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NCT01970865 · OUTCOME

Duration of Response (DOR) and Intracranial DOR (Phase 2 and DDI Substudy)

A Study Of PF-06463922 An ALK/ROS1 Inhibitor In Patients With Advanced Non Small Cell Lung Cancer With Specific Molecular Alterations · Source last updated 2024-08-12

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

Measure
MEDIAN
Unit
Months
Interval / dispersion
95% Confidence Interval
Time frame
From first dose of study treatment to first documentation of PD or to death due to any cause, whichever occurred first (maximum of 7.5 years for Phase 2 and up to a maximum of 6 years approx. for DDI sub study)

What was measured

Duration of response(DOR): time from first documentation of objective tumor response (CR/PR) to first documentation of PD or to death due to any cause, whichever occurred first. DOR: calculated for subgroup of participants with confirmed objective tumor response. Intracranial DOR: calculated for participants with confirmed intracranial objective response. CR:disappearance of all non-lymph node target lesions (where all target lesions are recorded with length of 0mm on Target Lesion eCRF). Any pathological lymph node (recorded as target lesion) must have reduction in short axis to \<10mm. PR:30% or more decrease in SLD of target lesion, taking as reference baseline SLD. PD:20% or more increase in the SLD of target lesions relative to baseline or smallest SLD (nadir) recorded since first dose. In addition, also demonstrate absolute increase of at least 5mm (\>=5mm) relative to baseline or smallest SLD (nadir) recorded since first dose.

Analysis population: DOR analysis set included all ITT participants who had confirmed objective response; intracranial DOR analysis set included all ITT participants who had CNS metastases and achieved confirmed intracranial objective response. Here, "Number Analyzed" signifies participants analyzed for this outcome measure.

Groups in this outcome

EXP-1 (Phase 2)

Treatment-naïve participants with advanced anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC) with or without asymptomatic central nervous system (CNS) metastases were given PF-06463922 100 mg orally QD on Day -7 (only participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.

EXP-2 (Phase 2)

Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after only crizotinib therapy were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.

EXP-3 (Phase 2)

Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after crizotinib therapy and 1 or 2 prior regimens of chemotherapy given before or after crizotinib therapy, or participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after 1 ALK inhibitor therapy other than crizotinib with or without any number of prior chemotherapy regimens in any disease setting were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.

EXP-4 (Phase 2)

Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after 2 prior lines of ALK inhibitor therapies were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.

EXP-5 (Phase 2)

Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after 3 prior lines of ALK inhibitor therapies were given PF-06463922 100 mg orally QD on Day -7 (only for participant scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.

EXP-6 (Phase 2)

Participants with advanced ROS1-positive NSCLC who were treatment naïve or had any number of prior cancer therapies with or without asymptomatic CNS metastases were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.

DDI Sub-study

Participants with advanced ALK positive or ROS1-positive NSCLC who were treatment naïve or had any number of prior cancer therapies with or without asymptomatic CNS metastases were administered a single dose of a probe substrate alone on Day -2. Participants were given PF-06463922 100 mg orally QD starting on Cycle1 Day 1 and along with probe substrate on Day 15 Cycle 1.

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

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)27
EXP-2 (Phase 2)21
EXP-3 (Phase 2)34
EXP-4 (Phase 2)26
EXP-5 (Phase 2)17
EXP-6 (Phase 2)18
DDI Sub-study13

Reported measurements

DOR

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)27
EXP-2 (Phase 2)21
EXP-3 (Phase 2)34
EXP-4 (Phase 2)26
EXP-5 (Phase 2)17
EXP-6 (Phase 2)18
DDI Sub-study13
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)17.16Not reported12.4535.09Not reported
EXP-2 (Phase 2)16.56Not reported4.20NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-3 (Phase 2)11.10Not reported5.55NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-4 (Phase 2)15.08Not reported5.5526.28Not reported
EXP-5 (Phase 2)7.03Not reported4.1711.01Not reported
EXP-6 (Phase 2)19.61Not reported11.10NAUpper limit could not be calculated due to insufficient number of participants with events.
DDI Sub-study5.19Not reported4.17NAUpper limit could not be calculated due to insufficient number of participants with events.
Intra-cranial DOR

