Irinotecan, Carboplatin, Bevacizumab in the Treatment of Patients With Extensive Stage Small Cell Lung Cancer
Study Details
Study Description
Brief Summary
This multicenter phase II trial is designed to study the unique combination of chemotherapy (irinotecan./carboplatin) and bevacizumab in the extensive-stage setting. This clinical setting seems ideal for evaluation of the role of bevacizumab in delaying progression and prolonging survival.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
Eligible patients will receive 6 courses of irinotecan, carboplatin, and bevacizumab. The interval between chemotherapy courses will be 28 days. If after 6 courses of treatment, patient's response is a CR/PR/SD they will continue on Bevacizumab until tumor progression or up to 6 cycles (6 months) total.
Treatment sequence:
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Irinotecan 60mg/m2 on days 1, 8, and 15
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Carboplatin AUC=4 day 1 only
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Bevacizumab 10 mg/kg days 1 and 15
Study Design
Outcome Measures
Primary Outcome Measures
- median time to progression []
Secondary Outcome Measures
- overall toxicity []
- overall response rate []
- duration of response []
- overall survival []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically confirmed small cell lung cancer,extensive stage disease.
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Measurable or evaluable disease
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No previous chemotherapy
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Able to perform activities of daily living with minimal assistance
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Adequate hematological, live and kidney function
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Provide written informed consent
Exclusion Criteria:
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Limited stage disease
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PEG or G tubes
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Hemoptysis
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Abdominal fistula, perforation, or abscess within the previous 6 months
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Women who are pregnant or lactating
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Proteinuria
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Serious nonhealing wound, ulcer, or bone fracture
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Evidence of bleeding diathesis or coagulopathy
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Uncontrolled or serious cardiovascular disease
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Uncontrolled brain metastasis
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Major surgical procedure, open biopsy, or significant traumatic injury within 28 days; Fine needle aspiration within 7 days
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Patients requiring full-dose anticoagulation must be on a stable dosing schedule prior to enrollment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Florida Cancer Specialists | Fort Myers | Florida | United States | 33901 |
2 | Oncology Hematology Care | Cincinnati | Ohio | United States | 45242 |
3 | Chattanooga Oncology Hematology Associates | Chattanooga | Tennessee | United States | 37404 |
4 | Tennessee Oncology, PLLC | Nashville | Tennessee | United States | 37023 |
Sponsors and Collaborators
- SCRI Development Innovations, LLC
- Genentech, Inc.
Investigators
- Principal Investigator: David R. Spigel, MD, SCRI Development Innovations, LLC
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- SCRI LUN 90
- AVF3256s