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. Regarding the patients who have be treated with radiotherapy; 1) Not have received radiotherapy to lesions of lung. 2) More than 12 weeks after receiving radiotherapy to bone metastases in thoracic lesion. 3) More than 2 weeks after receiving radiotherapy to lesions except lung. 7. Regarding the patients who have be treated with therapy as follows; 1) More than 4 weeks after the last operation 2) More than 2 weeks after the last drainage of the pleural space. 3) More than 2 weeks after the last pleurodesis except anticancer drugs 4) More than 3 weeks after the last cytotoxic chemotherapy. 8. Patients who have at least one or more measurable lesion by RESIST (Version1.1) 9. Performance status (ECOG) 0-2 10. Estimated life expectancy at least 3 months. 11. Adequate organ function for osimertinib treatment 12. Written informed consent. 13. Aged over 20 years.
Exclusion criteria
Exclusion criteria: 1. Having an evidence of ILD or pulmonary fibrosis complication on chest X-ray. 2. Having a history or serious complications as bellows: 1) uncontrollable angina pectoris, cardial infarction within 3 months before enrollment, 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 |
|---|---|
| The occurrence ratio of plasma C797S mutations in all osimertinib resistant cases. | — |
Secondary
| Measure | Time frame |
|---|---|
| The interval between plasma C797S emerged time and the time of confirmed RECIST PD. | — |
Countries
Japan
Contacts
Miyagi Cancer Center Department of respiratory medicine