Stage IIIA Non-Small Cell Lung Cancer Clinical Trial
Official title:
Pioglitazone as a Candidate Chemoprevention Agent for Lung Cancer: A Pilot Trial Using a Pre-surgical Model in Early Stage NSCLC
This pilot phase II trial studies how well pioglitazone works in treating patients with stage IA-IIIA non-small cell lung cancer. Pioglitazone hydrochloride may slow the growth of tumor cells and may be an effective treatment for non-small cell lung cancer.
PRIMARY OBJECTIVES:
I. To evaluate the mechanism(s) of action of pioglitazone as a candidate chemopreventive
agent for lung cancer by investigating the effects on Ki-67 defined in non-small cell lung
cancer (NSCLC) tumor tissue.
SECONDARY OBJECTIVES:
I. To determine the effects of pioglitazone on multiple markers listed below:
- Tumor tissue: caspase-3, cyclin D1, p21/Waf1, peroxisome proliferative activated
receptor, gamma (PPARγ), mucin 1 (MUC1).
- Premalignant tissue: Ki-67, caspase-3, PPARγ.
- Histologically normal tissue: Ki-67, PPARγ. II. To evaluate the toxicity and safety of
pioglitazone in this patient population.
III. To analyze the expression of serum markers that are affected by pioglitazone.
IV. To describe the effects of limited treatment with pioglitazone on tumor metabolic
activity as determined by FDG-PET (assessed before and after a minimum of 2 weeks of
treatment).
OUTLINE:
Patients receive pioglitazone hydrochloride orally (PO) once daily (QD) for 14-42 days.
Patients then undergo surgery.
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