| Inclusion Criteria: | Clinical stage IIIB (malignant pleural or pericardial effusion) or IV or recurrent/medically inoperable disease.
Measurable or evaluable indicator lesions.
No prior or one chemotherapy regimen for NSCLC.
Three weeks since last chemotherapy, and three weeks since prior radiation therapy to a major bone-marrow containing area.
Life expectancy equal to or greater than 8 weeks.
Adequate hematologic, renal and/or hepatic function: WBC equal to or greater than 3,000/ul, hemoglobin equal to or greater than 9.0 g/dl, platelet count equal to or greater than 100,000/ul, total bilirubin equal to or less than 1.0 mg/dl, AST equal to or less than 2.0 x UNL, creatinine equal to or less than 1.5 mg/dl or Clcr equal to or greater than 55 ml/min.
Signed informed consent.
Effective contraception.
Pathologic evidence of either bronchioloalveolar cell carcinoma or a variant thereof after review by the reference MSKCC pathologist, Vanderbilt pathologist, MD Anderson pathologist, Northwestern pathologist or Dana-Farber pathologist.
ECOG less than or equal to 1 OR Karnofsky performance status greater than or equal to 80 percent. |