Non-Squamous Non-Small Cell Lung Cancer
Conditions
Brief summary
This single arm study will evaluate the feasibility of treatment with 2 dose levels of Avastin in combination with concurrent thoracic radiation and chemotherapy in patients with locally advanced unresectable non-squamous non-small cell lung cancer. Two cohorts of patients will receive 3 cycles of Avastin treatment (7.5mg/kg and 15mg/kg iv every 3 weeks, respectively), concurrently with thoracic radiation and chemotherapy (cisplatin and etoposide). Once a preferred dose has been established, this dose will be applied to a 3rd cohort, who will then receive maintenance treatment with Avastin as a single agent for 6 additional cycles. The anticipated time on study treatment is \<3 months for cohorts 1 and 2, and 3-12 months for cohort 3, and the target sample size is \<100 individuals.
Interventions
7.5mg/kg every 3 weeks for 3 cycles (cohort 1) or 15mg/kg every 3 weeks for 3 cycles (cohort 2). Preferred dose every 3 weeks for 9 cycles (cohort 3).
80mg/m2 iv every 3 weeks for 3 cycles
100mg/m2 iv for 3 consecutive days, every 3 weeks for 3 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>= 18 years of age; * non-squamous non-small cell lung cancer, locally advanced and unresectable; * ECOG performance status 0 or 1; * no prior thoracic or head and neck radiation; * no prior surgical resection for current lung cancer.
Exclusion criteria
* malignancies other than non-small cell lung cancer within 2 years prior to inclusion, except for basal cell cancer of the skin, squamous cancer of the skin, or cancer in situ of the cervix; * prior systemic therapy for non-small cell lung cancer; * clinically significant cardiovascular disease; * history of \>= grade 2 hemoptysis; * current or recent use of aspirin (\>325mg/day) or full dose anticoagulants or thrombolytic agents for therapeutic purposes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose limiting toxicity | Throughout Study |
Secondary
| Measure | Time frame |
|---|---|
| AEs, laboratory parameters | Throughout Study |
| Tumor response | Throughout Study |
Countries
Netherlands, United Kingdom