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A Phase II Trial of Radiation Therapy Combined With Iressa in Patients With Locally Advanced Non-small Cell Lung Cancer With Harboring Active EGFR Mutations

Phase 2
18 Years
75 Years
Open (Enrolling)
Non-small Cell Lung Cancer

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Trial Information

A Phase II Trial of Radiation Therapy Combined With Iressa in Patients With Locally Advanced Non-small Cell Lung Cancer With Harboring Active EGFR Mutations

Worldwide more than half a million new cases of lung cancer are diagnosed annually. About
80% of these tumours are of non-small cell histological type. Surgery is the treatment of
choice, but only about 20% of tumours are suitable for potentially curative resection.
Concurrent chemoradiotherapy is the standard treatment for locally advanced NSCLC. When
Iressa was used in the first-line treatment of advanced NSCLC with EGFR mutations positive,
the 12-month rates of progression-free survival were 24.9%. Therefore, we speculate that the
EGFR mutations in patients with locally advanced NSCLC, Gefitinib combined with radiotherapy
may be better than chemoradiotherapy. We design the study to access the effect and safety of
radiotherapy combined whth Iressa for patients with locally advanced non-small cell lung
cancer with harboring active EGFR mutations.

Inclusion Criteria:

- Histologically confirmed diagnosis of non-squamous NSCLC; Stage ⅢA-ⅢB(not suitable
for surgery) or stage Ⅳ(only single-site single transfer );

- Untreated patients, or who completed ≤ 2 cycles of first-line chemotherapy
(chemotherapy regimen: paclitaxel, docetaxel + cisplatin) within the previous month;

- Patients with tumor EGFR mutation positive (exon 19 deletion mutation or exon 21
L858R substitution mutation);

- Patients must be informed of the investigational nature of the study and must sign an
informed consent form;

- Presence of at least one measurable/evaluable according to RECIST criteria.

- ECOG performance Status 0-2 ;

- Patients must have a life expectancy > 12 weeks;

- Patients with laboratory values as follows:WBC>4.0 x 109/L; ANC≥1.5 x 109/L; PLT≥100
x 109/L; HGB≥10 g/dL; CR≤1.5 x ULN; TBIL<1.5 x ULN; AST and ALT≤1.5 x ULN; LDH≤1.5 x

- FEV 1≥1.0L and >50% Corresponding normal values;

- Patient candidate to standard platinum-based chemotherapy;

- 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.

Exclusion Criteria:

- Any evidence of clinically active interstitial lung disease;

- Diagnosis of any other malignancy during the last 5 years, except for in situ
carcinoma of cervix uterine and squamous cell carcinoma of the skin;

- Pregnancy or lactating;

- Serious concomitant infection;

- MI within preceding 6 months or symptomatic heart disease, including unstable angina,
congestive heart failure or uncontrolled arrhythmia;

- As judged by the investigator, any evidence of severe or uncontrolled systemic
disease (eg, unstable or uncompensated respiratory, cardiac, hepatic, or renal

- Patients who are not suitable to participate in the trial according to researchers.

Type of Study:


Study Design:

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Response rate (RR)

Outcome Time Frame:

1 year

Safety Issue:


Principal Investigator

Zhu Guangying

Investigator Role:

Principal Investigator

Investigator Affiliation:

Beijing Cancer Hospital


China: Ethics Committee

Study ID:




Start Date:

July 2011

Completion Date:

July 2017

Related Keywords:

  • Non-Small Cell Lung Cancer
  • Locally Advanced NSCLC
  • EGFR Mutation Positive
  • Radiotherapy combined Gefitinib
  • Carcinoma, Non-Small-Cell Lung
  • Lung Neoplasms