ALK NSCLC MENA: Retrospective Epidemiology Study Of ALK Rearrangement In Non-Small Cell Lung Cancer Patients In The Middle East & North Africa

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT02304406
Collaborator
(none)
449
11
36.7
40.8
1.1

Study Details

Study Description

Brief Summary

Thet study aims to estimate the prevalence of ALK rearrangement in the Middle East North Africa population by using the Ventana ALK-IHC method for ALK protein detection in retrospective NSCLC clinical samples, & to evaluate the association of ALK rearrangement with clinical and pathological parameters of NSCLC patients in MENA.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    This is a retrospective, cross-sectional non-interventional epidemiology study to investigate the prevalence of ALK rearrangement in NSCLC patients in Middle East & North Africa. Approximately 700 retained tumor tissue specimens (tissue block) of patients previously diagnosed with NSCLC will be selected & subjected to ALK immune-staining using Ventana anti-ALK (D5F3) Rabbit Monoclonal Primary Antibody combined with OptiView Benchmark System in 6-8 centers in 5-7 countries in the MENA region.

    The tissue samples of NSCLC cases will be retrieved from tissue banks of the molecular diagnostic units & pathology departments in these study centers. The histological diagnosis will be confirmed by the pathologists. The retained samples will then be tested by performing the Ventana ALK-IHC to assess the absence or presence of the ALK rearrangement by the detection of the ALK protein in formalin-fixed, paraffin-embedded NSCLC stored tissue samples using Ventana anti-ALK (D5F3) Rabbit Monoclonal Primary Antibody (Roche Diagnostics GmbH) in the selected study centers. The results of ALK testing within this study population will then be used to establish the prevalence of ALK rearrangement in MENA NSCLC patients.

    The patients' characteristics, demographic, clinical and pathologic parameters will be obtained from their medical records & analyzed to determine any association with the presence of the EML4-ALK fusion gene in MENA NSCLC patients.

    The assessment of concordance of the results between FISH & IHC will be done in 2-3 centers. Results of FISH testing will be collected & recorded, if the retained tissue samples had been previously tested. If not, the Vysis FISH test will be performed, to assess the concordance between the results obtained using Vysis Break-apart FISH & Ventana IHC testing methods for ALK rearrangement detection.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    449 participants
    Observational Model:
    Other
    Time Perspective:
    Retrospective
    Official Title:
    RETROSPECTIVE EPIDEMIOLOGY STUDY OF ALK REARRANGEMENT IN NON-SMALL CELL LUNG CANCER PATIENTS IN THE MIDDLE EAST & NORTH AFRICA.
    Actual Study Start Date :
    Jan 21, 2015
    Actual Primary Completion Date :
    Feb 11, 2018
    Actual Study Completion Date :
    Feb 11, 2018

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Rearrangement [3 years]

      Participants with prevalence of ALK rearrangement were positive for ALK: defined as presence of strong granular cytoplasmic staining in tumor cells (any percentage of positive tumor cells).

    Secondary Outcome Measures

    1. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the gender of study participants.

    2. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Race [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the race of study participants.

    3. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking History [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the smoking history of study participants as participants who never smoked, current smoker and ex-smoker.

    4. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Histologic Diagnosis [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the diagnosis of tumor histology of study participants.

    5. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the tumor stage of study participants.

    6. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the treatment type of study participants.

    7. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Progression Free Survival (PFS) [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the PFS of study participants.

    8. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Line of Therapy [3 years]

      In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the line of therapy of study participants.

    9. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR) [3 years]

      Percentage of participants with best overall response. Complete response (CR) is equal to (=) disappearance of all target lesions. Partial Response (PR) = greater than equal to (>=) 30% decrease in sum of longest dimensions of lesions taking as reference baseline sum longest dimensions. Progressive disease (PD) >= 20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of the longest dimensions since treatment start, or the appearance of >= 1 new lesion. Stable disease (SD) =neither shrinkage for PR or increase for PD taking as reference smallest sum of longest dimensions since treatment start.

    10. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Participant's Status [3 years]

      In this outcome measure participant's status at the time of sampling were evaluable for treatment-naive and treated.

    11. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status [3 years]

      In this outcome measure EGFR status of participants were evaluable for not tested, wild type and mutant.

    12. Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Knowledge Representation for Autonomous Systems (KRAS) Status [3 years]

      In this outcome measure KRAS status of participants were evaluable for not tested, wild type, and mutant.

