Last reviewed · How we verify

NCT00937560

A Study of First Line Treatment With Avastin (Bevacizumab) in Combination With Carboplatin and Weekly Paclitaxel in Patients With Ovarian Cancer

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

Phase 2 trial testing Bevacizumab in Ovarian Cancer in 190 participants. Completed in 1 July 2013.

Timeline
25 June 2009
Primary endpoint
31 July 2012
1 July 2013

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment190
Start date25 June 2009
Primary completion31 July 2012
Estimated completion1 July 2013
Sites55 locations across France, Italy, Netherlands, Russia, Sweden, United Kingdom, Norway, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

18 and older, female only, with Ovarian Cancer. 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.

Progression-free Survival Primary · Baseline to the data cut-off date of 19 Jul 2012 for analysis of the primary Outcome Measure (follow-up time up to 3 years, 1 month)

Progression-free survival was defined as the time from the first administration of any study treatment to the first disease progression using Response Evaluation Criteria In Solid Tumors (RECIST) or death from any cause, whichever occurred first.

GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin23.719.9 – 26.4
Percentage of Participants With an Objective Response Secondary · Baseline to the data cut-off date of 19 Jul 2012 for analysis of the primary Outcome Measure (follow-up time up to 3 years, 1 month)

An objective response was defined as either a complete response (CR) or a partial response (PR). Using the Response Evaluation Criteria in Solid Tumors (RECIST), a CR was defined as the disappearance of all target lesions and all non-target lesions, normalization of tumor marker level, and no new lesions and a PR was defined as the disappearance of all target lesions and persistence of ≥ 1 non-target lesions and/or the maintenance of tumor marker level above the normal limits, or, at least a 30% decrease in the sum of the longest diameter of target lesions, and no new lesions or unequivocal pr

RECIST only (N=91)
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin84.675.5 – 91.3
CA-125 level only (N=101)
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin97.091.6 – 99.4
RECIST and CA-125 level combined (N=126)
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin92.185.9 – 96.1
Duration of Response Secondary · Baseline to the data cut-off date of 19 Jul 2012 for analysis of the primary Outcome Measure (follow-up time up to 3 years, 1 month)

Duration of response was defined as the interval between the date of the first documented response by RECIST to the date of first disease progression or death, whichever occurred earlier. Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the appearance of 1 or more new lesions or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions. Only participants with measurable disease were included in the

RECIST only (N=77)
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin14.712.7 – 16.1
CA-125 level only (N=98)
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin17.515.4 – 21.9
RECIST and CA-125 level combined (N=116)
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin17.415.4 – 21.9
Overall Survival at 1 Year and 2 Years Secondary · Baseline to Year 2

Reported are the percentage of participants that were alive at 1 year and 2 years after enrolling in the study.

Year 1
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin97.795.4 – 99.9
Year 2
GroupValue95% CI
Bevacizumab + Paclitaxel + Carboplatin92.188.0 – 96.2
Biological Progression-free Interval Secondary · Baseline to the data cut-off date of 19 Jul 2012 for analysis of the primary Outcome Measure (follow-up time up to 3 years, 1 month)

Biological progression-free interval is defined as the interval from the date of the first administration of any study treatment to the date of the first documented serial elevation of the ovarian cancer mucin CA-125. More precisely, this is defined as the first documented increase in CA-125 levels as follows: (1) CA-125 greater than or equal to 2 times the upper level of normal (ULN) on 2 occasions at least 1 week apart (for patients with CA-125 within normal range pre-treatment) or (2) CA-125 greater than or equal to 2 times the ULN on 2 occasions at least 1 week apart (for patients with ele

GroupValue95% CI
Bevacizumab + Paclitaxel + CarboplatinNANA – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline to the end of the study (up to 4 years, 1 month). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Bevacizumab + Paclitaxel + Carboplatin
Serious: 43/189 (23%)
Deaths:

Serious adverse events (47 terms)

ReactionSystemBevacizumab + Paclitaxel +…
NeutropeniaBlood and lymphatic system disorders
SubileusGastrointestinal disorders
Gastrointestinal obstructionGastrointestinal disorders
Urinary tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Gastrointestinal perforationGastrointestinal disorders
OesophagitsGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
IleusGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
AppendicitisInfections and infestations
BacteraemiaInfections and infestations
Bacterial sepsisInfections and infestations
Catheter site infectionInfections and infestations
CellulitisInfections and infestations
Device related infectionInfections and infestations
Infected lymphoceleInfections and infestations
PneumoniaInfections and infestations
UrosepsisInfections and infestations
ThrombocytopeniaBlood and lymphatic system disorders
Cerebral infarctionNervous system disorders
Other adverse events (50 terms — click to expand)

