Pemetrexed vs Pemetrexed Plus Cisplatin in EGFR-mutant NSCLC Patients After First Line EGFR-TKIs Failure
NCT02725918 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2020-02-12
Summary
The study is a prospective, multi-center, open-label, randomized, and controlled phase II clinical trial. The investigators hope to figure out the better chemotherapy regimen for the post-EGFR-TKI failure setting. The primary objective of this trial is to compare progression-free survival without grade 4 (G4PFS) toxicities between pemetrexed-cisplatin and single-agent pemetrexed treatment arms.
The trial will include stage IIIB/IV EGFR mutation positive NSCLC patients who got disease progression after front-line EGFR TKI treatment.Eligible patients will be randomized to 2 arms. Patients in arm A will receive 4 cycles of cisplatin (75 mg/m2, d1) and pemetrexed (500 mg/m2, d1) every 3 weeks, those without disease progression (PD) and being tolerable judged by investigator will continue single-agent pemetrexed (500 mg/m2, d1) every 3 weeks as maintenance until progression or intolerable toxicities. Patients in arm B will receive pemetrexed (500 mg/m2, d1) every 3 weeks until PD or intolerable toxicities.
Conditions
Interventions
- DRUG
-
Pemetrexed
500 mg/m2,iv,d1,q3w,until PD
- DRUG
-
75 mg/m2,iv,d1,q3w,×4 cycles
Sponsors & Collaborators
-
Guangdong Association of Clinical Trials
lead OTHER
Principal Investigators
-
Yi long Wu · Guangzhou lung cancer institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-01
- Primary Completion
- 2020-12-31
- Completion
- 2021-02-28
Countries
- China
Study Locations
More Related Trials
-
A Study of Pemetrexed and Gefitinib Versus Gefitinib in Non-Small Cell Lung Cancer (NSCLC)
NCT01469000 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Chemotherapy Sequenced by or Combined With EGFR-TKIs for NSCLC Patients Failed to EGFR-TKIs Therapy
NCT01746277 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study of TY-9591 With Chemotherapy as 1st Line Treatment in Patients With Mutated Epidermal Growth Factor Receptor NSCLC
NCT06672068 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Chemotherapy Sequentially Combined with Sintilimab in Resectable EGFR-Mutant NSCLC
NCT06688656 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Osimertinib Plus Chemotherapy vs Osimertinib in EGFRm NSCLC With Persistence Week-3 ctDNA EGFRm After 1L Osimertinib
NCT04769388 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Compare Apatinib Plus Chemotherapy Drug Versus Chemotherapy Drug as Second-line Treatment in NSCLC
NCT03256721 ·Status: TERMINATED ·Phase: PHASE2
-
EGFR-TKI Combined With Concurrent or Sequential Chemotherapy for Patients of Gradual Progression
NCT03544814 ·Status: COMPLETED ·Phase: PHASE2
-
Neoadjuvant Osimertinib + Chemotherapy for EGFR-mutant Stage III NSCLC
NCT05011487 ·Status: RECRUITING ·Phase: PHASE2
-
Anlotinib Plus Pemetrexed or Pemetrexed for Previously Untreated Elderly (>=70) or PS=2 Non-squamous NSCLC
NCT03768037 ·Status: UNKNOWN ·Phase: PHASE4
-
Sequential Chemotherapy With Befotertinib in Non-Small Cell Lung Cancer (NSCLC) Patients With Resistance to Third-Generation EGFR-TKI
NCT07181499 ·Status: RECRUITING ·Phase: PHASE2
-
Alternating Icotinib and Chemotherapy for Advanced Non-small Cell Lung Cancer With EGFR Mutation
NCT02737774 ·Status: UNKNOWN ·Phase: PHASE2
-
A Phase II Study of Atezolizumab in Combination With Bevacizumab, Carboplatin or Cisplatin, and Pemetrexed for EGFR-mutant Metastatic Non-small Cell Lung Cancer Patients After Failure of EGFR Tyrosine Kinase Inhibitors.
NCT04147351 ·Status: COMPLETED ·Phase: PHASE2
-
Third-generation EGFR-TKI Plus Anlotinib as Maintenance for NSCLC With Small Cell Transformation After EGFR-TKI Resistance
NCT06634667 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study of HS-10241 Combined With Almonertinib Versus Platinum-based Chemotherapy in Treatment of Advanced NSCLC With MET Amplification After Failure of EGFR-TKI Therapy
NCT06110663 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
YK-029A as First-Line Treatment Versus Platinum-Based Chemotherapy for Non-Small Cell Lung Cancer (NSCLC) With EGFR Exon 20 Insertion Mutations
NCT05767892 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
A Prospective Study of Pembrolizumab Combining Chemotherapy in Advanced NSCLC Patients With EGFR Exon 21 Point Mutation.
NCT06142617 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Osimertinib Plus Chemotherapy in Uncommon EGFRm NSCLC
NCT05215951 ·Status: TERMINATED ·Phase: PHASE2
-
Efficacy of Platinum-based Chemotherapy Plus Immune Checkpoint Inhibitors for EGFR/ALK/ROS1 Mutant Lung Cancer
NCT05284539 ·Status: RECRUITING ·Phase: PHASE2
-
Double Dose of Third-generation EGFR-TKI Plus Intrathecal Pemetrexed Versus Double Dose of Third-generation EGFR-TKI in Patients With LM Progression Following the Treatment of Routine Dose of Third-generation EGFR-TKI
NCT06441045 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Combination of Chemotherapy and Gefitinib as First-line Treatment
NCT02148380 ·Status: COMPLETED ·Phase: NA
-
NGR-hTNF in Combination With Standard Chemotherapy to Treat Patients With Advanced Non-small Cell Lung Cancer
NCT00994097 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy and Safety of Anlotinib Plus Platinum Plus Pemetrexed in T790M-negative NSCLC
NCT03706287 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
A Retrospective Study About Treatment Strategy After First/Second Line EGFR-TKI Failure
NCT02618590 ·Status: UNKNOWN
-
Study of AK119 and AK112 With or Without Chemotherapy for NSCLC Patients
NCT05636267 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
A Single-Arm Phase II Clinical Study of Pemigatinib in the Treatment of Advanced Non-Small Cell Lung Cancer Patients With FGFR Alterations Who Have Failed Standard Therapy
NCT05287386 ·Status: UNKNOWN ·Phase: PHASE2