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Trial · NCT02186847

Chemotherapy and Radiation Therapy With or Without Metformin Hydrochloride in Treating Patients With Stage III Non-small Cell Lung Cancer

NCT02186847, Phase 2, Completed, NRG Oncology; results first posted 2020-06-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Chemotherapy and Radiation Therapy With or Without Metformin Hydrochloride in Treating Patients With Stage III Non-small Cell Lung Cancer. Trials, record NCT02186847. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02186847

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Trial

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

Title
Chemotherapy and Radiation Therapy With or Without Metformin Hydrochloride in Treating Patients With Stage III Non-small Cell Lung Cancer
NCT number
NCT02186847
Status
Completed
Phases
Phase 2
Enrollment
170 participants, actual
Lead sponsor
NRG Oncology
Conditions
Adenosquamous Lung Carcinoma, Bronchioloalveolar Carcinoma, Large Cell Lung Carcinoma, Lung Adenocarcinoma, Non-Small Cell Lung Carcinoma, Recurrent Non-Small Cell Lung Carcinoma, Squamous Cell Lung Carcinoma, Stage IIIA Non-Small Cell Lung Cancer, Stage IIIB Non-Small Cell Lung Cancer
Interventions
Radiation Therapy, Carboplatin, Metformin, Paclitaxel
First posted
2014-07-10
Last updated
2026-07-13
Results first posted
2020-06-23

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Alive Without Progression (Progression-free Survival)From randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.
Progression is defined per RECIST v1.1 as change in a known lesion(s) meeting one of the following criteria: \[1\] At least a 20% increase in the sum of the longest diameter of target lesions such that the absolute increase must be \> 5 mm. \[2\] Appearance of ≥1 new lesions. Progression-free survival time is defined as time from randomization to the date of first progression, death, or last known follow-up (censored). Progression-free survival rates are estimated using the Kaplan-Meier method. The protocol specifies that the distributions of failure times be compared between the arms, which is reported in the statistical analysis results. One-year rates are provided. Analysis occurred after 102 progression-free survival events were reported.
SecondaryPercentage of Participants Alive (Overall Survival)From randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.
Overall survival time is defined as time from randomization to the date of death from any cause or last known follow-up (censored). Overall survival rates are estimated using the Kaplan-Meier method. The protocol specifies that the distributions of failure times be compared between the arms, which is reported in the statistical analysis results. One-year rates are provided. Analysis occurred after 102 progression-free survival events were reported.
SecondaryPercentage of Participants With Local-regional ProgressionFrom randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.
Local-regional progression (LRP) is defined as progression within the planned treatment volume (PTV) or outside the PTV but within the same lobe(s) of the lung as the primary tumor or in regional lymph nodes. Progression is defined as change in a known lesion(s) meeting one of the following criteria: \[1\] ≥ 20% increase in the sum of the longest diameter of target lesions such that the absolute increase must be \> 5 mm. \[2\] Appearance of ≥1 new lesions. LRP time is defined as time from randomization to the date of first LRP, death without LRP (competing risk), or last known follow-up (censored). LRP rates are estimated using the cumulative incidence method. The protocol specifies that the distributions of failure times be compared between the arms, which is reported in the statistical analysis results. One-year rates are provided. Analysis occurred after 102 LRP events were reported.
SecondaryPercentage of Participants With Distant MetastasesFrom randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.
Distant metastasis (DM) is defined as the appearance of ≥ 1 new lesions at any site (including pleural or pericardial effusion) outside of the following: the planned treatment volume, the same lobe(s) of the lung as the primary tumor, or regional lymph nodes. Time to DM is defined as time from randomization to the date of first DM, death without DM (competing risk), or last known follow-up (censored). DM rates are estimated using the cumulative incidence method. The protocol specifies that the distributions of failure times be compared between the arms, which is reported in the statistical analysis results. One-year rates are provided. Analysis occurred after 102 progression-free survival events were reported.
SecondaryPercentage of Participants With Treatment-related Grade 3 or Higher Adverse EventsFrom start of treatment to last follow-up. Maximum follow-up at time of analysis was 47.2 months.
Adverse events (AE) were graded using the Common Terminology Criteria for Adverse Events (CTCAE) v4.0. Grade refers to the severity of the AE. The CTCAE v4.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related to adverse event. "Treatment-related" is defined definitely, probably, or possibly related to treatment.

