A Phase III Randomized Study of Imatinib, With or Without Bevacizumab (NSC-704865), in Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumors
PRIMARY OBJECTIVES:
I. Compare the progression-free survival of patients with metastatic or unresectable
gastrointestinal stromal tumor treated with imatinib mesylate with vs without bevacizumab.
II. Compare the response probabilities (in patients with measurable disease) and overall
survival rates in patients treated with these regimens.
III. Compare the frequency and severity of toxicities associated with these regimens in
these patients.
IV. Correlate soluble vascular endothelial growth factor (VEGF), VEGF-D, VEGF receptor
(VEGFR)-1, VEGFR-2, angiopoietin-2, platelet-derived growth factor receptor (PDGFR)-AA and
PDGFR-BB levels, positron-emission tomography imaging, and immunohistochemistry for p16,
VEGF, and VEGFR with kinase mutation status and clinical outcomes.
V. Examine the pharmacokinetics of imatinib mesylate with single nucleotide polymorphisms
involving the ABCG2 and CYP3A4 genes, as well as other genes that are reported to influence
the absorption, distribution, metabolism, and elimination of imatinib mesylate.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to
Zubrod performance status (0 vs 1-3) and disease status (measurable vs non-measurable).
Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive oral imatinib mesylate once daily on days 1-21 and bevacizumab IV
over 30-90 minutes on day 1.
ARM II: Patients receive oral imatinib mesylate once daily on days 1-21.
In both arms, courses repeat every 21 days in the absence of disease progression or
unacceptable toxicity.
Blood* is obtained at baseline, periodically during study treatment, and at disease
progression. Blood is analyzed for angiogenesis-related soluble factors, kinase genotyping,
pharmacokinetics, and pharmacogenomics.
[Note: *Samples are no longer considered mandatory for study as of 5/29/2009.]
After completion of study treatment, patients are followed periodically for up to 7 years.
Interventional
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Investigator-assessed progression-free survival
Analyzed using stratified logrank statistic, calculated from the stratified Cox-model.
Up to 7 years
No
Charles Blanke
Principal Investigator
Southwest Oncology Group
United States: Food and Drug Administration
NCI-2009-00776
NCT00324987
April 2008
Name | Location |
---|---|
Roswell Park Cancer Institute | Buffalo, New York 14263 |
Fox Chase Cancer Center | Philadelphia, Pennsylvania 19111 |
University of Washington Medical Center | Seattle, Washington 98195-6043 |
Hurley Medical Center | Flint, Michigan 48503 |
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
Hutchinson Area Health Care | Hutchinson, Minnesota 55350 |
Meeker County Memorial Hospital | Lichfield, Minnesota 55355 |
Rapid City Regional Hospital | Rapid City, South Dakota 57709 |
Marshfield Clinic | Marshfield, Wisconsin 54449 |
Sutter Health Western Division Cancer Research Group | Greenbrae, California 94904 |
South Georgia Medical Center | Valdosta, Georgia 31603 |
Virginia Piper Cancer Institute | Minneapolis, Minnesota 55407 |
Via Christi Regional Medical Center | Wichita, Kansas 67214 |
Iowa Methodist Medical Center | Des Moines, Iowa 50309 |
Iowa Lutheran Hospital | Des Moines, Iowa 50316-2301 |
Group Health Cooperative | Seattle, Washington 98112 |
Great Falls Clinic | Great Falls, Montana 59405 |
Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium | Seattle, Washington 98109 |
