PMID- 21212157 OWN - NLM STAT- MEDLINE DCOM- 20111128 LR - 20200913 IS - 1569-8041 (Electronic) IS - 0923-7534 (Linking) VI - 22 IP - 6 DP - 2011 Jun TI - A phase II double-blind study to investigate efficacy and safety of two doses of the triple angiokinase inhibitor BIBF 1120 in patients with relapsed advanced non-small-cell lung cancer. PG - 1374-1381 LID - S0923-7534(19)38488-1 [pii] LID - 10.1093/annonc/mdq618 [doi] AB - BACKGROUND: To assess the efficacy, safety, tolerability and pharmacokinetics of BIBF 1120 in patients with stage IIIB/IV non-small-cell lung cancer (NSCLC). METHODS: Patients with locally advanced or metastatic relapsed NSCLC in whom first- or second-line platinum-based chemotherapy failed were randomly allocated to daily 250 mg BIBF 1120 b.i.d. or 150 mg BIBF 1120 b.i.d. Primary end points were progression-free survival (PFS) and objective tumour response (RECIST). Incidence and severity of adverse events (AEs) were reported. RESULTS: Seventy-three patients received BIBF 1120. Median PFS was 6.9 weeks, with no significant difference between treatment arms. Median overall survival (OS) was 21.9 weeks. Eastern Cooperative Oncology Group (ECOG) 0-1 patients (n = 56) had a median PFS of 11.6 weeks and a median OS of 37.7 weeks. Tumour stabilisation was achieved in 46% of patients (ECOG 0-1 patients: 59%), with one confirmed partial response (250 mg b.i.d.). Most commonly reported drug-related AEs were nausea (57.5%), diarrhoea (47.9%), vomiting (42.5%), anorexia (28.8%), abdominal pain (13.7%) and reversible alanine transaminase (13.7%) and aspartate aminotransferase elevations (9.6%). BIBF 1120 displayed dose-linear pharmacokinetic characteristics. CONCLUSION: Continuous treatment with BIBF 1120 was well tolerated, with no difference in efficacy between treatment arms. PFS and objective response with single-agent treatment in advanced disease warrants further exploration. FAU - Reck, M AU - Reck M AD - Department of Thoracic Oncology, Hospital Grosshansdorf, Grosshansdorf, Hamburg. Electronic address: dr.martin.reck@web.de. FAU - Kaiser, R AU - Kaiser R AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach. FAU - Eschbach, C AU - Eschbach C AD - Department of Pneumology, Asklepios Hospitals Harburg, Hamburg, Germany. FAU - Stefanic, M AU - Stefanic M AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach. FAU - Love, J AU - Love J AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach. FAU - Gatzemeier, U AU - Gatzemeier U AD - Department of Thoracic Oncology, Hospital Grosshansdorf, Grosshansdorf, Hamburg. FAU - Stopfer, P AU - Stopfer P AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach. FAU - von Pawel, J AU - von Pawel J AD - Department of Pneumology, Asklepios Hospitals Harburg, Hamburg, Germany. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial DEP - 20110106 PL - England TA - Ann Oncol JT - Annals of oncology : official journal of the European Society for Medical Oncology JID - 9007735 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Indoles) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - G6HRD2P839 (nintedanib) SB - IM MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inhibitors/administration & dosage/adverse effects/pharmacokinetics/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/pathology MH - Double-Blind Method MH - Female MH - Humans MH - Indoles/administration & dosage/adverse effects/pharmacokinetics/*therapeutic use MH - Lung Neoplasms/*drug therapy/pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Protein Kinase Inhibitors/administration & dosage/adverse effects/pharmacokinetics/*therapeutic use MH - Protein-Tyrosine Kinases/antagonists & inhibitors MH - Recurrence MH - Treatment Outcome EDAT- 2011/01/08 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/01/08 06:00 PHST- 2011/01/08 06:00 [entrez] PHST- 2011/01/08 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - S0923-7534(19)38488-1 [pii] AID - 10.1093/annonc/mdq618 [doi] PST - ppublish SO - Ann Oncol. 2011 Jun;22(6):1374-1381. doi: 10.1093/annonc/mdq618. Epub 2011 Jan 6.