NSCLC: PROFILE 1014 trial

Abbreviations

No EU-CTR

Investigated (inv)
Comparator (comp)

CRIZ

chemo

172

171

Phase:

3

Randomisation:

Open label

Primary tumour:

NSCLC

Subtype (biomarker):

ALK poz., Nonsquamous

Stage:

meta

Line of therapy:

L1

Primary
CRIZ
chemo
HR
p
PFS IRV
10.9 mo
7.0 mo
0.45 (0.35-0.60)
<0.001
Secondaries
CRIZ
chemo
HR
p
OS @1yr
84%
79%
na
na
ORR
74%
45%
na
na
DoR
11.3 mo
5.3 mo
OS
na
na
0.82 (0.54-1.26)
0.36
(all grades, %)
CRIZ
chemo
p
Vision disorder
71
9
NA
Diarrhea
61
13
NA
Edema
49
12
NA
Vomiting
46
36
NA
Constipation
43
30
NA
ASt increased
36
13
NA
Upper respiratory infection
32
12
NA
Dysgeusia
26
5
NA
Dizziness
18
10
NA
Pain in extremity
16
7
NA
  • Inclusion
  • Exclusion

- Proven diagnosis of locally advanced not suitable for local treatment, recurrent and metastatic non-squamous cell carcinoma of the lung - Positive for translocation or inversion events involving the ALK gene locus - No prior systemic treatment for locally advanced or metastatic disease; Patients with brain metastases only if treated and neurologically stable with no ongoing requirement for corticosteroids - Evidence of a personally signed and dated informed consent document and willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures including completion of patient reported outcome [PRO] measures. - 18 years of age or older with the exception of India which has an upper age limit of 65 years old

- Current treatment on another therapeutic clinical trial. - Prior therapy directly targeting ALK. - Any of the following within the 3 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. Appropriate treatment with anticoagulants is permitted. - Ongoing cardiac dysrhythmias of NCI CTCAE Grade ≥ 2, uncontrolled atrial fibrillation of any grade, or QTc interval >470 msec. - Pregnancy or breastfeeding. - Use of drugs or foods that are known potent CYP3A4 inducers/inhibitors Concurrent use of drugs that are CYP3A4 substrates with narrow therapeutic indices. - Known HIV infection - Known interstitial lung disease or interstitial fibrosis - Other severe acute or chronic medical conditions (including severe gastrointestinal conditions such as diarrhea or ulcer) or psychiatric conditi

Characteristics
CRIZ
chemo
Agedc-comma sex
Median age (range) yr
52 (22-76)
54 (19-78)
Male - no.(%)
68 (40)
63 (37)
Race - no.(%)
White
91 (53)
85 (50)
Asian
77 (45)
80 (47)
Other
4 (2)
6 (4)
Smoking status - no.(%)
Never
106 (62)
112 (65)
Former
56 (33)
54 (32)
Current
10 (6)
5 (3)
Histologic characteristic of tumor - no.(%)
Adenocarcinoma
161 (94)
161 (94)
Nonadenocarcinoma
11 (6)
10 (6)
ECOG performance status - no.(%)
0 or 1
161 (94)
163 (95)
2
10 (6)
8 (5)
Extent of disease - no.(%)
Locally advanced
4 (2)
3 (2)
Metastatic
168 (98)
168 (98)
Time since first diagnosis
Median - mo
1.2
1.2
Range
0-114.0
0-93.6
Brain metastases - no.(%)
Brain metastases present
45 (26)
47 (27)
Ad-hoc:
no.pts inv.
no.pts comp.
CRIZ
chemo
HR
p
  • PFS IRV
analisys of PFS IRV
CRIZ
chemo
HR (95% CI)
Age (n)
< 65 yr (288)
0.51 (0.38–0.68)
≥65 yr (55)
0.37 (0.17–0.77)
Race (n)
Non-Asian (186)
0.53 (0.36–0.76)
Asian (157)
0.44 (0.30–0.65)
Smoking status (n)
Smoker or former smoker (125)
0.64 (0.42–0.97)
Nonsmoker (218)
0.41 (0.29–0.58)
Time since diagnosis (n)
>1 yr (35)
0.14 (0.04–0.51)
≤1 yr (308)
0.52 (0.40–0.68)
ECOG (n)
0 or 1 (324)
0.47 (0.36–0.62)
2 (18)
0.19 (0.05–0.76)
Adenocarcinoma (n)
Yes (322)
0.49 (0.37–0.64)
No (21)
0.37 (0.12–1.10)
Brain metastases (n)
Yes (92)
0.57 (0.35–0.93)
No (251)
0.46 (0.34–0.63)
analisys of
CRIZ
chemo
HR (95% CI)