca Raton, Florida, 33486
Maine Center for Cancer Medicine
Brunswick, Maine, 04011
University of Chicago
Chicago, Illinois, 60637
Siteman Cancer Center
City of Saint Peters, Missouri, 63376
Siteman Cancer Center - West County
Creve Coeur, Missouri, 63141
UT Southwestern Medical Center - Simmons Cancer Center Pharmacy
Dallas, Texas, 75390-9015
UT Southwestern Medical Center
Dallas, Texas, 75390
UT Southwestern University Hospital - William P. Clements, Jr.
Dallas, Texas, 75390
UT Southwestern University Hospital - Zale Lipshy
Dallas, Texas, 75390
Georgia Cancer Specialists
Decatur, Georgia, 30033
Karmanos Cancer Institute
Detroit, Michigan, 48201
Kresge Eye Institute
Detroit, Michigan, 48201
Tennessee Oncology, PLLC
Dickson, Tennessee, 37055
Vincent Armenio
East Providence, Rhode Island, 02914
Pharma Resource
East Providence, Rhode Island, 02915
Karmanos Cancer Institute at Farmington Hills
Farmington Hills, Michigan, 48334
CCTAP
Fontana, California, 92335
Tennessee Oncology, PLLC
Franklin, Tennessee, 37067
Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066
OHSU Knight Cancer Institute
Gresham, Oregon, 97030
Al Fisher, Pharm D.
Harvey, Illinois, 60426
Ingalls Memorial Hospital
Harvey, Illinois, 60426
Monroe Medical Associates
Harvey, Illinois, 60426
Tennessee Oncology, PLLC
Hermitage, Tennessee, 37076
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Indiana University Hospital
Indianapolis, Indiana, 46202
Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Lois and Eskenazi Hospital
Indianapolis, Indiana, 46202
NSLIJ Health System/Monter Cancer Center
Lake Success, New York, 11042
Memorial Medical Center
Las Cruces, New Mexico, 88011
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756-0001
Tennessee Oncology, PLLC
Lebanon, Tennessee, 37087
Loma Linda University Cancer Center
Loma Linda, California, 92350
Loma Linda University Cancer Center (LLUCC)-Schuman Pavilion
Loma Linda, California, 92354
Loma Linda University Medical Center
Loma Linda, California, 92354
CCTAP
Los Angeles, California, 90027
Georgia Cancer Specialists
Macon, Georgia, 31217
University of Wisconsin Hospital and Clinics
Madison, Wisconsin, 53792-5666
North Shore University Hospital
Manhasset, New York, 11030
Georgia Cancer Specialists
Marietta, Georgia, 30060
Hematology-Oncology Associates of Northern New Jersey
Morristown, New Jersey, 07962
Monroe Medical Association
Munster, Indiana, 46321
The Community Hospital
Munster, Indiana, 46321
Tennessee Oncology, PLLC
Murfreesboro, Tennessee, 37130
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37205
Tennessee Oncology, PLLC
Nashville, Tennessee, 37207
Tennessee Oncology, PLLC
Nashville, Tennessee, 37211
Henry-Joyce Cancer Clinic
Nashville, Tennessee, 37232-5536
Vanderbilt Oncology Pharmacy
Nashville, Tennessee, 37232-7610
Long Island Jewish Medical Center
New Hyde Park, New York, 11040
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Florida Hospital
Orlando, Florida, 32803
Cancer Institute of Florida
Orlando, Florida, 32804
Investigational Drug Services
Orlando, Florida, 32804
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
OHSU Knight Cancer Institute
Portland, Oregon, 97210
OHSU Knight Cancer Institute
Portland, Oregon, 97216
Oregon Health and Science University
Portland, Oregon, 97239
Kaiser Permanente Southern California
San Diego, California, 92108
CCTAP
San Diego, California, 92120
Georgia Cancer Specialists
Sandy Springs, Georgia, 30342
Maine Center for Cancer Medicine
Sanford, Maine, 04073
Maine Center for Cancer Medicine
Scarborough, Maine, 04074
Seattle Cancer Care Alliance
Seattle, Washington, 98109
University of Washington Medical Center
Seattle, Washington, 98195
Tennessee Oncology, PLLC
Smyrna, Tennessee, 37167
Barnes-Jewish Hospital
St Louis, Missouri, 63110-1094
Washington University Center for Advanced Medicine Infusion Center Pharmacy
St Louis, Missouri, 63110
SUNY Upstate Medical University
Syracuse, New York, 13210
Monroe Medical Associates
Tinley Park, Illinois, 60477
OHSU Knight Cancer Institute
Tualatin, Oregon, 97062
Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Research Pharmacy, Georgetown University Medical Center
Washington D.C., District of Columbia, 20007
Italy24 sites
Struttura Operativa Complessa Oncologia Medica A Centro di Riferimento Oncologico
