Non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Stage IIIB/IV non-small cell lung cancer proven by histology and post-operative recurrent disease. 2)Two prior systemic chemotherapy regimens. 3)Erlotinib treatment is done for three weeks or more, interstitial pneumonia is not admitted, and effect of SD or more. 4)Possible cases with oral administration. 5)No prior treatment with irinotecan. 6)Diagnosed no mutation or heterozygosity of UGT1A1*6/*28 7)EGFR mutations in the tumor specimens. 8)Measurable lesion by RECIST. 9)ECOG Performance status(PS) of 0-1. 10)A life expectancy of more than 3 months. 11)No severe impairment of major organs (bone marrow, heart, lungs, liver, kidneys, etc.), laboratory data within 14 days WBC >=3,000/mm3 and <=12,000mm3 neutrophil >=1,500/mm3 platelet >=100,000/mm3 hemoglobin >=8.0g/dL AST and ALT <=2.5 ULN T-Bil <=1.5 ULN Cr <=ULN SpO2(Room air)>=92% 12)Written informed consent.
Exclusion criteria
Exclusion criteria: 1)Diagnosed mutation or heterozygosity of UGT1A1*6/*28. 2)Serious drug allergy. 3)Interstitial pneumonia documented obviously in chest X ray. 4)massive pleural or pericardial effusion ,or ascites. 5)active severe infections. 6)Active synchronous malignancies. 7)Pregnant or beeast-feeding woman or patient who doesn't agree to contraception. 8)Serious psychological disease. 9)brain metastasis. 10)Clinically significant heart disease (myocardial infarction within 12 months, etc.). 11)Uncontrolled diabetes mellitus. 12)Watery diarrhea. 13)Ileus or bowel obstruction. 14)bleeding that requires medication or transfusion. 15)Clinically significant complication. 16)Investigator's judgement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the recommend dose of irinotecan and erlotinib therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. safety 2. response rate 3. disease control rate | — |
Countries
Japan
Contacts
Hamamatsu University School of Medicine First Department of Surgery