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Study of Gefitinib Retreatment in Non-Small Cell Lung Cancer (NSCLC) (ReGaiN)
This study is enrolling participants by invitation only.
First Received: January 16, 2009   Last Updated: January 21, 2009   History of Changes
Sponsors and Collaborators: Chonnam National University Hospital
AstraZeneca
Information provided by: Chonnam National University Hospital
ClinicalTrials.gov Identifier: NCT00824746
  Purpose

A single arm, open label, prospective, phase II trial of Gefitinib retreatment for the advanced or metastatic (IIIb and IV) NSCLC patients who previously responded to gefitinib And progressive disease should be observed with at least one prior regimen following previous gefitinib failure.

Primary endpoint

  • to assess Disease Control Rate (Remission + Stable disease)

Secondary endpoints

  • to assess the progression free survival

Condition Intervention Phase
Carcinoma, Non-Small-Cell Lung
Drug: Gefitinib retreatment
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: ZD1839
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Official Title: Retreatment of Gefitinib in the Patients With Non-Small Cell Lung Cancer (NSCLC) Previously Responded to Gefitinib A Single Arm, Open Label, Phase II Study

Further study details as provided by Chonnam National University Hospital:

Primary Outcome Measures:
  • To assess Disease Control Rate of the patients with NSCLC previously responded to Gefitinib [ Time Frame: two year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To assess the progression - free survival of patients retreated with Gefitinib [ Time Frame: two year ] [ Designated as safety issue: No ]

Estimated Enrollment: 20
Study Start Date: January 2009
Estimated Study Completion Date: June 2011
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Single arm: Experimental
Gefitinib retreatment
Drug: Gefitinib retreatment
phase II trial of Gefitinib retreatment for the advanced or metastatic (IIIb and IV) NSCLC patients who previously responded to gefitinib And progressive disease should be observed with at least one prior regimen following previous EGFR-TKI failure.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Recurrent or progressive Non-Small Cell Lung Cancer stage IV or IIIB patients after chemotherapy following gefitinib failure
  • Male and female patients aged over 18 years
  • WHO performance status 0-2 (those with performance status 2 must have been stable with no deterioration over the previous 2 weeks)
  • Had at least stable disease with previous Gefitinib treatment
  • Had at least one anticancer agent therapy after gefitinib failure ;Following treatment with another EGFR TKIs (erlotinib) or other TKIs should not be included in anticancer agent therapy.
  • The current approved indication of Gefitinib is 2nd or 3rd line monotherapy for recurrent or metastatic NSCLC. However, in practice with off-label indication, it can also be used as a 1st line treatment at the patient's own expenses. Thus, in this trial gefitinib retreatment will be 3rd line or more.
  • Measurable lesion according to RECIST with at least one measurable lesion not previously irradiated, unless disease progression has been documented at that site.
  • Provision of written informed consent
  • Life expectancy of at least 12 weeks

Exclusion Criteria:

  • Evidence of clinically active Interstitial Lung Diseases (Patients with chronic, stable, radiographic changes who are asymptomatic need not be excluded)
  • Expected life expectancy less than 2 months
  • Known severe hypersensitivity to gefitinib or any of the excipients of this product
  • Any unresolved chronic toxicity greater that CTC grade 2 from previous anticancer therapy
  • As judged by the investigator, any evidence of severe or uncontrolled systemic disease (e.g. unstable or uncompensated respiratory, cardiac, hepatic, or renal disease)
  • Serum bilirubin greater than 3 times the upper limit of reference range (ULRR)
  • Aspartate aminotransferase (AST/SGOT) or alanine aminotransferase (ALT/SGPT) ≥ 2.5 x ULN if no demonstrable liver metastases (or >5 x in presence of liver metastases)
  • Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the subject to participate in the study
  • Pregnancy or breast-feeding women (women of child¬bearing potential). Women of childbearing potential must practice acceptable methods of birth control to prevent pregnancy.
  • Newly diagnosed CNS metastases that have not yet been treated with surgery and/or radiation. Patients with previously diagnosed and treated CNS metastases or spinal cord compression may be considered if they have evidence of clinically stable disease (no steroid therapy or steroid dose being tapered) for at least 2 weeks
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00824746

Locations
Korea, Republic of, Jeonnam
Chonnam National University Hwasun Hospital
Hwasun-gun, Jeonnam, Korea, Republic of, 519-809
Sponsors and Collaborators
Chonnam National University Hospital
AstraZeneca
Investigators
Principal Investigator: Young-Chul Kim, MD, PhD Chonnam National University Hospital
  More Information

No publications provided

Responsible Party: Chonnam National University Hwasun Hospital ( Young-Chul Kim, MD, PhD. Professor )
Study ID Numbers: D791JL00001
Study First Received: January 16, 2009
Last Updated: January 21, 2009
ClinicalTrials.gov Identifier: NCT00824746     History of Changes
Health Authority: South Korea: Institutional Review Board

Keywords provided by Chonnam National University Hospital:
Gefitinib
Recurrence
Carcinoma, Non-Small-Cell Lung

Study placed in the following topic categories:
Thoracic Neoplasms
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Non-small Cell Lung Cancer
Protein Kinase Inhibitors
Gefitinib
Carcinoma, Non-Small-Cell Lung
Recurrence
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Thoracic Neoplasms
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions
Carcinoma
Neoplasms
Neoplasms by Site
Respiratory Tract Diseases
Lung Neoplasms
Therapeutic Uses
Lung Diseases
Carcinoma, Non-Small-Cell Lung
Gefitinib
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on May 07, 2009