Fallopian Tube CancerPhase 3NCT00483782
Carboplatin and Paclitaxel With or Without Bevacizumab in Treating Patients With Newly Diagnosed Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cavity Cancer
A Phase 3 study testing bevacizumab, carboplatin and paclitaxel in people with Fallopian Tube Cancer and Ovarian Cancer, run by Medical Research Council at 142 sites in 5 countries.
Trial summary
RATIONALE: Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Fallopian Tube Cancer, Ovarian Cancer, Primary Peritoneal Cavity Cancer
- What is being tested?
- bevacizumab, carboplatin and paclitaxel
- Type of treatment
- Surgery or procedure
- How many people
- 1,520 participants
- Where
- 142 sitesin 5 countries
- Study dates
- Apr 2006to not given
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically confirmed ovarian epithelial, fallopian tube, or primary peritoneal cavity cancer
- Newly diagnosed disease
- Meets 1 of the following staging criteria:
- High-risk stage I or IIA disease (grade 3 disease or clear cell carcinoma only)
- Stage IIB-IV disease (all grades and all histological types)
- Must have undergone initial surgery (e.g., debulking cytoreductive surgery or a biopsy if the patient has stage IV disease) within the past 6 weeks
- Patients with stage IV disease for which initial surgical debulking was not appropriate are eligible provided the following criteria are met:
- Stage IV disease diagnosed by histology
- No planned surgery prior to disease progression, including interval debulking surgery
- Patients with prior early-stage ovarian epithelial or fallopian tube carcinoma treated with surgery alone are eligible at the time of diagnosis of abdominopelvic recurrence provided no further interval cytoreductive therapy is planned prior to disease progression
- Synchronous primary endometrial carcinoma or a past history of primary endometrial carcinoma allowed provided the following criteria are met:
- Disease ≤ stage IB
- No more than superficial myometrial invasion
- No lymphovascular invasion
- Not poorly differentiated (i.e., no grade 3, papillary serous, or clear cell disease)
- Measurable or nonmeasurable disease
- No ovarian nonepithelial cancer, including malignant mixed Müllerian tumors
- No borderline tumors (e.g., tumors of low malignant potential)
- No history or clinical suspicion of brain metastases or spinal cord compression
- CT scan or MRI of the brain is mandatory (within 4 weeks prior to randomization) in case of suspected brain metastases
- Spinal MRI is mandatory (within 4 weeks prior to randomization) in case of suspected spinal cord compression
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- Life expectancy > 12 weeks
- ANC ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- Hemoglobin ≥ 9 g/dL (can be post-transfusion)
- INR ≤ 1.5
- APTT ≤ 1.5 times upper limit of normal (ULN)
- Bilirubin ≤ 1.5 times ULN
- ALT and AST ≤ 2.5 times ULN
- Creatinine ≤ 2.0 mg/dL
- Proteinuria ≤ 1+ by urine dipstick OR ≤ 1 g by 24-hour urine collection
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for ≥ 6 weeks after completion of study therapy
- No significant traumatic injury within the past 4 weeks
- No cerebrovascular accident, transient ischemic attack, or subarachnoid hemorrhage within the past 6 months
- No other malignancies within the past 5 years except for adequately treated carcinoma in situ of the cervix, and/or basal cell skin cancer, and/or early endometrial carcinoma
- No pre-existing sensory or motor neuropathy ≥ grade 2
- No history or evidence of CNS disease (e.g., uncontrolled seizures) by neurological examination unless adequately treated with standard medical therapy
- No history or evidence of thrombotic or hemorrhagic disorders
- No uncontrolled hypertension (i.e., blood pressure > 150/100 mm Hg despite antihypertensive therapy)
- No known hypersensitivity to bevacizumab and its excipients, chemotherapy, or Cremophor EL
- No nonhealing wound, ulcer, or bone fracture
- Patients with granulating incisions healing by secondary intention with no evidence of facial dehiscence or infection are eligible but require three weekly wound examinations
- No clinically significant cardiovascular disease, including any of the following:
- Myocardial infarction or unstable angina within the past 6 months
- New York Heart Association class II-IV congestive heart failure
- Poorly controlled cardiac arrhythmia despite medication
- Rate-controlled atrial fibrillation allowed
- Peripheral vascular disease ≥ grade 3 (i.e., symptomatic and interfering with activities of daily living requiring repair or revision)
- No evidence of other disease or condition, metabolic dysfunction, physical examination findings, or laboratory findings that would contraindicate the use of an investigational drug or put the patient at high-risk for treatment-related complications
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- More than 4 weeks since other prior surgery or open biopsy
- No prior systemic therapy for ovarian cancer (e.g., chemotherapy, monoclonal antibody therapy, tyrosine kinase inhibitor therapy, or hormonal therapy)
- Prior adjuvant chemotherapy allowed for other malignancies (e.g., breast or colorectal carcinoma) if malignancy was diagnosed over 5 years ago with no evidence of subsequent recurrence
- No prior mouse CA 125 antibody
- No prior radiotherapy to the abdomen or pelvis
- More than 10 days since prior and no concurrent chronic use of acetylsalicylic acid (> 325 mg/day)
- Low-dose (< 325 mg/day) acetylsalicylic acid allowed
- More than 10 days since prior and no concurrent full-dose oral or parenteral anticoagulants or thrombolytic agents for therapeutic purposes
- Use of therapy for line patency allowed provided INR < 1.5
- More than 30 days since prior and no other concurrent investigational agent or participation in another clinical trial
- No other concurrent systemic antitumor agents
- No concurrent surgery
- No concurrent maintenance chemotherapy or intraperitoneal chemotherapy (including cytotoxic chemotherapy)
Trial locations and contacts
142 sites in 5 countries.
142 sites in 5 countries
Germany50 sites
Evang. Waldkrankenhaus Spandau
Berlin, 13589
Charite University Hospital - Campus Virchow Klinikum
Berlin, D-13353
Klinikum Bremen-Mitte
Bremen, D-28205
Praxis Dres. F.& G. Doering
Bremen, D-28205
Klinikum Chemnitz gGmbH
Chemnitz, D-09116
Universitatsklinikum Carl Gustav Carus
Dresden, D-01307
Kreiskrankenhaus
Ebersberg, D-85560
Universitaetsklinikum Essen
Essen, D-45122
Elisabeth-Krankenhaus
Essen, D-45138
Staedtische Kliniken Esslingen
Esslingen am Neckar, D-73730
Onkologie Bethanien
Frankfurt, D-60389
Klinikum der J.W. Goethe Universitaet
Frankfurt, D-60590
Staedtische Kliniken Frankfurt am Main - Hoechst
Frankfurt, D-65929
Universitaetsfrauenklinik Freiburg
Freiburg im Breisgau, D-79106
Franziskus Hospital Hardenberg
Georgsmarienhütte, D-49124
Klinik Fuer Innere Medizin, Hematology/Oncology, Ernst Moritz Armdt Universitaet
Greifswald, D-17487
Universitaetsklinikum Halle
Halle, D-06097
Henriettenstiftung Frauenklinik
Hanover, D-30559
Medizinische Hochschule Hannover
Hanover, D-30625
St. Vincentius - Kliniken
Karlsruhe, D-76137
Klinikum Kassel
Kassel, D-34125
University Hospital Schleswig-Holstein - Kiel Campus
Kiel, D-24105
Kreiskrankenhaus Lahr
Lahr, D-77993
Kreiskrankenhaus Leonberg - Frauenklinik
Leonberg, D-71229
Asklepios Klinik Lich
Lich, D-35423
St. Vincenz Hospital Limburg
