- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00323869
Phase II Bevacizumab, Gemcitabine and Carboplatin in Newly Diagnosed Non-Small Cell Lung Cancer
Phase II Trial of Bevacizumab in Combination With Gemcitabine and Carboplatin in Patients With Newly Diagnosed Non-Small Cell Lung Cancer (Excluding Squamous Cell Carcinoma)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a open-label, phase 2, single-arm, multi-center study of bevacizumab combined with gemcitabine and carboplatin. This treatment is for newly-diagnosed advanced non-small cell lung cancer (NSCLC), excluding squamous cell carcinoma. All subjects will receive 15 mg/kg bevacizumab every 3 weeks cycle, 1000 mg/m² of gemcitabine on day 1 and 8 every 3 weeks cycle and carboplatin (AUC= 5 ) every 3 weeks. Carboplasm will be administered 1 hour prior to the gemcitabine infusion, bevacizumab will be administered 1 hour following chemotherapy infusion.
Subjects will receive a maximum of 6 cycles of chemotherapy, but treatment with bevacizumab may continue as long as patients have no evidence of progressive disease and no significant treatment-related toxicities.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
California
-
Palo Alto, California, United States, 94304-1290
- VA Palo Alto Healthcare System
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San Jose, California, United States, 95128
- Santa Clara Valley Medical Center
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Stanford, California, United States, 94305
- Stanford University School of Medicine
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria :
- Age 18 or higher
- Life expectancy of at least 3 months
- ECOG Performance status 0 to 1
- Advanced stage non-small cell lung cancer, NSCLC, Stage IIIB with malignant pleural effusion or Stage 4, excluding squamous cell histology, with measurable or evaluable disease
- No prior systemic therapy for advanced NSCLC (prior therapy for early stage disease with one regimen is acceptable if it was completed at least 6 months prior to study entry)
- Palliative radiotherapy to painful bony metastases is permitted prior to study entry if completed prior to initiation of study treatment, and there are no residual sequelae of therapy such as bone marrow suppression
- Willingness to use appropriate contraception to avoid pregnancy during the study
- Leukocytes ≥ 3,000/µL
- Absolute neutrophil count ≥ 1,500/ µL
- Platelets ≥ 100,000/ µL
- Total bilirubin within normal institutional limits
- AST(SGOT)/ALT(SGPT) ≤ 2.5 x institutional upper limit of normal
- Creatinine: Within normal institutional limits
- Creatinine clearance ≥ 60 mL/min/1.73 m² for patients with creatinine levels above institutional normal
- Ability to sign informed consent
Exclusion Criteria:
- Prior systemic treatment for advanced NSCLC (one prior regimen of up to 4 cycles of neoadjuvant or adjuvant therapy for early stage disease will be allowed, if completed at least 6 months prior to study entry)
- Known brain metastases
- Prior treatment with bevacizumab
- History of allergic reactions
- Sensitivity attributed to compounds of similar chemical or biologic composition to bevacizumab
- Current, recent (within 4 weeks of the first infusion of this study), or planned participation in any other experimental drug study
- Concomitant chemotherapy, radiotherapy, or investigational agents
- Evidence of bleeding diathesis
- Coagulopathy
- Use of anti-coagulant agents including warfarin, heparin, aspirin, NSAIDs
- Pregnant
- Lactating
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study
- Minor surgical procedures within 7 days prior to day 0
- Fine needle aspirations within 7 days prior to day 0
- Core biopsies within 7 days prior to day 0
- Urine protein: creatinine ratio ≥ 1.0 at screening
- History of abdominal fistula within 6 months prior to Day 0
- Gastrointestinal perforation within 6 months prior to Day 0
- Intra-abdominal abscess within 6 months prior to Day 0
- Serious, non-healing wound
- Ulcer
- Bone fracture
- Lung carcinoma of squamous cell histology
- Any histology in close proximity to a major vessel
- Significant cavitation as assessed by treating investigator in consultation with an attending radiologist
- History of hemoptysis (bright red blood of 1/2 teaspoon or more)
- Blood pressure of > 150/100 mmHg
- Unstable angina
- New York Heart Association (NYHA) Grade 2 or greater congestive heart failure
- History of myocardial infarction within 6 months
- History of stroke within 6 months
- Clinically significant peripheral vascular disease
- Psychiatric illness/social situations that would limit compliance with study requirements
- Another active malignancy except for non-melanoma skin cancers
- Inability to comply with study and/or follow-up procedures
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: Bevacizumab + carboplatin + gemcitabine
Bevacizumab in combination with carboplatin and gemcitabine: •Carboplatin, administered IV at area under the curve (AUC) of 5, every 3 weeks on day 1 of each 3-week cycle (once per cycle) for up to 6 cycles. Carboplatin was administered before the gemcitabine infusion: •Gemcitabine, administered 1000 mg/m² IV on days 1 and 8 of each 3-week cycle (twice per cycle) for up to 6 cycles Bevacizumab was administered 1 hour after end of all chemotherapy infusions: •Bevacizumab was administered 15 mg/kg IV on day 1 of each 3-week cycle (once per cycle) for up to 6 cycles in combination with chemotherapy, then continuing until evidence of progressive disease or significant treatment-related toxicity |
Murine humanized anti-vascular endothelial growth factor A (VEGF-A) monoclonal antibody
Other Names:
Nucleoside analog
Other Names:
Alkylating agent
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free Survival (PFS)
Time Frame: 18 months
|
Median progression-free survival (PFS) was assessed as the time to disease progression; toxicity requiring treatment discontinuation; or death.
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response Rate (CR + PR + SD)
Time Frame: 6 weeks
|
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions, by computed tomography (CT); bone scan; positron emission tomography (PET) scan; and/or magnetic resonance imaging (MRI) as necessary to assess diseasE Response determined as the number of subjects with any clinical response (CR + PR + SD) per RECIST criteria.
|
6 weeks
|
Overall Survival (OS)
Time Frame: 36 months
|
To evaluate the safety of the combination regimen.
|
36 months
|
Partial Response (PR)
Time Frame: 6 weeks
|
Number of subjects with PR per RECIST criteria
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6 weeks
|
Complete Response (CR)
Time Frame: 6 weeks
|
Number of subjects with CR per RECIST criteria
|
6 weeks
|
Stable Disease (SD)
Time Frame: 6 weeks
|
Number of subjects with SD per RECIST criteria
|
6 weeks
|
Time-to-First Event
Time Frame: 18 months
|
Median time-to-first event, with events defined as disease progression, death, or toxicity requiring drug discontinuation
|
18 months
|
Overall Survival (OS) at 12 Months
Time Frame: 12 months
|
Number of subjects surviving 1 year after treatment initiation
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12 months
|
Overall Survival (OS) at 24 Months
Time Frame: 24 months
|
Number of subjects surviving 2 years after treatment initiation
|
24 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Heather A Wakelee, MD, Stanford University
Publications and helpful links
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
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
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Gemcitabine
- Carboplatin
- Bevacizumab
Other Study ID Numbers
- IRB-03730
- 96655 (Other Identifier: Stanford IRB alternate number)
- AVF3576s
- LUN0013 (Other Identifier: OnCore)
- NCT00323869 (Other Identifier: NCT number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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