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DISEASE & TREATMENT SETTING

Alimta: metastatic Non-small cell lung cancer with EGFR stated without a specific alteration, ALK stated without a specific alteration (first-line) after prior therapy

Source-derived catalogue. This is not a treatment recommendation or a personalised trial match.

Exact scope

1.1 Non-Squamous Non-Small Cell Lung Cancer (NSCLC) ALIMTA ® is indicated: in combination with pembrolizumab and platinum chemotherapy, for the initial treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations. in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous NSCLC. as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. as a single agent for the treatment of patients with recurrent, metastatic non-squamous, NSCLC after prior chemotherapy.

Broader topic: Non-Small Cell Lung Cancer

Source population
Not part of this definition
Disease extent
metastatic
Treatment line
first-line
Stage
Not part of this definition
Resectability
Not part of this definition
Biomarkers, prior therapy and derivation
molecular
  1. gene
    EGFR
    alteration
    stated without a specific alteration
    status
    present
  2. gene
    ALK
    alteration
    stated without a specific alteration
    status
    present
prior therapy
  1. class
    after four cycles of platinum-based first-line chemotherapy
    status
    required
derivation status
source-attested
derivation note
Scoped from the FDA approved indication for Alimta (product label). Only dimensions stated in that wording are part of this definition.
source wording
1.1 Non-Squamous Non-Small Cell Lung Cancer (NSCLC) ALIMTA ® is indicated: in combination with pembrolizumab and platinum chemotherapy, for the initial treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations. in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous NSCLC. as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. as a single agent for the treatment of patients with recurrent, metastatic non-squamous, NSCLC after prior chemotherapy.

Study evidence for this setting

29 linked studies · Applicability is a draft source assessment, not a determination of your eligibility.

NCT00446225 · Source cited / selected · Scope: unclear

Phase III Study (Tarceva®) vs Chemotherapy to Treat Advanced Non-Small Cell Lung Cancer in Patients With Mutations in the TK Domain of EGFR

4 outcome links · 2 safety-group records · 0 quality-of-life measures

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NCT00525148 · Source cited / selected · Scope: unclear

LUX Lung 2 Phase II Single Arm BIBW 2992 "Afatinib" in NSCLC With EGFR Activating Mutations

6 outcome links · 2 safety-group records · 0 quality-of-life measures

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NCT00585195 · Source cited / selected · Scope: unclear

A Study Of Oral PF-02341066, A C-Met/Hepatocyte Growth Factor Tyrosine Kinase Inhibitor, In Patients With Advanced Cancer

6 outcome links · 21 safety-group records · 0 quality-of-life measures

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NCT00932893 · Source cited / selected · Scope: unclear

An Investigational Drug, PF-02341066 Is Being Studied Versus Standard Of Care In Patients With Advanced Non-Small Cell Lung Cancer With A Specific Gene Profile Involving The Anapla

6 outcome links · 2 safety-group records · 5 quality-of-life measures

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NCT00949650 · Source cited / selected · Scope: unclear

BIBW 2992 (Afatinib) Versus Chemotherapy as First Line Treatment in NSCLC With EGFR Mutation

6 outcome links · 2 safety-group records · 3 quality-of-life measures

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NCT01121393 · Source cited / selected · Scope: unclear

BIBW 2992 (Afatinib) vs Gemcitabine-cisplatin in 1st Line Non-small Cell Lung Cancer (NSCLC)

6 outcome links · 2 safety-group records · 3 quality-of-life measures

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NCT01451632 · Registry condition search · Scope: unclear

A Safety Study of MM-121 With Cetuximab and Irinotecan in Patients With Advanced Cancers

6 outcome links · 2 safety-group records · 0 quality-of-life measures

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NCT01625234 · Source cited / selected · Scope: unclear

Phase 1/2 Study of X-396, an Oral ALK Inhibitor, in Patients With ALK-positive Non-Small Cell Lung Cancer

6 outcome links · 7 safety-group records · 0 quality-of-life measures

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NCT01647711 · Registry condition search · Scope: unclear

A Study of Intermittent, High-dose Afatinib to Determine the Maximal Tolerated Dose and Assess Activity of This Dose Against Non-small Cell Lung Cancer With T790M Mutations

5 outcome links · 6 safety-group records · 1 quality-of-life measures

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NCT01774721 · Source cited / selected · Scope: unclear

ARCHER1050: A Study of Dacomitinib vs. Gefitinib in 1st-Line Treatment Of Advanced NSCLC.

6 outcome links · 3 safety-group records · 2 quality-of-life measures

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NCT01801111 · Source cited / selected · Scope: unclear

A Study of Alectinib (RO5424802) in Participants With Non-Small Cell Lung Cancer Who Have Anaplastic Lymphoma Kinase (ALK) Mutation and Failed Crizotinib Treatment

6 outcome links · 1 safety-group records · 0 quality-of-life measures

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NCT01828099 · Source cited / selected · Scope: unclear

LDK378 Versus Chemotherapy in Previously Untreated Patients With ALK Rearranged Non-small Cell Lung Cancer

6 outcome links · 6 safety-group records · 7 quality-of-life measures

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NCT01871805 · Source cited / selected · Scope: unclear

A Study of Alectinib (CH5424802/RO5424802) in Participants With Anaplastic Lymphoma Kinase (ALK)-Rearranged Non-Small Cell Lung Cancer (NSCLC)

6 outcome links · 6 safety-group records · 2 quality-of-life measures

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NCT02094261 · Source cited / selected · Scope: unclear

Phase II AZD9291 Open Label Study in NSCLC After Previous EGFR TKI Therapy in EGFR and T790M Mutation Positive Tumours

4 outcome links · 1 safety-group records · 0 quality-of-life measures

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NCT02094573 · Source cited / selected · Scope: unclear

A Study to Evaluate the Efficacy of Brigatinib (AP26113) in Participants With Anaplastic Lymphoma Kinase (ALK)-Positive, Non-small Cell Lung Cancer (NSCLC) Previously Treated With

6 outcome links · 2 safety-group records · 1 quality-of-life measures

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NCT02411448 · Source cited / selected · Scope: unclear

A Study of Ramucirumab (LY3009806) in Combination With Erlotinib in Previously Untreated Participants With EGFR Mutation-Positive Metastatic NSCLC (RELAY)

6 outcome links · 3 safety-group records · 4 quality-of-life measures

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NCT02414139 · Source cited / selected · Scope: unclear

Study of Oral cMET Inhibitor INC280 in Patients With EGFR Wild-type (wt), Advanced Non-small Cell Lung Cancer (NSCLC) (Geometry Mono-1)

6 outcome links · 26 safety-group records · 0 quality-of-life measures

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NCT02489903 · Registry condition search · Scope: unclear

RRx-001 in Lung Cancer, Ovarian Cancer and Neuroendocrine Tumors Prior to Re-administration of Platinum Based Doublet Regimens (QUADRUPLE THREAT)

4 outcome links · 3 safety-group records · 0 quality-of-life measures

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NCT02737501 · Source cited / selected · Scope: unclear

ALTA-1L Study: A Study of Brigatinib Versus Crizotinib in Anaplastic Lymphoma Kinase Positive (ALK+) Advanced Non-small Cell Lung Cancer (NSCLC) Participants

6 outcome links · 3 safety-group records · 1 quality-of-life measures

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NCT02770014 · Registry condition search · Scope: unclear

Rapid Plasma Genotyping For Early Initiation Of Erlotinib In EGFR Mutant Lung Cancer

3 outcome links · 1 safety-group records · 0 quality-of-life measures

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Source relationships and population-mapping limitations
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      Preserved source evidence · Not medical advice