A Study of Erlotinib (Tarceva) After Surgery With or Without Adjuvant Chemotherapy in Non-Small Cell Lung Carcinoma (NSCLC) Patients Who Have Epidermal Growth Factor Receptor (EGFR) Positive Tumors (RADIANT)
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ClinicalTrials.gov Identifier: NCT00373425 |
Recruitment Status :
Completed
First Posted : September 8, 2006
Results First Posted : June 3, 2014
Last Update Posted : September 17, 2015
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Sponsor:
OSI Pharmaceuticals
Information provided by (Responsible Party):
Astellas Pharma Inc ( OSI Pharmaceuticals )
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Non-small Cell Lung Cancer |
Interventions |
Drug: Erlotinib Drug: Placebo |
Enrollment | 1252 |
Participant Flow
Recruitment Details | Patients with stage IB to IIIA epidermal growth factor receptor (EGFR)-positive non-small cell lung cancer (NSCLC) were enrolled globally. 1252 patients were enrolled however 2 patients did not have adequate Health Insurance Portability and Accountability Act (HIPAA) documentation and were removed from the database. |
Pre-assignment Details | Participants randomized prior to 7 November 2007 comprise the Breached-Protocol Cohort (BPC); those who had not discontinued were offered open-label erlotinib for up to 2 years. Participants randomized subsequently are referred to as the Randomized Cohort. |
Arm/Group Title | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib |
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Arm/Group Description | Participants in the randomized cohort (RC) who received 150 mg/day erlotinib orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity. | Participants in the randomized cohort (RC) who received matching placebo tablets orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity. | The BPC no open-label cohort (BPC-NOLC) includes participants randomized prior to 07 November 2007 who did not participate in the open-label erlotinib period and who were previously randomized to receive either erlotinib or placebo in the blinded period, and received at least one dose of erlotinib. | The BPC no open-label cohort (BPC-NOLC) includes participants randomized prior to 07 November 2007 who did not participate in the open-label erlotinib period and who were previously randomized to receive either erlotinib or placebo in the blinded period, and did not receive any erlotinib. | The BPC open-label cohort (BPC-OLC) includes participants randomized prior to 07 November 2007 who received at least 1 dose of study drug after being randomized, who entered the open-label erlotinib period. Data presented for the BPC-OLC included data from both the blinded period and the open-label erlotinib period. |
Period Title: Overall Study | |||||
Started | 623 | 350 | 134 | 11 | 132 |
Received Treatment | 612 | 342 | 134 | 7 | 132 |
Completed | 253 [1] | 197 [1] | 0 [1] | 0 [1] | 60 [1] |
Not Completed | 370 | 153 | 134 | 11 | 72 |
Reason Not Completed | |||||
Relapse of NSCLC | 116 | 104 | 19 | 2 | 26 |
Adverse Event | 191 | 22 | 59 | 0 | 34 |
Patient request | 35 | 18 | 43 | 6 | 7 |
Medical/ethical/noncompliance reason | 21 | 9 | 10 | 2 | 5 |
Death | 7 | 0 | 3 | 1 | 0 |
[1]
Completed 2 years of study treatment
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Baseline Characteristics
Arm/Group Title | RC: Erlotinib | RC: Placebo | BPC-NOLC: Erlotinib/Placebo | BPC-NOLC: Placebo Only | BPC-OLC: Erlotinib | Total | |
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Arm/Group Description | Participants in the randomized cohort (RC) who received 150 mg/day erlotinib orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity. | Participants in the randomized cohort (RC) who received matching placebo tablets orally for 2 years or until relapse, death, participant request or investigator decision to discontinue study drug, or intolerable toxicity. | The BPC no open-label cohort (BPC-NOLC) includes participants randomized prior to 07 November 2007 who did not participate in the open-label erlotinib period and who were previously randomized to receive either erlotinib or placebo in the blinded period, and received at least one dose of erlotinib. | The BPC no open-label cohort (BPC-NOLC) includes participants randomized prior to 07 November 2007 who did not participate in the open-label erlotinib period and who were previously randomized to receive either erlotinib or placebo in the blinded period, and did not receive any erlotinib. | The BPC open-label cohort (BPC-OLC) includes participants randomized prior to 07 November 2007 who received at least 1 dose of study drug after being randomized, who entered the open-label erlotinib period. Data presented for the BPC-OLC included data from both the blinded period and the open-label erlotinib period. | Total of all reporting groups | |
Overall Number of Baseline Participants | 623 | 350 | 134 | 11 | 132 | 1250 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Randomized Cohort | 62.0 (9.28) | 61.8 (9.34) | NA [1] (NA) | NA [1] (NA) | NA [1] (NA) | 61.9 (9.30) | |
Breached Protocol Cohort, No Open label | NA [2] (NA) | NA [2] (NA) | 64.4 (9.33) | 62.7 (6.23) | NA [2] (NA) | 64.3 (9.13) | |
Breached Protocol Cohort, Open label | NA [3] (NA) | NA [3] (NA) | NA [3] (NA) | NA [3] (NA) | 61.8 (9.35) | 61.8 (9.35) | |
[1]
Randomized Cohort only
[2]
Breached Protocol Cohort - No Open Label only
[3]
Breached Protocol Cohort - Open Label only
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants | |
Female |
257 41.3%
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141 40.3%
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47 35.1%
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2 18.2%
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57 43.2%
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504 40.3%
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Male |
366 58.7%
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209 59.7%
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87 64.9%
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9 81.8%
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75 56.8%
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746 59.7%
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Race/Ethnicity, Customized
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
White | 500 | 279 | 114 | 10 | 111 | 1014 | |
Black | 14 | 11 | 4 | 0 | 4 | 33 | |
Asian | 107 | 60 | 15 | 1 | 17 | 200 | |
American Indian/Alaska Native | 1 | 0 | 1 | 0 | 0 | 2 | |
Other | 1 | 0 | 0 | 0 | 0 | 1 | |
Race/Ethnicity, Customized
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Not Hispanic or Latino | 583 | 322 | 123 | 11 | 124 | 1163 | |
Hispanic or Latino | 40 | 28 | 11 | 0 | 8 | 87 | |
Eastern Cooperative Oncology Group (ECOG) Performance Status
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Grade 0 | 385 | 211 | 75 | 5 | 77 | 753 | |
Grade 1 | 230 | 134 | 55 | 6 | 54 | 479 | |
Grade 2 | 6 | 5 | 3 | 0 | 1 | 15 | |
Not measured | 2 | 0 | 1 | 0 | 0 | 3 | |
[1]
Measure Description: ECOG criteria: 0: Fully active. 1: Ambulatory, carry out work of a light or sedentary nature. 2: Ambulatory, capable of all selfcare. 3: Capable of limited selfcare, confined to bed or chair more than 50% of waking hours. 4: Completely disabled, no selfcare, totally confined to bed or chair. 5: Dead.
