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A Study of Avastin (Bevacizumab) and Oxaliplatin Plus Xeloda (Capecitabine) in Patients With Advanced Colorectal Cancer.

Phase II Study of the Combination of Bevacizumab (rhuMab VEGF) and Oxaliplatin Plus Capecitabine (XELOX) in Patients With Advanced Colorectal Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01159171
Enrollment
50
Registered
2010-07-09
Start date
2006-01-31
Completion date
2010-07-31
Last updated
2014-08-15

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

Conditions

Colorectal Cancer

Brief summary

This study will assess the efficacy and safety of treatment with the combination Avastin (bevacizumab) 5mg/kg iv every 2 weeks, Xeloda (capecitabine) 1000 mg po b.i.d. on Days 1-14 of every 28-day cycle and oxaliplatin 40mg/m2 iv weekly in patients with inoperable locally advanced or metastatic colorectal cancer. The anticipated time on study treatment is until disease progression.

Interventions

DRUGbevacizumab [Avastin]

5 mg/kg intravenously every 14 days

DRUGcapecitabine [Xeloda]

1000 mg/m2 orally b.i.d. , Days 1 - 14 of every 28-day cycle

DRUGoxaliplatin

40 mg/m2 iv weekly

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Adult patients \>=18 years of age * Locally advanced or metastatic colorectal cancer * No previous treatment with chemotherapy for metastatic disease * Measurable and/or evaluable lesions

Exclusion criteria

* Radiotherapy within 4 weeks before study * Untreated brain metastases or primary brain tumors * Chronic, daily treatment with high-dose aspirin (\>325mg/day) * Co-existing malignancies, or malignancies diagnosed within the last 5 years, with the exception of basal and squamous cell cancer, or cervical cancer in situ

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Objective Response (OR)Baseline, every 3 months to progression of disease or end of study (up to 24 months)Percentage of participants with OR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of the longest diameter (LD) diameters 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 the criteria for response were first met.
Percentage of Participants by Best Overall ResponseBaseline, every 3 months to progression of disease or end of study (up to 24 months)Best response recorded from the start of treatment until disease progression. Based on assessment of CR, PR, stable disease (SD), or progressive disease (PD), according to RECIST. CR: disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR: ≥30% decrease under baseline of the sum of the LD diameters of all target lesions. CR and PR persist on repeat imaging study at least 4 weeks after initial documentation. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Reference is the smallest sum LD. PD: at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum longest diameter recorded or the appearance of one or more new lesions.

Secondary

MeasureTime frameDescription
Duration of Stable Disease - Percentage of Participants With an Event by 24 MonthsBaseline, every 3 months to progression of disease or end of study (up to 24 months)Duration of stable response (CR, PR, or stable disease \[SD\]) was calculated only for participants of the ITT population whose best overall response was CR, PR, or SD based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR, PR, or SD status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact.
Duration of Stable DiseaseBaseline, every 3 months to progression of disease or end of study (up to 24 months)Duration of stable response (CR, PR, or SD) was calculated only for participants of the ITT population whose best overall response was CR, PR, or SD based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR, PR, or SD status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. Mean time to event was estimated using the Kaplan-Meier method.
Time to Treatment Failure (TTF) - Percentage of Participants With an Event by 24 MonthsBaseline, every month to end of treatment (up to 24 months)TTF was defined as the time in months from Day 1 until discontinuation of treatment for any reasons. These reasons included: death due to any cause, treatment toxicity (adverse event), insufficient therapeutic response (progression of disease), failure to return (lost to follow-up), refusing treatment (participant non-compliance), being unwilling to cooperate and withdrawing consent (participant withdrew consent).
Time to Treatment FailureBaseline, monthly to end of study (up to 24 months)TTF was defined as the time in months from Day 1 until discontinuation of treatment for any reasons. These reasons included: death due to any cause, treatment toxicity (adverse event), insufficient therapeutic response (progression of disease), failure to return (lost to follow-up), refusing treatment (participant non-compliance), being unwilling to cooperate and withdrawing consent (participant withdrew consent). Mean TTF was estimated using the Kaplan-Meier method.
Duration of Response - Percentage of Participants With an Event by 24 MonthsBaseline, every 3 months to progression of disease or end of study (up to 24 months)Duration of overall response (CR or PR) was calculated only for participants of the ITT population whose best overall response was CR or PR based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR or PR status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact.
Time to ProgressionBaseline, monthly to end of study (up to 24 months)TTP was defined as the time in months from Day 1 until the date of first documented progressive disease, or death due to any cause. Data for participants who were alive without disease progression at the end of study, or who were non-responder participants (without tumor assessment after baseline) were censored at Day 1. Mean TTP was estimated using the Kaplan-Meier method.
Overall Survival (OS) - Percentage of Participants With an Event by 24 MonthsBaseline, monthly to end of study (up to 24 months)OS was defined as the time in months from Day 1 until the date of death due to any cause. Data for participants who were alive at the end of the study were censored at the date of the last available follow-up visit.
Overall SurvivalBaseline, monthly to end of study (up to 24 months)OS was defined as the time in months from Day 1 until the date of death due to any cause. Data for participants who were alive at the end of the study were censored at the date of the last available follow-up visit. Mean OS was estimated using the Kaplan-Meier method.
Time to Progression (TTP) - Percentage of Participants With an Event by 24 MonthsBaseline, monthly to end of study (up to 24 months)TTP was defined as the time time in months from Day 1 until the date of first documented progressive disease, or death due to any cause. Data for participants who were alive without disease progression at the end of study, or who were non-responder participants (without tumor assessment after baseline) were censored at Day 1.
Duration of ResponseBaseline, every 3 months to progression of disease or end of study (up to 24 months)Duration of overall response (CR or PR) was calculated for participants of the ITT population whose best overall response was CR or PR based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR or PR status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. Mean time to event was estimated using the Kaplan-Meier method.

