Non-small Cell Lung Cancer
Conditions
Keywords
Radiotherapy, rh-endostatin, chemotherapy, NSCLC
Brief summary
It is a trials to evaluate the overall survival (OS) of radiotherapy / EP combined with recombinant human endostatin in treatment of locally advanced (Ⅲ A / unresectable Ⅲ B) non-small cell lung cancer.
Interventions
Tumor vo lume is 60-66 Gy / 30-33f and the combination regimen is etoposide (50 mg/m2 day1-5, 29-33) and cisplatin (50 mg/m2 day1, 8, 29, 36) in the 1st, 4th weeks of radiotherapy for 2 courses.
Anti-vascular targeting therapy The number of courses is 3 \ 4 and each course last for 28 days. Recombinant human endostatin(Endostar):15mg,d1-14, intravenous injection.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with pathologically or histologically confirmed and inoperable stage Ⅲ (Ⅲ A or unresectable Ⅲ B) NSCLC; 2. Patients with ages of 18\ 70 years, general condition ECOG performance scale (PS)≤ 1, weight loss \<10% during last 6 months; 3. CT films of patients during last 4 weeks were accessible when patients were selected into the groups, the lesions were measurable; (According to the standard of RECIST1.1, they should have at least one of accurately measurable lesions with the largest diameter ≥ 10mm by spiral CT, PET-CT, with the largest diameter≥ 20mm by ordinary CT and MRI.) 4. No major organ dysfunction, the function of heart, liver and kidney was normal, laboratory indicators should meet the following requirements: Blood: WBC\> 4.0 × 109 / L, absolute neutrophil count \> 1.5 × 109 / L, platelet count\> 100 × 109 / L, hemoglobin\> 110g / L; liver function: serum bilirubin was less than 1.5 × maximum normal value ; ALT and AST were less than 1.5 × maximum normal value; BUN, Cr within the normal range; FEV1 \> 1L or\> 40% of predicted value; 5. Patients could understand the circumstances of this study and those who have signed the informed consent form;
Exclusion criteria
1. Pregnant or lactating women; women of child-bearing age without contraception; 2. Acute infection or other serious underlying diseases; 3. Significant neurological, psychiatric history, including dementia which may influence the ability to understand and the informed consent; 4. Receive the treatment of other experimental trials in the same period; on the medication of other anticancer drugs a the same time; have joined other drug clinical trials 30 days before this clinical trial; 5. Diabetes without control (blood-glucose is unstable or ≥ 8mol / L after administration); 6. Patients who are allergic to E. coli preparation; 7. Patients who are unsuitable to participate in this trial determined by the researchers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival (OS) | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| quality of life | 2 years |
| objective response rate (ORR) | 1 years |
| disease control rate (DCR) | 1 year |
| progression-free survival (PFS) | 2 years |
Countries
China