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TerminatedNCT01996098ICTANUpdated Sep 5, 2024

Icotinib Following Chemotherapy Versus Chemotherapy as Adjuvant Therapy in Stage IIA-IIIA NSCLC With EGFR Mutation

A Phase 3 interventional study of 6-month Icotinib and 12-month icotinib in Lung Cancer, sponsored by Sun Yat-sen University. Terminated at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-09-05.

Sponsored by Sun Yat-sen University · Phase 3, Interventional, and Treatment

Why this study was terminated
Slow accural.
Phase
Phase 3
Study type
Interventional
Enrollment
251
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is studying icotinib following chemotherapy to see how well it works compared to chemotherapy in treating patients with resected stage IIA-IIIA NSCLC harboring EGFR mutation.

Read the detailed description

Adjuvant chemotherapy is recommended for routine use in patients with fully resected stage IIA-IIIA non-small cell lung cancer (NSCLC). Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) show great efficacy in patients with advanced non-small cell lung cancer (NSCLC) with EGFR mutation. Icotinib is a novel EGFR-TKI developed by a group of Chinese scientists. In the phase III ICOGEN trial, icotinib had non-inferiority efficacy to gefitinib with better safety. In phase II trial, chemotherapy followed by 6-month gefitinib as adjuvant therapy can confer longer disease-free survival compared with chemotherapy alone in patients with resected stage IIIA-N2 non-small cell lung cancer harboring EGFR mutations. This study is to studying 6-month or 12-month icotinib following chemotherapy to see how well it works compared to chemotherapy in treating patients with resected stage IIA-IIIA NSCLC harboring EGFR mutation.

02

Conditions studied

  • Lung Cancer

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03

In context

Lung Neoplasms

7,333 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.

This study's enrollment of 251 is above the median of 60 across 5,345 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,680 studies on the registry; 609 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Written informed consent provided.
  • Aged 18-75 years.
  • Had completely resected pathological confirmed stage IIA-IIIA NSCLC.
  • EGFR activating mutation in exon 19 or 21.
  • Had completed four cycles of platinum-based adjuvant chemotherapy.
  • Able to start the investigational therapy within 4 weeks after the completion of four cycles of adjuvant chemotherapy.
  • ECOG performance status of 0-1.
  • Had a life expectancy of 12 weeks or more.
  • Adequate hematological function, adequate liver function and renal function.
  • Able to comply with the required protocol and follow-up procedures, and able to receive oral medications.
  • Female patients, except those who are postmenopausal or surgically sterilized, must have a negative pre-study serum or urine pregnancy test.

Exclusion criteria

Exclusion Criteria:

  • Had had previous chemotherapy besides four cycles of adjuvant chemotherapy, radiotherapy, or agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
  • Had a history another malignancy in the last 5 years with the exception of cured basal cell carcinoma of the skin, cured in situ carcinoma of the uterine cervix and cured epithelial carcinoma of the bladder.
  • Any evidence confirmed tumor recurrence before investigational therapy.
  • Known severe hypersensitivity to icotinib or any of the excipients of this product.
  • Evidence of clinically active interstitial lung disease.
  • Eye inflammation not fully controlled or conditions predisposing the subject to this.
  • Any unstable systemic disease (including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, myocardial infarction within the previous 6 months, serious cardiac arrhythmia requiring medication, hepatic, renal, or metabolic disease).
  • Known human immunodeficiency virus (HIV) infection.
  • Pregnancy or breast-feeding women.
  • Ingredients mixed with small cell lung cancer patients.
  • History of neurologic or psychiatric disorders.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
251 participants (actual)

Study arms

  • Experimental
    6-month icotinib

    Icotinib 125 mg three times daily (375 mg per day) by mouth for 6 months

    Drug: 6-month Icotinib

  • Experimental
    12-month icotinib

    Icotinib 125 mg three times daily (375 mg per day) by mouth for 12 months

    Drug: 12-month icotinib

  • No intervention
    Chemotherapy alone

    No intervention

Interventions

  • 125 mg three times daily (375 mg per day) by mouth for 6 months

    Also known as: BPI-2009, Conmana

  • 125 mg three times daily (375 mg per day) by mouth for 12 months

    Also known as: BPI-2009, Conmana

06

What researchers measure

Primary outcomes

  1. Disease-Free Survival

    Disease-free survival was assessed from randomization to disease recurrence or death as a result of any cause.

    Time frame: 5 years after the last patient is randomized

Secondary outcomes

  1. Overall Survival

    Overall survival was assessed from randomization to death as a result of any cause.

    Time frame: 5 years after the last patient is randomized

  2. Number of Participants with Adverse Events

    To assess if the addition of icotinib to chemotherapy is safe.

    Time frame: 2 years

  3. Change from baseline in patient reported Lung Cancer Functional Assessment

    Quality of life as measured by the Functional Assessment of Cancer Therapy - Lung Cancer (FACT-L) questionnaire.

    Time frame: 2 years

07

Study locations

1 site
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong 510060, China
08

References and documents

Publications

  • Li N, Ou W, Cheng C, You J, Yang L, Chen FX, Liang Y, Yang Z, Wang BX, Chang ZH, Lin YB, Yang W, Xu F, Ding G, Chen XS, Hu R, Li S, Jiang H, Hu XX, Long H, Wang SY. Adjuvant icotinib for resected EGFR-mutated stage II-IIIA non-small-cell lung cancer (ICTAN, GASTO1002): a randomized comparison study. Signal Transduct Target Ther. 2025 Aug 28;10(1):273. doi: 10.1038/s41392-025-02358-w. PubMed 40866342 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2014 to primary completion in Dec 2021, 95 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 21, 2013
First posted
Nov 27, 2013
StartActual
Jan 1, 2014
Primary completionActual
Dec 31, 2021
CompletionActual
Feb 15, 2024
Last update
Sep 5, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01996098
Responsible party
Si-Yu Wang (Professor, Sun Yat-sen University) — Principal investigator
First posted
Nov 27, 2013
Start date
Jan 1, 2014
Primary completion
Dec 31, 2021
Completion
Feb 15, 2024
Last update
Sep 5, 2024

Study contacts

Si-Yu Wang, MD
principal investigator · Sun Yat-sen University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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