Limburg, D-65549
Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
Lübeck, D-23538
Staedtisches Klinikum Lueneburg
Lüneburg, D-21339
Klinik St. Marienstift Magdeburg
Magdeburg, D-39110
St. Vincenz und Elisabeth Hospital
Mainz, 55131
Universitaetsklinikum Giessen und Marburg GmbH - Marburg
Marburg, D-35043
Klinikum Minden
Minden, D-32423
I. Frauenklinik und Hebammenschule der Ludwig-Maximillians Universitaet Muenchen
Munich, D-80337
Klinikum der Universitaet Muenchen - Grosshadern Campus
Munich, D-81377
Klinikum Rechts Der Isar - Technische Universitaet Muenchen
Munich, D-81675
Staedtisches Klinikum Neunkirchen gGmbH
Neunkirchen, D-66538
Lukaskrankenhaus Neuss
Neuss, D-41464
Klinikum Offenback GmbH
Offenbach, D-63069
Saint Vincenz-Krankenhaus Paderborn
Paderborn, 33098
Klinikum Dorothea Christiane Erxleben - Quedlingburg
Quedlinburg, D-06484
Krankenhaus St. Elisabeth - Ravensburg
Ravensburg, D-88212
St. Marien - Krankenhaus Siegen GMBH
Siegen, D-57072
Kliniken Landkreis Sigmaringen GMBH
Sigmaringen, D-72488
Robert-Bosch-Krankenhaus
Stuttgart, 70376
Marienhospital Stuttgart
Stuttgart, D-70199
Comprehensive Cancer Center Ulm at Universitaetsklinikum Ulm
Ulm, D-89081
Dr. Horst-Schmidt-Kliniken
Wiesbaden, D-65199
Marien-Hospital Witten
Witten, 58452
Klinikum der Stadt Wolfsburg
Wolfsburg, D-38440
Praxis Fuer Haemotologie Und Internistischer Onkologie
Wuppertal, 42105
United Kingdom46 sites
Aberdeen Royal Infirmary
Aberdeen, Scotland, AB25 2ZN
Ysbyty Gwynedd
Bangor, Wales, LL57 2PW
North Devon District Hospital
Barnstaple, England, EX31 4JB
Centre for Cancer Research and Cell Biology at Queen's University Belfast
Belfast, Northern Ireland, BT9 7AB
Broomfield Hospital
Broomfield, England, CM1 7ET
Queen's Hospital
Burton-on-Trent, England, DE13 0RB
Addenbrooke's Hospital
Cambridge, England, CB2 2QQ
Gloucestershire Oncology Centre at Cheltenham General Hospital
Cheltenham, England, GL53 7AN
Ninewells Hospital
Dundee, Scotland, DD1 9SY
Edinburgh Cancer Centre at Western General Hospital
Edinburgh, Scotland, EH4 2XU
Royal Devon and Exeter Hospital
Exeter, England, EX2 5DW
Queen Elizabeth Hospital
Gateshead, England, NE9 6SX
St. Luke's Cancer Centre at Royal Surrey County Hospital
Guildford, England, GU2 7XX
Princess Royal Hospital at Hull and East Yorkshire NHS Trust
Hull, England, HU8 9HE
Ipswich Hospital
Ipswich, England, IP4 5PD
Airedale General Hospital
Keighley, England, BD20 6TD
Leeds Cancer Centre at St. James's University Hospital
Leeds, England, LS9 7TF
University College of London Hospitals
London, England, NW1 2PG
Guy's Hospital
London, England, SE1 9RT
St. George's Hospital
London, England, SW17 0QT
Hammersmith Hospital
London, England, W12 OHS
Mid Kent Oncology Centre at Maidstone Hospital
Maidstone, England, ME16 9QQ
Christie Hospital
Manchester, England, M20 4BX
Queen Elizabeth The Queen Mother Hospital
Margate, England, CT9 4AN
Clatterbridge Centre for Oncology
Merseyside, England, CH63 4JY
James Cook University Hospital
Middlesbrough, England, TS4 3BW
Northern Centre for Cancer Treatment at Newcastle General Hospital
Newcastle upon Tyne, England, NE4 6BE
Northampton General Hospital
Northampton, England, NN1 5BD
Mount Vernon Cancer Centre at Mount Vernon Hospital
Northwood, England, HA6 2RN
Norfolk and Norwich University Hospital
Norwich, England, NR4 7UY
Nottingham City Hospital
Nottingham, England, NG5 1PB
Churchill Hospital
Oxford, England, OX3 7LJ
Derriford Hospital
Plymouth, England, PL6 8DH
Dorset Cancer Centre
Poole Dorset, England, BH15 2JB
Portsmouth Oncology Centre at Saint Mary's Hospital
Portsmouth Hants, England, PO3 6AD
Cancer Research Centre at Weston Park Hospital
Sheffield, England, S1O 2SJ
Royal Shrewsbury Hospital
Shrewsbury, England, SY3 8XQ
Stoke Mandeville Hospital
Shrewsbury, England, SY3 8XQ
Wexham Park Hospital
Slough, Berkshire, England, SL2 4HL
Southampton General Hospital
Southampton, England, SO16 6YD
Staffordshire General Hospital
Stafford, England, ST16 3SA
Royal Marsden - Surrey
Sutton, England, SM2 5PT
South West Wales Cancer Institute
Swansea, Wales, SA2 8QA
Great Western Hospital
Swindon, England, SN3 6BB
Royal Cornwall Hospital
Truro, Cornwall, England, TR1 3LJ
Yeovil District Hospital
Yeovil - Somerset, England, BA21 4AT
France29 sites
Centre Paul Papin
Angers, 49100
Institut Sainte Catherine
Avignon, 84082
Institut Bergonie
Bordeaux, 33076
Polyclinique Bordeaux Nord Aquitaine
Bordeaux, 33300
Clinique Tivoli
Bordeaux, F-33000
Centre Regional Francois Baclesse
Caen, 14076
Centre Jean Perrin
Clermont-Ferrand, 63011
Hopital Louis Pasteur
Colmar, 68024
CHU de Grenoble - Hopital de la Tronche
Grenoble, 38043
Institut Prive de Cancerologie
Grenoble, 38100
Hopital Andre Mignot
Le Chesnay, 78157
Centre Jean Bernard
Le Mans, 72000
Centre Leon Berard
Lyon, 69373
Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
Montpellier, 34298
Centre D'Oncologie De Gentilly
Nancy, 54100
Centre Catherine de Sienne
Nantes, 02
Centre Regional Rene Gauducheau
Nantes-Saint Herblain, 44805
Hopital Europeen Georges Pompidou
Paris, 75015
Institut Curie Hopital
Paris, 75020
Hotel Dieu de Paris
Paris, 75181
Hopital Cochin
Paris, 75674
Hopital Tenon
Paris, 75970
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Centre Henri Becquerel
Rouen, 76038
Clinique Armoricaine De Radiologie
Saint-Brieuc, F-22015
Centre Rene Huguenin
Saint-Cloud, 92211
Hopital Universitaire Hautepierre
Strasbourg, 67098
Centre Hospitalier Universitaire Bretonneau de Tours
Tours, 37044
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, 54511
Australia16 sites
Royal Adelaide Hospital Cancer Centre
Adelaide, South Australia, 5000
Box Hill Hospital
Box Hill, Victoria, 3128
Royal Brisbane and Women's Hospital
Brisbane, Queensland, 4029
Royal Women's Hospital
Carlton, Victoria, 3053
Mercy Hospital for Women
East Melbourne, Victoria, 3002
Frankston Hospital
Frankston, Victoria, 3199
Royal Hobart Hospital
Hobart, Tasmania, 7000
Cancer Therapy Centre at Liverpool Hospital
Liverpool, New South Wales, 2170
Sir Charles Gairdner Hospital - Perth
Perth, Western Australia, 6009
Prince of Wales Private Hospital
Randwick, New South Wales, 2031
Mater Adult Hospital
South Brisbane, Queensland, 4101
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Sydney Cancer Centre at Royal Prince Alfred Hospital
Sydney, New South Wales, 2050
Newcastle Mater Misericordiae Hospital
Waratah, New South Wales, 2298
Westmead Institute for Cancer Research at Westmead Hospital
Wentworthville, New South Wales, 2145
Murray Valley Private Hospital and Cancer Treatment Centre
Wodonga, Victoria, 3690
About this study
Official title: ICON7 - A Randomised, Two-Arm, Multi-Centre Gynaecologic Cancer InterGroup Trial of Adding Bevacizumab to Standard Chemotherapy (Carboplatin and Paclitaxel) in Patients With Epithelial Ovarian Cancer
RATIONALE: Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or stopping them from dividing. 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. It is not yet known whether giving carboplatin and paclitaxel together with bevacizumab is more effective than carboplatin and paclitaxel alone in treating patients with ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cavity cancer.
PURPOSE: This randomized phase III trial is studying carboplatin, paclitaxel, and bevacizumab to see how well they work compared with carboplatin and paclitaxel alone in treating patients with newly diagnosed ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cavity cancer.
Read the detailed description
OBJECTIVES:
Primary
- Compare the progression-free survival and overall survival of patients with newly diagnosed ovarian epithelial, fallopian tube, or primary peritoneal cavity cancer treated with carboplatin and paclitaxel with vs without bevacizumab.
Secondary
- Compare the response rate in patients treated with these regimens.
- Compare the duration of tumor response in patients treated with these regimens.
- Compare the biological progression-free interval, as measured by increasing CA 125 levels, in patients treated with these regimens.
- Compare the safety (e.g., adverse events, laboratory results, and performance status) of these regimens in these patients.
- Compare the quality of life of patients treated with these regimens.
- Compare the cost-effectiveness of these regimens in these patients.
OUTLINE: This is a multicenter, open-label, randomized, controlled study. Patients are stratified according to FIGO stage (stage I-III with residual disease ≤ 1 cm vs stage I-III with residual disease > 1 cm vs stage IV disease), intended time to start chemotherapy after surgery (≤ 4 weeks vs > 4 weeks), and participating center. Patients are randomized to 1 of 2 treatment arms.
- Arm I (control): Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity.
- Arm II: Patients receive bevacizumab IV over 30-90 minutes followed by paclitaxel IV over 3 hours and carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients then continue to receive bevacizumab alone every 3 weeks for 12 courses.
Quality of life is assessed at baseline, before every course, every 6 weeks for 1 year, every 3 months until disease progression or for up to 2 years, and then at 3 years. Health economic data is assessed periodically, including days of inpatient hospitalization visits, outpatient visits, and use of anticancer therapies.
After completion of study treatment, patients are followed every 3-6 months for 5 years and then annually thereafter.
Peer Reviewed and Funded or Endorsed by Cancer Research UK.
- Being tested
- bevacizumab, carboplatin, paclitaxel, questionnaire administration, study of socioeconomic and demographic variables
- Keywords
- stage IV ovarian epithelial cancer, Brenner tumor, ovarian carcinosarcoma, ovarian clear cell cystadenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian mixed epithelial carcinoma, ovarian mucinous cystadenocarcinoma, ovarian serous cystadenocarcinoma, ovarian undifferentiated adenocarcinoma, stage IA ovarian epithelial cancer, stage IB ovarian epithelial cancer, stage IC ovarian epithelial cancer, stage IIA ovarian epithelial cancer, stage IIB ovarian epithelial cancer, stage IIC ovarian epithelial cancer, stage IIIA ovarian epithelial cancer, stage IIIB ovarian epithelial cancer, stage IIIC ovarian epithelial cancer, stage IA fallopian tube cancer, stage IB fallopian tube cancer
- Medical subject headings
- Fallopian Tube Neoplasms, Ovarian Neoplasms, Carcinoma, Ovarian Epithelial, Brenner Tumor
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bevacizumabBiological
carboplatinDrug
paclitaxelDrug
questionnaire administrationOther
study of socioeconomic and demographic variablesOther
quality-of-life assessmentProcedure or surgery
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
Secondary outcomes (7)
Duration of overall survival
Objective response rate
Duration of response
Biological progression-free interval as measured by increasing CA 125 levels
Safety as measured by NCI CTAE version 3.0
Quality of life
Health economics
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jun 2007 (estimated)
- Study startApr 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Fallopian Tube CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
- Enrolment
- 1,520 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Medical Research Council
- Sponsor type
- Other government
- Investigators
- Tim J. Perren, MD, Study chair, Leeds Cancer Centre at St. James's University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00483782
- Sponsor's protocol ID
- MREC-ICON7
- Other IDs
- CDR0000548777, EUDRACT-2005-003929-22, ISRCTN91273375, ROCHE-MREC-ICON7, EU-20730, MREC-06/MRE02/52
- Status last verified
- Apr 2012
- First submitted
- 6 Jun 2007
- Last updated
- 12 Aug 2013
- Results posted
- No
Publications
Dhillon S. Bevacizumab combination therapy: for the first-line treatment of advanced epithelial ovarian, fallopian tube or primary peritoneal cancer. Drugs. 2012 May 7;72(7):917-30. doi: 10.2165/11208940-000000000-00000.
PubMed 22515620Perren TJ, Swart AM, Pfisterer J, Ledermann JA, Pujade-Lauraine E, Kristensen G, Carey MS, Beale P, Cervantes A, Kurzeder C, du Bois A, Sehouli J, Kimmig R, Stahle A, Collinson F, Essapen S, Gourley C, Lortholary A, Selle F, Mirza MR, Leminen A, Plante M, Stark D, Qian W, Parmar MK, Oza AM; ICON7 Investigators. A phase 3 trial of bevacizumab in ovarian cancer. N Engl J Med. 2011 Dec 29;365(26):2484-96. doi: 10.1056/NEJMoa1103799.
PubMed 22204725Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
PubMed 37185961Vaughan S, Coward JI, Bast RC Jr, Berchuck A, Berek JS, Brenton JD, Coukos G, Crum CC, Drapkin R, Etemadmoghadam D, Friedlander M, Gabra H, Kaye SB, Lord CJ, Lengyel E, Levine DA, McNeish IA, Menon U, Mills GB, Nephew KP, Oza AM, Sood AK, Stronach EA, Walczak H, Bowtell DD, Balkwill FR. Rethinking ovarian cancer: recommendations for improving outcomes. Nat Rev Cancer. 2011 Sep 23;11(10):719-25. doi: 10.1038/nrc3144.
PubMed 21941283
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- ICON7 - A Randomised, Two-Arm, Multi-Centre Gynaecologic Cancer InterGroup Trial of Adding Bevacizumab to Standard Chemotherapy (Carboplatin and Paclitaxel) in Patients With Epithelial Ovarian Cancer
- ClinicalTrials.gov ID
- NCT00483782
- Acronym / sponsor ID
- MREC-ICON7
- Keywords
- stage IV ovarian epithelial cancer, Brenner tumor, ovarian carcinosarcoma, ovarian clear cell cystadenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian mixed epithelial carcinoma, ovarian mucinous cystadenocarcinoma, ovarian serous cystadenocarcinoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,520 participants (estimated)
- Lead sponsor
- Medical Research CouncilOther government
- Study start
- Apr 2006
- First posted
- 7 Jun 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or stopping them from dividing. 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. It is not yet known whether giving carboplatin and paclitaxel together with bevacizumab is more effective than carboplatin and paclitaxel alone in treating patients with ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cavity cancer.
PURPOSE: This randomized phase III trial is studying carboplatin, paclitaxel, and bevacizumab to see how well they work compared with carboplatin and paclitaxel alone in treating patients with newly diagnosed ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cavity cancer.
Detailed description
OBJECTIVES:
Primary
- Compare the progression-free survival and overall survival of patients with newly diagnosed ovarian epithelial, fallopian tube, or primary peritoneal cavity cancer treated with carboplatin and paclitaxel with vs without bevacizumab.
Secondary
- Compare the response rate in patients treated with these regimens.
- Compare the duration of tumor response in patients treated with these regimens.
- Compare the biological progression-free interval, as measured by increasing CA 125 levels, in patients treated with these regimens.
- Compare the safety (e.g., adverse events, laboratory results, and performance status) of these regimens in these patients.
- Compare the quality of life of patients treated with these regimens.
- Compare the cost-effectiveness of these regimens in these patients.
OUTLINE: This is a multicenter, open-label, randomized, controlled study. Patients are stratified according to FIGO stage (stage I-III with residual disease ≤ 1 cm vs stage I-III with residual disease > 1 cm vs stage IV disease), intended time to start chemotherapy after surgery (≤ 4 weeks vs > 4 weeks), and participating center. Patients are randomized to 1 of 2 treatment arms.
- Arm I (control): Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity.
- Arm II: Patients receive bevacizumab IV over 30-90 minutes followed by paclitaxel IV over 3 hours and carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients then continue to receive bevacizumab alone every 3 weeks for 12 courses.
Quality of life is assessed at baseline, before every course, every 6 weeks for 1 year, every 3 months until disease progression or for up to 2 years, and then at 3 years. Health economic data is assessed periodically, including days of inpatient hospitalization visits, outpatient visits, and use of anticancer therapies.
After completion of study treatment, patients are followed every 3-6 months for 5 years and then annually thereafter.
Peer Reviewed and Funded or Endorsed by Cancer Research UK.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| bevacizumab | Biological | – |
| carboplatin | Drug | – |
| paclitaxel | Drug | – |
| questionnaire administration | Other | – |
| study of socioeconomic and demographic variables | Other | – |
| quality-of-life assessment | Procedure or surgery | – |
Primary outcome
Progression-free survival
7 secondary outcomes
Duration of overall survival
Objective response rate
Duration of response
Biological progression-free interval as measured by increasing CA 125 levels
Safety as measured by NCI CTAE version 3.0
Quality of life
Health economics
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2013.
- Background: PubMed 22515620Dhillon S. Bevacizumab combination therapy: for the first-line treatment of advanced epithelial ovarian, fallopian tube or primary peritoneal cancer. Drugs. 2012 May 7;72(7):917-30. doi: 10.2165/11208940-000000000-00000.
- Results publication: PubMed 22204725Perren TJ, Swart AM, Pfisterer J, Ledermann JA, Pujade-Lauraine E, Kristensen G, Carey MS, Beale P, Cervantes A, Kurzeder C, du Bois A, Sehouli J, Kimmig R, Stahle A, Collinson F, Essapen S, Gourley C, Lortholary A, Selle F, Mirza MR, Leminen A, Plante M, Stark D, Qian W, Parmar MK, Oza AM; ICON7 Investigators. A phase 3 trial of bevacizumab in ovarian cancer. N Engl J Med. 2011 Dec 29;365(26):2484-96. doi: 10.1056/NEJMoa1103799.
- Derived from this study: PubMed 37185961Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
- Derived from this study: PubMed 21941283Vaughan S, Coward JI, Bast RC Jr, Berchuck A, Berek JS, Brenton JD, Coukos G, Crum CC, Drapkin R, Etemadmoghadam D, Friedlander M, Gabra H, Kaye SB, Lord CJ, Lengyel E, Levine DA, McNeish IA, Menon U, Mills GB, Nephew KP, Oza AM, Sood AK, Stronach EA, Walczak H, Bowtell DD, Balkwill FR. Rethinking ovarian cancer: recommendations for improving outcomes. Nat Rev Cancer. 2011 Sep 23;11(10):719-25. doi: 10.1038/nrc3144.
Related trials for Fallopian Tube Cancer
RecruitingPhase 2
Investigation of Ubamatamab Combination Therapy in Adult Participants With Platinum-Resistant Ovarian Cancer
Ovarian Cancer, Fallopian Tube Cancer
RecruitingPhase 3
Torvutatug Samrotecan Plus Bevacizumab as First-line Maintenance in Non-Homologous Recombination Deficiency (Non-HRD) Positive Advanced Epithelial Ovarian Cancer
Epithelial Ovarian Cancer
RecruitingPhase 2
At-Home Cancer Directed Therapy Versus in Clinic for the Treatment of Patients With Advanced Cancer
Advanced Anal Carcinoma, Advanced Biliary Tract Carcinoma
RecruitingObservational study
Clonal Hematopoiesis and Therapy-Emergent Myeloid Neoplasms in Patients With Cancers, CHANCES Study
Recurrent Fallopian Tube Carcinoma, Recurrent Ovarian Carcinoma
RecruitingPhase 2
Sacituzumab Govitecan With Bevacizumab Compared to Usual Chemotherapy (Carboplatin, Pegylated Liposomal Doxorubicin and Bevacizumab) for Treating Recurrent Platinum-Sensitive Ovarian Cancer After PARP Inhibitor Maintenance Therapy
Recurrent Platinum-Sensitive Fallopian Tube Endometrioid Adenocarcinoma, Recurrent Platinum-Sensitive Fallopian Tube High Grade Serous Adenocarcinoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tim J. Perren, MD study chair
Leeds Cancer Centre at St. James's University Hospital
142 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing bevacizumab, carboplatin and paclitaxel in people with Fallopian Tube Cancer and Ovarian Cancer, run by Medical Research Council at 142 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 142 sites in Germany, United Kingdom, France, Australia, Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00483782, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2013.