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NeoplasmsPhase 2NCT00448136

A Study of Avastin (Bevacizumab) in Combination With Chemotherapy in Patients With Endocrine Tumors of the Gastrointestinal Tract.

A Phase 2 study testing bevacizumab [Avastin], 5 FU and Streptozotocin in people with Neoplasms, run by Hoffmann-La Roche at 27 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This 2 arm study will assess the efficacy and safety of two systemic treatments including Avastin in patients with previously-untreated progressive locally advanced/metastatic well-differentiated digestive endocrine tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasms
What is being tested?
bevacizumab [Avastin], 5 FU and Streptozotocin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
83 participants
Where
27 sitesFrance
Study dates
Jul 2007to Nov 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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult patients, >=18 years of age;
  • well-differentiated gastrointestinal tract endocrine tumors, or duodeno-pancreatic endocrine tumors;
  • no previous anti-cancer therapy, other than surgery;
  • progressive metastatic disease;
  • >=1 measurable lesion.

Who cannot join

  • abnormal cardiac function, with history of ischemic heart disease in past 6 months and/or abnormal 12 lead ECG;
  • patients with known bleeding disorders;
  • unstable systemic disease;
  • chronic daily treatment with high-dose aspirin, NSAIDs or corticosteroids;
  • previous history of malignancy (other than successfully treated basal and squamous cell cancer of the skin, and/or in situ cancer of the cervix).

Trial locations and contacts

27 sites in 1 country.

27 sites in 1 country

France27 sites
  • Study site

    Angers, 49933

  • Study site

    Bordeaux, 33075

  • Study site

    Boulogne-Billancourt, 92104

  • Study site

    Caen, 14033

  • Study site

    Chambray-lès-Tours, 37171

  • Study site

    Clichy, 92118

  • Study site

    Créteil, 94010

  • Study site

    Dijon, 21079

  • Study site

    Lille, 59020

  • Study site

    Lyon, 69437

  • Study site

    Marseille, 13273

  • Study site

    Marseille, 13285

  • Study site

    Marseille, 13385

  • Study site

    Montpellier, 34298

  • Study site

    Nantes, 44093

  • Study site

    Nice, 06189

  • Study site

    Paris, 75571

  • Study site

    Paris, 75651

  • Study site

    Paris, 75908

  • Study site

    Paris, 75970

  • Study site

    Poitiers, 86021

  • Study site

    Reims, 51092

  • Study site

    Rouen, 76031

  • Study site

    Saint-Brieuc, 22015

  • Study site

    Strasbourg, 67091

  • Study site

    Toulouse, 31059

  • Study site

    Villejuif, 94805

Other trials in France

About this study

Official title: An Open Label Study to Evaluate the Effect of Avastin in Association With Chemotherapy on Progression-free Survival in Patients With Progressive Advanced/Metastatic Well-differentiated Digestive Endocrine Tumors of the Gastrointestinal Tract

This 2 arm study will assess the efficacy and safety of two systemic treatments including Avastin in patients with previously-untreated progressive locally advanced/metastatic well-differentiated digestive endocrine tumors. Patients with duodeno-pancreatic tumors (arm 1) will be treated with 5FU/streptozotocin iv (5FU 400mg/m2/d D1 to D5;streptozotocin 500mg/m2/d/iv D1 to D5;D1=D42) every 6 weeks, plus Avastin 7.5mg/kg iv every 3 weeks. Patients with gastrointestinal tract tumors (arm 2) will be treated with Xeloda 1000mg/m2 po bid D1 to D14 plus Avastin 7.5mg/kg iv D1=D21 every 3 weeks. The patients will be treated with chemotherapy for a minimum of 6 months, unless there is tumor progression and/or unacceptable toxicity. The anticipated time on study treatment is until disease progression or unacceptable toxicity, and the target sample size is <100 individuals.

Conditions
Neoplasms
Being tested
bevacizumab [Avastin], 5 FU, Streptozotocin, Xeloda
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • bevacizumab [Avastin]Drug

    7.5mg/kg iv on day 1 every 3 weeks

  • 5 FUDrug

    400mg/m2/day iv on days 1-5 every 6 weeks

  • StreptozotocinDrug

    500mg/m2/day iv on days 1-5 every 6 weeks

  • XelodaDrug

    1000mg/m2 po bid on days 1-14 every 3 weeks

Study groups in NCT00448136
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: bevacizumab [Avastin]; Drug: 5 FU; Drug: Streptozotocin
2ExperimentalNot described
Receives: Drug: bevacizumab [Avastin]; Drug: Xeloda

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (PFS) - Percentage of Participants With an Event

    PFS is defined as the interval between the date of start of treatment and the date of evaluation by the investigator of progressive disease or death from any cause. The progression was assessed according to Response Evaluation Criteria In Solid Tumors (RECIST) using medical imaging during the treatment period and by the investigators (confirmed by medical imaging) during the follow-up period. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of disease progression or death were censored at the date of the last visit or follow-up without progression.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  2. PFS - Time to Event

    PFS is defined as the interval between the date of start of treatment and the date of evaluation by the investigator of progressive disease or death from any cause. The progression was assessed according to RECIST using medical imaging during the treatment period and by the investigators (confirmed by medical imaging) during the follow-up period. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of disease progression or death were censored at the date of the last visit or follow-up without progression. Median PFS was estimated using the Kaplan-Meier method.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  3. PFS - Percentage of Participants Estimated to be Progression Free at 12 and 24 Months

