Overview
Neoadjuvant Afatinib in Early Stage Non Small Cell Lung Cancer.
Status:
Suspended
Suspended
Trial end date:
2021-01-01
2021-01-01
Target enrollment:
0
0
Participant gender:
All
All
Summary
This is a multicenter, randomized, 1:1, non-comparative phase II trial. Patients with early stage NSCLC will be randomized between ARM A: neoadjuvant afatinib followed by surgery and ARM B: immediate surgery with curative intent.Phase:
Phase 2Accepts Healthy Volunteers?
NoDetails
Lead Sponsor:
European Organisation for Research and Treatment of Cancer - EORTCTreatments:
Afatinib
Criteria
Inclusion Criteria:Histological or cytological diagnosis of NSCLC;
- Patients considered operable and with resectable tumor with curative intent
(anatomical resection and systematic lymph node dissection) based on evaluation by a
thoracic multi-disciplinary team composed of at least a thoracic surgeon, oncologist
and radiologist;
- Stage I-III (T1a-3, N0-1, M0 according to UICC version 7) NSCLC by local staging
criteria potentially treatable by radical (curative) surgery. Patients with T1 tumor
at baseline will be limited to 20%;
- Radiologically measurable disease according to RECIST criteria 1.1; assessed by chest
and upper abdomen CT scan within 2 weeks (+1 week) prior to registration); brain CT
scan or MRI according to local practice;
- No prior treatment for NSCLC is allowed;
- Adequate tissue in terms of quality and quantity for EGFR local testing.
Exclusion Criteria:
- no adequate bone marrow function within 2 weeks prior to randomization
- no adequate liver function. Patients with Gilbert's syndrome total bilirubin must be
below 4 times institutional upper limit of normal; within 2 weeks prior to
randomization
- no adequate renal function within 2 weeks prior to randomization
- known positivity to human immunodeficiency virus (HIV), hepatitis B or hepatitis C;
- known history of allergic reactions attributed to compounds of similar chemical or
biological composition;
- history of a hematologic or primary solid tumor malignancy, unless no evidence of that
disease for 5 years, except pT1-2 prostatic cancer Gleason score < 6, superficial
bladder cancer, non melanoma skin cancer or carcinoma in situ of the cervix;