Aviano, Pordenone, 33081
Farmacia
Aviano (PN), 33081
Istituto dei tumori Giovanni Paolo II
Bari, 70124
Unità Operativa di Oncologia Medica Azienda USL Città di Bologna
Bologna, 40100
Azienda Ospedaliero-Universitaria "Mater Domini"
Catanzaro, 88100
Unità Operativa di Farmacia - Campus Salvatore venuta
Catanzaro, 88100
Ospedale Civile Azienda USL Toscana Nord Ovest
Livorno, 57124
Unità Operativa Farmacia Ospedaliera PO di Livorno
Livorno, 57124
Fondazione IRCCS Istituto Nazionale Tumori, Struttura Complessa di Medicina Oncologica 1
Milan, 20133
Farmacia Istituto Europeo di Oncologia IRCCS, U.O. Farmacia
Milan, 20141
Istituto Europeo di Oncologia
Milan, 20141
Ospedale Niguarda Ca'Granda, Divisione Oncologia Medica Falck
Milan, 20162
A.O.R.N. Ospedale Dei Colli - Monaldi
Naples, 80131
Farmacia
Naples, 80131
Azienda Ospedaliera Universitaria San Luigi Gonzaga
Orbassano (TO), 10043
S.C. Farmacia Ospedaliera , Azienda Ospedaliero Universitaria San Luigi Gonzaga
Orbassano (TO), 10043
Oncologia Medica, Azienda Ospedaliero- Universitaria di Parma
Parma, 43126
Farmacia Ospedaliera
Perugia, 06132
SC Oncologia Medica, Ospedale Santa Maria della Misericordia
Perugia, 06132
IRCCS -Arcispedale S. Maria Nuova Tecnologie Avanzate e Modelli Assistenziali in Oncologia
Reggio Emilia, 42123
Istituto Regina Elena, Struttura Complessa Oncologia Medica A
Roma, 00144
Azienda Ospedaliera San Camillo Forlanini-Padiglione Flaiani
Roma, 00152
Farmacia Interna
Roma, 00152
Unita Operativa, Oncologia Medica, Istituto di Medicina Interna e Geriatria
Roma, 00168
Japan15 sites
Hyogo Cancer Center
Akashi, Hyōgo, 673-8558
National Cancer Center Hospital
Chuo-Ku, Tokyo, 104-0045
National Hospital organization Kyushu Cancer Center
Fukuoka, 811-1395
Kyushu University Hospital Respiratory Medicine
Fukuoka, 812-8582
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
The Cancer Institute Hospital of JFCR
Koto-ku, Tokyo, 135-8550
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Aichi cancer center central hospital
Nagoya, Aichi-ken, 464-8681
Okayama University Hospital
Okayama, Okayama-ken, 700-8558
Kinki University Hospital
Osakasayama-shi, Osaka, 589-8511
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Shizuoka Cancer Center
Sunto-gun, Shizuoka, 411-8777
National Hospital Organization Yamaguchi-Ube Medical Center
Ube-shi, Yamaguchi, 755-0241
Kanagawa Cardiovascular and Respiratory Center
Yokohama, Kanagawa, 236-0051
Australia10 sites
Department of Medical Oncology
Adelaide, South Australia, 5000
Macarthur Cancer Therapy Centre
Campbelltown, New South Wales, 2560
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
The Prince Charles Hospital
Chermside, Queensland, 4032
The Townsville Hospital
Douglas, Queensland, 4814
Peter MacCallum Cancer Centre, Department of Haematology and Medical Oncology
East Melbourne, Victoria, 3002
Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria, 3199
The Royal Brisbane & Womens Hospital
Herston, Queensland, 4006
Parkhaven Medical Center
Hyde Park, Queensland, 4812
Royal North Shore Hospital
St Leonards, New South Wales, 2065
China9 sites
307 Hospital of PLA
Beijing, Beijing Municipality, 100071
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Beijing, 100021
Oncology Department, West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
Oncology Center, Guangdong General Hospital
Guangzhou, Guangdong, 510080
No.81 Hospital of the PLA
Nanjing, Jiangsu, 210002
Shanghai Chest Hospital/Department of Pulmonary Medicine
Shanghai, 200030
Zhongshan Hospital Fudan University
Shanghai, 200030
Shanghai Pulmonary Hospital/Dept. of Oncology
Shanghai, 200433
Union Hospital, Tongji Medical College of Huazhong University of Science & Technology/Cancer Center
Wuhan, Hubei, 430023
France9 sites
Hopital Avicenne
Bobigny, 93009
CHU de Caen
Caen, 14033
CHU Grenoble
Grenoble, 38043
Centre Oscar Lambret
Lille, 59020
Centre Leon Berard
Lyon, 69373
APHM - Hopital Nord / Service d'Oncologie Multidisciplinaire et Innovations Thérapeutiques
Marseille, 13915
Hopital Arnaud de Villeneuve / CHU de Montpellier
Montpellier, 34295
Hopital Tenon, Service de Pneumologie
Paris, 75970
Nouvel Hopital Civil - HSU - Pôle de Pathologie Thoracique - Service de Pneumologie
Strasbourg, 67091
