Carcinoma, Non-Small-Cell Lung
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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
| Arm | Count |
|---|---|
| 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 |
| Total | 1,602 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 341 |
| Overall Study | AE/lost to follow-up | 1 |
| Overall Study | AE/other | 1 |
| Overall Study | Lost to Follow-up | 7 |
| Overall Study | Missing | 3 |
| Overall Study | Other | 63 |
| Overall Study | Progressive disease | 751 |
| Overall Study | Progressive disease/Adverse Event (AE) | 22 |
| Overall Study | Progressive disease/AE/other | 1 |
| Overall Study | Progressive disease/other | 2 |
| Overall Study | Progressive disease/relocation | 1 |
| Overall Study | Relocation | 32 |
Baseline characteristics
| Characteristic | Afatinib Dimaleate |
|---|---|
| Age, Continuous | 65.9 Years STANDARD_DEVIATION 10.2 |
| Sex: Female, Male Female | 947 Participants |
| Sex: Female, Male Male | 655 Participants |
Adverse events
| Event type | EG000 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
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Afatinib Dimaleate | Incidence of Adverse Drug Reactions (ADRs) | 95.19 Percentage of Participants |
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Afatinib Dimaleate | Objective Overall Response Based on Physician's Assessment [According to RECIST Version 1.1] | 40.07 Percentage of participants |