Unique ID issued by UMIN | UMIN000013806 |
---|---|
Receipt number | R000016105 |
Scientific Title | A biomarker analysis of plasma and tumor DNA in afatinib-treatedpatients with EGFR mutation-positive advanced adenocarcinoma of the lung. |
Date of disclosure of the study information | 2014/05/07 |
Last modified on | 2018/04/27 10:05:16 |
A biomarker analysis of plasma and
tumor DNA in afatinib-treatedpatients with EGFR mutation-positive advanced adenocarcinoma of the lung.
Afatinib I I S
A biomarker analysis of plasma and
tumor DNA in afatinib-treatedpatients with EGFR mutation-positive advanced adenocarcinoma of the lung.
Afatinib I I S
Japan |
adenocarcinoma of the lung
Pneumology | Laboratory medicine |
Malignancy
YES
1.To investigate gene mutation and expression level as a biomarker related with the resistance to afatinib in EGFR gene mutation-positive pulmonary adenocarcinoma using a tumor tissue and a peripheral circulatory free DNA.
2.To investigate clinical benefit of peripheral circulatory free DNA.
Safety,Efficacy
A detection of a biomarker about afatinib tolerance
1.Progression Free Survival
2.Time to Systemic PD
3.Response rate
4.Safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Afatinib40mg/day:oral daily
20 | years-old | <= |
Not applicable |
Male and Female
1) Patients with pulmonary adenocarcinoma with a histological diagnosis and cytodiagnosis.
2) Patients with EGFR gene mutation(exon 19 deletion mutation or L858R mutation in exon 21)within 1 year before enrollment.
3)Patients whose tumor specimen can be submitted.
4)Patients with pathologically confirmed diagnosis of stage IIIB(not amenable for curative intent local radiotherapy)/IV (recurrent or metastatic)adenocarcinoma of the lung.
5) Patients with no treatment of EGFR-TKI.
6) Patients that 2 wks pass from the last dosage of the anticancer drug in the case of systemic chemotherapy.
7) Patients with more than 20 years old on the enrollment day.
8) Patients with ECOG PS 0 or 1.
9) Patients harboring a more than one measurable lesion.
10) Patient whose latest level of laboratory test within 14 days before enrollment meets all following categories (the examination of the same date two weeks before the registration day is permitted).
(1) Neutrophil >= 1,500/mm3
(2) Hemoglobin >= 9.0 g/dL(A blood transfusion is not enforced within 14 days of the examination before enrollment)
(3) Platelet >= 10X104/ mm3
(4) Total bilirubin <= 1.5 mg/dl
(5) AST(GOT)<= 100
(6) ALT(GPT)<= 100
(7) Serum creatinine <= 2.0 mg/dl
(8) SpO2 >= 92%. In case of SpO2 < 92%, PaO2 >= 60 torr is eligible.
11) Patients providing written informed consent.
1) Patients with active double cancer
2)Patients with interstitial pneumonia confirmed by chest CT.
3)Patient with neurologic symptom caused by non-treated brain metastasis
4) Patients with either superior vena cava syndrome, pericardial effusion, pleural effusion or ascites >= Grade 3.
5) Patients with an operation with the systemic anesthesia within 28 days before enrollment.
6)Patient with a palliative radiotherapy for the metastatic focus except the chest (including gamma knife treatment for the brain metastatic focus) within 7 days before enrollment (the irradiation of the same day 2 weeks ago is permitted as enrollment day as day0).
7) Patient with a radiation exposure to the chest or mediastinum within 14 days before enrollment (the irradiation of the same day 2 weeks ago is permitted as enrollment day as day0).
8)Patients with complication with mental disease or a mind symptom, and are judged to have difficulty in participation in the study.
9) Patient with positive HBs antigen.
10) Patient having a serious infection to need systemic treatment.
11)Any other patients who are regarded as unsuitable for this study by the investigators.
30
1st name | |
Middle name | |
Last name | Isamu Okamoto |
Kyushu University Hospital
Research Institute for Disease of the Chest / Center for Clinical and Translational Research
3-1-1 Maidashi ,Higashi-ku,Fukuoka,
092-642-5378
okamotoi@kokyu.med.kyushu-u.ac.jp
1st name | |
Middle name | |
Last name | Eiji Iwama |
Graduate School of Medical Sciences, Kyushu University
Faculty of Medical Sciences, Department of Comprehensive Clinical Oncology
3-1-1, Maidashi, Higashi-ku, Fukuoka, Japan, 812-8582
092-642-5378
iwama@kokyu.med.kyushu-u.ac.jp
Clinical Research Support Center Kyushu
Nippon Boehringer Ingelheim Co., Ltd.
Profit organization
Japan
NO
2014 | Year | 05 | Month | 07 | Day |
Unpublished
Completed
2014 | Year | 04 | Month | 17 | Day |
2014 | Year | 05 | Month | 07 | Day |
2017 | Year | 11 | Month | 30 | Day |
2014 | Year | 04 | Month | 25 | Day |
2018 | Year | 04 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016105