Recombinant Human Endostatin Combined With NP in Neoadjuvant Chemotherapy of Stage ⅢA NSCLC
Study Details
Study Description
Brief Summary
This study mainly to observe the anti angiogenic drugs Endostatin (Endostar) combined with vinorelbine and Cisplatin (NP) as neoadjuvant therapy in patients with non small cell lung cancer clinical efficiency and safety. Through anti angiogenesis therapy combined with neoadjuvant chemotherapy improve the treatment of neoadjuvant therapy in tumor response rate and the rate of resection, At the same time, the study before and after the anti angiogenesis therapy in patients with peripheral blood circulation endothelial cells(CECs), levels of Endothelial progenitor cells(EPC), micro vascular density(MVD) and vascular endothelial growth factor(VEGF) expression level, to understanding the correlation between the clinical efficacy of anti angiogenesis therapy combined with chemotherapy and the change of all these markers. In order to find the reference basis for the prediction of the effect of curative effect. The changes of blood volume, blood flow and vascular permeability of the lung cancer before and after treatment with CT perfusion imaging are studied.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Endostatin plus NP drug:Endostatins Intravenous drip, 7.5mg/m^2, d1-14 drug:vinorelbine Intravenous drip 25mg/m^2,IV, d1, d8; drug:Cisplatin,75mg/m^2 Intravenous drip,divide into d1-3 for 2 cycles |
Drug: Endostatin
Endostatin,7.5mg/m^2,intravenous, d1-14;
Other Names:
Drug: Vinorelbine
vinorelbine,25mg/m^2,intravenous, d1, d8;
Drug: Cisplatin
Cisplatin,75mg/m^2 intravenous,divide into d1-3
|
Active Comparator: NP neoadjuvant chemotherapy drug:vinorelbine Intravenous drip 25mg/m^2,IV, d1, d8; drug:Cisplatin,75mg/m^2 Intravenous drip,divide into d1-3 for 2 cycles |
Drug: Vinorelbine
vinorelbine,25mg/m^2,intravenous, d1, d8;
Drug: Cisplatin
Cisplatin,75mg/m^2 intravenous,divide into d1-3
|
Outcome Measures
Primary Outcome Measures
- Tumor Regression Rate [3 months]
Target lesion size reduction ratio
Secondary Outcome Measures
- Disease free survival is defined as the time from randomization to disease recurrence or death which comes first. [5 years]
- Overall Survival [5 years]
the time from randomization to death.
- Clinical Benefit Rate [3 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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The pathology proved to be non small cell lung cancer (must be histologically).
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At present, the patients with ⅢA stage (N2) were evaluated by the assistant examination;
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The patients were evaluated by imaging, laboratory examination and other examination;
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Without chemotherapy or anti angiogenic therapy;
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There can be measured lesions
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Informed consent.
Exclusion Criteria:
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Pregnant, lactating women, or patients with fertility but did not take contraceptive measures.
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Severe infection.
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Severe heart disease.Neuropsychiatric disorders, which is not easy to control.
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Severe diabetes.
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There is obvious bleeding tendency.
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The 5 years history of other tumors
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Tianjin Medical University Cancer Institute and Hospital | Tianjin | Tianjin | China | 300060 |
Sponsors and Collaborators
- Tianjin Medical University Cancer Institute and Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- TMUCIH-ENDU-S001