Trial Outcomes & Findings for Androgen Deprivation Therapy +/- Bevacizumab for PSA Recurrence of Prostate Cancer After Definitive Local Therapy (NCT NCT00776594)

NCT ID: NCT00776594

Last Updated: 2016-10-21

Results Overview

To identify a difference in relapse-free survival in men treated with short course ADT (6 months) versus short course ADT plus bevacizumab.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

102 participants

Primary outcome timeframe

2 years

Results posted on

2016-10-21

Participant Flow

Participant milestones

Participant milestones
Measure
Androgen Deprivation Therapy Plus Bevacizumab
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Androgen Deprivation Therapy Alone
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Overall Study
STARTED
66
36
Overall Study
COMPLETED
62
34
Overall Study
NOT COMPLETED
4
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Androgen Deprivation Therapy +/- Bevacizumab for PSA Recurrence of Prostate Cancer After Definitive Local Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Androgen Deprivation Therapy Plus Bevacizumab
n=66 Participants
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Androgen Deprivation Therapy Alone
n=36 Participants
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Total
n=102 Participants
Total of all reporting groups
Age, Continuous
66 years
n=99 Participants
63 years
n=107 Participants
65 years
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
66 Participants
n=99 Participants
36 Participants
n=107 Participants
102 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 2 years

To identify a difference in relapse-free survival in men treated with short course ADT (6 months) versus short course ADT plus bevacizumab.

Outcome measures

Outcome measures
Measure
Group 1
n=66 Participants
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Group 2
n=36 Participants
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Relapse-free Survival
13 months
Interval 11.0 to 15.0
10 months
Interval 10.0 to 12.0

SECONDARY outcome

Timeframe: Six months (at completion of treatment)

Number of participants with a PSA \<0.2 ng/ml at six months (upon completion of treatment).

Outcome measures

Outcome measures
Measure
Group 1
n=64 Participants
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Group 2
n=35 Participants
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Number of Participants With PSA <0.2 ng/ml at Six Months
51 Number of participants
27 Number of participants

SECONDARY outcome

Timeframe: 6 months

The number of patients who developed hypertension (greater that 150 systolic or greater than 90 diastolic) during treatment period.

Outcome measures

Outcome measures
Measure
Group 1
n=65 Participants
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Group 2
n=36 Participants
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Cardiovascular Safety Including Measurement of Blood Pressure During Treatment Period (6 Months).
48 participants
13 participants

SECONDARY outcome

Timeframe: 6 months

Analysis of cytokines and angiogenic factors in plasma/serum at baseline and at 6 months (end of treatment).

Outcome measures

Outcome measures
Measure
Group 1
n=43 Participants
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Group 2
n=21 Participants
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Analysis of Cytokines and Angiogenic Factors in Plasma/Serum
13755 pg/ml
Interval 6570.0 to 25762.0
10179 pg/ml
Interval 6924.0 to 15333.0

Adverse Events

Group 2

Serious events: 5 serious events
Other events: 32 other events
Deaths: 0 deaths

Group 1

Serious events: 18 serious events
Other events: 63 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 2
n=36 participants at risk
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Group 1
n=66 participants at risk
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Cardiac disorders
Cardiac-ischemia
0.00%
0/36
1.5%
1/66
Vascular disorders
Hypertension
5.6%
2/36
19.7%
13/66
Gastrointestinal disorders
Diarrhea w/o prior colostomy
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Vomiting
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection w/ unk ANC peritoneal cavity
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection w/ unk ANC ungual (nails)
0.00%
0/36
1.5%
1/66
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/36
1.5%
1/66
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/36
1.5%
1/66
Musculoskeletal and connective tissue disorders
Musculoskeletal/soft tissue-other
2.8%
1/36
1.5%
1/66
Nervous system disorders
Syncope
2.8%
1/36
1.5%
1/66
Nervous system disorders
Head/headache
0.00%
0/36
1.5%
1/66
Respiratory, thoracic and mediastinal disorders
Bronchospasm- wheezing
0.00%
0/36
1.5%
1/66
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.8%
1/36
0.00%
0/66

