Non-small cell lung cancer patients with bone metastases and elevated marker of osteoclast activity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Histologically or cytologically confirmed NSCLC. Patients who have radiologically apparent bone metastasis. Patients aged 20 years or older. ECOG performance status of 0-2. Sufficient function of main organ filled the following criteria before two weeks from enrollment: Neu >= 1,500/ mm3 Hb >= 9.0g/dl Plt >= 100,000/ mm3 T-Bil <= 1.5mg/dl GOT <= 100IU/ml GPT <= 100IU/ml Cre <= 1.5mg/dl. Urinary NTx> 64nmol/mmol Cr. Written informed consent.
Exclusion criteria
Exclusion criteria: Patients who need radiotherapy or surgery immediately against bone metastases. Prior treatment with Sr-89. Prior bisphosphonates used for cancer. Patients with symptomatic brain metastasis. Severe odontopathy. Interstitial pneumonia on chest x-ray. Patients with active concomitant malignancy. Uncontrolled heart disease, hepatic disease, diabetes mellitus, bleeding. EGFR (+) and planned for EGFR-TKI treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients who developed SRE. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Time to first SRE 2.Safety 3.Progression free survival 4.Overall survival 5.Response rate 6.Rate of change of bone marker 7.Rate of change of pain score | — |
Countries
Japan
Contacts
Kyushu University, Graduate School of Medical Sciences Research Institute for Diseases of the Chest