Spain9 sites
Hospital Clinic I Provincial de Barcelona
Barcelona, Catalonia, 08036
Hospital Universitari Vall D'Hebron
Barcelona, 08035
Hospital General Universitario de Elche
Elche, Alicante, 03203
Hospital Universitario Insular de Gran Canaria
Las Palmas de Gran Canaria, 35016
Hospital Ramon Y Cajal
Madrid, 28034
Hospital Doce de Octubre
Madrid, 28041
Hospital Universitario Virgen de La Victoria
Málaga, 29010
Hospital Universitario Virgen Macarena
Seville, Andalusia, 41009
Hospital Clinico Universitario Lozano Blesa
Zaragoza, Aragon, 50009
United Kingdom9 sites
Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
Addenbrooke's Hospital, Oncology Centre
Cambridge, Cambridgeshire, CB2 0QQ
NHS Greater Glasgow and Clyde Health Board, Beatson West of Scotland Cancer Centre,
Glasgow, Scotland, G12 0YN
Ross Hall Hospital
Glasgow, Scotland, G52 3NQ
Spire Manchester Hospital
Manchester, Lancashire, M16 8AJ
The Christie Hospital NHS Foundation Trust, Department of Medical Oncology
Manchester, M20 4BX
Mount Vernon Hospital, Mount Vernon Cancer Centre
Northwood, Middlesex, HA6 2RN
Lister Hospital
Stevenage, Hertfordshire, SG1 4AB
Queen Elizabeth II Hospital
Welwyn Garden City, Hertfordshire, AL7 4HQ
Belgium8 sites
Institut Jules Bordet, Centre des Tumeurs de l'ULB
Brussels, 1000
Universitair Ziekenhuis Brussel / Medische Oncologie
Brussels, 1090
Cliniques Universitaires St Luc
Brussels, 1200
Grand Hopital de Charleroi -Site Notre Dame
Charleroi, Hainaut, 6000
UZ Antwerpen-Pneumologie
Edegem, Antwerp, 2650
Universitair Ziekenhuis Gent (U.Z. Gent)
Ghent, 9000
Centre Hospitalier Universitaire de Liege
Liège, 4000
Department of Pulmonary Diseases AZ Delta
Roeselare, 8800
Germany8 sites
Zentralklinik Bad Berka GmbH
Bad Berka, 99437
Charite - Universitaetsmedizin Berlin, Campus Mitte
Berlin, 10117
Thoraxklinik am Universitaetsklinikum Heidelberg
Heidelberg, 69126
St.Vincentius-Kliniken Karlsruhe
Karlsruhe, 76137
UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität Mainz
Mainz, 55131
Kliniken Maria Hilf GmbH
Mönchengladbach, 41063
Pius-Hospital Oldenburg
Oldenburg, 26121
HSK Dr.- Horst-Schmidt-Kliniken GmbH,
Wiesbaden, 65199
Canada7 sites
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
QEII Health Sciences Centre
Halifax, Nova Scotia, B2H 2Y9
QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 1V7
Jewish General Hospital
Montreal, Quebec, H3T 1E2
McGill University Health Centre (MUHC), Glen Site, Cedars Cancer Centre
Montreal, Quebec, H4A 3J1
R.S. McLaughlin Durham Regional Cancer Centre
Oshawa, Ontario, L1G 2B9
Institut universitaire de cardiologie et de pneumologie de Quebec (IUCPQ)
Ste-Foy, Quebec, G1V 4G5
Russia7 sites
Russian Oncological Research Center N.N. Blokhin
Moscow, 115478
City Clinical Oncology Dispensary
Saint Petersburg, 197022
First Saint-Petersburg State Medical University n.a. I.P. Pavlov
Saint Petersburg, 197022
First Saint-Petersburg State Medical University n.a. I.P.
Saint Petersburg, 197101
Russian Scientific Center of Radiology and Surgical Technologies
Saint Petersburg, 197758
City Clinical Oncology Dispensary
Saint Petersburg, 198255
Samara Regional Clinical Oncology Dispensary
Samara, 443031
Brazil5 sites
Fundacao Pio XII Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
Associacao Hospital de Caridade de Ijui
Ijuí, Rio Grande do Sul, 98700-000
Hospital Sao Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto Nacional de Cancer - INCA
Rio de Janeiro, Rio de Janeiro, 20231 -050
Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira - ICESP
São Paulo, São Paulo, 01246-000
Ukraine5 sites
City Multiple-Discipline Clinical Hospital #4,
Dnipropetrovsk, 49102
City Multiple-Discipline Clinical Hospital #4
Dnipropetrovsk, 49102
Department of Oncology and Medical Radiology, SI "DMA of MOH, Ukraine
Dnipropetrovsk, 49102
Kyiv City Clinical Oncologic Center/Department of Chemotherapy
Kyiv, 03115
Lviv State Oncologic Regional Treatment and Diagnostic Center
Lviv, 79031
Portugal4 sites
Centro Hospitalar e Universitario de Coimbra - Hospital Geral
Coimbra, 3041-801
Instituto Português de Oncologia de Lisboa, Prof. Francisco Gentil E.P.E.
Lisbon, 1099-023
Centro Hospitalar de Lisboa Norte - Hospital Pulido Valente
Lisbon, 1769-001
Centro Hospitalar de Vila Nova de Gaia/Espinho, E.P.E.
