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    Clinical Trial Results:
    A phase II study evaluating the combination of cetuximab with radiotherapy and concurrent chemotherapy with cisplatin and pemetrexed in the treatment of stage III inoperable non-squamous non-small cell lung cancer (NSCLC)

    Summary
    EudraCT number
    2009-012412-41
    Trial protocol
    FR  
    Global end of trial date
    31 Dec 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    19 Dec 2020
    First version publication date
    19 Dec 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IFCT-0803
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01102231
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    IFCT
    Sponsor organisation address
    10 rue de la Grange-Batelière, PARIS, France, 75009
    Public contact
    Responsable communication, IFCT, 33 0156811046, contact@ifct.fr
    Scientific contact
    Responsable communication, IFCT, 33 0156811046, contact@ifct.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    15 Jul 2019
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Dec 2015
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Efficacy (Disease control rate after 16 weeks)
    Protection of trial subjects
    Not applicable
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    17 Mar 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 106
    Worldwide total number of subjects
    106
    EEA total number of subjects
    106
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    88
    From 65 to 84 years
    18
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The patients included in this study were recruited in 25 sites located in France from March 2010 until January 2014.

    Pre-assignment
    Screening details
    -

    Pre-assignment period milestones
    Number of subjects started
    106
    Number of subjects completed
    106

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Cetuximab + chemo radiotherapy
    Arm description
    Patients received weekly cetuximab (loading dose 400mg/m2Day 1, Week 1; subsequent weekly 250mg/m2doses until two weeks post-radiotherapy). Chemotherapy comprised cisplatin (75mg/m2) and pemetrexed (500mg/m2), both delivered on Day 1 of a 21-day cycle of maximally four. Irradiation (maximally 66Gy) started on Day 22.
    Arm type
    Experimental

    Investigational medicinal product name
    Cetuximab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    D1 at an induction dose of 400 mg/m², and then once a week during the concurrent chemotherapy i.e. on D8, D15, D22, D29, D36, D43, D50, D57, D64, D71 and D78 at a maintenance dose of 250 mg/m².

    Investigational medicinal product name
    Pemetrexed
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Pemetrexed 500 mg/m² was administered on D1 of a 21-day cycle for a total of 4 cycles

    Investigational medicinal product name
    Cisplatine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Cisplatin 75 mg/m² was administered on D1 of a 21-day cycle for a total of 4 cycles

    Number of subjects in period 1
    Cetuximab + chemo radiotherapy
    Started
    106
    Completed
    91
    Not completed
    15
         Patients did not received any treatment
    4
         Adverse event, serious fatal
    2
         Patient's choice
    1
         Adverse event, non-fatal
    3
         Not eligible patient
    3
         Lack of efficacy
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    106 106
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    88 88
        From 65-84 years
    18 18
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    55.97 ( 8.96 ) -
    Gender categorical
    Units: Subjects
        Female
    39 39
        Male
    67 67
    Weight loss
    Units: Subjects
        <=5%
    80 80
        > 5%
    26 26
    Smoking status
    Units: Subjects
        No
    6 6
        Yes
    100 100
    Cancer Stage
    Units: Subjects
        Stage IIIA
    53 53
        Stage IIIB
    51 51
        Stage IV
    2 2
    Histological subtype
    Units: Subjects
        Sarcomatoid
    2 2
        Adenosquamous
    1 1
        Adenocarcinoma without bronchoalveolar component
    82 82
        Non Small Cell
    14 14
        Neuroendocrine carcinoma
    1 1
        Non squamous Non Small cell
    6 6
    ECOG Perfomans Status
    Units: Subjects
        PS 0
    63 63
        PS 1
    43 43
    Unresectability cause
    Units: Subjects
        Anatomical
    100 100
        Functional
    6 6
    Weight
    Units: kilogram(s)
        arithmetic mean (standard deviation)
    71.6 ( 14.66 ) -
    Number of pack-years
    Units: Pack-years
        arithmetic mean (standard deviation)
    42.42 ( 22.34 ) -

    End points

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    End points reporting groups
    Reporting group title
    Cetuximab + chemo radiotherapy
    Reporting group description
    Patients received weekly cetuximab (loading dose 400mg/m2Day 1, Week 1; subsequent weekly 250mg/m2doses until two weeks post-radiotherapy). Chemotherapy comprised cisplatin (75mg/m2) and pemetrexed (500mg/m2), both delivered on Day 1 of a 21-day cycle of maximally four. Irradiation (maximally 66Gy) started on Day 22.