Cancer Center of Kansas - Chanute | Chanute, Kansas 66720 |
Cancer Center of Kansas - Dodge City | Dodge City, Kansas 67801 |
Cancer Center of Kansas - Newton | Newton, Kansas 67114 |
Cancer Center of Kansas - Salina | Salina, Kansas 67042 |
Cancer Center of Kansas - Wellington | Wellington, Kansas 67152 |
Associates in Womens Health | Wichita, Kansas 67203 |
Cancer Center of Kansas - Winfield | Winfield, Kansas 67156 |
Northern Rockies Radiation Oncology Center | Billings, Montana 59101 |
Bozeman Deaconess Hospital | Bozeman, Montana 59715 |
Kalispell Medical Oncology | Kalispell, Montana 59901 |
Kalispell Regional Medical Center | Kalispell, Montana 59901 |
Harborview Medical Center | Seattle, Washington 98104 |
Cancer Care Northwest - Spokane South | Spokane, Washington 99202 |
Welch Cancer Center | Sheridan, Wyoming 82801 |
Sutter Solano Medical Center | Vallejo, California 94589 |
Genesis Medical Center - West Campus | Davenport, Iowa 52804 |
Salina Regional Health Center | Salina, Kansas 67401 |
Community Cancer Center of Monroe | Monroe, Michigan 48162 |
Bismarck Cancer Center | Bismarck, North Dakota 58501 |
Grandview Hospital | Dayton, Ohio 45405 |
Lima Memorial Hospital | Lima, Ohio 45804 |
Mercy Hospital of Tiffin | Tiffin, Ohio 44883 |
Fulton County Health Center | Wauseon, Ohio 43567 |
Medical Oncology and Hematology Associates | Des Moines, Iowa 50309 |
Bixby Medical Center | Adrian, Michigan 49221 |
Saint Joseph Mercy Hospital | Ann Arbor, Michigan 48106 |
Regions Hospital | Saint Paul, Minnesota 55101 |
Saint Francis Regional Medical Center | Shakopee, Minnesota 55379 |
Saint Luke's Hospital | Maumee, Ohio 43537 |
Miami Valley Hospital | Dayton, Ohio 45409 |
Cancer Center of Kansas - Fort Scott | Fort Scott, Kansas 66701 |
Cancer Center of Kansas-Independence | Independence, Kansas 67301 |
Lawrence Memorial Hospital | Lawrence, Kansas 66044 |
Bozeman Deaconess Cancer Center | Bozeman, Montana 59715 |
Northern Montana Hospital | Havre, Montana 59501 |
Wayne Hospital | Greenville, Ohio 45331 |
Clinton Memorial Hospital | Wilmington, Ohio 45177 |
Adventist Medical Center | Portland, Oregon 97216 |
Marshfield Clinic Cancer Care at Regional Cancer Center | Eau Claire, Wisconsin 54701 |
Saint Joseph's Hospital | Marshfield, Wisconsin 54449 |
Marshfield Clinic - Weston Center | Weston, Wisconsin 54476 |
Diagnostic and Treatment Center | Weston, Wisconsin 54476 |
Marshfield Clinic - Wisconsin Rapids Center | Wisconsin Rapids, Wisconsin 54494 |
Greene Memorial Hospital | Xenia, Ohio 45385 |
Memorial Medical Center | Springfield, Illinois 62781 |
La Grange Memorial Hospital | La Grange, Illinois 60525 |
Guardian Oncology and Center for Wellness | Missoula, Montana 59804 |
Woodwinds Health Campus | Woodbury, Minnesota 55125 |
Hennepin County Medical Center | Minneapolis, Minnesota |
University of Rochester | Rochester, New York 14642 |
Glens Falls Hospital | Glens Falls, New York 12801 |
California Pacific Medical Center | San Francisco, California 94115 |
Mid Dakota Clinic | Bismarck, North Dakota 58501 |
Wichita CCOP | Wichita, Kansas 67214-3882 |
Montana Cancer Consortium CCOP | Billings, Montana 59101 |
Flower Hospital | Sylvania, Ohio 43560-2197 |
Providence Hospital | Southfield, Michigan 48075 |
Decatur Memorial Hospital | Decatur, Illinois 62526 |
Montana Cancer Specialists | Missoula, Montana 59807-7877 |
Memorial Health University Medical Center | Savannah, Georgia 31404 |
University of Chicago Comprehensive Cancer Center | Chicago, Illinois 60637-1470 |
University of Southern California | Los Angeles, California 90033 |
University of Cincinnati | Cincinnati, Ohio 45267-0502 |
Mills - Peninsula Hospitals | Burlingame, California 94010 |
Lombardi Comprehensive Cancer Center at Georgetown University | Washington, District of Columbia 20057 |
John B Amos Cancer Center | Columbus, Georgia 31904 |
Rush - Copley Medical Center | Aurora, Illinois 60504 |
Resurrection Healthcare | Chicago, Illinois 60631 |
Joliet Oncology-Hematology Associates Limited | Joliet, Illinois 60435 |
Carle Clinic-Urbana Main | Urbana, Illinois 61801 |
Saint Francis Hospital and Health Centers | Beech Grove, Indiana 46107 |
Saint Anthony Memorial Health Center | Michigan City, Indiana 46360 |
Reid Hospital and Health Care Services | Richmond, Indiana 47374 |
McFarland Clinic | Ames, Iowa 50010 |
Medical Oncology and Hematology Associates-West Des Moines | Clive, Iowa 50325 |
Genesis Medical Center - East Campus | Davenport, Iowa 52803 |
Iowa Oncology Research Association CCOP | Des Moines, Iowa 50309 |
Mercy Capitol | Des Moines, Iowa 50307 |
Mercy Medical Center - Des Moines | Des Moines, Iowa 50314 |
Medical Oncology and Hematology Associates-Des Moines | Des Moines, Iowa 50309 |
Mercy Medical Center-Sioux City | Sioux City, Iowa 51104 |
Saint Luke's Regional Medical Center | Sioux City, Iowa 51104 |
Cancer Center of Kansas - El Dorado | El Dorado, Kansas 67042 |
Cancer Center of Kansas-Kingman | Kingman, Kansas 67068 |
Cancer Center of Kansas - Parsons | Parsons, Kansas 67357 |
Cancer Center of Kansas - Pratt | Pratt, Kansas 67124 |
Cancer Center of Kansas-Wichita Medical Arts Tower | Wichita, Kansas 67208 |
Cancer Center of Kansas - Main Office | Wichita, Kansas 67214 |
Hickman Cancer Center | Adrian, Michigan 49221 |
Michigan Cancer Research Consortium Community Clinical Oncology Program | Ann Arbor, Michigan 48106 |
Oakwood Hospital | Dearborn, Michigan 48123 |
Saint John Hospital and Medical Center | Detroit, Michigan 48236 |
Allegiance Health | Jackson, Michigan 49201 |
Sparrow Hospital | Lansing, Michigan 48912 |
Saint Mary Mercy Hospital | Livonia, Michigan 48154 |
Mercy Memorial Hospital | Monroe, Michigan 48162 |
Saint Joseph Mercy Oakland | Pontiac, Michigan 48341-2985 |
Saint Joseph Mercy Port Huron | Port Huron, Michigan 48060 |
Saint Mary's of Michigan | Saginaw, Michigan 48601 |
Saint John Macomb-Oakland Hospital | Warren, Michigan 48093 |
Miller-Dwan Hospital | Duluth, Minnesota 55805 |
Saint John's Hospital - Healtheast | Maplewood, Minnesota 55109 |
Saint Joseph's Hospital - Healtheast | Saint Paul, Minnesota 55102 |
Ozark Health Ventures LLC dba Cancer Research for The Ozarks Springfield | Springfield, Missouri 65802 |
Saint John's Hospital | Springfield, Missouri 65804 |
Hematology-Oncology Centers of the Northern Rockies PC | Billings, Montana 59101 |
Saint Vincent Healthcare | Billings, Montana 59101 |
Billings Clinic | Billings, Montana 59107-7000 |
Saint James Community Hospital and Cancer Treatment Center | Butte, Montana 59701 |
Berdeaux, Donald MD (UIA Investigator) | Great Falls, Montana 59405 |
Saint Peter's Community Hospital | Helena, Montana 59601 |
Glacier Oncology PLLC | Kalispell, Montana 59901 |
Community Medical Hospital | Missoula, Montana 59801 |
Saint Patrick Hospital - Community Hospital | Missoula, Montana 59802 |
Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County | Mount Holly, New Jersey 08060 |
Virtua West Jersey Hospital Voorhees | Voorhees, New Jersey 08043 |
Orange Regional Medical Center | Middletown, New York 10940 |
Interlakes Foundation Inc-Rochester | Rochester, New York 14623 |
Highland Hospital | Rochester, New York 14620 |
Kinston Medical Specialists PA | Kinston, North Carolina 28501 |
Saint Alexius Medical Center | Bismarck, North Dakota 58501 |
Good Samaritan Hospital - Dayton | Dayton, Ohio 45406 |
Dayton CCOP | Dayton, Ohio 45429 |
Samaritan North Health Center | Dayton, Ohio 45415 |
Veteran Affairs Medical Center | Dayton, Ohio 45428 |
Hematology Oncology Center Incorporated | Elyria, Ohio 44035 |
Blanchard Valley Hospital | Findlay, Ohio 45840 |
Atrium Medical Center-Middletown Regional Hospital | Franklin, Ohio 45005-1066 |
Kettering Medical Center | Kettering, Ohio 45429 |
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center | Maumee, Ohio 43537 |
Saint Charles Hospital | Oregon, Ohio 43616 |
North Coast Cancer Care | Sandusky, Ohio 44870 |
Toledo Community Hospital Oncology Program CCOP | Toledo, Ohio 43617 |
Mercy Cancer Center at Saint Anne Mercy Hospital | Toledo, Ohio 43623 |
University of Toledo | Toledo, Ohio 43614 |
Saint Vincent Mercy Medical Center | Toledo, Ohio 43608 |
Upper Valley Medical Center | Troy, Ohio 45373 |
Audie L Murphy Veterans Affairs Hospital | San Antonio, Texas 78209 |
University Hospital | San Antonio, Texas 78229 |
Fredericksburg Oncology Inc | Fredericksburg, Virginia 22401 |
Harrison Bremerton Hematology and Oncology | Bremerton, Washington 98310 |
Columbia Basin Hematology and Oncology PLLC | Kennewick, Washington 99336 |
Minor and James Medical PLLC | Seattle, Washington 98104 |
The Polyclinic | Seattle, Washington 98122 |
Swedish Medical Center-First Hill | Seattle, Washington 98122-4307 |
Sacred Heart Hospital | Eau Claire, Wisconsin 54701 |
Marshfield Clinic-Minocqua Center | Minocqua, Wisconsin 54548 |
Marshfield Clinic at James Beck Cancer Center | Rhinelander, Wisconsin 54501 |
Marshfield Clinic-Rice Lake Center | Rice Lake, Wisconsin 54868 |
Saint Michael's Hospital | Stevens Point, Wisconsin 54481 |
Marshfield Clinic-Wausau Center | Wausau, Wisconsin 54401 |
Oncology Care Associates PLLC | St. Joseph, Michigan 49085 |
Marin General Hospital | Greenbrae, California 94904 |
North Coast Cancer Care-Clyde | Clyde, Ohio 43410 |
West Virginia University Charleston | Charleston, West Virginia 25304 |
Marshfield Clinic-Chippewa Center | Chippewa Falls, Wisconsin 54729 |
Siouxland Hematology Oncology Associates | Sioux City, Iowa 51101 |
Alta Bates Summit Medical Center-Herrick Campus | Berkeley, California 94704 |
Carle Foundation - Carle Cancer Center | Urbana, Illinois 61801 |
Southwest Oncology Group | San Antonio, Texas 78245 |
The Toledo Hospital/Toledo Children's Hospital | Toledo, Ohio 43606 |
Genesys Regional Medical Center-West Flint Campus | Flint, Michigan 48532 |
Essentia Health Duluth Clinic CCOP | Duluth, Minnesota 55805 |
Essentia Health Saint Mary's Medical Center | Duluth, Minnesota 55805 |
Sanford Bismarck Medical Center | Bismarck, North Dakota 58501 |
Toledo Clinic Cancer Centers-Oregon | Oregon, Ohio 43616 |
PeaceHealth Saint Joseph Medical Center | Bellingham, Washington 98225 |
Edward Hospital/Cancer Center | Naperville, Illinois 60540 |
Toledo Clinic Cancer Centers-Bowling Green | Bowling Green, Ohio 43402 |
Toledo Clinic Cancer Centers-Maumee | Maumee, Ohio 43537-1839 |
Toledo Clinic Cancer Centers-Toledo | Toledo, Ohio 43623 |
Geisinger South Wilkes-Barre | Wilkes-Barre, Pennsylvania 18765 |