SNPMiner Trials: Clinical Trial Report
Report for Clinical Trial NCT02789345
 Developed by Shray Alag, 2019.
SNP Clinical Trial Gene 
      The main purpose of this study is to evaluate the safety of ramucirumab or necitumumab in
      combination with osimertinib in participants with non-small cell lung cancer (NSCLC).
    
Name: Ramucirumab
Description: Administered IVType: Drug
 Ramucirumab + Osimertinib  
Name: Necitumumab
Description: Administered IVType: Drug
 Necitumumab + Osimertinib  
Name: Osimertinib
Description: Administered orallyType: Drug
 Ramucirumab + Osimertinib  Necitumumab + Osimertinib 
  Primary Outcomes 
 Measure: Number of Participants with Dose Limiting Toxicities (DLTs)
 Time: Up to Two Cycles (Up to 21 Day Cycles)
  Secondary Outcomes 
 Measure: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
 Time: Day 1 Cycle 2 to Day 1 Cycle 13 (14 Day Cycles)
 Measure: PK: Cmin of Necitumumab
 Time: Day 1 Cycle 3 to Day 1 Cycle 9 (21 Day Cycles)
 Measure: Objective Response Rate (ORR): Percentage of Participants with a Complete Response (CR) or Partial Response (PR)
 Time: Baseline to Objective Disease Progression (Approximately 30 Months)
 Measure: Disease Control Rate (DCR): Percentage of Participants with CR, PR or Stable Disease (SD)
 Time: Baseline to Objective Disease Progression (Approximately 30 Months)
 Measure: Duration of Response (DoR)
 Time: Date of CR or PR to Date of Objective Disease Progression or Death from Any Cause (Approximately 30 Months)
 Measure: Progression Free Survival (PFS)
 Time: Baseline to Measured Progressive Disease or Death from Any Cause (Approximately 30 Months)
 Measure: Overall Survival (OS)
 Time: Baseline to Death from Any Cause (Approximately 30 Months)
Purpose: Treatment
Allocation: Non-Randomized
Parallel Assignment 
There is one SNP
SNPs
1 T790M 
An Open-Label, Multicenter, Phase 1 Study With Expansion Cohorts of Ramucirumab or Necitumumab in Combination With Osimertinib in Patients With Advanced T790M-Positive EGFR-Mutant Non-Small Cell Lung Cancer After Progression on First-Line EGFR TKI Therapy. --- T790M --- 
-  Have T790M-positive status using a test validated and performed locally after disease
             progression on EGFR tyrosine kinase inhibitor (TKI) treatment. --- T790M --- 
HPO Nodes
HPO:Neoplasm of the lung 
Genes 43
WT1  KRAS  SLC22A18  STK11  IRF1  AKT1  C11ORF95  PRKN  PPP2R1B  ERBB2  TRPV3  TSC1  POU6F2  TSC2  EWSR1  RELA  KEAP1  REST  DIS3L2  SFTPA2  GPC3  MBTPS2  LMNA  PTEN  BRAF  BRCA2  EGFR  RB1  TRIP13  PDGFRB  TERT  SFTPC  PIK3CA  TRIM28  DICER1  MAP3K8  HPGD  SLCO2A1  H19  TP53  NOTCH3  BAP1  WRN   hr>Non-small cell lung carcinoma 
Genes 2
TP53  BAP1   hr>