Non-Small Cell Lung CancerPhase 3NCT00257608
A Study Comparing Bevacizumab Therapy With or Without Erlotinib for First-Line Treatment of Non-Small Cell Lung Cancer (ATLAS)
A Phase 3 study testing bevacizumab and erlotinib HCl in people with Non-Small Cell Lung Cancer, run by Genentech, Inc. at 247 sites in 17 countries.
Trial summary
This is a Phase IIIb, multicenter, randomized, placebo-controlled trial to evaluate the safety and efficacy of chemotherapy+bevacizumab followed by bevacizumab+erlotinib versus bevacizumab+erlotinib placebo in subjects with locally advanced or metastatic NSCLC. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- bevacizumab and erlotinib HCl
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,145 participants
- Where
- 247 sitesin 17 countries
- Study dates
- Jan 2006to Nov 2014
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed Informed Consent Form
- Histologically or cytologically confirmed NSCLC
- Advanced NSCLC or recurrent disease
- INR no greater than 1.3 and aPTT no greater than upper limits of normal (ULN) within 28 days prior to enrollment for subjects not on low molecular weight heparin or fondaparinux. Subjects on low molecular weight heparin or fondaparinux are not required to meet INR or aPTT limits. Chronic full-dose anticoagulation with warfarin is not permitted.
- 18 years of age or older
- For women of childbearing potential and sexually active men, use of an accepted and effective method of contraception (hormonal or barrier methods, abstinence) prior to enrollment and for the duration of the study
Who cannot join
- Prior systemic chemotherapy in the metastatic setting
- Treatment with an investigational or marketed agent that acts by either EGFR inhibition or anti-angiogenesis mechanisms
- Pregnancy or lactation
- Any other medical condition, including mental illness or substance abuse, deemed by the clinician to be likely to interfere with a subject's ability to provide informed consent, cooperate, and participate in the study, or to interfere with the interpretation of the results
- Active infection or a fever within 3 days of enrollment
- Active malignancy other than lung cancer
Show all 21Show fewer
- Radiation therapy to sites other than whole brain within 14 days prior to enrollment
- History of gross hemoptysis within 3 months prior to enrollment
- Known hypersensitivity to any of the components of cytotoxic chemotherapy combinations, bevacizumab, or tyrosine kinase inhibitors
- Inadequately controlled hypertension
- Unstable angina or New York Heart Association Grade II or greater CHF
- Abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to enrollment
- History of myocardial infarction within 6 months prior to enrollment
- History of stroke within 6 months prior to enrollment
- Symptomatic peripheral vascular disease within 6 months prior to enrollment
- Evidence of bleeding diathesis or coagulopathy
- Serious, non-healing wound, ulcer, or bone fracture
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to enrollment; anticipation of need for major surgical procedure during the course of the study
- Current, recent, or planned participation in an experimental drug study other than this Genentech-sponsored bevacizumab/erlotinib study
- Progressive neurologic symptoms in subjects with a history of brain metastases
- History of significant vascular disease (e.g., aortic aneurysm)
Trial locations and contacts
247 sites in 17 countries.
