Clinical trial · Observational
Treatment Patterns, Outcomes and Testing in EGFRm NSCLC Patients With EGFR TKI 1L Across Europe (REFLECT)
Real World Treatment Patterns, Clinical Outcomes and EGFR / T790M Testing Practices in EGFR-Mutated Advanced Non-Small Cell Lung Cancer Patients Receiving First-Line TKI Therapy
NCT04031898CI-TRIAL-00049110REFLECTcompletedClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Multinational, multi-center medical record review to describe the treatment patterns, clinical outcomes, and EGFR / T790M testing practices in EGFR-mutated advanced NSCLC patients receiving first-line EGFR TKI therapy in Europe.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Lung Cancer | Malignant Lung Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Non Interventional | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- label
- full analysis set
- description
- All eligible patients who meet all inclusion criteria and none of the exclusion criteria
- interventionNames
- Other: Non Interventional
Primary outcomes (3)
- measure
- First- or second-generation EGFR TKI used in first-line therapy
- timeFrame
- From date of initiating EGFR TKI in first line until the end of available follow-up or death, if this occurs before; assessed up to 60 months
- description
- Frequency distribution of first-line EGFR TKI of first- or second generation prescribed: erlotinib, gefitinib, or afatinib
- measure
- Proportion of patients progressing on first line EGFR TKI therapy and describe the time to progression
- timeFrame
- From date of initiating EGFR TKI in first line until the earliest of progression, death or end of available follow-up, whichever occur first; assessed up to 60 months
Eligibility
Eligibility (as posted)
- Sex
- All
Show eligibility criteria text
Inclusion Criteria: * Confirmed diagnosis of locally advanced unresectable or metastatic NSCLC; * Aged at least 18 years at first diagnosis of locally advanced/metastatic NSCLC; * Lab-confirmed EGFR mutation; * Received a first- or second-generation EGFR TKI as first-line treatment for advanced/metastatic disease; * First-line EGFR TKI (afatinib, gefitinib, erlotinib) initiated between January 1, 2015 and June 30, 2018; * Patients may be alive or deceased at the time of medical record review. Exclusion Criteria: * Patients enrolled at any time in an interventional clinical trial for an experimental treatment related to EGFR-mutated NSCLC; * Patients receiving any systemic therapy for locally advanced or metastatic NSCLC prior to first-line EGFR TKI treatment in the locally advanced/metastatic setting; * Missing or unknown data on any of the following key study dates: * Date of initial NSCLC diagnosis; * Date of first diagnosis of or progression to advanced/metastatic NSCLC; * Date of first-line EGFR TKI initiation for advanced/metastatic disease; * Date of death or last available follow-up.
References
Publications (2)
- DERIVEDJanzic U, Turnsek N, Dediu M, Donev IS, Lupu R, Teodorescu G, Ciuleanu TE, Pluzanski A. Real-World Testing Practices, Treatment Patterns and Clinical Outcomes in Patients from Central Eastern Europe with EGFR-Mutated Advanced Non-Small Cell Lung Cancer: A Retrospective Chart Review Study (REFLECT). Curr Oncol. 2022 Aug 17;29(8):5833-5845. doi: 10.3390/curroncol29080460. PMID 36005198
- DERIVEDLampaki S, Mountzios G, Georgoulias V, Rapti A, Xanthakis I, Baka S, Mavroudis D, Samantas E, Athanasiadis E, Zagouri F, Charpidou A, Somarakis A, Papista C, Nikolaou A, Anastasopoulou E, Paparepa Z, Syrigos KN. Real-world management patterns in EGFR-mutant advanced non-small-cell lung cancer before first-line adoption of osimertinib: the REFLECT study in Greece. Future Oncol. 2022 Sep;18(28):3151-3164. doi: 10.2217/fon-2022-0386. Epub 2022 Aug 5. PMID 35929414