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- Ensayo clínico NCT01131039
Safety and Efficacy Study of Gemcitabine Plus Bevacizumab in Patients With Platinum-Resistant Ovarian, Primary Peritoneal or Fallopian Tube Cancer
A Phase II Trial of Gemcitabine Plus Bevacizumab in Patients With Platinum-Resistant Ovarian, Primary Peritoneal or Fallopian Tube Cancer
Descripción general del estudio
Estado
Intervención / Tratamiento
Tipo de estudio
Fase
- Fase 2
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
Patients must have platinum-resistant ovarian, primary peritoneal or fallopian tube cancer.
Patients will be included in the study based on the following criteria:
- Signed informed consent
- Age ≥ 19 yrs
- Advanced, histologically documented ovarian, primary peritoneal, or fallopian tube cancer
- Measurable disease with at least one lesion that can be accurately measured in at least one dimension (longest dimension recorded). Each lesion must be > 20 mm when measured by conventional techniques, including palpation, plain x-ray, CT and MRI, or > 10 mm when measured by spiral CT. OR Clinically or radiologically detectable disease (ascites, peritoneal deposits, mesenteric thickening or lesions that do not fulfill RECIST for measurable disease). In addition, the subject must have two consecutive rising pretreatment CA-125 levels that are both > 2x the institutional upper limit of normal (ULN) and 40.0 IU/ml taken at least 1 week and nor more than 3 months apart.
- Platinum-resistant or refractory cancer; subjects must not have had a biologic or chemotherapeutic regimen for treatment of platinum-resistant disease prior to study entry. Subjects with primary platinum-resistant cancer must have had a tumor recurrence within 6 months after completing or while receiving a platinum-containing regimen. These subjects must not have had any other non-platinum-containing regimen. OR Subjects with secondary platinum-resistant cancer may have had any regimen with any response and then have had tumor recurrence within 6 months after completing or while receiving retreatment with a platinum-containing regimen. These subjects must have received only two prior chemotherapeutic regimens. OR Subjects who receive a chemotherapeutic regimen as consolidation after a response to a platinum-containing regimen must have had tumor recurrence within 6 months after completing or while receiving the consolidation regimen.
- Life expectancy > 12 weeks
- ECOG performance status 0 or 1
- Use of an effective means of contraception (for women of childbearing potential)
- Clinical laboratory test results: Granulocyte count > 1500/µL; Platelet count > 75000/µL; Hemoglobin > 9g/dL (hemoglobin may be supported by transfusion or erythropoietin or other approved hematopoietic growth factors; darbepoetin is permitted); Serum bilirubin < 1.5 the ULN; alkaline phosphatase, AST, and ALT < 2.5 ULN ( AST, ALT < 5.0 ULN for subjects with liver metastasis); Serum creatinine < 1.5 ULN; International normalized ratio (INR) < 1.5 and activated partial thromboplastin time (aPTT) < 1.5 ULN (except for subjects receiving anti-coagulation therapy)
Exclusion Criteria:
- Prior treatment with gemcitabine
- Three or more prior chemotherapeutic regimens for the management of primary disease
- Prior treatment with experimental anti-cancer agents within 4 weeks prior to Day 1 (the day the first study treatment infusions are administered)
- History or clinical evidence of central nervous system or brain metastases
- Prior treatment with Avastin or other anti-angiogenic agent
- Uncontrolled hypercalcemia ( >11.5 mg/dL)
- History of other malignancies within 5 years of Day 1, except for adequately treated carcinoma in situ of the cervix, ductal carcinoma in situ (DCIS) of breast, basal or squamous cell skin cancer
- History of serious systemic disease, unstable angina, myocardial infarction, stroke, transient ischemic attack,, symptoms of CHF, or unstable symptomatic arrhythmia requiring medication (subjects with chronic atrial arrhythmia, i.e., atrial fibrillation, paroxysmal supraventricular tachycardia, are eligible) within 6 months prior to Day 1 of treatment
- Known HIV infection
- Pregnancy or lactation
- Major surgery, open biopsy, or significant traumatic injury within 4 weeks prior to Day 1 of treatment, or anticipation of need for major surgical procedure during the course of the study
- Inability to comply with study and follow-up procedures
- Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the subject at high risk from treatment complications
- Life expectancy of less than 12 weeks
- Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study other than a Genentech-sponsored bevacizumab cancer study
- Inadequately controlled hypertension (defined as systolic blood pressure >150 and/or diastolic blood pressure > 100 mmHg on antihypertensive medications)
- Any prior history of hypertensive crisis or hypertensive encephalopathy
- New York Heart Association (NYHA) Grade II or greater congestive heart failure (see Appendix E)
- Known CNS disease
- Significant vascular disease (e.g., aortic aneurysm, aortic dissection)
- Symptomatic peripheral vascular disease
- Evidence of bleeding diathesis or coagulopathy
- Any patient that the clinician considers at risk for possible GI perforation. This includes patients with clinical symptoms or signs of GI obstruction or who require parenteral nutrition, parenteral hydration, or tube feeding, and patients with evidence of free air not explained by paracentesis or recent surgical procedure.
- History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study enrollment
- Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment
- Serious, non-healing wound, ulcer, or bone fracture
- Proteinuria at screening as demonstrated by either Urine protein:creatinine (UPC) ratio ≥ 1.0 at screening OR Urine dipstick for proteinuria ≥ 2+ (patients discovered to have ≥2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate ≤ 1g of protein in 24 hours to be eligible).
- Known hypersensitivity to any component of bevacizumab
- Pregnant (positive pregnancy test) or lactating. Use of effective means of contraception (men and women) in subjects of child-bearing potential
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Experimental: Único
|
Gemcitabine: IV, days 1,8, and every 21 days Bevacizumab: IV, day 1 and every 21 days until disease progression
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Progression-free survival
Periodo de tiempo: 2 years
|
The primary outcome measure is progression-free survival.
