Ovarian CancerPhase 3NCT00866697
Efficacy and Safety of Pazopanib Monotherapy After First Line Chemotherapy in Ovarian, Fallopian Tube, or Primary Peritoneal Cancer
A Phase 3 study testing Pazopanib in people with Ovarian Cancer, run by Novartis Pharmaceuticals at 318 sites in 17 countries.
Trial summary
This was a study to determine whether therapy with pazopanib was effective and safe in women with epithelial ovarian, fallopian tube, or primary peritoneal cancer whose cancer had not progressed on first line chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Cancer
- What is being tested?
- Pazopanib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 940 participants
- Where
- 318 sitesin 17 countries
- Study dates
- 26 May 2009to 24 Aug 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
Who may be able to join
- written informed consent
- At least 18 years old.
- Histologically confirmed, FIGO stage II-IV epithelial ovarian, fallopian tube or primary peritoneal carcinoma that was treated with surgical debulking and at least five cycles of platinum-taxane doublet chemotherapy.
- Study randomization at least 3 weeks and not more than 12 weeks from the date of the last chemotherapy dose, and all major toxicities from the previous chemotherapy must have resolved.
- No evidence of disease progression
- ECOG status of 0 or 2
Show all 21Show fewer
- Able to swallow and retain oral medication.
- Adequate hematologic, hepatic, and renal system function as follows:
- Hematologic
- Absolute neutrophil count (ANC) at least 1.5 X 10^9/L
- Hemoglobin at least 9 g/dL (or 5.59 mmol/L)
- Platelets at least 100 X 10^9/L
- Prothrombin time (PT) or international normalized ratio (INR) up to 1.2 X ULN
- Activated partial thromboplastin time (aPTT) up to 1.2 X ULN Hepatic
- Total bilirubin up to 1.5 X ULN
- AST and ALT up to 2.5 X ULN Renal
- Serum creatinine up to 1.5 mg/dL
- Or, if greater than 1.5 mg/dL:
- Calculated creatinine clearance at least 50 mL/min Urine Protein
- Urine protein is 0, trace, or +1 determined by dipstick urinalysis, or < 1.0 gram determined by 24- hour urine protein analysis.
- Non-childbearing potential (i.e., physiologically incapable of becoming pregnant) OR childbearing potential, and agrees to use adequate contraception.
Who cannot join
- Either (a) bulky disease, or (b) any residual disease which in the opinion of the investigator will need imminent second-line therapy
- Synchronous primary endometrial carcinoma, or a past history of primary endometrial carcinoma, are excluded unless certain conditions are met.
- Clinically significant gastrointestinal abnormalities
- Prolongation of corrected QT interval (QTc) > 480 msecs
- History of any one or more cardiovascular conditions within the past 6 months prior to randomization
- Cardiac angioplasty or stenting
Show all 20Show fewer
- Myocardial infarction
- Unstable angina
- Symptomatic peripheral vascular disease
- Class III or IV congestive heart failure
- Poorly controlled hypertension
- History of cerebrovascular accident (including transient ischemic attacks), pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months prior to randomization
- Major surgery (including interval debulking) or trauma within 28 days, or minor surgical procedures within 7 days, prior to randomization, or has any non-healing wound, fracture, or ulcer.
- Evidence of active bleeding or bleeding diathesis.
- Hemoptysis within 6 weeks prior to randomization.
- Endobronchial metastases.
- Serious and/or unstable pre-existing medical (e.g., uncontrolled infection), psychiatric, or other condition that could interfere with subject's safety, provision of informed consent, or compliance to study procedures.
- Investigational or anti-VEGF anticancer therapy prior to study randomization.
- Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib
- Invasive malignancies that showed activity of disease within 5 years prior to randomization
Trial locations and contacts
318 sites in 17 countries.
318 sites in 17 countries
Germany90 sites
Novartis Investigative Site
Bayreuth, Bavaria, 95445
Novartis Investigative Site
Berlin, 10367
Novartis Investigative Site
Berlin, 12683
Novartis Investigative Site
Berlin, 13353
Novartis Investigative Site
Berlin, 13589
Novartis Investigative Site
Bonn, North Rhine-Westphalia, 053123
Novartis Investigative Site
Bonn, North Rhine-Westphalia, 53111
Novartis Investigative Site
Bonn, North Rhine-Westphalia, 53113
Novartis Investigative Site
Bonn, North Rhine-Westphalia, 53127
Novartis Investigative Site
Braunschweig, Lower Saxony, 38100
Novartis Investigative Site
Chemnitz, Saxony, 09116
Novartis Investigative Site
Coburg, Bavaria, 96450
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Cologne, North Rhine-Westphalia, 50937
Novartis Investigative Site
Cuxhaven, Lower Saxony, 27474
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Darmstadt, Hesse, 64283
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Deggendorf, Bavaria, 94469
Novartis Investigative Site
Detmold, North Rhine-Westphalia, 32756
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Dortmund, North Rhine-Westphalia, 44137
Novartis Investigative Site
Dresden, Saxony, 01127
Novartis Investigative Site
Dresden, Saxony, 01307
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Düsseldorf, North Rhine-Westphalia, 40225
Novartis Investigative Site
Ebersberg, Bavaria, 85560
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Eggenfelden, Bavaria, 84307
Novartis Investigative Site
Essen, North Rhine-Westphalia, 45122
Novartis Investigative Site
Essen, North Rhine-Westphalia, 45136
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Essen, North Rhine-Westphalia, 45147
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Esslingen am Neckar, Baden-Wurttemberg, 73730
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Flensburg, Schleswig-Holstein, 24939
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Frankfurt am Main, Hesse, 60590
Novartis Investigative Site
Frankfurt am Main, Hesse, 65929
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Freiburg im Breisgau, Baden-Wurttemberg, 79098
Novartis Investigative Site
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Novartis Investigative Site
Fulda, Hesse, 36043
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Fürth, Bavaria, 90766
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Georgsmarienhütte, Lower Saxony, 49124
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Gera, Thuringia, 07548
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Gifhorn, Lower Saxony, 38518
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Goslar, Lower Saxony, 38642
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Göttingen, Lower Saxony, 37075
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Greifswald, Mecklenburg-Vorpommern, 17475
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Halle, Saxony-Anhalt, 06120
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Hamburg, 20095
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Hamburg, 20246
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Hamburg, 22087
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Hanover, Lower Saxony, 30169
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Hanover, Lower Saxony, 30177
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Hanover, Lower Saxony, 30625
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Hansestadt Salzwedel, Saxony-Anhalt, 29410
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Hildesheim, Lower Saxony, 31134
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Karlsruhe, Baden-Wurttemberg, 76133
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Karlsruhe, Baden-Wurttemberg, 76135
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Kassel, Hesse, 34125
