Trial Outcomes & Findings for A Study of Avastin (Bevacizumab) in Combination With Low-Dose-Interferon in Patients With Metastatic Clear Cell Renal Cell Carcinoma (RCC). (NCT NCT00796757)
NCT ID: NCT00796757
Last Updated: 2015-05-27
Results Overview
PFS at 12 and 24 months is an estimate of the percentages of participants expected to be progression free at 12 and 24 months based on Kaplan-Meier survival analysis of the PFS data. PFS was defined as the time period from the first postbaseline tumor assessment to evidence of disease progression or death from any cause, whichever occurred first. Disease progression included evaluation solely due to symptomatic deterioration or death due to any reason. Censoring at start of any subsequent antineoplastic therapy was not performed.
COMPLETED
PHASE2
146 participants
12 and 24 months
2015-05-27
Participant Flow
Participant milestones
| Measure |
Bevacizumab Plus (+) Interferon
Participants received bevacizumab 5 milligrams per kilogram (mg/kg) intravenously (IV) on Day 1 and Interferon alpha-2a (IFN) 3 million international units (MIU) subcutaneously (SC) 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
Overall Study
STARTED
|
146
|
|
Overall Study
COMPLETED
|
60
|
|
Overall Study
NOT COMPLETED
|
86
|
Reasons for withdrawal
| Measure |
Bevacizumab Plus (+) Interferon
Participants received bevacizumab 5 milligrams per kilogram (mg/kg) intravenously (IV) on Day 1 and Interferon alpha-2a (IFN) 3 million international units (MIU) subcutaneously (SC) 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
Overall Study
Withdrawal by Subject
|
14
|
|
Overall Study
Death
|
61
|
|
Overall Study
Protocol Violation
|
1
|
|
Overall Study
Participant noncompliance
|
1
|
|
Overall Study
Investigator's decision
|
2
|
|
Overall Study
Other
|
7
|
Baseline Characteristics
A Study of Avastin (Bevacizumab) in Combination With Low-Dose-Interferon in Patients With Metastatic Clear Cell Renal Cell Carcinoma (RCC).
Baseline characteristics by cohort
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
Age, Continuous
|
61.1 years
STANDARD_DEVIATION 10.37 • n=99 Participants
|
|
Sex: Female, Male
Female
|
48 Participants
n=99 Participants
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|
Sex: Female, Male
Male
|
98 Participants
n=99 Participants
|
PRIMARY outcome
Timeframe: 12 and 24 monthsPopulation: ITT population
PFS at 12 and 24 months is an estimate of the percentages of participants expected to be progression free at 12 and 24 months based on Kaplan-Meier survival analysis of the PFS data. PFS was defined as the time period from the first postbaseline tumor assessment to evidence of disease progression or death from any cause, whichever occurred first. Disease progression included evaluation solely due to symptomatic deterioration or death due to any reason. Censoring at start of any subsequent antineoplastic therapy was not performed.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
Progression-Free Survival (PFS) - Percentage of Participants Estimated to be Progression Free at 12 and 24 Months
24 months
|
28.9 percentage of participants
Interval 20.8 to 36.9
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|
Progression-Free Survival (PFS) - Percentage of Participants Estimated to be Progression Free at 12 and 24 Months
12 months
|
58.2 percentage of participants
Interval 49.9 to 66.6
|
PRIMARY outcome
Timeframe: Baseline, every 8 weeks to Week 32 then every 12 weeks to disease progression or a maximum of 2 years from enrollment of last participantPopulation: ITT population
PFS was defined as the time period from the first postbaseline assessment tumor assessment to evidence of disease progression or death from any cause, whichever occurred first. Disease progression included evaluation solely due to symptomatic deterioration or death due to any reason. Censoring at start of any subsequent antineoplastic therapy was not performed.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
PFS - Percentage of Participants With an Event
|
69.2 percentage of participants
|
PRIMARY outcome
Timeframe: Baseline, every 8 weeks to Week 32 then every 12 weeks to disease progression or a maximum of 2 years from enrollment of last participantPopulation: ITT population
PFS was defined as the time period from the first postbaseline assessment tumor assessment to evidence of disease progression or death from any cause, whichever occurred first. Disease progression included evaluation solely due to symptomatic deterioration or death due to any reason. Censoring at start of any subsequent antineoplastic therapy was not performed.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
PFS - Time to Event
|
15.3 months
Interval 11.7 to 18.0
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SECONDARY outcome
Timeframe: Baseline, every 8 weeks to Week 32 then every 12 weeks to disease progression or a maximum of 2 years from enrollment of last participantPopulation: ITT population; only participants with measurable disease were included in the analysis.