Vila Nova de Gaia, 4434-502
Singapore4 sites
National University Hospital
Singapore, 119074
National Cancer Centre
Singapore, 169610
Parkway Cancer Centre
Singapore, 228510
OncoCare Cancer Centre
Singapore, 258499
Taiwan4 sites
Chang Gung Medical Foundation, Kaohsiung Branch
Kaohsiung City, 833
China Medical University Hospital
Taichung, 404
Taichung Veterans General Hospital, Comprehensive Cancer Center
Taichung, 40705
Chang Gung Medical Foundation, LinKou Branch
Taoyuan, 33305
Chile3 sites
Hospital Clinico Universidad de Chile, Seccion de Oncologia
Independencia, Santiago, Rm, 8380456
Instituto Nacional del Cancer
Santiago, RM, 8380455
Instituto Clinico Oncologico del Sur
Temuco, Cautin, 4810469
Finland3 sites
Helsingin yliopistollinen keskussairaala, Meilahden kolmiosairaala,Keuhkosairauksien poliklinikka
Helsinki, 00290
Satakunnan keskussairaala/Keuhkosairauksien osasto A4
Pori, 28500
Tampereen yliopistollinen sairaala
Tampere, 33520
Netherlands3 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, North Brabant, 5223 GZ
VUMC
Amsterdam, 1081 HV
Academisch Ziekenhuis Maastricht / afdeling longziekten en tuberculose
Maastricht, 6229 HX
South Korea3 sites
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Samsung Medical Center, Sungkyunkwan Univ. School of Medicine
Seoul, 06351
Switzerland3 sites
Universitaetsspital Basel
Basel, CH-4031
Luzerner Kantonsspital (LUKS)
Lucerne, 6000
Kantonsspital Winterthur
Winterthur, CH-8401
Hong Kong2 sites
Department of Clinical Oncology, Queen Elizabeth Hospital
Kowloon
Prince of Wales Hospital
Shatin, New Territories
India2 sites
The Gujarat Cancer & Research Institute (M.P Shah Cancer Hospital),
Ahmedabad, Gujarat, 380 016
Tata Memorial Centre, Tata Memorial Hospital,
Mumbai, Maharashtra, 400012
Ireland2 sites
Aseptic Compounding Unit
Dublin, Dublin 8
Department of Medical Oncology
Dublin, Dublin 8
South Africa2 sites
Rondebosch Oncology Centre, Rondebosch Medical Centre
Cape Town, 7700
University of Witwatersrand Oncology
Johannesburg, Gauteng, 2193
Peru1 site
Clinica Anglo Americana/Centro de Investigacion Oncologia CAA
San Isidro, Lima region, 27
About this study
Official title: 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.
This study will evaluate the anti-cancer effects of crizotinib when compared with standard chemotherapy in patients with ALK positive lung cancer.
- Conditions
- Non Squamous Lung Cancer
- Being tested
- treatment
- Keywords
- open label, randomized Phase 3, first line treatment, non squamous lung cancer, ALK translocation event positive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
treatmentDrug
crizotinib 250mg orally continuous twice daily dosing
treatmentDrug
pemetrexed 500mg/m2 IV day 1 plus cisplatin 75mg/m2 IV day 1 every 21 days OR pemetrexed 500mg/m2 IV day 1 plus carboplatin AUC 5 or 6 day 1 every 21 days investigator's choice
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Not described Receives: Drug: treatment |
| B | Active comparator | Not described Receives: Drug: treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) Based on IRR
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.
Measured: Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months)
Secondary outcomes (23)
Overall Survival (OS)
OS (in months) was defined as the duration from start of study treatment to date of death due to any cause. OS = (date of death minus the date of randomization of study medication plus 1) divided by 30.4. For participants who were alive, overall survival was censored on last date the participants were known to be alive.
Measured: 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
Overall survival probability at Month 12 and 18 was defined as the probability of overall survival at 12 and 18 months respectively, where the OS was defined as the duration from date of randomization to date of death due to any cause. The survival probability was estimated using the Kaplan-Meier method.
Measured: Month 12, 18
Objective Response Rate (ORR): Percentage of Participants With Objective Response as Assessed by IRR
ORR was defined as percentage of participants with complete response (CR) or partial response (PR) according to RECIST v1.1 determined by IRR. CR was defined as complete disappearance of all target lesions and non-target disease. All nodes, both target and non-target, must decrease to normal (short axis <10 mm). No new lesions and disappearance of all non-target lesions. PR was defined as greater than or equal to (>=) 30% decrease taking as reference the baseline sum of lesion dimensions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No clear progression of non-target disease. No new lesions.
Measured: 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
DR: time from first documentation of objective tumor response (CR or PR) to first documentation of PD or death due to any cause, whichever occurred first as per RECIST v1.1 determined by IRR. CR: complete disappearance of all target and non-target disease. All nodes, both target and non-target, must decrease to normal (short axis <10 mm). No new lesions, disappearance of all non-target lesions. PR: >=30% decrease taking as reference the baseline sum of lesion dimensions. Short axis was used in sum for target nodes, while longest diameter was used in sum for all or target lesions. No clear progression of non-target disease. No new lesions. c) PD: 20 % 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 mm or clear progression of pre-existing non-target lesions, or the appearance of any new clear lesions.
