About this trial
A pragmatic, two armed, study comparing 2 standard doses of an anti-cancer drug called bevacizumab, given in combination with Chemotherapy. The study will be offered to ovarian cancer patients whose disease is platinum chemotherapy resistant . Higher doses of anti-cancer based drugs are not always better than lower doses and can cause more side effects without improvement of cancer. These patients will be randomly assigned either 7.5 mg/kg or 15mg/kg of bevacizumab combined with chemotherapy . Comparing these two doses will determine if the lower dose-level is non-inferior, and could lead to practice changes.
Eligibility criteria
Qualifiers
Histologically confirmed diagnosis of epithelial ovarian cancer, primary peritoneal, or fallopian tube carcinoma according to WHO Classification of tumours that is advanced/metastatic/recurrent or unresectable and for which no curative therapy exists.
Platinum resistant disease (progression within six months of completing a platinum-containing protocol). In this case, progression from the last line of therapy would be defined as radiologic progression by RECIST 1.1 criteria on CT or MR.
Presence of clinically and/or radiologically documented disease. All radiology studies must be performed within 28 days of randomization.
Chest x-ray > 20 mm
Disqualifiers
Patients with a history of other active or current malignancies that require active treatment.
History of significant neurologic or psychiatric disorder which would impair the ability to obtain consent or limit compliance with study requirements.
Uncontrolled hypertension
Active uncontrolled or serious infection (viral, bacterial or fungal)
Trial design
Treatments tested in this trial
- Bevacizumab