Disease status and response rates will be determined by investigator assessment using RECIST or CA-125 changes (subjects with nonmeasurable disease only)
|
2 years
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Safety and tolerability of bevacizumab in combination with gemcitabine will be assessed.
Periodo de tiempo: 2 years
|
The safety and tolerability of bevacizumab in combination with gemcitabine will be assessed using the following measures: - Incidence, nature, severity, and relatedness of adverse events graded according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE, Version 3.0) |
2 years
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Sharmila Makhija, MD, Emory University
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Neoplasias
- Neoplasias urogenitales
- Neoplasias por sitio
- Neoplasias Genitales Femeninas
- Enfermedades del sistema endocrino
- Enfermedades Ováricas
- Enfermedades anexiales
- Trastornos gonadales
- Neoplasias de glándulas endocrinas
- Enfermedades de las trompas de Falopio
- Neoplasias Ováricas
- Neoplasias de las trompas de Falopio
- Efectos fisiológicos de las drogas
- Mecanismos moleculares de acción farmacológica
- Agentes antiinfecciosos
- Agentes Antivirales
- Inhibidores de enzimas
- Antimetabolitos, Antineoplásicos
- Antimetabolitos
- Agentes antineoplásicos
- Agentes inmunosupresores
- Factores inmunológicos
- Agentes antineoplásicos inmunológicos
- Inhibidores de la angiogénesis
- Agentes moduladores de la angiogénesis
- Sustancias de crecimiento
- Inhibidores del crecimiento
- Gemcitabina
- Bevacizumab
Otros números de identificación del estudio
- IRB00023366
- AVF4314S (Otro identificador: Other)
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
producto fabricado y exportado desde los EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Gemcitabine/Bevacizumab
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National Cancer Institute (NCI)Activo, no reclutandoCarcinoma de trompa de Falopio recidivante | Carcinoma de ovario recurrente | Carcinoma peritoneal primario recidivante | Cistadenocarcinoma de células claras de ovario | Adenocarcinoma endometrioide de ovario | Cistadenocarcinoma seroso de ovario | Adenocarcinoma de células claras endometriales | Adenocarcinoma seroso endometrial y otras condicionesEstados Unidos
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National Cancer Institute (NCI)NRG OncologyTerminadoGlioblastoma | Gliosarcoma | Glioblastoma recurrente | Oligodendroglioma | Glioblastoma de células gigantes | Neoplasia cerebral recurrenteEstados Unidos, Canadá
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M.D. Anderson Cancer CenterReclutamientoCarcinoma hepatocelular en estadio IB AJCC v8 | Carcinoma hepatocelular en estadio II AJCC v8 | Carcinoma hepatocelular resecable | Carcinoma hepatocelular en estadio I AJCC v8 | Carcinoma hepatocelular en estadio IA AJCC v8Estados Unidos
-
National Cancer Institute (NCI)Activo, no reclutandoMelanoma cutáneo en estadio IV AJCC v6 y v7 | Melanoma cutáneo en estadio IIIC AJCC v7 | Melanoma irresecableEstados Unidos
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National Cancer Institute (NCI)TerminadoAdenocarcinoma de cuello uterino | Carcinoma adenoescamoso de cuello uterino | Carcinoma de células escamosas de cuello uterino, no especificado | Cáncer de cuello uterino en estadio IVA AJCC v6 y v7 | Carcinoma cervical recurrente | Cáncer de cuello uterino en estadio IV AJCC v6 y v7 | Cáncer...Estados Unidos
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Roswell Park Cancer InstituteNational Cancer Institute (NCI); Merck Sharp & Dohme LLC; Celldex TherapeuticsReclutamientoCarcinoma de trompa de Falopio recidivante | Carcinoma de ovario recurrente | Carcinoma peritoneal primario recidivante | Adenocarcinoma seroso endometrial recidivante | Adenocarcinoma de células claras de ovario | Carcinoma de ovario resistente al platino recurrente | Carcinoma de ovario sensible... y otras condicionesEstados Unidos
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Roswell Park Cancer InstituteNational Cancer Institute (NCI)ReclutamientoCarcinoma de trompa de Falopio recidivante | Carcinoma de ovario recurrente | Carcinoma peritoneal primario recidivante | Adenocarcinoma endometrioide de ovario | Adenocarcinoma de células claras de ovario | Adenocarcinoma de células claras de las trompas de Falopio | Adenocarcinoma endometrioide... y otras condicionesEstados Unidos
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National Cancer Institute (NCI)Activo, no reclutandoSarcoma alveolar metastásico de partes blandas | Sarcoma alveolar de partes blandas irresecableEstados Unidos
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National Cancer Institute (NCI)Activo, no reclutandoAdenocarcinoma endometrioide de ovario | Adenocarcinoma seroso peritoneal primario de alto grado | Adenocarcinoma endometrioide de las trompas de Falopio | Carcinoma de las trompas de Falopio resistente al platino | Carcinoma peritoneal primario resistente al platino | Adenocarcinoma seroso... y otras condicionesEstados Unidos, Canadá
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City of Hope Medical CenterNational Cancer Institute (NCI)Activo, no reclutandoCarcinoma de células no pequeñas de pulmón metastásico | Cáncer de pulmón en estadio IVA AJCC v8 | Cáncer de pulmón en estadio IVB AJCC v8 | Cáncer de pulmón en estadio III AJCC v8 | Cáncer de pulmón en estadio IV AJCC v8 | Cáncer de pulmón en estadio IIIA AJCC v8 | Cáncer de pulmón en estadio... y otras condicionesEstados Unidos