Trial Outcomes & Findings for Retrospective Epidemiology Study Of ALK Rearrangement In Non-Small Cell Lung Cancer Patients In The Middle East & North Africa (NCT NCT02304406)

NCT ID: NCT02304406

Last Updated: 2019-07-19

Results Overview

Participants with prevalence of ALK rearrangement were positive for ALK: defined as presence of strong granular cytoplasmic staining in tumor cells (any percentage of positive tumor cells).

Recruitment status

COMPLETED

Target enrollment

449 participants

Primary outcome timeframe

3 years

Results posted on

2019-07-19

Participant Flow

Participant milestones

Participant milestones
Measure
Non-Small Cell Lung Cancer
Tissue samples of participants of Middle East North Africa (MENA) previously diagnosed with non-small cell lung cancer (NSCLC) were tested retrospectively for the prevalence of anaplastic lymphoma kinase (ALK) rearrangement.
Overall Study
STARTED
449
Overall Study
COMPLETED
449
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Retrospective Epidemiology Study Of ALK Rearrangement In Non-Small Cell Lung Cancer Patients In The Middle East & North Africa

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Non-Small Cell Lung Cancer
n=449 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Age, Customized
18 to 65 years
272 Participants
n=5 Participants
Age, Customized
Greater than equal to 65 years
157 Participants
n=5 Participants
Age, Customized
Missing
20 Participants
n=5 Participants
Sex: Female, Male
Female
141 Participants
n=5 Participants
Sex: Female, Male
Male
308 Participants
n=5 Participants
Race/Ethnicity, Customized
Arabic
389 Participants
n=5 Participants
Race/Ethnicity, Customized
White / Caucasian
54 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Missing
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

Population: Full analysis set (FAS).

Participants with prevalence of ALK rearrangement were positive for ALK: defined as presence of strong granular cytoplasmic staining in tumor cells (any percentage of positive tumor cells).

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=449 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Rearrangement
8.69 percentage of participants
Interval 6.26 to 11.71

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the gender of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender
Male
10.1 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender
Female
5.7 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the race of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Race
Others
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Race
Missing
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Race
White /Caucasian
11.1 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Race
Arabic
8.5 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the smoking history of study participants as participants who never smoked, current smoker and ex-smoker.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking History
Never
9.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking History
Current
7.5 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking History
Ex-smoker
5.8 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking History
Unknown
11.9 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the diagnosis of tumor histology of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Histologic Diagnosis
Not specified
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Histologic Diagnosis
Others
9.1 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Histologic Diagnosis
Adenocarcinoma: Positive
8.6 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Histologic Diagnosis
Large cell carcinoma: Positive
16.7 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the tumor stage of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Stage 1
6.3 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Stage 2
7.8 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Stage 3
6.3 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Stage 3 A
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Stage 3 B
10.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Stage 4
10.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Tumor Stage
Missing
7.0 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the treatment type of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
Other
7.8 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
Unknown
9.9 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
Surgery with chemotherapy
7.5 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
Surgery without chemotherapy
5.2 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
Targeted therapy
10.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Treatment Type
Chemotherapy only
10.4 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the PFS of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=150 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Progression Free Survival (PFS)
8.0 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure, percentage of participants with association of ALK rearrangement were evaluated and categorized in terms of the line of therapy of study participants.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Line of Therapy
First-line
9.1 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Line of Therapy
Second-line
8.5 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Line of Therapy
Unknown
9.4 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Line of Therapy
Missing
3.1 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

Percentage of participants with best overall response. Complete response (CR) is equal to (=) disappearance of all target lesions. Partial Response (PR) = greater than equal to (\>=) 30% decrease in sum of longest dimensions of lesions taking as reference baseline sum longest dimensions. Progressive disease (PD) \>= 20% increase in sum of longest dimensions of lesions taking as a reference smallest sum of the longest dimensions since treatment start, or the appearance of \>= 1 new lesion. Stable disease (SD) =neither shrinkage for PR or increase for PD taking as reference smallest sum of longest dimensions since treatment start.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
Missing
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
CR
14.3 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
PR
20.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
PD
7.6 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
SD
1.8 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Overall Response (OR)
Unknown
9.9 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure participant's status at the time of sampling were evaluable for treatment-naive and treated.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Participant's Status
Treatment-naive
8.2 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Participant's Status
Treated
11.1 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Participant's Status
Unknown
33.3 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure EGFR status of participants were evaluable for not tested, wild type and mutant.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status
Other
14.3 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status
Not tested
12.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status
Wild type
6.8 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status
Mutant
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Epidermal Growth Factor Receptor (EGFR) Status
Unknown
0 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure and "number analyzed" signifies the participants evaluable at specific categories.

In this outcome measure KRAS status of participants were evaluable for not tested, wild type, and mutant.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=448 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Knowledge Representation for Autonomous Systems (KRAS) Status
Not tested
9.0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Knowledge Representation for Autonomous Systems (KRAS) Status
Wild type
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Knowledge Representation for Autonomous Systems (KRAS) Status
Mutant
0 percentage of participants
Percentage of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Knowledge Representation for Autonomous Systems (KRAS) Status
Unknown
0 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: FAS. Here, "Overall Number of Participants Analyzed" signifies participants who were evaluable for this outcome measure.

Percent overall agreement between Vysis ALK-FISH and Ventana ALK IHC tests and its 95% CI is reported in this outcome measure.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer
n=129 Participants
Tissue samples of participants of MENA previously diagnosed with NSCLC were tested retrospectively for the prevalence of ALK rearrangement.
Percentage Agreement Between Vysis Fluorescent In Situ Hybridization (FISH) and Ventana Immunohistochemistry (IHC) Methods for ALK Rearrangement Detection
98.45 percentage agreement
Interval 94.51 to 99.81

Adverse Events

Non-Small Cell Lung Cancer

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER