Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs), including gefitinib demonstrate excellent effect on the treatment of non-small cell lung cancer (NSCLC) patients with EGFR mutations. However, patients who are initially sensitive to the drugs eventually become resistance. Apatinib is a highly selective VEGFR2 inhibitor and reduces the angiogenesis of tumor efficiently. In this study, the investigators aim to explore the efficacy and reasonable dosage of apatinib combining with EGFR-TKI in advanced non-squamous non-small cell lung cancer with EGFR-TKI resistance.
Primary Outcome Measure: efficacy and reasonable dosage of the combination of apatinib and EGFR-TKI in advanced non-squamous non-small cell lung cancer with EGFR-TKI resistance. Secondary Outcome Measures: Progression free survival, overall survival, Side effects.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
250mg, 500mg, 750mg, q.d., p.o.
EGFR-TKIs include but are not limited erlotinib, gefitinib and osimertinib
Peking University Third Hospital
Beijing, Beijing Municipality, China
RECRUITINGOptimal Dosage
Optimal dosage of Apatinib which combine with EGFR-TKIs
Time frame: 9 months
Progression free survival
PFS is evaluated in 24 months since the treatment begin
Time frame: 24 months
Overall survival
Overall survival is evaluated in the 24th month since the treatment began
Time frame: 24 months
Side effects
Side effects evaluated in the 24th month since the treatment began according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
Time frame: 24 months
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