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
From first administration of study medication up to 28 days after the last administration of study medication up to 374 weeks.
What was measured
Outcome data presented are the percentage of patients by worst CTCAE grade (only Grades 2 to 4 presented) on treatment for the following laboratory parameters: Potassium, Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Creatine and Creatine Kinase.
For Potassium; only CTCAE grades resulting from hypokalemia (low values) are presented.
Analysis population: Treated set (TS) included all randomised patients who were documented to have taken at least 1 dose of study medication. Patients were allocated according to the treatment actually received. Patients with a baseline and at least one on-treatment assessment of the parameter are of interest.
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
Group
Source count
Afatinib 40 Milligram (mg)
239
Gemcitabine / Cisplatin Chemotherapy
113
Reported measurements
Potassium CTCAE grade 2
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
109
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
NA
Not reported
Not reported
Not reported
no corresponding rules defined
Gemcitabine / Cisplatin Chemotherapy
NA
Not reported
Not reported
Not reported
no corresponding rules defined
Potassium CTCAE grade 3
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
109
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
5.1
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
15.6
Not reported
Not reported
Not reported
Not reported
Potassium CTCAE grade 4
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
109
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
2.6
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.9
Not reported
Not reported
Not reported
Not reported
AST CTCAE grade 2
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
107
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
5.1
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
1.9
Not reported
Not reported
Not reported
Not reported
AST CTCAE grade 3
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
107
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
1.3
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
1.9
Not reported
Not reported
Not reported
Not reported
AST CTCAE grade 4
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
107
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
0.0
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.0
Not reported
Not reported
Not reported
Not reported
ALT CTCAE grade 2
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
108
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
8.1
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
5.6
Not reported
Not reported
Not reported
Not reported
ALT CTCAE grade 3
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
108
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
3.4
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
1.9
Not reported
Not reported
Not reported
Not reported
ALT CTCAE grade 4
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
108
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
0.0
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.0
Not reported
Not reported
Not reported
Not reported
Creatinine CTCAE grade 2
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
109
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
2.1
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
2.8
Not reported
Not reported
Not reported
Not reported
Creatinine CTCAE grade 3
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
109
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
0.0
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.0
Not reported
Not reported
Not reported
Not reported
Creatinine CTCAE grade 4
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
235
Gemcitabine / Cisplatin Chemotherapy
109
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
0.0
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.0
Not reported
Not reported
Not reported
Not reported
Creatinine Kinase CTCAE grade 2
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
216
Gemcitabine / Cisplatin Chemotherapy
104
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
3.7
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
1.0
Not reported
Not reported
Not reported
Not reported
Creatinine Kinase CTCAE grade 3
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
216
Gemcitabine / Cisplatin Chemotherapy
104
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
1.9
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.0
Not reported
Not reported
Not reported
Not reported
Creatinine Kinase CTCAE grade 4
Analysis denominator · Participants
Group
Source count
Afatinib 40 Milligram (mg)
216
Gemcitabine / Cisplatin Chemotherapy
104
Values in percentage of participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Afatinib 40 Milligram (mg)
0.0
Not reported
Not reported
Not reported
Not reported
Gemcitabine / Cisplatin Chemotherapy
0.0
Not reported
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
comment
no corresponding rules defined
group Id
OG000
value
NA
comment
no corresponding rules defined
group Id
OG001
value
NA
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
109
units
Participants
title
Potassium CTCAE grade 2
categories
measurements
group Id
OG000
value
5.1
group Id
OG001
value
15.6
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
109
units
Participants
title
Potassium CTCAE grade 3
categories
measurements
group Id
OG000
value
2.6
group Id
OG001
value
0.9
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
109
units
Participants
title
Potassium CTCAE grade 4
categories
measurements
group Id
OG000
value
5.1
group Id
OG001
value
1.9
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
107
units
Participants
title
AST CTCAE grade 2
categories
measurements
group Id
OG000
value
1.3
group Id
OG001
value
1.9
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
107
units
Participants
title
AST CTCAE grade 3
categories
measurements
group Id
OG000
value
0.0
group Id
OG001
value
0.0
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
107
units
Participants
title
AST CTCAE grade 4
categories
measurements
group Id
OG000
value
8.1
group Id
OG001
value
5.6
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
108
units
Participants
title
ALT CTCAE grade 2
categories
measurements
group Id
OG000
value
3.4
group Id
OG001
value
1.9
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
108
units
Participants
title
ALT CTCAE grade 3
categories
measurements
group Id
OG000
value
0.0
group Id
OG001
value
0.0
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
108
units
Participants
title
ALT CTCAE grade 4
categories
measurements
group Id
OG000
value
2.1
group Id
OG001
value
2.8
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
109
units
Participants
title
Creatinine CTCAE grade 2
categories
measurements
group Id
OG000
value
0.0
group Id
OG001
value
0.0
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
109
units
Participants
title
Creatinine CTCAE grade 3
categories
measurements
group Id
OG000
value
0.0
group Id
OG001
value
0.0
denoms
counts
group Id
OG000
value
235
group Id
OG001
value
109
units
Participants
title
Creatinine CTCAE grade 4
denoms
counts
group Id
OG000
value
239
group Id
OG001
value
113
units
Participants
description
Outcome data presented are the percentage of patients by worst CTCAE grade (only Grades 2 to 4 presented) on treatment for the following laboratory parameters: Potassium, Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Creatine and Creatine Kinase.
For Potassium; only CTCAE grades resulting from hypokalemia (low values) are presented.
groups
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)
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
Treated set (TS) included all randomised patients who were documented to have taken at least 1 dose of study medication. Patients were allocated according to the treatment actually received. Patients with a baseline and at least one on-treatment assessment of the parameter are of interest.
reporting Status
POSTED
time Frame
From first administration of study medication up to 28 days after the last administration of study medication up to 374 weeks.