247 sites in 17 countries
United States177 sites
Summa Health System
Akron, Ohio, 44304
Akron General Medical Center
Akron, Ohio, 44307
Phoebe Putney Cancer Center
Albany, Georgia, 31701
Central Hem/Onc Medical Group
Alhambra, California, 91801
Chicagoland Hematology Onc
Arlington Heights, Illinois, 60005
Northeast Georgia Cancer Care
Athens, Georgia, 30607
Lone Star Oncology Consultants
Austin, Texas, 78759
Comp Blood & Cancer Center
Bakersfield, California, 93309
H&J Weinberg Cancer Institute
Baltimore, Maryland, 21237
SW Vermont Healthcare Onc Asoc
Bennington, Vermont, 05201
Hematology Oncology Associates
Bettendorf, Iowa, 52722
Billings Clinic
Billings, Montana, 59101
Center for Hematology-Oncology
Boca Raton, Florida, 33486
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
Caritas St. Elizabeth Med Ctr
Boston, Massachusetts, 02135
Zale P Bernstein MD - PP
Buffalo, New York, 14215
Lahey Clinic Med Ctr
Burlington, Massachusetts, 01805
South Bay Oncology
Campbell, California, 95008
Aultman Hospital
Canton, Ohio, 44710
Gabrail Cancer Center
Canton, Ohio, 44718
Charleston Cancer Center
Charleston, South Carolina, 29406
Presbyterian Hospital
Charlotte, North Carolina, 28204
Erlanger Health Systems
Chattanooga, Tennessee, 37403
Ctr for Cancer & Hem Disease
Cherry Hill, New Jersey, 08003
Weiss-Strauss Oncology Center
Chicago, Illinois, 60640
Onc/Hem Care Clin Trials LLC
Cincinnati, Ohio, 45242
MetroHealth Medical Center
Cleveland, Ohio, 44109
Oncology Hematology Associates
Clinton, Maryland, 20735
Vermont Ctr Cancer Medicine
Colchester, Vermont, 05446
Maryland Oncology/Hema PA
Columbia, Maryland, 21044
Ellis Fischel Cancer Center
Columbia, Missouri, 65203
Mid Ohio Onc Hematology Inc
Columbus, Ohio, 43213
Riverside Methodist Hospital
Columbus, Ohio, 43214
Bay Area Cancer Research Grp
Concord, California, 94598
NorthEast Medical Center
Concord, North Carolina, 28025
Bassett Cancer Center
Cooperstown, New York, 13326
Coastal Bend Cancer Center
Corpus Christi, Texas, 78404
Texas Cancer Associates
Dallas, Texas, 75231
Texas Hematology Oncology
Dallas, Texas, 75234
Dayton Clinical Oncology Prog
Dayton, Ohio, 45429
Halifax Medical Center
Daytona Beach, Florida, 32115
Mile High Oncology
Denver, Colorado, 80210
Pacific Onc & Hem Assoc
Encinitas, California, 92024
Forte, Attas & Schleider
Englewood, New Jersey, 07631
Ephrata Cancer Center
Ephrata, Pennsylvania, 17543
San Juan Onco Assoc
Farmington, New Mexico, 87401
Hunterdon Medical Center
Flemington, New Jersey, 08822
Front Range Cancer Specialists
Fort Collins, Colorado, 80524
St. Edward Mercy Medical Ctr
Fort Smith, Arizona, 72917
JPS Center for Cancer Care
Fort Worth, Texas, 76104
Pacific Coast Hem/Onc
Fountain Valley, California, 92708
Metrowest Cancer Center
Framingham, Massachusetts, 01702
Frederick Memorial Hospital
Frederick, Maryland, 21701
Central State Medical Center
Freehold, New Jersey, 07728
Cancer Care Associates
Fresno, California, 93720
St. Jude Heritage Med Group
Fullerton, California, 92835
Univ of Texas Medical Branch
Galveston, Texas, 77555
LaGrange Oncology Associates
Geneva, Illinois, 54301
The Jones Clinic
Germantown, Tennessee, 38138
Ronald H. Yanagihara
Gilroy, California, 95020
Adriondack Cancer Care
Glen Falls, New York, 12801
Glendale Adventist Medical Ctr
