- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03053297
Observational Study of Patients With Locally Advanced or Metastatic NSCLC (Non-Small Cell Lung Cancer) (PANORAMA)
Global PANORAMA Real World Molecular Testing, Treatment Patterns, and Clinical Outcomes in Patients With Locally Advanced or Metastatic NSCLC.
This is an observational cohort study of patients with locally advanced or metastatic NSCLC (non-small cell lung cancer).
Patients will be recruited from participating sites in Europe, Asia, and Canada. The study will include 2 patient cohorts.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Design This will be an observational cohort study of patients with locally advanced or metastatic NSCLC (non-small cell lung cancer).
Patients will be recruited from participating sites in Europe, Asia, and Canada. Patients meeting the study inclusion/exclusion criteria will be selected during a 24-month enrolment period per country and will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date (whichever occurs earlier). Data Sources Data will be collected following enrolment in the study and entered in the electronic case report form (eCRF). All data will be collected using patient medical records. The investigator will be responsible for ensuring that all the required data is collected and entered into the eCRF. The site will collect the patient questionnaires and the data will be uploaded according to the data entry procedures.
Study Population
- Adult male or female patients (according to age of majority/adulthood as defined by local regulations) who have given written informed consent as per local regulations.
- The primary cohort will include patients with EGFR (epidermal growth factor receptor) mutation-positive locally advanced or metastatic NSCLC who have progressed while on or after receiving front-line EGFR-TKI (tyrosine kinase inhibitors) therapy (e.g., gefitinib, erlotinib, afatinib, or icotinib).
- Additionally, a secondary cohort of patients will include patients newly diagnosed with locally advanced or metastatic NSCLC who are treatment naive or patients who were diagnosed at an earlier stage but have progressed to metastatic NSCLC during the selection period.
Exposures There are no specific drug exposures or interventions being evaluated, as cohort eligibility (for both cohorts) is not exposure-based, but rather disease-based. All molecular testing and treatments will be at the discretion of the treating physician. Study Measures and Outcomes
- Patient demographic and clinical characteristics
- Molecular testing patterns and outcomes
- Treatment patterns
- Physician-reported clinical outcomes
- Cancer-related health care utilization
- Treatment- and biopsy-related complications
- CNS metastases (brain metastases and leptomeningeal metastases) and treatments associated with CNS (central nervous system) metastases
HRQoL (Health Related Quality of Life) and symptoms Precision and Sample Size Estimations For the primary cohort the minimum sample size recommended for conducting a country-level analysis is 200 patients per country. This is based on the precision estimation calculation for the categorical study measure (% of patients tested) and will allow a maximum of
- 8.3% precision (i.e., assuming 50% undergoing molecular testing) around the point estimate for the categorical measure. For the secondary cohort the minimum sample size recommended for conducting a country-level analysis is 300 patients which was determined using precision estimates calculated for a categorical (% of patients tested) and a time-to-event (overall survival) measure. The overall study will include approximately 2800-3300 patients across all participating countries across both primary (1200-1300 patients) and secondary (1600-2000 patients) cohorts. Statistical Analysis No formal hypothesis testing is specified. Study measures including patient demographics and clinical characteristics, molecular testing patterns, treatment sequence patterns, physician-reported outcomes (overall survival) and patient-reported outcomes (HRQoL) will be reported by primary and secondary cohorts, unless indicated otherwise. Continuous study measures (e.g., age, duration of therapy) will be reported descriptively with mean, standard deviation, median, minimum and maximum. Frequencies and percentages will be used to document categorical measures of interest (e.g., number and proportion of patients with a post progression molecular test, number and proportion of patients with a T790M mutation) and will include 95% CIs for key outcome variables. Kaplan-Meier curves and median survival will be estimated, overall and on an exploratory basis by clinical and treatment characteristics of interest (provided there are sufficient events available; e.g., chemotherapy vs. targeted therapy) as pre-specified in the statistical analysis plan.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Manitoba
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Winnipeg, Manitoba, Canada
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New Brunswick
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Moncton, New Brunswick, Canada
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Nova Scotia
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HaLifax, Nova Scotia, Canada
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Ontario
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Hamilton, Ontario, Canada
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Kingston, Ontario, Canada
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London, Ontario, Canada
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Markham, Ontario, Canada
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Newmarket, Ontario, Canada
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Thunder Bay, Ontario, Canada
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Toronto, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Anhui
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Hefei, Anhui, China
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Beijing
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Beijing, Beijing, China
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Guangdong
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Guangzhou, Guangdong, China
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Heilongjiang
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Harbin, Heilongjiang, China
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Shanghai
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Shanghai, Shanghai, China
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Shanxi
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Xian, Shanxi, China
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Sichuan
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Chengdu, Sichuan, China
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Zhejiang
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Hangzhou, Zhejiang, China
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Brieuc Cedex 1, France
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Cannes CEDEX, France
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Chambery, France
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Clermont Ferrand, France
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Gap, France
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La Reunion, France
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La Rochelle Cedex, France
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Libourne, France
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Mantes la Jolie, France
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Meaux, France
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Montfermeil, France
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Mulhouse, France
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Orleans, France
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Paris Cedex 14, France
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Poitiers Cedex, France
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Rennes, Cedex 9, France
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Saint-Pierre, France
