Non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Age: 20-74 years 2)Histologically or cytrologically confirmed diagnosis of non-squamous non-small cell lung cancer (non-squamous NSCLC). 3)Stage IIIB/IV or postoperative recurrence 4)No prior chemotherapy or post-operative recurrent disease without adjuvant chemotherapy or with at least one year interval from the last administration of adjuvant chemotherapy. 5)Patients who have measurable lesions. 6)Eastern Cooperative Oncology Group (ECOG) Performance status of 0-2. 7)Adequate function of main organ. White blood cell count>=3000/mm3 Absolute granulocyte count >= 1500/mm3 Hemoglobin >= 9.0g/dL Platelet count >= 100,000/mm3 Serum bilirubin <= 1.5 mg/dL AST,ALT <100 IU/l Serum creatmine < 1.2 mg/dL or Ccr>=60ml/min PaO2(Room air) >=60Torr (or SpO2>=95%) Proteinuria<1+ 8)Life expectancy more than 3 months 9)Written informed consent
Exclusion criteria
Exclusion criteria: 1)Previous histories of drug allergy, which may increase the risk of this study. 2)Serious concomitant infection. 3)Usages of oral steroids or immunosuppressive drugs. 4)Serious complications including severe cardiovascular disease, cerebrovascular disease, severe hypertension, active peptic ulcer, uncontrolled diabetes. 5)Interstitial pneumonia or pulmonary fibrosis on chest CT scans. 6)Patients with EGFR mutation. 7)Severe pleural, abdominal or cardiac effusion. 8)Prior to study entry major surgical procedures within 3 weeks or prior systemic therapy to contain radiotherapy within 2 weeks. 9)Patient in acknowledgment of hemoptysis (2.5 ml or more) or clinically important bleeding or a clot-related event. 10)No uncontrolled hypertension (systolic > 150 mmHg and/or diastolic > 90 mmHg). 11)Symptomatic brain metastasis. 12)The patient that the tumor permeation to chest great vessels is accepted. 13)cavity in tumor. 14)receiving anticoagulant drug(except Aspirin under 325mg/day). 15)Patients with active concomitant malignancy. 16)Pregnant, lactating women. 17)Inappropriate patients judged by physicians.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Response rate Shift ratio to maintenance therapy Overall survival Safety | — |
Countries
Japan
Contacts
Hokkaido University First Department of Medicine