Status:

COMPLETED

Preoperative Gefitinib for EGFR Mutant II-IIIa NSCLC (ECTOP-1001)

Lead Sponsor:

Fudan University

Conditions:

Non-small-cell Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a clinical trial from Eastern Cooperative Thoracic Oncology Project (ECTOP), numbered as ECTOP-1001. This is an open-label, single-arm, phase II interventional clinical trial. The investigator...

Eligibility Criteria

Inclusion

  • Provision of informed consent
  • Pathologically confirmed non-small cell lung cancer with EGFR exon 19 deletion or exon 21 L858 mutation.
  • Clinically or pathologically confirmed stage II-IIIA
  • Tolerable to complete resection of lung cancer
  • Male or female aged 18 years and over
  • Able to comply with the required protocol and follow-up procedures, and able to receive oral medications
  • ECOG performance status 0-1.
  • Life expectancy ≥12 weeks.
  • Adequate hematological function: Absolute neutrophil count (ANC) ≥2.0 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 amino transferase (AST) and alanine amino transferase (ALT) ≤ 2.5 x upper limit of normal (ULN).
  • Adequate renal function: Serum creatinine ≤ 1.5 x upper limit of normal (ULN), and creatinine clearance≥ 60 ml/min.
  • Measurable disease according to the preset criteria .

Exclusion

  • Known severe hypersensitivity to gefitinib or any of the excipients of this product
  • Any serious concomitant systemic disorder that, in the opinion of the investigator, would compromise the patient's ability to complete the study
  • Interstitial lung disease(ILD) or pulmonary fibrosis; impaired pulmonary function (e.g. FEV1 \<40% predicted value, artery blood gas PaO2\<60mmHg)
  • Patients with prior exposure to agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
  • Patients with prior exposure to chemotherapy, irradiation or systemic anti-cancer therapy (e.g. monoclonal antibody therapy) for lung cancer.
  • Previous or current malignancies of other histologies within the last 5 years with the exception of the following: other malignancies cured by surgery alone and having a continuous disease-free survival of 5 years; cured basal cell carcinoma of the skin and cured in situ carcinoma of the uterine cervix.
  • Any unstable systemic disease (including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, myocardial infarction within six months, serious cardiac arrhythmia requiring medication, hepatic, renal, or metabolic disease).
  • Eye inflammation or eye infection not fully treated or predisposing factor of this.
  • Evidence of any other disease, neurological or metabolic dysfunction, physical examination or laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or puts the subject at high risk for treatment-related complications.
  • Patient who has serious active infection
  • Patients who harbouring exon 20 T790M mutation.
  • Pregnancy or breast feeding.

Key Trial Info

Start Date :

May 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2015

Estimated Enrollment :

36 Patients enrolled

Trial Details

Trial ID

NCT01833572

Start Date

May 1 2013

End Date

October 1 2015

Last Update

July 12 2023

Active Locations (1)

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1

Fudan University Shanghai Cancer Center

Shanghai, China, 200032