Measured: 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
TTR was defined as the time from randomization to first documentation of objective tumor response (CR or PR) according to RECIST v1.1 determined by IRR. CR: complete disappearance of all target lesions and non-target disease. All nodes, both target and non-target, must decrease to normal (short axis <10 mm). No new lesions and disappearance of all non-target lesions. PR: >=30% decrease taking as reference the baseline sum of lesion dimensions. Short axis was used in sum for target nodes, while longest diameter was used in sum for all or target lesions. No clear progression of non-target disease. No new lesions.
Measured: Randomization to first documentation of objective tumor response (up to 35 months)
Percentage of Participants With Disease Control at Week 12 Based on IRR
Disease control rate at week 12 is defined as the percent of participants with CR, PR, or stable disease (SD) at week 12 according to RECIST v1.1 determined by IRR. The best response of SD would be assigned if SD criteria was met at least once after randomization at a minimum interval of 6 weeks. CR: complete disappearance of all target lesions and non-target disease, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis <10 mm). No new lesions and disappearance of all non-target lesions. PR: >=30% decrease taking as reference the baseline sum of lesion dimensions. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters. Short axis was used in sum for target nodes, while longest diameter was used in sum for all or target lesions. No clear progression of non-target disease. No new lesions.
Measured: Week 12
Time to Progression (TTP) Based on IRR
TTP was defined as the time from the date of randomization to the date of the first documentation of objective tumor progression according to RECIST v1.1 determined by IRR. Objective tumor progression was defined as 20% 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 mm or clear progression of pre-existing non-target lesions, or the appearance of any new clear lesions. If tumor progression data included more than 1 date, the first date was used. TTP (in months) was calculated as (first event date - randomization date +1)/30.44.
Measured: 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
IC-TTP was defined similarly to TTP, but only considering intracranial disease (excluding extracranial disease) and the progression was determined based on either new brain metastases or progression of existing brain metastases. TTP was defined as the time from the date of randomization to the date of the first documentation of objective tumor progression according to RECIST v1.1 determined by IRR. Objective tumor progression was defined as 20% 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 mm or clear progression of pre-existing non-target lesions, or the appearance of any new clear lesions.
Measured: 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
EC-TTP was defined similarly to TTP, but only considering extracranial disease (excluding intracranial disease) and the progression was determined based on either new extracranial lesions or progression of existing extracranial lesions. TTP was defined as the time from the date of randomization to the date of the first documentation of objective tumor progression according to RECIST v1.1 determined by IRR. Objective tumor progression was defined as 20% 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 mm or clear progression of pre-existing non-target lesions, or the appearance of any new clear lesions.
Measured: 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)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose of study drug that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs.
Measured: 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)
Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state. Relatedness to study drug was assessed by the investigator.
Measured: Baseline up to follow up period (up to 72 months)
Percentage of Participants With Adverse Events (AEs) According to Maximum Severity
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AE was assessed according to maximum severity grading based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0. Grade 1 =mild; Grade 2 =moderate; within normal limits, Grade 3 =severe or medically significant but not immediately life-threatening; Grade 4 =life-threatening or disabling; urgent intervention indicated; Grade 5 =death.
Measured: Baseline up to follow up period (up to 72 months)
Plasma Predose Concentration (Ctrough) of Crizotinib and Its Metabolite PF-06260182
Ctrough is the concentration prior to study drug administration on Day 1 of Cycle 2 onwards. PF-06260182 is the metabolite of Crizotinib.
Measured: Predose at Day 1 of Cycle 2, 3 and 5
Percentage of Participants For Each Anaplastic Lymphoma Kinase (ALK) Gene Fusion Variants
The Response Genetics, Inc. Echinoderm Microtubule Associated Protein Like 4 (EML4) ALK reverse transcriptase polymerase chain reaction (RT PCR) gene fusion test was used for the analysis of tissue samples for the ALK gene fusion variants (either no rearrangement, or 1 of 9 results reflecting 8 specific rearrangements [V1, V2, V3a, V3b,V3a/b, V4, V5a, V6, V7]). Percentage of participants who tested positive for ALK gene fusion variants were reported in this outcome measure.
Measured: 28 days prior to day 1 of study treatment
Objective Response Rate (ORR) of Anaplastic Lymphoma Kinase (ALK) Variant Groups Based on IRR
The Response Genetics, Inc. EML4 ALK reverse transcriptase polymerase chain reaction (RT PCR) gene fusion test was used for the analysis of tissue samples for the ALK gene fusion variants (either no rearrangement, or 1 of 9 results reflecting 8 specific rearrangements [V1, V2, V3a, V3b,V3a/b, V4, V5a, V6, V7]). Percentage of participants with confirmed CR or PR according to RECIST v1.1 determined by IRR, by type of ALK gene fusion variant were reported in this outcome measure. CR: complete disappearance of all target lesions and non-target disease. All nodes, both target and non-target, must decrease to normal (short axis <10 mm). No new lesions and disappearance of all non-target lesions. PR: >=30% decrease decrease taking as reference the baseline sum of lesion dimensions. Short axis was used in sum for target nodes, while longest diameter was used in sum for all or target lesions. No clear progression of non-target disease. No new lesions.
