Non-small Cell Lung Cancer Clinical Trial
Official title:
A Phase II Trial of Carboplatin, Abraxane, and Bevacizumab in Previously Untreated Patients With Advanced Non-Small Cell Lung Cancer
The purpose of this research study is to learn more about whether the combination of drugs carboplatin, Abraxane and Avastin helps treat non-small cell lung cancer (NSCLC). One of the standard treatments for advanced NSCLC is the combination of the drugs carboplatin, paclitaxel and Avastin. Paclitaxel can be associated with severe side effects that may make the treatment difficult to tolerate. Some of these side effects are caused by the solution used to dissolve paclitaxel before it can be administered. Abraxane is a different form of paclitaxel that does not need to be dissolved by this solution. Abraxane is approved for the treatment of breast cancer but is not approved to treat NSCLC. We will also be trying to learn more about how the drug Avastin may work to treat cancer.
- Participants will receive a single dose of Avastin 2 weeks before they are scheduled to
start the combination of carboplatin, Abraxane and Avastin. Before the dose of Avastin
is given, a perfusion CT scan and blood work will be performed. The perfusion CT scan
and blood draw will be repeated 12 days after teh Avastin dose (2 days before beginning
study treatment).
- The combination of carboplatin, Abraxane and Avastin will be given in 3 week cycles and
all drugs will be given as infusions. On day 1, Avastin, Abraxane and carboplatin wil
be given. On Day 8 and 15, Abraxane will be given.
Participants can receive up to 6 cycles of carboplatin, Abraxane and Avastin if their
disease does not get worse and they do not experience intolerable side effects.
- The following assessment procedures will be performed on day 1 of each cycle: physical
exam; routine urine test (every other cycle); Performance status assessment. Routine
blood tests will be performed on days 1, 8 and 15.
- Additional procedures performed after cycles 2 and 4 and at 6 months after beginning
study treatment are as follows: CT scan, PET scan, perfusion CT and blood work.
- After 6 cycles of carboplatin, Abraxane and Avastin, participants will receive Avastin
alone for three weeks. Participants can continue to receive Avastin as long as they do
not experience unacceptable side effects.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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