Trial Outcomes & Findings for Safety and Efficacy of Bevacizumab Plus RAD001 Versus Interferon Alfa-2a and Bevacizumab for the First-line Treatment in Adult Patients With Kidney Cancer (NCT NCT00719264)

NCT ID: NCT00719264

Last Updated: 2017-03-20

Results Overview

Tumor response and disease progression were assessed using response evaluation criteria in solid tumors (RECIST), version 1.0. All target and non-target lesions identified at baseline were assessed using the same method, CT scan with contrast or MRI with contrast, throughout the trial. All scans were reviewed by independent, central radiology. Disease progression was defined as: 1) a 20% increase in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameters of all target lesions recorded at or after baseline or 2) the appearance of a new lesions or 3) the unequivocal progression of non-target lesions overall.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

365 participants

Primary outcome timeframe

Time from randomization to the date of radiological progressive disease as per independent central review, death from any cause, or last tumor assessment, reported between date of first participant randomized until 31Dec2011, cutoff date.

Results posted on

2017-03-20

Participant Flow

Participant milestones

Participant milestones
Measure
Bevacizumab, RAD001 (Everolimus)
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Overall Study
STARTED
182
183
Overall Study
Full Analysis Set
182
183
Overall Study
Safety Set
180
181
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
182
183

Reasons for withdrawal

Reasons for withdrawal
Measure
Bevacizumab, RAD001 (Everolimus)
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Overall Study
Adverse Event
41
49
Overall Study
Death
13
10
Overall Study
Administrative Problems
6
4
Overall Study
Lost to Follow-up
1
1
Overall Study
Withdrawal by Subject
12
7
Overall Study
Protocol Deviation
1
3
Overall Study
New Cancer Therapy
4
2
Overall Study
Disease Progression
104
107

Baseline Characteristics

Safety and Efficacy of Bevacizumab Plus RAD001 Versus Interferon Alfa-2a and Bevacizumab for the First-line Treatment in Adult Patients With Kidney Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bevacizumab, RAD001 (Everolimus)
n=182 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=183 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Total
n=365 Participants
Total of all reporting groups
Age, Continuous
60.71 Years
STANDARD_DEVIATION 10.584 • n=5 Participants
59.93 Years
STANDARD_DEVIATION 10.272 • n=7 Participants
60.32 Years
STANDARD_DEVIATION 10.422 • n=5 Participants
Sex: Female, Male
Female
44 Participants
n=5 Participants
52 Participants
n=7 Participants
96 Participants
n=5 Participants
Sex: Female, Male
Male
138 Participants
n=5 Participants
131 Participants
n=7 Participants
269 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Time from randomization to the date of radiological progressive disease as per independent central review, death from any cause, or last tumor assessment, reported between date of first participant randomized until 31Dec2011, cutoff date.

Population: Full Analysis Set: This set consists of all randomized participants.

Tumor response and disease progression were assessed using response evaluation criteria in solid tumors (RECIST), version 1.0. All target and non-target lesions identified at baseline were assessed using the same method, CT scan with contrast or MRI with contrast, throughout the trial. All scans were reviewed by independent, central radiology. Disease progression was defined as: 1) a 20% increase in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameters of all target lesions recorded at or after baseline or 2) the appearance of a new lesions or 3) the unequivocal progression of non-target lesions overall.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=182 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=183 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Progression-free Survival (PFS) of Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
9.3 Months
Interval 8.1 to 11.2
10.0 Months
Interval 8.3 to 12.9

SECONDARY outcome

Timeframe: Time from randomization to the date of death from any cause, reported between date of first participant randomized and up to 2 years after the last participant randomized (data cutoff: 30Aug2012)

Population: Full Analysis Set: This set consists of all randomized participants.

Overall survival (OS) was defined as the time of randomization to the date of death due to any cause.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=182 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=183 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Overall Survival (OS) Treatment Effect in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
27.1 Months
Interval 19.9 to 35.3
27.1 Months
Interval 20.4 to 30.8

SECONDARY outcome

Timeframe: Time from first participant randomized until 31Dec2011, cutoff date.

Population: Full Analysis Set: This set consists of all randomized participants.

Overall response is defined as the number of participants having achieved confirmed Complete Response (CR) + Partial Response (PR). Confirmed CR = at least two determinations of CR at least 4 weeks apart before progression. Confirmed PR = at least two determinations of PR or better at least 4 weeks apart before progression. CR required a disappearance of all target and non-target lesions. PR required at least a 30% decrease in the sum of the longest diameters of all target lesions, taking as a reference the baseline sum of the longest diameters. Disease progression was defined as: 1) a 20% increase in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameters of all target lesions recorded at or after baseline or 2) the appearance of a new lesions or 3) the unequivocal progression of non-target lesions overall.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=182 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=183 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Best Overall Response in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
Complete response (CR)
0 Number of participants
1 Number of participants
Best Overall Response in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
Partial response (PR)
49 Number of participants
50 Number of participants
Best Overall Response in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
Stable disease (SD)
90 Number of participants
84 Number of participants
Best Overall Response in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
Progressive disease (PD)
25 Number of participants
26 Number of participants
Best Overall Response in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
Unknown response
18 Number of participants
22 Number of participants
Best Overall Response in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
Overall objective response (CR+PR)
49 Number of participants
51 Number of participants

SECONDARY outcome

Timeframe: Time from first documented response date of radiological progressive disease as per independent central review, death due to underlying cancer, or last tumor assessment, reported between date of first participant randomized until 31Dec2011, cut-off date.

Population: A subset of participants from the full analysis set were analyzed. The full analysis set consists of all randomized participants. the subset includes participants who were complete responders or partial responders.

The duration of response, applied only to participants with best overall response at CR or PR, is defined as the number of days between the date of first documented response (CR or PR) and the date of the event: radiological progression as per central review or death due to underlying cancer, whichever occurs first. If no event, participant is censored at the last adequate assessment.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=49 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=51 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Response Duration Differences in Participants Who Received RAD001 Plus Bevacizumab Versus Participants Who Received IFN Plus Bevacizumab
13.3 Months
Interval 10.7 to 16.7
11.3 Months
Interval 10.4 to
The upper limit was not estimable as it is longer than the estimated time period per data cutoff (31Dec2011).

SECONDARY outcome

Timeframe: From the first participant randomized until the last patient discontinued the study treatment + 28 days

Population: Safety Set: The safety set included all participants who received at least one dose of study drug (everolimus, bevacizumab or IFN) and had a valid post-baseline assessment. No AE or occurrence of death, noted at assessment, constitutes a valid post-baseline safety assessment.

Participants were monitored for adverse events, serious adverse events and deaths throughout the study. Participants were assessed continuously at each 28-day cycle.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=180 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=181 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Number of Participants Who Experienced Adverse Events (AEs), Serious Adverse Events and Deaths
Adverse events (serious and non-serious)
179 Participants
180 Participants
Number of Participants Who Experienced Adverse Events (AEs), Serious Adverse Events and Deaths
Serious adverse events
79 Participants
76 Participants
Number of Participants Who Experienced Adverse Events (AEs), Serious Adverse Events and Deaths
Deaths
93 Participants
95 Participants

SECONDARY outcome

Timeframe: Time from randomization to the date of definitive deterioration (defined as no later increase above the threshold observed during the study), or date of last assessment, reported between date of first patient randomized until 31Dec2011

Population: Full Analysis Set: This set consists of all randomized participants.

The analysis of this outcome measure was based on the FKSI-DRS scale which is a validated disease-related symptom index containing 9 items that measure symptoms predominantly related to kidney cancer. Each item is scored on a 5-point scale (0 = not at all; 4 = very much). If at least 5 of the 9 questions have been answered, the FKSI-DRS total score is calculated by subtracting nine times the mean of the scores of the answered items from 36. Participants with less than 5 out of the 9 questions answered will have a missing FKSI-DRS total score. The FKSI-DRS total score ranges from 0 (most severe symptoms) to 36 (no symptoms). Definitive deterioration is defined as a decrease by at least 2 units compared to baseline, with no later increase above this threshold observed during the study. A single measure reporting a decrease of at least 2 units was considered definitive only if it is the last one available for the participant.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=182 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=183 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Time to Definitive Deterioration of the Functional Assessment of Cancer Therapy Kidney Symptom Index, Disease Related Symptoms (FKSI-DRS) Risk Score by at Least 2 Score Units
7.4 Months
Interval 4.7 to 10.8
8.0 Months
Interval 3.7 to 11.5

SECONDARY outcome

Timeframe: Time from randomization to the date of definitive deterioration (defined as no later increase above the threshold observed during the study), or date of last assessment, reported between date of first participant randomized until 31Dec2011

Population: Full Analysis Set: This set consists of all randomized participants.

