UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017877
Receipt number R000020713
Scientific Title First-line afatinib in patients aged 75 or older with advanced non-squamous non-small cell lung cancer harboring EGFR mutations; non-randomized phase II trial
Date of disclosure of the study information 2015/08/01
Last modified on 2021/06/15 10:32:23

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Basic information

Public title

First-line afatinib in patients aged 75 or older with advanced non-squamous non-small cell lung cancer harboring EGFR mutations; non-randomized phase II trial

Acronym

First-line afatinib for elderly patients

Scientific Title

First-line afatinib in patients aged 75 or older with advanced non-squamous non-small cell lung cancer harboring EGFR mutations; non-randomized phase II trial

Scientific Title:Acronym

First-line afatinib for elderly patients

Region

Japan


Condition

Condition

patients aged 75 or older with advanced non-squamous non-small cell lung cancer harboring EGFR mutations

Classification by specialty

Pneumology Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Data on efficacy and safety of afatinib for patients aged 75 years or older will be collected and evaluated.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Overall Response Rate

Key secondary outcomes

Progression Free Survival
Time to Treatment Failure
Overall Survival
Disease Control Rate
1 and 2 Year Survival Rate
Adverse Event


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

afatinib 40mg/1x

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

75 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Histologically or cytological confirmed stage III/IV non-small cell lung cancer
2. Patients having EGFR mutation (exon 19 deletion or L858R)
3. No prior chemotherapy and no prior treatment with EGFR targeting small molecules or antibodies.
4. Measurable lesion for RECIST(ver 1.1)
5. Patients aged 75 years or older
6. ECOG performance status 0 to1
7. Adequate organ function
8. Life expectancy more than three months
9. Written informed consent

Key exclusion criteria

1. Chemotherapy, biological therapy or investigational agents for other carcinomas within four weeks prior to the start of study treatment. Hormonal treatment within 2 weeks prior to start of study treatment
2. Previous radiotherapy to the primary tumor or mesurable lesion
3. Major surgery within 4 weeks before starting study treatment or scheduled for surgery during the projected course of the study
4. Patients with active lung disease such as interstitial pneumonia, active radiation pneumonitis, or drug-induced pneumonitis
5. Massive pleural or pericardial effusion, or ascites
6. Symptomatic brain metastases
7. Any history or presence of poorly controlled diseases that could affect the absorption of the study drug
8. Active infection, active hepatitis B infection, active hepatitis C infection and/or known HIV carrier.
9. Other concurrent active malignancy
10. Any history or presence of poorly controlled gastrointestinal disorders that could affect the absorption of the study drug
11. Pregnancy
12. Clinically significant phycological problem
13. Patients with uncontrollable complications
14. Known hypersensitivity to afatinib or the excipients of any of the trial drugs

Target sample size

35


Research contact person

Name of lead principal investigator

1st name Akihiko
Middle name
Last name Gemma

Organization

Graduate school of medicine, Nippon medical school

Division name

Department of pulmonary medicine and oncology

Zip code

113-8603

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

TEL

03-3822-2131

Email

agemma@nms.ac.jp


Public contact

Name of contact person

1st name Yuji
Middle name
Last name Minegishi

Organization

Graduate school of medicine, Nippon medical school

Division name

Department of pulmonary medicine and oncology

Zip code

113-8603

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

TEL

03-3822-2131

Homepage URL


Email

yminegis@nms.ac.jp


Sponsor or person

Institute

Non Profit Organization North East Japan Study Group

Institute

Department

Personal name



Funding Source

Organization

Nippon Boehringer Ingelheim Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nippon Medical School Hospital, Center for Clinical Research

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

Tel

03-3822-3131

Email

app-ccr@nms.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 08 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

38

Results

Patients characteristics N=38 (SAS)
Gender:Male/Female 12/23
Age:median(range) 77 (75-91) years
Smoking status:Never 26(68.4%)
ECOG PS:0/1 21/17
EGFR mutation type:ex19del/L858R 23/15

Promary endpoint
Objective response rate:75.7% (95%CI 58.8-88.2%)
Secondary endpoint
Disease control rate:33% (74.6-97.0%)
Adverse event:
All garade 100%, grade3/4 63.2% Grade5 0%

Results date posted

2019 Year 06 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2015 Year 05 Month 18 Day

Date of IRB

2015 Year 03 Month 27 Day

Anticipated trial start date

2015 Year 08 Month 01 Day

Last follow-up date

2019 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 06 Month 11 Day

Last modified on

2021 Year 06 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020713


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name