Trial Outcomes & Findings for Treatment of Prostate Cancer With Adjuvant Bevacizumab Plus Erlotinib (NCT NCT00203424)

NCT ID: NCT00203424

Last Updated: 2016-03-25

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

Determined by time to tumor recurrence, as measured by rising prostate specific antigen (PSA) after radical prostatectomy.

Results posted on

2016-03-25

Participant Flow

Dates of recruitment period: 6/23/2005 - 03/10/2009 Types of location: Academic medical clinics and community medical clinics.

There are no pre-assignment details to describe.

Participant milestones

Participant milestones
Measure
Erlotinib + Bevacizumab
27 participants were screened for the study. 4 did not meet eligibility criteria,23 were registered to treatment period. 1 withdrew consent a day after registration and did not initiate study treatment.22 participants entered treatment period. Participants received Erlotinib every day for 24 weeks and Bevacizumab every 3 weeks for a total of 8 doses. The protocol instructed that pts be treated for 6 cycles. Of the 22 pts that started treatment, 11 completed the 6 cycles and the other 11 had to stop treatment prior to administration of 6th cycle. Of the 11 pts that did not complete all 6 cycles, 5 stopped treatment due to adverse event and were entered into the follow-up period. The 6 that stopped treatment due to withdrawal of consent and progressive disease did not enter the follow-up period. So 11 pts that completed 6 cycles of treatment plus 5 pts that did not complete 6 cycles of treatment due to an adverse event gives a total of 16 patients who entered follow-up period.
Treatment Period
STARTED
22
Treatment Period
COMPLETED
11
Treatment Period
NOT COMPLETED
11
Follow-up Period
STARTED
16
Follow-up Period
COMPLETED
10
Follow-up Period
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Erlotinib + Bevacizumab
27 participants were screened for the study. 4 did not meet eligibility criteria,23 were registered to treatment period. 1 withdrew consent a day after registration and did not initiate study treatment.22 participants entered treatment period. Participants received Erlotinib every day for 24 weeks and Bevacizumab every 3 weeks for a total of 8 doses. The protocol instructed that pts be treated for 6 cycles. Of the 22 pts that started treatment, 11 completed the 6 cycles and the other 11 had to stop treatment prior to administration of 6th cycle. Of the 11 pts that did not complete all 6 cycles, 5 stopped treatment due to adverse event and were entered into the follow-up period. The 6 that stopped treatment due to withdrawal of consent and progressive disease did not enter the follow-up period. So 11 pts that completed 6 cycles of treatment plus 5 pts that did not complete 6 cycles of treatment due to an adverse event gives a total of 16 patients who entered follow-up period.
Treatment Period
Withdrawal by Subject
4
Treatment Period
Adverse Event
5
Treatment Period
progressive disease
2
Follow-up Period
Withdrawal by Subject
1
Follow-up Period
progressive disease
4
Follow-up Period
Lost to Follow-up
1

Baseline Characteristics

Treatment of Prostate Cancer With Adjuvant Bevacizumab Plus Erlotinib

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Erlotinib + Bevacizumab
n=22 Participants
Participants that entered treatment period.
Age, Continuous
67 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Determined by time to tumor recurrence, as measured by rising prostate specific antigen (PSA) after radical prostatectomy.

Population: Of the 23 subjects registered for treatment, 19 were analysed for efficacy, 4 subjects were excluded from analysis because of withdrawal of subjects prior to first tumor assessment.

Outcome measures

Outcome measures
Measure
Bevacizumab+Erlotinib
n=19 Participants
To Evaluate the Efficacy of Bevacizumab Plus Erlotinib
completed study without tumor progression
9 participants
To Evaluate the Efficacy of Bevacizumab Plus Erlotinib
lost to follow-up unaffected by tumor recurrence
1 participants
To Evaluate the Efficacy of Bevacizumab Plus Erlotinib
withdrawal by subjects unaffected by recurrence
2 participants
To Evaluate the Efficacy of Bevacizumab Plus Erlotinib
affected by tumor recurrence
7 participants

PRIMARY outcome

Timeframe: Tumor progression assessed every 3 months during Follow-up Period for a maximum of 3 years after administration of first study treatment

Outcome measures

Outcome measures
Measure
Bevacizumab+Erlotinib
n=7 Participants
Time to Tumor Recurrence
285 days
Interval 42.0 to 835.0

