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A Study of Avastin (Bevacizumab) Added to a Chemotherapeutic Regimen in Patients With Metastatic Pancreatic Cancer

Primary Purpose

Pancreatic Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
bevacizumab [Avastin]
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • adult patients, >=18 years of age;
  • metastatic pancreatic cancer (adenocarcinoma);
  • good liver, kidney, and bone marrow function.

Exclusion Criteria:

  • previous systemic treatment for metastatic pancreatic cancer;
  • pregnant or lactating females;
  • fertile men, or women of childbearing potential, not using adequate contraception;
  • major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study treatment start;
  • current or recent treatment (within 30 days prior to starting study treatment) with another investigational drug, or participation in another investigational study.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Outcomes

Primary Outcome Measures

Duration of Overall Survival - Percentage of Participants With an Event
Duration of overall survival (OS) was defined as the time between date of randomization and date of death due to any cause. Participants without an event were censored at the date last known to be alive. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization.
Duration of Overall Survival - Time to Event
Duration of OS was defined as the time between date of randomization and date of death due to any cause. Participants without an event were censored at the date last known to be alive. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization. Median duration of survival was estimated using the Kaplan-Meier method.

Secondary Outcome Measures

Clinical Benefit Response (CBR)
Progression-Free Survival (PFS) - Percentage of Participants With an Event
PFS was defined as the time between the date of randomization and the date of documented progressive disease (PD) defined according to modified Response Evaluation Criteria in Solid Tumors (RECIST) evaluation, or date of death due to any cause. PD was defined as at least a 20 percent (%) increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum (LD) recorded since the treatment started. Participants without an event were censored at the date of last follow up for progression, or date of last available tumor assessment if no further follow up assessment for progression was performed. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization.
Progression-Free Survival (PFS) - Time to Event
PFS was defined as the time between the date of randomization and the date of documented PD (per RECIST), or date of death due to any cause. Data for participants without an event were censored at the date of last follow up for progression, or date of last available tumor assessment if no further follow up assessment for progression was performed. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization. Median PFS was estimated using the Kaplan-Meier method.
Percentage of Participants With Complete Response (CR), Partial Response (PR), or Stable Disease (SD) at First Postbaseline Tumor Assessment
Percentage of participants with CR, PR, or SD according to modified RECIST evaluation at the first postbaseline tumor assessment. CR equaled (=) complete disappearance of all target lesions and non-target disease, with normalization of tumor marker level. PR is greater than or equal to (≥) a 30% decrease of the sum of the LD of all target lesions as referenced to the baseline sum LD of all target lesions. Persistence of one or more non-target lesions(s) and/or maintenance of tumor marker level above normal limits. SD=neither sufficient shrinkage of target lesions to qualify for PR nor sufficient increase to qualify for PD with persistence of one or more non-target lesions(s) and/or maintenance of tumor marker level above normal limits.
Bevacizumab Concentration in the Presence of Gemcitabine and Erlotinib
Blood samples were collected from a subgroup of participants, in selected centers for the determination of bevacizumab serum concentration before the first bevacizumab/placebo exposure (Week 1) and at Weeks 3, 5, 7, and 9. Each time blood samples were collected just (preferably within 1 hour) before the start of the study treatment.

Full Information

First Posted
October 4, 2010
Last Updated
July 23, 2014
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT01214720
Brief Title
A Study of Avastin (Bevacizumab) Added to a Chemotherapeutic Regimen in Patients With Metastatic Pancreatic Cancer
Official Title
A Randomized, Double-blind Study of the Effect of Avastin Plus Gemcitabine and Erlotinib Compared With Placebo Plus Gemcitabine and Erlotinib on Overall Survival in Patients With Metastatic Pancreatic Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
July 2005 (undefined)
Primary Completion Date
October 2008 (Actual)
Study Completion Date
October 2008 (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 study will evaluate efficacy, safety and tolerability of Avastin versus placebo added to a chemotherapeutic regimen in patients with metastatic pancreatic cancer. The anticipated time of study treatment is until confirmed evidence of disease progression, and the target sample size is 500+ individuals.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
607 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
bevacizumab [Avastin]
Intervention Description
Intervenous repeating dose
Primary Outcome Measure Information:
Title
Duration of Overall Survival - Percentage of Participants With an Event
Description
Duration of overall survival (OS) was defined as the time between date of randomization and date of death due to any cause. Participants without an event were censored at the date last known to be alive. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization.
Time Frame
Randomization, Weeks 1-8 of Cycle 1, Weeks 1-3 of consecutive cycles, 28 days and 3 months after lst treatment, and every 3 months for up to 18 months from last participant randomized
Title
Duration of Overall Survival - Time to Event
Description
Duration of OS was defined as the time between date of randomization and date of death due to any cause. Participants without an event were censored at the date last known to be alive. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization. Median duration of survival was estimated using the Kaplan-Meier method.
Time Frame
Randomization, Weeks 1-8 of Cycle 1, Weeks 1-3 of consecutive cycles, 28 days and 3 months after lst treatment, and every 3 months for up to 18 months from last participant randomized
Secondary Outcome Measure Information:
Title
Clinical Benefit Response (CBR)
Time Frame
Randomization, Weeks 1-8 of Cycle 1, Weeks 1-3 of consecutive cycles, 28 days and 3 months after lst treatment, and every 3 months for up to 18 months from last participant randomized
Title
Progression-Free Survival (PFS) - Percentage of Participants With an Event
Description
PFS was defined as the time between the date of randomization and the date of documented progressive disease (PD) defined according to modified Response Evaluation Criteria in Solid Tumors (RECIST) evaluation, or date of death due to any cause. PD was defined as at least a 20 percent (%) increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum (LD) recorded since the treatment started. Participants without an event were censored at the date of last follow up for progression, or date of last available tumor assessment if no further follow up assessment for progression was performed. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization.
Time Frame
Screening, Weeks 8, 16, 24, 32, 40, and every 12 weeks thereafter or until confirmed evidence of disease progression
Title
Progression-Free Survival (PFS) - Time to Event
Description
PFS was defined as the time between the date of randomization and the date of documented PD (per RECIST), or date of death due to any cause. Data for participants without an event were censored at the date of last follow up for progression, or date of last available tumor assessment if no further follow up assessment for progression was performed. Participants who were randomized but not exposed to study drug and had no further follow up were censored at the date of randomization. Median PFS was estimated using the Kaplan-Meier method.
Time Frame
Screening, Weeks 8, 16, 24, 32, 40, and every 12 weeks thereafter or until confirmed evidence of disease progression
Title
Percentage of Participants With Complete Response (CR), Partial Response (PR), or Stable Disease (SD) at First Postbaseline Tumor Assessment
Description
Percentage of participants with CR, PR, or SD according to modified RECIST evaluation at the first postbaseline tumor assessment. CR equaled (=) complete disappearance of all target lesions and non-target disease, with normalization of tumor marker level. PR is greater than or equal to (≥) a 30% decrease of the sum of the LD of all target lesions as referenced to the baseline sum LD of all target lesions. Persistence of one or more non-target lesions(s) and/or maintenance of tumor marker level above normal limits. SD=neither sufficient shrinkage of target lesions to qualify for PR nor sufficient increase to qualify for PD with persistence of one or more non-target lesions(s) and/or maintenance of tumor marker level above normal limits.
Time Frame
Baseline and Week 8
Title
Bevacizumab Concentration in the Presence of Gemcitabine and Erlotinib
Description
Blood samples were collected from a subgroup of participants, in selected centers for the determination of bevacizumab serum concentration before the first bevacizumab/placebo exposure (Week 1) and at Weeks 3, 5, 7, and 9. Each time blood samples were collected just (preferably within 1 hour) before the start of the study treatment.
Time Frame
Weeks 1, 3, 5, 7, and 9

