Table 4.
Surrogate endpoints for OS (tumor size variables)
Population | Variable | HR (95% CI)a | P-valueb |
---|---|---|---|
Patients with adenocarcinoma histology NSCLC | |||
All | SLD of target lesions at 2 months after randomization (cm) | 1.005 (1.003–1.006) | <0.0001 |
ETS (any tumor increase, without new metastases vs new metastases) | 0.574 (0.422–0.781) | 0.0004 | |
ETS (minor tumor shrinkage vs new metastases) | 0.711 (0.542–0.934) | 0.0143 | |
PFS duration (months) | 0.994 (0.992–0.995) | <0.0001 | |
PFS flag (PFS censoring vs PFS event) | 0.570 (0.445–0.730) | <0.0001 | |
TSFLT, 9 months | SLD of target lesions at 2 months after randomization (cm) | 1.004 (1.002–1.006) | 0.0002 |
PFS duration (months) | 0.994 (0.992–0.995) | <0.0001 | |
PFS flag (PFS censoring vs PFS event) | 0.566 (0.416–0.770) | 0.0003 | |
PD-FLT | SLD of target lesions at baseline (cm) | 1.007 (1.003–1.010) | 0.0004 |
PFS duration (months) | 0.992 (0.989–0.995) | <0.0001 | |
Time to return to baseline SLD of target lesions (months) | 1.001 (1.000–1.002) | 0.0021 | |
Patients with squamous cell histology NSCLC | |||
SLD of target lesions at 2 months after randomization (cm) | 1.006 (1.004–1.007) | <0.0001 | |
TTG (months) | 1.080 (1.015–1.148) | 0.0143 | |
PFS duration (months) | 0.993 (0.992–0.995) | <0.0001 | |
PFS flag (PFS censoring vs PFS event) | 0.474 (0.351–0.639) | <0.0001 |
Notes:
Please note that the HRs are not treatment effects. An HR of 1.005 as in line 1 means that an uptake in SLD at 2 months of 10 cm increases the risk of death by 5%.
Score test.
Abbreviations: ETS, early tumor shrinkage; HR, hazard ratio; NSCLC, non-small-cell lung cancer; OS, overall survival; PD-FLT, progressive disease as the best response to first-line therapy; PFS, progression-free survival; SLD, sum of longest diameter; TSFLT, time from start of first-line therapy to randomization; TTG, time to tumor growth.