Chemotherapy in Combination With Erlotinib, or Sequential Chemotherapy for Erlotinib for Treatment, EGFR - TKI Resistance of EGFR Mutations in Patients With NSCLC Randomized Controlled Phase II Clinical Study
Overview
- Phase
- Phase 2
- Intervention
- docetaxel
- Conditions
- Non Small Cell Lung Cancer
- Sponsor
- Fudan University
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Progression-free survival (PFS)
- Last Updated
- 10 years ago
Overview
Brief Summary
The purpose of this study is to evaluate and compare safety and effectiveness of Chemotherapy in Combination With Erlotinib,or Sequential Erlotinib for Treatment in Patients With EGFR - TKI Resistance of EGFR Mutations
Detailed Description
from the first cycle of treatment (day one) to two month after the last cycle
Investigators
Chang Jian Hua
attending
Fudan University
Eligibility Criteria
Inclusion Criteria
- •Sign the informed consent
- •According to RECIST 1.1 standard, at least one measurable lesions
- •Histology and cytology confirmed with unfavorable surgical locally advanced stage (stage IIIB) or metastatic NSCLC (IV), Sensitive EGFR gene mutation
- •Palliative treatment has received two medicine first-line platinum-based chemotherapy and EGFR - TKI second-line treatment and objective clinical benefit (CR, PR or SD is more than 6 months), RESIST standard curative effect evaluation for progress
- •No serious blood, heart, lung, liver and kidney dysfunction, and immune deficiency
- •Hb≥9g/dL;WBC≥3\*109/L,ANC≥1.5\*109/L,PLT≥75\*109/L
- •Men or women of childbearing age in the experiment are willing to take contraceptive measures
- •Estimated survival period for 3 months or more
Exclusion Criteria
- •The palliative chemotherapy ever use docetaxel and pemetrexed
- •small cell lung cancer non small cell hybrid
- •Women during pregnancy or lactation
- •In the past the anti-tumor treatment of any outstanding ease of \> CTCAE 2 levels of toxicity
- •Ccr\<30 ml/min (calculated by Cockcroft-Gault formula)
- •hepatic insufficiency: Tbil\> 1.5×ULN ALT and AST \> 2.5×ULN (Patients with liver metastasis\>5×ULN) Alkaline phosphatase\>2.5 ×ULN(Patients with liver metastasis\>5×ULN)
- •Severe symptomatic heart disease
- •Symptomatic brain metastases
- •In the last 5 years have been or are suffering from other histological types of malignant tumor
- •There are serious or uncontrolled systemic diseases
Arms & Interventions
combination with Erlotinib
Erlotinib 150mg qd combination with docetaxel 75mg/m2 or pemetrexed 500mg/m2
Intervention: docetaxel
combination with Erlotinib
Erlotinib 150mg qd combination with docetaxel 75mg/m2 or pemetrexed 500mg/m2
Intervention: pemetrexed
combination with Erlotinib
Erlotinib 150mg qd combination with docetaxel 75mg/m2 or pemetrexed 500mg/m2
Intervention: Erlotinib
sequential chemotherapy for Erlotinib
docetaxel 75mg/m2 or pemetrexed 500mg/m2,after PD,Erlotinib 150mg qd
Intervention: docetaxel
sequential chemotherapy for Erlotinib
docetaxel 75mg/m2 or pemetrexed 500mg/m2,after PD,Erlotinib 150mg qd
Intervention: pemetrexed
sequential chemotherapy for Erlotinib
docetaxel 75mg/m2 or pemetrexed 500mg/m2,after PD,Erlotinib 150mg qd
Intervention: Erlotinib
Outcomes
Primary Outcomes
Progression-free survival (PFS)
Time Frame: from the first cycle of treatment (day one) to two month after the last cycle