A Study of Bevacizumab (Avastin) in Combination With Capecitabine (Xeloda) in Elderly Patients With Metastatic Colorectal Cancer

NCT ID: NCT00484939

Last Updated: 2015-01-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2013-03-31

Brief Summary

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This 2-arm study assessed the efficacy and safety of bevacizumab (Avastin) in combination with capecitabine (Xeloda), compared with capecitabine alone, in elderly patients with metastatic colorectal cancer. Patients were randomized to receive either bevacizumab (7.5 mg/kg intravenously on Day 1 of each 3-week cycle) in combination with capecitabine (1000 mg/m\^2 orally twice a day on Days 1-14 of each 3-week cycle) or capecitabine (1000 mg/m\^2 orally twice a day on Days 1-14 of each 3-week cycle) alone.

No notable trends or interactions in laboratory values, electrocardiogram, or vital signs suggesting an effect in either direction for capecitabine/bevacizumab combination therapy or capecitabine monotherapy were observed during the study.

Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bevacizumab + capecitabine

Participants received bevacizumab 7.5 mg/kg intravenously on Day 1 of each 3-week treatment cycle. In addition, participants received capecitabine 1000 mg/m\^2 orally twice daily on Days 1-14 of each 3-week treatment cycle.

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

Treatment continued until unacceptable toxicity, withdrawal of consent, disease progression, or a decision to terminate at the discretion of the Investigator if medically indicated. Bevacizumab was supplied in single-use vials.

Capecitabine

Intervention Type DRUG

Treatment continued until unacceptable toxicity, withdrawal of consent, disease progression, or a decision to terminate at the discretion of the Investigator if medically indicated. Capecitabine was supplied as tablets.

Capecitabine

Participants received capecitabine 1000 mg/m\^2 orally twice daily on Days 1-14 of each 3-week treatment cycle.

Group Type ACTIVE_COMPARATOR

Capecitabine

Intervention Type DRUG

Treatment continued until unacceptable toxicity, withdrawal of consent, disease progression, or a decision to terminate at the discretion of the Investigator if medically indicated. Capecitabine was supplied as tablets.

Interventions

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Bevacizumab

Treatment continued until unacceptable toxicity, withdrawal of consent, disease progression, or a decision to terminate at the discretion of the Investigator if medically indicated. Bevacizumab was supplied in single-use vials.

Intervention Type DRUG

Capecitabine

Treatment continued until unacceptable toxicity, withdrawal of consent, disease progression, or a decision to terminate at the discretion of the Investigator if medically indicated. Capecitabine was supplied as tablets.

Intervention Type DRUG

Other Intervention Names

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Avastin Xeloda

Eligibility Criteria

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Inclusion Criteria

* Adult patients, ≥ 70 years of age.
* Cancer of the colon or rectum.
* Metastatic disease diagnosed ≤ 6 months before enrollment.
* ≥ 1 measurable metastatic lesion.

Exclusion Criteria

* Adjuvant anti-vascular endothelial growth factor (VEGF) treatment.
* Prior chemotherapeutic treatment for metastatic colorectal cancer.
* Past or current history of other malignancies (with the exception of basal and squamous cell cancer of the skin, or in situ cancer of the cervix).
* Clinically significant cardiovascular disease.
* Current or recent daily use of aspirin (\> 325 mg/day) or other non-steroidal anti-inflammatory drug (NSAID), or full dose anticoagulants.
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Innsbruck, , Austria

Site Status

Linz, , Austria

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Salzburg, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Halifax, Nova Scotia, Canada

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London, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Larissa, , Greece

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Piraeus, , Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Győr, , Hungary

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Zalaegerszeg-Pozva, , Hungary

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Lecce, Apulia, Italy

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Reggio Emilia, Emilia-Romagna, Italy

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Rome, Lazio, Italy

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Florence, Tuscany, Italy

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León, , Mexico

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Mexico City, , Mexico

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Mexico City, , Mexico

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Mexico City, , Mexico

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Puebla City, , Mexico

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Apeldoorn, , Netherlands

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Eindhoven, , Netherlands

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Utrecht, , Netherlands

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Krakow, , Poland

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Krakow, , Poland

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Warsaw, , Poland

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Ljubljana, , Slovenia

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Gyeonggi-do, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Barcelona, Barcelona, Spain

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Jaén, Jaen, Spain

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Las Palmas de Gran Canaria, Las Palmas, Spain

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Leganés, Madrid, Spain

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Madrid, Madrid, Spain

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Murcia, Murcia, Spain

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Zaragoza, Zaragoza, Spain

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Bristol, , United Kingdom

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Colchester, , United Kingdom

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Glasgow, , United Kingdom

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Leicester, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Nottingham, , United Kingdom

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Rhyl, , United Kingdom

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Sutton, , United Kingdom

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Countries

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Austria Canada Greece Hungary Italy Mexico Netherlands Poland Slovenia South Korea Spain United Kingdom

References

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Cunningham D, Lang I, Marcuello E, Lorusso V, Ocvirk J, Shin DB, Jonker D, Osborne S, Andre N, Waterkamp D, Saunders MP; AVEX study investigators. Bevacizumab plus capecitabine versus capecitabine alone in elderly patients with previously untreated metastatic colorectal cancer (AVEX): an open-label, randomised phase 3 trial. Lancet Oncol. 2013 Oct;14(11):1077-1085. doi: 10.1016/S1470-2045(13)70154-2. Epub 2013 Sep 10.

Reference Type DERIVED
PMID: 24028813 (View on PubMed)

Other Identifiers

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MO19286

Identifier Type: -

Identifier Source: org_study_id

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