NCT00523809

Brief Summary

The goal of this clinical research study is to learn if giving Avastin (bevacizumab) with standard chemotherapy and a blood stem cell transplant, in patients with an advanced solid tumor, can help to shrink the tumor or slow its growth. The safety of this treatment will also be studied.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5

participants targeted

Target at below P25 for phase_2 breast-cancer

Timeline
Completed

Started Aug 2007

Typical duration for phase_2 breast-cancer

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2007

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

August 31, 2007

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 3, 2007

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2011

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

January 28, 2013

Completed
Last Updated

January 28, 2013

Status Verified

December 1, 2012

Enrollment Period

4.2 years

First QC Date

August 31, 2007

Results QC Date

December 21, 2012

Last Update Submit

December 21, 2012

Conditions

Keywords

Breast CancerOvarian CancerStem Cell TransplantationBevacizumabFludarabineMelphalanAvastinThymoglobulinATGAntithymocyte GlobulinAllogeneic Hematopoietic Stem Cell TransplantationAHSCT

Outcome Measures

Primary Outcomes (1)

  • Progression-free Survival (PFS)

    Number or participants with no disease progression or death for any reason during first 100 days following transplantation. Participants followed every 3 months for first year.

    100 days after transplant

Study Arms (1)

Bevacizumab + Fludarabine + Melphalan

EXPERIMENTAL

Bevacizumab 10 mg/kg intravenous (IV) on Day 1; Fludarabine 25 mg/m\^2 IV Daily over 5 Days; Melphalan 70 mg/m\^2 IV Daily over 2 Days; Thymoglobulin 0.5 mg/kg IV on Day - 3, 1.5 mg/kg IV on Day - 2, and 2 mg/kg IV on Day -1; plus Allogeneic Hematopoietic Stem Cell Transplantation on Day 8.

Drug: BevacizumabProcedure: Allogeneic Hematopoietic Stem Cell TransplantationDrug: FludarabineDrug: MelphalanDrug: Thymoglobulin

Interventions

10 mg/kg IV Daily Over 30 Minutes for 1 Day

Also known as: Avastin™, Anti-VEGF monoclonal antibody, rhuMAb-VEGF
Bevacizumab + Fludarabine + Melphalan

Stem Cell Transplantation on Day 8.

Also known as: NST
Bevacizumab + Fludarabine + Melphalan

25 mg/m\^2 IV Daily Over 30 Minutes for 5 Days

Also known as: Fludarabine Phosphate
Bevacizumab + Fludarabine + Melphalan

70 mg/m\^2 IV Daily Over 30 Minutes for 2 Days

Bevacizumab + Fludarabine + Melphalan

0.5 mg/kg IV on Day - 3, 1.5 mg/kg IV on Day - 2, and 2 mg/kg IV on Day -1.

Also known as: ATG, Antithymocyte Globulin
Bevacizumab + Fludarabine + Melphalan

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • From Age 18 to Age \</= 65 years old.
  • Patients must have one of the following diseases. 1) metastatic breast cancer which achieved a tumor response (complete response (CR) or partial response (PR)) by pre-transplant therapy. For bone only metastatic breast cancer, a tumor response of stable disease (SD) is accepted. 2) low grade advanced ovarian cancer 3) high grade advanced ovarian cancer which achieved antitumor response (CR or PR) by pre-transplant therapy.
  • Zubrod performance status \</= 1.
  • An HLA-matched (6/6 matches) related donor or unrelated donor (8/8 matches) willing and able to donate peripheral blood stem cell (PBSC) or bone marrow and/or lymphocytes by conventional techniques.
  • Requirement of prior treatment. For metastatic renal cell carcinoma (RCC) two prior treatments, which include targeted therapy (e.g. Sorafenib and Stutent). For breast and ovarian cancer, one prior treatment which include chemotherapy.
  • Adequate major organ functions.
  • Signed informed consent.
  • Left ventricular ejection fraction \>/= 45%. Cardiology clearance is needed if the patient has left ventricular ejection fraction of \< 45%, uncontrolled arrhythmias, or symptomatic cardiac disease.
  • Forced expiratory volume in 1 second (FEV1), Forced vital capacity (FVC), and carbon monoxide diffusing capacity (DLCO) \>/= 50% of predicted value. Pulmonary clearance is needed if the patient has FEV1, FVC, or DLCO \< 50% of predicted valued or any symptomatic pulmonary disease.
  • Serum creatinine \</= 2.0 mg/dL, or creatinine clearance \> 40 mL/min.
  • Serum bilirubin \</= 1.5 mg/dL, and serum glutamic-pyruvic transaminase (SGPT) \</= 3 \* upper limit of normal.

You may not qualify if:

  • Prior history of allogeneic stem cell transplantation.
  • Life expectancy is severely limited by concomitant illness.
  • Clinically significant active infections.
  • HIV infection.
  • Chronic active hepatitis.
  • Pregnant or lactating women.
  • Presence of, or prior history of multiple brain metastasis. If patient has prior single brain metastasis treated with complete surgical resection or stereotactic radiation therapy, radiological imaging has to demonstrate no recurrence or no brain edema for at least 6 months from the end of the treatment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

U.T.M.D. Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

Breast NeoplasmsOvarian Neoplasms

Interventions

Bevacizumabfludarabinefludarabine phosphateMelphalanthymoglobulinAntilymphocyte Serum

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal Disorders

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhenylalanineAmino Acids, AromaticAmino Acids, CyclicAmino AcidsImmune SeraBiological ProductsComplex Mixtures

Results Point of Contact

Title
Naoto Ueno, MD / Professor
Organization
UT MD Anderson Cancer Center

Study Officials

  • Naoto Ueno, MD, PhD

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 31, 2007

First Posted

September 3, 2007

Study Start

August 1, 2007

Primary Completion

October 1, 2011

Study Completion

October 1, 2011

Last Updated

January 28, 2013

Results First Posted

January 28, 2013

Record last verified: 2012-12

Locations