Glendale, California, 91206
Oncology Alliance
Glendale, Wisconsin, 53212
Spectrum Health
Grand Rapids, Michigan, 49503
Big Sky Oncology
Great Falls, Montana, 59405
BRANY
Great Neck, New York, 11021
Moses Cone Reg Cncr Ctr
Greensboro, North Carolina, 27403
Emerywood Hematology Oncology
High Point, North Carolina, 27262
Gajera & Patel, PLLC
Hopkinsville, Kentucky, 42240
Carolina BioOncology Institute
Huntersville, North Carolina, 28078
Univ Physicians Internal Med
Huntington, West Virginia, 25701
Florida Wellcare Alliance
Inverness, Florida, 34452
Jackson-Madsion County Hosp
Jackson, Tennessee, 38301
Baptist Cancer Institute
Jacksonville, Florida, 32207
Queens Cancer Center
Jamaica, New York, 11432
Freeman Cancer Institute
Joplin, Missouri, 64804
Kalamazoo Hem & Onc
Kalamazoo, Michigan, 49048
Kinston Medical Specialists
Kinston, North Carolina, 28501
Cascade Cancer Center
Kirkland, Washington, 98034
Armstrong County Memorial Hosp
Kittanning, Pennsylvania, 16201
Scipps Clinic
La Jolla, California, 92037-1027
Wilford Hall Medical Center
Lackland Air Force Base, Texas, 78236
La Grange Oncology Associates
LaGrange, Illinois, 60525
Hem Onc Assoc Phys Lancaster
Lancaster, Pennsylvania, 17604
Comp Cancer Centers of Nevada
Las Vegas, Nevada, 89109
Suburban Hem-Onc Associates
Lawrenceville, Georgia, 30045
NE Hematology Oncology, PC
Lincoln, Nebraska, 68506
St. Barnabas Health Care Sys
Livingston, New Jersey, 07039
Loma Linda Univ Medical Center
Loma Linda, California, 92354
Pacific Shores Medical Group
Long Beach, California, 90813
Kenmar Research Institute LLC
Los Angeles, California, 90057
UCLA Medical Ctr
Los Angeles, California, 90095
Kentuckiana Cancer Center
Louisville, Kentucky, 40202
University of Louisville
Louisville, Kentucky, 40202
Consultants in Blood Disorders
Louisville, Kentucky, 40207
Dean Clinic
Madison, Wisconsin, 53715
Ohio Cancer Specialists
Mansfield, Ohio, 44907
Northwest Georgia Onc Centers
Marietta, Georgia, 30060
Marquette General Health Sys
Marquette, Michigan, 49855
Clopton Clinic
Memphis, Tennessee, 38138
Jackson Memorial Hospital
Miami, Florida, 33136
Crystal Run Health Care
Middletown, New York, 10941
Signal Point Hem/Oncology Inc
Middletown, Ohio, 45042
Medical Consultants LTD
Milwaukee, Wisconsin, 53215
Virginia Piper Cancer Inst
Minneapolis, Minnesota, 55407
Montana Cancer Specialists
Missoula, Montana, 59802
Sacred Heart Medical Onc Group
Mobile, Alabama, 36608
Sutter Gould Med Foundation
Modesto, California, 95355
Mountainside Hospital
Montclair, New Jersey, 07042
West Virginia University
Morgantown, West Virginia, 26506
Morristown Memorial Hospital
Morristown, New Jersey, 07962
Hematology Oncology Assoc SJ
Mount Holly, New Jersey, 08060
Community Hospital
Munster, Indiana, 46321
Sarah Cannon Cancer Center
Nashville, Tennessee, 37203-1632
Vanderbilt University Medical
Nashville, Tennessee, 37232
Jersey Shore Medical Center
Neptune City, New Jersey, 07754
Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
NYU Medical Center
New York, New York, 10016
Mem Sloan Kettering Cancer Ctr
New York, New York, 10021
Peninsula Cancer Institute
Newport News, Virginia, 23606
North Valley Hem Onc Med Grp
Northridge, California, 91325
Associates in Medical Oncology
Oak Lawn, Illinois, 60453
