- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00623805
A Study of Avastin (Bevacizumab) and Xeloda (Capecitabine) as Maintenance Treatment in Patients With Metastatic Colorectal Cancer
16 juli 2014 uppdaterad av: Hoffmann-La Roche
A Randomized, Multicenter Phase III Trial to Assess the Efficacy and Safety of Bevacizumab and Capecitabine as Maintenance Treatment, After Initial Combination Treatment With Capecitabine, Oxaliplatin and Bevacizumab in Patients With Metastatic Colorectal Adenocarcinoma
This 2 arm study assessed the efficacy and safety of maintenance treatment with Avastin (bevacizumab) + Xeloda (capecitabine), after initial treatment with Xeloda + oxaliplatin + Avastin, in patients with metastatic colorectal cancer.
Patients were randomized into one of 2 groups to receive 1) Xeloda + oxaliplatin + Avastin until disease progression or 2) Xeloda + oxaliplatin + Avastin for 6 3-week cycles, followed by Xeloda + Avastin until disease progression.
Xeloda was administered at a dose of 1000 mg/m^2 orally twice a day on days 1-14 of each cycle, oxaliplatin at a dose of 130 mg/m^2 intravenously (iv) on day 1 of each cycle, and Avastin at a dose of 7.5 mg/kg iv on day 1 of each cycle.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Faktisk)
123
Fas
- Fas 3
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Ankara, Kalkon, 06100
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Ankara, Kalkon, 06500
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Ankara, Kalkon, 06590
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Gaziantep, Kalkon, 27310
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Istanbul, Kalkon, 34300
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Istanbul, Kalkon, 34390
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Istanbul, Kalkon, 34890
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Izmir, Kalkon, 35100
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Izmir, Kalkon, 35340
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S?hhiye, ANKARA, Kalkon, 06100
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- Adult patients, ≥ 18 years of age.
- Histologically confirmed colon or rectal cancer, with unresectable metastatic disease.
- At least 1 measurable lesion.
- Outpatient, with Eastern Cooperative Oncology Group (ECOG) Performance Status = 0-1.
Exclusion Criteria:
- Previous treatment with Avastin.
- Previous systemic treatment for advanced or metastatic disease.
- clinically significant cardiovascular disease.
- Daily chronic treatment with high doses of aspirin (> 325 mg/day) or non-steroidal anti-inflammatory drugs.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Aktiv komparator: Bevacizumab+capecitabine+oxaliplatin
Participants received bevacizumab 7.5 mg/kg intravenously (IV) on Day 1 of each 3-week cycle + oxaliplatin 130 mg/m^2 IV on Day 1 of each 3-week cycle + capecitabine 1000 mg/m^2 orally twice a day on Days 1-14 of each 3-week cycle until disease progression.
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Bevacizumab was supplied as a solution in single-use vials.
Andra namn:
Capecitabin tillhandahölls som filmdragerade tabletter.
Andra namn:
Oxaliplatin was supplied as a lyophilized powder in vials.
Andra namn:
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Experimentell: Bevacizumab(B)+capecitabine(C)+oxaliplatin followed by B+C
Participants received bevacizumab 7.5 mg/kg intravenously (IV) on Day 1 of each 3-week cycle + oxaliplatin 130 mg/m^2 IV on Day 1 of each 3-week cycle + capecitabine 1000 mg/m^2 orally twice a day on Days 1-14 of each 3-week cycle for 6 cycles followed by bevacizumab 7.5 mg/kg intravenously (IV) on Day 1 of each 3-week cycle + capecitabine 1000 mg/m^2 orally twice a day on Days 1-14 of each 3-week cycle until disease progression.
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Bevacizumab was supplied as a solution in single-use vials.
Andra namn:
Capecitabin tillhandahölls som filmdragerade tabletter.
Andra namn:
Oxaliplatin was supplied as a lyophilized powder in vials.
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
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Progression-free Survival
Tidsram: Baseline to the end of the study (up to 4 years, 2 months)
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Progression-free survival was defined as the time from the first administration of study drug to the first documented disease progression or death, whichever occurs first.
Progressive disease was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions.
All measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline.
Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically).
A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter.
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Baseline to the end of the study (up to 4 years, 2 months)
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
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Overall Survival
Tidsram: Baseline to the end of the study (up to 4 years, 2 months)
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Overall survival was defined as the time from the first administration of study drug to death.
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Baseline to the end of the study (up to 4 years, 2 months)
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Percentage of Participants With a Complete Response or a Partial Response
Tidsram: Baseline to the end of the study (up to 4 years, 2 months)
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A complete response was defined as the disappearance of all target lesions.
A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions taking as reference the Baseline sum longest diameter.
All measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline.
All other lesions (or sites of disease) should be identified as non-target lesions.
Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically).
A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter.
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Baseline to the end of the study (up to 4 years, 2 months)
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Time Until a Complete Response or a Partial Response
Tidsram: Baseline to Month 13
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Time until a complete response or a partial response was defined as the time from the first administration of study drug until the first complete response or partial response.
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Baseline to Month 13
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Duration of Response
Tidsram: Baseline to the end of the study (up to 4 years, 2 months)
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Duration of response was defined as the time from the first complete response or partial response until disease progression or death.
Progressive disease was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions.
All measurable lesions up to a maximum of 5 lesions per organ and 10 lesions in total, representative of all involved organs, should be identified as target lesions at Baseline.
Target lesions should be selected on the basis of their size (lesions with the longest diameter) and their suitability for accurate repeated measurements (either by imaging techniques or clinically).
A sum of the longest diameter for all target lesions will be calculated and reported as the Baseline sum longest diameter.
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Baseline to the end of the study (up to 4 years, 2 months)
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Percentage of Participants With Metastatic Lesions Previously Considered Inoperable Who Became Operable and Underwent Surgery
Tidsram: Baseline to the end of the study (up to 4 years, 2 months)
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Baseline to the end of the study (up to 4 years, 2 months)
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Percentage of Participants With a R0 Resection
Tidsram: Baseline to the end of the study (up to 4 years, 2 months)
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An R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed.
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Baseline to the end of the study (up to 4 years, 2 months)
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 mars 2008
Primärt slutförande (Faktisk)
1 maj 2012
Avslutad studie (Faktisk)
1 maj 2012
Studieregistreringsdatum
Först inskickad
18 februari 2008
Först inskickad som uppfyllde QC-kriterierna
18 februari 2008
Första postat (Uppskatta)
26 februari 2008
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
8 augusti 2014
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
16 juli 2014
Senast verifierad
1 juli 2014
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
- Matsmältningssystemets sjukdomar
- Neoplasmer
- Neoplasmer efter plats
- Gastrointestinala neoplasmer
- Neoplasmer i matsmältningssystemet
- Gastrointestinala sjukdomar
- Kolonsjukdomar
- Tarmsjukdomar
- Intestinala neoplasmer
- Rektala sjukdomar
- Kolorektala neoplasmer
- Läkemedels fysiologiska effekter
- Molekylära mekanismer för farmakologisk verkan
- Antimetaboliter, antineoplastiska
- Antimetaboliter
- Antineoplastiska medel
- Antineoplastiska medel, immunologiska
- Angiogeneshämmare
- Angiogenesmodulerande medel
- Tillväxtämnen
- Tillväxthämmare
- Capecitabin
- Oxaliplatin
- Bevacizumab
Andra studie-ID-nummer
- ML21440
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
Kliniska prövningar på Kolorektal cancer
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Incyte CorporationMerck Sharp & Dohme LLCAvslutadMelanom | Lymfom | Huvud- och halscancer | Magcancer | Äggstockscancer | Hepatocellulärt karcinom (HCC) | Lungcancer | Blåscancer | Endometriecancer | Fasta tumörer | Njurcellscancer (RCC) | Trippel negativ bröstcancer (TNBC) | UC (Urotelial cancer) | Microsatellite-instability (MSI) High Colorectal Cancer (CRC)Förenta staterna
Kliniska prövningar på Bevacizumab
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National Cancer Institute (NCI)Aktiv, inte rekryterandeÅterkommande fallopian Tube Carcinom | Återkommande äggstockscancer | Återkommande primärt peritonealt karcinom | Ovarialt klarcelligt cystadenocarcinom | Äggstocksendometrioid adenokarcinom | Ovarialt seröst cystadenocarcinom | Endometriellt klart cell adenokarcinom | Endometriellt seröst adenokarcinom och andra villkorFörenta staterna
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National Cancer Institute (NCI)NRG OncologyAvslutadGlioblastom | Gliosarkom | Återkommande glioblastom | Oligodendrogliom | Jättecellsglioblastom | Återkommande hjärnneoplasmFörenta staterna, Kanada
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National Cancer Institute (NCI)AvslutadAdenokarcinom i livmoderhalsen | Adenosquamous karcinom i livmoderhalsen | Livmoderhalscancer skivepitel, ej specificerat på annat sätt | Steg IVA livmoderhalscancer AJCC v6 och v7 | Återkommande livmoderhalscancer | Steg IV Livmoderhalscancer AJCC v6 och v7 | Steg IVB livmoderhalscancer AJCC v6...Förenta staterna
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Roswell Park Cancer InstituteNational Cancer Institute (NCI); Merck Sharp & Dohme LLC; Celldex TherapeuticsRekryteringÅterkommande fallopian Tube Carcinom | Återkommande äggstockscancer | Återkommande primärt peritonealt karcinom | Återkommande endometriellt seröst adenokarcinom | Ovarialt klarcellsadenokarcinom | Återkommande platinaresistent äggstockscancer | Platinakänsligt äggstockscancer | Återkommande äggledarens... och andra villkorFörenta staterna
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M.D. Anderson Cancer CenterRekryteringSteg IB hepatocellulärt karcinom AJCC v8 | Steg II hepatocellulärt karcinom AJCC v8 | Resektabelt hepatocellulärt karcinom | Steg I hepatocellulärt karcinom AJCC v8 | Steg IA hepatocellulärt karcinom AJCC v8Förenta staterna
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National Cancer Institute (NCI)Aktiv, inte rekryterandeSteg IV kutant melanom AJCC v6 och v7 | Steg IIIC kutant melanom AJCC v7 | Ooperabelt melanomFörenta staterna
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Roswell Park Cancer InstituteNational Cancer Institute (NCI)RekryteringÅterkommande fallopian Tube Carcinom | Återkommande äggstockscancer | Återkommande primärt peritonealt karcinom | Äggstocksendometrioid adenokarcinom | Ovarialt klarcellsadenokarcinom | Äggledarens klarcellsadenokarcinom | Äggledaren Endometrioid Adenocarcinom | Fallopian Tube Seröst Adenocarcinom | Ovarialt... och andra villkorFörenta staterna
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National Cancer Institute (NCI)Aktiv, inte rekryterandeMetastaserande alveolär mjukdel sarkom | Ooperabelt alveolärt mjukdelssarkomFörenta staterna
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National Cancer Institute (NCI)Aktiv, inte rekryterandeÄggstocksendometrioid adenokarcinom | Primärt peritonealt höggradigt seröst adenokarcinom | Äggledaren Endometrioid Adenocarcinom | Platinaresistent fallopian Tube Carcinom | Platinaresistent primärt peritonealt karcinom | Ovarialt höggradigt seröst adenokarcinom | Platinaresistent äggstockscancer | Äggledaren höggradigt seröst adenokarcinomFörenta staterna, Kanada
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City of Hope Medical CenterNational Cancer Institute (NCI)Aktiv, inte rekryterandeMetastaserande icke-småcelligt lungkarcinom | Steg IVA lungcancer AJCC v8 | Steg IVB lungcancer AJCC v8 | Steg III lungcancer AJCC v8 | Steg IV lungcancer AJCC v8 | Steg IIIA lungcancer AJCC v8 | Steg IIIB lungcancer AJCC v8 | Steg IIIC lungcancer AJCC v8 | Lokalt avancerat icke-småcelligt lungkarcinom | Återkommande...Förenta staterna