Neoadjuvant treatment for stage II-III epidermal growth factor receptor–positive non–small cell lung cancer Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with previously untreated stage II to stage III non–small cell lung cancer confirmed by cytology and/or histology. 2. Positive for an epidermal growth factor receptor mutation. 3. Pulmonary lesions considered resectable or potentially resectable after discussion by a multidisciplinary team with thoracic surgery involvement. 4. Eastern Cooperative Oncology Group performance status score of 0 to 1.
Exclusion criteria
Exclusion criteria: 1.The patient has, or is suspected of having, an autoimmune disease. 2.The patient is expected to require systemic corticosteroid therapy within 14 days after enrollment. 3.Patients with grade 3 to 4 interstitial lung disease. 4.Concurrent other malignancy requiring antitumor treatment. 5.Imaging (computed tomography or magnetic resonance imaging) shows that the tumor lesion is within 5 millimeters of a major blood vessel, invades local major blood vessels, or is a central tumor located within 2 centimeters of the bronchus; or there is an obvious cavitary or necrotic lung tumor. 6.Clinically significant hemoptysis within 2 weeks prior to enrollment (more than 50 milliliters per day) or other clinically significant bleeding symptoms, or a definite bleeding tendency. 7.Imaging shows tumor involvement around critical vessels, or in the investigator’s judgment the tumor is highly likely to invade critical vessels during the study, posing a risk of fatal massive hemorrhage. 8.Arterial or venous thrombotic events within the past 6 months, such as cerebrovascular accident (including transient ischemic attack), deep vein thrombosis, or pulmonary embolism.
Countries
China