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临床试验/NCT02226757
NCT02226757Unknown2 期

Paclitaxel-trastuzumab in EGFR-mutated NSCLC Patients After Progression on TKI-treatment; a Pilot-study

Amsterdam UMC, location VUmc1 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2014年8月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
发起方
入组人数
16
试验地点
1
主要终点
Objective response rate

研究概览

简要总结

This study is a pilot study in EGFR-mutated NSCLC patients who have progressed on standard-dose TKIs. Tumor biopsies will be evaluated for HER2-expression. In case of HER2 expression, patients can participate in the trial after obtaining informed consent.

Patients will be treated with weekly paclitaxel-trastuzumab.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Histologically confirmed stage IV non-squamous NSCLC patients.
  • Patients must have been detected with an activating EGFR mutation at baseline and must have yet progressed on erlotinib, gefitinib or afatinib monotherapy in daily dose of 150 mg, 250 mg or 40 mg respectively. (Patients with unknown mutation status that have exhibited a response to these agents or stable disease for at least 6 months while on treatment with gefitinib or erlotinib are also eligible).
  • Rebiopsy after having acquired resistance to TKI-treatment must have been performed and HER2-overexpression (positive immunohistochemistry staining) must have been detected.
  • There must be at least one measurable disease site, according to RECIST 1.1 criteria.
  • WHO performance status 0-
  • Willing and able to comply with the study prescriptions.
  • 18 years or older.
  • Not pregnant or breast feeding and willing to take adequate contraceptive measures during the study.
  • Ability to give written informed consent before patient registration.

排除标准

  • No uncontrolled infectious disease.
  • No other active malignancy.
  • No major surgery (excluding diagnostic procedures like e.g. mediastinoscopy or VATS biopsy) in the previous 4 weeks.
  • No treatment with investigational drugs.
  • No known hypersensitivity to trastuzumab-paclitaxel
  • No symptomatic brain metastases.
  • History of coronary artery disease, NYHA class III or IV and Left Ventricular Ejection Fraction (LVEF) of <45%.

研究组 & 干预措施

Paclitaxel-trastuzumab

Experimental

Paclitaxel-trastuzumab weekly

干预措施: Paclitaxel-trastzumab (Drug)

结局指标

主要结局

Objective response rate

时间窗: 6 weeks

次要结局

  • Disease control rate(6 weeks)
  • progression-free survival(2 years)
  • Toxicity(2 years)

研究者

发起方
Amsterdam UMC, location VUmc
申办方类型
Other
责任方
Principal Investigator
主要研究者

Prof. dr. E.F. Smit

MD PhD

Amsterdam UMC, location VUmc

研究点 (1)

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