Adjuvant Afatinib in Stage I-III NSCLC With EGFR Mutation

Not Recruiting

Trial ID: NCT01746251


This research study is a Phase II clinical trial, which tests the safety and effectiveness of an investigational drug to learn whether the drug works in treating a specific cancer. "Investigational" means that the drug is still being studied. It also means that the FDA has not yet approved afatinib for use in patients. In this research study the investigators are looking to see if taking afatinib after surgery works better when taken over a short period of time, compared to a long period of time.

Official Title

Randomized Phase II Study Comparing Concise Versus Prolonged Afatinib as Adjuvant Therapy for Patients With Resected Stage I-III NSCLC With EGFR Mutation

Stanford Investigator(s)

Joel Neal, MD, PhD
Joel Neal, MD, PhD

Associate Professor of Medicine (Oncology)

Heather Wakelee
Heather Wakelee

Winston Chen and Phyllis Huang Professor

Kavitha Ramchandran
Kavitha Ramchandran

Clinical Professor, Medicine - Oncology


Inclusion Criteria:

   - Pathologically confirmed diagnosis of non-small cell lung cancer with EGFR mutation

   - Complete surgical resection, pathologic stage IA-B, IIA-B, IIIA-B by AJCC 7th Edition
   staging criteria

   - Surgical resection with curative intent was at least 6 months prior to enrollment

   - At least 3 weeks have passed since completion of adjuvant chemotherapy or radiotherapy

Exclusion Criteria:

   - Pregnant or breastfeeding

   - History of allergic reactions attributed to compounds of similar chemical composition
   to afatinib

   - Prior exposure to EGFR tyrosine kinase inhibitor

   - Evidence of clinically active interstitial lung disease

   - Radiographic evidence of recurrent NSCLC prior to afatinib treatment

   - Receipt of any experimental treatment within 30 days of start of treatment with
   afatinib until the end of treatment visit

   - Use of potent P-gp inhibitors and potent P-gp inducers must be avoided during
   treatment with afatinib

   - Individuals with a history of a different malignancy (except: synchronous or
   metachronous primary non-small cell lung cancers of lower stage than the cancer for
   which adjuvant treatment is currently being prescribed; disease free for at least 3
   years; cervical cancer in situ; basal or squamous cell carcinoma of the skin)

   - HIV positive on combination antiretroviral therapy

   - Uncontrolled intercurrent illness


drug: Afatinib

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305

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