Non Small Cell Lung Cancer Clinical Trial
Official title:
A Single Arm, One Center, Phase Ⅱ Study of Erlotinib as Neoadjuvent Treatment in Patients With Endobronchial Ultrasound Confirmed Stage ⅢA N2 NSCLC With EGFR Mutation in Exon 19 or 21
This is a single arm, one center, phaseⅡ study evaluating efficacy and safety of erlotinib as neoadjuvent treatment in patients with EBUS confirmed stage ⅢA N2 NSCLC with activating EGFR mutation in exon 19 or 21.
Screening phase:
Patients clinically diagnosed as stage ⅢA N2 lung caner by CT technique will be
pathologically proven as NSCLC with N2 by EBUS. The pathology specimen will be detected EGFR
mutation by DNA sequencing. The patients with EGFR mutation in exon 19 or 21 will be enrolled
in this study.
Neoadjuvant treatment phase:
Patient will receive erlotinib 150mg/day. Treatment will be scheduled to continue for a total
of 8 weeks or disease progression or unacceptable toxicities.
Surgery treatment phase:
Tumor response will be evaluated with CT scan after 8 weeks of induction treatment. The
patients with responsive disease considered to be technique resectable will undergo
resection.
Post-surgery phase:
It is the discretion of the investigator whether the patient is a candidate for
post-operative treatment which is considered to be in the best interest of the patients. It
is recommended that patients with positive margins or residual tumor after surgery should
receive radiation therapy. Patients after surgery will receive long-term follow-up including
chest CT scan every 3 months for up to 2 years.
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