Table 4.
Summary of efficacy parameters for patients with nonsquamous disease
Efficacy parameter | JMII PCb/P | S110 PC/P | PARAMOUNT P+BSC mnt |
---|---|---|---|
Induction regimen | Carboplatin+pemetrexed | Cisplatin+pemetrexed | Cisplatin+pemetrexed |
Induction sample size | 106 | 27 | 939 |
Maintenance sample size | 60 (56.6%) | 22 (81.5%) | 359 (66.6%)a) |
Efficacy during maintenance therapy | |||
Maintenance regimen | Pemetrexed | Pemetrexed | Pemetrexed |
No. | 60 | 22 | 359 |
Median PFS (95% CI, mo) | 3.9 (3.2-5.2) | 4.04 (3.22-5.29) | 4.1 (3.2-4.6) |
Efficacy during induction+maintenance period | |||
No. | 106b) | 27 | 359a) |
Median PFS (95% CI, mo) | 5.7 (4.4-7.3) | 6.83 (5.78-7.98) | 6.9 (6.2-7.5) |
Median OS (95% CI, mo)c) | 20.2 (16.7-NA) | NRd) | 13.9 (12.8-16.0) |
1-Year survival rate (95% CI, %)c) | 70.0 (60.4-77.8) | 96.3 (76.5-99.5) | 58 (53.0-63.0) |
2-Year survival rate (95% CI, %)c) | 42.5 (32.8-51.8) | 78.0 (54.7-90.2) | 32 (27.0-37.0) |
Subgroup analysis | |||
Median PFS (95% CI, mo), EGFR mutation-positive patients | 5.7 (5.2-7.2) | NAe) | NAe) |
Median PFS (95% CI, mo), EGFR mutation-negative patients | 6.9 (4.3-7.8) | NAe) | NAe) |
PCb/P, pemetrexed+carboplatin followed by pemetrexed; PC/P, pemetrexed+cisplatin followed by pemetrexed; P+BSC mnt, pemetrexed+best supportive care maintenance; PFS, progression-free survival; CI, confidence interval; OS, overall survival; NA, not available; NR, not reached; EGFR, epidermal growth factor receptor.
In PARAMOUNT, 939 patients were enrolled into the induction phase, and 539 patients (57.4%) (pemetrexed [n=359], placebo [n=180]) were randomized,
Efficacy assessment was performed on per-protocol set, which consisted of 106 treated patients without major protocol violations as reported in the JMII manuscript,
In PARAMOUNT, median OS, 1-year and 2-year survival rates are reported for the maintenance period but for the induction+maintenance period for S110 and JMII,
There were insufficient events to calculate median OS in study S110 due to censoring (72.9% cases were censored),
The EGFR mutation analysis was not performed in studies S110 and PARAMOUNT.