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NCT01081262

Carboplatin and Paclitaxel or Oxaliplatin and Capecitabine With or Without Bevacizumab as First-Line Therapy in Treating Patients With Newly Diagnosed Stage II-IV or Recurrent Stage I Epithelial Ovarian or Fallopian Tube Cancer

Active, enrolled Phase 3 Results posted Last updated 25 November 2025
What this trial tests

Phase 3 trial testing Bevacizumab in Borderline Ovarian Mucinous Tumor in 50 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
12 October 2010
Primary endpoint
25 February 2015
12 March 2026

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 3
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment50
Start date12 October 2010
Primary completion25 February 2015
Estimated completion12 March 2026
Sites248 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, female only, with Borderline Ovarian Mucinous Tumor or Ovarian Mucinous Cystadenocarcinoma. 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.

Overall Survival Primary · Up to five years

Overall survival is defined as the duration of time from study entry to time of death, or the date of last contact.

GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)37.68.8 – NA
Arm II (Oxaliplatin and Capecitabine)27.89.3 – NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)27.74.9 – 53.6
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)55.79.9 – NA
Participants With Grade 1 or Higher Non-serious Adverse Effects Assessed by CTCAE Version 4.0 Secondary · Every cycle while on treatment, up to 5 years

Grade 1 or higher non-serious adverse events were graded by CTC AE v 4.

Abnormal lab values
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)8
Arm II (Oxaliplatin and Capecitabine)10
Arm III (Carboplatin, Paclitaxel, Bevacizumab)10
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)10
Allergic reaction
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)3
Arm II (Oxaliplatin and Capecitabine)1
Arm III (Carboplatin, Paclitaxel, Bevacizumab)0
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)4
Allergic rhinitis
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)0
Arm II (Oxaliplatin and Capecitabine)1
Arm III (Carboplatin, Paclitaxel, Bevacizumab)1
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)1
Alopecia
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)11
Arm II (Oxaliplatin and Capecitabine)1
Arm III (Carboplatin, Paclitaxel, Bevacizumab)9
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)5
Anemia
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)12
Arm II (Oxaliplatin and Capecitabine)7
Arm III (Carboplatin, Paclitaxel, Bevacizumab)4
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)6
Bleeding
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)1
Arm II (Oxaliplatin and Capecitabine)1
Arm III (Carboplatin, Paclitaxel, Bevacizumab)3
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)5
Cold-like symptoms
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)2
Arm II (Oxaliplatin and Capecitabine)3
Arm III (Carboplatin, Paclitaxel, Bevacizumab)7
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)6
Constipation
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)3
Arm II (Oxaliplatin and Capecitabine)4
Arm III (Carboplatin, Paclitaxel, Bevacizumab)7
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)9
Progression-free Survival Secondary · 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.

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 (Carboplatin and Paclitaxel)36.12.0 – NA
Arm II (Oxaliplatin and Capecitabine)7.44.5 – NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)15.44.9 – NA
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)23.39.1 – NA
Objective Tumor Response Secondary · CT scan or MRI if used to follow lesion for measurable disease every other cycle for the first 6 months; then every 3 months x 2; then every 6 months thereafter until disease progression, and any other time clinically indicated, up to 5 years

Complete and Partial Tumor Response by RECIST 1.1. Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v.1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR),.\>=30% decrease in the sum of the longest diameter of target lesions; Overall response (OR) = CR + PR

GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)223 – 60
Arm II (Oxaliplatin and Capecitabine)276 – 61
Arm III (Carboplatin, Paclitaxel, Bevacizumab)4310 – 82
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)405 – 85
Patient Reported Neurotoxicity Secondary · baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5

Patient reported neurotoxicity symptoms as measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 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 Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered i

