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A Multicenter, Randomized,Double-Blind Study of Gefitinib in Combination With Apatinib or Placebo in Previously Untreated Patients With EGFR Mutation-Positive Advanced Non-squamous Non-Small-Cell Lung Cancer
The main purpose of this study is to evaluate the safety and efficacy of Apatinib in combination with Gefitinib as compared to placebo in combination with Gefitinib in participants with stage ⅢB-IV Non-squamous non-small-cell lung cancer (NSCLC) harboring an activating epidermal growth factor receptor (EGFR) mutation (Del19 and L858R). Safety and tolerability of Apatinib in combination with Gefitinib will be assessed in the first portion (Part A) before proceeding to the second portion of this study (Part B).
Details
| Lead sponsor | Sun Yat-sen University |
|---|---|
| Phase | Phase 3 |
| Status | UNKNOWN |
| Enrolment | 246 |
| Start date | 2016-06 |
| Completion | 2023-12 |
Conditions
- EGFR Tyrosine Kinase Inhibitors Plus VEGFR Inhibitors
Interventions
- Apatinib
- Gefitinib
- Placebo
Primary outcomes
- (Part A) Determine Dose-Limiting Toxicity (DLT) of Apatinib in combination with Gefitinib — 1 months
Determine the safety, tolerability and DLTs of Apatinib in Combination With Gefitinib - (Part A) Maximum Tolerated Dose (MTD) of Apatinib in Combination With Gefitinib — 1 months
MTD was determined by testing increasing doses up to 750 mg daily (qd) on dose escalation cohorts 1 to 3 with 3 patients each. MTD reflects highest dose of drug that did not cause an unacceptable side effect (= Dose Limiting Toxicity (DLT) in more than 30% of patients; e.g., hematologic toxicities like Common Toxicity Criteria (CTC) Grade 4 Neutropenia in specific conditions, platelets \< 25,000 cells/mL; specific non-hematologic/biochemical toxicities CTC Grade 3 or 4; additionally, any toxicity considered by the investigator severe enough was designated a DLT); CTC Version 2 were used. - (Part B) Progression Free Survival (PFS) — Randomization to Measured Progressive Disease or Death from Any Cause (Estimated as 42 Months)
Time from the date of enrolment until documented progression or death, whichever occurs first.
Countries
China