non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Histologically or cytologically confirmed non-squamous non-small lung cancer 2.Harboring activating EGFR mutation including exon 19 deletion mutation and/or L858R point mutation 3.Previously treated gefitinib as first-line treatment and had good response (CR, PR or SD for more than 6 months accroding to Jackman cliteria) 4.Maintained gefitinib administered according to regular treatment schedule for more than 3 months 5.Platinum-based doublet chemotherapy is not recommended 6.Advanced or metastatic NSCLC (Stage IIIB/IV) and unsuitable for radiotherapy 7.Patients with evaluable disease 8.PS:0-2 (ECOG) 9.70 years or older 10.Sufficient organ function WBC >=4000/mm3 Neutrophil >=2000/mm3 Plt >=100000/mm3 Hb >=9.0 g/dL Both AST and ALT <=100IU/L Total bilirubin: <=1.5 mg/dl Serum creatinine: <=1.2 mg/dl SpO2>=93% 11.A life expectancy of 3 months or more 12.Submission of written informed consent
Exclusion criteria
Exclusion criteria: 1.Patients including clients and employee or stuff of the participating medical institution who are involved in planning and conducting this study 2.Patients who relapsed in one year from the last day of adjuvant chemotherapy 3.Active infection (fever of 38.0 degrees centigrade or higher) 4.Patients with past history including acute interstitial pneumonia, pulmonary drug toxicity and radiation pneumonitis treated with corticosteroids 5.Interstitial pneumonia/ Pulmonary fibrosis 6.Patietns with ileus 7.Uncontrollable diarrhea 8.Active double cancer 9.Serious allergy history 10.Patients with refractory gastric ulcer or a duodenal ulcer 11.Uncontrollable massive,pleural effusion or cardiac effusion 12.Systemic administartion of corticosteroids 13.History of docetaxe or pemetrexed therapy 14.serious medical complications (uncontrollable pulmonary disease, heart disease, kidney disease, liver disease) and inappropriate patients for this study judged by the physicians physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Response Rate Disease Control Rate Overall survival Safety | — |
Countries
Japan
Contacts
National Hospital Organization Kinki-chuo Chest Medical Center Medical Oncology