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Afatinib plus Bevacizumab Combination after osimertinib failure for aDvanced EGFR-mutant non-small cell lung cancer: a multicenter prospective single arm phase II study (ABCD-study)

Afatinib plus Bevacizumab Combination after osimertinib failure for aDvanced EGFR-mutant non-small cell lung cancer: a multicenter prospective single arm phase II study (ABCD-study) - Afatinib plus Bevacizumab after Osimertinib failure

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000030545
Enrollment
26
Registered
2018-01-01
Start date
2018-01-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-small cell lung cancer

Interventions

Afatinib (30 mg or 40 mg/day, day 1-21, orally) and Bevacizumab (15 mg/kg, day 1, intravenously) are administered every 3 weeks until progression. Histological and liquid rebiopsy are mandatory bef

Sponsors

Hanshin Oncology Group
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Histologically or cytologically confirmed non-small cell lung cancer (except squamous carcinoma) 2) EGFR-mutation positive 3) After Osimertinib failure, based on Jackman criteria 4) Receipt of histological rebiopsy after Osimertinib failure 5) After 4 weeks from completion of chest radiation 6) Aged older than 20 7) PS (ECOG) 0 or 1 8) Presence of measurable lesions by RECIST ver.1.1 9) Adequate organ functions 10) Life expectancy longer than 3 months 11) Written informed consent

Exclusion criteria

Exclusion criteria: 1) Interstitial lung disease or pulmonary fibrosis 2) Symptomatic central nervous system metastases 3) History of severe allergic reaction to drugs 4) Severe infection or comorbidities 5) Massive or uncontrolled pleural, abdominal, or cardiac effusion 6) Clinically significant arythmia, angina, or heart failure 7) Uncontrolled hypertension 8) Uncntrolled diabetes 9) Active double cancers 10) Hitologically dominant of squanous carcinoma 11) Severe phycological disease 12) Massive hemoptysis 13) Gastrointestinal perfolation within 1 year 14) Incurable bone fracture 15) Planning major surgery during trial 16) Bleeding tendency 17) Uncontrolled thrombosis 18) Receipt of EGFR-TKIs other than Osimertinib or immunotherapy 19) Pregnancy 20) Patients whom doctos in charge judge unproper

Design outcomes

Primary

MeasureTime frame
Progression-free survival

Secondary

MeasureTime frame
Response rate Disease control rate Overall survival Safety

Countries

Japan

Contacts

Public ContactAkito Hata

Kobe City Mecical Center General Hospital Department of Medical Oncology

akitohata@hotmail.com078-302-4321

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026