AVAPERL1 Study: A Study of Avastin (Bevacizumab) With or Without Pemetrexed as Maintenance Therapy After Avastin in First Line in Patients With Non-Squamous Non-Small Cell Lung Cancer

NCT ID: NCT00961415

Last Updated: 2016-02-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

376 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-05-31

Brief Summary

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This open-label study will assess the efficacy and safety of Avastin with or without pemetrexed as maintenance therapy in patients with advanced, metastatic or recurrent non-small cell lung cancer. In Part 1, patients will receive 4 cycles of treatment with Avastin (7.5mg/kg iv) plus cisplatin (75mg/m2 iv) plus pemetrexed (500mg/m2 iv) on day 1 of each 3-week cycle. In Part 2, patients responding to treatment will be randomized to receive further treatment cycles of Avastin (7.5mg/kg iv every 3 weeks) with or without pemetrexed (500mg/m2 iv every 3 weeks). Anticipated time on study treatment is until disease progression. Target sample size is \<500 individuals.

Detailed Description

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Conditions

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Non-Squamous Non-Small Cell Lung 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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Part 1

Group Type EXPERIMENTAL

bevacizumab [Avastin]

Intervention Type DRUG

7.5mg/kg iv on day 1 of each 3-week cycle

cisplatin

Intervention Type DRUG

75mg/m2 iv on day 1 of each 3-week cycle

pemetrexed

Intervention Type DRUG

500mg/m2 iv on day 1 of each 3-week cycle

Part 2A

Group Type EXPERIMENTAL

bevacizumab [Avastin]

Intervention Type DRUG

7.5mg/kg iv on day 1 of each 3-week cycle

Part 2B

Group Type ACTIVE_COMPARATOR

bevacizumab [Avastin]

Intervention Type DRUG

7.5mg/kg iv on day 1 of each 3-week cycle

pemetrexed

Intervention Type DRUG

500mg/m2 iv on day 1 of each 3-week cycle

Interventions

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bevacizumab [Avastin]

7.5mg/kg iv on day 1 of each 3-week cycle

Intervention Type DRUG

cisplatin

75mg/m2 iv on day 1 of each 3-week cycle

Intervention Type DRUG

pemetrexed

500mg/m2 iv on day 1 of each 3-week cycle

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* adults \>/=18 years of age
* inoperable, locally advanced, metastatic or recurrent non-squamous non-small cell lung cancer (NSCLC)
* at least 1 measurable lesion meeting RECIST criteria
* ECOG performance status 0-2
* adequate hematological, liver and renal function

Exclusion Criteria

* prior chemotherapy or treatment with another systemic anti-cancer agent
* malignancies other than NSCLC within 5 years prior to randomization, except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, localized prostate cancer or DCIS
* evidence of tumor invading major blood vessels
* current or recent use of aspirin (\>325mg/day) or full-dose anticoagulants or thrombolytic agents for therapeutic purposes
* history of haemoptysis \>/=grade 2
* clinically significant cardiovascular disease
Minimum Eligible Age

18 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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Béziers, , France

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Bordeaux, , France

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Bron, , France

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Caen, , France

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Caen, , France

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Clermont-Ferrand, , France

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Créteil, , France

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Gap, , France

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Gleizé, , France

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La Source, , France

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La Tronche, , France

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Lille, , France

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Limoges, , France

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Lyon, , France

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Marseille, , France

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Nancy, , France

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Nîmes, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Perpignan, , France

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Pierre-Bénite, , France

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Reims, , France

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Saint-Priest-en-Jarez, , France

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Strasbourg, , France

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Toulon, , France

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Tours, , France

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Augsburg, , Germany

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Bad Berka, , Germany

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Berlin, , Germany

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Bonn, , Germany

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Ebensfeld, , Germany

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Frankfurt, , Germany

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Freiburg im Breisgau, , Germany

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Gauting, , Germany

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Großhansdorf, , Germany

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Halle, , Germany

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Hamburg, , Germany

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Immenhausen, , Germany

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Karlsruhe, , Germany

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Leipzig, , Germany

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Minden, , Germany

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München, , Germany

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Oldenburg, , Germany

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Alexandroupoli, , Greece

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Lecce, Apulia, Italy

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Napoli, Campania, Italy

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Aviano, Friuli Venezia Giulia, Italy

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Rome, Lazio, Italy

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Novara, Piedmont, Italy

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Sassari, Sardinia, Italy

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Pisa, Tuscany, Italy

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Padua, Veneto, Italy

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's-Hertogenbosch, , Netherlands

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Amersfoort, , Netherlands

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Amsterdam, , Netherlands

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Breda, , Netherlands

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Eindhoven, , Netherlands

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Haarlem, , Netherlands

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Nieuwegein, , Netherlands

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Rotterdam, , Netherlands

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Sittard-Geleen, , Netherlands

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The Hague, , Netherlands

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Zaandam, , Netherlands

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Balashikha, , Russia

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Irkutsk, , Russia

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Krasnodar, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Bundang City, , South Korea

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Daegu, , South Korea

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Gyeonggi-do, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Palma de Mallorca, Balearic Islands, Spain

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Las Palmas de Gran Canaria, Las Palmas, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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San Cristóbal de La Laguna, Tenerife, Spain

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Gävle, , Sweden

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Linköping, , Sweden

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Lund, , Sweden

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Uppsala, , Sweden

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Zurich, , Switzerland

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Antalya, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Al Ain City, , United Arab Emirates

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Countries

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France Germany Greece Italy Netherlands Russia South Korea Spain Sweden Switzerland Turkey (Türkiye) United Arab Emirates

References

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Barlesi F, Scherpereel A, Rittmeyer A, Pazzola A, Ferrer Tur N, Kim JH, Ahn MJ, Aerts JG, Gorbunova V, Vikstrom A, Wong EK, Perez-Moreno P, Mitchell L, Groen HJ. Randomized phase III trial of maintenance bevacizumab with or without pemetrexed after first-line induction with bevacizumab, cisplatin, and pemetrexed in advanced nonsquamous non-small-cell lung cancer: AVAPERL (MO22089). J Clin Oncol. 2013 Aug 20;31(24):3004-11. doi: 10.1200/JCO.2012.42.3749. Epub 2013 Jul 8.

Reference Type DERIVED
PMID: 23835708 (View on PubMed)

Other Identifiers

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2008-007008-27

Identifier Type: -

Identifier Source: secondary_id

MO22089

Identifier Type: -

Identifier Source: org_study_id

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