Epithelial Ovarian CancerPhase 2NCT00407563
Bevacizumab With Abraxane in Patients With Recurrent Ovarian/ Peritoneal Cancer
A Phase 2 study testing Bevacizumab and Abraxane in people with Epithelial Ovarian Cancer and Primary Peritoneal Carcinoma, run by Accelerated Community Oncology Research Network at 11 sites in United States.
Trial summary
The purpose of this study is to evaluate the effectiveness and tolerability of the combination of bevacizumab and Abraxane in the treatment of women with epithelial ovarian cancer or peritoneal cancer. The study will also evaluate how the patient's quality of life is during their treatment. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Epithelial Ovarian Cancer, Primary Peritoneal Carcinoma
- What is being tested?
- Bevacizumab and Abraxane
- Type of treatment
- Injection or infusion
- How many people
- 48 participants
- Where
- 11 sitesUnited States
- Study dates
- Jan 2007to Feb 2011
- Phase
- Phase 2
- 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Measurable disease by CT or MRI.
- At least 1 "target lesion" to be used to assess response as defined by GOG RECIST criteria.
- ECOG performance status of 0 or 1.
- Patient provides voluntary written informed consent.
- At least 18 years of age.
- Negative serum pregnancy test.
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- Recovered from any recent surgery for at least 30 days and is free of active infection.
- Received the following prior therapy at time of enrollment:
- Must have had 1 prior platinum-based chemotherapeutic regimen containing carboplatin, cisplatin or organoplatinum. Initial therapy may have included high-dose therapy, consolidation, or extended therapy. Patient should be defined as recurrent or progression of disease within 6 months of last platinum chemotherapy.
- May have had 1 additional cytotoxic or non-cytotoxic chemotherapy regimen.
- Must have adequate hematologic and hepatic function.
Who cannot join
- Previously received bevacizumab.
- History of other invasive malignancy with the exception of nonmelanoma skin cancer.
- ECOG performance status of 2, 3, or 4.
- Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study other than a Genentech-sponsored bevacizumab cancer study. Patient must be bevacizumab naïve.
- Blood pressure of >150/100 mm Hg on antihypertensive medications.
- Prior history of hypertensive crisis or hypertensive encephalopathy.
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- Diagnosed with unstable angina per NYHA or Grade 2 or greater congestive heart failure.
- History of myocardial infarction within 6 months of enrollment.
- History of stroke or transient ischemic attack within 6 months prior to study enrollment.
- Clinically significant vascular disease (e.g., aortic aneurysm, aortic dissection)or symptomatic peripheral vascular disease.
- Bleeding diathesis or coagulopathy.
- Presence of CNS or brain metastases.
- Pre-existing peripheral neuropathy of Grade ≥ 2.
- A major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment or anticipation of need for major surgical procedure during the course of the study.
- A partial or complete small or large bowel obstruction demonstrated radiologically within 3 months prior to study enrollment.
- Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment.
- Positive pregnancy test or is lactating.
- History of abdominal fistula, GI perforation, or intra-abdominal abscess within 6 months prior to study enrollment.
- Serious, non-healing wound, ulcer, or bone fracture.
- Serious intercurrent medical or psychiatric illness, including serious active infection.
- Inability to comply with study and/or follow-up procedures.
- Life expectancy of less than 12 weeks.
- Proteinuria at screening as demonstrated by either:
- Urine protein:creatinine (UPC) ratio ≥ 1.0 at screening OR
- Urine dipstick for proteinuria ≥ 2+ (patients discovered to have ≥2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate ≤ 1g of protein in 24 hours to be eligible).
- Known hypersensitivity to any component of bevacizumab.
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
United States11 sites
Northeast Georgia Cancer Care, LLC
Athens, Georgia, 30607
Southeastern Gynecologic Oncology, LLC
Atlanta, Georgia, 30342
Hematology-Oncology Centers of the Northern Rockies
Billings, Montana, 59101
Chattanooga's Program in Women's Oncology
Chattanooga, Tennessee, 37403
Cancer Specialists of Tidewater, Ltd
Chesapeake, Virginia, 23320
North Idaho Cancer Center
Coeur d'Alene, Idaho, 38314
Mid-Ohio Oncology/Hematology
Columbus, Ohio, 43219
Wilshire Oncology Medical Group, Inc.
La Verne, California, 91750
Little Rock Hematology Oncology
Little Rock, Arkansas, 72205
The West Clinic
Memphis, Tennessee, 38120
Pennsylvania Oncology Hematology Assoc.
Philadelphia, Pennsylvania, 19106
About this study
Official title: A Phase 2 Study of Bevacizumab With Abraxane in Patients With Recurrent, Platinum-Resistant Primary Epithelial Ovarian or Primary Peritoneal Carcinoma
The purpose of this study is to evaluate the effectiveness and tolerability of the combination of bevacizumab and Abraxane in the treatment of women with epithelial ovarian cancer or peritoneal cancer. The study will also evaluate how the patient's quality of life is during their treatment.
- Being tested
- Bevacizumab, Abraxane
- Medical subject headings
- Carcinoma, Ovarian Epithelial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BevacizumabDrug
Also called Avastin
Bevacizumab will be given via IV infusion at 10mg/kg given on days 1 and 15 of a 28-day cycle.
AbraxaneDrug
Also called albumin-bound paclitaxel
Abraxane will be given via IV infusion at 100mg/m²over 30 minutes on days 1, 8, and 15 of a 28-day cycle.
What is being measured
The primary outcome is the main question the study is designed to answer.
6-month Progression-Free Rate
Progression-free rate is defined as the percentage of participants with no progression event at 6 months after starting study treatment. An event for this endpoint was defined as a progression-free survival event occurring earlier than six months, or discontinuation of treatment earlier than six months for any other reason. Progression is defined per RECIST criteria v1.0 as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions.
Measured: 6 months after initiation of study treatment
Secondary outcomes (4)
Best Overall Response
Radiologic imaging was scheduled to be performed at baseline, after every third treatment cycle, and at the end of treatment or time of progression unless it was done in the previous four weeks. Response was evaluated using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter of target lesions; overall response (OR) = CR+PR.
Measured: Radiologic imaging was repeated after every 3 cycles (about every 12 weeks) during study treatment, up to 31 months.
Overall Survival
Measured: Overall survival is defined as the time from treatment start until death from any cause, assessed up to 40 months.
Progression-free Survival (PFS)
Disease progression was determined through radiology imaging measurements and by clinical or symptomatic progression during or after treatment. Progression is defined per RECIST criteria v1.0 as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions.
Measured: PFS was measured from day 1 of treatment until time of progression (assessed every 12 weeks) or death, whichever came first, assessed up to 30 months.
Best Overall Response at Six Months
The outcome measure assessed the percentage of participants who had achieved either a Partial or Complete Response over 6 months of treatment. Radiologic imaging was scheduled to be performed at baseline, after every third treatment cycle, and at the end of treatment or time of progression unless it was done in the previous four weeks. Response was evaluated using RECIST version 1.0 guidelines, where complete response (CR) is the disappearance of all target lesions; partial response (PR) is >=30% decrease in the sum of the longest diameter of target lesions; overall response (OR) = CR+PR.
Measured: Assessed over 6 months of study treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Dec 2006 (estimated)
- Study startJan 2007
- Primary completionFeb 2011
- Study completionFeb 2011
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 Epithelial Ovarian CancerStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- Accelerated Community Oncology Research Network
- Sponsor type
- University, hospital or other
- Collaborators
- Genentech, Inc., Celgene Corporation
- Responsible party
- Sponsor
- Investigators
- Lee S. Schwartzberg, MD, FACP, Principal investigator, The West Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00407563
- Sponsor's protocol ID
- ACORN ALSSOPR0501
- Status last verified
- Mar 2012
- First submitted
- 4 Dec 2006
- Last updated
- 5 Apr 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Tillmanns TD, Lowe MP, Walker MS, Stepanski EJ, Schwartzberg LS. Phase II clinical trial of bevacizumab with albumin-bound paclitaxel in patients with recurrent, platinum-resistant primary epithelial ovarian or primary peritoneal carcinoma. Gynecol Oncol. 2013 Feb;128(2):221-8. doi: 10.1016/j.ygyno.2012.08.039. Epub 2012 Sep 5.
PubMed 22960352
Study at a glance
From the registry record, last updated by the sponsor on 5 Apr 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Study of Bevacizumab With Abraxane in Patients With Recurrent, Platinum-Resistant Primary Epithelial Ovarian or Primary Peritoneal Carcinoma
- ClinicalTrials.gov ID
- NCT00407563
- Acronym / sponsor ID
- ACORN ALSSOPR0501
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 48 participants (actual)
- Lead sponsor
- Accelerated Community Oncology Research NetworkUniversity, hospital or other
- Collaborators
- Genentech, Inc., Celgene Corporation
- Study start
- Jan 2007
- Primary completion
- Feb 2011 (actual)
- Study completion
- Feb 2011 (actual)
- First posted
- 5 Dec 2006 (estimated)
- Results
- Posted 5 Apr 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effectiveness and tolerability of the combination of bevacizumab and Abraxane in the treatment of women with epithelial ovarian cancer or peritoneal cancer. The study will also evaluate how the patient's quality of life is during their treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Measurable disease by CT or MRI.
- At least 1 "target lesion" to be used to assess response as defined by GOG RECIST criteria.
- ECOG performance status of 0 or 1.
- Patient provides voluntary written informed consent.
- At least 18 years of age.
Key exclusion criteria (26 listed)
- Previously received bevacizumab.
- History of other invasive malignancy with the exception of nonmelanoma skin cancer.
- ECOG performance status of 2, 3, or 4.
- Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study other than a Genentech-sponsored bevacizumab cancer study. Patient must be bevacizumab naïve.
- Blood pressure of >150/100 mm Hg on antihypertensive medications.
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 |
|---|---|---|
| BevacizumabAlso: AvastinBevacizumab will be given via IV infusion at 10mg/kg given on days 1 and 15 of a 28-day cycle. | Drug | – |
| AbraxaneAlso: albumin-bound paclitaxelAbraxane will be given via IV infusion at 100mg/m²over 30 minutes on days 1, 8, and 15 of a 28-day cycle. | Drug | – |
Primary outcome
6-month Progression-Free Rate
Time frame: 6 months after initiation of study treatment
Progression-free rate is defined as the percentage of participants with no progression event at 6 months after starting study treatment. An event for this endpoint was defined as a progression-free survival event occurring earlier than six months, or discontinuation of treatment earlier than six months for any other reason. Progression is defined per RECIST criteria v1.0 as a measurable increase in the smallest diameter of any target lesion, progression of existing non-target lesions, or the appearance of 1 or more new lesions.
4 secondary outcomes
Best Overall Response
Time frame: Radiologic imaging was repeated after every 3 cycles (about every 12 weeks) during study treatment, up to 31 months.
Overall Survival
Time frame: Overall survival is defined as the time from treatment start until death from any cause, assessed up to 40 months.
Progression-free Survival (PFS)
Time frame: PFS was measured from day 1 of treatment until time of progression (assessed every 12 weeks) or death, whichever came first, assessed up to 30 months.
Best Overall Response at Six Months
Time frame: Assessed over 6 months of study treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Apr 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22960352Tillmanns TD, Lowe MP, Walker MS, Stepanski EJ, Schwartzberg LS. Phase II clinical trial of bevacizumab with albumin-bound paclitaxel in patients with recurrent, platinum-resistant primary epithelial ovarian or primary peritoneal carcinoma. Gynecol Oncol. 2013 Feb;128(2):221-8. doi: 10.1016/j.ygyno.2012.08.039. Epub 2012 Sep 5.
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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.
Lee S. Schwartzberg, MD, FACP principal investigator
The West Clinic
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Bevacizumab and Abraxane in people with Epithelial Ovarian Cancer and Primary Peritoneal Carcinoma, run by Accelerated Community Oncology Research Network at 11 sites in United States.
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 11 inclusion and 26 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 5 Apr 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in United States. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 5 Apr 2012). 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?
6-month Progression-Free Rate (time frame: 6 months after initiation of study treatment). 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 NCT00407563, 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 5 Apr 2012.