    Subject analysis set title
    Eligible population
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Patients without deviation at inclusion.

    Subject analysis set title
    Safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Patients who received at least one protocol treatment

    Primary: Percentage of patients with disease control rate

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    End point title
    Percentage of patients with disease control rate [1]
    End point description
    End point type
    Primary
    End point timeframe
    16 weeks after inclusion
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study
    End point values
    Cetuximab + chemo radiotherapy
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    89.9 (84 to 95.8)
    No statistical analyses for this end point

    Secondary: Overall survival (median)

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    End point title
    Overall survival (median)
    End point description
    End point type
    Secondary
    End point timeframe
    Overall survival is defined as time between date of inclusion and all-cause death
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: months
        number (confidence interval 95%)
    35.8 (23.5 to 35.8)
    No statistical analyses for this end point

    Secondary: 6-month survival rate

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    End point title
    6-month survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    6 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    96.0 (89.6 to 98.5)
    No statistical analyses for this end point

    Secondary: 9-month survival rate

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    End point title
    9-month survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    9 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    86.9 (78.5 to 92.1)
    No statistical analyses for this end point

    Secondary: 12-month survival rate

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    End point title
    12-month survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    12 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    74.7 (65.0 to 82.2)
    No statistical analyses for this end point

    Secondary: 18-month survival rate

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    End point title
    18-month survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    18 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    68.7 (58.6 to 76.8)
    No statistical analyses for this end point

    Secondary: Progression Free survival (median)

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    End point title
    Progression Free survival (median)
    End point description
    End point type
    Secondary
    End point timeframe
    Progression-free survival is defined as time between date of inclusion and progression or all-cause death.
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: Months
        number (confidence interval 95%)
    14.4 (11.2 to 18.8)
    No statistical analyses for this end point

    Secondary: 6-month progression-free survival rate

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    End point title
    6-month progression-free survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    6 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    78.8 (69.3 to 85.6)
    No statistical analyses for this end point

    Secondary: 9-month progression-free survival rate

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    End point title
    9-month progression-free survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    9 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    64.6 (54.4 to 73.2)
    No statistical analyses for this end point

    Secondary: 12-month progression-free survival rate

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    End point title
    12-month progression-free survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    12 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    57.6 (47.2 to 66.6)
    No statistical analyses for this end point

    Secondary: 18-month progression-free survival rate

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    End point title
    18-month progression-free survival rate
    End point description
    End point type
    Secondary
    End point timeframe
    18 months after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    42.4 (32.6 to 51.9)
    No statistical analyses for this end point

    Secondary: Overall Response Rate at 16 weeks

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    End point title
    Overall Response Rate at 16 weeks
    End point description
    End point type
    Secondary
    End point timeframe
    16 weeks after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    62.6 (0 to 70.2)
    No statistical analyses for this end point

    Secondary: Stable disease rate at 16 weeks

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    End point title
    Stable disease rate at 16 weeks
    End point description
    End point type
    Secondary
    End point timeframe
    16 weeks after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    27.3 (18.5 to 36.0)
    No statistical analyses for this end point

    Secondary: Progressive disease rate at 16 weeks

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    End point title
    Progressive disease rate at 16 weeks
    End point description
    End point type
    Secondary
    End point timeframe
    16 weeks after inclusion
    End point values
    Eligible population
    Number of subjects analysed
    99
    Units: percent
        number (confidence interval 95%)
    3.0 (0.0 to 6.4)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    The adverse events have to be reported from inclusion to 30 day following the end of administration of study treatments.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21
    Reporting groups
    Reporting group title
    Safety Population
    Reporting group description
    The safety population will be defined as all patients who received at least one dose of treatment.

    Serious adverse events
    Safety Population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    26 / 102 (25.49%)
         number of deaths (all causes)
    51
         number of deaths resulting from adverse events
    Vascular disorders
    Phlebitis superficial
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Fatigue
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General physical health deterioration
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences causally related to treatment / all
    5 / 7
         deaths causally related to treatment / all
    0 / 0
    Death
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Hyperthermia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Malaise
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pyrexia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Haemoptysis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung disorder
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    1 / 1
    Respiratory failure
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Asthma
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    Haemoglobin decreased
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Neutrophil count decreased
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Platelet count decreased
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Expired product administered
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Subdural haematoma
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Tachycardia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Carotid artery aneurysm
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Bone marrow failure
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Febrile bone marrow aplasia
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences causally related to treatment / all
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    Anaemia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Eye disorders
    Eye pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Colitis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dysphagia
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences causally related to treatment / all
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Faecaloma
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nausea
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Oesophagitis
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences causally related to treatment / all
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences causally related to treatment / all
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    Aphasia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Haematuria
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal failure
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Device related infection
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Sepsis
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infective exacerbation of chronic obstructive airways disease
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Dehydration
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypocalcaemia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0.5%
    Non-serious adverse events
    Safety Population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    100 / 102 (98.04%)
    Vascular disorders
    Acrosyndrom
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Hematoma
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Orthostatic hypotension
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    4
    Thrombosis
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    7
    General disorders and administration site conditions
    Alopecia
         subjects affected / exposed
    14 / 102 (13.73%)
         occurrences all number
    28
    Asthenia
         subjects affected / exposed
    78 / 102 (76.47%)
         occurrences all number
    250
    Chest pain
         subjects affected / exposed
    19 / 102 (18.63%)
         occurrences all number
    47
    Dehydration
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Edema limb
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences all number
    10
    Fatigue
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    17
    Fever
         subjects affected / exposed
    14 / 102 (13.73%)
         occurrences all number
    23
    Hypothermia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Inflammation
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Localized edema
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    6
    Malaise
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    2
    Night sweats
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    3
    oedema face
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Pain
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    17
    Reduced general condition
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    7
    Vertigo
         subjects affected / exposed
    6 / 102 (5.88%)
         occurrences all number
    10
    Weight loss
         subjects affected / exposed
    19 / 102 (18.63%)
         occurrences all number
    50
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    4
    Reproductive system and breast disorders
    Balanitis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Bronchitis
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    8
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Cough
         subjects affected / exposed
    38 / 102 (37.25%)
         occurrences all number
    94
    Dysphonia
         subjects affected / exposed
    10 / 102 (9.80%)
         occurrences all number
    28
    Dyspnoea
         subjects affected / exposed
    39 / 102 (38.24%)
         occurrences all number
    94
    Epistaxis
         subjects affected / exposed
    13 / 102 (12.75%)
         occurrences all number
    16
    Expectoration
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    4
    Haemoptysis
         subjects affected / exposed
    6 / 102 (5.88%)
         occurrences all number
    9
    Hypoxia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Pharyngitis
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    4
    Pneumopathy
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    4
    Pulmonary embolism
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    3
    Respiratory disorder
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Rhinitis
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    7
    Rhinorrhoea
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    3
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    9
    Confusion
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Depression
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    4
    Impatience
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Insomnia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Sleep disorder
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    4
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    13
    Alkaline phosphatase increased
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    13
    Aspartate aminotransferase increased
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    6
    Creatinine increased
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    4
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    14
    Haemoglobin decreased
         subjects affected / exposed
    63 / 102 (61.76%)
         occurrences all number
    217
    Hyperkalemia
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    5
    LDH increased
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    14
    Injury, poisoning and procedural complications
    Expired product administered
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Congenital, familial and genetic disorders
    Ichthyosis
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    3
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Cardiac failure
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Hypertension
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    7
    Hypotension
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    4
    Tachycardia
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    5
    Nervous system disorders
    Clubbing
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Dysaesthesia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    5
    Headache
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    3
    Laryngoparalysis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Memory impairment
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Neurological disorder
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Neuropathy
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences all number
    8
    Nystagmus
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Paresthesia
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences all number
