A Safety and Efficacy Study of Bevacizumab, Paclitaxel, Carboplatin Compared to Avastin® in Non-Small Cell Lung Cancer

NCT ID: NCT05654454

Last Updated: 2024-08-16

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

620 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-31

Study Completion Date

2027-03-31

Brief Summary

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BEV-III/2022 is a double-blind randomized multicenter clinical trial comparing efficacy of bevacizumab (manufactured by Mabscale, LLC) and paclitaxel plus carboplatin to Avastin® and paclitaxel plus carboplatin in first-line treatment for patients with advanced (unresectable, locally advanced, recurrent or metastatic) non-squamous NSCLC. The purpose of the study is to demonstrate equivalence of efficacy and safety of bevacizumab (manufactured by Mabscale, LLC) to Avastin®. Study includes pharmacokinetics assessment.

Detailed Description

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Bevacizumab is a monoclonal antibody currently being developed by Mabscale LLC, as a proposed biosimilar to Avastin®, which is approved as first line treatment in combination with carboplatin and paclitaxel for patients with unresectable, locally advanced, recurrent or metastatic non-squamous Non-Small Cell Lung Cancer. This randomized equivalence study is designed to meet the regulatory requirement for approval of a biosimilar product.

Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Bevacizumab with Paclitaxel and Carboplatin

Patients will begin Period 1 receiving bevacizumab combination therapy (Bevacizumab 15 mg/kg IV + Paclitaxel 175 mg/m2 + IV Carboplatin AUC 6 IV) on Day 0 of Cycle 1 for up to 6 cycles of therapy. Each cycle will consist of 3 weeks (21 days ± 3 days) and a cycle will start with the administration of bevacizumab (produced by Mabscale, LLC).

In Period 2, eligible patients will continue to receive bevacizumab (produced by Mabscale, LLC) every 3 weeks as monotherapy.

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

Bevacizumab 15 mg/kg

Paclitaxel

Intervention Type DRUG

Paclitaxel 175 mg/m2

Carboplatin

Intervention Type DRUG

Carboplatin AUC 6

Avastin® with Paclitaxel and Carboplatin

Patients will begin Period 1 receiving bevacizumab combination therapy ( Avastin® 15 mg/kg IV + Paclitaxel 175 mg/m2 IV + Carboplatin AUC 6 IV) on Day 0 of Cycle 1 for up to 6 cycles of therapy. Each cycle will consist of 3 weeks (21 days ± 3 days) and a cycle will start with the administration of bevacizumab (as Avastin®).

In Period 2, eligible patients will continue to receive bevacizumab (Avastin®) every 3 weeks as monotherapy.

Group Type ACTIVE_COMPARATOR

Bevacizumab

Intervention Type DRUG

Bevacizumab 15 mg/kg

Paclitaxel

Intervention Type DRUG

Paclitaxel 175 mg/m2

Carboplatin

Intervention Type DRUG

Carboplatin AUC 6

Interventions

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Bevacizumab

Bevacizumab 15 mg/kg

Intervention Type DRUG

Paclitaxel

Paclitaxel 175 mg/m2

Intervention Type DRUG

Carboplatin

Carboplatin AUC 6

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Male and female patients at least 18 years of age
* Newly diagnosed Stage IIIB/C or IV non-small cell lung cancer (according to Revised Cancer Staging by American Joint Committee on Cancer (AJCC) and the International Union Against Cancer (UICC) 8th edition) or recurrent non-small cell lung cancer (NSCLC)
* Histologically or cytologically confirmed diagnosis of predominately non-squamous NSCLC
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
* Be eligible to receive study treatment of bevacizumab, paclitaxel, and carboplatin based on local standard of care, for the treatment of advanced or metastatic non-squamous NSCLC
* Presence of at least 1 measurable tumour as defined by modified Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
* Neutrophils ≥ 1,5 × 10\^9/L
* Platelets ≥ 100 × 10\^9/L
* Haemoglobin ≥ 90 g/L
* Bilirubin level ≤ 1.5 × upper limit of normal (ULN)
* Aspartate-aminotransferase (AST) and alanine-aminotransferase (ALT) levels \< 3 × ULN (\< 5 × ULN for patients with liver metastases)
* Alkaline phosphatase level \< 3 × ULN (\< 5 × ULN for patients with liver or bone metastases)

