Phase II Double-Blinded Placebo-Controlled Study of Bevacizumab With or Without AMG 386 in Patients With Recurrent Glioblastoma or Gliosarcoma
PRIMARY OBJECTIVES:
I. To assess the safety and tolerability of AMG 386 (trebananib) 15 mg/kg weekly in
combination with bevacizumab 10 mg/kg every 2 weeks (Cohort 1). (closed to accrual 10/2/12)
II. To assess the efficacy of AMG 386 in combination with bevacizumab 10 mg/kg every 2 weeks
compared to bevacizumab monotherapy in bevacizumab-naïve patients, as measured by 6-month
progression-free survival (PFS6) (Cohort 2).
SECONDARY OBJECTIVES:
I. To further assess the toxicity profile (Cohorts 1 and 2). II. To assess feasibility of
AMG 386 15 mg/kg weekly in combination with bevacizumab 10 mg/kg every 2 weeks (Cohort 1
[closed to accrual 10/2/12]), as measured by the percentage of patients requiring dose
reduction/interruption or discontinuation in the first 2 and subsequent cycles.
III. To determine the radiographic response rate (RR), median progression-free survival
(PFS), and OS in bevacizumab-naïve patients (Cohort 2).
IV. To assess the efficacy of AMG 386 15 mg/kg weekly in combination with bevacizumab 10
mg/kg every 2 weeks in patients who have progressed while on bevacizumab, as measured by
overall survival (OS) (cross-over from placebo arm of Cohort 2).
V. To correlate outcome to treatment with tumor genotype, expression profile, and
circulating angiogenesis biomarkers in tumor specimens (Cohort 2).
VI. To determine the RR, PFS6, and PFS in patients who have progressed while on bevacizumab
therapy and receive AMG 386 in combination with bevacizumab (cross-over from placebo arm of
Cohort 2).
VII. To determine the serum pharmacokinetics of AMG 386.
OUTLINE: This is a safety study (cohort 1 [closed to accrual 10/2/12]) followed by a
randomized study (cohort 2). Patients are stratified according to age in years (< 50 vs >=
50), Karnofsky performance status (70-80% vs 90-100%), and recent resection (yes vs no).
Cohort 1: Patients receive bevacizumab IV over 30-90 minutes on days 1 and 15 and trebananib
IV over 30-60 minutes on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence
of disease progression or unacceptable toxicity. (closed to accrual 10/2/12)
Cohort 2: Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive bevacizumab and trebananib as in cohort 1.
ARM II: Patients receive bevacizumab as in arm I and placebo IV over 30-60 minutes on days
1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or
unacceptable toxicity. Patients with disease progression may cross over to arm I.
After completion of study treatment, patients are followed up every 2 months for 1 year,
every 6 months for 1 year, and then annually thereafter.
Interventional
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Dose-limiting toxicity (DLT) (Cohort 1)
Defined as a clinically significant adverse event or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications and meets any of the criteria below.