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Hem Onc Med Grp Orange Cty
Orange, California, 92868
Medical Oncology Care Assoc
Orange, California, 92868
Mid-Florida Hem Oncology Ctr
Orange City, Florida, 32763
Integrated Comm Onc Network
Orange Park, Florida, 32073
Owensboro Medical Health Sys
Owensboro, Kentucky, 42303
Ventura Co Hem-Onc Specialists
Oxnard, California, 93030
The Valley Hospital
Paramus, New Jersey, 07652
Onc Hem Assoc of Central IL
Peoria, Illinois, 61615
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Wilshire Oncology Medical Grp
Pomona, California, 91767
St. Joseph Mercy Oakland
Pontiac, Michigan, 48341
Hematology Onc Treasure Coast
Port Saint Lucie, Florida, 34952
Providence Portland Med Center
Portland, Oregon, 97213
All Saints Cancer Center
Racine, Wisconsin, 53405
West Suburban Cancer Center
River Forest, Illinois, 60305
SW Virginia Hem Onc
Roanoke, Virginia, 24014
OSF St. Anthony Med Ctr
Rockford, Illinois, 61108
William Beaumont Hospital
Royal Oak, Michigan, 48073
Community Cancer Center
Rutland, Vermont, 05701
Sutter Cancer Center
Sacramento, California, 95816
Mercy General Hospital
Sacramento, California, 95819
Missouri Cancer Center, PC
Saint Charles, Missouri, 63301
Los Palos Oncology & Hem
Salinas, California, 93901
Kaiser Permanente
San Diego, California, 92120
Naval Medical Center
San Diego, California, 92134
Pacific Hematology Oncology
San Francisco, California, 94115
Kaiser Permanente Santa Teresa
San Jose, California, 95119
Sansum Medical Clinic, Inc.
Santa Barbara, California, 93105
Santa Barbara Hem Onc Med Grp
Santa Barbara, California, 93105
Central Coast Medical Oncology
Santa Maria, California, 93454
The Angeles Clinic
Santa Monica, California, 90404
Redwood Regional Med Grp
Santa Rosa, California, 95403
Mayo Clinic
Scottsdale, Arizona, 85259
Scranton Hematology Oncology
Scranton, Pennsylvania, 18510
Willis-Knighton Cancer Center
Shreveport, Louisiana, 71103
Siouxland Hem-Onc Assoc LLP
Sioux City, Iowa, 51101
Palmetto Hematology Oncology
Spartanburg, South Carolina, 29303
Baystate Medical Center
Springfield, Massachusetts, 01107
St. Louis Univ Care Center
St Louis, Missouri, 63117
Overlook Hospital
Summit, New Jersey, 07902
SUNY Upstate
Syracuse, New York, 13210
Northwest Medical Specialists
Tacoma, Washington, 98405
Holy Name Hospital
Teaneck, New Jersey, 07666
Providence Medical Group
Terre Haute, Indiana, 47802
Toledo Community Hospital
Toledo, Ohio, 43623
Cancer Care Associates
Torrance, California, 90505
Arizona Cancer Center
Tucson, Arizona, 85724
Assoc in Hematology Oncology
Upland, Pennsylvania, 19013
Arch Medical Services
Washington, Missouri, 63090
Beaufort County Hospital
Washington, North Carolina, 27889
Washington Onc Hem Center PC
Washington D.C., District of Columbia, 20037
Covenant Clinic
Waterloo, Iowa, 50702
Lankenau Medical Office Bldg
Wynnewood, Pennsylvania, 19096
Forum Health Cancer Care Ctr
Youngstown, Ohio, 44501
Argentina9 sites
Hospital Pirovano
Buenos Aires, 1430
Hospital Britanico
Buenos Aires, C1284AEB
Hospital Toru
Buenos Aires, C1427ARN
CEMIC
Buenos Aires, C1431FWO
Centro Oncologico de Cordoba
Córdoba, X5000AAI
COIR
Mendoza, 5500
Instituto Medico Privado
Resistencia, 3900
Clinica Oncologica de Rosario
Rosario, S2000dsk
