UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009603
Receipt number R000011263
Scientific Title Phase II study evaluating Erlotinib/Bevacizumab therapy as a second line therapy for advanced relapsed EGFR mutation positive non-squamous NSCLC patients who received first line combination therapy including platinum and Bevacizumab
Date of disclosure of the study information 2012/12/21
Last modified on 2012/12/21 12:02:32

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Basic information

Public title

Phase II study evaluating Erlotinib/Bevacizumab therapy as a second line therapy for advanced relapsed EGFR mutation positive non-squamous NSCLC patients who received first line combination therapy including platinum and Bevacizumab

Acronym

Phase II study evaluating Erlotinib/Bevacizumab therapy as a second line therapy for advanced relapsed EGFR mutation positive non-squamous NSCLC patients who received first line combination therapy including platinum and Bevacizumab

Scientific Title

Phase II study evaluating Erlotinib/Bevacizumab therapy as a second line therapy for advanced relapsed EGFR mutation positive non-squamous NSCLC patients who received first line combination therapy including platinum and Bevacizumab

Scientific Title:Acronym

Phase II study evaluating Erlotinib/Bevacizumab therapy as a second line therapy for advanced relapsed EGFR mutation positive non-squamous NSCLC patients who received first line combination therapy including platinum and Bevacizumab

Region

Japan


Condition

Condition

non-squamous non-small-cell lung cancer

Classification by specialty

Medicine in general Pneumology Surgery in general
Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of Erlotinib/Bevacizumab therapy as a second line therapy for advanced relapsed EGFR mutation positive non-squamous NSCLC patients who received first line combination therapy including platinum and Bevacizumab

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Response rate

Key secondary outcomes

Disease control rate, Progression free survival, Overall survival, Safety, Search for predictive factors


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients evaluated progression disease during platinum combination therapy including Bevacizumab, will receive Erlotinib / Bevacizumab therapy as the secondary cemotherapy

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients at the age of 20 and over
2. Confirmed as StageIIIB(unsuitable for definitive radiotherapy), StageIV, or recurrent after surgery
* Patients of at least 6 months after the last course of adjuvant chemotherapy
3. non-squamous NSCLC
4. EGFR mutation positive(exon19, 21)
5. Patients with life expectancy for more than 3 months
6. Eastern Cooperative Oncology Group performance status of 0-2
7. Patients with measurable disease based on Response Evaluation Criteria in Solid Tumors(RECIST)ver.1.1.
* radiation sites are not counted as measurable lesions
8. Advanced relapsed EGFR mutation positive non-squamous NSCLC patients evaluated progression disease during first line combination therapy including platinum and Bevacizumab
9. Patients with adequate organ function as following
Neutrocyte count >= 1,500/mm3
Hemoglobin >= 9.0 g/dL
Platelet count >= 100,000/mm3
Aspartate aminotransferase and alanine aminotransferase < 2.5 times the upper limit of normal
Total bilirubin <= 1.5mg/dL
Serum creatinine <= 1.5mg/dL
PT-INR < 1.5
Urine protein <= +1
* Confirmed by test results within 2 weeks before registration date. The same day of the week 2 weeks before enrollment cannot be included
10. At the time of the expected date of the beginning of treatment, patients with the following period has elapsed since prior treatments
No radiotherapy except for thoracic radiation within a week (exclude chest)
No Exploratory thoracotomy within 4 weeks
No pleural drainage within a week
11. Patients with sensitive EGFR mutation confirmed by PCR
12. Written informed consent can be obtained

Key exclusion criteria

1. Patients treated with EGFR-TKI
2. Patients with T790M mutation
3. Patients with history or combination of interstitial lung disease (interstitial pneumonia, pneumonitis, radiation pneumonia, BOOP, pulmonary fibrosis, ARDS, pulmorary infiltration, alveolitis, etc), and lung infection
4. Patients complicated with corneal disease, which is a problem in the clinical
5. Patients with intestinal diverticulitis
6. Patients with symptomatic brain metastases
7. Patients with history or complication of hemoptysis
*Definition of hemoptysis is determined as the following.
A history of continuous hemoptysis over one week, or hemoptysis receiving oral or intravenous hemostatic medicine
8. Patients with a history of severe drug allergy
9. Patients with uncontrolled ascites, pleural effusion, or pericardial effusion
10. Patients with a history of gastrointestinal perforation within an year, or a complication of uncontrollable peptic ulcer
11. Patients with uncontrolled hypertension
12. Patients with infectious disease requiring systemic administration of antiviral agents, antifungal agents, or antibiotics
13. Patients receiving antiplatelet therapy
*Patients receiving aspirin therapy up to 325mg are allowed to be registered
14. Patients with a history of radiation to the chest, or more than 20% region of bones with hematopoietic ability
15. Patients with multiple cancers within 5 years prior to initiation of the study, except for carcinoma in situ, mucosal cancer appropriately treated non-melanoma, cervical cancer, thyroid cancer, early gastric cancer, early colorectal cancer
16. Patients with serious complications (such as heart disease, active infection, interstitial pneumonia, diabetes)
17. Pregnant woman or those with suspected pregnancy, nursing woman and those who plan to become pregnant during the study period
18. Other patients whom the investigator considers to be unsuitable for participation in the study

Target sample size

13


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shigeru Tanzawa

Organization

Showa University Northern Yokohama Hospital

Division name

Respiratory Center

Zip code


Address

Chigasaki-chuo 35-1 Tsuzuki-ku, Yokohama 224-503, Japan.

TEL

045-949-7000

Email



Public contact

Name of contact person

1st name
Middle name
Last name Shigeru Tanzawa

Organization

Showa University Northern Yokohama Hospital

Division name

Respiratory Center

Zip code


Address

Chigasaki-chuo 35-1 Tsuzuki-ku, Yokohama 224-503, Japan.

TEL

045-949-7000

Homepage URL


Email



Sponsor or person

Institute

Respiratory Center, Showa University Northern Yokohama Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



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

昭和大学横浜市北部病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


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

Open public recruiting

Date of protocol fixation

2011 Year 09 Month 08 Day

Date of IRB


Anticipated trial start date

2012 Year 11 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 12 Month 21 Day

Last modified on

2012 Year 12 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011263


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name