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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Germany

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.

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 groups in NCT02777658
Study groupRoleWhat they receive
Primary Study CohortPatients 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 CohortPatients 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.

  1. 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

  2. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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.

  1. First posted19 May 2016 (estimated)
  2. Study start26 May 2016
  3. Primary completion31 May 2020
  4. Study completion31 May 2020

Resources

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
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.

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.

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