non-squamous non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically or cytologically confirmed non-squamuous, non-small cell lung cancer and stage IV or recurrent non-small cell lung cancer 2) Brain metastasis. The number of Brain metastasis is not limited. - Asymptomatic - No bleeding or progress - Neurosurgical extraction operation > 3 months - The radiation therapy for the brain metastasis > 2 wks - Diameter of maximum brain metastasis site < 1.5 cm 3) Untreated patient without adjuvant fluoropyrimidine or EGFR-TKI - No prior Pemetrxed or Bevacizumab 4) Aged 20 years or over 5) ECOG Performance Status 0-1 6) With one or more measurable lesions based on RECIST version 1.1 7) Adequate organ function, as - WBC > or = 4,000/mm3 - Neu > or = 2,000/mm3 - Plt > or = 10.0x10,000/mm3 - Hemoglobin > or = 9.0g/dL - AST/ALT < or = 100 IU/L - T-bil < or = 1.5mg/dL - Cre < or = 1.2mg/dL - Creatinine clearance > or = 45ml/min - SpO2(Room air) > or = 90% - Proteinuria < or = 1+ 8) Interval - Palliative radiotherapy > or = 2 wks - Lobectomy Operation > or = 8 wks - Another surgery > or = 4 wks - Thoracic drainage, Pleurodesis > or = 2 wks 9) Written informed consent from the patients.
Exclusion criteria
Exclusion criteria: 1) Antiedema agent treatment for a brain metastasis 2) Bleeding of the brain metastasis 3) Carcinomatous meningitis 4) Squamous cell dominant 5) Small cell lung carcinoma cells are contained. 6) Cerebral amyloid angiopathy 7) Current or previous history of hemoptysis 8) Current or previous history of continuing bloody sputum - History of continuing bloody sputum within 3 months - Current or previous history of continuing taking a oral hemostatic agent - Need to treat intravenous hemostatic agent for sputum 9) Have received radiation therapy to lesions of the lung 10) Have received therapy to primary lesion 11) Evidence of tumor invading large vessel on imaging 12) Severe infection 13) Severe complications 14) Uncontrolled ascites, pleural effusion or pericardial effusion 15) Active concomitant malignancy 16) History of severe drug allergy 17) Active interstitial pneumonitis or pulmonary fibrosis on chest CT scans 18) Uncontrollable hypertension < 160/100 19) History of symptomatic cerebrovascular disease 20) Need to antiplatelet therapy or anticoagulation therapy without Aspirin 325 mg/day 21) Uncontrolled ulcer 22) Gastrointestinal perforation within 1 year 23) Inappropriate for this study judged by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| progression free survival (PFS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety RR; response rate DCP; disease Control proportion OS; overall survival IPF; intracranial PFS TBTF; time to Bev treatment failure | — |
Countries
Japan
Contacts
International University of Health and Werfare Respiratory Disease Center