Trial Outcomes & Findings for Carboplatin and Bevacizumab for Recurrent Ependymoma (NCT NCT01295944)
NCT ID: NCT01295944
Last Updated: 2025-08-05
Results Overview
Percentage of participants that have progressive disease after 1 year. Kaplan-Meier method is used for the analyses of PFS. Progression is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline. Clear worsening of any evaluable disease, or appearance of any new lesion/site, clear clinical worsening or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).
COMPLETED
PHASE2
35 participants
1 year
2025-08-05
Participant Flow
Participant milestones
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Overall Study
STARTED
|
35
|
|
Overall Study
COMPLETED
|
15
|
|
Overall Study
NOT COMPLETED
|
20
|
Reasons for withdrawal
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Overall Study
Switched to alternative treatment
|
1
|
|
Overall Study
Ineligible
|
9
|
|
Overall Study
Withdrawal by Subject
|
1
|
|
Overall Study
Participant chose to be treated in Peru
|
1
|
|
Overall Study
Participant wanting a local endoscopy surgery to remove more tumor
|
1
|
|
Overall Study
Physician Decision
|
1
|
|
Overall Study
Participant decided to pursue other treatment before beginning protocol treatment
|
1
|
|
Overall Study
Disease progression
|
4
|
|
Overall Study
Transferred care before starting new treatment
|
1
|
Baseline Characteristics
Carboplatin and Bevacizumab for Recurrent Ependymoma
Baseline characteristics by cohort
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=35 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
32 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
3 Participants
n=5 Participants
|
|
Age, Continuous
|
42.497 years
STANDARD_DEVIATION 16.55 • n=5 Participants
|
|
Sex: Female, Male
Female
|
13 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
22 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
1 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
|
2 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
29 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
3 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic
|
3 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Not Hispanic
|
5 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Unknown
|
1 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Missing
|
26 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
35 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 1 yearPopulation: A total of 35 participants were registered, of which 22 were evaluable. 9 participants were screen failures.4 participants withdrew consent prior to starting treatment.
Percentage of participants that have progressive disease after 1 year. Kaplan-Meier method is used for the analyses of PFS. Progression is a 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline. Clear worsening of any evaluable disease, or appearance of any new lesion/site, clear clinical worsening or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=22 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Percentage of Participants That Have Progressive Free Survival (PFS) After 1 Year
|
76.4 Percentage of participants
Interval 52.2 to 89.4
|
SECONDARY outcome
Timeframe: Up to 6 months and 1 weekPopulation: A total of 35 participants were registered, of which 22 were evaluable. 9 participants were screen failures.4 participants withdrew consent prior to starting treatment.
Response was measured by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) is complete disappearance of all measurable and evaluable disease. No new lesions. Partial Response (PR) is greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=22 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Number of Participants With a (Complete Response (CR) + Partial Response (PR))
Complete Response
|
0 Participants
|
|
Number of Participants With a (Complete Response (CR) + Partial Response (PR))
Partial Response
|
2 Participants
|
SECONDARY outcome
Timeframe: The time from treatment start date until date of death or date last known alive, up to 68 monthsPopulation: A total of 35 participants were registered, of which 22 were evaluable. 9 participants were screen failures.4 participants withdrew consent prior to starting treatment.
OS was calculated by the Kaplan Meier methodology. OS is defined as the time from treatment start date until date of death or date last known alive.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=22 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Overall Survival (OS)
|
18.0 Months
Interval 12.2 to
Due to the small sample size, the upper confidence interval (CI) for the Kaplan-Meier curve for OS is never lower than 0.5, for which the median OS correspond to, therefore the upper CI for the median OS does not exist.
|
SECONDARY outcome
Timeframe: Completed at baseline, before a brain or spine magnetic resonance imaging (MRI)/clinical evaluation, and at cycle 2, cycle 4, and cycle 6 (each cycle is 28 days)Population: 17/22 participants were analyzed because 4 completed the MDASI-SP questionnaires only, and 1 participant completed their baseline assessment 6 days into the first cycle and was not counted.
The MDASI-BT consists of 23 symptoms rated on an 11 point scale (0 - not present, to 10 - as bad as you can imagine) to indicate the presence and severity of the symptom. All participants with at least one valid questionnaire are included in the analyses. We calculated the mean core symptom severity score rated on the scale from 0-not present to 10-as bad as you can imagine at the time of clinical evaluation. Differences of at least 2 points will be classified as the minimum clinically meaningful change in the symptom severity measures. For example, an increase of 2 points or more would mean a moderate improvement, whereas a decrease of 2 points or more would be interpreted as moderate worsening.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=17 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Baseline
|
1.5 score on a scale
Standard Deviation 1.8
|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Cycle 2
|
2.1 score on a scale
Standard Deviation 2.1
|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Cycle 4
|
1.3 score on a scale
Standard Deviation 1.1
|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Cycle 6
|
1.9 score on a scale
Standard Deviation 2.0
|
SECONDARY outcome
Timeframe: Completed at baseline, before a brain or spine magnetic resonance imaging (MRI)/clinical evaluation, and at cycle 2, cycle 4, and cycle 6 (each cycle is 28 days)Population: 7/22 participants were analyzed because 14 completed the MDASI-BT questionnaires only, and 1 participant completed their baseline assessment 6 days into the first cycle and was not counted.
The MDASI-SP consists of 23 symptoms rated on an 11 point scale (0 - not present, to 10 - as bad as you can imagine) to indicate the presence and severity of the symptom. All participants with at least one valid questionnaire are included in the analyses. We calculated the mean core symptom severity score rated on the scale from 0-not present to 10-as bad as you can imagine at the time of clinical evaluation. Differences of at least 2 points will be classified as the minimum clinically meaningful change in the symptom severity measures. For example, an increase of 2 points or more would mean a moderate improvement, whereas a decrease of 2 points or more would be interpreted as moderate worsening.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=7 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Baseline
|
1.4 score on a scale
Standard Deviation 0.9
|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Cycle 2
|
2.1 score on a scale
Standard Deviation 1.7
|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Cycle 4
|
2.1 score on a scale
Standard Deviation 1.6
|
|
Mean Core Symptom Severity With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Cycle 6
|
1.5 score on a scale
Standard Deviation 0
|
SECONDARY outcome
Timeframe: Completed at baseline, before a brain or spine magnetic resonance imaging (MRI)/clinical evaluation, and at cycle 2, cycle 4, and cycle 6 (each cycle is 28 days)Population: 17/22 participants were analyzed because 4 completed the MDASI-SP questionnaires only, and 1 participant completed their baseline assessment 6 days into the first cycle and was not counted.
The MDASI-BT consists of 23 symptoms rated on an 11 point scale (0 - did not interfere, to 10 - interfered completely) to indicate the symptoms that interfere with a participants life in the last 24 hours. All participants with at least one valid questionnaire are included in the analyses. We calculated the mean core symptom interference score rated on the scale from 0- did not interfere, to 10- interfered completely at the time of clinical evaluation. Differences of at least 2 points will be classified as the minimum clinically meaningful change in the symptom interference measures. For example, an increase of 2 points or more would mean a moderate improvement, whereas a decrease of 2 points or more would be interpreted as moderate worsening.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=17 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Baseline
|
1.6 score on a scale
Standard Deviation 2.1
|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Cycle 2
|
2.1 score on a scale
Standard Deviation 2.3
|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Cycle 4
|
1.7 score on a scale
Standard Deviation 1.9
|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Brain Tumors (MDASI-BT)
Cycle 6
|
2.5 score on a scale
Standard Deviation 2.8
|
SECONDARY outcome
Timeframe: Completed at baseline, before a brain or spine magnetic resonance imaging (MRI)/clinical evaluation, and at cycle 2, cycle 4, and cycle 6 (each cycle is 28 days)Population: 7/22 participants were analyzed because 14 completed the MDASI-BT questionnaires only, and 1 participant completed their baseline assessment 6 days into the first cycle and was not counted
The MDASI-SP consists of 23 symptoms rated on an 11 point scale (0 - did not interfere, to 10 - interfered completely) to indicate the symptoms that interfere with a participants life in the last 24 hours. All participants with at least one valid questionnaire are included in the analyses. We calculated the mean core symptom interference score rated on the scale from 0- did not interfere, to 10- interfered completely at the time of clinical evaluation. Differences of at least 2 points will be classified as the minimum clinically meaningful change in the symptom interference measures. For example, an increase of 2 points or more would mean a moderate improvement, whereas a decrease of 2 points or more would be interpreted as moderate worsening.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=7 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Baseline
|
1.7 score on a scale
Standard Deviation 1.4
|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Cycle 2
|
3.1 score on a scale
Standard Deviation 2.4
|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Cycle 4
|
4.1 score on a scale
Standard Deviation 3.2
|
|
Mean Symptom Interference With Daily Activities Using the MD Anderson Symptom Inventory for Spine Tumors (MDASI-SP) Instrument
Cycle 6
|
4.2 score on a scale
Standard Deviation 0
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Date treatment consent signed to date off study, approximately, 112 months and 28 days.Population: A total of 35 participants were registered, of which 22 were evaluable. 9 participants were screen failures.4 participants withdrew consent prior to starting treatment.
Here is the number of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.
Outcome measures
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=22 Participants
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
|
22 Participants
|
Adverse Events
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
Serious adverse events
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=35 participants at risk
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Seizure
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
Other adverse events
| Measure |
1/Carboplatin and Bevacizumab for Recurrent Ependymoma
n=35 participants at risk
The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
Carboplatin: Carboplatin will be given on day 1 of each cycle; the carboplatin dose should be calculated using the Calvert formula: Carboplatin dose (mg) = target Area Under the Curve (AUC) x (Creatinine clearance (CrCl) + 25; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician
Bevacizumab: Bevacizumab will be administered on days 1 and 15 of each cycle. Bevacizumab will be administered at a dose of 10 mg/kg; The total duration of treatment will be 6 cycles. After cycle 6, carboplatin should be discontinued, but bevacizumab may be continued at the discretion of the treating physician.
