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Blood Detection of EGFR Mutation For Iressa Treatment (Benefit)

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ClinicalTrials.gov Identifier: NCT02282267
Recruitment Status : Unknown
Verified February 2017 by Jie Wang, Beijing Cancer Hospital.
Recruitment status was:  Active, not recruiting
First Posted : November 4, 2014
Last Update Posted : February 24, 2017
Sponsor:
Information provided by (Responsible Party):
Jie Wang, Beijing Cancer Hospital

Brief Summary:
This study was proposed to validate the efficacy of gefitinib as first-line therapy in advanced lung adenocarcinoma with EGFR mutation determined by plasma cf-DNA.

Condition or disease Intervention/treatment Phase
Lung Adenocarcinoma Drug: Gefitinib Not Applicable

Detailed Description:
Patients without enough tissue for EGFR mutation detection can also have opportunity to use EGFR-TKI as first line therapy. Meanwhile, this study was also proposed to explore the best intervention time of anti-resistant drugs (such as AZD 9291, a T790M inhibitor) through the quantitative and dynamic analysis of EGFR sensitive and resistant mutation in plasma cf-DNA during EGFR-TKI treatment process.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 188 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: Iressa treatment oral daily
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Blood Detection of EGFR Mutation For Iressa Treatment
Actual Study Start Date : October 2014
Estimated Primary Completion Date : December 2017
Estimated Study Completion Date : February 2018

Resource links provided by the National Library of Medicine

Drug Information available for: Gefitinib

Arm Intervention/treatment
Experimental: Gefitinib
Patients with EGFR mutation in plasma detected by droplet digital PCR could receive Gefitinib 250mg every day until disease progression.
Drug: Gefitinib
Iressa 250mg oral daily
Other Name: Iressa




Primary Outcome Measures :
  1. objective response rate of gefitinib [ Time Frame: up to 6 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Provision of informed consent prior to any study specific procedures.
  • Male or female patients aged ranging from 18 to 75 years old.
  • Histological confirmation of lung adenocarcinoma. Attention: the paraffin embedded cytological samples extracted from pleural effusion are acceptable. Adeno-squamous carcinoma is not allowed to enroll. Sputum cytology alone cannot be acceptable. Bronchoalveolar lavage and fine needle aspiration cytology specimens for lesions also cannot acceptable.
  • Metastatic lung adenocarcinoma (stage Ⅳ, IASLC, 2009).
  • EGFR sensitive mutation (including exon 19 del and/or exon 21 L858R) in plasma cf-DNA by ddPCR.
  • Chemotherapy, immunotherapy and other systemic anti-cancer treatment (such as EGFR inhibitor including other EGFR tyrosine kinase inhibitor and EGFR antibody, and anti-vascular therapy including vascular epithelial growth factor receptor inhibitor and Endostar) naïve. Radical surgery and radiotherapy must be completed at least 6 months before start of study treatment. Adjuvant chemotherapy is allowed and must be finished at least 6months before start of study drug. Palliative radiotherapy must be completed at least 2 weeks before start of study treatment with no persistent radiation toxicity.
  • At least one lesion, not previously irradiated, that can be accurately measured at baseline as 10mm in the longest diameter (lymph nodes must have short axis more than 15mm) with computed tomography (CT) or magnetic resonance imaging (MRI) and which is suitable for accurate repeated measurements.
  • WHO Performance Status 0, 1 or 2.
  • Criteria for laboratory examinations:

Blood white cell count≥3.0*109/L, Neutrophile cell count ≥1.5*109/L Platelet count ≥100*109/L Total bilirubin (TB) ≤ 1.5 times upper limit of normal Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤2 times upper limit of normal; for subjects with hepatic metastasis, AST, ALT≤ 5 times upper limit of normal Creatinine clearance≥50ml/min

Exclusion Criteria:

  • Known severe allergic to gefitinib or any excipient of the product.
  • Considered to require radiotherapy to the lung at the time of study entry or in the near future.
  • Newly diagnosed symptomatic central nervous system (CNS) metastasis or spinal cord compression unless treated with surgery and/or radiation and stable without steroid for at least 2 weeks.
  • Uncontrolled massive pleural or pericardial effusion.
  • Past medical history of interstitial lung disease, drug-induced interstitial disease, radiation pneumonitis which required steroid treatment or any evidence of clinically active interstitial lung disease.
  • The presence of idiopathic pulmonary fibrosis in baseline CT scans.
  • Combined use of phenytoin, rifampin, carbamazepine, pentobarbital or St. John's wort.
  • Any obvious ocular anomalies, especially severe dry eye syndrome, keratoconjunctivitis sicca, serious exposure keratitis or other potentially increased epithelial lesions.
  • As judged by the investigator, any evidence of severe of uncontrolled systemic disease (e.g. active infection, uncontrolled hypertension unstable angina, congestive hear failure, liver, kidney or metabolic diseases).
  • Could not accept oral administration, need intravenous nutrition, previous operation that affect absorption or active peptic ulcer.
  • Pregnant or lactating women.
  • Prior administration of other study drug or drug without approval within 30 days before the first day of study drug administration.
  • Other co-existing malignancies on malignancies diagnosed within the last 5 years, with the exception of basal cell carcinoma or cervical cancer in situ or completely resected intra-mucosal gastric cancer.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02282267


Locations
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China
beijing Cancer Hospital
Beijing, China
Sponsors and Collaborators
Beijing Cancer Hospital
Investigators
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Principal Investigator: jie wang, doctor Beijing Cancer Hospital
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Jie Wang, Chief of thoracic cancer department, Beijing Cancer Hospital
ClinicalTrials.gov Identifier: NCT02282267    
Other Study ID Numbers: BJCHDTC002
First Posted: November 4, 2014    Key Record Dates
Last Update Posted: February 24, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Jie Wang, Beijing Cancer Hospital:
Epidermal growth factor receptor
Droplet digital PCR
Additional relevant MeSH terms:
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Adenocarcinoma of Lung
Adenocarcinoma
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Lung Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Gefitinib
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action