Status:

COMPLETED

LUX-Lung 7: A Phase IIb Trial of Afatinib(BIBW2992) Versus Gefitinib for the Treatment of 1st Line EGFR Mutation Positive Adenocarcinoma of the Lung

Lead Sponsor:

Boehringer Ingelheim

Conditions:

Lung Neoplasms

Eligibility:

All Genders

18-90 years

Phase:

PHASE2

Brief Summary

This is a randomised, open-label, phase IIb trial of afatinib to compare to gefitinib in first-line treatment setting with patients who are having epidermal growth factor receptor mutation positive ad...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Pathologically confirmed diagnosis of Stage IIIB / IV adenocarcinoma of the lung.
  • Documented activating epidermal growth factor receptor mutation (Del19 and/or L858R) with tumour tissues.
  • At least one measurable lesion according to response evaluation criteria in solid tumours version 1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • Age \>= 18 years.
  • Adequate organ function as defined by the following criteria:
  • Serum aspartate transaminase(AST) and serum alanine transaminase(ALT) =\< 3 x upper limit of normal (ULN), or AST and ALT =\<5 x ULN if liver function abnormalities are due to underlying malignancy Total serum bilirubin =\<1.5 x ULN Absolute neutrophil count (ANC) \>=1.5 x 109/L Creatinine clearance \> 45ml / min Platelets \>= 75 x 109/L
  • Exclusion criteria:
  • Prior systemic chemotherapy for stage IIIB or IV non-small cell lung cancer. Neo-/adjuvant chemotherapy, chemoradiation or radiotherapy is permitted if at least 12 months has elapsed prior to disease progression.
  • Prior treatment with epidermal growth factor receptor targeting small molecules or antibodies.
  • Major surgery within 4 weeks of study randomisation.
  • Active brain metastases
  • Meningeal carcinomatosis.
  • Previous or concomitant malignancies at other sites, except effectively treated non-melanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ or effectively treated malignancy that has been in remission for more than 3 years and is considered to be cured in the opinion of investigator.
  • Known pre-existing interstitial lung disease.
  • Clinically relevant cardiovascular abnormalities as judged by the investigator.
  • Cardiac left ventricular function with resting ejection fraction of less than institutional lower limit of normal.
  • Women of child-bearing potential (WOCBP) and men who are able to father a child, unwilling to be abstinent or use adequate contraception prior to study entry, for the duration of study participation and for at least 2 months after treatment has ended.
  • Pregnancy or breast-feeding.
  • Active hepatitis and/or known HIV carrier
  • Any prohibited concomitant medications for therapy with afatinib or gefitinib

Exclusion

    Key Trial Info

    Start Date :

    December 13 2011

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    April 12 2019

    Estimated Enrollment :

    319 Patients enrolled

    Trial Details

    Trial ID

    NCT01466660

    Start Date

    December 13 2011

    End Date

    April 12 2019

    Last Update

    April 7 2020

    Active Locations (63)

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    Page 1 of 16 (63 locations)

    1

    Chris Obrien Lifehouse

    Camperdown, New South Wales, Australia, 2050

    2

    St George Hospital

    Kogarah, New South Wales, Australia, 2217

    3

    The Prince Charles Hospital

    Chermside, Queensland, Australia, 4032

    4

    Haematology & Oncology Clinics of Australasia (HOCA)

    South Brisbane, Queensland, Australia, 4101

    LUX-Lung 7: A Phase IIb Trial of Afatinib(BIBW2992) Versus Gefitinib for the Treatment of 1st Line EGFR Mutation Positive Adenocarcinoma of the Lung | DecenTrialz