Actively Recruiting

Phase 2
Age: 18Years - 80Years
All Genders
NCT05536505

Adjuvant Treatment Based on MRD for EGFR Mutant NSCLC

Led by Guangdong Association of Clinical Trials · Updated on 2022-09-14

180

Participants Needed

16

Research Sites

420 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A prospective, multicenter clinical study designed to explore the efficacy of postoperative adjuvant EGFR-TKIs therapy based on MRD status in patients with stage IB-IIIB EGFR-mutant non-squamous non-small cell lung cancer (non-squamous NSCLC). Primary endpoints include 3-year Disease-Free Survival rate (3y-DFS) and median disease-free survival (mDFS).

CONDITIONS

Official Title

Adjuvant Treatment Based on MRD for EGFR Mutant NSCLC

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provided written informed consent.
  • Male or female aged 18 to under 80 years.
  • Able to follow the study protocol, attend follow-up, and take oral medications.
  • Completely resected pathological stage IB-IIIB NSCLC with EGFR exon 19 deletions, L861Q, G719X, or exon 21 L858R mutations.
  • Recovered from R0 resection including lobectomy, sleeve surgery, or pneumonectomy.
  • ECOG performance status of 0 or 1.
  • Life expectancy of at least 12 weeks.
  • Adequate blood counts: ANC ≥1.8 x 10^9/L, Platelets ≥100 x 10^9/L, Hemoglobin ≥9 g/dL.
  • Adequate liver function: Total bilirubin ≤1.5 x ULN; AST and ALT ≤2.5 x ULN without liver metastases or ≤5 x ULN with liver metastases.
  • Adequate kidney function: Serum creatinine ≤1.25 x ULN or estimated creatinine clearance ≥60 ml/min.
  • Female participants must not be pregnant or breastfeeding.
Not Eligible

You will not qualify if you...

  • Known severe allergy to icotinib, osimertinib, or their components.
  • Unable to comply with study procedures.
  • Serious systemic disorders that may prevent study completion.
  • Serious heart conditions such as recent myocardial infarction (within 6 months), angina, or heart disease.
  • Interstitial pneumonia.
  • Previous treatment with HER-targeting agents (e.g., erlotinib, gefitinib, icotinib, cetuximab, trastuzumab).
  • Prior chemotherapy or systemic anti-tumor therapy.
  • Prior radiotherapy to the primary tumor or lymph nodes.
  • History of another cancer within the past 5 years except certain cured cancers.
  • Unstable systemic diseases including active infections, uncontrolled hypertension, unstable angina, congestive heart failure, serious arrhythmias, hepatic, renal, or metabolic diseases.
  • Untreated eye inflammation or infection.
  • Any other disease or condition that increases risk with study treatment.
  • Active serious infection (fever 38.0°C or higher).
  • Presence of certain genetic mutations including exon 20 T790M, EGFR 20 insertions, ALK fusion, BRAF V600E, MET amplification, or KRAS mutation.

AI-Screening

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Trial Site Locations

Total: 16 locations

1

Beijing Friendship Hospital, Capital Medical University

Beijing, China

Not Yet Recruiting

2

Chongqing University Three Gorges Hospital

Chongqing, China

Not Yet Recruiting

3

The First People's Hospital of Foshan

Foshan, China

Not Yet Recruiting

4

Fujian Medical University Union Hospital

Fuzhou, China

Not Yet Recruiting

5

Affiliated Cancer Hospital of Guangzhou Medical University

Guangzhou, China

Not Yet Recruiting

6

Nanfang Hospital Southern Medical University

Guangzhou, China

Not Yet Recruiting

7

Guangdong Provincial People's Hospital

Guanzhou, China

Actively Recruiting

8

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, China

Not Yet Recruiting

9

The First Affiliated Hospital of USTC Anhui Provincial Hospital

Hefei, China

Not Yet Recruiting

10

The Affiliated Hospital of Inner Mongolia Hospital

Hohhot, China

Not Yet Recruiting

11

The Affiliated Hospital of Qingdao University

Qingdao, China

Not Yet Recruiting

12

Zhongshan Hospital Fudan University

Shanghai, China

Not Yet Recruiting

13

Shenzhen People's Hospital

Shenzhen, China

Not Yet Recruiting

14

Tongji Hospital Tongji College of HUST

Wuhan, China

Not Yet Recruiting

15

The First Affiliated Hospital of Xiamen University

Xiamen, China

Not Yet Recruiting

16

Zhongshan City People's Hospital

Zhongshan, China

Not Yet Recruiting

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Research Team

Y

Yi-Long Wu, MD

CONTACT

R

Ri-Qiang Liao

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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