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Tyrosine kinase Inhibitors in DysplAsia of Lung epithelium Study 1 - TIDAL 1 Version 1.0

Phase 1
Conditions
High grade dysplasia of the bronchoepithelium
MedDRA version: 13.1Level: PTClassification code 10057004Term: Bronchial dysplasiaSystem Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders
Registration Number
EUCTR2010-023355-29-GB
Lead Sponsor
Papworth Hospital NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
32
Inclusion Criteria

Age 18 years or above Resected NSCLC or Squamous cell Head & Neck cancer treated curatively All treatment, including any adjuvant treatment with radiotherapy and/or chemotherapy completed at least 3 months prior to study entry ECOG (Eastern Cooperative Oncology Group) performance status of 0 or 1 Suitable for flexible bronchoscopy Able to give signed informed consent Adequate haematological, kidney and liver function : o Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) =2.5 x upper limit of normal (ULN) o Total serum bilirubin =1.5 x ULN o Absolute neutrophil count (ANC) =1500/µL o Platelets =100,000/µL o Haemoglobin =9.0 g/dL o Serum creatinine =2.0 x ULN In addition, the following inclusion criteria must be met during the screening period in order to confirm eligibility for the study treatment No evidence of malignant disease activity on screening High grade dysplasia on autofluorescence bronchoscopy analysis
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Diagnosis of any second malignancy within the 5 years from date of enrolment, except basal cell carcinoma, squamous cell skin cancer, or in situ carcinoma of the cervix uteri that has been adequately treated with no evidence of recurrent disease for 12 months. Evidence of severe or uncontrolled systemic disease or psychiatric disorder that would interfere with the patient's safety. Known severe hypersensitivity to gefitinib or any of the excipients of the product. Past medical history of interstitial lung disease, drug-induced interstitial disease, radiation pneumonitis which required steroid treatment or any evidence of clinically active interstitial lung disease Pre-existing idiopathic pulmonary fibrosis evidenced by CT scan at baseline Insufficient lung function as determined by either clinical examination or an arterial oxygen tension (PaO2) of < 9.3kpa Inability to swallow oral medications Presence of active inflammatory bowel disease, partial or complete bowel obstruction or chronic diarrhoea or any condition which would interfere with absorption of an oral drug. Pregnant or breast-feeding Male and female patients (of childbearing age) not using, or not willing to use, protocol mandated contraception Prior EGFR inhibitor use. Concurrent medication with known potent CYP3A4 inhibitors and inducers and/or dosing within 7 days of date of enrolment(e.g. ketoconazole, rifampin, phenytoin, carbamazepine, barbiturates or herbal preparations containing St John’s wort/Hypericum perforatum etc.) or use of other concomitant medication incompatible with study drug (see SmPC) Current treatment on another therapeutic clinical trial or previous investigational agent in the last 12 weeks (supportive care trials or non-treatment trials are allowed) Previous enrolment or treatment in the present study.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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