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Trial ยท NCT00418886

Efficacy Study Comparing ZD6474 in Combination With Pemetrexed and Pemetrexed Alone in 2nd Line NSCLC Patients

NCT00418886, Phase 3, Completed, Genzyme, a Sanofi Company; results first posted 2012-03-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy Study Comparing ZD6474 in Combination With Pemetrexed and Pemetrexed Alone in 2nd Line NSCLC Patients. Trials, record NCT00418886. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00418886

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy Study Comparing ZD6474 in Combination With Pemetrexed and Pemetrexed Alone in 2nd Line NSCLC Patients
NCT number
NCT00418886
Status
Completed
Phases
Phase 3
Enrollment
698 participants, actual
Lead sponsor
Genzyme, a Sanofi Company
Conditions
Non Small Cell Lung Cancer, Lung Cancer
Interventions
Vandetanib, Pemetrexed
First posted
2007-01-05
Last updated
2024-12-31
Other registries' IDs
eudract:2006-003695-35
Results first posted
2012-03-26

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression-Free Survival (PFS) in the Overall PopulationRECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Median time (in weeks) from randomization until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable Response Evaluation Criteria in Solid Tumors (RECIST) assessment.
PrimaryProgression-Free Survival in the Female PopulationRECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Median time (in weeks) from randomization until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment.
SecondaryOverall Survival (OS)Time to death in months
The OS is defined as the time from date of randomization until death. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive (i.e, their status must be known at the censored date and should not be lost to follow up or unknown).
SecondaryObjective Response Rate (ORR)
Each participant was assessed for objective response from the sequence of RECIST scan data up to data cut off. RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
The ORR is the number of participants that are responders i.e, those participants with a confirmed best objective response of complete response (CR) or partial response (PR) as defined by RECIST criteria. The categories for best objective response are CR, PR, stable disease (SD)\>= 6 weeks, progressive disease (PD) or NE.
SecondaryDisease Control Rate (DCR)RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
The DCR is defined as the number of patients who achieved disease control at 6 weeks following randomization. Disease control at 6 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) \>= 6 weeks.
SecondaryDuration of Response (DoR)RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment).
SecondaryTime to Deterioration of Disease-Related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total ScoreLCSS questionnaires are to be administered every 3 weeks after randomization
TDS is the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days. A deterioration in symptoms is defined as a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days. The LCSS scale measures changes in symptoms associated with lung cancer.
SecondaryTime to Deterioration of Disease-Related Symptoms by Average Symptom Burden Index (ASBI) ScoreASBI is a score taken from the LCSS questionnaires which are to be administered every 3 weeks after randomization
Time to deterioration is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days. A deterioration in symptoms is defined as a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days. The ASBI is derived from 6 of LCSS's 9 items.
SecondaryLongitudinal Analysis of Lung Cancer Symptom Scale Total ScoreLCSS questionnaires are to be administered every 3 weeks after randomization
The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. LCSS total score is an average of all 9 visual analogue participant scales from "none" \[0 millimeter (mm)\] to "as much as it could be" (100 mm).
SecondaryLongitudinal Analysis of Average Symptom Burden Index ScoreASBI is a score taken from the LCSS questionnaires administered every 3 weeks after randomization
The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. ASBI is an average of the 6 symptom visual analogue patient scales from "none" (0 mm) to "as much as it could be" (100 mm).

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-Free Survival (PFS) in the Overall PopulationRECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progressionThe full analysis set included all randomized participants.weeksMEDIAN
PRIMARYProgression-Free Survival in the Female PopulationRECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progressionThe female analysis set included all randomized female participants.weeksMEDIAN
SECONDARYOverall Survival (OS)Time to death in monthsThe full analysis set included all randomized participants.monthsMEDIAN
SECONDARYObjective Response Rate (ORR)
Each participant was assessed for objective response from the sequence of RECIST scan data up to data cut off. RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
The full analysis set included all randomized participants.percentage of participantsNUMBER
SECONDARYDisease Control Rate (DCR)RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progressionThe full analysis set included all randomized participants.percentage of participantsNUMBER
SECONDARYDuration of Response (DoR)RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progressionThe full analysis set included all randomized participants. Only participants with response are analyzed for this outcome measure.weeksMEDIAN
SECONDARYTime to Deterioration of Disease-Related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total ScoreLCSS questionnaires are to be administered every 3 weeks after randomizationThe full analysis set included all randomized participants.weeksMEDIAN
SECONDARYTime to Deterioration of Disease-Related Symptoms by Average Symptom Burden Index (ASBI) ScoreASBI is a score taken from the LCSS questionnaires which are to be administered every 3 weeks after randomizationThe full analysis set included all randomized participants.weeksMEDIAN
SECONDARYLongitudinal Analysis of Lung Cancer Symptom Scale Total ScoreLCSS questionnaires are to be administered every 3 weeks after randomizationThe full analysis set included all randomized participants.mms on a visual analogue scaleLEAST_SQUARES_MEAN
SECONDARYLongitudinal Analysis of Average Symptom Burden Index ScoreASBI is a score taken from the LCSS questionnaires administered every 3 weeks after randomizationThe full analysis set included all randomized participants.mms on a visual analogue scaleLEAST_SQUARES_MEAN

