Non-Small Cell Lung Carcinoma Advanced Locally | Non-small cell lung cancer metastatic
Item
1. locally advanced or metastatic non-small cell lung cancer
boolean
C0007131 (UMLS CUI [1,1])
C0205179 (UMLS CUI [1,2])
C1517927 (UMLS CUI [1,3])
C0278987 (UMLS CUI [2])
EGFR gene mutation Positive | EGFR gene mutation Type Any
Item
2. epidermal growth factor receptor mutation positive result per the institution's testing methodology. any type of egfr mutation allowed
boolean
C3266992 (UMLS CUI [1,1])
C1514241 (UMLS CUI [1,2])
C3266992 (UMLS CUI [2,1])
C0332307 (UMLS CUI [2,2])
C1552551 (UMLS CUI [2,3])
Therapy naive | Chemotherapy Quantity | Neoadjuvant Chemotherapy | Chemotherapy, Adjuvant
Item
3. treatment naïve or patients who have received one line of chemotherapy, chemotherapy include neo adjuvant and adjuvant chemotherapy within 1 year from enrolment
boolean
C0919936 (UMLS CUI [1])
C0392920 (UMLS CUI [2,1])
C1265611 (UMLS CUI [2,2])
C0600558 (UMLS CUI [3,1])
C3665472 (UMLS CUI [3,2])
C0085533 (UMLS CUI [4])
Age
Item
4. male or female patients age more than 18 years
boolean
C0001779 (UMLS CUI [1])
Organ function
Item
5. adequate organ function, defined as all of the following:
boolean
C0678852 (UMLS CUI [1])
Absolute neutrophil count | Relationship Cyclic neutropenia Benign
Item
1. absolute neutrophil count over 1500 per mm3. anc over 1000 per mm3 may be considered in special circumstances such as benign cyclical neutropenia as judged by the investigator and in discussion with the sponsor.
boolean
C0948762 (UMLS CUI [1])
C0439849 (UMLS CUI [2,1])
C0221023 (UMLS CUI [2,2])
C0205183 (UMLS CUI [2,3])
Platelet Count measurement
Item
2. platelet count more than 75,000 per mm3
boolean
C0032181 (UMLS CUI [1])
Creatinine measurement, serum
Item
3. serum creatinine below 1.5 times of the upper limit of normal
boolean
C0201976 (UMLS CUI [1])
Serum total bilirubin measurement | Relationship Gilbert Disease
Item
4. total bilirubin below 1.5 times upper limit of institutional normal. patients with gilbert's syndrome total bilirubin must be below 4 times institutional upper limit of normal.
boolean
C1278039 (UMLS CUI [1])
C0439849 (UMLS CUI [2,1])
C0017551 (UMLS CUI [2,2])
Aspartate aminotransferase measurement | Alanine aminotransferase measurement | Relationship Secondary malignant neoplasm of liver
Item
5. aspartate amino transferase or alanine amino transferase below three times the upper limit of normal, if related to liver metastases below five times uln.
boolean
C0201899 (UMLS CUI [1])
C0201836 (UMLS CUI [2])
C0439849 (UMLS CUI [3,1])
C0494165 (UMLS CUI [3,2])
ECOG performance status
Item
6. ecog score between 0 - 2
boolean
C1520224 (UMLS CUI [1])
Informed Consent | Informed Consent Legal Guardian
Item
7. written informed consent by patient or guardian prior to admission into the trial that is consistent with international conference on harmonisation - good clinical practice guidelines and local law.
