Phase II Trial of Gemcitabine and Docetaxel with Bevacizumab in Soft Tissue Sarcoma
Joint Authors
Tap, William D.
Maki, Robert G.
D’Angelo, S. P.
Dickson, Mark A.
D’Adamo, David R.
Carvajal, Richard D.
Gounder, Mrinal M.
Qin, Li-Xuan
Lefkowitz, Robert A.
McKennon, Olivia R.
Hirst, Catherine M.
Schwartz, Gary K.
Keohan, Mary Louise
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Gemcitabine (G) and docetaxel (D) are commonly used to treat recurrent/metastatic soft tissue sarcoma.
This study tested the hypothesis that outcomes would be improved by addition of bevacizumab (B).
The initial design was randomized double-blind trial of G + D + B versus G + D + placebo.
Due to slow accrual this was modified to single-arm open-label G + D + B.
Eligible patients had diagnosis of leiomyosarcoma, pleomorphic undifferentiated sarcoma, pleomorphic liposarcoma, or angiosarcoma.
Treatment was B 15 mg/kg on d1, G 900 mg/m2 on d1 and d8, and D 75 mg/m2 on d8, q21d.
Primary endpoint was progression-free survival (PFS) at 6 months and would be met if ≥17 patients were progression-free at 6 m.
Secondary endpoints are response rate, PFS at 3 m, overall survival, and toxicity.
Of 44 patients enrolled, 35 were treated with GDB and evaluable for safety and efficacy.
Median age was 55, 50% male, most ECOG 0.
Toxicity is mostly myelosuppression with one deep vein thrombosis and one small bowel perforation possibly related to B.
There were 17 partial responses (49%) by RECIST 1.1.
Among 35 patients, the number who remained on study and progression-free was 24 at 3 m and 15 at 6 m.
9 withdrew prior to 6 m for reasons other than toxicity or progression.
PFS at 6 m was 65% (95% CI: 51–85%).
The primary endpoint of 6 m PFS was not met due to censoring of patients who withdrew.
However PFS at 3 m (76%) was promising and response rate was higher than expected from G + D.
American Psychological Association (APA)
Dickson, Mark A.& D’Adamo, David R.& Keohan, Mary Louise& D’Angelo, S. P.& Carvajal, Richard D.& Gounder, Mrinal M.…[et al.]. 2015. Phase II Trial of Gemcitabine and Docetaxel with Bevacizumab in Soft Tissue Sarcoma. Complexity،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1076079
Modern Language Association (MLA)
Dickson, Mark A.…[et al.]. Phase II Trial of Gemcitabine and Docetaxel with Bevacizumab in Soft Tissue Sarcoma. Complexity No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1076079
American Medical Association (AMA)
Dickson, Mark A.& D’Adamo, David R.& Keohan, Mary Louise& D’Angelo, S. P.& Carvajal, Richard D.& Gounder, Mrinal M.…[et al.]. Phase II Trial of Gemcitabine and Docetaxel with Bevacizumab in Soft Tissue Sarcoma. Complexity. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1076079
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076079