UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049225
Receipt number R000055846
Scientific Title Rechallenge of afatinib for EGFR mutated non-small cell lung cancer previously treated with osimertinib
Date of disclosure of the study information 2022/10/17
Last modified on 2022/11/02 12:20:15

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Rechallenge of afatinib for EGFR mutated non-small cell lung cancer previously treated with osimertinib

Acronym

Afatinib followed by osimertinib in patients with EGFR mutated NSCLC (REAL study)

Scientific Title

Rechallenge of afatinib for EGFR mutated non-small cell lung cancer previously treated with osimertinib

Scientific Title:Acronym

Afatinib followed by osimertinib in patients with EGFR mutated NSCLC (REAL study)

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 investigate the efficacy and safety of afatinib after resistance of first-line osimertinib in patients with NSCLC harboring EGFR mutation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Objective response rate (ORR)

Key secondary outcomes

Safety (incidence rate and severity of adverse events)
Progression-free survival (PFS)
Overall survival (OS)


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

Afatinib 40mg orally once daily

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) Histologically or cytologically diagnosed non-squamous non-small cell lung cancer harboring drug sensitive EGFR mutation (exon19 deletion, L858R)
2) ECOG PS 0 or 1
3) Confirming disease progression after first line osimertinib monotherapy
4) Received at least one regimen of anticancer chemotherapy (cytotoxic agents, immune checkpoint inhibitor, anti-angiogenic inhibitors) as a second-line therapy after osimertinib resistance
5) Undergoing next generation sequencing-based gene panel tests after osimertinib resistance
6) Having at least one target legion for RECIST ver.1.1
7) Adequate organ functions judged by laboratory tests within 14 days prior to registration
AST<=100 U/L
ALT<=100 U/L
creatinine<=2.0 mg/dL
SpO2>=92%

Key exclusion criteria

1) Having active multiple malignancies
2) Having active infectious disease (hepatitis B, hepatitis C, tuberculosis, HIV infection)
3) Pregnancy, breastfeeding or suspected of being pregnant
4) Undergoing concurrent anticancer therapy (chemotherapy, radiotherapy, immunotherapy, biological therapy, hormonal therapy)
5) Undergoing surgical treatment with organ removal within 28 days prior to registration

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Kanda
Middle name
Last name Shintaro

Organization

Shinshu University School of Medicine

Division name

Department of Hematology and Oncology

Zip code

3908082

Address

3-1-1, Asahi, Matsumoto, Nagano, Japan

TEL

0263-37-2554

Email

skanda@shinshu-u.ac.jp


Public contact

Name of contact person

1st name Taisuke
Middle name
Last name Araki

Organization

Shinshu University School of Medicine

Division name

First Department of Internal Medicine

Zip code

390-0804

Address

3-1-1, Asahi, Matsumoto, Nagano, Japan

TEL

0263-37-2631

Homepage URL


Email

shirasusan0516@gmail.com


Sponsor or person

Institute

Shinshu University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Shinshu University 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

Department of Hematology and Oncology, Shinshu University School of Medicine

Address

3-1-1, Asahi, Matsumoto, Nagano, Japan

Tel

0263-37-2554

Email

skanda@shinshu-u.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

2022 Year 10 Month 17 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 10 Month 12 Day

Date of IRB

2022 Year 10 Month 07 Day

Anticipated trial start date

2022 Year 10 Month 18 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 10 Month 15 Day

Last modified on

2022 Year 11 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000055846


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name