Non-Small Cell Lung Cancer
Conditions
Brief summary
This study will explore the correlation of biomarkers with response rate, and the overall efficacy and safety, of Avastin in combination with carboplatin-based chemotherapy in patients with advanced or recurrent non-squamous non-small cell lung cancer. Patients will be randomized to one of 2 groups, to receive either Avastin 7.5mg/kg iv on day 1 of each 3 week cycle, or Avastin 15mg/kg iv on day 1 of each 3 week cycle; all patients will also receive treatment with carboplatin and either gemcitabine or paclitaxel for a maximum of 6 cycles. The anticipated time on study treatment is until disease progression, and the target sample size is 100-500 individuals.
Interventions
7.5mg/kg iv on day 1 of each 3 week cycle
As prescribed
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>=18 years of age; * locally advanced metastatic or recurrent non-squamous non-small cell lung cancer (NSCLC); * \>=1 measurable tumor lesion; * ECOG performance status 0-1.
Exclusion criteria
* prior chemotherapy or treatment with another systemic anti-cancer agent; * evidence of CNS metastases; * history of grade 2 or higher hemoptysis; * evidence of tumor invading or abutting major blood vessels; * malignancies other than NSCLC within 5 years prior to randomization, other than adequately treated cancer in situ of cervix, basal or squamous cell skin cancer, localized prostate cancer or DCIS; * clinically significant cardiovascular disease; * current or recent use of aspirin (\>325mg/day) or full dose anticoagulants or thrombolytic agents for therapeutic purposes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | Baseline, Day 21 of Cycles 2, 4, and 6 (Bv + chemo), Day 21 of Cycles 7, 8, 9, and 10 (Bv), Day 21 of every other cycle (Bv), and at disease progression. | Overall response was analyzed and correlated within dichotomized (low- and high-level) baseline plasma biomarker (basic fibroblast growth factor \[bFGF\], E-selection, intracellular adhesion molecule \[ICAM\], placental growth factor \[PlGF\], vascular endothelial growth factor A \[VEGF A\], vascular endothelial growth factor receptor \[VEGFR\]-1, and VEGFR-2) subgroups: low-level equals (=) less than or equal to (≤) median baseline level, high-level=greater than (\>) median baseline level. Per Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.0 CR defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of the longest diameter (LD) of all target lesions. No unequivocal progression of non-target disease; no new lesions. Complete and partial responses must have been confirmed no less than 4 weeks after criteria for response were first met |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-Free Survival - Percentage of Participants With an Event | Baseline, Day 1, weekly to disease progression | PFS was defined as the time between randomization and progressive disease (PD) according to RECIST criteria, or death due to any cause. PD was defined as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started. Disease progression was evaluated according to the RECIST using computed tomography (CT) scans, magnetic resonance imaging (MRI) scans, X-ray, bone scans, or clinical examination. Participants without an event were censored at the date of last follow up for progression. Participants with no post baseline follow-up for progression were censored at the day of randomization. |
| Progression-Free Survival - Time to Event | Baseline, Day 1, weekly to disease progression | PFS was defined as the time between randomization and disease progression or death due to any cause. Participants without an event were censored at the date of last follow up for progression. Participants with no post baseline follow-up for progression were censored at the day of randomization. Disease progression was evaluated according to the RECIST using CT scans, MRI scans, X-ray, bone scans, or clinical examination. Median PFS was estimated using the Kaplan-Meier method. |
| Percentage of Participants With Objective Response | Baseline, Day 21 of Cycles 2, 4, and 6, Day 21 of Cycles 7, 8, 9, and 10, Day 21 of every other cycle, and at disease progression | Percentage of participants with CR or PR according to RECIST criteria. Per RECIST v1.0: CR defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as ≥30% decrease under baseline of the sum of the LD of all target lesions. No unequivocal progression of non-target disease. No new lesions. Complete and partial responses were confirmed no less than 4 weeks after the criteria for response were first met. |
