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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03976362
Other study ID # 7339-008
Secondary ID MK-7339-008KEYLY
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date June 28, 2019
Est. completion date March 12, 2025

Study information

Verified date April 2024
Source Merck Sharp & Dohme LLC
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The current study will compare pembrolizumab (MK-3475) plus maintenance olaparib, vs. pembrolizumab plus maintenance olaparib placebo for the treatment of squamous NSCLC. The study's 2 primary hypotheses are: 1. Pembrolizumab plus maintenance olaparib is superior to pembrolizumab plus maintenance olaparib placebo with respect to progression-free survival (PFS) per RECIST 1.1 by blinded independent clinical review (BICR). 2. Pembrolizumab plus maintenance olaparib is superior to pembrolizumab plus maintenance olaparib placebo with respect to overall survival (OS). As of Amendment 07, there will be no further analyses for OS and patient-reported outcome assessments.


Description:

This study has 2 phases: an Induction Phase (4 Cycles) and a Maintenance Phase (Up to 31 cycles of pembrolizumab). In the Induction Phase, participants receive pembrolizumab plus carboplatin plus a taxane (paclitaxel or nab-paclitaxel). In the Maintenance Phase, participants with a partial or complete disease response or with stable disease after completing four cycles of induction therapy and who meet eligibility criteria will be randomly assigned to receive pembrolizumab plus maintenance olaparib OR pembrolizumab plus maintenance olaparib placebo. In the Maintenance Phase, participants randomly assigned to receive pembrolizumab for up to 31 cycles plus maintenance olaparib OR maintenance olaparib placebo until centrally verified progressive disease (PD), intolerable toxicities, or physician decision. As of Amendment 07, participants actively taking placebo will discontinue taking the placebo intervention and continue in the study.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 591
Est. completion date March 12, 2025
Est. primary completion date September 21, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Have a histologically or cytologically confirmed diagnosis squamous NSCLC. 2. Have Stage IV squamous NSCLC. 3. Have measurable disease based on RECIST 1.1. 4. Have not received prior systemic treatment for their advanced/metastatic NSCLC. 5. Have provided archival tumor tissue sample or newly obtained core or incisional biopsy of a tumor lesion not previously irradiated. Note: Adequacy of biopsy specimen for the above analyses must be confirmed by the central laboratory before the participant can receive study intervention(s). Submission of another tumor specimen may be required prior to enrolling the participant, if adequate tumor tissue was not provided the first time. 6. Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status assessed within 7 days prior to the administration of study intervention 7. Have a life expectancy of at least 3 months. 8. Has adequate organ function. 9. Male and female participants who are not pregnant and of childbearing potential must follow contraceptive guidance during the treatment period and for 180 days afterwards. 10. Male participants must refrain from donating sperm during the treatment period and for 180 days afterwards. Exclusion Criteria: 1. Has non-squamous histology NSCLC. 2. Has a known additional malignancy that is progressing or has progressed within the past 3 years requiring active treatment. 3. Has known active central nervous system metastases and/or carcinomatous meningitis. 4. Has a known hypersensitivity to any components or excipients of carboplatin, paclitaxel or nab-paclitaxel, or olaparib. 5. Has a severe hypersensitivity (=Grade 3) to pembrolizumab and/or any of its excipients. 6. Has an active autoimmune disease that has required systemic treatment in past 2 years. 7. Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy. 8. Has a known history of human immunodeficiency virus (HIV) infection, a known history of hepatitis B infection, or known active hepatitis C virus infection. 9. Has interstitial lung disease, or history of pneumonitis requiring systemic steroids for treatment. 10. Has received prior therapy with olaparib or with any other polyadenosine 5' diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor. 11. Has received prior therapy with an agent directed to programmed cell death ligand 1 (PD-L1), anti PD-L2, or directed to a stimulatory or co-inhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX-40, CD137). 12. Has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Pembrolizumab
