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Safety and Efficacy Study of Avastin in Locally Advanced Metastatic or Recurrent Non-small Lung Cancer (NSLC) Participants

Available - Avastin in Addition to Platinum-based Chemotherapy is Indicated for First-lime Treatment of Patients With Locally Advanced, Metastatic or Recurrent Non-small Lung Cancer Other Than Predominantly Squamous Cell Histology

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02596958
Enrollment
996
Registered
2015-11-04
Start date
2007-09-30
Completion date
2013-10-31
Last updated
2016-04-04

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

Conditions

Non-Squamous Non-Small Cell Lung Cancer

Brief summary

The purpose of this non-interventional study is the collection and documentation of data on safety and efficacy of intravenous (IV) bevacizumab (Avastin) in addition to platinum-based chemotherapy for first-line treatment in participants with unresectable advanced, metastatic or recurrent non-small cell lung cancer (NSCLC) other than predominantly squamous cell histology with focus on adenocarcinoma and elderly patients in daily routine.

Interventions

DRUGBevacizumab

Six 3-weeks cycle of IV bevacizumab will be administered for approximately 7 months.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL

Eligibility

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

Inclusion criteria

* Age greater than or equal to (\>=) 18 years * Histologically confirmed predominantly non-squamous NSCLC that is unresectably advanced, metastatic or recurrent (with or without adenocarcinoma) * No contraindications to Avastin® according to the current Summary of Product Characteristics (SmPC) for Avastin® * Therapeutic decision for Avastin® as first line treatment in combination with platinum-based chemotherapy was taken individually and independent of the non-interventional trial.

Exclusion criteria

N/A

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Adverse Drug Reactions (ADRs), Toxicities, Avastin-Related ADRs, and Serious ADRsUp to 74 monthsADRs were defined as any response to a drug which was noxious and unintended, and which occurred at dose normally used related to the pharmacological properties. Serious ADRs were defined as any untoward medical occurrence or effect that at any dose resulted in death or life-threatening conditions or required hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, congenital anomaly or birth defect or medically important condition. Toxicity was defined as an adverse event that had an attribution (the relationship to investigational agent) of possible, probable or definite. Avastin-related ADRs (an adverse event with a possible relationship or a relationship to the treatment with AVASTIN) were due to Avastin. ADRs includes serious as well as non-serious ADRs.

Secondary

MeasureTime frameDescription
Number of Cycles of Systemic TherapyUp to 74 monthsNumber of cycles of systemic therapy was the mean number of cycles received by participants in combination therapy with Avastin and chemotherapy and with Avastin monotherapy (maintenance).
Percentage of Participants With Best Tumor Response Over TimeUp to 74 monthsBest tumor response (assessed as per clinical routine of the individual center) was categorized according to the following criteria at the investigator discretion: complete response (CR: commonly defined as disappearance of all target lesions, all non-target lesions, and no new lesion), partial response (PR: commonly defined as at least a 30 percent \[%\] decrease in the sum of the longest diameter \[LD\] of target lesions, no progression in non-target lesion, and no new lesion), stable disease (SD: commonly defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease \[PD\], in addition to no new target lesions). PD: commonly 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 and not evaluable (NE).
Percentage of Participants With Eastern Cooperative Group(ECOG) Performance Status GradesUp to 74 monthsECOG Performance Status measured on-therapy (time between first dose and last dose date with a 30-day lag) assessed participant's performance status on 5 point scale: 0 is equal to (=) fully active/able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, ambulatory/able to carry out light or sedentary work; 2=ambulatory (greater than \[\>\] 50% of waking hours \[hrs\]), capable of all self care, unable to carry out any work activities; 3=capable of only limited self care, confined to bed/chair \>50% of waking hrs; 4=completely disabled, cannot carry on any self care, totally confined to bed/chair; 5=dead.
Percentage of Participants Who Withdrew or Modified TreatmentUp to 74 monthsPercentage of participants who withdrew treatment or experienced at least 1 dose deviation in relation to the planned Avastin therapy were reported.
Progression Free Survival (PFS)Up to 74 monthsPFS was defined as the time (months) between the start of therapy and progression (unequivocal progression of existing non-target lesions) or death. Progression: 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. PFS was estimated using Kaplan-Meier method.
Percentage of Participants Who DiedUp to 74 months
Overall SurvivalUp to 74 monthsOverall survival was defined as the time (months) between the start of therapy and the date of death.
Percentage of Participants With Disease ControlUp to 74 monthsDisease control was defined as having achieved CR (commonly defined as disappearance of all target lesions, all non-target lesions, and no new lesion), PR (commonly defined as at least a 30% decrease in the sum of the LD of target lesions, no progression in non-target lesion, and no new lesion), or SD (commonly defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, in addition to no new target lesions) during the course of observation which were assessed as per investigator discretion. PD: commonly 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 and NE.

