A Chinese Randomized Crossover Study of Erlotinib Versus Docetaxel/Cisplatin in Previously Untreated Stage IIIB/IV Lung Adenocarcinoma With EGFR Mutations
Survival Analysis of A Chinese Randomized Crossover Study Comparing Erlotinib to Docetaxel/Cisplatin in Previously Untreated Stage IIIB/IV Lung Adenocarcinoma With EGFR Mutations
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Liang-An Chen, MD, phD
- Telefonnummer: 86-10-66939361
- E-mail: chenla301@263.net
Studiesteder
-
-
Beijing
-
Beijing, Beijing, Kina, 100853
- Chinese PLA General Hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Male and female patients aged over 18 years
- Histologically proven lung adenocarcinoma
- clinical stage IIIB/IV
- ECOG performance status 0-2
- Had no prior anticancer agent, radiation or surgical therapy for lung adenocarcinoma
- At least one measurable lesion (according to RECIST)
- Provision of written informed consent
- Life expectancy of at least 12 weeks
Exclusion Criteria:
- History of malignant disease.
- Evidence of clinically active interstitial lung diseases (patients with chronic, stable, radiographic changes who are asymptomatic need not be excluded)
- Expected life expectancy less than 2 months
- As judged by the investigator, any evidence of severe or uncontrolled systemic disease (e.g. unstable or uncompensated respiratory, cardiac, hepatic, or renal disease)
- Aspartate aminotransferase (AST/SGOT) or alanine aminotransferase (ALT/SGPT) ≥ 2.5 x ULN if no demonstrable liver metastases (or >5 x in presence of liver metastases)
- Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the subject to participate in the study
- Pregnancy or breast-feeding women (women of child¬bearing potential). Women of childbearing potential must practice acceptable methods of birth control to prevent pregnancy.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: first-line erlotinib
erlotinib in first-line treatment and docetaxel/cisplatin in second-line treatment
|
Erlotinib 150 mg/d per os until proven disease progression
Docetaxel 75mg/m2 iv day 1 every 3 weeks as second-line treatment
cisplatin 75mg/ m2 iv day 1 every 3 weeks as second-line treatment
Docetaxel 75mg/m2 iv day 1 every 3 weeks for 6 cycles at most
Cisplatin 75mg/m2 iv day 1 every 3 weeks for 6 cycles at most
Erlotinib 150 mg/d per os as second-line treatment
|
|
Aktiv komparator: second-line erlotinib
docetaxel/cisplatin in first-line treatment and erlotinib in second-line treatment
|
Erlotinib 150 mg/d per os until proven disease progression
Docetaxel 75mg/m2 iv day 1 every 3 weeks as second-line treatment
cisplatin 75mg/ m2 iv day 1 every 3 weeks as second-line treatment
Docetaxel 75mg/m2 iv day 1 every 3 weeks for 6 cycles at most
Cisplatin 75mg/m2 iv day 1 every 3 weeks for 6 cycles at most
Erlotinib 150 mg/d per os as second-line treatment
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Overall survival
Tidsramme: three year
|
three year
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
livskvalitet under førstelinjebehandlingen
Tidsramme: hver 3. uge under førstelinjebehandling
|
hver 3. uge under førstelinjebehandling
|
|
|
progression-free survival during the first-line treatment
Tidsramme: 1 year
|
1 year
|
|
|
progression-free time during the second-line treatment
Tidsramme: 2 years
|
2 years
|
|
|
quality of life during the second-line therapy
Tidsramme: every 3 weeks during the second-line therapy
|
every 3 weeks during the second-line therapy
|
|
|
response rates during the first-line treatment
Tidsramme: at 6 months from treatment initiation
|
at 6 months from treatment initiation
|
|
|
response rates during the second-line treatment
Tidsramme: every 3 weeks during the treament, and and every 6 weeks thereafter
|
every 3 weeks during the treament, and and every 6 weeks thereafter
|
|
|
toxicity during the first-line treatment
Tidsramme: at 12 months from treatment initiation
|
at 12 months from treatment initiation
|
|
|
toxicity during the second-line treatment
Tidsramme: end of study
|
end of study
|
|
|
preditive and prognostic markers for chemotherapy or erlotinib
Tidsramme: end of study
|
tissues for markers analysis are acquired during diagnosis procedure with informed consent.
|
end of study
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studiestol: Liang-An Chen, M.D., Ph.D., Chinese PLA general hospital, Beijing, China
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Luftvejssygdomme
- Neoplasmer efter histologisk type
- Neoplasmer
- Lungesygdomme
- Neoplasmer efter sted
- Karcinom
- Neoplasmer, kirtel og epitel
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Lungeneoplasmer
- Karcinom, ikke-småcellet lunge
- Adenocarcinom
- Adenocarcinom i lunge
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antineoplastiske midler
- Tubulin modulatorer
- Antimitotiske midler
- Mitose modulatorer
- Proteinkinasehæmmere
- Docetaxel
- Erlotinib hydrochlorid
- Cisplatin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- PLAGH-TKIs
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