To determine whether dose escalation can provide a better survival to patients who failed with icotinib at routine dose.
Lung cancer is a major cause of morbidity and mortality, which is the rapidest increased type of cancer in China with over 5 times incidence rate increase during the past 30 years. Tyrosine kinase inhibitors (TKIs) of the epidermal growth factor receptor (EGFR) have been widely used for the treatment of patients with non-small cell lung cancer(NSCLC). Icotinib is a novel EGFR-TKI developed by a group of Chinese scientists and clinician. Icotinib appears to be non-inferior to Gefitinib in terms of efficacy, better in terms of safety, and larger of therapeutic window in phase I-III trials. In this study, an open , single-center, single arm phase IV trial was designed to evaluate the safety and efficacy of dose escalation of icotinib in the treatment of advanced NSCLC patients after failure with routine dose. PFS (progress free survival) is the primary end-point with OS (overall survival), ORR (objective response), TTP (time to progress), HRQOL and safety as the secondary end-point.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
32
125 mg Tid (375 mg per day) 250 mg Tid (750 mg per day)
307 Hospital of People's Liberation Army(PLA)
Beijing, Beijing Municipality, China
Progression-free Survival
Time frame: 6-12 months
Overall survival
Time frame: 6 months -1 year
Objective response rate
Time frame: 3-6 months
Time to progression
Time frame: 3-6 months
Health-Related Quality of Life (HR QOL)
Time frame: 1 year
Number of Participants with adverse events and serious adverse events (SAEs)
Time frame: 1 year
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