FOLFOX With Bevacizumab in Metastatic or Unresectable Gastroesophageal and Gastric Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00673673
Recruitment Status : Completed
First Posted : May 7, 2008
Results First Posted : July 14, 2014
Last Update Posted : February 4, 2015
Genentech, Inc.
Information provided by (Responsible Party):
Yale University

Brief Summary:
This is a Phase II open-label study to determine the anti-tumor efficacy and tolerability of FOLFOX in combination with bevacizumab (Avastin(TM))in patients with metastatic or unresectable gastroesophageal and gastric adenocarcinoma. Our primary objective is to determine the time to progression in patients treated with FOLFOX in combination with bevacizumab.

Condition or disease Intervention/treatment Phase
Gastroesophageal Cancer Gastric Cancer Drug: FOLFOX Drug: bevacizumab Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 39 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase II Study of FOLFOX With Bevacizumab (Avastin(TM)) in Metastatic or Unresectable Gastroesophageal and Gastric Cancer
Study Start Date : May 2008
Actual Primary Completion Date : May 2013
Actual Study Completion Date : July 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Stomach Cancer
Drug Information available for: Bevacizumab

Arm Intervention/treatment
Experimental: 1
FOLFOX in combination with bevacizumab
Oxaliplatin 85/mg/m2 IV infused over two hours followed by Leucovorin 400 mg/m2 IV over 2 hours, followed by 5-FU 400 mg/m2 IV bolus, then 2400 mg/m2 continuous IV infusion over 46-48 hours
Other Names:
  • Eloxatin
  • Fluorouracil

Drug: bevacizumab
bevacizumab will be used at a dose of 10 mg/kg administered every 2 weeks on day one of FOLFOX chemotherapy
Other Name: Avastin

Primary Outcome Measures :
  1. Progression Free Survival [ Time Frame: Upon completion of study, up to 3 years ]

Secondary Outcome Measures :
  1. Overall Tumor Response Rate by RECIST Criteria [ Time Frame: Upon completion of study ]
    Per response evaulation criteria in solid tumors criteria (RECIST) for target lesions assessed by FDG-PET Scans: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.

  2. Overall Survival [ Time Frame: Upon completion of study, up to 3 years ]

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically or cytologically documented recurrent, metastatic or unresectable gastroesophageal (Siewert type I, II, III) or gastric adenocarcinoma with measurable or assessable non-measurable disease (RECIST criteria).
  • If recurrent or metastatic disease is not histologically confirmed, then documentation by a second radiographic procedure (i.e., PET scan or MRI in addition to CT scan) is required. If the imaging procedure does not confirm recurrent or metastatic disease, biopsy confirmation is required
  • 12 months since completion of any prior neoadjuvant or adjuvant therapy (chemotherapy or radiotherapy) for potentially resectable gastroesophageal or gastric adenocarcinoma.
  • >4 weeks since major surgery.
  • ECOG Performance Status: 0-1
  • Life expectancy >12 weeks
  • Laboratory parameters as follows: absolute neutrophil count ≥1,500/uL, platelet count ≥100,000/uL, hemoglobin ≥9 g,/dL, creatinine <1.5 X ULN or estimated GFR >30 ml's/min, urinalysis <2+ protein, baseline proteinuria <1000 mg/d or urine protein/creatinine ratio <1, bilirubin <2 X ULN, PT (INR) <1.5 if patient not on anticoagulation, negative pregnancy test in women of childbearing age
  • Hypertension must be well controlled (<160/90)
  • Paraffin block or slides must be available
  • Patients on full-dose anticoagulants must be on a stable dose of warfarin and have an in-range INR or be on a stable dose of low molecular weight heparin.

Exclusion Criteria:

  • prior treatment for recurrent, metastatic, or unresectable gastroesophageal or gastric adenocarcinoma
  • other concurrent anticancer therapy
  • other malignancy within past three years except basal cell carcinoma of the skin, cervical carcinoma in situ, or nonmetastatic prostate cancer known central nervous system metastases or carcinomatous meningitis.
  • interstitial pneumonia or extensive and symptomatic interstitial fibrosis of the lung.
  • > grade 2 sensory peripheral neuropathy.
  • uncontrolled seizure disorder, active neurological disease, or known CNS disease.
  • significant cardiac disease, including the following: unstable angina, New York Heart Association class II-IV congestive heart failure, myocardial infarction within six months prior to study enrollment.
  • history of hypertensive crisis or hypertensive encephalopathy
  • abdominal fistula, gastrointestinal bleeding, or intra-abdominal abscess within the 6 months prior to study enrollment.
  • core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment.
  • major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment or anticipation of need for major surgical procedure during the course of the study.
  • recent arterial thrombotic events including stroke or TIA within 6 months prior to study enrollment.
  • serious or non-healing wound, ulcer or bone fracture.
  • active bleeding or pathological condition that carries a high risk of bleeding (e.g., tumor involving major vessels or known varices).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00673673

United States, Connecticut
Medical Oncology & Hematology PC
Hamden, Connecticut, United States
Yale University School of Medicine
New Haven, Connecticut, United States, 06520
Sponsors and Collaborators
Yale University
Genentech, Inc.
Principal Investigator: Jill Lacy, M.D. Yale University

Responsible Party: Yale University Identifier: NCT00673673     History of Changes
Other Study ID Numbers: 0710003118
First Posted: May 7, 2008    Key Record Dates
Results First Posted: July 14, 2014
Last Update Posted: February 4, 2015
Last Verified: January 2015

Additional relevant MeSH terms:
Stomach Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Stomach Diseases
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Antineoplastic Agents