A Study of Avastin (Bevacizumab) With XELOX or FOLFOX in Patients With Metastatic Colorectal Cancer and Disease Progression Under First-line FOLFIRI and Avastin
A Single-arm Open-label Phase II Study: Treatment Beyond Progression by Adding Bevacizumab to XELOX or FOLFOX Chemotherapy in Patients With Metastatic Colorectal Cancer and Disease Progression Under First-line FOLFIRI + Bevacizumab Combination
2 other identifiers
interventional
75
1 country
28
Brief Summary
This open-label single arm study will evaluate the efficacy and safety of Avastin added to XELOX or FOLFOX in patients with metastatic colorectal cancer and disease progression on 1st line therapy with FOLFIRI plus Avastin. Patients will receive either Avastin (7.5mg/kg iv infusion every 3 weeks) and standard XELOX (Xeloda \[capecitabine\] plus oxaliplatin) chemotherapy or Avastin (5 mg/kg iv infusion every 2 weeks) and standard FOLFOX (5-FU and leucovorin plus oxaliplatin) chemotherapy. The anticipated time on study treatment is until disease progression, and the target sample size is 100 individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 colorectal-cancer
Started Jul 2009
28 active sites
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
July 1, 2009
CompletedFirst Submitted
Initial submission to the registry
February 26, 2010
CompletedFirst Posted
Study publicly available on registry
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2012
CompletedResults Posted
Study results publicly available
August 7, 2014
CompletedDecember 15, 2014
December 1, 2014
2.5 years
February 26, 2010
July 15, 2014
December 8, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Progression-Free Survival (PFS) From the Start of Treatment Beyond Progression
PFS from the start of treatment beyond progression was defined as the interval between the start of beyond-progression therapy and the date at which disease progression was documented. Progression of disease was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1 and abdominal/pelvic computerized tomography (CT) or magnetic resonance imaging (MRI) scanning as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The same method of assessment and the same technique were to be used to evaluate each lesion throughout the entire study. If more than one method was used, data from the most accurate method according to RECIST were recorded. Median PFS was estimated using the Kaplan-Meier method.
Baseline, every 9 weeks until disease progression, at end of treatment or withdrawal, for up to 24 months
Secondary Outcomes (3)
PFS From the Start of First-Line Therapy
Baseline, every 9 weeks until disease progression, at end of treatment or withdrawal, for up to 24 months
Percentage of Participants With an Overall Response of Complete Response (CR) or Partial Response (PR)
Baseline, every 9 weeks until disease progression, at end of treatment or withdrawal, for up to 24 months
Geometric Mean Values of Pro-Angiogenic Cytokine Concentrations at Baseline and Prior to Progression
Baseline, every 9 weeks until disease progression, at final visit or at withdrawal, for up to 24 months
Study Arms (1)
Avastin (bevacizumab) + standard of care
EXPERIMENTALInterventions
7.5 mg/kg iv infusion every 3 weeks OR 5 mg/kg iv infusion every 2 weeks
Eligibility Criteria
You may qualify if:
- adult patients \>/=18 years of age
- metastatic colorectal cancer
- at least 1 measurable lesion according to RECIST v. 1.1
- patients with disease progression with prior FOLFIRI + Avastin therapy who are not candidates for primary metastasectomy
- disease progression \</= 8 weeks after last dose of Avastin
- ECOG \</=2
- No more than 8 weeks between 1st-line treatment with FOLFIRI + Avastin and 2nd-line treatment with XELOX or FOLFOX + Avastin
You may not qualify if:
- disease progression \> 8 weeks after last Avastin administration
- clinically significant cardiovascular disease
- CNS disease except for treated brain metastasis
- history of other malignancies within 2 years prior to start of study treatment (with the exception of curatively treated basal and squamous cell carcinoma of the skin or in situ carcinoma of the cervix)
- major surgery, open biopsy, or significant traumatic injury within 28 days prior to start of study treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (28)
Unknown Facility
Aalst, 9300, Belgium
Unknown Facility
Arlon, 6700, Belgium
Unknown Facility
Assebroek, 8310, Belgium
Unknown Facility
Aye, 6900, Belgium
Unknown Facility
Bonheiden, 2820, Belgium
Unknown Facility
Brasschaat, 2930, Belgium
Unknown Facility
Bruges, 8000, Belgium
Unknown Facility
Brussels, 1020, Belgium
Unknown Facility
Brussels, 1180, Belgium
Unknown Facility
Brussels, 1200, Belgium
Unknown Facility
Charleroi, 6000, Belgium
Unknown Facility
Dendermonde, 9200, Belgium
Unknown Facility
Edegem, 2650, Belgium
Unknown Facility
Genk, 3600, Belgium
Unknown Facility
Ghent, 9000, Belgium
Unknown Facility
Hasselt, 3500, Belgium
Unknown Facility
Kortrijk, 8500, Belgium
Unknown Facility
Mechelen, 2800, Belgium
Unknown Facility
Merksem, 2170, Belgium
Unknown Facility
Mont-godinne, 5530, Belgium
Unknown Facility
Montigny-le-Tilleul, 6110, Belgium
Unknown Facility
Namur, 5000, Belgium
Unknown Facility
Ostend, 8400, Belgium
Unknown Facility
Sint-Niklaas, 9100, Belgium
Unknown Facility
Tournai, 7500, Belgium
Unknown Facility
Turnhout, 2300, Belgium
Unknown Facility
Verviers, 4800, Belgium
Unknown Facility
Wilrijk, 2610, Belgium
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-LaRoche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 26, 2010
First Posted
March 1, 2010
Study Start
July 1, 2009
Primary Completion
January 1, 2012
Study Completion
January 1, 2012
Last Updated
December 15, 2014
Results First Posted
August 7, 2014
Record last verified: 2014-12