| Percentage of Participants With Measurable Disease at Baseline Who Achieved CR, PR, or Stable Disease (SD) for at Least 6 Weeks | Baseline, Day 21 of Cycles 2, 4, and 6, Day 21 of Cycles 7, 8, 9, and 10, Day 21 of every other cycle, and at disease progression | Percentage of participants with measurable disease at baseline who on assessment achieved CR, PR, or SD according to RECIST. Per RECIST v1.0: CR defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as ≥30% decrease under baseline of the sum of the LD of all target lesions. No unequivocal progression of non-target disease. No new lesions. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum LD since start of treatment. Complete and partial responses must have been confirmed no less than 4 weeks after the criteria for response were first met. For participants with SD, follow-up assessments must have met the SD criteria at least once after study entry at a minimum interval of 6 weeks. |
| Duration of Response - Percentage of Participants With an Event | Baseline, Day 21 of Cycles 2, 4, and 6, Day 21 of Cycles 7, 8, 9, and 10, Day 21 of every other cycle, and at disease progression | Duration of response is defined as time in months from the first documentation of objective tumor response (CR or PR) to objective tumor progression or death due to any cause. Participants without an event (documented progression or death) were censored at the date of last follow-up for progression. Duration of response was only calculated for participants who had a confirmed objective tumor response (CR or PR). |
| Duration of Response - Time to Event | Baseline, Day 21 of Cycles 2, 4, and 6 (Bv + chemo), Day 21 of Cycles 7, 8, 9, and 10 (Bv), Day 21 of every other cycle (Bv), and at disease progression. | The median time, in months, from the first documentation of objective tumor response (CR or PR) to objective tumor progression or death due to any cause. Participants without an event (documented progression or death) were censored at the date of last follow-up for progression. Duration of response was only calculated for participants who had a confirmed objective tumor response (CR or PR). Median Duration of Response was estimated using the Kaplan-Meier method. |
| Overall Survival - Percentage of Participants With an Event | Baseline, weekly to 28 days after last dose of study treatment, every 8 weeks thereafter to death due to any cause | Overall survival was defined as the time between randomization and death due to any cause. Participants without an event were censored at the last time they were known to be alive. Overall Survival was estimated using the Kaplan-Meier method. |
| Overall Survival - Time to Event | Baseline, weekly to death due to any cause, or to end of study | Overall survival was defined as the time between randomization and death due to any cause. Participants without an event were censored at the last time they were known to be alive. Overall Survival was estimated using the Kaplan-Meier method. |
Countries
Australia, Belgium, Canada, Czechia, Denmark, France, Germany, Hong Kong, Hungary, Italy, Netherlands, Poland, Russia, Spain, Taiwan, United Kingdom
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy Cycles 1-6 (3-week cycles): Participants received bevacizumab 7.5 mg/kg IV on Day 1; either carboplatin at a dose required to achieve an AUC of 6 mg/mL IV and paclitaxel 200 mg/m\^2 IV on Day 1, or carboplatin at AUC 5 mg/mL IV on Day 1 and gemcitabine 1200 mg/m\^2 IV on Days 1 and 8. The choice of chemotherapy doublet, either carboplatin/paclitaxel or carboplatin/gemcitabine, was left to the discretion of the investigator. The cycle was repeated until disease progression or for a maximum of 6 cycles.
Cycle 7 and beyond (3-week cycles): If the first 6 cycles were tolerated with no disease progression, participants then received bevacizumab 7.5 mg/kg IV on Day 1. This cycle was repeated every 3 weeks until disease progression. | 154 |
| Bevacizumab 15 mg Plus Chemotherapy Cycles 1-6 (3-week cycles): Participants received bevacizumab 15 mg/kg IV on Day 1; either carboplatin at a dose required to achieve an AUC of 6 mg/mL IV and paclitaxel 200 mg/m\^2 IV on Day 1, or carboplatin at AUC 5 mg/mL IV on Day 1 and gemcitabine 1200 mg/m\^2 IV on Days 1 and 8. The choice of chemotherapy doublet, either carboplatin/paclitaxel or carboplatin/gemcitabine, was left to the discretion of the investigator. The cycle was repeated until disease progression or for a maximum of 6 cycles.
