Non-Squamous Non-Small Cell Lung CancerNCT01535729
An Observational Study of Tarceva (Erlotinib) in Elderly Patients With Advanced Non-Small Cell Lung Cancer
An observational study of Non-Squamous Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 1 site in Germany.
Trial summary
This prospective observational study will evaluate the efficacy and safety of Tarceva (erlotinib) in elderly patients with advanced non-small cell lung cancer (NSCLC) after failure of at least one prior chemotherapy regimen. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Non-Squamous Non-Small Cell Lung Cancer
- How many people
- 465 participants
- Where
- 1 siteGermany
- Study dates
- May 2011to Jun 2014
- Phase
- Observational
- 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 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Study population: Elderly patients with advanced non-small cell lung cancer after first-line platinum-based chemotherapy
Who may be able to join
- Adult patients, > 65 years of age
- Locally advanced or metastatic non-small cell lung cancer (Stage IIIb or IV)
- Failure of at least one prior standard platinum-based chemotherapy
Who cannot join
- Age < 65 years
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Erlotinib (Tarceva®) in Routine Clinical Practice in Patients With Advanced Non Small Cell Lung Cancer (NSCLC) After Failure of at Least One Prior Chemotherapy Regimen With Focus on the Elderly Patient.
This prospective observational study will evaluate the efficacy and safety of Tarceva (erlotinib) in elderly patients with advanced non-small cell lung cancer (NSCLC) after failure of at least one prior chemotherapy regimen. Data of patients treated with Tarceva in routine clinical practice will be collected for 1 year.
- Conditions
- Non-Squamous Non-Small Cell Lung Cancer
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Cohort | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Were Alive 1 Year After Start of Treatment
Overall survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall percentage of participants who were alive 1 year after study treatment and those based on the factor of age (65-69, 70-74, 75-79, ≥ 80 years) were reported.
Measured: Year 1
Secondary outcomes (23)
Median Overall Survival: Age
Overall Survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall Survival was analyzed by means of Kaplan-Meier Methods. Median survival based on the factor of age (65-69, 70-74, 75-79, ≥80 years) were reported.
Measured: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Percentage of Participants With Fatigue
Measured: Months 3, 6, 9, 12
Percentage of Participants With Rash
Measured: Months 3, 6, 9, 12
Percentage of Participants With Diarrhea
Measured: Months 3, 6, 9, 12
Percentage of Participants With Rash Based on Severity During the Course of Time
Severity was categorized as Grades 1, 2, 3, 4 and 5. Grade 1= mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2= moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL). Grade 3= severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Grade 4= life-threatening consequences; urgent intervention indicated. Grade 5= death related to adverse event. Only participants that were included in any of the specified categories were reported.
Measured: Months 3, 6, 9, 12
Percentage of Participants With Diarrhea Based on Severity During the Course of Time
Severity was categorized as Grades 1, 2, 3, 4 and 5. Grade 1= mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2= moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL). Grade 3= severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Grade 4= life-threatening consequences; urgent intervention indicated. Grade 5= death related to adverse event. Only participants that were included in any of the specified categories were reported.
Measured: Months 3, 6, 9, 12
Percentage of Participants With Fatigue Based on Severity During the Course of Time
Severity was categorized as Grades 1, 2, 3, 4 and 5. Grade 1= mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2= moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL). Grade 3= severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Grade 4= life-threatening consequences; urgent intervention indicated. Grade 5= death related to adverse event. Only participants that were included in any of the specified categories were reported.
Measured: Months 3, 6, 9, 12
Percentage of Participants With Dose Modifications by Reason
Dose modification included increase or decreased in the dose of the drug and interrupted dose. Reasons for dose modification included progression, participants' wish, intolerance and others. Only participants that were included in any of the specified categories were reported.
Measured: Months 3, 6, 9, 12
Percentage of Participants With Dose Withdrawals by Reason
Reasons for dose withdrawals included progression, participants' wish, intolerance, others and not known. Only participants that were included in any of the specified categories were reported.
Measured: Months 3, 6, 9, 12
Percentage of Participants With Cough by Severity
Severity of cough was categorized as mild, moderate, severe and unknown. Only participants that were included in any of the specified categories in the course of time were reported. Participants with no cough were not included.