ISIS Clinica Especializada
Sante Fe, S3000FFU
Bulgaria9 sites
Regional Oncodispensary
Plovdiv, 4004
Regional Oncodispensary
Rousse, 7000
Regional Oncodispensary
Shumen, 9700
Regional Oncodispensary
Sofia, 1233
UMHAT "Queen Joanna"
Sofia, 1527
National Specialized Hospital
Sofia, 1756
Regional Oncodispensary
Stara Zagora, 6003
MHAT "St Marina"
Varna, 9010
Regional Oncodispensary
Veliko Tarnovo, 5000
Spain7 sites
Hospital de Cruces
Barakaldo, 48903
Hospital del Mar
Barcelona, 08003
Hospital Clinic i Provincial
Barcelona, 08036
Corporacio Sanitaria Parc
Sabadell, Barcelona, 08208
Hospital Universitario
San Cristóbal de La Laguna, 38320
Instituto Valenciano Oncologia
Valencia, 46009
Hospital Clinico Universitario
Valencia, 46010
Italy6 sites
Azienda Ospedaliera Univ
Genova, 16132
Ist Nazion per Ricerca Cancro
Genova, 16132
Univ degli Studi di Napoli
Naples, 80131
Azienda Ospedaliera
Parma, 43100
Azienda Osper di Perugia
Perugia, 06159
Divisione Onc Med dell'Azienda
Udine, 33100
Philippines6 sites
Perpetual Succour Hospital
Cebu City, Visayas, 6000
Philippine General Hospital
Manila, Luzon, 1000
Univ of Santo Tomas Hospital
Manila, 1008
The Medical City
Pasig, Luzon, 1605
Veterans Memorial Medical Ctr
Quezon City, Luzon, 1114
St Luke's Medical Center
Quezon City, 1102
Thailand5 sites
Bumrungrad International Hosp
Bangkok, 10110
National Cancer Institute
Bangkok, 10400
Pramongkutklao Hospital
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Maharaj Nakorn Chiang Mai Hosp
Chiang Mai, 50200
Australia4 sites
Holy Spirit Hospital Northside
Chermside, QLD, 4032
Sunshine Coast Cancer Centre
Nambour, QLD, 4560
Sir Charles Gairdner Hospital
Nedlands, WA, 6009
Burnside War Memorial Hospital
Toorak Gardens, SA, 5065
Hong Kong4 sites
Princess Margaret Hospital
Hong Kong
Queen Elizabeth Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
Tuen Mun Hospital
Hong Kong
Mexico4 sites
Torre Medica Cristobal Colon
Acapulco, 39670
Inst Nacional de Cancerologia
Distrito Federal, 14080
ISSSTE Merida
Mérida, 97500
Hospital de Especialidades
Torreon, Coahuila, 27200
Brazil3 sites
Instituto Nacional do Cancer
Rio de Janeiro, 20-231-050
Instituto de cancer Arnaldo
São Paulo, São Paulo, 01221-020
Hospital Das Clinicas
São Paulo, 05403-01
Israel3 sites
Hadassah Medical Center
Jerusalem, 91120
Sourasky Medical Center
Tel Aviv, 64239
Sheba Medical Center
Tel HaShomer, 52621
Romania3 sites
Centrul de Onc Medical Lasi
Iași, 700106
Spitalul Clinic Judetean Sibiu
Sibiu, 550245
Spitalul Judetean de Urgente
Suceava, 720237
Taiwan3 sites
Taichung Veterans Gen Hosp
Dawan, 407
China Medical Univ Hosp
Taichung, 404
National Taiwan University
Taipei, 112
Belgium2 sites
Cliniques Univ St Luc
Brussels, 1200
CHR Citadelle Liege
Liège, 4000
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Phase IIIb Trial Comparing Bevacizumab Therapy With or Without Erlotinib After Completion of Chemotherapy With Bevacizumab for the First-Line Treatment of Locally Advanced, Recurrent, or Metastatic Non-Small Cell Lung Cancer
This is a Phase IIIb, multicenter, randomized, placebo-controlled trial to evaluate the safety and efficacy of chemotherapy+bevacizumab followed by bevacizumab+erlotinib versus bevacizumab+erlotinib placebo in subjects with locally advanced or metastatic NSCLC.
