lung adenocarcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Histologically or cytologically confirmed diagnosis on lung adenocarcinoma. 2)Stage IV or recurrent disease after surgery. 3)Patients harboring active EGFR mutation(exon 19 deletion or L858R) without T790M. 4)Patients with brain metastases confirmed by MRI or CT. 5)The presence of measureable lesion by RECIST. 6)Patients with no prior treatment with EGFR-TKIs. 7)Patients with no prior radiotherapy to brain metastases. 8)Patients with no prior radiotherapy to lung. 9)Age of 20 years or older. 10)Performance Status(ECOG) 0-2. 11)Adequate organ function 12)Interval Palliative radiotherapy >= 2weeks Surgery >= 4weeks Chest or Pericardial drainage>= 2weeks 13)Life expectancy more than 3 months. 14)Written informed consent to participate.
Exclusion criteria
Exclusion criteria: 1)Symptomatic brain metastasis. 2)Patients with untreated brain metastases of size 3cm or more. 3)Active synchronous malignant neoplasm. 4)Uncontrolled pleural effusion, ascites, or pericardial effusion. 5)Active infection requiring systemic administration of antiviral agents, antifungal agents, or antibiotics. 6)Severe complications. 7)Interstitial pneumonia or pulmonary fibrosis detectable on Xray. 8)History of severe drug allergy 9)Patients unable to be treated with oral medication. 10)Pregnancy or lactating patients. 11)Uncontrolled psychotic disease. 12)Patients who were judged inappropriate to entry this study by physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Event Free Survival: EFS | — |
Secondary
| Measure | Time frame |
|---|---|
| Response rate, Response rate of brain metastases, Progression free survival, Overall survival, Local therapy free interval for brain metastases, Duration of treatment with erlotinib | — |
Countries
Japan
Contacts
Osaka city General Hospital Department of clinical oncology