Carcinoma, Non-Small-Cell Lung
Conditions
Brief summary
To monitor the safety profile and efficacy of GIOTRIF® (afatinib dimaleate, q.d) in Korean patients with locally advanced or metastatic non-small cell lung cancer (NSCLC)
Interventions
NSCLC with GIOTRIF 20mg
NSCLC with GIOTRIF 40mg
NSCLC with GIOTRIF 30mg
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients who have been started on GIOTRIF® in accordance with the approved label in Korea 2. Age = 19 years at enrolment 3. Patients who have signed on the data release consent form
Exclusion criteria
1. Known hypersensitivity to afatinib or any of its excipients 2. Patients with rare hereditary conditions of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption 3. Patients for whom GIOTRIF® is contraindicated according to the local label
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Adverse Drug Reactions (ADRs) | From baseline (Visit 1) until last visit (the last follow-up visit a patient actually attended during the study), up to 1051 days. | Percentage of participants with Adverse Drug Reactions (ADRs). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-Free Survival (PFS) Rate at 48 Weeks | From week 0 until week 48. Up to 48 weeks. | Progression-Free Survival (PFS) rate, defined as the percentage of patients who were alive and without disease progression at the 48-week tumour assessment. Progression was assessed by the investigator according to local standard pattern of care for non-small cell lung cancer (NSCLC). If a patient is known to have progressed, but the date of progression is not attainable, the last date when the patient was assessed will be used as date of progression. PFS rate at 48 weeks was estimated using Kaplan-Meier estimates on the PFS curve. |
| Percentage of Participants With Best Response | Tumour assessments performed at week 0, 8±2, 24±2 and 48±2. Up to 50 weeks. | Best response is defined as the best response observed in individual subject from the date of the first administration of the study medication until the earliest recording of Progressive disease (PD), death, or end of treatment (as long as no additional anti-cancer therapy was implemented). Disease Assessment will be based on the assessment of cancer related symptoms and, if available, radiologic assessments as per standard of care at the site. Tumour response according to investigator's assessment Each patient will be assigned to one of the following categories: 1. Complete response (CR) 2. Partial response (PR) 3. Stable disease (SD) 4. Progressive disease (PD) 5. Not evaluable for response, reasons to be specified (e.g. early death, tumour assessments incomplete, etc.) |
| Overall Survival (OS) | From baseline (Visit 1) until last visit (the last follow-up visit a patient actually attended during the study), up to 1051 days. | Overall Survival (OS), defined as time from the date of the first administration of afatinib to the date of death. Kaplan-Meier estimates and 95% confidence intervals for the 25th, median, and 75th percentiles of the survival distribution will be calculated for OS. For patients with known date of death: OS \[days\] = date of death - (date of start of treatment) + 1 For patients known not death case: OS (censored) \[days\] = date of last contact showing no death - (date of start of treatment) + 1. |
Countries
South Korea
Participant flow
Recruitment details
This is an observational prospective, non-interventional, open-label, multi-centre national study in Korean patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with Epidermal Growth Factor Receptor (EGFR) mutations or patients with locally advanced or metastatic NSCLC of squamous histology progressing on or after platinum-based chemotherapy
Pre-assignment details
All subjects were screened for eligibility prior to participation in the trial. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.
Participants by arm
| Arm | Count |
|---|---|
| GIOTRIF® GIOTRIF® was prescribed according to the local label and at the discretion of the treating physician. The physicians indicated doses and timing based on the current authorized label in Korea. Possible dosage were 20 milligram (mg), 30 mg and 40 mg administered orally, once daily, at least 1 hour before a meal or at least 3 hours after a meal, taken without food and swallowed whole with water. | 1,220 |
| Total | 1,220 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Consented prior to the contract date | 1 |
| Overall Study | Lost to Follow-up | 5 |
| Overall Study | Not taken GIOTRIF | 2 |
| Overall Study | Protocol Violation | 43 |
Baseline characteristics
| Characteristic | GIOTRIF® | — |
|---|---|---|
| Age, Continuous | 66.26 years STANDARD_DEVIATION 10.78 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 662 Participants | — |
| Sex: Female, Male Male | 558 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 52 / 1,266 |
| other Total, other adverse events | 1,076 / 1,266 |
| serious Total, serious adverse events | 442 / 1,266 |
Outcome results
Percentage of Participants With Adverse Drug Reactions (ADRs)
Percentage of participants with Adverse Drug Reactions (ADRs).
