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Brief Title: Stereotactic Radiosurgery or Other Local Ablation Then Erlotinib in Epidermal Growth Factor Receptor (EGFR)
Official Title: Phase II Study of Stereotactic Radiosurgery or Other Local Ablation Followed by Erlotinib for Patients With Epidermal Growth Factor Receptor(EGFR) Mutation Who Have Previously Progressed on an Epidermal Growth Factor Receptor-tyrosine Kinase Inhibitor (EGFR-TKI)
Study ID: NCT01573702
Brief Summary: - Progression free survival after locally ablative therapy and erlotinib in EGFR patients progressed after EGFR-TKI therapy
Detailed Description: Primary Objectives - To estimate progression free survival (PFS) after locally ablative therapy and erlotinib in EGFR-mutant NSCLC patients who progressed on prior EGFR-TKI therapy Secondary Objectives * To evaluate local control of sites previously progressive on erlotinib following stereotactic radiosurgery (SRS) followed by erlotinib * To estimate overall survival (OS) after locally ablative therapy and erlotinib in EGFR-mutant NSCLC patients who progressed on prior EGFR-TKI therapy * To characterize the toxicity of SRS * To characterize the toxicity of erlotinib when preceded by SRS Exploratory Objectives * To explore if VeriStrat results at initial progression are associated with longer PFS or OS after study treatment * To explore if VeriStrat results following completion of SRS are associated with longer PFS or OS after re-initiation of erlotinib * To explore whether "poor" VeriStrat signatures ever turn to "good" signatures with the study therapy, and to explore PFS and OS of patients whose signature changes
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of California at San Francisco, San Francisco, California, United States
University of Colorado Cancer Center, Aurora, Colorado, United States
Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States
East Carolina University, Greenville, North Carolina, United States
STO Taussig Cancer Center; Cleveland Clinic, Cleveland, Ohio, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
Swedish Cancer Institute, Seattle, Washington, United States
Name: Jared Weiss, MD
Affiliation: UNC at Chapel Hill
Role: PRINCIPAL_INVESTIGATOR