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Kiel, Schleswig-Holstein, 24105
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Leer, Lower Saxony, 26789
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Leipzg, Saxony, 04109
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Lich, Hesse, 35423
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Limburg an der Lahn, Hesse, 65549
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Lübeck, Schleswig-Holstein, 23538
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Lüneburg, Lower Saxony, 21339
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Magdeburg, Saxony-Anhalt, 39108
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Magdeburg, Saxony-Anhalt, 39110
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Mainz, Rhineland-Palatinate, 55131
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Mannheim, Baden-Wurttemberg, 68167
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Marburg, Hesse, 35043
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Munich, Bavaria, 80637
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Munich, Bavaria, 81377
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Munich, Bavaria, 81675
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Mutlangen, Baden-Wurttemberg, 73557
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Neuss, North Rhine-Westphalia, 41464
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Nordhausen, Thuringia, 99734
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Offenbach, Hesse, 63065
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Offenbach, Hesse, 63069
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Oldenburg, Lower Saxony, 26121
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Quedlinburg, Saxony-Anhalt, 06484
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Radebeul, Saxony, 01445
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Reutlingen, Baden-Wurttemberg, 72764
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Rostock, Mecklenburg-Vorpommern, 18059
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Salzgitter, Lower Saxony, 38226
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Schwäbisch Hall, Baden-Wurttemberg, 74523
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Schweinfurt, Bavaria, 97422
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Suhl, Thuringia, 98527
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Trier, Rhineland-Palatinate, 54290
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Troisdorf, North Rhine-Westphalia, 53840
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Tübingen, Baden-Wurttemberg, 72076
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Ulm, Baden-Wurttemberg, 89075
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Viersen, North Rhine-Westphalia, 41747
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Wiesbaden, Hesse, 65189
Novartis Investigative Site
Wiesbaden, Hesse, 65199
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Wolfsburg, Lower Saxony, 38440
Novartis Investigative Site
Zwickau, Saxony, 08060
France51 sites
Novartis Investigative Site
Angers, 49055
Novartis Investigative Site
Avignon, 84902
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Besançon, 25030
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Bordeaux, 33000
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Bordeaux, 33076
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Bordeaux, 33300
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Bourg-en-Bresse, 01012
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Brest, 29609
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Brive-la-Gaillarde, 19100
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Caen, 14076
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Clermont-Ferrand, 63011
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Colmar, 68024
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Dax, 40107
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Grenoble, 38028
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Grenoble, 38043
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La Roche-sur-Yon, 85925
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Le Chesnay, 78157
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Le Mans, 72015
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Lille, 59020
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Lille, 59037
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Lorient, 56322
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Lyon, 69373
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Marseille, 13008
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Metz, 57085
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Mont-de-Marsan, 40024
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Montpellier, 34070
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Montpellier, 34298
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Mougins, 06250
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Nancy, 54100
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Nantes, 44277
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Nice, 06189
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Nîmes, 30907
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Orléans, 45100
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Paris, 75012
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Paris, 75014
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Paris, 75181
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Paris, 75248
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Paris, 75475
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Paris, 75970
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Périgueux, 24004
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Perin Sur Mer, 22190
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Pierre-Bénite, 69495
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Reims, 51056
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Rouen, 76000
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Saint-Herblain, 44805
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Saint-Priest-en-Jarez, 42271
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Strasbourg, 67000
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Strasbourg, 67091
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Suresnes, 92151
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Thonon-les-Bains, 74203
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Vandœuvre-lès-Nancy, 54511
United States35 sites
Novartis Investigative Site
Anaheim, California, 92807
Novartis Investigative Site
Annandale, Virginia, 22003
Novartis Investigative Site
Augusta, Georgia, 30912
Novartis Investigative Site
Baldwin Park, California, 91706
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Bellflower, California, 90706
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Duarte, California, 91010
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Fontana, California, 92335
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Hayward, California, 94545
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Houston, Texas, 77030
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Irvine, California, 92618
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Long Beach, California, 90806
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Los Angeles, California, 90027
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Los Angeles, California, 90034
Novartis Investigative Site
Los Angeles, California, 90095
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Morristown, New Jersey, 07962-1956
Novartis Investigative Site
New York, New York, 10032
Novartis Investigative Site
