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NCT01970865 · OUTCOME

Percentage of Participants Achieving Disease Control and Intracranial Disease Control at Week 12 and 24 (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
NUMBER
Unit
Percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Weeks 12 and 24

What was measured

Tumor response was evaluated according to RECIST version 1.1, and disease control was defined as confirmed CR, confirmed PR, or stable disease (SD). CR was defined as the disappearance of all non-lymph node target lesions (where all target lesions are recorded with a length of 0 mm on Target Lesions eCRF). Any pathological lymph nodes (recorded as target lesion) must have reduction in short axis to \<10 mm. PR was defined as a 30 % or more decrease in SLD of target lesions, taking as reference the baseline SLD. SD= when neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD is observed, taking as reference the smallest sum diameters while on study. Intracranial assessment was only performed for participants CNS metastases. Results presented here were based on independent central review.

Analysis population: The intent-to-treat (ITT) analysis set was used for overall response assessment, and included all enrolled participants with documented ALK or ROS1 rearrangement who received at least 1 dose of PF-06463922; participants with CNS metastases in the ITT analysis set was used for intracranial response assessment. Here, 'Number Analyzed' signifies participants evaluable for specified rows.

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)30
EXP-2 (Phase 2)27
EXP-3 (Phase 2)60
EXP-4 (Phase 2)65
EXP-5 (Phase 2)46
EXP-6 (Phase 2)47
DDI Sub-study32

Reported measurements

Disease control rate at Week 12

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)30
EXP-2 (Phase 2)27
EXP-3 (Phase 2)60
EXP-4 (Phase 2)65
EXP-5 (Phase 2)46
EXP-6 (Phase 2)47
DDI Sub-study32
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)93.3Not reported77.999.2Not reported
EXP-2 (Phase 2)85.2Not reported66.395.8Not reported
EXP-3 (Phase 2)68.3Not reported55.079.7Not reported
EXP-4 (Phase 2)64.6Not reported51.876.1Not reported
EXP-5 (Phase 2)50.0Not reported34.965.1Not reported
EXP-6 (Phase 2)66.0Not reported50.779.1Not reported
DDI Sub-study56.3Not reported37.773.6Not reported
Disease control rate at Week 24

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)30
EXP-2 (Phase 2)27
EXP-3 (Phase 2)60
EXP-4 (Phase 2)65
EXP-5 (Phase 2)46
EXP-6 (Phase 2)47
DDI Sub-study32
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)83.3Not reported65.394.4Not reported
EXP-2 (Phase 2)63.0Not reported42.480.6Not reported
EXP-3 (Phase 2)51.7Not reported38.464.8Not reported
EXP-4 (Phase 2)49.2Not reported36.661.9Not reported
EXP-5 (Phase 2)32.6Not reported19.548.0Not reported
EXP-6 (Phase 2)48.9Not reported34.163.9Not reported
DDI Sub-study34.4Not reported18.653.2Not reported
Intra-cranial disease control rate at Week 12

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)8
EXP-2 (Phase 2)17
EXP-3 (Phase 2)33
EXP-4 (Phase 2)45
EXP-5 (Phase 2)37
EXP-6 (Phase 2)25
DDI Sub-study16
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)87.5Not reported47.399.7Not reported
EXP-2 (Phase 2)94.1Not reported71.399.9Not reported
EXP-3 (Phase 2)75.8Not reported57.788.9Not reported
EXP-4 (Phase 2)75.6Not reported60.587.1Not reported
EXP-5 (Phase 2)67.6Not reported50.282.0Not reported
EXP-6 (Phase 2)72.0Not reported50.687.9Not reported
DDI Sub-study56.3Not reported29.980.2Not reported
Intra-cranial disease control rate at Week 24

