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Ovarian Epithelial Cancer RecurrentPhase 2NCT01735071

Bevacizumab and Trabectedin +/- Carboplatin in Advanced Ovarian Cancer

A Phase 2 study testing bevacizumab and trabectedin and bevacizumab, trabectedin and carboplatin in people with Ovarian Epithelial Cancer Recurrent, run by Mario Negri Institute for Pharmacological Research at 7 sites in Italy.

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 study is aimed at assessing the efficacy and the safety of the combination of bevacizumab and trabectedin with or without carboplatin in adult women with epithelial ovarian cancer at first recurrence occurred 6-12 months after the end of the last (first or second) platinum-containing regimen. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Ovarian Epithelial Cancer Recurrent
What is being tested?
bevacizumab and trabectedin and bevacizumab, trabectedin and carboplatin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
71 participants
Where
7 sitesItaly
Study dates
Jul 2013to 18 Mar 2018
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Age≥18years
  • Eastern Cooperative Oncology Group (ECOG)- performance status 0-2
  • Cytological/histological diagnosis of epithelial ovarian cancer
  • Progression free interval between 6-12 months (calculated from the first day of the last cycle of the previous last platinum-based chemotherapy until the date of progression confirmation through radiologic imaging)
  • One or two previous platinum-based chemotherapy lines
  • Measurable disease according to RECIST version 1.1
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  • Life expectancy ≥ 12 weeks
  • Patients must be able to receive dexamethasone or its equivalent, as a premedication for trabectedin
  • Written informed consents given before the enrolment according to International Conference on Harmonization/ Good Clinical Practice (ICH/GCP).

Who cannot join

  • Prior treatment with trabectedin
  • Prior progression while on therapy containing bevacizumab or other vascular endothelial growth factor (VEGF) pathway-target therapy
  • Pre-existing grade > 1 sensitive/motor neurologic disorder
  • Current or recent (within 30 days of first study dosing) treatment with another investigational drug
  • Surgery (including open biopsy) within 4 weeks prior to the first planned dose of bevacizumab
  • Current or recent (within 10 days prior to the first study drug dose) use of full-dose oral or parenteral anticoagulant or thrombolytic agent for therapeutic purposes (except for line patency, in which case international normalized ratio (INR) must be maintained below 1.5). Post operative prophylaxis with low molecular weight heparin sc is allowed
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  • Inadequate bone marrow function: absolute neutrophil count (ANC): <1.5 x 109/l, or platelet count <100 x 109/l or haemoglobin <9 g/dl. Patients may be transfused to maintain haemoglobin values ≥9 g/dl
  • Inadequate coagulation parameters: activated partial thromboplastin time (APTT) >1.5 x upper limit of normal (ULN) or INR >1.5
  • Inadequate liver function, defined as: serum (total) bilirubin > ULN for the institution AST/serum glutamic-oxaloacetic transaminase (SGOT) or ALT/ serum glutamic-pyruvic transaminase (SGPT) >2.5 x ULN
  • Inadequate renal function: serum creatinine >1.5 mg/dL or >132 micromol/L and urine dipstick for proteinuria > or = 2+ and >1g of protein in their 24-hour urine collection
  • History or evidence of brain metastases or spinal cord compression
  • Pregnant, breastfeeding women and women of child bearing potential, who do not agree to use a medically acceptable method of contraception through the treatment period and for 6 months after discontinuation of treatment
  • History or evidence of thrombotic or hemorrhagic disorders; including cerebrovascular accident, stroke or transient ischemic attack or sub-arachnoid haemorrhage within 6 months prior to the first study treatment
  • Uncontrolled hypertension (sustained systolic >150 mmHg and/or diastolic >100 mmHg despite antihypertensive therapy) or clinically significant (i.e. active) cardiovascular disease, including: myocardial infarction or unstable angina within 6 months prior to the first study treatment, New York Heart Association grade II or greater congestive heart failure, serious cardiac arrhythmia requiring medication
  • History of bowel obstruction, including subocclusive disease, related to the underlying disease and history of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess. Evidence of recto-sigmoid involvement by pelvic examination or bowel involvement on CT scan or clinical symptoms of bowel obstruction
  • Non-healing wound, ulcer or bone fracture
  • hepatitis C virus (HCV) positivity
  • Other malignancy within the last 5 years, except for adequately treated carcinoma in situ of the cervix or squamous carcinoma of the skin, or adequately controlled limited basal cell skin cancer.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

Italy7 sites
  • Azienda Ospedaliera Spedali Civili di Brescia

    Brescia

  • Istituto Europeo di Oncologia

    Milan

  • AO Fatebenefratelli e Oftalmico

    Milan

  • Azienda Ospedaliera S. Gerardo

    Monza

  • Istituto Oncologico Veneto

    Padova

  • Policlinico Universitario Agostino Gemelli di Roma

    Roma

  • Mauriziano Hospital

    Torino

Other trials in Italy

About this study

Official title: Multicenter, Randomized, Non-comparative, Phase II Trial on the Efficacy and Safety of the Combination of Bevacizumab and Trabectedin With or Without Carboplatin in Adult Women With Platinum Partially Sensitive Recurring Ovarian Cancer.

This study is aimed at assessing the efficacy and the safety of the combination of bevacizumab and trabectedin with or without carboplatin in adult women with epithelial ovarian cancer at first recurrence occurred 6-12 months after the end of the last (first or second) platinum-containing regimen. According to the Bryant and Day design the primary endpoints will be the proportion of progression-free patients at 6 months for the efficacy, and the proportion of patients with severe toxicity for the safety at the same time-point.

Being tested
bevacizumab and trabectedin, bevacizumab, trabectedin and carboplatin
Keywords
ovarian cancer, bevacizumab, trabectedin, carboplatin, randomized trial, phase II
Medical subject headings
Ovarian Neoplasms

What participants receive

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

  • bevacizumab and trabectedinDrug

    Also called Avastin, Yondelis

    Arm A: bevacizumab (15 mg/kg) given as 1 hour infusion will be followed by trabectedin (1.1 mg/sqm) 3 hour iv infusion; to be repeated every 21 days until progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients

  • bevacizumab, trabectedin and carboplatinDrug

    Also called Avastin, Yondelis, Carboplatin

    Arm B: cycle 1- 6, bevacizumab given as 1 hour infusion will be followed by carboplatin AUC 4 and trabectedin 3 hour iv infusion.

    Cycle 7- end of treatment, bevacizumab given as 1 hour infusion will be followed by trabectedin 3 hour iv infusion.

    Patient enrolled in arm B will receive (cycle 1-6): trabectedin 0.8 mg/m2 ,carboplatin AUC 4 day 1 every 28 days and bevacizumab 10 mg/kg iv on day 1 and day 15.

    From cycle 7 to disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients will receive bevacizumab 15 mg/kg iv and trabectedin 1.1 mg/m2 day 1 every 21 days

Study groups in NCT01735071
Study groupRoleWhat they receive
bevacizumab and trabectedinExperimentalArm A: bevacizumab (15 mg/kg) given as 1 hour infusion will be followed by trabectedin (1.1 mg/sqm) 3 hour iv infusion; to be repeated every 21 days until progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients
Receives: Drug: bevacizumab and trabectedin
bevacizumab, trabectedin and carboplatinExperimentalArm B: cycle 1-6, bevacizumab given as 1 hour infusion will be followed by carboplatin area under curve 4 (AUC 4) and trabectedin 3 hour iv infusion. Cycle 7- end of treatment, bevacizumab given as 1 hour infusion will be followed by trabectedin 3 hour iv infusion. Patient enrolled in arm B will receive (cycle 1-6): trabectedin 0.8 mg/m2 ,carboplatin AUC 4 day 1 every 28 days and bevacizumab 10 mg/kg iv on day 1 and day 15. From cycle 7 to disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients will receive bevacizumab 15 mg/kg iv and trabectedin 1.1 mg/m2 day 1 every 21 days
Receives: Drug: bevacizumab, trabectedin and carboplatin

What is being measured

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

  1. Progression Free Survival at 6 months (PFS-6)

    The PFS-6, defined as the percentage of patients who are alive and progression free at 6 months after the randomization.

    Measured: from randomization up to 6 months

  2. Proportion of patients with severe toxicity within 6 months from randomization.

    The following conditions will be considered as severe toxicity:

    • absolute neutrophil count (ANC) < 0.5x109/L lasting > 7 days and/or with fever
    • platelets < 25x109/L
    • any other grade 3-4 (evaluated by the National Cancer Institute-Common Terminology Criteria for Adverse Events [NCI-CTCAE] version 4.0) non-hematological toxicities except for reversible nausea/vomiting, diarrhea, hypersensitivity reactions, and alanine aminotransferase (ALT) or aspartate aminotransferase (AST) elevation reversible to grade 1 by day 28
    • any toxicity causing a delay of >14 days in the following cycle

    Measured: from randomization up to 6 months

Secondary outcomes (14)
  1. Progression Free Survival (PFS)

    Defined for each patient as the time from the date of randomization to the date of first progression, second primary malignancy or death for any cause, whichever comes first. Subjects not progressed or died at the time of the analysis will be censored at the last disease assessment date.

