Study of Cetuximab in Combination With Carboplatin-Paclitaxel in Non-Small Cell Lung Cancer

Inclusion Criteria: The following inclusion criteria must be met: The patient has stage IV NSCLC with either present or prior histologic or pathologic confirmation of NSCLC The patient has uni-dimensionally measurable stage IV NSCLC The patient has chemotherapy-naive stage IV NSCLC. The patient may have recurrent disease if prior radiation therapy was received. Pathological confirmation of recurrence is required for disease within a radiation portal. The patient's ECOG performance status is ≤ 2 at study entry. The patient has immunohistochemical evidence of EGFr expression (≥1+). Patients who do not have tumor tissue available for EGFr testing will undergo a biopsy of an accessible tumor. EGFr expression must be confirmed prior to study entry. The patient has given signed informed consent. The patient is 18 years of age or older. The patient has adequate hematologic function, as defined by an absolute neutrophil (ANC)≥ 1,500/mL3 , a WBC count≥3,000/mL3, a platelet count ≥100,000/mL3, and a hemoglobin level ≥9g/dL. The patient has adequate hepatic function as defined by a total bilirubin level ≤1.5 X the upper limit of normal (ULN) and an alkaline phosphatase, AST, and ALT level ≤2.5 X the ULN. The patient has adequate renal function with a serum creatinine level ≤1.5 mg/dL or a creatinine clearance ≥60 cc/minute. The patient is disease free from a previously treated malignancy, other than the disease under study, for greater than 3 years (patients with a history of a previous basal cell carcinoma of the skin or preinvasive carcinoma of the cervix will not be excluded). The patient, if a woman, agrees to use effective contraception if childbearing potential exists. The patient, if a man, agrees to use effective contraception. Exclusion Criteria: The following ten exclusion criteria are for this study: The patient has received prior cetuximab therapy. The patient has disease amenable to curative surgery. The patient has received prior chemotherapy for the disease under study. The patient has received wide field radiation therapy within 4 weeks prior to the first infusion of cetuximab. The patient may have local irradiation for the management of tumor-related symptoms. The patient has undergone major thoracic or abdominal surgery within 30 days (to allow for a full recovery)prior to the first infusion of cetuximab. The patient has a history of uncontrolled angina,arrhythmias, or congestive heart failure. The patient has uncontrolled seizure disorder, active neurological disease (not tumor related), or grade ≥2 neuropathy (patients with meningeal or central nervous system [CNS] involvement by the tumor will be eligible). The patient has a history of hypersensitivity to Cremophor EL. The patient, if a woman, is pregnant (confirmed by serum BHCG) or breastfeeding. The patient has received any investigation agents within 30 days of study entry.