boolean
C0021430 (UMLS CUI [1])
C0021430 (UMLS CUI [2,1])
C0023226 (UMLS CUI [2,2])
EGFR Tyrosine Kinase inhibitor
Item
1. prior treatment with an egfr tyrosine kinase inhibitor
boolean
C1443775 (UMLS CUI [1])
Hormone Therapy
Item
2. hormonal anti-cancer treatment within 2 weeks prior to start of trial treatment
boolean
C0279025 (UMLS CUI [1])
Antiandrogen therapy allowed Prostate carcinoma | Gonadorelin Analogue allowed Prostate carcinoma
Item
,continued use of anti androgens and or gonadorelin analogues for treatment of prostate cancer permitted
boolean
C0279492 (UMLS CUI [1,1])
C0683607 (UMLS CUI [1,2])
C0600139 (UMLS CUI [1,3])
C0023610 (UMLS CUI [2,1])
C0243071 (UMLS CUI [2,2])
C0683607 (UMLS CUI [2,3])
C0600139 (UMLS CUI [2,4])
Therapeutic radiology procedure
Item
3. radiotherapy within 14 days prior to drug administration, except as follows:
boolean
C1522449 (UMLS CUI [1])
Exception Palliative course of radiotherapy Organ | Chest Excluded
Item
1. palliative radiation to organs other than chest may be allowed up to 2 weeks prior to drug administration, and
boolean
C1705847 (UMLS CUI [1,1])
C0475092 (UMLS CUI [1,2])
C0178784 (UMLS CUI [1,3])
C0817096 (UMLS CUI [2,1])
C0332196 (UMLS CUI [2,2])
Exception Palliative course of radiotherapy Neoplasm Metastasis Symptomatic
Item
2. single dose palliative treatment for symptomatic metastasis outside above allowance to be discussed with sponsor prior to enrolling.
boolean
C1705847 (UMLS CUI [1,1])
C0475092 (UMLS CUI [1,2])
C0027627 (UMLS CUI [1,3])
C0231220 (UMLS CUI [1,4])
Major surgery | Operative Surgical Procedure Scheduled
Item
4. major surgery within 4 weeks before starting trial treatment or scheduled for surgery during the projected course of the trial
boolean
C0679637 (UMLS CUI [1])
C0543467 (UMLS CUI [2,1])
C0205539 (UMLS CUI [2,2])
Hypersensitivity Afatinib | Hypersensitivity Afatinib Excipient
Item
5. known hypersensitivity to afatinib or any of its excipients
boolean
C0020517 (UMLS CUI [1,1])
C2987648 (UMLS CUI [1,2])
C0020517 (UMLS CUI [2,1])
C2987648 (UMLS CUI [2,2])
C0015237 (UMLS CUI [2,3])
Cardiovascular Abnormalities | Uncontrolled hypertension | Congestive heart failure New York Heart Association Classification | Angina, Unstable | Cardiac Arrhythmia Poorly controlled | Myocardial Infarction
Item
6. history or presence of clinically relevant cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure new york heart association classification of over 3, unstable angina or poorly controlled arrhythmia as determined by the investigator. myocardial infarction within 6 months prior to starting trial treatment.
boolean
C0243050 (UMLS CUI [1])
C1868885 (UMLS CUI [2])
C0018802 (UMLS CUI [3,1])
C1275491 (UMLS CUI [3,2])
C0002965 (UMLS CUI [4])
C0003811 (UMLS CUI [5,1])
C3853134 (UMLS CUI [5,2])
C0027051 (UMLS CUI [6])
Females & males of reproductive potential Contraceptive methods Unwilling
Item
7. women of child-bearing potential and men who are able to father a child, unwilling to use adequate contraception prior to trial entry, for the duration of trial participation and for at least 2 weeks after treatment has ended.
