non-small cell lung cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histology/cytology-proven non-small cell lung cancer 2) Previously treated non-small cell lung cancer with stage III, IV or recurrent disease 3) Patient previously treated with at least two regimens of chemotherapy *It does not count as one regimen; treatment with PD-1/PD-L1 checkpoint inhibitors, anti-CTLA-4, EGFR-TKIs in patients with EGFR-mutated patients, ALK-TKIs in patients with ALK-positive patients, ROS-1-TKIs in patients with ROS-1-positive patients. *Recurrence within 6 months or less from the day adjuvant chemotherapy finished is considered a previous treatment. 4) Age of 70 years or over 5) Patients who are considered to survive for more than 3 months 6) Written informed consent 7) ECOG performance status of 0-2 8) Adequate organ function.
Exclusion criteria
Exclusion criteria: 1) Active infection 2) Patients had brain tumors and/or brain metastases (symptomatic or requiring treatment) 3) Evidence of tumor invading a perihilar blood vessel 4) Having a cavitating lung tumor 5) History of pulmonary hemorrhage or hemoptysis over 2.5 ml within 2 months 6) Evidence of tumor invading segmental bronchus 7) Severe gastrointestinal complications 8) Having a history or evidence of thrombosis 9) Severe hypertension 10) Having a history or evidence of ILD complication 11) Having an allergy of ramucirumab, docetaxel and pegfilgrastim 12) Having a severe mental disorder 13) Pregnant woman 14) Patients whose participation in the trial is judged to be inappropriate by the doctor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of febrile neutropenia during all cycles of ramucirumab plus docetaxel therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Incidence of febrile neutropenia during the first cycle of chemotherapy 2) Incidence of G4 neutropenia during the first cycle of chemotherapy 3) Incidence of G4 neutropenia during the all cycles of chemotherapy 4) Response rate 5) Relative dose intensity 6) Adverse events | — |
Countries
Japan
Contacts
Aichi Cancer Center Hospital Department of Thoracic Oncology