Informed Consent
Item
1. obtained written informed consent
boolean
C0021430 (UMLS CUI [1])
Age | Japanese
Item
2. male or female aged at least 18 years. aged at least 20 if japanese.
boolean
C0001779 (UMLS CUI [1])
C1556094 (UMLS CUI [2])
Non-Small Cell Lung Carcinoma | EGFR Exon 21 L858R Mutation | EGFR Exon 19 Deletion Mutation
Item
3. histologically or cytologically confirmed diagnosis of nsclc with single activating egfr mutations (l858r or exon19del).
boolean
C0007131 (UMLS CUI [1])
C3274204 (UMLS CUI [2])
C4289657 (UMLS CUI [3])
ECOG performance status | Metastatic Malignant Neoplasm to the Leptomeninges
Item
4. eastern cooperative oncology group performance status of 0 to1. for lm patients, 0 to 2 is acceptable.
boolean
C1520224 (UMLS CUI [1])
C1704231 (UMLS CUI [2])
Prior Therapy | Epidermal growth factor receptor inhibitor Course Quantity | Chemotherapy Quantity
Item
5. in part a, prior treatment with at least one line of a single agent egfr tki and at least 1 line of chemotherapy.
boolean
C1514463 (UMLS CUI [1])
C1443775 (UMLS CUI [2,1])
C0750729 (UMLS CUI [2,2])
C1265611 (UMLS CUI [2,3])
C0392920 (UMLS CUI [3,1])
C1265611 (UMLS CUI [3,2])
Metastatic malignant neoplasm to brain Expansion | Disease Progression Intracranial | Prior Therapy | Epidermal growth factor receptor inhibitor | Stable Disease Extracranial | Metastatic Malignant Neoplasm to the Leptomeninges Expansion | Epidermal growth factor receptor inhibitor Absent | AZD9291 Cohort | AZD3759 Cohort
Item
6. in part b-bm expansion, progressed intracranially following immediate prior treatment of an egfr tki but with stable extracranial disease. for part b-lm expansion, patients who received previous egfr tki treatment must have stable extracranial disease;egfr tki treatment naïve patients can also be enrolled into azd9291 cohorts, or azd3759 cohorts if efficacy signal seen in part a and agreed by safety review committee.
boolean
C0220650 (UMLS CUI [1,1])
C1519678 (UMLS CUI [1,2])
C0242656 (UMLS CUI [2,1])
C0524466 (UMLS CUI [2,2])
C1514463 (UMLS CUI [3])
C1443775 (UMLS CUI [4])
C0677946 (UMLS CUI [5,1])
C0580586 (UMLS CUI [5,2])
C1704231 (UMLS CUI [6,1])
C1519678 (UMLS CUI [6,2])
C1443775 (UMLS CUI [7,1])
C0332197 (UMLS CUI [7,2])
C3896906 (UMLS CUI [8,1])
C0599755 (UMLS CUI [8,2])
C3896908 (UMLS CUI [9,1])
C0599755 (UMLS CUI [9,2])
Measurable lesion Extracranial Quantity | Measurable lesion Intracranial Quantity
Item
7. for patients with neither lm nor measurable bm: at least one measurable extracranial lesion. for patients with measurable bm but without lm: at least one measurable intracranial lesion
boolean
C1513041 (UMLS CUI [1,1])
C0580586 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C1513041 (UMLS CUI [2,1])
C0524466 (UMLS CUI [2,2])
C1265611 (UMLS CUI [2,3])
Metastatic Malignant Neoplasm to the Leptomeninges | Cerebrospinal Fluid Cytology Positive
Item
8. for patients with lm: confirmed diagnosis of lm by positive csf cytology.
boolean
C1704231 (UMLS CUI [1])
C0007806 (UMLS CUI [2,1])
C1305671 (UMLS CUI [2,2])
C1514241 (UMLS CUI [2,3])
Gender Barrier Contraception | Condoms, Male
Item
9. male patients should be willing to use barrier contraception, i.e., condoms, until 3 months after last study drug is taken.
boolean
C0079399 (UMLS CUI [1,1])
C0004764 (UMLS CUI [1,2])
C0009653 (UMLS CUI [2])
Gender Contraceptive methods | Breast Feeding Absent | Childbearing Potential Pregnancy test negative | Female infertility
Item
10. females should agree to use adequate contraceptive measures, should not be breast feeding and must have a negative pregnancy test prior to start of dosing if of child-bearing potential or must have evidence of non-child-bearing potential
boolean
C0079399 (UMLS CUI [1,1])
C0700589 (UMLS CUI [1,2])
C0006147 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C3831118 (UMLS CUI [3,1])
C0427780 (UMLS CUI [3,2])
C0021361 (UMLS CUI [4])
Central nervous system complication | Requirement Neurosurgical Procedures Urgent
Item
1. for patients with lm and/or bm, cns complications that require urgent neurosurgical intervention
boolean
C0161815 (UMLS CUI [1])
C1514873 (UMLS CUI [2,1])
C0524850 (UMLS CUI [2,2])
C0439609 (UMLS CUI [2,3])
Cerebrospinal fluid collection Unable
Item
2. for patient with lm, inability to undergo collection of csf
boolean
C0394552 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
Epidermal growth factor receptor inhibitor | erlotinib | gefitinib
Item
3. treatment with an egfr tki (e.g., erlotinib or gefitinib) within 8 days or approximately 5 x half-life, whichever is the longer, of the first dose of study treatment.
