Non Small Cell Lung Carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.The age at the time of obtaining consent is 18 years or older 2.Patients with cytopathological or clinical diagnosis of non-small cell lung cancer 3.Cases where surgical treatment, definitive radiation therapy, and chemoradiation therapy are not indicated (excluding palliative irradiation) 4.Patients scheduled to be treated by the treatment including paclitaxel 5.Patients scheduled to treated by carboplatin+paclitaxel therapy (batch) or carboplatin+paclitaxel (batch) +pembrolizumab therapy (or patients with Grade 2 or higher (CTCAE ver5.0.) CIPN by split paclitaxel) 6.Patients who are not recieving anti-ulcer drugs or are receiving anti-ulcer drugs but are considered to be able to change to lafutidine 7.Patients who can ingest orally 8.Patients who can recieve informed consent
Exclusion criteria
Exclusion criteria: 1.Patients who receive paclitaxel as chemoradiotherapy 2.Patients who are pregnant or breastfeeding 3.Patients with a history of drug hypersensitivity or allergy to lafutidine 4.Patients with a history of drug hypersensitivity or allergy to paclitaxel 5.Patients with contraindications reg arding paclitaxel administration, such as those with a history of hypersensitivity to polyoxyethylene castor oil-containing preparations (eg, cyclosporine injection) or severe myelosuppression 6.Patients with a history of severe drug hypersensitivity to other drug s 7.Patients who have already taken anti-ulcer drugs and cannot chang e to lafutidine 8.Patients who cannot judg e subjective symptoms related to peripheral neuropathy due to sympto ms by brain metastasis or neuropathy 9.Patients originaly had Grade2(CTCAE ver5.0.) or higher peripheral neuropathy 10.Patients judg ed to be inappropriate by doctor to safely carry out this reserch
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Common Terminology Criteria for Adverse Events(CTCAE) version 5.0.: Grade 2 or higher peripheral neuropathy | — |
Secondary
| Measure | Time frame |
|---|---|
| Common Terminology Criteria for Adverse Events(CTCAE)version 5.0:Grade 3 or higher peripheral neuropathy Peripheral neuropathy score distribution in the Patient Neurotoxicity Questionnaire (PNQ) Peripheral neuropathy score distribution in the Functional Assessment of Cancer Therapy-neurotoxicity(FACT/GOG-Ntx) Time from the first cycle therapy of paclitaxel to the appearance of peripheral neuropathy Rate of dose reduction / discontinuation of paclitaxel due to adverse events Progression Free Survival,PFS Response Rate,RR Safety(occurrence of adverse events) | — |
Contacts
Iwate Medical University Hospital