Personalized Therapy in Non-small Cell Lung Cancer

• Status: Completed
• Trial end date: 2014-12-01
• Target enrollment: 0
• Participant gender: All

Summary

Excision repair cross complementing 1 (ERCC1) ribonucleotide reductase M1 (RRM1) and thymidylate synthase(TS) are molecular determinants that predict sensitivity or resistance to platinum agents 、 gemcitabine and pemetrexed respectively.

Tailored therapy using these molecular determinants suggested patient benefit in a previously reported phase 2 trial. Here, we designed a study for an individual patient analysis of prospectively accrued patients who were treated with the "personalized therapy" approach versus other standard approaches.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Guangzhou Medical University
• Collaborator: The First Affiliated Hospital of Guangzhou Medical University
• Treatments: Carboplatin; Gemcitabine; Pemetrexed

Criteria

Inclusion Criteria:

1. Histologically confirmed non-small cell lung cancer

2. age from 18 years to 75 years

3. ECOG Performance Status no more than 2

4. at least one appraisable lung focus of diameter≥ 10 mm by lung CT

5. Haemoglobin ≥10.0 g/dl, Absolute neutrophil count ≥(ANC) 1.5 x 109/L, platelets ≥100 x 109/L

6. Total bilirubin ≤1.5 x upper limit of normal (ULN)

7. ALT and AST < 2.5 x ULN in the absence of liver metastases, or < 5 x ULN in case of liver metastases

8. Creatinine clearance ≥60ml/min (calculated according to Cockcroft-gault formula)

9. Informed consent should be obtained before treatment.

Exclusion Criteria:

1. Mixed non-adenocarcinoma cell lung cancer histology

2. Previous treatment for Systemic chemotherapy or local radiotherapy

3. Be allergic to chemotherapy drugs

4. second active primary malignancy or serious concomitant medical disease

5. difficulties with adequate follow-up