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Real-world protocol for first-line ematinib therapy in patients with locally advanced or metastatic NSCLC who are EGFR mutation-positive (21 L858R)

Real-world protocol for first-line ematinib therapy in patients with locally advanced or metastatic NSCLC who are EGFR mutation-positive (21 L858R)

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200064451
Enrollment
Unknown
Registered
2022-10-09
Start date
2022-10-08
Completion date
Unknown
Last updated
2023-05-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

non-small cell lung cancer (NSCLC)

Interventions

Sponsors

Mianyang Central Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Aged >=18 years, no gender limit. 2. The Eastern Tumor Consortium (ECOG) had a physical status score of 0 or 1, did not worsen for at least 2 weeks prior to study drug therapy, and expected survival was not less than 12 weeks. 3. Histologically or cytologically confirmed locally advanced or metastatic stage IIIB-IV NSCLC (including patients with recurrent or newly diagnosed advanced NSCLC after prior surgical treatment; According to AJCC 8th Edition of lung cancer staging criteria). 4. No systemic treatment was received after diagnosis of stage IIIB-IV NSCLC. Patients who have received local treatment may participate in the study if the lesions within the local treatment range are non-target lesions. 5. A tumor tissue sample or blood sample was confirmed as an EGFR-sensitive mutation (21 L858R) by an investigator-approved local laboratory test. 6. Asymptomatic patients with brain metastases can be enrolled. 7. Women of childbearing age should take appropriate contraceptive measures and should not breastfeed for 3 months from screening to cessation of study treatment.

Exclusion criteria

Exclusion criteria: 1. Received any of the following treatments: (1) Previous use of any EGFR tyrosine kinase inhibitor; (2) Subjects underwent major surgery (e.g., craniotomy, thoracotomy, or laparotomy, as determined by the investigator) within 4 weeks prior to initial administration of the study drug; (3) Use of CYP3A4 booster, inducer or CYP substrate (CYP2C8, CYP2D6, etc.) within 7 days prior to initial administration of the study drug. 2. Complicated with other malignancies, except cutaneous basal cell carcinoma and carcinoma in situ. 3. At the beginning of the study treatment, there were unmitigable residual toxicity of previous treatment greater than grade 1 CTCAE, except for hair loss and grade 2 neurotoxicity caused by previous chemotherapy. 4. Severe gastrointestinal dysfunction that may affect drug intake, transport or absorption, such as inability to take drugs orally, uncontrollable nausea or vomiting, extensive gastrointestinal excision history, untreated recurrent diarrhea, atrophic gastritis, untreated stomach diseases requiring long-term use of proton pump inhibitors, Crohn's disease, ulcerative colitis, etc. 5. Hepatic encephalopathy, hepatorenal syndrome, or cirrhosis. 6. A history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonia requiring steroid treatment, or any evidence of clinically active interstitial lung disease. 7. A history of hypersensitivity to any active or inactive component of amidinib or to drugs similar in chemical structure to amidinib or in the same class of amidinib. 8. Expected survival time is less than 3 months. 9. Patients with grade 2 or above hypertension before treatment and no improvement or instability after treatment with antihypertensive drugs; Patients with hypertensive crisis or hypertensive encephalopathy.

Design outcomes

Primary

MeasureTime frame
Progression-free survival;

Secondary

MeasureTime frame
Disease control rate;Objective response rate;Overall survival;

Countries

China

Contacts

Public ContactFeng Gang

Mianyang Central Hospital

fenggangmych@sina.com+86 18141380968

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026