    12
    Peripheral sensory neuropathy
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    4
    Sensory neuropathy hereditary
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    4
    Smell alteration
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    5
    Tremor
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Hyperleukocytosis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Leukopenia
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    12
    Lymphopenia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    3
    Neutrophil count decreased
         subjects affected / exposed
    80 / 102 (78.43%)
         occurrences all number
    234
    Platelet count decreased
         subjects affected / exposed
    62 / 102 (60.78%)
         occurrences all number
    178
    Platelet count increased
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Ear and labyrinth disorders
    Ear disorder
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Hearing loss
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    11
    Otitis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    4
    Tinnitus
         subjects affected / exposed
    10 / 102 (9.80%)
         occurrences all number
    28
    Eye disorders
    Conjunctivitis
         subjects affected / exposed
    9 / 102 (8.82%)
         occurrences all number
    13
    dry eye syndrome
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    7
    Eye disorder
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    4
    Eye irritation
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Eye pain
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    3
    watering eyes
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    6
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    7
    Anal pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Anorexia
         subjects affected / exposed
    45 / 102 (44.12%)
         occurrences all number
    106
    Aphagia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Constipation
         subjects affected / exposed
    39 / 102 (38.24%)
         occurrences all number
    83
    Diarrhoea
         subjects affected / exposed
    23 / 102 (22.55%)
         occurrences all number
    34
    Dysgeusia
         subjects affected / exposed
    6 / 102 (5.88%)
         occurrences all number
    8
    Dyspepsia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Dysphagia
         subjects affected / exposed
    50 / 102 (49.02%)
         occurrences all number
    120
    Oesophagitis
         subjects affected / exposed
    65 / 102 (63.73%)
         occurrences all number
    181
    Flatulence
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Gastralgia
         subjects affected / exposed
    18 / 102 (17.65%)
         occurrences all number
    24
    Gastroenteritis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Gastrooesophageal reflux
         subjects affected / exposed
    8 / 102 (7.84%)
         occurrences all number
    12
    Gingival pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Gingivitis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Haemorrhoids
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    9
    Nausea
         subjects affected / exposed
    76 / 102 (74.51%)
         occurrences all number
    217
    Odynophagia
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    8
    Oral mucosal irritation
         subjects affected / exposed
    44 / 102 (43.14%)
         occurrences all number
    92
    Pyrosis
         subjects affected / exposed
    6 / 102 (5.88%)
         occurrences all number
    10
    Stomatitis
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    2
    Tooth disorder
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    7
    Vomiting
         subjects affected / exposed
    37 / 102 (36.27%)
         occurrences all number
    69
    Skin and subcutaneous tissue disorders
    Acne
         subjects affected / exposed
    23 / 102 (22.55%)
         occurrences all number
    80
    Body hair increased
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Burning skin
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    6
    Chalazion
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Dermatitis
         subjects affected / exposed
    27 / 102 (26.47%)
         occurrences all number
    58
    Desquamation
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Dry skin
         subjects affected / exposed
    30 / 102 (29.41%)
         occurrences all number
    92
    Erysipelas
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Erythema
         subjects affected / exposed
    21 / 102 (20.59%)
         occurrences all number
    46
    Folliculitis
         subjects affected / exposed
    36 / 102 (35.29%)
         occurrences all number
    124
    Furuncle
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Hand and foot syndrome
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    2
    Nail disorder
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    15
    Paronychia
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences all number
    10
    Pruritus
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences all number
    10
    Purpura
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Rash
         subjects affected / exposed
    32 / 102 (31.37%)
         occurrences all number
    114
    Skin disorder
         subjects affected / exposed
    12 / 102 (11.76%)
         occurrences all number
    26
    Skin eruption
         subjects affected / exposed
    16 / 102 (15.69%)
         occurrences all number
    46
    Skin fissures
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    10
    Skin hyperpigmentation
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    2
    Skin ulceration
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Renal and urinary disorders
    Hiccough
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Nocturnal polyuria
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Prostatic disorder
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    2
    Proteinuria
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Renal colic
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Renal disorder
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    3
    Renal failure
         subjects affected / exposed
    8 / 102 (7.84%)
         occurrences all number
    21
    Urinary tract pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    15
    Bone pain
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    5
    Cramps
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    3
    Flank pain
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    2
    Joint pain
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    3
    Myalgia
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    4
    Pain in extremity
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    8
    Pain neck/shoulder
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    5
    Rib pain
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Infections and infestations
    Cystitis
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    4
    herpes labialis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Herpes NOS
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Infection
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    7
    Localized infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Lymphangitis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Mycosis
         subjects affected / exposed
    6 / 102 (5.88%)
         occurrences all number
    7
    Oral candida
         subjects affected / exposed
    3 / 102 (2.94%)
         occurrences all number
    3
    Tooth infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Urethral infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    2
    Urinary tract infection
         subjects affected / exposed
    4 / 102 (3.92%)
         occurrences all number
    6
    Vaginal infection
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    3
    Vulvitis
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Hypocalcemia
         subjects affected / exposed
    1 / 102 (0.98%)
         occurrences all number
    1
    Hypokalaemia
         subjects affected / exposed
    7 / 102 (6.86%)
         occurrences all number
    14
    Hypomagnesaemia
         subjects affected / exposed
    5 / 102 (4.90%)
         occurrences all number
    18
    Hyponatraemia
         subjects affected / exposed
    2 / 102 (1.96%)
         occurrences all number
    8

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    05 Sep 2011
    Clarification on exclusion criteria and toxicity management for cetuximab.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The study was not randomized.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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