Countries

Germany

Participant flow

Participants by arm

ArmCount
Bevacizumab
Participants received bevacizumab (Avastin) in addition to platinum based chemotherapy for up to 6 cycles (21-day cycles) followed by bevacizumab as a single agent until disease progression. The dose and administration schedule was at the discretion of the treating physician and as per the recommendations given in the current SmPC.
987
Total987

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdministrative Reasons/Other231
Overall StudyCancer Progression441
Overall StudyDeath From Cancer112
Overall StudyDeath From Other Cause33
Overall StudyExcluded Due to Second Line Treatment9
Overall StudyLost to Follow-up33
Overall StudyMissing32
Overall StudyRefusal of Treatment/Poor Cooperation61
Overall StudySerious Adverse Drug Reactions44

Baseline characteristics

CharacteristicBevacizumab
Age, Continuous61.5 years
STANDARD_DEVIATION 9.8
Sex/Gender, Customized
Female
396 participants
Sex/Gender, Customized
Male
590 participants
Sex/Gender, Customized
Missing
1 participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
851 / 987
serious
Total, serious adverse events
110 / 987

Outcome results

Primary

Percentage of Participants With Adverse Drug Reactions (ADRs), Toxicities, Avastin-Related ADRs, and Serious ADRs

ADRs were defined as any response to a drug which was noxious and unintended, and which occurred at dose normally used related to the pharmacological properties. Serious ADRs were defined as any untoward medical occurrence or effect that at any dose resulted in death or life-threatening conditions or required hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, congenital anomaly or birth defect or medically important condition. Toxicity was defined as an adverse event that had an attribution (the relationship to investigational agent) of possible, probable or definite. Avastin-related ADRs (an adverse event with a possible relationship or a relationship to the treatment with AVASTIN) were due to Avastin. ADRs includes serious as well as non-serious ADRs.

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it or not.

ArmMeasureGroupValue (NUMBER)
BevacizumabPercentage of Participants With Adverse Drug Reactions (ADRs), Toxicities, Avastin-Related ADRs, and Serious ADRsADRs88.6 percentage of participants
BevacizumabPercentage of Participants With Adverse Drug Reactions (ADRs), Toxicities, Avastin-Related ADRs, and Serious ADRsToxicities88.2 percentage of participants
BevacizumabPercentage of Participants With Adverse Drug Reactions (ADRs), Toxicities, Avastin-Related ADRs, and Serious ADRsAvastin-related ADR27.0 percentage of participants
BevacizumabPercentage of Participants With Adverse Drug Reactions (ADRs), Toxicities, Avastin-Related ADRs, and Serious ADRsSerious ADR11.1 percentage of participants
Secondary

Number of Cycles of Systemic Therapy

Number of cycles of systemic therapy was the mean number of cycles received by participants in combination therapy with Avastin and chemotherapy and with Avastin monotherapy (maintenance).

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it.

ArmMeasureGroupValue (MEAN)Dispersion
BevacizumabNumber of Cycles of Systemic TherapyNumber of cycles with combination therapy4.2 cyclesStandard Deviation 1.8
BevacizumabNumber of Cycles of Systemic TherapyTotal number of cycles7.6 cyclesStandard Deviation 7
BevacizumabNumber of Cycles of Systemic TherapyNumber of cycles with maintenance therapy3.4 cyclesStandard Deviation 6.2
Secondary

Overall Survival

Overall survival was defined as the time (months) between the start of therapy and the date of death.

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it. Here 'number of participants analyzed' = participants assessed for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
BevacizumabOverall Survival18.4 monthsStandard Deviation 0.5
Secondary

Percentage of Participants Who Died

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it. Here, number of participants analyzed = participants with non-missing tumor response data.

