UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031501
Receipt number R000035902
Scientific Title A phase I study Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib
Date of disclosure of the study information 2018/03/09
Last modified on 2021/03/01 12:44:42

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Basic information

Public title

A phase I study Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib

Acronym

A phase I study Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib

Scientific Title

A phase I study Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib

Scientific Title:Acronym

A phase I study Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib

Region

Japan


Condition

Condition

Non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To determine of dose-limiting toxicity (DLT), maximum tolerated dose (MTD) and recommended dose (RD) for the combination of osimertinib with afatinib for non-small cell lung cancer patients with EGFR active mutations after failure of osimertinib

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To determine of dose-limiting toxicity (DLT), maximum tolerated dose (MTD) and recommended dose (RD)

Key secondary outcomes



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 80mg day1~ + Afatinib day1~each dose cohort
Cohort1 Afatinib 20mg
Cohort2 Afatinib 30mg
Cohort3 Afatinib 40mg
until disease progression

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) Non-small cell lung cancer proven by histology and / or cytology with EGFR active mutation
2) Stage IIIB, IIIC, IV or postoperative / post chmoradiation therapy recurrence
3) prior osimertinib failure
4) patients who could treat with a 80mg dose of osimertinib
5) 20 years or older
6) performance status 0 or 1
7) Adequate organ function
8) At least one or more measurable lesion by RECIST
9) Written informed consent for translational research
10) Written informed consent

Key exclusion criteria

1) Patients who are difficult to treat enrolled doses due to toxicity of afatinib
2) History of drug-induced pneumonitis, Interstitial pneumonia
3) Symptomatic brain metastasis, leptomeningitis
4) Bone metastasis to treat by operation or radiation therapy
5) Uncontrollable pleural, peritoneal or pericardial effusion
6) Prior thoracic palliative radiotherapy within 2wks
7) SCLC transformation
8) History of active double cancer
9) Severe infection
10) Active HBV infection
11) No intention to birth control
12) Unstable psychic disorder
13) Under treatment of steroid therapy or immunosuppressive therapy
14) History of allergic reaction
15) Decision of ineligibility by a physician

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Tanaka

Organization

Niigata Cancer Center Hospital

Division name

Department of Internal Medicine

Zip code

951-8566

Address

2-15-3, Kawagishicho, Chuo-ku, Niigata

TEL

025-266-5111

Email

htanaka@niigata-cc.jp


Public contact

Name of contact person

1st name Satoru
Middle name
Last name Miura

Organization

Niigata Cancer Center Hospital

Division name

Department of Internal Medicine

Zip code

951-8566

Address

2-15-3, Kawagishicho, Chuo-ku, Niigata

TEL

025-266-5111

Homepage URL


Email

miusat1118@niigata-cc.jp


Sponsor or person

Institute

Niigata Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

Boehringer Ingelheim Japan

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

Clinical Research Review Committee of Wakayama MEdical University

Address

811-1, Kimiidera, Wakayama, Wakayama

Tel

073-441-0896

Email

wa-rinrir@wakayama-med.co.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

新潟県立がんセンター新潟病院内科(新潟県)、和歌山県立医科大学内科学第3講座(和歌山県)、久留米大学医学部内科学講座、呼吸器・神経・膠原病内科部門(福岡県)、関西医科大学附属病院呼吸器腫瘍内科(大阪府)


Other administrative information

Date of disclosure of the study information

2018 Year 03 Month 09 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


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

Completed

Date of protocol fixation

2018 Year 02 Month 15 Day

Date of IRB

2018 Year 02 Month 15 Day

Anticipated trial start date

2018 Year 03 Month 31 Day

Last follow-up date

2022 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 02 Month 27 Day

Last modified on

2021 Year 03 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035902


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name