boolean
C1443775 (UMLS CUI [1])
C1135135 (UMLS CUI [2])
C1122962 (UMLS CUI [3])
Cytotoxic Chemotherapy | Antineoplastic Agents | Therapy Non-Small Cell Lung Carcinoma Advanced
Item
4. any cytotoxic chemotherapy,or other anticancer drugs for the treatment of advanced nsclc from a previous treatment regimen within 14 days of the first dose of study treatment
boolean
C0677881 (UMLS CUI [1])
C0003392 (UMLS CUI [2])
C0087111 (UMLS CUI [3,1])
C0007131 (UMLS CUI [3,2])
C0205179 (UMLS CUI [3,3])
Therapeutic radiology procedure Radiation Field Wide | Radiation Field Limited Palliative Care | Exception Therapeutic radiology procedure Bone Marrow Percentage
Item
5. radiotherapy with a wide field of radiation within 4 weeks or radiotherapy with a limited field of radiation for palliation within 1 week of the first dose of study treatment with the exception of patients receiving radiation to more than 30% of the bone marrow which must be completed within 4 weeks of the first dose of study treatment.
boolean
C1522449 (UMLS CUI [1,1])
C1882536 (UMLS CUI [1,2])
C0332464 (UMLS CUI [1,3])
C1882536 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
C0030231 (UMLS CUI [2,3])
C1705847 (UMLS CUI [3,1])
C1522449 (UMLS CUI [3,2])
C0005953 (UMLS CUI [3,3])
C0439165 (UMLS CUI [3,4])
CYP3A4 Inhibitor | CYP3A4 Inducers | CYP3A5 Inhibitors | CYP3A5 Inducers | CYP2C8 Inhibitors
Item
6. patients currently receiving (or unable to stop use at least 1 week prior to receiving the first dose of azd3759/azd9291) medications or herbal supplements known to be potent inhibitors or inducers of cytochrome p450 3a4/5 and potential inhibitors of cytochrome p450 2c8 (for patients to be enrolled into azd9291 cohorts only).
boolean
C3830624 (UMLS CUI [1])
C3850041 (UMLS CUI [2])
C3850054 (UMLS CUI [3])
C3850043 (UMLS CUI [4])
C3850061 (UMLS CUI [5])
Lung Diseases, Interstitial | Drug-induced interstitial lung disorder | Radiation Pneumonitis Requirement Steroid therapy
Item
7. past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease.
boolean
C0206062 (UMLS CUI [1])
C0348822 (UMLS CUI [2])
C0206063 (UMLS CUI [3,1])
C1514873 (UMLS CUI [3,2])
C0149783 (UMLS CUI [3,3])
Intracranial Hemorrhage | Relationship Absent Neoplasm
Item
8. known intracranial haemorrhage which is unrelated to tumour
boolean
C0151699 (UMLS CUI [1])
C0439849 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0027651 (UMLS CUI [2,3])
Intractable nausea and vomiting | Gastrointestinal Diseases chronic | Lacking Able to swallow Investigational New Drugs | Bowel resection Excludes Absorption AZD3759 | Bowel resection Excludes Absorption AZD9291
Item
9. refractory nausea and vomiting if not controlled by supportive therapy, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of azd3759/azd9291
boolean
C3697880 (UMLS CUI [1])
C0017178 (UMLS CUI [2,1])
C0205191 (UMLS CUI [2,2])
C0332268 (UMLS CUI [3,1])
C2712086 (UMLS CUI [3,2])
C0013230 (UMLS CUI [3,3])
C0741614 (UMLS CUI [4,1])
C0332196 (UMLS CUI [4,2])
C0237442 (UMLS CUI [4,3])
C3896908 (UMLS CUI [4,4])
C0741614 (UMLS CUI [5,1])
C0332196 (UMLS CUI [5,2])
C0237442 (UMLS CUI [5,3])
C3896906 (UMLS CUI [5,4])
Systemic disease Severe | Systemic disease Uncontrolled | Uncontrolled hypertension | Bleeding tendency
Item
10. any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses
boolean
C0442893 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0442893 (UMLS CUI [2,1])
C0205318 (UMLS CUI [2,2])
C1868885 (UMLS CUI [3])
C1458140 (UMLS CUI [4])
Few mature neutrophils in the bone marrow | Organ function Inadequate
Item
11. inadequate bone marrow reserve or organ function
boolean
C2748959 (UMLS CUI [1])
C0678852 (UMLS CUI [2,1])
C0205412 (UMLS CUI [2,2])
Electrocardiogram abnormal | Factor At risk Prolonged QTc interval | Factor At risk Cardiac Arrhythmia
Item
12. clinically significant ecg abnormalities or any factors that increase the risk of corrected qt interval prolongation or risk of arrhythmic events
boolean
C0522055 (UMLS CUI [1])
C1521761 (UMLS CUI [2,1])
C1444641 (UMLS CUI [2,2])
C1560305 (UMLS CUI [2,3])
C1521761 (UMLS CUI [3,1])
C1444641 (UMLS CUI [3,2])
C0003811 (UMLS CUI [3,3])