Status:

UNKNOWN

Gefitinib Combine Radiotherapy as Therapy for Patients With NSCLC Harbouring Sensitive Mutations of EGFR

Lead Sponsor:

Qilu Pharmaceutical Co., Ltd.

Collaborating Sponsors:

China-Japan Friendship Hospital

Peking University Cancer Hospital & Institute

Conditions:

Lung Cancer

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

To explore the survival benefit of the gefitinib combined with radiotherapy as adjuvant therapy for completely resected patients with Pathological stage IIIA-N2 NSCLC harbouring sensitive mutations of...

Detailed Description

Cisplatin-based adjuvant chemotherapy is standard of care for patients with stage II-IIIA non-small cell lung cancer (NSCLC). Activating somatic mutations of the tyrosine kinase domain of epidermal gr...

Eligibility Criteria

Inclusion

  • Written informed consent provided.
  • Males or females aged ≥18 years, \< 75 years.
  • Target population is completely resected pathological stage IIIA-N2 NSCLC with EGFR exon 19 deletions and exon 21 L858R activating mutation.
  • Underwent radical resection
  • The patient did not receive any neoadjuvant chemotherapy or EGFR-TKI targeted therapy before surgery
  • Patient who can start the investigational therapy within 3-6 weeks after the complete resection
  • ECOG performance status 0-1.
  • Life expectancy ≥12 weeks.
  • Adequate hematological function: Absolute neutrophil count (ANC) ≥2.0 x 109/L, and Platelet count ≥100 x 109/L, and Hemoglobin ≥9 g/dL (may be transfused to maintain or exceed this level).
  • Adequate liver function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN), Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤ 2.5 x ULN in subjects without liver metastases; ≤ 5 x ULN in subjects with liver metastases.
  • Adequate renal function: Serum creatinine ≤ 1.25 x ULN, or ≥ 60 ml/min.
  • Female subjects should not be pregnant or breast-feeding.

Exclusion

  • Patients with prior exposure to agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
  • Patients with prior any systemic chemotherapy, immunotherapy or biotherapy
  • Known severe hypersensitivity to gefitinib or any of the excipients of this product.
  • Patients with prior radiotherapy.
  • Not fully recovered from the previous surgery.
  • History of another malignancy in the last 5 years with the exception of the following: basal cell carcinoma of the skin and in situ carcinoma of the uterine cervix.
  • Patients who harbouring exon 20 T790M mutation.
  • Patient who has any active infection (e.g. acute pneumonia, hepatitis B or hepatitis C).
  • Dysphagia or known malabsorption of drugs.
  • Patient with serious heart, liver, kidney or other important organ dysfunction.
  • Pregnancy or lactation women or women may be positive for pregnancy before the first medication.
  • Patient has fertility but not willing to take contraceptive measures or whose sexual partners are unwilling to take contraceptive measures.
  • Researcher believes the patient's condition is not suitable for the clinical study.
  • Researcher judged the patient's lack of compliance with the study.
  • Known severe hypersensitivity to gefitinib or any of the excipients of this product.

Key Trial Info

Start Date :

June 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT03381430

Start Date

June 1 2018

End Date

December 1 2025

Last Update

December 22 2017

Active Locations (1)

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China-Japan Friendship Hospital

Beijing, China