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A Study of the Addition of Avastin (Bevacizumab) to Carboplatin and Paclitaxel Therapy in Patients With Ovarian Cancer

2016년 5월 3일 업데이트: Hoffmann-La Roche

Global Study to Assess the Addition of Bevacizumab to Carboplatin and Paclitaxel as Front-line Treatment of Epithelial Ovarian Cancer, Fallopian Tube Carcinoma or Primary Peritoneal Carcinoma

This open-label, non-comparative, multi-center study will assess the safety profile and efficacy of Avastin (bevacizumab) when added to carboplatin and paclitaxel therapy in participants with epithelial ovarian cancer, fallopian tube carcinoma or primary peritoneal carcinoma. Participants will receive 15 milligrams/kilogram (mg/kg) Avastin intravenously (IV) on Day 1 of every cycle for up to 36 cycles of 3 weeks each, carboplatin (area under the plasma concentration-time curve [AUC] 5-6 mg/ml/min) on Day 1 every 3 weeks for a maximum of 8 cycles and paclitaxel 175 milligram per square meter (mg/m^2) on Day 1 every 3 weeks or 80 mg/m^2 every week for a maximum of 8 cycles. The anticipated time on study drug will be 108 weeks or until disease progression or unacceptable toxicity.

연구 개요

연구 유형

중재적

등록 (실제)

1021

단계

  • 3단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Athens, 그리스, 11527
      • Athens, 그리스, 115 28
      • Athens, 그리스, 145 64
      • Heraklion, Crete, 그리스, 71110
      • Larissa, 그리스, 41 110
      • Patras, 그리스, 265 00
      • Thessaloniki, 그리스, 56429
      • Durban, 남아프리카, 4058
      • Johannesburg, 남아프리카, 2193
      • Sandton, 남아프리카, 2196
      • Alkmaar, 네덜란드, 1815 JD
      • Amsterdam, 네덜란드, 1091 AC
      • Apeldoorn, 네덜란드, 7334 DZ
      • Blaricum, 네덜란드, 1261 AN
      • Breda, 네덜란드, 4819 EV
      • Capelle a/d IJssel, 네덜란드, NL 2900 AR
      • Den Haag, 네덜란드, 2545 CH
      • Den Haag, 네덜란드, 2512 VA
      • Deventer, 네덜란드, 7416 SE
      • Dordrecht, 네덜란드, 3318 AT
      • Eindhoven, 네덜란드, 5623 EJ
      • Leidschendam, 네덜란드, 2262 BA
      • Rotterdam, 네덜란드, 3045 PM
      • Sittard-Geleen, 네덜란드, 6162 BG
      • Utrecht, 네덜란드, 3582 KE
      • Taipei City, 대만, 110
      • Taipei City, 대만, 112
      • Taoyuan Hsien, 대만, 333
      • Aalborg, 덴마크, 9000
      • Roskilde, 덴마크, 4000
      • Vejle, 덴마크, 7100
      • Daugavpils, 라트비아, 5417
      • Riga, 라트비아, LV-1002
      • Riga, 라트비아, LV 1079
      • Barnaul, 러시아 연방, 656049
      • Moscow, 러시아 연방, 115478
      • Obninsk, Kaluzhskaya Region, 러시아 연방, 249034
      • Saint-Petersburg, 러시아 연방, 197022
      • Stavropol, 러시아 연방, 355045
      • UFA, 러시아 연방, 450054
      • Bucuresti, 루마니아, 022328
      • Cluj Napoca, 루마니아, 400015
      • Iasi, 루마니아, 700106
      • Kaunas, 리투아니아, 50009
      • Klaipeda, 리투아니아, 92288
      • Vilnius, 리투아니아, 08660
      • Bitola, 마케도니아, 구 유고슬라비아 공화국, 7000
      • Skopje, 마케도니아, 구 유고슬라비아 공화국, 1000
      • Distrito Federal, 멕시코, 14080
      • Oaxaca, 멕시코, 68000
      • Toluca, 멕시코, 50180
      • Sofia, 불가리아, 1756
      • Varna, 불가리아, 9010
      • Veliko Tarnovo, 불가리아, 5000
    • BA
      • Salvador, BA, 브라질, 41950-610
    • CE
      • Fortaleza, CE, 브라질, 60125-120
    • GO
      • Goiania, GO, 브라질, 74605-070
    • PR
      • Curitiba, PR, 브라질, 80530-010
    • RJ
      • Rio de Janeiro, RJ, 브라질, 20230-130
    • RS
      • Porto Alegre, RS, 브라질, 90430-090
      • Porto Alegre, RS, 브라질, 90020-090
    • SP
      • Piracicaba, SP, 브라질, 13419-155
      • Sao Paulo, SP, 브라질, 01246-000
      • Sao Paulo, SP, 브라질, 01308-050
      • Sao Paulo, SP, 브라질, 01317-000
      • Sao Paulo, SP, 브라질, 01509-010
      • Dammam, 사우디 아라비아, 31444
      • Belgrade, 세르비아, 11000
      • Nis, 세르비아, 18000
      • Eskilstuna, 스웨덴, 63188
      • Falun, 스웨덴, 79182
      • Karlstad, 스웨덴, 65185
      • Umeå, 스웨덴
      • Uppsala, 스웨덴, 75185
      • Örebro, 스웨덴, 701 85
      • Aarau, 스위스, 5001
      • Baden, 스위스, 5405
      • Bellinzona, 스위스, 6500
      • Bern, 스위스, 3010
      • Genève 14, 스위스, 1211
      • Zürich, 스위스, 8091
      • Albacete, 스페인, 02006
      • Alicante, 스페인, 3010
      • Badajoz, 스페인, 06080
      • Barcelona, 스페인, 08036
      • Barcelona, 스페인, 08003
      • Barcelona, 스페인, 08906
      • Barcelona, 스페인, 08017
      • Burgos, 스페인, 09006
      • Caceres, 스페인, 10003
      • Castellon, 스페인, 12002
      • Ciudad Real, 스페인, 13005
      • Cordoba, 스페인, 14004
      • Girona, 스페인, 17007
      • Granada, 스페인, 18014
      • Guadalajara, 스페인, 19002
      • Jaen, 스페인, 23007
      • La Coruña, 스페인, 15006
      • Lugo, 스페인, 27003
      • Madrid, 스페인, 28040
      • Madrid, 스페인, 28041
      • Madrid, 스페인, 28007
      • Madrid, 스페인, 28222
      • Madrid, 스페인, 28033
      • Madrid, 스페인, 28002
      • Madrid, 스페인, 28050
      • Malaga, 스페인, 29010
      • Malaga, 스페인, 29011
      • Navarra, 스페인, 31008
      • Salamanca, 스페인, 37007
      • Segovia, 스페인, 40002
      • Sevilla, 스페인, 41014
      • Sevilla, 스페인, 41009
      • Toledo, 스페인, 45004
      • Valencia, 스페인, 46017
      • Valencia, 스페인, 46026
      • Valencia, 스페인, 46009
      • Valencia, 스페인, 46015
      • Valladolid, 스페인, 47010
      • Zaragoza, 스페인, 50009
    • Alicante
      • Elda, Alicante, 스페인, 03600
    • Asturias
      • Oviedo, Asturias, 스페인, 33011
    • Badajoz
      • Llerena (Badajoz), Badajoz, 스페인, 06900
    • Barcelona
      • Manresa, Barcelona, 스페인, 08243
    • Cadiz
      • Cádiz, Cadiz, 스페인, 11009
      • Jerez de La Frontera, Cadiz, 스페인, 11407
    • Guipuzcoa
      • San Sebastian, Guipuzcoa, 스페인, 20080
      • San Sebastian de Los Reyes, Guipuzcoa, 스페인, 28702
    • Islas Baleares
      • Palma De Mallorca, Islas Baleares, 스페인, 07014
      • Palma de Mallorca, Islas Baleares, 스페인, 07198
    • La Coruña
      • Santiago de Compostela, La Coruña, 스페인, 15706
    • Las Palmas
      • Las Palmas de Gran Canaria, Las Palmas, 스페인, 35020
    • Madrid
      • Leganes, Madrid, 스페인, 28911
    • Tarragona
      • Reus, Tarragona, 스페인, 43204
    • Tenerife
      • La Laguna, Tenerife, 스페인, 38320
      • Santa Cruz de Tenerife, Tenerife, 스페인, 38010
    • Valencia
      • San Juan, Valencia, 스페인, 03550
    • Vizcaya
      • Barakaldo, Vizcaya, 스페인, 48903
      • Bilbao, Vizcaya, 스페인, 48013
      • Bratislava, 슬로바키아, 833 10
      • Kosice, 슬로바키아, 04001
      • Ljubljana, 슬로베니아, 1000
      • Maribor, 슬로베니아, 2000
      • Buenos Aires, 아르헨티나, C1199ACI
      • Buenos Aires, 아르헨티나, C1280AEB
      • Buenos Aires, 아르헨티나, C1426ANZ
      • Rosario, 아르헨티나, S2002KDS
      • Tucuman, 아르헨티나, T4000IAK
      • Dublin, 아일랜드, 7
      • Tallinn, 에스토니아, 11312
      • Tallinn, 에스토니아, 13419
      • Tartu, 에스토니아, 50406
      • Graz, 오스트리아, 8020
      • Graz, 오스트리아, 8036
      • Innsbruck, 오스트리아, 6020
      • Ried-innkreis, 오스트리아, 4910
      • Salzburg, 오스트리아, 5020
      • Steyr, 오스트리아, 4400
      • Villach, 오스트리아, 9500
      • Wien, 오스트리아, 1130
      • Wien, 오스트리아, 1090
      • Montevideo, 우루과이, 11600
      • Afula, 이스라엘, 18101
      • Beer Sheva, 이스라엘, 8410101
      • Haifa, 이스라엘, 34362
      • Haifa, 이스라엘, 31096
      • Holon, 이스라엘, 58100
      • Jerusalem, 이스라엘, 91120-01
      • Jerusalem, 이스라엘, 9372212
      • Kfar Saba, 이스라엘, 44281
      • Petach Tikva, 이스라엘, 49100
      • Ramat Gan, 이스라엘, 52621
      • Rehovot, 이스라엘, 7610001
      • Tel Aviv, 이스라엘, 64239-06
      • Cairo, 이집트, 11555
      • Tanta, 이집트
    • Campania
      • Napoli, Campania, 이탈리아, 80131
    • Emilia-Romagna
      • Bologna, Emilia-Romagna, 이탈리아, 40138
      • Meldola, Emilia-Romagna, 이탈리아, 47014
    • Lazio
      • Roma, Lazio, 이탈리아, 00128
      • Roma, Lazio, 이탈리아, 00157
    • Liguria
      • Genova, Liguria, 이탈리아, 16128
    • Lombardia
      • Brescia, Lombardia, 이탈리아, 25123
      • Milano, Lombardia, 이탈리아, 20162
      • Milano, Lombardia, 이탈리아, 20141
      • Monza, Lombardia, 이탈리아, 20052
      • Saronno, Lombardia, 이탈리아, 21047
    • Piemonte
      • Novara, Piemonte, 이탈리아, 28100
      • Torino, Piemonte, 이탈리아, 10126
      • Torino, Piemonte, 이탈리아, 10128
    • Sicilia
      • Palermo, Sicilia, 이탈리아, 90146
    • Toscana
      • Firenze, Toscana, 이탈리아, 50139
      • Pisa, Toscana, 이탈리아, 56126
    • Umbria
      • Perugia, Umbria, 이탈리아, 06123
      • Terni, Umbria, 이탈리아, 05100
      • Bangalore, 인도, 560017
      • Bangalore, 인도, 560054
      • Hyderabad, 인도, 650034
      • Jaipur, 인도, 302013
      • Kochi, 인도, 682304
      • New Delhi, 인도, 110029
      • Pune, 인도, 411004
      • Ankara, 칠면조, 06500
      • Ankara, 칠면조, 06230
      • Diyarbakir, 칠면조, 10000
      • Istanbul, 칠면조, 34390
      • Quebec, 캐나다, G1R 3S1
    • Alberta
      • Calgary, Alberta, 캐나다, T2N 4N2
    • Ontario
      • Ottawa, Ontario, 캐나다, K1H 8L6
      • Toronto, Ontario, 캐나다, M5G 2M9
    • Quebec
      • Montreal, Quebec, 캐나다, H2L 4M1
      • Shuwaikh, 쿠웨이트, 70653
      • Porto, 포르투갈, 4200-072
      • Bydgoszcz, 폴란드, 85-796
      • Warszawa, 폴란드, 03-242
      • Amiens, 프랑스, 80090
      • Bordeaux, 프랑스, 33076
      • Brest, 프랑스, 29200
      • Caen, 프랑스, 14076
      • Clermont Ferrand, 프랑스, 63011
      • Grenoble, 프랑스, 38028
      • Lille, 프랑스, 59020
      • Lyon, 프랑스, 69373
      • Marseille, 프랑스, 13273
      • Mougins, 프랑스, 06250
      • Paris, 프랑스, 75970
      • Paris, 프랑스, 75908
      • Paris, 프랑스, 75651
      • Paris, 프랑스, 75674
      • Paris, 프랑스, 75231
      • Paris, 프랑스, 75571
      • Reims CEDEX, 프랑스, 51056
      • Strasbourg, 프랑스, 67065
      • Toulouse, 프랑스, 31059
      • Villejuif, 프랑스, 94805
      • Budapest, 헝가리, 1125
      • Budapest, 헝가리, 1122
      • Debrecen, 헝가리, 4032
      • Pecs, 헝가리, 7624
      • Szeged, 헝가리, 6720
      • Hong Kong, 홍콩
      • Hong Kong, 홍콩, 852

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

여성

설명

Inclusion Criteria:

  • Histologically confirmed epithelial ovarian carcinoma, fallopian tube carcinoma, primary peritoneal carcinoma or clear cell carcinoma or carcinosarcoma. Participants with recurrent ovarian cancer who have been previously treated with surgery alone for their early stage disease are eligible.
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0, 1 or 2
  • Life expectancy greater than or equal to (>=3) months

Exclusion Criteria:

  • Participants with non-epithelial ovarian cancer, ovarian tumors with low malignant potential (i.e., borderline tumors), or synchronous primary endometrial carcinoma
  • Previous systemic therapy for ovarian cancer. Prior neo-adjuvant chemotherapy is allowed
  • Planned intraperitoneal cytotoxic chemotherapy
  • Radiotherapy within 28 days of Day 1, Cycle 1
  • Major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to first dose of Avastin
  • History or evidence of National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade >=1 arterial thromboembolic event or Grade >=3 venous thromboembolic event within 6 months prior to enrollment

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 해당 없음
  • 중재 모델: 단일 그룹 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Bevacizumab + Paclitaxel + Carboplatin
Participants will receive bevacizumab 15 mg/kg IV on Day 1 every 3 weeks from Cycle 1 to Cycle 36 (initially concurrent with chemotherapy, then continued as a single agent following the completion of chemotherapy), or until protocol defined disease progression or until unacceptable toxicity (whichever occurred first). Participants will receive paclitaxel 175 mg/m^2 IV on Day 1 every 3 weeks or 80 mg/m^2 IV every week and carboplatin (AUC 5-6) IV on Day 1 every 3 weeks for a minimum of 4 and maximum of 8 cycles (including up to 4 pre-surgical cycles), or until protocol defined disease progression, or unacceptable toxicity (whichever occurred first).
175 mg/m^2 on Day 1 every 3 weeks or at a dose of 80 mg/m^2 every week for a minimum of 4 cycles and not more than 8 cycles or until disease progression or unacceptable toxicity, whichever occurs first
15 mg/kg intravenously on Day 1 of every cycle for up to 36 cycles of 3 weeks each or until disease progression or unacceptable toxicity, whichever occurs first
다른 이름들:
  • 아바스틴
AUC 5-6 mg/ml/min on Day 1 every 3 weeks for a minimum of 4 cycles and not more than 8 cycles or until disease progression or unacceptable toxicity, whichever occurs first

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Percentage of Participants With at Least One Adverse Event (AE)
기간: Day 1 up to 30 days after last dose of study treatment (until data cutoff 07 December 2014, up to 4 years)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Day 1 up to 30 days after last dose of study treatment (until data cutoff 07 December 2014, up to 4 years)

2차 결과 측정

결과 측정
측정값 설명
기간
Progression-Free Survival (PFS)
기간: Day 1, at end of Cycles 3 and 6, then every 6 cycles while receiving bevacizumab, and then at bevacizumab cessation, every 26 weeks after cessation of bevacizumab until disease progression or death until data cutoff 07 December 2014, up to 4 years
PFS was defined as the time between the date of first administration of any study treatment and the date of first documented protocol-defined disease progression (that is [i.e.], radiologically by Response Evaluation Criteria In Solid Tumors [RECIST], clinical, or symptomatic) or death, whichever occurred first. Participants who had neither progressed nor died at the time of data cut-off (07 December 2014), or participants who were withdrawn from study, or lost to follow-up without documented progression, were censored. Kaplan-Meier estimation was used for median time to PFS.
Day 1, at end of Cycles 3 and 6, then every 6 cycles while receiving bevacizumab, and then at bevacizumab cessation, every 26 weeks after cessation of bevacizumab until disease progression or death until data cutoff 07 December 2014, up to 4 years
Percentage of Participants Achieving Best Overall Response of Complete Response (CR) or Partial Response (PR) According to RECIST Version 1.0
기간: Day 1, at end of Cycles 3 and 6, then every 6 cycles while receiving bevacizumab, and then at bevacizumab cessation, every 26 weeks (Q26W) after cessation of bevacizumab until disease progression or death until data cutoff 07 December 2014, up to 4 years
Best overall response (BOR) according to RECIST Version 1.0 was categorized as: CR, PR, progressive disease (PD), stable disease (SD). CR: disappearance of all target lesions and non-target lesions. PR: >=30% decrease in sum of the longest diameters (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST associated to non-progressive disease response for non-target lesions. PD: Natural progression or deterioration of the malignancy under study (including new sites of metastasis). SD: neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum longest diameter since the treatment started. Participants with a BOR of CR and PR were defined as responders, while participants with a BOR of SD, PD, or unable to assess were defined as non-responders.
Day 1, at end of Cycles 3 and 6, then every 6 cycles while receiving bevacizumab, and then at bevacizumab cessation, every 26 weeks (Q26W) after cessation of bevacizumab until disease progression or death until data cutoff 07 December 2014, up to 4 years
Percentage of Participants Achieving an Overall Response by 50% Carcinoma Antigen 125 (CA-125) Response Criteria
기간: 3 days prior to Day 1 of every cycle, then every 6 weeks (Q6W) during the first year, every 3 months (Q3M) in the second and third year, every 6 months (Q6M) in the fourth year of the study (until data cutoff 07 December 2014, up to 4 years)
CA-125 responders: Participants with the value of CA-125 reduced by at least 50% and confirmed with a consecutive CA-125 assessment performed at an interval of at least 28 days. Overall response according to CA-125 was only evaluated for participants with a pre-treatment CA-125 within 3 days prior to start of any study treatment of at least twice the upper limit of normal (ULN).
3 days prior to Day 1 of every cycle, then every 6 weeks (Q6W) during the first year, every 3 months (Q3M) in the second and third year, every 6 months (Q6M) in the fourth year of the study (until data cutoff 07 December 2014, up to 4 years)
Percentage of Participants Achieving an Overall Response by RECIST Version 1.0 and/or 50% CA-125 Response Criteria
기간: RECIST: Day 1, at end of Cycles 3 and 6, then every 6 cycles, at bevacizumab cessation, Q26W after cessation; CA-125: 3 days before Day 1 of every cycle, then Q6W(1st year), Q3M(2nd-3rd year), Q6M(4th year); until data cutoff 07Dec2014, up to 4 years
Overall response was only evaluated for participants who were evaluable according to RECIST v1.0 with a measurable disease at baseline and/or according to CA-125 with a pre-treatment CA-125 within 3 days prior to start of any study treatment of at least twice the ULN. RECIST responders: Participants achieving an overall response of CR (disappearance of all target lesions and non-target lesions) or PR (>=30% decrease in sum of the LD of the target lesions taking as a reference the baseline sum LD according to RECIST associated to non-progressive disease response for non target lesions). CA-125 responders: Participants with the value of CA-125 reduced by at least 50% and confirmed with a consecutive CA-125 assessment performed at an interval of at least 28 days.
RECIST: Day 1, at end of Cycles 3 and 6, then every 6 cycles, at bevacizumab cessation, Q26W after cessation; CA-125: 3 days before Day 1 of every cycle, then Q6W(1st year), Q3M(2nd-3rd year), Q6M(4th year); until data cutoff 07Dec2014, up to 4 years
Duration of Objective Response (DOR)
기간: Day 1, at end of Cycles 3 and 6, then every 6 cycles while receiving bevacizumab, and then at bevacizumab cessation, every 26 weeks after cessation of bevacizumab until disease progression or death until data cutoff 07 December 2014, up to 4 years
DOR was defined as the time from the first documented response (CR or PR per RECIST v1.0), to the first documented protocol-defined disease progression (i.e., radiologically by RECIST, clinical, or symptomatic) or death, whichever occurred first. Participants who had neither progressed nor died at the time of data cut-off (07 December 2014), or participants who were withdrawn from study, or lost to follow-up without documented progression, were censored. RECIST responders: Participants achieving an overall response of CR (disappearance of all target lesions and non-target lesions) or PR (>=30% decrease in sum of the LD of the target lesions taking as a reference the baseline sum LD according to RECIST associated to non-progressive disease response for non-target lesions). Disease progression: Natural progression or deterioration of the malignancy under study (including new sites of metastasis).
Day 1, at end of Cycles 3 and 6, then every 6 cycles while receiving bevacizumab, and then at bevacizumab cessation, every 26 weeks after cessation of bevacizumab until disease progression or death until data cutoff 07 December 2014, up to 4 years
Overall Survival (OS)
기간: First administration of any study treatment until death or data cutoff 07 December 2014, up to 4 years
OS was defined as the time from the date of the first administration of any study treatment to the date of death, regardless of the cause of death. Participants without the event of death were censored at the last date in the study, defined as the latest date of the following: the date of first administration of study treatment, date of last study treatment, date of last visit, or date last known to be alive. Kaplan-Meier estimation was used for OS.
First administration of any study treatment until death or data cutoff 07 December 2014, up to 4 years
Biological Progression-free Interval
기간: 3 days prior to Day 1 of every cycle, then every 6 weeks during the first year, every 3 months in the second and third year, every 6 months in the fourth year of the study (until data cutoff 07 December 2014, up to 4 years)
Biological progression-free interval is defined as the interval from the date of the first administration of any study treatment to the date of the first documented serial elevation of the ovarian cancer mucin CA-125. More precisely, this is defined as the first documented increase in CA-125 levels as follows: (1) CA-125 greater than or equal to 2 times the upper level of normal (ULN) on 2 occasions at least 1 week apart (for participants with CA-125 within normal range pre-treatment) or (2) CA-125 greater than or equal to 2 times the ULN on 2 occasions at least 1 week apart (for participants with elevated CA-125 pre-treatment and initial normalization of CA-125 on-treatment) or (3) CA-125 greater than or equal to 2 times the nadir value, which is the lowest observed CA-125 value per participant on 2 occasions at least 1 week apart (for participants with elevated CA-125 pre-treatment which never normalized).
3 days prior to Day 1 of every cycle, then every 6 weeks during the first year, every 3 months in the second and third year, every 6 months in the fourth year of the study (until data cutoff 07 December 2014, up to 4 years)

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2010년 12월 1일

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2015년 3월 1일

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2010년 11월 10일

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2016년 6월 10일

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2016년 5월 3일

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2016년 5월 1일

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