Carcinoma, Non-Small-Cell LungPhase 3NCT01523587
LUX-Lung 8: A Phase III Trial of Afatinib (BIBW 2992) Versus Erlotinib for the Treatment of Squamous Cell Lung Cancer After at Least One Prior Platinum Based Chemotherapy
A Phase 3 study testing afatinib and erlotinib in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 192 sites in 23 countries.
Trial summary
This randomised, open-label phase III trial will be performed in patients with advanced squamous cell carcinoma of the lung requiring second-line treatment after receiving first-line platinum-based chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- afatinib and erlotinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 795 participants
- Where
- 192 sitesin 23 countries
- Study dates
- 5 Mar 2012to 27 Dec 2017
- 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
- Diagnosis of advanced stage NSCLC squamous histology.
- Platinum-based doublet chemotherapy as 1st line treatment of Stage IIIB/IV NSCLC.
- Eligible to receive 2nd line therapy in the opinion of the investigator.
- Measurable disease according to RECIST 1.1.
- Adequate Performance Status.
- Availability of tumour tissue material for correlative studies. Archived tumour tissue is acceptable.
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- Adequate organ function.
- Age = 18 years and above.
- Written informed consent that is consistent with International Conference on Harmonisation (ICH)-Good Clinical Practice (GCP) guidelines.
Who cannot join
- Prior treatment with Epidermal Growth Factor Receptor (EGFR) directed small molecules or antibodies.
- Radiotherapy within 4 weeks prior to randomization.
- Active brain metastases .
- Any other current malignancy or malignancy diagnosed within the past three (3) years (other than basal-cell carcinoma of the skin, in situ cervical cancer, in situ prostate cancer).
- Known pre-existing interstitial lung disease.
- Significant or recent acute gastrointestinal disorders with diarrhoea as a major symptom
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- Any other concomitant serious illness or organ system dysfunction which in the opinion of the investigator would either compromise patient safety or interfere with the evaluation of the safety of the test drug.
- Women of child-bearing potential and men who are able to father a child, unwilling to be abstinent or use adequate contraception prior to study entry, for the duration of study participation and for at least 2 months after treatment has ended.
- Female patients of childbearing potential (see Section 4.2.3.3) 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 study and/or do not agree to submit to pregnancy testing required by this protocol.
- Active hepatitis B infection (defined as presence of Hep B DNA), active hepatitis C infection (defined as presence of Hep C RNA) and/or known HIV carrier.
- Known or suspected active drug or alcohol abuse in the opinion of the investigator.
- Any contraindications for therapy with afatinib or erlotinib.
- Known hypersensitivity to erlotinib, afatinib or the excipients of any of the trial drugs.
- Major surgery within 4 weeks of starting study treatment.
- Prior participation in an afatinib clinical study, even if not assigned to afatinib.
- Use of any investigational drug within 4 weeks of randomisation (unless a longer time period is required by local regulations or by the guidelines for the investigational product).
- Patients without Progression of their lung cancer.
Trial locations and contacts
192 sites in 23 countries.
192 sites in 23 countries
United States33 sites
Billings Clinic Cancer Center
Billings, Montana, 59101
Boca Raton Reginl Hospital-Lynn Cancer Institute
Boca Raton, Florida, 33486
Lahey Clinic
Burlington, Massachusetts, 01805
Fletcher Allen Health Care
Burlington, Vermont, 05401
Ironwood Cancer and Research Centers
Chandler, Arizona, 85224
