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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
Hunan Province Tumor Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Adenocarcinoma focused on measuring erlotinib, pemetrexed, maintenance therapy

Eligibility Criteria

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

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

    First Posted
    March 22, 2015
    Last Updated
    March 25, 2015
    Sponsor
    Hunan Province Tumor Hospital
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    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

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    Clinical Trial of Erlotinib and Pemetrexed for Maintenance Treatment in Lung Adenocarcinoma

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