Trial Outcomes & Findings for AVE0005 (VEGF Trap) in Patients With Recurrent Symptomatic Malignant Ascites (NCT NCT00396591)

NCT ID: NCT00396591

Last Updated: 2013-01-10

Results Overview

RPR was defined as at least a two-fold increase in the time to repeat paracentesis (TRP) as compared to the average duration of the 2 intervals between the 3 most recent paracenteses prior to study registration (ie, the baseline interval of paracentesis). Percentage of participants with a repeat paracentesis response were the number of participants with RPR / number of total participants \* 100.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

up to 2 years post-registration

Results posted on

2013-01-10

Participant Flow

17 participants were screened for this study, of which 16 participants were enrolled.

Participant milestones

Participant milestones
Measure
Aflibercept
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Overall Study
STARTED
16
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Aflibercept
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Overall Study
Disease Progression
13
Overall Study
Adverse Event
2
Overall Study
Participant request
1

Baseline Characteristics

AVE0005 (VEGF Trap) in Patients With Recurrent Symptomatic Malignant Ascites

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aflibercept
n=16 Participants
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Age Continuous
59.3 years
STANDARD_DEVIATION 8.9 • n=99 Participants
Age, Customized
<65 years
11 participants
n=99 Participants
Age, Customized
>=65 years
5 participants
n=99 Participants
Sex: Female, Male
Female
16 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Race/Ethnicity, Customized
Caucasian
16 Participants
n=99 Participants
Primary tumor site - Ovaries
16 Participants
n=99 Participants
Time since initial cancer diagnosis
2.8 Years
STANDARD_DEVIATION 1.7 • n=99 Participants
Histology
Serous
9 Participants
n=99 Participants
Histology
Endometrioid
3 Participants
n=99 Participants
Histology
Clear cell (mesonephroid)
1 Participants
n=99 Participants
Histology
Other
1 Participants
n=99 Participants
Histology
Missing data
2 Participants
n=99 Participants
Histology grade
Unknown
5 Participants
n=99 Participants
Histology grade
Moderately differentiated
1 Participants
n=99 Participants
Histology grade
Poorly differentiated
10 Participants
n=99 Participants
Prior anticancer surgeries,
No
1 Participants
n=99 Participants
Prior anticancer surgeries,
Yes
15 Participants
n=99 Participants
Baseline interval of paracentesis
16.5 days
STANDARD_DEVIATION 7.8 • n=99 Participants
Eastern Cooperative Oncology Group (ECOG) performance status score
ECOG Score = 0
3 participants
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) performance status score
ECOG Score = 1
10 participants
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) performance status score
ECOG Score = 2
3 participants
n=99 Participants

PRIMARY outcome

Timeframe: up to 2 years post-registration

RPR was defined as at least a two-fold increase in the time to repeat paracentesis (TRP) as compared to the average duration of the 2 intervals between the 3 most recent paracenteses prior to study registration (ie, the baseline interval of paracentesis). Percentage of participants with a repeat paracentesis response were the number of participants with RPR / number of total participants \* 100.

Outcome measures

Outcome measures
Measure
Aflibercept
n=16 Participants
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Percentage of Participants With a Repeat Paracentesis Response (RPR)
62.5 percentage of participants
Interval 35.43 to 84.8

SECONDARY outcome

Timeframe: up to 6 months from registration

Population: All participants were analyzed. 8 had one or more paracentesis events. Participants with no paracentesis events were censored at the end of the treatment period (last dose + 1 cycle).

TRP is the number of days between the date of registration and the date of the first postregistration paracentesis. Median TRP was estimated from Kaplan-Meier curves. For participants who did not undergo a postregistration paracentesis while on study, TRP was censored at the end of the treatment period (last dose + 1 cycle), at the last visit known without repeat paracentesis, at 6 months postregistration, or at death, whichever was earlier.

