Elderly patients with advanced non-squamous non-small-cell lung cance
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically or cytologically confirmed advanced non-squamous non-small-cell lung cancer 2) 75 years of age or older 3) Clinical stage IIIB (not amenable to curative radiation) and IV 4) EGFR wild type 5) ECOG performance status of 0 or 2 6) At least one measureable lesion per RECIST 1.0 6) Without symptomatic central nervous system metastases 7) Adequate organ funcion within 2 weeks * Leukocyte count > or = 3000/mm3 * Neutrophil count > or = 2000/mm3 * Platelet count > or = 100000/mm3 * AST and ALT levels < or = 100IU/L * Total bilirubin level < or = 1.5mg/dl * Serum creatinine levels < or = 1.2mg/dl * SpO2 > or = 90% (room air) 8) Estimating Survival more than 2 months 9) Controllable plueral effusion * OK432 pleurodesis for malignant pleural effusion is acceptable. 10) Eligible in case of controlled brain metastases 11) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Pulmonary fibrosis and interstitial pneumonia on chest X-ray or symptomatic pulmonary fibrosis and interstitial pneumonia 2) SVC synd 3) Uncontrolled diabetes, myocardial infarction or cerebral infarction within the past 3 months 4) Infectious disease requiring systemic treatment 5) Psychotic disorder 6) Synchronous or metachronous active double malignancies 7) History of allergic reaction for agents of present treatment 8) Severe heart disease 9) Patients with immunotherapy or vaccine therapy 10) Other ineligible status judged by medical oncologist
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| one-year survival rate | — |
Secondary
| Measure | Time frame |
|---|---|
| safety response rate disease control rate progression free survival overall survival QOL | — |
Countries
Japan
Contacts
Kyorin University School of Medicine Department of Respiratory Medicine