A Phase III, Randomized, Multi-center Study to Determine the Efficacy of the Intercalating Combination Treatment of Chemotherapy and Gefitinib or Chemotherapy as Adjuvant Treatment in NSCLC With Common EGFR Mutations.
Phase 3
- Conditions
- Completely Resected NSCLC With Common EGFR Mutations
- Interventions
- Drug: gefitinib, pemetrexed,cisplatin
- Registration Number
- NCT03381066
- Lead Sponsor
- Yonsei University
- Brief Summary
This study aims to compare the efficacy of intercalating chemotherapy (gefitinib and pemetrexed/cisplatin) and chemotherapy (navelbine/cisplatin) in completely resected NSCLC with common EGFR mutations.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 225
Inclusion Criteria
- Completely resected non-squamous cell NSCLC with stage IIa to IIIb (excluding N3) according to Version 8 of the IASLC Staging Manual in Thoracic Oncology
- Tumors with common EGFR mutations (19del or L858R)
- Adequate oran function
Exclusion Criteria
- Patients who were exposed to the chemotherapy or EGFR TKIs for NSCLC.
- Patients with interstitial lung disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intercalating arm gefitinib, pemetrexed,cisplatin gefitinib, pemetrexed,cisplatin chemotherapy alone arm Vinorelbine, cisplatin Vinorelbine, cisplatin
- Primary Outcome Measures
Name Time Method disease-free survival 5 years Time from the randomization to recurrence or any cause of death.
- Secondary Outcome Measures
Name Time Method Overall survival 5 year Time from the randomization to death of any cause
Number of participants with treatment-related adverse events as assessed by CTCAE4.0 5 years
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie gefitinib's synergy with pemetrexed/cisplatin in EGFR-mutant NSCLC?
How does intercalating chemotherapy compare to standard adjuvant regimens for EGFR-mutant NSCLC recurrence prevention?
Which EGFR mutation subtypes show differential response to gefitinib-based adjuvant therapy in NCT03381066?
What are the most common adverse events associated with gefitinib-pemetrexed/cisplatin combination in NSCLC?
How do third-generation EGFR inhibitors compare to gefitinib in adjuvant treatment of resected EGFR-mutant NSCLC?
Trial Locations
- Locations (1)
Department of Oncology, Yonsei University College of Medicine
🇰🇷Seoul, Korea, Republic of
Department of Oncology, Yonsei University College of Medicine🇰🇷Seoul, Korea, Republic ofByoung Chul Cho, MDContact82 2 2228 0880cbc1971@yuhs.ac