A Study of Bevacizumab (Avastin®) in Combination With Temozolomide and Radiotherapy in Participants With Newly Diagnosed Glioblastoma
Glioblastoma
About this trial
This is an interventional treatment trial for Glioblastoma
Eligibility Criteria
Key Inclusion Criteria:
- newly diagnosed glioblastoma
- World Health Organization (WHO) performance status less than or equal to (<=2)
- stable or decreasing corticosteroid dose within 5 days prior to randomization
Key Exclusion Criteria:
- evidence of recent hemorrhage on postoperative magnetic resonance imaging (MRI) of brain
- any prior chemotherapy or immunotherapy for glioblastomas and low grade astrocytomas
- any prior radiotherapy to brain
- clinically significant cardiovascular disease
- history of greater than or equal to (>=) grade 2 hemoptysis within 1 month prior to randomization
- previous centralized screening for Methylguanine-DNA methyltransferase (MGMT) status for enrollment into a clinical trial
Sites / Locations
- University of Alabama At Birmingham; Neuro-Oncology
- UCLA
- University of Colorado
- Moffitt Cancer Center
- Oncology-Evanston Nthwest Healthcare Kellogg Cancer Care Ctr
- Henry Ford Health System
- Hatton Research Institutes
- Sarah Cannon Cancer Center and Research Institute
- University of Virgina
- Prince of Wales Hospital; Department of Medical Oncology
- North Shore Private Hospital; Northern Specialist Centre
- Royal North Shore Hospital; Department of Medical Oncology
- Princess AleXandra Hospital; Department of Medical Oncology
- Calvary North Adelaide; North Adeliade Oncology Centre
- Royal Melbourne Hospital; Hematology and Medical Oncology
- Sir Charles Gairdner Hospital
- Clin Univ de Bxl Hôpital Erasme
- Cliniques Universitaires St-Luc
- UZ Antwerpen
- AZ Sint Lucas (Sint Lucas)
- CHU Sart-Tilman
- AZ Delta (Campus Wilgenstraat)
- Tom Baker Cancer Centre-Calgary
- Cross Cancer Institute ; Dept of Medical Oncology
- BC Cancer Agency, Vancouver Clinic; Dept. of Medical Oncology
- CancerCare Manitoba; Neuro-Oncology
- Hamilton Health Sciences - Juravinski Cancer Centre
- Cancer Centre of Southeastern Ontario; Kingston General Hospital
- London Health Sciences Centre
- Ottawa Hospital Regional Cancer Centre; Neuro-Oncology
- Sunnybrook Odette Cancer Centre
- Princess Margaret Hospital; Pencer Brain Tumour Centre, 18-727
- Hopital Notre-Dame
- McGill University; Montreal Neurological Institute; Oncology
- Chuq - Hopital Hotel Dieu de Quebec
- Saskatoon Cancer Centre; Uni of Saskatoon Campus
- Aalborg Universitetshospital, Klinik Kirurgi-Kræft, Onkologisk afd.
- Righospitalet, Hæmatologisk Klinik
- Odense Universitetshospital, Onkologisk Afdeling R
- Hopital Avicenne; Rhumatologie
- Hopital Saint Andre; Département de Radiothérapie Et D'Oncologie Médicale
- Institut Bergonie; Gastro Enterologie Oncologie
- Hopital neurologique Pierre Wertheimer - CHU Lyon; Neurologie
- Centre Jean Perrin; Hopital De Jour
- Hopital Beaujon; Oncologie
- Centre Georges François Leclerc
- Hopital de La Timone - CHU de Marseille; Service de neuro-oncologie - Hôpital Adultes - 12ème étage
- Centre Val Aurelle Paul Lamarque; Medecine B3
- Hôpital Central; Departement de Neuro-Oncologie
- Hopital Pitié Salpétrière - CHU; Service de neurologie 2 - Mazarin
- Universitätsklinikum "Carl Gustav Carus"; Klinik und Poliklinik für Neurochirurgie
- Justus-Liebig-Universität Giessen; Neurochirurgische Klinik
- Universitatsklinikum Hamburg-Eppendorf; Klinik und Poliklinik fur Neurochirurgie
- Universitatsklinikum Heidelberg; Abteilung Neuroonkologie
- Ärztehaus Velen
- Klinikum der Johannes Gutenberg Uni Mainz; Studienz. Neurologie, Klinik und Poliklinik Neurologie
- Uni Klinikum München - Großhardern; Med. Klinik U. Poliklinik III - Abt. Onkologie u. Hämatologie
- Univ General Hosp Heraklion; Medical Oncology
- University Hospital of Larissa; Oncology
- Papageorgiou General Hospital; Medical Oncology
- Dr Stephen Yau; Clinical oncology
- Hong Kong Sanatorium & Hospital; Comprehensive Oncology Centre
- Queen Mary Hospital; Microbiology Dept.
- Magyar Honvedseg Egeszsegugyi Kozpont
- Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház; Neurosurgery
- Pécsi Tudományegyetem Áok; Onkoterapias Intezet
- Rambam Medical Center; Oncology
- Hadassah Hebrew University Hospital; Leslie and Michael Gaffin Center for Neuro-Oncology
- Rabin MC; Davidof Center - Oncology Institute
- Chaim Sheba MC; Pediatric Hematology Oncology
- Ausl Di Bologna-Ospedale Bellaria;U.O. Oncologia Medica
- Ospedale Bufalini
- Fondazione IRCCS Istituto Neurologico C. Besta; Neuro-oncologia Sperimentale e Terapia Genica
- Azienda Ospedaliera Le Molintte di Torino; Dipartimento Di Neurologia - Oncologia
- Az. Osp. S. Maria; Dept. Di Oncologia Medica
- Ospedale di Treviso, Universita di Padova; Neurosurgery Dept
- Hiroshima University Hospital; Neurosurgery
- Tsukuba University Hospital; Neurology
- Kumamoto University Hospital; Neurosurgery
- Kitano Hospital; Neurosurgery
- Saitama Medical University International Medical Center; Clinical and Medical Oncology
- National Cancer Center Hospital; Neurosurgery
- Komagome Hospital; Neurosurgery
- Kyorin University Hospital; Neurosurgery
- Pusan National University Hospital; Neuro Sugery
- Kyungpook National University Hosital; Neuro Sugery
- National Cancer Centre; Neurosurgery Dept
- Chonnam National University Hwasun Hospital
- Seoul National Uni Hospital; Dept. of Internal Medicine/Hematology/Oncology
- Asan Medical Center; Medical Oncology
- Yonsei University Severance Hospital; Medical Oncology
- Samsung Medical Center; Neurosurgery Department
- VU MEDISCH CENTRUM; Dept. of Medical Oncology
- Catharina Ziekenhuis; Dept of Internal Medicin
- Utrecht University Medical Centre; Dept of Medical Oncology and UPC
- Auckland city hospital; Auckland Regional Cancer Centre and Blood Service
- Christchurch Hospital; Dept of Oncology
- Waikato Hospital; Regional Cancer Center
- Bialostockie Centrum Onkologii; Oddzial Onkologii Klinicznej
- Centrum Onkologii;Im. Franciszka Lukaszczyka;Onkologii
- Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie; Klinika Neurochirurgii i Neurochirurgii Dzi
- IPO de Coimbra; Servico de Oncologia Medica
- IPO de Lisboa; Servico de Neurologia
- Hospital de Santa Maria; Servico de Oncologia Medica
- Hospital de Sao Joao; Servico de Oncologia
- Institut Oncologic Prof. Dr. Alexandru Trestioreanu; Departament Radioterapie
- Institut Oncologic Ion Chiricuta; Departament Radioterapie
- Spital Clinic Judetean Mures; Oncologie
- N.N.Burdenko Main Military Clinical Hospital; Oncology Dept
- Russian Research Oncology Center n.a. N.N. Blokhin of the RAMS; Department of Neurosurgery
- Scientific Research Neurosurgery Institute; Dept. of Neurooncology
- Institution of Higher Professional Learning Military; Neurooncology
- Hospital Clínic i Provincial; Servicio de Hematología y Oncología
- Institut Catala d Oncologia Hospital Duran i Reynals
- Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
- Hospital Ramon y Cajal; Servicio de Oncologia
- Hospital Universitario La Paz; Servicio de Oncologia
- Hospital Regional Universitario Carlos Haya; Servicio de Oncologia
- Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
- Sahlgrenska Universitetssjukhuset; Jubileumskliniken
- Skånes University Hospital, Skånes Department of Onclology
- Norrlands Universitetssjukhus; Cancer Centrum
- Akademiska sjukhuset, Onkologkliniken
- HUG; Oncologie
- Queen Elizabeth Medical Centre; Neurosurgery
- Bristol Haematology and Oncology Centre
- The Royal Marsden NHS Foundation Trust; Oncology
- Northern Centre for Cancer Care;Oncology
- Nottingham City Hospital; Dept of Haematology
- Queen's Hospital; Oncology
- Weston Park Hospital; Cancer Clinical Trials Centre
- Royal Marsden Hospital; Dept of Medical Oncology
- The Clatterbridge Cancer Ctr For Oncolgy
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Bevacizumab + RT + Temozolomide
Placebo + RT + Temozolomide
In the Concurrent Phase participants will receive radiotherapy (RT) in daily fractions of 2 Gy to be given 5 days per week for 6 weeks and temozolomide 75 mg/m^2 daily from the first day to the last day of radiotherapy (it may continue for a maximum of 49 days in case of delay to the end of radiation therapy) and bevacizumab 10 mg/kg IV every 2 weeks for 6 weeks. There will be a 4 week treatment break. Participants will then enter the Maintenance Phase where they receive six 28-day cycle of bevacizumab 10 mg/kg IV q2w and temozolomide 150 to 200 mg/m^2 daily in the first 5 days of each cycle. The participants will then enter the Monotherapy Phase where they will receive bevacizumab 15 mg/kg IV q3w until disease progression/unacceptable toxicity.
In the Concurrent Phase participants will receive radiotherapy in daily fractions of 2 Gy to be given 5 days per week for 6 weeks and temozolomide 75 mg/m^2 daily from the first day to the last day of radiotherapy (it may continue for a maximum of 49 days in case of delay to the end of radiation therapy) and placebo IV every 2 weeks for 6 weeks. There will be a 4 week treatment break. Participants will then enter the Maintenance Phase where they will receive six 28-day cycle of placebo IV q2w and temozolomide 150 to 200 mg/m^2 daily in the first 5 days of each cycle. The participants will then enter the Monotherapy Phase where they will receive placebo IV q3w until disease progression/unacceptable toxicity.