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临床试验/NCT05241028
NCT05241028招募中2 期

Adjuvant Therapy of Ensatinib in Patients With Stage IB-IIIA ALK-positive Non-small Cell Lung Cancer: a Prospective, Multi-center, Single-arm Exploratory Study

Hebei Medical University Fourth Hospital1 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2022年5月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
80
试验地点
1
主要终点
3-year disease free survival rate (DFSR)

研究概览

简要总结

This is a prospective, multi-center, single-arm, phase 2 study aiming to assess the efficacy and safety of adjuvant use of Ensartinib in stage IB-IIIA non-small cell lung cancer (NSCLC) with positive ALK-fusion. Enrolled patients will take Ensatinib for 3 years or until recurrence of the disease or intolerable toxicity, following complete tumour resection with or without adjuvant standard chemotherapy.

研究设计

研究类型
Interventional
分配方式
Na
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 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Completely resected pathological stage IB-IIIA NSCLC with ALK-fusion positive (confirmed by FISH, IHC or NGS).
  • Males or females aged ≥18 years, ≤75 years.
  • ECOG performance status 0-
  • Completely recovered from surgery or standard postoperative chemotherapy before receiving adjuvant ensatinib treatment. (When starting the study treatment, the patient must have recovered from all toxicities greater than CTCAE Grade 1 caused by the previous treatment, except for hair loss and Grade 2 neuropathy related to previous platinum-based treatments).
  • Clinical examinations before treatment report no signs of disease recurrance.
  • With enough tumor histology specimens (non-cytology) for molecular marker analysis.
  • hemoglobin concentration ≥ 100 g/L (permit to maintain hematologic criteria by blood transfusion); absolute neutrophil count (ANC) ≥1.5×10^9/L; platelet count ≥100×10^9/L.
  • Liver Function: TBil ≤2xULN; ALT and AST ≤2.5xULN;
  • Renal Function: Cr ≤1.5xULN, and Ccr ≥60ml/min;
  • Signed inform consent form by patient or his/her legal representative.
  • Comply with study protocol and procedure, and be able to take oral medication.
  • Female patients of childbearing potential must have a negative urine pregnancy test within 7 days before study treatment.
  • Eligible patients of reproductive potential (both sexes) must agree to use a reliable method of birth control before enrollment, during the study period and for at least 8 weeks after their last dose of study therapy.

排除标准

  • Having targeted medication therapy (including tyrosine kinase inhibitor or monoclonal antibody) and experimental therapy for NSCLC in the past.
  • Having local radiotherapy of NSCLC.
  • Known allergy to Ensatinib or any of the ingredients in this product.
  • Previously suffering from interstitial lung disease, drug-induced interstitial disease, radiation pneumonia that requires hormone therapy, or any clinically evidenced active interstitial lung disease; CT scan at baseline revealed the presence of idiopathic pulmonary fibrosis.
  • Any unstable systemic disease, including: active infection, uncontrolled high blood pressure, unstable angina pectoris, angina pectoris that started within the last 3 months, congestive heart failure (≥ New York Heart Association [NYHA] II Grade), myocardial infarction (6 months before enrollment), severe arrhythmia requiring medical treatment; liver, kidney or metabolic diseases.
  • Women who are pregnant or breastfeeding.
  • Having history of neurological or psychiatric disorders, including epilepsy or dementia.
  • Other conditions investigators evaluate that patient is not eligible to this study.

研究组 & 干预措施

Ensartinib

Experimental

Ensartinib 225mg oral daily for 3 years or until recurrence of the disease or intolerable toxicity

干预措施: Ensartinib (Drug)

结局指标

主要结局

3-year disease free survival rate (DFSR)

时间窗: 3 years

Defined as the percentage of patients alive and disease free at 3 years

次要结局

  • Adverse Events(Up to 3 years)
  • 5-year overall survival rate(5 years)
  • disease free survival (DFS)(Up to 5 years)
  • overall survival (OS)(Up to 5 years)

研究者

发起方
Hebei Medical University Fourth Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

LiuJunFeng

Director of thoracic surgery

Hebei Medical University Fourth Hospital

研究点 (1)

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