Measured: 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
TTD in pain in chest, dyspnea, or cough from the Quality of Life Questionnaire Core 30 (QLQ-LC13) was a composite endpoint defined as the time from randomization to the earliest time the participant's scale scores showed a 10 point or greater increase after baseline in any of the 3 symptoms. For those who had not shown deterioration, the data was censored at the last date when the participants completed an assessment (QLQ-LC13) for pain, dyspnea, or cough or at last visit date prior to crossover for participants randomized to chemotherapy who subsequently crossed over to crizotinib. A 10-point or higher change in the score was perceived by participants as clinically significant. The transformed score of pain, dyspnea, and cough symptom scales of EORTC QLQ-LC13 (European Organization for the Research and Treatment of Cancer) range from 0 to 100, where higher scores indicate greater symptom severity.
Measured: 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)
EORTC QLQ-C30: included 5 functional scales (physical, role, cognitive, emotional and social), global health status/global quality of life scale, 3 symptom scales (fatigue, pain, nausea and vomiting), 6 single items that assess the additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, diarrhea) and financial difficulties. All scales and single-item measures range from 0 to 100. A high score for a functional scale represents a high/healthy level of functioning, for the global health status/QoL represents a high QoL (better participant state), and for a symptom scale/item represents a high level of symptoms/problems (worse participant state).
Measured: 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)
EORTC QLQ-C30: included 5 functional scales (physical, role, cognitive, emotional and social), global health status/global quality of life scale, 3 symptom scales (fatigue, pain, nausea and vomiting), 6 single items that assess the additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, diarrhea) and financial difficulties. All scales and single-item measures range from 0 to 100. A high score for a functional scale represents a high/healthy level of functioning, for the global health status/QoL represents a high QoL (better participant state), and for a symptom scale/item represents a high level of symptoms/problems (worse participant state).
Measured: 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)
QLQ-LC13 consists of 1 multi-item scale and 9 single items that assess the specific symptoms (dyspnea, cough, hemoptysis, and site-specific pain), side effects (sore mouth, dysphagia, neuropathy, and alopecia), and pain medication use of patients with lung cancer receiving chemotherapy. All multi-item scales and single-item measures range from 0 to 100, where higher score indicates greater degree of symptom severity.
Measured: 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)
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. VAS component: participants rated their current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health.
Measured: 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)
Healthcare resource utilization was to be evaluated using the assessment of the following: date and duration of index admission, duration of hospitalization and date of discharge.
Measured: 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
Anemia(grade[g]1:Less than[<] Lower limit of normal[LLN] to 10gram per[/] deciliter[g/dL],g2:<10 to 8g/dL,g3:<8g/dL,g4:lifethreatening);platelet (g1:<LLN to 75*10^3/millimeter[mm]^3,g2:<75*10^3/mm^3 to 50*10^3/mm^3,g3:<50*10^3/mm^3 to 25*10^3/mm^3,g4:<25*10^3/mm^3);lymphopenia(g1:<LLN to 8*10^2/mm^3,g2:<8*10^2 to 5*10^2/mm^3,g3:<5*10^2 to 2*10^2/mm^3,g4:<2*10^2/mm^3);neutrophil (Absolute)(g1:<LLN to 15*10^2/mm^3,g2:<15*10^2 to 10*10^2/mm^3,g3:<10*10^2 to 5*10^2/mm^3,g4:<5*10^2/mm^3);white blood cell count(g1:<LLN to 3*10^3/mm^3,g2:<3*10^3 to 2*10^3/mm^3,g3:<2*10^3 to 1*10^3/mm^3,g4:<1*10^3/mm^3);hemoglobin(g1:increase in hemoglobin level>0 to 2 g/dL above ULN or above baseline if baseline is above ULN,g2:increase in hemoglobin level>2 to 4g/dL above ULN or above baseline if baseline is above ULN,g3:increase in hemoglobin level>4 g/dL above ULN or above baseline if baseline is above ULN). Only categories with atleast 1 participant with abnormality are reported in this outcome measure.
Measured: 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
ALT/AST (Grade[g]1:>ULN-3*ULN,g2:>3-5*ULN,g3:>5-20*ULN,g4:>20*ULN);Alkaline Phosphatase (g1:>ULN-2.5*ULN,g2:>2.5-5*ULN,g3:>5-20*ULN,g4:>20*ULN);Creatinine (g1:>ULN-1.5*ULN,g2:>1.5-3*ULN,g3:>3-6*ULN,g4:>6*ULN);hyperglycemia (g1:>ULN-160,g2:>160-250,g3:>250-500,g4:>500mg/dL);bilirubin(total) (g1:>ULN-1.5*ULN,g2:>1.5-3*ULN,g3:>3-10*ULN,g4:>10*ULN);hypoglycaemia (g1:<LLN-55,g2:<55-40,g3:<40-30,g4:<30mg/dL);hyperkalemia (g1:>ULN-5.5,g2:>5.5-6,g3:>6-7,g4:>7mmol/L);hypokalemia (g1:<LLN-3,g2:<LLN-3,g3:<3-2.5,g4:<2.5mmol/L);hypermagnesemia (g1:>ULN-3,g3:>3-8,g4:>8mg/dL);hypocalcemia (g1:<LLN-8,g2:<8-7,g3:<7-6,g4:<6mg/dL); hypercalcemia (g1:>ULN-11.5,g2:>11.5-12.5,g3:>12.5-13.5,g4:>13.5mg/dL);hypomagnesemia (g1:<LLN-1.2,g2:<1.2-0.9,g3:<0.9-0.7,g4:<0.7mg/dL);hyponatremia (g1:<LLN-130,g3:<130-120,g4:<120mmol/L);hypoalbuminemia (g1:<LLN-3,g2:<3-2,g3:<2,g4:lifethreatening);hypophosphatemia (g1:<LLN-2.5,g2:<2.5-2,g3:<2-1,g4:<1mg/dL). Participant>=1 abnormality given.