|
|---|---|
|
Gastrointestinal disorders
Abdominal pain
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Psychiatric disorders
Agitation
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Alanine aminotransferase increased
|
8.6%
3/35 • Number of events 5 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Alkaline phosphatase increased
|
11.4%
4/35 • Number of events 4 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Skin and subcutaneous tissue disorders
Alopecia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Blood and lymphatic system disorders
Anemia
|
22.9%
8/35 • Number of events 35 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Injury, poisoning and procedural complications
Ankle fracture
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Anorexia
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Psychiatric disorders
Anxiety
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Aspartate aminotransferase increased
|
8.6%
3/35 • Number of events 12 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Ataxia
|
5.7%
2/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Bloating
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Blood bilirubin increased
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Eye disorders
Blurred vision
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Injury, poisoning and procedural complications
Bruising
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Chills
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Cognitive disturbance
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Psychiatric disorders
Confusion
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Constipation
|
20.0%
7/35 • Number of events 7 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Creatinine increased
|
8.6%
3/35 • Number of events 7 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Endocrine disorders
Cushingoid
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Psychiatric disorders
Depression
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Diarrhea
|
11.4%
4/35 • Number of events 4 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Dizziness
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Dry mouth
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Skin and subcutaneous tissue disorders
Dry skin
|
11.4%
4/35 • Number of events 4 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Dysesthesia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Dyspepsia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Dysphagia
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Dysphasia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Respiratory, thoracic and mediastinal disorders
Epistaxis
|
14.3%
5/35 • Number of events 5 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Eye disorders
Eye disorders - Other, Diplopia or double vision
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Eye disorders
Eye disorders - Other, Peripheral vision
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Injury, poisoning and procedural complications
Fall
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Fatigue
|
31.4%
11/35 • Number of events 16 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Fecal incontinence
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Fever
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Flu like symptoms
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Gait disturbance
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Headache
|
22.9%
8/35 • Number of events 11 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Renal and urinary disorders
Hematuria
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Respiratory, thoracic and mediastinal disorders
Hoarseness
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hyperglycemia
|
14.3%
5/35 • Number of events 13 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hyperkalemia
|
8.6%
3/35 • Number of events 16 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hypernatremia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Vascular disorders
Hypertension
|
20.0%
7/35 • Number of events 12 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hypocalcemia
|
5.7%
2/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hypoglycemia
|
8.6%
3/35 • Number of events 8 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hypokalemia
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hypomagnesemia
|
8.6%
3/35 • Number of events 4 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Hyponatremia
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Psychiatric disorders
Insomnia
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Intracranial hemorrhage
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Investigations - Other, Alanine aminotransferase decreased
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Investigations - Other, specify
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Reproductive system and breast disorders
Irregular menstruation
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Irritability
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Blood and lymphatic system disorders
Leukocytosis
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Lymphocyte count decreased
|
20.0%
7/35 • Number of events 21 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Memory impairment
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, Phosphorus count increased
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Mucositis oral
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Muscle weakness left-sided
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
|
8.6%
3/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Muscle weakness right-sided
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Myalgia
|
5.7%
2/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Respiratory, thoracic and mediastinal disorders
Nasal congestion
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Nausea
|
25.7%
9/35 • Number of events 18 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Neck pain
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Nervous system disorders - Other, specify
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Nervous system disorders - Other, insomnia
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Nervous system disorders - Other, left-sided numbness
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Nervous system disorders - Other, right tongue nymbness
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Nervous system disorders - Other, neuropathy
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Neutrophil count decreased
|
31.4%
11/35 • Number of events 57 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Musculoskeletal and connective tissue disorders
Non-cardiac chest pain
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Oral hemorrhage
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
General disorders
Pain
|
5.7%
2/35 • Number of events 3 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Cardiac disorders
Palpitations
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Paresthesia
|
5.7%
2/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Periodontal disease
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
Platelet count decreased
|
34.3%
12/35 • Number of events 64 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Respiratory, thoracic and mediastinal disorders
Productive cough
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Renal and urinary disorders
Proteinuria
|
8.6%
3/35 • Number of events 8 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Skin and subcutaneous tissue disorders
Rash acneiform
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Skin and subcutaneous tissue disorders
Rash maculo-papular
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Renal and urinary disorders
Renal and urinary disorders - Other, rectal bleeding
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Infections and infestations
Rhinitis infective
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Seizure
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Infections and infestations
Sinusitis
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Syncope
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Vascular disorders
Thromboembolic event
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Toothache
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Nervous system disorders
Transient ischemic attacks
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Renal and urinary disorders
Urinary incontinence
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Renal and urinary disorders
Urinary retention
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Infections and infestations
Urinary tract infection
|
2.9%
1/35 • Number of events 2 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Renal and urinary disorders
Urinary tract pain
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Reproductive system and breast disorders
Vaginal hemorrhage
|
2.9%
1/35 • Number of events 1 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Gastrointestinal disorders
Vomiting
|
11.4%
4/35 • Number of events 5 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
|
Investigations
White blood cell decreased
|
31.4%
11/35 • Number of events 45 • Date treatment consent signed to date off study, approximately, 112 months and 28 days.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place