Post-First Progression Use of Bevacizumab in Metastatic Colorectal Cancer (mCRC)
SAFE
Efficacy and Safety of Second-line Combination Chemotherapy With Avastin in Patients With Metastatic Colorectal Cancer Who Have Received First-line Chemotherapy Plus Avastin
1 other identifier
interventional
78
1 country
1
Brief Summary
Bevacizumab beyond progression has been proven to be safe in the community setting (BRiTE) and in the post-marketing study (BEAT), and confirmed its efficacy and safety in the first line with all regimens of chemotherapy. A total of 1,953 patients were treated in BRiTE. At median follow-up of 17.5 mo, there were 1,369 1st PD and 839 deaths. Among patients with 1st PD, 65.2% received any 2nd-line chemotherapy, 34.8% received cetuximab, and 53.8% received BBP. In a multivariate analysis, Bevacizumab beyond first progression and exposure to any 2nd-line chemotherapy were independently associated with increased overall survival (both p \< 0.0001). Bevacizumab beyond progression appears to be associated with longer overall in BRiTE. The investigators planned a prospective study to prove this phenomenon of bevacizumab beyond progression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2009
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 13, 2009
CompletedFirst Posted
Study publicly available on registry
March 16, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2012
CompletedJuly 17, 2012
July 1, 2012
1.9 years
March 13, 2009
July 16, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression free survival
6 weeks
Secondary Outcomes (2)
Overall survival
6 weeks
Toxicity profiles
2 or 3 weeks
Study Arms (1)
Bevacizumab
EXPERIMENTALBevacizumab continuation plus chemotherapy in patients who have failed previous bevacizumab plus other chemotherapy
Interventions
Bevacizumab plus chemotherapy (chemotherapy will be chosen by physician's decision)
Eligibility Criteria
You may qualify if:
- Histologically documented colorectal adenocarcinoma
- Progression during first-line bevacizumab containing chemotherapy within 3 months
- No serious toxicity to bevacizumab of 1st line treatment
- Unresectable metastases
- Uni-dimensional measurable lesion(s) by RECIST
- Age over 18 years old
- ECOG 0-2
- Adequate organ functions by clinical laboratory exams
You may not qualify if:
- Other tumor type than adenocarcinoma
- CNS metastases
- GI bleeding
- Hypersensitivity to any of chemotherapeutic agents
- Prior use of cetuximab or other targeted agents other than bevacizumab
- Major surgery within 6 weeks
- Other serious illness
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Asan Medical Center
Seoul, Songpa-gu, South Korea
Related Publications (1)
Hong YS, Lee J, Kim KP, Lee JL, Park YS, Park JO, Park SH, Kim SY, Baek JY, Kim JH, Lee KW, Kim TY, Kim TW. Multicenter phase II study of second-line bevacizumab plus doublet combination chemotherapy in patients with metastatic colorectal cancer progressed after upfront bevacizumab plus doublet combination chemotherapy. Invest New Drugs. 2013 Feb;31(1):183-91. doi: 10.1007/s10637-012-9853-3. Epub 2012 Jul 11.
PMID: 22782485RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Tae Won Kim, M.D.
Asan Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 13, 2009
First Posted
March 16, 2009
Study Start
January 1, 2009
Primary Completion
December 1, 2010
Study Completion
June 1, 2012
Last Updated
July 17, 2012
Record last verified: 2012-07