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NCT01121393 · OUTCOME

Time to Objective Response (OR)

BIBW 2992 (Afatinib) vs Gemcitabine-cisplatin in 1st Line Non-small Cell Lung Cancer (NSCLC) · Source last updated 2018-12-14

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
Not reported
Time frame
Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374

What was measured

OR is defined as a best of overall response of complete response (CR) or partial response (PR) assessed by central independent review according to RECIST version 1.1. For patients with an objective response, time to objective response was defined as the time from randomisation to the first objective response. Outcome data are the percentage of patients with OR by each scheduled tumour assessment.

Analysis population: The RS included all patients randomised to receive treatment, whether treated or not.

Groups in this outcome

Afatinib 40 Milligram (mg)

Patients received Afatinib film-coated tablets 40 mg once daily (q.d.) orally with possible dose escalation to 50 mg q.d. and dose reduction to 40 mg q.d. (if applicable), 30 mg q.d., or 20 mg q.d. (according to the protocol-defined dose-escalation and dose-reduction scheme), if required. No dose increase was allowed after dose reduction. Each treatment course was planned to be 21 days. For afatinib, patients received continuous daily dosing until disease progression, unacceptable adverse events (AEs) occurred, or withdrawal of consent for any reason.

Gemcitabine / Cisplatin Chemotherapy

Patients received Gemcitabine (lyophilised powder) 1000 milligram per square metre (mg/m²) as an intravenous infusion over 30 minutes on day 1 and day 8, cisplatin (solution for infusion) 75 mg/m² as an intravenous infusion on Day 1 of each 21-day treatment course up to 6 cycles; Chemotherapy could be delayed or the dose could be reduced in accordance with the guidance in the current summary of product characteristics. For gemcitabine / cisplatin, patients were to receive a maximum of 6 treatment courses unless they developed disease progression, experienced unacceptable AEs, or withdrawal of consent for any reason.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Afatinib 40 Milligram (mg)242
Gemcitabine / Cisplatin Chemotherapy122

Reported measurements

By Week 6
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)49.2Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy13.1Not reportedNot reportedNot reportedNot reported
By Week 12
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)59.9Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy19.7Not reportedNot reportedNot reportedNot reported
By Week 18
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)64.0Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 24
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)64.9Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 30
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)65.7Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 36
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)66.1Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 42
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)66.5Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 48
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)66.5Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 60
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)66.9Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 72
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)66.9Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 84
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)66.9Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 96
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)67.4Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 108
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)67.4Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
By Week 120
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Afatinib 40 Milligram (mg)67.8Not reportedNot reportedNot reportedNot reported
Gemcitabine / Cisplatin Chemotherapy23.0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        49.2
      2. group Id
        OG001
        value
        13.1
    title
    By Week 6
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        59.9
      2. group Id
        OG001
        value
        19.7
    title
    By Week 12
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        64.0
      2. group Id
        OG001
        value
        23.0
    title
    By Week 18
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        64.9
      2. group Id
        OG001
        value
        23.0
    title
    By Week 24
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        65.7
      2. group Id
        OG001
        value
        23.0
    title
    By Week 30
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        66.1
      2. group Id
        OG001
        value
        23.0
    title
    By Week 36
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        66.5
      2. group Id
        OG001
        value
        23.0
    title
    By Week 42
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        66.5
      2. group Id
        OG001
        value
        23.0
    title
    By Week 48
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        66.9
      2. group Id
        OG001
        value
        23.0
    title
    By Week 60
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        66.9
      2. group Id
        OG001
        value
        23.0
    title
    By Week 72
  11. categories
    1. measurements
      1. group Id
        OG000
        value
        66.9
      2. group Id
        OG001
        value
        23.0
    title
    By Week 84
  12. categories
    1. measurements
      1. group Id
        OG000
        value
        67.4
      2. group Id
        OG001
        value
        23.0
    title
    By Week 96
denoms
  1. counts
    1. group Id
      OG000
      value
      242
    2. group Id
      OG001
      value
      122
    units
    Participants
description
OR is defined as a best of overall response of complete response (CR) or partial response (PR) assessed by central independent review according to RECIST version 1.1. For patients with an objective response, time to objective response was defined as the time from randomisation to the first objective response. Outcome data are the percentage of patients with OR by each scheduled tumour assessment.
groups
  1. description
    Patients received Afatinib film-coated tablets 40 mg once daily (q.d.) orally with possible dose escalation to 50 mg q.d. and dose reduction to 40 mg q.d. (if applicable), 30 mg q.d., or 20 mg q.d. (according to the protocol-defined dose-escalation and dose-reduction scheme), if required. No dose increase was allowed after dose reduction. Each treatment course was planned to be 21 days. For afatinib, patients received continuous daily dosing until disease progression, unacceptable adverse events (AEs) occurred, or withdrawal of consent for any reason.
    id
    OG000
    title
    Afatinib 40 Milligram (mg)
  2. description
    Patients received Gemcitabine (lyophilised powder) 1000 milligram per square metre (mg/m²) as an intravenous infusion over 30 minutes on day 1 and day 8, cisplatin (solution for infusion) 75 mg/m² as an intravenous infusion on Day 1 of each 21-day treatment course up to 6 cycles; Chemotherapy could be delayed or the dose could be reduced in accordance with the guidance in the current summary of product characteristics. For gemcitabine / cisplatin, patients were to receive a maximum of 6 treatment courses unless they developed disease progression, experienced unacceptable AEs, or withdrawal of consent for any reason.
    id
    OG001
    title
    Gemcitabine / Cisplatin Chemotherapy
param Type
NUMBER
population Description
The RS included all patients randomised to receive treatment, whether treated or not.
reporting Status
POSTED
time Frame
Tumour assessment were performed at screening, week 6, 12, 18, 24, 30, 36, 42, 48 and then every 12 weeks until progression or death whichever occurs first up to week 374
title
Time to Objective Response (OR)
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice