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A Study of Avastin (Bevacizumab) Plus Crossover Fluoropyrimidine-Based Chemotherapy in Patients With Metastatic Colorectal Cancer.

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ClinicalTrials.gov Identifier: NCT00700102
Recruitment Status : Completed
First Posted : June 18, 2008
Results First Posted : July 30, 2015
Last Update Posted : July 30, 2015
Sponsor:
Information provided by (Responsible Party):
Hoffmann-La Roche

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Colorectal Cancer
Interventions Drug: Chemotherapy
Drug: Bevacizumab
Enrollment 820
Recruitment Details This study enrolled 820 patients at 220 sites located in 15 countries in Europe and Saudi Arabia. Study AIO KRK 0504 enrolled 261 patients, and 559 patients subsequently enrolled in Study ML18147 when the study was transferred to Hoffmann LaRoche (in 2008).
Pre-assignment Details  
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
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Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal

Chemotherapy: As prescribed

Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal

Chemotherapy: As prescribed

Bevacizumab: Bevacizumab, 5 mg/kg intravenously (IV) on days 1 and 14 of each 4 week cycle, or 7.5 mg/kg IV on days 1 and 22 of each 6 week cycle.

Period Title: Overall Study
Started 411 409
Intention to Treat 410 409
Received at Least One Dose 407 403
Completed 9 14
Not Completed 402 395
Reason Not Completed
Died             394             385
Lost to Follow-up             8             10
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab Total
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Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal

Chemotherapy: As prescribed

Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal

Chemotherapy: As prescribed

Bevacizumab: Bevacizumab, 5 mg/kg intravenously (IV) on days 1 and 14 of each 4 week cycle, or 7.5 mg/kg IV on days 1 and 22 of each 6 week cycle.

Total of all reporting groups
Overall Number of Baseline Participants 411 409 820
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 411 participants 409 participants 820 participants
61.9  (9.55) 62.1  (9.78) 62.0  (9.66)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 411 participants 409 participants 820 participants
Female
152
  37.0%
142
  34.7%
294
  35.9%
Male
259
  63.0%
267
  65.3%
526
  64.1%
1.Primary Outcome
Title Overall Survival: Time From Randomization to Death From Any Cause
Hide Description [Not Specified]
Time Frame within 6.5 years
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Intention to treat
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
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Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal
Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
Overall Number of Participants Analyzed 410 409
Median (95% Confidence Interval)
Unit of Measure: months
9.8
(9 to 11)
11.2
(10 to 12)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Chemotherapy, Chemotherapy + Bevacizumab
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0062
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.81
Confidence Interval (2-Sided) 95%
0.69 to 0.94
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Overall Survival: Months From Time of First Line Therapy
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Time Frame within approximately 9.6 years
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[Not Specified]
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
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Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal
Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
Overall Number of Participants Analyzed 410 409
Median (95% Confidence Interval)
Unit of Measure: months
22.5
(21 to 25)
23.9
(22 to 26)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Chemotherapy, Chemotherapy + Bevacizumab
Comments Kaplan Meier Estimate
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1713
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.90
Confidence Interval (2-Sided) 95%
0.77 to 1.05
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Participants With Progression Free Survival Event
Hide Description [Not Specified]
Time Frame within 6.5 years
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Unstratified intention to treat population
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
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Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal
Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
Overall Number of Participants Analyzed 410 409
Measure Type: Number
Unit of Measure: participants
394 386
4.Secondary Outcome
Title Progression Free Survival: Time to Event
Hide Description [Not Specified]
Time Frame within 6.5 years
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Unstratified intention to treat population
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
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Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal
Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
Overall Number of Participants Analyzed 410 409
Median (Full Range)
Unit of Measure: Months
4.1
(0 to 27)
5.7
(0 to 38)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Chemotherapy, Chemotherapy + Bevacizumab
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.68
Confidence Interval (2-Sided) 95%
0.59 to 0.78
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Response Rate: Percentage of Participants With Best Overall Response, Defined as Confirmed Complete Response (CR) or Partial Response (PR) According to RECIST Criteria
Hide Description [Not Specified]
Time Frame within 6.5 years
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Participants with measurable disease
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
Hide Arm/Group Description:
Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal
Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
Overall Number of Participants Analyzed 406 404
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
3.9
(2.3 to 6.3)
5.4
(3.4 to 8.1)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Chemotherapy, Chemotherapy + Bevacizumab
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3113
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 1.50
Confidence Interval (2-Sided) 95%
-1.5 to 4.5
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Chemotherapy, Chemotherapy + Bevacizumab
Comments [Not Specified]
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.4315
Comments [Not Specified]
Method Cochran-Mantel-Haenszel
Comments [Not Specified]
6.Secondary Outcome
Title Response Rate: Participants With Response Status Based on RECIST Criteria
Hide Description Response Evaluation Criteria In Solid Tumors (RECIST) is a set of published rules that define when tumors in cancer patients improve ("respond"), stay the same ("stabilize"), or worsen ("progress") during treatment.
Time Frame within 6.5 years
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Hide Analysis Population Description
Participants with measurable disease
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
Hide Arm/Group Description:
Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal
Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
Overall Number of Participants Analyzed 406 404
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: percentage of participants
Complete response
0.5
(0.1 to 1.8)
0.2
(0.0 to 1.4)
Partial response
3.4
(1.9 to 5.7)
5.2
(3.2 to 7.8)
Stable Disease
50.2
(45.3 to 55.2)
62.6
(57.7 to 67.4)
Progressive Disease
35.0
(30.3 to 39.8)
21.5
(17.6 to 25.9)
Missing (No Response Assessment)
10.8 [1] 
(NA to NA)
10.4 [1] 
(NA to NA)
[1]
Missing data not analyzable
Time Frame First subject first visit to end of trial within 7.25 years
Adverse Event Reporting Description Safety Analysis Set was defined as all randomized patients who received any amount of study treatment, and were analyzed according to actual treatment received.
 
Arm/Group Title Chemotherapy Chemotherapy + Bevacizumab
Hide Arm/Group Description Chemotherapy alone until disease progression, unacceptable toxicity, or patient refusal Chemotherapy and Bevacizumab until disease progression, unacceptable toxicity, or patient refusal
All-Cause Mortality
Chemotherapy Chemotherapy + Bevacizumab
Affected / at Risk (%) Affected / at Risk (%)
Total   --/--      --/--    
Hide Serious Adverse Events
Chemotherapy Chemotherapy + Bevacizumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   137/409 (33.50%)      130/401 (32.42%)    
Blood and lymphatic system disorders     
Neutropenia  1  7/409 (1.71%)  8 8/401 (2.00%)  8
Febrile neutropenia  1  4/409 (0.98%)  4 3/401 (0.75%)  3
Anaemia  1  2/409 (0.49%)  2 1/401 (0.25%)  1
Idiopathic thrombocytopenic purpura  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Leukopenia  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Pancytopenia  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Thrombocytopenia  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Cardiac disorders     
Myocardial infarction  1  2/409 (0.49%)  2 1/401 (0.25%)  1
Atrial fibrillation  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Acute myocardial infarction  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Cardiac arrest  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Cardiopulmonary failure  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Tachycardia  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Gastrointestinal disorders     
Abdominal hernia  1  3/409 (0.73%)  3 0/401 (0.00%)  0
Abdominal pain  1  9/409 (2.20%)  9 6/401 (1.50%)  6
Abdominal pain lower  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Abdominal pain upper  1  2/409 (0.49%)  2 1/401 (0.25%)  1
Ascites  1  2/409 (0.49%)  2 1/401 (0.25%)  1
Colonic obstruction  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Constipation  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Diarrhoea  1  16/409 (3.91%)  16 13/401 (3.24%)  13
Enteritis  1  0/409 (0.00%)  0 3/401 (0.75%)  3
Enterovesical fistula  1  0/409 (0.00%)  0 2/401 (0.50%)  2
Gastritis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Gastrointestinal disorder  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Gastrointestinal haemorrhage  1  1/409 (0.24%)  1 1/401 (0.25%)  2
Gastrointestinal hopomotility  1  0/409 (0.00%)  0 2/401 (0.50%)  3
Gastrointestinal inflammation  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Gastrointestinal obstruction  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Gastrointestinal toxicity  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Haematochezia  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Ileus  1  4/409 (0.98%)  4 1/401 (0.25%)  1
Inguinal hernia  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Inguinal hernia, obstructive  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Intestinal obstruction  1  4/409 (0.98%)  4 2/401 (0.50%)  2
Intestinal perforation  1  1/409 (0.24%)  1 4/401 (1.00%)  4
Large intestine perforation  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Nausea  1  0/409 (0.00%)  0 3/401 (0.75%)  4
Oesophagitis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Pancreatitis  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Pancreatitis acute  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Proctalgia  1  0/409 (0.00%)  0 1/401 (0.25%)  3
Rectal haemorrhage  1  2/409 (0.49%)  2 1/401 (0.25%)  1
Upper gastrointestinal haemorrhage  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Vomiting  1  4/409 (0.98%)  4 7/401 (1.75%)  7
Subileus  1  2/409 (0.49%)  2 7/401 (1.75%)  8
General disorders     
Pyrexia  1  11/409 (2.69%)  13 7/401 (1.75%)  10
Disease progression  1  4/409 (0.98%)  4 3/401 (0.75%)  3
General physical health deterioration  1  1/409 (0.24%)  1 3/401 (0.75%)  3
Chest pain  1  1/409 (0.24%)  1 2/401 (0.50%)  2
Fatigue  1  2/409 (0.49%)  2 1/401 (0.25%)  1
Mucosal inflammation  1  1/409 (0.24%)  1 2/401 (0.50%)  2
Asthenia  1  2/409 (0.49%)  2 0/401 (0.00%)  0
Obstruction  1  2/409 (0.49%)  2 0/401 (0.00%)  0
Device breakage  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Drug withdrawal syndrome  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Extravasation  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Multi-organ failure  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Stent malfunction  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Sudden cardiac death  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Sudden death  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Hepatobiliary disorders     
Cholestasis  1  4/409 (0.98%)  4 2/401 (0.50%)  2
Biliary fistula  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Cholangitis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Cholecystitis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Cholelithiasis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Hyperbilirubinaemia  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Jaundice cholestatic  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Immune system disorders     
Drug hypersensitivity  1  1/409 (0.24%)  1 6/401 (1.50%)  7
Anaphylactic shock  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Hypersensitivity  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Infections and infestations     
Sepsis  1  5/409 (1.22%)  6 2/401 (0.50%)  2
Infection  1  3/409 (0.73%)  3 3/401 (0.75%)  3
Pneumonia  1  2/409 (0.49%)  2 3/401 (0.75%)  3
Device related infection  1  1/409 (0.24%)  1 3/401 (0.75%)  3
Febrile infection  1  2/409 (0.49%)  3 0/401 (0.00%)  0
Urosepsis  1  1/409 (0.24%)  1 2/401 (0.50%)  2
Anal abscess  1  0/409 (0.00%)  0 2/401 (0.50%)  2
Gastroenteritis  1  0/409 (0.00%)  0 2/401 (0.50%)  2
Lung infection  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Sinusitis  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Abdominal abscess  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Abdominal infection  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Appendicitis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Atypical pneumonia  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Bronchitis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Cellulitis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Cholecystitis infective  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Clostridium difficile infection  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Device related sepsis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Enterococcal sepsis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Gastroenteritis clostridial  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Gastrointestinal infection  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Peritonitis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Respiratory tract infection  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Septic shock  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Staphylococcal infection  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Staphylococcal sepsis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Systemic candida  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Urinary tract infection  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Viral infection  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Injury, poisoning and procedural complications     
Post procedural haemorrhage  1  0/409 (0.00%)  0 2/401 (0.50%)  3
Anastomotic complication  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Fall  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Femoral neck fracture  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Femur fracture  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Humerus fracture  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Radius fracture  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Spinal fracture  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Investigations     
Volume blood decreased  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Weight decreased  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Metabolism and nutrition disorders     
Dehydration  1  3/409 (0.73%)  3 1/401 (0.25%)  1
Decreased appetite  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Malnutrition  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Musculoskeletal and connective tissue disorders     
Arthralgia  1  2/409 (0.49%)  2 0/401 (0.00%)  0
Groin pain  1  2/409 (0.49%)  2 0/401 (0.00%)  0
Intervertebral disc protrusion  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Cancer pain  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Metastases to central nervous system  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Oncologic complication  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Tumour compression  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Nervous system disorders     
Cerebral atrophy  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Cerebral infarction  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Cerebrovascular accident  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Headache  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Phrenic nerve paralysis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Polyneuropathy  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Sciatica  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Syncope  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Psychiatric disorders     
Suicide attempt  1  0/409 (0.00%)  0 2/401 (0.50%)  2
Disorientation  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Drug dependence  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Renal and urinary disorders     
Acute prerenal failure  1  2/409 (0.49%)  2 0/401 (0.00%)  0
Renal failure  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Ureteric obstruction  1  1/409 (0.24%)  1 1/401 (0.25%)  1
Haematuria  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Pyelocaliectasis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Renal colic  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Renal failure acute  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Ureteric stenosis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Urinary incontinence  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Urinary retention  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Reproductive system and breast disorders     
Epididymitis  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Respiratory, thoracic and mediastinal disorders     
Pulmonary embolism  1  4/409 (0.98%)  4 7/401 (1.75%)  7
Dyspnoea  1  1/409 (0.24%)  1 2/401 (0.50%)  2
Chronic obstructive pulmonary disease  1  0/409 (0.00%)  0 1/401 (0.25%)  2
Pleural effusion  1  2/409 (0.49%)  2 0/401 (0.00%)  0
Lung disorder  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Lung infiltration  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Pneumonitis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Surgical and medical procedures     
Intestinal operation  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Ureteral stent insertion  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Vascular disorders     
Deep vein thrombosis  1  0/409 (0.00%)  0 3/401 (0.75%)  3
Hypertensive emergency  1  0/409 (0.00%)  0 1/401 (0.25%)  2
Aortic stenosis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Circulatory collapse  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Hypertension  1  0/409 (0.00%)  0 1/401 (0.25%)  1
Hypertensive crisis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Pelvic venous thrombosis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Venous thrombosis  1  1/409 (0.24%)  1 0/401 (0.00%)  0
Indicates events were collected by systematic assessment
1
Term from vocabulary, MedDRA (16.0)
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Chemotherapy Chemotherapy + Bevacizumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   379/409 (92.67%)      382/401 (95.26%)    
Blood and lymphatic system disorders     
Neutropenia  1  86/409 (21.03%)  159 112/401 (27.93%)  246
Thrombocytopenia  1  51/409 (12.47%)  102 69/401 (17.21%)  124
Leukopenia  1  35/409 (8.56%)  62 53/401 (13.22%)  110
Anaemia  1  58/409 (14.18%)  93 41/401 (10.22%)  58
Gastrointestinal disorders     
Diarrhoea  1  177/409 (43.28%)  333 233/401 (58.10%)  471
Nausea  1  170/409 (41.56%)  294 178/401 (44.39%)  340
Vomiting  1  104/409 (25.43%)  162 119/401 (29.68%)  188
Abdominal pain  1  76/409 (18.58%)  91 89/401 (22.19%)  126
Constipation  1  74/409 (18.09%)  96 82/401 (20.45%)  120
Stomatitis  1  32/409 (7.82%)  47 40/401 (9.98%)  69
Abdominal pain upper  1  22/409 (5.38%)  31 37/401 (9.23%)  44
General disorders     
Asthenia  1  106/409 (25.92%)  263 106/401 (26.43%)  246
Fatigue  1  80/409 (19.56%)  126 94/401 (23.44%)  154
Mucosal inflammation  1  43/409 (10.51%)  72 76/401 (18.95%)  136
Pyrexia  1  44/409 (10.76%)  61 66/401 (16.46%)  92
Oedema peripheral  1  26/409 (6.36%)  30 20/401 (4.99%)  23
Infections and infestations     
Nasopharyngitis  1  18/409 (4.40%)  20 28/401 (6.98%)  33
Urinary tract infection  1  21/409 (5.13%)  28 21/401 (5.24%)  24
Investigations     
Weight decreased  1  24/409 (5.87%)  26 37/401 (9.23%)  38
Metabolism and nutrition disorders     
Decreased appetite  1  77/409 (18.83%)  99 79/401 (19.70%)  105
Hypokalaemia  1  19/409 (4.65%)  32 26/401 (6.48%)  34
Musculoskeletal and connective tissue disorders     
Back pain  1  20/409 (4.89%)  29 30/401 (7.48%)  39
Nervous system disorders     
Paraesthesia  1  67/409 (16.38%)  139 78/401 (19.45%)  179
Neuropathy peripheral  1  52/409 (12.71%)  99 46/401 (11.47%)  94
Polyneuropathy  1  43/409 (10.51%)  67 51/401 (12.72%)  98
Peripheral sensory neuropathy  1  21/409 (5.13%)  47 32/401 (7.98%)  58
Neurotoxicity  1  13/409 (3.18%)  29 27/401 (6.73%)  53
Headache  1  15/409 (3.67%)  20 29/401 (7.23%)  40
Respiratory, thoracic and mediastinal disorders     
Epistaxis  1  19/409 (4.65%)  21 70/401 (17.46%)  88
Dyspnoea  1  38/409 (9.29%)  48 36/401 (8.98%)  40
Cough  1  31/409 (7.58%)  35 35/401 (8.73%)  42
Skin and subcutaneous tissue disorders     
Alopecia  1  68/409 (16.63%)  85 71/401 (17.71%)  92
Palmar-plantar erythrodysaesthesia syndrome  1  36/409 (8.80%)  68 50/401 (12.47%)  96
Vascular disorders     
Hypertension  1  24/409 (5.87%)  29 47/401 (11.72%)  72
Indicates events were collected by systematic assessment
1
Term from vocabulary, MedDRA (16.0)
Patients in the study who were randomized to receive bevacizumab could continue to receive bevacizumab following discontinuation of chemotherapy, thereby minimizing any potential bias introduced by differential follow-up time in the treatment arms.
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Medical Communications
Organization: Hoffmann-La Roche
Phone: 800 821-8590
EMail: genentech@druginfo.com
Layout table for additonal information
Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT00700102    
Other Study ID Numbers: ML18147
2006-004634-32 ( EudraCT Number )
First Submitted: June 17, 2008
First Posted: June 18, 2008
Results First Submitted: July 2, 2015
Results First Posted: July 30, 2015
Last Update Posted: July 30, 2015