Clinical Trial of Erlotinib and Pemetrexed for Maintenance Treatment in Lung Adenocarcinoma
Primary Purpose
Lung Adenocarcinoma
Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Erlotinib, Pemetrexed
Sponsored by
About this trial
This is an interventional treatment trial for Lung Adenocarcinoma focused on measuring erlotinib, pemetrexed, maintenance therapy
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically diagnosed stage III/IV Lung Adenocarcinoma;
- Age of 18-75years; Gender Not Required;
- Received systemic clinical examination, including chest X-ray, abdomen B ultrasound, head CT scan, radionuclide bone scan;
- Received cisplatin chemotherapy for 4 cycles before this study, the curative effect of chemotherapy is SD or above SD (efficacy evaluation time is 21 days, if it is SD, then the longest diameter of target lesions shall not increase);
- Adequate hematologic, renal, and hepatic function, Specific index as follows: liver function: S-Bilirubin ≤1.5 ULN ; Transaminase≤2 ULN. renal function: S-Creatinine ≤1.2 ULN; blood urea nitrogen ≤1.2 ULN . ULN: upper normal limit. Marrow Hemopoietic Function: WBC≥4.0×10^9/l, ANC≥2.0×10^9/l platelet count ≥100×10^9/l, Hb≥100 g/l;
- ECOG PS 0-2,Life expectancy ≥ 3 months; endure more than two cycle chemotherapy;
- The patients have explicit lung tumor lesions and the lesions were measurable; (According to the standard of RECIST1.1, they should have at least one of accurately measurable lesions with the largest diameter ≥ 10mm by spiral CT, MRI);
- No history of serious drug allergy;
- Informed consent should be obtained before treatment.
Exclusion Criteria:
- Not histologically or cytologically diagnosed as Lung Adenocarcinoma
- The age of >75 years or <18 years.
- Major organ dysfunction and Serious Heart Disease (congestive heart-failure, incontrollable high-risk arrhythmia, unstable angina, alular disease, myocardial infarct and Resistant hypertension,);
- Serious complications and investigator consider it is unsuited enrolling;
- Pregnant or lactating women;
- Allergic to research drug;
- Received cisplatin chemotherapy for 4 cycles before this study, the curative effect of chemotherapy is PD
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Experimental
Comparator
Arm Description
followed classical chemotherapy for 4 cycles, use Erlotinib orally for the maintenance therapy
followed classical chemotherapy for 4 cycles, use Pemetrexed interventional for the maintenance therapy
Outcomes
Primary Outcome Measures
Progression free survival (PFS)
Secondary Outcome Measures
Overall survival (OS)
Clinical benefit rate (CBR)
Objective response rate (ORR)
The adverse reaction
Time to progression (TTP)
Full Information
NCT ID
NCT02399566
First Posted
March 22, 2015
Last Updated
March 25, 2015
Sponsor
Hunan Province Tumor Hospital
1. Study Identification
Unique Protocol Identification Number
NCT02399566
Brief Title
Clinical Trial of Erlotinib and Pemetrexed for Maintenance Treatment in Lung Adenocarcinoma
Official Title
Comparative Clinical Trial of Erlotinib and Pemetrexed for Maintenance Treatment in Lung Adenocarcinoma
Study Type
Interventional
2. Study Status
Record Verification Date
March 2015
Overall Recruitment Status
Unknown status
Study Start Date
May 2015 (undefined)
Primary Completion Date
January 2018 (Anticipated)
Study Completion Date
January 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hunan Province Tumor Hospital
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to compare effects of erlotinib and pemetrexed as maintenance therapy for lung adenocarcinoma. Primary Outcome is the progression free survival (PFS). Based on prediction of different potential benefit groups, this study may help the oncologist to optimize and improve the maintenance therapy plan for lung adenocarcinoma.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Adenocarcinoma
Keywords
erlotinib, pemetrexed, maintenance therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
300 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Experimental
Arm Type
Experimental
Arm Description
followed classical chemotherapy for 4 cycles, use Erlotinib orally for the maintenance therapy
Arm Title
Comparator
Arm Type
Active Comparator
Arm Description
followed classical chemotherapy for 4 cycles, use Pemetrexed interventional for the maintenance therapy
Intervention Type
Drug
Intervention Name(s)
Erlotinib, Pemetrexed
Intervention Description
followed classical chemotherapy for 4 cycles, use Erlotinib orally for the maintenance therapy.
Primary Outcome Measure Information:
Title
Progression free survival (PFS)
Time Frame
two years
Secondary Outcome Measure Information:
Title
Overall survival (OS)
Time Frame
two years
Title
Clinical benefit rate (CBR)
Time Frame
two years
Title
Objective response rate (ORR)
Time Frame
two years
Title
The adverse reaction
Time Frame
two years
Title
Time to progression (TTP)
Time Frame
two years
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:
Histologically or cytologically diagnosed stage III/IV Lung Adenocarcinoma;
Age of 18-75years; Gender Not Required;
Received systemic clinical examination, including chest X-ray, abdomen B ultrasound, head CT scan, radionuclide bone scan;
Received cisplatin chemotherapy for 4 cycles before this study, the curative effect of chemotherapy is SD or above SD (efficacy evaluation time is 21 days, if it is SD, then the longest diameter of target lesions shall not increase);
Adequate hematologic, renal, and hepatic function, Specific index as follows: liver function: S-Bilirubin ≤1.5 ULN ; Transaminase≤2 ULN. renal function: S-Creatinine ≤1.2 ULN; blood urea nitrogen ≤1.2 ULN . ULN: upper normal limit. Marrow Hemopoietic Function: WBC≥4.0×10^9/l, ANC≥2.0×10^9/l platelet count ≥100×10^9/l, Hb≥100 g/l;
ECOG PS 0-2,Life expectancy ≥ 3 months; endure more than two cycle chemotherapy;
The patients have explicit lung tumor lesions and the lesions were measurable; (According to the standard of RECIST1.1, they should have at least one of accurately measurable lesions with the largest diameter ≥ 10mm by spiral CT, MRI);
No history of serious drug allergy;
Informed consent should be obtained before treatment.
Exclusion Criteria:
Not histologically or cytologically diagnosed as Lung Adenocarcinoma
The age of >75 years or <18 years.
Major organ dysfunction and Serious Heart Disease (congestive heart-failure, incontrollable high-risk arrhythmia, unstable angina, alular disease, myocardial infarct and Resistant hypertension,);
Serious complications and investigator consider it is unsuited enrolling;
Pregnant or lactating women;
Allergic to research drug;
Received cisplatin chemotherapy for 4 cycles before this study, the curative effect of chemotherapy is PD
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
JIANHUA CHEN, MD
Phone
0086-731-89762221
Email
cjh_1000@163.com
12. IPD Sharing Statement
Learn more about this trial
Clinical Trial of Erlotinib and Pemetrexed for Maintenance Treatment in Lung Adenocarcinoma
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