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NCT00951496

Bevacizumab and Intravenous or Intraperitoneal Chemotherapy in Treating Patients With Stage II-III Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer

Completed Phase 3 Results posted Last updated 4 May 2021
What this trial tests

Phase 3 trial testing Bevacizumab in Fallopian Tube Clear Cell Adenocarcinoma in 1,560 participants. Completed in 11 January 2016.

Timeline
11 August 2009
Primary endpoint
11 January 2016
11 January 2016

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment1,560
Start date11 August 2009
Primary completion11 January 2016
Estimated completion11 January 2016
Sites503 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, female only, with Fallopian Tube Clear Cell Adenocarcinoma or Fallopian Tube Endometrioid Adenocarcinoma. 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.

Median Progression-free Survival Primary · Progression-free survival is measured from date of randomization until first indication of progression based on RECIST criteria or death from any cause, or if progression-free at last contact, the date of last disease assessment up to 10 years.

Estimate the median duration of progression-free survival in months. Progression is defined using Response Evaluation Criteria in Solid Tumors criteria (RECIST v1.0) as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)24.922.3 – 27.2
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)27.324.6 – 28.8
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)26.023.8 – 28.0
Patients With Adverse Events by Treatment Group, as Defined by NCI CTCAE (Common Terminology Criteria for Adverse Events Version 3.0) Version 3.0 Secondary · During treatment and up to 30 days after end of treatment

Eligible and treated patients. CTCAE includes grades 1-5. Grade refers to the severity of the adverse event. Grades 0 listed should be interpreted to mean there were no subjects in the arm with a toxicity to report. Grade 1 toxicities are mild; asymptomatic or mild symptoms. Grade 2 toxicities are moderate; minimal, local or noninvasive intervention indicated. Grade 3 toxicities are severe or medically significant but not immediately life-threatening. Grade 4 toxicities are life threatening. Grade 5 is death related to adverse event.

Adverse Event Grade 0
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)0
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)0
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)1
Adverse Event Grade 1
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)1
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)0
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)0
Adverse Event Grade 2
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)48
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)46
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)52
Adverse Event Grade 3
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)269
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)300
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)246
Adverse Event Grade 4
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)185
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)158
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)199
Adverse Event Grade 5
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)8
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)6
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)10
Overall Survival Secondary · Up to 10 years

Estimate the median duration of overall survival in months.

GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)75.467.1 – NA
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)74.261.9 – 78.4
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)67.663.5 – 74.6
Patient Reported Quality of Life (QOL) Secondary · Time points: Baseline, prior to cycle 4, prior to cycle 7, prior to cycle 13, prior to cycle 21, up to 84 weeks post starting treatment

QOL was measured with the FACT-O TOI score. Means at baseline are raw means. Scores are reported at all time points in the outcome measure table. FACT-O TOI is Trial outcome index (TOI) of the Functional assessment of cancer therapy (FACT) for ovarian cancer (FACT-O). The FACT-O TOI is composed of three subscales; Physical Well Being (PWB) ( 7 items), and Ovarian Cancer subscale (OCS) (12 items). Each item in the FACT-O TOI are scored using a 5 point scale (0=not at all; 1=a little bit; 2=somewhat;3=quite a bit;4=very much). A subscale score is computed as long as more thatn 50% of subscale it

Baseline
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)68.5± 0.7
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)67.4± 0.7
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)67.7± 0.7
Prior to cycle 4
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)67.8± 0.6
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)65.6± 0.6
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)61.9± 0.6
Prior to cycle 7
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)69.1± 0.6
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)68.2± 0.6
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)65.7± 0.7
Prior to cycle 13
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)77.3± 0.6
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)77.1± 0.6
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)78.4± 0.6
Prior to cycle 21
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)77.7± 0.6
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)76.9± 0.7
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)78.2± 0.6
84 weeks
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)78.3± 0.7
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)77.7± 0.7
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)79.4± 0.7
Patient Reported Neurotoxicity (Ntx) Secondary · Time points: Baseline, prior to cycle 4, prior to cycle 7, prior to cycle 13, prior to cycle 21, 84 weeks post starting treatment

The FACT/GOG-NTX subscale (short version) contains 4 items measuring sensory neuropathy. Each item is scored using a 5 point Likert scale (0=not at all; 1=a little bit;2=somewhat;3=quite a bit; 4=very much). For each item, reversal was performed prior to score calculation so that a large score suggests less symptoms. According to the FACIT measurement system, the subscale score was calculated as the summation of the individual item scores if more than 50% of a subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item

Baseline
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)15.4± 0.1
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)15.4± 0.1
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)15.4± 0.1
Prior to cycle 4
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)12.9± 0.2
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)13.0± 0.2
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)13.6± 0.2
Prior to cycle 7
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)10.4± 0.2
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)10.3± 0.2
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)10.9± 0.2
Prior to cycle 13
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)11.1± 0.2
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)10.5± 0.2
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)9.2± 0.2
Prior to cycle 21
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)11.4± 0.2
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)11.1± 0.2
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)11.0± 0.2
84 weeks
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)11.9± 0.2
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)11.4± 0.2
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)11.5± 0.2
Patient Reported Fatigue Secondary · Time points: Baseline, prior to cycle 4, prior to cycle 7, prior to cycle 13, prior to cycle 21, 84 weeks post starting treatment

Patient reported fatigue as measured with the Functional Assessment of Chronic Illness Therapy- Fatigue scale (FACIT-Fatigue). The FACIT-Fatigue contains 13 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Fatigue score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of

Baseline
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)35.3± 0.3
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)35.1± 0.3
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)35.3± 0.3
Prior to cycle 4
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)32.5± 0.3
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)32.0± 0.3
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)31.3± 0.3
Prior to cycle 7
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)32.7± 0.3
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)32.7± 0.3
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)32.4± 0.3
Prior to cycle 13
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)35.7± 0.3
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)35.5± 0.3
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)35.9± 0.3
Prior to cycle 21
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)35.5± 0.3
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)35.1± 0.3
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)36.3± 0.3
84 weeks
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)35.7± 0.3
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)36.0± 0.3
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)36.5± 0.3
Patient Reported Nausea Secondary · Time points: Baseline, prior to cycle 4, prior to cycle 7, prior to cycle 13, prior to cycle 21, 84 weeks post starting treatment

Nausea was measured with the a single item ,' I have nausea' from the FACT-O TOI, and was scored using a 5 point scale (0=not at all; 1=a little bit; 2=somewhat;3=quite a bit;4=very much)

Baseline
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)0.4± 0.04
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)0.4± 0.04
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)0.4± 0.04
Prior to cycle 4
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)0.6± 0.04
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)0.7± 0.04
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)1.1± 0.05
Prior to cycle 7
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)0.5± 0.04
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)0.5± 0.04
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)0.7± 0.05
Prior to cycle 13
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)0.2± 0.03
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)0.3± 0.03
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)0.2± 0.03
Prior to cycle 21
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)0.3± 0.04
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)0.4± 0.04
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)0.3± 0.03
84 Weeks
GroupValue95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)0.3± 0.04
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)0.4± 0.04
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)0.3± 0.03

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs were recorded from the initiation of any study treatment up until 30 days following the last cycle of study treatment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)
Serious: 156/511 (31%)
Deaths:
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)
Serious: 179/510 (35%)
Deaths:
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)
Serious: 215/508 (42%)
Deaths:

Serious adverse events (179 terms)

ReactionSystemArm I (Paclitaxel, Carbopl…Arm II (Paclitaxel,carbopl…Arm III (Paclitaxel IP, Ci…
Thrombosis/Thrombus/EmbolismVascular disorders
Obstruction, Gi - Small Bowel NosGastrointestinal disorders
VomitingGastrointestinal disorders
Pain: Abdominal Pain NosGeneral disorders
HypertensionCardiac disorders
NeutrophilsBlood and lymphatic system disorders
DehydrationGastrointestinal disorders
Wound Complication, Non-InfectiousSkin and subcutaneous tissue disorders
Inf W/Nml Or Gr 1 Or 2 Anc: Catheter-RelatedInfections and infestations
Febrile NeutropeniaInfections and infestations
SyncopeNervous system disorders
ConstipationGastrointestinal disorders
Perforation, Gi - ColonGastrointestinal disorders
NauseaGastrointestinal disorders
DiarrheaGastrointestinal disorders
Inf W/Nml Or Gr 1 Or 2 Anc: Skin(Cellulitis)Infections and infestations
Inf W/Nml Or Gr 1 Or 2 Anc: Pelvis NosInfections and infestations
DyspneaRespiratory, thoracic and mediastinal disorders
Cardiac Ischemia/InfarctionCardiac disorders
FeverGeneral disorders
IleusGastrointestinal disorders
Perforation, Gi - Small Bowel NosGastrointestinal disorders
Inf W/Nml Or Gr 1 Or 2 Anc: WoundInfections and infestations
Inf W/Nml Or Gr 1 Or 2 Anc: Urinary Tract NosInfections and infestations
Colitis, Infectious (Eg.C. Difficile)Infections and infestations
Other adverse events (514 terms — click to expand)

