Phase 3
Completed N=921
A Study of Bevacizumab (Avastin®) in Combination With Temozolomide and Radiotherapy in Participants With Newly Diagnosed Glioblastoma
Source: ClinicalTrials.gov NCT00943826 ↗Enrolled (actual)
921
Serious AEs
32.3%
Results posted
May 2013
Primary outcomePrimary: Co-Primary: Progression-free Survival (PFS) as Assessed by Investigator — 10.6; 6.2 Months — p=<0.0001
Summary
This 2 arm study investigated the efficacy and safety of the addition of bevacizumab to the current standard of care (multimodality therapy of concurrent radiotherapy plus temozolomide followed by adjuvant temozolomide) as compared to the current standard of care alone. Participants were randomly assigned to either the bevacizumab (10 milligrams per kilogram (mg/kg) intravenously [IV] once every 2 week [q2w]) or the placebo arm, in combination with radiation therapy (total dose 60 Gray [Gy], administered as 2 Gy fractions, 5 days/week) plus temozolomide (75 milligrams per meter squared [mg/m^2] oral administration [po] daily) for 6 weeks. After a 4 week treatment break, participants continued to receive bevacizumab (10 mg/kg IV q2w) or placebo, plus temozolomide (150-200 mg/m^2 po daily on days 1-5 of each 4 week cycle) for 6 cycles of maintenance treatment or until disease progression or unacceptable toxicity, whichever occured first. Following the maintenance phase, bevacizumab (15 mg/kg iv every 3 weeks [q3w]) or placebo monotherapy continued. The time on study treatment was until disease progression.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Co-Primary: Progression-free Survival (PFS) as Assessed by Investigator |
10.6; 6.2 | <0.0001 sig |
| PRIMARY Co-Primary: Overall Survival (OS) |
16.8; 16.7 | 0.0987 |
| SECONDARY PFS as Assessed by an Independent Review Facility |
8.4; 4.3 | <0.0001 sig |
| SECONDARY Kaplan-Meier (KM) Estimate of One Year Overall Survival |
0.72; 0.66 | — |
| SECONDARY Kaplan-Meier (KM) Estimate of Two Year Overall Survival |
0.34; 0.30 | — |
| SECONDARY PFS in Participants With Stable/Improved Health Related Quality of Life (HRQoL) Based on European Organization for Research & Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) Core 30 (C30)(EORTC QLQ-C30) & EORTC QLQ Brain Neoplasm 20 (BN20) |
8; 4; 7; 5; 8; 4 | — |
| SECONDARY Number of Participants With Non-Serious Adverse Events, Serious Adverse Events and Death |
437; 412; 179; 115; 335; 337 | — |
Eligibility Criteria
Key Inclusion Criteria
- newly diagnosed glioblastoma
- World Health Organization (WHO) performance status less than or equal to ( =) grade 2 hemoptysis within 1 month prior to randomization
- previous centralized screening for Methylguanine-DNA methyltransferase (MGMT) status for enrollment into a clinical trial
Data sourced from ClinicalTrials.gov (NCT00943826). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.