EGFR-TKI With/Without Chemotherapy in NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism
Primary Purpose
Nonsmall Cell Lung Cancer, EGFR Gene Mutation
Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
EGFR-TK Inhibitor
EGFR-TKI
EGFR-TKI and Chemotherapy
Sponsored by
About this trial
This is an interventional treatment trial for Nonsmall Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent
- Histologically documented, unresectable, inoperable, locally advanced, recurrent or metastatic Stage IV Non-Small Cell Lung Cancer (NSCLC)
- Must have measurable or non-measurable disease
- Must be able to comply with study and follow-up procedures
Exclusion Criteria:
- Small cell, carcinoid, or mixed small cell lung cancer
- Malignancies within 3 years except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer
- Symptomatic or untreated brain metastases Prior systemic chemotherapy for NSCLC
- Unstable systemic disease, including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months prior to Day 1, or serious cardiac arrhythmia requiring medication
- History of other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that might affect the interpretation of the results of the study or render the patient at high risk from treatment complications
- Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for intravenous (IV) alimentation, or prior surgical procedures affecting absorption
- Pregnancy or lactation
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
EGFR-TKI and Chemotherapy
EGFR-TK Inhibitor
Arm Description
gefitinib with pemetrexed/gemcitabine and carboplatin
Gefitinib
Outcomes
Primary Outcome Measures
Progress Free Survival
Secondary Outcome Measures
Overall Survival
Overall Response Rate
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0
Safety
Full Information
NCT ID
NCT03002844
First Posted
December 14, 2016
Last Updated
December 25, 2016
Sponsor
Shanghai Pulmonary Hospital, Shanghai, China
1. Study Identification
Unique Protocol Identification Number
NCT03002844
Brief Title
EGFR-TKI With/Without Chemotherapy in NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism
Official Title
EGFR-TKI With/Without Chemotherapy in NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism
Study Type
Interventional
2. Study Status
Record Verification Date
December 2016
Overall Recruitment Status
Unknown status
Study Start Date
December 2016 (undefined)
Primary Completion Date
August 2017 (Anticipated)
Study Completion Date
December 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shanghai Pulmonary Hospital, Shanghai, China
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
BIM deletion polymorphism might be associated with a poor clinical response to EGFR-TKIs in patients who had NSCLC with EGFR mutations. In the study, the investigators want to use EGFR-TKI with/without chemotherapy as first line treatment in stage IIIB/IV NSCLC patients with both EGFR mutation and BIM deletion polymorphism.
Detailed Description
BIM deletion polymorphism was a poor clinical response marker to EGFR-TKIs in NSCLC patients who had EGFR mutations. In the study, the investigators want to use EGFR-TKI with chemotherapy as 1 st treatment in stage IIIB/IV NSCLC patients with both EGFR mutation and BIM deletion polymorphism.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nonsmall Cell Lung Cancer, EGFR Gene Mutation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
EGFR-TKI and Chemotherapy
Arm Type
Experimental
Arm Description
gefitinib with pemetrexed/gemcitabine and carboplatin
Arm Title
EGFR-TK Inhibitor
Arm Type
Experimental
Arm Description
Gefitinib
Intervention Type
Drug
Intervention Name(s)
EGFR-TK Inhibitor
Other Intervention Name(s)
gefitinib
Intervention Description
EGFR-TKI (gefitinib 250mg per day)
Intervention Type
Drug
Intervention Name(s)
EGFR-TKI
Other Intervention Name(s)
gefitinib
Intervention Description
EGFR-TKI (gefitinib 250mg per day)
Intervention Type
Drug
Intervention Name(s)
EGFR-TKI and Chemotherapy
Other Intervention Name(s)
EGFR-TKI and pemetrexed/gemcitabine and carboplatin
Intervention Description
pemetrexed 500mg per kg q3w/gemcitabine 1000mg per kg q3w and carboplatin AUC=5 q3w
Primary Outcome Measure Information:
Title
Progress Free Survival
Time Frame
up to 12 months
Secondary Outcome Measure Information:
Title
Overall Survival
Time Frame
up to 24 months
Title
Overall Response Rate
Time Frame
up to 12 months
Title
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0
Description
Safety
Time Frame
up to 12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed informed consent
Histologically documented, unresectable, inoperable, locally advanced, recurrent or metastatic Stage IV Non-Small Cell Lung Cancer (NSCLC)
Must have measurable or non-measurable disease
Must be able to comply with study and follow-up procedures
Exclusion Criteria:
Small cell, carcinoid, or mixed small cell lung cancer
Malignancies within 3 years except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer
Symptomatic or untreated brain metastases Prior systemic chemotherapy for NSCLC
Unstable systemic disease, including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months prior to Day 1, or serious cardiac arrhythmia requiring medication
History of other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that might affect the interpretation of the results of the study or render the patient at high risk from treatment complications
Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for intravenous (IV) alimentation, or prior surgical procedures affecting absorption
Pregnancy or lactation
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Caicun Zhou, MD PHD
Phone
8613301825532
Email
caicunzhoudr@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Caicun Zhou, MD, PHD
Organizational Affiliation
Shanghai Pulmonary Hospital, Tongji University
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
EGFR-TKI With/Without Chemotherapy in NSCLC Patients With Both EGFR Mutation and BIM Deletion Polymorphism
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