Bevacizumab and Intravenous or Intraperitoneal Chemotherapy in Treating Patients With Stage II-III Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer
CompletedPhase 3Results postedLast 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 sponsor
National Cancer Institute (NCI)
Phase
Phase 3
Status
Completed
Study type
INTERVENTIONAL
Allocation
randomized
Design
parallel
Masking
none
Primary purpose
treatment
Enrollment
1,560
Start date
11 August 2009
Primary completion
11 January 2016
Estimated completion
11 January 2016
Sites
503 locations across United States
Drugs / interventions tested
Bevacizumab (Bevacizumab-Bvzr) — full drug profile →
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 SurvivalPrimary· 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.
Group
Value
95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)
24.9
22.3 – 27.2
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)
27.3
24.6 – 28.8
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)
26.0
23.8 – 28.0
Patients With Adverse Events by Treatment Group, as Defined by NCI CTCAE (Common Terminology Criteria for Adverse Events Version 3.0) Version 3.0Secondary· 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% CI
Arm I (Paclitaxel, Carboplatin, Bevcizumab IV)
8
Arm II (Paclitaxel,carboplatinIP, Bevacizumab IP)
6
Arm III (Paclitaxel IP, Cisplatin, Bevacizumab)
10
Overall SurvivalSecondary· Up to 10 years
Estimate the median duration of overall survival in months.
Group
Value
95% CI
Arm I (Paclitaxel, Carboplatin, Bevacizumab)
75.4
67.1 – NA
Arm II (Paclitaxel, Bevacizumab, Carboplatin IP)
74.2
61.9 – 78.4
Arm III (Paclitaxel IP, Bevacizumab, Cisplatin IP)
67.6
63.5 – 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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 FatigueSecondary· 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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 NauseaSecondary· 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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)
Reaction
System
Arm I (Paclitaxel, Carbopl…
Arm II (Paclitaxel,carbopl…
Arm III (Paclitaxel IP, Ci…
Thrombosis/Thrombus/Embolism
Vascular disorders
—
—
—
Obstruction, Gi - Small Bowel Nos
Gastrointestinal disorders
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
Pain: Abdominal Pain Nos
General disorders
—
—
—
Hypertension
Cardiac disorders
—
—
—
Neutrophils
Blood and lymphatic system disorders
—
—
—
Dehydration
Gastrointestinal disorders
—
—
—
Wound Complication, Non-Infectious
Skin and subcutaneous tissue disorders
—
—
—
Inf W/Nml Or Gr 1 Or 2 Anc: Catheter-Related
Infections and infestations
—
—
—
Febrile Neutropenia
Infections and infestations
—
—
—
Syncope
Nervous system disorders
—
—
—
Constipation
Gastrointestinal disorders
—
—
—
Perforation, Gi - Colon
Gastrointestinal disorders
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
Diarrhea
Gastrointestinal 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 Nos
Infections and infestations
—
—
—
Dyspnea
Respiratory, thoracic and mediastinal disorders
—
—
—
Cardiac Ischemia/Infarction
Cardiac disorders
—
—
—
Fever
General disorders
—
—
—
Ileus
Gastrointestinal disorders
—
—
—
Perforation, Gi - Small Bowel Nos
Gastrointestinal disorders
—
—
—
Inf W/Nml Or Gr 1 Or 2 Anc: Wound
Infections and infestations
—
—
—
Inf W/Nml Or Gr 1 Or 2 Anc: Urinary Tract Nos
Infections and infestations
—
—
—
Colitis, Infectious (Eg.C. Difficile)
Infections and infestations
—
—
—
Other adverse events (514 terms — click to expand)
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):
NCT07504588 — Sacituzumab Govitecan With Bevacizumab Compared to Usual Chemotherapy (Carboplatin, Pegylated Liposomal Doxorubicin and
· Phase 2
· not yet recruiting
NCT07500298 — Phase 1 Study Of SAR445877 In Combination With FOLFOX6 And Bevacizumab As First-Line Treatment For Microsatellite Stable
· Phase 1
· not yet recruiting
NCT07271355 — Pressurized Intraperitoneal Aerosolized Chemotherapy With Mitomycin for the Treatment of Unresectable Appendix or Colore
· Phase 3
· not yet recruiting
NCT07318389 — ASCEND-CRC: Profiling and Targeting Dynamic Tumor Resistance in Patients With Metastatic Colorectal Cancer
· EARLY_PHASE1
· not yet recruiting
NCT07535632 — SBRT Followed by PD-1 Inhibitor, Bevacizumab and TAS-102 as Third-Line Therapy for Recurrent/Metastatic Colorectal Cance
· Phase 2
· not yet recruiting
Other recruiting trials for Fallopian Tube Clear Cell Adenocarcinoma
Currently open trials in the same condition.
NCT06639074 — Folate Receptor Alpha Dendritic Cells (FRαDCs) or Placebo for the Treatment of Patients With Stage III or IV Ovarian, Fa
· Phase 2
· recruiting
NCT04919629 — APL-2 and Pembrolizumab Versus APL-2, Pembrolizumab and Bevacizumab Versus Bevacizumab Alone for the Treatment of Recurr
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· recruiting
NCT04575935 — Minimally Invasive Surgery After Neoadjuvant Chemotherapy for the Treatment of Stage IIIC-IV Ovarian, Primary Peritoneal
· Phase 3
· recruiting
NCT04092270 — A Study Combining the Peposertib (M3814) Pill With Standard Chemotherapy in Patients With Ovarian Cancer With an Expansi
· Phase 1
· active not recruiting
NCT02502266 — Testing the Combination of Cediranib and Olaparib in Comparison to Each Drug Alone or Other Chemotherapy in Recurrent Pl
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Trials by the same sponsor.
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NCT07281417 — Testing the Addition of Cemiplimab (REGN2810) to Chemotherapy Treatment Given Prior to Surgery in Patients With Sinonasa
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by National Cancer Institute (NCI)
Last refreshed: 4 May 2021
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.