Baseline (pre-treatment)
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)16.0± 0.0
Arm II (Oxaliplatin and Capecitabine)15.3± 1.2
Arm III (Carboplatin, Paclitaxel, Bevacizumab)14.3± 2.9
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)16.0± 0.0
Pre-cycle 4
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)7.3± 4.2
Arm II (Oxaliplatin and Capecitabine)11.8± 5.3
Arm III (Carboplatin, Paclitaxel, Bevacizumab)12.7± 3.5
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)5.7± 4.9
Post cycle 6
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)6.5± 2.1
Arm II (Oxaliplatin and Capecitabine)11.7± 4.0
Arm III (Carboplatin, Paclitaxel, Bevacizumab)11.0± 5.6
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)8.0± 6.3
Six months post chemo
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)5.0± 4.2
Arm III (Carboplatin, Paclitaxel, Bevacizumab)11.3± 5.7
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)10.7± 2.3
End of bevacizumab (BEV)
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)16.0± NA
Arm II (Oxaliplatin and Capecitabine)10.0± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)9.5± 4.9
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)11.7± 3.8
Six months after BEV
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)10.0± NA
Arm II (Oxaliplatin and Capecitabine)10.0± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)9.0± 4.2
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)7.0± 9.9
2 years after BEV
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)8.0± NA
Arm II (Oxaliplatin and Capecitabine)14.0± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)5.5± 4.9
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)16.0± NA
3 years after BEV
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)14.0± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)9.5± 4.9
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)16.0± NA
Patient Reported Quality of Life Secondary · baseline (pre-treatment), pre cycle 4, post cycle 6, six months post-chemo, end of bevacizumab [BEV] (or 39 weeks after completion of chemotherapy in the non-BEV arms or in those who discontinue BEV), six months after BEV, and years 2, 3, 4, and 5

Patient reported quality of life was measured with the Treatment Outcome Index of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI 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 statements (or questions), reversal was performed prior to score calcul

Baseline (pre-treatment)
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)62.6± 12.6
Arm II (Oxaliplatin and Capecitabine)62.3± 29.5
Arm III (Carboplatin, Paclitaxel, Bevacizumab)68.7± 9.7
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)75.4± 15.9
Pre-Cycle 4
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)57.5± 4.8
Arm II (Oxaliplatin and Capecitabine)72.9± 16.4
Arm III (Carboplatin, Paclitaxel, Bevacizumab)68.7± 2.1
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)76.0± 12.5
Post-Cycle 6
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)65.2± 4.0
Arm II (Oxaliplatin and Capecitabine)73.5± 9.1
Arm III (Carboplatin, Paclitaxel, Bevacizumab)68.3± 5.5
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)71.8± 14.1
Six Months Post-Chemo
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)74.1± 14.2
Arm III (Carboplatin, Paclitaxel, Bevacizumab)80.3± 12.2
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)68.7± 29.7
End of Bevacizumab (BEV)
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)68.9± NA
Arm II (Oxaliplatin and Capecitabine)53.3± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)73.0± 22.6
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)49.9± 31.4
Six Months after BEV
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)54.0± NA
Arm II (Oxaliplatin and Capecitabine)53.0± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)87.5± 7.8
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)70.5± 26.2
2 Years after BEV
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)71.7± NA
Arm II (Oxaliplatin and Capecitabine)56.0± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)76.3± 15.2
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)77.0± NA
3 Years after BEV
GroupValue95% CI
Arm I (Carboplatin and Paclitaxel)76.4± NA
Arm III (Carboplatin, Paclitaxel, Bevacizumab)80.5± 17.7
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)76.0± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Study treatment and up to 5 years after treatment discontinuation. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Carboplatin and Paclitaxel)
Serious: 3/13 (23%)
Deaths:
Arm II (Oxaliplatin and Capecitabine)
Serious: 4/13 (31%)
Deaths:
Arm III (Carboplatin, Paclitaxel, Bevacizumab)
Serious: 2/13 (15%)
Deaths:
Arm IV (Oxaliplatin, Capecitabine, Bevacizumab)
Serious: 3/11 (27%)
Deaths:

Serious adverse events (17 terms)

