Non-small Cell Lung Cancer
Conditions
Keywords
non-small cell lung cancer, previously untreated
Brief summary
A comparison of combination chemotherapy of sildenafil plus carboplatin and weekly taxol with carboplatin and weekly taxol in patients with previously untreated advanced non-small cell lung cancer. The study hypothesis is that sildenafil may improve the distribution and efficacy of cytotoxic anticancer agents.
Detailed description
Sildenafil is one of selective phosphodiesterase type 5 inhibitors. It is used to block the degradative action of phosphodiesterase type 5 on cyclic GMP in the smooth muscle cells lining the blood vessels, which leads to smooth muscle relaxation in blood vessels and increases blood flow. Because phosphodiesterase type 5 is also present in the arterial wall smooth muscle within the lungs, phosphodiesterase type 5 inhibitors is also used for the treatment of pulmonary hypertension.
Interventions
50mg, day1,8 and 15 in each cycle
1 tab, day 1,8 and 15 in each cycle.
paclitaxel; 70mg/m2 div on day 1, 8 and 15, every 28 days
carboplatin; AUC=6 on day 1, every 28 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of histologically confirmed stage IIIB or IV non-small cell lung cancer * Good performance status (ECOG 0-1) * No previous treatment * Adequate bone marrow, liver and renal functions * Must be able to swallow tablets * Provided written informed consent
Exclusion criteria
* Severe complications or a concomitant malignancy * Contraindicated sildenafil, carboplatin or taxol * Inappropriate patients for entry to this study, judged by the physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| progression free survival | three-year |
Secondary
| Measure | Time frame |
|---|---|
| overall response rate | three-year |
Countries
Japan