A Study of Avastin (Bevacizumab) in Combination With Standard Chemotherapy in Children and Adolescents With Sarcoma.
Sarcoma
About this trial
This is an interventional treatment trial for Sarcoma
Eligibility Criteria
Inclusion Criteria:
- childhood and adolescent patients aged >/=6 months to 18 years of age
- metastatic rhabdomyosarcoma or non-rhabdomyosarcoma soft tissue sarcoma
- adequate bone marrow function
- adequate renal and liver function
- adequate blood clotting
Exclusion Criteria:
- previous malignant tumors
- tumor invading major blood vessels
- prior systemic anti-tumor treatment
Sites / Locations
- Hôpital Enfants Reine Fabiola
- Cliniques Universitaires St-Luc
- UZ Gent
- Instituto Nacional do Cancer - INCA
- Clinica de Oncologia de Porto Alegre - CliniOnco
- Hospital de Cancer de Barretos
- Instituto de Oncologia Pediatrica
- ITACI - Instituto de Tratamento do Cancer Infantil
- Hospital Santa Marcelina
- Hospital For Sick Children
- Pavillion Chul-Chuq
- Hospital Luis Calvo Mackenna; Oncologia
- Fakultni nemocnice Brno
- Fakultni nemocnice v Motole
- CHU Bordeaux; Unite Onco-Hematologie Pediatrique
- Centre Oscar Lambret; Service de Pediatrie
- Centre Leon Berard; Pediatrie
- Hopital Timone Enfants; Onco Pediatrie
- Chr De Nantes; Service D'oncologie Pediatrique
- Institut Curie; Oncologie Medicale
- CHU Hopital Sud; Service d'Hematologie Pediatrique
- Hopital Des Enfants; Service d Hemato-Oncologie
- CHU Hopital d Enfants; Centre hospitalier Universitaire Nancy
- Institut Gustave Roussy; Service Pediatrique
- University Hospital Essen; Department of Pediatric Oncology
- Universitaetsklinikum Freiburg - PS; Partnersite - Onkologie
- Universitatsklinikum Munster; Padiatrische Hamatologie und Onkologie
- Soroka Medical Center
- Rambam Health Care Campus; Pediatric Hematology Oncology Department
- Schneider Children's Medical Center
- Tel Aviv Sourasky MC, Dana Children's Hospital; Pediatric Hemato-Oncology Clinic
- Ospedale Pediatrico Bambino Gesu
- Istituto Gaslini Ospedale Pediatrico; Dipartimento di Oncoematologia pediatrica
- Istituto Nazionale Tumori di Milano; S.C. Oncologia Pediatrica
- Dipartimento di Scienze Pediatriche Adolescenza; Osp. Infantile Regina Margherita
- U.O.A University Onco-Ematologia Pedicatria; Azienda Ospedaliera A.Meyer
- Azienda Ospedaliera di Padova; Clinica di Onco-ematologia pediatrica
- Emma Kinderziekenhuis; Dept of Pediatric Oncology
- Erasmus Mc/Sophia's Childrens Hospital; Dept. of Pediatric Oncology
- Prinses Maxima Centrum
- Uniwersytet Medyczny W Lublinie; Klinika Hematologii i Onkologii Dzieciecej
- Instytut Pomnik-Centrum Zdrowia Dziecka; Klinika Onkologii
- Center for Children's Hematology, Oncology and Immunology
- Saint-Petersburg SHI City Clinical Hospital #31
- Hospital de Cruces
- Hospital Universitari Vall d'Hebron; Servicio de Nefrologia
- Hospital Infantil Universitario Nino Jesus
- Hospital Regional Universitario Carlos Haya;Servicio Oncologia Pediatrica
- Hospital Universitario Virgen del Rocio; Servicio de Onco-Hematologia Pediatrica
- Hospital Universitario La Fe
- Birmingham Childrens Hospital; Oncology Dept
- Bristol Royal Hospital For Children
- Royal Hospital for Sick Children
- Royal Hospital For Children
- St. James's University Hospital; Leeds Regional Paediatric Oncology Unit
- Alder Hey Children s Hospital; Department of Pediatrics
- Great Ormond Street Hospital; Dept. Of Pediatric Oncology
- Royal Manchester Children's Hospital
- The Royal Victoria Infirmary; Paediatric and Adolescent Oncology Unit
- University Hospital Queens Medical Centre; Department of Paediatric Oncology
- Royal Marsden Hospital; Pediatric Unit
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Bevacizumab + Chemotherapy
Chemotherapy
Participants received continuous IV infusion of bevacizumab (7.5 mg/kg every 3 weeks) on Day 1 of 3-week cycles followed by induction chemotherapy (4 cycles of IVADo-containing chemotherapy followed by 5 cycles of IVA-containing chemotherapy) as per institutional practice for a total of 9 cycles during induction treatment phase. As per the investigator decision, local therapy (radiotherapy and /or surgery) was expected to start after 4 weeks of the last bevacizumab administration in the induction phase and resumed to bevacizumab in the maintenance phase at least 4 weeks after the last dose of local therapy. During maintenance treatment phase, participants received IV infusion of bevacizumab (5 mg/kg every 2 weeks) followed by vinorelbine- and cyclophosphamide-containing chemotherapy (as per institutional practice) on Days 1 and 15 of 4-week cycles for a total of 12 cycles.
Participants received 9 cycles of induction chemotherapy (4 cycles of IVADo-containing chemotherapy followed by 5 cycles of IVA-containing chemotherapy administered every 3 weeks as per institutional practice. As per the investigator evaluation, participants had option to undergo local therapy (radiotherapy and /or surgery) during last 3 cycles of IVA (i.e. from Cycle 6 to Cycle 9). During maintenance treatment phase, participants received vinorelbine- and cyclophosphamide-containing chemotherapy (as per institutional practice) on Day 1 and 15 of 4-week cycles for a total of 12 cycles.