Other adverse events

Other adverse events
Measure
Group 2
n=36 participants at risk
Androgen Deprivation Therapy Alone Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months
Group 1
n=66 participants at risk
Androgen Deprivation Therapy Plus Bevacizumab Androgen Deprivation Therapy: leuprolide: 22.5mg given IM every 3 months for a total of 6 months or, goserelin acetate: 10.8mg given SC every 3 months for a total of 6 months bicalutamide: 50mg orally daily for 6 months bevacizumab: 15mg/ks given IV every three weeks for a total of 8 infusions over 6 months
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
0.00%
0/36
6.1%
4/66
Immune system disorders
Allergy-other
0.00%
0/36
1.5%
1/66
Blood and lymphatic system disorders
Bone marrow cellularity
0.00%
0/36
1.5%
1/66
Blood and lymphatic system disorders
Hemoglobin
8.3%
3/36
4.5%
3/66
Investigations
Leukocytes
2.8%
1/36
0.00%
0/66
Investigations
Lymphopenia
0.00%
0/36
3.0%
2/66
Investigations
Platelets
0.00%
0/36
4.5%
3/66
Cardiac disorders
Sinus bradycardia
0.00%
0/36
1.5%
1/66
Cardiac disorders
Arrhythmia-other
0.00%
0/36
1.5%
1/66
Vascular disorders
Hypertension
0.00%
0/36
28.8%
19/66
General disorders
Fatigue
22.2%
8/36
57.6%
38/66
General disorders
Fever w/o neutropenia
0.00%
0/36
3.0%
2/66
Psychiatric disorders
Insomnia
2.8%
1/36
10.6%
7/66
General disorders
Rigors/chills
0.00%
0/36
1.5%
1/66
Skin and subcutaneous tissue disorders
Sweating
5.6%
2/36
4.5%
3/66
Investigations
Weight gain
2.8%
1/36
0.00%
0/66
Investigations
Weight loss
0.00%
0/36
3.0%
2/66
General disorders
Constitutional- other
0.00%
0/36
4.5%
3/66
Injury, poisoning and procedural complications
Bruising
2.8%
1/36
1.5%
1/66
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/36
9.1%
6/66
Skin and subcutaneous tissue disorders
Alopecia
2.8%
1/36
1.5%
1/66
Skin and subcutaneous tissue disorders
Hyperpigmentation
0.00%
0/36
1.5%
1/66
General disorders
Injection site reaction
0.00%
0/36
4.5%
3/66
Skin and subcutaneous tissue disorders
Pruritus/itching
0.00%
0/36
3.0%
2/66
Skin and subcutaneous tissue disorders
Rash/desquamation
2.8%
1/36
3.0%
2/66
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
0.00%
0/36
1.5%
1/66
Skin and subcutaneous tissue disorders
Skin-other
2.8%
1/36
7.6%
5/66
Vascular disorders
Hot flashes
69.4%
25/36
63.6%
42/66
Endocrine disorders
Hyopthyroidism
0.00%
0/36
1.5%
1/66
Endocrine disorders
Endocrine-other
0.00%
0/36
1.5%
1/66
Metabolism and nutrition disorders
Anorexia
0.00%
0/36
4.5%
3/66
Gastrointestinal disorders
Constipation
2.8%
1/36
13.6%
9/66
Gastrointestinal disorders
Dentures or dental prosthesis
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Diarrhea w/o prior colostomy
2.8%
1/36
7.6%
5/66
Gastrointestinal disorders
Dry mouth
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Dysphagia
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Esophagitis
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Fistula- Anus
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Flatulence
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Gastritis
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Hemorrhoids
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Incontinence- anal
2.8%
1/36
1.5%
1/66
Respiratory, thoracic and mediastinal disorders
Muco/stomatitis by exam- larynx
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Muco/stomatitis by exam- oral cavity
0.00%
0/36
3.0%
2/66
Gastrointestinal disorders
Muco/stomatitis (symptom) oral cavity
0.00%
0/36
3.0%
2/66
Gastrointestinal disorders
Muco/stomatitis (symptom) stomach
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Nausea
0.00%
0/36
3.0%
2/66
Gastrointestinal disorders
Salivary
0.00%
0/36
1.5%
1/66
Nervous system disorders
Taste disturbance
0.00%
0/36
3.0%
2/66
Gastrointestinal disorders
Ulcer- duodenum
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
GI-other
2.8%
1/36
3.0%
2/66
Gastrointestinal disorders
Lower GI- hemorrhage NOS
5.6%
2/36
3.0%
2/66
Gastrointestinal disorders
Oral cavity- hemorrhage
0.00%
0/36
6.1%
4/66
Gastrointestinal disorders
Rectum- hemorrhage
0.00%
0/36
1.5%
1/66
Renal and urinary disorders
Bladder- hemorrhage
0.00%
0/36
1.5%
1/66
Renal and urinary disorders
Urinary hemorrhage NOS
2.8%
1/36
3.0%
2/66
Respiratory, thoracic and mediastinal disorders
Nose- hemorrhage
2.8%
1/36
22.7%
15/66
Vascular disorders
Hemorrhage-other
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection Gr0-2 neut- bronchus
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection Gr0-2 neut- oral cavity
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection Gr0-2 neut- sinus
0.00%
0/36
3.0%
2/66
Infections and infestations
Infection Gr0-2 neut- upper airway
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection Gr0-2 neut- urinary tract
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection w/ unk ANC oral cavity/gums
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection w/ unk ANC sinus
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection w/ unk ANC urinary tract NOS
0.00%
0/36
1.5%
1/66
Infections and infestations
Infection-other
0.00%
0/36
3.0%
2/66
General disorders
Edema head and neck
0.00%
0/36
1.5%
1/66
General disorders
Edema limb
5.6%
2/36
6.1%
4/66
Blood and lymphatic system disorders
Lymphatics-other
0.00%
0/36
1.5%
1/66
Metabolism and nutrition disorders
Hypoalbuminemia
2.8%
1/36
0.00%
0/66
Investigations
Alkaline phosphatase
0.00%
0/36
1.5%
1/66
Investigations
ALT- SGPT
5.6%
2/36
6.1%
4/66
Investigations
AST- SGOT
5.6%
2/36
7.6%
5/66
Investigations
Bilirubin
0.00%
0/36
1.5%
1/66
Investigations
Hypercholesterolemia
2.8%
1/36
6.1%
4/66
Investigations
Creatinine
0.00%
0/36
9.1%
6/66
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/36
3.0%
2/66
Renal and urinary disorders
Hemoglobinuria
0.00%
0/36
1.5%
1/66
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/36
4.5%
3/66
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/36
3.0%
2/66
Renal and urinary disorders
Proteinuria
0.00%
0/36
10.6%
7/66
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/36
3.0%
2/66
Metabolism and nutrition disorders
Hypertriglyceridemia
2.8%
1/36
7.6%
5/66
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/36
6.1%
4/66
General disorders
Extremity-lower (gait/walking)
2.8%
1/36
0.00%
0/66
Musculoskeletal and connective tissue disorders
Extremity upper (function)
0.00%
0/36
1.5%
1/66
Musculoskeletal and connective tissue disorders
Joint-function
0.00%
0/36
3.0%
2/66
Musculoskeletal and connective tissue disorders
Nonneuropathic lower extr muscle weak
0.00%
0/36
1.5%
1/66
Musculoskeletal and connective tissue disorders
Nonneuropathic upper extr muscle weak
0.00%
0/36
1.5%
1/66
Musculoskeletal and connective tissue disorders
Nonneuropathic generalized weakness
2.8%
1/36
3.0%
