Trial Outcomes & Findings for Validation of Molecular Diagnostic Thecnologies for Lung Cancer Patients. (NCT NCT03220230)

NCT ID: NCT03220230

Last Updated: 2019-11-08

Results Overview

ALK status was measured by NGS- Oncomine focus assay (OFA) and Immuno histo chemistry (IHC) Ventana. Ventana -ALK and NGS-OFA were the assay procedures performed for ALK. The corresponding analysis of a specimen had 2 possible test results including ALK positive and ALK negative. True positives (tp) were defined as NGS-OFA and Ventana positive results, whereas false negatives (fn) were defined as NGS-OFA negative results and IHC-Ventana positive results. False positives (fp) were defined as NGS-OFA positive results and IHC-Ventana negative results. True negatives (tn) were defined as NGS-OFA and IHC Ventana negative results.

Recruitment status

COMPLETED

Target enrollment

4240 participants

Primary outcome timeframe

40 months

Results posted on

2019-11-08

Participant Flow

Participant milestones

Participant milestones
Measure
Non-Small Cell Lung Cancer Participants
Tissue and blood samples of participants with non-small cell lung cancer (NSCLC) were collected and analyzed to validate new molecular diagnostic technologies (such as Next Generation Sequencing \[NGS\]) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Overall Study
STARTED
4240
Overall Study
COMPLETED
4240
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Validation of Molecular Diagnostic Thecnologies for Lung Cancer Patients.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Non-Small Cell Lung Cancer Participants
n=4240 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Age, Continuous
65.998 years
STANDARD_DEVIATION 11.495 • n=5 Participants
Sex: Female, Male
Female
2011 Participants
n=5 Participants
Sex: Female, Male
Male
2229 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
27 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
68 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
511 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
3236 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Indian
10 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
388 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results.

ALK status was measured by NGS- Oncomine focus assay (OFA) and Immuno histo chemistry (IHC) Ventana. Ventana -ALK and NGS-OFA were the assay procedures performed for ALK. The corresponding analysis of a specimen had 2 possible test results including ALK positive and ALK negative. True positives (tp) were defined as NGS-OFA and Ventana positive results, whereas false negatives (fn) were defined as NGS-OFA negative results and IHC-Ventana positive results. False positives (fp) were defined as NGS-OFA positive results and IHC-Ventana negative results. True negatives (tn) were defined as NGS-OFA and IHC Ventana negative results.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=1450 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-true positive
45 Participants
Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-true negative
1346 Participants
Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-false positives
21 Participants
Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-false negative
38 Participants

PRIMARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results. Here, "Number analyzed" signifies the number of participants evaluable at specific rows.

In this outcome measure, index of concordance with accuracy, sensitivity, specificity, positive predictive value and negative predictive value were measured. Accuracy (Acc): \[tp+tn\]/\[tp+fp+fn+tn\] \*100; Sensitivity (Ss): tp/\[tp+fn\] \*100; Specificity (Sp): tn/\[fp+tn\] \*100; Positive Predictive Value (PPV): tp/\[tp+fp\] \*100; Negative Predictive Value (NPV): tn/\[fn+tn\] \*100.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=1450 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Accuracy
95.931 percentage of concordance
Interval 94.78 to 96.84
Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Sensitivity
54.217 percentage of concordance
Interval 43.548 to 64.512
Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Specificity
98.464 percentage of concordance
Interval 97.649 to 99.007
Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Positive Predictive Value
68.182 percentage of concordance
Interval 56.17 to 78.194
Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Negative Predictive Value
97.254 percentage of concordance
Interval 96.244 to 98.003

SECONDARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results. Here, "Overall Number of Participants Analyzed" participants evaluable for this outcome measure.

Participants were categorized on the basis of prospective and retrospective. Prospective participants were those participants whose samples were taken after the informed consent. Retrospective participants were those participants whose samples were taken before the date of signature of the informed consent.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=83 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker by Type of Participants
Retrospective
49 Participants
Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker by Type of Participants
Prospective
34 Participants

SECONDARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results. Here, "Overall Number of Participants Analyzed" participants evaluable for this outcome measure.

The categories of smoker (tobacco use) were as follows: Never Smoker: No smoking exposure, Current Smoker: Currently uses tobacco in either cigarette, cigar or similar method (tobacco chewers excluded), Former Smoker: Participant at one time smoked but then later quit. Smoking status unknown: Participant whose smoking status is unknown.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=83 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: Current
9 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: Former
32 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: Never
31 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: None
11 Participants

SECONDARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results. Here, "Overall Number of Participants Analyzed" participants evaluable for this outcome measure.

Stage was defined at time of initial diagnosis of NSCLC and participants were staged according to the guidelines set by the NCCN version 7.2015. Participant's stage was categorized as: stage 0, stage IA, stage IB, stage IIA, stage IIB, stage IIIA, stage IIIB, and stage IV. Biopsy NSCLC class was categorized as adenocarcinoma, neuroendocrine tumors, other known type of NSCLC and squamous cell carcinoma.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=83 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IA
2 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IB
3 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIA
1 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIB
1 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIIA
7 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIIB
7 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IV
52 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: None
10 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: adenocarcinoma
74 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: neuroendocrine tumors
1 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: other known type of NSCLC
2 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: squamous cell carcinoma
6 Participants

SECONDARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results. Here, "Overall Number of Participants Analyzed" participants evaluable for this outcome measure.

Locations were categorized as lungs, pleura, node mediastinal and others.

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=83 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Lungs
56 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Pleura
11 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Other
9 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Node Mediastinal
7 Participants

SECONDARY outcome

Timeframe: 40 months

Population: Per protocol analysis set included all participants with valid IHC-Ventana and NGS-OFA results. Here, "Overall Number of Participants Analyzed" participants evaluable for this outcome measure.

In this outcome measure, participants were categorized according to their gender (female/male) and different age ranges (18-30 / 31-40 / 41-60 / 60 and above).

Outcome measures

Outcome measures
Measure
Non-Small Cell Lung Cancer Participants
n=83 Participants
Tissue and blood samples of participants with NSCLC were collected and analyzed to validate new molecular diagnostic technologies (such as NGS) and to compare their performance with the available standard tests. Participants were not treated or affected and only participated in the study for the initial samples and clinical parameters collection.
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Gender: Male
28 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Gender: Female
55 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: 18-30 years
1 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: 31-40 years
7 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: 41-60 years
37 Participants
Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: Above 61 years
38 Participants

Adverse Events

Non-Small Cell Lung Cancer Participants

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