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Carcinoma, Non-Small-Cell LungPhase 3EMPHASISNCT01652469

Testing of Drugs Erlotinib and Docetaxel in Lung Cancer Patients Classified Regarding Their Outlook Using VeriStrat®.

A Phase 3 study testing Erlotinib and Docetaxel in people with Carcinoma, Non-Small-Cell Lung, run by ETOP IBCSG Partners Foundation at 32 sites in 12 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

Using a laboratory test (VeriStrat), patients with relapsed squamous cell lung cancer are assigned to two strata, VSG (VeriStrat Good) and VSP (VeriStrat Poor). They are then randomized between an EGFR-TK inhibitor (erlotinib) and chemotherapy (Docetaxel). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Carcinoma, Non-Small-Cell Lung
What is being tested?
Erlotinib and Docetaxel
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
81 participants
Where
32 sitesin 12 countries
Study dates
Aug 2012to Dec 2015
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed locally advanced stage IIIB, not amenable to radical radiotherapy, or metastatic stage IV non-small cell lung cancer (NSCLC) of predominant squamous subtype, according to the 7th edition of the TNM classification, including M1a (separate tumor nodule in a contralateral lobe, tumor with pleural nodules or malignant pleural or pericardial effusion) and/or M1b (distant metastasis).
  • Progressive disease upon or after previous chemotherapy including at least one line of platinum-based chemotherapy.
  • Measurable or evaluable disease according to RECIST v1.1 (Appendix 2).
  • ECOG PS 0-2.
  • Age ≥ 18 years.
  • Adequate organ function, including:
Show all 13Show fewer
  • Adequate bone marrow reserve: ANC > 1.5 x 109/L, platelets > 100 x 109/L.
  • Hepatic: bilirubin <1.5 x ULN; AP, ALT < 3.0 x ULN; AP, ALT <5 x ULN is acceptable in case of liver metastasis.
  • Renal: calculated creatinine clearance > 40 ml/min based on the Cockroft and Gault formula.
  • Signed and dated informed consent form.
  • Male and female patients with reproductive potential must use an approved contraceptive method, during the trial and 12 months thereafter. Female patients with reproductive potential must have a negative pregnancy test within 7 days prior to study registration.
  • Estimated life expectancy >12 weeks.
  • Patient compliance and geographical proximity that allow adequate follow-up.

Who cannot join

  • Evidence of other medical condition which would impair the ability of the patient to participate in the trial or might preclude therapy with trial drugs (e.g. unstable or uncompensated respiratory, cardiac, hepatic or renal disease, active infection, uncontrolled diabetes mellitus).
  • Previous treatment with any EGFR-TKI or docetaxel.
  • Documented brain metastases unless the patient has completed local therapy for central nervous system metastases and has been off corticosteroids for at least 14 days prior to study registration.
  • Documented presence of activating EGFR mutations, if the patient was tested for EGFR mutations.
  • Previous malignancy within the past 5 years with the exception of adequately treated cervical carcinoma in situ, breast cancer in situ or localized non-melanoma skin cancer.
  • Psychiatric disorder precluding understanding of information on trial related topics, giving informed consent, or interfering with compliance for oral drug intake.
  • Concurrent treatment with experimental drugs or other anti-cancer therapy treatment in a clinical trial within 21 days prior to study registration.
  • Known hypersensitivity to trial drugs or hypersensitivity to any other component of the trial drugs or any concomitant drugs contraindicated.

Trial locations and contacts

32 sites in 12 countries.

32 sites in 12 countries

Spain13 sites
  • Hospital general de Alicante

    Alicante

  • Hospital Clínic Barcelona

    Barcelona, 08036

  • Institut Català d'Oncologia - L'Hospitalet

    Barcelona

  • Hospital San Pedro de Alcantara

    Cáceres

  • Ciudad Real General University Hospital

    Ciudad Real

  • Onkologikoa

    Donostia / San Sebastian

  • Hospital Severo Ochoa

    Leganés

  • Hospital 12 de Octubre

    Madrid, 28041

  • Carlos Haya Hospital

    Málaga

  • Hospital Universitari Sant Joan

    Reus

  • Hospital Arnau Vilanova Valencia

    Valencia

  • Hospital Clínico Universitario de Valencia

    Valencia

  • Hospital La Fe

    Valencia

Other trials in Spain

Switzerland6 sites
  • University Hospital Basel

    Basel, 4031

  • Kantonsspital Graubünden

    Chur

  • Fondation du centre Pluridisciplinaire d'Oncologie (CePO)

    Lausanne, 1011

  • Kantonsspital Luzern

    Lucerne, 6016

  • Onkologiezentrum Berner Oberland

    Thun, 3600

  • Universitätsspital Zürich

    Zurich

Other trials in Switzerland

Israel2 sites
  • Institution Rabin MC

    Petah Tikwa

  • Tel-Aviv Medical Center

    Tel Aviv

Other trials in Israel

Italy2 sites
  • Medical Oncology, Second University Naples

    Naples

  • Vercelli Teaching Hospital

    Vercelli

Other trials in Italy

United Kingdom2 sites
  • University Hospital South Manchester

    Manchester

  • Weston Park Hospital

    Sheffield

Other trials in United Kingdom

Austria1 site
  • Krankenhaus Hietzing

    Vienna

Other trials in Austria

Belgium1 site
  • Institut Jules Bordet

    Brussels

Other trials in Belgium

Denmark1 site
  • Aarhus University Hospital

    Aarhus

Other trials in Denmark

Greece1 site
  • University Hospital of Heraklion

    Heraklion

Other trials in Greece

Hungary1 site
  • National Institute of Oncology

    Budapest

Other trials in Hungary

Ireland1 site
  • St James's Hospital

    Dublin

Other trials in Ireland

Netherlands1 site
  • Free University Medical Center

    Amsterdam, 1007 MB

Other trials in Netherlands

About this study

Official title: A Randomized Phase III Trial of Erlotinib Versus Docetaxel in Patients With Advanced Squamous Cell Non-small Cell Lung Cancer Who Failed First Line Platinum Based Doublet Chemotherapy Stratified by VeriStrat Good vs VeriStrat Poor

Using a laboratory test (VeriStrat), patients with relapsed squamous cell lung cancer are assigned to two strata, VSG (VeriStrat Good) and VSP (VeriStrat Poor). They are then randomized between an EGFR-TK inhibitor (erlotinib) and chemotherapy (Docetaxel).

It is hypothesized that the VeriStrat test results are able to predict the benefit of treatment with erlotinib vs docetaxel. This would suggest a significant improvement in progression-free survival for VSG patients when treated with Erlotinib, and no significant improvement in VSP patients who receive the same treatment.

Read the detailed description

Goals of the study:

  1. Explore the predictive ability of the VeriStrat signature, by testing for interaction between treatment arms (Arm A: erlotinib vs Arm B: docetaxel) and VeriStrat status (VSG vs VSP) using as outcome progression free survival.
  2. Explore whether treatment with erlotinib provides progression free survival benefit as compared to docetaxel in the VSG group.
  3. Compare progression free survival in the two treatment arms (Arm A: erlotinib vs Arm B: docetaxel) in the VSP group.
  4. Explore the prognostic ability of the VeriStrat signature by testing for an overall difference in progression free survival between the two VeriStrat groups (in case of no significant interaction).
  5. Explore the predictive ability of the VeriStrat signature using the secondary measures of clinical efficacy including overall survival, objective response rate, and disease control rate.
  6. Compare overall survival, objective response rate and disease control rate between treatment groups separately in the VSG and VSP groups.
  7. Explore the prognostic ability of the VeriStrat signature by testing for an overall difference in overall survival, objective response rate and disease control rate between the two VeriStrat groups (in case of no significant interaction).
  8. Assess the safety and the tolerability of the two treatments separately in each VeriStrat group and overall.

Recruitment period: 18 months Sample Size: 500

Being tested
Erlotinib, Docetaxel
Keywords
squamous cell, NSCLC, TKI, Erlotinib, Docetaxel, VeriStrat, protein signature
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • ErlotinibDrug

    Also called Tarceva (Roche)

    Erlotinib 150 mg/day p.o. continuously with 21 days cycle.

  • DocetaxelDrug

    Also called Taxotere (Sanofi-Aventis)

    Docetaxel 75 mg/m2 as an IV infusion every 21 days.

Study groups in NCT01652469
Study groupRoleWhat they receive
A: ErlotinibExperimentalErlotinib in standard dose. Until progression (clinical or radiological) or unacceptable toxicity.
Receives: Drug: Erlotinib
B: DocetaxelExperimentalDocetaxel in standard dose. Until progression (clinical or radiological) or unacceptable toxicity.
Receives: Drug: Docetaxel

What is being measured

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

  1. Progression-free Survival

    Time from the date of randomization until documented progression or death without documented progression.

    Assessment of Progressive Disease (PD) based on Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) Target lesions:At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.(Note: the appearance of one or more new lesions is also considered progression).

    Non-target lesions:Unequivocal progression of existing non-target lesions. (Note:the appearance of one or more new lesions is also considered progression). To achieve 'unequivocal progression', there must be an overall level of substantial worsening in non-target disease such that,even in presence of SD or PR in target disease, the overall tumour burden has increased sufficiently

    Measured: The combined run in period, treatment and follow-up for PFS is expected to extend the study duration to a total of 24 months.

Secondary outcomes (4)
  1. Overall Survival

    Defined as time from the date of randomization until death from any cause.

    Measured: All patients will be followed for survival status every 12 weeks up to 24 months after the last patient is randomized

  2. Objective Response

    Objective response is defined as best overall response (CR or PR) across all assessment time-points according to RECIST Criteria 1.1 during the period from randomization to termination of trial treatment.

    Measured: Same as primary outcome: 24 months

  3. Disease Control

    Disease control is defined as achieving objective response or stable disease for at least 6 weeks.

    Measured: Same as primary outcome: 24 months

  4. Number of Participants With Adverse Events

    Adverse events classified according to NCI CTCAE version 4

    Measured: Same as primary outcome: 24 months

Timeline

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

  1. First posted30 Jul 2012 (estimated)
  2. Study startAug 2012
  3. Primary completionDec 2015
  4. Study completionDec 2015

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
81 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01652469
Sponsor's protocol ID
ETOP3-12
Other IDs
2012-001896-35
Acronym
EMPHASIS
Status last verified
Aug 2022
First submitted
26 Jul 2012
Last updated
26 Aug 2026
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Di Maio M, Chiodini P, Georgoulias V, Hatzidaki D, Takeda K, Wachters FM, Gebbia V, Smit EF, Morabito A, Gallo C, Perrone F, Gridelli C. Meta-analysis of single-agent chemotherapy compared with combination chemotherapy as second-line treatment of advanced non-small-cell lung cancer. J Clin Oncol. 2009 Apr 10;27(11):1836-43. doi: 10.1200/JCO.2008.17.5844. Epub 2009 Mar 9.

    PubMed 19273711
  • Shepherd FA, Dancey J, Ramlau R, Mattson K, Gralla R, O'Rourke M, Levitan N, Gressot L, Vincent M, Burkes R, Coughlin S, Kim Y, Berille J. Prospective randomized trial of docetaxel versus best supportive care in patients with non-small-cell lung cancer previously treated with platinum-based chemotherapy. J Clin Oncol. 2000 May;18(10):2095-103. doi: 10.1200/JCO.2000.18.10.2095.

    PubMed 10811675
  • Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32. doi: 10.1056/NEJMoa050753.

    PubMed 16014882
  • Taguchi F, Solomon B, Gregorc V, Roder H, Gray R, Kasahara K, Nishio M, Brahmer J, Spreafico A, Ludovini V, Massion PP, Dziadziuszko R, Schiller J, Grigorieva J, Tsypin M, Hunsucker SW, Caprioli R, Duncan MW, Hirsch FR, Bunn PA Jr, Carbone DP. Mass spectrometry to classify non-small-cell lung cancer patients for clinical outcome after treatment with epidermal growth factor receptor tyrosine kinase inhibitors: a multicohort cross-institutional study. J Natl Cancer Inst. 2007 Jun 6;99(11):838-46. doi: 10.1093/jnci/djk195.

    PubMed 17551144
  • Yildiz PB, Shyr Y, Rahman JS, Wardwell NR, Zimmerman LJ, Shakhtour B, Gray WH, Chen S, Li M, Roder H, Liebler DC, Bigbee WL, Siegfried JM, Weissfeld JL, Gonzalez AL, Ninan M, Johnson DH, Carbone DP, Caprioli RM, Massion PP. Diagnostic accuracy of MALDI mass spectrometric analysis of unfractionated serum in lung cancer. J Thorac Oncol. 2007 Oct;2(10):893-901. doi: 10.1097/JTO.0b013e31814b8be7.

    PubMed 17909350
  • Sargent DJ, Conley BA, Allegra C, Collette L. Clinical trial designs for predictive marker validation in cancer treatment trials. J Clin Oncol. 2005 Mar 20;23(9):2020-7. doi: 10.1200/JCO.2005.01.112.

    PubMed 15774793
  • Pocock SJ, Simon R. Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial. Biometrics. 1975 Mar;31(1):103-15.

    PubMed 1100130

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Erlotinib and Docetaxel in people with Carcinoma, Non-Small-Cell Lung, run by ETOP IBCSG Partners Foundation at 32 sites in 12 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 13 inclusion and 8 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 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in Spain, Switzerland, Israel, Italy, United Kingdom and 7 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 8 Aug 2019). 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: The combined run in period, treatment and follow-up for PFS is expected to extend the study duration to a total of 24 months.). 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 NCT01652469, which also lists 7 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 26 Aug 2026.

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