Unique ID issued by UMIN | UMIN000003674 |
---|---|
Receipt number | R000004456 |
Scientific Title | A Phase II Study of Carboplatin+weekly Paclitaxel+Bevacizumab in chemo-naive patients with stage IIIB and IV non-squamous, non-small cell lung cancer. |
Date of disclosure of the study information | 2010/05/30 |
Last modified on | 2016/01/17 23:32:07 |
A Phase II Study of Carboplatin+weekly Paclitaxel+Bevacizumab in chemo-naive patients with stage IIIB and IV non-squamous, non-small cell lung cancer.
Phase II study of CBDCA+weekly PTX+Bev in chemo-naive patients with stage IIIB and IV non-sq, non-small cell lung cancer.
A Phase II Study of Carboplatin+weekly Paclitaxel+Bevacizumab in chemo-naive patients with stage IIIB and IV non-squamous, non-small cell lung cancer.
Phase II study of CBDCA+weekly PTX+Bev in chemo-naive patients with stage IIIB and IV non-sq, non-small cell lung cancer.
Japan |
non-squamous, non-small cell lung cancer
Medicine in general | Pneumology |
Malignancy
NO
To evaluate the efficacy and safety of Carboplatin + weekly Paclitaxel + Bevacizumab in chemo-naive stageIIIB and IV non-squamous, non-small cell lung cancer.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
response rate
progression free survival, overall survival, time to progression, safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Patients receive CBDCA(AUC 6,div), Bevacizumab (15mg/kg,div) on day 1 and paclitaxel (70mg/m2,div) on day 1,8,15 every 4 weeks,threee to six cycles. Patients who achieve disease control (response or stable disease) without unacceptable toxicity receive Bevacizumab(15mg/kg,div) on day 1, every three weeks, until disease progression.
20 | years-old | <= |
Not applicable |
Male and Female
1)histologically or cytologically comfirmed non-squamous*, non-small cell lung cancer
*Cases with histological diagnosis of non-small cell lung cancer only, and/or cases with non-small cell
lung cancer with less than 50% of squamous components will be applicable.
2)Stage IIIB/IV(UICC-7)or postoperative recurrence NSCLC
3)chemo-naive patients
*post-operative therapy with oral UFT is applicable.
4)patients aged 20 years or older
5)ECOG performance status of 0 or 1
6)Measurable by RECIST(ver 1.1)criteria.
7)Patients who has the following periods:
palliative radiotherapy(thorax excluded), 2 weeks;
operation, 4 weeks;
chest drainage, 2 weeks;
biopsy with incision, port custody,and treatment to injury, 2weeks;
aspiration biopsy cytology, 1 week
8)adequate bone marrow,liver,and renal functions:
neutorophil >=1,500/mm3; platelet >=100,000/mm3;
Hb >=9.0 g/dl;
AST and ALT <2.5x of upper limit of normal (ULN);
total bilirubin <=1.5x of upper limit of normal(ULN);
serum creatinin <=1.2 mg/dl;
SpO2>90;
PT-INT <1.5;
urinari protein <=1+or 2g/24h
9)a life expectancy of 3 months or more
10)Written informed consent
1)Uncontrolled infection or serious medical complications
2)massive,pleural effusion or ascites(accept controrable pleural effusion with OK-432)
3)current nervous symptom
4)severe cardiac disease
5)current or previous histoty of hemoptysis(2.5ml)due to NSCLC
6)history of hemoptysis(over 1week) or receive oral/i.v. hemostatic drug
7)uncontrolled hypertension
8)Patients with active lung disease such as interstitial pneumonia,radiation pneumonitis,plumonary infection,or drug-induced lung damage
9)current or previous (within the last 1 year)history of GI perforation
10)history of myocardial infarction and cerebral infarction
11)history of drug allergy
12)active concomitant malignancy
13)pregnant or lactating women or those who declined contraception
14)those judged to be not suitable by the attending physician
43
1st name | |
Middle name | |
Last name | Akihito Yokoyama |
Kochi University, School of Medicine
Dept of Hematology and Respiratory Medicine
Kohasu, Okocho, Nankoku city, Kochi
088-880-2345
im62@kochi-u.ac.jp
1st name | |
Middle name | |
Last name | Tetsuya Kubota |
Kochi University, School of Medicine
Dept of Hematology and Respiratory Medicine
Kohasu, Okocho, Nankoku city, Kochi
088-880-2345
kubotat@kochi-u.ac.jp
Kochi University, School of Medicine, Department of Hematology and Respiratory Medicine
None
Self funding
NO
22-9
Kochi University
高知大学医学部附属病院(高知県)、高知医療センター(高知県)、国立病院機構高知病院(高知県)、近森病院(高知県)
2010 | Year | 05 | Month | 30 | Day |
Published
http://ar.iiarjournals.org/content/36/1/307.long
Aim: The present study aimed to evaluate the effectiveness and safety of weekly paclitaxel (PTX) combined with carboplatin (CBDCA) plus bevacizumab (BEV), followed by maintenance BEV in patients with advanced NSCLC. Patients and Methods: Patients with unresectable stage IIIB and IV NSCLC (n=43) were treated with CBDCA (AUC 6, day 1), BEV (15 mg/kg, day 1), and PTX (70 mg/m2, days 1, 8, 15) intravenously every 4 weeks, for 3 to 6 cycles, followed by maintenance BEV (15 mg/kg) every 3 weeks. Results: The objective response rate and disease control rate were 67.4% and 90.7%, respectively. The median progression-free survival was 7.6 months. The median overall survival was 17.7 months. Common adverse events were tolerable bone marrow suppression, fatigue, hypertension, and nasal bleeding. Conclusion: Weekly administration of PTX combined with CBDCA plus BEV therapy was effective, and well-tolerated by advanced NSCLC patients.
Completed
2010 | Year | 03 | Month | 24 | Day |
2010 | Year | 06 | Month | 01 | Day |
2014 | Year | 11 | Month | 01 | Day |
2014 | Year | 12 | Month | 31 | Day |
2014 | Year | 12 | Month | 31 | Day |
2015 | Year | 03 | Month | 31 | Day |
2010 | Year | 05 | Month | 30 | Day |
2016 | Year | 01 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004456