UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016138
Receipt number R000018738
Scientific Title A Randomized, Open Label, Phase II Trial of Bevacizumab Plus Weekly Paclitaxel Followed by Bevacizumab Monotherapy Maintenance Versus Weekly Paclitaxel Followed by Observation in Patients With Relapsed Ovarian Sex-cord Stromal Tumours
Date of disclosure of the study information 2015/01/07
Last modified on 2019/02/25 13:00:41

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Basic information

Public title

A Randomized, Open Label, Phase II Trial of Bevacizumab Plus Weekly Paclitaxel Followed by Bevacizumab Monotherapy Maintenance Versus Weekly Paclitaxel Followed by Observation in Patients With Relapsed Ovarian Sex-cord Stromal Tumours

Acronym

Efficacy and Safety of Bevacizumab (Avastin) Combined to Weekly Paclitaxel Followed by Bevacizumab (Avastin) Alone in Patients With Relapsed Ovarian Sex-cord Stromal Tumours

Scientific Title

A Randomized, Open Label, Phase II Trial of Bevacizumab Plus Weekly Paclitaxel Followed by Bevacizumab Monotherapy Maintenance Versus Weekly Paclitaxel Followed by Observation in Patients With Relapsed Ovarian Sex-cord Stromal Tumours

Scientific Title:Acronym

Efficacy and Safety of Bevacizumab (Avastin) Combined to Weekly Paclitaxel Followed by Bevacizumab (Avastin) Alone in Patients With Relapsed Ovarian Sex-cord Stromal Tumours

Region

Japan Europe


Condition

Condition

Ovarian Sex-cord Stromal Tumor

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate clinical benefit of combining bevacizumab treatment to weekly paclitaxel.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To evaluate the clinical benefit of combining bevacizumab treatment to weekly paclitaxel measured by the non-progression rate after 6 months of treatment.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Paclitaxel

Interventions/Control_2

Bevacizumab

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1.Female aged >=18 years at inclusion
2.Histologically confirmed diagnosis of ovarian Sex cord-stromal tumors including the following cell types: granulosa cell tumours (adults and juveniles types), granulosa cell-theca cell tumour, Sertoli-Leydig cell tumours, malignant steroid cell tumours, gynandroblastoma, unclassified SCST and mixed tumours
3.Documented relapse of SCST defined by progression of disease (radiologic, clinic or biological progression)
4.At least one measurable site of disease as defined by RECIST 1.1
5.Patients must have been pre-treated with at least 1 prior line of platinum-based chemotherapy
6.Adequate bone marrow, liver and renal functions including the following:
1)Absolute neutrophil count >=1.5 G/L, platelet count >=100 G/L, and hemoglobin >= 9 g/dL. Prior transfusion is authorized to keep haemoglobin level to >= 9 g/dL
2)AST/ALT <= 3 x upper limit of normal (ULN) (or <= 5.0 ULN if liver metastasis) and total bilirubin <= 1.5 ULN
3)Serum creatinine <= 1.5 ULN or calculated creatinine clearance >= 50 mL/min according to Cockcroft formula (or to MDRD formula for patients older than 65 years-old).
7.Adequate coagulation panel:
1)PT <=1.2 ULN
2)aPTT <= 1.5 ULN
3)INR <= 1.5 ULN
8.Adequate neurologic function: only neuropathy (sensory and motor) grade <= 1 (CTCAE v4.3) are allowed
9.ECOG Performance status of 0, 1, or 2
10.Life expectancy >= 4 months
11.Satisfactory cardiac function
12.Ability to understand and sign informed consent and willingness to comply with the study procedures before study entry
13.Women of childbearing potential are required to have a negative serum pregnancy test within 7 days prior to study treatment initiation (i.e. Cycle 1 Day 1) and are willing to use adequate contraceptive method during the whole study period and for up to 6 months after the last treatment intake
14.Covered by a medical insurance (in country where applicable)

Key exclusion criteria

1.Prior systemic therapy with bevacizumab
2.Active peripheral neuropathy >= grade 3 (NCI-CTCAE v4.3)
3.Prior history of other malignancies other than ovarian SCST unless the subjects has been free of the disease for at least 3 years or 5 years for breast cancer
4.No resolution of specific toxicities related to any prior anti-cancer therapy to grade <=1, excluding alopecia, according to the NCI-CTCAE v.4.3
5.History or evidence of thrombotic or hemorrhagic disorders or transient ischemic attack or sub-arachnoids' haemorrhage within 6 months prior to first dose of study drugs
6.Uncontrolled arterial hypertension despite optimal antihypertensive therapy or clinically significant cardiovascular disease
7.History of bowel obstruction, including sub-occlusive syndrome and history of abdominal fistula, gastro-intestinal perforation or intra-abdominal abscess during the year prior to inclusion
8.Prior treatments:
1)Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study
2)Another investigational drug within 30 days of first study treatment dosing
3)Chronic use of aspirin> 325 mg/day or use of any other inhibitor of platelet aggregation
4)Chronic treatment with non steroids anti-inflammatory agents
5)Intake of granulocyte growth factor within 3 weeks before study entry
9.Treatment during the study:
1)Debulking surgery prior to disease progression is not foreseen
2)Concurrent radiotherapy during the study treatment
10.Presence of hematuria and proteinuria >= 2+ (urine dipstick).
11.Untreated evolutive brain metastases
12.Active bacteria or fungal infection 13.Known HIV1, HIV2 or chronic hepatitis B or C infection
14.Hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies
15.Any contraindications to paclitaxel treatment: for example severe hypersensitivity reactions to paclitaxel or to any of the excipients

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Isabelle RAY-COQUARD

Organization

Centre Leon Berard, LYON, FRANCE

Division name

-

Zip code


Address

Lyon, France, 69373

TEL

+33-4-78-78-28-28

Email

isabelle.ray-coquard@lyon.unicancer.fr


Public contact

Name of contact person

1st name
Middle name
Last name Keiichi Fujiwara, MD.,PhD

Organization

Saitama Medical University International Medical Center

Division name

Department of Gynecologic Oncology

Zip code


Address

1397-1 Yamane, Hidaka-city, Saitama

TEL

+81-42-984-4111

Homepage URL


Email

fujiwara@saitama-med.ac.jp


Sponsor or person

Institute

ARCAGY/ GINECO GROUP

Institute

Department

Personal name



Funding Source

Organization

GOTIC (Gynecologic Oncology Trial and Investigation Consortium of Kanto)

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

NCT01770301

Org. issuing International ID_1

ClinicalTrials.gov

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

埼玉医科大学国際医療センター(埼玉県)


Other administrative information

Date of disclosure of the study information

2015 Year 01 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 09 Month 06 Day

Date of IRB


Anticipated trial start date

2015 Year 01 Month 07 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 01 Month 06 Day

Last modified on

2019 Year 02 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018738


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name