A Study of First-line Maintenance Erlotinib Versus Erlotinib at Disease Progression in Participants With Advanced Non-Small Cell Lung Cancer (NSCLC) Who Have Not Progressed Following Platinum-Based Chemotherapy
Non-Squamous Non-Small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Non-Squamous Non-Small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Adults greater than or equal to (≥) 18 years of age, or legal age of consent if greater than 18
- Advanced or recurrent (Stage IIIB) or metastatic (Stage IV) NSCLC
- Completion of 4 cycles of platinum-based chemotherapy without progression (end of last chemotherapy cycle less than or equal to [≤] 28 days prior to randomization)
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
Exclusion Criteria:
- Prior exposure to agents directed at human epidermal growth factor receptor (HER) axis (e.g. erlotinib, gefitinib, cetuximab)
- Participants whose tumors harbor an EGFR-activating mutation
- Prior chemotherapy or therapy with systemic anti-neoplastic therapy for advanced disease before Screening
- Use of pemetrexed in maintenance setting (pemetrexed allowed during the chemotherapy run-in)
- Participants who have undergone complete tumor resection after responding to the platinum-based chemotherapy during the Screening phase
- Any other malignancies within 5 years, except for curatively resected carcinoma in situ of the cervix, basal or squamous cell skin cancer, ductal carcinoma in situ, or organ-confined prostate cancer
- Central nervous system (CNS) metastases or spinal cord compression that has not been definitely treated with surgery and/or radiation, or treated CNS metastases or spinal cord compression without stable disease for ≥2 months
- Human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection
- Any inflammatory changes of the surface of the eye
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Early Erlotinib
Late Erlotinib
Participants will receive blinded erlotinib as 150 mg PO once daily in the maintenance setting until disease progression, death, or unacceptable toxicity. Those who demonstrate disease progression may be unblinded to receive an approved second-line therapy (but not EGFR targeted therapies) until disease progression, death, or unacceptable toxicity. Participants may be observed during a final SFU period after discontinuation from study treatment.
Participants will receive blinded placebo tablets PO once daily in the maintenance setting until disease progression, death, or unacceptable toxicity. Those who demonstrate disease progression may be unblinded to receive second-line erlotinib as 150 mg PO once daily until disease progression, death, or unacceptable toxicity. Participants may be observed during a final SFU period after discontinuation from study treatment.