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Evaluation of Votrient in Angiosarcoma (EVA)

Primary Purpose

Angiosarcoma

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Pazopanib + Paclitaxel
Sponsored by
Heidelberg University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Angiosarcoma

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects must provide written informed consent prior to performance of study-specific procedures or assessments and must be willing to comply with treatment and follow-up. Note: Procedures conducted as part of the subject's routine clinical management (e.g., blood count, imaging studies) and obtained prior to signing informed consent may be utilized for screening or baseline purposes provided these procedures are conducted as specified in the protocol.
  • Age ≥ 18 years
  • Life expectancy > 3 months
  • Ability to swallow tablets
  • Histological confirmed angiosarcoma, primary and secondary angiosarcoma (e.g. radiation-induced or angiosarcoma in chronical lymphedema) are eligible.
  • Tumor must be locally advanced (unresectable) or metastatic. A progression must be documented within a 6-month period prior to screening.
  • Eastern Cooperative Oncology Group performance status ≤ 2
  • At least one measurable skin lesion or one measurable radiological (CT or MRI) target lesion (RECIST 1.1)
  • Adequate organ system function as described in protocol
  • A female is eligible to enter and participate in this study if she is either of non childbearing potential (defined in protocol) or childbearing potential with negative pregnancy test within 2 weeks prior to the first dose of study drug and agrees to use adequate contraception (as defined in protocol) during the study and for 30 days after the last dose of study drug.
  • All sexually active male patients must agree to use adequate methods of birth control (see protocol) throughout the study and for 30 days after the last dose of study drug.

Exclusion Criteria:

  • Patients who need an active treatment for another malignant disease other than angiosarcoma
  • Prior treatment with taxane within the last 12 months before study entry
  • History or clinical evidence of central nervous system (CNS) metastases or leptomeningeal sarcomatosis.(see protocol)
  • Clinically significant gastrointestinal abnormalities that may increase the risk for gastrointestinal bleeding (see protocol)
  • Clinically significant gastrointestinal abnormalities that may affect absorption of investigational product (see protocol)
  • Presence of uncontrolled infection
  • QT prolongation interval (QTc) > 480 msec.
  • Clinically significant cardiovascular disorders within the past 6 months
  • Major surgery or trauma within 28 days prior to first dose of investigational product and/or presence of any non-healing wound, fracture, or ulcer
  • Poorly controlled hypertension (see protocol)
  • Evidence of active bleeding or bleeding diathesis
  • Known endobronchial lesions and/or lesions infiltrating major pulmonary vessels
  • Uncontrolled seizures, disorders of the CNS or psychiatric disorders which may put patient safety at risk, prevent giving informed consent or impact the patient's compliance with the use of study medication
  • Women who are pregnant or breast feeding
  • Patients who are not able or not willing to interrupt the intake of medications that are not allowed according to study protocol for at least 14 days before start of study medication and for the whole study period
  • Chemotherapy or radiotherapy within 14 days before start of study medication
  • Any ongoing toxicity from prior anti-cancer therapy that is > grade 1 and/or that is progressing in severity, except alopecia

Sites / Locations

  • Universitätsklinik Graz
  • Universitätsklinik Wien
  • Helios-Klinikum Bad Saarow
  • Helios Klinikum Berlin-Buch
  • Universitätsklinikum Carl Gustav Carus
  • Universitätsklinikum Essen
  • Universitätsklinikum Hamburg-Eppendorf
  • Medizinische Hochschule Hannover
  • University Medical Center
  • Klinikum der Universität München Campus Großhadern

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pazopanib + Paclitaxel

Arm Description

Paclitaxel administered every 28 days at day 1, day 8 and day 15 as a 2h intravenous infusion in a dose of 70mg/m2 in combination with pazopanib in a daily oral dose of 800mg (2x400mg)

Outcomes

Primary Outcome Measures

Rate of Progression-free Survival
The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.
Rate of Progression-free Survival, Subgroup 1 Analysis
Rate of progression-free survival for Subgroup 1 categorizing the 12 participants who showed PFS after 6 months into cutaneous angiosarcoma versus visceral angiosarcoma The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.
Rate of Progression-free Survival, Subgroup 2 Analysis
Rate of progression-free survival for Subgroup 1 categorizing the 12 participants who showed PFS after 6 months into primary angiosarcoma versus secondary angiosarcoma. The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.

Secondary Outcome Measures

Overall Survival
Survival time of patient from start of treatment until death
Overall Survival, Subgroup 1 Analysis
Survival time of patients from start of treatment until death, Subgroup 1 categorizing 26 overall participants into 18 cutaneous angiosarcoma versus 8 visceral angiosarcomas
Overall Survival, Subgroup 2 Analysis
Survival time of patients from start of treatment until death, Subgroup 2 categorizing 26 overall participants into 13 primary cutaneous angiosarcoma versus 13 secondary angiosarcomas
Response Rate (RR)
Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies
Response Rate (RR), Subgroup1 Analysis
Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies for Subgroup 1 which is the analysis of cutaneous angiosarcoma versus visceral angiosarcoma
Response Rate (RR), Subgroup 2 Analysis
Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies for Subgroup 2 which is the analysis of primary angiosarcoma versus secondary angiosarcoma
Adverse Events and Serious Adverse Events
Number of patients in which adverse events occur during treatment according to Common Toxicity Criteria for Adverse Effects, Version 4.0

Full Information

First Posted
July 29, 2014
Last Updated
January 21, 2022
Sponsor
Heidelberg University
Collaborators
Universitätsmedizin Mannheim, Helios Klinikum Berlin-Buch, University Hospital Dresden, Universitätsklinikum Hamburg-Eppendorf, University Hospital, Essen, Hannover Medical School, Klinikum der Universitaet Muenchen, Grosshadern, Medical University of Vienna, Medical University of Graz, Medical University Innsbruck, Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02212015
Brief Title
Evaluation of Votrient in Angiosarcoma
Acronym
EVA
Official Title
Single-arm, Multicenter, Open Label Phase II Trial to Evaluate the Efficacy of Pazopanib in Combination With Paclitaxel in Advanced and Relapsed Angiosarcoma
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Terminated
Why Stopped
Due to interim analysis' results and definitions fixed in protocol
Study Start Date
July 2014 (undefined)
Primary Completion Date
December 31, 2019 (Actual)
Study Completion Date
July 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Heidelberg University
Collaborators
Universitätsmedizin Mannheim, Helios Klinikum Berlin-Buch, University Hospital Dresden, Universitätsklinikum Hamburg-Eppendorf, University Hospital, Essen, Hannover Medical School, Klinikum der Universitaet Muenchen, Grosshadern, Medical University of Vienna, Medical University of Graz, Medical University Innsbruck, Novartis Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Open-label phase II trial investigating the efficacy and safety of the investigational combination of pazopanib and paclitaxel.
Detailed Description
Open-label phase II trial investigating the efficacy and safety of the investigational combination of pazopanib and paclitaxel.This multi-center, open-label, prospective, single arm phase II study was designed to evaluate the clinical efficacy and safety of the experimental combination of pazopanib with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.The safety evaluations (physical examination, laboratory checks as defined in protocol, toxicity/adverse event assessment according Eastern Cooperative Oncology Group version 4.0) are scheduled every cycle at day 1, 8, 15 and 29 (= day 1 of the next cycle).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pazopanib + Paclitaxel
Arm Type
Experimental
Arm Description
Paclitaxel administered every 28 days at day 1, day 8 and day 15 as a 2h intravenous infusion in a dose of 70mg/m2 in combination with pazopanib in a daily oral dose of 800mg (2x400mg)
Intervention Type
Drug
Intervention Name(s)
Pazopanib + Paclitaxel
Intervention Description
pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Primary Outcome Measure Information:
Title
Rate of Progression-free Survival
Description
The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.
Time Frame
6 Month
Title
Rate of Progression-free Survival, Subgroup 1 Analysis
Description
Rate of progression-free survival for Subgroup 1 categorizing the 12 participants who showed PFS after 6 months into cutaneous angiosarcoma versus visceral angiosarcoma The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.
Time Frame
6 months
Title
Rate of Progression-free Survival, Subgroup 2 Analysis
Description
Rate of progression-free survival for Subgroup 1 categorizing the 12 participants who showed PFS after 6 months into primary angiosarcoma versus secondary angiosarcoma. The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Overall Survival
Description
Survival time of patient from start of treatment until death
Time Frame
from start of treatment until death within study's actual observation time for OS (22 months).
Title
Overall Survival, Subgroup 1 Analysis
Description
Survival time of patients from start of treatment until death, Subgroup 1 categorizing 26 overall participants into 18 cutaneous angiosarcoma versus 8 visceral angiosarcomas
Time Frame
from start of treatment until death within study's actual observation time for OS (22 months)
Title
Overall Survival, Subgroup 2 Analysis
Description
Survival time of patients from start of treatment until death, Subgroup 2 categorizing 26 overall participants into 13 primary cutaneous angiosarcoma versus 13 secondary angiosarcomas
Time Frame
from start of treatment until death within study's actual observation time for OS (22 months)
Title
Response Rate (RR)
Description
Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies
Time Frame
determined every 8 weeks during first 6 month then every 12 weeks in follow-up period until progression or death or end of overall study observation period (22 months), then evaluated as BOR
Title
Response Rate (RR), Subgroup1 Analysis
Description
Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies for Subgroup 1 which is the analysis of cutaneous angiosarcoma versus visceral angiosarcoma
Time Frame
determined every 8 weeks during first 6 month then every 12 weeks in follow-up period until progression or death or end of overall study observation period (22 months), then evaluated as BOR
Title
Response Rate (RR), Subgroup 2 Analysis
Description
Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies for Subgroup 2 which is the analysis of primary angiosarcoma versus secondary angiosarcoma
Time Frame
determined every 8 weeks during first 6 month then every 12 weeks in follow-up period until progression or death or end of overall study observation period (22 months), then evaluated as BOR
Title
Adverse Events and Serious Adverse Events
Description
Number of patients in which adverse events occur during treatment according to Common Toxicity Criteria for Adverse Effects, Version 4.0
Time Frame
30 days after EOS of last patient or end of overall study observation period (22 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must provide written informed consent prior to performance of study-specific procedures or assessments and must be willing to comply with treatment and follow-up. Note: Procedures conducted as part of the subject's routine clinical management (e.g., blood count, imaging studies) and obtained prior to signing informed consent may be utilized for screening or baseline purposes provided these procedures are conducted as specified in the protocol. Age ≥ 18 years Life expectancy > 3 months Ability to swallow tablets Histological confirmed angiosarcoma, primary and secondary angiosarcoma (e.g. radiation-induced or angiosarcoma in chronical lymphedema) are eligible. Tumor must be locally advanced (unresectable) or metastatic. A progression must be documented within a 6-month period prior to screening. Eastern Cooperative Oncology Group performance status ≤ 2 At least one measurable skin lesion or one measurable radiological (CT or MRI) target lesion (RECIST 1.1) Adequate organ system function as described in protocol A female is eligible to enter and participate in this study if she is either of non childbearing potential (defined in protocol) or childbearing potential with negative pregnancy test within 2 weeks prior to the first dose of study drug and agrees to use adequate contraception (as defined in protocol) during the study and for 30 days after the last dose of study drug. All sexually active male patients must agree to use adequate methods of birth control (see protocol) throughout the study and for 30 days after the last dose of study drug. Exclusion Criteria: Patients who need an active treatment for another malignant disease other than angiosarcoma Prior treatment with taxane within the last 12 months before study entry History or clinical evidence of central nervous system (CNS) metastases or leptomeningeal sarcomatosis.(see protocol) Clinically significant gastrointestinal abnormalities that may increase the risk for gastrointestinal bleeding (see protocol) Clinically significant gastrointestinal abnormalities that may affect absorption of investigational product (see protocol) Presence of uncontrolled infection QT prolongation interval (QTc) > 480 msec. Clinically significant cardiovascular disorders within the past 6 months Major surgery or trauma within 28 days prior to first dose of investigational product and/or presence of any non-healing wound, fracture, or ulcer Poorly controlled hypertension (see protocol) Evidence of active bleeding or bleeding diathesis Known endobronchial lesions and/or lesions infiltrating major pulmonary vessels Uncontrolled seizures, disorders of the CNS or psychiatric disorders which may put patient safety at risk, prevent giving informed consent or impact the patient's compliance with the use of study medication Women who are pregnant or breast feeding Patients who are not able or not willing to interrupt the intake of medications that are not allowed according to study protocol for at least 14 days before start of study medication and for the whole study period Chemotherapy or radiotherapy within 14 days before start of study medication Any ongoing toxicity from prior anti-cancer therapy that is > grade 1 and/or that is progressing in severity, except alopecia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Hohenberger, MD
Organizational Affiliation
Universitätsmedizin Mannheim / Heidelberg University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universitätsklinik Graz
City
Graz
Country
Austria
Facility Name
Universitätsklinik Wien
City
Wien
Country
Austria
Facility Name
Helios-Klinikum Bad Saarow
City
Bad Saarow
Country
Germany
Facility Name
Helios Klinikum Berlin-Buch
City
Berlin
Country
Germany
Facility Name
Universitätsklinikum Carl Gustav Carus
City
Dresden
Country
Germany
Facility Name
Universitätsklinikum Essen
City
Essen
Country
Germany
Facility Name
Universitätsklinikum Hamburg-Eppendorf
City
Hamburg
Country
Germany
Facility Name
Medizinische Hochschule Hannover
City
Hannover
Country
Germany
Facility Name
University Medical Center
City
Mannheim
Country
Germany
Facility Name
Klinikum der Universität München Campus Großhadern
City
München
Country
Germany

12. IPD Sharing Statement

Links:
URL
http://www.gisg.de
Description
German Interdisciplinary Sarcoma Group
URL
http://www.sarcoma.at
Description
Sarcoma Platform Austria

Learn more about this trial

Evaluation of Votrient in Angiosarcoma

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