Carcinoma, Non-Small-Cell LungPANORAMANCT02777658
PANORAMA - Real World Molecular Testing, Treatment Patterns, and Clinical Outcomes EGFR Mutation-Positive NSCLC
An observational study of Carcinoma, Non-Small-Cell Lung, run by AstraZeneca at 73 sites in Germany.
Trial summary
The objectives of this study are to assess molecular testing, treatment patterns, and associated outcomes among patients with EGFR (Epidermal Growth Factor Receptor) mutation-positive locally advanced or advanced NSCLC (Non-Small Cell Lung Cancer) who have progressed on or after EGFR-TKI (EGFR-Tyrosine Kinase… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- How many people
- 169 participants
- Where
- 73 sitesGermany
- Study dates
- 26 May 2016to 31 May 2020
- How long will I take part?
- 36 Months
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: 800 patients across both cohorts - 700 patients primary cohort and 100 patients secondary cohort. Patients will be recruited from approximately 100 participating sites in Germany (70 hospitals and 30 outpatient practices).
Who may be able to join
- Provision of written informed consent (patient consent should be within 6 weeks of disease progression, defined elsewhere as the Index Date)
- Adult male or female subjects (according to age of majority/adulthood as defined by local regulations)
- Patients with prior confirmed EGFR mutation-positive (all mutations) locally advanced or advanced NSCLC - Patients who developed resistance to an EGFR-TKI due to any other phenotypic/histologic transformations (e.g., small-cell lung cancer, EMT) or other mutations (e.g., HER2, MET amplifications) at the index-date will be eligible for participation in this study as long as they have prior confirmed diagnosis of EGFR mutation-positive (all mutations) locally advanced or advanced NSCLC
- Patients who have progressed on or after EGFR-TKI therapy (i.e., gefitinib, erlotinib or afatinib) within the patient selection period
- Provision of written informed consent (patient consent should be within 6 weeks of NSCLC diagnosis, defined elsewhere as the Index Date)
- Adult male or female subjects (according to age of majority/adulthood as defined by local regulations)
- Patients diagnosed with de-novo EGFR T790M mutation-positive locally advanced or advanced NSCLC during the patient selection period. The de-novo T790M mutation can be alone or in combination with other mutations (e.g., L858R and T790M).
Who cannot join
- Enrollment in studies that prohibit any participation in this non-interventional study. These patients will be censored.
Trial locations and contacts
73 sites in 1 country.
73 sites in 1 country
Germany73 sites
Research Site
Aschaffenburg, D5160R00005
Research Site
Augsburg, D5160R00005
Research Site
Bad Kreuznach, D5160R00005
Research Site
Ballenstedt, D5160R00005
Research Site
Bautzen, D5160R00005
Research Site
Berlin, D5160R00005
Research Site
Bochum, D5160R00005
Research Site
Bonn, D5160R00005
Research Site
Bottrop, D5160R00005
Research Site
Bremen, D5160R00005
Research Site
Celle, D5160R00005
Research Site
Cologne, D5160R00005
Research Site
Dresden, D5160R00005
Research Site
Düsseldorf, D5160R00005
Research Site
Erfurt, D5160R00005
Research Site
Esslingen am Neckar, D5160R00005
Research Site
Frankfurt (Oder), D5160R00005
Research Site
Freiburg i.Br., D5160R00005
Research Site
Freital, D5160R00005
Research Site
Fürth, D5160R00005
Research Site
Gauting, D5160R00005
Research Site
Georgsmarienhütte, D5160R00005
Research Site
Goslar, D5160R00005
Research Site
Göttingen, D5160R00005
Research Site
Greifenstein, D5160R00005
Research Site
Güstrow, D5160R00005
Research Site
Gütersloh, D5160R00005
Research Site
Halle, D5160R00005
Research Site
Hamburg, D5160R00005
Research Site
Hanover, D5160R00005
Research Site
Heidenheim, D5160R00005
Research Site
Herne, D5160R00005
Research Site
Hildesheim, D5160R00005
Research Site
Hof, D5160R00005
Research Site
Kaiserslautern, D5160R00005
Research Site
Karlsruhe, D5160R00005
Research Site
Kempten, D5160R00005
Research Site
Koblenz, D5160R00005
Research Site
Krefeld, D5160R00005
Research Site
Landshut, D5160R00005
Research Site
Lebach, D5160R00005
Research Site
Leipzig, D5160R00005
Research Site
Löwenstein, D5160R00005
Research Site
Ludwigsburg, D5160R00005
Research Site
Mainz, D5160R00005
Research Site
Mönchengladbach, D5160R00005
Research Site
Muehlheim A.d. Ruhr, D5160R00005
Research Site
München, D5160R00005
Research Site
Münnerstadt, D5160R00005
Research Site
Naunhof, D5160R00005
Research Site
