- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01735071
Bevacizumab and Trabectedin +/- Carboplatin in Advanced Ovarian Cancer
Multicenter, Randomized, Non-comparative, Phase II Trial on the Efficacy and Safety of the Combination of Bevacizumab and Trabectedin With or Without Carboplatin in Adult Women With Platinum Partially Sensitive Recurring Ovarian Cancer.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
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Brescia, Italy
- Azienda Ospedaliera Spedali Civili di Brescia
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Milan, Italy
- Istituto Europeo di Oncologia
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Milano, Italy
- AO Fatebenefratelli e Oftalmico
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Monza, Italy
- Azienda Ospedaliera S. Gerardo
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Padova, Italy
- Istituto Oncologico Veneto
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Roma, Italy
- Policlinico Universitario Agostino Gemelli di Roma
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Torino, Italy
- Mauriziano Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age≥18years
- Eastern Cooperative Oncology Group (ECOG)- performance status 0-2
- Cytological/histological diagnosis of epithelial ovarian cancer
- Progression free interval between 6-12 months (calculated from the first day of the last cycle of the previous last platinum-based chemotherapy until the date of progression confirmation through radiologic imaging)
- One or two previous platinum-based chemotherapy lines
- Measurable disease according to RECIST version 1.1
- Life expectancy ≥ 12 weeks
- Patients must be able to receive dexamethasone or its equivalent, as a premedication for trabectedin
- Written informed consents given before the enrolment according to International Conference on Harmonization/ Good Clinical Practice (ICH/GCP).
Exclusion Criteria:
- Prior treatment with trabectedin
- Prior progression while on therapy containing bevacizumab or other vascular endothelial growth factor (VEGF) pathway-target therapy
- Pre-existing grade > 1 sensitive/motor neurologic disorder
- Current or recent (within 30 days of first study dosing) treatment with another investigational drug
- Surgery (including open biopsy) within 4 weeks prior to the first planned dose of bevacizumab
- Current or recent (within 10 days prior to the first study drug dose) use of full-dose oral or parenteral anticoagulant or thrombolytic agent for therapeutic purposes (except for line patency, in which case international normalized ratio (INR) must be maintained below 1.5). Post operative prophylaxis with low molecular weight heparin sc is allowed
- Inadequate bone marrow function: absolute neutrophil count (ANC): <1.5 x 109/l, or platelet count <100 x 109/l or haemoglobin <9 g/dl. Patients may be transfused to maintain haemoglobin values ≥9 g/dl
- Inadequate coagulation parameters: activated partial thromboplastin time (APTT) >1.5 x upper limit of normal (ULN) or INR >1.5
- Inadequate liver function, defined as: serum (total) bilirubin > ULN for the institution AST/serum glutamic-oxaloacetic transaminase (SGOT) or ALT/ serum glutamic-pyruvic transaminase (SGPT) >2.5 x ULN
- Inadequate renal function: serum creatinine >1.5 mg/dL or >132 micromol/L and urine dipstick for proteinuria > or = 2+ and >1g of protein in their 24-hour urine collection
- History or evidence of brain metastases or spinal cord compression
- Pregnant, breastfeeding women and women of child bearing potential, who do not agree to use a medically acceptable method of contraception through the treatment period and for 6 months after discontinuation of treatment
- History or evidence of thrombotic or hemorrhagic disorders; including cerebrovascular accident, stroke or transient ischemic attack or sub-arachnoid haemorrhage within 6 months prior to the first study treatment
- Uncontrolled hypertension (sustained systolic >150 mmHg and/or diastolic >100 mmHg despite antihypertensive therapy) or clinically significant (i.e. active) cardiovascular disease, including: myocardial infarction or unstable angina within 6 months prior to the first study treatment, New York Heart Association grade II or greater congestive heart failure, serious cardiac arrhythmia requiring medication
- History of bowel obstruction, including subocclusive disease, related to the underlying disease and history of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess. Evidence of recto-sigmoid involvement by pelvic examination or bowel involvement on CT scan or clinical symptoms of bowel obstruction
- Non-healing wound, ulcer or bone fracture
- hepatitis C virus (HCV) positivity
- Other malignancy within the last 5 years, except for adequately treated carcinoma in situ of the cervix or squamous carcinoma of the skin, or adequately controlled limited basal cell skin cancer.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: bevacizumab and trabectedin
Arm A: bevacizumab (15 mg/kg) given as 1 hour infusion will be followed by trabectedin (1.1 mg/sqm) 3 hour iv infusion; to be repeated every 21 days until progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients
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Arm A: bevacizumab (15 mg/kg) given as 1 hour infusion will be followed by trabectedin (1.1 mg/sqm) 3 hour iv infusion; to be repeated every 21 days until progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients
Other Names:
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Experimental: bevacizumab, trabectedin and carboplatin
Arm B: cycle 1-6, bevacizumab given as 1 hour infusion will be followed by carboplatin area under curve 4 (AUC 4) and trabectedin 3 hour iv infusion. Cycle 7- end of treatment, bevacizumab given as 1 hour infusion will be followed by trabectedin 3 hour iv infusion. Patient enrolled in arm B will receive (cycle 1-6): trabectedin 0.8 mg/m2 ,carboplatin AUC 4 day 1 every 28 days and bevacizumab 10 mg/kg iv on day 1 and day 15. From cycle 7 to disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients will receive bevacizumab 15 mg/kg iv and trabectedin 1.1 mg/m2 day 1 every 21 days |
Arm B: cycle 1- 6, bevacizumab given as 1 hour infusion will be followed by carboplatin AUC 4 and trabectedin 3 hour iv infusion. Cycle 7- end of treatment, bevacizumab given as 1 hour infusion will be followed by trabectedin 3 hour iv infusion. Patient enrolled in arm B will receive (cycle 1-6): trabectedin 0.8 mg/m2 ,carboplatin AUC 4 day 1 every 28 days and bevacizumab 10 mg/kg iv on day 1 and day 15. From cycle 7 to disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death patients will receive bevacizumab 15 mg/kg iv and trabectedin 1.1 mg/m2 day 1 every 21 days
