- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05770037
DETERMINE Trial Treatment Arm 01: Alectinib in Adult, Paediatric and Teenage/Young Adult Patients With ALK Positive Cancers (DETERMINE)
DETERMINE (Determining Extended Therapeutic Indications for Existing Drugs in Rare Molecularly Defined Indications Using a National Evaluation Platform Trial): An Umbrella-Basket Platform Trial to Evaluate the Efficacy of Targeted Therapies in Rare Adult, Paediatric and Teenage/Young Adult (TYA) Cancers With Actionable Genomic Alterations, Including Common Cancers With Rare Actionable Alterations. Treatment Arm 01: Alectinib in Adult, Paediatric and Teenage/Young Adult Patients With ALK Positive Cancers
This clinical trial is looking at a drug called alectinib. Alectinib is approved as standard of care treatment for adult patients with certain types of lung cancer. This means it has gone through clinical trials and been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK. Alectinib works in lung cancer patients with a particular mutation in their cancer known as ALK.
Investigators now wish to find out if it will be useful in treating patients with other cancer types which have the same mutation. If the results are positive, the study team will work with the NHS and the Cancer Drugs Fund to see if these drugs can be routinely accessed for patients in the future.
This trial is part of a trial programme called DETERMINE. The programme will also look at other anti-cancer drugs in the same way, through matching the drug to rare cancer types or ones with specific mutations.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
DETERMINE Treatment Arm 01 (alectinib) aims to evaluate the efficacy of alectinib in ALK-positive rare* adult, paediatric and teenage/young adult (TYA) cancers and in common cancers where an ALK mutation or amplification is considered to be infrequent.
*Rare is defined generally as incidence less than 6 cases in 100,000 patients (includes paediatric and teenagers/young adult cancers) or common cancers with rare alterations.
This treatment arm has a target sample size of 30 evaluable patients. Sub-cohorts may be defined and further expanded to a target of 30 evaluable patients each.
The ultimate aim is to translate positive clinical findings to the NHS (Cancer Drugs Fund) to provide new treatment options for rare adult, paediatric and TYA cancers.
OUTLINE:
Pre-screening: The Molecular Tumour Board makes a treatment recommendation for the patient based on molecularly-defined cohorts (See information on Master Screening Protocol below).
Screening: Consenting patients undergo biopsy and collection of blood samples for research purposes.
Treatment: Patients will receive alectinib until disease progression without clinical benefit, unacceptable adverse events (AEs) or withdrawal of consent. Patients will also undergo collection of blood samples at various intervals while receiving treatment and at EoT.
After completion of study treatment, patients are followed up every 3 months for 2 years.
THE DETERMINE TRIAL MASTER (SCREENING) PROTOCOL:
Please see DETERMINE Trial Master (Screening) Protocol record (NCT05722886) for information on the DETERMINE Trial Master Protocol and applicable documents.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
- Name: Aida Sarmiento Castro
- Phone Number: +44 207 242 0200
- Email: determine@cancer.org.uk
Study Locations
-
-
-
Belfast, United Kingdom, BT9 7AB
- Recruiting
- Belfast City Hospital
-
Contact:
- Vicky Coyle, Prof
- Email: V.Coyle@qub.ac.uk
-
Principal Investigator:
- Vicky Coyle, Prof
-
Birmingham, United Kingdom
- Not yet recruiting
- Birmingham Children's Hospital
-
Contact:
- Gerard Millen, Dr
- Phone Number: 07921843607
- Email: g.millen@nhs.net
-
Principal Investigator:
- Gerard Millen, Dr
-
Birmingham, United Kingdom, B15 2TT
- Recruiting
- University Hospital Birmingham
-
Contact:
- Gary Middleton, Prof
