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Bevacizumab in Treating Patients With Angiosarcoma

Primary Purpose

Sarcoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Bevacizumab
Sponsored by
Northwestern University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sarcoma focused on measuring adult angiosarcoma, recurrent adult soft tissue sarcoma, stage I adult soft tissue sarcoma, stage II adult soft tissue sarcoma, stage III adult soft tissue sarcoma, stage IV adult soft tissue sarcoma

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed angiosarcoma Any stage disease Must be deemed not surgically resectable (complete resection) and/or no other therapeutic modality is known to be curative No angiosarcoma of a vessel wall Newly diagnosed or recurrent/refractory disease No prior tumor-related hemorrhage (any grade) Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques or as ≥ 10 mm with spiral CT scan No CNS disease, brain metastases, or primary brain tumors PATIENT CHARACTERISTICS: ECOG performance status of 0 or 1 Absolute granulocyte count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 9 gm/dL (transfusion and epoetin alfa allowed) Creatinine ≤ 1.5 times upper limit of normal (ULN) Urine protein:creatinine ratio ≤ 1.0 Total bilirubin ≤ 1.5 mg/dL Aspartate aminotransferase < 5 times ULN Alkaline phosphatase < 5 times ULN PT/INR ≤ 1.5 times ULN PTT ≤ 1.5 times ULN Fertile patients must use effective contraception Ejection fraction > 49% for patients with prior anthracycline therapy, ischemic cardiac disease, or history of heart failure No uncontrolled active infection No uncontrolled high blood pressure (defined as > 150/100 mm Hg) No symptomatic congestive heart failure (New York Heart Association class II-IV), unstable angina, cardiac arrhythmia, or myocardial infarction within the past 6 months No psychiatric illness or social situation that would limit study compliance No serious, nonhealing wound, ulcer, or bone fracture No evidence of bleeding diathesis or coagulopathy No clinically significant peripheral vascular disease Not pregnant or nursing No seizures not controlled with standard medical therapy No embolic or hemorrhagic stroke or prior transient ischemic attack No history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months No significant traumatic injury within the past 6 weeks PRIOR CONCURRENT THERAPY: No prior therapy with bevacizumab or other antiangiogenesis treatment No major surgical procedure or open biopsy within the past 6 weeks No more than 2 prior chemotherapy regimens No fine-needle aspiration or core-needle biopsy or other minor surgical procedure within the past 7 days No radiotherapy within the past 28 days No concurrent chronic daily treatment with aspirin > 325 mg/day or nonsteroidal anti-inflammatory medications No concurrent warfarin or any other anticoagulant (any dose) No concurrent radiotherapy No concurrent major surgery

Sites / Locations

  • Rebecca and John Moores UCSD Cancer Center
  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
  • Mayo Clinic Cancer Center
  • Fox Chase Cancer Center CCOP Research Base
  • M. D. Anderson Cancer Center at University of Texas

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Bevacizumab

Arm Description

Bevacizumab treatment until disease progression or intolerance

Outcomes

Primary Outcome Measures

Median Progression-free Survival of Patients Treated With the Study Drug as Defined by RECIST Criteria.
During treatment, tumor assessment was done by MRI scan after the second cycle of study treatment, after the forth cycle of study treatment, and then every 3 cycles of treatment thereafter. After Study drug completion, tumor assessment by MRI was done every 3 to 4 months (for up to 2 years after the last bevacizumab dosage). Responses were categorized according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. Progressive Disease (PD) was defined as having at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.

Secondary Outcome Measures

Objective Response Rate in Patients Treated With Bevacizumab.
Objective response rate will be measured per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. Stable Disease, neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study. Progressive Disease, defined as having at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.
Duration of Response.
During treatment, evaluation of response will be done by MRI scan after the second cycle of study treatment, after the forth cycle of study treatment, and then every 3 cycles of treatment. After Study drug completion, evaluation of response will be assessed by MRI every 3 to 4 months (for 2 years after the last bevacizumab dosage).
Assess the Treatment Effect of Bevacizumab on Duration of Overall Survival
After Study drug completion, assessment of treatment effect of bevacizumab on duration of overall survival will be assessed by MRI every 3 to 4 months (for 2 years after the last bevacizumab dosage).
Evaluate the Toxicity of Bevacizumab.
Toxicity data for bevacizumab will be collected on day 1 of every cycle (1 cycle = 21 days) during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0). In general adverse events (AEs) will be graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE

Full Information

First Posted
February 6, 2006
Last Updated
June 20, 2018
Sponsor
Northwestern University
Collaborators
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00288015
Brief Title
Bevacizumab in Treating Patients With Angiosarcoma
Official Title
An Open Label Multicenter Phase II Study of Bevacizumab for the Treatment of Angiosarcoma
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
October 2005 (undefined)
Primary Completion Date
June 6, 2013 (Actual)
Study Completion Date
November 10, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Northwestern University
Collaborators
Genentech, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. PURPOSE: This phase II trial is studying how well bevacizumab works in treating patients with angiosarcoma.
Detailed Description
OBJECTIVES: Primary Determine the median progression-free survival, in terms of stable disease, of patients with newly diagnosed or recurrent/refractory angiosarcoma treated with bevacizumab. Secondary Evaluate the treatment effect of bevacizumab on the objective response rate as assessed by modified RECIST criteria in patients with angiosarcoma. Evaluate the duration of response. Assess the treatment effect of bevacizumab on duration of overall survival. Explore the objective response by target tumor density changes on CT scan. Evaluate the safety and tolerability of bevacizumab in patients with angiosarcoma. OUTLINE: This is an open-label, multicenter study. Patients receive bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed every 3 to 4 months for 2 years. PROJECTED ACCRUAL: A total of 31 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcoma
Keywords
adult angiosarcoma, recurrent adult soft tissue sarcoma, stage I adult soft tissue sarcoma, stage II adult soft tissue sarcoma, stage III adult soft tissue sarcoma, stage IV adult soft tissue sarcoma

