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NCT01970865 · OUTCOME

Time to Tumor Progression (TTP) and Intracranial TTP (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 the first documentation of objective PD (maximum of 7.5 years for Phase 2 and up to a maximum of 6 years approx. for DDI sub study)

What was measured

Time to progression (TTP) was defined as the time from the first dose of study treatment to the first documentation of objective PD. Intracranial TTP was defined as the time from the first dose of study treatment to the date of the first documentation of objective progression of intracranial disease, based on either new brain metastases or progression of existing brain metastases. Progressive disease was defined by a 20% or more increase in the SLD of target lesions relative to baseline or the smallest SLD (nadir) recorded since first dose. In addition to the relative increase of 20%, SLD must also demonstrate an absolute increase of at least 5 mm (\>= 5 mm) relative to baseline or the smallest SLD (nadir) recorded since the first dose. Results presented here were based on independent central review.

Analysis population: ITT analysis set was used for TTP determination and included all enrolled participants with documented ALK or ROS1 rearrangement who received at least 1 dose of PF-06463922; ITT participants with CNS metastases were analyzed for intracranial TTP.

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

TTP
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)17.7Not reported12.540.5Not reported
EXP-2 (Phase 2)20.6Not reported5.5NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-3 (Phase 2)8.2Not reported5.512.5Not reported
EXP-4 (Phase 2)8.4Not reported5.613.7Not reported
EXP-5 (Phase 2)5.6Not reported4.08.3Not reported
EXP-6 (Phase 2)12.5Not reported8.226.2Not reported
DDI Sub-study5.7Not reported4.18.3Not reported
Intracranial TTP
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
EXP-1 (Phase 2)NANot reportedNANAMedian and 95% CI could not be calculated due to insufficient number of participants with events.
EXP-2 (Phase 2)NANot reportedNANAMedian and 95% CI could not be calculated due to insufficient number of participants with events.
EXP-3 (Phase 2)NANot reported15.0NAMedian and Upper limit could not be calculated due to insufficient number of participants with events.
EXP-4 (Phase 2)22.1Not reported15.7NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-5 (Phase 2)16.4Not reported12.7NAUpper limit could not be calculated due to insufficient number of participants with events.
EXP-6 (Phase 2)NANot reported34.5NAMedian and Upper limit could not be calculated due to insufficient number of participants with events.
DDI Sub-studyNANot reported6.9NAMedian 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
        12.5
        upper Limit
        40.5
        value
        17.7
      2. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        5.5
        upper Limit
        NA
        value
        20.6
      3. group Id
        OG002
        lower Limit
        5.5
        upper Limit
        12.5
        value
        8.2
      4. group Id
        OG003
        lower Limit
        5.6
        upper Limit
        13.7
        value
        8.4
      5. group Id
        OG004
        lower Limit
        4.0
        upper Limit
        8.3
        value
        5.6
      6. group Id
        OG005
        lower Limit
        8.2
        upper Limit
        26.2
        value
        12.5
      7. group Id
        OG006
        lower Limit
        4.1
        upper Limit
        8.3
        value
        5.7
    title
    TTP
  2. categories
    1. measurements
      1. comment
        Median and 95% CI could not be calculated due to insufficient number of participants with events.
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      2. comment
        Median and 95% CI could not be calculated due to insufficient number of participants with events.
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      3. comment
        Median and Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG002
        lower Limit
        15.0
        upper Limit
        NA
        value
        NA
      4. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG003
        lower Limit
        15.7
        upper Limit
        NA
        value
        22.1
      5. comment
        Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG004
        lower Limit
        12.7
        upper Limit
        NA
        value
        16.4
      6. comment
        Median and Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG005
        lower Limit
        34.5
        upper Limit
        NA
        value
        NA
      7. comment
        Median and Upper limit could not be calculated due to insufficient number of participants with events.
        group Id
        OG006
        lower Limit
        6.9
        upper Limit
        NA
        value
        NA
    title
    Intracranial TTP
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
Time to progression (TTP) was defined as the time from the first dose of study treatment to the first documentation of objective PD. Intracranial TTP was defined as the time from the first dose of study treatment to the date of the first documentation of objective progression of intracranial disease, based on either new brain metastases or progression of existing brain metastases. Progressive disease was defined by a 20% or more increase in the SLD of target lesions relative to baseline or the smallest SLD (nadir) recorded since first dose. In addition to the relative increase of 20%, SLD must also demonstrate an absolute increase of at least 5 mm (\>= 5 mm) relative to baseline or the smallest SLD (nadir) recorded since the first dose. 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
MEDIAN
population Description
ITT analysis set was used for TTP determination and included all enrolled participants with documented ALK or ROS1 rearrangement who received at least 1 dose of PF-06463922; ITT participants with CNS metastases were analyzed for intracranial TTP.
reporting Status
POSTED
time Frame
From first dose of study treatment to the first documentation of objective PD (maximum of 7.5 years for Phase 2 and up to a maximum of 6 years approx. for DDI sub study)
title
Time to Tumor Progression (TTP) and Intracranial TTP (Phase 2 and DDI Substudy)
type
SECONDARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice