Crizotinib for Non-Small Cell Lung Cancer
Trial Summary
What is the purpose of this trial?
This randomized phase III trial studies how well crizotinib works in treating patients with stage IB-IIIA non-small cell lung cancer that has been removed by surgery and has a mutation in a protein called anaplastic lymphoma kinase (ALK). Mutations, or changes, in ALK can make it very active and important for tumor cell growth and progression. Crizotinib may stop the growth of tumor cells by blocking the ALK protein from working. Crizotinib may be an effective treatment for patients with non-small cell lung cancer and an ALK fusion mutation.
Will I have to stop taking my current medications?
The trial does not specify if you must stop taking your current medications, but it does mention that you cannot use medications that are known to strongly affect a specific liver enzyme (CYP3A4). You can continue low-dose methotrexate for non-cancer conditions.
What data supports the effectiveness of the drug Crizotinib for non-small cell lung cancer?
Crizotinib has shown excellent effectiveness in treating ALK-positive non-small cell lung cancer, with high response rates and longer progression-free survival compared to standard therapies. Patients experienced significant improvements in symptoms and quality of life, making it a new standard of care for this type of cancer.12345
Is crizotinib safe for humans?
Crizotinib, also known as Xalkori, is generally safe for humans, but it can cause some side effects. Common side effects include vision problems, nausea, diarrhea, and swelling. Serious side effects can include liver problems, lung disease, and heart rhythm changes, so monitoring by a doctor is important.24678
What makes the drug Crizotinib unique for treating non-small cell lung cancer?
Crizotinib is unique because it specifically targets and inhibits the anaplastic lymphoma kinase (ALK) gene rearrangement found in some non-small cell lung cancers, offering a personalized treatment option that can improve progression-free survival and quality of life compared to standard chemotherapy.12459
Eligibility Criteria
This trial is for adults who've had surgery to remove stage IB-IIIA non-small cell lung cancer and have an ALK gene mutation. They should not be pregnant or breastfeeding, must not have other serious illnesses, and cannot have had certain cancers within the last 5 years. Participants need a good performance status (able to carry out daily activities) and can't be on drugs that strongly affect liver enzymes.Inclusion Criteria
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive crizotinib orally twice daily on days 1-21, with treatment repeating every 21 days for up to 2 years
Observation
Participants undergo observation without active treatment
Follow-up
Participants are monitored for overall survival and disease-free survival, with follow-up every 6 months if less than 4 or 5 years from study entry, and every 12 months if 5-10 or 6-10 years from study entry
Treatment Details
Interventions
- Crizotinib (Tyrosine Kinase Inhibitor)
Crizotinib is already approved in United States, European Union, Japan, Canada for the following indications:
- Non-small cell lung cancer (NSCLC) with ALK rearrangements
- Non-small cell lung cancer (NSCLC) with ALK rearrangements
- Non-small cell lung cancer (NSCLC) with ALK rearrangements
- Non-small cell lung cancer (NSCLC) with ALK rearrangements