Blue Ridge Cancer Care
Christiansburg, Virginia, 24382
Cleveland Clinic
Cleveland, Ohio, 44195
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43201
Mid Ohio Oncology/Hematology, Inc
Columbus, Ohio, 43219
Cancer Center of Cookeville Regional Medical Center
Cookeville, Tennessee, 38501
Karmanos Cancer Institute
Detroit, Michigan, 48201
Oncology Hematology Associates of Norhtern Pennsylvania, PC
DuBois, Pennsylvania, 15801
Queens Medical Associates
Fresh Meadows, New York, 11366
Memorial Healthcare System
Hollywood, Florida, 22021
University of California
La Jolla, California, 92093
Cancer Care of North Florida, PA
Lake City, Florida, 32024
Commonwealth Hematology-Oncology, PC
Lawrence, Massachusetts, 01841
University of Louisville
Louisville, Kentucky, 40202
West Jefferson General Hospital and Cancer Clinic
Marrero, Louisiana, 70072
Illinois Cancer Specialists
Niles, Illinois, 60714
Virginia Oncology Associates
Norfolk, Virginia, 23502
Paris Cancer Center (PCC), Texas Oncology
Paris, Texas, 75460
Kimmel Cancer Center
Philadelphia, Pennsylvania, 19107
Temple University Cancer Center
Philadelphia, Pennsylvania, 19140
Kaiser Permanente Northwest
Portland, Oregon, 97227
Sutter Medical Group
Sacramento, California, 95816
Cancer Therapy and Research at UTHSCSA
San Antonio, Texas, 78229
Orchard Healthcare Research Inc
Skokie, Illinois, 60076
Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303
Washington University School of Medicine
St Louis, Missouri, 63110
SUNY Upstate Medical University
Syracuse, New York, 13210
Montefiore Medical Center
The Bronx, New York, 10461
Montefiore Medical Center
The Bronx, New York, 10467
France20 sites
HOP d'Angers
Angers, 49 933
INS Bergonié
Bordeaux, 33076
HOP Côte de Nacre
Caen, 14033
HOP de Chauny
Chauny, 02303
HOP Gabriel-Montpied
Clermont-Ferrand, 63003
HOP de Creteil, Pneumo, Creteil
Créteil, 94010
HOP Le Mans
Le Mans, 72037
CTR Oscar Lambret, Cancéro, Lille
Lille, 59020
HOP Calmette
Lille, 59037
INS Paoli-Calmettes
Marseille, 13273
HOP Nord
Marseille, 13915
HOP de Mulhouse, Onco, Mulhouse
Mulhouse, 68070
HOP Cochin
Paris, 75014
HOP Val de Grâce, Onco, Paris
Paris, 75230
INS Jean Godinot, Onco, Reims
Reims, 51056
HOP de Rennes, Pneumo, Rennes
Rennes, 35033
HOP Saint Quentin, Onco, Saint Quentin
Saint-Quentin, 02321
HOP Civil
Strasbourg, 67091
HOP Foch
Suresnes, 92151
INS Gustave Roussy
Villejuif, 94805
Italy11 sites
P.O. Bellaria IRCCS Istituto delle scienze Neurologiche di Bologna
Bologna, 40139
ASST di Cremona
Cremona, 26100
Spedali Riuniti di Livorno
Livorno, 57100
Istituto Nazionale Tumori Fondazione Pascale
Naples, 80131
Istituto Oncologico Veneto IRCCS
Padova, 35128
Azienda Ospedaliera di Parma
Parma, 43100
Azienda Ospedaliera Universitaria Pisana
Pisa, 56126
Istituto Clinico Humanitas
Rozzano (MI), 20089
Ospedale San Vincenzo
Taormina (ME), 98039
Ospedale Molinette, AO Città della Salute e della
Torino, 10126
A. O. S. Maria della Misericordia
Udine, 33100
Germany10 sites
Zentralklinik Bad Berka GmbH
Bad Berka, 99437
Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
Essen, 45147
Klinikum Esslingen GmbH
Esslingen am Neckar, 73730
Universitätsklinikum Frankfurt
Frankfurt am Main, 60590
Universitätsklinikum Freiburg
Freiburg im Breisgau, 79106
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
Lungenklinik Hemer
Hemer, 58675
Universitätsklinikum Mannheim GmbH
Mannheim, 68167
Universitätsklinikum Münster
Münster, 48149
Mathias-Spital Rheine
Rheine, 48431
United Kingdom10 sites
Queen Elizabeth Hospital
Birmingham, B15 2TH
Royal Devon and Exeter Hospital
Exeter, EX2 5DW
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
Harrogate District Hospital
Harrogate, HG2 7SX
Royal Free Hospital
London, NW3 2QG
The Royal Marsden Hospital
London, SW3 6JJ
Maidstone Hospital, Kent Oncology Centre
Maidstone, ME16 9QQ
Nottingham City Hospital
Nottingham, NG5 1PB
Scarborough Hospital
Scarborough, YO12 6QL
