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A phase I study; Afatinib in Combination of Osimertinib in patients with Relapsed Non-Small Cell Lung Cancer after failure of prior Osimertinib

Phase 1
Conditions
Advanced non-small cell lung cancer
Registration Number
JPRN-jRCTs051180008
Lead Sponsor
Tanaka Hiroshi
Brief Summary

Bombination therapy with OSI and AFA is tolerable for OSI-resistant EGFR-mutated NSCLC. However, the additional effect of AFA on OSI may be limited in OSI-resistant settings.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
13
Inclusion Criteria

1)Non-small cell lung cancer proven by histology and/or cytology with EGFR active mutation
2)Stage IIIB, IIIC, IV or postoperative/post chmoradiation therapy recurrence
3)Prior Osimertinib failure
4)Patients who could treat with a 80mg dose of osimertinib
5)20 years or older
6)ECOG PS 0 or 1
7)Adequate organ function
8)At least one or more measurable lesion by RECIST
9)Written informed consent for translational research
10) Written informed consent

Exclusion Criteria

1) Patients who are difficult to treat enrolled doses due to toxicity of afatinib
2) History of drug-induced pneumonitis/Interstitial pneumonia
3) Symptomatic brain metastasis/ leptomeningitis
4) Bone metastasis to treat by operation or radiation therapy
5) Uncontrollable pleural, peritoneal or pericardial effusion
6) Prior thoracic palliative radiotherapy within 2wks
7) SCLC transformation
8) History of active double cancer
9) Severe infection
10) Active HBV infection
11) No intention to birth control
12) Unstable psychic disorder
13) Under treatment of steroid therapy or immunosuppressive therapy
14) History of allergic reaction
15) Patients who treated with PD-1 or PD-L1 inhibitors within six months
16) Decision of ineligibility by a physician

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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