Afatinib on CNS Metastases and LMD in EGFR Mutation Positive NSCLC
NCT03711422 · Status: TERMINATED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 2
Last updated 2022-06-14
Summary
Brain metastases occurs in up to 50% of patients with EGFR mutant NSCLC. Leptomeningeal disease is a subset of patients with brain metastases for which there remains an unmet need. This trial aims to evaluate the role of two dosing schedules of afatinib in management of leptomeningeal disease in EGFR mutant NSCLC, specifically to determine Central Nervous System (CNS) penetration of afatinib, as well as clinical activity. Patients will start on daily dosing initially followed by pulsed intermittent dosing should we observe no clinical activity. A secondary objective is to identify the resistance spectrum in leptomeningeal disease. It is anticipated that optimal dosing schedule of afatinib e.g. pulsed dosing may improve CNS disease control.
Conditions
- Non-small Cell Lung Cancer
- Leptomeningeal Disease
- Central Nervous System Metastases
Interventions
- DRUG
-
Afatinib
40mg daily
- DRUG
-
Afatinib
160mg for 3 days every 3 weeks
Sponsors & Collaborators
-
National Cancer Centre, Singapore
lead OTHER
Principal Investigators
-
Daniel SW Tan, MD · National Cancer Centre, Singapore
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-11-16
- Primary Completion
- 2019-12-20
- Completion
- 2019-12-20
Countries
- Singapore
Study Locations
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