Real-world Analysis of Workup at Disease Progression and Implementation of Osimertinib for EGFR+ NSCLC
NCT04105153 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 400
Last updated 2023-11-22
Summary
Tyrosine kinase inhibitors (TKI) have greatly improved prognosis of epidermal growth factor receptor (EGFR)-positive non-small cell lung cancer (NSCLC), with tumor responses in the majority of cases and a median overall survival currently exceeding 2.5 years. However, clinical courses vary widely and eventual treatment failure is inevitable. The most common resistance mechanism against first- and second-generation EGFR inhibitors is the EGFR T790M mutation, which emerges in about 50% of cases and is amenable to next-line treatment with the third-generation compound osimertinib. However, experience in everyday clinical practice shows that implementation of EGFR TKI sequencing is often problematic, for example because a considerable number of EGFR+ NSCLC patients failing first- and second-generation EGFR inhibitors do not undergo T790M mutation testing at the time of disease progression. This study will use patient records to analyze the clinical course of EGFR+ NSCLC patients treated with first- and second-generation EGFR inhibitors at the Thoraxklinik Heidelberg (Germany) during the past years. The main aim is to analyze the diagnostic and therapeutic measures, including implementation of osimertinib, taken at the time of disease progression as well as their effect on patient outcome in a real-world, routine clinical setting.
Conditions
- EGFR Positive Non-small Cell Lung Cancer
Sponsors & Collaborators
- collaborator INDUSTRY
-
Thoraxklinik-Heidelberg gGmbH
lead OTHER
Principal Investigators
-
Petros Christopoulos, MD · Thoraxklinik Heidelberg gGmbH - Universitätsklinikum Heidelberg
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-04-15
- Primary Completion
- 2019-12-01
- Completion
- 2019-12-01
Countries
- Germany
Study Locations
More Related Trials
-
A Molecular Profiling Study of Patients With EGFR Mutation-positive Locally Advanced or Metastatic NSCLC Treated With Osimertinib
NCT03239340 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib for Advanced EGFR-positive NSCLC Patients
NCT05037331 ·Status: RECRUITING
-
Efficacy of EGFR TKIs in Patients With Rare EGFR-mutated NSCLC
NCT01775943 ·Status: UNKNOWN
-
Osimertinib for NSCLC With Uncommon EGFR Mutations
NCT05421936 ·Status: SUSPENDED
-
Real-World Effectiveness of Osimertinib for Patients With Non-Small Cell Lung Cancer
NCT05513664 ·Status: UNKNOWN
-
First-line Treatment With Osimertinib in EGFR-mutated Non-small Cell Lung Cancer
NCT03804580 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Osimertinib (AZD9291) in First-line Locally Advanced or Metastatic NSCLC Patients With EGFR and EGFR T790M
NCT02841579 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib for NSCLC With EGFR Exon 20 Insertion Mutation
NCT03414814 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib With Chemotherapy as First-line Therapy for EGFR Mutation-positive NSCLC
NCT06376084 ·Status: ACTIVE_NOT_RECRUITING
-
Exploring the Theragnostic Value of Osimertinib in EGFR-mutated Lung Cancer (THEROS)
NCT03810066 ·Status: COMPLETED ·Phase: PHASE2
-
EGF816 and Trametinib in Patients With Non-small Cell Lung Cancer Harboring Activating EGFR Mutations
NCT03516214 ·Status: COMPLETED ·Phase: PHASE1
-
Osimertinib and Gefitinib in EGFR Inhibitor naïve Advanced EGFR Mutant Lung Cancer
NCT03122717 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Retrospective Study in Non Small Cell Lung Cancer (NSCLC) With Epidermal Growth Factor Receptor (EGFR)
NCT02293733 ·Status: COMPLETED
-
Best EGFR-TKI Sequence in NSCLC Harboring EGFR Mutations
NCT04811001 ·Status: UNKNOWN ·Phase: PHASE2
-
Study to Assess the Efficacy and Safety of Adjuvant Osimertinib in NSCLC With Uncommon EGFRm
NCT05546866 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Testing Osimertinib as a Treatment for Lung Cancers With an EGFR Exon 20 Change
NCT03191149 ·Status: RECRUITING ·Phase: PHASE2
-
The Study Observes How Long Patients With Non-small Cell Lung Cancer (NSCLC) Benefit From Treatment With Epidermal Growth Factor Tyrosine Kinase Inhibitor (EGFR-TKI) When Given Either for Uncommon Mutations or for Common Mutations in the Sequence Afatinib Followed by Osimertinib
NCT04179890 ·Status: COMPLETED
-
Efficacy and Safety of Osimertinib for HK Chinese With Metastatic T790M Mutated NSCLC-real World Setting.
NCT03219970 ·Status: COMPLETED
-
A Retrospective, Non-interventional, Multicenter, Observational Chart Review Study to Explore the Clinical Benefits of Retreatment With TKI in the Real World.
NCT01955681 ·Status: COMPLETED
-
Australian Retrospective Analysis of EGFRm Advanced & Metastatic NSCLC Patients Treated With 1L or 2L Osimertinib.
NCT07213076 ·Status: COMPLETED
-
Local Ablative Therapy for Treatment of Oligoprogressive, EGFR-Mutated, Non-Small Cell Lung Cancer After Treatment With Osimertinib
NCT02759835 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib Induction and Maintenance for Chemo-ineligible Stage III Unresectable EGFR+ NSCLC: Single-arm Study
NCT07295821 ·Status: RECRUITING ·Phase: PHASE2
-
A Global Study to Assess the Effects of Osimertinib in Participants With EGFRm Stage IA2-IA3 NSCLC Following Complete Tumour Resection
NCT05120349 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Study of Osimertinib With or Without Chemotherapy Versus Chemotherapy Alone as Neoadjuvant Therapy for Patients With EGFRm Positive Resectable Non-Small Cell Lung Cancer
NCT04351555 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Study of Osimertinib in Patients with a Lung Cancer with Brain or Leptomeningeal Metastases with EGFR Mutation
NCT04233021 ·Status: COMPLETED ·Phase: PHASE2