Measured: Baseline up to follow up period (up to 72 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jun 2010 (estimated)
- Study start13 Jan 2011
- Primary completion30 Nov 2013
- Study completion30 Nov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Non Squamous Lung CancerStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 343 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01154140
- Sponsor's protocol ID
- A8081014
- Other IDs
- 2010-021336-33, XALCORI
- Acronym
- PROFILE 1014
- Status last verified
- Sep 2017
- First submitted
- 29 Jun 2010
- Last updated
- 6 Nov 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Camidge DR, Kim EE, Usari T, Polli A, Lewis I, Wilner KD. Renal Effects of Crizotinib in Patients With ALK-Positive Advanced NSCLC. J Thorac Oncol. 2019 Jun;14(6):1077-1085. doi: 10.1016/j.jtho.2019.02.015. Epub 2019 Feb 26.
PubMed 30822515Wilner KD, Usari T, Polli A, Kim EE. Comparison of cardiovascular effects of crizotinib and chemotherapy in ALK-positive advanced non-small-cell lung cancer. Future Oncol. 2019 Apr;15(10):1097-1103. doi: 10.2217/fon-2018-0869. Epub 2019 Jan 17.
PubMed 30652510Solomon BJ, Kim DW, Wu YL, Nakagawa K, Mekhail T, Felip E, Cappuzzo F, Paolini J, Usari T, Tang Y, Wilner KD, Blackhall F, Mok TS. Final Overall Survival Analysis From a Study Comparing First-Line Crizotinib Versus Chemotherapy in ALK-Mutation-Positive Non-Small-Cell Lung Cancer. J Clin Oncol. 2018 Aug 1;36(22):2251-2258. doi: 10.1200/JCO.2017.77.4794. Epub 2018 May 16.
PubMed 29768118Yoneda KY, Scranton JR, Cadogan MA, Tassell V, Nadanaciva S, Wilner KD, Stollenwerk NS. Interstitial Lung Disease Associated With Crizotinib in Patients With Advanced Non-Small Cell Lung Cancer: Independent Review of Four PROFILE Trials. Clin Lung Cancer. 2017 Sep;18(5):472-479. doi: 10.1016/j.cllc.2017.03.004. Epub 2017 Mar 14.
PubMed 28373069Solomon BJ, Cappuzzo F, Felip E, Blackhall FH, Costa DB, Kim DW, Nakagawa K, Wu YL, Mekhail T, Paolini J, Tursi J, Usari T, Wilner KD, Selaru P, Mok TS. Intracranial Efficacy of Crizotinib Versus Chemotherapy in Patients With Advanced ALK-Positive Non-Small-Cell Lung Cancer: Results From PROFILE 1014. J Clin Oncol. 2016 Aug 20;34(24):2858-65. doi: 10.1200/JCO.2015.63.5888. Epub 2016 Mar 28.
PubMed 27022118Solomon BJ, Mok T, Kim DW, Wu YL, Nakagawa K, Mekhail T, Felip E, Cappuzzo F, Paolini J, Usari T, Iyer S, Reisman A, Wilner KD, Tursi J, Blackhall F; PROFILE 1014 Investigators. First-line crizotinib versus chemotherapy in ALK-positive lung cancer. N Engl J Med. 2014 Dec 4;371(23):2167-77. doi: 10.1056/NEJMoa1408440.
PubMed 25470694Ou SH. Crizotinib: a drug that crystallizes a unique molecular subset of non-small-cell lung cancer. Expert Rev Anticancer Ther. 2012 Feb;12(2):151-62. doi: 10.1586/era.11.186.
PubMed 22316363
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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.
- ClinicalTrials.gov ID
- NCT01154140
- Acronym / sponsor ID
- PROFILE 1014 / A8081014
- Conditions
- Non Squamous Lung Cancer
- Keywords
- open label, randomized Phase 3, first line treatment, non squamous lung cancer, ALK translocation event positive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 343 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 13 Jan 2011 (actual)
- Primary completion
- 30 Nov 2013 (actual)
- Study completion
- 30 Nov 2016 (actual)
- First posted
- 30 Jun 2010 (estimated)
- Results
- Posted 5 Jan 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the anti-cancer effects of crizotinib when compared with standard chemotherapy in patients with ALK positive lung cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: treatment |
| B | Active comparator | Drug: treatment |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (9 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| treatmentcrizotinib 250mg orally continuous twice daily dosing | Drug | A |
| treatmentpemetrexed 500mg/m2 IV day 1 plus cisplatin 75mg/m2 IV day 1 every 21 days OR pemetrexed 500mg/m2 IV day 1 plus carboplatin AUC 5 or 6 day 1 every 21 days investigator's choice | Drug | B |
Primary outcome
Progression-Free Survival (PFS) Based on IRR
Time frame: 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.
