Cancer, Lung Cancer
Conditions
Keywords
sunitinib, chemotherapy, non-small cell lung cancer, NSCLC
Brief summary
The purpose of this study is to determine whether sequential application of low-dose short-term sunitinib and chemotherapy is effective in the treatment of non-small cell lung cancer after failure of conventional therapy. Safety of this regimen will also be evaluated.
Interventions
sunitinib, 12.5mg/day, for 7 days before each cycle of chemotherapy; chemotherapy, single agent including docetaxel, albumin-bound paclitaxel, vinorelbine, gemcitabine, pemetrexed, or paclitaxel, as determined by the investigator
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologic or cytologic diagnosis of stage IIIB/IV NSCLC * ECOG PS: 0,1 * Unidimensional or bi-dimensional measurable disease * Receive prior treatment including first-line platinum-based chemotherapy, standard second-line chemotherapy and 1 EGF/EGFR inhibitor * Evidence of disease progression * Life expectancy \>12 weeks * Neutrophils \> 1.5 109/l, Platelets \> 100 109/l, Hemoglobin \> 9g/dl, Total bilirubin \< 1.5 UNL, AST (SGOT) and ALT (SGPT) \< 2.5 UNL, Alkaline phosphatases \< 5 UNL, Creatinine \< 1 UNL
Exclusion criteria
* Pre-existing hemoptysis of a severity \> grade 3 by NCI CTCAE criteria within 4 weeks prior to study entry * Uncontrolled hypertension * CHF, angina or arrhythmias * LVEF \< 1 UNL * Existing a second malignancy within 5 years * Infected with HIV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| progression-free survival | up to 2 years | The primary objective of this study is to evaluate the median progression-free survival of this sequential regimen. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival | up to 2 years | To evaluate the median over-all survival of this regimen |
| disease control rate | up to 6 months | To evaluate the disease-control rate of this regimen. |
| Safety | up to 2 years | To evaluate the safety of this regimen including the rate and grade of adverse effects. |
Countries
China