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Irinotecan, Carboplatin, Bevacizumab in the Treatment of Patients With Extensive Stage Small Cell Lung Cancer

Phase 2
Completed
Conditions
Carcinoma, Small Cell Lung
Registration Number
NCT00294931
Lead Sponsor
SCRI Development Innovations, LLC
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.

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:

* Irinotecan 60mg/m2 on days 1, 8, and 15

* Carboplatin AUC=4 day 1 only

* Bevacizumab 10 mg/kg days 1 and 15

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Histologically confirmed small cell lung cancer,extensive stage disease.
  • Measurable or evaluable disease
  • No previous chemotherapy
  • Able to perform activities of daily living with minimal assistance
  • Adequate hematological, live and kidney function
  • Provide written informed consent
Exclusion Criteria
  • Limited stage disease
  • PEG or G tubes
  • Hemoptysis
  • Abdominal fistula, perforation, or abscess within the previous 6 months
  • Women who are pregnant or lactating
  • Proteinuria
  • Serious nonhealing wound, ulcer, or bone fracture
  • Evidence of bleeding diathesis or coagulopathy
  • Uncontrolled or serious cardiovascular disease
  • Uncontrolled brain metastasis
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days; Fine needle aspiration within 7 days
  • Patients requiring full-dose anticoagulation must be on a stable dosing schedule prior to enrollment

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
median time to progression
Secondary Outcome Measures
NameTimeMethod
duration of response
overall survival
overall toxicity
overall response rate

Trial Locations

Locations (4)

Oncology Hematology Care

🇺🇸

Cincinnati, Ohio, United States

Tennessee Oncology, PLLC

🇺🇸

Nashville, Tennessee, United States

Chattanooga Oncology Hematology Associates

🇺🇸

Chattanooga, Tennessee, United States

Florida Cancer Specialists

🇺🇸

Fort Myers, Florida, United States

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