AzTrials
AzTrials

Lung NeoplasmsPhase 2NCT01466660

LUX-Lung 7: A Phase IIb Trial of Afatinib(BIBW2992) Versus Gefitinib for the Treatment of 1st Line EGFR Mutation Positive Adenocarcinoma of the Lung

A Phase 2 study testing Afatinib and gefitinib in people with Lung Neoplasms, run by Boehringer Ingelheim at 63 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a randomised, open-label, phase IIb trial of afatinib to compare to gefitinib in first-line treatment setting with patients who are having epidermal growth factor receptor mutation positive advanced adenocarcinoma of the lung. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Lung Neoplasms
What is being tested?
Afatinib and gefitinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
319 participants
Where
63 sitesin 14 countries
Study dates
13 Dec 2011to 12 Apr 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Pathologically confirmed diagnosis of Stage IIIB / IV adenocarcinoma of the lung.
  • Documented activating epidermal growth factor receptor mutation (Del19 and/or L858R) with tumour tissues.
  • At least one measurable lesion according to response evaluation criteria in solid tumours version 1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • Age >= 18 years.
  • Adequate organ function as defined by the following criteria:
  • Serum aspartate transaminase(AST) and serum alanine transaminase(ALT) =< 3 x upper limit of normal (ULN), or AST and ALT =<5 x ULN if liver function abnormalities are due to underlying malignancy Total serum bilirubin =<1.5 x ULN Absolute neutrophil count (ANC) >=1.5 x 109/L Creatinine clearance > 45ml / min Platelets >= 75 x 109/L

Who cannot join

  • Prior systemic chemotherapy for stage IIIB or IV non-small cell lung cancer. Neo-/adjuvant chemotherapy, chemoradiation or radiotherapy is permitted if at least 12 months has elapsed prior to disease progression.
  • Prior treatment with epidermal growth factor receptor targeting small molecules or antibodies.
  • Major surgery within 4 weeks of study randomisation.
  • Active brain metastases
  • Meningeal carcinomatosis.
  • Previous or concomitant malignancies at other sites, except effectively treated non-melanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ or effectively treated malignancy that has been in remission for more than 3 years and is considered to be cured in the opinion of investigator.
Show all 13Show fewer
  • Known pre-existing interstitial lung disease.
  • Clinically relevant cardiovascular abnormalities as judged by the investigator.
  • Cardiac left ventricular function with resting ejection fraction of less than institutional lower limit of normal.
  • Women of child-bearing potential (WOCBP) and men who are able to father a child, unwilling to be abstinent or use adequate contraception prior to study entry, for the duration of study participation and for at least 2 months after treatment has ended.
  • Pregnancy or breast-feeding.
  • Active hepatitis and/or known HIV carrier
  • Any prohibited concomitant medications for therapy with afatinib or gefitinib

Trial locations and contacts

63 sites in 14 countries.

63 sites in 14 countries

France8 sites
  • CTR Oncologie du Pays Basque, Onco, Bayonne

    Bayonne, 64100

  • CTR François Baclesse

    Caen, 14076

  • HOP Intercommunal

    Créteil, 94010

  • HOP Michallon

    La Tronche, 38700

  • HOP Dupuytren 1

    Limoges, 87042

  • CTR Leon Berard

    Lyon, 69373

  • CTR René Gauducheau

    Saint-Herblain, 44805

  • HOP Sud-Réunion, Pneumo, Saint Pierre

    St-Pierre - La Réunion, 97448

Other trials in France

Australia7 sites
  • Box Hill Hospital

    Box Hill, Victoria, 3128

  • Chris Obrien Lifehouse

    Camperdown, New South Wales, 2050

  • The Prince Charles Hospital

    Chermside, Queensland, 4032

  • Austin Health

    Heidelberg, Victoria, 3084

  • St George Hospital

    Kogarah, New South Wales, 2217

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

  • Haematology & Oncology Clinics of Australasia (HOCA)

