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Trial Title: Impact of Lazertinib Dose Modification on Effectiveness and Safety

NCT ID: NCT05716672

Condition: Non-small Cell Lung Cancer

Conditions: Official terms:
Lung Neoplasms
Lazertinib

Conditions: Keywords:
NSCLC
EGFR-TKI
Lazertinib

Study type: Observational

Overall status: Not yet recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Drug
Intervention name: Lazertinib
Description: Lazertinib 240mg(3tablets, 80mg/1tablet), once a day(QD), oral(PO), until disease progression or unacceptable toxicity
Arm group label: 160mg group
Arm group label: 240mg group

Other name: LECLAZA

Summary: The primary objective is to evaluate Progression Free Survival (PFS) of the group (160 mg group) in which dose reduction was performed for 12 weeks after the first administration of Lazertinib. The Secondary objectives of this study are as follows. 1. To evaluate Progression-free survival (PFS) of the group maintaining the same dose (240mg group) and the group in which dose reduction was performed (160mg group) for 12 weeks after the first administration of Lazertinib 2. In the group maintaining the same dose (240mg group) and the group in which dose reduction was performed (160mg group) for 12 weeks after the first administration of Lazertinib, Time-to-Treatment Discontinuation(TTD), Objective Response Rate(ORR), Disease Control Rate(DCR), Tumor shrinkage and Overall Survival(OS) is evaluated. 3. In the group maintaining the same dose (240mg group) and the group in which dose reduction was performed (160mg group) for 12 weeks after the first administration of Lazertinib, specific reasons (adverse event name, grade, etc.) according to Lazertinib dose adjustment is evaluated. 4. To evaluate the treatment profile of Lazertinib including duration of treatment, dose adjustment, and reason for discontinuation of treatment. 5. To evaluate the safety of Lazertinib in the 240 mg and 160 mg groups

Detailed description: This study is a prospective multi-center observational study, and 11 institutions will participate to enroll 200 subjects competitively. We will evaluate the efficacy and safety of Lazertinib according to maintenance of the 240mg dose and reduction of the 160mg dose for 12 weeks after the first administration of Lazertinib in non-small cell lung cancer patients confirmed to be T790M mutation-positive after treatment failure with first- or second-generation EGFR-TKIs. The study period is up to 3 years from the date of IRB approval. Follow-up is 2 years from the last subject enrollment, and data will be collected through periodic medical record review during Lazertinib administration for enrolled subjects.

Criteria for eligibility:

Study pop:
Patients who agreed to participate in this study among patients scheduled to receive Lazertinib after T790M mutation was confirmed positive after treatment with 1st or 2nd generation EGFR-TKIs

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Patients who agreed in writing to participate in this study 2. Adult men and women over 20 years of age 3. Patients with locally advanced or metastatic, recurrent non-small cell lung cancer with EGFR mutation (based on AJCC 8th edition) 4. Patients with confirmed disease progression after 1st or 2nd generation EGFR-TKI treatment 5. Patients scheduled to receive Lazertinib after T790M mutation was confirmed positive in tissue or plasma Exclusion Criteria: 1. Patients who are receiving or have already completed Lazertinib 2. Patients whose life expectancy is less than 12 weeks

Gender: All

Minimum age: 20 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Inje University Busan Paik Hospital

Address:
City: Busan
Zip: 47392
Country: Korea, Republic of

Contact:
Last name: Hyun-kyung Lee, MD, PhD

Phone: +82-51-890-6243
Email: goodoc@gmail.com

Facility:
Name: Inje University Haeundae Paik Hospital

Address:
City: Busan
Zip: 48108
Country: Korea, Republic of

Contact:
Last name: Jin-han Park, MD, PhD

Phone: +82-51-240-2211
Email: h00389@paik.ac.kr

Facility:
Name: Dong-A University Hospital

Address:
City: Busan
Zip: 49201
Country: Korea, Republic of

Contact:
Last name: Insu Kim, MD, PhD

Phone: +82-51-240-5597
Email: wisedoc08@gmail.com

Facility:
Name: Pusan National University Hospital

Address:
City: Busan
Zip: 49241
Country: Korea, Republic of

Contact:
Last name: Min Ki Lee, MD, PhD

Phone: +82-51-240-7216
Email: leemk@pusan.ac.kr

Contact backup:
Last name: Jung Seop Eom, MD, PhD

Phone: +82-51-240-7889
Email: ejspulm@gmail.com

Facility:
Name: Kosin University Gospel Hospital

Address:
City: Busan
Zip: 49267
Country: Korea, Republic of

Contact:
Last name: Tae Won Jang, MD, PhD

Phone: +82-51-990-6637
Email: jangtw22@hanmail.net

Facility:
Name: Kyungpook National University Chilgok Hospital

Address:
City: Daegu
Zip: 41404
Country: Korea, Republic of

Contact:
Last name: Sun Ha Choi, MD, PhD

Phone: +82-53-200-3091
Email: sunha20@gmail.com

Facility:
Name: Kyungpook National University Hospital

Address:
City: Daegu
Zip: 41944
Country: Korea, Republic of

Contact:
Last name: Ji Eun Park, MD, PhD

Phone: +82-53-200-5505
Email: jieun@knu.ac.kr

Facility:
Name: Yeungnam University Medical Center

Address:
City: Daegu
Zip: 42415
Country: Korea, Republic of

Contact:
Last name: June Hong Ahn, MD, PhD

Phone: +82-53-640-6577
Email: fireajh@gmail.com

Facility:
Name: Daegu Catholic University Medical Center

Address:
City: Daegu
Zip: 42472
Country: Korea, Republic of

Contact:
Last name: Chi-Young Jung, MD, PhD

Phone: +82-53-650-3263
Email: jcy2475@cu.ac.kr

Facility:
Name: Keimyung University Dongsan Medical Center

Address:
City: Daegu
Zip: 42601
Country: Korea, Republic of

Contact:
Last name: Sun Hyo Park, MD, PhD

Phone: +82-53-258-7737
Email: ibagu70@hanmail.net

Facility:
Name: Pusan National University Yangsan Hospital

Address:
City: Yangsan
Zip: 50612
Country: Korea, Republic of

Contact:
Last name: Seong Hoon Yoon, MD, PhD

Phone: +82-55-360-1415
Email: drysh79@gmail.com

Start date: February 1, 2023

Completion date: December 31, 2025

Lead sponsor:
Agency: Pusan National University Hospital
Agency class: Other

Collaborator:
Agency: Yuhan Corporation
Agency class: Industry

Source: Pusan National University Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05716672

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