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NCT01907100 · OUTCOME

Overall Survival (OS)

Nintedanib (BIBF 1120) in Mesothelioma · Source last updated 2019-03-18

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

Measure
MEDIAN
Unit
Months
Interval / dispersion
Inter-Quartile Range
Time frame
From randomization until the earliest of disease progression, death or (Phase II: cut-off date of 4-March-2016; up to 889 days) (Phase III: cut-off date of 16-March-2018; up to 31 months)

What was measured

Overall survival was defined as the duration of time from randomization to time of death. This is the key secondary endpoint of the trial.

Analysis population: Randomised Set: This patient set included all randomized patients.

Groups in this outcome

Placebo

Nintedanib matching Placebo 200 mg twice daily (b.i.d.) on Day 2 to 21 of each 21-day treatment course administered orally in the form of a soft gelatin capsule (100 mg or 150 mg capsules) plus standard Pemetrexed 500 mg/m2 (100 mg or 500 mg vials) and Cisplatin 75 mg/m2 (50 mL of 1 mg/ml solution) on Day 1 of each 21-day treatment course administered intravenously. If required, the dose of placebo could be reduced to 150 mg b.i.d. or 100 mg b.i.d. (according to the protocol-defined dose-reduction scheme). No dose increase was allowed after a dose reduction.

Nintedanib

Nintedanib 200 mg twice daily (b.i.d.) on Day 2 to 21 of each 21-day treatment course administered orally in the form of a soft gelatin capsule (100 mg or 150 mg capsules) plus standard Pemetrexed 500 mg/m2 (100 mg or 500 mg vials) and Cisplatin 75 mg/m2 (50 mL of 1 mg/ml solution) on Day 1 of each 21-day treatment course administered intravenously. If required, the dose of Nintedanib could be reduced to 150 mg b.i.d. or 100 mg b.i.d. (according to the protocol-defined dose-reduction scheme). No dose increase was allowed after a dose reduction.

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

Analysis denominator · Participants

GroupSource count
Placebo272
Nintedanib273

Reported measurements

Phase II

Analysis denominator · Participants

GroupSource count
Placebo43
Nintedanib44
Values in Months · Interval/dispersion: Inter-Quartile Range
GroupValueSpreadLowerUpperComment
Placebo14.46Not reported10.41NAThe 75th percentile was not reached because of insufficient number of patients with OS event thus not calculated.
Nintedanib18.30Not reported10.91NAThe 75th percentile was not reached because of insufficient number of patients with OS event thus not calculated.
Phase III

Analysis denominator · Participants

GroupSource count
Placebo229
Nintedanib229
Values in Months · Interval/dispersion: Inter-Quartile Range
GroupValueSpreadLowerUpperComment
Placebo16.07Not reported9.6619.29Not reported
Nintedanib14.36Not reported9.1318.69Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.433
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.412
    estimate Comment
    Hazard ratio, confidence interval and p-value obtained from proportional hazards model stratified by tumour histology (epithelioid vs. biphasic).
    group Description
    Phase II
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.4132
    param Type
    Hazard Ratio (HR)
    param Value
    0.782
    statistical Method
    Proportional hazards mode
  2. ci Lower Limit
    0.79
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.58
    estimate Comment
    Hazard ratio, confidence interval and p-value obtained from a non-stratified proportional hazards model.
    group Description
    Phase III: A Cox proportional hazards model was fitted to estimate hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) for the comparison of treatment arms (Nintedanib vs Placebo). If the hazard ratio is below 1 then it favours nintedanib.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.7306
    p Value Comment
    one-sided p-value
    param Type
    Hazard Ratio (HR)
    param Value
    1.12
    statistical Method
    Proportional hazards model
Complete source fields
analyses
  1. ci Lower Limit
    0.433
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.412
    estimate Comment
    Hazard ratio, confidence interval and p-value obtained from proportional hazards model stratified by tumour histology (epithelioid vs. biphasic).
    group Description
    Phase II
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.4132
    param Type
    Hazard Ratio (HR)
    param Value
    0.782
    statistical Method
    Proportional hazards mode
  2. ci Lower Limit
    0.79
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.58
    estimate Comment
    Hazard ratio, confidence interval and p-value obtained from a non-stratified proportional hazards model.
    group Description
    Phase III: A Cox proportional hazards model was fitted to estimate hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) for the comparison of treatment arms (Nintedanib vs Placebo). If the hazard ratio is below 1 then it favours nintedanib.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.7306
    p Value Comment
    one-sided p-value
    param Type
    Hazard Ratio (HR)
    param Value
    1.12
    statistical Method
    Proportional hazards model
classes
  1. categories
    1. measurements
      1. comment
        The 75th percentile was not reached because of insufficient number of patients with OS event thus not calculated.
        group Id
        OG000
        lower Limit
        10.41
        upper Limit
        NA
        value
        14.46
      2. comment
        The 75th percentile was not reached because of insufficient number of patients with OS event thus not calculated.
        group Id
        OG001
        lower Limit
        10.91
        upper Limit
        NA
        value
        18.30
    denoms
    1. counts
      1. group Id
        OG000
        value
        43
      2. group Id
        OG001
        value
        44
      units
      Participants
    title
    Phase II
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        9.66
        upper Limit
        19.29
        value
        16.07
      2. group Id
        OG001
        lower Limit
        9.13
        upper Limit
        18.69
        value
        14.36
    denoms
    1. counts
      1. group Id
        OG000
        value
        229
      2. group Id
        OG001
        value
        229
      units
      Participants
    title
    Phase III
denoms
  1. counts
    1. group Id
      OG000
      value
      272
    2. group Id
      OG001
      value
      273
    units
    Participants
description
Overall survival was defined as the duration of time from randomization to time of death. This is the key secondary endpoint of the trial.
dispersion Type
Inter-Quartile Range
groups
  1. description
    Nintedanib matching Placebo 200 mg twice daily (b.i.d.) on Day 2 to 21 of each 21-day treatment course administered orally in the form of a soft gelatin capsule (100 mg or 150 mg capsules) plus standard Pemetrexed 500 mg/m2 (100 mg or 500 mg vials) and Cisplatin 75 mg/m2 (50 mL of 1 mg/ml solution) on Day 1 of each 21-day treatment course administered intravenously. If required, the dose of placebo could be reduced to 150 mg b.i.d. or 100 mg b.i.d. (according to the protocol-defined dose-reduction scheme). No dose increase was allowed after a dose reduction.
    id
    OG000
    title
    Placebo
  2. description
    Nintedanib 200 mg twice daily (b.i.d.) on Day 2 to 21 of each 21-day treatment course administered orally in the form of a soft gelatin capsule (100 mg or 150 mg capsules) plus standard Pemetrexed 500 mg/m2 (100 mg or 500 mg vials) and Cisplatin 75 mg/m2 (50 mL of 1 mg/ml solution) on Day 1 of each 21-day treatment course administered intravenously. If required, the dose of Nintedanib could be reduced to 150 mg b.i.d. or 100 mg b.i.d. (according to the protocol-defined dose-reduction scheme). No dose increase was allowed after a dose reduction.
    id
    OG001
    title
    Nintedanib
param Type
MEDIAN
population Description
Randomised Set: This patient set included all randomized patients.
reporting Status
POSTED
time Frame
From randomization until the earliest of disease progression, death or (Phase II: cut-off date of 4-March-2016; up to 889 days) (Phase III: cut-off date of 16-March-2018; up to 31 months)
title
Overall Survival (OS)
type
SECONDARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice