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A Study of Prevalence of HER3 Expression in Non-Small Cell Lung Cancer

Completed
Conditions
Non-small Cell Lung Cancer
Interventions
Other: Archival tissue specimen and immunohistochemistry staining
Registration Number
NCT05769764
Lead Sponsor
Daiichi Sankyo
Brief Summary

There is currently a lack of published HER3 expression prevalence data among non-small cell lung cancer (NSCLC) patients. The estimation of HER3 expression prevalence in this population using archival tissue samples and the assessment of associated patient characteristics in real world (RW) data will ultimately inform clinical strategy and increase awareness among health care providers (HCPs) and the greater medical community to improve patient care.

Detailed Description

The purpose of this study is to use archival tissue samples and RW data to generate HER3 expression prevalence data within the NSCLC population and by patient characteristics (e.g., ethnicity, histology, smoking status, age, prior treatment, etc.).

The primary objective of the study will analyze and assess archival tissue specimens and associated RW data to:

* Increase the understanding of HER3 expression in NSCLC among HCPs and the medical community

* Generate evidence to support future clinical strategies in this area

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
225
Inclusion Criteria
  • Age ≥18 years in US
  • Histologically or cytologically documented advanced or metastatic NSCLC
  • At least one sample available and evaluable for HER3 expression

Additional population-specific inclusion criteria:

For Cohort 1:

  • Tissue sample collected on or after January 1, 2013

For Cohort 2:

  • EGFRm NSCLC previously treated with a 3rd generation EGFR TKI
  • 2 samples are available and evaluable for HER3 expression at 2 timepoints: one pre-treatment and one post-treatment, where the treatment is a 3rd generation TKI (defined as Osimertinib, Aumolertinib [formerly Almonertinib])

For Cohort 3:

  • ALK+ NSCLC
  • 2 samples are available and evaluable for HER3 expression at 2 timepoints: one pre-treatment and one post-treatment, where the treatment is a TKI

For Cohort 4:

  • NSCLC harboring a KRAS p.G12C mutation or EGFR exon 20 insertion
  • 2 samples are available and evaluable for HER3 expression at 2 timepoints: one pre-treatment and one post-treatment
Exclusion Criteria
  • Prior treatment with an anti-HER3 antibody or topoisomerase I inhibitor (single-agent or combination)
  • Prior treatment with an antibody drug conjugate (ADC) that contains a topoisomerase I inhibitor
  • Previous histologic or cytologic evidence of small cell or combined small cell/non-small cell disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cohort 4: NSCLC Harboring a KRAS p.G12C Mutation or EGFR Exon 20 InsertionArchival tissue specimen and immunohistochemistry stainingParticipants with NSCLC harboring a Kirsten rat sarcoma viral oncogene homolog (KRAS) p.G12C mutation or EGFR exon 20 insertion.
Cohort 1: NSCLCArchival tissue specimen and immunohistochemistry stainingParticipants with NSCLC will be included in this cohort if they do not meet requirements for inclusion in Cohorts 2-4.
Cohort 2: EGFR-mutated (EGFRm) NSCLC Previously Treated With a 3rd Generation EGFR TKIArchival tissue specimen and immunohistochemistry stainingParticipants with EGFR-mutated (EGFRm) NSCLC previously treated with a 3rd generation tyrosine kinase inhibitor (TKI) with matched samples.
Cohort 3: ALK+ NSCLCArchival tissue specimen and immunohistochemistry stainingParticipants with ALK+ NSCLC with matched samples.
Primary Outcome Measures
NameTimeMethod
HER3 Expression Prevalence Estimate for the NSCLC Population, Overall6 months

The overall HER3 expression prevalence estimate will be reported.

HER3 Expression Prevalence Estimate for the NSCLC Population, by Subgroup6 months

HER3 expression prevalence estimate will be reported by subgroup, including age, gender, smoking status, epidermal growth factor receptor (EGFR) status, AGA status, ethnicity, and location of biopsy.

HER3 Expression Prevalence Estimate for the NSCLC Population Before and After Treatment, by Patient Subpopulation6 months

HER3 expression prevalence estimate before and after treatment will be reported by patient subpopulation (EGFRm NSCLC previously treated with a 3rd generation EGFR TKI, ALK+ NSCLC, NSCLC harboring a KRAS p.G12C mutation or EGFR exon 20 insertion).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Baptist Health South Florida - Miami Cancer Institute

🇺🇸

Miami, Florida, United States

McLeod Health

🇺🇸

Florence, South Carolina, United States

Baptist Health South Florida - Miami Cancer Institute
🇺🇸Miami, Florida, United States
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