Non-small cell lung cancer with EGFR gene mutation
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Histlogically or cytologically confirmed non squamous non small cell lung cancer(NSCLC) 2.Unresectable and metastatic NSCLC 3.Harboring sensitive EGFR mutation(exon19 or exon21) and exon 20 T790M 4. Adequate osimertinib treatment 5. Patients who have treated with one EGFR-TKI 6. More than 20 years old 7. Performance Status (ECOG) 0-2 8. Adequate organ functions 9. No QTc prolongation (within 450msec) 10. Insulin unused diabetic(HbA1<7.0) 11. Life expectancy over 3 months 12. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Preexisting interstitial lung disease 2. Active brain metastasis 3. HBs antigen positive 4. HBs or HBc antibody positive,and HBV-D NA positive 5. HIV,HCV career 6. Previous treatment history of cytotoxic anti-cancer agents just before osimertinib 7. Active double cancer 8. In use of steroid 9. Infection using antibiotic 10. Disagree of specimen collection 11. Patients whose attending doctor consider as inappropriate for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluatiopn of IGF signal pathway after 3rd generation EGFR-TKI | — |
Secondary
| Measure | Time frame |
|---|---|
| response rate disease control rate progression free survival FGF,PFGF,HGF signal pathway Evaluatiopn of EGFR mutaiton(e.g.T790M,C797S) | — |
Countries
Japan
Contacts
Hokkaido University Hospital First department of medicine