A National, Multi Center, Randomized, Open-label, Phase II Trial of Tarceva Versus Combination of Gemcitabine Plus Cisplatin as Neoadjuvant Treatment in Stage IIIA-N1,N2 NSCLC With Activating EGFR Mutation in Exon 19 or 21
Concurrent Chemoradiation therapy remain the standard treatment for stage IIIA disease,
but its treatment-related life threaten toxicity limit its use for those patients.
Tarceva monotherapy have been demonstrated a significant improvement in overall survival and
disease progression free survival when used for the treatment of patients with metastatic
NSCLC, after failure of at least one prior chemotherapy regimen. It is well tolerated
without the side effects usually associated with chemotherapy.
Based on the encouraging results reported from the SLCG phase II study reported the efficacy
of Tarceva as first line treatment for metastatic NSCLC with EGFR mutation patients would
prolong overall survival, delay disease progression and be well tolerated, mOS reached 27
months, ORR reached 71%. Besides, with different mechanism and more tolerable than chemo,
Tarceva may provide an important treatment alternative for local advanced pts with EGFR
China: Food and Drug Administration