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| Name | Class |
|---|---|
| Boehringer Ingelheim | INDUSTRY |
| National Comprehensive Cancer Network | NETWORK |
The purpose of this Phase I study is to test the safety of combining afatinib with standard chemotherapy and radiation. The drug afatinib will be given before the chemotherapy and radiation therapy to shrink the tumor and evaluate how afatinib affects the patient. This study will then test the safety of afatinib at different dose levels when combined with the chemotherapy drugs cisplatin or carboplatin, and pemetrexed. These treatments will be given during radiation treatment and the drug afatinib will be continued after chemotherapy and radiation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Afatinib w Cisplatin Pemetrexed Chemoradiation | Experimental | induction afatinib 40mg daily x 28days Cisplatin or Carboplatin (can be used if patient is not eligible for cisplatin) + Pemetrexed + 50Gy to pretreatment field boost to 60Gy to residual tumor + afatinib dose escalation* *afatinib dose levels: 20mg daily, 30mg daily & 40mg daily (3+3 design) Then adjuvant afatinib x 2 years |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Afatinib | Drug |
| ||
| Cisplatin |
| Measure | Description | Time Frame |
|---|---|---|
| maximum tolerated dose | This will be defined as the dose at which fewer than 1:6 patients experiences a dose-limiting toxicity. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| local control rate | will be determined as the proportion of patients who start the concurrent phase who are alive and free of local failure. | at 1 year and at 2 years |
| tolerability of adjuvant afatinib |
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Inclusion Criteria:
Adequate organ function as defined by:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jamie E. Chaft, MD | Memorial Sloan Kettering Cancer Center | Principal Investigator |
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| Label | URL |
|---|---|
| Memorial Sloan-Kettering Cancer Center | View source |
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|
| Carboplatin | Drug |
|
| Pemetrexed | Drug |
|
| Radiation therapy | Radiation |
|
Tolerability will be defined by in terms of dose reductions, delays and discontinuations of patients who have not had disease progression or death.
| at 3 months |
| median progression free survival | PFS is defined as the duration of time from start of treatment to time of progression of disease or death, whichever occurs first. | 2 years |
| median overall survival | will be calculated using Kaplan-Meier estimates among all patients enrolled. | 2 years |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000077716 | Afatinib |
| D002945 | Cisplatin |
| D016190 | Carboplatin |
| D000068437 | Pemetrexed |
| D011878 | Radiotherapy |
| ID | Term |
|---|---|
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D011799 | Quinazolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D056831 | Coordination Complexes |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
| D013812 | Therapeutics |
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