2/66
Musculoskeletal and connective tissue disorders
Musculoskeletal/soft tissue-other
2.8%
1/36
1.5%
1/66
Nervous system disorders
Ataxia
0.00%
0/36
1.5%
1/66
Nervous system disorders
Cognitive disturbance
2.8%
1/36
3.0%
2/66
Psychiatric disorders
Confusion
0.00%
0/36
1.5%
1/66
Nervous system disorders
Dizziness
5.6%
2/36
7.6%
5/66
Nervous system disorders
Memory impairment
0.00%
0/36
1.5%
1/66
Psychiatric disorders
Agitation
0.00%
0/36
3.0%
2/66
Psychiatric disorders
Anxiety
0.00%
0/36
1.5%
1/66
Psychiatric disorders
Depression
2.8%
1/36
3.0%
2/66
Eye disorders
Neuropathy CN II vision
0.00%
0/36
1.5%
1/66
Nervous system disorders
Neuropathy CN IX pharynx ear tongue
0.00%
0/36
1.5%
1/66
Nervous system disorders
Neuropathy-sensory
0.00%
0/36
16.7%
11/66
Nervous system disorders
Neurologic-other
0.00%
0/36
3.0%
2/66
Eye disorders
Glaucoma
2.8%
1/36
0.00%
0/66
Eye disorders
Vision-blurred
0.00%
0/36
1.5%
1/66
Eye disorders
Ocular-other
2.8%
1/36
1.5%
1/66
Gastrointestinal disorders
Abdomen- pain
0.00%
0/36
3.0%
2/66
Gastrointestinal disorders
Anus- pain
0.00%
0/36
1.5%
1/66
Musculoskeletal and connective tissue disorders
Back- pain
5.6%
2/36
7.6%
5/66
Musculoskeletal and connective tissue disorders
Buttock- pain
0.00%
0/36
1.5%
1/66
Musculoskeletal and connective tissue disorders
Chest wall- pain
0.00%
0/36
3.0%
2/66
General disorders
Chest/thoracic pain NOS
0.00%
0/36
3.0%
2/66
Musculoskeletal and connective tissue disorders
Extremity-limb- pain
2.8%
1/36
13.6%
9/66
Nervous system disorders
Head/headache
5.6%
2/36
42.4%
28/66
Musculoskeletal and connective tissue disorders
Joint- pain
5.6%
2/36
22.7%
15/66
Musculoskeletal and connective tissue disorders
Muscle- pain
0.00%
0/36
9.1%
6/66
Musculoskeletal and connective tissue disorders
Neck- pain
0.00%
0/36
3.0%
2/66
Nervous system disorders
Neuropathic- pain
0.00%
0/36
1.5%
1/66
Gastrointestinal disorders
Oral cavity- pain
0.00%
0/36
1.5%
1/66
Skin and subcutaneous tissue disorders
Scalp- pain
0.00%
0/36
1.5%
1/66
Reproductive system and breast disorders
Scrotum- pain
0.00%
0/36
1.5%
1/66
Respiratory, thoracic and mediastinal disorders
Throat/pharynx/larynx- pain
0.00%
0/36
1.5%
1/66
General disorders
Pain-other
0.00%
0/36
9.1%
6/66
Respiratory, thoracic and mediastinal disorders
Cough
2.8%
1/36
7.6%
5/66
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/36
3.0%
2/66
Respiratory, thoracic and mediastinal disorders
Nasal cavity/paranasal sinus reaction
2.8%
1/36
1.5%
1/66
Respiratory, thoracic and mediastinal disorders
Obstruction- airway-bronchus
0.00%
0/36
1.5%
1/66
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
0.00%
0/36
15.2%
10/66
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory-other
0.00%
0/36
7.6%
5/66
Renal and urinary disorders
Incontinence urinary
2.8%
1/36
4.5%
3/66
Renal and urinary disorders
Urinary frequency/urgency
11.1%
4/36
22.7%
15/66
Renal and urinary disorders
Urinary retention
0.00%
0/36
1.5%
1/66
Renal and urinary disorders
Renal/GU-other
2.8%
1/36
3.0%
2/66
Injury, poisoning and procedural complications
Intra-op injury Face NOS
0.00%
0/36
1.5%
1/66
Reproductive system and breast disorders
Erectile impotence
0.00%
0/36
1.5%
1/66
Psychiatric disorders
Libido
2.8%
1/36
0.00%
0/66

Additional Information

Mary-Ellen Taplin, MD

Dana Farber Cancer Institute

Phone: 617-632-6328

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place