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Bevacizumab in Treating Patients With Recurrent Sex Cord-Stromal Tumors of the Ovary
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), April 2009
First Received: September 5, 2008   Last Updated: April 18, 2009   History of Changes
Sponsors and Collaborators: Gynecologic Oncology Group
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00748657
  Purpose

RATIONALE: 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. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor.

PURPOSE: This phase II trial is studying how well bevacizumab works in treating patients with recurrent sex cord-stromal tumors of the ovary.


Condition Intervention Phase
Ovarian Cancer
Biological: bevacizumab
Other: immunohistochemistry staining method
Other: laboratory biomarker analysis
Phase II

MedlinePlus related topics: Cancer Ovarian Cancer
Drug Information available for: Bevacizumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase II Trial of NCI-Supplied Agent: Bevacizumab (rhuMAB VEGF) (NSC 704865, IND 7921) for Recurrent Sex Cord-Stromal Tumors of the Ovary

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Tumor response rate (complete and partial response) [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Overall survival [ Designated as safety issue: No ]
  • Progression-free survival [ Designated as safety issue: No ]
  • Expression of angiogenic or lymphangiogenic markers (i.e., VEGF ligand, receptor, and activated receptor; EGF ligand, receptor, and activated receptor; β-catenin; LYVE-1 [lymphatic marker]; IL-8; ER-alpha; ER-beta; and androgen receptor) [ Designated as safety issue: No ]

Estimated Enrollment: 37
Study Start Date: September 2008
Estimated Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To estimate the anti-tumor activity of bevacizumab by assessing the frequency of objective response in patients with recurrent sex cord-stromal tumors of the ovary.

Secondary

  • To determine the nature and degree of toxicity of this drug in these patients.
  • To determine the overall survival of these patients.
  • To determine the progression-free survival of these patients.

Tertiary

  • To quantify expression of angiogenic or lymphangiogenic markers in recurrent stromal tumors of the ovary to determine frequency of alterations and potential utility of biologic agents directed at these proteins for inclusion in future studies.

OUTLINE: This is a multicenter study.

Patients receive bevacizumab IV over 30-90 minutes on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Tumor tissue samples are collected at baseline and analyzed by immunohistochemistry to quantify expressions of angiogenic or lymphangiogenic biomarkers.

After completion of study therapy, patients are followed every 3 months for 2 years, every 6 months for 3 years, and then periodically thereafter.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed ovarian stromal tumor, including any of the following:

    • Granulosa cell tumor
    • Granulosa cell-theca cell tumor
    • Sertoli-Leydig cell tumor (androblastoma)
    • Steroid (lipid) cell tumor
    • Gynandroblastoma
    • Unclassified sex cord-stromal tumor
    • Sex cord tumor with annular tubules
  • Recurrent disease
  • Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR ≥ 10 mm by spiral CT scan
  • No tumor involving major vessels
  • No history or evidence of primary brain tumor or brain metastases by physical exam

PATIENT CHARACTERISTICS:

Inclusion criteria:

  • GOG performance status 0-2
  • ANC ≥ 1,000/µL
  • Platelet count ≥ 75,000/µL
  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • SGOT < 2.5 times ULN
  • Alkaline phosphatase < 2.5 times ULN
  • INR ≤ 1.5 (in-range INR [2-3] if patient is on a stable dose of therapeutic warfarin)
  • PTT < 1.2 times ULN
  • Creatinine ≤ 1.5 times ULN
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for ≥ 3 months after completion of study treatment

Exclusion criteria:

  • Serious non-healing wound, ulcer, or bone fracture
  • Active bleeding or pathologic conditions that carry a high risk of bleeding, including any of the following:

    • Known bleeding disorder
    • Coagulopathy
  • History or evidence of other CNS disease by physical exam, including any of the following:

    • Seizures not controlled with standard medical therapy
    • Cerebrovascular accident, transient ischemic attack, or subarachnoid hemorrhage within the past 6 months
  • Sensory and motor neuropathy > grade 1 (according to NCI CTCAE v3.0)
  • 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 arrhythmic requiring medication
    • Peripheral vascular disease ≥ grade 2
  • Clinically significant peripheral artery disease (e.g., claudication within the past 6 months)
  • Clinically significant proteinuria (urine protein:creatinine ratio ≥ 1.0)
  • Known hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies
  • Bowel obstruction or requirement for parenteral hydration and/or nutrition
  • Significant traumatic injury within the past 28 days
  • Active infection requiring parenteral antibiotics
  • Other invasive malignancies within the past 5 years, except non-melanoma skin cancer

PRIOR CONCURRENT THERAPY:

