A Real World Study of Mobocertinib in Adults With Lung Cancer in China (MEANING)

Non-small Cell Lung Cancer (NSCLC) Clinical Trial

— MEANING-20  

Official title:

Effectiveness and Safety of Mobocertinib in Patients With EGFR Exon 20 Insertion NSCLC in Routine Clinical Practice in China: A Prospective, Single-arm, Multicenter, Observational Study

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT05863819
• Other study ID #: TAK-788-4005
• Status: Withdrawn
• Start date: March 30, 2024
• Est. completion date: February 1, 2027

Study information

• Verified date: October 2023
• Source: Takeda
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The main aim of this study is to learn about the time from start of mobocertinib to end of treatment with mobocertinib for any reason in Chinese adults with lung cancer who carry a certain gene mutation (epidermial growth factor receptor - EGFR exon 20 insertion mutation) during normal clinical practice.

Participants will be treated with mobocertinib as per their normal routine. Data for this study will be collected from the available medical records of a participant.

Description:

This is a non-interventional, prospective, observational study of participants with EGFR ex20ins positive locally advanced or metastatic non-small cell lung cancer (NSCLC) who received mobocertinib in China's routine clinical practice setting. The primary objective of this study is to assess the real-world time-to-treatment discontinuation (rwTTD) of mobocertinib in study participants.

The study will enroll approximately 120 participants. Participants will be enrolled in the following cohort:

• Mobocertinib

Participants will be treated with mobocertinib as per their normal routine treatment. Data for this study will be collected from the available medical records of a participant every 3 months until the end of treatment and follow up (up to 18 months).

This multi-center trial will be conducted in China. The overall duration of the study will be approximately 3 years.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: February 1, 2027
• Est. primary completion date: December 1, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Participants with histologically/cytologically confirmed diagnosis of EGFR ex20ins positive locally advanced or metastatic NSCLC by local hospitals.

2. Participants who received mobocertinib as treatment therapy in routine clinical practice; the decision to treat with mobocertinib had to be made independently by physician before enrollment into the study.

3. The decision to treat a participant with mobocertinib had to be made independently by physician before enrollment into the study.

Exclusion Criteria:

1. Participants who are participating in other NSCLC interventional clinical study during the treatment of mobocertinib in this study will be excluded;

2. Other situations that the investigators consider not suitable for participation in this study.

Related Conditions & MeSH terms

• Lung Neoplasms
• Non-small Cell Lung Cancer (NSCLC)

Intervention

Other:
• No Intervention
As this is an observational study, no intervention will be administered in this study.

Locations

Country	Name	City	State
China	Shanghai Lung Cancer Center, Shanghai Chest Hospital, Shanghai Jiaotong University, P. R. China	Shanghai

Sponsors (1)

Lead Sponsor	Collaborator
Takeda

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Real-World Time-to-Treatment Discontinuation (rwTTD)	Real-world time-to-treatment discontinuation (rwTTD) is defined as the time from initiation of mobocertinib to discontinuation of treatment with mobocertinib for any reason, including disease progression, death, serious adverse events, or participant preference.	Up to 18 months
Secondary	Real-World Overall Response Rate (rwORR)	rwORR is defined as the percentage of participants who are confirmed to achieved complete response (CR) or partial response (PR) after receiving mobocertinib in a real word setting. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CR is defined as disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm.	Up to 18 months
Secondary	Real-World Duration of Response (rwDOR)	rwDOR is defined as the time from the measurement criteria are first met for CR/PR (whichever is first recorded) for participants who have achieved confirmed objective response rate (ORR) after receiving mobocertinib to progression or death in a real word setting.	Up to 18 months
Secondary	Real-World Disease Control Rate (rwDCR)	rwDCR is defined as the percentage of participants who are confirmed to achieved CR or partial response PR or stable disease (SD) after receiving mobocertinib in a real word setting.PR: partial reduction in size of visible disease in some, or all, areas without any increase in visible disease. SD: no change in overall size of visible disease, or mixed response (some lesions increased, some lesions decreased).	Up to 18 months
Secondary	Median Real-World Progression-Free Survival (rwPFS)	rwPFS is defined as the time from initiation of mobocertinib to disease progression or death from any cause, or the time of the last confirmed survival in real world setting.	Up to 18 months
Secondary	Real-World PFS (rwPFS) Rate at 1-year, 1.5-year and 2-year	rwPFS rate at 1-year, 1.5-year and 2-years are defined as the probability of progression free survival over one year from initiation of mobocertinib and the probability of progression-free survival over 1.5 years from initiation of mobocertinib. If data is available, the probability of progression-free survival over 2 years from initiation of mobocertinib will also be calculated.	Up to 2 years
Secondary	Real-World Overall Survival (rwOS) Rate at 1-year, 1.5-year and 2-year	rwOS rate at 1-year, 1.5-year, and 2-year are defined as the probability of overall survival over one year from initiation of mobocertinib and the probability of overall survival over 1.5 years from initiation of mobocertinib. If data is available, the probability of overall survival over 2 years from initiation of mobocertinib will also be calculated.	Up to 2 years
Secondary	Time to Deterioration (TTD) Based on Physical Functioning per European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) (v3.0) Scale	TTD is defined as the time from baseline to the occurrence of first clinical meaningful deterioration compared to baseline score of EORTC QLQ-C30. TTD will be assessed using QLQ-30 physical function scale using the Kaplan-Meier Method.	Up to 18 months
Secondary	TTD Based on Cough per EORTC Quality of Life Questionnaire Lung Cancer module (QLQ-LC13) Scale	TTD is defined as the time from baseline to the occurrence of first clinical meaningful deterioration compared to baseline score of EORTC QLQ-LC13. TTD will be assessed using QLQ-LC13 cough scale using the Kaplan-Meier Method.	Up to 18 months
Secondary	TTD Based on Dyspnea per EORTC QLQ-LC13 Scale	TTD is defined as the time from baseline to the occurrence of first clinical meaningful deterioration compared to baseline score of EORTC QLQ-LC13. TTD will be assessed using QLQ-LC13 dyspnea scale using the Kaplan-Meier Method.	Up to 18 months
Secondary	TTD Based on Chest Pain Scores per EORTC QLQ-LC13 Scale	TTD is defined as the time from baseline to the occurrence of first clinical meaningful deterioration compared to baseline score of EORTC QLQ-LC13. TTD will be assessed using QLQ-LC13 chest pain scores using the Kaplan-Meier Method.	Up to 18 months
Secondary	Number of Participants Categorized with Demographic Characteristics at Baseline	Demographic characteristics will include age, gender, smoking history, smoking status and family history for malignancies.	At Baseline (Day 1)
Secondary	Number of Participants Categorized with Clinicopathological Characteristics at Baseline	Clinicopathological characteristics will include Eastern Cooperative Oncology Group Performance Status (ECOG PS); medical history including clinically significant disease, surgeries, cancer history; current status of lung cancer; comorbidity; Histology: adenocarcinoma, squamous cell carcinoma, mixed, or others; EGFR mutation testing; and co-mutation status.	At Baseline (Day 1)
Secondary	Number of Participants Categorized with Co-Mutation Characteristics at Baseline	Co-Mutation characteristics will include gene mutation testing methods and results in participants.	At Baseline (Day 1) at the timing of mobocertinib initiation date
Secondary	Number of Participants with Adverse Events (AEs) Related to Mobocertinib	AEs refer to any reasons leading to the dose modification, interruption or discontinuation of mobocertinib in Chinese participants with EGFR ex20ins positive locally advanced or metastatic NSCLC in real world setting. Data will be collected from the participant's medical records.	Up to 18 months

External Links

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