non-squamous non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)stage III/IV non-squamous non-small cell lung cancer 2) EGFR gene mutation positive 3) Prior treatment of chemoradiotherapy or chemotherapy for non-small cell lung cancer patients for up to 1 regimen in the EGFR-TKI untreated 4)20 years or older 5)PS:0-2 (ECOG) 6)at least one measurable leision (RECIST) 7)patients who has the following periods *the last prior chemotherapy:3weeks *whole-brain irradiation(WBRT):2weeks *stereotactic irradiation(SRI):1day *irradiation of bone metastases:1day *palliative radiotherapy:2weeks *operation(surgery without lobectomy):4weeks *operation(endoscopic surgery without lobectomy):2weeks *biopsy with incision, port custody, and treatment to injury:1week *pleurodesis:2weeks *chest drainage:1weeks 8)adequate bone marrow,liver,and renal functions *Neutrophil counts >= 1,500/mm3 *Platelets >= 100,000/mm3 *Hemoglobin concentration >= 9.0g/dL *AST and ALT, x 2.5 of upper limit of normal (ULN) or less *Total bilirubin <= 1.5mg/dL *Serum creatinin, x 1.5mg/dL of ULN or less *SpO2(Room air) >=90% * PT-INR < 1.5 *Protein urea <= 1+ 9)a life expectancy of 3 months or more 10)written informed consent
Exclusion criteria
Exclusion criteria: 1)Pulmonary disorder(idiopathic pulmonary fibrosis,interstitial lung disease, pneumoconiosis, active radiation pneumonia, etc.). 2)known EGFR-TKI resistance gene mutation(T790M) positive 3)history of erlotinib or gefitinib treatment 4)inable of oral drug administration 5)history of myocardial infarction and cerebral infarction within one year 6)planned surgery within study term 7)history of drug allergy 8)massive,pleural effusion or ascites 9)uncontrolled infection or serious medical complications 10)active concomitant malignancy 11)mental disorder 12)pregnant or or lactating women or those who declined contraception 13)those judged not suitable by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Disease Control Rate, Progression-free survival, Overall survival, Surgery rate, Pathological Complete Response Rate, Complete resection rate, Safety, Biomarker | — |
Countries
Japan
Contacts
Itabashi central medical center Department of Thoracic Surgery