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

Inclusion Criteria:

• 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 RevisedCancer Staging by American Joint Committee on Cancer (AJCC) and the InternationalUnion Against Cancer (UICC) 8th edition) or recurrent non-small cell lung cancer (NSCLC)

• Histologically or cytologically confirmed diagnosis of predominately non-squamousNSCLC

• Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

• Be eligible to receive study treatment of bevacizumab, paclitaxel, and carboplatinbased on local standard of care, for the treatment of advanced or metastaticnon-squamous NSCLC

• Presence of at least 1 measurable tumour as defined by modified Response EvaluationCriteria 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 bonemetastases)

Exclusion Criteria:

• Known sensitizing EGFR mutations or ALK translocation positive mutations

• Evidence of a tumor that compresses or invades major blood vessels or tumorcavitation that is likely to bleed

• Major surgery 28 days before inclusion into the study

• Minor surgery 7 days before inclusion into the study

• Stage II or higher of neuropathy or ototoxicity according to Common TerminologyCriteria 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