The EORTC QLQ-C30 contains 30 items. These include five functional scales (physical, role, emotional, social and cognitive functioning), three symptom scales (fatigue, pain, nausea, and vomiting), a global health status/QoL scale, and six single items (dyspnea, diarrhea, constipation, anorexia, insomnia and financial impact). The PF subscale consists of 5 questions each scored from 1 (not at all) to 4 (very much). The score for the PF subscale and global health status range from 0 to 100, with a higher score representing a high level of functioning/high quality of life. Definitive deterioration by at least 10% is defined as a decrease in score by at least 10% compared to baseline, with no later increase above this threshold observed during the course of the study. A single measure reporting a decrease of at least 10% is considered definitive only if it is the last one available for the participant.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=182 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=183 Participants
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Time to Definitive Deterioration of the Global Health Status and the Physical Functioning (PF) Subscale Scores of the European Organization for the Research and Treatment of Cancer (EORTC)-Core Quality of Life Questionnaire (QLQ-C30) by at Least 10%
Global health status/QoL
7.4 Months
Interval 5.3 to 12.0
7.8 Months
Interval 5.6 to 10.2
Time to Definitive Deterioration of the Global Health Status and the Physical Functioning (PF) Subscale Scores of the European Organization for the Research and Treatment of Cancer (EORTC)-Core Quality of Life Questionnaire (QLQ-C30) by at Least 10%
Physical functioning
8.5 Months
Interval 5.6 to 13.8
9.0 Months
Interval 6.5 to 12.9

SECONDARY outcome

Timeframe: From the date of the first participant treated until the last patient discontinued the study treatment + 28 days

Population: Safety Set: The safety set included all participants who received at least one dose of study drug (everolimus, bevacizumab or IFN) and had a valid post-baseline assessment. No AE or occurrence of death, noted at assessment, constitutes a valid post-baseline safety assessment.

This outcome measure was assessed continuously.

Outcome measures

Outcome measures
Measure
Bevacizumab, RAD001 (Everolimus)
n=180 Participants
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Duration of Exposure of RAD001 in Participants Randomized to the Treatment Combination of RAD001 and Bevacizumab
37.0 weeks
Interval 2.0 to 190.0

Adverse Events

Bevacizumab, RAD001 (Everolimus)

Serious events: 79 serious events
Other events: 173 other events
Deaths: 0 deaths

Bevacizumab, Interferon Alfa-2a (IFN)

Serious events: 76 serious events
Other events: 179 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Bevacizumab, RAD001 (Everolimus)
n=180 participants at risk
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=181 participants at risk
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Blood and lymphatic system disorders
ANAEMIA
3.3%
6/180
4.4%
8/181
Blood and lymphatic system disorders
LEUKOPENIA
0.56%
1/180
0.00%
0/181
Blood and lymphatic system disorders
LYMPHADENOPATHY MEDIASTINAL
0.00%
0/180
0.55%
1/181
Blood and lymphatic system disorders
THROMBOCYTOPENIA
1.1%
2/180
0.00%
0/181
Cardiac disorders
ANGINA PECTORIS
0.56%
1/180
0.00%
0/181
Cardiac disorders
CARDIAC ARREST
0.56%
1/180
1.1%
2/181
Cardiac disorders
CARDIAC FAILURE
1.7%
3/180
0.00%
0/181
Cardiac disorders
CARDIAC FAILURE ACUTE
0.56%
1/180
0.00%
0/181
Cardiac disorders
CARDIAC FAILURE CONGESTIVE
1.7%
3/180
0.55%
1/181
Cardiac disorders
TACHYCARDIA
0.00%
0/180
0.55%
1/181
Cardiac disorders
VENTRICULAR TACHYCARDIA
0.00%
0/180
0.55%
1/181
Ear and labyrinth disorders
DEAFNESS
0.00%
0/180
0.55%
1/181
Ear and labyrinth disorders
TINNITUS
0.56%
1/180
0.00%
0/181
Ear and labyrinth disorders
VERTIGO
0.00%
0/180
0.55%
1/181
Gastrointestinal disorders
ABDOMINAL DISTENSION
0.56%
1/180
0.55%
1/181
Gastrointestinal disorders
ABDOMINAL PAIN
4.4%
8/180
1.7%
3/181
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
0.00%
0/180
1.1%
2/181
Gastrointestinal disorders
ANAL FISSURE
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
ANAL FISTULA
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
ASCITES
1.1%
2/180
0.00%
0/181
Gastrointestinal disorders
COLITIS
0.00%
0/180
1.1%
2/181
Gastrointestinal disorders
DIARRHOEA
2.8%
5/180
0.55%
1/181
Gastrointestinal disorders
DYSPHAGIA
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
ENTERITIS
0.56%
1/180
0.55%
1/181
Gastrointestinal disorders
FLATULENCE
0.00%
0/180
0.55%
1/181
Gastrointestinal disorders
GASTRIC FISTULA
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
GASTRIC ULCER
0.56%
1/180
0.55%
1/181
Gastrointestinal disorders
GASTRIC ULCER HAEMORRHAGE
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
GASTRITIS
0.00%
0/180
0.55%
1/181
Gastrointestinal disorders
GASTROOESOPHAGEAL REFLUX DISEASE
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
HAEMORRHOIDAL HAEMORRHAGE
0.00%
0/180
0.55%
1/181
Gastrointestinal disorders
INTESTINAL ISCHAEMIA
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
INTESTINAL OBSTRUCTION
1.7%
3/180
0.55%
1/181
Gastrointestinal disorders
MOUTH HAEMORRHAGE
0.00%
0/180
0.55%
1/181
Gastrointestinal disorders
NAUSEA
2.2%
4/180
1.1%
2/181
Gastrointestinal disorders
PANCREATITIS
0.56%
1/180
0.55%
1/181
Gastrointestinal disorders
PANCREATITIS CHRONIC
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
PROCTITIS
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
RECTAL HAEMORRHAGE
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
RETROPERITONEUM CYST
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
SIGMOIDITIS
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
SMALL INTESTINAL OBSTRUCTION
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
STOMATITIS
1.7%
3/180
0.00%
0/181
Gastrointestinal disorders
TOOTHACHE
0.00%
0/180
0.55%
1/181
Gastrointestinal disorders
UPPER GASTROINTESTINAL HAEMORRHAGE
0.56%
1/180
0.00%
0/181
Gastrointestinal disorders
VOMITING
2.2%
4/180
1.1%
2/181
General disorders
ASTHENIA
0.56%
1/180
1.1%
2/181
General disorders
DISEASE PROGRESSION
0.56%
1/180
1.7%
3/181
General disorders
DRUG INEFFECTIVE
0.00%
0/180
0.55%
1/181
General disorders
FATIGUE
1.1%
2/180
1.7%
3/181
General disorders
GENERAL PHYSICAL HEALTH DETERIORATION
1.1%
2/180
2.2%
4/181
General disorders
GENERALISED OEDEMA
0.56%
1/180
0.00%
0/181
General disorders
HYPERPYREXIA
0.00%
0/180
0.55%
1/181
General disorders
MULTI-ORGAN FAILURE
0.00%
0/180
0.55%
1/181
General disorders
NON-CARDIAC CHEST PAIN
0.00%
0/180
1.1%
2/181
General disorders
OEDEMA PERIPHERAL
0.56%
1/180
0.00%
0/181
General disorders
PERFORMANCE STATUS DECREASED
0.56%
1/180
0.00%
0/181
General disorders
PYREXIA
1.7%
3/180
0.00%
0/181
General disorders
SUDDEN DEATH
0.56%
1/180
0.00%
0/181
Hepatobiliary disorders
BILE DUCT OBSTRUCTION
0.00%
0/180
0.55%
1/181
Hepatobiliary disorders
CHOLECYSTITIS
0.00%
0/180
0.55%
1/181
Hepatobiliary disorders
CHOLELITHIASIS
0.00%
0/180
0.55%
1/181
Hepatobiliary disorders
CHOLESTASIS
0.00%
0/180
0.55%
1/181
Hepatobiliary disorders
HEPATOTOXICITY
0.56%
1/180
0.00%
0/181
Hepatobiliary disorders
JAUNDICE
0.56%
1/180
0.00%
0/181
Infections and infestations
ANAL ABSCESS
1.7%
3/180
0.00%
0/181
Infections and infestations
BRONCHITIS
0.56%
1/180
0.00%
0/181
Infections and infestations
BRONCHOPNEUMONIA
0.56%
1/180
0.55%
1/181
Infections and infestations
ESCHERICHIA URINARY TRACT INFECTION
0.00%
0/180
0.55%
1/181
Infections and infestations
INJECTION SITE INFECTION
0.00%
0/180
0.55%
1/181
Infections and infestations
LARYNGITIS
0.00%
0/180
0.55%
1/181
Infections and infestations
LUNG INFECTION
0.00%
0/180
0.55%
1/181
Infections and infestations
MYELITIS
0.00%
0/180
0.55%
1/181
Infections and infestations
NECROTISING FASCIITIS
0.56%
1/180
0.00%
0/181
Infections and infestations
OSTEOMYELITIS
0.56%
1/180
0.55%
1/181
Infections and infestations
PHARYNGITIS
0.56%
1/180
0.00%
0/181
Infections and infestations
PNEUMONIA
3.3%
6/180
1.1%
2/181
Infections and infestations
PYELONEPHRITIS
0.00%
0/180
0.55%
1/181
Infections and infestations
RESPIRATORY TRACT INFECTION
1.1%
2/180
0.55%
1/181
Infections and infestations
SEPSIS
2.2%
4/180
0.55%
1/181
Infections and infestations
SEPTIC SHOCK
0.56%
1/180
0.00%
0/181
Infections and infestations
SINUSITIS BACTERIAL
0.00%
0/180
0.55%
1/181
Infections and infestations
TONSILLITIS
0.56%
1/180
0.00%
0/181
Infections and infestations
TUBERCULOSIS
0.00%
0/180
0.55%
1/181
Infections and infestations
URINARY TRACT INFECTION
0.56%
1/180
1.7%
3/181
Injury, poisoning and procedural complications
ALCOHOL POISONING
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
CEMENT EMBOLISM
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
CRANIOCEREBRAL INJURY
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
FALL
0.00%
0/180
0.55%
1/181
Injury, poisoning and procedural complications
FEMUR FRACTURE
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
FRACTURE
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
HEPATIC HAEMATOMA
0.00%
0/180
0.55%
1/181
Injury, poisoning and procedural complications
INCISIONAL HERNIA
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
LACERATION
0.00%
0/180
0.55%
1/181
Injury, poisoning and procedural complications
SPINAL COMPRESSION FRACTURE
