A Phase 2 Study of Icotinib With Concurrent Radiotherapy vs. Pemetrexed+ Carboplatin With Concurrent Radiotherapy in Unresectable Stage III Non-small Cell Lung Cancer With Epidermal Growth Factor Receptor ( EGFR) Mutation
Overview
- Phase
- Phase 2
- Intervention
- Icotinib
- Conditions
- Non-small Cell Lung Cancer
- Sponsor
- People's Hospital of Guangxi
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Progression free survival (PFS)
- Last Updated
- 11 years ago
Overview
Brief Summary
The current standard of care for unresectable locally advanced non-small-cell lung cancer (NSCLC) is a combination of chemotherapy and thoracic radiotherapy (TRT). The standard regimens consist of platinum-based doublet chemotherapy.Icotinib(BPI-2009, Conmana) is the first self-developed small molecular drug in China for targeted therapy of lung cancer.Icotinib is a novel oral quinazoline compound that has proven survival benefit in Chinese patients with lung cancer,especially in EGFR mutation lung cancer. This randomised, multi-center, controlled trial is designed to assess the efficacy and safety of icotinib with concurrent radiotherapy versus pemetrexed + carboplatin with concurrent radiotherapy in inoperable stage III non-small cell lung cancer with EGFR mutation, the primary endpoint is progression-free survival.
Investigators
Guosheng Feng
Professor
People's Hospital of Guangxi
Eligibility Criteria
Inclusion Criteria
- •Unresectable stage IIIA / IIIB non-small cell lung cancer with EGFR 19/21 mutation.
- •No previous systemic anticancer therapy.
- •life expectancy more than three months.
- •ECOG Performance Status of 0 to
- •Measurable lesion according to RECIST with at least one measurable lesion not previously irradiated, unless disease progression has been documented at that site.
- •Patients will be required to provide informed consent before enrollment.
Exclusion Criteria
- •Intrapulmonary metastasis, atelectasis of an entire hemithorax,pleural dissemination, or contralateral hilar lymph node metastasis.
- •Prior chemotherapy for NSCLC, chest irradiation therapy, or therapy directed at the epidermal growth factor receptor pathway.
- •Severe heart disease, uncontrolled diabetes mellitus, or active infection.
- •Active concomitant malignancy, and pregnancy or breast-feeding.
Arms & Interventions
Icotinib with concurrent radiotherapy
Icotinib (125 mg ,three times daily)with concurrent thoracic radiotherapy(TRT) (66 Gy/33 fractions), followed by maintenance icotinib (125 mg ,Three times daily) until disease progression or unacceptable toxicity.
Intervention: Icotinib
Icotinib with concurrent radiotherapy
Icotinib (125 mg ,three times daily)with concurrent thoracic radiotherapy(TRT) (66 Gy/33 fractions), followed by maintenance icotinib (125 mg ,Three times daily) until disease progression or unacceptable toxicity.
Intervention: Thoracic radiotherapy(TRT)
Chemoradiotherapy
Pemetrexed(500mg/m2) + carboplatin (AUC，5) every 21 days for three cycles with concurrent thoracic radiotherapy(TRT) (66 Gy/33 fractions), followed by consolidation chemotherapy with two cycles of pemetrexed(500mg/m2) + carboplatin (AUC，5) every 21 days.Maintenance pemetrexed(500mg/m2) will be administered after consolidation chemotherapy until disease progression or unacceptable toxicity .
Intervention: Pemetrexed
Chemoradiotherapy
Pemetrexed(500mg/m2) + carboplatin (AUC，5) every 21 days for three cycles with concurrent thoracic radiotherapy(TRT) (66 Gy/33 fractions), followed by consolidation chemotherapy with two cycles of pemetrexed(500mg/m2) + carboplatin (AUC，5) every 21 days.Maintenance pemetrexed(500mg/m2) will be administered after consolidation chemotherapy until disease progression or unacceptable toxicity .
Intervention: Carboplatin
Chemoradiotherapy
Pemetrexed(500mg/m2) + carboplatin (AUC，5) every 21 days for three cycles with concurrent thoracic radiotherapy(TRT) (66 Gy/33 fractions), followed by consolidation chemotherapy with two cycles of pemetrexed(500mg/m2) + carboplatin (AUC，5) every 21 days.Maintenance pemetrexed(500mg/m2) will be administered after consolidation chemotherapy until disease progression or unacceptable toxicity .
Intervention: Thoracic radiotherapy(TRT)
Outcomes
Primary Outcomes
Progression free survival (PFS)
Time Frame: One year
A duration from randomization date to disease progression(as defined by RECIST) or death. If a participant are known to have progressed, the time to progression is defined as the time from the date of randomization to the date of progression. Otherwise, a participant will be censored at the last date they are known not to be progressed.
Secondary Outcomes
- Objective response rate(two years)
- Overall survival(OS)(two years)
- Quality of life(two years)
- Adverse events(two years)