  • No prior treatment with bevacizumab or other VEGF inhibitors
  • No prior cancer treatment that contraindicates study therapy
  • No major surgical procedure or open biopsy within the past 28 days
  • No vascular access device placement or core biopsy within the past 7 days
  • No concurrent major surgery
  • No other concurrent chemotherapy, radiotherapy, immunotherapy, or hormonal therapy directed against the tumor
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00748657

Locations
United States, Connecticut
George Bray Cancer Center at the Hospital of Central Connecticut - New Britain Campus Recruiting
New Britain, Connecticut, United States, 06050
Contact: Clinical Trials Office - George Bray Cancer Center     860-224-5660        
Helen and Harry Gray Cancer Center at Hartford Hospital Recruiting
Hartford, Connecticut, United States, 06102-5037
Contact: Clinical Trials Office - Helen and Harry Gray Cancer Center     860-545-5363        
United States, Illinois
Hinsdale Hematology Oncology Associates Recruiting
Hinsdale, Illinois, United States, 60521
Contact: Sudarshan K. Sharma, MD     630-856-6757        
United States, Iowa
Holden Comprehensive Cancer Center at University of Iowa Recruiting
Iowa City, Iowa, United States, 52242-1002
Contact: Cancer Information Service     800-237-1225        
United States, Minnesota
Masonic Cancer Center at University of Minnesota Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Clinical Trials Office - Masonic Cancer Center at University o     612-624-2620        
United States, Mississippi
University of Mississippi Cancer Clinic Recruiting
Jackson, Mississippi, United States, 39216
Contact: James T. Thigpen, MD     601-984-5590        
United States, North Carolina
Blumenthal Cancer Center at Carolinas Medical Center Recruiting
Charlotte, North Carolina, United States, 28232-2861
Contact: Clinical Trials Office - Blumenthal Cancer Center at Carolinas     704-355-2884        
United States, Ohio
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center Recruiting
Columbus, Ohio, United States, 43210-1240
Contact: Ohio State University Cancer Clinical Trial Matching Service     866-627-7616     osu@emergingmed.com    
Riverside Methodist Hospital Cancer Care Recruiting
Columbus, Ohio, United States, 43214-3998
Contact: Clinical Trials Office - Riverside Methodist Hospital Cancer C     614-566-4475        
United States, Oklahoma
Cancer Care Associates - Saint Francis Campus Recruiting
Tulsa, Oklahoma, United States, 74136-1929
Contact: Robert S. Mannel, MD     405-271-8787        
Oklahoma University Cancer Institute Recruiting
Oklahoma City, Oklahoma, United States, 73104
Contact: Robert S. Mannel, MD     405-271-8787        
United States, Pennsylvania
Rosenfeld Cancer Center at Abington Memorial Hospital Recruiting
Abington, Pennsylvania, United States, 19001
Contact: Clinical Trials Office - Rosenfeld Cancer Center at Abington M     215-481-2402        
United States, Texas
M. D. Anderson Cancer Center at University of Texas Recruiting
Houston, Texas, United States, 77030-4009
Contact: Clinical Trials Office - M. D. Anderson Cancer Center at the U     713-792-3245        
Sponsors and Collaborators
Gynecologic Oncology Group
Investigators
Study Chair: Jubilee Brown, MD M.D. Anderson Cancer Center
Investigator: David M. Gershenson, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: Gynecologic Oncology Group ( Philip J. DiSaia )
Study ID Numbers: CDR0000613531, GOG-0251
Study First Received: September 5, 2008
Last Updated: April 18, 2009
ClinicalTrials.gov Identifier: NCT00748657     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
ovarian stromal cancer

Study placed in the following topic categories:
Ovarian Neoplasms
Gonadal Disorders
Genital Neoplasms, Female
Endocrine System Diseases
Urogenital Neoplasms
Ovarian Diseases
Bevacizumab
Angiogenesis Inhibitors
Recurrence
Genital Diseases, Female
Sex Cord-Gonadal Stromal Tumors
Ovarian Cancer
Endocrinopathy
Endocrine Gland Neoplasms

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Ovarian Neoplasms
Antineoplastic Agents
Gonadal Disorders
Growth Substances
Physiological Effects of Drugs
Genital Neoplasms, Female
Endocrine System Diseases
Urogenital Neoplasms
Bevacizumab
Ovarian Diseases
Angiogenesis Inhibitors
Pharmacologic Actions
Adnexal Diseases
Genital Diseases, Female
Sex Cord-Gonadal Stromal Tumors
Neoplasms
Neoplasms by Site
Therapeutic Uses
Neoplasms, Gonadal Tissue
Growth Inhibitors
Angiogenesis Modulating Agents
Endocrine Gland Neoplasms

ClinicalTrials.gov processed this record on May 07, 2009