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- bevacizumab, placebo, erlotinib HCl
- Keywords
- NSCLC, Lung Cancer, ATLAS, Avastin, Tarceva
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bevacizumabDrug
Intravenous repeating dose
placeboDrug
Oral repeating dose
erlotinib HClDrug
Oral repeating dose
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Not described Receives: Drug: bevacizumab; Drug: erlotinib HCl |
| 2 | Placebo comparator | Not described Receives: Drug: bevacizumab; Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
PFS was defined as the length of time from randomization until documented disease progression or death from any cause, whichever occurred earlier. 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. Data presented until cut-off date 18 July 2008.
Measured: Approximately 3 years
Secondary outcomes (6)
Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Chemotherapy Phase
Treatment-emergent adverse events were events between administration of study drug and up to 30 days after last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.. Number of participants who had Grade >=3TEAEs of pulmonary hemorrhage, gastrointestinal (GI) perforation, arterial thromboembolic (ATE) events, proteinuria, congestive heart failure (CHF), and hypertension were presented. Data presented up to data cutoff 18 July 2008.
Measured: Approximately 3 years
Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Post-Chemotherapy Phase
Treatment-related adverse events are defined as new events that occur following subject entry into the study or events that worsen following study entry state and are judged by the investigator to be possibly, probably or definitely related to study medication. Pulmonary hemorrhage, GI perforation, ATE events, proteinuria, CHF, and hypertension were prospectively identified TEAEs of grade >=3. Data presented until cut-off date 28 January 2009.
Measured: Approximately 3 years
Number of Participants With Any Adverse Events During Post-Chemotherapy Phase
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event. Data presented up to data cutoff 19 June 2009.
Measured: Approximately 3.5 years
Incidence of Study Treatment Discontinuation for Reasons Other Than Disease Progression in Chemotherapy Phase
Participants who experienced disease progression were discontinued from the study. Data presented up to data cutoff (18 July 2008).
Measured: Approximately 3 years
Incidence of Study Treatment Discontinuation
Participants in post-chemotherapy phase were discontinued from the study for the reasons other than disease progression. Data presented Up to data cutoff 18 July 2008.
Measured: Approximately 3 years
Overall Survival
Overall survival was defined as the length of time from randomization to death.
Measured: Approximately 3.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2005 (estimated)
- Study startJan 2006
- Primary completionNov 2014
- Study completionNov 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,145 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Donald Strickland, M.D., Study director, Genentech, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00257608
- Sponsor's protocol ID
- AVF3671g
- Other IDs
- BO20800
- Status last verified
- Mar 2016
- First submitted
- 21 Nov 2005
- Last updated
- 18 Apr 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Johnson BE, Kabbinavar F, Fehrenbacher L, Hainsworth J, Kasubhai S, Kressel B, Lin CY, Marsland T, Patel T, Polikoff J, Rubin M, White L, Yang JC, Bowden C, Miller V. ATLAS: randomized, double-blind, placebo-controlled, phase IIIB trial comparing bevacizumab therapy with or without erlotinib, after completion of chemotherapy, with bevacizumab for first-line treatment of advanced non-small-cell lung cancer. J Clin Oncol. 2013 Nov 1;31(31):3926-34. doi: 10.1200/JCO.2012.47.3983. Epub 2013 Oct 7.
