Convince: Icotinib Versus First-line Chemotherapy Plus Maintenance Treatment in EGFR Positive Lung Adenocarcinoma Patients
Study Details
Study Description
Brief Summary
The purpose of this study is to compare icotinib with induction and maintenance chemotherapy in the first-line treatment of advanced non-small cell lung cancer (NSCLC) patients with EGFR mutation.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Detailed Description
This study is designed to evaluate the efficacy and safety of icotinib and pemetrexed-based first-line induction and maintenance chemotherapy in advanced lung adenocarcinoma with EGFR-mutation,primary endpoint is progress-free survival,second endpoints include overall survival, time to progression, and so on.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Icotinib Icotinib 125mg is administered orally three times per day. |
Drug: Icotinib
Icotinib: 125 mg is administered orally three times per day.
Other Names:
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Active Comparator: Chemotherapy Patients in this arm will receive pemetrexed/cisplatin for 4 cycles, of who don't progress will receive maintenance treatment with pemetrexed. |
Drug: Chemotherapy
First-line chemotherapy: pemetrexed/cisplatin for 4 cycles. Maintenance treatment: pemetrexed.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Progression Free Survival [12 months]
A duration from randomization date to disease progression(as defined by RECIST) or death. If a participant are known to have progressed, the time to progression is defined as the time from the date of randomization to the date of progression. Otherwise, a participant will be censored at the last date they are known not to be progressed.
Secondary Outcome Measures
- Overall survival [20 months]
Overall Survival is assessed via calculation of the time to death due to any cause. If a participant is known to have died, the time to death is defined as the time from the date of randomization to the date of death. Otherwise, a participant will be censored at the last date they are known to be alive.
- Objective response rate [12 weeks]
Number of participants who achieve complete response or partial response. Either complete response (CR) or partial response (PR) will be evaluated by RECIST, confirmed at least 28 days following the date of the initial response.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Recurrent or progressive Non-Small Cell Lung Cancer stage IV or IIIB patients.
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Positive EGFR Mutation.
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No previous systemic anticancer therapy.
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Measurable lesion according to RECIST with at least one measurable lesion not previously irradiated, unless disease progression has been documented at that site.
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Provision of written informed consent.
Exclusion Criteria:
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Experience of Anti-EGFR(the epidermal growth factor receptor) Monoclonal Antibody or small molecular compounds therapy such as gefitinib, erlotinib or Cetuximab.
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Evidence of clinically active Interstitial Lung Diseases (Patients with chronic, stable, radiographic changes who are asymptomatic need not be excluded).
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Known severe hypersensitivity to icotinib or any of the excipients of this product.
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Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the subject to participate in the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The First Affiliated Hospital of Anhui Medical Univercity | Hefei | Anhui | China | 230022 |
2 | Chinese People's Liberation Army (PLA) General Hospital | Beijing | Beijing | China | 100853 |
3 | Beijing Hospital for Chest Tumors & Tuberculosis Diseases | Beijing | Beijing | China | 101149 |
4 | Xinqiao Hospital, The Third Military Medical University | Chongqing | Chongqing | China | 400037 |
5 | The First Affiliated Hospital Of Guangzhou Medical Collage | Guangzhou | Guangdong | China | 510120 |
6 | Nanfang Hospital, Southern Medical University | Guangzhou | Guangdong | China | 510515 |
7 | Hebei Provincal Tumor Hospital | Shijiazhuang | Hebei | China | 050011 |
8 | Harbin Medical Univercity Cancer Hospital | Harbin | Heilongjiang | China | 110001 |
9 | Henan Provincal Tumor Hospital | Zhengzhou | Henan | China | 450003 |
10 | Jiangsu Cancer Hospital | Nanjing | Jiangsu | China | 210009 |
11 | Jiangsu Provincal Tumor Hospital | Nanjing | Jiangsu | China | 210029 |
12 | The First Bethune Hospital of Jilin Univercity | Changchun | Jilin | China | 130021 |
13 | The First Hospital of China Medical University | Shenyang | Liaoning | China | 110001 |
14 | Shandong Cancer Hospital | Jinan | Shandong | China | 250117 |
15 | Shanghai Chest Hospital Affiliated to Shanghai Jiaotong Univercity | Shanghai | Shanghai | China | 200030 |
16 | Zhongshan Hospital Affiliated to Fudan Univercity | Shanghai | Shanghai | China | 200032 |
17 | Changhai Hospital, The Second Military Medical University | Shanghai | Shanghai | China | 200433 |
18 | Xijing Hospital | Xian | Shanxi | China | 710032 |
19 | Sichuan Provincal Tumor Hospital | Chengdu | Sichuan | China | 610041 |
20 | West China Hospital, Sichuan University | Chengdu | Sichuan | China | 610041 |
21 | Tianjin Medical University Cancer Institute and Hospital | Tianjin | Tianjin | China | 300060 |
Sponsors and Collaborators
- Betta Pharmaceuticals Co., Ltd.
Investigators
- Principal Investigator: Shi Yuankai, M.D., Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BD-IC-IV36