non-squamous non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.historogically or cytologically comfirmed non-squamous NSCLC 2.MPEs cytologically proven (class IV or V) of stage4 or post-operative recurrent patients. 3.unsuitable or unsuccessful patients with non-squamous NSCLC and MPEs for tube drainage or pleurodesis (OK-432, minocycline, etc, except cytotoxic agent). 4. ECOG PS 0-2 5. 20 years old or older 6. adequate organ function 7. Following interval between the below therapie ansd registration; palliative radiotherapy-2weeks or more surgery-4weeks or more open biopsy, treatment of injury and chest tube drainage-1week or more blood transfusion-2weeks or more 8. life expectancy more than 3 months 9. written informed consent
Exclusion criteria
Exclusion criteria: 1.interstitial pneumonia or pulmonary fibrosis detectable on CT scan 2. history of gross hemoptpsis (2.5ml or more) or severe hemosputum (over 1 week, or reciveing hemostatic drug) 3. symptomatic brain metastasis 4.recieving anticoagulant drug (except Aspirin under 324mg/day) 5. scheduled operation 6. invasion to major vessels 7. pulmonary tumor with the cavity 8. severe complication 9. uncontrolled infection 10. Uncontrollable gastriointestinal ulceration 11. history of GI perforation or ulceration (within 1 year) 12.present pregnant or lactation 13. severe drug allegy 14. history of myocardial infarction or cerebral infarction (within 1 year) 15.active concomitant malignancy 16. inappropriate patients judged by the phsicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pleural effusion control rate (PECR), defined as the percentage of patients without reaccumulation of MPE for eight weeksfor eight weeks from the start of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Pleural Progression free survival(PPFS) defined as progression-free survival time (PFS) without reaccumulation of MPE, calculated from the time of starting bevacizumab-based therapy until the day on which pleural effusions increased again, or the day of death regardless of cause; Safty; QOL; Biomarker analysis | — |
Countries
Japan
Contacts
Nippon Medical School Department of Pulmonary Medicine and Oncology, Graduate School of Medicine