ReactionSystemBevacizumab + Paclitaxel +…
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
FatigueGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
Peripheral sensory neuropathyNervous system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
LeukopeniaBlood and lymphatic system disorders
HypertensionVascular disorders
VomitingGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
StomatitisGastrointestinal disorders
HeadacheNervous system disorders
Abdominal painGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
AstheniaGeneral disorders
DysgeusiaNervous system disorders
Urinary tract infectionInfections and infestations
Abdominal pain upperGastrointestinal disorders
PyrexiaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
Musculoskeletal painMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Upper respiratory tract infectionInfections and infestations
NasopharyngitisRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
HyperglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Mucosal inflammationGeneral disorders
Nail disorderSkin and subcutaneous tissue disorders
LymphopeniaBlood and lymphatic system disorders
DizzinessNervous system disorders
Aspartate aminotransferase increasedInvestigations
Gingival bleedingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Neutropenia, Subileus, Gastrointestinal obstruction, Urinary tract infection, Anaemia, Pulmonary embolism, Pyrexia, Gastrointestinal perforation.

Data from ClinicalTrials.gov NCT00937560 adverse events section.

Sponsor's own description

This single arm study evaluated the efficacy and safety of first-line chemotherapy with carboplatin and dose-dense weekly paclitaxel plus bevacizumab (Avastin) in participants with epithelial ovarian, fallopian tube, or primary peritoneal cancer. Participants received 6-8 3-week cycles of treatment with bevacizumab 7.5 mg/kg intravenously (iv) on Day 1 of each cycle, paclitaxel 80 mg/m\^2 iv on days 1, 8, and 15 of each cycle, and carboplatin iv to an area under the curve (AUC) of 6 on day 1 of each cycle. Following combination chemotherapy, bevacizumab could be continued to be given as a monotherapy.

Publications & conference data

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

  1. Tumor Microenvironment in Ovarian Cancer: Function and Therapeutic Strategy.
    Yang Y, Yang Y, Yang J, Zhao X, et al · · 2020 · cited 168× · PMID 32850861 · DOI 10.3389/fcell.2020.00758
  2. Targeted therapies in gynecological cancers: a comprehensive review of clinical evidence.
    Wang Q, Peng H, Qi X, Wu M, et al · · 2020 · cited 114× · PMID 32728057 · DOI 10.1038/s41392-020-0199-6
  3. Bevacizumab use in the frontline, maintenance and recurrent settings for ovarian cancer.
    Haunschild CE, Tewari KS. · · 2020 · cited 72× · PMID 31746224 · DOI 10.2217/fon-2019-0042
  4. Role of tumor microenvironment in ovarian cancer pathobiology.
    Ghoneum A, Afify H, Salih Z, Kelly M, et al · · 2018 · cited 58× · PMID 29854318 · DOI 10.18632/oncotarget.25126
  5. Exploring the clinical value of tumor microenvironment in platinum-resistant ovarian cancer.
    Ghoneum A, Almousa S, Warren B, Abdulfattah AY, et al · · 2021 · cited 53× · PMID 33476723 · DOI 10.1016/j.semcancer.2020.12.024
  6. Role of tumor microenvironment in the pathobiology of ovarian cancer: Insights and therapeutic opportunities.
    Ghoneum A, Afify H, Salih Z, Kelly M, et al · · 2018 · cited 46× · PMID 30133163 · DOI 10.1002/cam4.1741
  7. Utility of vascular endothelial growth factor inhibitors in the treatment of ovarian cancer: from concept to application.
    Amini A, Masoumi Moghaddam S, Morris DL, Pourgholami MH. · · 2012 · cited 7× · PMID 21961001 · DOI 10.1155/2012/540791

Verify or expand the search:

Other trials of Bevacizumab

Trials testing the same drug.

Other recruiting trials for Ovarian Cancer

Currently open trials in the same condition.

Other Hoffmann-La Roche trials

Trials by the same sponsor.

Verify against primary sources

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/NCT00937560.

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