New York, New York, 10065
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Oakland, California, 94611
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Ontario, California, 91761
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Orange, California, 92868
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Panorama City, California, 91402
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Riverside, California, 92505
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Roseville, California, 95661
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Sacramento, California, 95817
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Sacramento, California, 95825
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San Diego, California, 92108
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San Diego, California, 92120
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San Francisco, California, 94115
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San Jose, California, 95119-1110
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Santa Clara, California, 95051
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South San Francisco, California, 94080
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The Bronx, New York, 10461
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Vallejo, California, 94589
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Walnut Creek, California, 94596
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Woodland Hills, California, 91367
Italy29 sites
Novartis Investigative Site
Avellino, Campania, 83100
Novartis Investigative Site
Aviano (PN), Friuli Venezia Giulia, 33081
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Bari, Apulia, 70124
Novartis Investigative Site
Bologna, Emilia-Romagna, 40138
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Bologna, Emilia-Romagna, 40139
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Brescia, Lombardy
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Campobasso, Molise, 86100
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Carpi (MO), Emilia-Romagna, 41012
Novartis Investigative Site
Como, Lombardy, 22100
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Faenza (RA), Emilia-Romagna, 48018
Novartis Investigative Site
Milan, Lombardy, 20122
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Milan, Lombardy, 20132
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Milan, Lombardy, 20133
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Milan, Lombardy, 20141
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Milan, Lombardy, 20162
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Monza, Lombardy, 20052
Novartis Investigative Site
Naples, Campania, 80131
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Palermo, Sicily, 90146
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Perugia, Umbria, 06132
Novartis Investigative Site
Potenza, Basilicate, 85100
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Reggio Emilia, Emilia-Romagna, 42100
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Rome, Lazio, 00144
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Rome, Lazio, 00168
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Rome, Lazio, 00186
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Sondrio, Lombardy, 23100
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Turin, Piedmont, 10126
Novartis Investigative Site
Turin, Piedmont, 10128
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Varese, Lombardy, 21100
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Vicenza, Veneto, 36100
Spain23 sites
Novartis Investigative Site
Alcorcon (Madrid), 28922
Novartis Investigative Site
Barcelona, 080018
Novartis Investigative Site
Barcelona, 08003
Novartis Investigative Site
Barcelona, 08025
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Barcelona, 08907
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Cartagena (Murcia), 30203
Novartis Investigative Site
Donostia / San Sebastian, 20014
Novartis Investigative Site
Elche, 03203
Novartis Investigative Site
Lleida, 25198
Novartis Investigative Site
Madrid, 28007
Novartis Investigative Site
Madrid, 28033
Novartis Investigative Site
Madrid, 28034
Novartis Investigative Site
Madrid, 28046
Novartis Investigative Site
Madrid, 28050
Novartis Investigative Site
Murcia (El Palmar), 30120
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Palma de Mallorca, 07198
Novartis Investigative Site
Pamplona, 31008
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Sabadell (Barcelona), 08208
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Santiago de Compostela, 15706
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Terrassa, 08227
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Valencia, 46009
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Valencia, 46014
Novartis Investigative Site
Zaragoza, 50009
Japan15 sites
Novartis Investigative Site
Ehime, 791-0280
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Fukuoka, 811-1395
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Hiroshima, 734-8551
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Hiroshima, 737-0023
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Hokkaido, 060-8648
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Kagoshima, 890-8760
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Miyagi, 980-8574
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Numakunai, 020-8505
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Osaka, 589-8511
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Saitama, 350-1298
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Tokyo, 104-0045
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Tokyo, 105-8471
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Tokyo, 125-8506
Novartis Investigative Site
Tokyo, 160-8582
Novartis Investigative Site
Tottori, 683-8504
Australia13 sites
Novartis Investigative Site
Adelaide, South Australia, 5000
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Camperdown, New South Wales, 2050
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Herston, Queensland, 4029
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Hobart, Tasmania, 7000
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Liverpool, New South Wales, 2170
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Malvern, Victoria, 3144
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Melbourne, 3084
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Nedlands, Western Australia, 6009
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Parkville, Victoria, 3052
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Randwick, New South Wales, 2031
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South Brisbane, Queensland, 4101
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Waratah, New South Wales, 2298
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Wodonga, Victoria, 3690
Austria13 sites
Novartis Investigative Site
Graz, 8020
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Graz, A-8036
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Innsbruck, 6020
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Klagenfurt, 9020
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Korneuburg, 2100
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Krems, 3500
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Leoben, 8700
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Linz, 4010
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Linz, 4020
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Oberpullendorf, 7350
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Vienna, 1090
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Vienna, 1130
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Vienna, 1160
China13 sites
Novartis Investigative Site
Beijing, 100021
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Beijing, 100044
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Beijing, 100141
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Beijing, 100853
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Guangzhou, Guangdong
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Hangzhou, Zhejiang, 310006
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Hangzhou, Zhejiang, 310022
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Jinan, Shandong, 250012
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Nanjing, Jiangsu, 210009
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Shanghai, 200011
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Shanghai, 200032
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Shenyang, Liaoning, 110022
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Tianjin, 300060
Belgium9 sites
Novartis Investigative Site
Bonheiden, 2820
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Duffel, 2570
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Ghent, 9000
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Kortrijk, 8500
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Leuven, 3000
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Libramont, 6800
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Liège, 4000
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Namur, 5000
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Ostend, 8400
Ireland6 sites
Novartis Investigative Site
Dublin, 4
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Dublin, 7
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Dublin, 8
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Dublin, 9
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Waterford
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Wilton, Cork
South Korea5 sites
Novartis Investigative Site
Goyang-si, Gyeonggi-do, 410-769
Novartis Investigative Site
Kangnam-Ku ,Seoul, (135-702)
Novartis Investigative Site
Seoul, 03080
Novartis Investigative Site
Seoul, 135-710
Novartis Investigative Site
Seoul, 138-736
Denmark4 sites
Novartis Investigative Site
Aalborg, 9100
Novartis Investigative Site
Herlev, DK-2730
Novartis Investigative Site
Herning, 7400
Novartis Investigative Site
Koebenhavn Oe, 2100
Norway4 sites
Novartis Investigative Site
Bergen, 5021
Novartis Investigative Site
Oslo, 0310
Novartis Investigative Site
Stavanger, 4011
Novartis Investigative Site
Tromsø, 9038
Sweden4 sites
Novartis Investigative Site
Linköping, SE-581 85
Novartis Investigative Site
Lund, SE-221 85
Novartis Investigative Site
Stockholm, SE-171 76
Novartis Investigative Site
Uppsala, SE-751 85
Hong Kong2 sites
Novartis Investigative Site
Hong Kong
Novartis Investigative Site
Kowloon
Taiwan2 sites
Novartis Investigative Site
Taipei, 104
Novartis Investigative Site
Taipei, 112
About this study
Official title: A Phase III Study to Evaluate the Efficacy and Safety of Pazopanib Monotherapy Versus Placebo in Women Who Have Not Progressed After First Line Chemotherapy for Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer
This was a study to determine whether therapy with pazopanib was effective and safe in women with epithelial ovarian, fallopian tube, or primary peritoneal cancer whose cancer had not progressed on first line chemotherapy.
Read the detailed description
This was a randomized, two-arm, placebo controlled, double-blind, multicenter, intergroup Phase III study in women with non-bulky FIGO (International Federation of Gynecology and Obstetrics) Stage II - IV ovarian, fallopian tube, or primary peritoneal cancer that had not progressed (i.e., complete response (CR), partial response (PR), stable disease (SD) after completing their first-line chemotherapy for advanced ovarian cancer. Approximately 900 subjects were to be enrolled into the study. Study was closed following 3rd overall survival (OS) interim analysis as planned per protocol, which confirmed futility.
- Conditions
- Ovarian Cancer
- Being tested
- Pazopanib, Placebo
- Keywords
- fallopian tube cancer, pazopanib, anti-angiogenesis, ovarian cancer, primary peritoneal cancer, tyrosine kinase inhibitors, gynecologic cancer
- Medical subject headings
- Ovarian Neoplasms, Fallopian Tube Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PazopanibDrug
Pazopanib 800 mg tablet daily for 104 weeks (24 months)
PlaceboDrug
Matching placebo 800 mg tablet daily, for 104 weeks (24 months).
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | matched placebo tablet administered orally once daily for up to 24 months Receives: Drug: Placebo |
| Pazopanib | Experimental | Pazopanib tablet administered orally at 800 mg once daily for up to 24 months Receives: Drug: Pazopanib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-assessed Progression-free Survival (PFS)
PFS is the interval between the date of randomization and the date of progression, defined by Response Evaluation Criteria in Solid Tumors (RECIST), or death due to any cause. Per RECIST, for target lesions (TLs), disease progression (PD) is defined as >=20% increase in the sum of the longest diameters (LD) of TLs, taking as a reference, the smallest sum LD recorded since the treatment started or the appearance of >=1 new lesions. For non-target lesions (NTLs), PD is defined as the appearance of >=1 new lesions and/or unequivocal progression of existing NTLs. Participants (par.) who did not progress/die were censored at the date of last adequate assessment (LAA). Par. who started a new anti-cancer therapy (ACT) prior to radiological progression/death were censored at the date of LAA prior to the new ACT. Par. who progressed/died after an extended period (>=12 months) without adequate assessment (AA) were censored at the date of their last visit with AA prior to progression/death.
Measured: From the date of randomization until the date of progression or death due to any cause (median time of follow-up was 17.9 months for pazopanib and 12.3 months for placebo)
Secondary outcomes (18)
Overall Survival - Median
Overall surival is defined as the interval between the date of randomization and the date of death due to any cause. For participants who did not die, the time to death was censored at the time of last contact.
Measured: From the date of randomization until the date of death due to any cause up to approximately 25 months
Overall Survival: Number of Participants Experiencing Death
Overall surival is defined as the interval between the date of randomization and the date of death due to any cause. For participants who did not die, the time to death was censored at the time of last contact.
Measured: From the date of randomization until the date of death due to any cause up to approximately 25 months
Progression-free Survival Per Gynecologic Cancer Intergroup (GCIG) Criteria
Progression-free survival by GCIG criteria is defined as the time from the date of randomization to the earliest date of disease progression per GCIG criteria or death due to any cause. Progression is defined according to RECIST but can also be based upon serum CA-125. Progression or recurrence based on serum CA-125 levels are defined on the basis of a progressive serial elevation of serum CA-125, according to the following criteria: (1) participants (par.) with elevated CA-125 pretreatment and normalization of CA-125 must show evidence of CA-125 >=2x the upper normal limit (UNL) on two occasions at least one week apart or; (2) par. with elevated CA-125 pretreatment, which never normalizes, must show evidence of CA-125 >=2x the nadir value on two occasions at least one week apart or; (3) par. with CA-125 in the normal range pretreatment must show evidence of CA-125 >=2x the UNL on two occasions at least one week apart.