Measured: Baseline, Months 3, 6, 9, 12
Percentage of Participants With Dyspnea by Severity
Severity of dyspnea was categorized as mild, moderate, severe, life-threatening and unknown. Only participants that were included in any of the specified categories in the course of time were reported. Participants with no dyspnea were not included.
Measured: Baseline, Months 3, 6, 9, 12
Percentage of Participants With Complete Response (CR), Partial Response (PR) and Stable Disease (SD)
Response rate was observed during the treatment period according to Response Evaluation Criteria in Solid Tumors (RECIST). It consisted of CR, PR, SD and progressive disease (PD). Participants with CR, PR and SD were reported. CR: disappearance of all target lesions (TLs) and non-TLs, with any pathological lymph nodes (whether target or non-target) having a reduction in short axis to less than 10 millimeters (mm). PR: at least a 30 percent (%) decrease in the sum of diameters of TLs, taking as reference the baseline (BL) sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD: at least 20% increase in the sum of diameters of TLs, taking as a reference the smallest sum on study (this included the BL sum if that was the smallest on study). In addition to the relative increase of 20%, the sum also demonstrated an absolute increase of at least 5 mm.
Measured: Months 3, 6, 9, 12
Time to Start of Erlotinib Therapy After End of First Line Therapy
Measured: Baseline
Percentage of Participants With Remission of CR and PR
Remission was defined as participants with CR or PR. CR: disappearance of all TLs and non-TLs, with any pathological lymph nodes (whether target or non-target) having a reduction in short axis to less than 10 mm. PR: at least a 30% decrease in the sum of diameters of TLs, taking as reference the BL sum diameters.
Measured: Months 3, 6, 9, 12
Median Progression Free Survival: Overall
Progression-free survival time was defined as the time from the date of first medication to the date of disease progression or death from any cause. If neither progression no death was observed during the study, PFS time was censored at the last day of observation. PD was at least a 20% increase in the sum of diameters of TLs, taking as a reference the smallest sum on study (this included the BL sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm.
Measured: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Age
Progression-free survival time was defined as the time from the date of first medication to the date of disease progression or death from any cause. If neither progression nor death was observed during the study, PFS time was censored at the last day of observation. PD was at least a 20% increase in the sum of diameters of TLs, taking as a reference the smallest sum on study (this included the BL sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm. Median progression-free survival based on the factor of age (65-69, 70-74, 75-79, ≥80 years) were reported.
Measured: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Gender
Progression-free survival time was defined as the time from the date of first medication to the date of disease progression or death from any cause. If neither progression nor death was observed during the study, PFS time was censored at the last day of observation. PD was at least a 20% increase in the sum of diameters of TLs, taking as a reference the smallest sum on study (this included the BL sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm. Median progression-free survival based on the factor of gender (male and female) were reported.
Measured: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Smoking Status
Progression-free survival time was defined as the time from the date of first medication to the date of disease progression or death from any cause. If neither progression nor death was observed during the study, PFS time was censored at the last day of observation. PD was at least a 20% increase in the sum of diameters of TLs, taking as a reference the smallest sum on study (this included the BL sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm. Median progression-free survival based on the factor of smoking status (smoker, non-smoker and ex-smoker) were reported.
Measured: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Best Response to Prior Chemotherapy
Progression-free survival time was defined as the time from the date of first medication to the date of disease progression or death from any cause. If neither progression nor death was observed during the study, PFS time was censored at the last day of observation. PD was at least a 20% increase in the sum of diameters of TLs, taking as a reference the smallest sum on study (this included the BL sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm.
Measured: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Overall Survival: Overall
Overall Survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall Survival was analyzed by means of Kaplan-Meier Methods.
Measured: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Median Overall Survival: Gender
Overall Survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall Survival was analyzed by means of Kaplan-Meier Methods. Median survival based on the factor of gender (male and female) were reported.
Measured: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Median Overall Survival: Smoking Status
Overall Survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall Survival was analyzed by means of Kaplan-Meier Methods. Median survival based on the factor of smoking status (smoker, non-smoker and ex-smoker) were reported.
Measured: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Median Overall Survival: Best Response to Prior Chemotherapy
Overall Survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall Survival was analyzed by means of Kaplan-Meier Methods.