Analysis denominator · Participants

GroupSource count
EXP-1 (Phase 2)8
EXP-2 (Phase 2)17
EXP-3 (Phase 2)33
EXP-4 (Phase 2)45
EXP-5 (Phase 2)37
EXP-6 (Phase 2)25
DDI Sub-study16
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)75.0Not reported34.996.8Not reported
EXP-2 (Phase 2)70.6Not reported44.089.7Not reported
EXP-3 (Phase 2)60.6Not reported42.177.1Not reported
EXP-4 (Phase 2)62.2Not reported46.576.2Not reported
EXP-5 (Phase 2)48.6Not reported31.965.6Not reported
EXP-6 (Phase 2)52.0Not reported31.372.2Not reported
DDI Sub-study43.8Not reported19.870.1Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        77.9
        upper Limit
        99.2
        value
        93.3
      2. group Id
        OG001
        lower Limit
        66.3
        upper Limit
        95.8
        value
        85.2
      3. group Id
        OG002
        lower Limit
        55.0
        upper Limit
        79.7
        value
        68.3
      4. group Id
        OG003
        lower Limit
        51.8
        upper Limit
        76.1
        value
        64.6
      5. group Id
        OG004
        lower Limit
        34.9
        upper Limit
        65.1
        value
        50.0
      6. group Id
        OG005
        lower Limit
        50.7
        upper Limit
        79.1
        value
        66.0
      7. group Id
        OG006
        lower Limit
        37.7
        upper Limit
        73.6
        value
        56.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        30
      2. group Id
        OG001
        value
        27
      3. group Id
        OG002
        value
        60
      4. group Id
        OG003
        value
        65
      5. group Id
        OG004
        value
        46
      6. group Id
        OG005
        value
        47
      7. group Id
        OG006
        value
        32
      units
      Participants
    title
    Disease control rate at Week 12
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        65.3
        upper Limit
        94.4
        value
        83.3
      2. group Id
        OG001
        lower Limit
        42.4
        upper Limit
        80.6
        value
        63.0
      3. group Id
        OG002
        lower Limit
        38.4
        upper Limit
        64.8
        value
        51.7
      4. group Id
        OG003
        lower Limit
        36.6
        upper Limit
        61.9
        value
        49.2
      5. group Id
        OG004
        lower Limit
        19.5
        upper Limit
        48.0
        value
        32.6
      6. group Id
        OG005
        lower Limit
        34.1
        upper Limit
        63.9
        value
        48.9
      7. group Id
        OG006
        lower Limit
        18.6
        upper Limit
        53.2
        value
        34.4
    denoms
    1. counts
      1. group Id
        OG000
        value
        30
      2. group Id
        OG001
        value
        27
      3. group Id
        OG002
        value
        60
      4. group Id
        OG003
        value
        65
      5. group Id
        OG004
        value
        46
      6. group Id
        OG005
        value
        47
      7. group Id
        OG006
        value
        32
      units
      Participants
    title
    Disease control rate at Week 24
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        47.3
        upper Limit
        99.7
        value
        87.5
      2. group Id
        OG001
        lower Limit
        71.3
        upper Limit
        99.9
        value
        94.1
      3. group Id
        OG002
        lower Limit
        57.7
        upper Limit
        88.9
        value
        75.8
      4. group Id
        OG003
        lower Limit
        60.5
        upper Limit
        87.1
        value
        75.6
      5. group Id
        OG004
        lower Limit
        50.2
        upper Limit
        82.0
        value
        67.6
      6. group Id
        OG005
        lower Limit
        50.6
        upper Limit
        87.9
        value
        72.0
      7. group Id
        OG006
        lower Limit
        29.9
        upper Limit
        80.2
        value
        56.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        17
      3. group Id
        OG002
        value
        33
      4. group Id
        OG003
        value
        45
      5. group Id
        OG004
        value
        37
      6. group Id
        OG005
        value
        25
      7. group Id
        OG006
        value
        16
      units
      Participants
    title
    Intra-cranial disease control rate at Week 12
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        34.9
        upper Limit
        96.8
        value
        75.0
      2. group Id
        OG001
        lower Limit
        44.0
        upper Limit
        89.7
        value
        70.6
      3. group Id
        OG002
        lower Limit
        42.1
        upper Limit
        77.1
        value
        60.6
      4. group Id
        OG003
        lower Limit
        46.5
        upper Limit
        76.2
        value
        62.2
      5. group Id
        OG004
        lower Limit
        31.9
        upper Limit
        65.6
        value
        48.6
      6. group Id
        OG005
        lower Limit
        31.3
        upper Limit
        72.2
        value
        52.0
      7. group Id
        OG006
        lower Limit
        19.8
        upper Limit
        70.1
        value
        43.8
    denoms
    1. counts
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        17
      3. group Id
        OG002
        value
        33
      4. group Id
        OG003
        value
        45
      5. group Id
        OG004
        value
        37
      6. group Id
        OG005
        value
        25
      7. group Id
        OG006
        value
        16
      units
      Participants
    title
    Intra-cranial disease control rate at Week 24
denoms
  1. counts
    1. group Id
      OG000
      value
      30
    2. group Id
      OG001
      value
      27
    3. group Id
      OG002
      value
      60
    4. group Id
      OG003
      value
      65
    5. group Id
      OG004
      value
      46
    6. group Id
      OG005
      value
      47
    7. group Id
      OG006
      value
      32
    units
    Participants
description
Tumor response was evaluated according to RECIST version 1.1, and disease control was defined as confirmed CR, confirmed PR, or stable disease (SD). CR was defined as the disappearance of all non-lymph node target lesions (where all target lesions are recorded with a length of 0 mm on Target Lesions eCRF). Any pathological lymph nodes (recorded as target lesion) must have reduction in short axis to \<10 mm. PR was defined as a 30 % or more decrease in SLD of target lesions, taking as reference the baseline SLD. SD= when neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD is observed, taking as reference the smallest sum diameters while on study. Intracranial assessment was only performed for participants CNS metastases. Results presented here were based on independent central review.
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
NUMBER
population Description
The intent-to-treat (ITT) analysis set was used for overall response assessment, and included all enrolled participants with documented ALK or ROS1 rearrangement who received at least 1 dose of PF-06463922; participants with CNS metastases in the ITT analysis set was used for intracranial response assessment. Here, 'Number Analyzed' signifies participants evaluable for specified rows.
reporting Status
POSTED
time Frame
Weeks 12 and 24
title
Percentage of Participants Achieving Disease Control and Intracranial Disease Control at Week 12 and 24 (Phase 2 and DDI Substudy)
type
SECONDARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice