UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029017
Receipt number R000032685
Scientific Title The EGFR C797S mutation in TKI-naive NSCLC
Date of disclosure of the study information 2017/09/05
Last modified on 2020/09/17 23:49:25

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Basic information

Public title

The EGFR C797S mutation in TKI-naive NSCLC

Acronym

de novo EGFR C797S mutation in NSCLC

Scientific Title

The EGFR C797S mutation in TKI-naive NSCLC

Scientific Title:Acronym

de novo EGFR C797S mutation in NSCLC

Region

Japan


Condition

Condition

Non small cell lung cancer

Classification by specialty

Chest surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Prediction of treatment efficacy of third generation TKI against first line EGFR-TKI resistant NSCLC through the examination of de novo EGFR C797S mutation in known EGFR mutant NSCLC,

Basic objectives2

Others

Basic objectives -Others

Frequency of gene expression

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Frequency of EGFR-C797S mutation in EGFR TKI naive NSCLC

Key secondary outcomes

EGFR-T790M mutation, allelic pattern of T790M and C797S mutation, clinicopathological features, HER2 amplification, and MET amplification


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who was undergone lung resection or tumor biopsy at Fukushima Medical University Hospital between January 207 and December 2015.
2) Pathologically confirmation of primary non small cell lung cancer
3)EGFR mutation had been examined, and confirmed as follows; G719 mutation, Exon 19 deletion, S768I mutation, T790M mutation, L858R mutation, or L861Q mutation
4) Written informed consent

Key exclusion criteria

EGFR-TKI administration before specimen collection

Target sample size

244


Research contact person

Name of lead principal investigator

1st name HIroyuki
Middle name
Last name Suzuki

Organization

Fukushima Medical University

Division name

Department of Chest Surgery

Zip code

960-1295

Address

1, Hikarigaoka, Fukushima, 960-1295, Japan

TEL

(+81)24-547-1252

Email

hiro@fmu.ac.jp


Public contact

Name of contact person

1st name Takumi
Middle name
Last name Yamaura

Organization

Fukushima Medical University

Division name

Department of Chest Surgery

Zip code

960-1295

Address

1, Hikarigaoka, Fukushima, 960-1295, Japan

TEL

(+81)24-547-1252

Homepage URL


Email

tkm-ymur@fmu.ac.jp


Sponsor or person

Institute

Fukushima Medical University

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


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fukushima Medical University Research Ethics Committee

Address

Hikarigaoka-1 Fukushima 960-1295,Japan

Tel

024-547-1825

Email

rs@fmu.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

2017 Year 09 Month 05 Day


Related information

URL releasing protocol

https://www.spandidos-publications.com/10.3892/ol.2020.11524

Publication of results

Published


Result

URL related to results and publications

https://www.spandidos-publications.com/10.3892/ol.2020.11524

Number of participants that the trial has enrolled

248

Results

No concurrent C797S mutation with known EGFR gene mutation was identified. T790M mutation was identified in 12 patients (4.9%). ERBB2 or MET gene amplification was found in a few patients (0.0-0.4%). MDM2 gene amplification was associated with tumor recurrence and shorter progression free survival for first or second generation EGFR-TKIs.

Results date posted

2020 Year 09 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Consecutive patients who underwent initial lung resection or surgical tumor biopsy in Fukushima Medical University Hospital between January 2007 and December 2015, and were diagnosed with NSCLC harboring a known EGFR gene activating mutation (e.g., exon 19 deletion, L858R, T790M, S768I, G719X and L861Q) at the time samples were collected.

Participant flow

All cases satisfying the above were incorporated with written consent.

Adverse events

Not applicable

Outcome measures

Clinicopathological parameters, presence of EGFR C797S and T790M mutations. and gene amplifications(ERBB2, MET, EGFR, ALK, BRAF, FGFR1, MYC, RET, CCND1, CCND2, CDK4, CDK6, MDM2 and MDM4)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 10 Month 24 Day

Date of IRB

2018 Year 02 Month 09 Day

Anticipated trial start date

2018 Year 02 Month 09 Day

Last follow-up date

2018 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete

2018 Year 08 Month 31 Day

Date analysis concluded

2019 Year 01 Month 29 Day


Other

Other related information

To clarify the frequency of EGFR C797S mutation in EGFR-TKI naive NSCLC surgical specimen using an improved PNA-LNA PCR clamp method, and allelic pattern analysis of T790M and C797S mutation is performed(Sanger's method). Sensitivity and resistance against EGFR-TKI was analyzed through comparison between EGFR T790M mutation(PNA-LNA clamp method), HER2 amplification, and MET amplification (quantitive PCR method) and clinicopathological features.


Management information

Registered date

2017 Year 09 Month 05 Day

Last modified on

2020 Year 09 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032685


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name