Unique ID issued by UMIN | UMIN000015467 |
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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 |
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
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
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
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
Japan |
advanced EGFR mutation-positive non-squamous non-small cell lung cancer
Pneumology | Hematology and clinical oncology |
Malignancy
YES
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
Safety,Efficacy
Exploratory
Pragmatic
Phase II
progression free survival
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.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
erlotinib plus bevacizumab and inserted cisplatin, pemetrexed plus bevacizumab as a 1st-line treatment
20 | years-old | <= |
74 | years-old | >= |
Male and Female
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.
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
20
1st name | |
Middle name | |
Last name | Fumio Imamura |
Osaka Medical Center for Cardiovascular diseases
Department of Thoracic Oncology
1-3-3 Nakamichi Higashinari-ku, Osaka
0669711181
imamura-fu@mc.pref.osaka.jp
1st name | |
Middle name | |
Last name | Kazumi Nishino |
Osaka Medical Center for Cardiovascular diseases
Department of Thoracic Oncology
1-3-3 Nakamichi Higashinari-ku, Osaka
0669721181
nisino-ka@mc.pref.osaka.jp
Department of Thoracic Oncology
Osaka Medical Center for Cardiovascular diseases
no
Self funding
NO
大阪府立成人病センター(大阪府)
2014 | Year | 10 | Month | 18 | Day |
Unpublished
Terminated
2014 | Year | 10 | Month | 10 | Day |
2014 | Year | 10 | Month | 20 | Day |
2016 | Year | 10 | Month | 19 | Day |
2018 | Year | 10 | Month | 19 | Day |
2018 | Year | 10 | Month | 19 | Day |
2018 | Year | 10 | Month | 19 | Day |
2014 | Year | 10 | Month | 18 | Day |
2018 | Year | 10 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017967
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