IV infusion
Drug:
Carboplatin
IV infusion
Paclitaxel
IV infusion
Nab-paclitaxel
IV infusion
Olaparib
Tablets
Placebo
Placebo to olaparib, tablets

Locations

Country Name City State
Argentina Hospital Italiano Regional del Sur ( Site 0509) Bahia Blanca Buenos Aires
Argentina Hospital Britanico de Buenos Aires ( Site 0500) Buenos Aires Caba
Argentina Hospital Italiano de Buenos Aires ( Site 0511) Buenos Aires
Argentina Clínica Universitaria Reina Fabiola ( Site 0505) Cordoba
Argentina Instituto de Investigaciones Clinicas Mar del Plata ( Site 0516) Mar del Plata Buenos Aires
Argentina Instituto Medico Rio Cuarto ( Site 0501) Rio Cuarto Cordoba
Argentina Centro Oncológico de Rosario ( Site 0507) Rosario Santa Fe
Argentina Sanatorio Parque ( Site 0515) Rosario Santa Fe
Argentina Centro Medico San Roque ( Site 0506) San Miguel de Tucuman Tucuman
Argentina Sanatorio Privado San Geronimo S.R.L ( Site 0510) Santa Fe
Australia Monash Cancer Centre ( Site 1205) Clayton Victoria
Australia Liverpool Hospital ( Site 1201) Liverpool New South Wales
Australia Townsville General Hospital ( Site 1202) Townsville Queensland
Australia Southern Medical Day Care Centre ( Site 1200) Wollongong New South Wales
Austria Innsbruck LKH ( Site 1302) Innsbruck Tirol
Austria Ordensklinikum Linz GmbH Elisabethinen ( Site 1307) Linz Oberosterreich
Austria Social Medical Center - Otto Wagner Hospital ( Site 1301) Vienna Wien
Austria Klinikum Wels-Grieskirchen ( Site 1304) Wels Oberosterreich
Austria Krankenhaus Nord - Klinik Floridsdorf ( Site 1300) Wien
Brazil Oncologica do Brasil ( Site 0256) Belem Para
Brazil Hospital Tacchini ( Site 0265) Bento Goncalves Rio Grande Do Sul
Brazil Instituto do Cancer do Ceara ( Site 0251) Fortaleza Ceara
Brazil Centro de Novos Tratamentos Itajai - Clinica de Neoplasias Litoral ( Site 0252) Itajai Santa Catarina
Brazil Irmandade da Santa Casa de Misericordia de Porto Alegre ( Site 0255) Porto Alegre Rio Grande Do Sul
Brazil Instituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0253) Rio de Janeiro
Brazil Hospital Sao Rafael ( Site 0258) Salvador - BA Bahia
Brazil Hospital de Base de Sao Jose de Rio Preto ( Site 0254) Sao Jose Rio Preto Sao Paulo
Brazil Hospital Paulistano - Amil Clinical Research ( Site 0263) Sao Paulo
Brazil Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 0250) Sao Paulo
Brazil Real e Benemerita Associacao Portuguesa de Beneficencia ( Site 0260) Sao Paulo
Canada CISSS de la Monteregie-Centre ( Site 0101) Greenfield Park Quebec
Canada Nova Scotia Health Authority ( Site 0103) Halifax Nova Scotia
Canada Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0107) Hamilton Ontario
Canada Kingston Health Sciences Centre ( Site 0102) Kingston Ontario
Canada Hopital Cite de la Sante de Laval ( Site 0105) Laval Quebec
Canada CIUSSS Ouest de l Ile - St-Mary s Hospital ( Site 0110) Montreal Quebec
Canada Stronach Regional Cancer Centre ( Site 0100) Newmarket Ontario
Canada CIUSSS de la Mauricie et du Centre du Quebec ( Site 0106) Trois-Rivieres Quebec
France CHU Angers ( Site 1405) Angers Maine-et-Loire
France CHU Caen ( Site 1406) Caen Calvados
France Centre Hospitalier De Chauny ( Site 1411) Chauny Aisne
France Centre Jean Perrin ( Site 1407) Clermont Ferrand Puy-de-Dome
France Centre Hospitalier de Pau ( Site 1412) Pau Pyrenees-Atlantiques
France CHU de Rouen ( Site 1403) Rouen Seine-Maritime
France Hopital d'Instruction des Armees Begin ( Site 1413) Saint-Mande Val-de-Marne
France Institut De Cancerologie De Lorraine ( Site 1409) Vandoeuvre les Nancy Meurthe-et-Moselle
France Hopital Robert Schuman ( Site 1402) Vantoux Moselle
Germany Studienzentrum Aschaffenburg ( Site 1575) Aschaffenburg Bayern
