Patients have primary lung adenocarcinoma harbouring the sensitive mutation of epidermal growth factor receptor (EGFR)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Histologically or cytologically proven lung adenocarcinoma 2)Stage IIIB/IV(UICC ver.8) or recurrence after surgical treatment 3)Tumor has sensitive mutation for EGFR-TKI 4)Naive treatment of EGFR-TKI 5)Tumor has the evaluable lesion 6)Eastern Cooperative Oncology Group performance status of 0-2 7)Age; > or = 20 years and < 80 years 8) No history of thoracic irradiation 9)Adequate organ function, Adequate organ function Neutrocyte count; > or = 1,500/mm3 Hemoglobin concentration; > or = 10.0g/dl Platelet count; > or = 100,000/mm3 Total bilirubin level; < or = 2.0 mg/dl Aspartate aminotransferse and alanine aminotransferase levels; < or = 100 IU/L Creatinine clearance; > or = 30mL/min Or serum creatinine; < or = 1.5 mg/dl SpO2 at room air; > or = 70 torr at room air 10)Neither overt interstitial pneumonia nor overt lung fibrosis 11)Written informed consent
Exclusion criteria
Exclusion criteria: Exclusion criteria included: 1)Uncontrollable comorbid disease. 2)Symptomatic brain metastases 3)Active concomitant malignancy 4)Active infectious disease 5)Pregnant status or lactation 6)Acute or chronic diarrhea 7)Clinically active interstitial pneumonia 8)Acute myocardial ischemia within 3 months or unstable angina pectoris 9)Other ineligible status judged by medical oncologist
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To seek the pharmacological optimal dose of Afatinib in patients with primary lung adenocarcinoma harbouring the sensitive mutation of EGFR by pharmacokinetic analyses | — |
Secondary
| Measure | Time frame |
|---|---|
| To seek the clinical optimal dose of Afatinib: Progression free survival (PFS),Time to Treatment failure (TTF), Health states evaluation; time with toxicity more than Grade 2 (TOX-G2), 20% duration of TOX-G2 among PFS (20% TOX-G2; TOX20). To examine the relationship between the efficacy of Afatinib and the copy number of EGFR mutation | — |
Countries
Japan
Contacts
National Center for Global Health and Medicine Department of Respiratory Medicine / Laboratory Testing Department