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Long-term Observation PMS for Afatinib

Post Marketing Surveillance on Long Term Drug Use of GIOTRIF Tablets in Patients With Epidermal Growth Factor Receptor Mutation-positive Inoperable or Recurrent Non-small Cell Lung Cancer.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02131259
Enrollment
1605
Registered
2014-05-06
Start date
2014-05-07
Completion date
2016-12-28
Last updated
2018-09-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Brief summary

In Japan, post-approval execution of post marketing surveillance (PMS) is requested by the Japanese Pharmaceutical Affairs Law (J-PAL) in order to accumulate safety and efficacy data for reexamination. Reexamination period is defined by J-PAL. Eight years after approval of a new substance, results of PMS need to be submitted as a part of reexamination dossier to the Japanese regulatory authority, the Ministry of Health, Labour and Welfare (MHLW).

Interventions

20mg - 50mg

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

\- Patients with Epidermal Growth Factor Receptor (EGFR) mutation-positive inoperable or recurrent non-small cell lung cancer (NSCLC)will be included.

Exclusion criteria

\- None

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Adverse Drug Reactions (ADRs)From first drug administration until 28 days after the last drug administration, up to 52 weeks.This outcome measure presents incidence of adverse drug reactions (ADRs). An ADR was defined as an AE if either the investigator or the sponsor (or both) assessed the causal relationship to GIOTRIF® Tablets either as Yes, Probably yes or Can't be denied. The number of patients with Adverse Drug Reactions (ADRs): Malignant progression reported as ADRs were included.

Secondary

MeasureTime frameDescription
Objective Overall Response Based on Physician's Assessment [According to RECIST Version 1.1]52 weeks.Objective overall response based on investigator's assessment (according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) for target lesions and assessed by MRI: complete response (CR) is the disappearance of all target lesions, a partial response (PR) is defined as at least a 30% decrease in the sum of the target lesion and stable disease (SD) is defined as fitting the criteria neither for progressive disease (PD) nor a PR. The population included the Tyrosine Kinase Inhibitor \[TKI\]-naïve patients and the TKI pre-treated patients. Overall response was calculated with 95% Clopper-Pearson confidence interval. OR = (CR+PR)/(CR+PR+SD+PD+Unknown)\*100.

Countries

Japan

Participant flow

Recruitment details

Case Report Form (CRF) collected for 1605 patients, 1602 added in safety set. 1 patient excluded due to out of contract period, 1 due to no treatment (with GIOTRIF) and 1 patient received (GIOTRIF) treatment before registration (total 3 patients excluded from the safety set). Participant flow is based on safety set.

Pre-assignment details

This was a non-interventional, prospective, observational, single arm study based on new data collection.

Participants by arm

ArmCount
Afatinib Dimaleate
The patients were administered single daily dose of Afatinib dimaleate tablet (GIOTRIF® Tablets), starting at 40 milligram (mg) orally up to a period of 52 weeks. The dosage might be adjusted according to the patient's tolerability, with a maximum daily dose of 50 mg.
1,602
Total1,602

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event341
Overall StudyAE/lost to follow-up1
Overall StudyAE/other1
Overall StudyLost to Follow-up7
Overall StudyMissing3
Overall StudyOther63
Overall StudyProgressive disease751
Overall StudyProgressive disease/Adverse Event (AE)22
Overall StudyProgressive disease/AE/other1
Overall StudyProgressive disease/other2
Overall StudyProgressive disease/relocation1
Overall StudyRelocation32

Baseline characteristics

CharacteristicAfatinib Dimaleate
Age, Continuous65.9 Years
STANDARD_DEVIATION 10.2
Sex: Female, Male
Female
947 Participants
Sex: Female, Male
Male
655 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
1,432 / 1,602
serious
Total, serious adverse events
1,129 / 1,602

Outcome results

Primary

Incidence of Adverse Drug Reactions (ADRs)

This outcome measure presents incidence of adverse drug reactions (ADRs). An ADR was defined as an AE if either the investigator or the sponsor (or both) assessed the causal relationship to GIOTRIF® Tablets either as Yes, Probably yes or Can't be denied. The number of patients with Adverse Drug Reactions (ADRs): Malignant progression reported as ADRs were included.

Time frame: From first drug administration until 28 days after the last drug administration, up to 52 weeks.

Population: Safety Set: This analysis set included all patients who had received treatment of GIOTRIF® tablets except those who were found not following registration rules, invalid contract or previous treatment experience with GIOTRIF® tablets.

ArmMeasureValue (NUMBER)
Afatinib DimaleateIncidence of Adverse Drug Reactions (ADRs)95.19 Percentage of Participants
Secondary

Objective Overall Response Based on Physician's Assessment [According to RECIST Version 1.1]

Objective overall response based on investigator's assessment (according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) for target lesions and assessed by MRI: complete response (CR) is the disappearance of all target lesions, a partial response (PR) is defined as at least a 30% decrease in the sum of the target lesion and stable disease (SD) is defined as fitting the criteria neither for progressive disease (PD) nor a PR. The population included the Tyrosine Kinase Inhibitor \[TKI\]-naïve patients and the TKI pre-treated patients. Overall response was calculated with 95% Clopper-Pearson confidence interval. OR = (CR+PR)/(CR+PR+SD+PD+Unknown)\*100.

Time frame: 52 weeks.

Population: Efficacy Set: This analysis set was a subset of the safety set, which included all patients in the safety set except those who had no available tumour assessment and/or who did not suffer from Epidermal Growth Factor Receptor (EGFR) mutation-positive inoperable or recurrent Non-Small Cell Lung Cancer (NSCLC).

ArmMeasureValue (NUMBER)
Afatinib DimaleateObjective Overall Response Based on Physician's Assessment [According to RECIST Version 1.1]40.07 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026