UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041403
Receipt number R000047258
Scientific Title A multi-institutional retrospective study of long-term PD-1 pathway inhibitor treatment for patients with non-small cell lung cancer (HOT1902)
Date of disclosure of the study information 2020/08/31
Last modified on 2021/04/26 17:00:35

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Basic information

Public title

A multi-institutional retrospective study of long-term PD-1 pathway inhibitor treatment for patients with non-small cell lung cancer (HOT1902)

Acronym

HOT1902

Scientific Title

A multi-institutional retrospective study of long-term PD-1 pathway inhibitor treatment for patients with non-small cell lung cancer (HOT1902)

Scientific Title:Acronym

HOT1902

Region

Japan


Condition

Condition

non-small cell lung cancer

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical coarse, the efficacy and safety, of immune check point inhibitor (PD-1 pathway inhibitor) for patients with non-small cell lung cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1.Ratio of patients who can receive immune check point inhibitor for more than 1 year (long-term treatment patients)
2.Efficacy and safety of patients who can receive immune check point inhibitor for more than 1 year (long-term treatment patients)

Key secondary outcomes

Efficacy of ICI rechallenge treatment in long-term treatment patients after progression with prior ICI treatment


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. Advanced/Relapsed non-small cell lung cancer
2.Patients who received immune check point inhibitors between December 2015 and December 2017

Key exclusion criteria

None

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Hajime
Middle name
Last name Asahina

Organization

Hokkaido University Graduate school of Medicine

Division name

Department Respiratory Medicine, Faculty of Medicine

Zip code

060-8638

Address

North 15, West 7, Kita-ku, Sapporo, 060-8638, Japan

TEL

011-706-5911

Email

asahinah@pop.med.hokudai.ac.jp


Public contact

Name of contact person

1st name Shotaro
Middle name
Last name Ito

Organization

Hokkaido University Graduate school of Medicine

Division name

Department of Respiratory Medicine, Faculty of Medicine

Zip code

060-8638

Address

North 15, West 7, Kita-ku, Sapporo, 060-8638, Japan

TEL

011-706-5911

Homepage URL


Email

skyhigh0921@pop.med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido Lung Cancer Clinical Study Group (HOT)

Institute

Department

Personal name



Funding Source

Organization

Hokkaido University Graduate school of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Hospital Clinical Research and Medical Innovation Center

Address

Kita 14, North 5, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan

Tel

011-706-7636

Email

crjimu@huhp.hokudai.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

2020 Year 08 Month 31 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/33872943/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/33872943/

Number of participants that the trial has enrolled

676

Results

The median PFS in the LT group was 33.6 months and the median OS in the LT group was not reached.Even in the LT group, 22 of 114 (19.1%) patients died during the follow up period.

Multivariate Cox proportional hazard regression analysis showed that smoking and tumor response (CR) were significantly associated with better PFS.

In the LT group, the median PFSR was 2.9 months. Even in the LT group, the efficacy of rechallenge treatment was limited.

Results date posted

2021 Year 04 Month 26 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

We reviewed the medical records of all consecutive patients with advanced or recurrent NSCLC treated with nivolumab or pembrolizumab at 15 institutions belonging to the Hokkaido Lung Cancer Clinical Study Group Trial (HOT) in Japan.

Participant flow

We did not set any exclusion criteria to avoid selection bias.

Adverse events

In the LT group, 24 of 114 patients discontinued ICI treatment due to irAEs.
Among them, 8 patients had irAEs over grade 3.

Outcome measures

Clinicopathological characteristics of patients undergoing long-term initial ICI treatment

investigate prognostic factors in patients undergoing long-term initial ICI treatment

identify candidates who would benefit from ICI rechallenge treatment and whether ICI rechallenge treatment is effective for patients undergoing long-term initial ICI treatment

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2019 Year 08 Month 19 Day

Date of IRB

2019 Year 12 Month 11 Day

Anticipated trial start date

2019 Year 12 Month 11 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry

2020 Year 07 Month 01 Day

Date trial data considered complete

2020 Year 07 Month 01 Day

Date analysis concluded

2020 Year 08 Month 01 Day


Other

Other related information

Retrospective observational study


Management information

Registered date

2020 Year 08 Month 13 Day

Last modified on

2021 Year 04 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047258


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name