Ovarian CancerPhase 3NCT00976911
AURELIA: A Study of Avastin (Bevacizumab) Added to Chemotherapy in Patients With Platinum-resistant Ovarian Cancer
A Phase 3 study testing Bevacizumab, liposomal doxorubicin and paclitaxel in people with Ovarian Cancer, run by Hoffmann-La Roche at 117 sites in 14 countries.
Trial summary
This randomized, open-label, 2-arm study will evaluate the efficacy and safety of Avastin added to chemotherapy versus chemotherapy alone in patients with epithelial ovarian, fallopian tube or primary peritoneal cancer with disease progression within 6 months of platinum therapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Cancer
- What is being tested?
- Bevacizumab, liposomal doxorubicin and paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 361 participants
- Where
- 117 sitesin 14 countries
- Study dates
- 29 Oct 2009to 9 Jul 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- female patients, >/=18 years of age
- epithelial ovarian, fallopian tube or primary peritoneal cancer
- platinum-resistant disease (disease progression within <6 months of platinum therapy)
- EOCG performance status of 0-2
Who cannot join
- non-epithelial tumours
- ovarian tumours with low malignant potential
- previous treatment with >2 chemotherapy regimens
- prior radiotherapy to the pelvis or abdomen
Trial locations and contacts
117 sites in 14 countries.
117 sites in 14 countries
France36 sites
Clinique Sainte Catherine; Hopital De Semaine
Avignon, 84918
Clinique Tivoli; Sce Radiotherapie
Bordeaux, 33000
Institut Bergonie; Gynecologie
Bordeaux, 33076
Polyclinique Bordeaux Nord Aquitaine; Chimiotherapie Radiotherapie
Bordeaux, 33077
Ch De Brive La Gaillarde; Radiotherapie Oncologie
Brive-la-Gaillarde, 19312
Centre Francois Baclesse; Urologie Gynecologie
Caen, 14076
Centre Jean Perrin; Hopital De Jour
Clermont-Ferrand, 63011
Hopital Louis Pasteur; Medecine B
Colmar, 68024
Institut Daniel Hollard; Chimiotherapie Ambulatoire
Grenoble, 38000
Centre Hospitalier Departemental Les Oudairies
La Roche-sur-Yon, 85925
Hopital La Source; Onco Med Hematologie Clinique
La Source, 45100
Hopital Andre Mignot; Hematologie - Oncologie
Le Chesnay, 78157
Centre Jean Bernard
Le Mans, 72015
Centre Oscar Lambret; Cancerologie Gynecologique
Lille, 59020
Clin Mut De Lyon Eugene Andre; Medecine 3 A
Lyon, 69424
Hopital Layne; Medecine Ambulatoire
Mont-de-Marsan, 40024
Centre Val Aurelle Paul Lamarque; Medecine A1 A2
Montpellier, 34298
Polyclinique Gentilly; CHIMIOTHERAPIE AMBULATOIRE
Nancy, 54100
Centre Catherine de Sienne; Chimiotherapie
Nantes, 44202
Centre Antoine Lacassagne; Hopital De Jour A2
Nice, 06189
Polyclinique Kenval ; Radiotherapie Oncologie
Nîmes, 30900
Hotel Dieu; Hematologie- Oncologie
Paris, 75181
Institut Curie; Oncologie Medicale
Paris, 75231
Hopital Saint Louis ; Service d Oncologie Medicale Fougere 6 (Pr Misset)
Paris, 75475
HOPITAL TENON; Cancerologie Medicale
Paris, 75970
Clinique Francheville; Radiotherapie
Périgueux, 24000
Institut Jean Godinot; Oncologie Medicale
Reims, 51056
Centre Henri Becquerel; Oncologie Medicale
Rouen, 76038
Clinique Armoricaine Radiologie; Cons Externes
Saint-Brieuc, 22015
Centre Rene Huguenin; Medecine B
Saint-Cloud, 92210
Ico Rene Gauducheau; Oncologie
Saint-Herblain, 44805
Centre Radiotherapie Etienne Dolet
Saint-Nazaire, 44600
Hopital Civil; Expl Fonct Systeme Nerveux
Strasbourg, 67091
Hopitaux Du Leman Site Thonon; Maternite Gynecologie
Thonon-les-Bains, 74203
Institut Claudius Regaud; Departement Oncologie Medicale
Toulouse, 31059
Centre Alexis Vautrin; Oncologie Medicale
Vandœuvre-lès-Nancy, 54519
Germany26 sites
HELIOS Klinikum Berlin-Buch; Klinik für Gynäkologie und Geburtshilfe
Berlin, 13125
Campus Virchow-Klinikum Charité; Centrum 17; Klinik für Gynäkologie
Berlin, 13353
Evangelischen Krankenhauses Düsseldorf; Frauenklinik
Düsseldorf, 40217
Uni-Frauenklinik
Düsseldorf, 40225
Universitätsklinikum Erlangen; Frauenklinik
Erlangen, 91054
Universitätsklinikum Essen; Zentrum Für Frauenheilkunde
Essen, 45122
Klinikum Essen-Mitte Ev. Huyssens-Stiftung / Knappschafts GmbH; Klinik für Senologie / Brustzentrum
Essen, 45136
Klinik Johann Wolfgang von Goethe Uni; Klinik für Frauenheilkunde und Geburtshilfe
Frankfurt, 60596
Kath.Marienkrankenhaus gGmbH Frauenklinik
Hamburg, 22087
Gynaekologisch-Onkologische Schwerpunktpraxis Prof. Dr. med. Lueck, Dr. Schrader und Dr. Noeding
Hanover, 30177
Praxisgemeinschaft; Frauenärzte am Bahnhofsplatz
Hildesheim, 31134
Klinikum Kassel GmbH; Klinik für Frauenheilkunde und Geburtshilfe
Kassel, 34125
UNI-Klinikum Campus Kiel Klinik für Gynäkologie und Geburtshilfe
Kiel, 24105
HELIOS Klinikum Krefeld; Klinik für Frauenheilkunde und Geburtshilfe
Krefeld, 47805
Universitätsklinikum Schleswig-Holstein / Campus Lübeck; Klinik für Frauenheilkunde und Geburtshilfe
Lübeck, 23538
Universitätsklinikum Mannheim; Frauenklinik
Mannheim, 68167
Klinikum der Universität München; Campus Großhadern; Klinik und Poliklinik für Frauenheilkunde
München, 81377
Klinikum Nord Frauenklinik
Nuremberg, 90419
Sana Klinikum Offenbach GmbH; Klinik für Gynäkologie & Geburtshilfe
Offenbach, 63069
Oncologianova GmbH
Recklinghausen, 45659
Universitätsfrauen- und Poliklinik am Klinikum Suedstadt
Rostock, 18059
Städtisches Klinikum Solingen; Klinik für Frauenheilkunde und Geburtshilfe
Solingen, 42653
Robert-Bosch-Krankenhaus; Interdisziplinäres Zentrum; Tumorzentrum
Stuttgart, 70376
Universitätsklinik Tübingen; Frauenklinik & Poliklinik
Tübingen, 72076
Universitätsklinikum Ulm Am Michelsberg; Frauenklinik
Ulm, 89075
Dr. Horst-Schmidt-Kliniken; Frauenheilkunde & Geburtshilfe
Wiesbaden, 65199
Spain15 sites
Hospital Univ Vall d'Hebron; Servicio de Oncologia
Barcelona, 08035
Hospital de la Santa Creu i Sant Pau; Servicio de Oncologia
Barcelona, 08041
Hospital de Terrassa; Servicio de Oncologia
Barcelona, 08227
Hospital Universitario Reina Sofia; Servicio de Oncologia
Córdoba, Cordoba, 14004
Hospital Universitari Arnau de Vilanova de Lleida; Servicio de Oncologia
Lleida, 25198
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
Madrid, 28007
Centro Oncologico MD Anderson Internacional; Servicio de Oncologia
Madrid, 28033
Centro Integral Oncologico Clara Campal (CIOCC); Dirección Médica
Madrid, 28050
Hospital General Universitario J.M Morales Meseguer; Servicio de Oncologia
Murcia, 30008
Hospital Son Llatzer; Servicio de Oncologia
Palma de Mallorca, Balearic Islands, 07198
Corporacio Sanitaria Parc Tauli; Servicio de Oncologia
Sabadell, Barcelona, 8208
Hospital Universitario Marques de Valdecilla; Servicio de Oncologia
Santander, Cantabria, 39008
Instituto Valenciano Oncologia; Oncologia Medica
Valencia, 46009
Hospital Universitario la Fe; Servicio de Oncologia
Valencia, 46026
Hospital Universitario Miguel Servet; Servicio Oncologia
Zaragoza, 50009
Italy8 sites
Irccs Centro Di Riferimento Oncologico (CRO); Dipartimento Di Oncologia Medica
Aviano, Friuli Venezia Giulia, 33081
Ospedali Riuniti; Divisione Ostetricia e Ginecologia
Bergamo, Lombardy, 24128
Az. Osp. Carlo Poma; Divisione Di Oncologia Medica
Mantua, Lombardy, 46100
Istituto Nazionale dei Tumori; Divisione Oncologia Chirurgica e Ginecologica
Milan, Lombardy, 20133
AZIENDA POLICLINICO UMBERTO I; Ginecologia ed Ostetricia
Rome, Lazio, 00161
Istituto Regina Elena; Oncologia Medica A
Rome, Lazio, 00168
Ospedale S.G.Calibita Fatebenefratelli; Unità Operativa Oncologia
Rome, Lazio, 00186
A.O. Universitaria S. Maria Della Misericordia Di Udine; Oncologia
Udine, Friuli Venezia Giulia, 33100
Netherlands6 sites
Meander Mc, Locatie Lichtenberg; Dept of Lung Diseases
Amersfoort, 3818 ES
Catharina ZKHS; Inwendige Geneeskunde Afd.
Eindhoven, 5623 EJ
Martini Ziekenhuis; Dept of Internal Medicine
Groningen, 9728 NT
Stichting St. Antonius Ziekenhuis
Nieuwegein, 3430 EM
Leyenburg Ziekenhuis; Internal Medecine
The Hague, 2545 CH
Universitair Medisch Centrum Utrecht; Inwendige Geneeskunde Afd.
Utrecht, 3584 CX
Belgium4 sites
Institut Jules Bordet
Brussels, 1000
UZ Antwerpen
Edegem, 2650
UZ Leuven Gasthuisberg
Leuven, 3000
Clinique Ste-Elisabeth
Namur, 5000
Denmark4 sites
Herlev Hospital; Afdeling for Kræftbehandling
Herlev, 2730
Regionshospitalet Herning; Onkologisk afdeling
Herning, 7400
Rigshospitalet; Onkologisk Klinik
København Ø, 2100
Odense Universitetshospital, Onkologisk Afdeling R
Odense C, 5000
Sweden4 sites
Uni Hospital Linkoeping; Dept. of Oncology
Linköping, 58185
Örebro University Hospital; Department of Gynecologic Oncology
Örebro, 70185
Norrlands Uni Hospital; Onkologi Avd.
Umeå, 901 85
Akademiska sjukhuset, Onkologkliniken
Uppsala, 751 85
Turkey (Türkiye)4 sites
Adana Baskent University Hospital; Medical Oncology
Adana, 01120
Ankara Baskent University Medicine Faculty; Gynaecology
Ankara, 06500
Istanbul Uni Cerrahpasa Medical Faculty Hospital; Medical Oncology
Istanbul, 34300
Anadolu Health Center; Medical Oncology
Kocaeli, 41400
Bosnia and Herzegovina3 sites
University Clinical Centre of the Republic of Srpska
Banja Luka, 78000
Clinic of Oncology, University Clinical Center Sarajevo
Sarajevo, 7100
University Clinical Center Tuzla; Clinic for Gynecology and Obstetrition
Tuzla, 75000
Finland2 sites
Kuopio University Hospital
Kuopio, 70211
Oulu University Hospital; Gynaecology & Obstetrics Dept
Oulu, 90220
Norway2 sites
The Norvegian Radium Hospital Montebello; Dept of Oncology
Oslo, 0379
St. Olavs Hospital; Kvinneklinikken
Trondheim, 7006
Portugal2 sites
IPO de Lisboa; Servico de Oncologia Medica
Lisbon, 1099-023
IPO do Porto; Servico de Oncologia Medica
Porto, 4200-072
About this study
Official title: AURELIA: A Multi-center, Open-label, Randomised, Two-arm Phase III Trial of the Effect on Progression Free Survival of Bevacizumab Plus Chemotherapy Versus Chemotherapy Alone in Patients With Platinum-resistant, Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer
This randomized, open-label, 2-arm study will evaluate the efficacy and safety of Avastin added to chemotherapy versus chemotherapy alone in patients with epithelial ovarian, fallopian tube or primary peritoneal cancer with disease progression within 6 months of platinum therapy. All patients will receive standard chemotherapy with either paclitaxel or topotecan or liposomal doxorubicin. Patients randomized to Arm 2 of the study will receive Avastin (10 mg/kg iv 2-weekly or 15 mg/kg iv 3-weekly) concomitantly. Anticipated time on study treatment is until disease progression. Patients will then receive standard of care, those in Arm 1 (chemotherapy only) may opt to receive Avastin (15 mg/kg iv 3-weekly). Target sample size is 100-500 individuals.
- Conditions
- Ovarian Cancer
- Being tested
- Bevacizumab, liposomal doxorubicin, paclitaxel, topotecan
- Medical subject headings
- Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BevacizumabDrug
Also called Avastin
10m/kg iv every 2 weeks or 15mg/kg iv every 3 weeks
liposomal doxorubicinDrug
40mg/m2 iv every 4 weeks
paclitaxelDrug
80mg/m2 iv on days 1, 8, 15 and 22 of each 4-week cycle
topotecanDrug
4mg/m2 iv on days 1, 8 and 15 of each 4-week cycle, or 1.25 mg/kg on days 1-5 of each 3-week cycle
| Study group | Role | What they receive |
|---|---|---|
| Chemotherapy | Active comparator | Participants received one of the following chemotherapies at the discretion of the investigator: paclitaxel, 80 milligrams per square meter (mg/m^2) as a 1-hour intravenous (IV) infusion on Days 1, 8, 15, and 22 every 4 weeks (q4w) OR topotecan 4 mg/m^2 as a 30-minute IV infusion on Days 1, 8, and 15 q4w (alternatively, a 1.25 mg/m^2 dose could have been administered over 30 minutes on Days 1-5 every 3 weeks [q3w]) OR pegylated liposomal doxorubicin (PLD) 40 mg/m^2 as a 1 milligram per minute (mg/min) infusion on Day 1 q4w (after Cycle 1 the drug could have been administered as a 1 hour infusion). Depending on chosen chemotherapy, pre-medication was implemented according to local practices. Receives: Drug: liposomal doxorubicin; Drug: paclitaxel; Drug: topotecan |
| Chemotherapy + Bevacizumab | Experimental | Participants received one of the following chemotherapies at the discretion of the investigator: paclitaxel, 80 mg/m^2 as a 1-hour IV infusion on Days 1, 8, 15, and 22 q4w OR topotecan 4 mg/m^2 as a 30-minute IV infusion on Days 1, 8, and 15 q4w (alternatively, a 1.25 mg/m^2 dose could have been administered over 30 minutes on Days 1-5 q3w) OR PLD 40 mg/m^2 as a 1 mg/min infusion on Day 1 q4w (after Cycle 1 the drug could have been administered as a 1 hour infusion. Depending on chosen chemotherapy, pre-medication was implemented according to local practices. The chosen chemotherapy was combined with bevacizumab 10 milligrams per kilogram (mg/kg) IV every 2 weeks (q2w; or bevacizumab 15 mg/kg q3w if used in combination with topotecan 1.25 mg/m^2 on Days 1-5 on a q3w schedule). The initial bevacizumab infusion was over 90 minutes, with subsequent infusions over 60 minutes and then 30 minutes, as tolerated. Receives: Drug: Bevacizumab; Drug: liposomal doxorubicin; Drug: paclitaxel; Drug: topotecan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Disease Progression or Death (Data Cutoff 14 November 2011)
Progression free survival was defined as the time from the date of randomization to the first documented disease progression or death, whichever occurs first. Progression was based on tumour assessment made by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria (for participants with measurable disease), and for those with non-measurable disease presence or absence of lesions was noted.
Measured: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Progression Free Survival (PFS; Data Cutoff 14 November 2011)
PFS was defined as the time from the date of randomization to the first documented disease progression or death, whichever occurred first. Progression was based on tumor assessment made by the investigators according to the RECIST criteria (for participants with measurable disease), and for those with non-measurable disease presence or absence of lesions was noted. Time from randomization to occurrence of disease progression or death was measured in months. An event was defined as the earliest progressive disease or death that occurred on or before the cutoff date (14 November 2011), regardless of start of nonprotocol specified anti-cancer therapy or the bevacizumab monotherapy. Disease progression was assessed by investigator according to RECIST or by symptom deterioration, and could not be declared on the basis of rising cancer antigen 125 (CA125) levels alone. Kaplan-Meier methodology was used. 95% CI for median was computed using the method of Brookmeyer and Crowley.