Cycle 7 and beyond (3-week cycles): If the first 6 cycles were tolerated with no disease progression, participants then received bevacizumab 15 mg/kg IV on Day 1. This cycle was repeated every 3 weeks until disease progression. | 149 |
| Total | 303 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Alive in follow-up | 46 | 27 |
| Overall Study | Alive on treatment | 5 | 3 |
| Overall Study | Death | 99 | 114 |
| Overall Study | Lost to Follow-up | 4 | 5 |
Baseline characteristics
| Characteristic | Bevacizumab 7.5 mg Plus Chemotherapy | Bevacizumab 15 mg Plus Chemotherapy | Total |
|---|---|---|---|
| Age, Continuous | 59.7 years STANDARD_DEVIATION 10.13 | 58.8 years STANDARD_DEVIATION 11.2 | 59.2 years STANDARD_DEVIATION 10.66 |
| Sex: Female, Male Female | 56 Participants | 55 Participants | 111 Participants |
| Sex: Female, Male Male | 98 Participants | 94 Participants | 192 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 137 / 151 | 132 / 143 |
| serious Total, serious adverse events | 53 / 151 | 57 / 143 |
Outcome results
Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level
Overall response was analyzed and correlated within dichotomized (low- and high-level) baseline plasma biomarker (basic fibroblast growth factor \[bFGF\], E-selection, intracellular adhesion molecule \[ICAM\], placental growth factor \[PlGF\], vascular endothelial growth factor A \[VEGF A\], vascular endothelial growth factor receptor \[VEGFR\]-1, and VEGFR-2) subgroups: low-level equals (=) less than or equal to (≤) median baseline level, high-level=greater than (\>) median baseline level. Per Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.0 CR defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of the longest diameter (LD) of all target lesions. No unequivocal progression of non-target disease; no new lesions. Complete and partial responses must have been confirmed no less than 4 weeks after criteria for response were first met
Time frame: Baseline, Day 21 of Cycles 2, 4, and 6 (Bv + chemo), Day 21 of Cycles 7, 8, 9, and 10 (Bv), Day 21 of every other cycle (Bv), and at disease progression.
Population: Biomarker Evaluable Protein Plasma (BEP) Population: Participants in the ITT population who started at least 1 dose of bevacizumab and had a non-missing baseline biomarker level determined for at least 1 biomarker. n (number) equals (=) number of participants assessed for the specified biomarker.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | bFGF low level (n=77,65) | 42.86 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | bFGF high level (n=66,75) | 34.85 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | E-selectin low level (n=73,69) | 36.99 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | E-selectin high level (n=70,71) | 41.43 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | ICAM low level (n=70,72) | 38.57 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | ICAM high level (n=29,32 | 39.73 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | PlGF low level (n=82, 64) | 37.80 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | PlGF high level (n=27,29) | 33.33 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGF A low level (n=73,67) | 42.47 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGF A high level (n=67,73) | 35.82 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-1 low level (n=72,70) | 37.50 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-1 high level (n=71,70) | 40.85 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-2 low level (n=74,69) | 32.43 percentage of participants |
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-2 high level (n=69,71) | 46.38 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-1 low level (n=72,70) | 60.00 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | bFGF low level (n=77,65) | 47.69 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | PlGF high level (n=27,29) | 51.72 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | bFGF high level (n=66,75) | 49.33 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-2 low level (n=74,69) | 46.38 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | E-selectin low level (n=73,69) | 42.03 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGF A low level (n=73,67) | 44.78 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | E-selectin high level (n=70,71) | 54.93 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-1 high level (n=71,70) | 37.14 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | ICAM low level (n=70,72) | 50.00 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGF A high level (n=67,73) | 53.42 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | ICAM high level (n=29,32 | 47.06 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | VEGFR-2 high level (n=69,71) | 50.70 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR) by Dichotomized Baseline Plasma Marker Level | PlGF low level (n=82, 64) | 51.56 percentage of participants |
Duration of Response - Percentage of Participants With an Event
Duration of response is defined as time in months from the first documentation of objective tumor response (CR or PR) to objective tumor progression or death due to any cause. Participants without an event (documented progression or death) were censored at the date of last follow-up for progression. Duration of response was only calculated for participants who had a confirmed objective tumor response (CR or PR).
Time frame: Baseline, Day 21 of Cycles 2, 4, and 6, Day 21 of Cycles 7, 8, 9, and 10, Day 21 of every other cycle, and at disease progression
Population: ITT population; only participants with an objective tumor response (CR or PR) were included in the analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Duration of Response - Percentage of Participants With an Event | 80.4 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Duration of Response - Percentage of Participants With an Event | 78.5 percentage of participants |
Duration of Response - Time to Event
The median time, in months, from the first documentation of objective tumor response (CR or PR) to objective tumor progression or death due to any cause. Participants without an event (documented progression or death) were censored at the date of last follow-up for progression. Duration of response was only calculated for participants who had a confirmed objective tumor response (CR or PR). Median Duration of Response was estimated using the Kaplan-Meier method.
Time frame: Baseline, Day 21 of Cycles 2, 4, and 6 (Bv + chemo), Day 21 of Cycles 7, 8, 9, and 10 (Bv), Day 21 of every other cycle (Bv), and at disease progression.
Population: ITT population: only participants with an objective tumor response (CR or PR) were included in the analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Duration of Response - Time to Event | 5.8 months |
| Bevacizumab 15 mg Plus Chemotherapy | Duration of Response - Time to Event | 5.6 months |
Overall Survival - Percentage of Participants With an Event
Overall survival was defined as the time between randomization and death due to any cause. Participants without an event were censored at the last time they were known to be alive. Overall Survival was estimated using the Kaplan-Meier method.