    Measured: from randomization up to 30 months

  2. Overall survival at 12 months (OS-12)

    Defined as the percentage of patients who are alive at 12 months after the randomization.

    Measured: one year

  3. Clinical Benefit (CB)

    clinical benefit, defined as the percentage of patients who are judged by the Investigators to have a complete response (CR), or partial response (PR) or stable disease (SD) according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria, version 1.1 after 12 weeks from the date of randomization.

    Measured: from randomization up to 30 months

  4. Incidence of Adverse Events (AEs)

    Incidence of AEs, according to NCI-CTCAE, version 4.0

    Measured: from randomization up to 30 months

  5. Maximum toxicity grade

    Maximum toxicity grade experienced by each patient for each specific toxicity

    Measured: from randomization up to 30 months

  6. Percentage of patients experiencing grade 3-4 toxicity for each specific toxicity

    Percentage of patients experiencing grade 3-4 toxicity for each specific toxicity during the study

    Measured: from randomization up to 30 months

  7. Patients with at least a Serious Adverse Drug Reaction (SADR)

    Patients with at least a SADR during the study

    Measured: from randomization up to 30 months

  8. Patients with at least a Suspect Unexpected Serious Adverse Reaction (SUSAR).

    Patients with at least a suspect unexpected serious adverse reaction during the study

    Measured: from randomization up to 30 months

  9. Percentage of patients with dose and/or time modifications

    Percentage of patients with dose and/or time modifications of the study drugs

    Measured: from randomization up to 30 months

  10. Percentage of premature withdrawals

    Percentage of premature withdrawals of the enrolled patients

    Measured: from randomization up to 30 months

  11. Patients with at least a Serious Adverse Event (SAE)

    Patients with at least a SAE during the study

    Measured: from randomization up to 30 months

  12. Nature of AEs

    Nature of AEs, according to NCI-CTCAE, version 4.0

    Measured: from randomization up to 30 months

  13. Severity of AEs

    Severity of AEs, according to NCI-CTCAE, version 4.0

    Measured: from randomization up to 30 months

  14. Seriousness of AEs

    Seriousness of AEs according to NCI-CTCAE, version 4.0

    Measured: from randomization up to 30 months

Timeline

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

  1. First posted28 Nov 2012 (estimated)
  2. Study startJul 2013
  3. Primary completion18 Mar 2018
  4. Study completion18 Mar 2018

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
Randomised
Intervention model
Parallel groups
Model description
This is a multicentre, randomized, non-comparative phase II study aimed at assessing efficacy and safety of two regimens according to a Bryant and Day two-stage design
Masking
None (open label)
Enrolment
71 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01735071
Sponsor's protocol ID
IRFMN-OVA-6152
Status last verified
Nov 2019
First submitted
13 Nov 2012
Last updated
19 Nov 2019
Results posted
No
Data monitoring committee
No

Publications

  • Colombo N, Zaccarelli E, Baldoni A, Frezzini S, Scambia G, Palluzzi E, Tognon G, Lissoni AA, Rubino D, Ferrero A, Farina G, Negri E, Pesenti Gritti A, Galli F, Biagioli E, Rulli E, Poli D, Gerardi C, Torri V, Fossati R, D'Incalci M. Multicenter, randomised, open-label, non-comparative phase 2 trial on the efficacy and safety of the combination of bevacizumab and trabectedin with or without carboplatin in women with partially platinum-sensitive recurrent ovarian cancer. Br J Cancer. 2019 Oct;121(9):744-750. doi: 10.1038/s41416-019-0584-5. Epub 2019 Sep 20.

    PubMed 31537908

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing bevacizumab and trabectedin and bevacizumab, trabectedin and carboplatin in people with Ovarian Epithelial Cancer Recurrent, run by Mario Negri Institute for Pharmacological Research at 7 sites in Italy.

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 9 inclusion and 18 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 19 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Italy. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 at 6 months (PFS-6) (time frame: from randomization up to 6 months). 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 NCT01735071, 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 19 Nov 2019.

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