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GIOTRIF rPMS in Korean Patients With NSCLC

A Regulatory Requirement Post-marketing Surveillance Study to Monitor the Safety and Efficacy of GIOTRIF® (Afatinib Dimaleate, 20mg, 30mg, 40mg, q.d) 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

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02285361
Enrollment
1272
Registered
2014-11-07
Start date
2014-10-31
Completion date
2019-12-31
Last updated
2021-02-24

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

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

DRUGGIOTRIF 20mg

NSCLC with GIOTRIF 20mg

DRUGGIOTRIF 40mg

NSCLC with GIOTRIF 40mg

DRUGGIOTRIF 30mg

NSCLC with GIOTRIF 30mg

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
19 Years to 110 Years
Healthy volunteers
No

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

MeasureTime frameDescription
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

MeasureTime frameDescription
Progression-Free Survival (PFS) Rate at 48 WeeksFrom 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 ResponseTumour 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

ArmCount
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
Total1,220

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyConsented prior to the contract date1
Overall StudyLost to Follow-up5
Overall StudyNot taken GIOTRIF2
Overall StudyProtocol Violation43

Baseline characteristics

CharacteristicGIOTRIF®
Age, Continuous66.26 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 typeEG000
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

Primary

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.

ArmMeasureValue (NUMBER)
GIOTRIF®Percentage of Participants With Adverse Drug Reactions (ADRs)89.92 Percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
GIOTRIF®Overall Survival (OS)NA Days
Secondary

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.

ArmMeasureGroupValue (NUMBER)
GIOTRIF®Percentage of Participants With Best ResponseComplete Response2.90 Percentage of participants
GIOTRIF®Percentage of Participants With Best ResponsePartial Response60.89 Percentage of participants
GIOTRIF®Percentage of Participants With Best ResponseStable Disease32.26 Percentage of participants
GIOTRIF®Percentage of Participants With Best ResponseProgressive Disease3.22 Percentage of participants
GIOTRIF®Percentage of Participants With Best ResponseNot Evaluable0.73 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
GIOTRIF®Progression-Free Survival (PFS) Rate at 48 Weeks73.74 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026