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CompletedNCT04764214Updated Aug 19, 2024

SRT for Residual Oligometastases of NSCLC After 3rd Generation EGFR-TKIs

A Phase 2 interventional study of 3rd generation EGFR-TKI and Consolidative SRT in NSCLC Stage IV and EGFR Activating Mutation, sponsored by Fudan University. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-08-19.

Sponsored by Fudan University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
61
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is an open-label, single-arm phase 2 trial to evaluate the efficacy and safety of stereotactic radiotherapy (SRT) for patients with oligo-residual NSCLC after 3rd generation EGFR-TKIs.

02

Conditions studied

  • NSCLC Stage IV
  • EGFR Activating Mutation
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 61 is close to the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Fudan University is the lead sponsor of 1,270 studies on the registry; 623 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

Inclusion criteria

  • The patient has a diagnosis of pathologically confirmed NSCLC by tumor biopsy and/or fine-needle aspiration.
  • The patient has a diagnosis of American Joint Committee on Cancer (AJCC) 8th Edition stage IV NSCLC.
  • The patient receives 3rd generation EGFR-TKI in the first line setting.
  • The patient is ≥18 years of age and ≤75 years of age at the time of screening.
  • The patient's Karnofsky performance score (KPS) is ≥70 at study entry.
  • The patient has adequate baseline tumor assessment before initiation of 3rd generation EGFR-TKI.
  • The patient has at least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1.
  • The patient presents with a residual "oligometastatic" state after 3rd generation EGFR-TKI therapy that would be amenable to consolidative SRT in the opinion of the investigator.
  • The patient has signed informed consent.
  • EGFR Exon19 deletion or Exon21 L858R mutation

Exclusion criteria

Exclusion Criteria:

  • History of another malignancy or concurrent malignancy. Patients with cervical carcinoma in situ or adequately treated basal cell carcinoma who have been disease free for > 5 years are eligible.
  • The patient is pregnant (confirmed by serum b-HCG if applicable) or is breastfeeding.
  • Patients with uncontrolled epilepsy, mental disorders, drug abuse, or social condition that may affect compliance or ability to sign a written informed consent in the opinion of the investigator.
  • Patients with residual metastatic disease after 3rd generation EGFR-TKI therapy that is deemed not amenable to consolidative SRT.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    3rd generation EGFR-TKI+ SRT

    Patients were treated with the intent to ablate all residual disease with consolidative SRT. EGFR-TKI treatment was continued during and after consolidative SRT until disease progression or intolerable toxicity.

    Drug: 3rd generation EGFR-TKI · Radiation: Consolidative SRT

Interventions

  • Drug3rd generation EGFR-TKI

    Osimertinib will be administered orally at the dose of 80 mg once daily.

    Also known as: Osimertinib

  • RadiationConsolidative SRT

    Patients who possess oligoresidual disease after 3rd generation EGFR-TKI therapy will be treated with the intent to ablate all residual disease with consolidative SRT. The choice of dose-fractionation regimen is at the discretion of the treating radiation oncologist. TKI will be continued during and after consolidative SRT until disease progression or intolerable toxicity.

06

What researchers measure

Primary outcomes

  1. Progression Free Survival

    PFS was measured from the date of enrollment to the date of disease progression as defined by Response Evaluation Criteria in Solid Tumor (RECIST) Version 1.1 or death due to any cause, whichever occurred first. For patients whose disease did not progress, PFS was evaluated by censoring patients at their most recent imaging.

    Time frame: Two years

Secondary outcomes

  1. Percentage of Participants With Adverse Events

    Treatment-related adverse events were assessed and graded according to CTCAE v. 5.0.

    Time frame: Two years

  2. Overall Survival

    OS was defined as the time from the date of enrollment until death by any cause. Participants still alive at the time of data analysis were censored at the date of last follow-up.

    Time frame: Two years

07

Study locations

1 site
  • Fudan University Shanghai Cancer Center
    Shanghai, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04764214
Lead sponsor
Fudan University
Responsible party
Zhengfei Zhu (Professor, Fudan University) — Principal investigator
First posted
Feb 21, 2021
Start date
Mar 1, 2021
Primary completion
Mar 31, 2023
Completion
Jul 20, 2023
Last update
Aug 19, 2024

Study contacts

Zhengfei Zhu, MD
principal investigator · Fudan University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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