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)6
EXP-2 (Phase 2)10
EXP-3 (Phase 2)22
EXP-4 (Phase 2)24
EXP-5 (Phase 2)16
EXP-6 (Phase 2)14
DDI Sub-study4
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)NANot reported8.28NAMedian and Upper limit could not be calculated due to insufficient number of participants with events..
EXP-2 (Phase 2)NANot reported20.99NAMedian and Upper limit could not be calculated due to insufficient number of participants with events.
EXP-3 (Phase 2)37.12Not reported8.38NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-4 (Phase 2)14.52Not reported11.07NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-5 (Phase 2)10.32Not reported6.9014.98Not reported
EXP-6 (Phase 2)17.62Not reported4.99NAUpper limit could not be calculated due to insufficient number of participants with events.
DDI Sub-studyNANot reported2.76NAMedian and upper limit could not be calculated due to insufficient number of participants with events.
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        12.45
        upper Limit
        35.09
        value
        17.16
      2. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        4.20
        upper Limit
        NA
        value
        16.56
      3. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG002
        lower Limit
        5.55
        upper Limit
        NA
        value
        11.10
      4. group Id
        OG003
        lower Limit
        5.55
        upper Limit
        26.28
        value
        15.08
      5. group Id
        OG004
        lower Limit
        4.17
        upper Limit
        11.01
        value
        7.03
      6. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG005
        lower Limit
        11.10
        upper Limit
        NA
        value
        19.61
      7. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG006
        lower Limit
        4.17
        upper Limit
        NA
        value
        5.19
    denoms
    1. counts
      1. group Id
        OG000
        value
        27
      2. group Id
        OG001
        value
        21
      3. group Id
        OG002
        value
        34
      4. group Id
        OG003
        value
        26
      5. group Id
        OG004
        value
        17
      6. group Id
        OG005
        value
        18
      7. group Id
        OG006
        value
        13
      units
      Participants
    title
    DOR
  2. categories
    1. measurements
      1. comment
        Median and Upper limit could not be calculated due to insufficient number of participants with events..
        group Id
        OG000
        lower Limit
        8.28
        upper Limit
        NA
        value
        NA
      2. comment
        Median and Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        20.99
        upper Limit
        NA
        value
        NA
      3. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG002
        lower Limit
        8.38
        upper Limit
        NA
        value
        37.12
      4. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG003
        lower Limit
        11.07
        upper Limit
        NA
        value
        14.52
      5. group Id
        OG004
        lower Limit
        6.90
        upper Limit
        14.98
        value
        10.32
      6. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG005
        lower Limit
        4.99
        upper Limit
        NA
        value
        17.62
      7. comment
        Median and upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG006
        lower Limit
        2.76
        upper Limit
        NA
        value
        NA
    denoms
    1. counts
      1. group Id
        OG000
        value
        6
      2. group Id
        OG001
        value
        10
      3. group Id
        OG002
        value
        22
      4. group Id
        OG003
        value
        24
      5. group Id
        OG004
        value
        16
      6. group Id
        OG005
        value
        14
      7. group Id
        OG006
        value
        4
      units
      Participants
    title
    Intra-cranial DOR
denoms
  1. counts
    1. group Id
      OG000
      value
      27
    2. group Id
      OG001
      value
      21
    3. group Id
      OG002
      value
      34
    4. group Id
      OG003
      value
      26
    5. group Id
      OG004
      value
      17
    6. group Id
      OG005
      value
      18
    7. group Id
      OG006
      value
      13
    units
    Participants
description
Duration of response(DOR): time from first documentation of objective tumor response (CR/PR) to first documentation of PD or to death due to any cause, whichever occurred first. DOR: calculated for subgroup of participants with confirmed objective tumor response. Intracranial DOR: calculated for participants with confirmed intracranial objective response. CR:disappearance of all non-lymph node target lesions (where all target lesions are recorded with length of 0mm on Target Lesion eCRF). Any pathological lymph node (recorded as target lesion) must have reduction in short axis to \<10mm. PR:30% or more decrease in SLD of target lesion, taking as reference baseline SLD. PD:20% or more increase in the SLD of target lesions relative to baseline or smallest SLD (nadir) recorded since first dose. In addition, also demonstrate absolute increase of at least 5mm (\>=5mm) relative to baseline or smallest SLD (nadir) recorded since first dose.
dispersion Type
95% Confidence Interval
groups
  1. description
    Treatment-naïve participants with advanced anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC) with or without asymptomatic central nervous system (CNS) metastases were given PF-06463922 100 mg orally QD on Day -7 (only participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.
    id
    OG000
    title
    EXP-1 (Phase 2)
  2. description
    Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after only crizotinib therapy were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.
    id
    OG001
    title
    EXP-2 (Phase 2)
  3. description
    Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after crizotinib therapy and 1 or 2 prior regimens of chemotherapy given before or after crizotinib therapy, or participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after 1 ALK inhibitor therapy other than crizotinib with or without any number of prior chemotherapy regimens in any disease setting were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.
    id
    OG002
    title
    EXP-3 (Phase 2)
  4. description
    Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after 2 prior lines of ALK inhibitor therapies were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.
    id
    OG003
    title
    EXP-4 (Phase 2)
  5. description
    Participants with advanced ALK-positive NSCLC with or without asymptomatic CNS metastases relapsing after 3 prior lines of ALK inhibitor therapies were given PF-06463922 100 mg orally QD on Day -7 (only for participant scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.
    id
    OG004
    title
    EXP-5 (Phase 2)
  6. description
    Participants with advanced ROS1-positive NSCLC who were treatment naïve or had any number of prior cancer therapies with or without asymptomatic CNS metastases were given PF-06463922 100 mg orally QD on Day -7 (only for participants scheduled for pharmacokinetic evaluation) and in 21-day cycles from Cycle 1 Day 1 until progression of disease (unless clinical benefit was still achievable), unacceptable toxicity, death or consent withdrawal.
    id
    OG005
    title
    EXP-6 (Phase 2)
  7. description
    Participants with advanced ALK positive or ROS1-positive NSCLC who were treatment naïve or had any number of prior cancer therapies with or without asymptomatic CNS metastases were administered a single dose of a probe substrate alone on Day -2. Participants were given PF-06463922 100 mg orally QD starting on Cycle1 Day 1 and along with probe substrate on Day 15 Cycle 1.
    id
    OG006
    title
    DDI Sub-study
param Type
MEDIAN
population Description
DOR analysis set included all ITT participants who had confirmed objective response; intracranial DOR analysis set included all ITT participants who had CNS metastases and achieved confirmed intracranial objective response. Here, "Number Analyzed" signifies participants analyzed for this outcome measure.
reporting Status
POSTED
time Frame
From first dose of study treatment to first documentation of PD or to death due to any cause, whichever occurred first (maximum of 7.5 years for Phase 2 and up to a maximum of 6 years approx. for DDI sub study)
title
Duration of Response (DOR) and Intracranial DOR (Phase 2 and DDI Substudy)
type
SECONDARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice