Trial Outcomes & Findings for Erlotinib Plus Bevacizumab in Hepatocellular Carcinoma (HCC) as Second-line Therapy (NCT NCT01180959)

NCT ID: NCT01180959

Last Updated: 2022-11-07

Results Overview

Progression-free survival is defined as time from initiation of therapy until documented disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

45 participants

Primary outcome timeframe

59 months

Results posted on

2022-11-07

Participant Flow

45 participants signed consent, 1 patient withdrew consent prior to receiving treatment.

Participant milestones

Participant milestones
Measure
Erlotinib + Bevacizumab
Erlotinib 150 mg by mouth once a day. Bevacizumab 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes. Bevacizumab: 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes Erlotinib: 150 mg by mouth once a day.
Overall Study
STARTED
44
Overall Study
COMPLETED
44
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Erlotinib Plus Bevacizumab in Hepatocellular Carcinoma (HCC) as Second-line Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Erlotinib + Bevacizumab
n=44 Participants
Erlotinib 150 mg by mouth once a day. Bevacizumab 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes. Bevacizumab: 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes Erlotinib: 150 mg by mouth once a day.
Age, Continuous
63.05 years
STANDARD_DEVIATION 11.46 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 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
5 Participants
n=5 Participants
Race (NIH/OMB)
White
35 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
44 participants
n=5 Participants

PRIMARY outcome

Timeframe: 59 months

Progression-free survival is defined as time from initiation of therapy until documented disease progression or death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=44 Participants
Erlotinib 150 mg by mouth once a day. Bevacizumab 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes. Bevacizumab: 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes Erlotinib: 150 mg by mouth once a day.
Progression Free Survival (PFS)
43 months
Interval 28.0 to 59.0

SECONDARY outcome

Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 16 weeks

TTP is defined as the time between treatment assignment and radiologic progression at 16 weeks as defined by the amendments of the Response Evaluation Criteria in Solid Tumors (RECIST).Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=44 Participants
Erlotinib 150 mg by mouth once a day. Bevacizumab 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes. Bevacizumab: 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes Erlotinib: 150 mg by mouth once a day.
Time to Progression (TTP)
3.9 months
Interval 2.0 to 8.3

SECONDARY outcome

Timeframe: 24 months

Overall Survival is the time in months from start of study treatment to date of death due to any cause.

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=44 Participants
Erlotinib 150 mg by mouth once a day. Bevacizumab 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes. Bevacizumab: 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes Erlotinib: 150 mg by mouth once a day.
Overall Survival (OS)
9.9 months
Interval 8.3 to 15.5

Adverse Events

Erlotinib + Bevacizumab

Serious events: 0 serious events
Other events: 40 other events
Deaths: 33 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Erlotinib + Bevacizumab
n=44 participants at risk
Erlotinib 150 mg by mouth once a day. Bevacizumab 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes. Bevacizumab: 10 mg/kg by vein once every 2 weeks on days 1 and 15 of each cycle. The first dose of bevacizumab will be given over about 90 minutes Erlotinib: 150 mg by mouth once a day.
Skin and subcutaneous tissue disorders
Acneiform Rash
90.9%
40/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Alopecia
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Dry Skin
54.5%
24/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Pruritus
9.1%
4/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Rash
6.8%
3/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Bruising
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Anorexia
45.5%
20/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Nausea
36.4%
16/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Vomiting
29.5%
13/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Dysphagia
4.5%
2/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Diarrhea
50.0%
22/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Constipation
9.1%
4/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
other
13.6%
6/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Lower GI hemorrhage
13.6%
6/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Upper GI Hemorrhage
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Fever without neutropenia
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Weight Loss
22.7%
10/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
General Disorder, other
13.6%
6/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.8%
3/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Pain (Head)
15.9%
7/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Pain (Back)
4.5%
2/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Pain (Abdomen)
9.1%
4/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Pain (Muscle)
4.5%
2/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Pain (Other)
22.7%
10/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Investigations
Anemia
6.8%
3/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Investigations
Elevated transaminase
11.4%
5/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Hand-Foot Syndrome
6.8%
3/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Infections and infestations
Wound Infection
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Respiratory, thoracic and mediastinal disorders
Pul. Hemorrhage
6.8%
3/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Investigations
Hyperbilirubinemia
29.5%
13/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Investigations
Hypokalemia
6.8%
3/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Dry Mouth
4.5%
2/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
General disorders
Dry Eyes
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Vascular disorders
Hypertension
15.9%
7/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Hyperpigmentation
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Investigations
Hypomagnesemia
15.9%
7/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Skin and subcutaneous tissue disorders
Nail Changes
9.1%
4/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Renal and urinary disorders
Proteinuria
40.9%
18/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Mucositis
56.8%
25/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Gastrointestinal disorders
Taste Changes
15.9%
7/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Nervous system disorders
Voice Changes
15.9%
7/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Infections and infestations
Infection
9.1%
4/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Nervous system disorders
Syncopy attacks
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.
Vascular disorders
Thrombus formation
2.3%
1/44 • Adverse Events were collected from first dose through 30 days after the last dose of study medication, up to 43 months.

Additional Information

Dr. Ahmed Kaseb, MD- Professor, GI Medical Oncology

UT MD Anderson Cancer Center

Phone: (713) 792-2828

Results disclosure agreements

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