UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000047443
Receipt number R000054097
Scientific Title The Impact of EGFR Mutation on Adjuvant Chemotherapy with UFT for Patients with Completely Resected, Non-Lymph Node Metastatic Non-Small Cell Lung Cancer (>2 cm): A Multicenter, Retrospective, Observational Study as Secondary Analysis of CSPOR-LC03 Study
Date of disclosure of the study information 2022/04/08
Last modified on 2022/04/08 15:13:02

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Basic information

Public title

The Impact of EGFR Mutation on Adjuvant Chemotherapy with UFT for Patients with Completely Resected, Non-Lymph Node Metastatic Non-Small Cell Lung Cancer (>2 cm): A Multicenter, Retrospective, Observational Study as Secondary Analysis of CSPOR-LC03 Study

Acronym

The Impact of EGFR Mutation on Adjuvant Chemotherapy with UFT for Patients with Completely Resected, Non-Lymph Node Metastatic Non-Small Cell Lung Cancer (>2 cm): A Multicenter, Retrospective, Observational Study as Secondary Analysis of CSPOR-LC03 Study

Scientific Title

The Impact of EGFR Mutation on Adjuvant Chemotherapy with UFT for Patients with Completely Resected, Non-Lymph Node Metastatic Non-Small Cell Lung Cancer (>2 cm): A Multicenter, Retrospective, Observational Study as Secondary Analysis of CSPOR-LC03 Study

Scientific Title:Acronym

The Impact of EGFR Mutation on Adjuvant Chemotherapy with UFT for Patients with Completely Resected, Non-Lymph Node Metastatic Non-Small Cell Lung Cancer (>2 cm): A Multicenter, Retrospective, Observational Study as Secondary Analysis of CSPOR-LC03 Study

Region

Japan


Condition

Condition

Completely resected, non-lymph node metastatic non-small cell lung cancer (>2 cm)

Classification by specialty

Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to examine the effect of EGFR mutation in the presence of adjuvant UFT chemotherapy in some cohorts of a large-scale retrospective multicenter observational study (CSPOR-LC03 study), which investigated the actual status of adjuvant chemotherapy after lung cancer surgery in Japan.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

5-year recurrence-free survival (RFS) rate

Key secondary outcomes

5-year overall survival (OS) rate


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

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

In the CSPOR-LC03 study, data from 5005 patients with completely resected NSCLC were collected from 34 institutions in Japan. These patients were diagnosed as Pathological Stage I (T1>2 cm, TNM Classification 6th edition) and underwent lobectomy or more extensive surgical resection plus ND2a or more extensive lymphadenectomy during the period from the start month of each institution to December 31, 2013, but were not enrolled in the JCOG0707 study. By retrospective analysis of patient demographic characteristics, tumor profiles, and post-operative treatments, 2599 patients were classified as patients "who were eligible for the JCOG0707 study but were not actually enrolled." Of the 2599 patients, 74 patients were excluded because whether they received adjuvant UFT therapy was unknown, and the remaining 2525 patients will be the subjects of this observational study.

Key exclusion criteria

Patients whose status of use of adjuvant chemotherapy is unknown.

Target sample size

2599


Research contact person

Name of lead principal investigator

1st name Masahiro
Middle name
Last name Tsuboi

Organization

National Cancer Center Hospital East

Division name

Division of Thoracic Surgery

Zip code

277-8577

Address

6-5-1, Kashiwanoha, Kashiwa, Chiba, Japan.

TEL

04-7133-1111

Email

cspor-lc03add@csp.or.jp


Public contact

Name of contact person

1st name Tomohiro
Middle name
Last name Miyoshi

Organization

Observational Study as Secondary Analysis of CSPOR-LC03 Study Coordinating Office

Division name

Division of Thoracic Surgery, National Cancer Center Hospital East

Zip code

277-8577

Address

6-5-1, Kashiwanoha, Kashiwa, Chiba, Japan.

TEL

04-7133-1111

Homepage URL


Email

cspor-lc03add@csp.or.jp


Sponsor or person

Institute

Comprehensive Support Project for Oncology Research (CSPOR), Public Health Research Foundation

Institute

Department

Personal name



Funding Source

Organization

AstraZeneca K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

No

Name of secondary funder(s)

No


IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

6-5-1, Kashiwanoha, Kashiwa, Chiba, Japan.

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.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

2022 Year 04 Month 08 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

Enrolling by invitation

Date of protocol fixation

2022 Year 02 Month 14 Day

Date of IRB

2022 Year 02 Month 14 Day

Anticipated trial start date

2022 Year 05 Month 02 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

A multicenter, retrospective, cohort study

For study subjects, the CRF information from the CSPOR-LC03 study will be used. In addition, for 1493 patients whose EGFR mutation status is unknown, additional EGFR mutation testing with surgical specimens will be performed using the cobas EGFR Mutation Test v2. From the cases we encountered previously, we assume that about 45% of the 1493 patients have EGFR mutations. In addition, we will construct a new database by collecting pathological reports of all subjects, and perform retrospective analysis.

(1) Using the patient data from the cohort of those "eligible but not enrolled in the JCOG0707 study" in the CSPOR-LC03 study, the impact of the status of EGFR mutation on the prognosis will be investigated according to the presence or absence of adjuvant UFT chemotherapy. This study aims to clarify whether the status of EGFR mutation is a predictor of treatment response to adjuvant UFT therapy and is a prognostic factor.
(2) By performing univariate and multivariate analyses, identify prognostic factors for recurrence and death, using clinicopathological factors, including the presence or absence of EGFR mutation. Then, analyze the interaction between EGFR mutation and UFT therapy.
(3) For RFS and OS, perform subgroup analysis based on the pathological stage and the presence or absence of a ground-glass opacity (GGO) lesion.
(4) In each of the patient groups with and without adjuvant UFT chemotherapy, clinicopathological characteristics will be analyzed according to the presence or absence of EGFR mutation.


Management information

Registered date

2022 Year 04 Month 08 Day

Last modified on

2022 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054097


Research Plan
Registered date File name

Research case data specifications
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Research case data
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