Erlotinib in Treating Patients With Stage I-IIIA Non-Small Cell Lung Cancer Undergoing Surgical Resection
Phase II Study to Evaluate the Tumor Biochemical Effects of the EGFR Tyrosine Kinase Inhibitor OSI-774 (Erlotinib) Administered Prior to Surgical Resection in Patients With Early Stage Non-Small Cell Lung Cancer
3 other identifiers
interventional
110
1 country
1
Brief Summary
This phase II trial is studying how well erlotinib works in treating patients with stage I, stage II, or stage IIIA non-small cell lung cancer. Erlotinib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Giving erlotinib before surgery may shrink the tumor so that it can be removed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 8, 2004
CompletedFirst Posted
Study publicly available on registry
July 12, 2004
CompletedStudy Start
First participant enrolled
December 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2006
CompletedJune 6, 2013
June 1, 2013
1.3 years
July 8, 2004
June 4, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
Biochemical response rate in tumor defined as > 75% decrease in P-MAPK and/or P-AKT
Up to 5 years
Secondary Outcomes (1)
Tolerability of erlotinib, graded according to the NCI CTCAE version 3.0
Up to 5 years
Study Arms (1)
Treatment (erlotinib)
EXPERIMENTALPatients receive oral erlotinib once daily on days 1-14 or days 1-21 in the absence of unacceptable toxicity. Patients then undergo surgical resection on the last day of study drug administration (day 14 or day 21). Patients may receive chemotherapy and/or radiotherapy after surgical resection at the discretion of the primary physician.
Interventions
Given orally
Eligibility Criteria
You may qualify if:
- Patients with suspicion of lung cancer without distant metastases
- Patients are scheduled to have a tissue diagnostic procedure within 3 to 5 days of pre-registration
- Patients are willing to allow collection and submission of baseline and post-therapy tumor tissue, skin and blood samples for this study
- Patients must have ECOG performance status of 0, 1, or 2
- Patients must have no psychological, familial, sociological, or geographic conditions that will interfere with medical follow-up and compliance with the study protocol
- Patients must have no prior chemotherapy or radiation therapy or no prior anti- EGFR treatment exposure
- Patients must be able to take oral medication and not have malabsorption syndrome, or prior gastrointestinal surgery that limits their absorption (i.e. requiring total parental nutrition)
- Patients must not be using phenytoin, carbamazepine, barbiturates, rifampicin, phenobarbital, oxcarbazepine, rifapentine, St John's Wort, or any other CYP 3A4 enzyme-inducing agent; any use of these substances must be discontinued at least 2 weeks prior to registration
- Patients must not be taking any anti-coagulants
- Patients must not have been treated with a non-approved or investigational drug within 21 days prior to pre-registration; patients must not have serious underlying medical condition that would impair the ability of patient to receive the planned treatment
- Patients with a known hypersensitivity to OSI-774 (erlotinib) are not eligible
- Patients must have histologically confirmed NSCLC; cytologic specimens obtained by brushing, washing or needle aspiration of defined lesions will be acceptable
- Patients must have stage IA (T1N0M0), stage IB (T2N0M0), stage IIA (T1N1M0), stage IIB (T2N1M0; T3N0-1M0), or stage IIIA (T1-3N2M0) disease
- Patients with small cell component on histology specimen are not eligible
- A paraffin-embedded cell block and 1-2 segments of frozen tissue demonstrating NSCLC and obtained during the diagnostic biopsy is available for submission
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Eastern Cooperative Oncology Group
Boston, Massachusetts, 02215, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Steven Keller
Eastern Cooperative Oncology Group
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2004
First Posted
July 12, 2004
Study Start
December 1, 2004
Primary Completion
April 1, 2006
Last Updated
June 6, 2013
Record last verified: 2013-06