ArmMeasureValue (NUMBER)
BevacizumabPercentage of Participants Who Died17.5 percentage of participants
Secondary

Percentage of Participants Who Withdrew or Modified Treatment

Percentage of participants who withdrew treatment or experienced at least 1 dose deviation in relation to the planned Avastin therapy were reported.

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it.

ArmMeasureValue (NUMBER)
BevacizumabPercentage of Participants Who Withdrew or Modified Treatment8.8 percentage of participants
Secondary

Percentage of Participants With Best Tumor Response Over Time

Best tumor response (assessed as per clinical routine of the individual center) was categorized according to the following criteria at the investigator discretion: complete response (CR: commonly defined as disappearance of all target lesions, all non-target lesions, and no new lesion), partial response (PR: commonly defined as at least a 30 percent \[%\] decrease in the sum of the longest diameter \[LD\] of target lesions, no progression in non-target lesion, and no new lesion), stable disease (SD: commonly defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease \[PD\], in addition to no new target lesions). PD: commonly 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 and not evaluable (NE).

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it. Here, number of participants analyzed = participants with non-missing tumor response data.

ArmMeasureGroupValue (NUMBER)
BevacizumabPercentage of Participants With Best Tumor Response Over TimeCR2.3 percentage of participants
BevacizumabPercentage of Participants With Best Tumor Response Over TimePR43.3 percentage of participants
BevacizumabPercentage of Participants With Best Tumor Response Over TimeSD29.4 percentage of participants
BevacizumabPercentage of Participants With Best Tumor Response Over TimePD10.1 percentage of participants
BevacizumabPercentage of Participants With Best Tumor Response Over TimeNE14.9 percentage of participants
Secondary

Percentage of Participants With Disease Control

Disease control was defined as having achieved CR (commonly defined as disappearance of all target lesions, all non-target lesions, and no new lesion), PR (commonly defined as at least a 30% decrease in the sum of the LD of target lesions, no progression in non-target lesion, and no new lesion), or SD (commonly defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, in addition to no new target lesions) during the course of observation which were assessed as per investigator discretion. PD: commonly 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 and NE.

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it. Here, number of participants analyzed = participants with non-missing tumor response data.

ArmMeasureValue (NUMBER)
BevacizumabPercentage of Participants With Disease Control75.0 percentage of participants
Secondary

Percentage of Participants With Eastern Cooperative Group(ECOG) Performance Status Grades

ECOG Performance Status measured on-therapy (time between first dose and last dose date with a 30-day lag) assessed participant's performance status on 5 point scale: 0 is equal to (=) fully active/able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, ambulatory/able to carry out light or sedentary work; 2=ambulatory (greater than \[\>\] 50% of waking hours \[hrs\]), capable of all self care, unable to carry out any work activities; 3=capable of only limited self care, confined to bed/chair \>50% of waking hrs; 4=completely disabled, cannot carry on any self care, totally confined to bed/chair; 5=dead.

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it. Here, number of participants analyzed = participants with non-missing tumor response data.

ArmMeasureGroupValue (NUMBER)
BevacizumabPercentage of Participants With Eastern Cooperative Group(ECOG) Performance Status GradesGrade 36.2 percentage of participants
BevacizumabPercentage of Participants With Eastern Cooperative Group(ECOG) Performance Status GradesGrade 018.7 percentage of participants
BevacizumabPercentage of Participants With Eastern Cooperative Group(ECOG) Performance Status GradesGrade 150.1 percentage of participants
BevacizumabPercentage of Participants With Eastern Cooperative Group(ECOG) Performance Status GradesGrade 223.2 percentage of participants
BevacizumabPercentage of Participants With Eastern Cooperative Group(ECOG) Performance Status GradesGrade 41.7 percentage of participants
Secondary

Progression Free Survival (PFS)

PFS was defined as the time (months) between the start of therapy and progression (unequivocal progression of existing non-target lesions) or death. Progression: 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. PFS was estimated using Kaplan-Meier method.

Time frame: Up to 74 months

Population: Analysis population was defined as all participants included in the observational study, regardless of whether they finished it. Here, number of participants analyzed = participants with non-missing tumor response data.

ArmMeasureValue (MEDIAN)
BevacizumabProgression Free Survival (PFS)7.4 months

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026