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To assess the safety and efficacy of PF-00299804 in patients with advanced lung cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PF-00299804 | Drug | Single arm (no comparator) study, oral once daily dosing, dose escalation (it is a phase 1/2 study) until disease progression, unacceptable toxicity or withdrawal of consent |
| Measure | Description | Time Frame |
|---|---|---|
| Recommended Phase 2 Dose (RP2D) - Phase 1 | The highest dose at which less than (<) 33 percent (%) of participants experienced dose-limiting toxicities (DLT) was to be designated as the maximum tolerated dose (MTD) as well as the RP2D. DLT was defined as any of the following events: Grade 3/4 (severe or life-threatening/ disabling adverse event [AE]) nausea, vomiting, or diarrhea (despite the use of adequate/maximal medical intervention and/or prophylaxis); Grade greater than or equal to (>=) 3 (severe or life-threatening/disabling AE or death related to AE) non-hematological toxicity; delayed (which delayed scheduled treatment for >14 days) recovery from toxicity related to treatment with PF-00299804; Grade 4 neutropenia (absolute neutrophil count [ANC] <500 cells per cubic millimeter [cells/mm^3] for 5 or more consecutive days or febrile neutropenia [fever >=38.5 degrees Celsius with ANC <1000 cells/mm^3]); and Grade 4 thrombocytopenia (<25,000 cells/mm^3) or bleeding which required platelet transfusion. | Baseline up to Day 21 |
| Progression-Free Survival (PFS) at Month 4 (PFS4m) - Phase 2 | PFS4m was defined as percent chance of being event free (event defined as progressive disease [PD] or death due to any cause, whichever occurred first) at 4 months. Progression was defined using Response Evaluation Criteria in Solid Tumors (RECIST), as at least 20 percent (%) increase in the sum of longest dimensions (LD) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. | Month 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-Free Survival (PFS) at Month 6 (PFS6m) - Phase 2 | PFS6m was defined as percent chance of being event free (event defined as PD or death due to any cause, whichever occurred first) at 6 months. Progression was defined using RECIST, as at least 20% increase in the sum of longest dimensions (LD) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital, Department of Internal Medicine | Seoul | 110-744 | South Korea | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25521398 | Derived | Park K, Cho BC, Kim DW, Ahn MJ, Lee SY, Gernhardt D, Taylor I, Campbell AK, Zhang H, Giri N, Letrent SP, O'Connell J, Heo DS. Safety and efficacy of dacomitinib in korean patients with KRAS wild-type advanced non-small-cell lung cancer refractory to chemotherapy and erlotinib or gefitinib: a phase I/II trial. J Thorac Oncol. 2014 Oct;9(10):1523-31. doi: 10.1097/JTO.0000000000000275. |
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
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| ID | Title | Description |
|---|---|---|
| FG000 | PF-00299804 30 mg - Phase 1 | A single dose of PF-00299804 30 milligram (mg) tablet orally on or before Day -9 followed by PF-00299804 30 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
| FG001 | PF-00299804 45 mg - Phase 1 | A single dose of PF-00299804 45 mg tablet orally on or before Day -9 followed by PF-00299804 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
| FG002 | PF-00299804 45 mg - Phase 2 | PF-00299804 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Data for baseline characteristics was pre-specified in statistical analysis plan to be analyzed and summarized per phase.
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| ID | Title | Description |
|---|---|---|
| BG000 | PF-00299804 - Phase 1 All Participants | A single dose of PF-00299804 30 mg or 45 mg tablet orally on or before Day -9 followed by PF-00299804 30 mg or 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Recommended Phase 2 Dose (RP2D) - Phase 1 | The highest dose at which less than (<) 33 percent (%) of participants experienced dose-limiting toxicities (DLT) was to be designated as the maximum tolerated dose (MTD) as well as the RP2D. DLT was defined as any of the following events: Grade 3/4 (severe or life-threatening/ disabling adverse event [AE]) nausea, vomiting, or diarrhea (despite the use of adequate/maximal medical intervention and/or prophylaxis); Grade greater than or equal to (>=) 3 (severe or life-threatening/disabling AE or death related to AE) non-hematological toxicity; delayed (which delayed scheduled treatment for >14 days) recovery from toxicity related to treatment with PF-00299804; Grade 4 neutropenia (absolute neutrophil count [ANC] <500 cells per cubic millimeter [cells/mm^3] for 5 or more consecutive days or febrile neutropenia [fever >=38.5 degrees Celsius with ANC <1000 cells/mm^3]); and Grade 4 thrombocytopenia (<25,000 cells/mm^3) or bleeding which required platelet transfusion. | As-treated population included all enrolled participants who received at least 1 dose of study medication. | Posted | Number | mg | Baseline up to Day 21 |
Adverse events were recorded from the time that the participant provided informed consent through and including 28 calendar days after the last administration of the investigational product.
The same event may appear as both an adverse event (AE) and a serious AE (SAE). However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as nonserious in another participant, or one participant may have experienced both a serious and nonserious event during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PF-00299804 30 mg - Phase 1 | A single dose of PF-00299804 30 milligram (mg) tablet orally on or before Day -9 followed by PF-00299804 30 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 17.0 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hearing impaired | Ear and labyrinth disorders | MedDRA 17.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C525726 | dacomitinib |
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| Month 6 |
| Overall Survival (OS) at Month 6 (OS6m) - Phase 2 | OS6m was defined as percent chance of being alive at Month 6. | Month 6 |
| Percentage of Participants With Objective Response - Phase 1 | Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. CR: disappearance of all target and non-target lesions. PR: at least 30 % decrease in sum of the longest dimensions (LDs) of target lesion, taking as reference the baseline sum LD, associated to non-progressive disease response for non-target lesions. Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. | Baseline until disease progression or initiation of new anti-cancer therapy or death, assessed every 2 (odd-numbered) cycles up to 12 months after end of treatment (EOT) (EOT: up to Day 506) |
| Soluble Protein Biomarkers Level | Blood specimens were analyzed at a sponsor-designated laboratory for analysis of shed proteins/receptors related to Human Epidermal Growth Factor Receptor (HER) signaling (epidermal growth factor receptor [EGFR], HER2). These measurements were determined by enzyme-linked immunosorbent assay (ELISA). The data for all Phase 1 participants was combined for this outcome. | Cycle 1 Day 1 (C1D1, Baseline), Day 1 of each odd-numbered cycle up to Cycle 17 for both Phase 1 and Phase 2 |
| Number of Participants With Epidermal Growth Factor Receptor (EGFR), Kirsten Rat Sarcoma (KRAS), and Human Epidermal Growth Factor Receptor-2 (HER2) Mutation Status | Tumor tissue was analyzed at a sponsor-designated laboratory to investigate EGFR, KRAS and HER2 status (wild type or mutated). Participants who did not provide samples for central laboratory analysis confirmation were classified as "unknown". The data for all Phase 1 participants was combined for this outcome. | Screening |
| Maximum Observed Plasma Concentration (Cmax) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm at Cycle 0 Day -9 (C0D-9) represents participants from Phase 1 only and at C1D14 represents participants from both Phase 1 and Phase 2. | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9 for Phase 1, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm at C0D-9 represents participants from Phase 1 only and at C1D14 represents participants from both Phase 1 and Phase 2. | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on Cycle 0 Day -9 (C0D-9) for Phase 1, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
| Plasma Decay Half-Life (t1/2) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on Cycle 0 Day -9 (C0D-9) |
| Area Under the Curve From Time Zero to 24 Hour Post-Dose (AUC0-24) of PF-00299804 30 mg and PF-00299804 45 mg | AUC0-24: Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post dose. Data in "PF- 00299804 45 mg" treatment arm at C0D-9 represents participants from Phase 1 only and at C1D14 represents participants from both Phase 1 and Phase 2. | 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on Cycle 0 Day -9 (C0D-9) for Phase 1, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
| Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-00299804 30 mg and PF-00299804 45 mg- Phase 1 | AUClast: Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration. | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9 |
| Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | AUCinf: Area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9 |
| Accumulation Ratio (Rac) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | Rac was calculated by dividing AUC0-24 (C1D14) by AUC0-24 (C0D-9). | 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C0D-9, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 |
| Average Plasma Concentration (Cavg) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm represents participants from both Phase 1 and Phase 2. | 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
| Linearity Ratio (Rss) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | Rss was calculated by dividing AUC0-24 (C1D14) by AUCinf (C0D-9). | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 |
| Minimum Observed Plasma Trough Concentration (Ctrough) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm represents participants from both Phase 1 and Phase 2. | 0 hours (pre-dose) on C2D1, C3D1, C4D1 |
| Number of Participants With Change in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Phase 2 | EORTC QLQ-C30: included global health status/quality of life (QoL), functional (Fn) scales (physical, role, cognitive, emotional, and social), symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, and financial difficulties). Scores were averaged, transformed to 0-100 scale; higher score for Global Qol/Fn scales=better level of QoL/functioning or higher score for symptom scales/items=greater degree of symptoms. Overall scale change is categorized as Improved (if average scales change from baseline: for Global QoL/Fn scales >=10; for symptom scale/item <=-10), Worsened (if average scales change from baseline: for Global QoL/Fn scales <=-10; for symptom scale/item >=10), and Stable (if average scales change from baseline >-10 but <10 for Global QoL/Fn scales and symptom scale/item) and participants in each category are reported. | Baseline up to end of treatment (up to Day 889) |
| Number of Participants With Change in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module (EORTC QLQ-LC13) - Phase 2 | EORTC QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Scores averaged, transformed to 0-100 scale; higher symptom score = greater degree of symptoms. Overall scale change is categorized as Improved (if average scales change from baseline <=-10), Worsened (if average scales change from baseline >=10), and Stable (if average scales change from baseline >-10 but <10) and participants in each category are reported. | Baseline up to end of treatment (up to Day 889) |
| Dermatology Life Quality Index (DLQI) Total Score - Phase 2 | DLQI: 10-item questionnaire to measure how much the participant's skin problem has impacted their life over the previous week. All questions were answered on a 4-point Likert scale ranging from 0 (not at all/not relevant) to 3 (very much/prevented work or studying). The DLQI was calculated by summing the score of each question and ranged from 0 to 30, where higher scores indicate more quality of life impairment. | C1D1 (baseline), D1 of each subsequent cycle up to C44 |
| Best Overall Response (BOR) - Phase 2 | Number of participants with BOR according to RECIST: CR= disappearance of all target and non-target lesions. PR= at least 30% decrease in sum of LDs of target lesion, taking as reference baseline sum LD, associated to non-progressive disease response for non-target lesions. Stable/no response= neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Objective progression= at least a 20% increase in sum of LDs of target lesions, taking as reference the smallest sum of LD recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. | Baseline until disease progression or initiation of new anti-cancer therapy or death, assessed every 2 (odd-numbered) cycles up to 12 months after EOT (EOT: up to Day 1723) |
| Duration of Response (DR) | Time in weeks from first documentation of objective tumor response to objective tumor progression or death due to any cause, whichever occurred first. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause minus the date of the first CR or PR [which ever occurred first] that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response. | Baseline until disease progression or initiation of new anti-cancer therapy or death, assessed every 2 (odd-numbered) cycles up to 12 months after EOT (EOT: up to Day 506 for Phase 1 and up to Day 1723 for Phase 2) |
| Severance Hospital, Yonsei University College of Medicine, Yonsei Cancer Center |
| Seoul |
| 120-752 |
| South Korea |
| Samsung Medical Center, Department of Medicine | Seoul | 135-710 | South Korea |
| Withdrawal by Subject |
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| Study terminated by Sponsor |
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| Other |
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| PF-00299804 45 mg - Phase 2 |
PF-00299804 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| ID |
|---|
| Title |
|---|
| Description |
|---|
| OG000 | PF-00299804 - Phase 1 All Participants | A single dose of PF-00299804 30 mg or 45 mg tablet orally on or before Day -9 followed by PF-00299804 30 mg or 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. |
|
|
| Primary | Progression-Free Survival (PFS) at Month 4 (PFS4m) - Phase 2 | PFS4m was defined as percent chance of being event free (event defined as progressive disease [PD] or death due to any cause, whichever occurred first) at 4 months. Progression was defined using Response Evaluation Criteria in Solid Tumors (RECIST), as at least 20 percent (%) increase in the sum of longest dimensions (LD) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. | Full analysis set (FAS) included all enrolled participants. | Posted | Number | 95% Confidence Interval | percent chance of being event-free | Month 4 |
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| Secondary | Progression-Free Survival (PFS) at Month 6 (PFS6m) - Phase 2 | PFS6m was defined as percent chance of being event free (event defined as PD or death due to any cause, whichever occurred first) at 6 months. Progression was defined using RECIST, as at least 20% increase in the sum of longest dimensions (LD) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. | FAS included all enrolled participants. | Posted | Number | 95% Confidence Interval | percent chance of being event-free | Month 6 |
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| Secondary | Overall Survival (OS) at Month 6 (OS6m) - Phase 2 | OS6m was defined as percent chance of being alive at Month 6. | FAS included all enrolled participants. | Posted | Number | 95% Confidence Interval | percent chance of being alive | Month 6 |
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| Secondary | Percentage of Participants With Objective Response - Phase 1 | Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. CR: disappearance of all target and non-target lesions. PR: at least 30 % decrease in sum of the longest dimensions (LDs) of target lesion, taking as reference the baseline sum LD, associated to non-progressive disease response for non-target lesions. Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. | Response-evaluable population included all enrolled participants who received at least 1 dose of study medication, had an adequate baseline tumor assessment, and had at least 1 on-study tumor assessment after first dosing. | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline until disease progression or initiation of new anti-cancer therapy or death, assessed every 2 (odd-numbered) cycles up to 12 months after end of treatment (EOT) (EOT: up to Day 506) |
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| Secondary | Soluble Protein Biomarkers Level | Blood specimens were analyzed at a sponsor-designated laboratory for analysis of shed proteins/receptors related to Human Epidermal Growth Factor Receptor (HER) signaling (epidermal growth factor receptor [EGFR], HER2). These measurements were determined by enzyme-linked immunosorbent assay (ELISA). The data for all Phase 1 participants was combined for this outcome. | Biomarker analysis set: all enrolled participants who had baseline samples submitted as per Institutional Review Board/Independent Ethics Committee approval and participant consent. Data was pre-specified in statistical analysis plan to be analyzed and summarized per phase. Number analyzed = participants evaluable at specified time-point. | Posted | Mean | Standard Deviation | nanogram per milliliter (ng/mL) | Cycle 1 Day 1 (C1D1, Baseline), Day 1 of each odd-numbered cycle up to Cycle 17 for both Phase 1 and Phase 2 |
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| Secondary | Number of Participants With Epidermal Growth Factor Receptor (EGFR), Kirsten Rat Sarcoma (KRAS), and Human Epidermal Growth Factor Receptor-2 (HER2) Mutation Status | Tumor tissue was analyzed at a sponsor-designated laboratory to investigate EGFR, KRAS and HER2 status (wild type or mutated). Participants who did not provide samples for central laboratory analysis confirmation were classified as "unknown". The data for all Phase 1 participants was combined for this outcome. | Biomarker analysis set: all enrolled participants who had baseline samples submitted as per Institutional Review Board/Independent Ethics Committee approval and participant consent. Data was pre-specified in statistical analysis plan to be analyzed and summarized per phase. | Posted | Number | participants | Screening |
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| Secondary | Maximum Observed Plasma Concentration (Cmax) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm at Cycle 0 Day -9 (C0D-9) represents participants from Phase 1 only and at C1D14 represents participants from both Phase 1 and Phase 2. | Pharmacokinetic (PK): all participants who received at least 1 dose of study drug and had at least 1 measured plasma concentration. "number analyzed"=participants evaluable for specified time-point. PK analysis was done by dose level instead of by phase. Participants started from the same dose level were combined together for PK analysis. | Posted | Geometric Mean | Standard Deviation | nanogram per milliliter (ng/mL) | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9 for Phase 1, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
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| Secondary | Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm at C0D-9 represents participants from Phase 1 only and at C1D14 represents participants from both Phase 1 and Phase 2. | PK analysis set included all participants who received at least 1 dose of study drug and had at least 1 measured plasma concentration. "number analyzed"=participants evaluable for specified time-point. PK analysis was done by dose level instead of by phase. Participants started from the same dose level were combined together for PK analysis. | Posted | Median | Full Range | hours | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on Cycle 0 Day -9 (C0D-9) for Phase 1, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
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| Secondary | Plasma Decay Half-Life (t1/2) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. | PK analysis set for Phase 1 included all participants who received at least 1 dose of study medication and had at least 1 measured plasma concentration. | Posted | Mean | Standard Deviation | hours | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on Cycle 0 Day -9 (C0D-9) |
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| Secondary | Area Under the Curve From Time Zero to 24 Hour Post-Dose (AUC0-24) of PF-00299804 30 mg and PF-00299804 45 mg | AUC0-24: Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post dose. Data in "PF- 00299804 45 mg" treatment arm at C0D-9 represents participants from Phase 1 only and at C1D14 represents participants from both Phase 1 and Phase 2. | PK analysis set included all participants who received at least 1 dose of study drug and had at least 1 measured plasma concentration. "number analyzed"=participants evaluable for specified time-point. PK analysis was done by dose level instead of by phase. Participants started from the same dose level were combined together for PK analysis. | Posted | Geometric Mean | Standard Deviation | nanogram*hour per milliliter (ng*hr/mL) | 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on Cycle 0 Day -9 (C0D-9) for Phase 1, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
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| Secondary | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-00299804 30 mg and PF-00299804 45 mg- Phase 1 | AUClast: Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration. | PK analysis set for Phase 1 included all participants who received at least 1 dose of study medication and had at least 1 measured plasma concentration. | Posted | Geometric Mean | Standard Deviation | ng*hr/mL | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9 |
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| Secondary | Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | AUCinf: Area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). | PK analysis set for Phase 1 included all participants who received at least 1 dose of study medication and had at least 1 measured plasma concentration. | Posted | Geometric Mean | Standard Deviation | ng*hr/mL | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9 |
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| Secondary | Accumulation Ratio (Rac) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | Rac was calculated by dividing AUC0-24 (C1D14) by AUC0-24 (C0D-9). | PK analysis set for Phase 1 included all participants who received at least 1 dose of study medication and had at least 1 measured plasma concentration. | Posted | Mean | Standard Deviation | ratio | 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C0D-9, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 |
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| Secondary | Average Plasma Concentration (Cavg) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm represents participants from both Phase 1 and Phase 2. | PK analysis set included all participants who received at least 1 dose of study drug and had at least 1 measured plasma concentration. PK analysis was done by dose level instead of by phase. Participants started from the same dose level were combined together for PK analysis. | Posted | Geometric Mean | Standard Deviation | ng/mL | 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 for Phase 1 and 2 |
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|
|
| Secondary | Linearity Ratio (Rss) of PF-00299804 30 mg and PF-00299804 45 mg - Phase 1 | Rss was calculated by dividing AUC0-24 (C1D14) by AUCinf (C0D-9). | PK analysis set for Phase 1 included all participants who received at least 1 dose of study medication and had at least 1 measured plasma concentration. | Posted | Mean | Standard Deviation | ratio | 0 (pre-dose), 2, 4, 6, 8, 24, 72, 144, 216 hours post-dose on C0D-9, 0 (pre-dose), 2, 4, 6, 8, 24 hours post-dose on C1D14 |
|
|
|
| Secondary | Minimum Observed Plasma Trough Concentration (Ctrough) of PF-00299804 30 mg and PF-00299804 45 mg | Data in "PF-00299804 45 mg" treatment arm represents participants from both Phase 1 and Phase 2. | PK analysis set included all participants who received at least 1 dose of study drug and had at least 1 measured plasma concentration. PK analysis was done by dose level instead of by phase. Participants started from the same dose level were combined together for PK analysis."number analyzed" = participants evaluable for specified time-point. | Posted | Mean | Standard Deviation | ng/mL | 0 hours (pre-dose) on C2D1, C3D1, C4D1 |
|
|
|
| Secondary | Number of Participants With Change in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Phase 2 | EORTC QLQ-C30: included global health status/quality of life (QoL), functional (Fn) scales (physical, role, cognitive, emotional, and social), symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, and financial difficulties). Scores were averaged, transformed to 0-100 scale; higher score for Global Qol/Fn scales=better level of QoL/functioning or higher score for symptom scales/items=greater degree of symptoms. Overall scale change is categorized as Improved (if average scales change from baseline: for Global QoL/Fn scales >=10; for symptom scale/item <=-10), Worsened (if average scales change from baseline: for Global QoL/Fn scales <=-10; for symptom scale/item >=10), and Stable (if average scales change from baseline >-10 but <10 for Global QoL/Fn scales and symptom scale/item) and participants in each category are reported. | FAS included all enrolled participants. Here "N" (number of participants analyzed) signifies participants who were evaluable for this measure. | Posted | Number | participants | Baseline up to end of treatment (up to Day 889) |
|
|
|
| Secondary | Number of Participants With Change in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module (EORTC QLQ-LC13) - Phase 2 | EORTC QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Scores averaged, transformed to 0-100 scale; higher symptom score = greater degree of symptoms. Overall scale change is categorized as Improved (if average scales change from baseline <=-10), Worsened (if average scales change from baseline >=10), and Stable (if average scales change from baseline >-10 but <10) and participants in each category are reported. | FAS included all enrolled participants. Here "N" (number of participants analyzed) signifies participants who were evaluable for this measure. Medicine for pain was not summarized because a more comprehensive and reliable summary of concomitant medications was reported separately. | Posted | Number | participants | Baseline up to end of treatment (up to Day 889) |
|
|
|
| Secondary | Dermatology Life Quality Index (DLQI) Total Score - Phase 2 | DLQI: 10-item questionnaire to measure how much the participant's skin problem has impacted their life over the previous week. All questions were answered on a 4-point Likert scale ranging from 0 (not at all/not relevant) to 3 (very much/prevented work or studying). The DLQI was calculated by summing the score of each question and ranged from 0 to 30, where higher scores indicate more quality of life impairment. | FAS included all enrolled participants. Here "number analyzed" signifies participants who were evaluable for specified time-point for each treatment arm, respectively. | Posted | Mean | Standard Deviation | units on a scale | C1D1 (baseline), D1 of each subsequent cycle up to C44 |
|
|
|
| Secondary | Best Overall Response (BOR) - Phase 2 | Number of participants with BOR according to RECIST: CR= disappearance of all target and non-target lesions. PR= at least 30% decrease in sum of LDs of target lesion, taking as reference baseline sum LD, associated to non-progressive disease response for non-target lesions. Stable/no response= neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Objective progression= at least a 20% increase in sum of LDs of target lesions, taking as reference the smallest sum of LD recorded since treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions. | Response-evaluable population included all enrolled participants who received at least 1 dose of study medication, had an adequate baseline tumor assessment, and had at least 1 on-study tumor assessment after first dosing. | Posted | Number | participants | Baseline until disease progression or initiation of new anti-cancer therapy or death, assessed every 2 (odd-numbered) cycles up to 12 months after EOT (EOT: up to Day 1723) |
|
|
|
| Secondary | Duration of Response (DR) | Time in weeks from first documentation of objective tumor response to objective tumor progression or death due to any cause, whichever occurred first. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause minus the date of the first CR or PR [which ever occurred first] that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response. | Analysis population included sub-set of participants from response-evaluable population, who had a confirmed objective tumor response (CR or PR). | Posted | Median | 95% Confidence Interval | weeks | Baseline until disease progression or initiation of new anti-cancer therapy or death, assessed every 2 (odd-numbered) cycles up to 12 months after EOT (EOT: up to Day 506 for Phase 1 and up to Day 1723 for Phase 2) |
|
|
|
| 1 |
| 6 |
| 6 |
| 6 |
| EG001 | PF-00299804 45 mg - Phase 1 | A single dose of PF-00299804 45 mg tablet orally on or before Day -9 followed by PF-00299804 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. | 0 | 6 | 6 | 6 |
| EG002 | PF-00299804 45 mg - Phase 2 | PF-00299804 45 mg tablet orally once daily continuously in 21-day cycles starting from Day 1 until unacceptable toxicity, disease progression, withdrawal from the trial, or death. | 9 | 43 | 41 | 43 |
| Diarrhoea | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Disease progression | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA 17.0 | Non-systematic Assessment |
|
| Hydrocephalus | Nervous system disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Gingivitis | Infections and infestations | MedDRA 17.0 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Asthenia | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Chest discomfort | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Mucosal inflammation | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Xerosis | General disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Folliculitis | Infections and infestations | MedDRA 17.0 | Non-systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA 17.0 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA 17.0 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Tumour pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 17.0 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Nasal disorder | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Nasal inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dermatitis | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Hair disorder | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Palmar-plantar erythrodysaesthesia syndrome | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA 17.0 | Non-systematic Assessment |
|
| Lymphoedema | Vascular disorders | MedDRA 17.0 | Non-systematic Assessment |
|
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| EGFR: C3D1 |
|
|
| EGFR: C5D1 |
|
|
| EGFR: C7D1 |
|
|
| EGFR: C9D1 |
|
|
| EGFR: C11D1 |
|
|
| EGFR: C13D1 |
|
|
| EGFR: C15D1 |
|
|
| EGFR: C17D1 |
|
|
| HER2: C1D1 |
|
|
| HER2: C3D1 |
|
|
| HER2: C5D1 |
|
|
| HER2: C7D1 |
|
|
| HER2: C9D1 |
|
|
| HER2: C11D1 |
|
|
| HER2: C13D1 |
|
|
| HER2: C15D1 |
|
|
| HER2: C17D1 |
|
|
| EGFR Status: Unknown |
|
| KRAS Status: Wild Type |
|
| KRAS Status: Mutant |
|
| KRAS Status: Unknown |
|
| HER2 Status: Wild Type |
|
| HER2 Status: Mutant |
|
| HER2 Status: Unknown |
|
| C1D14 |
|
|
| C1D14 |
|
|
| C1D14 |
|
|
| C3D1 |
|
|
| C4D1 |
|
|
| Title | Measurements |
|---|---|
|
| Physical Functioning: Improved |
|
| Physical Functioning: Worsened |
|
| Physical Functioning: Stable |
|
| Role Functioning: Improved |
|
| Role Functioning: Worsened |
|
| Role Functioning: Stable |
|
| Cognitive Functioning: Improved |
|
| Cognitive Functioning: Worsened |
|
| Cognitive Functioning: Stable |
|
| Emotional Functioning: Improved |
|
| Emotional Functioning: Worsened |
|
| Emotional Functioning: Stable |
|
| Social Functioning: Improved |
|
| Social Functioning: Worsened |
|
| Social Functioning: Stable |
|
| Fatigue: Improved |
|
| Fatigue: Worsened |
|
| Fatigue: Stable |
|
| Pain: Improved |
|
| Pain: Worsened |
|
| Pain: Stable |
|
| Nausea and Vomiting: Improved |
|
| Nausea and Vomiting: Worsened |
|
| Nausea and Vomiting: Stable |
|
| Dyspnea: Improved |
|
| Dyspnea: Worsened |
|
| Dyspnea: Stable |
|
| Loss of Appetite: Improved |
|
| Loss of Appetite: Worsened |
|
| Loss of Appetite: Stable |
|
| Insomnia: Improved |
|
| Insomnia: Worsened |
|
| Insomnia: Stable |
|
| Constipation: Improved |
|
| Constipation: Worsened |
|
| Constipation: Stable |
|
| Diarrhea: Improved |
|
| Diarrhea: Worsened |
|
| Diarrhea: Stable |
|
| Financial Difficulties: Improved |
|
| Financial Difficulties: Worsened |
|
| Financial Difficulties: Stable |
|
| Title | Measurements |
|---|---|
|
| Coughing: Improved |
|
| Coughing: Worsened |
|
| Coughing: Stable |
|
| Haemoptysis: Improved |
|
| Haemoptysis: Worsened |
|
| Haemoptysis: Stable |
|
| Sore mouth: Improved |
|
| Sore mouth: Worsened |
|
| Sore mouth: Stable |
|
| Dysphagia: Improved |
|
| Dysphagia: Worsened |
|
| Dysphagia: Stable |
|
| Peripheral: Improved |
|
| Peripheral: Worsened |
|
| Peripheral: Stable |
|
| Alopecia: Improved |
|
| Alopecia: Worsened |
|
| Alopecia: Stable |
|
| Pain in chest: Improved |
|
| Pain in chest: Worsened |
|
| Pain in chest: Stable |
|
| Pain in arm or Shoulder: Improved |
|
| Pain in arm or Shoulder: Worsened |
|
| Pain in arm or Shoulder: Stable |
|
| Pain in other parts: Improved |
|
| Pain in other parts: Worsened |
|
| Pain in other parts: Stable |
|
|
| C3D1 |
|
|
| C4D1 |
|
|
| C5D1 |
|
|
| C6D1 |
|
|
| C7D1 |
|
|
| C8D1 |
|
|
| C9D1 |
|
|
| C10D1 |
|
|
| C11D1 |
|
|
| C12D1 |
|
|
| C13D1 |
|
|
| C14D1 |
|
|
| C15D1 |
|
|
| C16D1 |
|
|
| C17D1 |
|
|
| C18D1 |
|
|
| C19D1 |
|
|
| C20D1 |
|
|
| C21D1 |
|
|
| C22D1 |
|
|
| C23D1 |
|
|
| C24D1 |
|
|
| C25D1 |
|
|
| C26D1 |
|
|
| C27D1 |
|
|
| C28D1 |
|
|
| C29D1 |
|
|
| C30D1 |
|
|
| C31D1 |
|
|
| C32D1 |
|
|
| C33D1 |
|
|
| C34D1 |
|
|
| C35D1 |
|
|
| C36D1 |
|
|
| C37D1 |
|
|
| C38D1 |
|
|
| C39D1 |
|
|
| C40D1 |
|
|
| C41D1 |
|
|
| C42D1 |
|
|
| C43D1 |
|
|
| C44D1 |
|
|
| Title | Measurements |
|---|---|
|
| Objective Progression |
|
| Indeterminate |
|