Trial Outcomes & Findings for Avastin in Patients With Epithelial Ovarian, Primary Peritoneal Serous or Fallopian Tube Cancer (NCT NCT00866723)

NCT ID: NCT00866723

Last Updated: 2018-05-22

Results Overview

For measurable disease (MD) patients, clinical response on treatment was based on RECIST 1.0 criteria with overall response defined as achieving partial response (PR) or complete response (CR). Per RECIST 1.0 for target lesions, CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. For non-MD patients, clinical response based on modified Gynecologic Cancer Intergroup (GCIG) criteria was defined as at least a 50% decrease in CA-125 levels.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

Disease was evaluated at baseline and every 3 cycles on treatment. Treatment continued until disease progression or unacceptable toxicity. Patients underwent radiologic assessment (CT or MRI scans) and CA-125 levels were measured.

Results posted on

2018-05-22

Participant Flow

Participant milestones

Participant milestones
Measure
Bevacizumab
Bevacizumab was administered at 15 mg/kg intravenously every 3 weeks. Treatment continued until disease progression or unacceptable toxicity.
Overall Study
STARTED
5
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Bevacizumab
Bevacizumab was administered at 15 mg/kg intravenously every 3 weeks. Treatment continued until disease progression or unacceptable toxicity.
Overall Study
Withdrawal by Subject
1
Overall Study
Disease Progression
4

Baseline Characteristics

Avastin in Patients With Epithelial Ovarian, Primary Peritoneal Serous or Fallopian Tube Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bevacizumab
n=5 Participants
Bevacizumab was administered at 15 mg/kg intravenously every 3 weeks. Treatment continued until disease progression or unacceptable toxicity.
Age, Continuous
55 years
n=93 Participants
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=93 Participants
Age, Categorical
>=65 years
1 Participants
n=93 Participants
Sex: Female, Male
Female
5 Participants
n=93 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
Region of Enrollment
United States
5 participants
n=93 Participants

PRIMARY outcome

Timeframe: Disease was evaluated at baseline and every 3 cycles on treatment. Treatment continued until disease progression or unacceptable toxicity. Patients underwent radiologic assessment (CT or MRI scans) and CA-125 levels were measured.

Population: The analysis dataset is comprised of all treated patients.

For measurable disease (MD) patients, clinical response on treatment was based on RECIST 1.0 criteria with overall response defined as achieving partial response (PR) or complete response (CR). Per RECIST 1.0 for target lesions, CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. For non-MD patients, clinical response based on modified Gynecologic Cancer Intergroup (GCIG) criteria was defined as at least a 50% decrease in CA-125 levels.

Outcome measures

Outcome measures
Measure
Bevacizumab
n=5 Participants
Bevacizumab was administered at 15 mg/kg intravenously every 3 weeks. Treatment continued until disease progression or unacceptable toxicity.
Clinical Response Rate
0.20 proportion of participants
Interval 0.01 to 0.66

PRIMARY outcome

Timeframe: Disease was evaluated at baseline and every 3 cycles on treatment. Treatment continued until disease progression or unacceptable toxicity. Patients underwent radiologic assessment (CT or MRI scans) and CA-125 levels were measured.

Population: The analysis dataset is comprised of all treated patients.

Clinical benefit response was defined as absence of disease progression at 18 weeks (ie after 6 cycles). Disease progression (PD) could occur per RECIST 1.0 or based on CA-125 levels. Per RECIST 1.0 for target lesions, PD is at least a 20% increase in sum LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or appearance of new lesions. For non-target lesions, PD is the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Disease progression based on CA-125 level was doubling of the CA-125 level from baseline. For patients with normal baseline CA-125 (who by definition had MD) the criterion for progression based on CA-125 doubling was doubling of CA-125 from the upper limit of normal (i.e. more than 70).

Outcome measures

Outcome measures
Measure
Bevacizumab
n=5 Participants
Bevacizumab was administered at 15 mg/kg intravenously every 3 weeks. Treatment continued until disease progression or unacceptable toxicity.
Clinical Benefit Response Rate
0.80 proportion of particpants
Interval 0.34 to 0.99

Adverse Events

Bevacizumab

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Bevacizumab
n=5 participants at risk
Bevacizumab was administered at 15 mg/kg intravenously every 3 weeks. Treatment continued until disease progression or unacceptable toxicity.
Vascular disorders
Hypertension
20.0%
1/5 • Assessed each cycle throughout treatment from time of first dose and up to day 30 post-treatment.
Serious AEs (SAE) were defined as events with treatment-attribution of possibly, probably or definitely and grade 3 or higher per CTCAEv3. There were no SAEs experinced by patients on this study per the above definition. Other AEs were defined as events with treatment-attribution of possible, probable or definite and grades 1 or 2 per CTCAEv3.
General disorders
Fatigue (asthenia, lethargy, malaise)
20.0%
1/5 • Assessed each cycle throughout treatment from time of first dose and up to day 30 post-treatment.
Serious AEs (SAE) were defined as events with treatment-attribution of possibly, probably or definitely and grade 3 or higher per CTCAEv3. There were no SAEs experinced by patients on this study per the above definition. Other AEs were defined as events with treatment-attribution of possible, probable or definite and grades 1 or 2 per CTCAEv3.
Musculoskeletal and connective tissue disorders
Arthritis (non-septic)
20.0%
1/5 • Assessed each cycle throughout treatment from time of first dose and up to day 30 post-treatment.
Serious AEs (SAE) were defined as events with treatment-attribution of possibly, probably or definitely and grade 3 or higher per CTCAEv3. There were no SAEs experinced by patients on this study per the above definition. Other AEs were defined as events with treatment-attribution of possible, probable or definite and grades 1 or 2 per CTCAEv3.
Respiratory, thoracic and mediastinal disorders
Nasal cavity/paranasal sinus reactions
20.0%
1/5 • Assessed each cycle throughout treatment from time of first dose and up to day 30 post-treatment.
Serious AEs (SAE) were defined as events with treatment-attribution of possibly, probably or definitely and grade 3 or higher per CTCAEv3. There were no SAEs experinced by patients on this study per the above definition. Other AEs were defined as events with treatment-attribution of possible, probable or definite and grades 1 or 2 per CTCAEv3.
Gastrointestinal disorders
Chelitis
20.0%
1/5 • Assessed each cycle throughout treatment from time of first dose and up to day 30 post-treatment.
Serious AEs (SAE) were defined as events with treatment-attribution of possibly, probably or definitely and grade 3 or higher per CTCAEv3. There were no SAEs experinced by patients on this study per the above definition. Other AEs were defined as events with treatment-attribution of possible, probable or definite and grades 1 or 2 per CTCAEv3.

Additional Information

Panagiotis Konstantinopoulos

Dana-Farber Cancer Institute

Phone: (617) 632-5269

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place