Measured: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Secondary outcomes (5)
Percentage of Participants With Best Overall Confirmed Objective Response of Complete Response (CR) or Partial Response (PR) Per Modified RECIST (Data Cutoff 14 November 2011)
Objective Response was determined by the investigator using modified RECIST criteria, Version 1.0. An objective response was a complete or partial overall confirmed response as determined by investigators. CR defined as complete disappearance of all target and non-target lesions and no new lesions. PR defined as greater than or equal to (≥) 30 percent (%) decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. 95% CI computed using the normal approximation to the binomial distribution.
Measured: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Duration of Objective Response (Data Cutoff 14 November 2011)
For randomized participants who achieved an objective response per modified RECIST, duration of objective response was defined as the time from the date of the first occurrence of a CR or PR (whichever occurred first) until the date that progressive disease or death was documented (whichever occurred first). Participants who had an objective response and did not experience disease progression or death by the time of analysis were censored at the time of the last tumor assessment. Summaries of duration of objective response (median and percentiles) were estimated from Kaplan-Meier curves. 95% CI for duration of objective response was computed using the method of Brookmeyer and Crowley.
Measured: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Percentage of Participants Who Died (Data Cutoff 25 January 2013)
Measured: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 25 January 2013
Overall Survival (Data Cutoff 25 January 2013)
Duration of overall survival was defined as the time from randomization to death of any cause. Kaplan-Meier methodology was used. The OS data for participants for whom no death was captured in the clinical database were censored at the last time they were known to be alive. 95% CI was computed using the method of Brookmeyer and Crowley.
Measured: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 25 January 2013
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Ovarian (OV) 28 Abdominal/Gastrointestinal (AB/GI) Symptom Scale - Percentage of Responders (Data Cutoff 14 November 2011)
The EORTC OV-28 module is a questionnaire that focuses on issues specific to ovarian cancer. It assesses AB/GI symptoms, among others. Participants were asked to indicate the extent to which they experienced AB/GI symptoms in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following: Did you have abdominal pain? Did you have a bloated feeling in your abdomen/stomach? Did you have problems with your clothes feeling too tight? Did you experience any change in bowel habit as a result of your disease or treatment? Were you troubled by passing wind/gas/flatulence? Have you felt full too quickly after beginning to eat? Have you had indigestion/heartburn? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms). Participants were considered a responder if they had a 10 point or more reduction in EORTC QLQ-OV28 AB/GI symptom scale score from baseline.
Measured: Baseline and Weeks 8, 9, 16, 18, 24 and 30 (Data Cutoff 14 November 2011)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Sep 2009 (estimated)
- Study start29 Oct 2009
- Primary completion9 Jul 2014
- Study completion9 Jul 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 (7)Papers the sponsor has linked to this study.
- Other trials for Ovarian CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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
- None (open label)
- Enrolment
- 361 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00976911
- Sponsor's protocol ID
- MO22224
- Other IDs
- 2009-011400-33, 2009
- Status last verified
- May 2022
- First submitted
- 14 Sep 2009
- Last updated
- 21 Jun 2022
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Newhouse R, Nelissen E, El-Shakankery KH, Rogozinska E, Bain E, Veiga S, Morrison J. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Jul 5;7(7):CD006910. doi: 10.1002/14651858.CD006910.pub3.
PubMed 37407274Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
PubMed 37185961Roncolato FT, Gibbs E, Lee CK, Asher R, Davies LC, Gebski VJ, Friedlander M, Hilpert F, Wenzel L, Stockler MR, King M, Pujade-Lauraine E. Quality of life predicts overall survival in women with platinum-resistant ovarian cancer: an AURELIA substudy. Ann Oncol. 2017 Aug 1;28(8):1849-1855. doi: 10.1093/annonc/mdx229.
