Unique ID issued by UMIN | UMIN000014302 |
---|---|
Receipt number | R000016652 |
Scientific Title | Phase II study comparing combination therapy with carboplatin plus pemetrexed vs combination therapy with pemetrexed plus bevacizumab in chemo-naive elderly patients with advanced non-squamous non-small-cell lung cancer (HSR1402). |
Date of disclosure of the study information | 2014/06/19 |
Last modified on | 2018/10/04 15:06:25 |
Phase II study comparing combination therapy with carboplatin plus pemetrexed vs combination therapy with pemetrexed plus bevacizumab in chemo-naive elderly patients with advanced non-squamous non-small-cell lung cancer (HSR1402).
Carboplatin plus pemetrexed vs pemetrexed plus bevacizumab in chemo-naive elderly patients with advanced non-squamous non-small-cell lung cancer.
Phase II study comparing combination therapy with carboplatin plus pemetrexed vs combination therapy with pemetrexed plus bevacizumab in chemo-naive elderly patients with advanced non-squamous non-small-cell lung cancer (HSR1402).
Carboplatin plus pemetrexed vs pemetrexed plus bevacizumab in chemo-naive elderly patients with advanced non-squamous non-small-cell lung cancer.
Japan |
advanced non-squamous non-small-cell lung cancer
Pneumology |
Malignancy
NO
To compare the efficacy and safety of combination therapy with carboplatin plus pemetrexed and pemetrexed plus bevacizumab in chemo-naive elderly patients with advanced non-squamous non-small-cell lung cancer.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
progression-free survival
objective response rate, overall survival, safety, quality of life(QoL)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is not considered as adjustment factor.
NO
Central registration
2
Treatment
Medicine |
Carboplatin AUC5+pemetrexed 500mg/m2, day1, 21-day cycle, four cycles. After four cycles of the therapy, patients who achieved more than stable disease receive maintenance therapy with pemetrexed 500mg/m2, Day1, 21-day cycle until progressive disease or unacceptable adverse events occur.
Pemetrexed 500mg/m2+bevacizumab 15mg/kg, day1, 21-day cycle until progressive disease or unacceptable adverse events occur.
76 | years-old | <= |
Not applicable |
Male and Female
1. pathologically or cytologically diagnosed non-squamous non-small-cell lung cancer.
2. measurable disease in RECIST.
3. ECOG PS of 0-1
4. Stage IIIB without indication of curative radiotherapy, stage IV disease or recurrence disease without prior adjuvant chemotherapy.
5. Aged 76 years or older.
6. adequate organ function.
Neutrophil cout of more than 2000/uL
Platelet cout of more than 100000/uL
Hemoglobin level of more than 9.0 g/dL
Aspartate transaminase (AST), alanine transaminase(ALT): less than 2.5 times the upper limit of normal of the institutional reference range.
Total bilirubin: less than 1.5 times the upper limit of normal of the institutional reference range.
PaO2 of more than 60 torr or SpO2 of more than 90%.
Serum creatinine of less than 1.2mg/dL or creatinine clearance of less than 45mL/min.
Protein urea less than plus 1 in urine test.
7: Life expectancy of more than 3 months.
8: Written informed consent.
1. squamous histology
2. interstitial lung disease or pulmonary fibrosis
3. presence or history of hemoptysis
4. pleural effusion or cardiac effusion that needs to be treated
5. superior vena cava syndrome
6. uncontrolled and symptomatic brain metastasis except stable brain metastases after radiotherapy
7. uncontrolled diabetes, hypertension, liver damage, ischemic heart disease or myocardial infarction within three months.
8. severe infectious disease
9 pregnancy, lactation, or willing to get pregnant.
10. active malignancy of other organ.
11.history of severe hypersensitivity to drugs
12. bleeding diathesis or coagulopathy
13. symptomatic cerebrovascular disease, or history of brain attack 12 months prior to the study.
14. uncontrolled digestive ulcer or history of gastrointestinal perforation.
15. other severe comorbidities
16. judgement of discontinuation by attending physicians
64
1st name | |
Middle name | |
Last name | Takafumi Suda |
Hamamatsu Univ. School of Medicine
Department of Internal medicine, second division.
Handayama 1-20-1, Hamamatsu, Shizuoka pref. Japan
053-435-2263
suda@hama-med.ac.jp
1st name | |
Middle name | |
Last name | Masato Karayama |
Hamamatsu Univ. School of Medicine
Department of Internal medicine, second division.
Handayama 1-20-1, Hamamatsu, Shizuoka pref. Japan
053-435-2263
karayama@hama-med.ac.jp
Hamamatsu Univ. School of Medicine
none
Self funding
NO
聖隷三方原病院, 国立病院機構天竜病院, 浜松赤十字病院
浜松労災病院, 遠州病院, 磐田市立総合病院, 静岡県立総合病院
静岡市立静岡病院, 静岡市立清水病院, 藤枝市立総合病院
浜松医療センター, 静岡赤十字病院
2014 | Year | 06 | Month | 19 | Day |
Unpublished
Terminated
2014 | Year | 05 | Month | 12 | Day |
2014 | Year | 06 | Month | 19 | Day |
2014 | Year | 06 | Month | 18 | Day |
2018 | Year | 10 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016652