Clinical Trial Results:
An Open-Label, Multicenter, Single-Arm, Phase II Study to Assess the Efficacy and Safety of Alectinib in Patients with ALK-Rearranged Non-Small Cell Lung Cancer After Disease Progression on Prior ALK Inhibitor Therapy
Summary
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EudraCT number |
2016-003924-22 |
Trial protocol |
FR |
Global end of trial date |
26 Sep 2019
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Results information
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Results version number |
v1(current) |
This version publication date |
04 Oct 2020
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First version publication date |
04 Oct 2020
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
ML39349
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT03155009 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Hoffmann-La Roche
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Sponsor organisation address |
Grenzacherstrasse 124, Basel, Switzerland, 4070
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Public contact |
F. Hoffmann-La Roche AG, Hoffmann-La Roche, +41 616878333, global.trial_information@roche.com
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Scientific contact |
F. Hoffmann-La Roche AG, Hoffmann-La Roche, +41 616878333, global.trial_information@roche.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
26 Sep 2019
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
26 Sep 2019
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To evaluate the efficacy and safety of alectinib, in selected participants, with anaplastic lymphoma kinase-rearranged (ALK-rearranged) non-small cell lung cancer (NSCLC).
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Protection of trial subjects |
All participants were required to sign an Informed Consent Form.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
03 Jul 2017
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
France: 44
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Worldwide total number of subjects |
44
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EEA total number of subjects |
44
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
29
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From 65 to 84 years |
15
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||||||||||
Pre-assignment
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Screening details |
Participants with histologically or cytologically confirmed locally advanced or metastatic NSCLC (Stage IIIB or IV accordingly to American Joint Committee on Cancer [AJCC] classification) | ||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||
Arms
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Arm title
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Alectinib | ||||||||||||||||||||
Arm description |
Participants with confirmed NSCLC received 600 mg of oral alectinib twice daily with food. | ||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||
Investigational medicinal product name |
Alectinib
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
Participants received 600 mg by mouth twice daily.
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Baseline characteristics reporting groups
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Reporting group title |
Alectinib
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Reporting group description |
Participants with confirmed NSCLC received 600 mg of oral alectinib twice daily with food. | |||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Alectinib
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Reporting group description |
Participants with confirmed NSCLC received 600 mg of oral alectinib twice daily with food. |
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End point title |
Objective Response Rate (ORR) [1] | ||||||||||||
End point description |
ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) assessed by the investigator using the Response Evaluation Criteria in Solid Tumors (RECIST), v.1.1. CR is defined as disappearance of all target and non-target lesions and no new lesions, and all pathological lymph nodes must have decreased to <10 mm in short axis. PR is defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions.
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End point type |
Primary
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End point timeframe |
Up to 2 years
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Specified in the description. Additional information: ORR as per investigator will be descriptively summarized by the number and proportion of responders and non-responders, together with their two-sided 95% Confidence Intervals (exact CI computed using Clopper-Pearson method). |
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No statistical analyses for this end point |
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End point title |
Central Nervous System Objective Response Rate (C-ORR) | ||||||||||||
End point description |
C-ORR is defined as the percentage of participants who attain a CR or PR of the baseline CNS metastases based on RECIST v.1.1. CR is defined as disappearance of all target and non-target lesions and no new lesions, and all pathological lymph nodes must have decreased to <10 mm in short axis. PR is defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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No statistical analyses for this end point |
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End point title |
Progression-Free Survival (PFS) | ||||||||
End point description |
PFS is defined as the time between first intake of alectinib and the first occurrence of disease progression, or death from any cause during the study, whichever occurs first. Progressive disease (PD) based on RECIST v.1.1. is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (nadir), including baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [2] - 9999 = upper limit not estimable |
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No statistical analyses for this end point |
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End point title |
Time to Progression (TTP) | ||||||||
End point description |
TTP is defined as the time between first intake of alectinib and the first occurrence of disease progression. PD based on RECIST v.1.1. is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (nadir), including baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [3] - 9999 = upper limit not estimable |
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No statistical analyses for this end point |
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End point title |
Disease Control Rate | ||||||||
End point description |