Measured: From the date of randomization until the date of progression per GCIG criteria or death due to any cause (median time of follow-up was 16.8 months for pazopanib and 11.9 months for placebo)
3-year Progression-free Survival
3-year progression-free survival is defined as the percentage of participants who are progression-free at 3 years from randomization. Progression-free survival is defined as the time from the date of randomization to the earliest date of disease progression (defined by RECIST) or death due to any cause. Per RECIST, for target lesions, disease progression (PD) is defined as at least a 20% increase in the sum of the longest diameters (LD) of target lesions, taking as a reference, the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. For non-target lesions, PD is defined as the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
Measured: Up to 3 years after randomization
Change From Baseline in the European Organization for the Research and Treatment of Cancer (EORTC) QLQ-C30 Global Health Status Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
The EORTC QLQ-C30 is a self-reported, 30-item cancer-specific instrument that assesses 15 domains: 5 functional scales (physical, role, emotional, cognitive, and social functioning), 9 symptom scales (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health status, or quality of life. Global health status is assessed using a 7-item Likert scale, ranging from 1 to 7 ("poor" to "excellent"). Participants were asked to respond to the following questions using the 7-item Likert scale: "How would you rate your overall health during the past week"; "How would you rate your overall quality of life during the past week?" Data are transformed to a scale ranging from 0 to 100. Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures analysis of covariance (ANCOVA).
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Attitude to Disease/Treatment Functional Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
The OV (ovarian)-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses attitude to disease/treatment functional symptoms, among others. Participants were asked to indicate the extent to which they experienced attention to disease/treatment functional problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: How much has your disease been a burden to you?; How much has your treatment been a burden to you?; Were you worried about your future health? Data are transformed to a scale ranging from 0 to 100. Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Body Image Functional Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses body image symptoms, among others. Participants were asked to indicate the extent to which they experienced body image problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Have you felt physically less attractive as a result of your disease or treatment?; Have you been dissatisfied with your body? Data are transformed to a scale ranging from 0 to 100. Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Peripheral Neuropathy (PN) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses peripheral neuropathy symptoms, among others. Participants were asked to indicate the extent to which they experienced peripheral neuropathy symptoms or problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Did you have tingling hands or feet?; Have you had numbness in your fingers or toes?; Have you felt weak in your arms or legs? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Abdominal (AB)/Gastrointestinal (GI) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses AB/GI symptoms, among others. Participants were asked to indicate the extent to which they experienced AB/GI symptoms or problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Did you have abdominal pain?; Did you have a bloated feeling in your abdomen/stomach?; Did you have problems with your clothes feeling too tight?; Did you experience any change in bowel habit as a result of your disease or treatment?; Were you troubled by passing wind/gas/flatulence?; Have you felt full too quickly after beginning to eat?; Have you had indigestion/heartburn? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Hormonal/Menopausal Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses hormonal/menopausal symptoms, among others. Participants were asked to indicate the extent to which they experienced hormonal/menopausal symptoms or problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Did you have hot flashes?; Did you have night sweats? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Sexuality Functional on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses sexual functioning symptoms, among others. Participants were asked to indicate the extent to which they experienced sexual functioning problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: To what extent were you interested in sex?; To what extent were you sexually active?; If sexually active, to what extent was sex enjoyable for you?; If sexually active, did you have a dry vagina during sexual activity? Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Data were not analyzed due to low compliance (<50% at Baseline).
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Other Chemotherapy Side Effects (SE) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses other chemotherapy SE symptoms, among others. Participants were asked to indicate the extent to which they experienced other chemotherapy SE symptoms/problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Have you lost any hair?; If yes, were you upset by the loss of your hair?; Did food/drink taste different from usual?; Did you have aches or pains in your muscles or joints?; Did you have problems with hearing?; Did you urinate frequently?; Have you had skin problems (e.g., itchy, dry)? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Data were not analyzed due to low compliance (<50% at Baseline).
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in the EuroQOL EQ-5D (Five Dimensions) Thermometer Score at Week 13 and Months 7, 10, 13, 16, and 25
The EuroQol (EQ-5D) questionnaire is a 2-page, generic, preference-based quality of life measure comprised of a 5-item health status measure and a visual analogue scale (VAS) and is used to generate two scores: the utility score and the thermometer score The thermometer score is based on a vertical VAS. The VAS is designed like a thermometer scale on which the best health state the participant can imagine is referenced at 100, and the worst health state the participant can imagine is marked by 0. Based on how good or bad the current health state is, the participant is asked to draw a line across the thermometer scale. For example, a line drawn across 46 on the scale of 0 to 100 would be coded 46. A negative adjusted mean change from Baseline represents a worsening of quality of life. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in the EQ-5D (Five Dimensions) Utility Score at Week 13 and Months 7, 10, 13, 16, and 25
The EQ-5D utility score captures health status across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety and/or depression. Participants indicated the level of perceived problems in each of the five dimensions on three levels: 1, no problems; 2, some problems; 3, an extreme problem. Unique health states were defined by combining response levels from each of the five dimensions. For example, state 11111 indicates no problem on any of the five dimensions, whereas state 11223 indicates no problems with mobility or self-care; some problems with performing usual activities, moderate pain/discomfort; and extreme anxiety/depression. Responses are typically converted into health utilities or valuations on a scale ranging from 0 (worst health) to 1 (perfect health). A negative adjusted mean change from Baseline represents a worsening of quality of life. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA.
Measured: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Number of Participants With the Indicated Grade 2, 3, and 4 On-therapy Adverse Events Occurring in >=10% of Participants in Either Treatment Arm
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AEs were graded according to the Common Terminiology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the AE. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life threatening; Grade 5, death.
Measured: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Number of Participants With the Indicated On-therapy Hematology Grade Shifts From Baseline Grade
Hematology toxicities were graded according to the Common Terminiology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the toxicity. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each toxicity based on this general guideline: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life threatening; Grade 5, death. Participants with a missing Baseline grade were assumed to have a Baseline grade of 0. WBC=White blood cell.
Measured: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Number of Participants With the Indicated On-therapy Chemistry Grade Shifts From Baseline Grade
Hematology toxicities were graded according to the Common Terminiology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the toxicity. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each toxicity based on this general guideline: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life threatening; Grade 5, death. Participants with a missing Baseline grade were assumed to have a Baseline grade of 0.
Measured: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Number of Participants With the Indicated Treatment-emergent Thyroid-stimulating Hormone (TSH) Elevations Above 5 Million Units Per Liter (MU/L)
Participants were assessed for thyroid function abnormalities. Clinical hypothyroidism is defined as 5 <TSH <=10 MU/L and T4 <lower limit of normal (LLN).
Measured: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Mar 2009 (estimated)
- Study start26 May 2009
- Primary completion8 Jul 2012
- Study completion24 Aug 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Ovarian CancerStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 940 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00866697
- Sponsor's protocol ID
- 110655
- Other IDs
- 2008-004672-50, CPZP034C2301, 2008
- Status last verified
- Jan 2021
- First submitted
- 19 Mar 2009
- Last updated
- 16 Feb 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Gaitskell 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 37185961Vergote I, du Bois A, Floquet A, Rau J, Kim JW, Del Campo JM, Friedlander M, Pignata S, Fujiwara K, Colombo N, Mirza MR, Monk BJ, Tsibulak I, Calvert PM, Herzog TJ, Hanker LC, Meunier J, Lee JY, Bologna A, Carrasco-Alfonso MJ, Harter P. Overall survival results of AGO-OVAR16: A phase 3 study of maintenance pazopanib versus placebo in women who have not progressed after first-line chemotherapy for advanced ovarian cancer. Gynecol Oncol. 2019 Nov;155(2):186-191. doi: 10.1016/j.ygyno.2019.08.024. Epub 2019 Sep 10.
PubMed 31519320Friedlander M, Rau J, Lee CK, Meier W, Lesoin A, Kim JW, Poveda A, Buck M, Scambia G, Shimada M, Hilpert F, King MT, Debruyne P, Bologna A, Malander S, Monk BJ, Petru E, Calvert P, Herzog TJ, Barrett C, du Bois A. Quality of life in patients with advanced epithelial ovarian cancer (EOC) randomized to maintenance pazopanib or placebo after first-line chemotherapy in the AGO-OVAR 16 trial. Measuring what matters-patient-centered end points in trials of maintenance therapy. Ann Oncol. 2018 Mar 1;29(3):737-743. doi: 10.1093/annonc/mdx796.
PubMed 29267856Pulford DJ, Harter P, Floquet A, Barrett C, Suh DH, Friedlander M, Arranz JA, Hasegawa K, Tada H, Vuylsteke P, Mirza MR, Donadello N, Scambia G, Johnson T, Cox C, Chan JK, Imhof M, Herzog TJ, Calvert P, Wimberger P, Berton-Rigaud D, Lim MC, Elser G, Xu CF, du Bois A. Communicating BRCA research results to patients enrolled in international clinical trials: lessons learnt from the AGO-OVAR 16 study. BMC Med Ethics. 2016 Oct 21;17(1):63. doi: 10.1186/s12910-016-0144-y.
PubMed 27769273Kim JW, Mahner S, Wu LY, Shoji T, Kim BG, Zhu JQ, Takano T, Park SY, Kong BH, Wu Q, Wang KL, Ngan HY, Liu JH, Wei LH, Mitrica I, Zhang P, Crescenzo R, Wang Q, Cox CJ, Harter P, du Bois A. Pazopanib Maintenance Therapy in East Asian Women With Advanced Epithelial Ovarian Cancer: Results From AGO-OVAR16 and an East Asian Study. Int J Gynecol Cancer. 2018 Jan;28(1):2-10. doi: 10.1097/IGC.0000000000000602.
PubMed 26588236Floquet A, Vergote I, Colombo N, Fiane B, Monk BJ, Reinthaller A, Calvert P, Herzog TJ, Meier W, Kim JW, del Campo JM, Friedlander M, Pisano C, Isonishi S, Crescenzo RJ, Barrett C, Wang K, Mitrica I, du Bois A. Progression-free survival by local investigator versus independent central review: comparative analysis of the AGO-OVAR16 Trial. Gynecol Oncol. 2015 Jan;136(1):37-42. doi: 10.1016/j.ygyno.2014.11.074. Epub 2014 Nov 28.
PubMed 25434635du Bois A, Floquet A, Kim JW, Rau J, del Campo JM, Friedlander M, Pignata S, Fujiwara K, Vergote I, Colombo N, Mirza MR, Monk BJ, Kimmig R, Ray-Coquard I, Zang R, Diaz-Padilla I, Baumann KH, Mouret-Reynier MA, Kim JH, Kurzeder C, Lesoin A, Vasey P, Marth C, Canzler U, Scambia G, Shimada M, Calvert P, Pujade-Lauraine E, Kim BG, Herzog TJ, Mitrica I, Schade-Brittinger C, Wang Q, Crescenzo R, Harter P. Incorporation of pazopanib in maintenance therapy of ovarian cancer. J Clin Oncol. 2014 Oct 20;32(30):3374-82. doi: 10.1200/JCO.2014.55.7348. Epub 2014 Sep 15.
PubMed 25225436
Study at a glance
From the registry record, last updated by the sponsor on 16 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Study to Evaluate the Efficacy and Safety of Pazopanib Monotherapy Versus Placebo in Women Who Have Not Progressed After First Line Chemotherapy for Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer
- ClinicalTrials.gov ID
- NCT00866697
- Acronym / sponsor ID
- 110655
- Conditions
- Ovarian Cancer
- Keywords
- fallopian tube cancer, pazopanib, anti-angiogenesis, ovarian cancer, primary peritoneal cancer, tyrosine kinase inhibitors, gynecologic cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 940 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 26 May 2009 (actual)
- Primary completion
- 8 Jul 2012 (actual)
- Study completion
- 24 Aug 2017 (actual)
- First posted
- 20 Mar 2009 (estimated)
- Results
- Posted 19 Dec 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a study to determine whether therapy with pazopanib was effective and safe in women with epithelial ovarian, fallopian tube, or primary peritoneal cancer whose cancer had not progressed on first line chemotherapy.
Detailed description
This was a randomized, two-arm, placebo controlled, double-blind, multicenter, intergroup Phase III study in women with non-bulky FIGO (International Federation of Gynecology and Obstetrics) Stage II - IV ovarian, fallopian tube, or primary peritoneal cancer that had not progressed (i.e., complete response (CR), partial response (PR), stable disease (SD) after completing their first-line chemotherapy for advanced ovarian cancer. Approximately 900 subjects were to be enrolled into the study. Study was closed following 3rd overall survival (OS) interim analysis as planned per protocol, which confirmed futility.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebomatched placebo tablet administered orally once daily for up to 24 months |
| Pazopanib | Experimental | Drug: PazopanibPazopanib tablet administered orally at 800 mg once daily for up to 24 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- written informed consent
- At least 18 years old.
- Histologically confirmed, FIGO stage II-IV epithelial ovarian, fallopian tube or primary peritoneal carcinoma that was treated with surgical debulking and at least five cycles of platinum-taxane doublet chemotherapy.
- Study randomization at least 3 weeks and not more than 12 weeks from the date of the last chemotherapy dose, and all major toxicities from the previous chemotherapy must have resolved.
- No evidence of disease progression
Key exclusion criteria (20 listed)
- Either (a) bulky disease, or (b) any residual disease which in the opinion of the investigator will need imminent second-line therapy
- Synchronous primary endometrial carcinoma, or a past history of primary endometrial carcinoma, are excluded unless certain conditions are met.
- Clinically significant gastrointestinal abnormalities
- Prolongation of corrected QT interval (QTc) > 480 msecs
- History of any one or more cardiovascular conditions within the past 6 months prior to randomization
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 |
|---|---|---|
| PazopanibPazopanib 800 mg tablet daily for 104 weeks (24 months) | Drug | Pazopanib |
| PlaceboMatching placebo 800 mg tablet daily, for 104 weeks (24 months). | Drug | Placebo |
Primary outcome
Investigator-assessed Progression-free Survival (PFS)
Time frame: From the date of randomization until the date of progression or death due to any cause (median time of follow-up was 17.9 months for pazopanib and 12.3 months for placebo)
PFS is the interval between the date of randomization and the date of progression, defined by Response Evaluation Criteria in Solid Tumors (RECIST), or death due to any cause. Per RECIST, for target lesions (TLs), disease progression (PD) is defined as >=20% increase in the sum of the longest diameters (LD) of TLs, taking as a reference, the smallest sum LD recorded since the treatment started or the appearance of >=1 new lesions. For non-target lesions (NTLs), PD is defined as the appearance of >=1 new lesions and/or unequivocal progression of existing NTLs. Participants (par.) who did not progress/die were censored at the date of last adequate assessment (LAA). Par. who started a new anti-cancer therapy (ACT) prior to radiological progression/death were censored at the date of LAA prior to the new ACT. Par. who progressed/died after an extended period (>=12 months) without adequate assessment (AA) were censored at the date of their last visit with AA prior to progression/death.
18 secondary outcomes
Overall Survival - Median
Time frame: From the date of randomization until the date of death due to any cause up to approximately 25 months
Overall Survival: Number of Participants Experiencing Death
Time frame: From the date of randomization until the date of death due to any cause up to approximately 25 months
Progression-free Survival Per Gynecologic Cancer Intergroup (GCIG) Criteria
Time frame: From the date of randomization until the date of progression per GCIG criteria or death due to any cause (median time of follow-up was 16.8 months for pazopanib and 11.9 months for placebo)
3-year Progression-free Survival
Time frame: Up to 3 years after randomization
Change From Baseline in the European Organization for the Research and Treatment of Cancer (EORTC) QLQ-C30 Global Health Status Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Attitude to Disease/Treatment Functional Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Body Image Functional Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Peripheral Neuropathy (PN) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Abdominal (AB)/Gastrointestinal (GI) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Hormonal/Menopausal Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Sexuality Functional on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in QLQ-OV-28 Module Other Chemotherapy Side Effects (SE) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in the EuroQOL EQ-5D (Five Dimensions) Thermometer Score at Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Change From Baseline in the EQ-5D (Five Dimensions) Utility Score at Week 13 and Months 7, 10, 13, 16, and 25
Time frame: Baseline; Week 13; Months 7, 10, 13, 16, and 25
Number of Participants With the Indicated Grade 2, 3, and 4 On-therapy Adverse Events Occurring in >=10% of Participants in Either Treatment Arm
Time frame: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Number of Participants With the Indicated On-therapy Hematology Grade Shifts From Baseline Grade
Time frame: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Number of Participants With the Indicated On-therapy Chemistry Grade Shifts From Baseline Grade
Time frame: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Number of Participants With the Indicated Treatment-emergent Thyroid-stimulating Hormone (TSH) Elevations Above 5 Million Units Per Liter (MU/L)
Time frame: From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Feb 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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 31519320Vergote I, du Bois A, Floquet A, Rau J, Kim JW, Del Campo JM, Friedlander M, Pignata S, Fujiwara K, Colombo N, Mirza MR, Monk BJ, Tsibulak I, Calvert PM, Herzog TJ, Hanker LC, Meunier J, Lee JY, Bologna A, Carrasco-Alfonso MJ, Harter P. Overall survival results of AGO-OVAR16: A phase 3 study of maintenance pazopanib versus placebo in women who have not progressed after first-line chemotherapy for advanced ovarian cancer. Gynecol Oncol. 2019 Nov;155(2):186-191. doi: 10.1016/j.ygyno.2019.08.024. Epub 2019 Sep 10.
- Derived from this study: PubMed 29267856Friedlander M, Rau J, Lee CK, Meier W, Lesoin A, Kim JW, Poveda A, Buck M, Scambia G, Shimada M, Hilpert F, King MT, Debruyne P, Bologna A, Malander S, Monk BJ, Petru E, Calvert P, Herzog TJ, Barrett C, du Bois A. Quality of life in patients with advanced epithelial ovarian cancer (EOC) randomized to maintenance pazopanib or placebo after first-line chemotherapy in the AGO-OVAR 16 trial. Measuring what matters-patient-centered end points in trials of maintenance therapy. Ann Oncol. 2018 Mar 1;29(3):737-743. doi: 10.1093/annonc/mdx796.
- Derived from this study: PubMed 27769273Pulford DJ, Harter P, Floquet A, Barrett C, Suh DH, Friedlander M, Arranz JA, Hasegawa K, Tada H, Vuylsteke P, Mirza MR, Donadello N, Scambia G, Johnson T, Cox C, Chan JK, Imhof M, Herzog TJ, Calvert P, Wimberger P, Berton-Rigaud D, Lim MC, Elser G, Xu CF, du Bois A. Communicating BRCA research results to patients enrolled in international clinical trials: lessons learnt from the AGO-OVAR 16 study. BMC Med Ethics. 2016 Oct 21;17(1):63. doi: 10.1186/s12910-016-0144-y.
- Derived from this study: PubMed 26588236Kim JW, Mahner S, Wu LY, Shoji T, Kim BG, Zhu JQ, Takano T, Park SY, Kong BH, Wu Q, Wang KL, Ngan HY, Liu JH, Wei LH, Mitrica I, Zhang P, Crescenzo R, Wang Q, Cox CJ, Harter P, du Bois A. Pazopanib Maintenance Therapy in East Asian Women With Advanced Epithelial Ovarian Cancer: Results From AGO-OVAR16 and an East Asian Study. Int J Gynecol Cancer. 2018 Jan;28(1):2-10. doi: 10.1097/IGC.0000000000000602.
- Derived from this study: PubMed 25434635Floquet A, Vergote I, Colombo N, Fiane B, Monk BJ, Reinthaller A, Calvert P, Herzog TJ, Meier W, Kim JW, del Campo JM, Friedlander M, Pisano C, Isonishi S, Crescenzo RJ, Barrett C, Wang K, Mitrica I, du Bois A. Progression-free survival by local investigator versus independent central review: comparative analysis of the AGO-OVAR16 Trial. Gynecol Oncol. 2015 Jan;136(1):37-42. doi: 10.1016/j.ygyno.2014.11.074. Epub 2014 Nov 28.
- Derived from this study: PubMed 25225436du Bois A, Floquet A, Kim JW, Rau J, del Campo JM, Friedlander M, Pignata S, Fujiwara K, Vergote I, Colombo N, Mirza MR, Monk BJ, Kimmig R, Ray-Coquard I, Zang R, Diaz-Padilla I, Baumann KH, Mouret-Reynier MA, Kim JH, Kurzeder C, Lesoin A, Vasey P, Marth C, Canzler U, Scambia G, Shimada M, Calvert P, Pujade-Lauraine E, Kim BG, Herzog TJ, Mitrica I, Schade-Brittinger C, Wang Q, Crescenzo R, Harter P. Incorporation of pazopanib in maintenance therapy of ovarian cancer. J Clin Oncol. 2014 Oct 20;32(30):3374-82. doi: 10.1200/JCO.2014.55.7348. Epub 2014 Sep 15.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
318 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pazopanib in people with Ovarian Cancer, run by Novartis Pharmaceuticals at 318 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 21 inclusion and 20 exclusion criteria. 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 16 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 318 sites in Germany, France, United States, Italy, Spain and 12 more countries. 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. Some participants in this study may receive a placebo. 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?
Yes. Results are posted in the registry (first posted 19 Dec 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Investigator-assessed Progression-free Survival (PFS) (time frame: From the date of randomization until the date of progression or death due to any cause (median time of follow-up was 17.9 months for pazopanib and 12.3 months for placebo)). 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 NCT00866697, which also lists 7 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 16 Feb 2021.