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Efficacy and safety of gefitinib monotherapy for all types of refractory cancer patients with EGFR amplification

Status Approved

  • First Submitted Date

    2018/09/13

  • Registered Date

    2019/06/14

  • Last Updated Date

    2019/06/14

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0004066
    Unique Protocol ID 2014-10-029
    Public/Brief Title Efficacy and safety of gefitinib monotherapy for all types of refractory cancer patients with EGFR amplification
    Scientific Title Efficacy and safety of gefitinib monotherapy for all types of refractory cancer patients with EGFR amplification
    Acronym Gefitinib IIT
    MFDS Regulated Study Yes
    IND/IDE Protocol
    Registered at Other Registry Yes
    Name of Registry / Registration Number ClinicalTrials.gov-NCT02447419
    Healthcare Benefit Approval Status Submitted pending
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number SMC 2014-10-029-002
    Approval Date 2014-12-03
    Institutional Review Board Name Samsung Medical Center Institutional Review Board
    Institutional Review Board Address 81, Irwon-ro, Gangnam-gu, Seoul
    Institutional Review Board Telephone 02-3410-2973
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Jeeyun Lee
    Title M.D
    Telephone +82-2-2148-9696
    Affiliation Samsung Medical Center
    Address 81 Irwon-Ro Gangnam-gu, Seoul
    Contact Person for Public Queries
    Name Jeeyun Lee
    Title M.D
    Telephone +82-2-2148-9696
    Affiliation Samsung Medical Center
    Address 81 Irwon-Ro Gangnam-gu, Seoul
    Contact Person for Updating Information
    Name Jeeyun Lee
    Title M.D
    Telephone +82-2-2148-9696
    Affiliation Samsung Medical Center
    Address 81 Irwon-Ro Gangnam-gu, Seoul
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Single
    Overall Recruitment Status Recruiting
    Date of First Enrollment 2014-12-10 Actual
    Target Number of Participant 3
    Primary Completion Date 2020-11-30 , Anticipated
    Study Completion Date 2020-12-31 , Anticipated
    Recruitment Status by Participating Study Site 1
    Name of Study Samsung Medical Center
    Recruitment Status Recruiting
    Date of First Enrollment 2014-12-10 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Samsung Medical Center
    Organization Type Medical Institute
    Project ID 2014-10-029
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Samsung Medical Center
    Organization Type Medical Institute
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    This study is a single-arm,phase II study of gefitinib in patient with epidermal growth factor receptor amplification Refractory solid tumors.
    Gefitinib 250 mg will be administered orally daily.
    To investigate the efficacy and safety of gefitinib in patient with epidermal growth factor receptor amplification Refractory solid tumors.
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
    Treatment
    Phase Phase2
    Intervention Model Single Group  
    Blinding/Masking Open
    Allocation Not Applicable
    Intervention Type Drug  
    Intervention Description
    This study is a single-arm,phase II study of gefitinib in patient with epidermal growth factor receptor amplification Refractory solid tumors.Gefitinib 250 mg will be administered orally daily.
    To investigate the efficacy and safety of gefitinib in patient with epidermal growth factor receptor amplification Refractory solid tumors.
    Number of Arms 1
    Arm 1

    Arm Label

    All types of refractory cancer with EGFR amplification

    Target Number of Participant

    3

    Arm Type

    Experimental

    Arm Description

    This study is a single-arm,phase II study of gefitinib in patient with epidermal growth factor receptor amplification Refractory solid tumors.
    
    Gefitinib 250 mg will be administered orally daily.
    To investigate the efficacy and safety of gefitinib in patient with epidermal growth factor receptor amplification Refractory solid tumors.
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (C00-D48)Neoplasms 
       (C80.9)Malignant neoplasm, primary site unspecified 

    Biomarkers, Tumor
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    20Year~No Limit

    Description

    1.Provision of fully informed consent prior to any study specific procedures.
    2.Patients must be ≥20 years of age.
    3.Patient with Epidermal growth factor receptor amplification Refractory Solid Tumors and/or specific sensitivity to Gefitinib by Avatar scan that has recurred or progressed following standard therapy, or that has not responded to standard therapy, or for which there is no standard therapy.(EGFR amplification by cancer scan + EGFR IHC overexpression +2 or +3)
    4.ECOG performance status 0-2.
    5.Have measurable or evaluated disease based on RECIST1.1. as determined by investigator.
    6.Adequate Organ Function Laboratory Values
    ◦Absolute neutrophil count ≥ 1.5 x 109/L, Hemoglobin ≥ 9g/dL, Platelets ≥ 100 x 109/L
    ◦bilirubin ≤ 1.5 x upper limit of normal AST/ALT ≤ 2.5 x upper limit of normal (5.0 X upper limit of normal , for subjects with liver metastases)
    ◦creatinine ≤1.5 x UNL
    7.Patients of child-bearing potential should be using adequate contraceptive measures (two forms of highly reliable methods) should not be breast feeding and must have a negative pregnancy test prior to start of dosing.
    8.A 12-lead ECG (electrocardiogram) with no clinically significant changes that does not require normal or medical intervention, and other cardiac functions without a history of other than symptomatic QTc.
    Exclusion Criteria
    1.Patients with second primary cancer, except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumours curatively treated with no evidence of disease for ≤5 years.
    2.Has known active central nervous system (CNS) metastases.
    3.Patients with a clinically significant gastrointestinal disorder that may lead to impairment in the dosing, distribution or absorption of the test drug, such as when the tablet is not orally administrable.
    4.Has an active infection requiring systemic therapy.
    5.Patients with cardiac problem.
    6.Patients with uncontrolled seizures, central nervous system disorders or psychiatric disorders who are unable to voluntarily agree to clinical research under the judgment of the investigator
    7.Pregnancy or breast feeding
    8.Patients with active infection or other uncontrolled disease
    9.Any previous treatment with Gefitinib
    10.Patients with a risk factor of interstitial lung disease
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome /Safety/Efficacy
    Primary Outcome(s) 1
    Outcome
    Overall response rate
    Timepoint
    It is defined as the final analysis date of the data
    Secondary Outcome(s) 1
    Outcome
    Progression of survival
    Timepoint
    It is defined as the final analysis date of the data
    Secondary Outcome(s) 2
    Outcome
    Overall survival
    Timepoint
    It is defined as the final analysis date of the data
    Secondary Outcome(s) 3
    Outcome
    Toxicity assessment
    Timepoint
    It is defined as the final analysis date of the data
    Secondary Outcome(s) 4
    Outcome
    Exploratory biomarker assessment
    Timepoint
    It is defined as the final analysis date of the data
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered No
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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