A Safety and Efficacy Study of Bevacizumab, Paclitaxel, Carboplatin Compared to Avastin® in Non-Small Cell Lung Cancer

Prior treatment

• Major surgery 28 days before inclusion into the study
• Minor surgery 7 days before inclusion into the study

Lab values

• Known sensitizing EGFR mutations or ALK translocation positive mutations

Other

• Evidence of a tumor that compresses or invades major blood vessels or tumor cavitation that is likely to bleed
• Stage II or higher of neuropathy or ototoxicity according to Common Terminology Criteria for Adverse Events (CTCAE) v.5.0, excluding trauma
• Life expectancy less than 6 months
• Metastases to central nervous system or carcinomatous meningitis
• Pregnancy or lactation

• Written informed consent
• Male and female patients at least 18 years of age
• Newly diagnosed Stage IIIB/C or IV non-small cell lung cancer (according to Revised Cancer Staging by American Joint Committee on Cancer (AJCC) and the International Union Against Cancer (UICC) 8th edition) or recurrent non-small cell lung cancer (NSCLC)
• Histologically or cytologically confirmed diagnosis of predominately non-squamous NSCLC
• Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
• Be eligible to receive study treatment of bevacizumab, paclitaxel, and carboplatin based on local standard of care, for the treatment of advanced or metastatic non-squamous NSCLC
• Presence of at least 1 measurable tumour as defined by modified Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
• Neutrophils ≥ 1,5 × 10\^9/L
• Platelets ≥ 100 × 10\^9/L
• Haemoglobin ≥ 90 g/L
• Bilirubin level ≤ 1.5 × upper limit of normal (ULN)
• Aspartate-aminotransferase (AST) and alanine-aminotransferase (ALT) levels \< 3 × ULN (\< 5 × ULN for patients with liver metastases)
• Alkaline phosphatase level \< 3 × ULN (\< 5 × ULN for patients with liver or bone metastases)