Description:
The purpose of this study is to studying neoadjuvant gefitinib followed by surgery, followed
by adjuvant gefitinib to see how well it works in treating patients with unresectable stage
III NSCLC harboring EGFR mutations.
Title
- Brief Title: NEoadjuvant Gefitinib fOllowed by Surgery and gefiTinib In unresectAble sTage III NSCLC With EGFR Mutations.
- Official Title: A Multicenter Phase II Trial of Neoadjuvant Gefitinib Followed by Surgery, Followed by Adjuvant Gefitinib in Patients With Unresectable Stage III Non-Small Cell Lung Cancer Harboring Activating Epidermal Growth Factor Receptor Mutations.
Clinical Trial IDs
- ORG STUDY ID:
GASTO1004
- SECONDARY ID:
wsy005
- NCT ID:
NCT02347839
Conditions
Purpose
The purpose of this study is to studying neoadjuvant gefitinib followed by surgery, followed
by adjuvant gefitinib to see how well it works in treating patients with unresectable stage
III NSCLC harboring EGFR mutations.
Detailed Description
Concurrent chemoradiotherapy is the recommended therapeutic approach for patients with
unresectable stage III non-small cell lung cancer (NSCLC), although surgery offers the chance
of cure. With combined-modality therapy with radiation therapy and chemotherapy, the
prognosis of stage III NSCLC remains poor. Gefitinib has shown great efficacy in NSCLC
patients with EGFR mutations. This study is to studying neoadjuvant gefitinib followed by
surgery, followed by adjuvant gefitinib to see how well it works in treating patients with
unresectable EGFR mutant stage III NSCLC.
Trial Arms
Name | Type | Description | Interventions |
---|
Intervention group | Experimental | Gefitinib-surgery-gefitinib. Induction gefitinib therapy was given for 8 weeks. Patients' resectability was assessed after 8-week gefitinib. Adjuvant gefitinib was given within 3-6 weeks after surgery until progression or unacceptable toxic effects. | |
Eligibility Criteria
Inclusion Criteria:
- Target population is unresectable stage III (III A-bulky N2, III B) NSCLC with EGFR
activating mutation in exon 19 or 21
- Written informed consent provided
- Aged 18-75 years
- Able to comply with the required protocol and follow-up procedures
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Had a life expectancy of 12 weeks or more
- Adequate hematological function, liver function and renal function
- Female participants should not be pregnant or breast-feeding
Exclusion Criteria:
- Known severe hypersensitivity to gefitinib or any of the excipients of this product
- Inability to comply with protocol or study procedures
- Had had previous chemotherapy, radiotherapy, or agents directed at the HER axis (e.g.
erlotinib, gefitinib, cetuximab, trastuzumab)
- Had a history another malignancy in the last 5 years with the exception of cured basal
cell carcinoma of the skin, cured in situ carcinoma of the uterine cervix and cured
epithelial carcinoma of the bladder
- Interstitial pneumonia
- Eye inflammation not fully controlled or conditions predisposing the subject to this
- Any unstable systemic disease (including active infection, uncontrolled hypertension,
unstable angina, congestive heart failure, myocardial infarction within the previous
year, serious cardiac arrhythmia requiring medication, hepatic, renal, or metabolic
disease)
- Known human immunodeficiency virus (HIV) infection
- Pregnancy or breast-feeding women
- History of neurologic or psychiatric disorders
- Ingredients mixed with small cell lung cancer patients
Maximum Eligible Age: | 75 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Resectability rate |
Time Frame: | 3 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Number of participants with perioperative complications |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Event-free survival |
Time Frame: | 2 years after the last patient is randomized |
Safety Issue: | |
Description: | Event-free survival was assessed from randomization to disease recurrence/progression or death from any cause. |
Measure: | Overall survival |
Time Frame: | 2 years after the last patient is randomized |
Safety Issue: | |
Description: | Overall survival was assessed from randomization to death from any cause. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Sun Yat-sen University |
Last Updated
April 20, 2018