Carcinoma, Small Cell Lung
Conditions
Keywords
Lung Cancer, Small Cell, Extensive
Brief summary
This multicenter phase II trial is designed to study the unique combination of chemotherapy (irinotecan./carboplatin) and bevacizumab in the extensive-stage setting. This clinical setting seems ideal for evaluation of the role of bevacizumab in delaying progression and prolonging survival.
Detailed description
Eligible patients will receive 6 courses of irinotecan, carboplatin, and bevacizumab. The interval between chemotherapy courses will be 28 days. If after 6 courses of treatment, patient's response is a CR/PR/SD they will continue on Bevacizumab until tumor progression or up to 6 cycles (6 months) total. Treatment sequence: * Irinotecan 60mg/m2 on days 1, 8, and 15 * Carboplatin AUC=4 day 1 only * Bevacizumab 10 mg/kg days 1 and 15
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed small cell lung cancer,extensive stage disease. * Measurable or evaluable disease * No previous chemotherapy * Able to perform activities of daily living with minimal assistance * Adequate hematological, live and kidney function * Provide written informed consent
Exclusion criteria
* Limited stage disease * PEG or G tubes * Hemoptysis * Abdominal fistula, perforation, or abscess within the previous 6 months * Women who are pregnant or lactating * Proteinuria * Serious nonhealing wound, ulcer, or bone fracture * Evidence of bleeding diathesis or coagulopathy * Uncontrolled or serious cardiovascular disease * Uncontrolled brain metastasis * Major surgical procedure, open biopsy, or significant traumatic injury within 28 days; Fine needle aspiration within 7 days * Patients requiring full-dose anticoagulation must be on a stable dosing schedule prior to enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| median time to progression | — |
Secondary
| Measure | Time frame |
|---|---|
| overall toxicity | — |
| overall response rate | — |
| duration of response | — |
| overall survival | — |
Countries
United States