Time frame: Baseline, weekly to 28 days after last dose of study treatment, every 8 weeks thereafter to death due to any cause
Population: ITT population.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Overall Survival - Percentage of Participants With an Event | 64.3 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Overall Survival - Percentage of Participants With an Event | 76.5 percentage of participants |
Overall Survival - Time to Event
Overall survival was defined as the time between randomization and death due to any cause. Participants without an event were censored at the last time they were known to be alive. Overall Survival was estimated using the Kaplan-Meier method.
Time frame: Baseline, weekly to death due to any cause, or to end of study
Population: ITT Population.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Overall Survival - Time to Event | 13.4 months |
| Bevacizumab 15 mg Plus Chemotherapy | Overall Survival - Time to Event | 13.7 months |
Percentage of Participants With Measurable Disease at Baseline Who Achieved CR, PR, or Stable Disease (SD) for at Least 6 Weeks
Percentage of participants with measurable disease at baseline who on assessment achieved CR, PR, or SD according to RECIST. Per RECIST v1.0: CR defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as ≥30% decrease under baseline of the sum of the LD of all target lesions. No unequivocal progression of non-target disease. No new lesions. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum LD since start of treatment. Complete and partial responses must have been confirmed no less than 4 weeks after the criteria for response were first met. For participants with SD, follow-up assessments must have met the SD criteria at least once after study entry at a minimum interval of 6 weeks.
Time frame: Baseline, Day 21 of Cycles 2, 4, and 6, Day 21 of Cycles 7, 8, 9, and 10, Day 21 of every other cycle, and at disease progression
Population: ITT Population
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With Measurable Disease at Baseline Who Achieved CR, PR, or Stable Disease (SD) for at Least 6 Weeks | 76.8 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With Measurable Disease at Baseline Who Achieved CR, PR, or Stable Disease (SD) for at Least 6 Weeks | 78.6 percentage of participants |
Percentage of Participants With Objective Response
Percentage of participants with CR or PR according to RECIST criteria. Per RECIST v1.0: CR defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as ≥30% decrease under baseline of the sum of the LD of all target lesions. No unequivocal progression of non-target disease. No new lesions. Complete and partial responses were confirmed no less than 4 weeks after the criteria for response were first met.
Time frame: Baseline, Day 21 of Cycles 2, 4, and 6, Day 21 of Cycles 7, 8, 9, and 10, Day 21 of every other cycle, and at disease progression
Population: ITT Population. Data for 12 participants (3 at 7.5 mg and 9 at 15 mg) were excluded for reasons including but not limited to: no study treatment (ST), no postbaseline tumor assessment (TA), non-protocol defined antineoplastic therapy before first TA, first TA \>70 days after last dose of last ST, last TA less than (\<) 42 days from start of therapy.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Percentage of Participants With Objective Response | 37.1 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Percentage of Participants With Objective Response | 46.4 percentage of participants |
Progression-Free Survival - Percentage of Participants With an Event
PFS was defined as the time between randomization and progressive disease (PD) according to RECIST criteria, or death due to any cause. PD was defined as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started. Disease progression was evaluated according to the RECIST using computed tomography (CT) scans, magnetic resonance imaging (MRI) scans, X-ray, bone scans, or clinical examination. Participants without an event were censored at the date of last follow up for progression. Participants with no post baseline follow-up for progression were censored at the day of randomization.
Time frame: Baseline, Day 1, weekly to disease progression
Population: ITT population.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Progression-Free Survival - Percentage of Participants With an Event | 83.1 percentage of participants |
| Bevacizumab 15 mg Plus Chemotherapy | Progression-Free Survival - Percentage of Participants With an Event | 85.9 percentage of participants |
Progression-Free Survival - Time to Event
PFS was defined as the time between randomization and disease progression or death due to any cause. Participants without an event were censored at the date of last follow up for progression. Participants with no post baseline follow-up for progression were censored at the day of randomization. Disease progression was evaluated according to the RECIST using CT scans, MRI scans, X-ray, bone scans, or clinical examination. Median PFS was estimated using the Kaplan-Meier method.
Time frame: Baseline, Day 1, weekly to disease progression
Population: ITT Population.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Bevacizumab 7.5 mg Plus Chemotherapy | Progression-Free Survival - Time to Event | 6.8 months |
| Bevacizumab 15 mg Plus Chemotherapy | Progression-Free Survival - Time to Event | 6.7 months |