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Bevacizumab
Arm Type
Experimental
Arm Description
Bevacizumab treatment until disease progression or intolerance
Intervention Type
Biological
Intervention Name(s)
Bevacizumab
Other Intervention Name(s)
rhuMAb, VEGF, Avastin
Intervention Description
Bevacizumab 15 mg/kg IV infusion given on day 1 every 21 days = (1 cycle).
Primary Outcome Measure Information:
Title
Median Progression-free Survival of Patients Treated With the Study Drug as Defined by RECIST Criteria.
Description
During treatment, tumor assessment was done by MRI scan after the second cycle of study treatment, after the forth cycle of study treatment, and then every 3 cycles of treatment thereafter. After Study drug completion, tumor assessment by MRI was done every 3 to 4 months (for up to 2 years after the last bevacizumab dosage). Responses were categorized according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. Progressive Disease (PD) was defined as having at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.
Time Frame
After cycles 2 and 4, then every 3 cycles thereafter while on treatment (1 cycle = 21 days); every 3-4 months after treatment up to 2 years.
Secondary Outcome Measure Information:
Title
Objective Response Rate in Patients Treated With Bevacizumab.
Description
Objective response rate will be measured per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. Stable Disease, neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study. Progressive Disease, defined as having at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.
Time Frame
After cycles 2 and 4, then every 3 cycles thereafter while on treatment (1 cycle = 21 days); every 3-4 months after treatment up to 2 years.
Title
Duration of Response.
Description
During treatment, evaluation of response will be done by MRI scan after the second cycle of study treatment, after the forth cycle of study treatment, and then every 3 cycles of treatment. After Study drug completion, evaluation of response will be assessed by MRI every 3 to 4 months (for 2 years after the last bevacizumab dosage).
Time Frame
After cycles 2 and 4, then every 3 cycles thereafter while on treatment (1 cycle = 21 days); every 3-4 months after treatment up to 2 years.
Title
Assess the Treatment Effect of Bevacizumab on Duration of Overall Survival
Description
After Study drug completion, assessment of treatment effect of bevacizumab on duration of overall survival will be assessed by MRI every 3 to 4 months (for 2 years after the last bevacizumab dosage).
Time Frame
After cycles 2 and 4, then every 3 cycles thereafter while on treatment (1 cycle = 21 days); every 3-4 months after treatment up to 2 years
Title
Evaluate the Toxicity of Bevacizumab.
Description
Toxicity data for bevacizumab will be collected on day 1 of every cycle (1 cycle = 21 days) during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0). In general adverse events (AEs) will be graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE
Time Frame
Day 1 of every cycle, on average every 21 days until end of treatment up to 2 years.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed angiosarcoma Any stage disease Must be deemed not surgically resectable (complete resection) and/or no other therapeutic modality is known to be curative No angiosarcoma of a vessel wall Newly diagnosed or recurrent/refractory disease No prior tumor-related hemorrhage (any grade) Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques or as ≥ 10 mm with spiral CT scan No CNS disease, brain metastases, or primary brain tumors PATIENT CHARACTERISTICS: ECOG performance status of 0 or 1 Absolute granulocyte count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 9 gm/dL (transfusion and epoetin alfa allowed) Creatinine ≤ 1.5 times upper limit of normal (ULN) Urine protein:creatinine ratio ≤ 1.0 Total bilirubin ≤ 1.5 mg/dL Aspartate aminotransferase < 5 times ULN Alkaline phosphatase < 5 times ULN PT/INR ≤ 1.5 times ULN PTT ≤ 1.5 times ULN Fertile patients must use effective contraception Ejection fraction > 49% for patients with prior anthracycline therapy, ischemic cardiac disease, or history of heart failure No uncontrolled active infection No uncontrolled high blood pressure (defined as > 150/100 mm Hg) No symptomatic congestive heart failure (New York Heart Association class II-IV), unstable angina, cardiac arrhythmia, or myocardial infarction within the past 6 months No psychiatric illness or social situation that would limit study compliance No serious, nonhealing wound, ulcer, or bone fracture No evidence of bleeding diathesis or coagulopathy No clinically significant peripheral vascular disease Not pregnant or nursing No seizures not controlled with standard medical therapy No embolic or hemorrhagic stroke or prior transient ischemic attack No history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months No significant traumatic injury within the past 6 weeks PRIOR CONCURRENT THERAPY: No prior therapy with bevacizumab or other antiangiogenesis treatment No major surgical procedure or open biopsy within the past 6 weeks No more than 2 prior chemotherapy regimens No fine-needle aspiration or core-needle biopsy or other minor surgical procedure within the past 7 days No radiotherapy within the past 28 days No concurrent chronic daily treatment with aspirin > 325 mg/day or nonsteroidal anti-inflammatory medications No concurrent warfarin or any other anticoagulant (any dose) No concurrent radiotherapy No concurrent major surgery
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Agulnik, MD
Organizational Affiliation
Northwestern University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Rebecca and John Moores UCSD Cancer Center
City
La Jolla
State/Province
California
ZIP/Postal Code
92093-0658
Country
United States
Facility Name
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-3013
Country
United States
Facility Name
Mayo Clinic Cancer Center
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Fox Chase Cancer Center CCOP Research Base
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
Country
United States
Facility Name
M. D. Anderson Cancer Center at University of Texas
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-4009
Country
United States

12. IPD Sharing Statement

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Bevacizumab in Treating Patients With Angiosarcoma

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