Clinical Trial Results:
ELUXA 2: An international, randomised, multi-centre, active controlled, open-label Phase III study evaluating the efficacy of BI 1482694 versus standard platinum doublet chemotherapy in patients with T790M mutation positive locally advanced or metastatic non-small cell lung cancer (NSCLC) whose disease progressed on one prior epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) treatment
Summary
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EudraCT number |
2015-005079-26 |
Trial protocol |
ES BE AT |
Global end of trial date |
11 Aug 2016
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Results information
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Results version number |
v1(current) |
This version publication date |
10 Nov 2018
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First version publication date |
10 Nov 2018
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Other versions |
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Summary report(s) |
Statement |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
1370.2
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
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WHO universal trial number (UTN) |
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Sponsors
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Sponsor organisation name |
Boehringer Ingelheim
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Sponsor organisation address |
Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
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Public contact |
QRPE Processes and Systems Coordination, Clinical Trial
Information Disclosure, Boehringer Ingelheim Pharma GmbH & Co KG, +1 8002430127, clintriage.rdg@boehringer-ingelheim.com
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Scientific contact |
QRPE Processes and Systems Coordination, Clinical Trial
Information Disclosure, Boehringer Ingelheim Pharma GmbH & Co KG, +1 8002430127, clintriage.rdg@boehringer-ingelheim.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
11 Aug 2016
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
11 Aug 2016
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Global end of trial reached? |
Yes
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Global end of trial date |
11 Aug 2016
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
To investigate the efficacy and safety of BI 1482694 versus standard platinum doublet chemotherapy as a second line treatment for patients with locally advanced or metastatic NSCLC whose disease progressed on or after one prior 1st line EGFR-TKI therapy and whose tumours carry at least one EGFR activating mutation and a T790M mutation versus standard platinum doublet chemotherapy.
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Protection of trial subjects |
No patient entered the study, therefore no results data available. 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entering the trial. 199998 number entered in population of trial subjects is "Not applicable", the number is added to match the count in the participant flow which we get after adding the NA value "99999" for each treatment arm.
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Background therapy |
- | ||
Evidence for comparator |
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Actual start date of recruitment |
15 Jun 2016
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Portugal: 199998
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Worldwide total number of subjects |
199998
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EEA total number of subjects |
199998
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
199998
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial | |||||||||
Pre-assignment
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Screening details |
All subjects had to be screened for eligibility to participate in the trial. Subjects had to attend specialist sites which would then ensure that they (the subjects) met all inclusion/exclusion criteria. Subjects were not to be randomised to trial treatment if any one of the specific entry criteria were violated | |||||||||
Period 1
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Period 1 title |
Overall Trial (overall period)
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Is this the baseline period? |
Yes | |||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | |||||||||
Blinding implementation details |
Open label trial
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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BI 1482694 | |||||||||
Arm description |
Subjects were to be orally administered BI 1482694 800 mg once daily as 2 x 400 mg tablets; dose reduction to 600 mg once daily and 400 mg once daily (if applicable) in the presence of drug-related adverse events | |||||||||
Arm type |
Experimental | |||||||||
Investigational medicinal product name |
BI 1482694
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Subjects were to be orally administered BI 1482694 800 mg once daily as 2 x 400 mg tablets; dose reduction to 600 mg once daily and 400 mg once daily (if applicable) in the presence of drug-related adverse events
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Arm title
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Platinum based doublet chemotherapy | |||||||||
Arm description |
Subjects were to be administered intravenous infusion of Chemotherapy once every 3 weeks (21 days) course: - Cisplatin at 75mg / m2 in combination with Pemetrexed 500 mg / m2 on day 1 of 21 or - Carboplatin at AUC 5 in combination with Pemetrexed 500 mg / m2 on day 1 of 21 - Pemetrexed 500 mg / m2 on day 1 of 21 as maintenance treatment allowed per SmPC/PI | |||||||||
Arm type |
Active comparator | |||||||||
Investigational medicinal product name |
Cisplatin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Subjects were to be administered Cisplatin (Solution for infusion) Vials with 200 ml of 0.5 mg/ml solution Up to 6 infusions, each separated by 3 weeks
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Investigational medicinal product name |
Carboplatin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Subjects were to be administered Carboplatin (Solution for infusion) Vials with 60 ml solution at 10 mg/ml Up to 6 infusions at AUC5, each separated by 3 weeks
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Investigational medicinal product name |
Pemetrexed
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Subjects were to be administered Pemetrexed (500 mg powder for reconstitution for infusion) Vials with 500 mg ; after reconstitution each vial contains pemetrexed at 25 mg/ml; infusion at 500 mg/m2 each separated by 3 weeks
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Baseline characteristics reporting groups
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Reporting group title |
BI 1482694
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Reporting group description |
Subjects were to be orally administered BI 1482694 800 mg once daily as 2 x 400 mg tablets; dose reduction to 600 mg once daily and 400 mg once daily (if applicable) in the presence of drug-related adverse events | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Platinum based doublet chemotherapy
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Reporting group description |
Subjects were to be administered intravenous infusion of Chemotherapy once every 3 weeks (21 days) course: - Cisplatin at 75mg / m2 in combination with Pemetrexed 500 mg / m2 on day 1 of 21 or - Carboplatin at AUC 5 in combination with Pemetrexed 500 mg / m2 on day 1 of 21 - Pemetrexed 500 mg / m2 on day 1 of 21 as maintenance treatment allowed per SmPC/PI | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
BI 1482694
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Reporting group description |
Subjects were to be orally administered BI 1482694 800 mg once daily as 2 x 400 mg tablets; dose reduction to 600 mg once daily and 400 mg once daily (if applicable) in the presence of drug-related adverse events | ||
Reporting group title |
Platinum based doublet chemotherapy
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Reporting group description |
Subjects were to be administered intravenous infusion of Chemotherapy once every 3 weeks (21 days) course: - Cisplatin at 75mg / m2 in combination with Pemetrexed 500 mg / m2 on day 1 of 21 or - Carboplatin at AUC 5 in combination with Pemetrexed 500 mg / m2 on day 1 of 21 - Pemetrexed 500 mg / m2 on day 1 of 21 as maintenance treatment allowed per SmPC/PI |
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End point title |
Progression-free survival (PFS) [1] | ||||||||||||
End point description |
Progression-free survival (PFS) is defined as time from randomisation until disease progression or death from any cause, whichever occurs earlier.
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End point type |
Primary
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End point timeframe |
time from randomisation until disease progression or death
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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: No subjects entered in the trial hence results are not available. |
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Notes [2] - ITT [3] - ITT |
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No statistical analyses for this end point |
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End point title |
Overall survival (OS) | ||||||||||||
End point description |
Overall survival (OS) is defined as the time from randomisation until death from any cause.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
time from randomisation until death
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Notes [4] - ITT [5] - ITT |
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No statistical analyses for this end point |
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End point title |
Objective response (OR) | ||||||||||||
End point description |
Objective response (OR) is defined as best overall response of complete response (CR) or partial response (PR) from randomisation until the earliest of disease progression, death or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up or withdrawal of consent.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
time from randomisation until the earliest of disease progression, death or last evaluable tumour assessment
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Notes [6] - ITT [7] - ITT |
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No statistical analyses for this end point |
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End point title |
Time to OR | ||||||||||||
End point description |
Time to OR is defined as the time from randomisation until first documented CR or PR.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
time from randomisation until first documented CR or PR.
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Notes [8] - ITT [9] - ITT |
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No statistical analyses for this end point |
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End point title |
Duration of OR (DOR) | ||||||||||||
End point description |
Duration of OR (DOR) is defined as the time from first documented CR or PR until the earliest of disease progression or death among patients with OR.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
time from first documented CR or PR until the earliest of disease progression or death
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Notes [10] - ITT [11] - ITT |
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No statistical analyses for this end point |
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End point title |
Disease control (DC) | ||||||||||||
End point description |
Disease control (DC) is defined as best overall response of CR, PR or stable disease (SD) from randomisation until the earliest of disease progression, death or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up or withdrawal of consent.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
from randomisation until the earliest of disease progression, death or last evaluable tumour assessment
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Notes [12] - ITT [13] - ITT |
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No statistical analyses for this end point |
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End point title |
Tumour shrinkage | ||||||||||||
End point description |
Tumour shrinkage (in millimeters) is defined as the difference between the minimum post-baseline sum of longest diameters of target lesions (longest for non-nodal lesions, short axis for nodal lesions) and the baseline sum of longest diameters of the same set of target lesions.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
from randomisation until database lock
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Notes [14] - ITT [15] - ITT |
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No statistical analyses for this end point |
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End point title |
Time to deterioration in Patient Reported Outcomes | ||||||||||||
End point description |
Time to deterioration in Patient Reported Outcomes (PROs) of:
- cough ((European Organisation for Research and Treatment of Cancer) EORTC QLQ-LC13: Q1)
- dyspnoea (EORTC QLQ-LC13: Q3-5 and EORTC QLQC30: Q8)
- chest pain (EORTC QLQ-LC13: Q10)
- NSCLC specific symptoms of NSCLC SAQ
Deterioration is defined as the time from randomisation until the earliest of a 10-point worsening from baseline score or death.
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants entered in the trial.
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End point type |
Secondary
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End point timeframe |
time from randomisation until database lock
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Notes [16] - ITT [17] - ITT |
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No statistical analyses for this end point |
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Adverse events information [1]
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Timeframe for reporting adverse events |
All adverse events occurring after first intake of treatment through the Residual effect period.
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Adverse event reporting additional description |
99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
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Assessment type |
Systematic | ||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||
Dictionary version |
0
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Frequency threshold for reporting non-serious adverse events: 0% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: No subjects entered in the trial hence results are not available. |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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20 Feb 2016 |
The first official version of this clinical trial protocol was version 2.0 (revision 1), Shortly after finalization of CTP version 1.0, additional data became available
which had to be included into the document before regulatory and IRB/EC submissions. |
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06 Jul 2016 |
Following sections were changed:
- Abbreviations
- Drug Profile
- Benefit- Risk Assessment
- 3.3.4.1 Removal of individual patients
- Table of Dose Reduction Scheme for BI 1482694
- Management of dermatological AEs following treatment with BI 1482694
- Definitions of AEs
- Published references
- Clinical Evaluation of SJS/TEN
Description of change:Addition of information on occurrence, grading, management and reporting of serious adverse skin reactions. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
Discontinued by Boehringer Ingelheim during preparation of trial. No patient entered the study, therefore no results data available. |