Non-Squamous Non-Small Cell Lung Cancer
Conditions
Brief summary
This single arm study will assess the feasibility of use, safety and tolerability of Avastin(bevacizumab) in combination with chemoradiation therapy in patients with locally advanced unresectable non-squamous non-small cell lung cancer.An initial cohort of patients will receive Avastin 7.5mg/kg iv every 3 weeks, in combination with concurrent thoracic radiation for 6.6 weeks and chemotherapy (cisplatin 75 mg/m2 iv and vinorelbine 15mg/m2 iv administered according to a standard treatment protocol). If no dose-limiting toxicities are observed, a second cohort of patients will receive Avastin at a dose of 15mg/kg iv every 3 weeks, in combination with a similar treatment regimen to that of the first cohort. After 5 cycles of combination treatment, Avastin monotherapy will be administered for a further 4 cycles. The anticipated time on study treatment is 3-12 months, and the target sample size is \<100 individuals.
Interventions
7.5mg/kg iv or 15mg/kg iv every 3 weeks
75mg/m2 iv according to a standard chemotherapy treatment protocol
15mg/m2 iv according to a standard chemotherapy treatment protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* patients \>=18 years with locoregional advanced unresectable non-squamous NSCLC; * ECOG performance status of 0 or 1; * no prior thoracic head and neck irradiation or surgical resection for current lung cancer.
Exclusion criteria
* mixed, non-small cell and small cell tumors; * mixed adeno-squamous carcinomas with a predominant squamous component; * evidence of tumor invasion or encasement of major vessels; * history of grade \>=2 hemoptysis; * presence of cavitations in lung lesions at baseline.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety: Adverse events; clinical laboratory parameters; physical exam including vital signs; performance status. | Throughout study |
Secondary
| Measure | Time frame |
|---|---|
| Tumor response | Week 13 and Week 22 |
Countries
Canada