Unique ID issued by UMIN | UMIN000025278 |
---|---|
Receipt number | R000027819 |
Scientific Title | An observational study of EGFR mutation status by circulating tumor DNA during the osimertinib treatment of lung cancer harboring EGFR activating and T790M mutations. |
Date of disclosure of the study information | 2016/12/20 |
Last modified on | 2021/08/05 22:48:06 |
An observational study of EGFR mutation status by circulating tumor DNA during the osimertinib treatment of lung cancer harboring EGFR activating and T790M mutations.
An observational study of plasma EGFR mutation status during osimertinib treatment.
An observational study of EGFR mutation status by circulating tumor DNA during the osimertinib treatment of lung cancer harboring EGFR activating and T790M mutations.
An observational study of plasma EGFR mutation status during osimertinib treatment.
Japan |
lung Cancer
Hematology and clinical oncology |
Malignancy
NO
To clear the resistant mechanism of osimertinib treatment for lung cancer harboring EGFR activating and T790M mutations by periodical analysis of EGFR mutations (activating, T790M, and C797S) in circulating tumor DNA using an improved PNA-LNA PCR clamp method.
Others
To evaluate the percentage of the cases emerging C797S mutation in all oseimertinib resistant patients.
The occurrence ratio of plasma C797S mutations in all osimertinib resistant cases.
The interval between plasma C797S emerged time and the time of confirmed RECIST PD.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
1. Histologically or cytologically documented non-small cell lung cancer.
2. Stage IIIB or stage IV or recurrent NSCLC
3. Detected EGFR activating mutation (exon 19 deletion or exon 21 L858R) by highly sensitive PCR methods.
4. Have a history of first or second generation EGFR-TKI treatment.
5. Detected T790M mutation by highly sensitive PCR methods.
6. Regarding the patients who have be treated with radiotherapy;
1) Not have received radiotherapy to lesions of lung.
2) More than 12 weeks after receiving radiotherapy to bone metastases in thoracic lesion.
3) More than 2 weeks after receiving radiotherapy to lesions except lung.
7. Regarding the patients who have be treated with therapy as follows;
1) More than 4 weeks after the last operation
2) More than 2 weeks after the last drainage of the pleural space.
3) More than 2 weeks after the last pleurodesis except anticancer drugs
4) More than 3 weeks after the last cytotoxic chemotherapy.
8. Patients who have at least one or more measurable lesion by RESIST (Version1.1)
9. Performance status (ECOG) 0-2
10. Estimated life expectancy at least 3 months.
11. Adequate organ function for osimertinib treatment
12. Written informed consent.
13. Aged over 20 years.
1. Having an evidence of ILD or pulmonary fibrosis complication on chest X-ray.
2. Having a history or serious complications as bellows:
1) uncontrollable angina pectoris, cardial infarction within 3 months before enrollment, or heart failure.
2) uncontrollable diabetes or hypertension.
3) Severe infectious disease..
4) gastrointestinal dysfunction with severe diarrhea.
3. Impossible to take drugs orally.
4. Inadequate case considered from drug package insert of osimertinib.
60
1st name | |
Middle name | |
Last name | Makoto Maemondo |
Miyagi Cancer Center
Department of respiratory medicine
47-1 Nodayama, Medecshima-Shiote, Natori, Japan
022-384-3151
maemondo-ma693@miyagi-pho.jp
1st name | |
Middle name | |
Last name | Tatsuro Fukuhara |
Miyagi Cancer Center
Department of respiratory medicine
47-1 Nodayama, Medecshima-Shiote, Natori, Japan
022-384-3151
fukuhara-tatsuro@miyagi-pho.jp
Miyagi Cancer Center
Miyagi Cancer Center
Self funding
Division of Cancer Biology and Therapeutics, Miyagi Cancer Center Research Institute.
Molecular Genetic Research Department, LSI Medience Corporation.
NO
2016 | Year | 12 | Month | 20 | Day |
Unpublished
Main results already published
2016 | Year | 09 | Month | 25 | Day |
2016 | Year | 10 | Month | 05 | Day |
2016 | Year | 10 | Month | 05 | Day |
2022 | Year | 03 | Month | 31 | Day |
To clear the resistant mechanism of osimertinib treatment for lung cancer harboring EGFR activating and T790M mutations by periodical analysis of EGFR mutations (activating, T790M, and C797S) in circulating tumor DNA using an improved PNA-LNA PCR clamp method. Analysis points are before treatment, every 8 weeks from osimertinib started, and Confirmed RECIST-PD.
2016 | Year | 12 | Month | 15 | Day |
2021 | Year | 08 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027819