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| ID | Type | Description | Link |
|---|---|---|---|
| EUDRACT: 2006-000604-16 |
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| Name | Class |
|---|---|
| Regeneron Pharmaceuticals | INDUSTRY |
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The primary objective of this study was to compare the time between paracenteses before and after administration of Aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®) in ovarian cancer participants with symptomatic malignant ascites.
The secondary objectives were to further assess efficacy and safety of Aflibercept treatment, and the exploratory objectives were to assess pharmacokinetics, immunogenicity and health-related quality of life.
The study consisted of:
During the study, participants were treated with Aflibercept study treatment through the duration of the study unless they met one the following criteria for discontinuation:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aflibercept | Experimental | Participants with advanced ovarian epithelial cancer (including fallopian tube and primary peritoneal adenocarcinoma) treated with Aflibercept every 2 weeks until a criterion for treatment discontinuation was met |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®) | Drug | 4.0 mg/kg administered intravenously (IV) once every 2 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With a Repeat Paracentesis Response (RPR) | RPR was defined as at least a two-fold increase in the time to repeat paracentesis (TRP) as compared to the average duration of the 2 intervals between the 3 most recent paracenteses prior to study registration (ie, the baseline interval of paracentesis). Percentage of participants with a repeat paracentesis response were the number of participants with RPR / number of total participants * 100. | up to 2 years post-registration |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Repeat Paracentesis (TRP) | TRP is the number of days between the date of registration and the date of the first postregistration paracentesis. Median TRP was estimated from Kaplan-Meier curves. For participants who did not undergo a postregistration paracentesis while on study, TRP was censored at the end of the treatment period (last dose + 1 cycle), at the last visit known without repeat paracentesis, at 6 months postregistration, or at death, whichever was earlier. |
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Participants that met the following criteria were eligible.
Inclusion Criteria:
Exclusion Criteria:
The above information is not intended to contain all considerations relevant to participation in a clinical trial.
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| Name | Affiliation | Role |
|---|---|---|
| ICD | Sanofi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sanofi-Aventis Administrative Office | Bridgewater | New Jersey | 08807 | United States | ||
| Sanofi-Aventis Administrative Office |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22112608 | Derived | Colombo N, Mangili G, Mammoliti S, Kalling M, Tholander B, Sternas L, Buzenet G, Chamberlain D. A phase II study of aflibercept in patients with advanced epithelial ovarian cancer and symptomatic malignant ascites. Gynecol Oncol. 2012 Apr;125(1):42-7. doi: 10.1016/j.ygyno.2011.11.021. Epub 2011 Nov 21. |
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17 participants were screened for this study, of which 16 participants were enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Aflibercept | Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Aflibercept | Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With a Repeat Paracentesis Response (RPR) | RPR was defined as at least a two-fold increase in the time to repeat paracentesis (TRP) as compared to the average duration of the 2 intervals between the 3 most recent paracenteses prior to study registration (ie, the baseline interval of paracentesis). Percentage of participants with a repeat paracentesis response were the number of participants with RPR / number of total participants * 100. | Posted | Number | 95% Confidence Interval | percentage of participants | up to 2 years post-registration |
|
From treatment initiation to January 30, 2009
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Aflibercept | Participants with advanced ovarian epithelial cancer treated with 4.0 mg/kg Aflibercept every 2 weeks until a criterion for treatment discontinuation was met |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 11.1 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 11.1 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Trial Transparency Team | sanofi-aventis | Contact-Us@sanofi.com |
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| ID | Term |
|---|---|
| D010051 | Ovarian Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
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| ID | Term |
|---|---|
| C533178 | aflibercept |
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| up to 6 months from registration |
| 60-day Frequency of Paracentesis (FOP) | FOP was the total number of paracenteses performed within the first 60 days postregistration. For participants who had withdrawn after registration but prior to the 60-day cutoff date, the withdrawal would have been regarded as a paracentesis event and the 60-day FOP normalized and calculated as the nearest integer of the value corresponding to 60 × number of paracenteses / x, where x represents the number of days on study. | up to 60 days post-registration |
