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← ENSACOVE: metastatic Non-small cell lung cancer with ALK stated without a specific alteration

NCT03456076 · STUDY IN CONTEXT

A Study Comparing Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With ALK Positive Non-Small Cell Lung Cancer

Draft scope assessment: unclear. Attached because the study's own record names ALK. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

primary · POSTED

DFS, defined as the time from randomization to the first documented recurrence of disease or new primary NSCLC as determined by the investigator through use of an integrated assessment of radiographic data, biopsy sample results (if clinically feasible), and clinical status or death from any cause, whichever occurs first

The ITT population consisted of all randomized participants, whether or not the participant received the assigned treatment. The Stage II-IIIa population consisted of all participants in the ITT population with Stage II-IIIa NSCLC.

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secondary · NOT_POSTED

Primary OS analysis at approximately 5 years after FPI and final OS analysis at approximately 8 years after FPI. OS, defined as the time from randomization to death from any cause.

Source null

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secondary · POSTED

An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsen during a study are also considered as adverse events.

The safety-evaluable population consisted of all participants who received at least one dose of study treatment, with participants assigned to treatment groups according to the treatment received. All participants who received any dose of alectinib are included in the alectinib treatment arm.

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secondary · POSTED

An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsen during a study are also considered as adverse events.

The safety-evaluable population consisted of all participants who received at least one dose of study treatment, with participants assigned to treatment groups according to the treatment received. All participants who received any dose of alectinib are included in the alectinib treatment arm.

→

secondary · POSTED

Plasma Concentration of Alectinib

The PK-evaluable population consisted of all participants who received at least one dose of alectinib and who had at least one post-baseline PK sample available. This population did not include participants from the platinum-based chemotherapy arm, who did not receive alectinib.

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secondary · POSTED

Plasma Concentration of Alectinib Metabolite M4

The PK-evaluable population consisted of all participants who received at least one dose of alectinib and who had at least one post-baseline PK sample available. This population did not include participants from the platinum-based chemotherapy arm, who did not receive alectinib.

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Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

No linked quality-of-life measure is recorded for this setting and study.

Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
nct id
NCT03456076
trial label
A Study Comparing Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With ALK Positive Non-Small Cell Lung Cancer
applicability
unclear
applicability note
Attached because the study's own record names ALK. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
regulator-cited
discovery note
Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
outcome Count
6
harms Count
2
qol Count
0
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0000
    source section id
    NCT03456076-om-0000
    source outcome index
    0
    endpoint
    Disease-free Survival (DFS), as Assessed by the Investigator
    endpoint definition
    DFS, defined as the time from randomization to the first documented recurrence of disease or new primary NSCLC as determined by the investigator through use of an integrated assessment of radiographic data, biopsy sample results (if clinically feasible), and clinical status or death from any cause, whichever occurs first
    time origin
    Approximately 58 months
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    The ITT population consisted of all randomized participants, whether or not the participant received the assigned treatment. The Stage II-IIIa population consisted of all participants in the ITT population with Stage II-IIIa NSCLC.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0001
    source section id
    NCT03456076-om-0001
    source outcome index
    1
    endpoint
    Overall Survival (OS)
    endpoint definition
    Primary OS analysis at approximately 5 years after FPI and final OS analysis at approximately 8 years after FPI. OS, defined as the time from randomization to death from any cause.
    time origin
    From the date of randomization until death due to any cause up to approximately 8 years
    analysis role
    secondary
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0002
    source section id
    NCT03456076-om-0002
    source outcome index
    2
    endpoint
    Percentage of Participants With Adverse Events (AEs)
    endpoint definition
    An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsen during a study are also considered as adverse events.
    time origin
    Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    The safety-evaluable population consisted of all participants who received at least one dose of study treatment, with participants assigned to treatment groups according to the treatment received. All participants who received any dose of alectinib are included in the alectinib treatment arm.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0003
    source section id
    NCT03456076-om-0003
    source outcome index
    3
    endpoint
    AEs Grade 3-5 With a Difference in Incidence Rate of at Least 2% Between Treatment Arms
    endpoint definition
    An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsen during a study are also considered as adverse events.
    time origin
    Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    The safety-evaluable population consisted of all participants who received at least one dose of study treatment, with participants assigned to treatment groups according to the treatment received. All participants who received any dose of alectinib are included in the alectinib treatment arm.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0004
    source section id
    NCT03456076-om-0004
    source outcome index
    4
    endpoint
    Plasma Concentration of Alectinib
    endpoint definition
    Plasma Concentration of Alectinib
    time origin
    Predose (2 hours) Week 3 - Week 96
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    The PK-evaluable population consisted of all participants who received at least one dose of alectinib and who had at least one post-baseline PK sample available. This population did not include participants from the platinum-based chemotherapy arm, who did not receive alectinib.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0005
    source section id
    NCT03456076-om-0005
    source outcome index
    5
    endpoint
    Plasma Concentration of Alectinib Metabolite M4
    endpoint definition
    Plasma Concentration of Alectinib Metabolite M4
    time origin
    Predose (2 hours) Week 3 - Week 96
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    The PK-evaluable population consisted of all participants who received at least one dose of alectinib and who had at least one post-baseline PK sample available. This population did not include participants from the platinum-based chemotherapy arm, who did not receive alectinib.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0000
    arm key
    OG000
    arm label
    Alectinib
    regimen
    Participants received 600 mg oral alectinib twice daily (BID) for 2 years
    analyzed count
    15
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0000
    arm key
    OG001
    arm label
    Platinum-Based Chemotherapy
    regimen
    Participants received platinum-based chemotherapy for 4 cycles (cycle length = 21 days).
    analyzed count
    50
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0000#groups/OG001
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0002
    arm key
    OG000
    arm label
    Alectinib
    regimen
    Participants received 600 mg oral alectinib twice daily (BID) for 2 years
    analyzed count
    128
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0002#groups/OG000
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0002
    arm key
    OG001
    arm label
    Platinum-Based Chemotherapy
    regimen
    Participants received platinum-based chemotherapy for 4 cycles (cycle length = 21 days).
    analyzed count
    120
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0002#groups/OG001
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0003
    arm key
    OG000
    arm label
    Alectinib
    regimen
    Participants received 600 mg oral alectinib twice daily (BID) for 2 years
    analyzed count
    128
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0003#groups/OG000
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0003
    arm key
    OG001
    arm label
    Platinum-Based Chemotherapy
    regimen
    Participants received platinum-based chemotherapy for 4 cycles (cycle length = 21 days).
    analyzed count
    120
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0003#groups/OG001
  7. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0004
    arm key
    OG000
    arm label
    Alectinib
    regimen
    Participants received 600 mg oral alectinib twice daily (BID) for 2 years
    analyzed count
    124
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0004#groups/OG000
  8. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    outcome key
    om-0005
    arm key
    OG000
    arm label
    Alectinib
    regimen
    Participants received 600 mg oral alectinib twice daily (BID) for 2 years
    analyzed count
    124
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT03456076-om-0005#groups/OG000
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    harm key
    EG000
    source section id
    NCT03456076-ae
    event group key
    EG000
    event group label
    Alectinib
    serious affected
    17
    serious at risk
    128
    other affected
    124
    other at risk
    128
    frequency threshold
    5
    collection period
    Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
    event definition
    All-cause mortality is reported for all participants. SAEs and Other AEs are reported for the safety-evaluable population, which consisted of all randomized participants who were enrolled during the global enrollment phase and received any amount of study drug, with participants grouped according to treatment received.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-non-small-cell-lung-cancer-ensacove-fb8dd0c5
    nct id
    NCT03456076
    harm key
    EG001
    source section id
    NCT03456076-ae
    event group key
    EG001
    event group label
    Platinum-Based Chemotherapy
    serious affected
    10
    serious at risk
    120
    other affected
    110
    other at risk
    120
    frequency threshold
    5
    collection period
    Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
    event definition
    All-cause mortality is reported for all participants. SAEs and Other AEs are reported for the safety-evaluable population, which consisted of all randomized participants who were enrolled during the global enrollment phase and received any amount of study drug, with participants grouped according to treatment received.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
    setting source links

      Preserved source evidence · Not medical advice