lung adenocarcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Histologically or cytologically confirmed adenocarcinoma (2) resectable with cT1-3N2M0 lung cancer (3) Patients with EGFR mutation (Eexon19 deletion, L858R, L861Q, G719A, G719C, G719S) which is expected the good response with gefitinib (4) Patients who have not previously treated yet (5) ECOG PS 0-1 (6) Sufficient organ functions white blood cell count >=3000/uL platelet count >=100000/uL hemoglobin >= 8.0 g/dl GOT and GPT <= 2.0x upper normal limit serum bilirubin level <= 1.5 mg/dl serum creatinine level <= 1.5 mg/dl PaO2 >= 70 mmHg (7) life expectancy more than 3 month (8) Provided written informed consent
Exclusion criteria
Exclusion criteria: (1) patients who has interstitial pneumonia identified by chest CT or by blood test (2) (3) Patients with EGFR mutation (T790M) which is NOT expected the good response with gefitinib. (4) Patients with uncontrollable complications (5) Pregnant or lactation women, or women with known or suspected pregnancy (6) Patients with severe malabsorption syndrome or with severe functional gastrointestinal disorder (7) patients with systemic administration steroids over 4 weeks (8) Patients with contraindication of gefitinib (9) Patients with active concomitant malignancy (10) Inappropriate patients for this study judged by the physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of completion and complications of the protocol treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of response, completion, and complications of neo-adjuvant chemotherapy Rate of complete resection and complications of operation 3-year overall survival disease free survival | — |
Countries
Japan