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression Free Survival at 6 months (PFS-6)
Time Frame: from randomization up to 6 months
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The PFS-6, defined as the percentage of patients who are alive and progression free at 6 months after the randomization.
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from randomization up to 6 months
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Proportion of patients with severe toxicity within 6 months from randomization.
Time Frame: from randomization up to 6 months
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The following conditions will be considered as severe toxicity:
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from randomization up to 6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression Free Survival (PFS)
Time Frame: from randomization up to 30 months
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Defined for each patient as the time from the date of randomization to the date of first progression, second primary malignancy or death for any cause, whichever comes first.
Subjects not progressed or died at the time of the analysis will be censored at the last disease assessment date.
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from randomization up to 30 months
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Overall survival at 12 months (OS-12)
Time Frame: one year
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Defined as the percentage of patients who are alive at 12 months after the randomization.
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one year
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Clinical Benefit (CB)
Time Frame: from randomization up to 30 months
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clinical benefit, defined as the percentage of patients who are judged by the Investigators to have a complete response (CR), or partial response (PR) or stable disease (SD) according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria, version 1.1 after 12 weeks from the date of randomization.
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from randomization up to 30 months
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Incidence of Adverse Events (AEs)
Time Frame: from randomization up to 30 months
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Incidence of AEs, according to NCI-CTCAE, version 4.0
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from randomization up to 30 months
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Maximum toxicity grade
Time Frame: from randomization up to 30 months
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Maximum toxicity grade experienced by each patient for each specific toxicity
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from randomization up to 30 months
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Percentage of patients experiencing grade 3-4 toxicity for each specific toxicity
Time Frame: from randomization up to 30 months
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Percentage of patients experiencing grade 3-4 toxicity for each specific toxicity during the study
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from randomization up to 30 months
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Patients with at least a Serious Adverse Drug Reaction (SADR)
Time Frame: from randomization up to 30 months
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Patients with at least a SADR during the study
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from randomization up to 30 months
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Patients with at least a Suspect Unexpected Serious Adverse Reaction (SUSAR).
Time Frame: from randomization up to 30 months
|
Patients with at least a suspect unexpected serious adverse reaction during the study
|
from randomization up to 30 months
|
Percentage of patients with dose and/or time modifications
Time Frame: from randomization up to 30 months
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Percentage of patients with dose and/or time modifications of the study drugs
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from randomization up to 30 months
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Percentage of premature withdrawals
Time Frame: from randomization up to 30 months
|
Percentage of premature withdrawals of the enrolled patients
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from randomization up to 30 months
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Patients with at least a Serious Adverse Event (SAE)
Time Frame: from randomization up to 30 months
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Patients with at least a SAE during the study
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from randomization up to 30 months
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Nature of AEs
Time Frame: from randomization up to 30 months
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Nature of AEs, according to NCI-CTCAE, version 4.0
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from randomization up to 30 months
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Severity of AEs
Time Frame: from randomization up to 30 months
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Severity of AEs, according to NCI-CTCAE, version 4.0
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from randomization up to 30 months
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Seriousness of AEs
Time Frame: from randomization up to 30 months
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Seriousness of AEs according to NCI-CTCAE, version 4.0
|
from randomization up to 30 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Nicoletta Colombo, Medical D, IRCCS Istituto Europeo di Oncologia di Milano
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Endocrine Gland Neoplasms
- Ovarian Neoplasms
- Carcinoma, Ovarian Epithelial
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Antineoplastic Agents, Immunological
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Carboplatin
- Bevacizumab
- Trabectedin
Other Study ID Numbers
- IRFMN-OVA-6152
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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