Evaluation of Optimal Treatment With Bevacizumab in Patients With Platinum-sensitive Recurrent Ovarian Cancer

NCT ID: NCT01837251

Last Updated: 2021-07-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

682 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2021-01-31

Brief Summary

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Evaluation of the best therapeutic index for patients with platinum-sensitive ovarian cancer when treatment with bevacizumab and gemcitabine/carboplatin or with bevacizumab and PLD/carboplatin.

Detailed Description

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Conditions

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Recurrent Platinum-sensitive Ovarian 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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Control Arm

Patients receive bevacizumab 15 mg/kg iv on day 1 followed by gemcitabine 1000mg/m² iv on day 1 \& 8 and carboplatin AUC4 iv on day 1 every 3 weeks for up to 6 cycles in the absence of progression disease or unacceptable toxicities. Patients then continue to receive bevacizumab 15 mg/kg iv every 3 weeks until progression disease or unacceptable toxicities.

Group Type NO_INTERVENTION

No interventions assigned to this group

Research Arm

Patients receive bevacizumab 10 mg/kg iv on day 1 \& 15 followed by PLD 30mg/m² iv on day 1 carboplatin AUC4 iv on day 1 every 4 weeks for up to 6 cycles in the absence of progression disease or unacceptable toxicities. Patients then continue to receive bevacizumab 15 mg/kg iv every 3 weeks until progression disease or unacceptable toxicities.

Group Type EXPERIMENTAL

Carboplatin

Intervention Type DRUG

PLD

Intervention Type DRUG

Bevacizumab

Intervention Type BIOLOGICAL

Interventions

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Carboplatin

Intervention Type DRUG

PLD

Intervention Type DRUG

Bevacizumab

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed diagnosis of epithelial ovarian carcinoma or fallopian tube carcinoma or primary peritoneal carcinoma
2. First disease recurrence \>6 months after first-line platinum-based chemotherapy
3. Patients with measurable or non-measurable disease (RECIST v1.1) or CA 125 assessable disease (GCIG criteria) or histological proven diagnosis of relapse
4. In case of cytoreductive surgery for recurrence, patients must be able to commence cytotoxic chemo-therapy within 8 weeks after cytoreductive surgery
5. ECOG PS 0-2
6. Absolute Neutrophil Count \>= 1.5 x 10\^9/L; Platelets \>= 100 x 10\^9/L; Hemoglobin \>= 9.5 g/dL
7. Patients not receiving anticoagulant medication who have an International Normalized Ratio \<= 1.5 and an Activated ProThrombin Time \<= 1.5 x ULN
8. Serum bilirubin \<= 2 x ULN; Serum transaminases \<= 2.5 x ULN (\<= 5 x ULN in the presence of liver metastasis)
9. Serum creatinine \< 1.6 mg/dL or creatinine clearance \>= 40 mL/min; Glomerular filtration rate \> 40 ml/min (estimates based on the Cockroft-Gault or Jelliffe formula); Urine dipstick for proteinuria \< 2+. If urine dipstick is \>= 2+, 24 hour urine collection must demonstrate \<= 1 g of protein in 24 hours
10. Normal blood pressure or adequately treated and controlled hypertension (either systolic BP ≤ 140 mmHg and/or diastolic BP ≤ 90 mmHg)

Exclusion Criteria

1. Ovarian tumors of low malignant potential
2. Malignancies other than ovarian cancer within 5 years prior to randomization
3. Administration of other simultaneous chemotherapy drugs, any other anticancer therapy or anti-neoplastic hormonal therapy, or simultaneous radiotherapy during the trial treatment period
4. Any previous radiotherapy to the abdomen or pelvis
5. Known hypersensitivity to used chemotherapeutic agents in this trial and bevacizumab and its excipients, chinese hamster ovary cell products or other recombinant human or humanised antibodies
6. Current or recent chronic use of aspirin \> 325 mg/day
7. Surgery (including open biopsy) within 4 weeks prior to anticipated first dose of Bevacizumab
8. History of VEGF therapy related abdominal fistula or gastrointestinal perforation
9. Current, clinically relevant bowel obstruction, including sub-occlusive disease, related to underlying disease
10. Patients with evidence of abdominal free air not explained by paracentesis or recent surgical procedure
11. Previous Cerebro-Vascular Accident , Transient Ischaemic Attack or Sub-Arachnoid Haemorrhage
12. Prior history of hypertensive crisis or hypertensive encephalopathy
13. Clinically significant disease, including: myocardial infarction or unstable angina within ≤ 6 months of randomization; New York Heart Association (NYHA) \>= grade 2 Congestive Heart Failure; poorly controlled cardiac arrhythmia despite medication; peripheral vascular disease grade \>= 3
14. LVEF defined by ECHO/MUGA below the institutional lower limit of normal
15. Significant traumatic injury during 4 weeks prior to randomization
16. Current brain metastases or spinal cord compression
17. History or evidence upon neurological examination of central nervous system disease
18. Non-healing wound, active ulcer or bone fracture
19. History or evidence of thrombotic or hemorrhagic disorders within 6 months prior to randomization
20. Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic coagulation)
21. Fertile woman of childbearing potential not willing to use adequate contraception (oral contraceptives, intrauterine device or barrier method of contraception in conjunction with spermicidal jelly or surgically sterile) for the duration of the trial and at least 6 months afterwards
22. Pregnant or lactating women
23. Requirement of therapeutic anticoagulation using marcumar, warfarin or PTT-prolonging heparin
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Arbeitsgemeinschaft Gynaekologische Onkologie Austria

OTHER

Sponsor Role collaborator

ARCAGY/ GINECO GROUP

OTHER

Sponsor Role collaborator

Australia New Zealand Gynaecological Oncology Group

OTHER

Sponsor Role collaborator

Scottish Gynaecological Cancer Study Group

OTHER

Sponsor Role collaborator

AGO Research GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jacobus Pfisterer, PhD MD

Role: STUDY_CHAIR

AGO Study Group

Locations

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Bankstown-Lidcombe Hospital

Bankstown, , Australia

Site Status

Chris O'Brien Lifehouse

Camperdown, , Australia

Site Status

NCCI - Coffs Harbour Hospital

Coffs Harbour, , Australia

Site Status

The Townsville Hospital

Douglas, , Australia

Site Status

Peninsula Health - Frankston Hospital

Frankston, , Australia

Site Status

Andrew Love Cancer Centre Geelong

Geelong, , Australia

Site Status

Royal Brisbane & Women's Hospital

Herston, , Australia

Site Status

Royal Hobart Hospital

Hobart, , Australia

Site Status

St. George Hospital

Kogarah, , Australia

Site Status

ICON Cancer Care Centre

Milton, , Australia

Site Status

Nambour General Hospital

Nambour, , Australia

Site Status

Sir Charles Gairdner

Nedlands, , Australia

Site Status

North Coast Cancer Institute

Port Macquarie, , Australia

Site Status

Royal Hospital for Women

Randwick, , Australia

Site Status

Mater Adult Hospital

South Brisbane, , Australia

Site Status

Gold Coast University Hospital

Southport, , Australia

Site Status

Royal North Shore Hospital

St Leonards, , Australia

Site Status

St. John of God Hospital

Subiaco, , Australia

Site Status

Border Medical Oncology

Wodonga, , Australia

Site Status

MUG-Universitätsklinik für Frauenheilkunde Graz

Graz, , Austria

Site Status

MUI-Universität für Frauenheilkunde

Innsbruck, , Austria

Site Status

AKH Linz

Linz, , Austria

Site Status

BHS Linz

Linz, , Austria

Site Status

SALK-LKH Salzburg, Universitätsklinik für Frauenheilkunde und Geburtshilfe

Salzburg, , Austria

Site Status

MUW-AKH Wien

Vienna, , Austria

Site Status

UZ Leuven

Leuven, , Belgium

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ICO Paul Papin

Angers, , France

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Institut Sainte Catherine

Avignon, , France

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Centre Hospitalier de Blois

Blois, , France

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Clinique Tivoli

Bordeaux, , France

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Polyclinique Bordeaux Nord

Bordeaux, , France

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Centre Francois Baclesse

Caen, , France

Site Status

Centre Hospitalier William Morey

Chalon-sur-Saône, , France

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Centre Hospitalier de Cholet

Cholet, , France

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Hôpital Antoine Béclère

Clamart, , France

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Centre Jean Perrin

Clermont-Ferrand, , France

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Centre Hospitalier la Dracénie

Draguignan, , France

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Centre Hospitalier Général de Gap

Gap, , France

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Groupe Hospitalier Mutualiste de Grenoble

Grenoble, , France

Site Status

Hôpital Michallon, Centre Hospitalier Universitaire de Grenoble

Grenoble, , France

Site Status

Centre Hospitalier Départemental Les Oudairies

La Roche-sur-Yon, , France

Site Status

Institut d'Oncologie Hartmann

Levallois-Perret, , France

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Centre Oscar Lambret

Lille, , France

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Hôpital Privé Clairval

Marseille, , France

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Institute Paoli Clamettes

Marseille, , France

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Hôpital Mercy

Metz, , France

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Hôpital de Mont-de-Marsan

Mont-de-Marsan, , France

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ICM Val d'Aurelle

Montpellier, , France

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Hôpital Emile Muller

Mulhouse, , France

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Centre d'Oncologie de Gentilly

Nancy, , France

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Centre Catherine de Sienne

Nantes, , France

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Centre Hospitalier Régional d'Orleans

Orléans, , France

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Group Hospitalier Saint-Joseph

Paris, , France

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Centre Catalan d'Oncologie

Perpignan, , France

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Clinique Francheville

Périgueux, , France

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Centre Eugène Marquis

Rennes, , France

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HôpitauxDrôme Nord - Site de Ramons

Romans-sur-Isère, , France

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Centre Henri Becquerel

Rouen, , France

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Clinique Armoricaine de Radiologie

Saint-Brieuc, , France

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ICO Centre René Gauducheau

Saint-Herblain, , France

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Clinique Mutualiste de l'Estuaire, Cité Sanitaire

Saint-Nazaire, , France

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Centre Paul Strauss

Strasbourg, , France

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Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

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Centre Hospitalier de Thonon-les-Bains

Thonon-les-Bains, , France

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Clinique Pasteur

Toulouse, , France

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Clinique Saint Jean du Languedoc

Toulouse, , France

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Centre Hospitalier Bretagne Atlantique

Vannes, , France

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Hôpital Privé Villeneuve d'Ascq, Institut de Canérologie

Villeneuve-d'Ascq, , France

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Kreisklinik Altötting-Burghausen

Altötting, , Germany

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Klinikum St. Marien

Amberg, , Germany

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Klinikum Aschaffenburg

Aschaffenburg, , Germany

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Klinikum Augsburg

Augsburg, , Germany

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Hochtaunus-Klinik

Bad Homburg, , Germany

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Charité - Universitätsmedizin Berlin

Berlin, , Germany

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HELIOS Klinikum Berlin-Buch

Berlin, , Germany

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Praxisklinik Krebsheilkunde für Frauen

Berlin, , Germany

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Augusta-Kranken-Anstalt Bochum

Bochum, , Germany

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Johanniter-Krankenhaus

Bonn, , Germany

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Medizinisches Zentrum Bonn-Friedensplatz

Bonn, , Germany

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Schwerpunktpraxis für Onkologie / Hämatologie

Bottrop, , Germany

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Städtisches Klinikum Brandenburg

Brandenburg, , Germany

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Gynäkologisch-Onkologische Gemeinschaftspraxis

Braunschweig, , Germany

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DIAKO Ev. Diakonie-Krankenhaus

Bremen, , Germany

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Gynaekologicum Bremen

Bremen, , Germany

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Klinikum Bremen-Mitte

Bremen, , Germany

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Klinikum Chemnitz

Chemnitz, , Germany

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St. Elisabeth-Krankenhaus Hohenlind

Cologne, , Germany

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Universitätsklinikum Köln

Cologne, , Germany

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Klinikum Darmstadt

Darmstadt, , Germany

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Donau-Isar-Kliniken, Klinikum Deggendorf

Deggendorf, , Germany

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Städtisches Klinikum Dessau

Dessau, , Germany

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Klinikum Dortmund

Dortmund, , Germany

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Onkozentrum Dresden

Dresden, , Germany

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Universitätsklinikum Carl Gustav Carus

