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NCT00321685

Bevacizumab, Radiation Therapy, and Combination Chemotherapy in Treating Patients Who Are Undergoing Surgery for Locally Advanced Nonmetastatic Rectal Cancer

Completed Phase 2 Results posted Last updated 27 March 2019
What this trial tests

Phase 2 trial testing Bevacizumab in Rectal Adenocarcinoma in 57 participants. Completed in 11 February 2019.

Timeline
25 July 2006
Primary endpoint
12 August 2013
11 February 2019

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment57
Start date25 July 2006
Primary completion12 August 2013
Estimated completion11 February 2019
Sites107 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Rectal Adenocarcinoma or Stage II Rectal Cancer AJCC v7. 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.

Pathologic Complete Response Rate Primary · Assessed at surgery time

Pathologic complete response to preoperative therapy was determined at the time of surgical resection. Pathologic complete response (pCR) is defined as no evidence of invasive cells on pathologic examination of the primary rectal cancer (or tissue from the area where the tumor had been if there is a complete clinical response). Pathologic complete response rate is calculated as number of patients achieving pathologic complete response divided by all eligible and treated patients

GroupValue95% CI
Arm I177 – 32
Resection Rate for T3 Rectal Cancers Secondary · Assessed at surgery time

Resection rate is defined as number of patients with T3 rectal cancer who underwent curative surgical resection among all eligible and treated patients with T3 rectal cancers

GroupValue95% CI
Arm I9282 – 97
Resection Rate for T4 Rectal Cancers Secondary · Assessed at surgery time

Resection rate is defined as number of patients with T4 rectal cancer who underwent curative surgical resection among all eligible and treated patients with T4 rectal cancers

GroupValue95% CI
Arm I7525 – 99
5-year Overall Survival Rate Secondary · survival follow-up began after post-operative chemotherapy, assessed every 3 months for patients 3-5 years from registration, every 6 months for patients 5-10 years from registration and every 12 months for patients 10 years from registration

Overall survival is defined as time from registration to death from any cause. 5-year overall survival rate is estimated using Kaplan-Meier method.

GroupValue95% CI
Arm I8067 – 92
5-year Recurrence-free Survival Rate Secondary · recurrence follow-up began after post-operative chemotherapy, assessed every 3 months for patients 3-5 years from registration, every 6 months for patients 5-10 years from registration and every 12 months for patients 10 years from registration

Recurrence free survival is defined as time from surgery to disease recurrence or death without recurrence (whichever occurred first) among resected patients. 5-year recurrence-free survival rate is estimated using Kaplan-Meier method, with 90% confidence interval calculated using Greenwood's formula.

GroupValue95% CI
Arm I8168 – 94

Adverse events — posted to ClinicalTrials.gov

Time frame: Assessed at the completion of Pre-Operative Chemoradiation, at the end of every cycle during PostOperative Chemotherapy, and at 30 days after the end of treatment. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I
Serious: 39/55 (71%)
Deaths:

Serious adverse events (60 terms)

ReactionSystemArm I
Neutrophils decreasedInvestigations
FatigueGeneral disorders
Rectum, painGastrointestinal disorders
Leukocytes decreasedInvestigations
LymphopeniaInvestigations
Diarrhea w/o prior colostomyGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
DehydrationMetabolism and nutrition disorders
Neuropathy-sensoryNervous system disorders
Abdomen, painGastrointestinal disorders
Platelets decreasedInvestigations
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Weight lossInvestigations
Rash/desquamationSkin and subcutaneous tissue disorders
Wound - non-infectiousInjury, poisoning and procedural complications
AnorexiaMetabolism and nutrition disorders
IleusGastrointestinal disorders
Infection Gr0-2 neut, woundInfections and infestations
Infection w/ unk ANC anal/perianalInfections and infestations
HypoalbuminemiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HyperkalemiaMetabolism and nutrition disorders
Thrombosis/thrombus/embolismVascular disorders
Allergic reactionImmune system disorders
Other adverse events (52 terms — click to expand)

ReactionSystemArm I
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
Neuropathy-sensoryNervous system disorders
Diarrhea w/o prior colostomyGastrointestinal disorders
Leukocytes decreasedInvestigations
NauseaGastrointestinal disorders
Platelets decreasedInvestigations
Neutrophils decreasedInvestigations
Weight lossInvestigations
AnorexiaMetabolism and nutrition disorders
Rectum, painGastrointestinal disorders
VomitingGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
Abdomen, painGastrointestinal disorders
LymphopeniaInvestigations
Rash/desquamationSkin and subcutaneous tissue disorders
Muco/stomatitis (symptom) oral cavityGastrointestinal disorders
HypocalcemiaMetabolism and nutrition disorders
Wound - non-infectiousInjury, poisoning and procedural complications
HypokalemiaMetabolism and nutrition disorders
Urinary frequency/urgencyRenal and urinary disorders
Fever w/o neutropeniaGeneral disorders
InsomniaPsychiatric disorders
DehydrationMetabolism and nutrition disorders
DyspepsiaGastrointestinal disorders
ProctitisGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
Head/headacheNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
SweatingSkin and subcutaneous tissue disorders
AlopeciaSkin and subcutaneous tissue disorders
Taste disturbanceNervous system disorders
Rectum, hemorrhageGastrointestinal disorders
HypoalbuminemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Rigors/chillsGeneral disorders
Dry skinSkin and subcutaneous tissue disorders

Most-reported serious reactions: Neutrophils decreased, Fatigue, Rectum, pain, Leukocytes decreased, Lymphopenia, Diarrhea w/o prior colostomy, Anemia, Dehydration.

Data from ClinicalTrials.gov NCT00321685 adverse events section.

Sponsor's own description

This phase II trial studies how well giving bevacizumab, radiation therapy, and combination chemotherapy works in treating patients who are undergoing surgery for locally advanced nonmetastatic rectal cancer. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some find tumor cells and kill them or carry tumor-killing substances to them. Others interfere with the ability of tumor cells to grow and spread. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs, such as capecitabine, may make tumor cells more sensitive to radiation therapy. Drugs used in chemotherapy, such as capecitabine, oxaliplatin, fluorouracil, and leucovorin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving bevacizumab together with radiation therapy and combination chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. Giving bevacizumab together with combination chemotherapy after surgery may kill any tumor cells that remain after surgery.

Publications & conference data

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

  1. Phase 2 study of preoperative radiation with concurrent capecitabine, oxaliplatin, and bevacizumab followed by surgery and postoperative 5-fluorouracil, leucovorin, oxaliplatin (FOLFOX), and bevacizumab in patients with locally advanced rectal cancer: ECOG 3204.
    Landry JC, Feng Y, Cohen SJ, Staley CA, et al · · 2013 · cited 41× · PMID 23288663 · DOI 10.1002/cncr.27890
  2. Phase II Trial of Preoperative Radiation With Concurrent Capecitabine, Oxaliplatin, and Bevacizumab Followed by Surgery and Postoperative 5-Fluorouracil, Leucovorin, Oxaliplatin (FOLFOX), and Bevacizumab in Patients With Locally Advanced Rectal Cancer: 5-Year Clinical Outcomes EC
    Landry JC, Feng Y, Prabhu RS, Cohen SJ, et al · · 2015 · cited 31× · PMID 25926352 · DOI 10.1634/theoncologist.2015-0106
  3. The clinical application of angiostatic therapy in combination with radiotherapy: past, present, future.
    Hamming LC, Slotman BJ, Verheul HMW, Thijssen VL. · · 2017 · cited 26× · PMID 28364160 · DOI 10.1007/s10456-017-9546-9
  4. Progress of research on molecular targeted therapies for colorectal cancer.
    Huang S, Ye J, Gao X, Huang X, et al · · 2023 · cited 8× · PMID 37614311 · DOI 10.3389/fphar.2023.1160949

Verify or expand the search:

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Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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