Carcinoma, Non-small Cell Lung Clinical Trial
Official title:
A Randomized Phase II Trial of Combination Versus Single Agent Chemotherapy in High-risk Elderly Patients With Advanced Non-small Cell Lung Cancer
This study will enroll elderly patients with advanced non-small cell lung cancer who are at high risk of developing chemotherapy toxicity (side effects). Patients will receive treatment with either a platinum-based doublet chemotherapy with carboplatin/nab-paclitaxel or single agent nab-paclitaxel of chemotherapy. Response to treatment and treatment toxicity will be compared in the two treatment groups to determine the best treatment strategy for this group of patients.
The primary objective of this trial is to compare the treatment failure-free survival rate in
high-risk elderly patients, identified by geriatric assessment, treated with either a
platinum-based doublet chemotherapy with carboplatin/nab-paclitaxel or single agent
nab-paclitaxel in advanced non-small cell lung cancer. Treatment failure-free survival is the
most appropriate primary outcome as it captures excessive toxicity due to chemotherapy in
addition to death and disease progression.
The secondary objectives are to evaluate grade 3-5 toxicities, overall response rate,
progression free survival, symptom assessment, and overall survival between the two
randomization arms.
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