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Home > "B" Clinical Trials Conditions > Bevacizumab in Treating Patients With Persistent or Recurrent Cancer of the Cervix

Bevacizumab in Treating Patients With Persistent or Recurrent Cancer of the Cervix



Bevacizumab in Treating Patients With Persistent or Recurrent Cancer of the Cervix

For Condition: recurrent cervical cancer,cervical squamous cell carcinoma
Status: Recruiting
Sponsor(s): Gynecologic Oncology Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Monoclonal antibodies such as bevacizumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. PURPOSE: Phase II trial to study the effectiveness of bevacizumab in treating patients who have persistent or recurrent cancer of the cervix.
Details: OBJECTIVES: - Determine the cytostatic antitumor activity of bevacizumab, in terms of 6-month progression-free survival (PFS), in patients with persistent or recurrent squamous cell carcinoma of the cervix. - Determine the nature and degree of toxicity of this drug in these patients. - Estimate the distribution of PFS and overall survival for patients treated with this drug. - Determine the frequency of clinical response (partial and complete) in patients treated with this drug. - Determine the role of age and initial performance status as prognostic factors in patients treated with this drug. - Determine whether biological and imaging markers are associated with clinical efficacy of this drug, such as 6-month PFS, in these patients. OUTLINE: This is a multicenter study. Patients receive bevacizumab IV over 30-90 minutes on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 2 years and then every 6 months for 3 years. PROJECTED ACCRUAL: A total of 19-51 patients will be accrued for this study within 11-38 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed persistent or recurrent squamous cell carcinoma (SCC) of the cervix - Patients must have received at least 1, but no more than 2, prior cytotoxic chemotherapy regimens for advanced, metastatic, or recurrent SCC of the cervix - Chemotherapy administered as a radio-sensitizer does not count as 1 regimen - Documented disease progression - At least 1 unidimensionally measurable lesion* - At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan NOTE: *Tumors within a previously irradiated field are considered nontarget lesions unless documented evidence of progressive disease or biopsy-confirmed persistent disease at least 90 days after completion of radiotherapy - No history or physical evidence of CNS disease, including primary or metastatic brain tumor - Ineligible for a higher priority Gynecological Oncology Group (GOG) protocol (if one exists), including any active GOG phase III protocol for the same patient population PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - GOG 0-2 (if received 1 prior regimen) - GOG 0-1 (if received 2 prior regimens) Life expectancy: - Not specified Hematopoietic: - Absolute neutrophil count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 - No known bleeding disorder or coagulopathy Hepatic: - Bilirubin no greater than 1.5 times upper limit of normal (ULN) - SGOT no greater than 2.5 times ULN - Alkaline phosphatase no greater than 2.5 times ULN - INR less than 1.5 - PTT less than 1.2 times control Renal: - Creatinine no greater than 1.5 times ULN OR - Creatinine clearance greater than 60 mL/min - No proteinuria - Urine protein less than 30 mg/dL OR - Urine protein less than 500 mg by 24-hour urine collection Cardiovascular: - No clinically significant cardiovascular disease (e.g., uncontrolled hypertension, myocardial infarction, or unstable angina) - No New York Heart Association grade II or greater congestive heart failure - No serious cardiac arrhythmia requiring medication - No history of deep vein thrombosis - No grade II or greater peripheral vascular disease within the past year - No history of stroke Other: - No greater than grade 1 sensory or motor neuropathy - No active infection requiring antibiotics - No serious nonhealing wound, ulcer, or bone fracture - No history or physical evidence of seizures not controlled with standard medical therapy - No known hypersensitivity to Chinese hamster ovary cell products or other recombinant human antibodies - No other invasive malignancy within the past 5 years except nonmelanomatous skin cancer - No significant traumatic injury within the past 4 weeks - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior bevacizumab - At least 3 weeks since prior immunologic agents for SCC of the cervix Chemotherapy: - See Disease Characteristics - Recovered from prior chemotherapy - No prior non-cytotoxic chemotherapy for persistent or recurrent disease Endocrine therapy: - At least 1 week since prior hormonal therapy for SCC of the cervix - Concurrent hormone replacement therapy allowed Radiotherapy: - See Disease Characteristics - Recovered from prior radiotherapy Surgery: - Recovered from recent prior surgery - At least 4 weeks since prior major surgical procedure or open biopsy - At least 1 week since prior placement of vascular access device - No concurrent major surgical procedure Other: - At least 3 weeks since other prior therapy for SCC of the cervix - No prior anticancer therapy that would preclude study therapy - No concurrent anticoagulants other than those required to maintain the patency of indwelling IV catheters - No concurrent chronic daily aspirin greater than 325 mg/day or other nonsteroidal anti-inflammatory medications that are known to inhibit platelet function at doses used for chronic inflammatory diseases
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
BradleyMonk,  Study Chair,  Chao Family Comprehensive Cancer Center

MBCCOP - University of Illinois at Chicago *Recruiting*
Chicago,  Illinois,  60612
United States
Recruiting Lawrence  Feldman 312-335-3614

CCOP - Kansas City *Recruiting*
Kansas City,  Missouri,  64131
United States
Recruiting Jorge  Paradelo 816-823-0555

Magee-Womens Hospital *Recruiting*
Pittsburgh,  Pennsylvania,  15213-3180
United States
Recruiting Joseph  Kelley 412-641-5418

CCOP - Western Regional, Arizona *Recruiting*
Phoenix,  Arizona,  85006-2726
United States
Recruiting David  King 602-258-4875

Southeast Gynecologic Oncology Associates *Recruiting*
Knoxville,  Tennessee,  37917
United States
Recruiting Kenneth  Cofer 865-673-9250

CCOP - Kalamazoo *Recruiting*
Kalamazoo,  Michigan,  49007-3731
United States
Recruiting Raymond  Lord 269-373-7488

Duke Comprehensive Cancer Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Daniel  Clarke-Pearson 919-684-3765

CCOP - Missouri Valley Cancer Consortium *Recruiting*
Omaha,  Nebraska,  68106
United States
Recruiting James  Mailliard 402-280-4364

CCOP - Metro-Minnesota *Recruiting*
St. Louis Park,  Minnesota,  55416
United States
Recruiting Patrick  Flynn 952-993-15175

Norwegian Radium Hospital *Recruiting*
Oslo,  ,  N-0310
Norway
Recruiting Gunnar  Kristensen 47-22-934-000

MBCCOP - Hawaii *Recruiting*
Honolulu,  Hawaii,  96813
United States
Recruiting Brian  Issell 808-586-3013

CCOP - Carle Cancer Center *Recruiting*
Urbana,  Illinois,  61801
United States
Recruiting Kendrith  Rowland 217-383-4083

CCOP - Cancer Research for the Ozarks *Recruiting*
Springfield,  Missouri,  65807
United States
Recruiting John  Goodwin 417-269-4520

CCOP - Christiana Care Health Services *Recruiting*
Newark,  Delaware,  19713
United States
Recruiting Stephen  Grubbs 302-623-4100

CCOP - Grand Rapids *Recruiting*
Grand Rapids,  Michigan,  49503
United States
Recruiting Kathleen  Yost 616-391-1230

Saint Joseph Regional Medical Center *Recruiting*
South Bend,  Indiana,  46617
United States
Recruiting Michael  Method 574-237-8010

CCOP - Michigan Cancer Research Consortium *Recruiting*
Ann Arbor,  Michigan,  48106
United States
Recruiting Philip  Stella 734-712-2000

CCOP - Central Illinois *Recruiting*
Decatur,  Illinois,  62794-9640
United States
Recruiting L.  Massad 217-545-8882

University of Texas Medical Branch *Recruiting*
Galveston,  Texas,  77555-0587
United States
Recruiting Edward  Hannigan 409-772-3368

Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center *Recruiting*
Nashville,  Tennessee,  37232-2516
United States
Recruiting Marta  Crispens 615-322-2114

University of Mississippi Medical Center *Recruiting*
Jackson,  Mississippi,  39216-4505
United States
Recruiting James  Thigpen 601-984-5590

CCOP - Evanston *Recruiting*
Evanston,  Illinois,  60201
United States
Recruiting Gershon  Locker 847-570-2518

CCOP - Columbia River Oncology Program *Recruiting*
Portland,  Oregon,  97225
United States
Recruiting Keith  Lanier 503-216-6260

CCOP - Scott and White Hospital *Recruiting*
Temple,  Texas,  76508
United States
Recruiting Lucas  Wong 254-724-7048

CCOP - Geisinger Clinic and Medical Center *Recruiting*
Danville,  Pennsylvania,  17822-2001
United States
Recruiting Nava  Siegelmann-Danieli 570-271-6834

Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support *Recruiting*
Bethesda,  Maryland,  20892-1182
United States
Recruiting Patient  Recruitment 1-888-NCI-1937


Additional Information:
Study ID Numbers:
  CDR0000068940;  GOG-0227C
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00025233

Other Cervical Squamous Cell Carcinoma Studies:
1. Oxaliplatin in Treating Patients With Recurrent or Refractory Cervical Cancer

2. Erlotinib in Treating Patients With Persistent or Recurrent Cancer of the Cervix

3. SU5416 in Treating Patients With Persistent or Recurrent Cervical Cancer

4. Gemcitabine in Treating Patients With Persistent or Recurrent Cancer of the Cervix

5. Comparison of Three Chemotherapy Regimens in Treating Patients With Stage IVB, Recurrent, or Persistent Cervical Cancer

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Bevacizumab in Treating Patients With Persistent or Recurrent Cancer of the Cervix

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