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.
COMPLETED
4240 participants
40 months
2019-11-08
Participant Flow
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.
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|---|---|
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Overall Study
STARTED
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4240
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Overall Study
COMPLETED
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4240
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Overall Study
NOT COMPLETED
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0
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Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Validation of Molecular Diagnostic Thecnologies for Lung Cancer Patients.
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.
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Age, Continuous
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65.998 years
STANDARD_DEVIATION 11.495 • n=5 Participants
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Sex: Female, Male
Female
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2011 Participants
n=5 Participants
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Sex: Female, Male
Male
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2229 Participants
n=5 Participants
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Race/Ethnicity, Customized
Asian
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27 Participants
n=5 Participants
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Race/Ethnicity, Customized
Black
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68 Participants
n=5 Participants
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Race/Ethnicity, Customized
Caucasian
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511 Participants
n=5 Participants
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Race/Ethnicity, Customized
More than one race
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3236 Participants
n=5 Participants
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Race/Ethnicity, Customized
Native Indian
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10 Participants
n=5 Participants
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Race/Ethnicity, Customized
Other
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388 Participants
n=5 Participants
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PRIMARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-true positive
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45 Participants
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Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-true negative
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1346 Participants
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Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-false positives
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21 Participants
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Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker
ALK-false negative
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38 Participants
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PRIMARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Accuracy
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95.931 percentage of concordance
Interval 94.78 to 96.84
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Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Sensitivity
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54.217 percentage of concordance
Interval 43.548 to 64.512
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Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Specificity
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98.464 percentage of concordance
Interval 97.649 to 99.007
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Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Positive Predictive Value
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68.182 percentage of concordance
Interval 56.17 to 78.194
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Percentage of Concordance (Agreement) Between Ventana and NGS ALK Result
Negative Predictive Value
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97.254 percentage of concordance
Interval 96.244 to 98.003
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SECONDARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker by Type of Participants
Retrospective
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49 Participants
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Number of Participants With Prevalence of Anaplastic Lymphoma Kinase (ALK) Biomarker by Type of Participants
Prospective
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34 Participants
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SECONDARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: Current
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9 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: Former
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32 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: Never
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31 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Smoking (Tobacco Use) History
Tobacco Use: None
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11 Participants
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SECONDARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IA
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2 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IB
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3 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIA
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1 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIB
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1 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIIA
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7 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IIIB
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7 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: IV
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52 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy Stage: None
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10 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: adenocarcinoma
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74 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: neuroendocrine tumors
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1 Participants
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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
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2 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Stage and Classification of Biopsy
Biopsy NSCLC class: squamous cell carcinoma
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6 Participants
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SECONDARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Lungs
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56 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Pleura
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11 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Other
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9 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Location
Node Mediastinal
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7 Participants
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SECONDARY outcome
Timeframe: 40 monthsPopulation: 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
| 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.
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Gender: Male
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28 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Gender: Female
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55 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: 18-30 years
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1 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: 31-40 years
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7 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: 41-60 years
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37 Participants
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Number of Participants With Association of Anaplastic Lymphoma Kinase (ALK) Rearrangement by Gender and Age
Age range: Above 61 years
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38 Participants
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Adverse Events
Non-Small Cell Lung Cancer Participants
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
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