Unique ID issued by UMIN | UMIN000003421 |
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Receipt number | R000004101 |
Scientific Title | Phase I study of combination chemotherapy with erlotinib and S-1 as the 2nd or 3rd-line treatment in platinum-refractory advanced non-small cell lung cancer (TORG0808) |
Date of disclosure of the study information | 2010/03/31 |
Last modified on | 2020/11/12 10:41:15 |
Phase I study of combination chemotherapy with erlotinib and S-1 as the 2nd or 3rd-line treatment in platinum-refractory advanced non-small cell lung cancer (TORG0808)
Phase I study of combination chemotherapy with erlotinib and S-1 in pretreated non-small cell lung cancer(TORG0808)
Phase I study of combination chemotherapy with erlotinib and S-1 as the 2nd or 3rd-line treatment in platinum-refractory advanced non-small cell lung cancer (TORG0808)
Phase I study of combination chemotherapy with erlotinib and S-1 in pretreated non-small cell lung cancer(TORG0808)
Japan |
non-small cell lung cancer
Pneumology |
Malignancy
YES
To evaluate the dose-limiting toxicity (DLT) and the maximum tolerable dose (MTD) for the following phase II study of a two-drug combination of erlotinib and S-1.
To evaluate the antitumor activity and safety of this combination.
Safety,Efficacy
Exploratory
Phase I
Maximum Tolerated Dose of Erlotinib/S-1 combination therapy
Anti tumor efficacy
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Erlotinib administers 150mg/body orally once a day.
Patients receive oral doses of S-1
twice daily after meals from days 1 to 14 of each 21-day cycle at the following dose level.
Level 0:60mg/m2day
Level 1:70mg/m2day
Level 2:80mg/m2day
Initially three patients are enrolled to level 1. When DLT was observed at one of them, Additionally three patients are enrolled. If DLT is observed at one of the six, S-1 dose is escalated to level 2. In case DLT is observed at three of the three or two of the six or more, We determine level 1 as MTD.
RD is one level below MTD.
20 | years-old | <= |
Not applicable |
Male and Female
1)Histology/cytology-proven non-small cell lung cancer
2)Stage IIIB (wide radiation field, malignant pleural effusion or contralateral supraclavicular lymph node) or Stage IV
3)Previous 1- or 2-regimen chemotherapy consisting of platinum
4) No prior chemotherapy with EGFR-TKI or fluoropyrimidine
5)Presence of measurable disease
6)more than 4weeks after the last treatment
7)measurable disease per RECIST criteria
8)ECOG PS of 0-1
9)Age of 20 years or over
10)Adequate reserves for marrow, renal, hepatic, and pulmonary functions
11)Acquisition of written informed consent
1) no other evaluable lesion after the prior irradiation for the primary tumor
2) the superior vena caval syndrome
3) previous drug allergy
4,5) massive pericardial, pleural effusion, or ascites
6,9,14) serious underlying diseases
(interstitial pneumonia, serious cardiac diseases, serious infection)
7,8)diarrhea to last, ileus, or intestinal tract paralysis
10) previous radiotherapy for cest or ilium bone
11) symptomatic brain metastasis
12) concomitant malignancy
13) uncontrolled diabetes mellitus
15)mental disorder to become the clinical problem
16)hoped to be pregnant/ nursing
17)those judged to be not suitable by the attending physician
6
1st name | |
Middle name | |
Last name | Tetsu Shinkai |
National hospital organization shikoku cancer center
department of respiratory disease
160,Minamiumemoto-machi-ko,matsuyama,Ehime
1st name | |
Middle name | |
Last name | Naoyuki Nogami |
National hospital organization shikoku cancer center
Administration office
160,Minamiumemoto-machi-ko,matsuyama,Ehime
089-999-1111
http://www.torg.or.jp/
Nnogami@shikoku-cc.go.jp
Thoracic Oncology Research Group
Thoracic Oncology Research Group
Non profit foundation
japan
NO
2010 | Year | 03 | Month | 31 | Day |
-
Published
https://link.springer.com/article/10.1007/s10637-020-00985-4
7
A total of 7 patients with performance-status (PS) 0 or 1 were enrolled as subjects in phase I. Five of these subjects were EGFR-mutation positive. Four subjects were enrolled at S-1 dose level 1 and 3 were enrolled at S-1 dose level 2. No dose-limiting toxicities were observed in these subjects. The RD was decided as erlotinib 150 mg/body and S-1 80 mg/m2. In phase I, 5 subjects achieved partial response, and the ORR was 71.4%.
2020 | Year | 11 | Month | 12 | Day |
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Completed
2008 | Year | 11 | Month | 13 | Day |
2008 | Year | 12 | Month | 01 | Day |
2010 | Year | 04 | Month | 01 | Day |
2010 | Year | 03 | Month | 31 | Day |
2020 | Year | 11 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004101
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