UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015467
Receipt number R000017967
Scientific Title Phase II study of erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment for advanced non-squamous, non-small cell lung cancer harboring activating EGFR mutations
Date of disclosure of the study information 2014/10/18
Last modified on 2018/10/21 20:57:18

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Basic information

Public title

Phase II study of erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment for advanced non-squamous, non-small cell lung cancer harboring activating EGFR mutations

Acronym

Phase II study of erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment for advanced non-small cell lung cancer harboring activating EGFR mutations

Scientific Title

Phase II study of erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment for advanced non-squamous, non-small cell lung cancer harboring activating EGFR mutations

Scientific Title:Acronym

Phase II study of erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment for advanced non-small cell lung cancer harboring activating EGFR mutations

Region

Japan


Condition

Condition

advanced EGFR mutation-positive non-squamous non-small cell lung cancer

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and the safety of the treatment of erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment for advanced non-squamous, non-small cell lung cancer harboring activating EGFR mutations

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

progression free survival

Key secondary outcomes

Overall survival, objective response rate, toxity, QOL,Exploratory purpose: using the next-generation sequencer, we examine the therapeutic effect over time and changes in circulating free DNA of EGFR gene mutations from plasma.


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

erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment

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

74 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Cytologically or histologically documented non-squamous non-small cell carcinoma of the lung
2) Harboring activating EGFR mutation (exon 19 deletion, and / or exon 21 L858R point mutation)or uncommon mutation (G719X or L861Q).
3) Have NSCLC with Stage IIIB, not candidate for curative radiotherapy, Stage IV or recurrence disease after surgery
4)No previous chemotherapy. If preoperative or postoperative adjuvant chemotherapy was done, it has passed more than six months from the last day of administration.
5)All of the following conditions is necessary if a patient has previously received radiation therapy.
1.Extra pulmonary fied
2.More than 12 weeks since prior radiotherapy to thoracic bones.
3.More than 2 weeks since prior radiotherapy to extra-thoracic sites.
6)If there is evaluable lesions or without measurable lesions.
7))>=20 and <=74 years of age.
8)ECOG performance status of 0 or 1.
9)Adequate organ function.
10)Written informed consent.
11)Expected survival of >= 3 months.

Key exclusion criteria

1)Harboring EGFR mutation of Exon20,T790M
2)Have symptomatic brain metastases or spinal metastases requiring surgical treatment or irradiation.
3)The presence of other concomitant malignancy less than 5 years disease-free interval
4)Have a pleural effusion, ascites or pericardial effusion requiring treatment
5)SVC syndrome
6)Symptomatic spinal cord compression
7)Currently have brain vascular disease with symptom, or have a history of it within one year before enrollment
8)Have sn unhealed fracture
9)Have a serious concomitant active infection
10)Have any evidence of interstitial lung on chest X-ray
11)Have a serious unstable angina, congestive heart failure, arrythmia requiring treatment and a history of myocardial infarction within 12 months prior to enrollment.
12)Clinically significant drug allergy
13)History of use of pemetrexed or EGFR-TKI as preoperative or postoperative adjuvant therapy
14)Pregnant or beeast-feeding woman or patient who doesn't agree to contraception
15) Mental disease or psychotic manifestation
16)Not suitable for participating in the study for any other reason
17)Currently have or have a history of hemoptysis
18) Patients with or with anticipation of invasive procedures as defined below:
1.Major surgery within four weeks of registration
2.two weeks after drainage tube removal
3.two weeks after pleurodesis
4.Minor surgical procedures or core biopsy within two weeks of registration etc.
19)Have a bleeding tendency
20)Have an intestinal diverticulitis
21)Have a history of gastrointestinal perforation less than one year prior to enrollment
22)Uncontrolable hypertension
23)Have a evidence of thrombosis
24)HBs antigen-positive cases
Others

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Fumio Imamura

Organization

Osaka Medical Center for Cardiovascular diseases

Division name

Department of Thoracic Oncology

Zip code


Address

1-3-3 Nakamichi Higashinari-ku, Osaka

TEL

0669711181

Email

imamura-fu@mc.pref.osaka.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazumi Nishino

Organization

Osaka Medical Center for Cardiovascular diseases

Division name

Department of Thoracic Oncology

Zip code


Address

1-3-3 Nakamichi Higashinari-ku, Osaka

TEL

0669721181

Homepage URL


Email

nisino-ka@mc.pref.osaka.jp


Sponsor or person

Institute

Department of Thoracic Oncology
Osaka Medical Center for Cardiovascular diseases

Institute

Department

Personal name



Funding Source

Organization

no

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

大阪府立成人病センター(大阪府)


Other administrative information

Date of disclosure of the study information

2014 Year 10 Month 18 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

Terminated

Date of protocol fixation

2014 Year 10 Month 10 Day

Date of IRB


Anticipated trial start date

2014 Year 10 Month 20 Day

Last follow-up date

2016 Year 10 Month 19 Day

Date of closure to data entry

2018 Year 10 Month 19 Day

Date trial data considered complete

2018 Year 10 Month 19 Day

Date analysis concluded

2018 Year 10 Month 19 Day


Other

Other related information



Management information

Registered date

2014 Year 10 Month 18 Day

Last modified on

2018 Year 10 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017967


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name