- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00025389
Bevacizumab, Paclitaxel, and Carboplatin Before Surgery in Treating Patients With Stage IB, Stage II, or Stage IIIA Non-Small Cell Lung Cancer
A Phase 2 Study Of Neoadjuvant rhuMAb VEGF (Bevacizumab) In Combination With Paclitaxel And Carboplatin In Surgically Resectable Non-Small Cell Lung Cancer
RATIONALE: Monoclonal antibodies, such as bevacizumab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or deliver cancer-killing substances to them. Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Combining monoclonal antibody therapy with chemotherapy before surgery may may shrink the tumor so that it can be removed.
PURPOSE: This phase II trial is to see if bevacizumab, paclitaxel, and carboplatin given before surgery work in treating patients who have stage IB, stage II, or stage IIIA non-small cell lung cancer.
Study Overview
Status
Conditions
Detailed Description
OBJECTIVES:
- Determine the clinical complete and partial response rate in patients with stage IB, II, or IIIA resectable non-small cell lung cancer treated with neoadjuvant bevacizumab, paclitaxel, and carboplatin.
- Determine the pathologic complete response rate in patients treated with this regimen.
- Determine the ability to proceed with and complete a potentially curative resection in patients treated with this regimen.
- Determine the safety and toxicity of this regimen in these patients.
OUTLINE: Patients receive neoadjuvant bevacizumab IV over 60-90 minutes, paclitaxel IV over 3 hours, and carboplatin IV over 1 hour on day 1.
Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity.
Patients undergo surgical resection within 4-6 weeks after completion of chemotherapy.
Patients are followed within 3 months.
PROJECTED ACCRUAL: A total of 23-39 patients will be accrued for this study.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Illinois
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Chicago, Illinois, United States, 60637-1470
- University of Chicago Cancer Research Center
-
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Ohio
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Columbus, Ohio, United States, 43210
- Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed non-small cell lung cancer
- Stage IB (T2, N0), II (T1 or T2, N1 or T3, N0), or IIIA (T3, N1)
- Potentially resectable disease
- No large central primary tumors in proximity to significant blood vessels
- No bronchoscopically evident endobronchial tumors
At least 1 unidimensionally measurable lesion
- At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
- No known brain metastases
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-1 OR
- Karnofsky 70-100%
Life expectancy:
- More than 12 months
Hematopoietic:
- WBC at least 3,000/mm^3
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
- No history of an inherited bleeding disorder
- No inherited predisposition to a hypercoagulable state
- No clinically evident hypercoagulable state or bleeding diathesis
Hepatic:
- Bilirubin less than 1.5 times upper limit of normal (ULN)
- AST/ALT no greater than 2.5 times ULN
- INR less than 1.5
- PTT less than 36 seconds
Renal:
- Creatinine less than 1.5 times ULN OR
- Creatinine clearance at least 60 mL/min
- No nephrotic syndrome
- Urine protein no greater than 0.5 g/24 hours
Cardiovascular:
- No poorly controlled hypertension (greater than 150 mm Hg systolic and/or greater than 100 mm Hg diastolic) despite treatment
- No uncompensated coronary artery disease
- No myocardial infarction within the past 6 months
- No clinically significant or severe peripheral vascular disease
- No inherited predisposition to thrombosis
- No deep venous or arterial thrombosis
- No symptomatic congestive heart failure
- No unstable angina pectoris within the past 6 months
- No cardiac arrhythmia
- No transient ischemic attack within the past 6 months
- No cerebrovascular accident within the past 6 months
- No other arterial thromboembolic event within the past 6 months
Pulmonary:
- No hemoptysis
- No pulmonary embolism
Other:
- No history of allergic reactions to compounds of similar chemical or biologic composition to study drugs
- No known hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No psychiatric illness or social situation that would preclude study compliance
- No significant traumatic injury within the past 28 days
- No uncontrolled concurrent illness
- No ongoing or active infection
- No serious, non-healing wound, ulcer, or bone fracture
- No other active malignancy
- No requirement for full-dose anticoagulation or thrombolytic therapy
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No prior biologic therapy for this cancer
- No concurrent prophylactic growth factors (e.g., epoetin alfa, filgrastim [G-CSF], or sargramostim [GM-CSF])
Chemotherapy:
- No prior chemotherapy for this cancer
- Prior chemotherapy for another malignancy allowed provided the prior malignancy was curatively treated and is currently controlled
Endocrine therapy:
- No prior endocrine therapy for this cancer
Radiotherapy:
- No prior radiotherapy for this cancer
- Prior radiotherapy for another malignancy allowed provided the prior malignancy was curatively treated and is currently controlled
- No concurrent radiotherapy
Surgery:
- Prior diagnostic bronchoscopy, mediastinoscopy, or CT-guided biopsy allowed
- At least 28 days since prior major surgical procedure or open biopsy
Other:
- No other concurrent investigational agents
- No other concurrent anticancer investigational or commercial agents or therapies
- No concurrent combination antiretroviral therapy for HIV-positive patients
- Concurrent low-dose warfarin for maintenence of preexisting, permanent, indwelling IV catheters allowed provided INR less than 1.5
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm A
Bevacizumab (15mg/kg, q3wk x 2), Paclitaxel (200 mg/m2, q3wk x 2), carboplatin (AUC of 6, q3wk x 2), followed by surgery 4 to 6 weeks after last dose of Bevacizumab
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Response Rate (complete and partial responses by RECIST)
Time Frame: 4 years
|
4 years
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Ann M. Mauer, MD, University of Chicago
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Antineoplastic Agents, Immunological
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Carboplatin
- Paclitaxel
- Bevacizumab
Other Study ID Numbers
- 12653A
- UCCRC-12653A
- NCI-2655
- OSU-0120
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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