Icotinib With Concurrent Radiotherapy Versus Chemotherapy With Concurrent Radiotherapy in Non-small Cell Lung Cancer
Non-small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Unresectable stage IIIA / IIIB non-small cell lung cancer with EGFR 19/21 mutation
- No previous systemic anticancer therapy
- Measurable lesion according to RECIST with at least one measurable lesion not previously irradiated, unless disease progression has been documented at that site
- ECOG Performance Status of 0 to 1
Exclusion Criteria:
- Prior treatment with anti-EGFR (the epidermal growth factor receptor) monoclonal antibody or small molecular compounds therapy such as gefitinib, erlotinib or cetuximab
- Evidence of clinically active Interstitial Lung Diseases (patients with chronic, stable, radiographic changes who are asymptomatic need not be excluded)
- Known severe hypersensitivity to icotinib or any of the excipients of this product
Sites / Locations
- Chinese Academy of Medical Sciences Cancer Hospital
- People's Liberation Army 307 Hospital
- Peking University Third Hospital
- Beijing Union Medical College Hospital
- Dongguan City People's Hospital
- Sun Yat-sen Cancer Hospital
- Nanfang Hospital
- Guangxi Zhuang Autonomous Region People's Hospital
- Cancer Hospital of Harbin Medical University
- First Affiliated Hospital of Zhengzhou University
- Tongji Hospital
- Hunan Provincial Tumor Hospital
- Jiangsu Cancer Hospital
- Nantong Tumor Hospital
- Jiangxi Provincial Cancer Hospital
- Tumor Hospital of Jilin Province
- Liaoning Provincial Tumor Hospital
- Shanghai Chest Hospital
- Fudan University Cancer Hospital
- Shanxi Tumor Hospital
- Sichuan Provincial Tumor Hospital
- Tianjin Cancer Hospital
- First Affiliated Hospital of Xinjiang Medical University
- Tumor Hospital of Yunnan Province
- Hangzhou First People's Hospital
- Zhejiang Cancer Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Chemoradiotherapy
Icotinib with concurrent radiotherapy
Etoposide 50mg/m2, ivgtt, d1-d5, cisplatin 50mg/m2, ivgtt, d1 and d8, every 28 days for a cycle, a total of 2 cycles, while chest radiotherapy (total dose 60-66Gy, 2Gy per time, once a day, five times a week, a total of 30-33 times). Progressive patients will be administered oral icotinib 125 mg three times daily.
Chest radiotherapy (total dose 60-66Gy, 2Gy per time, once a day, five times a week, a total of 30-33 times), while icotinib 125mg three times daily (375 mg per day) by mouth. Maintenance icotinib will be administered after radiotherapy. Progressive patients will receive chemotherapy, using the platinum-based two-drug chemotherapy regimen.