23 secondary outcomes
Overall Survival (OS)
Time frame: 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
Time frame: Month 12, 18
Objective Response Rate (ORR): Percentage of Participants With Objective Response as Assessed by IRR
Time frame: 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
Time frame: 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
Time frame: Randomization to first documentation of objective tumor response (up to 35 months)
Percentage of Participants With Disease Control at Week 12 Based on IRR
Time frame: Week 12
Time to Progression (TTP) Based on IRR
Time frame: 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
Time frame: 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
Time frame: 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)
Time frame: 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)
Time frame: Baseline up to follow up period (up to 72 months)
Percentage of Participants With Adverse Events (AEs) According to Maximum Severity
Time frame: Baseline up to follow up period (up to 72 months)
Plasma Predose Concentration (Ctrough) of Crizotinib and Its Metabolite PF-06260182
Time frame: Predose at Day 1 of Cycle 2, 3 and 5
Percentage of Participants For Each Anaplastic Lymphoma Kinase (ALK) Gene Fusion Variants
Time frame: 28 days prior to day 1 of study treatment
Objective Response Rate (ORR) of Anaplastic Lymphoma Kinase (ALK) Variant Groups Based on IRR
Time frame: 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
Time frame: 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)
Time frame: 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)
Time frame: 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)
Time frame: 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)
Time frame: 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)
Time frame: 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
Time frame: 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
Time frame: Baseline up to follow up period (up to 72 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30822515Camidge DR, Kim EE, Usari T, Polli A, Lewis I, Wilner KD. Renal Effects of Crizotinib in Patients With ALK-Positive Advanced NSCLC. J Thorac Oncol. 2019 Jun;14(6):1077-1085. doi: 10.1016/j.jtho.2019.02.015. Epub 2019 Feb 26.
- Derived from this study: PubMed 30652510Wilner KD, Usari T, Polli A, Kim EE. Comparison of cardiovascular effects of crizotinib and chemotherapy in ALK-positive advanced non-small-cell lung cancer. Future Oncol. 2019 Apr;15(10):1097-1103. doi: 10.2217/fon-2018-0869. Epub 2019 Jan 17.
- Derived from this study: PubMed 29768118Solomon BJ, Kim DW, Wu YL, Nakagawa K, Mekhail T, Felip E, Cappuzzo F, Paolini J, Usari T, Tang Y, Wilner KD, Blackhall F, Mok TS. Final Overall Survival Analysis From a Study Comparing First-Line Crizotinib Versus Chemotherapy in ALK-Mutation-Positive Non-Small-Cell Lung Cancer. J Clin Oncol. 2018 Aug 1;36(22):2251-2258. doi: 10.1200/JCO.2017.77.4794. Epub 2018 May 16.
- Derived from this study: PubMed 28373069Yoneda KY, Scranton JR, Cadogan MA, Tassell V, Nadanaciva S, Wilner KD, Stollenwerk NS. Interstitial Lung Disease Associated With Crizotinib in Patients With Advanced Non-Small Cell Lung Cancer: Independent Review of Four PROFILE Trials. Clin Lung Cancer. 2017 Sep;18(5):472-479. doi: 10.1016/j.cllc.2017.03.004. Epub 2017 Mar 14.
- Derived from this study: PubMed 27022118Solomon BJ, Cappuzzo F, Felip E, Blackhall FH, Costa DB, Kim DW, Nakagawa K, Wu YL, Mekhail T, Paolini J, Tursi J, Usari T, Wilner KD, Selaru P, Mok TS. Intracranial Efficacy of Crizotinib Versus Chemotherapy in Patients With Advanced ALK-Positive Non-Small-Cell Lung Cancer: Results From PROFILE 1014. J Clin Oncol. 2016 Aug 20;34(24):2858-65. doi: 10.1200/JCO.2015.63.5888. Epub 2016 Mar 28.
- Derived from this study: PubMed 25470694Solomon BJ, Mok T, Kim DW, Wu YL, Nakagawa K, Mekhail T, Felip E, Cappuzzo F, Paolini J, Usari T, Iyer S, Reisman A, Wilner KD, Tursi J, Blackhall F; PROFILE 1014 Investigators. First-line crizotinib versus chemotherapy in ALK-positive lung cancer. N Engl J Med. 2014 Dec 4;371(23):2167-77. doi: 10.1056/NEJMoa1408440.
- Derived from this study: PubMed 22316363Ou SH. Crizotinib: a drug that crystallizes a unique molecular subset of non-small-cell lung cancer. Expert Rev Anticancer Ther. 2012 Feb;12(2):151-62. doi: 10.1586/era.11.186.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
249 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing treatment in people with Non Squamous Lung Cancer, run by Pfizer at 249 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 249 sites in United States, Italy, Japan, Australia, China and 26 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Jan 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) Based on IRR (time frame: Randomization to objective progression, death or last tumor assessment without progression before any additional anti-cancer therapy (up to 35 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01154140, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2017.