    South Brisbane, Queensland, 4101

Other trials in Australia

China7 sites
  • Cancer Hospital of Chinese Academy of Medical Science

    Beijing, 100021

  • Beijing Cancer Hospital

    Beijing, 100036

  • Sun Yat-Sen University Cancer Center

    Guangzhou, 510060

  • The Affiliated Cancer Hospital, Guangxi Medical University

    Nanning, 530021

  • Shanghai Chest Hospital

    Shanghai, 200030

  • Zhongshan Hospital Fudan University

    Shanghai, 200032

  • The First Hospital of Chinese Medical University

    Shenyang, 110001

Other trials in China

Canada6 sites
  • Cross Cancer Institute (University of Alberta)

    Edmonton, Alberta, T6G 1Z2

  • Montreal General Hospital - McGill University Health Centre

    Montreal, Quebec, H3G 1A4

  • Lakeridge Health Oshawa

    Oshawa, Ontario, L1G 2B9

  • The Ottawa Hospital

    Ottawa, Ontario, K1H 8L6

  • British Columbia Cancer Agency (BCCA) - Fraser Valley Cancer

    Surrey, British Columbia, V1V 1Z2

  • BC Cancer Agency - Vancouver

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

South Korea6 sites
  • Chungbuk National University Hospital

    Cheongju-si, 361-771

  • Gachon University Gil Medical Center

    Incheon, 405-760

  • Seoul National University Hospital

    Seoul, 110-744

  • Severance Hospital

    Seoul, 120-752

  • Samsung Medical Center

    Seoul, 135-710

  • Asan Medical Center

    Seoul, 138-736

Other trials in South Korea

Spain5 sites
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Regional Universitario de Málaga

    Málaga, 29010

  • Hospital Central de Asturias

    Oviedo, 33006

  • Hospital Universitario Marqués de Valdecilla

    Santander, 39008

  • Hospital Virgen del Rocío

    Seville, 41013

Other trials in Spain

Taiwan5 sites
  • Taichung Veterans General Hospital

    Taichung, 407

  • NCKUH

    Tainan, 704

  • National Taiwan University Hospital

    Taipei, 100

  • Taipe Veterans General Hospital

    Taipei, 112

  • Chang Gung Memorial Hospital(Linkou)

    Taoyuan, 333

Other trials in Taiwan

United Kingdom5 sites
  • Aberdeen Royal Infirmary

    Aberdeen, AB25 2ZN

  • Birmingham City Hospital

    Birmingham, B18 7QH

  • Velindre Cancer Centre

    Cardiff, CF14 2TL

  • Western General Hospital

    Edinburgh, EH4 2XU

  • Royal Surrey County Hospital

    Guildford, GU2 7XX

Other trials in United Kingdom

Sweden4 sites
  • Sahlgrenska US, Göteborg

    Gothenburg, 413 45

  • Universitetssjukhuset, Linköping

    Linköping, 581 85

  • Skånes universitetssjukhus, Lund

    Lund, 221 85

  • Karolinska Univ. sjukhuset

    Stockholm, 171 76

Other trials in Sweden

Germany3 sites
  • Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH

    Essen, 45122

  • Klinikum Esslingen GmbH

    Esslingen am Neckar, 73730

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131

Other trials in Germany

Hong Kong2 sites
  • Queen Mary Hospital

    Hong Kong

  • Prince of Wales Hospital

    Shatin

Other trials in Hong Kong

Ireland2 sites
  • St James's Hospital

    Dublin, 8

  • Beaumont Hospital

    Dublin, D09 Y5R3

Other trials in Ireland

Singapore2 sites
  • National Cancer Centre

    Singapore, 169610

  • Johns Hopkins Singapore International Medical Center

    Singapore, 308433

Other trials in Singapore

Norway1 site
  • Oslo Universitetssykehus HF, Radiumhospitalet

    Oslo, N-0379

Other trials in Norway

About this study

Official title: LUX-Lung 7: A Randomised, Open-label Phase IIb Trial of Afatinib Versus Gefitinib as First-line Treatment of Patients With EGFR Mutation Positive Advanced Adenocarcinoma of the Lung

This is a randomised, open-label, phase IIb trial of afatinib to compare to gefitinib in first-line treatment setting with patients who are having epidermal growth factor receptor mutation positive advanced adenocarcinoma of the lung.

