for people ages 18 years and up (full criteria)
at San Francisco, California and other locations
study started
estimated completion:



  • Progression free survival after locally ablative therapy and erlotinib in EGFR patients progressed after EGFR-TKI therapy

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)


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


Non Small Cell Lung Cancer EGFR mutant Phase II erlotinib tarceva cyberknife Lineberger Carcinoma, Non-Small-Cell Lung Erlotinib Hydrochloride Mitogens


You can join if…

Open to people ages 18 years and up

  • Written informed consent
  • 18 years of age or older
  • Histologically or cytologically confirmed stge IV EGFR-mutant NSCLC
  • History of previous response to EGFR-TKI defined by a RECIST 1.1 criteria
  • Progressive disease following EGFR-TKI therapy
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Adequate organ and marrow function
  • Negative urine or serum pregnancy test for female patients
  • Patients who can have children must agree to adequate contraception

You CAN'T join if...

  • Unresolved chronic toxicities greater than 2, measured by CTCAE v4
  • Treatment with any FDA approved or experimental cancer treatment following progression on EGFR-TKI
  • Any history of previous greater than grade 3 toxicity attributable to erlotinib
  • Pregnant or lactating female
  • Any previous radiation to sites of planned Stereostatic Radiosurgery
  • History of another malignancy
  • Concomitant anticancer therapy, immunotherapy, or radiation therapy (within 4 weeks)
  • Evidence of severe or uncontrolled systemic diseases
  • Known hypersensitivity reaction or idiosyncrasy to erlotinib
  • Psychological, familial, sociological, or geographical conditions
  • Any other condition in investigator's opinion jeopardize compliance with protocol


  • University of California at San Francisco
    San Francisco, California, 94115, United States
  • Swedish Cancer Institute
    Seattle, Washington, 98104, United States
  • University of Colorado Cancer Center
    Aurora, Colorado, 80045, United States
  • STO Taussig Cancer Center; Cleveland Clinic
    Cleveland, Ohio, 44195, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania, 15232, United States
  • Lineberger Comprehensive Cancer Center
    Chapel Hill, North Carolina, 27599, United States
  • East Carolina University
    Greenville, North Carolina, 27834, United States
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania, 19111, United States


in progress, not accepting new patients
Start Date
Completion Date
UNC Lineberger Comprehensive Cancer Center
Phase 2
Study Type
Last Updated
March 27, 2018