Icotinib as Adjuvant Therapy Compared With Standard Chemotherapy in Stage II-IIIA NSCLC With EGFR-mutation

NCT ID: NCT02448797

Last Updated: 2021-07-20

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

PHASE3

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-08

Study Completion Date

2023-12-31

Brief Summary

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Adjuvant therapy has been proved effective in treating earlier stage or less advanced non-small-cell lung cancer. This study is designed to evaluate the efficacy of icotinib as adjuvant therapy in treating stage II-IIIA non-small cell lung cancer patients with EGFR mutation. The primary endpoint is disease-free survival.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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icotinib

125 mg three times daily (375 mg per day) orally for two years.

Group Type EXPERIMENTAL

Icotinib

Intervention Type DRUG

125 mg three times daily (375 mg per day) orally for two years.

standard chemotherapy

Vinorelbine 25 mg/m\^2, intravenously guttae, day 1 and day 8, 21 days/cycle, 4 cycles.

cisplatin 75 mg/m\^2, intravenously guttae, day 1, 21 days/cycle, 4 cycles.

For adenocarcinoma: pemetrexed (500 mg/m\^2, day 1)/cisplatin (75 mg/m\^2, day 1) for 4 cycles.

Group Type ACTIVE_COMPARATOR

Chemotherapy

Intervention Type DRUG

Vinorelbine 25 mg/m\^2, intravenously guttae, day 1 and day 8, 21 days/cycle, 4 cycles, cisplatin 75 mg/m\^2, intravenously guttae, day 1, 21 days/cycle, 4 cycles. For adenocarcinoma: pemetrexed (500 mg/m\^2, day 1)/cisplatin (75 mg/m\^2, day 1) for 4 cycles.

Interventions

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Icotinib

125 mg three times daily (375 mg per day) orally for two years.

Intervention Type DRUG

Chemotherapy

Vinorelbine 25 mg/m\^2, intravenously guttae, day 1 and day 8, 21 days/cycle, 4 cycles, cisplatin 75 mg/m\^2, intravenously guttae, day 1, 21 days/cycle, 4 cycles. For adenocarcinoma: pemetrexed (500 mg/m\^2, day 1)/cisplatin (75 mg/m\^2, day 1) for 4 cycles.

Intervention Type DRUG

Other Intervention Names

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Conmana Navelbine ALIMTA

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed non-small cell lung cancer after surgical resection
* Stage II-IIIA disease according to 7th edition of TNM staging
* Positive EGFR gene mutation (19/21)
* ECOG 0-1
* At least 1-year life expectancy
* Adequate organ function

Exclusion Criteria

* Previous systemic anti-tumor therapy, including chemotherapy or targeted therapy(Including but not limited to monoclonal antibodies, small molecule tyrosine kinase inhibitor, etc
* Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ
* Pneumonectomy of right lung
* Any unresolved chronic toxicity from previous anticancer therapy
* Allergic to study drug
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Betta Pharmaceuticals Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Caicun Zhou, MD

Role: STUDY_CHAIR

Shanghai Pulmonary Hospital, Shanghai, China

Jianxing He, MD

Role: STUDY_CHAIR

The First Affiliated Hospital of Guangzhou Medical University

Locations

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307 Hospital of PLA

Beijing, Beijing Municipality, China

Site Status

Fujian Provincal Cancer Hospital

Fuzhou, Fujian, China

Site Status

The First Affiliated Hospital Of Guangzhou Medical Collage

Guangzhou, Guangdong, China

Site Status

Shenzhen People's Hospital

Shenzhen, Guangdong, China

Site Status

The First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status

First Affiliated Hospital of China Medical University

Shenyang, Liaoning, China

Site Status

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

Site Status

The First Affiliated Hospital of Medical School of Zhejiang University

Hangzhou, Zhejiang, China

Site Status

Countries

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China

References

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Occhipinti M, Imbimbo M, Ferrara R, Simeon V, Fiscon G, Marchal C, Skoetz N, Viscardi G. Adjuvant epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) for the treatment of people with resected stage I to III non-small-cell lung cancer and EGFR mutation. Cochrane Database Syst Rev. 2025 May 27;5(5):CD015140. doi: 10.1002/14651858.CD015140.pub2.

Reference Type DERIVED
PMID: 40421698 (View on PubMed)

He J, Su C, Liang W, Xu S, Wu L, Fu X, Zhang X, Ge D, Chen Q, Mao W, Xu L, Chen C, Hu B, Shao G, Hu J, Zhao J, Liu X, Liu Z, Wang Z, Xiao Z, Gong T, Lin W, Li X, Ye F, Liu Y, Ma H, Huang Y, Zhou J, Wang Z, Fu J, Ding L, Mao L, Zhou C. Icotinib versus chemotherapy as adjuvant treatment for stage II-IIIA EGFR-mutant non-small-cell lung cancer (EVIDENCE): a randomised, open-label, phase 3 trial. Lancet Respir Med. 2021 Sep;9(9):1021-1029. doi: 10.1016/S2213-2600(21)00134-X. Epub 2021 Jul 21.

Reference Type DERIVED
PMID: 34280355 (View on PubMed)

Other Identifiers

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CCTC-1501

Identifier Type: OTHER

Identifier Source: secondary_id

BD-IC-IV-61

Identifier Type: -

Identifier Source: org_study_id

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