The Royal Marsden Hospital
Sutton, SM2 5PT
China9 sites
Beijing Cancer Hospital
Beijing, 100036
Beijing Hospital
Beijing, 100730
First Hospital of Jilin University
Changchun, 130021
Xiangya Hospital, Central South University
Changsha, 410008
Sun Yat-Sen University Cancer Center
Guangzhou, 510060
the 81th Hospital of PLA
Nanjing, 210002
Jiangsu Cancer Hospital
Nanjing, 210009
Shanghai Chest Hospital
Shanghai, 200030
Shanghai Pulmonary Hospital
Shanghai, 200433
Hungary9 sites
National Koranyi TBC and Pulm. Internal Med. Clinic
Budapest, 1121
Semmelweis University
Budapest, 1125
Institute of Chest Diseases Csongrad County,Dpt. Pulmonology
Deszk, 6772
Pulmonology Institute of Veszprem County, Farkasgyepu
Farkasgyepü, 8582
Aladar Petz County Teaching Hospital, Dept. Pulmonology
Győr, 9023
Lung Hospital of Matra, Dept. Pulmonology
Mátraháza, 3233
Josa Andras Korhaz, Nyiregyhaza
Nyíregyháza, 4400
University of Pecs, 1st internal Med. Dept., Pulmonology
Pécs, 7623
Pest County Lung Hospital, Department No. 3
Törökbálint, 2045
South Korea9 sites
Chungbuk National University Hospital
Cheongju-si, 361-711
Gachon University Gil Medical Center
Incheon, 405-760
Gyeongsang National University Hospital
Jinju, 660-702
Seoul National University Bundang Hospital
Seongnam, 13620
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 130-710
The Catholic University of Korea, Seoul St.Mary's Hospital
Seoul, 137-701
The Catholic University of Korea, St.Vincent's Hospital
Suwon, 442-723
Ulsan University Hospital
Ulsan, 682-714
Spain9 sites
Hospital A Coruña
A Coruña, 15006
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Santa Creu i Sant Pau
Barcelona, 08041
Hospital Clínico San Carlos
Madrid, 28040
Hospital La Paz
Madrid, 28046
Hospital Regional Universitario de Málaga
Málaga, 29010
Hospital Virgen de la Victoria
Málaga, 29010
Hospital Clínico de Valencia
Valencia, 46010
Hospital Clínico Universitario Lozano Blesa
Zaragoza, 50009
Taiwan9 sites
Chang Gung Memorial Hospital Chiayi
Chiayi City, 613
Buddhist Tzu Chi General Hospital
Chiayi City, 622
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833
China Medical University Hospital
Taichung, 404
Taichung Veterans General Hospital
Taichung, 407
National Taiwan University Hospital
Taipei, 100
Koo Foundation Sun Yet-Sen Cancer Center
Taipei, 112
Taipe Veterans General Hospital
Taipei, 112
Chang Gung Memorial Hospital(TaoYuan)
Taoyuan, 330
India8 sites
Vikram Hospital
Bangalore, 560052
V S Hospital
Chennai, 600031
Dr. Kamakshi Memorial Hospital
Chennai, 600100
Sri Ramachandra Medical College & Research Institute
Chennai, 600116
M.S. Patel Cancer Hospital
Karamsad, 388325
B. P .Poddar Hospital & Medical Research Ltd.
Kolkata, West Bengal, 700053
Tata Memorial Hospital
Mumbai, 400012
Ruby Hall Clinic
Pune, 411001
Turkey (Türkiye)8 sites
Akdeniz Universitesi Tip Fakultesi
Antalya, 07070
Uludag Universitesi Tip Fakultesi, Bursa
Bursa, 16045
Dicle Universitesi Tip Fakultesi
Diyarbakır
Gaziantep Univ. Tip Fakultesi Tibbi Onkoloji Bilim Dali
Gaziantep, 27310
Kartal Egitim Ve Arastirma Hastanesi
Istanbul
Yedikule Gog. Hst. EAH
Istanbul
Ege Universitesi Tip Fakultesi Tibbi Onkoloji Bilim Dali
Izmir, 35100
Dr.Suat Seren EAH
Izmir, 35120
Greece7 sites
"Hippokratio" Hospital of Athens, 2nd Internal Medicine Clin
Athens, 11527
General Hospital of Chest Diseases Sotiria
Athens, 11527
University General Hospital of Heraklion
Heraklion, 71110
University Hospital of Larisa, Oncology Clinic
Larissa, 41110
General Hospital of Larissa
Larissa, 41221
Metropolitan Hospital, Oncology Clinic
Neo Faliro, Athens, 18547
General Hospital "G. Papageorgiou"
Thessaloniki, 56429
Netherlands7 sites
Jeroen Bosch Ziekenhuis-Hertogenbosch
's-Hertogenbosch, 5223 GZ
Rijnstate Hospital
Arnhem, 6815 AD
Amphia Ziekenhuis
Breda, 4818 CK
Catharina Ziekenhuis
Eindhoven, 5623 EJ
METC Academisch Ziekenhuis Maastricht/Universiteit van Maastricht
Maastricht, 6229 HX