Measured: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Feb 2012 (estimated)
- Study startMay 2011
- Primary completionJun 2014
- Study completionJun 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-Squamous Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 465 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01535729
- Sponsor's protocol ID
- ML23023
- Status last verified
- Oct 2015
- First submitted
- 15 Feb 2012
- Last updated
- 29 Oct 2015
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Brueckl WM, Achenbach HJ, Ficker JH, Schuette W. Erlotinib treatment after platinum-based therapy in elderly patients with non-small-cell lung cancer in routine clinical practice - results from the ElderTac study. BMC Cancer. 2018 Mar 27;18(1):333. doi: 10.1186/s12885-018-4208-x.
PubMed 29587656
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Erlotinib (Tarceva®) in Routine Clinical Practice in Patients With Advanced Non Small Cell Lung Cancer (NSCLC) After Failure of at Least One Prior Chemotherapy Regimen With Focus on the Elderly Patient.
- ClinicalTrials.gov ID
- NCT01535729
- Acronym / sponsor ID
- ML23023
- Conditions
- Non-Squamous Non-Small Cell Lung Cancer
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 465 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- May 2011
- Primary completion
- Jun 2014 (actual)
- Study completion
- Jun 2014 (actual)
- First posted
- 20 Feb 2012 (estimated)
- Results
- Posted 29 Oct 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective observational study will evaluate the efficacy and safety of Tarceva (erlotinib) in elderly patients with advanced non-small cell lung cancer (NSCLC) after failure of at least one prior chemotherapy regimen. Data of patients treated with Tarceva in routine clinical practice will be collected for 1 year.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Cohort | – | – |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
- Study population
- Elderly patients with advanced non-small cell lung cancer after first-line platinum-based chemotherapy
Key inclusion criteria (3 listed)
- Adult patients, > 65 years of age
- Locally advanced or metastatic non-small cell lung cancer (Stage IIIb or IV)
- Failure of at least one prior standard platinum-based chemotherapy
Key exclusion criteria (1 listed)
- Age < 65 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of Participants Who Were Alive 1 Year After Start of Treatment
Time frame: Year 1
Overall survival was defined as the time from the date of first medication to the date of death from any cause. If death was not observed during the study, survival time was censored at the last day of observation (latest at the end of study after one year). Overall percentage of participants who were alive 1 year after study treatment and those based on the factor of age (65-69, 70-74, 75-79, ≥ 80 years) were reported.
23 secondary outcomes
Median Overall Survival: Age
Time frame: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Percentage of Participants With Fatigue
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Rash
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Diarrhea
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Rash Based on Severity During the Course of Time
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Diarrhea Based on Severity During the Course of Time
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Fatigue Based on Severity During the Course of Time
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Dose Modifications by Reason
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Dose Withdrawals by Reason
Time frame: Months 3, 6, 9, 12
Percentage of Participants With Cough by Severity
Time frame: Baseline, Months 3, 6, 9, 12
Percentage of Participants With Dyspnea by Severity
Time frame: Baseline, Months 3, 6, 9, 12
Percentage of Participants With Complete Response (CR), Partial Response (PR) and Stable Disease (SD)
Time frame: Months 3, 6, 9, 12
Time to Start of Erlotinib Therapy After End of First Line Therapy
Time frame: Baseline
Percentage of Participants With Remission of CR and PR
Time frame: Months 3, 6, 9, 12
Median Progression Free Survival: Overall
Time frame: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Age
Time frame: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Gender
Time frame: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Smoking Status
Time frame: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Progression Free Survival: Best Response to Prior Chemotherapy
Time frame: From Baseline then every 3 months from Month 3 until disease progression (Maximum follow-up to Month 40)
Median Overall Survival: Overall
Time frame: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Median Overall Survival: Gender
Time frame: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Median Overall Survival: Smoking Status
Time frame: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Median Overall Survival: Best Response to Prior Chemotherapy
Time frame: From Baseline then every 3 months from Month 3 until death (Maximum follow-up to Month 40)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29587656Brueckl WM, Achenbach HJ, Ficker JH, Schuette W. Erlotinib treatment after platinum-based therapy in elderly patients with non-small-cell lung cancer in routine clinical practice - results from the ElderTac study. BMC Cancer. 2018 Mar 27;18(1):333. doi: 10.1186/s12885-018-4208-x.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Non-Squamous Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 1 site in Germany.
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 3 inclusion and 1 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 29 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. 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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 29 Oct 2015). 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?
Percentage of Participants Who Were Alive 1 Year After Start of Treatment (time frame: Year 1). 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 NCT01535729, which also lists 1 linked publication.
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 29 Oct 2015.