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Phase I/II trial of Carboplatin plus Pemetrexed in elderly patients with advanced non squamous non small cell lung cancer

Phase 1
Conditions
Clinical stage IV non squamous non small cell lung cancer chemotherapy naive patients over 70years old
Registration Number
JPRN-UMIN000004629
Lead Sponsor
Kumamoto university hospital
Brief Summary

Oncology. 2015;88(4):201-7. doi: 10.1159/000369255. Epub 2014 Dec 6. Results Grade 3 infection as a dose-limiting toxicity was observed at a carboplatin dose of AUC 6. We therefore determined a carboplatin dose of AUC 5 and a pemetrexed dose of 500 mg/m2 as the recommended doses from this study. The pharmacokinetic study showed a significant inverse correlation between the AUC of pemetrexed and the creatinine clearance. Conclusions For elderly chemotherapy-naive patients with advanced nonsquamous NSCLC, the combination of carboplatin AUC 5 plus pemetrexed 500 mg/m2 is recommended as a promising regimen, however, a reduction of the pemetrexed dose may be required for patients with renal dysfunction because of the high risk of hematotoxicities.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
67
Inclusion Criteria

Not provided

Exclusion Criteria

Squamous cell carcinoma Radiation therapy to primary cancer SVC syndrome Severe drug allergy Severe pleural effusion or uncontrollable pleural effusion Severe ascites or pericardiac effusion Active infection Symptomatic brain metastasis Active concomitant malignancy Active mental illness

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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