Unique ID issued by UMIN | UMIN000013224 |
---|---|
Receipt number | R000015433 |
Scientific Title | A Phase II Study of Carboplatin plus weekly nab-Paclitaxel in combination with Bevacizumab in chemo-naive patients with stage IIIB and IV non-squamous, non-small cell lung cancer |
Date of disclosure of the study information | 2014/02/22 |
Last modified on | 2017/12/31 19:41:42 |
A Phase II Study of Carboplatin plus weekly nab-Paclitaxel in combination with Bevacizumab in chemo-naive patients with stage IIIB and IV non-squamous, non-small cell lung cancer
Phase II study of CBDCA+weekly nab-PTX+Bev in chemo-naive patients with stage IIIB and IV non-sq, non-small cell lung cancer
A Phase II Study of Carboplatin plus weekly nab-Paclitaxel in combination with Bevacizumab in chemo-naive patients with stage IIIB and IV non-squamous, non-small cell lung cancer
Phase II study of CBDCA+weekly nab-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
Pneumology | Hematology and clinical oncology |
Malignancy
NO
To evaluate the efficacy and safety of Carboplatin + weekly nab-Paclitaxel + Bevacizumab in chemo-naive stage IIIB and IV non-squamous, non-small cell lung cancer.
Safety,Efficacy
response rate
progression free survival, overall survival, safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
Patients receive CBDCA (AUC 6, div), Bevacizumab (15 mg/kg, div) on day 1 and nab-paclitaxel (100 mg/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 maintenance therapy (15 mg/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 for injury, 2 weeks; 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; urinary protein <=1+or 2 g/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 (pleurodesis with other than OK432 is not acceptable)
3) current nervous symptom
4) severe cardiac disease
5) current or previous histoty of hemoptysis (2.5 mL) due to NSCLC
6) history of hemoptysis (over 1 week) or receive oral/i.v. hemostatic drug
7) uncontrolled hypertension
8) Patients with active lung disease such as interstitial pneumonia,radiation pneumonitis, pulmonary 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
24
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
im25@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
Kochi Unicersity
Other
NO
2014 | Year | 02 | Month | 22 | Day |
Published
http://ar.iiarjournals.org/content/36/1/307.long
Anticancer Research 2016;36:307-312
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/m(2), 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
2013 | Year | 12 | Month | 26 | Day |
2013 | Year | 12 | Month | 26 | Day |
2018 | Year | 12 | Month | 31 | Day |
2014 | Year | 02 | Month | 22 | Day |
2017 | Year | 12 | Month | 31 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015433