A Study of Bevacizumab (Avastin) in Combination With Temozolomide (TMZ) and Radiotherapy in Paediatric and Adolescent Participants With High-Grade Glioma
NCT01390948 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 124
Last updated 2020-08-06
Summary
This randomized, open-label, multicenter, 2-arm study will investigate the efficacy, safety, tolerability and pharmacokinetics of bevacizumab when added to postoperative radiotherapy with concomitant and adjuvant TMZ as compared to postoperative radiotherapy with concomitant and adjuvant TMZ alone in paediatric participants with newly diagnosed histologically confirmed World Health Organization (WHO) Grade III or IV localized supratentorial or infratentorial cerebellar or peduncular high grade glioma (HGG). Participants will be randomly assigned to one of two treatment arms.
Upon approval by the Health Authorities/Ethics Committees in the participating countries, an additional young participant cohort (YPC) (children \>/= 6 months and \< 3 years of age with progressive or relapsed metastatic or localized, supra- or infratentorial, non-brain stem WHO Grade III or IV HGG) was included in the study. Children in the YPC will receive bevacizumab and TMZ without radiation therapy. The anticipated time on study treatment is over 1 year.
Conditions
Interventions
- DRUG
-
10 milligrams per kilogram every 2 weeks during the study for up to 12 cycles, each cycle length of 28 days
- RADIATION
-
Radiotherapy
Total dose of 54 Grey (Gy) units delivered in 30 daily fractions of 1.8 Gy over 6 weeks during the chemoradiation phase.
- DRUG
-
Temozolomide (TMZ)
75 milligrams per square meter (mg/m\^2) daily continuous starting concomitantly with the first radiation fraction and ending with the last radiation fraction for a maximum number of treatment days = 49 days. During the TMZ adjuvant treatment phase and for participants from YPC: TMZ (150 to 200 mg/m\^2/day) x 12 cycles, 1st cycle 150 mg/m\^2/days 1-5, escalated to 200 mg/m\^2 on Days 1-5 from Cycle 2 onwards depending on the tolerance during the 1st cycle. Cycle length = 28 days.
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Clinical Trials · Hoffmann-La Roche
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Months
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-10-18
- Primary Completion
- 2016-02-05
- Completion
- 2020-01-29
Countries
- Australia
- Austria
- Belgium
- Canada
- Czechia
- Denmark
- France
- Hungary
- Italy
- Netherlands
- Poland
- Spain
- Sweden
- United Kingdom
Study Locations
More Related Trials
-
Hypofractionated Intensity-Modulated Radiation Therapy With Temozolomide and Bevacizumab for Glioblastoma Multiforme
NCT01209442 ·Status: COMPLETED ·Phase: PHASE2
-
A Comparison of Continuous Bevacizumab (Avastin) Treatment or Placebo in Addition to Lomustine Followed by Standard of Care After Disease Progression in Participants With Glioblastoma
NCT01860638 ·Status: COMPLETED ·Phase: PHASE2
-
Avastin/Radiation (XRT)/Temozolomide (Temodar) Followed by Avastin/Temodar/Topotecan for Glioblastoma
NCT01004874 ·Status: COMPLETED ·Phase: PHASE2
-
The Role of Bevacizumab in the Treatment of Radiation Necrosis in Children With Central Nervous System Tumors
NCT01201850 ·Status: TERMINATED ·Phase: NA
-
Bevacizumab in Combination With Metronomic Temozolomide for Recurrent Malignant Glioma
NCT00501891 ·Status: COMPLETED ·Phase: PHASE2
-
Bevacizumab and Irinotecan or Bevacizumab and Temozolomide With Concomitant Radiotherapy for Primary Glioblastoma Multiforme (GBM)
NCT00817284 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Bevacizumab and Extended Treatment of Temozolomide in Patients With Recurrent Glioblastoma Multiforme
NCT01115491 ·Status: COMPLETED ·Phase: PHASE2
-
Repeated Super-Selective Intraarterial Cerebral Infusion of Bevacizumab (Avastin) for Treatment of Newly Diagnosed GBM
NCT01811498 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Bi-weekly Temozolomide Plus Bevacizumab for Adult Patients With Recurrent Glioblastoma Multiforme
NCT00883298 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of the Irinotecan/Bevacizumab Association for Naive Unresectable Glioblastoma
NCT01022918 ·Status: COMPLETED ·Phase: PHASE2
-
Upfront Bevacizumab/témozolomide for Gliomastomas With Neurological Impairment
NCT03623347 ·Status: COMPLETED
-
Safety & Efficacy Study of TPI 287 + Avastin in Adults With Glioblastoma That Progressed Following Prior Avastin Therapy
NCT02047214 ·Status: TERMINATED ·Phase: PHASE2
-
Neo-adjuvant Treatment With Temozolomide and Bevacizumab Previous to Temozolomide Plus Radiation Plus Bevacizumab Therapy in Unresectable Glioblastoma
NCT01102595 ·Status: COMPLETED ·Phase: PHASE2
-
Temozolomide and Radiation Therapy With or Without Bevacizumab in Treating Patients With Newly Diagnosed Glioblastoma
NCT00884741 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of Bevacizumab Therapy in Patients With Newly Diagnosed High-Grade Gliomas and Diffuse Intrinsic Pontine Gliomas
NCT00890786 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Repeated Superselective Intraarterial Cerebral Infusion (SIACI) of Bevacizumab With Temozolomide and Radiation Compared to Temozolomide and Radiation Alone in Newly Diagnosed GBM
NCT05271240 ·Status: RECRUITING ·Phase: PHASE3
-
Repeated Super-selective Intraarterial Cerebral Infusion of Bevacizumab (Avastin) for Treatment of Relapsed GBM and AA
NCT01269853 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Bevacizumab, Temozolomide and Hypofractionated Radiotherapy for Patients With Newly Diagnosed Malignant Glioma
NCT00782756 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of Hypofractionated XRT w/Bev. + Temozolomide for Recurrent Gliomas
NCT01478321 ·Status: TERMINATED ·Phase: PHASE2
-
Super-Selective Intraarterial Intracranial Infusion of Bevacizumab (Avastin) for Glioblastoma Multiforme
NCT02285959 ·Status: UNKNOWN ·Phase: PHASE1
-
Dose-Escalation Study of TPI 287 + Avastin Followed by Randomized Study of the Same Versus Avastin for Glioblastoma
NCT01933815 ·Status: SUSPENDED ·Phase: PHASE1/PHASE2
-
Stage 1: Marizomib + Bevacizumab in WHO Gr IV GBM; Stage 2: Marizomib Alone; Stage 3: Combination of Marizomib and Bevacizumab
NCT02330562 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Gliadel, XRT, Temodar, Avastin Followed by Avastin, Temodar for Newly Diagnosed Glioblastoma Multiforme (GBM)
NCT01186406 ·Status: TERMINATED ·Phase: PHASE2
-
Adult Study: ABT-414 Alone or ABT-414 Plus Temozolomide vs. Lomustine or Temozolomide for Recurrent Glioblastoma Pediatric Study: Evaluation of ABT-414 in Children With High Grade Gliomas
NCT02343406 ·Status: COMPLETED ·Phase: PHASE2
-
Bevacizumab, Temozolomide, and External Beam Radiation Therapy as First-Line Therapy in Treating Patients With Newly Diagnosed Glioblastoma Multiforme or Gliosarcoma
NCT01013285 ·Status: COMPLETED ·Phase: PHASE2