Erlotinib Versus Vinorelbine/Cisplatin as Adjuvant Treatment in Stage IIIA NSCLC Patients With EGFR Mutations

NCT ID: NCT01410214

Last Updated: 2011-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2017-07-31

Brief Summary

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The purpose of this study is to assess the effect and safety of erlotinib versus NVB plus cisplatin (NP) as adjuvant treatment in patients with stage IIIA NSCLC after complete resection with EGFR activating mutations and to explore a new treatment strategy for this subset.

Detailed Description

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The LACE meta-analysis identified four cycles of platinum-based program to improve II\~IIIA stage completely resected NSCLC pts the role of 5-year survival, but its treatment-related life threatening toxicity limits its use. The EGFR tyrosine kinase inhibitor (TKI) may provide a dramatic response in pts with pulmonary adenocarcinoma carrying EGFR activating mutations in the metastatic setting. The aim of this study is to investigate the efficacy and safety of erlotinib versus NVB plus cisplatin (NP) as adjuvant treatment in pts with stage IIIA NSCLC after Complete Resection with EGFR activating mutations and to explore a new treatment strategy for this subset.

Conditions

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Non-small Cell Lung Cancer Stage IIIA

Keywords

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NSCLC EGFR Mutation Positive complete resection Erlotinib Versus NVB/Cisplatin as Adjuvant treatment

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Erlotinib arm

In the adjuvant treatment phase, erlotinib 150 mg/day taken orally for 2 years or till disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Erlotinib

Intervention Type DRUG

In the adjuvant treatment phase, erlotinib 150 mg/day taken orally for 2 years or till disease progression or unacceptable toxicity.

Chemo arm

In the adjuvant treatment phase, patient will receive vinorelbine 25mg/m2 IV on day 1 and day 8, and cisplatin 25mg/m2 on day 1 and day 2 and day 3, of a 3-week schedule for 4 cycles or till disease progression or unacceptable toxicity.

Group Type ACTIVE_COMPARATOR

vinorelbine/cisplatin

Intervention Type DRUG

In the adjuvant treatment phase, patient will receive vinorelbine 25mg/m2 IV on day 1 and day 8, and cisplatin 25mg/m2 on day 1 and day 2 and day 3, of a 3-week schedule for 4 cycles or till disease progression or unacceptable toxicity.

Interventions

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Erlotinib

In the adjuvant treatment phase, erlotinib 150 mg/day taken orally for 2 years or till disease progression or unacceptable toxicity.

Intervention Type DRUG

vinorelbine/cisplatin

In the adjuvant treatment phase, patient will receive vinorelbine 25mg/m2 IV on day 1 and day 8, and cisplatin 25mg/m2 on day 1 and day 2 and day 3, of a 3-week schedule for 4 cycles or till disease progression or unacceptable toxicity.

Intervention Type DRUG

Other Intervention Names

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tarceva NP NVB/cisplatin

Eligibility Criteria

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Inclusion Criteria

* Written informed consent provided.
* Males or females aged ≥18 years.
* Chest CT, brain CT or MRI, ECT, abdominal and double-neck B-, or whole body PET-CT examination in 4 weeks before complete resection.
* Pathological diagnosed of non-small cell lung cancer.
* Diagnosed as stage IIIA.
* In 4 weeks after complete resection pts start to accept the adjuvant therapy in this study, previously did not receive any anti-tumor therapy.
* EGFR activating mutation in exon 19 or 21 and KARS
* ECOG performance status 0-1.
* Life expectancy ≥3 months.
* Adequate hematological function:Absolute neutrophil count (ANC) ≥1.5 x 109/L, and Platelet count ≥100 x 109/L, and Hemoglobin ≥9 g/dL (may be transfused to maintain or exceed this level).
* Adequate liver function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN);Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤ 2.5 x ULN.
* Adequate renal function:Serum creatinine ≤ 1.25 x ULN, and creatinine clearance ≥ 60 ml/min.
* Able to comply with the required protocol and follow-up procedures, and able to receive oral medications.
* Patients must be nonpregnant and non-lactating.Patients of childbearing potential must implement an effective method of contraception during the study. All female Patients, except those who are postmenopausal or surgically sterilized, must have a negative pre-study serum or urine pregnancy test. .

Exclusion Criteria

* Patients with prior exposure to agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
* Patients with prior chemotherapy or therapy with systemic anti-tumour therapy.
* Patients with prior radiotherapy.
* History of another malignancy in the last 5 years with the exception of the following:Cured basal cell carcinoma of the skin and cured in situ carcinoma of the uterine cervix are permitted.
* Any evidence confirmed tumor recurrence before adjuvant treatment.
* 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).
* Any evidence of clinically active interstitial lung disease.
* Eye inflammation or eye infection not fully treated or conditions predisposing the subject to this.
* Known human immunodeficiency virus (HIV) infection.
* Known hypersensitivity to Tarceva or NVB or cisplatin.
* Pregnancy or breast-feeding women.
* ECOG performance status ≥ 2.
* Ingredients mixed with small cell lung cancer patients
* Evidence of any other disease, neurological or metabolic dysfunction, physical examination or laboratory finding giving reasonable suspicion of a disease or condition that contraindicated the use of an investigational drug or puts the subject at high risk for treatment-related complications.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tianjin Medical University Cancer Institute and Hospital

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role collaborator

Zhejiang Cancer Hospital

OTHER

Sponsor Role collaborator

Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Sun Yat-sen University

OTHER

Sponsor Role collaborator

Chinese PLA General Hospital

OTHER

Sponsor Role collaborator

Qingdao University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role collaborator

The Second Affiliated Hospital of Harbin Medical University

OTHER

Sponsor Role collaborator

Hebei Medical University Fourth Hospital

OTHER

Sponsor Role collaborator

The Second People's Hospital of Sichuan

OTHER

Sponsor Role collaborator

Chinese Lung Cancer Surgical Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Changli Wang

Role: PRINCIPAL_INVESTIGATOR

Tianjin Medical University Cancer Institute and Hospital

Locations

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Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Sun Yat-Sen University Cancer Center

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

Hebei Medical University Fourth Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status RECRUITING

The First Affiurted Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status NOT_YET_RECRUITING

Qingdao University Medical College

Qingdao, Shandong, China

Site Status NOT_YET_RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

The Second People's Hospital of Sichuan

Chengdu, Sichuang, China

Site Status RECRUITING

Tianjin Medical University Cancer Institute and Hospital

Tianji, Tianji, China

Site Status RECRUITING

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Xuefeng Kan

Role: CONTACT

Email: [email protected]

Facility Contacts

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Chao Lv

Role: primary

Tao Wang

Role: primary

Lanjun Zhang

Role: primary

Xinbo Liu

Role: primary

Changfa Qu

Role: primary

Haitao Ma

Role: primary

Yongjie Wang

Role: primary

Yihua Sun

Role: primary

Qiang Li

Role: primary

Xuefeng Kan

Role: primary

Xinming Zhou

Role: primary

Other Identifiers

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C-LCSG-001

Identifier Type: -

Identifier Source: org_study_id