Neustadt a.R., D5160R00005
Research Site
Nuremberg, D5160R00005
Research Site
Offenburg, D5160R00005
Research Site
Oldenburg, D5160R00005
Research Site
Osnabrück, D5160R00005
Research Site
Pirna, D5160R00005
Research Site
Porta Westfalica, D5160R00005
Research Site
Ratingen, D5160R00005
Research Site
Ravensburg, D5160R00005
Research Site
Rosenheim, D5160R00005
Research Site
Rostock, D5160R00005
Research Site
Schorndorf, D5160R00005
Research Site
Stolberg, D5160R00005
Research Site
Stuttgart, D5160R00005
Research Site
Twistringen, D5160R00005
Research Site
Völklingen, D5160R00005
Research Site
Wangen, D5160R00005
Research Site
Westerstede, D5160R00005
Research Site
Wiesbaden, D5160R00005
Research Site
Witten, D5160R00005
Research Site
Würselen, D5160R00005
Research Site
Würzburg, D5160R00005
Research Site
Zittau, D5160R00005
About this study
Official title: PANORAMA - Real World Molecular Testing, Treatment Patterns, and Clinical Outcomes in Patients With EGFR Mutation-Positive Locally Advanced or Advanced NSCLC
The objectives of this study are to assess molecular testing, treatment patterns, and associated outcomes among patients with EGFR (Epidermal Growth Factor Receptor) mutation-positive locally advanced or advanced NSCLC (Non-Small Cell Lung Cancer) who have progressed on or after EGFR-TKI (EGFR-Tyrosine Kinase Inhibitor) therapy post availability of a third-generation TKI (primary study cohort). Additionally, molecular testing and treatment patterns will be assessed among a secondary cohort of patients which will include patients diagnosed with de-novo EGFR T790M mutation-positive locally advanced or advanced NSCLC.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- Epidermal Growth Factor Receptor (EGFR), non-small cell lung cancer (NSCLC), EGFR T790M, EGFR Mutation-Positive Locally Advanced or Advanced NSCLC
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Primary Study Cohort | Patients with prior confirmed EGFR mutation-positive locally advanced or advanced NSCLC (Non-Small Cell Lung Cancer) who have progressed on or after EGFR-TKI (Epidermal Growth Factor Receptor - Tyrosine Kinase Inhibitor) therapy | |
| Secondary Study Cohort | Patients diagnosed with de-novo (wild-type) EGFR T790M mutation-positive (alone or in combination with other mutations) locally advanced or advanced NSCLC |
What is being measured
The primary outcome is the main question the study is designed to answer.
To evaluate molecular testing patterns among patients with EGFR mutation-positive locally advanced or advanced NSCLC
Molecular testing patterns including:
Molecular testing rate defined as the number of patients identified as having received molecular testing divided by the number of patients in the primary study cohort (applicable to patients in the primary study cohort);
Change in testing rates over time - testing rate over time will be described;
Molecular testing details including sample type, method of biopsy, testing turnaround time, test type, reason for testing, testing laboratory type, reason for not performing a test;
Molecular testing results including mutation status and type, test outcome, histologic/phenotypic transformation;
Measured: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To assess treatment patterns and associated clinical outcomes among patients with EGFR mutation-positive locally advanced or advanced NSCLC
Treatment patterns and associated clinical outcomes including:
Overall survival measured from: date of initial diagnosis to date of death from any cause (for primary and secondary cohorts), date of progression to date of death from any cause (for primary cohort only);
Time to initiation of new therapy defined as the time from start date of current therapy to start date of subsequent therapy;
Treatment(s) received post diagnosis and post progression including chemotherapy, radiation, surgery, targeted therapy, immunotherapy; Treatment sequence patterns, line(s) of therapy, treatment regimen(s), treatment duration, number of cycles;
Measured: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
Secondary outcomes (5)
To assess health care utilization patterns
Health care utilization patterns will be presented by the following care settings: hospitalization and length of stay, emergency room and physician office visits
Measured: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To assess treatment related complications
Assessment of treatment related complications observed with chemotherapy and targeted therapies among patients with NSCLC.
