Lung Cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically or cytologically documented non-small cell lung cancer. 2. Stage IIIB or stage IV or recurrent NSCLC. 3. Detected EGFR activating mutation (exon 19 deletion or exon 21 L858R) by highly sensitive PCR methods. 4. Have a history of first or second generation EGFR-TKI treatment. 5. Detected T790M mutation by highly sensitive PCR methods. 6. Patients who have at least one or more measurable lesion by RESIST (Version1.1) 7. Performance status (ECOG) 0-2 8. Estimated life expectancy at least 3 months. 9. Adequate organ function for osimertinib treatment 10. Written informed concent. 11. Aged over 20 years.
Exclusion criteria
Exclusion criteria: 1. Having an evidence of ILD or pulmonary fibrosis complication on chest X-ray. 2. With severe complication. 1)Uncontrollable angina pectoris, myocardial infarction, or heart failure. 2)Uncontrollable diabetes or hypertension. 3)Severe infectious disease. 4)gastrointestinal dysfunction with severe diarrhea. 3. Impossible to take drugs orally. 4. Inadequate case considered from drug package insert of osimertinib.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the relationship of serum osimertinib concentration and toxicity | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)To evaluate the relationship of serum osimertinib concentration and efficacy. 2)To evaluate the relationships of CSF concentration of osimertinib and CNS toxicity. 3)To cleat the pharmacogenomics of osimertinib. | — |
Countries
Japan
Contacts
Miyagi Cancer Center Department of respiratory medicine