Armatinib Alone or in Combination With SRT for Brain Metastases EGFR-mutated Non-small Cell Lung Cancer

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorShanghai Cancer Hospital, China

About this trial

Objective:Patients with asymptomatic or minimally symptomatic Stage IV EGFR-positive NSCLC with baseline intracranial metastases.

Aim: To investigate the timing, efficacy and safety of radiotherapy in patients with EGFR positive brain metastases treated with armatinib alone or combined with stereotactic radiotherapy.

Method: Almonertinib: specification 55mg/tablet; The dosage is 110 mg / day (2 tablets / day) orally once a day; SBRT: 3-5 doses of 27-40 Gy

Eligibility criteria

Qualifiers

aged 18 years or older (including 18 years) and up to 75 years (including 75 years)

histologically confirmed NSCLC (by AJCC 8th edition lung cancer staging criteria)

asymptomatic or minimally symptomatic brain metastases (i.e., headache, nausea, or seizures responding to dexamethasone/analgesic/antiepileptic agents at a stable drug dose for at least 3 days);

brain metastases must meet the following criteria on diagnostic MRI: at least one lesion that can be classified as measurable disease according to RANO-BM, ≤ 10 brain or brainstem metastases

Disqualifiers

Currently participating in an interventional clinical study treatment or received another study drug within 4 weeks prior to the first dose

Received palliative intracranial radiation therapy prior to the first dose

Patient has undergone major surgery (including biopsy) or major trauma within 4 weeks prior to the first dose of study drug; patients who are expected to require major surgery during the study period

Patients previously treated with EGFR-TKI.

Trial design

Treatments tested in this trial

  • Almonertinib
  • SBRT

Treatment groups

300 Participants
are divided into 3 treatment groups