UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001738
Receipt number R000002091
Scientific Title Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
Date of disclosure of the study information 2009/03/01
Last modified on 2013/09/05 15:16:46

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Basic information

Public title

Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation

Acronym

Phase II study of gefitinib therapy inserted by chemotherapy for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation

Scientific Title

Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation

Scientific Title:Acronym

Phase II study of gefitinib therapy inserted by chemotherapy for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation

Region

Japan


Condition

Condition

Non-small-cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of the treatment with gefitinib for 8weeks, followed by chemotherapy (cisplatin/ docetaxel 3cycles), then gefitinib again for chemotherapy-naive advanced or postoperative-recurrent non-small-cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

2-years progression free survival rate

Key secondary outcomes

Response rate
Overall survival
Toxicity


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1) Gefitinib 250mg/day orally for 8weeks
2) Gefitinib cessation for 2weeks
3) Chemotherapy (every 21days, 3cycles)
Cisplatin 80 mg/m2 day1
Docetaxel 60 mg/m2 day1
4) Gefitinib 250mg/day orally until intolerable toxicity or disease progression

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >

Gender

Male and Female

Key inclusion criteria

1) Pathologically confirmed, stage IIIB/IV or post-operative recurrent non-small-cell lung cancer
2) EGFR somatic mutation (exon 19 DEL or exon 21 L858R) (regardless of the sampling and analysis method)
3) No prior chemotherapy (Patients who had taken oral UFT as adjuvant chemotherapy and finished the therapy more than 4weeks ago are eligible)
4) In post-operative recurrent case, 4weeks or longer blank after operation is needed
5) Age over 20 and under 75 years old
6) ECOG performance status 0-2
7) Life expectancy of 12weeks or longer
8) Adequate organ function
9) Written informed consent

(Patients who received pleural effusion drainage, pleurodesis, and local palliative radiation therapy are eligible, but patients who received pericardiac effusion drainage are ineligible.)

Key exclusion criteria

1) EGFR mutation that associates with gefitinib resistance (exon 20 T790M) or K-ras mutation
2) CNS metastasis requiring treatment
3) Interstitial pneumonitis or pulmonary fibrosis as determined from chest CT
4) Complications like below
a) Active infection
b) Acute myocardial infarction, the other severe heart diseases, and arrhythmia within the previous 6months
c) Uncontrollable diabetes mellitus
d) Uncontrollable hypertension
e) Continuous diarrhea and ileus
f) Psychological disorders difficult to cooperate in the clinical trial
5) Receiving systemic corticosteroid therapy
6) Active metachronous cancer (disease-free survival of less than 5years)
7) Pregnancy or breast-feeding
8) No intent to practice contraception
9) Difficult to take medicine continuously

Target sample size

33


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tomohide Tamura

Organization

National Cancer Center Hospital

Division name

Thoracic Medical Oncology

Zip code


Address

5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Email

ttmaura@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yuichiro Ohe, Shintaro Kanda

Organization

National Cancer Center Hospital

Division name

Thoracic Medical Oncology

Zip code


Address

5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Homepage URL


Email

skanda@ncc.go.jp


Sponsor or person

Institute

Thoracic Medical Oncology, National Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2008 Year 09 Month 23 Day

Date of IRB


Anticipated trial start date

2008 Year 11 Month 01 Day

Last follow-up date

2012 Year 04 Month 01 Day

Date of closure to data entry

2012 Year 10 Month 01 Day

Date trial data considered complete

2012 Year 11 Month 01 Day

Date analysis concluded

2013 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2009 Year 02 Month 27 Day

Last modified on

2013 Year 09 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002091


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name