Single Arm on the Tolerability of Weekly Nab-paclitaxel

Inclusion Criteria

• •Signed written informed consent
• •Male or female patient
• •Greater than or equal to 70 years of age
• •Diagnosis of NSCLC histologically or cytologically confirmed
• •Internal Association for the Study of Lung Cancer Version 7 Stage IV disease or recurrence after prior surgery or radiotherapy
• •Progression following one line of prior chemotherapy consisting of a platinum agent plus a standard cytotoxic partner agent other than a taxane, typically pemetrexed gemcitabine or vinorelbine
• •A single agent non cytoxic regimen if the patient has a molecular change that the non cytotoxic regimen would be expected to be efficacious for epidermal growth factor receptor (EGFR) mutation for erlotinib and (EML4) anaplastic lymphoma kinase (ALk) or ROS1 for crizotinib
• •Eastern Cooperative Oncology Group performance status 0 to 2
• •Adequate organ and bone marrow function as defined by
• •Absolute neutrophil count greater than or equal to 1500 cells/mm3
• •Creatinine less than or equal to 1.5 mg dL
• •Total bilirubin less than or equal to 1.5 mg dL
• •Alkaline phosphatase less than or equal to 2.5 x upper limit of normal
• •Alanine aminotransferase less than or equal to 2.5 x upper limit of normal
• •Aspartate aminotransferase less than or equal to 2.5 upper limit of normal
• •Recovered from all reversible toxicities related to their previous treatment to less than or equal to grade 1 or baseline
• •Patients must have equal to grade 2 pre existing peripheral neuropathy
• •Women of childbearing potential and sexually active men must agree to use effective contraception prior to study entry for the duration of study participation and for three months after completing treatment. Adequate contraception is defined as any medically recommended method as per standard of care
• •Negative serum or urine bhCG pregnancy test at screening for patients of childbearing potential
• •Patients with brain metastases may participate if they have undergone appropriate treatment for the lesions are at least two weeks post treatment without evidence for post treatment progression have no significant neurologic symptoms and no longer require steroids for the reason of brain metastases. Patients with symptoms suggestive of central nervous system (CNS) metastases should be evaluated with imaging prior to study participation