At present, the treatment of non-squamous cell lung cancer is based on chemotherapy with platinum eventually associated with bevacizumab. A new treatment begins at progression. In colo-rectal metastatic cancer, it was demonstrated that the first-line of treatment could be administered according to a stop and go strategy respecting therapeutic breaks between sequences of identical treatment. During these therapeutic breaks, a treatment of maintenance is possibly better than an absence of treatment. These plans benefit to the patients in terms of efficiency but also in terms of toxicity, in particular neurological. The question is to know if this strategy is feasible in lung cancer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
120
75 mg/m2, IV (in the vein) on day 1 of each 21 day cycle. During 3 cycles of each sequence
7,5 mg/kg, IV (in the vein) on day 1 of each 21 day cycle until progression for each sequence
500 mg/m2, IV (in the vein) on day 1 of each 21 day cycle. During 3 cycles for the 1st sequence and until progression for the 2nd sequence.
Avignon - Institut Sainte-Catherine
Avignon, France
Caen - Centre François Baclesse
Caen, France
Caen - CHU Côte de Nacre
Caen, France
Centre Hospitalier
Chauny, France
CH du Mans
Le Mans, France
Hôpital Nord - Oncologie Multidisciplinaire & Innovations Thérapeutiques
Marseille, France
Mulhouse - CH
Mulhouse, France
Nantes - Centre René Gauducheau
Nantes, France
Hopital Tenon - Pneumologie
Paris, France
HCL - Lyon Sud (Pneumologie)
Pierre-Bénite, France
...and 2 more locations
Feasibility
Number of patients receiving 3 cycles of chemotherapy with full-dose platinum in the 2nd sequence
Time frame: After 3 cycles
Control rate after the 2nd sequence
Time frame: After 3 cycles
Response rate after the 1st sequence
Time frame: After 3 cycles
Overall survival
Time frame: 12 months
Quality of life
Time frame: During Sequence 2 : at the beginning and after 3 cycles
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