Outcome measures

Outcome measures
Measure
Aflibercept
n=8 Paracentesis (>/= 1 per participant)
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Time to Repeat Paracentesis (TRP)
76.0 days
Interval 64.0 to 178.0

SECONDARY outcome

Timeframe: up to 60 days post-registration

FOP was the total number of paracenteses performed within the first 60 days postregistration. For participants who had withdrawn after registration but prior to the 60-day cutoff date, the withdrawal would have been regarded as a paracentesis event and the 60-day FOP normalized and calculated as the nearest integer of the value corresponding to 60 × number of paracenteses / x, where x represents the number of days on study.

Outcome measures

Outcome measures
Measure
Aflibercept
n=16 Participants
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
60-day Frequency of Paracentesis (FOP)
1.5 paracenteses
Standard Deviation 1.6

SECONDARY outcome

Timeframe: up to 6 months post-registration

Population: Participants with a PFS event (tumor progression or death) were analyzed.

According to the Response Evaluation Criteria in Solid Tumors \[RECIST\], progression was at least a 20% increase in the sum of the longest diameter (LD) of tumors, compared to smallest sum LD recorded since treatment started, or the appearance of one or more new tumors. PFS time was interval from the date of registration to the date of tumor progression or death from any cause, whichever was earlier. Median PFS time was estimated from Kaplan-Meier Plots. If participants were alive and progression-free at 6 months postregistration, they were censored for PFS.

Outcome measures

Outcome measures
Measure
Aflibercept
n=12 Participants
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Progression-free Survival (PFS) Time
59.5 days
Interval 41.0 to 83.0

SECONDARY outcome

Timeframe: up to 6 months post-registration

Population: All participants were analyzed. 5 participants who died after efficacy data cutoff date (6 months postregistration) were censored at the data cutoff date.

OS time was the time interval between the date of registration to the date of death from any cause. Median OS was estimated from Kaplan-Meier curves. Participants who died after efficacy data cutoff date (6 months postregistration) were censored at the data cutoff date.

Outcome measures

Outcome measures
Measure
Aflibercept
n=11 Events (Death)
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Overall Survival (OS) Time
92.0 days
Interval 58.0 to
Not calculable as some participants were still alive at the cut-off date.

SECONDARY outcome

Timeframe: up to 60 days after the last dose of treatment

Population: Participants who received at least part of 1 dose of aflibercept and had evaluable blood samples

Anti-drug antibodies in participant's serum were measured using 2 different methods * an Enzyme Linked Immunosorbent Assay (ELISA) in which the lower limit of detection (LLOD) was 238.4 ng/mL; and * an Electrochemiluminescence-based, Bridging Assay in which the validated LLOD was about 5.4 ng/mL in the absence of aflibercept and about 25.2 ng/mL in the presence of 20 μg/mL of aflibercept. Participants with detectable anti-drug antibodies by either method were considered to have a positive anti-drug antibody response.

Outcome measures

Outcome measures
Measure
Aflibercept
n=11 Participants
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Number of Participants With a Positive Anti-drug Antibody Response
0 participants

SECONDARY outcome

Timeframe: up to 60 days after last dose of treatment (approximately 2 years), or until TEAE was resolved or stabilized

Population: All participants who received at least part of 1 dose of the study treatment.

All AEs regardless of seriousness or relationship to study treatment, spanning from the first administration of study treatment until 60 days after the last administration of study treatment, were recorded, and followed until resolution or stabilization. The number of participants with all treatment emergent adverse events (TEAE), serious adverse events (SAE), TEAE leading to death, and TEAE leading to permanent treatment discontinuation are reported.

