A Study to Evaluate Safety and Effectiveness of Bevacizumab in Combination With Paclitaxel and Cisplatin/Carboplatin or Toptecan in Participants With Advanced Cervical Cancer
15 mars 2018 mis à jour par: Hoffmann-La Roche
Retrospective Multicenter Observational Study to Evaluate Safety and Effectiveness of Bevacizumab (Avastin®) in Combination With Paclitaxel and Cisplatin/Carboplatin or Toptecan in Patients With Advanced Cervical Cancer
This study will evaluate the safety of bevacizumab (Avastin®) combined with standard chemotherapy in participant with advanced cervical cancer, with special focus on the incidence of gastrointestinal (GI) and genitourinary (GU) fistulas and GI perforations in the common practice setting.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Type d'étude
Observationnel
Inscription (Réel)
84
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Buenos Aires, Argentine, 1437
- Hospital General de Agudos J. A. Penna ; Breast Pathology
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Buenos Aires, Argentine, B1650
- Instituto Ángel H. Roffo - Universidad de Buenos Aires
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Chaco, Argentine
- Hospital Julio C. Perrando
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Ciudad Autonoma de Buenos Aires, Argentine, 1425
- Hospital General de Agudos Juan Antonio Fernandez
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Jujuy, Argentine
- Hospital Pablo Soria
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La Rioja, Argentine, F5300COE
- Centro Oncologico Riojano Integral (Cori)
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Lomas de Zamora, Argentine
- Hospital Interzonal General De Agudos "Luisa C. de Gandulfo"
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Mar Del Plata, Argentine, 7600
- Hospital Privado de Comunidad; Oncology
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Rosario, Argentine, S2002KDS
- Hosp Provincial D. Centenarios; Oncology Dept
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Rosario, Argentine
- CENICLAR
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San Luis, Argentine
- Policlínico regional de San Luis
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San Miguel de Tucuman, Argentine, T4000IAK
- Centro Medico San Roque
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Femelle
Méthode d'échantillonnage
Échantillon non probabiliste
Population étudiée
Participants with advanced cervical cancer (metastatic, recurrent or persistent) who have received treatment with bevacizumab from 01 January 2015 to 01 January 2016 will be observed.
La description
Inclusion Criteria:
- Age 18 or older
- Diagnosis of primary stage IVB, recurrent or persistent squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix which is not amenable to curative treatment with surgery and/or radiation therapy
- Retrospective clinical decision made to initiate therapy with bevacizumab (Avastin®) combined with standard chemotherapy (cisplatin or carboplatin or topotecan and paclitaxel) between 01 January 2015 and 01 January 2016
- All participants must have received at least one dose of bevacizumab combined with standard chemotherapy between 01 January 2015 and 01 January 2016 AND have at least 12 months of documented follow up, from treatment start, unless died or lost to follow up within the minimum study entry follow up period
- Availability of documentation of for advanced cervical cancer (including prior treatment as applicable) and follow up in the participant's medical records
Exclusion Criteria:
- Participation during the study period in an interventional clinical trial or any other interventional study that may impact advanced cervical cancer outcome
- Participants who have received prior therapy with any anti-VEGF drug, including bevacizumab
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
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Bevacizumab
Participants with advanced cervical cancer (metastatic, recurrent or persistent) who have received treatment with bevacizumab from 01 January 2015 to 01 January 2016 (retrospective and independent from this study) combined with standard chemotherapy (cisplatin/carboplatin or topotecan and paclitaxel) will be observed.
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This was an observational study.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Percentage of Participants With Gastrointestinal (GI) and Genitourinary (GU) Fistulas and GI Perforations
Délai: Up to 12 months
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Participants with GI and GU fistulas and GI perforation events will be reported according to Common Terminology Criteria for Adverse Events (CTCAE V4.0).
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Up to 12 months
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Percentage of Participants who Received Radiotherapy Prior to GI and GU Fistulas and GI Perforation Events
Délai: Up to 12 months
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Participants who received radiotherapy prior to GI and GU fistulas and GI perforation events will be reported.
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Up to 12 months
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Percentage of Participants who Received Internal, External and Other Radiotherapy
Délai: Up to 12 months
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Participants who received internal, external and other radiotherapy will be reported.
External radiotherapy will include "Non Precision Orientated" that includes classic cobalt or "Precision Orientated" that includes Linear accelerator.
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Up to 12 months
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Number of Doses of Prior Radiotherapy
Délai: Up to 12 months
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Doses of prior radiotherapy will be reported.
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Up to 12 months
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Percentage of Participants With Selected Adverse Events of Special Interest (AESIs)
Délai: Up to 12 months
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Adverse events of special interest (AESI) for this study included: hypertension, proteinuria, wound healing complication, bleeding /haemorrrhage (including pulmonary haemorrhage and CNS bleeding), arterial and venous thromboembolic events (ATES; VTES), congestive heart failure (CHF), posterior reversible encephalopathy syndrome (PRES), fistula/abscess (other than genitourinary and gastrointestinal), gastrointestinal perforations and gallbladder perforation.
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Up to 12 months
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Overall Response Rate (ORR)
Délai: Up to 12 months
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Overall response rate was defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR).
CR is defined as disappearance of all target and non-target lesions.
PR is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD.
There can be no unequivocal progression of non-target lesions and no new lesions.
In the case where the only target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required.
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Up to 12 months
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Progression Free Survival (PFS)
Délai: Up to 12 months
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PFS is defined as the time from the first dose of treatment to the first occurrence of progression, or death from any cause as assessed by the investigator.
Progressive disease (PD): at least a 20% increase in the sum of LD target lesions taking as reference the smallest sum LD recorded since study entry.
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Up to 12 months
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Overall Survival (OS)
Délai: Up to 12 months
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OS is defined as the time from the first dose of treatment to death from any cause.
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Up to 12 months
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Réel)
6 avril 2017
Achèvement primaire (Réel)
20 décembre 2017
Achèvement de l'étude (Réel)
20 décembre 2017
Dates d'inscription aux études
Première soumission
2 mars 2017
Première soumission répondant aux critères de contrôle qualité
2 mars 2017
Première publication (Réel)
7 mars 2017
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
16 mars 2018
Dernière mise à jour soumise répondant aux critères de contrôle qualité
15 mars 2018
Dernière vérification
1 mars 2018
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- ML39360
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