| Inclusion Criteria: | Pt. must have microscopically confirmed stage IIIB or stage IV chemo-naive NSCLS meeting one of the following classifications: Large cell carcinoma, Squamous cell carcinoma, Adenocarcinoma that is not bronchoalveolarcarcinoma, mucoepidermoid tumor, adenoid cystic carcinoma, or carcinoid- Undifferentiated non-small cell carcinoma (NSCLS unable to be classified further).
Patient must have one or more thoracic lesions measurable in at least one dimension on chest CT, with at least one lesion ("index lesion") measuring a minimum of 2.0 cm in the longest diameter (LD).
Patient must be at least 18 years of age.
Patient must have a Baseline Eastern Collaborative Oncology Group (ECOG) Performance Status (EPS) score of 0 or 1 (see Appendix 1) or its equivalent.
Patient must have an estimated life expectancy (with treatment) of 16-24 weeks.
Female patients must have a history of or documentation of an inability to bear children, i.e., hysterectomy or at least one year post surgical sterilization or menopause.
Patient must be scheduled for up to 6 cycles of chemo with carboplatin (AUC 6.0 given IV on day 1 of a 21-28 day treatment cycle) and paclitaxel 135 to 225 mg/m(2) given on day 1 of a 21-28 day treatment cycle unless in the judgment of the treating oncologist the pt. condition requires that the paclitaxel be admin. in an equivalent dose divided weekly).
Adequate hepatic function determined within 2 weeks prior to the initial dose of NAS 2020 and defined as total bilirubin no greater than 1.5 times the upper limit of normal (ULN) and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) no greater than 2.5 ULN (5x ULN for pts. with documented liver mets).
Adequate renal function determined within 2 weeks prior to the initial dose of NAS 2020 and defined as blood urea nitrogen (BUN) no greater than 1.5 times ULN and serum creatinine no greater than 1.5 times ULN.
Adequate blood coagulation factors determined within 7 days prior to the initial dose of NAS 2020 and defined as prothrombin time (PT) no greater than 1.5 times control and activated partial thromboplastin time (aPTT) no greater than 1.5 times control.
Adequate hematologic parameters determined within 2 weeks prior to the initial dose of NAS 2020 and defined as hemoglobin equal to or greater than 10.0 gm%, ANC equal to or greater than 1500 ul, and platelet count equal to or greater than 100,000/ul.
Patient must give written informed consent prior to enrollment in the study. |