Conditions
Lung Neoplasms
Being tested
Afatinib, gefitinib
Medical subject headings
Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AfatinibDrug

    Also called Giotrif® / Gilotrif®

    afatinib once daily

  • gefitinibDrug

    Gefitinib once daily

Study groups in NCT01466660
Study groupRoleWhat they receive
afatinibExperimentalafatinib once daily.
Receives: Drug: Afatinib
gefitinibActive comparatorgefitinib once daily
Receives: Drug: gefitinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival

    Progression-free survival (PFS) defined as the time from date of randomisation to date of disease progression, or date of death if a patient died earlier. Participants with no event (Disease progression (PD) or death) were censored. PD was primarily evaluated for the primary analysis by an independent central imaging review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. Per RECIST version 1.1. for target lesions and assessed by Computed Tomography (CT)-scan or Magnetic Resonance Imaging (MRI): PD, At least a 20% increase in the sum of the longest diameter (SoD) of target lesions taking as reference the smallest SoD of target lesions recorded since the treatment started, together with an absolute increase in the SoD of target lesions of at least 5 millimetre (mm) or the appearance of one or more new lesions. For the final analysis (analysis cut-off date 12 April 2019) status and date of PD were determined by investigator assessment.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression or death, up to 2465 days.

  2. Time to Treatment Failure (TTF) (Main Overall Survival Analysis Cut-off Date, 08 April 2016)

    Time to Treatment Failure (TTF) which was the time from the date of randomisation to the date of i.e. permanent treatment discontinuation for any reason.

    Measured: From first drug administration until last drug administration, up to 1482 days

  3. Overall Survival

    Overall survival (OS) which was defined as the time from the date of randomisation to the date of death. Participants for whom there is no evidence of death at the time of the analysis will be censored at the date that they were last known to be alive.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on death, up to 2465 days.

Secondary outcomes (7)
  1. Objective Response Rate

    Objective response rate (ORR) which was defined as the number of participants with best overall response of complete response (CR) or partial response (PR) as assessed by central independent review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. divided by the total number of participants who received treatment. Per RECIST version 1.1. for target lesions and assessed by Computed Tomography (CT)-scan or Magnetic Resonance Imaging (MRI): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions from baseline. For the final analysis (analysis cut-off date 12 April 2019) objective response was determined by investigator assessment.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression, further anti-cancer treatment and death, up to 2465 days.

  2. Time to Objective Response

    Number of participants with objective response (best overall response of complete response or partial response) to study treatment over time, cumulative number of participants is displayed. Time to objective response was defined as the time from randomisation to the first recorded objective response. For the final analysis (analysis cut-off date 12 April 2019) objective response was determined by investigator assessment.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression, further anti-cancer treatment and death, up to 2465 days.

  3. Duration of Objective Response

    Duration of objective response defined as the time of first objective response (best overall response of complete response or partial response) to the time of progression or death, whichever occurred first (or date of censoring for progression free survival). For the final analysis (analysis cut-off date 12 April 2019) objective response was determined by investigator assessment.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression, further anti-cancer treatment and death, up to 2465 days.

  4. Disease Control

    Percentage of participants with disease control which was defined as the number of participants with best overall response of complete response (CR) or partial response (PR) or stable disease (SD) as assessed by central independent review according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1. divided by the total number of participants who received treatment. Per RECIST version 1.1. for target lesions and assessed by Computed Tomography (CT)-scan or Magnetic Resonance Imaging (MRI): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions from baseline; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Responses of SD were only considered if they occur ≥42 days from date of randomisation. For the final analysis (analysis cut-off date 12 April 2019) disease control was determined by investigator assessment.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression or death, up to 2465 days.