St. Antonius ziekenhuis, locatie Nieuwegein
Nieuwegein, 3435 CM
Erasmus Medisch Centrum
Rotterdam, 3015 CD
Portugal6 sites
CHUC - Centro Hospitalar e Universitário de Coimbra, EPE
Coimbra, 3041-801
CHLN, EPE - Hospital de Santa Maria
Lisbon, 1064-035
IPO Lisboa Francisco Gentil, EPE
Lisbon, 1099-023
IPO Porto Francisco Gentil, EPE
Porto, 4200-072
Centro Hospitalar São João,EPE
Porto, 4200-319
Centro Hospitalar de Vila Nova de Gaia
Vila Nova de Gaia, 4434-502
Argentina5 sites
Instituto Medico Especializado Alexander Fleming
Ciudad Autonoma de Bs As, C1426ANZ
Instituto Oncologico de Cordoba
Córdoba, X5000HXL
Clínica Colombo S.A.
Córdoba, X5002AOQ
Centro Oncologico de Rosario
Rosario, S2000KZE
Centro Oncologico CAIPO
San Miguel de Tucumán, T4000GTB
Canada5 sites
Kingston General Hospital
Kingston, Ontario, K7L 5P9
Royal Victoria Hospital
Montreal, Quebec, H3A 1A1
Montreal General Hospital - McGill University Health Centre
Montreal, Quebec, H3G 1A4
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6
BC Cancer Agency - Fraser Valley Centre
Surrey, British Columbia, V3V 1Z2
Austria4 sites
Medical University of Innsbruck
Innsbruck, 6020
LKH Leoben
Leoben, 8700
AKH d. Stadt Linz, Pulmologie
Linz, 4020
SMZ Baumgartner Hoehe Otto Wagner Spital
Vienna, 1140
Chile4 sites
Centro Oncologico Antofagasta
Antofagasta, 1720421
Instituto de Terapias Oncologicas Providencia
Providencia, Santiago, 7501088
Centro Internacional de Estudios Clinicos - CIEC
Recoleta, Santiago de Chile, 8420383
Orlandi Oncologia
Vitacura, 7630457
Denmark3 sites
Herlev Hospital
Herlev, 2730
Næstved Sygehus
Næstved, 4700
Odense Universitetshospital
Odense C, 5000
Mexico3 sites
Instituto Nacional de Cancerologia
México, 14080
Hospital y Clínica OCA S. A. de C. V.
Monterrey, 64000
Centro Hemato-Oncologico Privado de Toluca S.A. de C.V.
Toluca, 50080
Singapore2 sites
National Cancer Centre
Singapore, 169610
Johns Hopkins Singapore International Medical Centre
Singapore, 308433
About this study
Official title: LUX-Lung 8: A Randomized, Open-label Phase III Trial of Afatinib Versus Erlotinib in Patients With Advanced Squamous Cell Carcinoma of the Lung as Second-line Therapy Following First-line Platinum-based Chemotherapy
This randomised, open-label phase III trial will be performed in patients with advanced squamous cell carcinoma of the lung requiring second-line treatment after receiving first-line platinum-based chemotherapy. The primary objective of this trial is to compare the efficacy of BIBW 2992 to erlotinib as second-line treatment in this group of patients.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- afatinib, erlotinib
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
afatinibDrug
Afatinib taken once daily, continuously until disease progression or unacceptable toxicity.
erlotinibDrug
erlotinib taken once daily
| Study group | Role | What they receive |
|---|---|---|
| Afatinib | Experimental | Patients receive afatinib tablets once daily Receives: Drug: afatinib |
| Erlotinib | Active comparator | Patients receive erlotinib tablets once daily Receives: Drug: erlotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival, Based on Central Independent Review as Determined by Response Evaluation Criteria in Solid Tumours 1.1
Progression Free Survival (PFS) was defined as the time from randomization to disease progression (or death if the patient died before progression) by central independent review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. RECIST is a set of published rules that define when tumors in cancer patients improve ("respond"), stay the same ("stabilize") or worsen ("progress") during treatment. Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Measured: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Secondary outcomes (7)
Overall Survival
Overall Survival is defined as the time from randomisation to death. It was a key secondary endpoint.
Measured: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Number of Participants With Objective Response According to RECIST 1.1
A patient with a best overall response of Complete Responder (CR) or Partial Responder (PR) was considered to show objective response to study medication. For patients with an objective response, time to objective response was defined as the time from randomization to the first objective response; duration of objective response was defined as the time from the first objective response to progression (or death if the patient died before progression). Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Measured: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Number of Participants With Disease Control According to RECIST 1.1
Disease control was assessed based on Independent Radiologic Review (IRR) and investigator assessment. A patient with a best overall response of CR, PR, or Stable Disease (SD) was considered to have disease control. Patients with no baseline target lesions who had no evidence of disease progression in their non-target lesions and had no new lesions were considered to have disease control. Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Measured: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Tumour Shrinkage
Maximum percentage decrease from baseline in the sum of target lesion diameters following independent review. The change in the size (i.e. the sum of diameters (SOD)) of target lesions from baseline was derived. Tumour shrinkage for each patient was measured (based on Independent Radiologic Review (IRR)) as the minimum SOD of target lesions after randomisation.
A negative percentage indicates decrease from baseline; positive numbers indicate an increase of tumour size. The mean maximum decrease from baseline of +5 and +9.4 reflect an average increase in tumour size.
Post-baseline mean is adjusted for baseline sum of diameters and race.
Measured: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Number of Participants With Status Change in Cough, Dyspnoea and Pain Related Items Over Time in Health Related Quality of Life Questionnaire
Health-related quality of life (HRQoL) was measured with the following multi-dimensional questionnaires: the european organization for research and treatment of cancer (eortc) quality of life questionnaire (QLQ-C30) questionnaire and its lung cancer specific supplementary module EORTC QLQ-LC13 and the EQ-5D health status self-assessment questionnaire. The questionnaires were assessed at the first visit of each treatment course, at end of treatment (EOT) and follow up prior to clinical assessment. The results displayed show number of patients with improvement in the relevant criteria. For each of the summary scales and items measuring cough, dyspnoea and pain, the two treatment arms were compared in terms of: The number of patients that were improved: Change in cough; dyspnoea and pain scores over time.
Measured: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Summary of Time to Deterioration in Coughing, Dyspnoea and Pain.
Health-related quality of life (HRQoL) was measured with the following multi-dimensional questionnaires: the EORTC QLQ-C30. The questionnaires were assessed at the first visit of each treatment course. For each of the summary scales and items measuring cough, dyspnoea and pain, the two treatment arms were compared in terms of: Time to deterioration.
Measured: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Change in Score Over Time in Coughing,Dyspnoea and Pain
Health related quality of life (HRQoL) was measured with the following multi dimensional questionnaires: the EORTC QLQ-C30. The questionnaires were assessed at the first visit of each treatment course. For each of the summary scales and items measuring cough, dyspnoea and pain, the two treatment arms were compared in terms of change in score over time, adjusted for baseline score and race.
Questionnaires have items relating to Cough, Dyspnoea and Pain. Overall Scores are transformed to a standardised scale of 0 to 100 with the larger value indicating a worse outcome. A change of (+/-) 10 points is considered to be relevant.
The change in cough, dyspnea and pain will be assessed using a mixed effects growth curve model with the average profile over time for each endpoint described by a piecewise linear model (presented as post baseline in data table). Post-baseline mean is adjusted for baseline and race.
Measured: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Feb 2012 (estimated)
- Study start5 Mar 2012
- Primary completion21 Oct 2013
- Study completion27 Dec 2017
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 (4)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe 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
- 795 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01523587
- Sponsor's protocol ID
- 1200.125
- Other IDs
- 2011-002380-24
- Status last verified
- Feb 2019
- First submitted
- 30 Jan 2012
- Last updated
- 15 Feb 2019
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Lu S, Li W, Zhou C, Hu CP, Qin S, Cheng G, Feng J, Wang J, Cseh A, Peil B, Gibson N, Ehrnrooth E, Zhang L. Afatinib vs erlotinib for second-line treatment of Chinese patients with advanced squamous cell carcinoma of the lung. Onco Targets Ther. 2018 Nov 30;11:8565-8573. doi: 10.2147/OTT.S161506. eCollection 2018.
