UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024218
Receipt number R000027887
Scientific Title A phase II study of Osimertinib for untreated CNS metastasis, EGFR T790M-positive non-small cell lung cancer(LOGIK1603 / WJOG9116L)
Date of disclosure of the study information 2016/09/29
Last modified on 2021/11/24 13:23:23

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Basic information

Public title

A phase II study of Osimertinib for untreated CNS metastasis, EGFR T790M-positive non-small cell lung cancer(LOGIK1603 / WJOG9116L)

Acronym

A phase II study of osimertinib for untreated CNS metastasis, EGFR T790M-positive NSCLC(LOGIK1603 / WJOG9116L)

Scientific Title

A phase II study of Osimertinib for untreated CNS metastasis, EGFR T790M-positive non-small cell lung cancer(LOGIK1603 / WJOG9116L)

Scientific Title:Acronym

A phase II study of osimertinib for untreated CNS metastasis, EGFR T790M-positive NSCLC(LOGIK1603 / WJOG9116L)

Region

Japan


Condition

Condition

EGFR-TKI treated T790M positive non-small cell lung cancer (NSCLC) with CNS metastasis (radiotherapy-naive)

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

We investigate efficacy and safety of osimertinib for patients with T790M positive non-small cell lung cancer (NSCLC) with CNS metastasis (radiotherapy-naive). We evaluate the correlation between anti-tumor effect of brain metastasis and plasma concentration (trough level in a steady state) of osimertinib. In exploratory analysis, we measure cerebrospinal fluid (CSF) penetration rate by measuring osimertinib concentration in CSF

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate (ORR) of metastatic brain tumor, progression free survival (PFS)

Key secondary outcomes

ORR, ORR of metastatic brain tumor (evaluated according to RECIST ver. 1.1), PFS of metastatic brain tumor, overall survival (OS), safety


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

Osimertinib at the dose of 80mg/day is orally administered once daily and the administration is continued until progression disease (PD)

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with non-small-cell lung cancer (NSCLC) confirmed histologically or cytologically.
2) Patients with EGFR sensitive mutation (del19, L858R) detected in tumour tissue specimen or cytologic specimen.
3) Patients with treatment history of 1st generation and/or 2nd generation EGFR-TKI.
4) Patients with confirmation of EGFR T790M mutation positive after progression disease.
5) Patients with metastatic brain tumour (>= 5mm) with the major axis more than twice the slice width in MRI. However, patients required for urgent radiotherapy or surgical resection are ineligible.
6) Radiotherapy-naive for brain metastasis.
7) Patient is at least 20 years of age (at enrollment date).
8) Performance status (ECOG): 0-2
9) The latest clinical laboratory test within 14 days prior to enrollment (it is eligible on the same day 2 weeks before the enrolment day) meets the following all standard.
1.Neutrophil count >= 1,500/mm3
2.Haemoglobin >= 8.0g/dL
3.Platelet count >=100,000/mm3
4.AST, ALT <=100 IU/L
5.Total bilirubin <=1.5mg/dL
6.Creatinine<=1.5mg/dL
7.SpO2 >= 90%
10) Corrected QT interval (QTc) <= 470 msec.
11) Patients with life expectancy of at least 3 months.
12) Patients providing the written informed consent.

Key exclusion criteria

1) Symptomatic brain metastasis required for radiation therapy or surgical resection.
2) Patients with severe complication: such as myocardial infarction within 3 months, uncontrollable angina pectoris and heart failure
3) Patients with active double cancer (synchronous double cancer and asynchronous double cancer within 5 years of progression-free period. However, the lesions correspondent to carcinoma in situ and intramucosal carcinoma curable by topical treatment are excluded)
4) Treatment history of anti-PD-1 antibody, anti-PD-L1 antibody, anti- CD137 antibody or anti-CTLA-4 antibody.
5) Patients with pregnant or possibly pregnant.
6) Patients with nursing.
7) History of interstitial pulmonary disease, drug-induced interstitial pulmonary disease and irradiation pneumonitis required for steroidal treatment.
8) Urgent radiotherapy because of symptom of superior vena cava syndrome.
9) Patients who are different for the participation in the study by complication of mental disease or psychiatric symptom.
10) Any other patients who are regarded as unsuitable for this study by the investigators.
11) Patients with anamnesis of hypersensitivity to ingredients of the drug.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name (1)Minoru (2)Hirotsugu
Middle name
Last name (1)Fukuda (2)Kenmotsu

Organization

(1) Nagasaki University Hospital
(2) Shizuoka Cancer Center

Division name

(1) Clinical Oncology Center (2) Division of Thoracic Oncology

Zip code

852-8501

Address

(1) 1-7-1 Sakamoto, Nagasaki, Japan (2) 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, Japan

TEL

(1)095-819-7779(2)055-989-5222

Email

mifukuda258@nifty.com


Public contact

Name of contact person

1st name (1) Hiroyuki (2) Kazushige
Middle name
Last name (1) Yamaguchi (2) Wakuda

Organization

(1) Nagasaki University Hospital (2) Shizuoka Cancer Center

Division name

(1) Department of Respiratory Medicine (2) Division of Thoracic Oncology

Zip code

852-8501

Address

(1) 1-7-1 Sakamoto, Nagasaki, Japan (2) 1007 Shimonagakubo, Nagaizumi-cho, Suntogun, Shizuoka, Japan

TEL

(1)095-819-7273(2)055-989-5222

Homepage URL


Email

yamaguchi-hiroyuki@umin.ac.jp


Sponsor or person

Institute

Clinical Research Support Center Kyushu

Institute

Department

Personal name



Funding Source

Organization

AstraZeneca K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

(1)Lung Oncology Group in Kyushu (2) West Japan Oncology Group

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Network Fukuoka Certified Review Board

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka, Fukuoka

Tel

092-643-7171

Email

mail@crnfukuoka.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

2016 Year 09 Month 29 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

66

Results


Results date posted


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

No longer recruiting

Date of protocol fixation

2016 Year 09 Month 27 Day

Date of IRB

2016 Year 09 Month 27 Day

Anticipated trial start date

2016 Year 10 Month 16 Day

Last follow-up date

2022 Year 01 Month 22 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 09 Month 29 Day

Last modified on

2021 Year 11 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027887


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name