Gemcitabine Hydrochloride and Cisplatin With or Without Bevacizumab in Treating Patients With Advanced Urinary Tract Cancer
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ClinicalTrials.gov Identifier: NCT00942331 |
Recruitment Status :
Completed
First Posted : July 20, 2009
Results First Posted : February 17, 2020
Last Update Posted : October 16, 2023
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Sponsor:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
National Cancer Institute (NCI)
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment |
Conditions |
Advanced Urothelial Carcinoma Metastatic Bladder Urothelial Carcinoma Metastatic Prostate Carcinoma Metastatic Renal Pelvis Urothelial Carcinoma Metastatic Ureter Urothelial Carcinoma Metastatic Urethral Urothelial Carcinoma Metastatic Urothelial Carcinoma Stage IV Bladder Urothelial Carcinoma AJCC v7 Stage IV Prostate Cancer AJCC v7 Stage IV Renal Pelvis Cancer AJCC v7 Stage IV Ureter Cancer AJCC v7 Stage IV Urethral Cancer AJCC v7 Unresectable Urothelial Carcinoma |
Interventions |
Biological: Bevacizumab Drug: Cisplatin Drug: Gemcitabine Hydrochloride Other: Laboratory Biomarker Analysis Other: Placebo Administration |
Enrollment | 506 |
Participant Flow
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Arm II (GCB) | Arm I (GCP) |
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Arm/Group Description | Patients receive gemcitabine hydrochloride and cisplatin as in arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive bevacizumab IV over 30-90 minutes every 21 days in the absence of disease progression or unacceptable toxicity. | Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and cisplatin IV and placebo IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive placebo IV over 30-90 minutes every 21 days in the absence of disease progression or unacceptable toxicity. |
Period Title: Overall Study | ||
Started | 252 | 254 |
Completed [1] | 237 | 232 |
Not Completed | 15 | 22 |
Reason Not Completed | ||
Did not start treatment | 15 | 22 |
[1]
Started treatment
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Baseline Characteristics
Arm/Group Title | Arm II (GCB) | Arm I (GCP) | Total | |
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Arm/Group Description | Patients receive gemcitabine hydrochloride and cisplatin as in arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive bevacizumab IV over 30-90 minutes every 21 days in the absence of disease progression or unacceptable toxicity. | Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and cisplatin IV and placebo IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive placebo IV over 30-90 minutes every 21 days in the absence of disease progression or unacceptable toxicity. | Total of all reporting groups | |
Overall Number of Baseline Participants | 252 | 254 | 506 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Median (Full Range) Unit of measure: Years |
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Number Analyzed | 252 participants | 254 participants | 506 participants | |
64
(24 to 83)
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63
(25 to 83)
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63
(24 to 83)
|
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 252 participants | 254 participants | 506 participants | |
Female |
53 21.0%
|
56 22.0%
|
109 21.5%
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|
Male |
199 79.0%
|
198 78.0%
|
397 78.5%
|
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 252 participants | 254 participants | 506 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
3 1.2%
|
4 1.6%
|
7 1.4%
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|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
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|
Black or African American |
13 5.2%
|
5 2.0%
|
18 3.6%
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|
White |
229 90.9%
|
235 92.5%
|
464 91.7%
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|
More than one race |
0 0.0%
|
0 0.0%
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0 0.0%
|
|
Unknown or Not Reported |
7 2.8%
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10 3.9%
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17 3.4%
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ECOG Performance Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 252 participants | 254 participants | 506 participants | |
0 |
146 57.9%
|
132 52.0%
|
278 54.9%
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|
1 |
106 42.1%
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122 48.0%
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228 45.1%
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[1]
Measure Description: Eastern Cooperative Oncology Group PS Scale: 0)Fully active, able to carry on all pre-disease performance without restriction; 1)Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work; 2)Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours; 3)Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours; 4)Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Jonathan Rosenberg, MD |
Organization: | Memorial Sloan-Kettering Cancer Center |
Phone: | 646-422-4461 |
EMail: | rosenbj1@mskcc.org |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00942331 |
Other Study ID Numbers: |
NCI-2011-01952 NCI-2011-01952 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) CDR0000649174 CALGB-90601 ( Other Identifier: Alliance for Clinical Trials in Oncology ) CALGB-90601 ( Other Identifier: CTEP ) U10CA180821 ( U.S. NIH Grant/Contract ) U10CA031946 ( U.S. NIH Grant/Contract ) |
First Submitted: | July 17, 2009 |
First Posted: | July 20, 2009 |
Results First Submitted: | January 30, 2020 |
Results First Posted: | February 17, 2020 |
Last Update Posted: | October 16, 2023 |