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression-Free Survival (PFS) in the Overall PopulationVandetanib Plus Pemetrexed17.695% Confidence Interval 13.4 to 18.9weeks
Progression-Free Survival (PFS) in the Overall PopulationPlacebo Plus Pemetrexed11.995% Confidence Interval 11.4 to 15.9weeks
Progression-Free Survival in the Female PopulationVandetanib Plus Pemetrexed17.995% Confidence Interval 14.7 to 22.7weeks
Progression-Free Survival in the Female PopulationPlacebo Plus Pemetrexed13.095% Confidence Interval 11.1 to 17.7weeks
Overall Survival (OS)Vandetanib Plus Pemetrexed10.595% Confidence Interval 8.9 to 12.3months
Overall Survival (OS)Placebo Plus Pemetrexed9.295% Confidence Interval 7.1 to 12.0months
Objective Response Rate (ORR)Vandetanib Plus Pemetrexed19.1percentage of participants
Objective Response Rate (ORR)Placebo Plus Pemetrexed7.9percentage of participants
Disease Control Rate (DCR)Vandetanib Plus Pemetrexed56.6percentage of participants
Disease Control Rate (DCR)Placebo Plus Pemetrexed45.7percentage of participants

Participant flow16

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Randomized PeriodSTARTEDVandetanib Plus Pemetrexed256
Randomized PeriodSTARTEDPlacebo Plus Pemetrexed278
Randomized PeriodTreatedVandetanib Plus Pemetrexed260
Randomized PeriodTreatedPlacebo Plus Pemetrexed273
Randomized PeriodCOMPLETEDVandetanib Plus Pemetrexed30
Randomized PeriodCOMPLETEDPlacebo Plus Pemetrexed23
Randomized PeriodNOT COMPLETEDVandetanib Plus Pemetrexed226
Randomized PeriodNOT COMPLETEDPlacebo Plus Pemetrexed255
Survival Follow-up PeriodSTARTEDVandetanib Plus Pemetrexed120
Survival Follow-up PeriodSTARTEDPlacebo Plus Pemetrexed114

Adverse events680

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersRandomized Period: Vandetanib Plus Pemetrexed1926027
otherAnaemiaBlood and lymphatic system disordersRandomized Period: Placebo Plus Pemetrexed5427359
otherAnaemiaBlood and lymphatic system disordersSurvival Follow-up Period: Vandetanib Plus Pemetrexed01240
otherAnaemiaBlood and lymphatic system disordersSurvival Follow-up Period: Placebo Plus Pemetrexed11101
otherLeukopeniaBlood and lymphatic system disordersRandomized Period: Vandetanib Plus Pemetrexed1826027
otherLeukopeniaBlood and lymphatic system disordersRandomized Period: Placebo Plus Pemetrexed1727322
otherLeukopeniaBlood and lymphatic system disordersSurvival Follow-up Period: Vandetanib Plus Pemetrexed01240
otherLeukopeniaBlood and lymphatic system disordersSurvival Follow-up Period: Placebo Plus Pemetrexed01100
otherNeutropeniaBlood and lymphatic system disordersRandomized Period: Vandetanib Plus Pemetrexed2126032
otherNeutropeniaBlood and lymphatic system disordersRandomized Period: Placebo Plus Pemetrexed2627335

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRandomized Period: Vandetanib Plus Pemetrexed122260
Total, all-cause mortalityRandomized Period: Placebo Plus Pemetrexed147273
Total, all-cause mortalitySurvival Follow-up Period: Vandetanib Plus Pemetrexed63124
Total, all-cause mortalitySurvival Follow-up Period: Placebo Plus Pemetrexed58110
Total, other adverse eventsRandomized Period: Vandetanib Plus Pemetrexed234260
Total, other adverse eventsRandomized Period: Placebo Plus Pemetrexed242273
Total, other adverse eventsSurvival Follow-up Period: Vandetanib Plus Pemetrexed22124
Total, other adverse eventsSurvival Follow-up Period: Placebo Plus Pemetrexed19110
Total, serious adverse eventsRandomized Period: Vandetanib Plus Pemetrexed84260
Total, serious adverse eventsRandomized Period: Placebo Plus Pemetrexed94273

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
21282537RESULTPubMed
25881079DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00418886

GET https://conductscience.org/api/trials/v1/NCT00418886/events?page=2