Non-Small Cell Lung Cancer
Conditions
Keywords
non-small cell lung cancer, crizotinib, hepatic toxicity
Brief summary
Crizotinib, an inhibitor of anaplastic lymphoma kinase (ALK), was approved by Food and Drug Administration (FDA) for the treatment of patients with ALK-positive non-small cell lung cancer (NSCLC) and its administration has achieved considerable success. However, adverse effects inevitably occurred and the most common one was hepatic toxicity, appearing as elevating alanine aminotransferase(ALT) and aspartate aminotransferase(AST). Therefore, the investigators try to figure out the mechanism of crizotinib-inducing hepatic toxicity, and explore whether there is any biological marker to diagnose this side effect in an early stage, which may realize individualized therapy with more efficacy and less side effects.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. patients who were histologically and cytologically confirmed NSCLC at stage III or IV 2. harbored ALK fusion gene and took crizotinib 3. age:18\ 75years 4. Eastern cooperative oncology group performance status(ECOG PS): 0\ 2 points 5. the expected lifetime is more than 12 weeks after being recruited
Exclusion criteria
1. patients who also suffered from other malignant tumor 2. uncontrolled systemic diseases,central nervous system (CNS) metastasis 3. clinically active interstitial lung diseases 4. severe liver dysfunction caused by hepatic cirrhosis or hepatitis (Child-Pugh class C, total index score 10-15 points) 5. taking drugs that interact with crizotinib
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of patients with adverse events | change from the date of taking crizotinib at 9 months |
Secondary
| Measure | Time frame |
|---|---|
| progression free survival | from the date of taking crizotinib to the date of objective tumor progression or date of death from any cause,whichever came first,assessed up to 48 months |
Countries
China