Status:
COMPLETED
Carboplatin, Pemetrexed Disodium, and Bevacizumab in Treating Patients With Stage IIIB, Stage IV, or Recurrent Non-Small Cell Lung Cancer
Lead Sponsor:
Northwestern University
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Lung Cancer
Eligibility:
All Genders
18-120 years
Phase:
PHASE2
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as carboplatin and pemetrexed disodium, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from divid...
Detailed Description
OBJECTIVES: Primary * Determine the median time to disease progression in patients with stage IIIB or IV or recurrent non-squamous cell non-small cell lung cancer treated with carboplatin, pemetrexe...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically\* or cytologically\* confirmed non-small cell lung cancer
- Any histology, except squamous cell carcinoma, allowed
- Mixed tumors will be categorized by the predominant cell type unless small cell elements are present, in which case the patient is ineligible
- No histology in close proximity to a major vessel or cavitation NOTE: \*Histologic or cytologic elements may be established on metastatic tumor aspirates or biopsy
- Meets 1 of the following stage criteria:
- Stage IIIB disease (with malignant pleural effusion)
- Stage IV disease
- Recurrent disease
- Measurable or non-measurable disease
- No known CNS metastases by CT scan or MRI
- PATIENT CHARACTERISTICS:
- Age
- 18 and over
- Performance status
- ECOG 0-1
- Life expectancy
- Not specified
- Hematopoietic
- Absolute neutrophil count \> 1,500/mm\^3
- Platelet count \> 100,000/mm\^3
- No history of hemorrhagic disorders
- Hepatic
- Bilirubin \< 1.5 mg/dL
- AST and ALT \< 5 times upper limit of normal
- INR \< 1.5
- PTT normal
- Renal
- Creatinine clearance ≥ 45 mL/min
- Urine protein:creatinine ≤ 1.0 by spot urinalysis
- Cardiovascular
- No myocardial infarction within the past 6 months
- No New York Heart Association class II-IV congestive heart failure
- No unstable angina pectoris
- No serious cardiac arrhythmia requiring medication
- No stroke within the past 6 months
- No peripheral vascular disease ≥ grade 2
- No uncontrolled hypertension (i.e., blood pressure ≥ 150/100 mm Hg)
- Patients with a history of hypertension allowed provided blood pressure is well controlled on a stable regimen of anti-hypertensive therapy
- No history of thrombotic disorders
- No other clinically significant cardiovascular disease
- Pulmonary
- No history of gross hemoptysis, defined as bright red blood of a ½ teaspoon or more
- Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Must be willing and able to take daily oral folic acid, intermittent vitamin B\_12 injections, and corticosteroid premedication
- No ongoing or active infection
- No serious, non-healing wound, ulcer, or bone fracture
- No abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months
- No psychiatric illness or social situation that would preclude study compliance
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- More than 3 weeks since prior immunotherapy
- Chemotherapy
- No prior systemic chemotherapy
- Endocrine therapy
- More than 3 weeks since prior hormonal therapy
- Radiotherapy
- See Disease Characteristics
- More than 3 weeks since prior radiotherapy
- Surgery
- More than 4 weeks since prior major surgery
- More than 1 week since prior minor surgery, fine needle aspiration, or core biopsy
- No concurrent major surgery
- Other
- Recovered from all prior therapy
- More than 4 weeks since prior and no concurrent participation in another experimental drug study
- No aspirin or other nonsteroidal anti-inflammatory drug (NSAID) 2 days before and 2 days after each pemetrexed disodium infusion (5 days before and 2 days after each pemetrexed disodium infusion for NSAIDs with a long half-life \[e.g., naproxen, rofecoxib, or celecoxib\])
- No concurrent therapeutic anticoagulation
- Concurrent prophylactic anticoagulation for venous access devices allowed provided requirements for INR and PTT are met
- No concurrent administration of any of the following:
- Chronic daily treatment with aspirin (\> 325 mg per day)
- NSAIDs known to inhibit platelet function, including any of the following:
- Dipyridamole
- Ticlopidine
- Clopidogrel
- Cilostazol
Exclusion
Key Trial Info
Start Date :
July 28 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 28 2011
Estimated Enrollment :
51 Patients enrolled
Trial Details
Trial ID
NCT00234052
Start Date
July 28 2005
End Date
November 28 2011
Last Update
June 4 2019
Active Locations (5)
Enter a location and click search to find clinical trials sorted by distance.
1
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
Chicago, Illinois, United States, 60611-3013
2
Rush Cancer Institute at Rush University Medical Center
Chicago, Illinois, United States, 60612
3
Evanston Northwestern Healthcare - Evanston Hospital
Evanston, Illinois, United States, 60201-1781
4
Ingalls Cancer Care Center at Ingalls Memorial Hospital
Harvey, Illinois, United States, 60426