Outcome measures

Outcome measures
Measure
Aflibercept
n=16 Participants
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Safety - Number of Participants With Adverse Events (AE)
With a TEAE resulting in discontinuation
2 participants
Safety - Number of Participants With Adverse Events (AE)
With at least one TEAE
16 participants
Safety - Number of Participants With Adverse Events (AE)
With at least one serious TEAE
15 participants
Safety - Number of Participants With Adverse Events (AE)
With a TEAE leading to death
8 participants

Adverse Events

Aflibercept

Serious events: 15 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aflibercept
n=16 participants at risk
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Blood and lymphatic system disorders
Anaemia
6.2%
1/16 • From treatment initiation to January 30, 2009
Cardiac disorders
Tachyarrhythmia
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Abdominal pain
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Intestinal obstruction
31.2%
5/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Intestinal perforation
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Large intestinal obstruction
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Nausea
12.5%
2/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Small intestinal obstruction
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Vomiting
25.0%
4/16 • From treatment initiation to January 30, 2009
General disorders
Disease progression
25.0%
4/16 • From treatment initiation to January 30, 2009
General disorders
General physical health deterioration
6.2%
1/16 • From treatment initiation to January 30, 2009
Infections and infestations
Gastroenteritis
6.2%
1/16 • From treatment initiation to January 30, 2009
Metabolism and nutrition disorders
Dehydration
6.2%
1/16 • From treatment initiation to January 30, 2009
Nervous system disorders
Cognitive disorder
6.2%
1/16 • From treatment initiation to January 30, 2009
Respiratory, thoracic and mediastinal disorders
Hydropneumothorax
6.2%
1/16 • From treatment initiation to January 30, 2009

