EFLRWR: Ensatinib in alK-positive Patients Undergoing Initial Treatment for Advanced Non-small Cell Lung Cancer
Study Details
Study Description
Brief Summary
The experimental design is exploratory, single-arm, multi-center, real-world research.
Ensatinib 225mg qd A prospective and exploratory real-world study of Ensatinib for ALK-positive advanced non-small cell lung cancer patients Test purposes Exploring the real world, Ensatinib is effective for the newly treated ALK+ advanced NSCLC
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Efficacy and safety;
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The relationship between molecular mechanism and curative effect;
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Ensatinib resistance mechanism;
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Enrolled patients:
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stage IIIB or stage IV NSCLC
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Each center confirmed ALK+ by tissue samples (Abbott FISH, VENTANA ALK D5F3, NGS method confirmation);
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Without any ALK-TKI treatment; Study endpoint
Primary endpoint:
According to the RECIST1.1 standard, the progression-free survival (PFS) assessed by the investigator;
Secondary endpoint:
According to the RECIST1.1 standard, the objective response rate (ORR) evaluated by the investigator; the time to treatment failure (TTF); according to the RECIST1.1 standard, the ORR and PFS of patients with different ALK fusion subtypes evaluated by the investigator; total Lifetime (OS); safety;
Exploratory endpoint:
The correlation between the biomarkers in blood or/and tissue samples and the efficacy of Ensatinib; the resistance mechanism of Ensatinib;
The sample size is determined:
The plan is to analyze 60-80 patients with EML4-ALK fusion v1 and v3 subtypes. Based on the proportion of patients with both subtypes in ALK-positive patients, the proportion is about 40%. Based on the 20% dropout rate, the plan is to include ALK without distinction. 180 patients with fusion subtype; statistical methods:
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Ensatinib for treated patients with ALK-positive advanced non-small cell lung cancer Ensatinib 225mg QD Until the disease progresses or intolerance |
Drug: Ensatinib
Prospective, exploratory, single-arm, multi-center, real-world research
Other Names:
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Outcome Measures
Primary Outcome Measures
- progression-free survival [2021.09.27-2024.12.30]
Secondary Outcome Measures
- overall survival [2021.09.27-2024.12.30]
- Time-to-TreatmentFailure [2021.09.27-2024.12.30]
Eligibility Criteria
Criteria
Inclusion Criteria:
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stage IIIB or stage IV NSCLC by histology or cytology;
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All centers confirmed ALK positive by tissue samples (Abbott FISH, VENTANA ALK D5F3, NGS method confirmation);
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Without any ALK-TKI treatment;
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Voluntarily and capable of following the trial and follow-up procedures;
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Able to understand the nature of the trial, and be able to complete the signing of a written informed consent form.
Exclusion Criteria:
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- Pereceived any ALK-TKI treatment ; 2. Received any chemotherapy within 4 weeks, or underwent major surgery or radiotherapy within the last 14 days; 3. The investigator believes that the patient is not suitable for Ensatinib treatment.
Had a stem cell or organ transplant. 4. Having serious cardiovascular disease, including but not limited to: 5.Sino - QTcF interval ≥450 ms or other significant ECG abnormalities. According to the study, researchers either ruled that hypertension was poorly controlled (systolic blood pressure >160 mmHg or diastolic blood pressure >100mmHg).
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Dysphagia, active gastrointestinal disease, or other disease that significantly affects drug absorption, distribution, metabolism, and excretion.
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Previous history of interstitial lung disease, drug-induced interstitial lung disease, radioactive pneumonia requiring steroid treatment, or any indication of clinically active interstitial lung disease.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Beijing Cancer Hospital | Beijing | Beijing | China | 100176 |
Sponsors and Collaborators
- Peking University Cancer Hospital & Institute
- Betta Pharmaceuticals Co., Ltd.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BD-EN-IV002