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Bevacizumab and Temsirolimus in Treating Patients With Recurrent or Persistent Endometrial Cancer

A Phase II Evaluation of Combination Bevacizumab (NCI-Supplied Agent: NSC #70486) and Temsirolimus (CCI-779, NCI-Supplied Agent, NSC #683864) in the Treatment of Recurrent or Persistent Endometrial Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00723255
Enrollment
53
Registered
2008-07-28
Start date
2008-09-30
Completion date
2016-01-25
Last updated
2019-07-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Recurrent Endometrial Carcinoma

Brief summary

This phase II trial is studying the side effects of giving bevacizumab together with temsirolimus and to see how well it works in treating patients with recurrent or persistent endometrial cancer. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for their growth. Giving bevacizumab together with temsirolimus may kill more tumor cells.

Detailed description

PRIMARY OBJECTIVES: I. To assess the activity of bevacizumab and temsirolimus, in terms of 6-month progression-free survival (PFS) and objective tumor response, in patients with recurrent or persistent endometrial cancer. II. To determine the nature and degree of toxicity of this regimen in these patients. SECONDARY OBJECTIVES: I. To determine the duration of PFS and overall survival of patients treated with this regimen. II. To determine the effects of prognostic factors (i.e., performance status, histological subtype, and grade) in patients treated with this regimen. TERTIARY OBJECTIVES: I. To compare the proportion of patients with objective tumor response and PFS at 6 months receiving the combination of bevacizumab and temsirolimus with those for the single agents bevacizumab and temsirolimus using historical controls. OUTLINE: This is a multicenter study. Patients receive bevacizumab IV on days 1 and 15 and temsirolimus IV on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. After completion of study therapy, patients are followed every 3 months for 2 years, then every 6 months for 3 years, for a total of 5 years.

