SNPMiner Trials by Shray Alag


SNPMiner Trials: Clinical Trial Report


Report for Clinical Trial NCT03521154

Developed by Shray Alag, 2019.
SNP Clinical Trial Gene

A Phase III, Randomized, Double-blind, Placebo-controlled, Multicenter, International Study of Osimertinib as Maintenance Therapy in Patients With Locally Advanced, Unresectable EGFR Mutation-positive Non-Small Cell Lung Cancer (Stage III) Whose Disease Has Not Progressed Following Definitive Platinum-based Chemoradiation Therapy (LAURA).

A global study to assess the efficacy and safety of osimertinib following chemoradiation in patients with stage III unresectable Epidermal Growth Factor Receptor Mutation Positive non-small cell lung cancer

NCT03521154 Non Small Cell Lung Cancer (Stage III)
MeSH: Lung Neoplasms Carcinoma, Non-Small-Cell Lung
HPO: Neoplasm of the lung Non-small cell lung carcinoma

2 Interventions

Name: Osimertinib 80mg/40mg

Description: The initial dose of Osimertinib 80mg once daily can be reduced to 40mg once daily. Treatment can continue until disease progression, unacceptable toxicity or other discontinuation criteria are met.

Type: Drug

Osimertinib

Name: Placebo Osimertinib 80mg/40mg

Description: The initial dose of Placebo Osimertinib 80mg once daily can be reduced to 40mg once daily. Treatment can continue until disease progression, unacceptable toxicity or other discontinuation criteria are met

Type: Drug

Placebo Osimertinib


Primary Outcomes

Description: Defined as the time from randomisation until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomised therapy or receives another anti-cancer therapy prior to progression, based on blinded independent central review assessment according to RECIST 1.1

Measure: Progression-free survival (PFS)

Time: Approximately 13 months

Secondary Outcomes

Description: Defined as the time from randomisation until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomised therapy or receives another anti-cancer therapy prior to progression.' based on blinded independent central review assessment according to RECIST 1.1

Measure: PFS in patients with EGFR Ex19del or L858R mutation

Time: Approximately 13 months

Description: Defined as the time from randomisation until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from randomised therapy or receives another anti-cancer therapy prior to progression.' based on blinded independent central review assessment according to RECIST 1.1

Measure: PFS in patients with EGFR mutations Ex19del or L858R detectable in plasma-derived ctDNA

Time: Approximately 13 months

Description: Defined as earlier event of CNS progression or death based on blinded independent central review assessment according to RECIST 1.1

Measure: Time to CNS PFS

Time: MRI Brain Scan- Approximately 13 months

Description: Defined as the time from randomization until death from any cause

Measure: Overall survival (OS)

Time: Approximately 45 months

Description: Defined as the number (%) of patients with measurable disease with at least 1 visit response of CR (Complete response) or PR (Partial response) based on blinded independent central review assessment according to RECIST 1.1

Measure: Objective response rate (ORR)

Time: Approximately 13 months

Description: Defined as the time from the date of first documented response (i.e., subsequently confirmed) until the date of documented progression or death in the absence of disease progression based on blinded independent central review assessment according to RECIST 1.1

Measure: Duration of response (DoR)

Time: Approximately 13 months

Description: Defined as Disease control rate is defined as the percentage of subjects who have a best overall response of CR or PR or SD based on blinded independent central review assessment according to RECIST 1.1

Measure: Disease control rate (DCR)

Time: Approximately 13 months

Description: Defined as the relative change in the sum of the longest diameters of RECIST target lesions at the nadir in the absence of new lesions or progression of non-target lesions compared to baseline based on blinded independent central review assessment according to RECIST 1.1

Measure: Tumor shrinkage

Time: Approximately 13 months

Description: Defined as the time from the date of randomization until the first date of distant metastasis or date of death in the absence of distant metastasis based on blinded independent central review assessment according to RECIST 1.1

Measure: Time to death or distant metastases (TTDM)

Time: Approximately 13 months

Description: Defined as the time from randomization to the earlier of the date of study treatment discontinuation (regardless of the reason for study treatment discontinuation) or death

Measure: Time to treatment discontinuation

Time: Approximately 13 months

Description: Time from randomisation to second progression (PFS2) is defined as the time from the date of randomisation to the earliest of the progression event subsequent to that used for the primary variable PFS or date of death after starting subsequent anti-cancer treatment.

Measure: Second progression free survival on a subsequent treatment (PFS2)

Time: Assessed by investigator in accordance with clinical practice-approximately 21 months

Description: Defined as the time from the date of randomization to the earlier of the date of anti-cancer therapy start date following study drug discontinuation or death

Measure: Time to first subsequent therapy (TFST)

Time: Approximately 13 months

Description: Defined as the time from the date of randomization to the earlier of the date of second subsequent anti-cancer therapy start date following study drug discontinuation or death.

Measure: Time to second subsequent therapy (TSST)

Time: Approximately 21 months

Description: Change in symptoms from baseline

Measure: Patients reported disease-related symptoms and HRQoL by EORTC QLQ-LC13 and EORTC QLQ-30 questionnaires

Time: Approximately 21 months

Description: AEs graded by CTCAE version 5.0

Measure: Incidence of Adverse Events (AEs)

Time: Approximately 14 months

Description: The pharmacokinetics exposure parameters derived from plasma concentrations of osimertinib and AZD5104

Measure: Plasma concentrations of osimertinib and AZD5104

Time: Trough concentrations at Week 4,12 and 24

Purpose: Treatment

Allocation: Randomized

Parallel Assignment


There is one SNP

SNPs


1 L858R

PFS in patients with EGFR Ex19del or L858R mutation. --- L858R ---

PFS in patients with EGFR mutations Ex19del or L858R detectable in plasma-derived ctDNA. --- L858R ---

3. The tumor harbours one of the two common EGFR mutations known to be associated with EGFR-TKI sensitivity (Ex19del, L858R), either alone or in combination with other EGFR mutations, assessed by cobasĀ® EGFR Mutation Test v2 (Roche Diagnostics) in a CLIA certified (USA sites) or an accredited local laboratory (sites outside of the USA) or by central testing. --- L858R ---

Contraindication to MRI, including but not limited to, claustrophobia, pace makers, metal implants, intracranial surgical clips and metal foreign bodies Non Small Cell Lung Cancer (Stage III) Lung Neoplasms Carcinoma, Non-Small-Cell Lung This is a phase 3 double-blind, randomized, placebo-controlled, study to assess the efficacy and safety of osimertinib following chemoradiation in patients with stage III unresectable EGFR mutation-positive NSCLC, including the most common EGFR sensitising mutations (Ex19Del and L858R), either alone or in combination with other EGFR mutations. --- L858R ---



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
Non-small cell lung carcinoma
Genes 2
TP53 BAP1