- Phone Number: 0121 371 3573
- Email: G.Middleton@bham.ac.uk
-
Principal Investigator:
- Gary Middleton, Prof
-
Bristol, United Kingdom, BS2 8ED
- Recruiting
- Bristol Haematology and Oncology centre
-
Contact:
- Antony Ng, Dr
- Phone Number: 0117 342 8044
- Email: Antony.Ng@uhbw.nhs.uk
-
Principal Investigator:
- Antony Ng, Dr
-
Bristol, United Kingdom, BS2 8BJ
- Recruiting
- Bristol Royal Hospital for Children
-
Contact:
- Antony Ng, Dr
- Phone Number: 0117 342 8044
- Email: Antony.Ng@uhbw.nhs.uk
-
Principal Investigator:
- Antony Ng, Dr
-
Cambridge, United Kingdom, CB2 OQQ
- Recruiting
- Addenbrooke's Hospital
-
Contact:
- Bristi Basu, Dr
- Phone Number: 01223 596105
- Email: bb313@medschl.cam.ac.uk
-
Principal Investigator:
- Bristi Basu, Dr
-
Cardiff, United Kingdom, CF14 2TL
- Recruiting
- Velindre Cancer Centre
-
Contact:
- Robert Jones, Dr
- Phone Number: 6327 02920 615888
- Email: Robert.Hugh.Jones@wales.nhs.uk
-
Principal Investigator:
- Robert Jones, Dr
-
Cardiff, United Kingdom, CF14 4XW
- Not yet recruiting
- Cardiff Children's Hospital
-
Principal Investigator:
- Madeline Adams, Dr
-
Contact:
- Madeline Adams, Dr
- Phone Number: 02921842285
- Email: madeline.adams@wales.nhs.uk
-
Edinburgh, United Kingdom, EH4 2XU
- Recruiting
- Western General Hospital
-
Contact:
- Stefan Symeonides, Dr
-
Principal Investigator:
- Stefan Symeonides, Dr
-
Glasgow, United Kingdom, G12 OYN
- Recruiting
- The Beatson Hospital
-
Contact:
- Patricia Roxburgh, Dr
- Phone Number: 0141 301 7118
- Email: Patricia.Roxburgh@glasgow.ac.uk
-
Principal Investigator:
- Patricia Roxburgh, Dr
-
Glasgow, United Kingdom, G51 4TF
- Recruiting
- Royal Hospital for Children Glasgow
-
Contact:
- Milind Ronghe, Dr
- Phone Number: 0141 452 6692
- Email: Milind.Ronghe@ggc.scot.nhs.uk
-
Principal Investigator:
- Milind Ronghe, Dr
-
Leicester, United Kingdom, LE1 5WW
- Recruiting
- Leicester Royal Infirmary
-
Contact:
- Olubukola Ayodele, Dr
- Phone Number: 0116 2587601
- Email: olubukola.ayodele@uhl-tr.nhs.uk
-
Principal Investigator:
- Olubukola Ayodele, Dr
-
Liverpool, United Kingdom, L14 5AB
- Recruiting
- Alder Hey Hospital
-
Contact:
- Lisa Howell, Dr
- Phone Number: 0151 293 3679
- Email: Lisa.Howell@alderhey.nhs.uk
-
Principal Investigator:
- Lisa Howell, Dr
-
London, United Kingdom, WC1N 3JH
- Recruiting
- Great Ormond Street Hospital
-
Contact:
- Darren Hargrave, Dr
- Phone Number: 0207 813 8525
- Email: Darren.hargrave@gosh.nhs.uk
-
Principal Investigator:
- Darren Hargrave, Dr
-
London, United Kingdom, NW1 2BU
- Recruiting
- University College London Hospital
-
Contact:
- Martin Forster, Prof
- Phone Number: 020 3447 5085
- Email: M.Forster@ucl.ac.uk
-
Principal Investigator:
- Martin Forster, Prof
-
London, United Kingdom, SE1 9RT
- Recruiting
- Guy's Hospital
-
Contact:
- James Spicer, Dr
- Phone Number: 020 7188 4260
- Email: james.spicer@kcl.ac.uk
-
Principal Investigator:
- James Spicer, Dr
-
Manchester, United Kingdom, M13 9WL
- Not yet recruiting
- Royal Manchester Children's Hospital
-
Contact:
- Guy Makin, Dr
- Phone Number: 0161 701 8419
- Email: Guy.Makin@mft.nhs.uk
-
Principal Investigator:
- Guy Makin, Dr
-
Manchester, United Kingdom, M20 4BX
- Recruiting
- The Christie Hospital
-
Principal Investigator:
- Matthew Krebs, Dr
-
Contact:
- Matthew Krebs, Dr
- Phone Number: 01619187672
- Email: matthew.krebs@nhs.net
-
Metropolitan Borough of Wirral, United Kingdom, CH63 4JY
- Recruiting
- Clatterbridge Cancer Centre
-
Contact:
- Dan Palmer, Dr
- Phone Number: 0151 706 4172 / 0151 706 4177
- Email: daniel.palmer@liverpool.ac.uk
-
Principal Investigator:
- Dan Palmer, Dr
-
Newcastle, United Kingdom, NE7 7DN
- Recruiting
- Freeman Hospital
-
Principal Investigator:
- Alastair Greystoke, Dr
-
Contact:
- Alastair Greystoke, Dr
- Phone Number: 0191 2138476
- Email: Greystoke@newcastle.ac.uk
-
Newcastle, United Kingdom, NE1 4LP
- Recruiting
- Great North Children's Hospital
-
Contact:
- Alastair Greystoke, Dr