    13. Percentage Agreement Between Vysis Fluorescent In Situ Hybridization (FISH) and Ventana Immunohistochemistry (IHC) Methods for ALK Rearrangement Detection [3 years]

      Percent overall agreement between Vysis ALK-FISH and Ventana ALK IHC tests and its 95% CI is reported in this outcome measure.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
      1. Histological confirmation of nonsquamous NSCLC, with any TNM stage. 2. Available and sufficient tissue sample for ALK testing 3.Tissue samples are less than 5 years old 4.Routinely processed formalin-fixed, paraffin-embedded tissue samples only (see exclusion criteria pertaining to tissue samples).

    5.Histological sections mounted on glass slides must not be older than 3 months 6.Age > 18 years 7.Any ECOG Performance status 8.Still alive, or death confirmed before inclusion, or is unknown 9.Disease diagnosis and/or treatment in one of the centers, in the last 5 years, assigned to participate in the study; 10.Written informed consent for general investigational testing was previously obtained, or specifically obtained for this retrospective epidemiology study, or having a documented waiver for the Informed consent document use, as required by local regulatory authorities, &/or Research Ethics committee/Institutional Review Board.

    Exclusion Criteria:
    • 1- Tumor tissue samples older than 5 year period or samples not properly stored.

    2-Tumor tissue samples fixed by using AFA, B5, Bouin's, 95% ETOH, & alcohol fixatives.

    3-Under-fixed tissue samples (i.e. < 6 hrs) 4-Tumor tissue samples that have been subject to any decalcification processes. 5-Recycled paraffin-embedded tissue samples. 6-Cut slides stored longer than 3 months. 7-Insufficient tissue samples with less tumor cells & high amount of necrosis.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Cancer Institute Cairo / Misr Al Qadimah Egypt
    2 National Cancer Institute Cairo Egypt
    3 American University in Beirut Beirut Lebanon
    4 American University of Beirut Beirut Lebanon
    5 Institut National d'Oncologie Rabat Morocco
    6 King Faisal Specialty Hospital, Riyadh/Oncology Department Riyadh 12713 Saudi Arabia
    7 King Abdulaziz Medical City - National Guard Hospital Riyadh Saudi Arabia
    8 King Faisal Specialty Hospital Riyadh Saudi Arabia
    9 National Guard Hospital Riyadh Saudi Arabia
    10 Tawam Hospital Al Ain/Al Maqam United Arab Emirates
    11 Tawam Hospital Al Ain United Arab Emirates

    Sponsors and Collaborators

    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT02304406
    Other Study ID Numbers:
    • A8081046
    First Posted:
    Dec 2, 2014
    Last Update Posted:
    Jul 19, 2019
    Last Verified:
    May 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by Pfizer
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of Middle East North Africa (MENA) previously diagnosed with non-small cell lung cancer (NSCLC) were tested retrospectively for the prevalence of anaplastic lymphoma kinase (ALK) rearrangement.
    Period Title: Overall Study
    STARTED 449
    COMPLETED 449
    NOT COMPLETED 0

    Baseline Characteristics

    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Overall Participants 449
    Age, Customized (Number) [Number]
    18 to 65 years
    272
    60.6%
    Greater than equal to 65 years
    157
    35%
    Missing
    20
    4.5%
    Sex: Female, Male (Count of Participants)
    Female
    141
    31.4%
    Male
    308
    68.6%
    Race/Ethnicity, Customized (Number) [Number]
    Arabic
    389
    86.6%
    White / Caucasian
    54
    12%
    Other
    5
    1.1%
    Missing
    1
    0.2%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Rearrangement
    Description Participants with prevalence of ALK rearrangement were positive for ALK: defined as presence of strong granular cytoplasmic staining in tumor cells (any percentage of positive tumor cells).
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS).
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 449
    Number (95% Confidence Interval) [percentage of participants]
    8.69
    1.9%
    2. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the gender of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Male
    10.1
    2.2%
    Female
    5.7
    1.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1304
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 1.85
    Confidence Interval (2-Sided) 95%
    0.80 to 4.77
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Race
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the race of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    White /Caucasian
    11.1
    2.5%
    Arabic
    8.5
    1.9%
    Others
    0
    0%
    Missing
    0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.6422
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    4. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking History
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the smoking history of study participants as participants who never smoked, current smoker and ex-smoker.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Never
    9.0
    2%
    Current
    7.5
    1.7%
    Ex-smoker
    5.8
    1.3%
    Unknown
    11.9
    2.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.4524
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    5. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Histologic Diagnosis
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the diagnosis of tumor histology of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Adenocarcinoma: Positive
    8.6
    1.9%
    Large cell carcinoma: Positive
    16.7
    3.7%
    Not specified
    0
    0%
    Others
    9.1
    2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.9010
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    6. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the tumor stage of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Stage 1
    6.3
    1.4%
    Stage 2
    7.8
    1.7%
    Stage 3
    6.3
    1.4%
    Stage 3 A
    0
    0%
    Stage 3 B
    10.0
    2.2%
    Stage 4
    10.0
    2.2%
    Missing
    7.0
    1.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.9067
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    7. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the treatment type of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Surgery with chemotherapy
    7.5
    1.7%
    Surgery without chemotherapy
    5.2
    1.2%
    Targeted therapy
    10.0
    2.2%
    Chemotherapy only
    10.4
    2.3%
    Other
    7.8
    1.7%
    Unknown
    9.9
    2.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.8785
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    8. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Progression Free Survival (PFS)
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the PFS of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 150
    Number [percentage of participants]
    8.0
    1.8%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.9231
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    9. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Line of Therapy
    Description In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the line of therapy of study participants.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    First-line
    9.1
    2%
    Second-line
    8.5
    1.9%
    Unknown
    9.4
    2.1%
    Missing
    3.1
    0.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.9780
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    10. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
    Description Percentage of participants with best overall response. Complete response (CR) is equal to (=) disappearance of all target lesions. Partial Response (PR) = greater than equal to (>=) 30% decrease in sum of longest dimensions of lesions taking as reference baseline sum longest dimensions. Progressive disease (PD) >= 20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of the longest dimensions since treatment start, or the appearance of >= 1 new lesion. Stable disease (SD) =neither shrinkage for PR or increase for PD taking as reference smallest sum of longest dimensions since treatment start.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    CR
    14.3
    3.2%
    PR
    20.0
    4.5%
    PD
    7.6
    1.7%
    SD
    1.8
    0.4%
    Unknown
    9.9
    2.2%
    Missing
    0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1144
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    11. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Participant's Status
    Description In this outcome measure participant's status at the time of sampling were evaluable for treatment-naive and treated.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Treatment-naive
    8.2
    1.8%
    Treated
    11.1
    2.5%
    Unknown
    33.3
    7.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0862
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    12. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status
    Description In this outcome measure EGFR status of participants were evaluable for not tested, wild type and mutant.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Not tested
    12.0
    2.7%
    Wild type
    6.8
    1.5%
    Mutant
    0
    0%
    Unknown
    0
    0%
    Other
    14.3
    3.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0294
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    13. Secondary Outcome
    Title Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Knowledge Representation for Autonomous Systems (KRAS) Status
    Description In this outcome measure KRAS status of participants were evaluable for not tested, wild type, and mutant.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 448
    Not tested
    9.0
    2%
    Wild type
    0
    0%
    Mutant
    0
    0%
    Unknown
    0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Non-Small Cell Lung Cancer
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.6877
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    14. Secondary Outcome
    Title Percentage Agreement Between Vysis Fluorescent In Situ Hybridization (FISH) and Ventana Immunohistochemistry (IHC) Methods for ALK Rearrangement Detection
    Description Percent overall agreement between Vysis ALK-FISH and Ventana ALK IHC tests and its 95% CI is reported in this outcome measure.
    Time Frame 3 years

    Outcome Measure Data

    Analysis Population Description
    FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    Measure Participants 129
    Number (95% Confidence Interval) [percentage agreement]
    98.45

    Adverse Events

    Time Frame Not applicable as adverse events was not planned to be collected during the study
    Adverse Event Reporting Description Due to the non-interventional nature of the study, adverse events were not collected during the study.
    Arm/Group Title Non-Small Cell Lung Cancer
    Arm/Group Description Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
    All Cause Mortality
    Non-Small Cell Lung Cancer
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)
    Serious Adverse Events
    Non-Small Cell Lung Cancer
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)
    Other (Not Including Serious) Adverse Events
    Non-Small Cell Lung Cancer
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT02304406
    Other Study ID Numbers:
    • A8081046
    First Posted:
    Dec 2, 2014
    Last Update Posted:
    Jul 19, 2019
    Last Verified:
    May 1, 2019