Interventions

BIOLOGICALbevacizumab

Given IV

DRUGtemsirolimus

Given IV

Sponsors

NRG Oncology
CollaboratorOTHER
National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed endometrial carcinoma (from primary tumor) including any of the following cell types: * Endometrioid adenocarcinoma * Serous adenocarcinoma * Undifferentiated carcinoma * Clear cell adenocarcinoma * Mixed epithelial carcinoma * Adenocarcinoma not otherwise specified * Mucinous adenocarcinoma * Squamous cell carcinoma * Transitional cell carcinoma * Mesonephric carcinoma * Recurrent or persistent disease that is refractory to curative therapy or established treatments * Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan * Must have ≥ 1 target lesion to assess response as defined by RECIST * Tumors within a previously irradiated field are designated as non-target lesions in the absence of documented disease progression or a biopsy to confirm persistence for ≥ 90 days after completion of radiotherapy * Must have received 1 prior chemotherapeutic regimen for management of endometrial carcinoma * May have received 1 additional cytotoxic regimen for management of this disease * Not eligible for a higher priority Gynecologic Oncology Group (GOG) protocol, including any active GOG Phase III protocol for patients with endometrial carcinoma * No history or evidence of CNS disease, including primary brain tumor or any brain metastases upon physical examination * GOG performance status (PS) 0-2 (for patients who have received 1 prior regimen) OR PS 0-1 (for patients who have received 2 prior regimens) * ANC ≥ 1,500/mcL * Platelet count ≥ 100,000/mcL * Creatinine ≤ 1.5 times upper limit of normal (ULN) * Bilirubin ≤ 1.5 times ULN * SGOT ≤ 2.5 times ULN * Alkaline phosphatase ≤ 2.5 times ULN * Urine protein:creatinine ratio \< 1.0 OR urine protein \< 1,000 mg by 24-hour urine collection * INR ≤ 1.5 OR in-range INR between 2 and 3 if patient is on a stable dose of therapeutic warfarin * PTT ≤ 1.5 times ULN * Fasting cholesterol \< 350 mg/dL * Fasting triglycerides \< 400 mg/dL * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * Seizures allowed provided they are controlled with standard medical therapy * No active infection requiring antibiotics, except uncomplicated urinary tract infection * No active bleeding or pathologic conditions that carry high risk of bleeding, (e.g., known bleeding disorder, coagulopathy, or tumor involving major vessels) * No serious, non-healing wound, ulcer, or bone fracture, including abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 3 months * No prior underlying lesions that caused the fistula or perforation that have not been corrected * No prior interstitial pneumonitis * No clinically significant cardiovascular disease, including any of the following: * Uncontrolled hypertension, defined as systolic blood pressure (BP) \> 150 mm Hg or diastolic BP \> 90 mm Hg * Myocardial infarction or unstable angina within the past 6 months * New York Heart Association class II-IV congestive heart failure * Serious cardiac arrhythmia requiring medication * Peripheral vascular disease ≥ grade 2 * No cerebrovascular accident, transient ischemic attack, or subarachnoid hemorrhage within the past 6 months * No uncontrolled diabetes * Hemoglobin A1C \< 10 * No other invasive malignancies within the past 5 years, except nonmelanoma skin cancer and other specific malignancies (e.g., localized breast, head and neck, or skin cancer that completed treatment \> 3 years prior to study and remain disease-free) * No significant traumatic injury within the past 28 days * No known hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies * Concurrent prophylactic or therapeutic anticoagulation\* (e.g., warfarin) allowed * Recovered from recent surgery, radiotherapy, or chemotherapy * No prior bevacizumab or other VEGF pathway-targeted therapy * No prior temsirolimus, everolimus, deforolimus, sirolimus, or any other mTor/PI3K pathway-targeted therapy * No prior non-cytotoxic chemotherapy for management of this disease, except hormonal therapy * At least 1 week since prior hormonal therapy directed at the malignant tumor * No prior therapy that contraindicates this protocol therapy * No prior radiotherapy to any portion of the abdominal cavity or pelvis within the past 5 years, except treatment of endometrial cancer * Prior radiotherapy for localized cancer of the breast, head and neck, or skin is allowed, provided it was completed \> 3 years prior to study entry and patient remains free of recurrent or metastatic disease * No prior chemotherapy for any abdominal or pelvic tumor within the past 5 years, except treatment of endometrial cancer * Prior adjuvant chemotherapy for localized breast cancer allowed, provided it was completed \> 3 years prior to study entry and the patient remains free of recurrent or metastatic disease * Prior treatment with an anthracycline (i.e., doxorubicin and/or liposomal doxorubicin) allowed provided ejection fraction \< 50% * More than 28 days since prior major surgery or open biopsy * More than 7 days since minor surgical procedures, fine needle aspirates, or core biopsies * At least 3 weeks since prior therapy directed at the malignant tumor, including immunologic agents * No concurrent major surgery * No concurrent prophylactic filgrastim (G-CSF) or thrombopoietic agents * No concurrent amifostine or other protective reagents

Design outcomes

Primary

MeasureTime frameDescription
Tumor ResponseScans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive diseaseComplete and Partial Tumor Response by Response Evaluation Criteria in Solid Tumors (RECIST) 1.0
Progression-free Survival at 6 MonthsEvery other cycle for 6 monthsPercentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.
Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Every cycle and 30 days after the last treatment, an average of 5 years.

Secondary

MeasureTime frameDescription
Progression-free Survival at 6 Months by Performance StatusEvery other cycle for 6 monthsPercentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.
Complete and Partial Tumor Response by RECIST 1.0 by Histologic TypeScans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive diseaseComplete and Partial Tumor Response by RECIST 1.0
Progression-Free SurvivalScans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive disease.Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.
Complete and Partial Tumor Response by RECIST 1.0 by Tumor GradeScans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive diseaseComplete and Partial Tumor Response by RECIST 1.0
Progression-free Survival at 6 Months by Tumor GradeEvery other cycle for 6 monthsPercentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.
Progression-free Survival at 6 Months by Histologic TypeEvery other cycle for 6 monthsPercentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.
Overall SurvivalFrom entry into the study to death or the date of last contact, up to 5 yearsThe observed length of life from entry into the study to death or the date of last contact.
Complete and Partial Tumor Response by RECIST 1.0 by Performance StatusScans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive diseaseComplete and Partial Tumor Response by RECIST 1.0

Countries

United States

Participant flow

Recruitment details

The study was activated on 9/8/2008 and closed to accrual on 3/22/2010 (and was suspended from 1/19/2009 to 12/7/2009).

Participants by arm

ArmCount
Bevacizumab Plus Temsirolimus
Bevacizumab 10 mg/kg IV every other week plus Temsirolimus 25 mg IV weekly (one cycle = 4 weeks) until disease progression or adverse effects prohibit further therapy
49
Total49

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyIneligible: Inadequate pathology1
Overall StudyIneligible: Second primary1
Overall StudyIneligible: Wrong Primary2

Baseline characteristics

CharacteristicBevacizumab Plus Temsirolimus
Age, Customized
20-29 years
0 participants
Age, Customized
30-39 years
1 participants
Age, Customized
40-49 years
4 participants
Age, Customized
50-59 years
11 participants
Age, Customized
60-69 years
21 participants
Age, Customized
70-79 years
11 participants
Age, Customized
80-89 years
1 participants
Sex: Female, Male
Female
49 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
49 / 49
serious
Total, serious adverse events
31 / 49

Outcome results

Primary

Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0

Time frame: Every cycle and 30 days after the last treatment, an average of 5 years.

Population: Eligible and evaluable patients

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Ocular/visual45 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Dermatologic18 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other neurological41 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other hematologic46 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Sexual/reproductive48 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Leukopenia20 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Constitutional12 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neurosensory43 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pulmonary26 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Allergy/immunology47 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neutropenia28 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Gastrointestinal5 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Musculoskeletal43 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Metabolic9 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Lymphatics40 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Cardiac33 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Endocrine48 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pain18 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Thrombocytopenia24 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Infection34 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Anemia14 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Coagulation48 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Vascular47 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Death, not CTC coded48 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Hemorrhage25 Participants
Bevacizumab Plus TemsirolimusFrequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Genitourinary/renal44 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Genitourinary/renal3 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Constitutional9 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Gastrointestinal11 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Endocrine1 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Dermatologic13 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Sexual/reproductive1 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Thrombocytopenia18 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Death, not CTC coded0 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pulmonary14 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neutropenia7 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pain12 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Ocular/visual2 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Anemia17 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other neurological4 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other hematologic1 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neurosensory5 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Musculoskeletal3 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Allergy/immunology1 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Leukopenia13 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Lymphatics5 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Cardiac3 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Metabolic11 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Infection0 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Hemorrhage22 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Coagulation0 Participants
Grade 1 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Vascular0 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neutropenia9 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Metabolic12 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Leukopenia15 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Thrombocytopenia4 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Anemia14 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other hematologic2 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Allergy/immunology1 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Cardiac7 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Coagulation0 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Constitutional18 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Dermatologic16 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Endocrine0 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Gastrointestinal15 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Genitourinary/renal1 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Hemorrhage1 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Infection8 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Lymphatics3 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Musculoskeletal2 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neurosensory1 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other neurological3 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Death, not CTC coded0 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Ocular/visual1 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pain10 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pulmonary7 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Sexual/reproductive0 Participants
Grade 2 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Vascular0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Leukopenia1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Musculoskeletal1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Sexual/reproductive0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Ocular/visual1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Endocrine0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other hematologic0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Death, not CTC coded0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neurosensory0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Gastrointestinal17 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Anemia3 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other neurological1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Cardiac5 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Vascular1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Dermatologic2 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Infection6 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Coagulation1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Thrombocytopenia3 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pulmonary1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Constitutional9 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Genitourinary/renal1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Lymphatics1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Hemorrhage1 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Metabolic14 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pain8 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Allergy/immunology0 Participants
Grade 3 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neutropenia5 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Ocular/visual0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Genitourinary/renal0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Sexual/reproductive0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Hemorrhage0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Cardiac1 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Infection0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Allergy/immunology0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Leukopenia0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Lymphatics0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Musculoskeletal0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other hematologic0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neurosensory0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Anemia1 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other neurological0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Vascular1 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Coagulation0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neutropenia0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Metabolic3 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pain1 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Thrombocytopenia0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pulmonary0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Dermatologic0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Endocrine0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Constitutional1 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Death, not CTC coded0 Participants
Grade 4 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Gastrointestinal1 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Genitourinary/renal0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Metabolic0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Endocrine0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pain0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Thrombocytopenia0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Coagulation0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Lymphatics0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Allergy/immunology0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Cardiac0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Pulmonary1 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Infection1 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Gastrointestinal0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Dermatologic0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Anemia0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Sexual/reproductive0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other neurological0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Constitutional0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neurosensory0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Neutropenia0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Vascular0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Death, not CTC coded1 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Musculoskeletal0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Leukopenia0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Ocular/visual0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Hemorrhage0 Participants
Grade 5 (CTCAE v 3.0)Frequency and Severity of Adverse Events Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Other hematologic0 Participants
Primary

Progression-free Survival at 6 Months

Percentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.