28 days
Yes
Eudocia Lee
Principal Investigator
Radiation Therapy Oncology Group
United States: Food and Drug Administration
NCI-2012-01969
NCT01609790
June 2012
Name | Location |
---|---|
Bronson Methodist Hospital | Kalamazoo, Michigan 49007 |
West Michigan Cancer Center | Kalamazoo, Michigan 49007-3731 |
Borgess Medical Center | Kalamazooaa, Michigan 49001 |
Rapid City Regional Hospital | Rapid City, South Dakota 57709 |
Akron General Medical Center | Akron, Ohio 44302 |
Reading Hospital and Medical Center | Reading, Pennsylvania 19612-6052 |
Community Memorial Hospital | Menomonee Falls, Wisconsin 53051 |
Waukesha Memorial Hospital | Waukesha, Wisconsin 53188 |
Providence Alaska Medical Center | Anchorage, Alaska 99508 |
University of Oklahoma Health Sciences Center | Oklahoma City, Oklahoma 73104 |
University of Wisconsin Hospital and Clinics | Madison, Wisconsin 53792-0001 |
Cancer Care Northwest - Spokane South | Spokane, Washington 99202 |
Methodist Estabrook Cancer Center | Omaha, Nebraska 68114-4199 |
Poudre Valley Radiation Oncology | Fort Collins, Colorado 80528 |
Spartanburg Regional Medical Center | Spartanburg, South Carolina 29303 |
Menorah Medical Center | Overland Park, Kansas 66209 |
North Kansas City Hospital | Kansas City, Missouri 64116 |
Research Medical Center | Kansas City, Missouri 64132 |
Heartland Regional Medical Center | Saint Joseph, Missouri 64506 |
Singing River Hospital | Pascagoula, Mississippi 39581 |
Arizona Oncology Services Foundation | Phoenix, Arizona 85013 |
Rutherford Hospital | Rutherfordton, North Carolina 28139 |
AnMed Health Cancer Center | Anderson, South Carolina 29621 |
Tyler Cancer Center | Tyler, Texas 75702 |
Cancer Care Northwest | Spokane, Washington 99202 |
Northwestern University | Chicago, Illinois 60611 |
Willamette Valley Cancer Center | Eugene, Oregon 97401-8122 |
University of Kentucky | Lexington, Kentucky 40536-0098 |
Thomas Jefferson University Hospital | Philadelphia, Pennsylvania 19131 |
University of Chicago Comprehensive Cancer Center | Chicago, Illinois 60637-1470 |
University of Cincinnati | Cincinnati, Ohio 45267-0502 |
Froedtert and the Medical College of Wisconsin | Milwaukee, Wisconsin 53226 |
Saint Joseph Hospital | Orange, California 92868 |
The Hospital of Central Connecticut | New Britain, Connecticut 06050 |
Saint Luke's Hospital of Kansas City | Kansas City, Missouri 64111 |
Liberty Radiation Oncology Clinic | Kansas City, Missouri 64116 |
Ozark Health Ventures LLC dba Cancer Research for The Ozarks Springfield | Springfield, Missouri 65802 |
Saint John's Hospital | Springfield, Missouri 65804 |
Cox Medical Center | Springfield, Missouri 65807 |
Columbia University Medical Center | New York, New York 10032 |
Mission Hospitals Inc | Asheville, North Carolina 28801 |
Summa Barberton Hospital | Barberton, Ohio 44203 |
Natalie W Bryant Cancer Center | Tulsa, Oklahoma 74136 |
Saint Luke's Hospital | Bethlehem, Pennsylvania 18015 |
Upstate Carolina CCOP | Spartanburg, South Carolina 29303 |
Oconomowoc Memorial Hospital-ProHealth Care Inc | Oconomowoc, Wisconsin 53066-3896 |
University of California Medical Center At Irvine-Orange Campus | Orange, California 92868 |
Texas Oncology-Austin Midtown | Austin, Texas 78705 |
Texas Oncology - Central Austin Cancer Center | Austin, Texas 78731 |
Texas Oncology - South Austin Cancer Center | Austin, Texas 78745 |
Texas Oncology-Seton Williamson | Round Rock, Texas 78665 |
Texas Oncology - Round Rock Cancer Center | Round Rock, Texas 78681 |
Kansas City CCOP | Prairie Village, Kansas 66208 |
New York Oncology Hematology PC - Albany | Albany, New York 12206 |
Robinson Radiation Oncology | Ravenna, Ohio 44266 |
University Pointe | West Chester, Ohio 45069 |
Hematology Oncology Associates of Central New York PC | East Syracuse, New York 13057 |
Summa Akron City Hospital | Akron, Ohio 44304 |
William Backus Hospital | Norwich, Connecticut 06360 |
Cape Radiation Oncology | Cape Girardeau, Missouri 63703 |
D N Greenwald Center | Mukwonago, Wisconsin 53149 |
Arizona Oncology Associates-West Orange Grove | Tucson, Arizona 85704 |
Texas Oncology PA - Bedford | Bedford, Texas 76022 |
The Klabzuba Cancer Center | Fort Worth, Texas 76104 |
Texas Oncology Cancer Center Sugar Land | Sugar Land, Texas 77479 |
Arizona Oncology-Deer Valley Center | Phoenix, Arizona 85027 |