Percentage of participants with objective response, termed responders, based assessment of confirmed CR or confirmed PR according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses were those that persisted on repeat imaging study greater than or equal to (≥)4 weeks after initial documentation of response. CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must have decreased to normal (short axis less than \[\<\]10 millimeters \[mm\]). No new lesions. PR was defined as ≥30 percent (%) decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=139 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
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Percentage of Participants With a Best Overall Response of Complete Reponse (CR) or Partial Response (PR)
|
28.8 percentage of participants
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SECONDARY outcome
Timeframe: Day 0, every 2 weeks until disease progression or end of treatment visit (28 days after last bevacizumab infusion, every 3 months during follow-up, or a maximum of 2 years from enrollment of last participantPopulation: ITT population
OS at 12 and 24 months is the estimate of the percentages of participants expected to alive at 12 and 24 months based on Kaplan-Meier survival analysis of the survival data. Median OS was defined as the time period from the first bevacizumab infusion to death from any cause. Censoring at start of any subsequent antineoplastic therapy was not performed.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
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Overall Survival (OS) - Percentage of Participants Estimated to be Alive at 12 and 24 Months
12 months
|
84.1 percentage of participants
Interval 78.0 to 90.2
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|
Overall Survival (OS) - Percentage of Participants Estimated to be Alive at 12 and 24 Months
24 months
|
59.6 percentage of participants
Interval 51.0 to 68.2
|
SECONDARY outcome
Timeframe: Day 0, every 2 weeks until disease progression or end of treatment visit (28 days after last bevacizumab infusion, every 3 months during follow-up, or a maximum of 2 years from enrollment of last participantPopulation: ITT population
OS was defined as the time period from the first bevacizumab infusion to death from any cause. Censoring at start of any subsequent antineoplastic therapy was not performed.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
OS - Percentage of Participants With an Event
|
41.8 percentage of participants
|
SECONDARY outcome
Timeframe: Day 0, every 2 weeks until disease progression or end of treatment visit (28 days after last bevacizumab infusion, every 3 months during follow-up, or a maximum of 2 years from enrollment of last participantPopulation: ITT population
OS was defined as the time period from the first bevacizumab infusion to death from any cause. Censoring at start of any subsequent antineoplastic therapy was not performed.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=146 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
|
OS - Time to Event
|
30.7 months
Interval 25.7 to
The upper limit of the 95% confidence interval (CI) could not be estimated because the follow-up time was too short to observe enough survival events for complete data estimation.
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SECONDARY outcome
Timeframe: Screening/Baseline, Cycle 7, Cycle 25, Cycle 43, Cycle 61, and End of Treatment (EOT)Population: ITT population; number (n) equals (=) number of participants assessed for the specified parameter at a given visit.
EQ-5D is a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a single index value characterizing current health status using a 100-point visual analog scale (0=worst, 100=best). Answers from the questionnaire for each dimension (mobility, self-care, usual activity, pain/discomfort, and anxiety/depression) was classified into one of 2 categories: 'no problems' or 'any problems', and the percentage of participants in each category was determined.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=145 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
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|---|---|
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Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, any problems, Cycle 25 (n=69)
|
53.6 percentage of participants
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|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, no problems, Cycle 43 (n=36)
|
33.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, any problems, Cycle 43 (n=36)
|
66.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, no problems, Cycle 61 (n=22)
|
45.5 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, any problems, Cycle 61 (n=22)
|
54.5 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, no problems, EOT (n=78)
|
33.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, any problems, EOT (n=78)
|
66.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, no problems, Baseline (n=145)
|
48.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, any problems, Baseline (n=145)
|
51.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, no problems, Cycle 7 (n=106)
|
49.1 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, any problems, Cycle 7 (n=106)
|
50.9 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, no problems, Cycle 25 (n=69)
|
53.6 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, any problems, Cycle 25 (n=69)
|
46.4 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, no problems, Cycle 43 (n=36)
|
50.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, any problems, Cycle 43 (n=36)
|
50.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, no problems, Cycle 61 (n=22)
|
50.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, any problems, Cycle 61 (n=22)
|
50.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, no problems, EOT (n=80)
|
33.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Pain/discomfort, any problems, EOT (n=80)
|
66.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, no problems, Baseline (n=144)
|
45.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, any problems, Baseline (n=144)
|
54.2 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, no problems, Cycle 7 (n=106)
|
55.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, any problems, Cycle 7 (n=106)
|
44.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, no problems, Cycle 25 (n=69)
|
62.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, any problems, Cycle 25 (n=69)
|
37.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, no problems, Cycle 43 (n=36)
|
61.1 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, any problems, Cycle 43 (n=36)
|
38.9 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, no problems, Cycle 61 (n=22)
|
59.1 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, any problems, Cycle 61 (n=22)
|
40.9 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, no problems, EOT (n=80)
|
45.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Anxiety/depression, any problems, EOT (n=80)
|
55.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, no problems, Baseline (n=142)
|
69.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, any problems, Baseline (n=142)
|
31.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, no problems, Cycle 7 (n=106)
|
64.2 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, any problems, Cycle 7 (n=106)
|
35.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, no problems, Cycle 25 (n=69)
|
58.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, any problems, Cycle 25 (n=69)
|
42.0 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, no problems, Cycle 43 (n=36)
|
38.9 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, any problems, Cycle 43 (n=36)
|
61.1 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, no problems, Cycle 61 (n=22)
|
40.9 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, any problems, Cycle 61 (n=22)
|
59.1 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, no problems, EOT (n=82)
|
41.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Mobility, any problems, EOT (n=82)
|
58.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, no problems, Baseline (n=145)
|
82.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, any problems, Baseline (n=145)
|
17.2 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, no problems, Cycle 7 (n=106)
|
81.1 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, any problems, Cycle 7 (n=106)
|
18.9 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, no problems, Cycle 25 (n=69)
|
81.2 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, any problems, Cycle 25 (n=69)
|
18.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, no problems, Cycle 43 (n=36)
|
69.4 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, any problems, Cycle 43 (n=36)
|
30.6 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, no problems, Cycle 61 (n=22)
|
77.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, any problems, Cycle 61 (n=22)
|
22.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, no problems, EOT (n=80)
|
63.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Self-care, any problems, EOT (n=80)
|
36.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, no problems, Baseline (n=145)
|
60.7 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, any problems, Baseline (n=145)
|
39.3 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, no problems, Cycle 7 (n=106)
|
53.8 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, any problems, Cycle 7 (n=106)
|
46.2 percentage of participants
|
|
Percentage of Participants With Any Health Problems as Assessed by the European Quality of Life 5 Dimensions (EQ-5D) by Visit
Usual activity, no problems, Cycle 25 (n=69)
|
46.4 percentage of participants
|
SECONDARY outcome
Timeframe: Screening/Baseline, Cycle 7, Cycle 25, Cycle 43, Cycle 61, and EOTPopulation: ITT population; n=number of participants assessed for the specified parameter at a given visit.
EQ-5D: participant-rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 millimeters (mm) (best imaginable health state); higher scores indicate a better health state. Participants were asked to rate their health state and mark the line; the distance from the left edge was recorded. For change from baseline a negative value represents a worsening in the health state and a positive value represents an improvement in the health state.
Outcome measures
| Measure |
Bevacizumab + Interferon
n=140 Participants
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
|
|---|---|
|
EQ-5D - Visual Analog Scale (VAS)
Baseline (n=140)
|
71.2 mm
Standard Deviation 17.27
|
|
EQ-5D - Visual Analog Scale (VAS)
Cycle 7 (n=103)
|
71.8 mm
Standard Deviation 13.63
|
|
EQ-5D - Visual Analog Scale (VAS)
Change at Cycle 7 (n=99)
|
-1.8 mm
Standard Deviation 14.54
|
|
EQ-5D - Visual Analog Scale (VAS)
Cycle 25 (n=68)
|
72.4 mm
Standard Deviation 15.46
|
|
EQ-5D - Visual Analog Scale (VAS)
Change at Cycle 25 (n=67)
|
-2.3 mm
Standard Deviation 17.84
|
|
EQ-5D - Visual Analog Scale (VAS)
Cycle 43 (n=36)
|
71.3 mm
Standard Deviation 17.12
|
|
EQ-5D - Visual Analog Scale (VAS)
Change at Cycle 43 (n=36)
|
-0.9 mm
Standard Deviation 20.12
|
|
EQ-5D - Visual Analog Scale (VAS)
Cycle 61 (n=22)
|
70.5 mm
Standard Deviation 15.74
|
|
EQ-5D - Visual Analog Scale (VAS)
Change at Cycle 61 (n=22)
|
-1.7 mm
Standard Deviation 20.41
|
|
EQ-5D - Visual Analog Scale (VAS)
EOT (n=79)
|
65.2 mm
Standard Deviation 19.72
|
|
EQ-5D - Visual Analog Scale (VAS)
Change at EOT (n=77)
|
-7.7 mm
Standard Deviation 15.73
|
Adverse Events
Bevacizumab + Interferon
Serious adverse events
| Measure |
Bevacizumab + Interferon
n=146 participants at risk
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
|
|---|---|
|
Infections and infestations
Abscess
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Infections and infestations
Cystitis
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Infections and infestations
Erysipelas
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Infections and infestations
Peritonsillar abscess
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Infections and infestations
Respiratory tract infection
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Vomiting
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Haemorrhoids
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Rectal haemorrhage
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Syncope
|
1.4%
2/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Headache
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Cerebral haemorrhage
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Cerebrovascular stenosis
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Haemorrhage intracranial
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Loss of consciousness
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Paraesthesia
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
General disorders
Asthenia
|
2.1%
3/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
General disorders
Fatigue
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
General disorders
Pyrexia
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Psychiatric disorders
Depression
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Psychiatric disorders
Panic attack
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Vascular disorders
Hypertension
|
1.4%
2/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Injury, poisoning and procedural complications
Overdose
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Injury, poisoning and procedural complications
Skull fracture
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Injury, poisoning and procedural complications
Spinal fracture
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Metabolism and nutrition disorders
Hypercalcaemia
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Metabolism and nutrition disorders
Hyponatraemia
|
1.4%
2/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Metabolism and nutrition disorders
Electrolyte imbalance
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Cardiac disorders
Cardiac arrest
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Endocrine disorders
Hyperthyroidism
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Endocrine disorders
Inappropriate antidiuretic hormone secretion
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Immune system disorders
Drug hypersensitivity
|
0.68%
1/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
Other adverse events
| Measure |
Bevacizumab + Interferon
n=146 participants at risk
Participants received bevacizumab 5 mg/kg IV on Day 1 and IFN 3 MIU SC 3 times per week with at least 1 day between injections. This cycle lasted for 2 weeks and was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
|
|---|---|
|
General disorders
Pyrexia
|
19.2%
28/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
General disorders
Fatigue
|
28.1%
41/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
General disorders
Asthenia
|
10.3%
15/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
General disorders
Chills
|
8.9%
13/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Nausea
|
8.9%
13/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Diarrhoea
|
8.9%
13/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Vomiting
|
6.8%
10/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Gastrointestinal disorders
Stomatitis
|
6.8%
10/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Respiratory, thoracic and mediastinal disorders
Epistaxis
|
13.7%
20/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Vascular disorders
Hypertension
|
34.9%
51/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Metabolism and nutrition disorders
Decreased appetite
|
11.6%
17/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Nervous system disorders
Headache
|
14.4%
21/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Blood and lymphatic system disorders
Thrombocytopenia
|
11.0%
16/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Blood and lymphatic system disorders
Neutropenia
|
5.5%
8/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Blood and lymphatic system disorders
Leukopenia
|
6.8%
10/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Infections and infestations
Nasopharyngitis
|
5.5%
8/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Renal and urinary disorders
Proteinuria
|
43.2%
63/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Investigations
Weight decreased
|
5.5%
8/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
|
Investigations
Blood creatinine increased
|
5.5%
8/146 • Adverse events (AEs) were recorded from the date of first administration of bevacizumab until 28 days after the last administration of bevacizumab and/or IFN.
All Grade \>3 AEs documented. Only Grade 1/2 AEs related to bevacizumab and/or IFN occurring from first bevacizumab administration up to 28 days after last dose were documented.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The Study being conducted under this agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request the Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
- Publication restrictions are in place
Restriction type: OTHER