A Phase 2 interventional study of Bevacizumab and Cisplatin in Lung Adenocarcinoma, Lung Adenosquamous Carcinoma and Lung Large Cell Carcinoma, sponsored by National Cancer Institute (NCI). Active, not recruiting at 61 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-26.
Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment
This clinical trial studies combination chemotherapy, radiation therapy, and bevacizumab in treating patients with newly diagnosed stage III non-small cell lung cancer that cannot be removed by surgery. Drugs used in chemotherapy, such as cisplatin, etoposide, and docetaxel, work in different ways to stop the growth of [cancer/tumor] cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Radiation therapy uses high-energy x-rays to kill tumor cells. Monoclonal antibodies, such as bevacizumab, may interfere with the ability of tumor cells to grow and spread. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving more than one drug (combination chemotherapy) together with radiation therapy and bevacizumab may kill more tumor cells.
PRIMARY OBJECTIVES:
I. Determine the frequency and severity of toxic effects of induction therapy comprising cisplatin, etoposide, and radiotherapy with or without bevacizumab followed by consolidation therapy comprising docetaxel and bevacizumab, in terms of grade 4 or 5 hemorrhage, in patients with newly diagnosed, unresectable, stage III non-small cell lung cancer.
SECONDARY OBJECTIVES:
I. Determine progression-free and overall survival of patients treated with these regimens.
II. Determine response (confirmed, unconfirmed, partial, and complete) in patients with measurable disease treated with these regimens.
OUTLINE: This is a pilot, multicenter study. Patients are stratified according to risk (high* vs low).
NOTE: *High-risk stratum closed to accrual as of 2/20/09.
INDUCTION THERAPY: Patients in each stratum are assigned to 1 of 3 sequential treatment groups.
GROUP 1: Patients receive cisplatin intravenously (IV) over 1 hour on days 1, 8, 29, and 36 and etoposide IV over 1 hour on days 1-5 and 29-33. Patients undergo concurrent thoracic radiotherapy once daily on days 1-5, 8-12, 15-19, 22-26, 29-33, 36-40, and 43-47.
GROUP 2: Patients receive cisplatin, etoposide, and thoracic radiotherapy as in group 1. Patients also receive bevacizumab IV over 30-90 minutes on days 15, 36, and 57.
GROUP 3: Patients receive cisplatin, etoposide, and thoracic radiotherapy as in group 1. Patients also receive bevacizumab IV over 30-90 minutes on days 1, 22, and 43.
CONSOLIDATION CHEMOTHERAPY: Beginning 3-6 weeks after completion of induction therapy, all patients receive consolidation chemotherapy comprising docetaxel IV over 1 hour and bevacizumab IV over 30-90 minutes on day 1. Patients also receive filgrastim (G-CSF) subcutaneously (SC) beginning on day 2 and continuing until blood counts recover OR pegfilgrastim SC once on day 2.
Treatment repeats every 21 days for 3 courses in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed periodically for up to 4 years.
303 studies on the registry are indexed under Adenocarcinoma of Lung; 78 are open to participants now.
This study's enrollment of 29 is below the median of 63 across 212 interventional studies indexed under Adenocarcinoma of Lung.
Browse Adenocarcinoma of Lung studies →National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.
Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
Histologically or cytologically confirmed single, primary, bronchogenic, non-small cell lung cancer (NSCLC)
Meets 1 of the following stage criteria:
Stage IIIA (N2) disease meeting the following criteria:
N2 status must be documented by ≥ 1 of the following methods:
Stage IIIB disease meeting ≥ 1 of the following criteria:
Histologically or radiographically confirmed positive N3 nodes*, documented by ≥ 1 of the following methods:
T4 lesions of any size that invade the mediastinum, heart, great vessels, trachea, esophagus, vertebral body, or carina, documented by ≥ 1 of the following methods:
Meets 1 of the following risk criteria:
Low risk disease, meeting the following criteria:
Non-squamous cell NSCLC, including adenocarcinoma, bronchoalveolar cell carcinoma, or large cell carcinoma
High-risk* disease, meeting ≥ 1 of the following criteria:
Squamous cell NSCLC
Tumor with any histology that has cavitation or is located within 1 cm of a major vessel
Measurable or nonmeasurable disease by CT scan or MRI
Not pregnant or nursing
No prior surgical resection
No concurrent full-dose anticoagulants (e.g., low-molecular weight and unfractionated heparin or warfarin)
Patients receive cisplatin IV over 1 hour on days 1, 8, 29, and 36 and etoposide IV over 1 hour on days 1-5 and 29-33. Patients undergo concurrent thoracic radiotherapy once daily on days 1-5, 8-12, 15-19, 22-26, 29-33, 36-40, and 43-47.
Drug: Cisplatin · Drug: Docetaxel · Drug: Etoposide · Biological: Filgrastim · Biological: Pegfilgrastim · Radiation: Radiation Therapy
Patients receive cisplatin, etoposide, and thoracic radiotherapy as in group 1. Patients also receive bevacizumab IV over 30-90 minutes on days 15, 36, and 57.
Biological: Bevacizumab · Drug: Cisplatin · Drug: Docetaxel · Drug: Etoposide · Biological: Filgrastim · Biological: Pegfilgrastim · Radiation: Radiation Therapy
Patients receive cisplatin, etoposide, and thoracic radiotherapy as in group 1. Patients also receive bevacizumab IV over 30-90 minutes on days 1, 22, and 43.
Biological: Bevacizumab · Drug: Cisplatin · Drug: Docetaxel · Drug: Etoposide · Biological: Filgrastim · Biological: Pegfilgrastim · Radiation: Radiation Therapy
Given IV
Also known as: ABP 215, ABP-215, ABP215, Alymsys, Anti-VEGF, Anti-VEGF Humanized Monoclonal Antibody, Anti-VEGF Monoclonal Antibody SIBP04, Anti-VEGF rhuMAb, Avastin, Avegra, Avzivi, Aybintio, BAT 1706, BAT-1706, BAT1706, BAT1706 Biosimilar, Bevacizumab awwb, Bevacizumab Biosimilar ABP 215, Bevacizumab Biosimilar BAT1706, Bevacizumab Biosimilar BEVZ92, Bevacizumab Biosimilar BI 695502, Bevacizumab Biosimilar CBT 124, Bevacizumab Biosimilar CT-P16, Bevacizumab Biosimilar FKB238, Bevacizumab Biosimilar GB-222, Bevacizumab Biosimilar HD204, Bevacizumab Biosimilar HLX04, Bevacizumab Biosimilar IBI305, Bevacizumab Biosimilar LY01008, Bevacizumab Biosimilar MB02, Bevacizumab Biosimilar MIL60, Bevacizumab Biosimilar Mvasi, Bevacizumab Biosimilar MYL-1402O, Bevacizumab Biosimilar QL 1101, Bevacizumab Biosimilar QL1101, Bevacizumab Biosimilar RPH-001, Bevacizumab Biosimilar SCT501, Bevacizumab Biosimilar Zirabev, Bevacizumab-adcd, Bevacizumab-aveg, Bevacizumab-awwb, Bevacizumab-aybi, Bevacizumab-bvzr, Bevacizumab-byva, Bevacizumab-equi, Bevacizumab-maly, Bevacizumab-nwgd, Bevacizumab-onbe, Bevacizumab-tnjn, BP102, BP102 Biosimilar, Byvasda, CT P16, CT-P16, CTP16, Equidacent, FKB 238, FKB-238, FKB238, HD204, IBI 305, IBI-305, IBI305, Immunoglobulin G1 (Human-Mouse Monoclonal rhuMab-VEGF Gamma-Chain Anti-Human Vascular Endothelial Growth Factor), Disulfide With Human-Mouse Monoclonal rhuMab-VEGF Light Chain, Dimer, Jobevne, MB 02, MB-02, MB02, Mvasi, MYL-1402O, Onbevzi, Oyavas, PF 06439535, PF-06439535, PF06439535, QL1101, Recombinant Humanized Anti-VEGF Monoclonal Antibody, rhuMab-VEGF, SCT501, SIBP 04, SIBP-04, SIBP04, Vegzelma, Zirabev
Given IV
