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.
COMPLETED
PHASE2
16 participants
up to 2 years post-registration
2013-01-10
Participant Flow
17 participants were screened for this study, of which 16 participants were enrolled.
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
| 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
| 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-registrationRPR 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
| 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 registrationPopulation: 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
| 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-registrationFOP 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
| 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-registrationPopulation: 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
| 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-registrationPopulation: 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
| 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 treatmentPopulation: 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
| 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 stabilizedPopulation: 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
| 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 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
| 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
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