Unique ID issued by UMIN | UMIN000013333 |
---|---|
Receipt number | R000015515 |
Scientific Title | PhaseI/II study of carboplatin plus nab-paclitaxel plus bevacizumab administered to advanced non-squamous non-small cell lung cancer. |
Date of disclosure of the study information | 2014/03/04 |
Last modified on | 2014/03/04 21:41:24 |
PhaseI/II study of carboplatin plus nab-paclitaxel plus bevacizumab administered to advanced non-squamous non-small cell lung cancer.
PhaseI/II study of carboplatin plus nab-paclitaxel plus bevacizumab administered to advanced non-squamous non-small cell lung cancer.
PhaseI/II study of carboplatin plus nab-paclitaxel plus bevacizumab administered to advanced non-squamous non-small cell lung cancer.
PhaseI/II study of carboplatin plus nab-paclitaxel plus bevacizumab administered to advanced non-squamous non-small cell lung cancer.
Japan |
advanced non-squamous non-small cell lung cancer
Medicine in general | Pneumology |
Malignancy
NO
To determine the recommended dose of nab-paclitaxel for the chemotherapy of carboplatin plus nab-paclitaxel plus bevacizumab for non-squamous NSCLC, and to evaluate the efficacy and safety of this therapy when administered at recommended dose.
Safety,Efficacy
Exploratory
Phase I,II
phase I: to determine recommended dose
phaseII: response rate
phaseII:to evaluate disease control rate, progression free survival, overall survival and safety profile
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
phaseI
Carboplatin and bevacizumab will be administered by fixed dose on day1, and nab-paclitaxel (nab-PTX) at the dose levels as described below.
level 0:
nab-PTX (75mg/m2) day1,8
carboplatin (AUC 6) day1
bevacizumab (15mg/kg) day1
level 1:
nab-PTX (100mg/m2) day1,8
carboplatin (AUC 6) day1
bevacizumab (15mg/kg) day1
level 2:
nab-PTX (100mg/m2) day1,8,15
carboplatin (AUC 6) day1
bevacizumab (15mg/kg) day1
At first three patients will receive the treatment at a starting dose of level1. Nab-PTX dose will be escalated (level 2) or deescalated (level 0) according to standard 3+3 rule. Dose limiting toxicities (DLTs) will be defined as any of the following drug related events occurring in the first cycle: (1)grade 4 neutropenia for 4 and more days; (2)grade 3 or 4 febrile neutropenia; (3)grade 4 thrombocytopenia; (4)grade 3 or 4 non-hematologic toxicity, excluding nausea and vomiting; (5)grade 4 hypertension; (6)skipping of day8 or day15 administration; and (7)not fulfill the criteria for starting second cycle therapy on day22.
phase II
Recommended dose of nab-PTX plus carboplatin and bevacizumab therapy will be administered every three weeks up to 6 cycles. After these therapies, in case of more than stable disease bevacizumab administration will be continued every three weeks.
20 | years-old | <= |
75 | years-old | > |
Male and Female
(1)histologically or cytologically confirmed non-squamous non-small cell lung cancer.
(2)Stage IIIB, out of radical setting radiotherapy/IV,M1a/IV, M1b
(3) ECOG PS 0 or 1
(4)Measurable or nonmeasurable disease as defined by RECIST criteria
(5)No prior chemotherapy
(6)Adequate bone marrow, renal, and hepatic parameters
(7)No history of major hemoptysis
(8)Informed consent
(1) Hemorrhagic Diathesis, coagulopathy
(2) Presence of cardiovascular invasion
(3) Presence of any tumor with cavitation
(4) Presence of significant interstitial lung disease or lung fibrosis
(5) Uncontrolled intercurrent illness (eg. hypertension, diabetes mellitus, gastro- intestinal fistula, symptomatic congestive heart failure, unstable angina pectoris, serious cardiac arrhythmia)
(6) Ongoing/active infection
(7) Arterial thrombotic events or significant vascular disease
(8) Uncontrolled gastric ulcer
(9) Gastrointestinal perforation within the past 12 months
(10) Prior malignancy
(11) Uncontrolled pleural effusion or ascites
(12) Clinically significant pericardial effusion
(13) Hypersensitivity history for test drugs
(14) Pregnancy or breast-feeding
35
1st name | |
Middle name | |
Last name | Kenji Akita |
Nagoya City West Medical Center
respiratory medicine
1-1-1 Hirate-cho, Kita-ku, Nagoya 462-8508 Japan
052-991-8121
k.akita.86@west-med.jp
1st name | |
Middle name | |
Last name | Kenji Akita |
Nagoya City West Medical Center
respiratory medicine
1-1-1 Hirate-cho, Kita-ku, Nagoya 462-8508 Japan
052-991-8121
k.akita.86@west-med.jp
Nagoya City West Medical Center
Nagoya City West Medical Center
Self funding
Nagoya City East Medical Center
NO
2014 | Year | 03 | Month | 04 | Day |
Unpublished
Enrolling by invitation
2014 | Year | 02 | Month | 10 | Day |
2014 | Year | 02 | Month | 20 | Day |
2017 | Year | 07 | Month | 31 | Day |
2014 | Year | 03 | Month | 04 | Day |
2014 | Year | 03 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015515