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Endostar Combination With Chemotherapy and EGFR-TKI in Lung Cancer Rechallenging Treatment After Acquired Resistance.

Primary Purpose

Lung Cancer

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Recombinant human endostatin
Placebo
Sponsored by
Peking University Third Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Cancer focused on measuring endostar, angiogenesis, EGFR-TKI, lung caner

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with pathologic confirmation of NSCLC with tissue diagnosis or cytologic diagnosis, whose NSCLCs are locally advanced or metastatic Stage III-B / IV adenocarcinoma, and are inoperable and incurable with radiotherapy.
  • Life expectancy of at least three (3) months after the start of administration of the investigational drug.
  • Eastern Cooperative Oncology Group (ECOG) performance Score 0 to 2.
  • Patients with at least one tumor lesion that can accurately be measured by CT or MRI in at least one dimension with longest diameter to be recorded as no less than double the slice thickness and >=10 mm.
  • Patient received at least 6 months EGFR-TKI and show tumor progress
  • Adequate hematologic hepatic and renal functions based on the normal conditions of chemotherapy
  • Patient signed consent form and adherence and geographic location are liable to follow up

Exclusion Criteria:

  • CNS metastasis
  • Active infection
  • Bleeding tendency or blood coagulation dysfunction
  • History of neurological or psychiatric disorders, including epilepsy, or dementia
  • Pregnancy or breast-feeding women
  • Organ transplant long-term use of immunosuppressive drugs
  • Arrhythmia need anti-arrhythmic treatment or other risk of heart disease
  • Use other targeted drugs during the research
  • Other conditions may not allowed to join in this study according to the researcher's judgment

Sites / Locations

  • Peking University Third HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Endostar Arm

Standard Arm

Arm Description

Gefitinib re-challenging, oral daily use Docetaxel 60mg/m2 and Cisplatin 70mg/m2, 21 days Recombinant human endostatin 15mg/day, day 1 - 14

Gefitinib re-challenging, oral daily use Docetaxel 60mg/m2 and Cisplatin 70mg/m2, 21 days Placebo

Outcomes

Primary Outcome Measures

Objective Responese Rate

Secondary Outcome Measures

Progression Free Survival
Overall Survial
Number of Serious Adverse Events

Full Information

First Posted
January 12, 2015
Last Updated
January 25, 2015
Sponsor
Peking University Third Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02350361
Brief Title
Endostar Combination With Chemotherapy and EGFR-TKI in Lung Cancer Rechallenging Treatment After Acquired Resistance.
Official Title
A Study of Endostar Combination With Chemotherapy and Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors in Lung Cancer Rechallenging Treatment After Resistance of EGFR-TKI and Tumor Progression
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Unknown status
Study Start Date
January 2014 (undefined)
Primary Completion Date
July 2015 (Anticipated)
Study Completion Date
March 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Peking University Third Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Here we are going to find a method by using available multiple drugs including angiogenesis medicine - Endostar to treat lung cancer patients who acquired resistence from EGFR-TKI but have responsed to it before.
Detailed Description
Lung cancer patients who received epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKI) will acquiring resistance to the drug. This is a study of using Endostar, an angiogentic medicine, combination with chemotherapy and EGFR-TKI in lung cancer rechallenging treatment after resistance of EGFR-TKI and progression disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer
Keywords
endostar, angiogenesis, EGFR-TKI, lung caner

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Endostar Arm
Arm Type
Experimental
Arm Description
Gefitinib re-challenging, oral daily use Docetaxel 60mg/m2 and Cisplatin 70mg/m2, 21 days Recombinant human endostatin 15mg/day, day 1 - 14
Arm Title
Standard Arm
Arm Type
Active Comparator
Arm Description
Gefitinib re-challenging, oral daily use Docetaxel 60mg/m2 and Cisplatin 70mg/m2, 21 days Placebo
Intervention Type
Drug
Intervention Name(s)
Recombinant human endostatin
Other Intervention Name(s)
Endostar
Intervention Description
Recombinant human endostatin 7.5mg/m2
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Objective Responese Rate
Time Frame
in two months
Secondary Outcome Measure Information:
Title
Progression Free Survival
Time Frame
up to six months
Title
Overall Survial
Time Frame
follow up every two months, about two years
Title
Number of Serious Adverse Events
Time Frame
within two months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with pathologic confirmation of NSCLC with tissue diagnosis or cytologic diagnosis, whose NSCLCs are locally advanced or metastatic Stage III-B / IV adenocarcinoma, and are inoperable and incurable with radiotherapy. Life expectancy of at least three (3) months after the start of administration of the investigational drug. Eastern Cooperative Oncology Group (ECOG) performance Score 0 to 2. Patients with at least one tumor lesion that can accurately be measured by CT or MRI in at least one dimension with longest diameter to be recorded as no less than double the slice thickness and >=10 mm. Patient received at least 6 months EGFR-TKI and show tumor progress Adequate hematologic hepatic and renal functions based on the normal conditions of chemotherapy Patient signed consent form and adherence and geographic location are liable to follow up Exclusion Criteria: CNS metastasis Active infection Bleeding tendency or blood coagulation dysfunction History of neurological or psychiatric disorders, including epilepsy, or dementia Pregnancy or breast-feeding women Organ transplant long-term use of immunosuppressive drugs Arrhythmia need anti-arrhythmic treatment or other risk of heart disease Use other targeted drugs during the research Other conditions may not allowed to join in this study according to the researcher's judgment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Li Liang, MD
Phone
13241870816
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Li Liang, MD
Organizational Affiliation
Peking University Third Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking University Third Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Liang, MD
Phone
13241870816

12. IPD Sharing Statement

Learn more about this trial

Endostar Combination With Chemotherapy and EGFR-TKI in Lung Cancer Rechallenging Treatment After Acquired Resistance.

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