Germany Universitaetsklinikum Bonn ( Site 1574) Bonn Nordrhein-Westfalen
Germany Helios Klinikum Erfurt GmbH ( Site 1552) Erfurt Thuringen
Germany Kliniken Essen Mitte ( Site 1567) Essen Nordrhein-Westfalen
Germany Universitaetsklinikum Frankfurt ( Site 1563) Frankfurt Hessen
Germany Universitaetsmedizin Goettingen ( Site 1557) Goettingen Niedersachsen
Germany Katholisches Marienkrankenhaus gGmbH ( Site 1572) Hamburg
Germany Pneumologische Lehrklinik Universitaet Goettingen ( Site 1551) Immenhausen Hessen
Germany InVo-Institut fuer Versorgungsforschung in der Onkologie ( Site 1564) Koblenz Rheinland-Pfalz
Germany Klinikum Bogenhausen Staedt. Klinikum Muenchen GmbH ( Site 1573) Muenchen Bayern
Germany Klinikum der LMU ( Site 1550) Munich Bayern
Germany Universitaetsklinikum Regensburg ( Site 1562) Regensburg Bayern
Germany Klinikum Wuerzburg Mitte gGmbH ( Site 1559) Wuerzburg Bayern
Japan National Hospital Organization Kyushu Medical Center ( Site 0805) Fukuoka
Japan Kansai Medical University Hospital ( Site 0804) Hirakata Osaka
Japan Kanazawa University Hospital ( Site 0811) Kanazawa Ishikawa
Japan National Cancer Center Hospital East ( Site 0801) Kashiwa Chiba
Japan Kurume University Hospital ( Site 0814) Kurume Fukuoka
Japan Aichi Cancer Center Hospital ( Site 0803) Nagoya Aichi
Japan National Hospital Organization Nagoya Medical Center ( Site 0806) Nagoya Aichi
Japan Niigata Cancer Center Hospital ( Site 0808) Niigata
Japan Okayama University Hospital ( Site 0810) Okayama
Japan Osaka International Cancer Institute ( Site 0809) Osaka
Japan National Hospital Organization Kinki-chuo Chest Medical Center ( Site 0813) Sakai Osaka
Japan Sendai Kousei Hospital ( Site 0812) Sendai Miyagi
Japan Shizuoka Cancer Center Hospital and Research Institute ( Site 0802) Sunto-gun Shizuoka
Japan The Cancer Institute Hospital of JFCR ( Site 0800) Tokyo
Japan Kanagawa Cancer Center ( Site 0807) Yokohama Kanagawa
Korea, Republic of Chungbuk National University Hospital ( Site 1002) Cheongju si Chungbuk
Korea, Republic of National Cancer Center ( Site 1006) Goyang-si Kyonggi-do
Korea, Republic of The Catholic University of Korea St. Vincent s Hospital ( Site 1003) Gyeonggi-do Kyonggi-do
Korea, Republic of Gyeongsang National University Hospital ( Site 1005) Jinju Kyongsangnam-do
Korea, Republic of Korea University Guro Hospital ( Site 1008) Seoul
Korea, Republic of Seoul National University Hospital ( Site 1000) Seoul
Korea, Republic of Severance Hospital Yonsei University Health System ( Site 1001) Seoul
Korea, Republic of Asan Medical Center ( Site 1007) Songpa-gu Seoul
Korea, Republic of Ajou University Hospital ( Site 1004) Suwon Kyonggi-do
Mexico Arke Estudios Clinicos ( Site 0333) Cdmx
Mexico Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0334) Guadalajara Jalisco
Mexico Investigacion Onco Farmaceutica S de RL de CV ( Site 0300) La Paz Baja California Sur
Mexico Axis Heilsa S. de R.L. de C.V. ( Site 0301) Monterrey Nuevo Leon
Mexico CLIMERS Clinical Medical Research ( Site 0306) Orizaba Veracruz
Mexico FAICIC Clinical Research ( Site 0303) Veracruz
New Zealand MidCentral DHB Palmerston North Hospital ( Site 1102) Palmerston North Manawatu-Wanganui
New Zealand Capital & Coast District Health Board - Wellington Hospital ( Site 1101) Wellington
Poland Przychodnia Lekarska Komed ( Site 2416) Konin Wielkopolskie
Poland Krakowski Szpital Specjalistyczny im Jana Pawla II ( Site 2420) Krakow Malopolskie
Poland Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc ( Site 2417) Olsztyn Dolnoslaskie
Poland MED-POLONIA Sp. z o.o. ( Site 2419) Poznan Wielkopolskie
Poland Szpital Rejonowy im. dr Jozefa Rostka ( Site 2402) Raciborz Slaskie
Poland Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Warszawa Mazowieckie
Poland Wielospecjalistyczny Szpital SPZOZ w Zgorzelcu ( Site 2404) Zgorzelec Dolnoslaskie
Romania S.C.Focus Lab Plus S.R.L ( Site 2502) Bucuresti
Romania Cardiomed SRL Cluj-Napoca ( Site 2504) Cluj Napoca Cluj
Romania S.C. Radiotherapy Center Cluj S.R.L ( Site 2507) Cluj-Napoca Cluj
Romania Spitalul Clinic Judetean de Urgenta Sf Apostol Andrei ( Site 2501) Constanta
Romania S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 2508) Craiova Dolj
Romania Policlinica Oncomed SRL ( Site 2505) Timisoara Timis
Russian Federation Moscow Regional Oncological Dispensary ( Site 2028) Balashikha Moskovskaya Oblast
Russian Federation Republican Clinical Oncology Dispensary of Tatarstan MoH ( Site 2021) Kazan Tatarstan, Respublika
Russian Federation First Moscow State Medical University n.a. I.M.Sechenov ( Site 2024) Moscow Moskva
Russian Federation FSAI Treatment and Rehabilitation Centre of the MoH and SD of RF ( Site 2006) Moscow Moskva
Russian Federation Moscow Research Oncology Institute named after P.A. Hertsen ( Site 2009) Moscow Moskva
Russian Federation Russian Oncological Research Center n.a. N.N.Blokhin of MoH ( Site 2000) Moscow Moskva
Russian Federation Nizhniy Novgorod Region Oncology Dispensary ( Site 2026) Nizhniy Novgorod Nizhegorodskaya Oblast
Russian Federation Budgetary Healthcare Institution of Omsk Region Clinical Oncology Dispensary-Chemotherapy #1 ( Site Omsk Omskaya Oblast
Russian Federation National Medical Research Center of Oncology N.A. N.N. Petrov ( Site 2004) Saint Petersburg Sankt-Peterburg
Russian Federation SBHI Leningrad Regional Clinical Hospital ( Site 2002) Saint Petersburg Sankt-Peterburg
Russian Federation SPb Central Clinical Railway Hospital ( Site 2003) Saint Petersburg Sankt-Peterburg
Russian Federation SPb SBHI City Clinical Oncological Dispensary ( Site 2001) Saint Petersburg Sankt-Peterburg
Russian Federation SBHI Samara Regional Clinical Oncology Dispensary ( Site 2016) Samara Samarskaya Oblast
Spain Hospital Sant Creu i Sant Pau ( Site 1711) Barcelona
Spain Hospital Duran i Reynals ( Site 1710) Hospitalet de Llobregat Barcelona
Spain Complejo Hospitalario de Jaen ( Site 1713) Jaen La Coruna
Spain Hospital Universitario 12 de Octubre ( Site 1716) Madrid
Spain Complejo Hospitalario de Malaga ( Site 1714) Malaga
Spain Hospital Universitario Virgen Macarena ( Site 1712) Sevilla
Taiwan Chang Gung Medical Foundation. Kaohsiung Branch ( Site 0907) Kaohsiung
Taiwan China Medical University Hospital ( Site 0904) Taichung
Taiwan National Cheng Kung University Hospital ( Site 0905) Tainan
Taiwan Mackay Memorial Hospital ( Site 0902) Taipei
Taiwan National Taiwan University Hospital ( Site 0900) Taipei
Taiwan Chang Gung Medical Foundation.Linkou Branch ( Site 0903) Taoyuan
Turkey Baskent Unv. Adana Uyg. ve Arast. Hastanesi ( Site 2101) Adana
Turkey Ankara Sehir Hastanesi ( Site 2105) Ankara
Turkey Gazi Universitesi Tip Fakultesi ( Site 2104) Ankara
Turkey Bezmialem Vakif Univ. Tip Fakultesi Hastanesi Tibbi Onkoloji Bolumu ( Site 2107) Istanbul
Turkey Göztepe Prof. Dr. Süleyman Yalçin Sehir Hastanesi-oncology ( Site 2103) Istanbul
Turkey Ege Universitesi Tip Fakultesi ( Site 2109) Izmir
Turkey Erciyes Universitesi Tip Fakultesi ( Site 2108) Kayseri
Turkey Ondokuz Mays Üniversitesi Tp Fakültesi Hastanesi-Oncology ( Site 2106) Samsun
Turkey Namik Kemal Universitesi Tip Fakultesi ( Site 2100) Tekirdag Tekirdas
Ukraine Cherkasy Regional Oncology Dispensary ( Site 2225) Cherkasy Cherkaska Oblast
Ukraine City Clinical Hosp.4 of DCC ( Site 2215) Dnipro Dnipropetrovska Oblast
Ukraine MI Precarpathian Clinical Oncology Center ( Site 2218) Ivano-Frankivsk Ivano-Frankivska Oblast
Ukraine Grigoriev Institute for medical Radiology NAMS of Ukraine ( Site 2226) Kharkiv Kharkivska Oblast
Ukraine Regional Centre of Oncology-Thoracic organs ( Site 2219) Kharkiv Kharkivska Oblast
Ukraine Medical Center Asklepion LLC ( Site 2243) Khodosivka Kyivska Oblast
Ukraine PP PPC Acinus Medical and Diagnostic Centre ( Site 2223) Kropyvnytskyi Kirovohradska Oblast
Ukraine Kyiv City Clinical Oncology Centre ( Site 2224) Kyiv Kyivska Oblast
Ukraine Medical and Diagnostic Centre LLC Dobryi Prognoz ( Site 2227) Kyiv Kyivska Oblast
Ukraine Medical Center Verum ( Site 2228) Kyiv
Ukraine MI Odessa Regional Oncological Centre ( Site 2222) Odesa Odeska Oblast
Ukraine Central City Clinical Hospital ( Site 2221) Uzhgorod Zakarpatska Oblast
United Kingdom Birmingham Heartlands Hospital ( Site 1910) Birmingham
United Kingdom West Suffolk Hospitals NHS Trust ( Site 1919) Bury Saint Edmunds Suffolk
United Kingdom Colchester General Hospital ( Site 1911) Colchester Worcestershire