Time frame: From baseline (Visit 1) until last visit (the last follow-up visit a patient actually attended during the study), up to 1051 days.
Population: All Participants whose case report forms (CRFs) were retrieved during the re-examination period (29 Jan 2014 - 28 Jan 2020) and who did not violate the inclusion/exclusion criteria. 1 subject was excluded from the set based on disease indication.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| GIOTRIF® | Percentage of Participants With Adverse Drug Reactions (ADRs) | 89.92 Percentage of participants |
Overall Survival (OS)
Overall Survival (OS), defined as time from the date of the first administration of afatinib to the date of death. Kaplan-Meier estimates and 95% confidence intervals for the 25th, median, and 75th percentiles of the survival distribution will be calculated for OS. For patients with known date of death: OS \[days\] = date of death - (date of start of treatment) + 1 For patients known not death case: OS (censored) \[days\] = date of last contact showing no death - (date of start of treatment) + 1.
Time frame: From baseline (Visit 1) until last visit (the last follow-up visit a patient actually attended during the study), up to 1051 days.
Population: Effectiveness assessment set: all participants whose case report forms (CRFs) were retrieved during the re-examination period (29 Jan 2014 - 28 Jan 2020) and who did not violate the inclusion/exclusion criteria. 221 subjects were excluded due to missing effectiveness assessments.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| GIOTRIF® | Overall Survival (OS) | NA Days |
Percentage of Participants With Best Response
Best response is defined as the best response observed in individual subject from the date of the first administration of the study medication until the earliest recording of Progressive disease (PD), death, or end of treatment (as long as no additional anti-cancer therapy was implemented). Disease Assessment will be based on the assessment of cancer related symptoms and, if available, radiologic assessments as per standard of care at the site. Tumour response according to investigator's assessment Each patient will be assigned to one of the following categories: 1. Complete response (CR) 2. Partial response (PR) 3. Stable disease (SD) 4. Progressive disease (PD) 5. Not evaluable for response, reasons to be specified (e.g. early death, tumour assessments incomplete, etc.)
Time frame: Tumour assessments performed at week 0, 8±2, 24±2 and 48±2. Up to 50 weeks.
Population: Effectiveness assessment set: all participants whose case report forms (CRFs) were retrieved during the re-examination period (29 Jan 2014 - 28 Jan 2020) and who did not violate the inclusion/exclusion criteria. 221 subjects were excluded due to missing effectiveness assessments, an additional 36 subjects were excluded for not completing the assessment at the last visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| GIOTRIF® | Percentage of Participants With Best Response | Complete Response | 2.90 Percentage of participants |
| GIOTRIF® | Percentage of Participants With Best Response | Partial Response | 60.89 Percentage of participants |
| GIOTRIF® | Percentage of Participants With Best Response | Stable Disease | 32.26 Percentage of participants |
| GIOTRIF® | Percentage of Participants With Best Response | Progressive Disease | 3.22 Percentage of participants |
| GIOTRIF® | Percentage of Participants With Best Response | Not Evaluable | 0.73 Percentage of participants |
Progression-Free Survival (PFS) Rate at 48 Weeks
Progression-Free Survival (PFS) rate, defined as the percentage of patients who were alive and without disease progression at the 48-week tumour assessment. Progression was assessed by the investigator according to local standard pattern of care for non-small cell lung cancer (NSCLC). If a patient is known to have progressed, but the date of progression is not attainable, the last date when the patient was assessed will be used as date of progression. PFS rate at 48 weeks was estimated using Kaplan-Meier estimates on the PFS curve.
Time frame: From week 0 until week 48. Up to 48 weeks.
Population: Effectiveness assessment set: all participants whose case report forms (CRFs) were retrieved during the re-examination period (29 Jan 2014 - 28 Jan 2020) and who did not violate the inclusion/exclusion criteria. 221 subjects were excluded due to missing effectiveness assessments.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| GIOTRIF® | Progression-Free Survival (PFS) Rate at 48 Weeks | 73.74 Percentage of participants |