| Registry | NCT03002844 |
|---|---|
| Status | Unknown |
| Phase | Phase 2 |
| Study type | Interventional; non randomized, parallel, masking: none, treatment |
| Enrollment | 50 (Estimated) |
| Sponsor | Shanghai Pulmonary Hospital, Shanghai, China (Other) |
| Conditions | Nonsmall Cell Lung Cancer, EGFR Gene Mutation |
| Interventions | EGFR-TK Inhibitor, EGFR-TKI, EGFR-TKI and Chemotherapy (Drug) |
| Dates | start 2016-12-01, primary completion 2017-08-01 (estimated), completion 2018-12-01 (estimated), first posted 2016-12-26, last updated 2016-12-28 |
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All trials for Nonsmall Cell Lung Cancer All trials for EGFR Gene Mutation All trials of EGFR-TK Inhibitor All trials of EGFR-TKI
BIM deletion polymorphism might be associated with a poor clinical response to EGFR-TKIs in patients who had NSCLC with EGFR mutations. In the study, the investigators want to use EGFR-TKI with/without chemotherapy as first line treatment in stage IIIB/IV NSCLC patients with both EGFR mutation and BIM deletion polymorphism.
BIM deletion polymorphism was a poor clinical response marker to EGFR-TKIs in NSCLC patients who had EGFR mutations. In the study, the investigators want to use EGFR-TKI with chemotherapy as 1 st treatment in stage IIIB/IV NSCLC patients with both EGFR mutation and BIM deletion polymorphism.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| EGFR-TKI and Chemotherapy | Experimental | Drug: EGFR-TKI; Drug: EGFR-TKI and Chemotherapy | gefitinib with pemetrexed/gemcitabine and carboplatin |
| EGFR-TK Inhibitor | Experimental | Drug: EGFR-TK Inhibitor | Gefitinib |
Sex: All, ages: 18 Years to 70 Years
Inclusion Criteria: 1. Signed informed consent 2. Histologically documented, unresectable, inoperable, locally advanced, recurrent or metastatic Stage IV Non-Small Cell Lung Cancer (NSCLC) 3. Must have measurable or non-measurable disease 4. Must be able to comply with study and follow-up procedures Exclusion Criteria: 1. Small cell, carcinoid, or mixed small cell lung cancer 2. Malignancies within 3 years except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer 3. Symptomatic or untreated brain metastases Prior systemic chemotherapy for NSCLC 4. Unstable systemic disease, including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months prior to Day 1, or serious cardiac arrhythmia requiring medication 5. History of other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that might affect the interpretation of the results of the study or render the patient at high risk from treatment complications 6. Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for intravenous (IV) alimentation, or prior surgical procedures affecting absorption 7. Pregnancy or lactation