Non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Histologically or cytologically confirmed non-small cell lung cancer (2) 20 years-old or older (3) Stage III/IV non-small cell lung cancer without any indications for radiotherapy or surgery (4) No active EGFR mutation was detected by PNA-LNA PCR clamp method, and immunostainning was positive with anti-EGFR mutation-specific antibodies (Ex 19 deletion and Ex21 L858R point mutation). No additional biopsy was expected for sufficient specimen for EGFR mutation re-evaluation. (5) Liquid Based Cytology (ThinPrep) was used for pathological diagnosis and EGFR mutation detections. (6) Recurrence / progressive disease after prior chemotherapy for patients with ECOG PS 0-2. Chemo-na&iuml;ve or recurrence / Progressive disease after prior chemotherapy for patients with ECOG PS 3-4. (7) Evaluable disease (RECIST ver1.1), irrespective of measurable disease (8) No history of EGFR-TKI (9) Adequate organ function, evaluated within 14 days before enrollment as; ALT =or< 100IU/L and total bilirubin =or< 2.0mg/dL (10) Interval; one week after immunotherapy or hormone therapy, 2 weeks after pleurodesis with anti-tumor agent (11) Written informed consent
Exclusion criteria
Exclusion criteria: 1. Problematic infection that requires anti-biotic, anti-fungal agent or anti-viral agent. 2. Current or previous history of pulmonary fibrosis, interstitial pneumonitis or drug-induced pneumonia, revealed by chest CT or with clinical symptoms. 3. A history of severe hypersensitivity against erlotinib 4. Difficulty in oral administration of erlotinib, functional / organic impairment or inflammatory bowel disease that disturbs absorption of erlotinib 5. Another active advanced malignancy that requires any concurrent treatment with treatment for lung cancer. 6. Pregnant or lactation women, or women with known or suspected pregnancy and men who want let to pregnancy 7. Psychologically ineligible 8. Decision of ineligibility by a physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression Free Survival(PFS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Response Rate(RR), 1-year survival rate, Overall Survival(OS), Time to treatment failure:TTF, Toxicities | — |
Countries
Japan
Contacts
Osaka Police Hospital Dept. of Respiratory Medicine