Other adverse events

Other adverse events
Measure
Aflibercept
n=16 participants at risk
Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met
Blood and lymphatic system disorders
Anaemia
6.2%
1/16 • From treatment initiation to January 30, 2009
Blood and lymphatic system disorders
Lymphadenitis
6.2%
1/16 • From treatment initiation to January 30, 2009
Cardiac disorders
Tachyarrhythmia
6.2%
1/16 • From treatment initiation to January 30, 2009
Eye disorders
Conjunctivitis
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Abdominal distension
12.5%
2/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Abdominal pain
37.5%
6/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Abdominal pain upper
12.5%
2/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Colitis
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Constipation
18.8%
3/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Diarrhoea
12.5%
2/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Dyspepsia
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Gastritis
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Intestinal obstruction
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Intestinal perforation
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Nausea
37.5%
6/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Oesophagitis
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Subileus
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Toothache
6.2%
1/16 • From treatment initiation to January 30, 2009
Gastrointestinal disorders
Vomiting
50.0%
8/16 • From treatment initiation to January 30, 2009
General disorders
Asthenia
31.2%
5/16 • From treatment initiation to January 30, 2009
General disorders
Disease progression
31.2%
5/16 • From treatment initiation to January 30, 2009
General disorders
Early satiety
12.5%
2/16 • From treatment initiation to January 30, 2009
General disorders
Fatigue
25.0%
4/16 • From treatment initiation to January 30, 2009
General disorders
General physical health deterioration
6.2%
1/16 • From treatment initiation to January 30, 2009
General disorders
Mucosal inflammation
6.2%
1/16 • From treatment initiation to January 30, 2009
General disorders
Oedema peripheral
18.8%
3/16 • From treatment initiation to January 30, 2009
General disorders
Pain
12.5%
2/16 • From treatment initiation to January 30, 2009
General disorders
Pyrexia
6.2%
1/16 • From treatment initiation to January 30, 2009
Hepatobiliary disorders
Hepatic failure
6.2%
1/16 • From treatment initiation to January 30, 2009
Infections and infestations
Gastroenteritis
12.5%
2/16 • From treatment initiation to January 30, 2009
Infections and infestations
Nasopharyngitis
6.2%
1/16 • From treatment initiation to January 30, 2009
Infections and infestations
Rhinitis
6.2%
1/16 • From treatment initiation to January 30, 2009
Infections and infestations
Tooth infection
6.2%
1/16 • From treatment initiation to January 30, 2009
Infections and infestations
Urinary tract infection
6.2%
1/16 • From treatment initiation to January 30, 2009
Investigations
Cardiac murmur
6.2%
1/16 • From treatment initiation to January 30, 2009
Investigations
Urine output decreased
6.2%
1/16 • From treatment initiation to January 30, 2009
Investigations
Urine output increased
6.2%
1/16 • From treatment initiation to January 30, 2009
Investigations
Weight decreased
12.5%
2/16 • From treatment initiation to January 30, 2009
Metabolism and nutrition disorders
Anorexia
31.2%
5/16 • From treatment initiation to January 30, 2009
Metabolism and nutrition disorders
Decreased appetite
6.2%
1/16 • From treatment initiation to January 30, 2009
Metabolism and nutrition disorders
Dehydration
12.5%
2/16 • From treatment initiation to January 30, 2009
Metabolism and nutrition disorders
Hypokalaemia
6.2%
1/16 • From treatment initiation to January 30, 2009
Metabolism and nutrition disorders
Hyponatraemia
12.5%
2/16 • From treatment initiation to January 30, 2009
Musculoskeletal and connective tissue disorders
Arthralgia
12.5%
2/16 • From treatment initiation to January 30, 2009
Musculoskeletal and connective tissue disorders
Back pain
18.8%
3/16 • From treatment initiation to January 30, 2009
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
6.2%
1/16 • From treatment initiation to January 30, 2009
Musculoskeletal and connective tissue disorders
Neck pain
6.2%
1/16 • From treatment initiation to January 30, 2009
Nervous system disorders
Dizziness
6.2%
1/16 • From treatment initiation to January 30, 2009
Nervous system disorders
Dysgeusia
6.2%
1/16 • From treatment initiation to January 30, 2009
Nervous system disorders
Headache
18.8%
3/16 • From treatment initiation to January 30, 2009
Nervous system disorders
Neuropathy peripheral
6.2%
1/16 • From treatment initiation to January 30, 2009
Nervous system disorders
Peripheral sensory neuropathy
6.2%
1/16 • From treatment initiation to January 30, 2009
Psychiatric disorders
Insomnia
12.5%
2/16 • From treatment initiation to January 30, 2009
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
1/16 • From treatment initiation to January 30, 2009
Respiratory, thoracic and mediastinal disorders
Dysphonia
18.8%
3/16 • From treatment initiation to January 30, 2009
Respiratory, thoracic and mediastinal disorders
Pleural effusion
6.2%
1/16 • From treatment initiation to January 30, 2009
Respiratory, thoracic and mediastinal disorders
Sinus congestion
6.2%
1/16 • From treatment initiation to January 30, 2009
Skin and subcutaneous tissue disorders
Alopecia
6.2%
1/16 • From treatment initiation to January 30, 2009
Skin and subcutaneous tissue disorders
Hyperhidrosis
6.2%
1/16 • From treatment initiation to January 30, 2009
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
6.2%
1/16 • From treatment initiation to January 30, 2009
Skin and subcutaneous tissue disorders
Rash
12.5%
2/16 • From treatment initiation to January 30, 2009
Skin and subcutaneous tissue disorders
Skin exfoliation
6.2%
1/16 • From treatment initiation to January 30, 2009
Vascular disorders
Hypertension
43.8%
7/16 • From treatment initiation to January 30, 2009

Additional Information

Trial Transparency Team

sanofi-aventis

Results disclosure agreements

  • Principal investigator is a sponsor employee The investigator has the right to independently publish study results from his site after a multicenter publication, or 12 months after the completion of the study by all sites. He must provide the sponsor a copy of any such publication derived from the study for review and comment at least 45 days (20 for abstracts) in advance of any submission for publication. The Sponsor may request for the publication to be delayed for a limited time, not to exceed 90 days to preserve its proprietary rights.
  • Publication restrictions are in place

Restriction type: OTHER