- Phone Number: 0191 2138476
- Email: Alastair.Greystoke@newcastle.ac.uk
-
Principal Investigator:
- Alastair Greystoke, Dr
-
Oxford, United Kingdom, OX3 7LE
- Recruiting
- Churchill Hospital
-
Contact:
- Sarah Pratap, Dr
- Phone Number: 01865 235273
- Email: Sarah.Pratap@ouh.nhs.uk
-
Principal Investigator:
- Sarah Pratap, Dr
-
Oxford, United Kingdom, OX3 9DU
- Recruiting
- John Radcliffe Hospital
-
Contact:
- Sarah Pratap, Dr
- Phone Number: 01865 235273
- Email: Sarah.Pratap@ouh.nhs.uk
-
Principal Investigator:
- Sarah Pratap, Dr
-
Sheffield, United Kingdom, S10 2SJ
- Recruiting
- Weston Park Hospital
-
Contact:
- Sarah Danson, Dr
- Phone Number: 0114 226 5068
- Email: s.danson@sheffield.ac.uk
-
Principal Investigator:
- Sarah Danson, Dr
-
Sheffield, United Kingdom, S10 2TH
- Recruiting
- Sheffield's Children's Hospital
-
Contact:
- Daniel Yeomanson, Dr
- Phone Number: 01142717366
- Email: danyeomanson@nhs.net
-
Principal Investigator:
- Daniel Yeomanson, Dr
-
Southampton, United Kingdom, SO16 6YD
- Recruiting
- Southampton General Hospital
-
Contact:
- Juliet Gray, Prof
- Phone Number: 0238 120 6639
- Email: Juliet.Gray@uhs.nhs.uk
-
Principal Investigator:
- Juliet Gray, Prof
-
Sutton, United Kingdom, SM2 5PT
- Recruiting
- The Royal Marsden Hospital
-
Contact:
- Lynley Marshall, Dr
- Phone Number: 0208 661 3678
- Email: LynleyVanessa.Marshall@icr.ac.uk
-
Principal Investigator:
- Lynley Marshall, Dr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
THE PATIENT MUST FULFIL THE ELIGIBILITY CRITERIA WITHIN THE DETERMINE MASTER PROTOCOL (NCT05722886) AND WITHIN THE TREATMENT ARM 01 (ALECTINIB) OUTLINED BELOW*
*When alectinib-specific inclusion/exclusion criteria or precautions below differ from those specified in the Master Protocol, the alectinib-specific criteria will take precedence.
Inclusion Criteria:
A. Confirmed diagnosis of an ALK-positive malignancy using an analytically validated next-generation sequencing method.
B. Women of childbearing potential are eligible, provided that they meet the following criteria:
- Have a negative serum or urine pregnancy test before enrolment and;
- Agree to use one form of highly effective birth control method such as:
I. combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation [oral, intravaginal or transdermal]
II. progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable)
III. intrauterine device (IUD)
IV. intrauterine hormone-releasing system (IUS)
V. bilateral tubal occlusion
VI. vasectomised partner
VII. sexual abstinence
Effective from the first administration of alectinib, throughout the trial and for three months after the last administration of alectinib.
C. Male patients with partners who are women of childbearing potential are eligible provided that they agree to the following, from first administration of alectinib, throughout the trial and for three months after the last administration of alectinib:
- Agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide) or sexual abstinence.
- Non-vasectomised male patients with partners who are women of childbearing potential must also be willing to ensure that their partner uses a highly effective method of contraception, as in criterion B, above.
- Male patients with pregnant or lactating partners must be advised to use barrier method contraception (e.g. condom) to prevent drug exposure of the foetus or neonate.
All male patients must refrain from donating sperm for the same period.
D. Patients must be able and willing to undergo a fresh tissue biopsy. Note that for patients with haematological malignancies or neuroblastomas, blood, bone marrow aspiration and/or trephine or lymph node biopsy samples may be taken.
E. Paediatric patients (patients aged <18 years) must have a body weight ≥40kg.
F. ADULT PATIENTS (≥18 years): Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol. These measurements should be performed to confirm the patient's eligibility.
