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Trial registered on ANZCTR
Registration number
ACTRN12615000998549
Ethics application status
Approved
Date submitted
17/07/2015
Date registered
24/09/2015
Date last updated
12/09/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Lung Cancer Epidermal Growth Factor (EGFR) Gene Mutation Testing in New Zealand
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Scientific title
Detection of Epidermal Growth Factor Receptor (EGFR) gene mutations in Lung cancer patients in New Zealand
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Secondary ID [1]
287084
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung cancer
295594
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Condition category
Condition code
Cancer
295870
295870
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0
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Lung - Non small cell
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a non-interventional observational study of EGFR gene somatic mutations in lung cancer patients in NZ. Epidermal growth factor receptor gene somatic mutations will be studied by review of test reports and retesting of samples issued and referred to Labplus medical laboratory at Auckland city hospital using polymerase chain reaction based techniques. Samples to be studied will be those referred to LabPLUS medical laboratory for routine epidermal growth factor receptor gene mutation testing. Each sample will be tested upon referral as part of standard care. Remnant samples remaining after routine testing will be stored and batched for future quality control retesting as per routine laboratory practice. As this is an observational non-interventional study it requires no direct involvement of its participants.
A study protocol amendment was prepared for the purposes of extending and expanding the population-based patient cohort study in order to more precisely determine the prevalence of genetic-defined forms of lung cancer in the New Zealand population; to include ALK, BRAF, EGFR, HER2, MET, RET and ROS-1 mutation-positive lung cancer; to understand the clinical and statistical significance of variations in disease prevalence between ethnic and other New Zealand population groups, and; to collect mature data on mortality and other clinical outcomes.
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Intervention code [1]
292324
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Not applicable
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Comparator / control treatment
Not applicable, this is a non-interventional observational study.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
295549
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Detection of an EGFR gene somatic muation by oncogene mutation detection protocols using quantitative real-time polymerase chain reaction and mass spectrometry genotyping of tumour samples from lung cancer patients.
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Assessment method [1]
295549
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Timepoint [1]
295549
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Each sample will be tested upon referral as part of standard care. Remnant samples remaining after routine testing will be stored and batched for future Quality control retesting as per routine laboratory practice.
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Secondary outcome [1]
316886
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Nil
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Assessment method [1]
316886
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Timepoint [1]
316886
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Nil
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Eligibility
Key inclusion criteria
Patients residing in New Zealand presenting with non-small cell lung cancer of the non-squamous or not-otherwise-specified morphological subtypes over a two year period.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
15/11/2013
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Actual
2/12/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
17/12/2018
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Actual
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Sample size
Target
2000
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Accrual to date
9000
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Final
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Recruitment outside Australia
Country [1]
7032
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New Zealand
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State/province [1]
7032
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Funding & Sponsors
Funding source category [1]
291645
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
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Level 3 - ProCARE Building, Grafton Mews, at 110 Stanley Street, Auckland 1010
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Country [1]
291645
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New Zealand
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Primary sponsor type
Other
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Name
Auckland UniServices Ltd
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Address
Level 10, UniServices House,
70 Symonds Street, Auckland
Private Bag 92019, Victoria Street West,
Auckland 1142, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
290314
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None
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Name [1]
290314
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Address [1]
290314
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Country [1]
290314
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293172
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
293172
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Ministry of Health C/- MEDSAFE, Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
293172
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New Zealand
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Date submitted for ethics approval [1]
293172
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Approval date [1]
293172
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12/11/2013
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Ethics approval number [1]
293172
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13/NTB/165
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Summary
Brief summary
Lung cancer is a major cause of mortality and morbidity in New Zealand, especially among Maori compared to non-Maori. The potential was recognised for addressing these health disparities and poor outcomes by utilising targeted therapy for selected patients whose lung cancers harbour mutations in the Epidermal Growth Factor Receptor (EGFR) gene. There has been very little research undertaken on EGFR mutation positive lung cancer in New Zealand. Consequently, virtually no information is available about it in the local lung cancer patient population. PHARMAC have made available publicly-funded gefitinib for the treatment of EGFR mutation positive lung cancer patients in New Zealand. However, no agreed national process was in place for EGFR gene mutation testing for eligible patients. The main overall objective is to deliver evidence informing the implementation of EGFR gene mutation testing for guiding lung cancer patient selection for EGFR tyrosine kinase inhibitor drug treatment in New Zealand
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
58770
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Prof Mark McKeage
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Address
58770
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Dept of Pharmacology and Clinical Pharmacology,
The University of Auckland
85 Park Road, Grafton,
Private Bag 92019
AUCKLAND 1023
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Country
58770
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New Zealand
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Phone
58770
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+ 64 9 923 7322
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Fax
58770
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Email
58770
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[email protected]
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Contact person for public queries
Name
58771
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Prashannata Khwaounjoo
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Address
58771
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Dept of Pharmacology and Clinical Pharmacology,
The University of Auckland
85 Park Road, Grafton,
Private Bag 92019
AUCKLAND 1023
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Country
58771
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New Zealand
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Phone
58771
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+ 64 9 923 1594
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Fax
58771
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Email
58771
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[email protected]
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Contact person for scientific queries
Name
58772
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Mark McKeage
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Address
58772
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Dept of Pharmacology and Clinical Pharmacology,
The University of Auckland
85 Park Road, Grafton,
Private Bag 92019
AUCKLAND 1023
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Country
58772
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New Zealand
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Phone
58772
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+ 64 9 923 7322
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Fax
58772
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Email
58772
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
452P Disease progression site and subsequent therapy after progression during alectinib therapy
2016
https://doi.org/10.1016/s0923-7534(21)00610-4
Dimensions AI
453P Utility of re-biopsy and clinical predictive factors of T790M point mutation in EGFR mutated non-small lung cancer
2016
https://doi.org/10.1016/s0923-7534(21)00611-6
Dimensions AI
454P Efficacy of crizotinib in NSCLC with concomitant ALK fusion and c-MET overexpression
2016
https://doi.org/10.1016/s0923-7534(21)00612-8
Dimensions AI
455P Population-level impact of EGFR mutation testing in nonsquamous NSCLC
2016
https://doi.org/10.1016/s0923-7534(21)00613-x
Embase
Lung cancer mutation testing: A clinical retesting study of agreement between a real-time PCR and a mass spectrometry test.
2017
https://dx.doi.org/10.18632/oncotarget.21023
Embase
Screening for anaplastic lymphoma kinase (ALK) gene rearrangements in non-small-cell lung cancer in New Zealand.
2020
https://dx.doi.org/10.1111/imj.14435
N.B. These documents automatically identified may not have been verified by the study sponsor.
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