Countries

Italy

Participant flow

Participants by arm

ArmCount
Bevacizumab + Oxaliplatin + Capecitabine
Participants received bevacizumab 5 mg/kg IV on Days 1 and 15; oxaliplatin 40 mg/m\^2 IV on Days 1, 8, 15, and 22; and capecitabine 1000 mg/m\^2 PO BID on Days 1 through 14 followed by 2 weeks without treatment. This cycle was repeated until disease progression, unacceptable toxicity, or participant withdrawal.
49
Total49

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event11
Overall StudyDeath1
Overall StudyMedical Decision4
Overall StudyNeed for Surgery5
Overall StudyProgression of Disease28
Overall StudyProtocol Violation1

Baseline characteristics

CharacteristicBevacizumab + Oxaliplatin + Capecitabine
Age, Continuous59.08 years
STANDARD_DEVIATION 9.62
Sex: Female, Male
Female
25 Participants
Sex: Female, Male
Male
24 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
48 / 49
serious
Total, serious adverse events
18 / 49

Outcome results

Primary

Percentage of Participants by Best Overall Response

Best response recorded from the start of treatment until disease progression. Based on assessment of CR, PR, stable disease (SD), or progressive disease (PD), according to RECIST. CR: disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR: ≥30% decrease under baseline of the sum of the LD diameters of all target lesions. CR and PR persist on repeat imaging study at least 4 weeks after initial documentation. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Reference is the smallest sum LD. PD: at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum longest diameter recorded or the appearance of one or more new lesions.

Time frame: Baseline, every 3 months to progression of disease or end of study (up to 24 months)

Population: ITT Population. 5 participants were not assessed as they did not reach the 3 month time-point.

ArmMeasureGroupValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabinePercentage of Participants by Best Overall ResponseCR4.08 percentage of participants
Bevacizumab + Oxaliplatin + CapecitabinePercentage of Participants by Best Overall ResponsePR38.78 percentage of participants
Bevacizumab + Oxaliplatin + CapecitabinePercentage of Participants by Best Overall ResponseSD38.78 percentage of participants
Bevacizumab + Oxaliplatin + CapecitabinePercentage of Participants by Best Overall ResponsePD8.16 percentage of participants
Primary

Percentage of Participants With Objective Response (OR)

Percentage of participants with OR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as disappearance of all target lesions, non-target lesions, and normalization of tumor marker level. PR was defined as greater than or equal to (≥)30 percent (%) decrease under baseline of the sum of the longest diameter (LD) diameters 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 the criteria for response were first met.

Time frame: Baseline, every 3 months to progression of disease or end of study (up to 24 months)

Population: Intent to Treat (ITT) Population: all participants who signed the informed consent, were assigned a study patient number, and who were administered at least 1 dose of 1 study medication.

ArmMeasureValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabinePercentage of Participants With Objective Response (OR)42.86 percentage of participants
p-value: 0.0047One sample exact binomial test
Secondary

Duration of Response

Duration of overall response (CR or PR) was calculated for participants of the ITT population whose best overall response was CR or PR based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR or PR status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. Mean time to event was estimated using the Kaplan-Meier method.

Time frame: Baseline, every 3 months to progression of disease or end of study (up to 24 months)

Population: ITT Population; only participants with a best overall response of CR or PR were included in the analysis.

ArmMeasureValue (MEAN)Dispersion
Bevacizumab + Oxaliplatin + CapecitabineDuration of Response8.31 monthsStandard Deviation 1.97
Secondary

Duration of Response - Percentage of Participants With an Event by 24 Months

Duration of overall response (CR or PR) was calculated only for participants of the ITT population whose best overall response was CR or PR based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR or PR status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact.

Time frame: Baseline, every 3 months to progression of disease or end of study (up to 24 months)

Population: ITT population; only participants with a best overall response of CR or PR were included in the analysis.

ArmMeasureValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabineDuration of Response - Percentage of Participants With an Event by 24 Months57.14 percentage of participants
Secondary

Duration of Stable Disease

Duration of stable response (CR, PR, or SD) was calculated only for participants of the ITT population whose best overall response was CR, PR, or SD based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR, PR, or SD status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact. Mean time to event was estimated using the Kaplan-Meier method.

Time frame: Baseline, every 3 months to progression of disease or end of study (up to 24 months)

Population: ITT Population: only participants with a best overall response of CR, PR, or SD were included in the analysis.

ArmMeasureValue (MEAN)Dispersion
Bevacizumab + Oxaliplatin + CapecitabineDuration of Stable Disease10.09 monthsStandard Deviation 1.3
Secondary

Duration of Stable Disease - Percentage of Participants With an Event by 24 Months

Duration of stable response (CR, PR, or stable disease \[SD\]) was calculated only for participants of the ITT population whose best overall response was CR, PR, or SD based on RECIST criteria. Duration of overall response was defined as the time from the date of the first assessment of CR, PR, or SD status until the date of progression or death. Data for participants who were alive without any objectively documented disease progression at the end of the study were censored as of the date of last contact.

Time frame: Baseline, every 3 months to progression of disease or end of study (up to 24 months)

Population: ITT Population; only participants with a best overall response of CR, PR, or SD were included in the analysis.

ArmMeasureValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabineDuration of Stable Disease - Percentage of Participants With an Event by 24 Months52.50 percentage of participants
Secondary

Overall Survival

OS was defined as the time in months from Day 1 until the date of death due to any cause. Data for participants who were alive at the end of the study were censored at the date of the last available follow-up visit. Mean OS was estimated using the Kaplan-Meier method.

Time frame: Baseline, monthly to end of study (up to 24 months)

Population: ITT Population

ArmMeasureValue (MEAN)Dispersion
Bevacizumab + Oxaliplatin + CapecitabineOverall Survival20.23 monthsStandard Deviation 1.68
Secondary

Overall Survival (OS) - Percentage of Participants With an Event by 24 Months

OS was defined as the time in months from Day 1 until the date of death due to any cause. Data for participants who were alive at the end of the study were censored at the date of the last available follow-up visit.

Time frame: Baseline, monthly to end of study (up to 24 months)

Population: ITT Population

ArmMeasureValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabineOverall Survival (OS) - Percentage of Participants With an Event by 24 Months89.90 percentage of participants
Secondary

Time to Progression

TTP was defined as the time in months from Day 1 until the date of first documented progressive disease, or death due to any cause. Data for participants who were alive without disease progression at the end of study, or who were non-responder participants (without tumor assessment after baseline) were censored at Day 1. Mean TTP was estimated using the Kaplan-Meier method.

Time frame: Baseline, monthly to end of study (up to 24 months)

Population: ITT Population

ArmMeasureValue (MEAN)Dispersion
Bevacizumab + Oxaliplatin + CapecitabineTime to Progression9.61 monthsStandard Deviation 0.9
Secondary

Time to Progression (TTP) - Percentage of Participants With an Event by 24 Months

TTP was defined as the time time in months from Day 1 until the date of first documented progressive disease, or death due to any cause. Data for participants who were alive without disease progression at the end of study, or who were non-responder participants (without tumor assessment after baseline) were censored at Day 1.

Time frame: Baseline, monthly to end of study (up to 24 months)

Population: ITT Population

ArmMeasureValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabineTime to Progression (TTP) - Percentage of Participants With an Event by 24 Months91.84 percentage of participants
Secondary

Time to Treatment Failure

TTF was defined as the time in months from Day 1 until discontinuation of treatment for any reasons. These reasons included: death due to any cause, treatment toxicity (adverse event), insufficient therapeutic response (progression of disease), failure to return (lost to follow-up), refusing treatment (participant non-compliance), being unwilling to cooperate and withdrawing consent (participant withdrew consent). Mean TTF was estimated using the Kaplan-Meier method.

Time frame: Baseline, monthly to end of study (up to 24 months)

Population: ITT Population

ArmMeasureValue (MEAN)Dispersion
Bevacizumab + Oxaliplatin + CapecitabineTime to Treatment Failure7.44 monthsStandard Deviation 0.84
Secondary

Time to Treatment Failure (TTF) - Percentage of Participants With an Event by 24 Months

TTF was defined as the time in months from Day 1 until discontinuation of treatment for any reasons. These reasons included: death due to any cause, treatment toxicity (adverse event), insufficient therapeutic response (progression of disease), failure to return (lost to follow-up), refusing treatment (participant non-compliance), being unwilling to cooperate and withdrawing consent (participant withdrew consent).

Time frame: Baseline, every month to end of treatment (up to 24 months)

Population: ITT Population

ArmMeasureValue (NUMBER)
Bevacizumab + Oxaliplatin + CapecitabineTime to Treatment Failure (TTF) - Percentage of Participants With an Event by 24 Months81.63 percentage of participants

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