PubMed 28595285Bamias A, Gibbs E, Khoon Lee C, Davies L, Dimopoulos M, Zagouri F, Veillard AS, Kosse J, Santaballa A, Mirza MR, Tabaro G, Vergote I, Bloemendal H, Lykka M, Floquet A, Gebski V, Pujade-Lauraine E. Bevacizumab with or after chemotherapy for platinum-resistant recurrent ovarian cancer: exploratory analyses of the AURELIA trial. Ann Oncol. 2017 Aug 1;28(8):1842-1848. doi: 10.1093/annonc/mdx228.
PubMed 28481967Sorio R, Roemer-Becuwe C, Hilpert F, Gibbs E, Garcia Y, Kaern J, Huizing M, Witteveen P, Zagouri F, Coeffic D, Luck HJ, Gonzalez-Martin A, Kristensen G, Levache CB, Lee CK, Gebski V, Pujade-Lauraine E; AURELIA Investigators. Safety and efficacy of single-agent bevacizumab-containing therapy in elderly patients with platinum-resistant recurrent ovarian cancer: Subgroup analysis of the randomised phase III AURELIA trial. Gynecol Oncol. 2017 Jan;144(1):65-71. doi: 10.1016/j.ygyno.2016.11.006. Epub 2016 Nov 18.
PubMed 27871723Stockler MR, Hilpert F, Friedlander M, King MT, Wenzel L, Lee CK, Joly F, de Gregorio N, Arranz JA, Mirza MR, Sorio R, Freudensprung U, Sneller V, Hales G, Pujade-Lauraine E. Patient-reported outcome results from the open-label phase III AURELIA trial evaluating bevacizumab-containing therapy for platinum-resistant ovarian cancer. J Clin Oncol. 2014 May 1;32(13):1309-16. doi: 10.1200/JCO.2013.51.4240. Epub 2014 Mar 31.
PubMed 24687829Pujade-Lauraine E, Hilpert F, Weber B, Reuss A, Poveda A, Kristensen G, Sorio R, Vergote I, Witteveen P, Bamias A, Pereira D, Wimberger P, Oaknin A, Mirza MR, Follana P, Bollag D, Ray-Coquard I. Bevacizumab combined with chemotherapy for platinum-resistant recurrent ovarian cancer: The AURELIA open-label randomized phase III trial. J Clin Oncol. 2014 May 1;32(13):1302-8. doi: 10.1200/JCO.2013.51.4489. Epub 2014 Mar 17.
PubMed 24637997
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AURELIA: A Multi-center, Open-label, Randomised, Two-arm Phase III Trial of the Effect on Progression Free Survival of Bevacizumab Plus Chemotherapy Versus Chemotherapy Alone in Patients With Platinum-resistant, Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer
- ClinicalTrials.gov ID
- NCT00976911
- Acronym / sponsor ID
- MO22224
- Conditions
- Ovarian Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 361 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 29 Oct 2009 (actual)
- Primary completion
- 9 Jul 2014 (actual)
- Study completion
- 9 Jul 2014 (actual)
- First posted
- 15 Sep 2009 (estimated)
- Results
- Posted 25 Feb 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, open-label, 2-arm study will evaluate the efficacy and safety of Avastin added to chemotherapy versus chemotherapy alone in patients with epithelial ovarian, fallopian tube or primary peritoneal cancer with disease progression within 6 months of platinum therapy. All patients will receive standard chemotherapy with either paclitaxel or topotecan or liposomal doxorubicin. Patients randomized to Arm 2 of the study will receive Avastin (10 mg/kg iv 2-weekly or 15 mg/kg iv 3-weekly) concomitantly. Anticipated time on study treatment is until disease progression. Patients will then receive standard of care, those in Arm 1 (chemotherapy only) may opt to receive Avastin (15 mg/kg iv 3-weekly). Target sample size is 100-500 individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Chemotherapy | Active comparator | Drug: liposomal doxorubicin, Drug: paclitaxel, Drug: topotecanParticipants received one of the following chemotherapies at the discretion of the investigator: paclitaxel, 80 milligrams per square meter (mg/m^2) as a 1-hour intravenous (IV) infusion on Days 1, 8, 15, and 22 every 4 weeks (q4w) OR topotecan 4 mg/m^2 as a 30-minute IV infusion on Days 1, 8, and 15 q4w (alternatively, a 1.25 mg/m^2 dose could have been administered over 30 minutes on Days 1-5 every 3 weeks [q3w]) OR pegylated liposomal doxorubicin (PLD) 40 mg/m^2 as a 1 milligram per minute (mg/min) infusion on Day 1 q4w (after Cycle 1 the drug could have been administered as a 1 hour infusion). Depending on chosen chemotherapy, pre-medication was implemented according to local practices. |