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Cigarette Smoking History
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Never smoked or ≤ 100 cigarettes in lifetime | 129 | 70 | 19 | 1 | 19 | 238 | |
Former smoker | 423 | 240 | 103 | 9 | 104 | 879 | |
Current smoker | 71 | 40 | 12 | 1 | 9 | 133 | |
Histology
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Adenocarcinoma | 367 | 211 | 73 | 3 | 76 | 730 | |
Squamous cell carcinoma | 196 | 111 | 48 | 8 | 49 | 412 | |
Undifferentiated large cell | 22 | 8 | 6 | 0 | 4 | 40 | |
Mixed NSCLC | 29 | 18 | 5 | 0 | 1 | 53 | |
Other | 9 | 2 | 2 | 0 | 2 | 15 | |
Extent of Disease at Diagnosis
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Stage IA | 1 | 2 | 1 | 0 | 0 | 4 | |
Stage IB | 329 | 167 | 64 | 4 | 80 | 644 | |
Stage IIA | 42 | 24 | 10 | 1 | 9 | 86 | |
Stage IIB | 155 | 99 | 36 | 4 | 23 | 317 | |
Stage IIIA | 93 | 58 | 21 | 1 | 17 | 190 | |
Stage IIIB | 2 | 0 | 2 | 0 | 3 | 7 | |
Stage IV | 1 | 0 | 0 | 1 | 0 | 2 | |
[1]
Measure Description: Staging is based on the size of the main tumor and whether it has grown into nearby areas, the spread of cancer to nearby lymph nodes and whether the cancer has spread (metastasized) to other organs of the body.
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Adjuvant Chemotherapy
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Yes | 315 | 200 | 63 | 5 | 68 | 651 | |
No | 308 | 150 | 71 | 6 | 64 | 599 | |
Epidermal Growth Factor Receptor (EGFR) Mutation Status
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Activating mutation-positive | 102 | 59 | 10 | 0 | 16 | 187 | |
Wild-type | 458 | 245 | 116 | 11 | 107 | 937 | |
Undetermined | 29 | 16 | 1 | 0 | 1 | 47 | |
Activating mutation not positive | 30 | 27 | 5 | 0 | 6 | 68 | |
Not Available | 4 | 3 | 2 | 0 | 2 | 11 | |
[1]
Measure Description:
EGFR mutation status: Activating mutation-positive: exon 19 deletion or exon 21 L858R (or both) detected. Wild-type: neither exon 19 deletion nor exon 21 L858R or any other mutation (exon 18, 19, 20 and 21) detected or undetermined. Undetermined: exon 19 deletion or exon 21 L858R (or both) mutation status undetermined. Activating mutation not positive: neither exon 19 deletion nor exon 21 L858R detected or undetermined (includes other mutation positive and other mutation status undetermined). |
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EGFR Gene Amplification
[1] Measure Type: Number Unit of measure: Participants |
Number Analyzed | 623 participants | 350 participants | 134 participants | 11 participants | 132 participants | 1250 participants |
Positive | 445 | 255 | 84 | 8 | 100 | 892 | |
Negative | 167 | 87 | 49 | 3 | 32 | 338 | |
Undetermined | 11 | 8 | 1 | 0 | 0 | 20 | |
[1]
Measure Description: Analysis of tumor tissue by fluorescent in situ hybridization (FISH), positivity was defined as amplification (EGFR gene to chromosome ratio of ≥ 2 or ≥ 15 EGFR gene copies in ≥ 10% of tumor cells) or high polysomy (≥ 4 EGFR gene copies in ≥ 40% of tumor cells) .
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Outcome Measures
Adverse Events
Limitations and Caveats
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More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
Institute and/or Principal Investigator may publish trial data generated at their specific study site after Sponsor publication of the multi-center data. Sponsor must receive a site's manuscript at least 60 days prior to publication for review and comment. Sponsor may delay the publication for up to 6 months to seek patent protection.
Results Point of Contact
Name/Title: | Senior Medical Director, Medical Oncology |
Organization: | Astellas Pharma Global Development, Inc. |
EMail: | clinicaltrial.disclosure@us.astellas.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Astellas Pharma Inc ( OSI Pharmaceuticals ) |
ClinicalTrials.gov Identifier: | NCT00373425 |
Other Study ID Numbers: |
OSI-774-302 2005-001747-29 ( EudraCT Number ) |
First Submitted: | September 7, 2006 |
First Posted: | September 8, 2006 |
Results First Submitted: | April 2, 2014 |
Results First Posted: | June 3, 2014 |
Last Update Posted: | September 17, 2015 |