Dresden, , Germany

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Evangelisches Krankenhaus Düsseldorf

Düsseldorf, , Germany

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Kaiserswerther Diakonie, Florence-Nightingale-Krankenhaus

Düsseldorf, , Germany

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Universitätsfrauenklinik Düsseldorf

Düsseldorf, , Germany

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Rottal-Inn-Klinik Eggenfelden

Eggenfelden, , Germany

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Universitätsklinikum Erlangen

Erlangen, , Germany

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Klinikum Essen Mitte

Essen, , Germany

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Universitätsklinikum Essen

Essen, , Germany

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Klinikum Esslingen

Esslingen am Neckar, , Germany

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DIAKO Flensburg

Flensburg, , Germany

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Agaplesion Markus Krankenhaus

Frankfurt, , Germany

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Klinikum Frankfurt Höchst

Frankfurt, , Germany

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Universitätsklinikum Frankfurt

Frankfurt, , Germany

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Universitätsfrauenklinik Freiburg

Freiburg im Breisgau, , Germany

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Kreiskrankenhaus Freudenstadt

Freudenstadt, , Germany

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Klinikum Fürth

Fürth, , Germany

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Franziskus-Hospital Harderberg

Georgsmarienhütte, , Germany

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HELIOS-Klinikum Gifhorn

Gifhorn, , Germany

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Onkologische Kooperation Harz

Goslar, , Germany

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Die Frauenarztpraxis in Grafing

Grafing, , Germany

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Universitätsmedizin Greifswald

Greifswald, , Germany

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Universitätsklinikum Halle

Halle, , Germany

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Albertinen Krankenhaus

Hamburg, , Germany

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Marienkrankenhaus Hamburg

Hamburg, , Germany

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Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

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Sana-Klinikum Hameln-Pyrmont

Hamelin, , Germany

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Klinikum Hanau

Hanau, , Germany

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Friederikenstift

Hanover, , Germany

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Gynäkologisch-Onkologische Praxis Hannover

Hanover, , Germany

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Medizinische Hochschule Hannover

Hanover, , Germany

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Universitätsklinikum Heidelberg

Heidelberg, , Germany

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Paracelsus-Klinik

Henstedt-Ulzburg, , Germany

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Praxis Dres. Uleer / Pourfard

Hildesheim, , Germany

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Klinikum Itzehoe

Itzehoe, , Germany

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Universitätsklinikum Jena

Jena, , Germany

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St. Vincentius Kliniken

Karlsruhe, , Germany

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Klinikum Kassel

Kassel, , Germany

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Klinikum Kempten

Kempten, , Germany

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Universitätsklinikum Schleswig-Holstein

Kiel, , Germany

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Zentrum für Gynäkologische Onkologie

Kiel, , Germany

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Klinikum Konstanz

Konstanz, , Germany

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Klinikum Kulmbach

Kulmbach, , Germany

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Asklepios Klinik Lich

Lich, , Germany

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St. Vincenz Krankenhaus

Limburg, , Germany

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Universitätsklinikum Schleswig-Holstein, Campus Lübeck

Lübeck, , Germany

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Onkologische Schwerpunktpraxis Lüneburg

Lüneburg, , Germany

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Klinik St. Marienstift

Magdeburg, , Germany

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Universitätsklinikum Magdeburg

Magdeburg, , Germany

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Universitätsmedizin Mainz

Mainz, , Germany

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Universitätsfrauenklinik Mannheim

Mannheim, , Germany

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Universitätsklinikum Gießen und Marburg

Marburg, , Germany

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Johannes Wesling Klinikum

Minden, , Germany

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Klinikum rechts der Isar

München, , Germany

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LMU München, Frauenklinik Großhadern

München, , Germany

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Rotkreuzklinikum München

München, , Germany

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Universitätsklinikum Münster

Münster, , Germany

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Kliniken des Landkreises Neumarkt

