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Trial Title: Pemetrexed/Cisplatin With or Without Bevacizumab in Brain Metastases From Non Squamous Non-small Cell Lung Cancer

NCT ID: NCT01951482

Condition: Non Squamous Non-small Cell Lung Cancer
Brain Metastases
Bevacizumab

Conditions: Official terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Neoplasm Metastasis
Brain Neoplasms
Bevacizumab
Cisplatin
Pemetrexed

Study type: Interventional

Study phase: Phase 2

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Pemetrexed/cisplatin
Description: receive Pemetrexed/cisplatin every 21 days
Arm group label: Pemetrexed/cisplatin

Intervention type: Drug
Intervention name: Bevacizumab and Pemetrexed/cisplatin
Description: receive Bevacizumab 7.5mg/kg and Pemetrexed/cisplatin every 21 days
Arm group label: Bevacizumab and Pemetrexed/cisplatin

Summary: This is a multi-center phase II randomized controlled study to assess the efficacy of Pemetrexed/cisplatin with or without Bevacizumab on patients with brain metastasis from non-small cell lung cancer(NSCLC) harboring EGFR wild type by intracranial PFS(iPFS),also PFS ,DCR and OS.The side effect is evaluated as well.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patient who was confirmed stage IV non squamous NSCLC with EGFR wild type and brain metastases by pathologic histology or cytology 2. Patients who had never received therapy (including chemotherapy,WBRT,and Bevacizumab) after diagnosed brain metastases 3. Appraisable disease, the presence of at least three lesions if longest diameter <10 mm by brain MRI 4. Adult patients (≥ 18 years and ≤75 years). ECOG Performance Status 0 or 1 Life expectancy of at least 12 weeks.,Haemoglobin ³ 10.0 g/dl, Absolute neutrophil count (ANC) ³1.5 x 109/L, platelets ³ 100 x 109/L. Total bilirubin £ 1.5 x upper limit of normal (ULN). ALT and AST < 2.5 x ULN in the absence of liver metastases, or < 5 x ULN in case of liver metastases. Creatinine clearance ³ 60ml/min (calculated according to Cockcroft-gault formula). 5. Patients should be contraceptive during the period of the trial Exclusion Criteria: 1. Mixed, non-small cell and small cell tumours or mixed adenosquamous carcinomas with a predominant squamous component. 2. History of haemoptysis 3. Evidence of tumour invading major blood vessels on imaging. 4. Patient was received irradiation of brain. Patient with meningeal metastases were confirmed by MRI or cytology test of cerebrospinal fluid. 5. Previous radiotherapy. 6. Serious uncontrolled coagulation disorder or thrombi-embolic complications within 6 months prior to study start or history of serious bleeding complications. 7. Major surgical procedures within 4 weeks prior to study entry. 8. Minor surgery, including insertion of an indwelling catheter, within 24 hours prior to the first bevacizumab infusion. 9. Non-healing wound, active peptic ulcer or bone fracture. 10. History of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess within 6 months of enrollment

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Sun Yat-sen University of Cancer Center

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: li-kun Chen, doctor

Phone: 13798019964
Email: chenlk@sysucc.org.cn

Start date: June 2013

Completion date: June 2020

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Source: Sun Yat-sen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01951482

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