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
SUBDURAL HAEMATOMA
0.56%
1/180
0.00%
0/181
Injury, poisoning and procedural complications
TOXICITY TO VARIOUS AGENTS
0.56%
1/180
0.55%
1/181
Injury, poisoning and procedural complications
VASCULAR PSEUDOANEURYSM
0.00%
0/180
0.55%
1/181
Investigations
BLOOD CREATINE INCREASED
0.56%
1/180
0.00%
0/181
Investigations
BLOOD CREATININE INCREASED
1.7%
3/180
0.00%
0/181
Investigations
EJECTION FRACTION DECREASED
0.56%
1/180
0.00%
0/181
Investigations
GAMMA-GLUTAMYLTRANSFERASE INCREASED
0.00%
0/180
0.55%
1/181
Investigations
HAEMOGLOBIN DECREASED
0.56%
1/180
0.00%
0/181
Investigations
WEIGHT DECREASED
0.56%
1/180
1.1%
2/181
Metabolism and nutrition disorders
CACHEXIA
0.56%
1/180
0.00%
0/181
Metabolism and nutrition disorders
DECREASED APPETITE
1.7%
3/180
2.2%
4/181
Metabolism and nutrition disorders
DEHYDRATION
1.7%
3/180
1.7%
3/181
Metabolism and nutrition disorders
DIABETES MELLITUS INADEQUATE CONTROL
0.56%
1/180
0.00%
0/181
Metabolism and nutrition disorders
HYPERCALCAEMIA
1.7%
3/180
0.55%
1/181
Metabolism and nutrition disorders
HYPERGLYCAEMIA
0.56%
1/180
0.00%
0/181
Metabolism and nutrition disorders
HYPERKALAEMIA
0.56%
1/180
0.55%
1/181
Metabolism and nutrition disorders
HYPERVOLAEMIA
0.00%
0/180
0.55%
1/181
Metabolism and nutrition disorders
HYPOALBUMINAEMIA
0.00%
0/180
0.55%
1/181
Metabolism and nutrition disorders
HYPOGLYCAEMIA
1.1%
2/180
0.00%
0/181
Metabolism and nutrition disorders
HYPOKALAEMIA
0.56%
1/180
0.00%
0/181
Metabolism and nutrition disorders
HYPONATRAEMIA
1.7%
3/180
1.7%
3/181
Metabolism and nutrition disorders
METABOLIC ACIDOSIS
0.56%
1/180
0.00%
0/181
Musculoskeletal and connective tissue disorders
ARTHRALGIA
0.56%
1/180
2.2%
4/181
Musculoskeletal and connective tissue disorders
BACK PAIN
0.56%
1/180
2.8%
5/181
Musculoskeletal and connective tissue disorders
BONE LOSS
0.56%
1/180
0.00%
0/181
Musculoskeletal and connective tissue disorders
BONE PAIN
0.56%
1/180
0.55%
1/181
Musculoskeletal and connective tissue disorders
GROIN PAIN
0.56%
1/180
0.00%
0/181
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC PROTRUSION
0.56%
1/180
0.00%
0/181
Musculoskeletal and connective tissue disorders
MUSCULAR WEAKNESS
0.56%
1/180
0.00%
0/181
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
0.00%
0/180
0.55%
1/181
Musculoskeletal and connective tissue disorders
PATHOLOGICAL FRACTURE
0.00%
0/180
1.7%
3/181
Musculoskeletal and connective tissue disorders
ROTATOR CUFF SYNDROME
0.56%
1/180
0.00%
0/181
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CANCER PAIN
0.00%
0/180
0.55%
1/181
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
INTESTINAL ADENOCARCINOMA
0.00%
0/180
0.55%
1/181
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT NEOPLASM PROGRESSION
0.00%
0/180
0.55%
1/181
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO BONE
0.56%
1/180
0.00%
0/181
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
0.56%
1/180
0.00%
0/181
Nervous system disorders
CEREBRAL INFARCTION
0.56%
1/180
0.00%
0/181
Nervous system disorders
CEREBRAL ISCHAEMIA
0.00%
0/180
0.55%
1/181
Nervous system disorders
CEREBROVASCULAR ACCIDENT
0.00%
0/180
1.7%
3/181
Nervous system disorders
COMA
0.00%
0/180
0.55%
1/181
Nervous system disorders
CONVULSION
0.56%
1/180
0.55%
1/181
Nervous system disorders
DIZZINESS
0.56%
1/180
0.55%
1/181
Nervous system disorders
ENCEPHALOPATHY
0.00%
0/180
0.55%
1/181
Nervous system disorders
EPILEPSY
0.00%
0/180
1.1%
2/181
Nervous system disorders
HAEMORRHAGE INTRACRANIAL
0.56%
1/180
0.00%
0/181
Nervous system disorders
HEADACHE
1.1%
2/180
0.00%
0/181
Nervous system disorders
SPINAL CORD COMPRESSION
0.56%
1/180
0.55%
1/181
Nervous system disorders
TRANSIENT ISCHAEMIC ATTACK
0.00%
0/180
1.1%
2/181
Psychiatric disorders
ACUTE PSYCHOSIS
0.00%
0/180
0.55%
1/181
Psychiatric disorders
ANXIETY
0.00%
0/180
0.55%
1/181
Psychiatric disorders
CONFUSIONAL STATE
0.00%
0/180
1.1%
2/181
Psychiatric disorders
DELIRIUM
0.56%
1/180
0.00%
0/181
Psychiatric disorders
DEPRESSION
0.00%
0/180
0.55%
1/181
Psychiatric disorders
MENTAL STATUS CHANGES
0.00%
0/180
0.55%
1/181
Psychiatric disorders
SOPOR
0.00%
0/180
0.55%
1/181
Renal and urinary disorders
BLADDER DILATATION
0.00%
0/180
0.55%
1/181
Renal and urinary disorders
NEPHROTIC SYNDROME
0.56%
1/180
0.55%
1/181
Renal and urinary disorders
OLIGURIA
0.56%
1/180
0.00%
0/181
Renal and urinary disorders
PROTEINURIA
0.56%
1/180
1.1%
2/181
Renal and urinary disorders
RENAL COLIC
0.56%
1/180
0.00%
0/181
Renal and urinary disorders
RENAL FAILURE
2.8%
5/180
0.55%
1/181
Renal and urinary disorders
RENAL FAILURE ACUTE
1.1%
2/180
0.00%
0/181
Renal and urinary disorders
RENAL IMPAIRMENT
0.00%
0/180
1.1%
2/181
Renal and urinary disorders
TUBULOINTERSTITIAL NEPHRITIS
0.56%
1/180
0.00%
0/181
Renal and urinary disorders
URINARY RETENTION
0.56%
1/180
0.00%
0/181
Reproductive system and breast disorders
MENORRHAGIA
0.56%
1/180
0.00%
0/181
Reproductive system and breast disorders
TESTICULAR PAIN
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
ACUTE PULMONARY OEDEMA
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
ATELECTASIS
0.00%
0/180
0.55%
1/181
Respiratory, thoracic and mediastinal disorders
BRONCHOSPASM
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
1.1%
2/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
COUGH
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
3.3%
6/180
1.7%
3/181
Respiratory, thoracic and mediastinal disorders
DYSPNOEA EXERTIONAL
0.00%
0/180
0.55%
1/181
Respiratory, thoracic and mediastinal disorders
EMPHYSEMA
0.00%
0/180
0.55%
1/181
Respiratory, thoracic and mediastinal disorders
EPISTAXIS
2.8%
5/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
HAEMOPTYSIS
1.1%
2/180
1.1%
2/181
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
1.7%
3/180
1.1%
2/181
Respiratory, thoracic and mediastinal disorders
PNEUMONIA ASPIRATION
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
0.56%
1/180
1.1%
2/181
Respiratory, thoracic and mediastinal disorders
PULMONARY OEDEMA
0.56%
1/180
0.55%
1/181
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
0.56%
1/180
0.00%
0/181
Respiratory, thoracic and mediastinal disorders
SLEEP APNOEA SYNDROME
0.56%
1/180
0.00%
0/181
Vascular disorders
ACCELERATED HYPERTENSION
0.00%
0/180
0.55%
1/181
Vascular disorders
CIRCULATORY COLLAPSE
0.56%
1/180
0.00%
0/181
Vascular disorders
HYPERTENSION
2.2%
4/180
1.7%
3/181
Vascular disorders
HYPERTENSIVE CRISIS
1.1%
2/180
1.1%
2/181
Vascular disorders
HYPOTENSION
0.56%
1/180
0.00%
0/181
Vascular disorders
HYPOVOLAEMIC SHOCK
0.56%
1/180
0.00%
0/181
Vascular disorders
THROMBOSIS
0.00%
0/180
0.55%
1/181

Other adverse events

Other adverse events
Measure
Bevacizumab, RAD001 (Everolimus)
n=180 participants at risk
Participants received oral everolimus 10 mg qd plus intravenous bevacizumab 10mg/kg every 2 weeks.
Bevacizumab, Interferon Alfa-2a (IFN)
n=181 participants at risk
Participants received subcutaneous IFN dose escalated from 3 MIU (million international unit) during week 1, 6 MIU during week 2, and 9 MIU during week 3 of treatment and subsequently (if tolerated), 3 times per week plus intravenous bevacizumab 10 mg/kg every 2 weeks.
Blood and lymphatic system disorders
ANAEMIA
19.4%
35/180
19.3%
35/181
Blood and lymphatic system disorders
LEUKOPENIA
2.2%
4/180
6.6%
12/181
Blood and lymphatic system disorders
LYMPHOPENIA
2.2%
4/180
6.1%
11/181
Blood and lymphatic system disorders
NEUTROPENIA
3.9%
7/180
11.6%
21/181
Blood and lymphatic system disorders
THROMBOCYTOPENIA
8.9%
16/180
16.0%
29/181
Cardiac disorders
TACHYCARDIA
5.0%
9/180
1.1%
2/181
Gastrointestinal disorders
ABDOMINAL PAIN
10.0%
18/180
10.5%
19/181
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
5.6%
10/180
5.0%
9/181
Gastrointestinal disorders
CONSTIPATION
16.7%
30/180
14.4%
26/181
Gastrointestinal disorders
DIARRHOEA
39.4%
71/180
26.0%
47/181
Gastrointestinal disorders
DRY MOUTH
1.7%
3/180
6.1%
11/181
Gastrointestinal disorders
DYSPEPSIA
4.4%
8/180
6.1%
11/181
Gastrointestinal disorders
GINGIVAL BLEEDING
1.7%
3/180
6.1%
11/181
Gastrointestinal disorders
MOUTH ULCERATION
7.2%
13/180
1.7%
3/181
Gastrointestinal disorders
NAUSEA
21.1%
38/180
27.6%
50/181
Gastrointestinal disorders
STOMATITIS
61.7%
111/180
23.2%
42/181
Gastrointestinal disorders
TOOTHACHE
8.9%
16/180
6.6%
12/181
Gastrointestinal disorders
VOMITING
13.9%
25/180
14.4%
26/181
General disorders
ASTHENIA
21.7%
39/180
34.3%
62/181
General disorders
CHILLS
2.2%
4/180
11.6%
21/181
General disorders
FATIGUE
31.7%
57/180
41.4%
75/181
General disorders
INFLUENZA LIKE ILLNESS
2.8%
5/180
17.7%
32/181
General disorders
MALAISE
1.1%
2/180
6.1%
11/181
General disorders
OEDEMA PERIPHERAL
24.4%
44/180
9.9%
18/181
General disorders
PYREXIA
13.3%
24/180
34.8%
63/181
Infections and infestations
GINGIVITIS
5.6%
10/180
3.9%
7/181
Infections and infestations
INFLUENZA
5.6%
10/180
2.8%
5/181
Infections and infestations
SINUSITIS
5.6%
10/180
3.3%
6/181
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
10.0%
18/180
3.9%
7/181
Infections and infestations
URINARY TRACT INFECTION
8.9%
16/180
8.8%
16/181
Investigations
ALANINE AMINOTRANSFERASE INCREASED
5.0%
9/180
2.2%
4/181
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
5.6%
10/180
2.8%
5/181
Investigations
BLOOD CREATININE INCREASED
11.1%
20/180
3.9%
7/181
Investigations
GAMMA-GLUTAMYLTRANSFERASE INCREASED
5.6%
10/180
7.2%
13/181
Investigations
WEIGHT DECREASED
28.3%
51/180
32.0%
58/181
Metabolism and nutrition disorders
DECREASED APPETITE
26.7%
48/180
44.2%
80/181
Metabolism and nutrition disorders
HYPERCHOLESTEROLAEMIA
22.2%
40/180
4.4%
8/181
Metabolism and nutrition disorders
HYPERGLYCAEMIA
10.0%
18/180
2.8%
5/181
Metabolism and nutrition disorders
HYPERKALAEMIA
2.8%
5/180
6.1%
11/181
Metabolism and nutrition disorders
HYPERTRIGLYCERIDAEMIA
13.3%
24/180
9.4%
17/181
Metabolism and nutrition disorders
HYPERURICAEMIA
1.7%
3/180
7.7%
14/181
Musculoskeletal and connective tissue disorders
ARTHRALGIA
18.3%
33/180
20.4%
37/181
Musculoskeletal and connective tissue disorders
BACK PAIN
12.2%
22/180
14.4%
26/181
Musculoskeletal and connective tissue disorders
BONE PAIN
4.4%
8/180
5.5%
10/181
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL CHEST PAIN
5.0%
9/180
6.1%
11/181
Musculoskeletal and connective tissue disorders
MYALGIA
6.1%
11/180
18.8%
34/181
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
13.9%
25/180
9.4%
17/181
Nervous system disorders
DIZZINESS
6.1%
11/180
6.6%
12/181
Nervous system disorders
DYSGEUSIA
11.7%
21/180
3.9%
7/181
Nervous system disorders
HEADACHE
20.0%
36/180
21.0%
38/181
Psychiatric disorders
DEPRESSION
4.4%
8/180
13.8%
25/181
Psychiatric disorders
INSOMNIA
12.8%
23/180
13.8%
25/181
Renal and urinary disorders
DYSURIA
5.6%
10/180
5.5%
10/181
Renal and urinary disorders
PROTEINURIA
50.0%
90/180
37.6%
68/181
Respiratory, thoracic and mediastinal disorders
COUGH
30.0%
54/180
18.8%
34/181
Respiratory, thoracic and mediastinal disorders
DYSPHONIA
6.1%
11/180
5.0%
9/181
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
15.6%
28/180
17.7%
32/181
Respiratory, thoracic and mediastinal disorders
EPISTAXIS
34.4%
62/180
21.0%
38/181
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
10.0%
18/180
3.9%
7/181
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
6.7%
12/180
0.55%
1/181
Respiratory, thoracic and mediastinal disorders
RHINORRHOEA
7.2%
13/180
5.0%
9/181
Skin and subcutaneous tissue disorders
DERMATITIS
7.2%
13/180
1.1%
2/181
Skin and subcutaneous tissue disorders
DERMATITIS ACNEIFORM
5.0%
9/180
0.55%
1/181
Skin and subcutaneous tissue disorders
DRY SKIN
12.2%
22/180
8.8%
16/181
Skin and subcutaneous tissue disorders
PRURITUS
17.2%
31/180
12.2%
22/181
Skin and subcutaneous tissue disorders
RASH
23.3%
42/180
11.0%
20/181
Vascular disorders
HYPERTENSION
37.2%
67/180
21.5%
39/181

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
  • Publication restrictions are in place

Restriction type: OTHER