ReactionSystemArm I (Paclitaxel, Carbopl…Arm II (Paclitaxel,carbopl…Arm III (Paclitaxel IP, Ci…
HemoglobinBlood and lymphatic system disorders
LeukocytesBlood and lymphatic system disorders
NeutrophilsBlood and lymphatic system disorders
FatigueGeneral disorders
Neuropathy-SensoryNervous system disorders
Hair Loss/Alopecia (Scalp Or Body)Skin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
PlateletsBlood and lymphatic system disorders
Pain: Abdominal Pain NosGeneral disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Hemorrhage/Pulmonary - NoseVascular disorders
HypertensionCardiac disorders
HypomagnesemiaMetabolism and nutrition disorders
Pain: JointGeneral disorders
Pain: Head/HeadacheGeneral disorders
VomitingGastrointestinal disorders
AnorexiaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
InsomniaGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Pain: Extremity-LimbGeneral disorders
RhinitisImmune system disorders
HyponatremiaMetabolism and nutrition disorders
Pain: MuscleGeneral disorders
Nail ChangesSkin and subcutaneous tissue disorders
CreatinineMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Mood Alteration - AnxietyNervous system disorders
Weight GainGeneral disorders
Pain: BackGeneral disorders
Taste AlterationGastrointestinal disorders
Mucositis (Clinical Exam) - Oral CavityGastrointestinal disorders
Mood Alteration - DepressionNervous system disorders
DizzinessNervous system disorders
Alanine Aminotransferases (Alt)Metabolism and nutrition disorders
HeartburnGastrointestinal disorders
Edema: LimbBlood and lymphatic system disorders

Most-reported serious reactions: Thrombosis/Thrombus/Embolism, Obstruction, Gi - Small Bowel Nos, Vomiting, Pain: Abdominal Pain Nos, Hypertension, Neutrophils, Dehydration, Wound Complication, Non-Infectious.

Data from ClinicalTrials.gov NCT00951496 adverse events section.

Sponsor's own description

This randomized phase III trial studies bevacizumab and intravenous (given into a vein) chemotherapy to see how well they work compared with bevacizumab and intraperitoneal (given into the abdominal cavity) chemotherapy in treating patients with stage II-III ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cancer. Monoclonal antibodies, such as bevacizumab, can block the ability of tumor cells to grow and spread by blocking the growth of new blood vessels necessary for tumor growth. Drugs used in chemotherapy, such as paclitaxel, carboplatin, and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet known whether giving bevacizumab together with intravenous chemotherapy is more effective than giving bevacizumab together with intraperitoneal chemotherapy in treating patients with ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cancer.

Publications & conference data

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

  1. Latest research and treatment of advanced-stage epithelial ovarian cancer.
    Coleman RL, Monk BJ, Sood AK, Herzog TJ. · · 2013 · cited 412× · PMID 23381004 · DOI 10.1038/nrclinonc.2013.5
  2. Weekly vs. Every-3-Week Paclitaxel and Carboplatin for Ovarian Cancer.
    Chan JK, Brady MF, Penson RT, Huang H, et al · · 2016 · cited 265× · PMID 26933849 · DOI 10.1056/nejmoa1505067
  3. Long-term survival advantage and prognostic factors associated with intraperitoneal chemotherapy treatment in advanced ovarian cancer: a gynecologic oncology group study.
    Tewari D, Java JJ, Salani R, Armstrong DK, et al · · 2015 · cited 188× · PMID 25800756 · DOI 10.1200/jco.2014.55.9898
  4. Randomized Trial of Intravenous Versus Intraperitoneal Chemotherapy Plus Bevacizumab in Advanced Ovarian Carcinoma: An NRG Oncology/Gynecologic Oncology Group Study.
    Walker JL, Brady MF, Wenzel L, Fleming GF, et al · · 2019 · cited 156× · PMID 31002578 · DOI 10.1200/jco.18.01568
  5. Bevacizumab in ovarian cancer: A critical review of phase III studies.
    Rossi L, Verrico M, Zaccarelli E, Papa A, et al · · 2017 · cited 84× · PMID 27852039 · DOI 10.18632/oncotarget.13310
  6. Ovarian cancer standard of care: are there real alternatives?
    Della Pepa C, Tonini G, Pisano C, Di Napoli M, et al · · 2015 · cited 73× · PMID 25556615 · DOI 10.5732/cjc.014.10274
  7. 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
  8. Ovarian cancer clinical trial endpoints: Society of Gynecologic Oncology white paper.
    Herzog TJ, Armstrong DK, Brady MF, Coleman RL, et al · · 2014 · cited 58× · PMID 24239753 · DOI 10.1016/j.ygyno.2013.11.008

Verify or expand the search:

Other trials of Bevacizumab

Trials testing the same drug.

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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/NCT00951496.

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