| Chemotherapy + Bevacizumab | Experimental | Drug: Bevacizumab, Drug: liposomal doxorubicin, Drug: paclitaxel, Drug: topotecanParticipants received one of the following chemotherapies at the discretion of the investigator: paclitaxel, 80 mg/m^2 as a 1-hour IV infusion on Days 1, 8, 15, and 22 q4w OR topotecan 4 mg/m^2 as a 30-minute IV infusion on Days 1, 8, and 15 q4w (alternatively, a 1.25 mg/m^2 dose could have been administered over 30 minutes on Days 1-5 q3w) OR PLD 40 mg/m^2 as a 1 mg/min infusion on Day 1 q4w (after Cycle 1 the drug could have been administered as a 1 hour infusion. Depending on chosen chemotherapy, pre-medication was implemented according to local practices. The chosen chemotherapy was combined with bevacizumab 10 milligrams per kilogram (mg/kg) IV every 2 weeks (q2w; or bevacizumab 15 mg/kg q3w if used in combination with topotecan 1.25 mg/m^2 on Days 1-5 on a q3w schedule). The initial bevacizumab infusion was over 90 minutes, with subsequent infusions over 60 minutes and then 30 minutes, as tolerated. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- female patients, >/=18 years of age
- epithelial ovarian, fallopian tube or primary peritoneal cancer
- platinum-resistant disease (disease progression within <6 months of platinum therapy)
- EOCG performance status of 0-2
Key exclusion criteria (4 listed)
- non-epithelial tumours
- ovarian tumours with low malignant potential
- previous treatment with >2 chemotherapy regimens
- prior radiotherapy to the pelvis or abdomen
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: Avastin10m/kg iv every 2 weeks or 15mg/kg iv every 3 weeks | Drug | Chemotherapy + Bevacizumab |
| liposomal doxorubicin40mg/m2 iv every 4 weeks | Drug | Chemotherapy, Chemotherapy + Bevacizumab |
| paclitaxel80mg/m2 iv on days 1, 8, 15 and 22 of each 4-week cycle | Drug | Chemotherapy, Chemotherapy + Bevacizumab |
| topotecan4mg/m2 iv on days 1, 8 and 15 of each 4-week cycle, or 1.25 mg/kg on days 1-5 of each 3-week cycle | Drug | Chemotherapy, Chemotherapy + Bevacizumab |
Primary outcome
Percentage of Participants With Disease Progression or Death (Data Cutoff 14 November 2011)
Time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Progression free survival was defined as the time from the date of randomization to the first documented disease progression or death, whichever occurs first. Progression was based on tumour assessment made by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria (for participants with measurable disease), and for those with non-measurable disease presence or absence of lesions was noted.
Progression Free Survival (PFS; Data Cutoff 14 November 2011)
Time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
PFS was defined as the time from the date of randomization to the first documented disease progression or death, whichever occurred first. Progression was based on tumor assessment made by the investigators according to the RECIST criteria (for participants with measurable disease), and for those with non-measurable disease presence or absence of lesions was noted. Time from randomization to occurrence of disease progression or death was measured in months. An event was defined as the earliest progressive disease or death that occurred on or before the cutoff date (14 November 2011), regardless of start of nonprotocol specified anti-cancer therapy or the bevacizumab monotherapy. Disease progression was assessed by investigator according to RECIST or by symptom deterioration, and could not be declared on the basis of rising cancer antigen 125 (CA125) levels alone. Kaplan-Meier methodology was used. 95% CI for median was computed using the method of Brookmeyer and Crowley.
5 secondary outcomes
Percentage of Participants With Best Overall Confirmed Objective Response of Complete Response (CR) or Partial Response (PR) Per Modified RECIST (Data Cutoff 14 November 2011)
Time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Duration of Objective Response (Data Cutoff 14 November 2011)
Time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011
Percentage of Participants Who Died (Data Cutoff 25 January 2013)
Time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 25 January 2013
Overall Survival (Data Cutoff 25 January 2013)
Time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 25 January 2013
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Ovarian (OV) 28 Abdominal/Gastrointestinal (AB/GI) Symptom Scale - Percentage of Responders (Data Cutoff 14 November 2011)
Time frame: Baseline and Weeks 8, 9, 16, 18, 24 and 30 (Data Cutoff 14 November 2011)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37407274Newhouse R, Nelissen E, El-Shakankery KH, Rogozinska E, Bain E, Veiga S, Morrison J. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Jul 5;7(7):CD006910. doi: 10.1002/14651858.CD006910.pub3.
