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NCT00055237

Bevacizumab to Treat Kaposi's Sarcoma in HIV-Positive and HIV-Negative Patients

Completed Phase 2 Results posted Last updated 6 September 2017
What this trial tests

Phase 2 trial testing Bevacizumab in Kaposi's Sarcoma in 19 participants. Completed in 15 March 2010.

Timeline
26 February 2003
Primary endpoint
15 March 2010
15 March 2010

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment19
Start date26 February 2003
Primary completion15 March 2010
Estimated completion15 March 2010
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Kaposi's Sarcoma or HIV Infections. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Response Rate Primary · 36 months

Percentage of participants with a complete response (CR) + partial response (PR)per the Modified AIDS Clinical Trial Group Criteria (ACTG) for HIV-KS. PR is a 50% decrease in the number and/or size of previously existing lesions for 4 weeks; or complete flattening of at least 50% of all previously raised lesions lasting for at least 4 weeks; or a 50% decrease in the sum of the products of the largest perpendicular diameters of the marker lesions lasting for at least 4 weeks; CR is the absence of any detectable residual disease, including tumor associated edema, persisting for at least 4 weeks.

GroupValue95% CI
Cohort 1: Cohort 1: Pts With HIV-associated Kaposi's Sarcoma3111 – 58.7
Number of Participants With Adverse Events Secondary · 70 months

Here are the number of participants with adverse events. For the detailed list of adverse events, see the adverse event module.

GroupValue95% CI
Cohort 1 & 2: Pts With HIV-associated and Classic KS19

Adverse events — posted to ClinicalTrials.gov

Time frame: 70 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1 & 2: Pts With HIV-associated and Classic KS
Serious: 4/19 (21%)
Deaths: 0/19

Serious adverse events (16 terms)

ReactionSystemCohort 1 & 2: Pts With HIV…
Infection/Febrile Neutropenia-Other (Specify, from leg cellulitis)Infections and infestations
Acidosis (metabolic or respiratory)Metabolism and nutrition disorders
Adult respiratory distress syndrome (ARDS)Respiratory, thoracic and mediastinal disorders
BicarbonateInvestigations
CPK (creatine phosphokinase)Investigations
CreatinineInvestigations
HemoglobinInvestigations
HypotensionVascular disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
InfectionInfections and infestations
Partial thromboplastin time (PTT)Investigations
PlateletsInvestigations
Renal failureRenal and urinary disorders
Syndromes-Other (Specify, toxic shock syndrome)General disorders
Transfusion: PlateletsBlood and lymphatic system disorders
VomitGastrointestinal disorders
Other adverse events (90 terms — click to expand)

ReactionSystemCohort 1 & 2: Pts With HIV…
ProteinuriaRenal and urinary disorders
HypoalbuminemiaMetabolism and nutrition disorders
SGOT (AST) (serum glutamic oxaloacetic transaminase)Investigations
Neutrophils/granulocytes (ANC/AGC)Investigations
HyponatremiaMetabolism and nutrition disorders
BilirubinInvestigations
HeadacheNervous system disorders
PlateletsBlood and lymphatic system disorders
HemoglobinInvestigations
HemoglobinuriaRenal and urinary disorders
HypertensionVascular disorders
Pain-Other (back pain;leg pain; heel pain; throat pain; from leg cellulitis; in R posterior knee)General disorders
Partial thromboplastin time (PTT)Investigations
AmylaseInvestigations
CoughRespiratory, thoracic and mediastinal disorders
Diarrhea patients without colostomyGastrointestinal disorders
FeverGeneral disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)Immune system disorders
CPK (creatine phosphokinase)Investigations
EpistaxisRespiratory, thoracic and mediastinal disorders
Hematuria (in the absence of vaginal bleeding)Renal and urinary disorders
HyperglycemiaMetabolism and nutrition disorders
HypomagnesemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Leukocytes (total WBC)Investigations
SGPT (ALT) (serum glutamic pyruvic transaminase)Investigations
HypocalcemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Prothrombin time (PT)Investigations
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
Fatigue (lethargy, malaise, asthenia)General disorders
HypoglycemiaMetabolism and nutrition disorders
Myalgia (muscle pain)Musculoskeletal and connective tissue disorders
Sweating (diaphoresis)Skin and subcutaneous tissue disorders
HypermagnesemiaMetabolism and nutrition disorders
LymphopeniaInvestigations
Neuropathy-sensoryNervous system disorders
Rash/desquamationSkin and subcutaneous tissue disorders
Arthralgia (joint pain)Musculoskeletal and connective tissue disorders