G. PAEDIATRIC PATIENTS (<18 years): Adequate organ function as per haematological and biochemical indices within the ranges shown below. These measurements should be performed to confirm the patient's eligibility.
Exclusion Criteria:
A. Diagnosis of ALK-positive non-small cell lung cancer.
B. Female patients who are pregnant, breastfeeding or planning to become pregnant during the trial or for three months following their last dose of alectinib.
C. Prior treatment with the same class of drug unless genetic profile demonstrates a mechanism of resistance known to be potentially sensitive to alectinib. Patients who have previously received crizotinib (Xalkori^[®]) and did not respond, or who responded inadequately or responded adequately and subsequently progressed, are allowed into the trial.
D. History of or radiological evidence of interstitial lung disease and/or pneumonitis. Prior localised radiotherapy related pneumonitis is permitted if resolved and off steroids and asymptomatic for >6 months.
E. Patients at risk of gastrointestinal (GI) perforation e.g. history of diverticulitis, concomitant use of medicinal product with a recognized risk of GI perforation (unless patient has also been co-prescribed gastric protection).
• Patients who present with a GI primary tumour or metastases to the GI tract may be considered.
F. Patient unable to swallow or tolerate oral medication or any GI disorder that may affect absorption of oral medications, such as malabsorption syndrome or following major bowel resection. Paediatric patients will be excluded if they are unable to swallow the capsules, as per the dosing schedule (150 mg dose strength).
G. Patients with clinically significant pre-existing cardiac conditions, including uncontrolled or symptomatic angina, uncontrolled atrial or ventricular arrhythmias (within three months), or New York Heart Association (NYHA) class III or IV congestive heart failure.
Patients with a cerebrovascular event (including stroke or transient ischaemic attack [TIA]), or cardiovascular event (including acute myocardial infarction [MI]), within three months before the first dose of alectinib.
• Patients with primary CNS tumours may be considered unless intra-tumoural bleeding has occurred within 2 weeks of the first dose of alectinib, and patients with punctate CNS haemorrhages <3 mm may be considered.
H. History of organ transplantation.
I. Symptomatic bradycardia for age.
J. Known hypersensitivity to alectinib or any of the excipients. See the current alectinib (Alecensa® 150 mg hard capsules) SmPC for the full list.
K. Patients who were administered a live, attenuated vaccine within 28 days prior to enrolment, or anticipation of need for such a vaccine during alectinib treatment or within six months after the final dose of alectinib.
L. Active hepatitis B or C virus or known human immunodeficiency virus (HIV) positivity or acquired immune deficiency syndrome (AIDS) related illness. Patients with history of testing positive for HIV infection are eligible provided the each of the following conditions are met:
- CD4 count ≥350/μL;
- undetectable viral load;
- receiving antiretroviral therapy (ART) that does not interact with IMP (patients should be on established ART for at least four weeks); and
- no HIV/AIDS-associated opportunistic infection in the last 12 months.
M. Familial or personal history of congenital bone disorders, bone metabolism alterations or known osteopenia in the patient.
N. Any clinically significant concomitant disease or condition (or its treatment) that could interfere with the conduct of the trial or absorption of oral medications or that would, in the opinion of the Investigator, pose an unacceptable risk to the patient in this trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Treatment Arm 01: Alectinib
This alectinib treatment arm is for adult, paediatric and teenage/young adult (TYA) patients with ALK-positive cancers.
|
Adult patients will be administered alectinib orally at a dose of 600 mg (four 150 mg capsules) twice daily. Paediatric patients with a body weight ≥40 kg and who are able to swallow the capsules, will be administered alectinib orally at a dose of 600 mg (four 150 mg capsules) twice daily. Each cycle of treatment will consist of 28 days and patients may continue on treatment until disease progression without clinical benefit, unacceptable AEs or withdrawal of consent.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Durable Clinical Benefit (DCB)
Time Frame: Disease assessments to be performed up to 24 weeks from the start of trial treatment.
|
DCB is defined as the absence of disease progression for at least 24 weeks from the start of trial treatment according to RECIST Version 1.1 criteria (or ir-RECIST or standard imaging criteria for specific disease e.g.
RANO criteria) and, where relevant (e.g. for haematological malignancies), by standard bone marrow response assessment criteria.
Alternative definitions of DCB based on different time points may be pre-specified for particular sub-cohorts if 24 weeks is not clinically relevant.