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Saint-Quentin, France
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Strasbourg, France
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Toulouse Cedex 9, France
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Troyes, France
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Bouches-du-Rhone
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Aix En Provence, Bouches-du-Rhone, France
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Bretagne
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Brest, Bretagne, France
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Centre
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Tours Cedex 9, Centre, France
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Haut-Rhin
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Colmar, Haut-Rhin, France
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Haute-Normandie
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Rouen, Haute-Normandie, France
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Haute-Savoie
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Metz-Tessy, Haute-Savoie, France
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Haute-Vienne
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Limoges, Haute-Vienne, France
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Ile-de-France
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Suresnes, Ile-de-France, France
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Loire
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Saint Priest En Jarez, Loire, France
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Loire-Atlantique
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Nantes Cedex 2, Loire-Atlantique, France
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Saint Nazaire, Loire-Atlantique, France
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Maine-et-Loire
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Angers Cedex 9, Maine-et-Loire, France
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Morbihan
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Lorient, Morbihan, France
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Provence-Alpes-Cote-d'Azur
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Marseille, Provence-Alpes-Cote-d'Azur, France
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Pyrenees-Atlantiques
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Bayonne, Pyrenees-Atlantiques, France
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Rhone
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Villefranche-sur-Saone, Rhone, France
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Sarthe
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Le Mans cedex 9, Sarthe, France
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Val-de-Marne
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Creteil, Val-de-Marne, France
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Var
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Toulon, Var, France
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Barcelona, Spain
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Burgos, Spain
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Granada, Spain
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Jaen, Spain
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Lugo, Spain
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Madrid, Spain
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Malaga, Spain
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Navarra, Spain
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Pontevedra, Spain
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Sevilla, Spain
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Zaragoza, Spain
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Andalucia
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Sevilla, Andalucia, Spain
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Asturias
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Oviedo, Asturias, Spain
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Baleares
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Palma de Mallorca, Baleares, Spain
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Barcelona
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Badalona, Barcelona, Spain
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Mataro, Barcelona, Spain
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Sabadell, Barcelona, Spain
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Cadiz
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Jerez de la Frontera, Cadiz, Spain
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Canarias
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Las Palmas de Gran Canaria, Canarias, Spain
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Galicia
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Coruna, Galicia, Spain
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Madrid
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Majadahonda, Madrid, Spain
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Pozuelo de Alarcon, Madrid, Spain
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Santa Cruz De Tenerife
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San Cristobal de La Laguna, Santa Cruz De Tenerife, Spain
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Tarragona
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Reus, Tarragona, Spain
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Changhua, Taiwan
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Hsinchu, Taiwan
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Kaohsiung, Taiwan
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Taichung, Taiwan
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Tainan, Taiwan
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Taipei, Taiwan
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Taoyuan, Taiwan
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Taichung Municipality
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Taichung, Taichung Municipality, Taiwan
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Birmingham, United Kingdom
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Bristol, United Kingdom
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Camberley, United Kingdom
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Glasgow, United Kingdom
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Ipswich, United Kingdom
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Leeds, United Kingdom
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London, United Kingdom
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Manchester, United Kingdom
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Newcastle Upon Tyne, United Kingdom
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Nottingham, United Kingdom
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Scunthorpe, United Kingdom
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Sheffield, United Kingdom
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Wolverhampton, United Kingdom
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Worcester, United Kingdom
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Cardiff
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Whitchurch, Cardiff, United Kingdom
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East Riding Of Yorkshire
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Hull, East Riding Of Yorkshire, United Kingdom
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East Sussex
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Brighton, East Sussex, United Kingdom
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Kent
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Maidstone, Kent, United Kingdom
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Liverpool
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Wirral, Liverpool, United Kingdom
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
- Adult male or female patients (according to age of majority/adulthood as defined by local regulations) who have given written informed consent as per local regulations.
