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Phase 2 N=110 Randomized Treatment

First-Line Treatment of A Comparison of 2 Treatments in Elderly Patients With Advanced NSCLC

Lung Cancer

Enrolled (actual)
110
Serious AEs
49.1%
Results posted
Feb 2013
Primary outcome: Primary: Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease — 4.7; 10.2 months

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Pemetrexed (Drug); Gemcitabine (Drug); Bevacizumab (Drug); Carboplatin (Drug)
Age
Older Adult · 70+ yrs
Sex
All
Sponsor
SCRI Development Innovations, LLC
Primary completion
Feb 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Progression (TTP), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
4.7; 10.2
SECONDARY
Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
35; 35
SECONDARY
Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
7.5; 14.8

Summary

This trial will look at 2 different drug combinations that have well known safety profiles and are known to be active against non small cell lung cancer and combine them with bevacizumab, an experimental drug that has shown effectiveness when added to other drug combinations for advanced non-small cell lung cancer. The primary objective in this study is to see how well this combination of drugs keeps the cancer from getting worse in this elderly population of non-small cell lung cancer patients.

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed non-small cell bronchogenic carcinoma, (adenocarcinoma, or large cell carcinoma)
  • Patients who have newly diagnosed unresectable stage III or stage IV disease are eligible.
  • Must be at least 70 years of age
  • Must have measurable disease by CT scan
  • Must be able to be up and about and care for themselves
  • May not have received prior treatment for stage III or IV disease
  • Must have adequate white and red blood cells and platelets.
  • Must be able to take Vitamin B12, Folic Acid and dexamethasone as stated in the study
  • Must be able to understand the nature of this study and give written informed consent
  • Adequate liver and kidney function

Exclusion Criteria

  • Past or current history of cancer with the exception of treated non- melanoma skin cancer or carcinoma in-situ of the cervix, or other cancers cured by local therapy alone and have been disease free for five years
  • Female patients who are pregnant or are lactating are ineligible
  • History of unstable angina or myocardial infarction within 6 months prior to beginning bevacizumab
  • Brain metastasis - cancer that has spread to the brain
  • Major surgical procedure, open biopsy, or significant traumatic injury within 6 weeks of beginning bevacizumab or anticipation of need for major surgical procedure during the course of the study
  • Full-dose oral or by vein anticoagulation or receiving anti-clotting therapy within 10 days of starting treatment
  • Serious nonhealing wound, ulcer, or bone fracture
  • Bleeding or clotting disorders
  • Uncontrolled high blood pressure or serious heart arrhythmia requiring medication
  • History of abdominal fistula, gastrointestinal perforation, or intra- abdominal abscess within 6 months prior to beginning bevacizumab
  • Chronic non-steroidal anti-inflammatory use is not allowed on study
  • History of stroke or TIAs within the last 6 months

Please Note: There are additional inclusion/exclusion criteria. The study center will determine if you meet all of the criteria. If you do not qualify for the trial, study personnel will explain the reasons. If you do qualify, study personnel will explain the trial in detail and answer any questions you may have.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00456261). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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