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Chemotherapy, Radiotherapy and Bevacizumab in Patients With Unresectable Stage III Non-Small-Cell Lung Cancer
This study is ongoing, but not recruiting participants.
Sponsors and Collaborators: Sarah Cannon Research Institute
SCRI Oncology Research Consortium
Genentech
Eli Lilly and Company
Information provided by: Sarah Cannon Research Institute
ClinicalTrials.gov Identifier: NCT00402883
  Purpose

The purpose of this study is to see if this combination of chemotherapy plus radiation therapy and immunotherapy (with bevacizumab) expands treatment options for patients with non-small cell lung cancer.


Condition Intervention Phase
Lung Cancer
Drug: Bevacizumab
Drug: Pemetrexed
Procedure: Radiation therapy
Phase II

MedlinePlus related topics: Cancer Lung Cancer
Drug Information available for: Carboplatin Pemetrexed disodium Pemetrexed Bevacizumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase II Study of Pemetrexed/Carboplatin/Radiotherapy and Bevacizumab in Patients With Unresectable Stage III Non-Small-Cell Lung Cancer

Further study details as provided by Sarah Cannon Research Institute:

Primary Outcome Measures:
  • Time to progression [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To evaluate the objective response rates [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • Overall survival [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: November 2006
Estimated Study Completion Date: November 2009
Estimated Primary Completion Date: April 2009 (Final data collection date for primary outcome measure)
Detailed Description:

The patients on this study will receive treatment in 3 stages of therapy.

The first stage is Induction Therapy. This therapy is 7 weeks long. Patients will receive bevacizumab followed by premetrexed followed by carboplatin all by vein once a week in weeks 1 and 4. During Induction patients will also receive radiation therapy daily, Monday through Friday, for 7 weeks (weeks 1-7). This is followed by 2 weeks of rest. During this rest period patients will have scans done to see how their disease has responded to treatment.

The next stage of treatment is Consolidation Therapy. This stage is 10 weeks long. Patients will receive bevacizumab followed by premetrexed followed by carboplatin all by vein once a week in weeks 10, 13 and 16. This is followed by 3 weeks rest. During week 19 patients will have scans to see how their disease has responded to treatment.

The last stage of treatment is maintenance Therapy. Patients will receive bevacizumab alone by vein every 3 weeks. Treatment will be given every three weeks for up to 9 treatments. (week 45)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinically confirmed non-small cell lung cancer stage IIIA and selected stage IIIB
  • Measurable or evaluable disease
  • Be up and about and able to care for self
  • Adequate kidney, liver and bone marrow function
  • No prior treatment for this disease
  • Must be able to give written informed consent
  • Must be able to take folic acid, vitamin B12 and dexamethasone as described in the protocol
  • Age 18 years or older

Exclusion Criteria:

  • Stage IV or IIIB patients with pleural or pericardial effusions
  • Stage IIIB disease with contralateral mediastinal nodes greater than 4cm
  • Squamous cell predominant tumors
  • Pregnant or lactating women
  • Patients with active infections
  • History of another cancer within the last 5 years with the exception of skin cancer or cervical carcinoma in situ
  • History of stroke, transient ischemic attacks, or acute MI within the past 6 months or any other serious cardiovascular disease
  • Symptoms of peripheral vascular disease
  • History of neurological disease
  • Recent history of blood in the sputum or vomitus
  • Non-healing wounds, ulcer or long bone fractures
  • History of bleeding problems or coagulation problems
  • History of abdominal fistula, gastrointestinal perforation or intraabdominal abscess within 6 months
  • History of uncontrolled hypertension
  • Chronic use of non-steroidal anti-inflammatory medication not allowed on this study

Please note: There are additional inclusion/exclusion criteria. The study center will determine if you meet all of the criteria. If you do not qualify for the trial, study personnel will explain the reasons. If you do qualify, study personnel will explain the trial in detail and answer any questions you may have. You can then decide if you wish to participate.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00402883

Locations
United States, Florida
Gainsville Hematology Oncology Associates
Gainesville, Florida, United States, 32605
Watson Clinic Center for Cancer Care and Research
Lakeland, Florida, United States, 33805
United States, Georgia
Wellstar Cancer Research
Marietta, Georgia, United States, 30060
United States, Kentucky
Consultants in Blood Disorders and Cancer
Louisville, Kentucky, United States, 40207
United States, Ohio
Oncology Hematology Care
Cincinnati, Ohio, United States, 45242
United States, Tennessee
Associates in Hematology Oncology
Chattanooga, Tennessee, United States, 37404
Tennessee Oncology, PLLC
Nashville, Tennessee, United States, 37023
Sponsors and Collaborators
Sarah Cannon Research Institute
SCRI Oncology Research Consortium
Genentech
Eli Lilly and Company
Investigators
Principal Investigator: David Spigel, MD Sarah Cannon Research Institute
  More Information

Responsible Party: SCRI Oncology Research Consortium ( David Spigel, M.D. )
Study ID Numbers: SCRI LUN 134, AVF3793s, H3E-US-1019
Study First Received: November 21, 2006
Last Updated: January 16, 2008
ClinicalTrials.gov Identifier: NCT00402883  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Folic Acid
Pemetrexed
Thoracic Neoplasms
Non-small cell lung cancer
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Carboplatin
Bevacizumab
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Antimetabolites
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Growth Substances
Physiological Effects of Drugs
Enzyme Inhibitors
Folic Acid Antagonists
Angiogenesis Inhibitors
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Therapeutic Uses
Growth Inhibitors
Angiogenesis Modulating Agents

ClinicalTrials.gov processed this record on January 14, 2009