PubMed 30573970Goss GD, Felip E, Cobo M, Lu S, Syrigos K, Lee KH, Goker E, Georgoulias V, Li W, Guclu S, Isla D, Min YJ, Morabito A, Ardizzoni A, Gadgeel SM, Fulop A, Buhnemann C, Gibson N, Kramer N, Solca F, Cseh A, Ehrnrooth E, Soria JC. Association of ERBB Mutations With Clinical Outcomes of Afatinib- or Erlotinib-Treated Patients With Lung Squamous Cell Carcinoma: Secondary Analysis of the LUX-Lung 8 Randomized Clinical Trial. JAMA Oncol. 2018 Sep 1;4(9):1189-1197. doi: 10.1001/jamaoncol.2018.0775.
PubMed 29902295Gadgeel S, Goss G, Soria JC, Felip E, Georgoulias V, Lu S, Cobo M, Syrigos K, Lee KH, Goker E, Guclu SZ, Isla D, Morabito A, Dupuis N, Buhnemann C, Kramer N, Solca F, Ehrnrooth E, Ardizzoni A. Evaluation of the VeriStrat(R) serum protein test in patients with advanced squamous cell carcinoma of the lung treated with second-line afatinib or erlotinib in the phase III LUX-Lung 8 study. Lung Cancer. 2017 Jul;109:101-108. doi: 10.1016/j.lungcan.2017.05.010. Epub 2017 May 11.
PubMed 28577938Soria JC, Felip E, Cobo M, Lu S, Syrigos K, Lee KH, Goker E, Georgoulias V, Li W, Isla D, Guclu SZ, Morabito A, Min YJ, Ardizzoni A, Gadgeel SM, Wang B, Chand VK, Goss GD; LUX-Lung 8 Investigators. Afatinib versus erlotinib as second-line treatment of patients with advanced squamous cell carcinoma of the lung (LUX-Lung 8): an open-label randomised controlled phase 3 trial. Lancet Oncol. 2015 Aug;16(8):897-907. doi: 10.1016/S1470-2045(15)00006-6. Epub 2015 Jul 5.
PubMed 26156651
Study at a glance
From the registry record, last updated by the sponsor on 15 Feb 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- LUX-Lung 8: A Randomized, Open-label Phase III Trial of Afatinib Versus Erlotinib in Patients With Advanced Squamous Cell Carcinoma of the Lung as Second-line Therapy Following First-line Platinum-based Chemotherapy
- ClinicalTrials.gov ID
- NCT01523587
- Acronym / sponsor ID
- 1200.125
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 795 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 5 Mar 2012 (actual)
- Primary completion
- 21 Oct 2013 (actual)
- Study completion
- 27 Dec 2017 (actual)
- First posted
- 1 Feb 2012 (estimated)
- Results
- Posted 21 Nov 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomised, open-label phase III trial will be performed in patients with advanced squamous cell carcinoma of the lung requiring second-line treatment after receiving first-line platinum-based chemotherapy. The primary objective of this trial is to compare the efficacy of BIBW 2992 to erlotinib as second-line treatment in this group of patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Afatinib | Experimental | Drug: afatinibPatients receive afatinib tablets once daily |
| Erlotinib | Active comparator | Drug: erlotinibPatients receive erlotinib tablets once daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Diagnosis of advanced stage NSCLC squamous histology.
- Platinum-based doublet chemotherapy as 1st line treatment of Stage IIIB/IV NSCLC.
- Eligible to receive 2nd line therapy in the opinion of the investigator.
- Measurable disease according to RECIST 1.1.
- Adequate Performance Status.
Key exclusion criteria (20 listed)
- Prior treatment with Epidermal Growth Factor Receptor (EGFR) directed small molecules or antibodies.
- Radiotherapy within 4 weeks prior to randomization.
- Active brain metastases .
- Any other current malignancy or malignancy diagnosed within the past three (3) years (other than basal-cell carcinoma of the skin, in situ cervical cancer, in situ prostate cancer).
- Known pre-existing interstitial lung disease.