Also known as: Abiplatin, Blastolem, Briplatin, CDDP, Cis-diammine-dichloroplatinum, Cis-diamminedichloridoplatinum, Cis-diamminedichloro Platinum (II), Cis-diamminedichloroplatinum, Cis-dichloroammine Platinum (II), Cis-platinous Diamine Dichloride, Cis-platinum, Cis-platinum II, Cis-platinum II Diamine Dichloride, Cismaplat, Cisplatina, Cisplatinum, Cisplatyl, Citoplatino, Citosin, Cysplatyna, DDP, Lederplatin, Metaplatin, Neoplatin, Peyrone's Chloride, Peyrone's Salt, Placis, Plastistil, Platamine, Platiblastin, Platiblastin-S, Platinex, Platinol, Platinol- AQ, Platinol-AQ, Platinol-AQ VHA Plus, Platinoxan, Platinum, Platinum Diamminodichloride, Platiran, Platistin, Platosin
Given IV
Also known as: Docecad, RP 56976, RP-56976, RP56976, Taxotere, Taxotere Injection Concentrate
Given IV
Also known as: Demethyl Epipodophyllotoxin Ethylidine Glucoside, EPEG, Lastet, Toposar, Vepesid, VP 16, VP 16-213, VP 16213, VP-16, VP-16-213, VP-16213, VP16, VP16213
Given SC
Also known as: Filgrastim Biosimilar Filgrastim-sndz, Filgrastim Biosimilar Tbo-filgrastim, Filgrastim XM02, Filgrastim-aafi, Filgrastim-ayow, Filgrastim-sndz, G-CSF, Granix, Neupogen, Neutroval, Nivestim, Nivestym, r-metHuG-CSF, Recombinant Methionyl Human Granulocyte Colony Stimulating Factor, Releuko, rG-CSF, Tbo-filgrastim, Tevagrastim, XM02, Zarxio
Given SC
Also known as: Cegfila, Dulastin, Dyrupeg, Filgrastim SD-01, filgrastim-SD/01, Fulphila, Fylnetra, G-Lasta, Grasustek, HSP-130, Jinyouli, Neulasta, Neulastim, Neupopeg, Nyvepria, PEG-filgrastim, Pegcyte, Pegfilgrastim Biosimilar HSP-130, Pegfilgrastim Biosimilar Nyvepria, Pegfilgrastim Biosimilar Pegcyte, Pegfilgrastim Biosimilar PF-06881894, Pegfilgrastim Biosimilar Udenyca, Pegfilgrastim Biosimilar Ziextenzo, Pegfilgrastim-apgf, Pegfilgrastim-bmez, Pegfilgrastim-cbqv, Pegfilgrastim-cegf, Pegfilgrastim-dyru, Pegfilgrastim-fpgk, Pegfilgrastim-gras, Pegfilgrastim-jmdb, Pegfilgrastim-pbbk, Pegfilgrastim-pelg, Pegfilgrastim-pelm, Pegylated G-CSF, Pegylated GCSF, Pegylated Granulocyte Colony Stimulating Factor, Pelgraz, Pelmeg, PF-06881894, SD-01, SD-01 sustained duration G-CSF, Stimufend, Tripegfilgrastim, Udenyca, Ziextenzo
Undergo thoracic radiotherapy
Also known as: Cancer Radiotherapy, Energy Type, ENERGY_TYPE, Irradiate, Irradiated, Irradiation, Radiation, Radiation Therapy, NOS, Radiotherapeutics, Radiotherapy, RT, Therapy, Radiation
Adverse Events
Only adverse events that are possibly, probably or definitely related to study drug are reported.
Time frame: Up to one year
Progression-free Survival
From date of registration to time of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at date of last contact.
Time frame: Disease assessments were performed every 10 weeks as long as the patient remained on protocol treatment, up to 4 years.
Overall Survival
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact.
Time frame: Every week, up to 4 years
Response Rate (Confirmed or Unconfirmed Partial Response)
Greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions.
Time frame: Response assessment occured at the end of CRT and docetaxel/bevacizumab and then every 2-3 months for 2 years and then every 6 months until 4 years after the initial registration
| Milestone | Low Risk Patient Stratum | High Risk Patient Stratum |
|---|---|---|
| Started | 16 | 13 |
| Completed | 9 | 3 |
| Not completed | 7 | 10 |
| Withdrew: Adverse event | 3 | 2 |
| Withdrew: Death | 0 | 2 |
| Withdrew: Progression | 1 | 0 |
| Withdrew: Ineligible | 1 | 1 |
| Withdrew: Patient refused treatment | 0 | 1 |
| Withdrew: Physician decision | 2 | 4 |
Only adverse events that are possibly, probably or definitely related to study drug are reported.
| Participants | Concurrent Chemotherapy and Radiotherapy | Consolidation Therapy With Docetaxel and Bevacizumab. |
|---|---|---|
| Acidosis (metabolic or respiratory) | 0 | 1 |
| Arthritis (non-septic) | 0 | 1 |
| Calcium, serum-low (hypocalcemia) | 0 | 1 |
| Carbon monoxide diffusion capacity (DL(co)) | 1 | 0 |
| Creatinine | 1 | 0 |
| Dehydration | 1 | 0 |
| Dyspnea (shortness of breath) | 1 | 1 |
| Esophagitis | 2 | 0 |
| FEV(1) | 1 | 0 |
| Febrile neutropenia | 3 | 0 |
| Glucose, serum-high (hyperglycemia) | 1 | 0 |
| Hemoglobin | 2 | 2 |
| Hemorrhage, Respiratory tract NOS | 0 | 1 |
| Hemorrhage, GI - Peritoneal cavity | 0 | 1 |
| Hemorrhage, pulmonary/upper respiratory - Lung | 0 | 1 |
| Hypotension | 1 | 0 |
| Hypoxia | 0 | 1 |
| INR (of prothrombin time) | 1 | 0 |
| Inf (clin/microbio) w/Gr 3-4 neuts - Nose | 1 | 0 |
| Inf (clin/microbio) w/Gr 3-4 neuts - Oral cav-gums | 1 | 0 |
| Inf (clin/microbio) w/Gr 3-4 neuts - UTI | 1 | 0 |
| Inf (clin/microbio) w/Gr 3-4 neuts - Upper airway | 0 | 1 |
| Inf w/normal ANC or Gr 1-2 neutrophils - Blood | 1 | 0 |
| Inf w/normal ANC or Gr 1-2 neutrophils - Lung | 1 | 0 |
| Leukocytes (total WBC) | 6 | 0 |
| Lymphopenia | 2 | 3 |
| Muscle weakness, not d/t neuropathy - body/general | 1 | 1 |
| Nausea | 2 | 0 |
| Neutrophils/granulocytes (ANC/AGC) | 10 | 0 |
| Pain - Chest wall | 1 | 0 |
| Pain - Chest/thorax NOS | 1 | 0 |
| Pain - Head/headache | 1 | 0 |
| Pain - Joint | 0 | 1 |
| Pain - Neck | 1 | 0 |
| Pain - Throat/pharynx/larynx | 1 | 0 |
| Platelets | 2 | 0 |
| Pneumonitis/pulmonary infiltrates | 1 | 2 |
| Potassium, serum-low (hypokalemia) | 3 | 1 |
| Pulmonary/Upper Respiratory-Other (Specify) | 0 | 1 |
| Rash/desquamation | 1 | 0 |
| Rash: dermatitis associated w/radiation | 1 | 0 |
| Sodium, serum-low (hyponatremia) | 1 | 0 |
| Weight loss | 0 | 1 |
From date of registration to time of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at date of last contact.
| Months | Low Risk Patient Stratum | High Risk Patient Stratum |
|---|---|---|
| Progression-free Survival | 38 (23 to 46) | 15 (5 to 17) |
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact.
