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An Observational Study to Evaluate the Real-World Clinical Management and Outcomes of ALK-Positive Advanced NSCLC Participants Treated With Alectinib

Active, not recruiting
Conditions
NSCLC
Interventions
Registration Number
NCT04764188
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This study aims to characterize the clinical management and outcomes of participants diagnosed with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC) who are being treated with alectinib in real-world clinical practice.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
800
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cohort 1AlectinibParticipants starting alectinib treatment after (Arm A) or before (Arm B) study enrollment as first-line treatment will be followed up for up to 4 years.
Cohort 2AlectinibParticipants receiving alectinib as second-line treatment after study enrollment will be followed up for up to 2 years.
Primary Outcome Measures
NameTimeMethod
Investigator-Confirmed Progression-Free Survival (PFS) According to the Local Standard of Care or per Response Evaluation in Solid Tumors (RECIST) - Cohort 1From the first administration of alectinib to the date of first documentation of disease progression, or death due to any cause, whichever occurs first (up to 4 years)
Reasons for Discontinuation of Next LoTUp to approximately 1 year
Investigator-Confirmed PFS According to the Local Standard of Care or per RECIST - Cohort 2From the first administration of alectinib to the date of first documentation of disease progression, or death due to any cause, whichever occurs first (up to 2 years)
Duration of Next LoTUp to approximately 1 year
Choice of the Next Line of Treatment (LoT) Post-AlectinibUp to approximately 1 year
Secondary Outcome Measures
NameTimeMethod
Time to Loss of Clinical Benefit (TTLCB)From the first administration of alectinib to loss of clinical benefit as assessed by the treating physician (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Duration of Objective Response (DOR)From first documentation of CR or PR (whichever occurs first) after the first administration of alectinib until death or progressive disease (PD) (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Time to ResponseFrom the first administration of alectinib to first CR or PR (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Overall Survival (OS)From the first administration of alectinib to death from any cause (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Objective Response Rate (ORR), Defined as a Complete Response (CR) or Partial Response (PR)From the first administration of alectinib to first CR or PR (up to 4 years for Cohort 1 and Cohort 2)
Duration of Disease ControlTime from the first administration of alectinib to the first documentation of CR, PR, or stable disease (whichever occurs first), until death or PD (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Time to Central Nervous System (CNS) Progression (Cohort 1 Arm A)Time interval from the first administration of alectinib to the date of confirmed CNS metastases in participants with no CNS metastases at baseline (up to 4 years)
Disease Control Rate (DCR)At least 12 weeks after the first administration of alectinib (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Time to Initiation of Next Line of Treatment (LoT)From the first administration of alectinib to the date of initiation of next LoT or death due to any cause, whichever occurs first (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Quality of Life Status Using the EORTC QLQ-LC13 Scores (Cohort 1 Arm A and Cohort 2)At enrollment and every 3 months thereafter (up to 4 years for Cohort 1 and 2 years for Cohort 2)
Quality of Life Status Using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) ScoresAt enrollment and every 3 months thereafter (up to 4 years for Cohort 1 and 2 years for Cohort 2)

Trial Locations

Locations (116)

Clinica Adventista Belgrano

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Lifehouse

🇦🇺

Camperdown, New South Wales, Australia

Liverpool Hospital

🇦🇺

Liverpool, New South Wales, Australia

GenesisCare North Shore

🇦🇺

St Leonards, New South Wales, Australia

Royal North Shore Hospital

🇦🇺

St. Leonards, New South Wales, Australia

Flinders Medical Centre

🇦🇺

Bedford Park, South Australia, Australia

Peter MacCallum Cancer Center

🇦🇺

East Melbourne, Victoria, Australia

Klinikum Klagenfurt am Wörtersee

🇦🇹

Klagenfurt am Worthersee, Austria

Klinik Penzing

🇦🇹

Wien, Austria

Krankenhaus Nord - Klinik Floridsdorf

🇦🇹

Wien, Austria

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Clinica Adventista Belgrano
🇦🇷Ciudad Autonoma Buenos Aires, Argentina
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