Erlotinib Versus Vinorelbine/Cisplatin as Adjuvant Treatment in Stage IIIA NSCLC Patients With EGFR Mutations
A Phase II Trial of Erlotinib Versus Combination of Vinorelbine Plus Cisplatin as Adjuvant Treatment in Stage IIIA Non-small-cell Lung Cancer After Complete Resection With Sensitizing EGFR Mutation in Exon 19 or 21 and Wild-type K-ras
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Primary Completion
July 2015
Estimated (date passed)
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Study Completion
July 2017
Estimated (date passed)
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Brief Summary
The purpose of this study is to assess the effect and safety of erlotinib versus NVB plus cisplatin (NP) as adjuvant treatment in patients with stage IIIA NSCLC after complete resection with EGFR activating mutations and to explore a new treatment strategy for this subset.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
80 participants
Study completion date
July 2017
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 11 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
May 2011
Date type not reported
This date has not been verified as actual or estimated.
First Submitted
August 1, 2011
Actual (reported)
First Posted
August 5, 2011
Actual (reported)
Primary Completion
July 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
July 2017
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
NSCLCEGFR Mutation Positivecomplete resectionErlotinib Versus NVB/Cisplatin as Adjuvant treatment
Outcome Measures
Primary Outcomes (1)
Disease-free survival
To evaluate Disease-free survival(DFS) of two groups
2 years
Secondary Outcomes (3)
Number of Participants with Adverse Events
2 years
Quality of Life (QOL)
2 years
overall survival (OS)
2 years
Study Arms (2)
Erlotinib arm
EXPERIMENTAL
In the adjuvant treatment phase, erlotinib 150 mg/day taken orally for 2 years or till disease progression or unacceptable toxicity.
Drug: Erlotinib
Chemo arm
ACTIVE COMPARATOR
In the adjuvant treatment phase, patient will receive vinorelbine 25mg/m2 IV on day 1 and day 8, and cisplatin 25mg/m2 on day 1 and day 2 and day 3, of a 3-week schedule for 4 cycles or till disease progression or unacceptable toxicity.
Drug: vinorelbine/cisplatin
Interventions
ErlotinibDrug
In the adjuvant treatment phase, erlotinib 150 mg/day taken orally for 2 years or till disease progression or unacceptable toxicity.
Also known as: tarceva
Erlotinib arm
vinorelbine/cisplatinDrug
In the adjuvant treatment phase, patient will receive vinorelbine 25mg/m2 IV on day 1 and day 8, and cisplatin 25mg/m2 on day 1 and day 2 and day 3, of a 3-week schedule for 4 cycles or till disease progression or unacceptable toxicity.
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
vinorelbine/cisplatin
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Chest CT, brain CT or MRI, ECT, abdominal and double-neck B-, or whole body PET-CT examination in 4 weeks before complete resection.
Pathological diagnosed of non-small cell lung cancer.
Diagnosed as stage IIIA.
In 4 weeks after complete resection pts start to accept the adjuvant therapy in this study, previously did not receive any anti-tumor therapy.
EGFR activating mutation in exon 19 or 21 and KARS
ECOG performance status 0-1.
Life expectancy ≥3 months.
Adequate hematological function:Absolute neutrophil count (ANC) ≥1.5 x 109/L, and Platelet count ≥100 x 109/L, and Hemoglobin ≥9 g/dL (may be transfused to maintain or exceed this level).
Adequate liver function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN);Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤ 2.5 x ULN.
Adequate renal function:Serum creatinine ≤ 1.25 x ULN, and creatinine clearance ≥ 60 ml/min.
Able to comply with the required protocol and follow-up procedures, and able to receive oral medications.
Patients must be nonpregnant and non-lactating.Patients of childbearing potential must implement an effective method of contraception during the study. All female Patients, except those who are postmenopausal or surgically sterilized, must have a negative pre-study serum or urine pregnancy test. .
You may not qualify if:
Patients with prior exposure to agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
Patients with prior chemotherapy or therapy with systemic anti-tumour therapy.
Patients with prior radiotherapy.
History of another malignancy in the last 5 years with the exception of the following:Cured basal cell carcinoma of the skin and cured in situ carcinoma of the uterine cervix are permitted.
Any evidence confirmed tumor recurrence before adjuvant treatment.
Any unstable systemic disease (including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, myocardial infarction within the previous year, serious cardiac arrhythmia requiring medication, hepatic, renal, or metabolic disease).
Any evidence of clinically active interstitial lung disease.
Eye inflammation or eye infection not fully treated or conditions predisposing the subject to this.
Known human immunodeficiency virus (HIV) infection.
Known hypersensitivity to Tarceva or NVB or cisplatin.
Pregnancy or breast-feeding women.
ECOG performance status ≥ 2.
Ingredients mixed with small cell lung cancer patients
Evidence of any other disease, neurological or metabolic dysfunction, physical examination or laboratory finding giving reasonable suspicion of a disease or condition that contraindicated the use of an investigational drug or puts the subject at high risk for treatment-related complications.
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
July 2017
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
December 23, 2011
Record last verified: 2011-12
Source record
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Source: ClinicalTrials.gov.
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