RATIONALE: Drugs used in chemotherapy, such as carboplatin and ixabepilone, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as cetuximab, can block cancer 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 cancer-killing substances to them. Giving chemotherapy together with monoclonal antibodies may be a better way to block cancer growth. PURPOSE: This phase II trial is studying the side effects and how well giving carboplatin and ixabepilone together with cetuximab works in treating patients with stage III or stage IV non-small cell lung cancer previously untreated with chemotherapy.
OBJECTIVES: Primary * To estimate the disease-control rate in patients with advanced chemotherapy-naive non-small cell lung cancer after 2 courses of carboplatin, ixabepilone, and cetuximab. Secondary * To estimate the progression-free survival of patients treated with this regimen. * To estimate the overall survival of patients treated with this regimen. * To estimate the toxicity of this regimen in these patients. * To determine the potential predictive marker of efficacy of ixabepilone and cetuximab. (exploratory) * To investigate the prevalence of cetuximab IgE antibody, and the rate of cetuximab hypersensitivity reactions in patients without evidence of cetuximab IgE antibodies. OUTLINE: This is a multicenter study. Patients receive carboplatin IV over 30 minutes and ixabepilone IV over 3 hours on day 1 and cetuximab IV over 1-2 hours on days 1, 8 and 15. Treatment repeats every 21 days for up to 2-4 courses in the absence of disease progression or unacceptable toxicity. Treatment modifications may apply according to response. Tumor tissue and blood samples are collected for further analysis. After completion of study therapy, patients are followed periodically.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
400 mg/m2 Cycle 1 day 1 only over 120 minutes 250 mg/m2 Cycle 1 days 8,15 AND on all other cycles days 1,8,15 over 60 minutes
AUC=6 Day 1 of treatment over 30 minutes every 21 days
30 mg/m2 , Day 1 over 3 hours every 21 days
Disease-control rate after 2 courses of carboplatin, cetuximab, and ixabepilone
Disease control rate will be defined as patients experiencing a complete or partial response or stable disease (radiographic response) measured by RECIST criteria.
Time frame: 42 days
Progression-free survival
Radigoraphic response of measurable disease will be assessed using RECIST critera
Time frame: 2 years
Overall survival
Radigoraphic response of measurable disease will be assessed using RECIST criteria
Time frame: 4 years
Number of subjects experiencing adverse events
Adverse events will be assessed (graded) using CTCAE criteria
Time frame: 1 year
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