| Months | Low Risk Patient Stratum | High Risk Patient Stratum |
|---|---|---|
| Overall Survival | 46 (26 to 51) | 17 (5 to 18) |
Greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions.
| percentage of participants | Low Risk Patient Stratum | High Risk Patient Stratum |
|---|---|---|
| Response Rate (Confirmed or Unconfirmed Partial Response) | 64 (35 to 87) | 70 (35 to 93) |
Collected over Up to one year.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Concurrent Chemotherapy and Radiotherapy | — | 0/26 (0%) | 26/26 (100%) |
| Consolidation Therapy With Docetaxel and Bevacizumab | — | 3/21 (14.3%) | 17/21 (81%) |
| Event | Concurrent Chemotherapy and Radiotherapy | Consolidation Therapy With Docetaxel and Bevacizumab |
|---|---|---|
| HemoglobinBlood and lymphatic system disorders | 0/26 | 1/21 |
| Hemorrhage, GI - Peritoneal cavityGastrointestinal disorders | 0/26 | 1/21 |
| Thrombosis/embolism (vascular access-related)Injury, poisoning and procedural complications | 0/26 | 1/21 |
| Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders | 0/26 | 1/21 |
| Hemorrhage, Respiratory tract NOSRespiratory, thoracic and mediastinal disorders | 0/26 | 1/21 |
| Hemorrhage, pulmonary/upper respiratory - LungRespiratory, thoracic and mediastinal disorders | 0/26 | 1/21 |
| HypoxiaRespiratory, thoracic and mediastinal disorders | 0/26 | 1/21 |
| Pneumonitis/pulmonary infiltratesRespiratory, thoracic and mediastinal disorders | 0/26 | 1/21 |
| Pulmonary/Upper Respiratory-OtherRespiratory, thoracic and mediastinal disorders | 0/26 | 1/21 |
| Event | Concurrent Chemotherapy and Radiotherapy | Consolidation Therapy With Docetaxel and Bevacizumab |
|---|---|---|
| Fatigue (asthenia, lethargy, malaise)General disorders | 21/26 | 10/21 |
| NauseaGastrointestinal disorders | 17/26 | 4/21 |
| Neutrophils/granulocytes (ANC/AGC)Investigations | 14/26 | 0/21 |
| EsophagitisGastrointestinal disorders | 12/26 | 2/21 |
| CoughRespiratory, thoracic and mediastinal disorders | 9/26 | 9/21 |
| Hair loss/Alopecia (scalp or body)Skin and subcutaneous tissue disorders | 11/26 | 4/21 |
| Dysphagia (difficulty swallowing)Gastrointestinal disorders | 10/26 | 1/21 |
| PlateletsInvestigations | 10/26 | 5/21 |
| HemoglobinBlood and lymphatic system disorders | 9/26 | 8/21 |
| VomitingGastrointestinal disorders | 9/26 | 3/21 |
All eligible patients who received protocol treatment.
| Age, Continuous(years) | Low Risk Patient Stratum | High Risk Patient Stratum | Total |
|---|---|---|---|
| Median | 54.5 (32.4 to 70.3) | 63.4 (51.1 to 77.2) | 60.5 (32.4 to 77.2) |
| Sex: Female, Male(Participants) | Low Risk Patient Stratum | High Risk Patient Stratum | Total |
|---|---|---|---|
| Female | 9 | 4 | 13 |
| Male | 6 | 7 | 13 |
| Ethnicity (NIH/OMB)(Participants) | Low Risk Patient Stratum | High Risk Patient Stratum | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 13 | 11 | 24 |
| Unknown or Not Reported | 2 | 0 | 2 |
| Race (NIH/OMB)(Participants) | Low Risk Patient Stratum | High Risk Patient Stratum | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 1 | 2 | 3 |
| White | 14 | 9 | 23 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Low Risk Patient Stratum | High Risk Patient Stratum | Total |
|---|---|---|---|
| United States | 15 | 11 | 26 |
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