Neumarkt, , Germany

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Lukaskrankenhaus

Neuss, , Germany

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MVZ Nordhausen

Nordhausen, , Germany

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Klinikum Nürnberg

Nuremberg, , Germany

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Klinikum Offenbach

Offenbach, , Germany

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Ortenau-Klinikum

Offenburg, , Germany

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Marienhospital

Osnabrück, , Germany

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St. Vincenz Krankenhaus

Paderborn, , Germany

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Onkologische Praxis Pinneberg

Pinneberg, , Germany

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Harzklinikum Quedlinburg

Quedlinburg, , Germany

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Onkologie Ravensburg

Ravensburg, , Germany

Site Status

imland Klinik Rendsburg

Rendsburg, , Germany

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Klinikum am Steinenberg

Reutlingen, , Germany

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Universitätsfrauenklinik Rostock

Rostock, , Germany

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Thüringen-Kliniken

Saalfeld, , Germany

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Caritasklinikum St. Theresia

Saarbrücken, , Germany

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Praxis Dr. med. W. Dietz

Salzgitter, , Germany

Site Status

Diakonie-Klinikum Schwäbisch Hall

Schwäbisch Hall, , Germany

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Leopoldina-Krankenhaus

Schweinfurt, , Germany

Site Status

HELIOS Kliniken Schwerin

Schwerin, , Germany

Site Status

Diakonie Klinikum Jung-Stilling

Siegen, , Germany

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Klinikum Schaumburg, Krankenhaus Stadthagen

Stadthagen, , Germany

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Klinikum Starnberg

Starnberg, , Germany

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g.Sund Gyn. Kompetenzzentrum

Stralsund, , Germany

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Marienhospital Stuttgart

Stuttgart, , Germany

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Robert-Bosch-Krankenhaus

Stuttgart, , Germany

Site Status

SRH Zentralklinikum Suhl

Suhl, , Germany

Site Status

Kreiskrankenhaus "J. Kentmann"

Torgau, , Germany

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Klinikum Traunstein

Traunstein, , Germany

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Klinikum Mutterhaus

Trier, , Germany

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Universitätsklinikum Tübingen

Tübingen, , Germany

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Universitätsfrauenklinik Ulm

Ulm, , Germany

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Praxis Dr. med. W. W. Reiter

Viersen, , Germany

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Schwarzwald-Baar Klinikum Villingen-Schwenningen

Villingen-Schwenningen, , Germany

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Lahn-Dill-Kliniken Wetzlar

Wetzlar, , Germany

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Dr. Horst Schmidt Kliniken

Wiesbaden, , Germany

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St. Josefs Hospital Wiesbaden

Wiesbaden, , Germany

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amO am Klieversberg

Wolfsburg, , Germany

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Klinikum Worms

Worms, , Germany

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Heinrich-Braun-Klinikum

Zwickau, , Germany

Site Status

Gwynedd Hospital

Bangor, , United Kingdom

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Velindre Cancer Centre

Cardiff, , United Kingdom

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The Beatson West of Scotland Cancer Center

Glasgow, , United Kingdom

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Glan Clywd Hospital

Rhyl, , United Kingdom

Site Status

Countries

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Australia Austria Belgium France Germany United Kingdom

References

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Pfisterer J, Shannon CM, Baumann K, Rau J, Harter P, Joly F, Sehouli J, Canzler U, Schmalfeldt B, Dean AP, Hein A, Zeimet AG, Hanker LC, Petit T, Marme F, El-Balat A, Glasspool R, de Gregorio N, Mahner S, Meniawy TM, Park-Simon TW, Mouret-Reynier MA, Costan C, Meier W, Reinthaller A, Goh JC, L'Haridon T, Baron Hay S, Kommoss S, du Bois A, Kurtz JE; AGO-OVAR 2.21/ENGOT-ov 18 Investigators. Bevacizumab and platinum-based combinations for recurrent ovarian cancer: a randomised, open-label, phase 3 trial. Lancet Oncol. 2020 May;21(5):699-709. doi: 10.1016/S1470-2045(20)30142-X. Epub 2020 Apr 16.

Reference Type RESULT
PMID: 32305099 (View on PubMed)

Related Links

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http://www.ago-ovar.de

Homepage of AGO Study Group

Other Identifiers

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AGO-OVAR 2.21 / ENGOT ov-18

Identifier Type: -

Identifier Source: org_study_id

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