A Multicenter, Randomized, Phase III Trial of Chemotherapy Followed by 6-month or 12-month Icotinib Versus Chemotherapy as Adjuvant Therapy in Stage IIA-IIIA Non-small Cell Lung Cancer Harboring Epidermal Growth Factor Receptor Mutation
Overview
- Phase
- Phase 3
- Intervention
- 6-month Icotinib
- Conditions
- Lung Cancer
- Sponsor
- Sun Yat-sen University
- Enrollment
- 318
- Locations
- 1
- Primary Endpoint
- Disease-Free Survival
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is studying icotinib following chemotherapy to see how well it works compared to chemotherapy in treating patients with resected stage IIA-IIIA NSCLC harboring EGFR mutation.
Detailed Description
Adjuvant chemotherapy is recommended for routine use in patients with fully resected stage IIA-IIIA non-small cell lung cancer (NSCLC). Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) show great efficacy in patients with advanced non-small cell lung cancer (NSCLC) with EGFR mutation. Icotinib is a novel EGFR-TKI developed by a group of Chinese scientists. In the phase III ICOGEN trial, icotinib had non-inferiority efficacy to gefitinib with better safety. In phase II trial, chemotherapy followed by 6-month gefitinib as adjuvant therapy can confer longer disease-free survival compared with chemotherapy alone in patients with resected stage IIIA-N2 non-small cell lung cancer harboring EGFR mutations. This study is to studying 6-month or 12-month icotinib following chemotherapy to see how well it works compared to chemotherapy in treating patients with resected stage IIA-IIIA NSCLC harboring EGFR mutation.
Investigators
Si-Yu Wang
Professor
Sun Yat-sen University
Eligibility Criteria
Inclusion Criteria
- •Written informed consent provided.
- •Aged 18-75 years.
- •Had completely resected pathological confirmed stage IIA-IIIA NSCLC.
- •EGFR activating mutation in exon 19 or
- •Had completed four cycles of platinum-based adjuvant chemotherapy.
- •Able to start the investigational therapy within 4 weeks after the completion of four cycles of adjuvant chemotherapy.
- •ECOG performance status of 0-
- •Had a life expectancy of 12 weeks or more.
- •Adequate hematological function, adequate liver function and renal function.
- •Able to comply with the required protocol and follow-up procedures, and able to receive oral medications.
Exclusion Criteria
- •Had had previous chemotherapy besides four cycles of adjuvant chemotherapy, radiotherapy, or agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
- •Had a history another malignancy in the last 5 years with the exception of cured basal cell carcinoma of the skin, cured in situ carcinoma of the uterine cervix and cured epithelial carcinoma of the bladder.
- •Any evidence confirmed tumor recurrence before investigational therapy.
- •Known severe hypersensitivity to icotinib or any of the excipients of this product.
- •Evidence of clinically active interstitial lung disease.
- •Eye inflammation not fully controlled or conditions predisposing the subject to this.
- •Any unstable systemic disease (including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, myocardial infarction within the previous 6 months, serious cardiac arrhythmia requiring medication, hepatic, renal, or metabolic disease).
- •Known human immunodeficiency virus (HIV) infection.
- •Pregnancy or breast-feeding women.
- •Ingredients mixed with small cell lung cancer patients.
Arms & Interventions
6-month icotinib
Icotinib 125 mg three times daily (375 mg per day) by mouth for 6 months
Intervention: 6-month Icotinib
12-month icotinib
Icotinib 125 mg three times daily (375 mg per day) by mouth for 12 months
Intervention: 12-month icotinib
Outcomes
Primary Outcomes
Disease-Free Survival
Time Frame: 5 years after the last patient is randomized
Disease-free survival was assessed from randomization to disease recurrence or death as a result of any cause.
Secondary Outcomes
- Number of Participants with Adverse Events(2 years)
- Change from baseline in patient reported Lung Cancer Functional Assessment(2 years)
- Overall Survival(5 years after the last patient is randomized)