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Combining nimotuzumab to gefitinib may not only potentiate cellular cytotoxicity, but may also assist in overcoming inherent or acquired resistance to gefitinib alone.
Reversible EGFR tyrosine kinase inhibitors (TKI), such as gefitinib, were shown to be effective in patients with non-small cell lung cancer (NSCLC). However, patients almost invariably develop resistance to TKIs and have disease progression. Nimotuzumab is a humanized monoclonal antibody targeting the EGFR.
Combining nimotuzumab to gefitinib may not only potentiate cellular cytotoxicity, but may also assist in overcoming inherent or acquired resistance to gefitinib alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gefitinib plus Nimotuzumab | Experimental | Combination therapy group: Gefitinib(250mg daily) and Nimotuzumab (200mg weekly) |
|
| Gefitinib alone | Active Comparator | Mono-therapy group: Gefitinib(250mg daily) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gefitinib and Nimotuzumab | Drug | Combination therapy group: Gefitinib(250mg daily) + Nimotuzumab (200mg weekly) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival rate at 3 months | The progression-free survival rate at 3 months of the patients with no progression of disease or death due to any cause until 3 months is elapsed after being randomized. | 3 months after randomization of last patient |
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival (PFS) | Progression free survival (PFS) defined as the time from randomized date to the progression date or the preceded date of death date due to any cause. | 3 months after randomization of last patient |
| Overall survival (OS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Severance hospital, Yonsei Cancer Center | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27823977 | Derived | Kim HR, Jang JS, Sun JM, Ahn MJ, Kim DW, Jung I, Lee KH, Kim JH, Lee DH, Kim SW, Cho BC. A randomized, phase II study of gefitinib alone versus nimotuzumab plus gefitinib after platinum-based chemotherapy in advanced non-small cell lung cancer (KCSG LU12-01). Oncotarget. 2017 Feb 28;8(9):15943-15951. doi: 10.18632/oncotarget.13056. |
| Label | URL |
|---|---|
| PI site | View source |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| D000077156 | Gefitinib |
| C501466 | nimotuzumab |
| ID | Term |
|---|---|
| D011799 | Quinazolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Gefitinib | Drug | Mono-therapy group: Gefitinib(250mg daily) |
|
|
Overall survival (OS) defined as the period from randomly assigned point of time to the date of death due to any cause. |
| 3 months after randomization of last patient |
| Overall safety profile | Overall safety profile verified as relevance of adverse events and laboratory abnormality in the study and grades granted based on (USA National Cancer Center) Common Terminology Criteria for Adverse Events such as the type, frequency and severity (CTCAE), v4.0. | 3 months after randomization of last patient |
| Objective response rate (ORR) | Overall objective response rate (ORR) is the best response rate stipulated as complete response (CR) or partial response (PR) (target lesion and tumor response defined according to RECIST guideline version 1.1) and identified as percentage of the confirmed patients. | 3 months after randomization of last patient |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |