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A Study of Bevacizumab (Avastin) in Combination With Chemotherapy in Participants With Metastatic Cancer of the Colon or Rectum.

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Bevacizumab
Fluoropyrimidine-based Chemotherapy
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Previously untreated metastatic colon or rectal cancer;
  • Scheduled to begin fluoropyrimidine-based chemotherapy as a first line treatment.

Exclusion Criteria:

  • Prior chemotherapy for metastatic colon or rectal cancer;
  • Planned radiotherapy for underlying disease;
  • central nervous system metastases;
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days before study start.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Bevacizumab

Arm Description

Bevacizumab will be administered in combination with fluoropyrimidine-based chemotherapy as first line treatment in participants with metastatic cancer of the colon or rectum until disease progression or study completion.

Outcomes

Primary Outcome Measures

Safety: Number of Participants With Serious and Specific Adverse Events
A serious adverse event was defined as any experience that suggested a significant hazard, contraindication, side effect, or precaution, and fulfilled any of the following criteria: fatal (resulted in death), life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was medically significant or required intervention to prevent any of the other outcomes listed here. Specific adverse events (Spec AEs) included the following: hypertension, bleeding/hemorrhage, proteinuria, wound healing complications, thrombosis/thrombus/embolism (t/t/e), thrombosis/thrombus/embolism - vascular access, gastrointestinal perforation, and infusion (injection) site reaction.

Secondary Outcome Measures

Efficacy: Overall Survival
Overall survival was measured as the time from start of first bevacizumab administration to death. For participants who were alive at the end of the study, data on survival were censored at the time of the last contact. Reported is the median duration of overall survival.
Efficacy: Time to Disease Progression
Time to disease progression was measured as the time from start of first bevacizumab administration to investigator-assessed progression. Progression was defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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. For participants without disease progression at the end of the study, date and time to progression were censored at the last investigator assessment. Reported is the median time to disease progression.
Efficacy: Progression-free Survival
Progression-free survival (PFS) was measured as the time from start of first bevacizumab administration to investigator-assessed progression or death, whichever occurred first. Progression was defined using RECIST v1.0, 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. Reported is the median time of PFS.

Full Information

First Posted
July 22, 2010
Last Updated
October 26, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT01169558
Brief Title
A Study of Bevacizumab (Avastin) in Combination With Chemotherapy in Participants With Metastatic Cancer of the Colon or Rectum.
Official Title
First-Line Bevacizumab and Chemotherapy in Metastatic Cancer of the Colon or Rectum First BEAT (Bevacizumab Expanded Access Trial)- Brazilian Extension
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
May 2006 (undefined)
Primary Completion Date
July 2009 (Actual)
Study Completion Date
July 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

5. Study Description

Brief Summary
This expanded access study will assess the safety and efficacy of intravenous bevacizumab (5 mg/kg every 2 weeks or 7.5 mg/kg every 3 weeks) in combination with fluoropyrimidine-based chemotherapy as first line treatment in participants with metastatic cancer of the colon or rectum. The anticipated time on study treatment is 3-12 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
168 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Bevacizumab
Arm Type
Experimental
Arm Description
Bevacizumab will be administered in combination with fluoropyrimidine-based chemotherapy as first line treatment in participants with metastatic cancer of the colon or rectum until disease progression or study completion.
Intervention Type
Drug
Intervention Name(s)
Bevacizumab
Other Intervention Name(s)
Avastin
Intervention Description
5 mg/kg bevacizumab administered intravenously every 2 weeks or 7.5 mg/kg bevacizumab administered intravenously every 3 weeks according to the standard chemotherapy regimen.
Intervention Type
Drug
Intervention Name(s)
Fluoropyrimidine-based Chemotherapy
Intervention Description
Fluoropyrimidine-based chemotherapy administered according to standard of care.
Primary Outcome Measure Information:
Title
Safety: Number of Participants With Serious and Specific Adverse Events
Description
A serious adverse event was defined as any experience that suggested a significant hazard, contraindication, side effect, or precaution, and fulfilled any of the following criteria: fatal (resulted in death), life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was medically significant or required intervention to prevent any of the other outcomes listed here. Specific adverse events (Spec AEs) included the following: hypertension, bleeding/hemorrhage, proteinuria, wound healing complications, thrombosis/thrombus/embolism (t/t/e), thrombosis/thrombus/embolism - vascular access, gastrointestinal perforation, and infusion (injection) site reaction.
Time Frame
Up to approximately 3 years
Secondary Outcome Measure Information:
Title
Efficacy: Overall Survival
Description
Overall survival was measured as the time from start of first bevacizumab administration to death. For participants who were alive at the end of the study, data on survival were censored at the time of the last contact. Reported is the median duration of overall survival.
Time Frame
Up to approximately 3 years
Title
Efficacy: Time to Disease Progression
Description
Time to disease progression was measured as the time from start of first bevacizumab administration to investigator-assessed progression. Progression was defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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. For participants without disease progression at the end of the study, date and time to progression were censored at the last investigator assessment. Reported is the median time to disease progression.
Time Frame
Up to approximately 3 years
Title
Efficacy: Progression-free Survival
Description
Progression-free survival (PFS) was measured as the time from start of first bevacizumab administration to investigator-assessed progression or death, whichever occurred first. Progression was defined using RECIST v1.0, 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. Reported is the median time of PFS.
Time Frame
Up to approximately 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Previously untreated metastatic colon or rectal cancer; Scheduled to begin fluoropyrimidine-based chemotherapy as a first line treatment. Exclusion Criteria: Prior chemotherapy for metastatic colon or rectal cancer; Planned radiotherapy for underlying disease; central nervous system metastases; Major surgical procedure, open biopsy, or significant traumatic injury within 28 days before study start.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Chair
Facility Information:
City
Belo Horizonte
ZIP/Postal Code
30140-083
Country
Brazil
City
Belo Horizonte
ZIP/Postal Code
30150-221
Country
Brazil
City
Belo Horizonte
ZIP/Postal Code
30150321
Country
Brazil
City
Brasilia
ZIP/Postal Code
70390-150
Country
Brazil
City
Brasilia
ZIP/Postal Code
70710-904
Country
Brazil
City
Campinas
ZIP/Postal Code
13073-400
Country
Brazil
City
Campinas
ZIP/Postal Code
13084-759
Country
Brazil
City
Caxias Do Sul
ZIP/Postal Code
95020-450
Country
Brazil
City
Curitiba
ZIP/Postal Code
80530-010
Country
Brazil
City
Curitiba
ZIP/Postal Code
80730-180
Country
Brazil
City
Fortaleza
ZIP/Postal Code
60741-420
Country
Brazil
City
Ijui
ZIP/Postal Code
98700-000
Country
Brazil
City
Joao Pessoa
ZIP/Postal Code
58040280
Country
Brazil
City
Porto Alegre
ZIP/Postal Code
90020-090
Country
Brazil
City
Porto Alegre
ZIP/Postal Code
90035-903
Country
Brazil
City
Recife
ZIP/Postal Code
52012-220
Country
Brazil
City
Ribeirao Preto
ZIP/Postal Code
14025-430
Country
Brazil
City
Rio de Janeiro
ZIP/Postal Code
22031072
Country
Brazil
City
Rio de Janeiro
ZIP/Postal Code
22631-004
Country
Brazil
City
Salvador
ZIP/Postal Code
40170-110
Country
Brazil
City
Salvador
ZIP/Postal Code
41810-012
Country
Brazil
City
Salvador
ZIP/Postal Code
41950-610
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
01229-000
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
01232-010
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
01332-000
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
01406100
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
04122-000
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
05651-901
Country
Brazil

12. IPD Sharing Statement

Learn more about this trial

A Study of Bevacizumab (Avastin) in Combination With Chemotherapy in Participants With Metastatic Cancer of the Colon or Rectum.

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