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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
Shanghai Pulmonary Hospital, Shanghai, China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nonsmall Cell Lung Cancer

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Signed informed consent
  2. Histologically documented, unresectable, inoperable, locally advanced, recurrent or metastatic Stage IV Non-Small Cell Lung Cancer (NSCLC)
  3. Must have measurable or non-measurable disease
  4. Must be able to comply with study and follow-up procedures

Exclusion Criteria:

  1. Small cell, carcinoid, or mixed small cell lung cancer
  2. Malignancies within 3 years except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer
  3. Symptomatic or untreated brain metastases Prior systemic chemotherapy for NSCLC
  4. 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
  5. 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
  6. Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for intravenous (IV) alimentation, or prior surgical procedures affecting absorption
  7. 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

    First Posted
    December 14, 2016
    Last Updated
    December 25, 2016
    Sponsor
    Shanghai Pulmonary Hospital, Shanghai, China
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    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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