This single-arm pilot study tries to invesitgate how well giving icotinib with rh-endostatin (Endostar®) works in treating patients with advanced stage non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) activating mutations. Icotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Anti-angiogeneiss drug, such as rh-endostatin, can block tumor growth by inhibiting the ability of tumors to grow new blood vessels and spread. It is not yet known whether icotinib is more effective when given with rh-endostatin in NSCLC patients with EGFR activating mutations.
1. Open-label, single-arm, prospective pilot study. 2. Definition of advanced non small cell lung cancer: stage IIIb or IV. EGFR mutation status: activating mutation (defined as deletion 19 or exon 21 L858R mutation). 3. Before starting study treatment, computed tomography scans of the chest, B ultrasound of abdomen, 12-lead electrocardiogram, MRI scan of brain, and a bone scan are required. 4. Tumor response, based on investigator-assessed Response Evaluation Criteria in Solid Tumors (RECIST v.1.1), will be evaluated every 6 weeks during treatment. 5. Exploratory evaluation will be performed using dynamic contrast enhanced MRI (DCE-MRI). 6. QoL will be assessed using the core module, which will be completed by patients at baseline and before each cycle during treatment. 7. All patients who prematurely discontinue treatment for any reason will be followed for survival.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Endostar and icotinib are used as combination therapy.
Zhejiang University
Hangzhou, Zhejiang, China
RECRUITINGObjective response rate
Time frame: 6 months
Progression free survival
Time frame: 12 months
Safety: Number of Participants with Adverse Events
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time frame: 12 months
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