Unique ID issued by UMIN | UMIN000001738 |
---|---|
Receipt number | R000002091 |
Scientific Title | Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation |
Date of disclosure of the study information | 2009/03/01 |
Last modified on | 2013/09/05 15:16:46 |
Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
Phase II study of gefitinib therapy inserted by chemotherapy for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
Phase II study of gefitinib therapy inserted by chemotherapy for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
Japan |
Non-small-cell lung cancer
Pneumology |
Malignancy
NO
To evaluate the efficacy and safety of the treatment with gefitinib for 8weeks, followed by chemotherapy (cisplatin/ docetaxel 3cycles), then gefitinib again for chemotherapy-naive advanced or postoperative-recurrent non-small-cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
Safety,Efficacy
Exploratory
Pragmatic
Phase II
2-years progression free survival rate
Response rate
Overall survival
Toxicity
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
1) Gefitinib 250mg/day orally for 8weeks
2) Gefitinib cessation for 2weeks
3) Chemotherapy (every 21days, 3cycles)
Cisplatin 80 mg/m2 day1
Docetaxel 60 mg/m2 day1
4) Gefitinib 250mg/day orally until intolerable toxicity or disease progression
20 | years-old | <= |
75 | years-old | > |
Male and Female
1) Pathologically confirmed, stage IIIB/IV or post-operative recurrent non-small-cell lung cancer
2) EGFR somatic mutation (exon 19 DEL or exon 21 L858R) (regardless of the sampling and analysis method)
3) No prior chemotherapy (Patients who had taken oral UFT as adjuvant chemotherapy and finished the therapy more than 4weeks ago are eligible)
4) In post-operative recurrent case, 4weeks or longer blank after operation is needed
5) Age over 20 and under 75 years old
6) ECOG performance status 0-2
7) Life expectancy of 12weeks or longer
8) Adequate organ function
9) Written informed consent
(Patients who received pleural effusion drainage, pleurodesis, and local palliative radiation therapy are eligible, but patients who received pericardiac effusion drainage are ineligible.)
1) EGFR mutation that associates with gefitinib resistance (exon 20 T790M) or K-ras mutation
2) CNS metastasis requiring treatment
3) Interstitial pneumonitis or pulmonary fibrosis as determined from chest CT
4) Complications like below
a) Active infection
b) Acute myocardial infarction, the other severe heart diseases, and arrhythmia within the previous 6months
c) Uncontrollable diabetes mellitus
d) Uncontrollable hypertension
e) Continuous diarrhea and ileus
f) Psychological disorders difficult to cooperate in the clinical trial
5) Receiving systemic corticosteroid therapy
6) Active metachronous cancer (disease-free survival of less than 5years)
7) Pregnancy or breast-feeding
8) No intent to practice contraception
9) Difficult to take medicine continuously
33
1st name | |
Middle name | |
Last name | Tomohide Tamura |
National Cancer Center Hospital
Thoracic Medical Oncology
5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan
03-3542-2511
ttmaura@ncc.go.jp
1st name | |
Middle name | |
Last name | Yuichiro Ohe, Shintaro Kanda |
National Cancer Center Hospital
Thoracic Medical Oncology
5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan
03-3542-2511
skanda@ncc.go.jp
Thoracic Medical Oncology, National Cancer Center Hospital
None
Self funding
Japan
NO
2009 | Year | 03 | Month | 01 | Day |
Published
Completed
2008 | Year | 09 | Month | 23 | Day |
2008 | Year | 11 | Month | 01 | Day |
2012 | Year | 04 | Month | 01 | Day |
2012 | Year | 10 | Month | 01 | Day |
2012 | Year | 11 | Month | 01 | Day |
2013 | Year | 03 | Month | 31 | Day |
2009 | Year | 02 | Month | 27 | Day |
2013 | Year | 09 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002091