- The primary cohort will include patients with EGFR mutation-positive locally advanced or metastatic NSCLC who have progressed while on or after receiving front-line EGFR-TKI therapy (e.g., gefitinib, erlotinib, afatinib, or icotinib).
- Additionally, a secondary cohort of patients will include patients newly diagnosed with locally advanced or metastatic NSCLC who are treatment naive or patients who were diagnosed at an earlier stage but have progressed to metastatic NSCLC during the selection period. (In Spain and France the secondary cohort of patient will be limited to patients with EGFR mutation-positive locally advanced or metastatic NSCLC)
Description
Inclusion Criteria:
- Provision of written informed consent - patient consent should be within 6 weeks of index date.
- Adult male or female subjects (according to age of majority/adulthood as defined by local regulations)
Exclusion Criteria:
-Enrolment in studies that prohibit any participation in this non interventional study
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Patients with EGFR mutation (+) NSCLC
Patients with EGFR mutation-positive locally advanced or metastatic NSCLC who have progressed while on or after receiving front-line EGFR-TKI therapy (e.g., gefitinib, erlotinib, afatinib, or icotinib).
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HRQoL will be assessed using questionnaire EORTC QLQ-C30 and the questionnaire EORTC QLQ-LC 13. These two questionnaires are validated instruments, translated in various languages and are not used as an intervention but rather to track patient quality of life and symptom reduction in real-life settings. Data for these patient reported outcomes will be collected prospectively from the time of enrolment until the end of follow-up. The two questionnaires will be self-administered by the patients in both cohorts at the enrolment visit and subsequently every 3 months (±1 month) at routine standard of care scheduled visits. The questionnaires are expected to take about 15 minutes to complete |
Patients newly diagnosed NSCLC
Patients newly diagnosed with locally advanced or metastatic NSCLC who are treatment naive or patients who were diagnosed at an earlier stage but have progressed to metastatic NSCLC during the selection period.
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HRQoL will be assessed using questionnaire EORTC QLQ-C30 and the questionnaire EORTC QLQ-LC 13. These two questionnaires are validated instruments, translated in various languages and are not used as an intervention but rather to track patient quality of life and symptom reduction in real-life settings. Data for these patient reported outcomes will be collected prospectively from the time of enrolment until the end of follow-up. The two questionnaires will be self-administered by the patients in both cohorts at the enrolment visit and subsequently every 3 months (±1 month) at routine standard of care scheduled visits. The questionnaires are expected to take about 15 minutes to complete |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Parameters in the target population associate with molecular testing patters
Time Frame: Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Parameters in the target population associate with treatment patterns and associated clinical outcomes
Time Frame: Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Estimation of parameters in the target population associate with cancer-related health care utilization patters including inpatient, emergency room, outpatient visits, lenght of inpatient stay
Time Frame: Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Estimation of parameters in the target population associated with treatment- and biopsy-related complications
Time Frame: Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Estimation of the rate of CNS metastases in the target population including brain metastases and leptomeningeal metastases and treatments associated with CNS metastases
Time Frame: Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Overall CNS metastases rate, defined as the number of patients developing CNS metastases divided by the number of evaluable patients
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Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Assessment of patient (HRQoL) using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 items (EORTC QLQ-C30) and EORTC QLQ - Lung Cancer 13 items (EORTC QLQ-LC13)3
Time Frame: Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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• Change in score from baseline for each Quality of Life (QoL) domain and for overall QoL, measured at each subsequent site visit
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Patients will be followed from enrolment in the study until death, loss to follow-up, withdrawal of consent or study end date. The minimum follow-up will be 12 months and the maximum allowed follow-up will be 36 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Danielle Potter, PhD, MPH, AstraZeneca
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
- NSCLC
- Non-Small Cell Lung Cancer
- Immunotherapy
- EGFR
- Osimertinib
- Personalized medicine
- Resistance
- Carcinoma, Non-Small-Cell Lung
- PRO
- Observational study
- Radiation
- Bronchial Neoplasms
- EGFR mutation
- Patient Reported Outcome
- Lung diseases
- T790M
- EGFR-TKI
- Health-Related Quality of Life
- Lung Neoplasms
- Carcinoma, Bronchogenic
- EGFRm
- Respiratory Tract Neoplasms
- Combination Chemotherapy
- Health care resource utilization
- Locally advanced or metastatic lung cancer
- Thoracic neoplasms, Neoplasms by site
- Respiratory Tract diseases
- Cancer Chemotherapy
Additional Relevant MeSH Terms
Other Study ID Numbers
- D5160R00010
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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