Most-reported serious reactions: Infection/Febrile Neutropenia-Other (Specify, from leg cellulitis), Acidosis (metabolic or respiratory), Adult respiratory distress syndrome (ARDS), Bicarbonate, CPK (creatine phosphokinase), Creatinine, Hemoglobin, Hypotension.

Data from ClinicalTrials.gov NCT00055237 adverse events section.

Sponsor's own description

This study will examine the safety and effectiveness of the experimental drug bevacizumab for treating both non-acquired immune deficiency syndrome (AIDS) and AIDS-associated Kaposi's sarcoma (KS). KS tumors depend on the formation of new blood vessels for their growth. Bevacizumab is an antibody to a protein called vascular endothelial growth factor (VEGF) that is produced by the body and is involved in blood vessel growth. Bevacizumab may block the action of VEGF, and thus help shrink KS lesions. Patients 18 years of age and older with Kaposi's sarcoma that is restricted to the skin and is not life threatening may be eligible for this study. Candidates will be screened with a medical history and physical examination, blood and urine tests, electrocardiogram (EKG), chest x-ray, and, if needed, imaging studies to evaluate internal tumors. Participants will receive bevacizumab intravenously (by vein) once a week for 2 weeks and then every 3 weeks at the National Institutes of Health (NIH) Clinical Center. The first infusion takes about 90 minutes, the second takes about 60 minutes, and subsequent infusions take about 30 minutes. Infusions may take longer, however, if the drug is better tolerated at a slower infusion rate. Patients will be evaluated with the following tests and procedures: * Physical examination, assessment of drug side effects, measurement of KS lesions, and photographs of lesions once a week for the first 6 weeks of therapy, and then every 3 weeks. * cluster of differentiation 4 (CD4) cell counts and human immunodeficiency virus (HIV) viral load in HIV-positive patients every 12 weeks. * Biopsies of lesions: upon entering the study, at week 12, and at the time of a response of the tumor to therapy or at the end of treatment, if treatment ends at week 18 or later. * Additional biopsies, if requested. (Additional biopsies are not required.) * Other procedures, such as computed tomography (CT) or magnetic resonance imaging (MRI) scans, if medically indicated. Patients may continue bevacizumab therapy indefinitely if they are benefiting from it, as long as they have no substantial toxicity or other conditions that would cause them to stop receiving it and the protocol remains open.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Update on KSHV epidemiology, Kaposi Sarcoma pathogenesis, and treatment of Kaposi Sarcoma.
    Uldrick TS, Whitby D. · · 2011 · cited 123× · PMID 21377267 · DOI 10.1016/j.canlet.2011.02.006
  2. Phase II study of bevacizumab in patients with HIV-associated Kaposi's sarcoma receiving antiretroviral therapy.
    Uldrick TS, Wyvill KM, Kumar P, O'Mahony D, et al · · 2012 · cited 76× · PMID 22430271 · DOI 10.1200/jco.2011.39.6853
  3. A Non-Coding RNA Network Involved in KSHV Tumorigenesis.
    Naipauer J, García Solá ME, Salyakina D, Rosario S, et al · · 2021 · cited 12× · PMID 34222014 · DOI 10.3389/fonc.2021.687629
  4. Hypoxia-driven angiogenesis and metabolic reprogramming in vascular tumors.
    Liu L, Yu J, Liu Y, Xie L, et al · · 2025 · cited 6× · PMID 40443737 · DOI 10.3389/fcell.2025.1572909

Verify or expand the search:

Other trials of Bevacizumab

Trials testing the same drug.

Other recruiting trials for Kaposi's Sarcoma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00055237.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing