Osimertinib Study in Indian Patients

Sponsor
AstraZeneca (Industry)
Overall Status
Completed
CT.gov ID
NCT03853551
Collaborator
(none)
60
7
1
11.9
8.6
0.7

Study Details

Study Description

Brief Summary

This is a prospective, single-arm, multicenter, phase-IV study investigating the safety of osimertinib in Indian adult patients.

Condition or Disease Intervention/Treatment Phase
Phase 4

Detailed Description

This is a prospective, single-arm, multicenter, phase-IV trial investigating the safety of osimertinib in Indian adult patients with locally advanced or metastatic EGFR-T790M mutation-positive NSCLC.

Prior to data collection, all patients must sign an informed consent form (ICF) allowing data collection and source data verification in accordance with local requirements and sponsor policy.

Patients with metastatic EGFR T790M mutation-positive NSCLC, who are eligible to osimertinib treatment as per locally approved prescribing information and ratified by an independent clinical judgment of treating physician will be evaluated for the inclusion into the current phase-IV study based on eligibility criteria. EGFR T790M positivity on plasma or tissue biopsy on PCR-based platform will be considered appropriate test. EGFR T790M must be performed after progressive disease on last line of therapy (on or after EGFR TKI therapy). In order to enroll approximately 60 patients, it is expected that approximately 70 patients will be screened.

Study Design

Study Type:
Interventional
Actual Enrollment :
60 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Prospective, Multicenter, Phase-IV Clinical Trial to Assess Safety of Osimertinib in Indian Adult Patients With Metastatic Epidermal Growth Factor Receptor (EGFR) T790M Mutation-positive Non-small Cell Lung Cancer (NSCLC).
Actual Study Start Date :
Apr 18, 2019
Actual Primary Completion Date :
Apr 15, 2020
Actual Study Completion Date :
Apr 15, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Single

Single arm

Drug: Osimertinib
Osimertinib is an oral, potent, selective, irreversible inhibitor of both epidermal growth factor receptor - Tyrosine kinase inhibitors (EGFR-TKI) sensitizing and resistance mutations in nonsmall cell lung cancer (NSCLC) with a significant selectivity margin over wild-type EGFR.

Outcome Measures

Primary Outcome Measures

  1. Safety of Osimertinib [5 months]

    Number of Patients with treatment emergent Adverse Events

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Patient of either gender and ≥18 years of age

  2. Patients with metastatic EGFR T790M mutation-positive NSCLC, as detected by an appropriate test, who have progressed on or after EGFR TKI therapy by an independent clinical judgment of treating physician based on locally approved prescribing information

  3. Each patient must sign an informed consent form (ICF)

Exclusion Criteria:
  1. Patient with either the history of hypersensitivity to excipients of the study drug or to drugs with a similar chemical structure or class to the study drug.

  2. Pregnant and/or lactating women

  3. Patients participating in any current or future interventional trial will not be enrolled in the current study

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Hyderabad India 500034
2 Research Site Hyderabad India 500096
3 Research Site Kolkata India 700160
4 Research Site Mumbai India 400012
5 Research Site Mumbai India 400053
6 Research Site New Dehli India 110029
7 Research Site New Delhi India 110085

Sponsors and Collaborators

  • AstraZeneca

Investigators

None specified.

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT03853551
Other Study ID Numbers:
  • D5161C00005
First Posted:
Feb 25, 2019
Last Update Posted:
Jun 3, 2021
Last Verified:
May 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by AstraZeneca
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details This was a prospective, open label, single arm, multicentre, India-specific Phase 4 study to investigate the safety of osimertinib 80 mg tablet in Indian adults with metastatic epidermal growth factor receptor (EGFR) T790M mutation positive non small cell lung cancer (NSCLC). 60 Indian subjects were enrolled into the study.
Pre-assignment Detail
Arm/Group Title Single Arm
Arm/Group Description single arm, open label study and Osimertinib 80 mg tablet was given orally once daily.
Period Title: Overall Study
STARTED 60
COMPLETED 51
NOT COMPLETED 9

Baseline Characteristics

Arm/Group Title Single Arm
Arm/Group Description single arm, open label study and Osimertinib 80 mg tablet was given orally once daily.
Overall Participants 60
Age (Years) [Median (Full Range) ]
Median (Full Range) [Years]
58
Sex: Female, Male (Count of Participants)
Female
31
51.7%
Male
29
48.3%
Race/Ethnicity, Customized (Count of Participants)
Asian (Only Indian)
60
100%

Outcome Measures

1. Primary Outcome
Title Safety of Osimertinib
Description Number of Patients with treatment emergent Adverse Events
Time Frame 5 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Single Arm
Arm/Group Description single arm, open label study and Osimertinib 80 mg tablet was given orally once daily.
Measure Participants 60
Count of Participants [Participants]
60
100%

Adverse Events

Time Frame 6 months
Adverse Event Reporting Description An adverse event is the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product.
Arm/Group Title Single Arm
Arm/Group Description single arm, open label study and Osimertinib 80 mg tablet was given orally once daily.
All Cause Mortality
Single Arm
Affected / at Risk (%) # Events
Total 3/60 (5%)
Serious Adverse Events
Single Arm
Affected / at Risk (%) # Events
Total 7/60 (11.7%)
Blood and lymphatic system disorders
Thrombocytopenia 1/60 (1.7%) 1
Cardiac disorders
Cardio-respiratory arrest 1/60 (1.7%) 1
Eye disorders
Cataract 1/60 (1.7%) 1
Gastrointestinal disorders
Mouth Ulceration 1/60 (1.7%) 1
Diarrhoea 1/60 (1.7%) 1
General disorders
Mucosal inflammation 1/60 (1.7%) 1
Disease progression 1/60 (1.7%) 1
Infections and infestations
Dengue fever 1/60 (1.7%) 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea 2/60 (3.3%) 2
Vascular disorders
Deep Vein Thrombosis 1/60 (1.7%) 1
Other (Not Including Serious) Adverse Events
Single Arm
Affected / at Risk (%) # Events
Total 51/60 (85%)
Blood and lymphatic system disorders
Thrombocytopenia 4/60 (6.7%) 4
Gastrointestinal disorders
Diarrhoea 5/60 (8.3%) 6
Constipation 4/60 (6.7%) 4
General disorders
Fatigue 6/60 (10%) 7
Decreased appetite 5/60 (8.3%) 5
Mucosal inflammation 4/60 (6.7%) 4
Infections and infestations
Paronychia 4/60 (6.7%) 5
Investigations
Blood creatine phosphokinase increased 6/60 (10%) 7
Musculoskeletal and connective tissue disorders
Pain in extremity 4/60 (6.7%) 4
Respiratory, thoracic and mediastinal disorders
Cough 5/60 (8.3%) 5
Skin and subcutaneous tissue disorders
Rash 4/60 (6.7%) 7

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The institution and/or investigator/Physician or Sponsor will provide a copy of any proposed publication or presentation for review and comment at least sixty (60) days prior to submission for publication.

Results Point of Contact

Name/Title Global Clinical Lead
Organization AstraZeneca
Phone 1-877-240-9479 ext 8772409479
Email information.center@astrazeneca.com
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT03853551
Other Study ID Numbers:
  • D5161C00005
First Posted:
Feb 25, 2019
Last Update Posted:
Jun 3, 2021
Last Verified:
May 1, 2021