Time frame: Every other cycle for 6 months

Population: Eligible and Treated Patients

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusProgression-free Survival at 6 Months46.9 percentage of participants
Primary

Tumor Response

Complete and Partial Tumor Response by Response Evaluation Criteria in Solid Tumors (RECIST) 1.0

Time frame: Scans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive disease

Population: Eligible and Treated Patients

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusTumor Response24.5 percentage of participants
Secondary

Complete and Partial Tumor Response by RECIST 1.0 by Histologic Type

Complete and Partial Tumor Response by RECIST 1.0

Time frame: Scans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive disease

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusComplete and Partial Tumor Response by RECIST 1.0 by Histologic Type21 percentage of participants
Grade 1 (CTCAE v 3.0)Complete and Partial Tumor Response by RECIST 1.0 by Histologic Type33 percentage of participants
Secondary

Complete and Partial Tumor Response by RECIST 1.0 by Performance Status

Complete and Partial Tumor Response by RECIST 1.0

Time frame: Scans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive disease

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusComplete and Partial Tumor Response by RECIST 1.0 by Performance Status24 percentage of participants
Grade 1 (CTCAE v 3.0)Complete and Partial Tumor Response by RECIST 1.0 by Performance Status25 percentage of participants
Secondary

Complete and Partial Tumor Response by RECIST 1.0 by Tumor Grade

Complete and Partial Tumor Response by RECIST 1.0

Time frame: Scans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive disease

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusComplete and Partial Tumor Response by RECIST 1.0 by Tumor Grade30 percentage of participants
Grade 1 (CTCAE v 3.0)Complete and Partial Tumor Response by RECIST 1.0 by Tumor Grade18 percentage of participants
Secondary

Overall Survival

The observed length of life from entry into the study to death or the date of last contact.

Time frame: From entry into the study to death or the date of last contact, up to 5 years

Population: Eligible and Treated Patients

ArmMeasureValue (MEDIAN)
Bevacizumab Plus TemsirolimusOverall Survival16.9 Months
Secondary

Progression-Free Survival

Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.

Time frame: Scans are done while patient is on study therapy every other cycle for the first 6 months; then every 3 cycles thereafter; and at any other time if clinically indicated based on symptoms or physical signs suggestive of progressive disease.

Population: Eligible and Treated Patients

ArmMeasureValue (MEDIAN)
Bevacizumab Plus TemsirolimusProgression-Free Survival5.6 Months
Secondary

Progression-free Survival at 6 Months by Histologic Type

Percentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.

Time frame: Every other cycle for 6 months

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusProgression-free Survival at 6 Months by Histologic Type44 percentage of participants
Grade 1 (CTCAE v 3.0)Progression-free Survival at 6 Months by Histologic Type53 percentage of participants
Secondary

Progression-free Survival at 6 Months by Performance Status

Percentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.

Time frame: Every other cycle for 6 months

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusProgression-free Survival at 6 Months by Performance Status48 percentage of participants
Grade 1 (CTCAE v 3.0)Progression-free Survival at 6 Months by Performance Status45 percentage of participants
Secondary

Progression-free Survival at 6 Months by Tumor Grade

Percentage of patients who are progression-free 6 months after study entry. Progression-Free Survival is the period from study entry until disease progression, death or date of last contact.

Time frame: Every other cycle for 6 months

ArmMeasureValue (NUMBER)
Bevacizumab Plus TemsirolimusProgression-free Survival at 6 Months by Tumor Grade60 percentage of participants
Grade 1 (CTCAE v 3.0)Progression-free Survival at 6 Months by Tumor Grade32 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026