Exclusion Criteria

* Known sensitizing EGFR mutations or ALK translocation positive mutations
* Evidence of a tumor that compresses or invades major blood vessels or tumor cavitation that is likely to bleed
* Major surgery 28 days before inclusion into the study
* Minor surgery 7 days before inclusion into the study
* Stage II or higher of neuropathy or ototoxicity according to Common Terminology Criteria for Adverse Events (CTCAE) v.5.0, excluding trauma
* Life expectancy less than 6 months
* Metastases to central nervous system or carcinomatous meningitis
* Pregnancy or lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mabscale, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arkhangelsk Clinical Oncological Dispensary

Arkhangelsk, , Russia

Site Status RECRUITING

State Budget Healthcare Institution Ivanovo Regional Oncology Dispensary

Ivanovo, , Russia

Site Status RECRUITING

Kaluga Regional Clinical Oncology Dispensary

Kaluga, , Russia

Site Status RECRUITING

Regional clinical oncological dispensary n.a.Sigal

Kazan', , Russia

Site Status RECRUITING

Burdenko Main Military Clinical Hospital

Moscow, , Russia

Site Status RECRUITING

Hadassah Medical Moscow

Moscow, , Russia

Site Status WITHDRAWN

National Medical Oncology Research Center n.a. N.N. Blokhina

Moscow, , Russia

Site Status NOT_YET_RECRUITING

Murmansk Regional Clinical Hospital

Murmansk, , Russia

Site Status RECRUITING

Nizhny Novgorod Regional Oncology Dispensary

Nizhny Novgorod, , Russia

Site Status RECRUITING

Novosibirsk oncologic dispensary

Novosibirsk, , Russia

Site Status RECRUITING

Omsk clinical oncologic dispensary

Omsk, , Russia

Site Status RECRUITING

Perm Edge Clinical Hospital

Perm, , Russia

Site Status NOT_YET_RECRUITING

Perm Regional Clinical Hospital

Perm, , Russia

Site Status NOT_YET_RECRUITING

Euromedservice medical center

Pushkin, , Russia

Site Status RECRUITING

Clinical Hospital RZD-Medicine

Saint Petersburg, , Russia

Site Status RECRUITING

Euro Cityclinic

Saint Petersburg, , Russia

Site Status RECRUITING

Leningrad regional clinical hospital (prev.Oncological dispensary n.a.Roman)

Saint Petersburg, , Russia

Site Status RECRUITING

Leningrad regional clinical hospital

Saint Petersburg, , Russia

Site Status RECRUITING

National Medical Research Center of Oncology N.A. N.N. Petrov

Saint Petersburg, , Russia

Site Status RECRUITING

Northwestern Center for Evidence-Based Medicine

Saint Petersburg, , Russia

Site Status RECRUITING

Medical University "Reaviz"

Samara, , Russia

Site Status RECRUITING

Smolensk oncologic dispensary

Smolensk, , Russia

Site Status RECRUITING

Smolensk Regional Clinical Hospital

Smolensk, , Russia

Site Status RECRUITING

Tverskoy Regional Oncological Dispensary

Tver', , Russia

Site Status RECRUITING

Bashkir State Medical University

Ufa, , Russia

Site Status NOT_YET_RECRUITING

Oblastnoy Clinical Oncological Dispansery

Veliky Novgorod, , Russia

Site Status NOT_YET_RECRUITING

Volgograd Regional Clinical Oncology Dispensary

Volgograd, , Russia

Site Status RECRUITING

Regional Clinical Oncological Hospital

Yaroslavl, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Alexander Generalov, MD

Role: CONTACT

+74997149289

Facility Contacts

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Chapko

Role: primary

Ponomareva

Role: primary

Kudryavtsev

Role: primary

Safin

Role: primary

Smolin

Role: primary

Breder

Role: primary

Korelskaya

Role: primary

Matrosova

Role: primary

Kozlov

Role: primary

Zimina

Role: primary

Trefilova

Role: primary

Trefilova

Role: primary

Pen'kov

Role: primary

Vasiliev

Role: primary

Orlov

Role: primary

Belogortsev

Role: primary

Smagina

Role: primary

Poltoratsky

Role: primary

Schmelev

Role: primary

Kopp

Role: primary

Povaga

Role: primary

Haykin

Role: primary

Dergunov

Role: primary

Sakaeva

Role: primary

Mancirev

Role: primary

Kovalenko

Role: primary

Belonogov

Role: primary

Other Identifiers

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BEV-III/2022

Identifier Type: -

Identifier Source: org_study_id

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