RATIONALE: Drugs used in chemotherapy, such as paclitaxel albumin-stabilized nanoparticle formulation, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Sunitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving paclitaxel albumin-stabilized nanoparticle formulation together with sunitinib may kill more tumor cells. PURPOSE: This phase II trial is studying how well giving paclitaxel albumin-stabilized nanoparticle formulation together with sunitinib works as first-line therapy in treating patients with stage IV non-small cell lung cancer.
OBJECTIVES: Primary * To determine the tumor response rate in patients with stage IV non-small cell lung cancer treated with paclitaxel albumin-stabilized nanoparticle formulation and sunitinib malate as first-line therapy. Secondary * To determine the time to objective tumor response and duration of response in responding patients. * To determine the time to treatment failure and overall survival of these patients. * To characterize the toxicities of this regimen in these patients. OUTLINE: Patients receive paclitaxel albumin-stabilized nanoparticle formulation IV over 30 minutes on days 1, 8, and 15. Patients also receive oral sunitinib malate once daily on days 1-28. Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity. After completion of study therapy, patients are followed every 8 weeks until disease progression and then every 3 months for up to 1 year.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Response rate
Time frame: 1 Year
Time to objective tumor response as assessed by RECIST criteria
Time frame: 1 Year
Duration of response
Time frame: 1 Year
Time to treatment failure
Time frame: 1 Year
Overall survival
Time frame: 1 Year
Toxicity and adverse events as assessed by NCI CTCAE v3.0
Time frame: 1 Year
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