Carboplatin, Pemetrexed Disodium, and Bevacizumab in Treating Patients With Stage IIIB, Stage IV, or Recurrent Non-Small Cell Lung Cancer
Condition: Lung Cancer
MeSH terms: Lung Neoplasms; Carcinoma, Non-Small-Cell Lung
Study type: Interventional
Phase: Phase 2

Summary: 
      RATIONALE: Drugs used in chemotherapy, such as carboplatin and pemetrexed disodium, work in
      different ways to stop the growth of tumor cells, either by killing the cells or by stopping
      them from dividing. Pemetrexed disodium may also stop the growth of tumor cells by blocking
      some of the enzymes needed for cell growth. Monoclonal antibodies, such as bevacizumab, can
      block tumor growth in different ways. Some block the ability of tumor cells to grow and
      spread. Others find tumor cells and help kill them or carry tumor-killing substances to them.
      Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor.
      Giving carboplatin and pemetrexed disodium together with bevacizumab may kill more tumor
      cells.

      PURPOSE: This phase II trial is studying how well giving carboplatin and pemetrexed disodium
      together with bevacizumab works in treating patients with stage IIIB, stage IV, or recurrent
      non-small cell lung cancer.
    

Detailed description: 
      OBJECTIVES:

      Primary

        -  Determine the median time to disease progression in patients with stage IIIB or IV or
           recurrent non-squamous cell non-small cell lung cancer treated with carboplatin,
           pemetrexed disodium, and bevacizumab.

      Secondary

        -  Determine the response rate and duration of response in patients treated with this
           regimen.

        -  Determine the toxic effects of this regimen in these patients.

        -  Determine the overall survival of patients treated with this regimen.

      OUTLINE: This is a multicenter study.

      Patients receive pemetrexed disodium IV over 10 minutes, carboplatin IV over 30 minutes, and
      bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 courses in
      the absence of disease progression or unacceptable toxicity. After completion of 6 courses,
      patients with complete response, partial response, or stable disease continue to receive
      pemetrexed disodium and bevacizumab in the absence of disease progression or unacceptable
      toxicity.

      After completion of study treatment, patients are followed every 3 months for 2 years and
      then every 6 months for 3 years.

      PROJECTED ACCRUAL: A total of 50 patients will be accrued for this study.
    

Intervention name(s): bevacizumab; carboplatin; pemetrexed
Intervention type(s): Biological; Drug; Drug
Intervention description(s): 5 mg/kg administered intravenously over 90 minutes on day 1 of each cycle (cycle = 3 weeks); Administered intravenously at a dose of AUC=6 over 30 minutes on day 1 of each cycle (1 cycle = 3 weeks); Administered intravenously at a dose of 500 mg/m2 over 10 minutes on day 1 of each cycle (1 cycle = 3 weeks)
Other intervention name(s): Avastin; pemetrexed disodium
Intervention MeSH terms: Bevacizumab; Carboplatin; Pemetrexed
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: recurrent non-small cell lung cancer; stage IIIB non-small cell lung cancer; stage IV non-small cell lung cancer; adenocarcinoma of the lung; bronchoalveolar cell lung cancer; large cell lung cancer