Non-Small-Cell Lung Carcinoma
Conditions
Keywords
Locally advanced or metastatic NSCLC., Stage IIIb or Stage IV lung cancer
Brief summary
This is a randomized, open label, parallel group, multi-centre, phase II study of progression free survival, comparing oral ZD1839 (IRESSA™) (250 mg tablet once daily) to vinorelbine 30 mg/m2 infusion on days 1 and 8 of a 21-day cycle) in chemonaïve, elderly patients with locally advanced (stage IIIB) or metastatic (stage IV) non-small cell lung cancer.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed NSCLC and willing to provide paraffin embedded tumour tissue * NSCLC - locally advanced (Stage IIIB) or metastatic (stage IV) disease, not amenable to curative surgery or radiotherapy chemonaïve, life expectancy of 12 weeks * WHO Performance status \<= 2
Exclusion criteria
* Newly diagnosed CNS metastases * Less than 4 weeks since completion of radiotherapy or persistence of any radiotherapy related toxicity. * Hypersensitivity to ZD1839 or intravenous vinorelbine * Prior treatment with EGFR inhibitors * Other co-existing malignancies * ALT/AST \>2.5 x ULRR * ANC \< 2.0 x 10\^9/L or platelets \< 100 x 10\^9/L
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare ZD1839 and vinorelbine in terms of progression free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare ZD1839 and vinorelbine in terms of pulmonary symptom improvement weekly for 18 weeks. | — |
| To compare ZD1839 and vinorelbine in terms of quality of life 3 weekly for 18 weeks then 6 weekly. | — |
| To compare ZD1839 and vinorelbine in terms of adverse event profile continuous monitoring. | — |
| To compare ZD1839 and vinorelbine in terms of overall objective tumour response rate (complete response and partial response) 6 weekly to progression. | — |
| To compare ZD1839 and vinorelbine in terms of overall survival (time to death) continuous monitoring | — |
Countries
Australia, Brazil, Czechia, France, Germany, Italy, South Africa, South Korea, Taiwan, United Kingdom