EGFR mutated, advanced lung adenocarcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Pathologically confirmed lung adenocarcinoma 2) EGFR-TKI naïve, recurrence / advanced case 3) Activating EGFR mutation is confirmed by tumor tissue 4) The remaining tumor tissue is available for this study. 5) Age >= 20 years 6) ECOG performance 0-1 7) With measurable target lesion as per RECIST 1.1 8) With adequate organ function 9) Expecte survival time is more than 90 days. 10) Provided written informed consent
Exclusion criteria
Exclusion criteria: 1) Incapable of oral intake 2) With intestinal paralysis, or ileus 3) Chronic diarrhea 4)Exhibiting significant interstitial pneumonitis, or pulmonary fibrosis in the chest CT 5) Uncontrolled pleural / pericardial effusion, and ascites. 6) Symptomatic brain metastasis, or meningitis carcinomatosa. 7) Prior history of thoracic radiotherapy within 4 weeks 8) Prior surgery within 4 weeks 9) Active infection 10) Positive for HBs antigen 11) With severe complication 12) Concomitant cancers within 5 years 13) History of serious drug allergies 14) Patients requiring systemic steroid medication 15) With clinically problematic, psycho-neurologic diseases 16) Pregnancy, breast feeding, or hesitation in contraception 17) Other conditions not suitable for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Concordance rate of EGFR mutation status between tumor tissue and serum. | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical outcome; overall response rate, progression-free survival, and safety Biomarker analyses; EGFR mutation analysis using digital PCR method; 1. Tumor tissue and serum (before and after afatinib treatment), and 2. quantitative monitoring in serum Comprehensive analyses using next generation sequencing; tumor tissue and serum (before and after afatinib treatment) EGFR mutation (exon 19 deletion) analysis using blocking oligo dependent PCR method; tumor tissue and serum (before and after afatinib treatment) | — |
Countries
Japan
Contacts
West Japan Oncology Group datacenter