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Not yet recruitingNCT06652555Updated Oct 22, 2024

The Incidence and Risk Factors of Central Nervous System Adverse Events of Lorlatinib in Patients with ALK-positive Advanced Non-small Cell Lung Cancer: a Real-world Study

An observational study in ALK and NSCLC, sponsored by Shanghai Pulmonary Hospital, Shanghai, China. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-22.

Sponsored by Shanghai Pulmonary Hospital, Shanghai, China · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
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Study summary

The goal of this study is to investigate the incidence and risk factors of central nervous system adverse events of Lorlatinib in patients with ALK-positive advanced non-small cell lung cancer.

Read the detailed description

The goal of this study is to investigate the incidence and risk factors of central nervous system adverse events of Lorlatinib in patients with ALK-positive advanced non-small cell lung cancer.

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Conditions studied

  • ALK
  • NSCLC

Keywords

  • ALK
  • NSCLC
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In context

Lead sponsor

Shanghai Pulmonary Hospital, Shanghai, China is the lead sponsor of 149 studies on the registry; 91 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

ALK-positive NSCLC

Inclusion criteria

  • Patients with locally advanced (stage IIIb/IIIc), metastatic, or recurrent (stage IV) NSCLC confirmed by histology or cytology, who are not eligible for curative surgery and cannot undergo definitive radiotherapy/chemotherapy, according to the 8th edition of the TNM staging classification by the International Association for the Study of Lung Cancer and the American Joint Committee on Cancer;
  • ALK-positive and the test results were based on RT-PCR /FISH /IHC /NGS methods in the laboratory department or testing institution of the hospital
  • receiving targeted therapy with Lorlatinib
  • age ≥18 years old
  • follow-up after receipt of Lorlatinib
  • voluntarily participate in the study and sign informed consent

Exclusion criteria

Exclusion Criteria:

  • evidence of any severe or uncontrolled systemic illness, including uncontrolled hypertension and active bleeding, active infections including hepatitis B, hepatitis C and human immunodeficiency virus (HIV).
  • combined with other malignant tumors and received other anti-tumor therapy during the treatment of Lorlatinib
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
100 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • group 1

    Baseline characteristics and information during loratinib treatment were collected

    Other: Group 1

Interventions

  • OtherGroup 1

    without Intervention

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What researchers measure

Primary outcomes

  1. Incidence of central nervous system (CNS) adverse events (AEs) associated with lorlatinib in real world study.

    The incidence of central nervous system (CNS) adverse events (AEs) associated with lorlatinib will be reported, such as cognitive effects, mood effects, speech effects and psychotic effects.

    Time frame: 2 year

Secondary outcomes

  1. To explore the optimized therapy management strategies for CNS AEs associated with lorlatinib in real-world study.

    According to the data from CROWN study, management strategies such as to dose interruption, dose reduction or concurrent medication would minimize the impact of CNS AEs effects. However, the optimized therapy management strategies for CNS AEs associated with lorlatinib in real-world study of China needs to be further clarified.

    Time frame: 1 year

  2. Analysis of factors associated with developing CNS AEs related to lorlatinib treatment.

    The association between baseline characteristics and CNS adverse effects will be evaluated. Baseline characteristics include age, gender, medical history, brain metastases at baseline, previous brain radiation, and lorlatinib treatment lines, among others.

    Time frame: 1 year

  3. Correlation analysis between CNS AEs occurrence and anti-tumor efficacy

    Landmark analysis will be used to investigate the possible association between development of CNS AEs within 24 weeks of initiating lorlatinib and progression-free survival (PFS) as well as the objective response rate (ORR).

    Time frame: 24 weeks

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: Yes — research article

Supporting information: Study protocol

No publications or documents are linked to this record.

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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 ↗
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Registry details

Key details

Study ID
NCT06652555
Lead sponsor
Shanghai Pulmonary Hospital, Shanghai, China
Responsible party
Chunxia Su (Director of Clinical Research Center, Shanghai Pulmonary Hospital, Shanghai Pulmonary Hospital, Shanghai, China) — Principal investigator
First posted
Oct 22, 2024
Start date
Oct 30, 2024 (estimated)
Primary completion
Sep 29, 2026 (estimated)
Completion
Sep 29, 2027 (estimated)
Last update
Oct 22, 2024

Study contacts

Li Wang, Doctor
Contact
leewang8023@163.com
18170211997
Chunxia Su, Doctor
study chair · Shanghai Pulmonary Hospital, Shanghai, China

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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