  5. Duration of Disease Control

    Duration of disease control defined as the time from randomisation to the time of progression or death, whichever occurred first (or date of censoring for progression free survival). For the final analysis (analysis cut-off date 12 April 2019) the status and date of disease progression were determined by investigator assessment.

    Measured: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression or death, up to 2465 days.

  6. Tumour Shrinkage (Main Overall Survival Analysis Cut-off Date, 08 April 2016)

    Tumour shrinkage assessed by minimum sum of post-baseline target lesion diameters recorded after randomisation. A positive value shows a decrease in tumour size.

    Measured: From first drug administration until last drug administration, up to 1482 days

  7. Health-related Quality of Life (Primary Analysis Cut-off Date, 21 August 2015)

    Health-related quality of life (HRQoL) measured using European Quality of life - 5 Dimensions (EQ-5D) score for United Kingdom (UK) and Belgium and European European Quality Visual Analogue Scale (EQ-VAS).

    EQ-5D utility scores range from 0 (worst health) to 1 (full health).

    EQ-VAS scores range from 0 (worst imaginable health state) to 100 (best imaginable health state).

    Results display the mean score up to 56 weeks.

    Measured: Every 8 weeks, up to 56 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2011 (estimated)
  2. Study start13 Dec 2011
  3. Primary completion8 Apr 2016
  4. Study completion12 Apr 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
319 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01466660
Sponsor's protocol ID
1200.123
Other IDs
2011-001814-33
Status last verified
Mar 2020
First submitted
4 Nov 2011
Last updated
7 Apr 2020

Publications

  • Wu YL, Sequist LV, Tan EH, Geater SL, Orlov S, Zhang L, Lee KH, Tsai CM, Kato T, Barrios CH, Schuler M, Hirsh V, Yamamoto N, O'Byrne K, Boyer M, Mok T, Peil B, Marten A, Chih-Hsin Yang J, Paz-Ares L, Park K. Afatinib as First-line Treatment of Older Patients With EGFR Mutation-Positive Non-Small-Cell Lung Cancer: Subgroup Analyses of the LUX-Lung 3, LUX-Lung 6, and LUX-Lung 7 Trials. Clin Lung Cancer. 2018 Jul;19(4):e465-e479. doi: 10.1016/j.cllc.2018.03.009. Epub 2018 Mar 17.

    PubMed 29653820
  • Paz-Ares L, Tan EH, O'Byrne K, Zhang L, Hirsh V, Boyer M, Yang JC, Mok T, Lee KH, Lu S, Shi Y, Lee DH, Laskin J, Kim DW, Laurie SA, Kolbeck K, Fan J, Dodd N, Marten A, Park K. Afatinib versus gefitinib in patients with EGFR mutation-positive advanced non-small-cell lung cancer: overall survival data from the phase IIb LUX-Lung 7 trial. Ann Oncol. 2017 Feb 1;28(2):270-277. doi: 10.1093/annonc/mdw611.

    PubMed 28426106
  • Park K, Tan EH, O'Byrne K, Zhang L, Boyer M, Mok T, Hirsh V, Yang JC, Lee KH, Lu S, Shi Y, Kim SW, Laskin J, Kim DW, Arvis CD, Kolbeck K, Laurie SA, Tsai CM, Shahidi M, Kim M, Massey D, Zazulina V, Paz-Ares L. Afatinib versus gefitinib as first-line treatment of patients with EGFR mutation-positive non-small-cell lung cancer (LUX-Lung 7): a phase 2B, open-label, randomised controlled trial. Lancet Oncol. 2016 May;17(5):577-89. doi: 10.1016/S1470-2045(16)30033-X. Epub 2016 Apr 12.

    PubMed 27083334

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Afatinib and gefitinib in people with Lung Neoplasms, run by Boehringer Ingelheim at 63 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in France, Australia, China, Canada, South Korea and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Jun 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free Survival (time frame: From first drug administration until 28 days after last drug administration + Follow-Up period for collecting information on disease progression or death, up to 2465 days.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01466660, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Apr 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in