Phase II study of carboplatin, docetaxel and bevacizumab for chemotherapy-naïve patients with advanced non-squamous non-small cell lung cancer

Verfasser / Beitragende:
[Yuichi Takiguchi, Shunichiro Iwasawa, Koichi Minato, Yosuke Miura, Akihiko Gemma, Rintaro Noro, Kozo Yoshimori, Masato Shingyoji, Mitsunori Hino, Masahiro Ando, Hiroaki Okamoto]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/4(2015-08-01), 659-667
Format:
Artikel (online)
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245 0 0 |a Phase II study of carboplatin, docetaxel and bevacizumab for chemotherapy-naïve patients with advanced non-squamous non-small cell lung cancer  |h [Elektronische Daten]  |c [Yuichi Takiguchi, Shunichiro Iwasawa, Koichi Minato, Yosuke Miura, Akihiko Gemma, Rintaro Noro, Kozo Yoshimori, Masato Shingyoji, Mitsunori Hino, Masahiro Ando, Hiroaki Okamoto] 
520 3 |a Purpose: To evaluate a 3-drug combination of carboplatin, docetaxel and bevacizumab as a front-line chemotherapy for patients with advanced non-squamous non-small cell carcinoma (NSCLC), a single arm phase II study was conducted. Methods: Patients with stage IIIB/IV or postoperative recurrent non-squamous NSCLC were treated with carboplatin (targeted area under the curve of 6mgh/L), docetaxel (60mg/m2), and bevacizumab (15mg/kg) on day 1, repeated every 3weeks for 4 to 6 cycles, followed by maintenance with bevacizumab every 3weeks until disease progression or occurrence of predefined toxicity. The planned patient number was 40, and the primary endpoint was progression free survival (PFS) as assessed by independent reviewers. Results: One patient refused the treatment after enrollment; thus, 39 patients were treated and analyzed. The 3-drug therapy was delivered for a median of 4 cycles, and 54% of the patients proceeded to the maintenance therapy for a median of 4 cycles. The overall response rate was 74.4% (29/39), with a 95% confidence interval (CI) of 60.0 to 88.7%. The median PFS and overall survival (OS) were 6.2months (95% CI, 4.8-8.5months) and 22.4months (95% CI, 11.3-26.2months), respectively. Toxicities of grade 3 or higher included neutropenia in 71.8%, febrile neutropenia in 23.1%, and hypertension in 38.5% of the patients, but they were transient and manageable. Conclusion: The primary endpoint was met. The regimen yielded promising results with an excellent overall response rate, PFS, and OS for chemotherapy-naïve patients with advanced non-squamous NSCLC. Further studies are warranted. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Non-squamous  |2 nationallicence 
690 7 |a Non-small cell lung carcinoma  |2 nationallicence 
690 7 |a Bevacizumab  |2 nationallicence 
690 7 |a Docetaxel  |2 nationallicence 
690 7 |a Carboplatin  |2 nationallicence 
690 7 |a Phase II study  |2 nationallicence 
700 1 |a Takiguchi  |D Yuichi  |u Department of Medical Oncology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, 260-8670, Chuo-ku, Chiba, Japan  |4 aut 
700 1 |a Iwasawa  |D Shunichiro  |u Department of Medical Oncology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, 260-8670, Chuo-ku, Chiba, Japan  |4 aut 
700 1 |a Minato  |D Koichi  |u Department of Respiratory Medicine, Gunma Prefectural Cancer Center, 617-1, Takabayashinishi, 373-8550, Ohta, Japan  |4 aut 
700 1 |a Miura  |D Yosuke  |u Department of Respiratory Medicine, Gunma Prefectural Cancer Center, 617-1, Takabayashinishi, 373-8550, Ohta, Japan  |4 aut 
700 1 |a Gemma  |D Akihiko  |u Department of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, 1-1-5, Sendagi, 113-8602, Bunnkyo-ku, Tokyo, Japan  |4 aut 
700 1 |a Noro  |D Rintaro  |u Department of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, 1-1-5, Sendagi, 113-8602, Bunnkyo-ku, Tokyo, Japan  |4 aut 
700 1 |a Yoshimori  |D Kozo  |u Department of Respiratory Medicine, Anti-tuberculosis Association Fukujuji Hospital, 3-1-24, Matsuyama, 204-8522, Kiyose, Tokyo, Japan  |4 aut 
700 1 |a Shingyoji  |D Masato  |u Department of Thoracic Disease, Chiba Cancer Center, 666-2, Nitona, 260-8717, Chuo-ku, Chiba, Japan  |4 aut 
700 1 |a Hino  |D Mitsunori  |u Respiratory Disease Center, INBAHITEC Medical Center, Nippon Medical School Chiba Hokusoh Hospital, 1715, Kamagari, 270-1694, Inzai, Chiba, Japan  |4 aut 
700 1 |a Ando  |D Masahiro  |u Division of Cancer Chemotherapy, Tsuboi Cancer Center Hospital, 1-10-13, Nagakubo, Azumi, 963-0197, Kouriyama, Japan  |4 aut 
700 1 |a Okamoto  |D Hiroaki  |u Department of Respiratory Medicine and Medical Oncology, Yokohama Municipal Citizen's Hospital, 56, Okazawa, Hodogaya-ku, 240-8555, Yokohama, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/4(2015-08-01), 659-667  |x 1341-9625  |q 20:4<659  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0755-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-014-0755-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takiguchi  |D Yuichi  |u Department of Medical Oncology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, 260-8670, Chuo-ku, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Iwasawa  |D Shunichiro  |u Department of Medical Oncology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, 260-8670, Chuo-ku, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Minato  |D Koichi  |u Department of Respiratory Medicine, Gunma Prefectural Cancer Center, 617-1, Takabayashinishi, 373-8550, Ohta, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miura  |D Yosuke  |u Department of Respiratory Medicine, Gunma Prefectural Cancer Center, 617-1, Takabayashinishi, 373-8550, Ohta, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gemma  |D Akihiko  |u Department of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, 1-1-5, Sendagi, 113-8602, Bunnkyo-ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Noro  |D Rintaro  |u Department of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, 1-1-5, Sendagi, 113-8602, Bunnkyo-ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yoshimori  |D Kozo  |u Department of Respiratory Medicine, Anti-tuberculosis Association Fukujuji Hospital, 3-1-24, Matsuyama, 204-8522, Kiyose, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shingyoji  |D Masato  |u Department of Thoracic Disease, Chiba Cancer Center, 666-2, Nitona, 260-8717, Chuo-ku, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hino  |D Mitsunori  |u Respiratory Disease Center, INBAHITEC Medical Center, Nippon Medical School Chiba Hokusoh Hospital, 1715, Kamagari, 270-1694, Inzai, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ando  |D Masahiro  |u Division of Cancer Chemotherapy, Tsuboi Cancer Center Hospital, 1-10-13, Nagakubo, Azumi, 963-0197, Kouriyama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okamoto  |D Hiroaki  |u Department of Respiratory Medicine and Medical Oncology, Yokohama Municipal Citizen's Hospital, 56, Okazawa, Hodogaya-ku, 240-8555, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/4(2015-08-01), 659-667  |x 1341-9625  |q 20:4<659  |1 2015  |2 20  |o 10147