United Kingdom Western General Hospital, Edinburgh ( Site 1924) Edinburg
United Kingdom Barts Health NHS Trust - St Bartholomew s Hospital ( Site 1923) London London, City Of
United Kingdom Chelsea and Westminster Hospital ( Site 1901) London London, City Of
United Kingdom Newcastle Freeman Hospital ( Site 1902) Newcastle-upon-Tyne Newcastle Upon Tyne
United Kingdom Singleton Hospital ( Site 1909) Swansea Wales
United Kingdom Southend University Hospital NHS Foundation Trust ( Site 1913) Westcliff-on-Sea Essex
United States MedStar Franklin Square Medical Center ( Site 0044) Baltimore Maryland
United States Frontier Oncology ( Site 0052) Billings Montana
United States Alabama Oncology Bruno Cancer Center ( Site 0001) Birmingham Alabama
United States Boca Raton Regional Hospital ( Site 0018) Boca Raton Florida
United States Bozeman Health Deaconness Cancer Center ( Site 0053) Bozeman Montana
United States Disney Family Cancer Center ( Site 0005) Burbank California
United States Waverly Hematology Oncology ( Site 0054) Cary North Carolina
United States Mount Sinai Hospital Medical Center ( Site 0035) Chicago Illinois
United States Columbus Regional Research Institute ( Site 0099) Columbus Georgia
United States Barbara Ann Karmanos Cancer Institute ( Site 0046) Detroit Michigan
United States Hattiesburg Clinic ( Site 0051) Hattiesburg Mississippi
United States Thompson Cancer Survival Center ( Site 2812) Knoxville Tennessee
United States Methodists Hospitals/Premier Oncology Hematology Associates ( Site 0039) Merrillville Indiana
United States Mid-Florida Cancer Centers ( Site 0022) Orange City Florida
United States Oncology of Northshore ( Site 0036) Rolling Meadows Illinois
United States Cancer Care Northwest ( Site 0083) Spokane Valley Washington
United States H. Lee Moffitt Cancer Center and Research Institute ( Site 0024) Tampa Florida
United States Renovatio Clinical ( Site 0074) The Woodlands Texas

Sponsors (1)

Lead Sponsor Collaborator
Merck Sharp & Dohme LLC

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Austria,  Brazil,  Canada,  France,  Germany,  Japan,  Korea, Republic of,  Mexico,  New Zealand,  Poland,  Romania,  Russian Federation,  Spain,  Taiwan,  Turkey,  Ukraine,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Progression-free Survival is the time from the date of randomization until either documented disease progression or death due to any cause, whichever occurs first. Up to approximately 3 years
Primary Overall Survival (OS) Overall survival is the time from the date of randomization to death due to any cause. Up to approximately 4 years
Secondary Number of Participants With One or More Adverse Events (AEs) An adverse event (AE) is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Up to approximately 5 years
Secondary Number of participants discontinuing study intervention due to adverse events (AEs) An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Up to approximately 5 years
Secondary Change from Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status / Quality of Life (Items 29 and 30) Scale Score The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the question "How would you rate your overall health during the past week?" are scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better overall health status. The change from baseline in EORTC QLQ-C30 Items 29 and 30 scores will be presented. Baseline (at randomization) and Week 18 post-randomization
Secondary Change from Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Lung Cancer Module 13 (QLQ-LC13) Cough (Item 1) Scale Score The EORTC QLQ-LC13 is a lung cancer specific supplemental questionnaire used in combination with the EORTC QLQ-C30 questionnaire. Participant responses to the question "How much did you cough?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A lower score indicates a better outcome. The change from baseline in EORTC QLQ-LC13 cough (Item 1) score will be presented. Baseline (at randomization) and Week 18 post-randomization
