Non-Small-Cell Lung Carcinoma
Conditions
Brief summary
The purpose of this study is to observe an improvement in overall response rate in NSCLC subjects who have been treated with gefitinib or erlotinib and are genotypically EGFR mutation positive or who have had a prior a response.
Interventions
Tablets, Oral, 200 mg, once daily, until disease progression or toxicity
Sponsors
Study design
Eligibility
Inclusion criteria
* Recurrent, metastatic or progressive NSCLC without any indication of radiotherapy. Subjects must have: * Pathologically confirmed NSCLC * Previously received treatment with single agent Gefitinib or Erlotinib and completed treatment at least 2 weeks prior to study entry * Any one of the following: * A tumor that harbors an EGFR mutation * Objective clinical benefit from treatment with Gefitinib or Erlotinib as defined by either documented and confirmed partial or complete response (RECIST or WHO), or significant and durable (≥ 6 months) clinical benefit (stable disease as defined by RECIST or WHO) Progression of NSCLC while on continuous treatment with gefitinib or erlotinib as noted by CT/MRI increase in disease after having a confirmed partial or complete response or evidence of ≥ 6 months of SD within 3 months of study enrollment
Exclusion criteria
* Symptomatic brain metastasis * History of TIA, CVA, or thrombotic/thromboembolic event (within last 6 months) * History of hemoptysis greater than 10 mL/day within last 30 days * Uncontrolled or significant cardiovascular disease * History of uncontrolled diarrhea, Crohn's disease or ulcerative colitis * Inability to swallow tablets, untreated malabsorption or GI surgery that results in inability to absorb protocol therapy * Women unwilling to avoid pregnancy or use adequate contraception * History of allergy or adverse drug reaction to gefitinib or erlotinib
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To estimate objective response rate in NSCLC subjects who have been treated with gefitinib or erlotinib and are genotypically EGFR mutation positive or who have had a prior a response | Tumor assessment Day 29 and every 8 weeks from Day 1 thereafter until disease progression |
Secondary
| Measure | Time frame |
|---|---|
| To estimate disease control rate and progression free survival in all treated subjects | Tumor assessment Day 29 and every 8 weeks from Day 1 thereafter until disease progression |
| To evaluate safety and tolerability of BMS-690514 in all treated subjects | Average about 10 months |
Countries
Japan