    PFS is defined as the interval between the date of start of treatment and the date of evaluation by the investigator of progressive disease or death from any cause. The progression was assessed according to RECIST using medical imaging during the treatment period and by the investigators (confirmed by medical imaging) during the follow-up period. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of disease progression or death were censored at the date of the last visit or follow-up without progression.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

Secondary outcomes (13)
  1. Percentage of Participants With a Response by Best Overall Response

    Best overall response defined as best response recorded during the study as defined according to RECIST; performed by the investigator and by centralized review. Complete response (CR): complete disappearance of all target lesions and non-target disease. All lesions, both target and non-target, must have decreased to normal (short axis, less than [<]10 millimeters [mm]). No new lesions. Partial response (PR): greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter (LD) was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. Stable disease (SD): not qualifying for CR, PR, or Progressive Disease (PD). PD: at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of 1 or more new lesions.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  2. Duration of Overall Response (OR) - Percentage of Participants With an Event

    Determined only for those participants with an overall response (CR or PR) and was defined as the time interval between the response (CR or PR) and the date of progression or death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of progression or death were censored at the data of last visit or follow-up without progression.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  3. Duration of OR - Time to Event

    Determined only for those participants with an overall response (CR or PR) and was defined as the time interval between the response (CR or PR) and the date of progression or death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of progression or death were censored at the data of last visit or follow-up without progression. Median duration of OR was estimated using the Kaplan-Meier method.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  4. Duration of OR - Percentage of Participants With Sustained Response at 12 and 24 Months

    Duration of OR was determined only for those participants with an overall response of CR or PR and was defined as the time interval between the response (CR or PR) and the date of progression or death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of progression or death were censored at the data of last visit or follow-up without progression.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  5. Duration of Overall Disease Control (ODC) - Percentage of Participants With an Event

    Determined only for those participants with overall disease control (CR, PR or SD per RECIST) and was defined as the time interval between the first occurrence of disease control (CR, PR or SD) and the date of progression or death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of progression or death were censored at the data of last visit or follow-up without progression.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  6. Duration of ODC - Time to Event

    Determined only for those participants with overall control disease (CR, PR, or SD per RECIST) and was defined as the time interval between the first occurrence of disease control (CR, PR or SD) and the date of progression or death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of progression or death were censored at the data of last visit or follow-up without progression. Median time to event was estimated using the Kaplan-Meier method.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  7. Duration of ODC - Percentage of Participants Maintaining Disease Control at 12 and 24 Months

    Duration of ODC was determined only for those participants with overall control disease (CR, PR, or SD per RECIST) and was defined as the time interval between the first occurrence of disease control (CR, PR, or SD) and the date of progression or death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation without progression. Data for participants who completed the study without an event of progression or death were censored at the data of last visit or follow-up without progression.

    Measured: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years

  8. Overall Survival (OS) - Percentage of Participants With an Event

    OS was defined as the time from the first treatment administration to death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation. Data for participants who were alive at the end of the study were censored at the date of last visit.

    Measured: Screening, Day 1 of every cycle during treatment, every 6 months during follow-up to 2 years

  9. OS - Time to Event

    OS was defined as the time from the first treatment administration to death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation. Data for participants who were alive at the end of the study were censored at the date of last visit. Median OS was estimated using the Kaplan-Meier method.

    Measured: Screening, Day 1 of every cycle during treatment, every 6 months during follow-up to 2 years

  10. OS - Percentage of Participants Surviving at 12 and 24 Months

    OS was defined as the time from the first treatment administration to death from any cause. Data for participants who were lost to follow-up were censored at the date of last evaluation. Data for participants who were alive at the end of the study were censored at the date of last visit.

    Measured: Screening, Day 1 of every cycle during treatment, every 6 months during follow-up to 2 years

  11. Global Health Status as Assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - C30 (EORTC QLQ-C30)

    EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale [1 'very poor' to 7 'Excellent']). Scores were averaged and transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms.

    Measured: Screening, every 3 months during treatment

  12. Percentage of Participants With Change From Baseline in Global Health Status by EORTC QLQ-C30 Improvement Category

    EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale [1 'very poor' to 7 'Excellent']). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms. Changes from baseline were categorized as follows: Very much worsening (less than [<]-20); Moderate worsening (greater than or equal to [≥]-20 to <-10); Little worsening (≥-10 to <-5); No change (≥-5 to less than or equal to [≤]5); Little improvement (>5 to ≤10); Moderate improvement (>10 to ≤20); and Very much improved (>20).

    Measured: Screening, every 3 months during treatment

  13. EORTC QLQ-C30 Functional and Symptom Scale Scores

    EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4-point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale [1 'very poor' to 7 'Excellent']). Scores averaged, transformed to 0-100 scale; for functional scores, a higher score represents a better level of functioning. For symptom scale scores a higher level represents a more severe level of symptoms.

    Measured: Screening, every 3 months during treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Mar 2007 (estimated)
  2. Study startJul 2007
  3. Primary completionNov 2011
  4. Study completionNov 2011

Resources

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
Parallel groups
Masking
None (open label)
Enrolment
83 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00448136
Sponsor's protocol ID
ML20383
Status last verified
Jan 2015
First submitted
15 Mar 2007
Last updated
22 Jan 2015

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing bevacizumab [Avastin], 5 FU and Streptozotocin in people with Neoplasms, run by Hoffmann-La Roche at 27 sites in France.

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 5 inclusion and 5 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 22 Jan 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in France. 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 22 Jan 2015). 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) - Percentage of Participants With an Event (time frame: Screening, every 3 months during treatment, every 6 months during follow-up to 2 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Jan 2015.

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