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PROFILE 1001

Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer: expanded cohort of the crizotinib phase 1 study

Phase 1N = 82NCT00585195

Population
Advanced ALK-positive NSCLC identified by screening about 1500 tumour samples; most had received previous treatment
Design
Single-group expanded cohort after phase 1 dose escalation established crizotinib 250 mg twice daily in 28-day cycles; patients assessed for adverse events and response
Arms
  • Crizotinib (experimental, n = 82): Crizotinib 250 mg twice daily in 28-day cycles
People
Kwak EL
Show the numbers
Results reported for PROFILE 1001
EndpointAnalysisCrizotinibControlEffect
ORRALK-positive expanded cohort (n=82)interimKwak 201057% (46–68%)—47 of 82 patients responded (46 confirmed partial responses, 1 confirmed complete response), 95% CI 46 to 68 (full text); 27 patients (33%) had stable disease. Mean treatment duration was 6.4 months at the data cut-off, with follow-up ongoing and 63 of 82 (77%) still receiving crizotinib. Labelled 'interim' on that basis; the paper does not name the analysis type.
PFSALK-positive expanded cohort (n=82)exploratorymedian follow-up 6.4 monthsKwak 201072% at 6 mo (61–83%)—No median PFS had been reached. The paper states that the trial was not designed to address PFS as an end point, that responses in ALK-positive patients were unanticipated when the protocol was written, and that previous treatments were heterogeneous; median follow-up for PFS was 6.4 months (95% CI 5.5 to 7.2).
Results reported for PROFILE 1001
EndpointAnalysisCrizotinibControlEffect
ORRALK-positive expanded cohort (n=82)interimKwak 201057% (46–68%)—47 of 82 patients responded (46 confirmed partial responses, 1 confirmed complete response), 95% CI 46 to 68 (full text); 27 patients (33%) had stable disease. Mean treatment duration was 6.4 months at the data cut-off, with follow-up ongoing and 63 of 82 (77%) still receiving crizotinib. Labelled 'interim' on that basis; the paper does not name the analysis type.
PFSALK-positive expanded cohort (n=82)exploratorymedian follow-up 6.4 monthsKwak 201072% at 6 mo (61–83%)—No median PFS had been reached. The paper states that the trial was not designed to address PFS as an end point, that responses in ALK-positive patients were unanticipated when the protocol was written, and that previous treatments were heterogeneous; median follow-up for PFS was 6.4 months (95% CI 5.5 to 7.2).
Primary publication: Kwak EL, Bang YJ, Camidge DR, Shaw AT, Solomon B, Maki RG, et al. Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer. N Engl J Med. 2010;363(18):1693-703. PubMedDOI

Appears in

Sources

  1. Kwak EL, Bang YJ, Camidge DR, Shaw AT, Solomon B, Maki RG, et al. Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer. N Engl J Med. 2010;363(18):1693-703.

    PubMedDOI