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Afatinib Osimertinib Sequencing NIS

GioTag: Real-world Data Study on Sequential Therapy With Gi(l)Otrif®/ Afatinib as First-line Treatment Followed by Osimertinib in Patients With EGFR Mutation Positive Advanced Non-small Cell Lung Cancer

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03370770
Enrollment
204
Registered
2017-12-12
Start date
2017-12-28
Completion date
2019-11-28
Last updated
2020-12-24

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

This is a non-interventional, multi-country, multi-centre cohort study based on existing data from medical records of patients with EGFR mutation-positive advanced NSCLC treated with afatinib (Gi(l)otrif®) as the first-line treatment followed by osimertinib in case the T790M resistance mutation was developed.

Interventions

DRUGAfatinib

GILOTRIF, GIOTRIF, XOVOLTIB

DRUGOsimertinib

on T790M resistance mutation was developed

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients with EGFR mutation-positive advanced non-small cell lung cancer (NSCLC) * The tumour harbours common EGFR mutations (Del19, L858R) at start of first-line treatment * Patients who initiated second-line osimertinib treatment for acquired T790M mutation at least 10 months prior to data entry, AND who were treated with afatinib (Gi(l)otrif®) in the first-line * Patients treated with osimertinib within an EAP/CUP or regular clinical practice * Age ≥ 18 years * Signed and dated written informed consent per regulations (Exemption of a written informed consent for NIS based on existing data in countries per local regulations and legal requirements)

Exclusion criteria

* Patients who received drug(s) other than osimertinib as the second-line treatment and/or patients who received drug(s) other than afatinib (Gi(l)otrif®) as the first-line treatment * Patients with active brain metastases at start of treatment (either afatinib/Gi(l)otrif® or osimertinib)

Design outcomes

Primary

MeasureTime frameDescription
Time on Treatment With Afatinib (Gi(l)Otrif®) Followed by OsimertinibData collected from start of treatment until data entry completion, up to 96.8 months for first analysis and up to 114.1 months for the extension analysis.Time on treatment, which was defined as time in months from the start date of Afatinib (Gi\[l\]otrif®) treatment ('start date of initial dose' for First-Line Treatment) to the end date of Osimertinib treatment (maximum between 'end date of initial dose' and the last 'end date of dose modification' for Second-Line Treatment) or death date due to any cause ('date of death'). Time on treatment (months) = Time on treatment (days)/30.4375. 'Time on treatment was analysed using Kaplan-Meier method, and the median along with two-sided 90% confidence interval was displayed using the Greenwood's formula for estimation of standard errors.

Secondary

MeasureTime frameDescription
The Percentage of Participants With Different Types of Mutations After CategorisationData collected from start of treatment until data entry completion; up to 96.8 months.Different types of resistance mutations identified at the time of discontinuation of osimertinib treatment were systematically reviewed and categorised.

Countries

Austria

Participant flow

Recruitment details

Non-interventional, multi-centre cohort study based on existing data from medical records of patients with epidermal growth factor receptor (EGFR) mutation-positive advanced non-small cell lung cancer (NSCLC) treated with afatinib (Gi\[l\]otrif®) as first-line treatment followed by osimertinib in case the T790M resistance mutation was developed. The study included an extension analysis using additional collected data of the enrolled patients.

Pre-assignment details

All patients were screened for eligibility to participate in the trial. Only patients that met all the inclusion and none of the exclusion criteria were included in the trial.

Participants by arm

ArmCount
Patients With EGFR Mutation-positive NSCLC
Patients with EGFR mutation-positive NSCLC with acquired T790M mutation at least 10 months prior to data entry, and who were treated with afatinib (Gi\[l\]otrif®) (50mg or 40mg or 30mg or 20mg tablet once daily as indicated in the approved labels of afatinib (Gi\[l\]otrif®)) in the first-line line treatment followed by second-line osimertinib treatment (80 milligram (mg) or 40 mg tablets once daily as indicated in the approved labels of osimertinib).
204
Total204

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyDeath5
Overall StudyPatient was followed in another hospital center1
Overall StudyProgressive Disease98

Baseline characteristics

CharacteristicPatients With EGFR Mutation-positive NSCLC
Age, Continuous60.1 Years
STANDARD_DEVIATION 10.48
Ethnicity (NIH/OMB)
Hispanic or Latino
19 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
181 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
Race (NIH/OMB)
Asian
50 Participants
Race (NIH/OMB)
Black or African American
18 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
13 Participants
Race (NIH/OMB)
White
120 Participants
Sex: Female, Male
Female
110 Participants
Sex: Female, Male
Male
94 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
31 / 203
other
Total, other adverse events
62 / 203
serious
Total, serious adverse events
32 / 203

Outcome results

Primary

Time on Treatment With Afatinib (Gi(l)Otrif®) Followed by Osimertinib

Time on treatment, which was defined as time in months from the start date of Afatinib (Gi\[l\]otrif®) treatment ('start date of initial dose' for First-Line Treatment) to the end date of Osimertinib treatment (maximum between 'end date of initial dose' and the last 'end date of dose modification' for Second-Line Treatment) or death date due to any cause ('date of death'). Time on treatment (months) = Time on treatment (days)/30.4375. 'Time on treatment was analysed using Kaplan-Meier method, and the median along with two-sided 90% confidence interval was displayed using the Greenwood's formula for estimation of standard errors.

Time frame: Data collected from start of treatment until data entry completion, up to 96.8 months for first analysis and up to 114.1 months for the extension analysis.

Population: Full Analysis Set (FAS): All patients who were enrolled into the study, met all inclusion criteria and did not meet any exclusion criteria and provided a written and signed informed consent. 1 Patient was excluded from extension analysis due to conflicting data on the discontinuation date of osimertinib treatment.

ArmMeasureGroupValue (MEDIAN)
Patients With EGFR Mutation-positive NSCLCTime on Treatment With Afatinib (Gi(l)Otrif®) Followed by OsimertinibFirst analysis27.6 Months
Patients With EGFR Mutation-positive NSCLCTime on Treatment With Afatinib (Gi(l)Otrif®) Followed by OsimertinibExtension analysis27.7 Months
Secondary

The Percentage of Participants With Different Types of Mutations After Categorisation

Different types of resistance mutations identified at the time of discontinuation of osimertinib treatment were systematically reviewed and categorised.

Time frame: Data collected from start of treatment until data entry completion; up to 96.8 months.

Population: Patients in the Full Analysis Set (FAS), who discontinued treatment and with positive test results (either EGFR sensitizing Mutation and/or T790M) available.

ArmMeasureGroupValue (NUMBER)
Patients With EGFR Mutation-positive NSCLCThe Percentage of Participants With Different Types of Mutations After CategorisationLoss of T790M20.5 Percentage of participants (%)
Patients With EGFR Mutation-positive NSCLCThe Percentage of Participants With Different Types of Mutations After CategorisationT790M positive, loss of sensitizing mutation10.3 Percentage of participants (%)
Patients With EGFR Mutation-positive NSCLCThe Percentage of Participants With Different Types of Mutations After CategorisationT790M positive69.2 Percentage of participants (%)

Source: ClinicalTrials.gov · Data processed: Feb 23, 2026