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: adult patients, >=18 years of age; metastatic pancreatic cancer (adenocarcinoma); good liver, kidney, and bone marrow function. Exclusion Criteria: previous systemic treatment for metastatic pancreatic cancer; pregnant or lactating females; fertile men, or women of childbearing potential, not using adequate contraception; major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study treatment start; current or recent treatment (within 30 days prior to starting study treatment) with another investigational drug, or participation in another investigational study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
City
Adelaide
ZIP/Postal Code
5011
Country
Australia
City
Camperdown
ZIP/Postal Code
2050
Country
Australia
City
Footscray
ZIP/Postal Code
3011
Country
Australia
City
Heidelberg
ZIP/Postal Code
3084
Country
Australia
City
Kurralta Park
ZIP/Postal Code
5037
Country
Australia
City
Melbourne
ZIP/Postal Code
3002
Country
Australia
City
Melbourne
ZIP/Postal Code
3128
Country
Australia
City
St. Leonards
ZIP/Postal Code
2065
Country
Australia
City
Sydney
ZIP/Postal Code
2031
Country
Australia
City
Sydney
ZIP/Postal Code
2217
Country
Australia
City
Graz
ZIP/Postal Code
8036
Country
Austria
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
City
Wien
ZIP/Postal Code
1090
Country
Austria
City
Antwerpen
ZIP/Postal Code
2020
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1070
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
City
Wilrijk
ZIP/Postal Code
2610
Country
Belgium
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2W 1S6
Country
Canada
City
Quebec City
State/Province
Quebec
ZIP/Postal Code
G1R 2J6
Country
Canada
City
Beijing
ZIP/Postal Code
100036
Country
China
City
Beijing
ZIP/Postal Code
100071
Country
China
City
Shanghai
ZIP/Postal Code
200433
Country
China
City
Brno
ZIP/Postal Code
656 53
Country
Czech Republic
City
Hradec Kralove
ZIP/Postal Code
500 05
Country
Czech Republic
City
Helsinki
ZIP/Postal Code
00029
Country
Finland
City
Besancon
ZIP/Postal Code
25030
Country
France
City
Bordeaux
ZIP/Postal Code
33000
Country
France
City
Boulogne-billancourt
ZIP/Postal Code
92104
Country
France
City
Clichy
ZIP/Postal Code
92118
Country
France
City
Limoges
ZIP/Postal Code
87042
Country
France
City
Marseille
ZIP/Postal Code
13273
Country
France
City
Paris
ZIP/Postal Code
75674
Country
France
City
Paris
ZIP/Postal Code
75679
Country
France
City
Rouen
ZIP/Postal Code
76031
Country
France
City
Saint Herblain
ZIP/Postal Code
44805
Country
France
City
Strasbourg
ZIP/Postal Code
67091
Country
France
City
Berlin
ZIP/Postal Code
13353
Country
Germany
City
Bochum
ZIP/Postal Code
44892
Country
Germany
City
Bonn
ZIP/Postal Code
53127
Country
Germany
City
Halle
ZIP/Postal Code
06120
Country
Germany
City
Hamburg
ZIP/Postal Code
20249
Country
Germany
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
City
Magdeburg
ZIP/Postal Code
39130
Country
Germany
City
Mainz
ZIP/Postal Code
55101
Country
Germany
City
Muenchen
ZIP/Postal Code
81377
Country
Germany
City
Mönchengladbach
ZIP/Postal Code
41061
Country
Germany
City
Trier
ZIP/Postal Code
54290
Country
Germany
City
Kfar Saba
ZIP/Postal Code
44281
Country
Israel
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel
City
Rehovot
ZIP/Postal Code
76100
Country
Israel
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
City
Bergamo
ZIP/Postal Code
24128
Country
Italy
City
Bologna
ZIP/Postal Code
40138
Country
Italy
City
Brescia
ZIP/Postal Code
25124
Country
Italy
City
Chieti
ZIP/Postal Code
66100
Country
Italy
City
Genova
ZIP/Postal Code
16132
Country
Italy
City
Napoli
ZIP/Postal Code
80131
Country
Italy
City
Orbassano
ZIP/Postal Code
10043
Country
Italy
City
Parma
ZIP/Postal Code
43100
Country
Italy
City
San Giovanni Rotondo
ZIP/Postal Code
71013
Country
Italy
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
City
Auckland
ZIP/Postal Code
1009
Country
New Zealand
City
Christchurch
Country
New Zealand
City
Lima
ZIP/Postal Code
11
Country
Peru
City
Lima
ZIP/Postal Code
18
Country
Peru
City
Gliwice
ZIP/Postal Code
44-101
Country
Poland
City
Lublin
ZIP/Postal Code
20-081
Country
Poland
City
Szczecin
ZIP/Postal Code
71-730
Country
Poland
City
Wroclaw
ZIP/Postal Code
53-413
Country
Poland
City
Singapore
ZIP/Postal Code
119228
Country
Singapore
City
Singapore
ZIP/Postal Code
169610
Country
Singapore
City
Cape Town
ZIP/Postal Code
7506
Country
South Africa
City
Pretoria
ZIP/Postal Code
0001
Country
South Africa
City
Alicante
ZIP/Postal Code
03010
Country
Spain
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
City
Barcelona
ZIP/Postal Code
08041
Country
Spain
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
City
Cordoba
ZIP/Postal Code
14004
Country
Spain
City
Elche
ZIP/Postal Code
03203
Country
Spain
City
Madrid
ZIP/Postal Code
28040
Country
Spain
City
Santander
ZIP/Postal Code
39008
Country
Spain
City
Valencia
ZIP/Postal Code
46009
Country
Spain
City
Valencia
ZIP/Postal Code
46010
Country
Spain
City
Stockholm
ZIP/Postal Code
11883
Country
Sweden
City
Kueishan
ZIP/Postal Code
333
Country
Taiwan
City
Taipei
ZIP/Postal Code
00112
Country
Taiwan
City
Glasgow
ZIP/Postal Code
G11 6NT
Country
United Kingdom
City
Leicester
ZIP/Postal Code
LE1 5WW
Country
United Kingdom
City
London
ZIP/Postal Code
SW3 6JJ
Country
United Kingdom
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
City
Northwood
ZIP/Postal Code
HA6 2RN
Country
United Kingdom
City
Sutton
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
City
Truro
ZIP/Postal Code
TR1 3LJ
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study of Avastin (Bevacizumab) Added to a Chemotherapeutic Regimen in Patients With Metastatic Pancreatic Cancer

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