Measured: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To assess biopsy related complications
Assessment of biopsy related complications for each documented biopsy procedure
Measured: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To document rate of central nervous system (CNS) metastases
Measured: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
Assessment of health-related quality of life (HRQoL)
Health related quality of life (HRQoL): Assessment of general cancer-associated and specific lung cancer associated parameters by use of standardized HRQoL questionnaires:
- European Organization For Research And Treatment Of Cancer Quality Of Life Questionnaire - Core 30 (EORTC QLQ-C30)
- European Organisation For Research And Treatment Of Cancer Quality Of Life Questionnaire - Lung Cancer 13 (EORTC QLQ-LC13) (adminstered to patients included in primary study cohort)
Measured: Date of first visit to last visit. HRQoL are collected every 6 months (plus or minus 1.5 months) up to 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2016 (estimated)
- Study start26 May 2016
- Primary completion31 May 2020
- Study completion31 May 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 169 participants (actual)
- Target duration
- 36 Months
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- iOMEDICO AG, Freiburg, Germany
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02777658
- Sponsor's protocol ID
- D5160R00005
- Acronym
- PANORAMA
- Status last verified
- May 2021
- First submitted
- 17 May 2016
- Last updated
- 27 May 2021
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 27 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- PANORAMA - Real World Molecular Testing, Treatment Patterns, and Clinical Outcomes in Patients With EGFR Mutation-Positive Locally Advanced or Advanced NSCLC
- ClinicalTrials.gov ID
- NCT02777658
- Acronym / sponsor ID
- PANORAMA / D5160R00005
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- Epidermal Growth Factor Receptor (EGFR), non-small cell lung cancer (NSCLC), EGFR T790M, EGFR Mutation-Positive Locally Advanced or Advanced NSCLC
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 169 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- iOMEDICO AG, Freiburg, Germany
- Study start
- 26 May 2016 (actual)
- Primary completion
- 31 May 2020 (actual)
- Study completion
- 31 May 2020 (actual)
- First posted
- 19 May 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objectives of this study are to assess molecular testing, treatment patterns, and associated outcomes among patients with EGFR (Epidermal Growth Factor Receptor) mutation-positive locally advanced or advanced NSCLC (Non-Small Cell Lung Cancer) who have progressed on or after EGFR-TKI (EGFR-Tyrosine Kinase Inhibitor) therapy post availability of a third-generation TKI (primary study cohort). Additionally, molecular testing and treatment patterns will be assessed among a secondary cohort of patients which will include patients diagnosed with de-novo EGFR T790M mutation-positive locally advanced or advanced NSCLC.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 36 Months
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Primary Study Cohort | – | –Patients with prior confirmed EGFR mutation-positive locally advanced or advanced NSCLC (Non-Small Cell Lung Cancer) who have progressed on or after EGFR-TKI (Epidermal Growth Factor Receptor - Tyrosine Kinase Inhibitor) therapy |
| Secondary Study Cohort | – | –Patients diagnosed with de-novo (wild-type) EGFR T790M mutation-positive (alone or in combination with other mutations) locally advanced or advanced NSCLC |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- 800 patients across both cohorts - 700 patients primary cohort and 100 patients secondary cohort. Patients will be recruited from approximately 100 participating sites in Germany (70 hospitals and 30 outpatient practices).
Key inclusion criteria (7 listed)
- Provision of written informed consent (patient consent should be within 6 weeks of disease progression, defined elsewhere as the Index Date)
- Adult male or female subjects (according to age of majority/adulthood as defined by local regulations)
- Patients with prior confirmed EGFR mutation-positive (all mutations) locally advanced or advanced NSCLC - Patients who developed resistance to an EGFR-TKI due to any other phenotypic/histologic transformations (e.g., small-cell lung cancer, EMT) or other mutations (e.g., HER2, MET amplifications) at the index-date will be eligible for participation in this study as long as they have prior confirmed diagnosis of EGFR mutation-positive (all mutations) locally advanced or advanced NSCLC
- Patients who have progressed on or after EGFR-TKI therapy (i.e., gefitinib, erlotinib or afatinib) within the patient selection period
- Provision of written informed consent (patient consent should be within 6 weeks of NSCLC diagnosis, defined elsewhere as the Index Date)
Key exclusion criteria (1 listed)
- Enrollment in studies that prohibit any participation in this non-interventional study. These patients will be censored.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
To evaluate molecular testing patterns among patients with EGFR mutation-positive locally advanced or advanced NSCLC
Time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
Molecular testing patterns including: Molecular testing rate defined as the number of patients identified as having received molecular testing divided by the number of patients in the primary study cohort (applicable to patients in the primary study cohort); Change in testing rates over time - testing rate over time will be described; Molecular testing details including sample type, method of biopsy, testing turnaround time, test type, reason for testing, testing laboratory type, reason for not performing a test; Molecular testing results including mutation status and type, test outcome, histologic/phenotypic transformation;
To assess treatment patterns and associated clinical outcomes among patients with EGFR mutation-positive locally advanced or advanced NSCLC
Time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
Treatment patterns and associated clinical outcomes including: Overall survival measured from: date of initial diagnosis to date of death from any cause (for primary and secondary cohorts), date of progression to date of death from any cause (for primary cohort only); Time to initiation of new therapy defined as the time from start date of current therapy to start date of subsequent therapy; Treatment(s) received post diagnosis and post progression including chemotherapy, radiation, surgery, targeted therapy, immunotherapy; Treatment sequence patterns, line(s) of therapy, treatment regimen(s), treatment duration, number of cycles;
5 secondary outcomes
To assess health care utilization patterns
Time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To assess treatment related complications
Time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To assess biopsy related complications
Time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
To document rate of central nervous system (CNS) metastases
Time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months
Assessment of health-related quality of life (HRQoL)
Time frame: Date of first visit to last visit. HRQoL are collected every 6 months (plus or minus 1.5 months) up to 36 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 May 2021.
- Redacted CSR SynopsisLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
73 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Carcinoma, Non-Small-Cell Lung, run by AstraZeneca at 73 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 73 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To evaluate molecular testing patterns among patients with EGFR mutation-positive locally advanced or advanced NSCLC (time frame: Date of enrollment in the study until end of follow-up or death if this occurs before, assessed approximately up to 36 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 May 2021.