Outcomes5

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Alive Without Progression (Progression-free Survival)From randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.Eligible participantspercentage of participantsNUMBER
SECONDARYPercentage of Participants Alive (Overall Survival)From randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.Eligible participantspercentage of participantsNUMBER
SECONDARYPercentage of Participants With Local-regional ProgressionFrom randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.Eligible participantspercentage of participantsNUMBER
SECONDARYPercentage of Participants With Distant MetastasesFrom randomization to last follow-up. Maximum follow-up at time of analysis was 47.2 months.Eligible participantspercentage of participantsNUMBER
SECONDARYPercentage of Participants With Treatment-related Grade 3 or Higher Adverse EventsFrom start of treatment to last follow-up. Maximum follow-up at time of analysis was 47.2 months.Eligible participants who started protocol treatmentpercentage of participantsNUMBER

Results by group10

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Alive Without Progression (Progression-free Survival)Chemoradiation60.495% Confidence Interval 48.5 to 70.4percentage of participants
Percentage of Participants Alive Without Progression (Progression-free Survival)Metformin + Chemoradiation51.395% Confidence Interval 39.8 to 61.7percentage of participants
Percentage of Participants Alive (Overall Survival)Chemoradiation38.595% Confidence Interval 26.3 to NApercentage of participants
Percentage of Participants Alive (Overall Survival)Metformin + Chemoradiation40.195% Confidence Interval 27.9 to NApercentage of participants
Percentage of Participants With Local-regional ProgressionChemoradiation17.295% Confidence Interval 9.7 to 26.6percentage of participants
Percentage of Participants With Local-regional ProgressionMetformin + Chemoradiation20.595% Confidence Interval 12.4 to 30.2percentage of participants
Percentage of Participants With Distant MetastasesChemoradiation17.295% Confidence Interval 9.7 to 26.6percentage of participants
Percentage of Participants With Distant MetastasesMetformin + Chemoradiation20.595% Confidence Interval 12.4 to 30.2percentage of participants
Percentage of Participants With Treatment-related Grade 3 or Higher Adverse EventsChemoradiation67.195% Confidence Interval 55.4 to 77.5percentage of participants
Percentage of Participants With Treatment-related Grade 3 or Higher Adverse EventsMetformin + Chemoradiation63.495% Confidence Interval 52.1 to 73.8percentage of participants

Participant flow10

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDChemoradiation84
Overall StudySTARTEDMetformin + Chemoradiation86
Overall StudyEligible PopulationChemoradiation81
Overall StudyEligible PopulationMetformin + Chemoradiation86
Overall StudyEligible and Started Protocol TreatmentChemoradiation76
Overall StudyEligible and Started Protocol TreatmentMetformin + Chemoradiation82
Overall StudyCOMPLETEDChemoradiation81
Overall StudyCOMPLETEDMetformin + Chemoradiation86
Overall StudyNOT COMPLETEDChemoradiation3
Overall StudyNOT COMPLETEDMetformin + Chemoradiation0

Adverse events306

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersChemoradiation5076
otherAnemiaBlood and lymphatic system disordersMetformin + Chemoradiation4682
otherAtrial fibrillationCardiac disordersChemoradiation276
otherAtrial fibrillationCardiac disordersMetformin + Chemoradiation582
otherSinus tachycardiaCardiac disordersChemoradiation376
otherSinus tachycardiaCardiac disordersMetformin + Chemoradiation782
otherHearing impairedEar and labyrinth disordersChemoradiation576
otherHearing impairedEar and labyrinth disordersMetformin + Chemoradiation182
otherBlurred visionEye disordersChemoradiation476
otherBlurred visionEye disordersMetformin + Chemoradiation482

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityChemoradiation3176
Total, all-cause mortalityMetformin + Chemoradiation3482
Total, other adverse eventsChemoradiation7576
Total, other adverse eventsMetformin + Chemoradiation7982
Total, serious adverse eventsChemoradiation3176
Total, serious adverse eventsMetformin + Chemoradiation2782

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
34323922DERIVED

Source PubMed

Grants1

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U10CA180868NRG Oncology Network Group Operations CenterWOLMARK, NORMAN; Le, Quynh-Thu Xuan; MANNEL, ROBERT S.NRG ONCOLOGY FOUNDATION, INC.NATIONAL CANCER INSTITUTE2014 to 2026

Trial comparisons2

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

ComparisonSource
Chemoradiation vs Metformin + Chemoradiation: deaths from any causeTrial comparisons
Chemoradiation vs Metformin + Chemoradiation: serious adverse eventsTrial comparisons

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/NCT02186847

GET https://conductscience.org/api/trials/v1/NCT02186847/events?page=2