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Multicenter prospective assessment of MET concordance and tumor gene profiling in treatment-naïve NSCLC
The primary objective of the study is to evaluate the agreement among four different test methods with a reference assay for MET OverExp. Analyses for primary endpoints will be conducted in assays concordance analysis set (ACS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cohort 1 | Other | Participants will be assigned to study cohorts based on the EGFR mutation status determined by central NGS testing. Only participants with EGFR mutations (EGFR 19del+/L858R+) will be included in Cohort 1. |
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| cohort 2 | Other | Participants will be assigned to study cohorts based on the EGFR mutation status determined by central NGS testing.Those with no actionable genomic alterations (non-AGA), defined as EGFR 19del-/L858R-/20ins-/PACC-, ALK-, ROS1-, BRAF V600-, NTRK-, KRAS G12C-, MET amp-, MET exon14-, and RET-, will be assigned to Cohort 2. |
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| cohort 3 | Other | Participants will be assigned to study cohorts based on the EGFR mutation status determined by central NGS testing.Those with other actionable genomic alterations (AGA, excluding EGFR 19del+/L858R+), defined as EGFR 20ins+, EGFR PACC+, ALK+, ROS1+, BRAF V600+, NTRK+, KRAS G12C+, MET amp+, MET exon14+, or RET+, will be assigned to Cohort 3. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NGS testing | Diagnostic Test | NGS testing first for all participants and then cohort assignment for each participant can be derived based on NGS results. |
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| Measure | Description | Time Frame |
|---|---|---|
| OPA/PPA/NPA | The primary objective is to evaluate the agreement among four different test methods with a reference assy for MET OverExpression. Key agreement metrics includes Overall Percent Agreement (OPA),Positive percent agreement (PPA),Negative percent agreement (NPA). | 90 days after LPI |
| Measure | Description | Time Frame |
|---|---|---|
| OPA/PPA/NPA | The testing concordance between central lab and local labs using Amoy D1C2 assay will be evaluated by the metrisc including OPA/PPA/NPA. | 90 days after LPI |
| Fleiss's Kappa | Fleiss's Kappa will be calculated to assess the inter-rater agreement of MET IHC interpretation made by 20 pathologists. |
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Inclusion Criteria:
Participants are eligible to be included in the study only if all of the following criteria apply:
Age
1Biopsy tissue must be collected after confirmation of unresectable locally advanced (Stage IIIB/IIIC), metastatic, or recurrent (Stage IV) NSCLC diagnosis, and before initiation of any antitumor therapy. The biopsy specimens require at least 16 FFPE slides.
or 2Surgical specimens only for patients with recurrent disease who either received no adjuvant therapy, or received only adjuvant chemotherapy and recurrence occurred >6 months after completing chemotherapy. The surgical specimens require at least 13 FFPE slides (surgical specimens obtained within 2 years before ICF signing).
Informed Consent 4.Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
5.Provision of signed and dated, written informed consent form prior to any mandatory study-specific procedures, sampling, and analyses.
Exclusion Criteria:
Medical Conditions
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AstraZeneca Clinical Study Information Center | Contact | 1-877-240-9479 | information.center@astrazeneca.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Not yet recruiting | Beijing | China | |||
| Research Site |
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests 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.
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| MET IHC testing | Diagnostic Test | the participants of cohort 1 need to do MET IHC testing. |
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| PD-L1 and Her2 testing | Diagnostic Test | the participants of cohort 1 need to do PD-L1 and Her2 testing. |
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| 90 days after LPI |
| Treatment pattern | The number and percentage of participants in cohort 1 and cohort 2 using different treatment patterns will be summarized. | 90 days after LPI |
| Biomarker profiling | Gene profiling by tissue NGS | 90 days after LPI |
| Biomarker profiling | •Proportion of MET OverExp in cohort 1 | 90 days after LPI |
| Biomarker profiling | •Proportion of HER2 OverExp in cohort 2 | 90 days after LPI |
| Biomarker profiling | •Proportion of HER2m, HER2 amp, MET exon14 in overall population | 90 days after LPI |
| Biomarker profiling | •Proportion of HER2 OverExp & PD-L1+ in cohort 2 | 90 days after LPI |
| Recruiting |
| Shanghai |
| China |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |