UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052124
Receipt number R000059137
Scientific Title Cost-effectiveness analysis of systemic therapy for non-small cell lung cancer based on real-world data
Date of disclosure of the study information 2023/09/05
Last modified on 2024/04/09 19:29:57

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Basic information

Public title

Cost-effectiveness analysis of systemic therapy for non-small cell lung cancer based on real-world data

Acronym

Cost-effectiveness analysis of systemic therapy for non-small cell lung cancer based on real-world data

Scientific Title

Cost-effectiveness analysis of systemic therapy for non-small cell lung cancer based on real-world data

Scientific Title:Acronym

Cost-effectiveness analysis of systemic therapy for non-small cell lung cancer based on real-world data

Region

Japan


Condition

Condition

non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

In this research, our primary focus lies on cancer patients undergoing treatment with costly, unremovable, and advanced recurrent non-small cell lung cancer therapeutics. The objective is to perform a cost-effectiveness analysis, rooted in real-world data pertaining to survival duration, expenditures, and health-related quality of life metrics. Through this rigorous investigation, we endeavor to unveil the genuine cost-effectiveness of anti-cancer medications.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

From the initiation of anticancer drug treatment following fulfillment of inclusion criteria until the date of death, the incremental cost-effectiveness ratios (ICERs) for the four groups, namely B to E, relative to the base case A, are as follows:

A. Cytotoxic anticancer agent
B. Platinum combination therapy + PD-1/PD-L1 inhibitor
C. Platinum combination therapy + PD-1 inhibitor + CTLA-4 inhibitor
D. PD-1 inhibitor + CTLA-4 inhibitor
E. PD-1/PD-L1 inhibitor

We will evaluate and compare the ICERAB, ICERAC, ICERAD, and ICERAE to assess the cost-effectiveness of these different therapeutic approaches for the specified patient population.

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

The study will include patients who meet the following criteria:

Patients diagnosed with unresectable, advanced recurrent non-small cell lung cancer.
Patients receiving anticancer drug treatment for unresectable, advanced recurrent non-small cell lung cancer.
Patients with ECOG Performance Status (PS) of 0 or 1.
Patients aged 20 years or older at the time of obtaining consent.
Patients who have provided consent to participate in this trial.

The definition of unresectable, advanced recurrent cancer is as follows:
Stage III with inoperable lesions due to the impossibility of curative radiotherapy.
Stage IV.
Postoperative recurrence.
Recurrence after radiation monotherapy.

Key exclusion criteria

Patients with the following driver gene mutations or translocations will be included:

EGFR gene mutation
ALK fusion gene
ROS1 fusion gene
BRAF gene mutation
MET gene mutation
RET fusion gene
NTRK fusion gene

In the future, if new primary standard treatments are identified for additional driver gene mutations or translocations, patients with those newly identified driver gene mutations or translocations will also be excluded from the study.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Takenori
Middle name
Last name Ichimura

Organization

Showa University School of Pharmacy

Division name

Department of Hospital Pharmaceutics

Zip code

142-8555

Address

1-5-8, Shinagawa-ku, Tokyo, 142-8555, Japan

TEL

03-3784-8000

Email

ichimura@cmed.showa-u.ac.jp


Public contact

Name of contact person

1st name Takenori
Middle name
Last name Ichimura

Organization

Showa University School of Pharmacy

Division name

Department of Hospital Pharmaceutics

Zip code

142-8555

Address

1-5-8, Shinagawa-ku, Tokyo, 142-8555, Japan

TEL

03-3784-8000

Homepage URL


Email

ichimura@cmed.showa-u.ac.jp


Sponsor or person

Institute

Showa University

Institute

Department

Personal name

Takenori Ichimura


Funding Source

Organization

Ministry of Education, Culture, Sports, Science, and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Showa University Research Ethics Review Board

Address

1-5-8, Shinagawa-ku, Tokyo, 142-8555, Japan

Tel

03-3784-8129

Email

m-rinri@ofc.showa-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

昭和大学横浜市北部病院


Other administrative information

Date of disclosure of the study information

2023 Year 09 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2023 Year 08 Month 24 Day

Date of IRB

2023 Year 08 Month 24 Day

Anticipated trial start date

2023 Year 09 Month 19 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Before the start of the examination


Management information

Registered date

2023 Year 09 Month 05 Day

Last modified on

2024 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059137