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临床试验/EUCTR2012-005272-34-NL
EUCTR2012-005272-34-NL进行中(未招募)不适用

Iressa RE-challenge in advanced NSCLC EGFR mutated patients who responded to an EGFR-TKI used as first-line or previous treatment. - IRENE

ederlandse Vereniging van Artsen voor Longziekten en Tuberculose NVALT0 个研究点开始时间: 2013年1月14日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Histologically or cytologically confirmed NSCLC with an activating sensitising EGFR TK mutation as determined before starting the first EGFR-TKI treatment by using a well-validated and robust methodology
  • 2. Female or male patients aged 18 years or over with locally advanced or metastatic stage IIIB/IV disease, not suitable for therapy of curative intent or stage IV (metastatic) disease, eligible for gefitinib re-challenge treatment for NSCLC who have already received an EGFR-TKI with a documented complete (CR) or partial response (PR) or stable disease (SD) >12 weeks as the best response to their 1st EGFR-TKI treatment and who have received any subsequent anti-cancer therapy (excluding EGFR-TKIs) treatment, including but not limited to doublet platinum based chemotherapy or docetaxel monotherapy or pemetrexed monotherapy, on which they progressed.
  • 3. Measurable disease defined as at least one lesion, not previously irradiated, that can be accurately measured at baseline as = 10 mm in the longest diameter (except lymph nodes which must have short axis = 15 mm) with spiral CT or MRI and which is suitable for accurate repeated measurements.
  • 4. WHO / ECOG / Zubrod performance status 0-2.
  • 5. Possibility of obtaining tumour material before the start of the study treatment.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 92
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Known severe hypersensitivity to gefitinib or any of the excipients of the product
  • 2. Prior surgery or radiotherapy must be completed more than 6 months before start of study treatment. Palliative radiotherapy must be completed at least 4 weeks before start of study treatment with no persistent radiation toxicity. Previous adjuvant chemotherapy is allowed.
  • 3. Progressive disease or stable disease (SD) <12 weeks as best response to the 1st line treatment with an EGFR-TKI
  • 4. Consideration to require radiotherapy to the lung at the time of study entry or in the near future
  • 5. Past medical history of interstitial lung disease, drug-induced interstitial disease, radiation pneumonitis which required steroid treatment or any evidence of clinically active interstitial lung disease. Pre-existing idiopathic pulmonary fibrosis evidenced by CT scan at baseline
  • 6. Known or suspected brain metastases or spinal cord compression, unless treated with surgery and/or radiation.
  • 7. Any unresolved chronic toxicity greater than CTC grade 2 from previous anticancer therapy
  • 8. Concomitant use of known CYP 3A4 inducers such as phenytoin, carbamazepine, rifampicin, barbiturates, or St John's Wort
  • 9. Pregnancy or breast-feeding
  • 10. As judged by the investigator, any evidence of severe or uncontrolled systemic disease (eg, unstable or uncompensated respiratory, cardiac, hepatic, or renal disease)
  • 11. Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the study
  • 12. Other co-existing malignancies or malignancies diagnosed within the last 2 years with the exception of basal cell carcinoma or cervical cancer in situ
  • 13. Life expectancy of less than 12 weeks
  • 14. Treatment with a non-approved or investigational drug within 30 days before day 1 of study treatment
  • 15. Involvement in the planning and/or conduct of the study (applies to both NVALT staff or staff at the study site)
  • 16. Previous enrolment or treatment in the present study.

研究者

发起方
ederlandse Vereniging van Artsen voor Longziekten en Tuberculose NVALT

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