| Progression-free Survival (PFS) Time | According to the Response Evaluation Criteria in Solid Tumors [RECIST], progression was at least a 20% increase in the sum of the longest diameter (LD) of tumors, compared to smallest sum LD recorded since treatment started, or the appearance of one or more new tumors. PFS time was interval from the date of registration to the date of tumor progression or death from any cause, whichever was earlier. Median PFS time was estimated from Kaplan-Meier Plots. If participants were alive and progression-free at 6 months postregistration, they were censored for PFS. | up to 6 months post-registration |
| Overall Survival (OS) Time | OS time was the time interval between the date of registration to the date of death from any cause. Median OS was estimated from Kaplan-Meier curves. Participants who died after efficacy data cutoff date (6 months postregistration) were censored at the data cutoff date. | up to 6 months post-registration |
| Number of Participants With a Positive Anti-drug Antibody Response | Anti-drug antibodies in participant's serum were measured using 2 different methods
Participants with detectable anti-drug antibodies by either method were considered to have a positive anti-drug antibody response. | up to 60 days after the last dose of treatment |
| Safety - Number of Participants With Adverse Events (AE) | All AEs regardless of seriousness or relationship to study treatment, spanning from the first administration of study treatment until 60 days after the last administration of study treatment, were recorded, and followed until resolution or stabilization. The number of participants with all treatment emergent adverse events (TEAE), serious adverse events (SAE), TEAE leading to death, and TEAE leading to permanent treatment discontinuation are reported. | up to 60 days after last dose of treatment (approximately 2 years), or until TEAE was resolved or stabilized |
| Milan |
| Italy |
| Sanofi-Aventis Administrative Office | Bromma | Sweden |
| years |
|
| Age, Customized | Number | participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | Participants |
|
| Primary tumor site - Ovaries | Number | Participants |
|
| Time since initial cancer diagnosis | Mean | Standard Deviation | Years |
|
| Histology | Number | Participants |
|
| Histology grade | Number | Participants |
|
| Prior anticancer surgeries, | Number | Participants |
|
| Baseline interval of paracentesis | Average of the two paracentesis intervals prior to the Day 1 paracentesis before registration. | Mean | Standard Deviation | days |
|
| Eastern Cooperative Oncology Group (ECOG) performance status score | The ECOG score assesses how the disease affects a participant's daily living abilities. It ranges from 0-5, with 0 being the best and 5 being the worst outcome. "0" reflects a fully active participant, able to carry on all pre-disease performance without restriction. "1" reflects a participant restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature. "2" reflects an ambulatory participant, who is up and about more than 50% of waking hours, and capable of all self-care but unable to carry out any work activities. | Number | participants |
|
| Units | Counts |
|---|
| Participants |
|
|
| Secondary | Time to Repeat Paracentesis (TRP) | TRP is the number of days between the date of registration and the date of the first postregistration paracentesis. Median TRP was estimated from Kaplan-Meier curves. For participants who did not undergo a postregistration paracentesis while on study, TRP was censored at the end of the treatment period (last dose + 1 cycle), at the last visit known without repeat paracentesis, at 6 months postregistration, or at death, whichever was earlier. | All participants were analyzed. 8 had one or more paracentesis events. Participants with no paracentesis events were censored at the end of the treatment period (last dose + 1 cycle). | Posted | Median | 95% Confidence Interval | days | up to 6 months from registration | Paracentesis (>/= 1 per participant) | Participants |
|
|
|
| Secondary | 60-day Frequency of Paracentesis (FOP) | FOP was the total number of paracenteses performed within the first 60 days postregistration. For participants who had withdrawn after registration but prior to the 60-day cutoff date, the withdrawal would have been regarded as a paracentesis event and the 60-day FOP normalized and calculated as the nearest integer of the value corresponding to 60 × number of paracenteses / x, where x represents the number of days on study. | Posted | Mean | Standard Deviation | paracenteses | up to 60 days post-registration |
|
|
|
| Secondary | Progression-free Survival (PFS) Time | According to the Response Evaluation Criteria in Solid Tumors [RECIST], progression was at least a 20% increase in the sum of the longest diameter (LD) of tumors, compared to smallest sum LD recorded since treatment started, or the appearance of one or more new tumors. PFS time was interval from the date of registration to the date of tumor progression or death from any cause, whichever was earlier. Median PFS time was estimated from Kaplan-Meier Plots. If participants were alive and progression-free at 6 months postregistration, they were censored for PFS. | Participants with a PFS event (tumor progression or death) were analyzed. | Posted | Median | 95% Confidence Interval | days | up to 6 months post-registration |
|
|
|
| Secondary | Overall Survival (OS) Time | OS time was the time interval between the date of registration to the date of death from any cause. Median OS was estimated from Kaplan-Meier curves. Participants who died after efficacy data cutoff date (6 months postregistration) were censored at the data cutoff date. | All participants were analyzed. 5 participants who died after efficacy data cutoff date (6 months postregistration) were censored at the data cutoff date. | Posted | Median | 95% Confidence Interval | days | up to 6 months post-registration | Events (Death) | Participants |
|
|
|
| Secondary | Number of Participants With a Positive Anti-drug Antibody Response | Anti-drug antibodies in participant's serum were measured using 2 different methods
Participants with detectable anti-drug antibodies by either method were considered to have a positive anti-drug antibody response. | Participants who received at least part of 1 dose of aflibercept and had evaluable blood samples | Posted | Number | participants | up to 60 days after the last dose of treatment |
|
|
|
| Secondary | Safety - Number of Participants With Adverse Events (AE) | All AEs regardless of seriousness or relationship to study treatment, spanning from the first administration of study treatment until 60 days after the last administration of study treatment, were recorded, and followed until resolution or stabilization. The number of participants with all treatment emergent adverse events (TEAE), serious adverse events (SAE), TEAE leading to death, and TEAE leading to permanent treatment discontinuation are reported. | All participants who received at least part of 1 dose of the study treatment. | Posted | Number | participants | up to 60 days after last dose of treatment (approximately 2 years), or until TEAE was resolved or stabilized |
|
|
|
| 15 |
| 16 |
| 16 |
| 16 |
| Tachyarrhythmia | Cardiac disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Intestinal perforation | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Large intestinal obstruction | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Disease progression | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| General physical health deterioration | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 11.1 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Cognitive disorder | Nervous system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Hydropneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Lymphadenitis | Blood and lymphatic system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Tachyarrhythmia | Cardiac disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Conjunctivitis | Eye disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Colitis | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Intestinal perforation | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Oesophagitis | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Subileus | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Asthenia | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Disease progression | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Early satiety | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| General physical health deterioration | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Mucosal inflammation | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Pain | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Hepatic failure | Hepatobiliary disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 11.1 | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 11.1 | Non-systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA 11.1 | Non-systematic Assessment |
|
| Tooth infection | Infections and infestations | MedDRA 11.1 | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA 11.1 | Non-systematic Assessment |
|
| Cardiac murmur | Investigations | MedDRA 11.1 | Non-systematic Assessment |
|
| Urine output decreased | Investigations | MedDRA 11.1 | Non-systematic Assessment |
|
| Urine output increased | Investigations | MedDRA 11.1 | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA 11.1 | Non-systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Sinus congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Palmar-plantar erythrodysaesthesia syndrome | Skin and subcutaneous tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA 11.1 | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 11.1 | Non-systematic Assessment |
|
The investigator has the right to independently publish study results from his site after a multicenter publication, or 12 months after the completion of the study by all sites. He must provide the sponsor a copy of any such publication derived from the study for review and comment at least 45 days (20 for abstracts) in advance of any submission for publication. The Sponsor may request for the publication to be delayed for a limited time, not to exceed 90 days to preserve its proprietary rights.
| D000291 |
| Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| Title | Measurements |
|---|---|
|
| With a TEAE resulting in discontinuation |
|