Stage IV Non-small Cell Lung Cancer
Conditions
Brief summary
This is a Prospective, Multicenter, Randomized Controlled study to evaluate Stereotactic Body Radiation Therapy (SBRT) as a potential treatment for stage IV non-small cell lung cancer (NSCLC) that has a mutated epidermal growth factor receptor (EGFR) and has been receiving treatment with a targeted agent such as gefitinib, erlotinib and icotinib.
Interventions
Received SBRT after three months after EGFR-TKI treatment
Received EGFR-TKI treatment
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients must have biopsy proven metastatic NSCLC (Stage IV). 2. Patients must have received first line chemotherapy, from 4-6 cycles, and achieved stable disease or a partial response. 3. Patients receiving first-line erlotinib, gefitinib, or icotinib for EGFR mutant-positive for 3 months and achieved stable disease, partial response or completely response. 4. Age 18 to 75 years old. 5. Patients must have measurable disease at baseline. 6. The amount of metastatic focus \<5. 7. ECOG score 0-2 8. Adequate normal organ and marrow function for TKI treatment and radiotherapy. 9. Patients must has sensitizing EGFR mutation (e.g. exon 19 deletion or exon 21 L858R) 10. Patients must provide written informed consent to participate in the study.
Exclusion criteria
1. Patients who previously received radiotherapy to the primary site. 2. Patient can't tolerate radiotherapy or targeted therapy; 3. Pregnant or nursing women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PFS | 2 years | Progression-free survival: From the first treatment to the date of first documentation of disease progression, or death due to any cause |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| OS | 3 year | Overall survival: From the first administration to death from any cause |
Countries
China