SECONDARY outcome

Timeframe: Tumor progression assessed every 3 months during Follow-up Period for a maximum of 3 years after administration of first study treatment

Measured once for participants who experienced tumor recurrence per protocol. Imaging done to measure tumor progression only after documented tumor recurrence

Outcome measures

Outcome measures
Measure
Bevacizumab+Erlotinib
n=1 Participants
Time to Tumor Progression.
314 days

SECONDARY outcome

Timeframe: Survival status was assessed every 3 months after completion of study treatment for a maximum of 3 years after administration of first study treatment

Outcome measures

Outcome measures
Measure
Bevacizumab+Erlotinib
n=22 Participants
Overall Survival
Deceased
0 participants
Overall Survival
Alive
15 participants
Overall Survival
Lost to Follow-up
1 participants
Overall Survival
Withdrawal by subject
6 participants

Adverse Events

Erlotinib + Bevacizumab

Serious events: 1 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Erlotinib + Bevacizumab
n=22 participants at risk
Participants that entered treatment period.
Cardiac disorders
Grade 3 hypertension related to bevacizumab
4.5%
1/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.

Other adverse events

Other adverse events
Measure
Erlotinib + Bevacizumab
n=22 participants at risk
Participants that entered treatment period.
Skin and subcutaneous tissue disorders
rash
72.7%
16/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Musculoskeletal and connective tissue disorders
Fatigue
68.2%
15/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
Diarrhea
63.6%
14/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Skin and subcutaneous tissue disorders
Acne
45.5%
10/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Cardiac disorders
Hypertension
40.9%
9/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
Pain
36.4%
8/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Respiratory, thoracic and mediastinal disorders
cough
36.4%
8/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Skin and subcutaneous tissue disorders
Pruritis
31.8%
7/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Blood and lymphatic system disorders
Epistaxis
31.8%
7/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Skin and subcutaneous tissue disorders
Erythema
22.7%
5/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Infections and infestations
Infection
22.7%
5/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Blood and lymphatic system disorders
edema, limb
22.7%
5/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
fever
18.2%
4/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
Anorexia
18.2%
4/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
hemarrhoids
18.2%
4/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
nausea
18.2%
4/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Skin and subcutaneous tissue disorders
dry skin
13.6%
3/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
taste alteration
13.6%
3/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Metabolism and nutrition disorders
proteinuria
13.6%
3/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Nervous system disorders
mood alteration
13.6%
3/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
headache
13.6%
3/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
chills
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
cold symptoms
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
insomnia
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Skin and subcutaneous tissue disorders
peeling skin
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
constipation
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Gastrointestinal disorders
vomiting
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Vascular disorders
rectal bleeding
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Metabolism and nutrition disorders
AST elevated
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Metabolism and nutrition disorders
hyperglycemia
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Metabolism and nutrition disorders
hypokalemia
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Metabolism and nutrition disorders
hyponatremia
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Metabolism and nutrition disorders
serum total protein, decreased
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Nervous system disorders
neuropathy
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
dysuria
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
General disorders
throat sore
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Respiratory, thoracic and mediastinal disorders
voice changes
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Renal and urinary disorders
urinary frequency, increased
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.
Renal and urinary disorders
urinary retention
9.1%
2/22 • Adverse event (AE)data collected between 11/30/2005 and 1/26/2011. Therefore AE reporting period is 5.16 years or 5 years and 2 months, approximately.
Systemic adverse event assessment occurred every 21 days through investigator assessment during Treatment Period and every 3 months during Follow-up Period.

Additional Information

Dr. Fairooz F. Kabbinavar, Chief Medical Officer

Translational Oncology Research International

Phone: 310-824-1934

Results disclosure agreements

  • Principal investigator is a sponsor employee The obligations of confidentiality shall apply for a period of 5 years beyond termination of Agreement between Sponsor and PI,but do not apply to the extent information:is or later becomes generally known to the public;is obtained from third party without restriction who had legal right to disclose;is already possessed by PI,as demonstrated by recipient's written records predating receipt from Sponsor;or is required to be disclosed pursuant to a subpoena,law,regulation,or other legal proceeding.
  • Publication restrictions are in place

Restriction type: OTHER