The trial will report the proportion of patients with a DCB and 95% credible interval.
|
Disease assessments to be performed up to 24 weeks from the start of trial treatment.
|
|
Objective Response (OR)
Time Frame: Disease assessments to be performed up to 24 weeks from the start of trial treatment.
|
An OR is defined as the confirmed occurrence of either a Complete Response (CR) or Partial Response (PR) according to Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 criteria (or immune related [ir]-RECIST or standard imaging criteria for specific disease e.g.
Response Evaluation in Neuro Oncology criteria [RANO]).
In patients with leukaemia, OR will be defined as the occurrence of CR, CRi (CR incomplete neutrophil recovery) or CRp (CR with incomplete platelet recovery).
The trial will report the proportion of patients with an OR and 95% credible interval.
|
Disease assessments to be performed up to 24 weeks from the start of trial treatment.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to treatment discontinuation (TTD)
Time Frame: From first dose of alectinib to discontinuation of trial treatment up to 5 years with an average calculated and presented with results entry.
|
TTD is defined as the time from date of starting trial treatment to date of discontinuing trial treatment, in days estimated by the median of the posterior inverse gamma probability distribution.
The trial will report the median TTD and 95% credible interval.
|
From first dose of alectinib to discontinuation of trial treatment up to 5 years with an average calculated and presented with results entry.
|
|
Overall Survival time (OS)
Time Frame: Time of death or up to 2 years after the EoT visit.
|
OS is defined as the time from date of starting trial treatment to date of death from any cause estimated by the median of the posterior normal probability distribution.
|
Time of death or up to 2 years after the EoT visit.
|
|
Mean change from baseline in the PedsQL 4.0 Standardised Area Under total Scale Score Curve (PedsSAUC) in parents of paediatric patients
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
For paediatric populations multiple measures of QoL will be generated from patient's parent completion of the PedsQL 4.0 (4 measures).
The Summary Score from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean PedsSAUC and 95% credible interval.
|
QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
|
Duration of response (DR)
Time Frame: Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
DR is defined as the time from the date of the first confirmed CR or PR according to RECIST 1.1 or ir-RECIST or standard imaging criteria for specific disease e.g.
RANO criteria to the date of disease progression.
The trial will report the median DR and 95% credible interval.
|
Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
|
Best percentage change in sum of target lesion / index lesion diameters (PCSD)
Time Frame: Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
PCSD is defined as the greatest decrease or least increase in the sum of target lesion diameters (RECIST) or index lesion diameters (irRECIST) as a percentage compared to the baseline measurement.
The trial will report the mean PCSD and 95% credible interval.
|
Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
|
Progression-Free Survival time (PFS)
Time Frame: Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
PFS is defined as the time from date of starting trial treatment to date of progression or date of death without a previous progression recorded estimated by the median of the posterior inverse gamma probability distribution.
|
Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
|
Time to Progression (TTP)
Time Frame: Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
TTP is defined as the time from date of starting trial treatment to date of progression or date of death without recorded progression censored rather than events.
The trial will report the median TTP and 95% credible interval.
|
Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
|
Growth Modulation Index (GMI)
Time Frame: Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
GMI is defined as the ratio of TTP with the trial protocol treatment to TTP on the most recent prior line of therapy.
The trial will report the mean GMI and 95% credible interval.
|
Disease assessment performed every 2 cycles of alectinib (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose of alectinib for up to 2 years.
|
|
Occurrence of at least one Suspected Unexpected Serious Adverse Reaction (SUSAR)
Time Frame: From the time of consent until 28 days after last dose of alectinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
The trial will report the number of patients who experience at least one SUSAR to alectinib.
|
From the time of consent until 28 days after last dose of alectinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
|
Occurrence of at least one Grade 3, 4 or 5 alectinib related AE
Time Frame: From the time of consent until 28 days after last dose of alectinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
Number of patients who experience at least one alectinib related Grade 3, 4 or 5 AE according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0
|
From the time of consent until 28 days after last dose of alectinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
|
EQ-5D Standardised Area Under Index Value Curve (EQ5DSAUC) in adult patients
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
For adult populations, two measures of Quality of Life (QoL) will be generated from patient completion of the EQ-5D-5L questionnaire.
For each measure, scores based on responses from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean EQ5DSAUC and 95% credible interval.
|
QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
|
Mean change from baseline in the PedsQL 4.0 Standardised Area Under total Scale Score Curve (PedsSAUC) in paediatric patients.
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
For paediatric populations multiple measures of QoL will be generated from patient completion of the, PedsQL 4.0 (4 measures).
The Summary Score from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean PedsSAUC and 95% credible interval.
|
QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
EORTC-QLQ-C30-Standardised Area Under Summary Score Curve (QLQSAUC) in adult patients.
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
For adult populations, multiple measures of QoL will be generated from patient completion of the European Organisation for Research and Treatment of Cancer QLQ-C30 (EORTC-QLQ-C30) questionnaire (15 measures).
For each patient the Summary Score from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean QLQSAUC and 95% credible interval.
|
QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Matthew Krebs, Dr, The Christie Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
- Urogenital Diseases
- Urogenital Neoplasms
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Immune System Diseases
- Hematologic Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Urologic Neoplasms
- Carcinoma
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Kidney Neoplasms
- Neuroectodermal Tumors, Primitive, Peripheral
- Neuroectodermal Tumors, Primitive
- Lymphoma, T-Cell
- Hemic and Lymphatic Diseases
- Neoplasms
- Hematologic Neoplasms
- Lymphoma
- Carcinoma, Renal Cell
- Neuroblastoma
- Lymphoma, Large-Cell, Anaplastic
- Neoplasms by Histologic Type
- Lymphoproliferative Disorders
- Neoplasms by Site
- Tyrosine Kinase Inhibitors
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Protein Kinase Inhibitors
- alectinib
Other Study ID Numbers
- CRUKD/21/004 - Treatment Arm 1
- IRAS ID: 1004057 (Other Identifier: IRAS)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Neoplasms by Histologic Type
-
Novatim Immune Therapeutics (Zhejiang) Co., Ltd.RecruitingNeoplasms | Neoplasms by Histologic TypeChina
-
Great Ormond Street Hospital for Children NHS Foundation...Recruiting
-
Bristol-Myers SquibbInnovative Therapies For Children with Cancer ConsortiumCompletedLeukemiaGermany, United Kingdom, France, Austria, Italy, Netherlands
-
Assistance Publique Hopitaux De MarseilleUnknown
-
AEterna ZentarisCompleted
-
Royal Marsden NHS Foundation TrustUnknown
-
Peking University People's HospitalCompleted
-
Sun Yat-sen UniversityRecruiting
-
Baylor College of MedicineThe Methodist Hospital Research Institute; Center for Cell and Gene Therapy...Completed
-
Singapore General HospitalCompletedSolid Tumor | Histological Type of NeoplasmSingapore
Clinical Trials on Alectinib
-
China Medical University HospitalNot yet recruiting
-
Hoffmann-La RocheCompletedNon-Small Cell Lung CancerKorea, Republic of
-
Dana-Farber Cancer InstituteGenentech, Inc.TerminatedALK-positive Non-small Cell Lung Cancer (NSCLC) | RET-positive Non-small Cell Lung Cancer (NSCLC) | RET-positive Thyroid CancerUnited States
-
Aarhus University HospitalRoche Pharma AGEnrolling by invitationLung Cancer | ALK Gene Mutation | Resistance, Disease | MutationDenmark
-
Hoffmann-La RocheCompletedCarcinoma, Non-Small-Cell LungFrance
-
Hoffmann-La RocheCompletedHepatic ImpairmentCzechia, Slovakia
-
Han Xu, M.D., Ph.D., FAPCR, Sponsor-Investigator...UnitedHealthcare; Omnicure Clinical ResearchActive, not recruitingALK-Positive Non-Small Cell Lung Cancer (NSCLC)United States
-
Hoffmann-La RocheTerminatedDigestive System Diseases | Gastrointestinal Diseases | Melanoma | Sarcoma | Neoplasms | Respiratory Tract Diseases | Neoplasms by Site | Gastrointestinal Neoplasms | Digestive System Neoplasms | Head and Neck Neoplasms | Respiratory Tract Neoplasms | Thoracic Neoplasms | Carcinoma, Bronchogenic | Bronchial Neoplasms and other conditionsUnited States
-
Hoffmann-La RocheCompletedNon-Small Cell Lung CancerUnited States, France, Canada, Israel, China, Taiwan, Thailand, Australia, Guatemala, Serbia, Ukraine, Chile, Poland, United Kingdom, Switzerland, Singapore, Italy, Spain, Bosnia and Herzegovina, Portugal, Hong Kong, Egypt, New Zealand and more
-
Hoffmann-La RocheActive, not recruitingNeoplasmsSpain, United States, France, Hong Kong, Poland, Italy, South Korea, Turkey (Türkiye), Russia