Carcinoma, Non-Small-Cell Lung, Lung Neoplasms
Conditions
Brief summary
The purpose of this study is to determine if EGFR status (positive or negative) by FISH can predict response to cetuximab therapy in NSCLC patients treated with carboplatin and paclitaxel
Interventions
Vial, Intravenous, 400 mg/m² week 1 then 250 mg/m², Weekly, Until PD/Toxicity/Pt-PI Decision
Vial, Intravenous, 225 mg/m2, Every 3 weeks, 6 cycles maximum
Vial, Intravenous, AUC = 6.0, Every 3 weeks, 6 cycles maximum
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects who present with Stage IV, Stage IIIB NSCLC or recurrent disease following radiation therapy or surgical resection * No prior chemotherapy or anti-EGFR targeted therapy * Sufficient tumor material for FISH testing * Measurable disease (RECIST) * ECOG performance status 0 or 1
Exclusion criteria
* Symptomatic or uncontrolled CNS metastases * Inadequate hematologic function defined as ANC \< 1,500/mm3, platelet count \< 100,000/mm3, or a hemoglobin level \< 9 g/dl * Inadequate hepatic function defined as total bilirubin \> 1.25 x ULN, AST level \> 1.5 x ULN, or alkaline phosphatase \> 5.0 x ULN * Inadequate renal function defined by a serum creatinine level \> 1.5 x ULN
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression Free Survival (PFS) will be compared for FISH positive subjects (subset) receiving paclitaxel / carboplatin +/- cetuximab | Every 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Tumor response | Every 6 weeks |
| Disease control | Every 6 weeks |
| Overall survival (OS) | Every 4 months after subject off-treatment until 1 year after LPLT |
| Duration of Response | Every 6 weeks |
| Safety & exploratory biomarker analysis | Every 3 weeks |
Countries
United States