Inoperable Non-Squamous NSCLC Stage III/IV: A Randomised Phase II Study With Bevacizumab Plus Erlotinib Or Gemcitabin/Cisplatin Plus Bevacizumab
Overview
- Phase
- Phase 2
- Intervention
- Erlotinib
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Sponsor
- Aktion Bronchialkarzinom e.V.
- Enrollment
- 224
- Locations
- 37
- Primary Endpoint
- The main efficacy parameter is the progression free survival.
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
This study wants to determine the activity of a non chemotherapy first line biological treatment with Erlotinib/Bevacizumab or Gemcitabine-Cisplatin/Bevacizumab in patients with the diagnosis of non-squamous advanced Non Small Lung Cancer.
Detailed Description
Prospective, randomized multi-center, open label phase II study to determine the activity of a non-chemotherapy first line biological treatment with Erlotinib/Bevacizumab or Gemcitabine-Cisplatin/Bevacizumab in patients with the diagnosis of non-squamous advanced Non-Small-Lung-Cancer. * Duration of treatment/patient: up to 1,5 years * Follow Up: ≈ 6 month * Planned number of patients: 220 treated patients (110 patients/arm)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histological confirmed Non-Small Cell Lung Cancer that can not be treated within a defined radiological field
- •Tumor stage IIIB (pleural effusion or pericardial effusion included) or IV
- •The following histological tumor types are eligible:
- •Adenocarcinoma (including adenocarcinomas with bronchioloalveolar differentiation)
- •Large Cell Carcinoma (including large cell carcinomas with neuroendocrine differentiation)
- •Mixed Cell Carcinoma without small cell fraction and without predominant squamous cell fraction (\< 50%)
- •undifferentiated non-small-cell-carcinoma
- •No previous chemotherapy within the last five years
- •At least 4 weeks since last major surgery
- •Age ≥ 18 years
Exclusion Criteria
- •Histologic confirmed squamous cell carcinoma
- •Pregnancy or lactation period
- •Tumor extension treatable with radiotherapy
- •Current clinical signs or symptoms of brain and/or leptomeningeal metastases confirmed by CT or MRI brain scan
- •Evidence of tumor invading or abutting major blood vessels
- •Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of a CIS of the cervix or non-melanomatous skin cancer. Patients curatively treated and free of disease for at least 5 years will be discussed with the Principal Investigator (LKP) before inclusion
- •Any previous chemotherapy within the last five years
- •Any radiotherapy with exception of the following situations:
- •concomitant small field radiotherapy in the case of solitary bone metastases or other solitary metastases
- •in case of large field radiotherapy or multi-radiation fields due to multiple bone metastases or other metastases. The application of study medication then must be delayed at least for 24 h (after last radiotherapy)
Arms & Interventions
Arm A (Erlotinib, Bevacizumab)
Intervention: Erlotinib
Arm A (Erlotinib, Bevacizumab)
Intervention: Bevacizumab
Arm B (Gemcitabine, Cisplatin, Bevacizumab)
Intervention: Bevacizumab
Arm B (Gemcitabine, Cisplatin, Bevacizumab)
Intervention: Gemcitabine
Arm B (Gemcitabine, Cisplatin, Bevacizumab)
Intervention: Cisplatin
Outcomes
Primary Outcomes
The main efficacy parameter is the progression free survival.
Time Frame: Recruitment 1 year, Follow up 2 years
Secondary Outcomes
- Overall survival(Recruitment 1 year, Follow up 2 years)
- Quality of life(Screening, prior to next treatment cycle, treatment day 126, end of therapy)
- Response rate(Screening, prior to treatment cycle 3, prior to treatment clycle 5, treatment day 126, every 6 weeks after treatment day 126, end of therapy)
- Molecular investigations(Screening, prior to treatment cycle 3)