Synergistic Effect of Elemene Plus TKIs Compared With TKIs in EGFR-mutated Advanced NSCLC:Prospective Study
SELECT-2
Synergistic Real-World Study and Evidence-based Medicine Evaluation of Elemene Combined With Tyrosine Kinase Inhibitors(TKIs)in the Treatment of Advanced Non-small Cell Lung Cancer (NSCLC): Prospective Study
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
March 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
This is a nationwide, multicenter and prospective cohort study. The purpose of this study is to evaluate the synergistic effect and safety of Elemene plus TKIs in EGFR-mutated advanced non-small cell lung cancer.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
744 participants
Study completion date
March 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 7 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
May 18, 2020
Actual (reported)
First Posted
May 26, 2020
Actual (reported)
Study Start
November 9, 2020
Actual (reported)
Primary Completion
September 30, 2025
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
March 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
PFS was defined as the interval from the date of randomization to the date of the first evidence of disease progression or death, whichever occurs first. Disease progression was defined according to RECIST 1.1.
Start of treatment until 1-year follow-up
Secondary Outcomes (5)
ORR
Start of treatment until 1-year follow-up
DCR
Start of treatment until 1-year follow-up
OS
Start of treatment until 1-year follow-up
Incidence and severity of AE or SAE
Start of treatment until 30 days after the last treatment
Incidence and severity of ADR or SADR
Start of treatment until 30 days after the last treatment
Other Outcomes (4)
Quality of life (QOL)
Start of treatment until 1-year follow-up
Karnofsky Performance Scale (KPS)
Start of treatment until 1-year follow-up
Traditional Chinese Medical(TCM) symptoms score
Start of treatment until 1-year follow-up
+1 more other outcomes
Study Arms (2)
Elemene plus First or Third generation EGFR-TKIs
EXPERIMENTAL
Elemene Injectable Emulsion sequentially with Elemene Oral Emulsion plus First -generation EGFR-TKIs (Gefitinib,Erlotinib, Icotinib) or Third-generation EGFR-TKIs (including but not limited to Osimertinib, Almonertinib, Furmonertinib).
Drug: Elemene plus first or third generation EGFR-TKIs
First or third generation EGFR-TKIs only
ACTIVE COMPARATOR
First-generation EGFR-TKIs (Gefitinib,Erlotinib, Icotinib) or third-generation EGFR-TKIs (including but not limited to Osimertinib, Almonertinib, Furmonertinib).
Drug: First or third generation EGFR-TKIs
Interventions
Elemene plus first or third generation EGFR-TKIsDrug
Elemene Injectable Emulsion: 20ml: 88mg, 6 injections each time, once a day, continuous intravenous drip for 5 days. Continue to use Elemene Oral Emulsion. For specific usage, refer to the drug label.
Elemene Oral Emulsion: 20ml: 176mg, 1 dose each time, 3 times a day. Use the Elemene Oral Emulsions until the disease progresses, the intolerable toxicity, the patient withdraws from the study, or dies for any reason.
First or third generation EGFR-TKIs: refer to the drug label.
Also known as: H10960114, H20010338
Elemene plus First or Third generation EGFR-TKIs
First or third generation EGFR-TKIsDrug
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Age ≥ 18.
Histologically or cytologically confirmed advanced non-small cell lung adenocarcinoma(stage IIIB\~IV).
Also known as: Gefitinib(Iressa,YiRuiKe), Erlotinib(Tarceva), Icotinib(Kaimeina), Osimertinib(Tagrisso), Almonertinib, Furmonertinib, etc.
First or third generation EGFR-TKIs only
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Patients with EGFR mutations (deletions in exon 19 and L858R in exon 21 of the EGFR gene), plan to receive First-generation EGFR-TKIs (Gefitinib, Erlotinib, Icotinib) or third generation EGFR-TKIs (including but not limited to Osimertinib, Almonertinib, Furmonertinib) monotherapy for the first time (patients who have been using first- or third-generation EGFR-TKIs for less than 28 days can be enrolled).
Patients positive for EGFR gene mutation (deletions in exon 19 and L858R in exon 21 of the EGFR gene), with disease progression after receiving chemotherapy can be enrolled.
Confirmed by investigators, tumor tissue can't be surgically excised.
No prior exposure to elemene injectable and/or oral emulsion within one month.
Prior exposure to other Chinese patent medicine with similar efficacy within one month. If more than one month, patients can be enrolled after a 30-day washout period (without continuing to use the above medications).
The participant must be capable of understanding and complying with the protocol and willing to sign a written informed consent document.
You may not qualify if:
Patients with any EGFR mutations other than 19DEL or 21L858R.
Accompanied by other active tumors. (Except for stable basal cell carcinoma after treatment, If metachronous tumors have been controlled, participating was allowed )
Exposure to First- or third-generation EGFR-TKIs combined treatment, for example, chemotherapy, anti-angiogenesis therapy.
Receiving radiotherapy or chemotherapy.
Pregnant or lactating women.
Allergic to Elemene.
Participating in other drug clinical trials.
Refuse to comply with the follow-up.
The researchers did not consider it appropriate to participate in this study for other reasons.
Contact the study team to confirm eligibility.
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
December 27, 2023
Record last verified: 2023-12
Source record
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Source: ClinicalTrials.gov.
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