SWOG clinical trial number
S1403

A Randomized Phase II Trial of Afatinib Plus Cetuximab Versus Afatinib Alone In Treatment-Naïve Patients With Advanced, EGFR Mutation Positive Non-Small Lung Cancer (NSCLC)

Closed
Phase
Accrual
29%
Abbreviated Title
Lung Ph II/III Stage IV NSCLC Afatinib+Cetuximab vs Afatinib
Status Notes
This study permanently closed to accrual effective April 23, 2018.
Activated
03/25/2015
Closed
04/23/2018
Participants
ALL NATIONAL CLINICAL TRIALS NETWORK MEMBERS

Research committees

Lung Cancer

Treatment

Cetuximab Afatinib

Eligibility Criteria Expand/Collapse

Pts must have Stage IV or recurrent NSCLC with EGFR exon 19 deletion or exon 21 (L858R) substitution mutation. EGFR testing must have been performed using FDA-approved test or in CLIA-certified lab. Pts must have tissue available and agree to have tissue & blood submitted per Sect 15. Tissue must be confirmed by local pathologist to have > 100 viable tumor cells present. Pts enrolled at Repeat Biopsy Study sites must agree to tissue submission from repeat bx at time of progression. No prior systemic anticancer therapy for adv or met dx or adj EGFR-directed therapy. Local therapy allowed if > 7 days since last dose and pt recovered from assoc tox. Disease doc by CT/MRI within 42 days prior to reg. No symptomatic CNS disease and CT/MRI obtained within 42 days prior to reg. No known clinically active interstitial lung disease. ANC >/= 1500, PLT >/= 75,000, HGB >/= 9, bili </= 1.5 x IULN, AST & ALT </= 2.5 x IULN (or 5 w/known liver mets), creatinine </= 1.5 x IULN or calculated >/= 60 obtained within 28 days prior to reg. No significant GI disorders. Able to swallow meds. No hx of clinically relevant cardiovascular abnormalities. If clinically indicated, echo or MUGA performed and cardiac ejection fraction >/=50%. No major surgery within 28 days prior to reg nor during projected course of protocol treatment. No known hx of active Hep B or C nor known HIV.

Publication Information Expand/Collapse

2022

Circulating tumor DNA (ctDNA) kinetics predict progression-free and overall survival in EGFR TKI-treated patients with EGFR-mutant NSCLC (SWOG S1403)

P Mack;J Miao;M Redman;J Moon;S Goldberg;R Herbst;M Melnick;Z Walther;F Hirsch;K Politi;K Kelly;D Gandara Clinical Cancer Research Sep 1;28(17):3752-3760

PMid: PMID35713632 | PMC number: PMC9444942

2020

Residual circulating tumor DNA (ctDNA) after two months of therapy predicts progression-free and overall survival in patients treated on SWOG S1403 with afatinib +/- cetuximab

P Mack;M Redman;J Moon;S Goldberg;RS Herbst;M Melnick;Z Walther;F Hirsch;K Politi;K Kelly;D Gandara J Clin Oncol 38: 2020 (suppl; abstr 9532); American Society of Clinical Oncology 2020 Annual Meeting, poster

Afatinib plus cetuximab versus afatinib alone for first-line treatment of EGFR-mutant non-small cell lung cancer: final results from SWOG S1403

S Goldberg;M Redman;R Lilenbaum;K Politi;T Stinchcombe;L Horn;E Chen;S Mashru;S Gettinger;M Melnick;R Herbst;M Baumgart;J Miao;J Moon;K Kelly;D Gandara Journal of Clinical Oncology Dec 1;38(34):4076-4085; Oct 6;JCO2001149. doi: 10.1200/JCO.20.01149. Online ahead of print

PMid: PMID33021871

2018

Afatinib with or without cetuximab for EGFR-mutant non-small cell lung cancer: Safety and efficacy results from SWOG S1403

SB Goldberg;M Redman;RC Lilenbaum;K Politi;T Stinchcombe;L Horn;EH Chen;S Mashru;S Gettinger;M Melnik;J Miao;J Moon;K Kelly;D Gandara WCLC IASCLC Annual Meeting (Sept 23-26, 2018, Toronto CAN), oral

Update on International Cooperative Groups Studies in Thoracic Malignancies: The Emergence of Immunotherapy [Review]

ND Shukla;AA Salahudeen;GA Taylor;SS Ramalingam;EE Vokes;GD Goss;RH Decker;K Kelly;GV Scagliotti;TS Mok;HA Wakelee Clinical Lung Cancer Sep;19(5):377-386

PMid: PMID29653819

2017

Overview of thoracic oncology trials in cooperative groups around the globe

A Salahudeen;MI Patel;P Baas;W Curran;JD Bradley;D Gandara;P Goss;T Mok;SS Ramalingam;EE Vokes;S Malik;H Wakelee Clinical Lung Cancer Jan;18(1):5-12; 2016 Jun 27 [Epub ahead of print]

PMid: PMID27473736 | PMC number: PMC5361177

Longitudinal analysis of plasma ctDNA in EGFR-mutant NSCLC: SWOG S1403 trial of afatinib with or without cetuximab

P Mack;J Miao;KC Banks;R Burich;K Politi;V Raymond;D Dix;R Lanman;J Moon;M Redman;S Goldberg;D Gandara;K Kelly IASLC World Conference on Lung Cancer (October 15 - 18 2017, Yokohama, Japan), poster presentation, abst. P3.01-046

2016

Afatinib with or without cetuximab for first-line treatment of advanced EGFR-mutant NSCLC: Interim Results of SWOG S1403

S Goldberg;J Moon;R Lilenbaum;K Politi;M Melnick;T Stinchcombe;L Horn;E Chen;J Miao;M Redman;K Kelly;D Gandara World Conference on Lung Cancer (Dec 4-7, 2016,Vienna, Austria); poster

2015

Patient-derived xenografts for investigation of acquired resistance in oncogene-driven cancers: building a better mousetrap

D Gandara;P Lara;P Mack Journal of Clinical Oncology Sep 10;33(26):2839-2840

PMid: PMID26215942 | PMC number: editorial not within scope of Public Access Policy

2014

Acquired resistance to targeted therapies against oncogene-driven non-small-cell lung cancer: approach to subtyping progressive disease and clinical implications

D Gandara;T Lee;P Lara;K Kelly;J Riess;MW Redman;PC Mack Clinical Lung Cancer 15(1):1-6

PMid: PMID24176733 | PMC number: PMC4586161