- Derived from this study: PubMed 37185961Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
- Derived from this study: PubMed 28595285Roncolato FT, Gibbs E, Lee CK, Asher R, Davies LC, Gebski VJ, Friedlander M, Hilpert F, Wenzel L, Stockler MR, King M, Pujade-Lauraine E. Quality of life predicts overall survival in women with platinum-resistant ovarian cancer: an AURELIA substudy. Ann Oncol. 2017 Aug 1;28(8):1849-1855. doi: 10.1093/annonc/mdx229.
- Derived from this study: PubMed 28481967Bamias A, Gibbs E, Khoon Lee C, Davies L, Dimopoulos M, Zagouri F, Veillard AS, Kosse J, Santaballa A, Mirza MR, Tabaro G, Vergote I, Bloemendal H, Lykka M, Floquet A, Gebski V, Pujade-Lauraine E. Bevacizumab with or after chemotherapy for platinum-resistant recurrent ovarian cancer: exploratory analyses of the AURELIA trial. Ann Oncol. 2017 Aug 1;28(8):1842-1848. doi: 10.1093/annonc/mdx228.
- Derived from this study: PubMed 27871723Sorio R, Roemer-Becuwe C, Hilpert F, Gibbs E, Garcia Y, Kaern J, Huizing M, Witteveen P, Zagouri F, Coeffic D, Luck HJ, Gonzalez-Martin A, Kristensen G, Levache CB, Lee CK, Gebski V, Pujade-Lauraine E; AURELIA Investigators. Safety and efficacy of single-agent bevacizumab-containing therapy in elderly patients with platinum-resistant recurrent ovarian cancer: Subgroup analysis of the randomised phase III AURELIA trial. Gynecol Oncol. 2017 Jan;144(1):65-71. doi: 10.1016/j.ygyno.2016.11.006. Epub 2016 Nov 18.
- Derived from this study: PubMed 24687829Stockler MR, Hilpert F, Friedlander M, King MT, Wenzel L, Lee CK, Joly F, de Gregorio N, Arranz JA, Mirza MR, Sorio R, Freudensprung U, Sneller V, Hales G, Pujade-Lauraine E. Patient-reported outcome results from the open-label phase III AURELIA trial evaluating bevacizumab-containing therapy for platinum-resistant ovarian cancer. J Clin Oncol. 2014 May 1;32(13):1309-16. doi: 10.1200/JCO.2013.51.4240. Epub 2014 Mar 31.
- Derived from this study: PubMed 24637997Pujade-Lauraine E, Hilpert F, Weber B, Reuss A, Poveda A, Kristensen G, Sorio R, Vergote I, Witteveen P, Bamias A, Pereira D, Wimberger P, Oaknin A, Mirza MR, Follana P, Bollag D, Ray-Coquard I. Bevacizumab combined with chemotherapy for platinum-resistant recurrent ovarian cancer: The AURELIA open-label randomized phase III trial. J Clin Oncol. 2014 May 1;32(13):1302-8. doi: 10.1200/JCO.2013.51.4489. Epub 2014 Mar 17.
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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.
Clinical Trials study director
Hoffmann-La Roche
117 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bevacizumab, liposomal doxorubicin and paclitaxel in people with Ovarian Cancer, run by Hoffmann-La Roche at 117 sites in 14 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 4 inclusion and 4 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 21 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 117 sites in France, Germany, Spain, Italy, Netherlands and 9 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. 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 25 Feb 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?
Percentage of Participants With Disease Progression or Death (Data Cutoff 14 November 2011) (time frame: Screening Visit, Every 8 weeks (or 9 weeks if receiving topotecan) until progression reported between day of first participant randomized (29 October 2009) until cutoff date of 14 November 2011). The study lists 2 primary outcomes in all. 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 NCT00976911, which also lists 7 linked publications.
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 21 Jun 2022; AzTrials last refreshed its copy on 8 Nov 2026.