Secondary Change from Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Lung Cancer Module 13 (QLQ-LC13) Chest Pain (Item 10) Scale Score The EORTC QLQ-LC13 is a lung cancer specific supplemental questionnaire used in combination with the EORTC QLQ-C30 questionnaire. Participant responses to the question "How was your chest pain?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A lower score indicates a better outcome. The change from baseline in EORTC QLQ-LC13 chest pain (Item 10) score will be presented. Baseline (at randomization) and Week 18 post-randomization
Secondary Change from Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Dyspnea (Item 8) Scale Score The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the question "Were you short of breath?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. The change from baseline in EORTC QLQ-C30 dyspnea (Item 8) score will be presented. A lower score indicates a better outcome. Baseline (at randomization) and Week 18 post-randomization
Secondary Change from Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Physical Functioning (Items 1 to 5) Scale Score The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better quality of life. The change from baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) score will be presented. Baseline (at randomization) and Week 18 post-randomization
Secondary Time to True Deterioration (TTD) in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status / Quality of Life (Items 29 and 30) Scale Score The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the question "How would you rate your overall health during the past week?" are scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better overall health status. TTD was defined as the time from baseline (at randomization) to the first onset of a =10-point decrease with confirmation by the subsequent visit of a =10-point decrease in Items 29 and 30 scale scores. Up to approximately 5 years
Secondary Time to True Deterioration (TTD) in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Lung Cancer Module 13 (QLQ-LC13) Cough (Item 1) Scale Score The EORTC QLQ-LC13 is a lung cancer specific supplemental questionnaire used in combination with the EORTC QLQ-C30 questionnaire. Participant responses to the question "How much did you cough?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A lower score indicates a better outcome. TTD was defined as the time from baseline (at randomization) to the first onset of a =10-point decrease with confirmation by the subsequent visit of a =10-point decrease in cough scale score. Up to approximately 5 years
Secondary Time to True Deterioration (TTD) in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Lung Cancer Module 13 (QLQ-LC13) Chest Pain (Item 10) Scale Score The EORTC QLQ-LC13 is a lung cancer specific supplemental questionnaire used in combination with the EORTC QLQ-C30 questionnaire. Participant responses to the question "How was your chest pain?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A lower score indicates a better outcome. TTD was defined as the time from baseline (at randomization) to the first onset of a =10-point decrease with confirmation by the subsequent visit of a =10-point decrease in chest pain scale score. Up to approximately 5 years
Secondary Time to True Deterioration (TTD) in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Dyspnea (Item 8) Scale Score The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the question "Were you short of breath?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A lower score indicates a better outcome. TTD was defined as the time from baseline (at randomization) to the first onset of a =10-point decrease with confirmation by the subsequent visit of a =10-point decrease in Item 8 scale score. Up to approximately 5 years
Secondary Time to True Deterioration (TTD) in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Physical Functioning (Items 1 to 5) Scale Score The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better quality of life. TTD was defined as the time from baseline (at randomization) to the first onset of a =10-point decrease with confirmation by the subsequent visit of a =10-point decrease in physical functioning Items 1 to 5 scale scores. Up to approximately 5 years