Phase
Condition
Non-small Cell Lung Cancer
Treatment
N/AClinical Study ID
Ages 18-75 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria: Subjects may be entered in the study only if they meet all of thefollowing criteria:
Adult subjects aged ≥ 18 to 75 years (≥ 18 to 65 years for India) with histologicallyor cytologically confirmed advanced non-squamous NSCLC.
Epidermal growth factor receptor (EGFR) negative or wild type mutations
Stage IV (Unresectable recurrent disease or metastatic) NSCLC
Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
Evaluable disease status or measurable tumor
Adequate hepatic, renal, and bone marrow function
Subjects with pre-existing hypertension must be well controlled on a stable regimen ofantihypertensive therapy. Have systolic blood pressure ≤ 140 and ≥ 90 mmHg, diastolicblood pressure ≤ 90 and ≥ 50 mmHg and heart rate ≥ 40 and ≤ 90 bpm at screening andadmission.
Ability to understand risks of participation in the study and willingness provideinformed consent.
Exclusion
Exclusion Criteria: Subjects will not be entered in the study for any of the followingreasons:
Small cell lung cancer (SCLC) or combination of SCLC and NSCLC. Squamous-cell tumorsand mixed adenosquamous carcinomas of predominantly squamous nature
Prior therapy with monoclonal antibodies or small molecule inhibitors against VEGF orVEGF receptors, including bevacizumab
Prior therapy with carboplatin or paclitaxel
Prior systemic therapy for metastatic disease. Prior systemic anticancer therapy orradiotherapy for locally-advanced NSCLC if completed < 12 months prior to screening
Evidence of a tumor that compresses or invades major blood vessels or tumor cavitationthat in the opinion of the Investigator is likely to bleed
Symptomatic brain metastasis
Previous malignancy other than NSCLC in the last 5 years except for basal cell cancerof the skin or pre-invasive cancer of the cervix
Any unresolved toxicity > Common Toxicity Criteria Grade 1 (except alopecia) fromprevious anticancer therapy (including radiotherapy)
History or evidence of inherited bleeding diathesis or coagulopathy with the risk ofbleeding. Thrombotic or hemorrhagic event ≤ 6 months prior to screening
History of hemoptysis greater than ½ teaspoon of bright red (fresh) blood in the past 4 weeks
Subjects receiving long-term aspirin (> 325 mg/day), or other non-steroidalanti-inflammatory agents, or other drugs known to inhibit platelet function, treatmentwith dipyridamole, ticlopidine, or clopidogrel
Subjects receiving anticoagulants
Subjects who plan to undergo surgery during the study period
Subjects who have undergone a major surgery, or have had a significant traumaticinjury within 4 weeks prior to randomization
Subjects who have a significant non-healing wound, or bone fracture within 4 weeksprior to randomization
Subjects with history of gastrointestinal perforation or fistula formation
Subjects with known hypersensitivity to any of the ingredients of the investigationalproducts, or mammalian cell-derived products
Female subjects who are pregnant, breast-feeding, planning to be pregnant during thestudy, or women of child-bearing potential (any woman who is not surgically sterilei.e., bilateral tubal ligation, total hysterectomy or < 2 years post menopause) notusing a reliable method of double contraception (e.g. condom plus diaphragm, condom ordiaphragm plus spermicidal gel/foam, tubal ligation, or stable dose of hormonalcontraception) throughout the study period
Male subject with a partner of childbearing potential who does not consent to the useof a reliable method of double contraception
Subjects with uncontrolled hypertension
Subjects with active infection assessed to be clinically significant by Investigator
Known history of, or positive test result for human immunodeficiency virus (HIV),hepatitis C virus (test for hepatitis C virus antibody [HCVAb]) or hepatitis B virus (test for Hepatitis B surface Antigen [HBsAg])
History of alcohol or substance abuse
Prior treatment with any investigational drug within the 30 days prior to screening,or within 5 half-lives of the drug, whichever is longer
Inability to comply with study requirements
Other unspecified reasons that, in the opinion of the Investigator or Sponsor, makethe subject unsuitable for enrollment.