boolean
C4034483 (UMLS CUI [1,1])
C0700589 (UMLS CUI [1,2])
C0558080 (UMLS CUI [1,3])
Childbearing Potential
Item
8. childbearing potential who:
boolean
C3831118 (UMLS CUI [1])
Breast Feeding
Item
1. are nursing or
boolean
C0006147 (UMLS CUI [1])
Pregnancy
Item
2. are pregnant or
boolean
C0032961 (UMLS CUI [1])
Childbearing Potential Contraceptive methods Absent | Childbearing Potential Pregnancy Test Unwilling
Item
3. are not using an acceptable method of birth control, or do not plan to continue using this method throughout the trial and,or do not agree to submit to pregnancy testing required by this protocol
boolean
C3831118 (UMLS CUI [1,1])
C0700589 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
C3831118 (UMLS CUI [2,1])
C0032976 (UMLS CUI [2,2])
C0558080 (UMLS CUI [2,3])
Medical History compromises Protocol Compliance | Condition compromises Protocol Compliance | Medical History Interferes with Evaluation | Condition Interferes with Evaluation
Item
9. any history of or concomitant condition that, in the opinion of the investigator, would compromise the patient's ability to comply with the trial or interfere with the evaluation of safety for the trial drug
boolean
C0262926 (UMLS CUI [1,1])
C2945640 (UMLS CUI [1,2])
C0525058 (UMLS CUI [1,3])
C0348080 (UMLS CUI [2,1])
C2945640 (UMLS CUI [2,2])
C0525058 (UMLS CUI [2,3])
C0262926 (UMLS CUI [3,1])
C0521102 (UMLS CUI [3,2])
C0220825 (UMLS CUI [3,3])
C0348080 (UMLS CUI [4,1])
C0521102 (UMLS CUI [4,2])
C0220825 (UMLS CUI [4,3])
Cancer Other | Exception Skin carcinoma Treated | Exception Carcinoma in situ of uterine cervix Treated | Exception DCIS Treated | Exception Malignant Neoplasm In complete remission | Exception Malignant Neoplasm Cured
Item
10. previous or concomitant malignancies at other sites, except effectively treated non-melanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ or effectively treated malignancy that has been in remission for more than 3 years and is considered to be cured.
boolean
C1707251 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0699893 (UMLS CUI [2,2])
C1522326 (UMLS CUI [2,3])
C1705847 (UMLS CUI [3,1])
C0851140 (UMLS CUI [3,2])
C1522326 (UMLS CUI [3,3])
C1705847 (UMLS CUI [4,1])
C0007124 (UMLS CUI [4,2])
C1522326 (UMLS CUI [4,3])
C1705847 (UMLS CUI [5,1])
C0006826 (UMLS CUI [5,2])
C0677874 (UMLS CUI [5,3])
C1705847 (UMLS CUI [6,1])
C0006826 (UMLS CUI [6,2])
C1880198 (UMLS CUI [6,3])
llicit medication use Required | Illicit medication use Discontinue Unsuccessful
Item
11. requiring treatment with any of the prohibited concomitant medications that can not be stopped for the duration of trial participation
boolean
C0281875 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0281875 (UMLS CUI [2,1])
C1444662 (UMLS CUI [2,2])
C1272705 (UMLS CUI [2,3])
Interstitial Lung Disease Pre-existing
Item
12. known pre-existing interstitial lung disease
boolean
C0206062 (UMLS CUI [1,1])
C2347662 (UMLS CUI [1,2])
Gastrointestinal Diseases Poorly controlled | Involvement with Absorption Investigational New Drugs
Item
13. presence of poorly controlled gastrointestinal disorders that could affect the absorption of the trial drug
boolean
C0017178 (UMLS CUI [1,1])
C3853134 (UMLS CUI [1,2])
C1314939 (UMLS CUI [2,1])
C0237442 (UMLS CUI [2,2])
C0013230 (UMLS CUI [2,3])
Hepatitis B | Hepatitis C
Item
14. active hepatitis b infection, active hepatitis c infection
boolean
C0019163 (UMLS CUI [1])
C0019196 (UMLS CUI [2])
Meningeal Carcinomatosis
Item
15. meningeal carcinomatosis
boolean
C0220654 (UMLS CUI [1])
Metastatic malignant neoplasm to brain Symptomatic | Exception Metastatic malignant neoplasm to brain Asymptomatic Treated | Exception Stable Disease Dose Stable
Item
16. symptomatic brain metastases, patients with asymptomatic brain metastases, who were previously treated, are eligible provided they have had stable disease for at least 4 weeks on stable doses of medication
boolean
C0220650 (UMLS CUI [1,1])
C0231220 (UMLS CUI [1,2])
C1705847 (UMLS CUI [2,1])
C0220650 (UMLS CUI [2,2])
C0231221 (UMLS CUI [2,3])
C1522326 (UMLS CUI [2,4])
C1705847 (UMLS CUI [3,1])
C0677946 (UMLS CUI [3,2])
C0178602 (UMLS CUI [3,3])
C0205360 (UMLS CUI [3,4])