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RecruitingNCT04322890PIKACHUUpdated Oct 22, 2024

Treatment Strategies and Survival Outcome for Non-small Cell Lung Cancer With Oncogenic Mutation

A Phase 2 interventional study of Osimertinib and Alectinib 150 MG in Non Small Cell Lung Cancer, EGFR Gene Mutation and ALK Gene Mutation, sponsored by Hunan Province Tumor Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-22.

Sponsored by Hunan Province Tumor Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2020; still recruiting 6 years 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
6,000
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the Treatment Strategies and Survival Outcome for Non-small Cell Lung Cancer With Oncogenic Mutation.

Read the detailed description

The purpose of this study is to assess the Treatment Strategies and Survival Outcome for Non-small Cell Lung Cancer With Oncogenic Mutation.

Our study was set up with several group with EGFR mutant, ALK fusion, ROS1 fusion, RET fusion, BRAF mutation, NRG1 fusion, MET alteration, KRAS mutation, etc.

02

Conditions studied

  • Non Small Cell Lung Cancer
  • EGFR Gene Mutation
  • ALK Gene Mutation
  • ROS1 Gene Mutation
  • MET Gene Mutation
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's planned enrollment of 6,000 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Hunan Province Tumor Hospital is the lead sponsor of 72 studies on the registry; 47 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Understand the requirements and contents of the clinical trial, and provide a signed and dated informed consent form.
  2. Age ≥ 18 years.
  3. Histologically or cytologically confirmed, Stage IV NSCLC.
  4. Oncogenic mutations confirmed by an accredited local laboratory, including EGFR, ALK, ROS1 etc.
  5. ECOG 0-1.
  6. Predicted survival ≥ 12 weeks.
  7. Adequate bone marrow hematopoiesis and organ function
  8. Presence of measurable lesions according to RECIST 1.1.

Exclusion criteria

Exclusion Criteria:

The patient did not match from the Inclusion Criteria.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
6,000 participants (estimated)

Study arms

  • Experimental
    Cohort A: EGFR mutation

    Lung Cancer with EGFR mutation including EGFR exon19del, exon 21L858R, etc.

    Drug: Osimertinib

  • Experimental
    Cohort B: ALK fusion

    Lung Cancer with ALK fusion.

    Drug: Alectinib 150 MG

  • Experimental
    Cohort C: ROS1 fusion

    Lung Cancer with ROS1 fusion.

    Drug: Crizotinib 250 MG

  • Experimental
    Cohort D: MET alterations

    Lung Cancer with MET alteration including amplification, exon 14 skipping and met fusion etc.

    Drug: Savolitinib, Crizotinib.

  • Experimental
    Cohort E: RET fusion

    Lung Cancer with RET fusion.

    Drug: Chemotherapy

  • Experimental
    Cohort F: KRAS mutation

    Lung Cancer with KRAS mutation.

    Drug: Chemotherapy

  • Experimental
    Cohort G: uncommon mutation

    Cohort G mainly includes all identified lung cancer mutations except EGFR mut, ALK fusion, ROS1 fusion, MET alterations, KRAS mut and RET fusion. These include: BRAF V600E and non-V600E, NRG fusion, NTRK fusion, ERBB2 amp and mut,NRAS mut, MAP2K1 mut,RIT1 mut, RAF1 mut, FGFR fusion, ARAF mut, HRAS mut etc.

    Drug: Chemotherapy

Interventions

  • DrugOsimertinib

    Osimertinib 80mg, po, qd;

    Also known as: Erlotinib, Gefitinib, Furmonertinib, Almonertinib etc.

  • DrugAlectinib 150 MG

    Alectinib 600mg, po, qd; Lorlatinib, 100mg, po, qd;

    Also known as: Lorlatinib, Alectinib, Brigatinib, Ceritinib etc.

  • DrugCrizotinib 250 MG

    Crizotinib 250 MG po bid.

    Also known as: Entrectinib

  • DrugSavolitinib, Crizotinib.

    Savolitinib, 300mg po qd.

    Also known as: Crizotinib

  • DrugChemotherapy

    500mg, ivgtt, every 21day.

    Also known as: Pemetrexed, Cisplatin, Pralsetinib etc.

06

What researchers measure

Primary outcomes

  1. Progression-free survival (PFS)

    To assess progression-free survival of patients treated with target treatment according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator, define as first dose to first documented disease progression assessed by investigator or death due to any cause.

    Time frame: Time from first subject dose to study completion, or up to 36 month

Secondary outcomes

  1. Overall survival (OS)

    To assess overall survival, define as first dose to the death of the subject due to any cause

    Time frame: To assess overall survival, define as first dose to the death of the subject due to any cause up to 5 years

  2. Objective Response Rate (ORR)

    To assess progression-free survival of patients treated with target treatment according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator, define as first dose to first documented disease progression assessed by investigator or death due to any cause.

    Time frame: Time from first subject dose to study completion, or up to 36 month

  3. Adverse events (AEs) according to CTCAE 5.0

    Number of participants with adverse events (AEs) according to CTCAE 5.0

    Time frame: From first dose until 28 days after the last dose, up to 24 month

  4. Patient reported outcome (PRO)

    Patient reported outcome defined as the quality of life during the whole process treatment.

    Time frame: To assess overall survival, define as first dose to the death of the subject due to any cause up to 5 years

07

Study locations

1 of 1 sites recruiting
  • Yongchang Zhang
    Changsha, Hunan 410013, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04322890
Lead sponsor
Hunan Province Tumor Hospital
Responsible party
Yongchang Zhang (Professor, Director of Clinical Trial Center, Hunan Province Tumor Hospital) — Principal investigator
First posted
Mar 26, 2020
Start date
Apr 16, 2020
Primary completion
Dec 24, 2026 (estimated)
Completion
Dec 24, 2027 (estimated)
Last update
Oct 22, 2024

Study contacts

Yongchang Zhang, MD
Contact
zhangyongchang@csu.edu.cn
+8613873123436 ext. 7+861383123436
Nong Yang, MD
Contact
yangnong0217@163.com
+8613055193557 ext. +8613873123436
Yongchang Zhang, MD
principal investigator · Hunan Cancer Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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