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 |
|---|---|---|
| afatinibAfatinib taken once daily, continuously until disease progression or unacceptable toxicity. | Drug | Afatinib |
| erlotiniberlotinib taken once daily | Drug | Erlotinib |
Primary outcome
Progression-free Survival, Based on Central Independent Review as Determined by Response Evaluation Criteria in Solid Tumours 1.1
Time frame: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Progression Free Survival (PFS) was defined as the time from randomization to disease progression (or death if the patient died before progression) by central independent review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. RECIST is a set of published rules that define when tumors in cancer patients improve ("respond"), stay the same ("stabilize") or worsen ("progress") during treatment. Per RECIST v1.1 for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
7 secondary outcomes
Overall Survival
Time frame: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Number of Participants With Objective Response According to RECIST 1.1
Time frame: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Number of Participants With Disease Control According to RECIST 1.1
Time frame: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Tumour Shrinkage
Time frame: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).
Number of Participants With Status Change in Cough, Dyspnoea and Pain Related Items Over Time in Health Related Quality of Life Questionnaire
Time frame: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Summary of Time to Deterioration in Coughing, Dyspnoea and Pain.
Time frame: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Change in Score Over Time in Coughing,Dyspnoea and Pain
Time frame: From first drug administration from 9 April 2012 until study closure on 27 Dec 2017 (approximately 2089 days).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Feb 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30573970Lu S, Li W, Zhou C, Hu CP, Qin S, Cheng G, Feng J, Wang J, Cseh A, Peil B, Gibson N, Ehrnrooth E, Zhang L. Afatinib vs erlotinib for second-line treatment of Chinese patients with advanced squamous cell carcinoma of the lung. Onco Targets Ther. 2018 Nov 30;11:8565-8573. doi: 10.2147/OTT.S161506. eCollection 2018.
- Derived from this study: PubMed 29902295Goss GD, Felip E, Cobo M, Lu S, Syrigos K, Lee KH, Goker E, Georgoulias V, Li W, Guclu S, Isla D, Min YJ, Morabito A, Ardizzoni A, Gadgeel SM, Fulop A, Buhnemann C, Gibson N, Kramer N, Solca F, Cseh A, Ehrnrooth E, Soria JC. Association of ERBB Mutations With Clinical Outcomes of Afatinib- or Erlotinib-Treated Patients With Lung Squamous Cell Carcinoma: Secondary Analysis of the LUX-Lung 8 Randomized Clinical Trial. JAMA Oncol. 2018 Sep 1;4(9):1189-1197. doi: 10.1001/jamaoncol.2018.0775.
- Derived from this study: PubMed 28577938Gadgeel S, Goss G, Soria JC, Felip E, Georgoulias V, Lu S, Cobo M, Syrigos K, Lee KH, Goker E, Guclu SZ, Isla D, Morabito A, Dupuis N, Buhnemann C, Kramer N, Solca F, Ehrnrooth E, Ardizzoni A. Evaluation of the VeriStrat(R) serum protein test in patients with advanced squamous cell carcinoma of the lung treated with second-line afatinib or erlotinib in the phase III LUX-Lung 8 study. Lung Cancer. 2017 Jul;109:101-108. doi: 10.1016/j.lungcan.2017.05.010. Epub 2017 May 11.
- Derived from this study: PubMed 26156651Soria JC, Felip E, Cobo M, Lu S, Syrigos K, Lee KH, Goker E, Georgoulias V, Li W, Isla D, Guclu SZ, Morabito A, Min YJ, Ardizzoni A, Gadgeel SM, Wang B, Chand VK, Goss GD; LUX-Lung 8 Investigators. Afatinib versus erlotinib as second-line treatment of patients with advanced squamous cell carcinoma of the lung (LUX-Lung 8): an open-label randomised controlled phase 3 trial. Lancet Oncol. 2015 Aug;16(8):897-907. doi: 10.1016/S1470-2045(15)00006-6. Epub 2015 Jul 5.
- Related InfoLink 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.
Boehringer Ingelheim study chair
Boehringer Ingelheim
192 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing afatinib and erlotinib in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 192 sites in 23 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 9 inclusion and 20 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 15 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 192 sites in United States, France, Italy, Germany, United Kingdom and 18 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 21 Nov 2014). 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, Based on Central Independent Review as Determined by Response Evaluation Criteria in Solid Tumours 1.1 (time frame: First treatment administration up until cut off date of 02 March 2015 (up to 1058 days).). 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 NCT01523587, which also lists 4 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 15 Feb 2019.