ReactionSystemArm I (Carboplatin and Pac…Arm II (Oxaliplatin and Ca…Arm III (Carboplatin, Pacl…Arm IV (Oxaliplatin, Capec…
Nausea/VomitingGastrointestinal disorders
Allergic reactionImmune system disorders
AnemiaBlood and lymphatic system disorders
BleedingGeneral disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
FeverGeneral disorders
GI perforationGastrointestinal disorders
HypomagnesemiaMetabolism and nutrition disorders
Low NeutrophilsInvestigations
Low PlateletsInvestigations
PainGeneral disorders
Peripheral/sensory neuropathyNervous system disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Thromboembolic EventVascular disorders
Other adverse events (23 terms — click to expand)

ReactionSystemArm I (Carboplatin and Pac…Arm II (Oxaliplatin and Ca…Arm III (Carboplatin, Pacl…Arm IV (Oxaliplatin, Capec…
Peripheral/sensory NeuropathyNervous system disorders
NauseaGastrointestinal disorders
Oral problemsGastrointestinal disorders
PainGeneral disorders
Low plateletsInvestigations
Other GI ProblemsGastrointestinal disorders
Low NeutrophilsInvestigations
OtherGeneral disorders
Low White Blood CellsInvestigations
Weight LossInvestigations
Laryngeal SpasmRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
MucositisGeneral disorders
Taste AlterationNervous system disorders
Low MoodPsychiatric disorders
Raised CA19-9Investigations
StomatitisGastrointestinal disorders
Urinary ProblemsRenal and urinary disorders
Vaginal BleedingReproductive system and breast disorders
Weight GainInvestigations
Low LymphocytesInvestigations
PneumothoraxRespiratory, thoracic and mediastinal disorders
Raised Blood countsInvestigations

Most-reported serious reactions: Nausea/Vomiting, Allergic reaction, Anemia, Bleeding, Constipation, Diarrhea, Dyspnea, Fatigue.

Data from ClinicalTrials.gov NCT01081262 adverse events section.

Sponsor's own description

This randomized phase III trial studies carboplatin given together with paclitaxel with or without bevacizumab to see how well it works compared with oxaliplatin given together with capecitabine with or without bevacizumab as first-line therapy in treating patients with newly diagnosed stage II-IV, or recurrent (has come back) stage I epithelial ovarian or fallopian tube cancer. Drugs used in chemotherapy, such as carboplatin, paclitaxel, oxaliplatin, and capecitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, may block tumor growth in different ways by targeting certain cells. It is not yet known which regimen of combination chemotherapy given together with or without bevacizumab is more effective in treating epithelial ovarian cancer or fallopian tube cancer.

Publications & conference data

8 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 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
  4. New perspectives on targeted therapy in ovarian cancer.
    Coward JI, Middleton K, Murphy F. · · 2015 · cited 77× · PMID 25678824 · DOI 10.2147/ijwh.s52379
  5. Fifth Ovarian Cancer Consensus Conference of the Gynecologic Cancer InterGroup (GCIG): clinical trial design for rare ovarian tumours.
    Leary AF, Quinn M, Fujiwara K, Coleman RL, et al · · 2017 · cited 30× · PMID 27993794 · DOI 10.1093/annonc/mdw662
  6. Monoclonal antibodies in gynecological cancer: a critical point of view.
    Bellati F, Napoletano C, Gasparri ML, Visconti V, et al · · 2011 · cited 27× · PMID 22235224 · DOI 10.1155/2011/890758
  7. Angiogenesis inhibitors for the treatment of ovarian cancer.
    Gaitskell K, Martinek I, Bryant A, Kehoe S, et al · · 2011 · cited 22× · PMID 21901715 · DOI 10.1002/14651858.cd007930.pub2
  8. Investigational agents in development for the treatment of ovarian cancer.
    Westin SN, Herzog TJ, Coleman RL. · · 2013 · cited 19× · PMID 22661305 · DOI 10.1007/s10637-012-9837-3

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