UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035180
Receipt number R000040096
Scientific Title Biomarker analysis for alectinib and bevacizumab in ALK-positive NSCLC
Date of disclosure of the study information 2018/12/08
Last modified on 2022/12/12 09:54:07

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Basic information

Public title

Biomarker analysis for alectinib and bevacizumab in ALK-positive NSCLC

Acronym

NLCTG1501-BM

Scientific Title

Biomarker analysis for alectinib and bevacizumab in ALK-positive NSCLC

Scientific Title:Acronym

NLCTG1501-BM

Region

Japan


Condition

Condition

ALK-positive non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To determine the biomarker for the combination therapy of alectinib and bevacizumab in ALK-positive NSCLC.

Basic objectives2

Others

Basic objectives -Others

To determine the biomarker for the combination therapy of alectinib and bevacizumab in ALK-positive NSCLC, liquid biopsy will be performed.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

To determine the biomarker for the combination therapy of alectinib and bevacizumab in ALK-positive NSCLC.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

According to NLCTG1501

Key exclusion criteria

According to NLCTG1501

Target sample size

11


Research contact person

Name of lead principal investigator

1st name Toshoaki
Middle name
Last name Kikuchi

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Respiratory Medicine and Infectious Diseases

Zip code

9518510

Address

1-757 Asahimachidori, Chuouku, Niigata, Japan

TEL

025-368-9325

Email

kikuchi@med.niigta-u.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Watanabe

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Respiratory Medicine and Infectious Diseases

Zip code

9518510

Address

1-757 Asahimachidori, Chuouku, Niigata, Japan

TEL

025-368-9325

Homepage URL


Email

satoshi7@med.niigata-u.ac.jp


Sponsor or person

Institute

Niigata University

Institute

Department

Personal name



Funding Source

Organization

Niigata University

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

Institutional Review Board of the Niigata University

Address

1-754 Asahimachidori, Chuouku, Niigata, Japan

Tel

025-2272625

Email

sanonao@adm.niigata-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

2018 Year 12 Month 08 Day


Related information

URL releasing protocol

N/A

Publication of results

Partially published


Result

URL related to results and publications

N/A

Number of participants that the trial has enrolled

12

Results

There was no difference in PFS or OS by serum biomarkers, but there was a trend toward longer PFS in patients with some biomarker positivity.

Results date posted

2021 Year 12 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Twelve patients with a median age of 67 years (range, 30-77) were enrolled between July 2015 and September 2018. Ten patients were female, all patients had adenocarcinoma histology with advanced ALK-positive NSCLC which were determined by fluorescence in situ hybridization, immunohistochemistry and/or reverse transcription PCR. All patients had received alectinib and a half of patients had been treated with 3 or more regimens before enrollment. At the time of data cutoff, the median follow-up for OS was 13.7 months for all patients and 26.4 months for living patients.

Participant flow

Patients who participated in the NLCTG1501 study were enrolled in the study.

Adverse events

NA

Outcome measures

Potential biomarkers in the plasma proteins were evaluated at baseline, 6 weeks, 12 weeks after the initiation of the combination therapy and when disease progressed. Fresh blood samples (14 ml) were collected in EDTA tubes and centrifuged for 10 minutes at 1400 g at room temperature to separate plasma and buffy coats. All samples were stored at -80 C until the analysis. Cell free DNA (cfDNA) was subsequently extracted from the plasma using an AVENIO cfDNA isolation kit (Roche diagnostics, Mannheim, Germany). Sample plasma analysis was carried out for a panel of circulating angiogenesis and cytokines: angiopoietin-2, bone morphogenetic protein (BMP)-9, epidermal growth factor (EGF), endoglin, fibroblast growth factor (FGF)-1, placental growth factor (PLGF), granulocyte-colony stimulating factor (G-CSF), heparin-binding EGF-like growth factor (HB-EGF), endotherin-1, Hepatocyte Growth Factor (HGF), follistatin, leptin, VEGF-A, VEGF-C, VEGF-D using Bio-Plex 200 (Bio-Rad, Hercules, USA) and Human Angiogenesis/Growth Factor Magnetic Bead Panel (Merck Millipore, Burlington, USA).
The circulating tumor DNA (ctDNA) samples were analyzed with NextSeq500 (Illumina, San Diego, USA) and AVENIO ctDNA Surveillance Kit , which can detect mutations in 197 genes (Roche Diagnostics).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 10 Month 15 Day

Date of IRB

2015 Year 11 Month 16 Day

Anticipated trial start date

2015 Year 10 Month 15 Day

Last follow-up date

2020 Year 11 Month 30 Day

Date of closure to data entry

2022 Year 12 Month 12 Day

Date trial data considered complete

2022 Year 12 Month 12 Day

Date analysis concluded

2023 Year 12 Month 31 Day


Other

Other related information

Evaluate tumor DNA and RNA from plasma of patients treated in NLCTG1501 trial.


Management information

Registered date

2018 Year 12 Month 08 Day

Last modified on

2022 Year 12 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040096


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name