PubMed 24101054
Study at a glance
From the registry record, last updated by the sponsor on 18 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Phase IIIb Trial Comparing Bevacizumab Therapy With or Without Erlotinib After Completion of Chemotherapy With Bevacizumab for the First-Line Treatment of Locally Advanced, Recurrent, or Metastatic Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT00257608
- Acronym / sponsor ID
- AVF3671g
- Conditions
- Non-Small Cell Lung Cancer
- Keywords
- NSCLC, Lung Cancer, ATLAS, Avastin, Tarceva
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,145 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- Jan 2006
- Primary completion
- Nov 2014 (actual)
- Study completion
- Nov 2014 (actual)
- First posted
- 23 Nov 2005 (estimated)
- Results
- Posted 15 Mar 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase IIIb, multicenter, randomized, placebo-controlled trial to evaluate the safety and efficacy of chemotherapy+bevacizumab followed by bevacizumab+erlotinib versus bevacizumab+erlotinib placebo in subjects with locally advanced or metastatic NSCLC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: bevacizumab, Drug: erlotinib HCl |
| 2 | Placebo comparator | Drug: bevacizumab, Drug: placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Signed Informed Consent Form
- Histologically or cytologically confirmed NSCLC
- Advanced NSCLC or recurrent disease
- INR no greater than 1.3 and aPTT no greater than upper limits of normal (ULN) within 28 days prior to enrollment for subjects not on low molecular weight heparin or fondaparinux. Subjects on low molecular weight heparin or fondaparinux are not required to meet INR or aPTT limits. Chronic full-dose anticoagulation with warfarin is not permitted.
- 18 years of age or older
Key exclusion criteria (21 listed)
- Prior systemic chemotherapy in the metastatic setting
- Treatment with an investigational or marketed agent that acts by either EGFR inhibition or anti-angiogenesis mechanisms
- Pregnancy or lactation
- Any other medical condition, including mental illness or substance abuse, deemed by the clinician to be likely to interfere with a subject's ability to provide informed consent, cooperate, and participate in the study, or to interfere with the interpretation of the results
- Active infection or a fever within 3 days of enrollment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| bevacizumabIntravenous repeating dose | Drug | 1, 2 |
| placeboOral repeating dose | Drug | 2 |
| erlotinib HClOral repeating dose | Drug | 1 |
Primary outcome
Progression-free Survival (PFS)
Time frame: Approximately 3 years
PFS was defined as the length of time from randomization until documented disease progression or death from any cause, whichever occurred earlier. 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. Data presented until cut-off date 18 July 2008.
6 secondary outcomes
Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Chemotherapy Phase
Time frame: Approximately 3 years
Number of Participants With Prospectively Identified Treatment Emergent Adverse Events (TEAE) During Post-Chemotherapy Phase
Time frame: Approximately 3 years
Number of Participants With Any Adverse Events During Post-Chemotherapy Phase
Time frame: Approximately 3.5 years
Incidence of Study Treatment Discontinuation for Reasons Other Than Disease Progression in Chemotherapy Phase
Time frame: Approximately 3 years
Incidence of Study Treatment Discontinuation
Time frame: Approximately 3 years
Overall Survival
Time frame: Approximately 3.5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Apr 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24101054Johnson BE, Kabbinavar F, Fehrenbacher L, Hainsworth J, Kasubhai S, Kressel B, Lin CY, Marsland T, Patel T, Polikoff J, Rubin M, White L, Yang JC, Bowden C, Miller V. ATLAS: randomized, double-blind, placebo-controlled, phase IIIB trial comparing bevacizumab therapy with or without erlotinib, after completion of chemotherapy, with bevacizumab for first-line treatment of advanced non-small-cell lung cancer. J Clin Oncol. 2013 Nov 1;31(31):3926-34. doi: 10.1200/JCO.2012.47.3983. Epub 2013 Oct 7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Donald Strickland, M.D. study director
Genentech, Inc.
247 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing bevacizumab and erlotinib HCl in people with Non-Small Cell Lung Cancer, run by Genentech, Inc. at 247 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 247 sites in United States, Argentina, Bulgaria, Spain, Italy and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (PFS) (time frame: Approximately 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00257608, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Apr 2016.