DCR is defined as the percentage of participants who attain CR, PR, or stable disease (SD) for at least five weeks, based on RECIST v.1.1. CR is defined as disappearance of all target and non-target lesions and no new lesions, and all pathological lymph nodes must have decreased to <10 mm in short axis. PR is defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum on study.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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No statistical analyses for this end point |
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End point title |
Duration of Response (DOR) | ||||||||
End point description |
DOR is defined as the time from when response (CR or PR), based on RECIST v.1.1, will be first documented to first documented disease progression or death (whichever occurs first). CR is defined as disappearance of all target and non-target lesions and no new lesions, and all pathological lymph nodes must have decreased to <10 mm in short axis. PR is defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions. PD is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (nadir), including baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. DOR assessment is restricted to participants with a BOR of CR or PR.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [4] - 9999 = value not estimable |
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No statistical analyses for this end point |
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End point title |
Central Nervous System DOR (C-DOR) | ||||||||
End point description |
C-DOR is defined as the time from the first observation of a CNS response of CR or PR based on RECIST V1.1 until first observation of CNS progression or death from any cause (whichever occurs first). CR is defined as disappearance of all target and non-target lesions and no new lesions, and all pathological lymph nodes must have decreased to <10 mm in short axis. PR is defined as at least a 30% decrease in the sum of diameters of target lesions (taking as reference the baseline sum diameters), no progression in non-target lesions, and no new lesions. PD is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (nadir), including baseline. The sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. C-DOR assessment is restricted to those participants with measurable CNS metastases at baseline and with CNS BOR of CR or PR.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [5] - 9999 = upper limit not estimable |
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No statistical analyses for this end point |
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End point title |
Overall Survival (OS) | ||||||||
End point description |
OS is defined as the percentage of participants alive two years after the start of treatment.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [6] - 9999 = parameter not estimable due to lack of participants with event |
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No statistical analyses for this end point |
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End point title |
Time to Central Nervous System (CNS) Progression (TTCP) | ||||||||
End point description |
TTCP is defined as the time from first drug intake to first documented occurrence of disease progression in the CNS. PD based on RECIST v.1.1. is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (nadir), including baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [7] - 9999 = value not estimable |
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No statistical analyses for this end point |
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End point title |
Percentage of Participants with Adverse Events (AEs) | ||||||||||||
End point description |
An adverse event is considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsen during the study are reported as adverse events.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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No statistical analyses for this end point |
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End point title |
Health-Related Quality of Life (QoL) as Assessed by the QLQ-C30 Questionnaire | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The QLQ-C30 Questionnaire is used to assess the quality of life of participants with cancer. It includes five functional scales, three symptom scales, a global health status / QoL scale, and six single items. These components range in score from 0 (low response level) to 100 (high response level).
This endpoint reports the average change from baseline for each domain.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [8] - Global health status/QoL = revised scores |
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No statistical analyses for this end point |
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End point title |
Health-Related QoL as Assessed by the LC13 Questionnaire | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The LC13 Questionnaire includes 13 questions assessing lung cancer-associated symptoms (cough, hemoptysis, dyspnea and site-specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia), and pain medication. This scale ranges in score from 0 (low response level) to 100 (high response level).
This end point reports average change from baseline in each domain.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [9] - N=41 for Pain in other parts N=42 for Peripheral neuropathy N=19 for Pain relief after medication |
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No statistical analyses for this end point |
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End point title |
Health-Related QoL as Assessed by the BN20 Questionnaire | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The BN20 Questionnaire includes 20 items assessing future uncertainty, visual disorder, motor dysfunction, communication deficit and other disease symptoms, and treatment toxicities. This scale ranges in score from 0 (low response level) to 100 (high response level).
This endpoint reports data for the average change from baseline for each domain.
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End point type |
Secondary
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End point timeframe |
Up to 2 years
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Notes [10] - N=42 for Future uncertainty and for Motor dysfunction |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Approximately 2 years
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
22.0
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Reporting groups
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Reporting group title |
Alectinib
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Reporting group description |
Participants with confirmed NSCLC received 600 mg of oral alectinib twice daily with food. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |