Description:
The purpose of this research study is to determine if OSI-774 (Tarceva) is effective in the
treatment of non-small cell lung cancer and to further study its side effects. The
investigators would also like to estimate disease-related symptom improvement rates using a
questionnaire.
Title
- Brief Title: OSI-774 (Erlotinib, Tarceva) in Elderly Patients
- Official Title: Phase II Study of OSI-774 (Erlotinib, Tarceva) in Elderly Patients With Advanced Stage or Inoperable Non Small Cell Lung Cancer (NSCLC)
Clinical Trial IDs
- ORG STUDY ID:
03-01-019
- NCT ID:
NCT00200395
Conditions
- Non-Small Cell Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
Tarceva | OSI-774, Erlotinib | OSI-774 (Tarceva) |
Purpose
The purpose of this research study is to determine if OSI-774 (Tarceva) is effective in the
treatment of non-small cell lung cancer and to further study its side effects. The
investigators would also like to estimate disease-related symptom improvement rates using a
questionnaire.
Detailed Description
In recent years, it has been shown that the degree of improvement achievable with
chemotherapy has plateaued with the use of chemotherapy doublets. The presence of co-morbid
conditions and poor performance status may preclude the use of chemotherapy in many elderly
patients, which even in the medically fit, has modest benefits. The advent of targeted cancer
therapy with the discovery of tyrosine kinases as mediators of tumor growth, with its limited
toxicity profile, offers a promising approach to the treatment of NSCLC, in particular to the
elderly subset of patients. The encouraging results from the other trials provide a strong
rationale to evaluate an oral EGFR-tyrosine kinase inhibitor OSI-774 in patients with
advanced and inoperable NSCLC over the age of 70. In vitro and clinical data suggest a dose-
dependent response with Tarceva (Genentech, data on file).
Trial Arms
Name | Type | Description | Interventions |
---|
OSI-774 (Tarceva) | Experimental | Oral treatment with OSI-774 (Tarceva) will be given as a 150 mg tablets daily for 14 days. On day 15 and if there are no adverse effects the dose will be increased to 200 mg. | |
Eligibility Criteria
Inclusion Criteria:
- Patients must have confirmed non-small cell lung cancer. Age > 65 years Patients must
have adequate organ and marrow function
Exclusion Criteria:
- Patients who have had prior chemotherapy will be excluded. Patients may not be
receiving any other investigational agents.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 65 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Rate of Response |
Time Frame: | 1-3 years |
Safety Issue: | |
Description: | The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date the recurrent or progressive disease is documented. |
Secondary Outcome Measures
Measure: | Number of participants with treatment-related adverse events as assessed by CTCAE v2.0 |
Time Frame: | 1-3 years |
Safety Issue: | |
Description: | |
Measure: | Changes in Quality of Life (QOL): questionnaire |
Time Frame: | through study completion, an average of 3 years |
Safety Issue: | |
Description: | This will involve participant response to a seven-item lung cancer subscale of Functional Assessment of Cancer Therapy-Lung (FACT-L) questionnaire. |
Measure: | Rate of Progression free survival |
Time Frame: | 1-3 years |
Safety Issue: | |
Description: | Progression free survival is defined as the duration of time from start of treatment to time of progression. |
Measure: | Duration of stable disease |
Time Frame: | 1-3 years |
Safety Issue: | |
Description: | Stable disease is measured from the start of the treatment until the criteris for progression are met., taking as reference the smallest measurements recorded since the treatment started. |
Measure: | Overall Rate of Survival |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Montefiore Medical Center |
Last Updated
December 30, 2019