Carcinoma, Non-Small-Cell Lung
Conditions
Brief summary
Epidermal growth factor receptor (EGFR) mutations occur in up to 50% of Asian patients with non-small cell lung cancer (NSCLC). Treatment of advanced NSCLC patients with EGFR-tyrosine kinase inhibitors (EGFR-TKI) confers a significant survival benefit. This study aims to assess the efficacy and safety of adjuvant chemotherapy with or without Intercalated combination of icotinib in patients undergoing resection of stage IIB to IIIA (N1-2) EGFR-mutated NSCLC.
Interventions
Patients receive 4 cycles of platinum-based doublet chemotherapy on day 1 with intercalated icotinib (D8-15) every 3 weeks, and continued icotinib for 2 years or until the occurrence of disease relapse, metastasis or unacceptable icotinib or chemotherapy toxicity
Patients receive 4 cycles of platinum-based doublet chemotherapy on day 1 with intercalated placebo (D8-15) every 3 weeks, and continued placebo for 2 years or until the occurrence of disease relapse, metastasis or unacceptable toxicity
Patients in each groups need to receive 4 cycles of platinum-based doublet chemotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing completely resection of EGRF mutation-positive NSCLC Staging IIB to ⅢA, N1-2; PS = 0 or 1; Adequate hematological, biochemical and organ functions
Exclusion criteria
* Systemic anticancer therapy prior to surgery, other malignancies before or during the study, any unstable illness, women who were pregnant or lactating
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease free survival | From the date of surgery until the date of first confirmed disease relapse or metastasis, whichever came first, assessed up to 5 years | The amount of time that patient lives without known recurrence |
Secondary
| Measure | Time frame |
|---|---|
| Number of Participants with Adverse Effects | Duration of receiving chemotherapy and oral icotinib, expected to be 2.5 years |