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A Study of Bevacizumab in Combination With Bortezomib in Patients With Relapsed or Refractory Multiple Myeloma (AMBER)
This study has been completed.
Study NCT00473590   Information provided by Genentech

First Received on May 14, 2007.   Last Updated on December 13, 2011   History of Changes
Results First Received: March 31, 2011  
Study Type: Interventional
Study Design: Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single Blind (Investigator);   Primary Purpose: Treatment
Condition: Multiple Myeloma
Interventions: Drug: Bevacizumab
Drug: Bortezomib
Drug: placebo

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Phase II, randomized, blinded, placebo-controlled, multicenter study designed to provide a preliminary assessment of the safety and efficacy of combining bevacizumab with bortezomib in patients with relapsed or refractory multiple myeloma starting 11 July 2007 and completing 9 November 2009.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
BORT + P Participants received bortezomib 1.3 mg/m^2 administered as a 3- to 5-second bolus intravenous injection on Days 1, 4, 8, and 11 of a 21-day cycle for a maximum of eight cycles and placebo intravenous infusion on the first day of each 21-day cycle during the blinded treatment phase. At the completion of the 8-cycle treatment phase, participants entered the observation phase until disease progression.
BORT + BV Participants received bortezomib 1.3 mg/m^2 administered as a 3- to 5-second bolus intravenous injection on Days 1, 4, 8, and 11 of a 21-day cycle for a maximum of eight cycles and bevacizumab 15 mg/kg administered by intravenous infusion on the first day of each 21-day cycle during the blinded treatment phase. After completion of 8 cycles, participants could continue to receive bevacizumab as monotherapy until disease progression.

Participant Flow:   Overall Study
    BORT + P     BORT + BV  
STARTED     53     49  
Treated     52     48  
Safety Population     50 [1]   50  
COMPLETED     8 [2]   11 [2]
NOT COMPLETED     45     38  
Adverse Event                 3                 3  
Death                 4                 2  
Progression not resulting in death                 24                 20  
Non–protocol-specified therapy                 7                 5  
Physician Decision                 2                 4  
Withdrawal by Subject                 5                 3  
Unknown                 0                 1  
[1] 2 patients received at least 1 bevacizumab dose & were analyzed as bevacizumab-treated patients
[2] Continuing on study as of the data cutoff date of 9 November 2009.



  Baseline Characteristics
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Reporting Groups
  Description
BORT + P Participants received bortezomib 1.3 mg/m^2 administered as a 3- to 5-second bolus intravenous injection on Days 1, 4, 8, and 11 of a 21-day cycle for a maximum of eight cycles and placebo intravenous infusion on the first day of each 21-day cycle during the blinded treatment phase. At the completion of the 8-cycle treatment phase, participants entered the observation phase until disease progression.
BORT + BV Participants received bortezomib 1.3 mg/m^2 administered as a 3- to 5-second bolus intravenous injection on Days 1, 4, 8, and 11 of a 21-day cycle for a maximum of eight cycles and bevacizumab 15 mg/kg administered by intravenous infusion on the first day of each 21-day cycle during the blinded treatment phase. After completion of 8 cycles, participants could continue to receive bevacizumab as monotherapy until disease progression.

Baseline Measures
    BORT + P     BORT + BV     Total  
Number of Participants  
[units: participants]
  53     49     102  
Age  
[units: years]
Mean ± Standard Deviation
  64.9  ± 9.2     65.6  ± 9.3     65.2  ± 9.2  
Gender  
[units: participants]
     
Female     23     20     43  
Male     30     29     59  



  Outcome Measures
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1.  Primary:   Progression-free Survival (PFS)   [ Time Frame: From randomization to disease progression or death on study (up to 116 weeks). ]

2.  Secondary:   Number of Participants With an Overall Response   [ Time Frame: From randomization to the end of study (clinical cut-off; up to 116 weeks). ]

3.  Secondary:   Percentage of Participants With an Overall Response   [ Time Frame: From randomization to the end of study (clinical cut-off; up to 116 weeks). ]

4.  Secondary:   Duration of Response   [ Time Frame: From randomization to the end of study (clinical cut-off; up to 116 weeks). ]

5.  Secondary:   Overall Survival (OS)   [ Time Frame: From randomization until death from any cause, up until the end of study (clinical cut-off; up to 116 weeks). ]

6.  Secondary:   Number of Participants With Selected Adverse Events (AEs)   [ Time Frame: Participants were monitored for AEs from initiation of treatment to 30 days after treatment termination (up to 122 weeks). ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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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 agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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Results Point of Contact:  
Name/Title: Medical Communications
Organization: Hoffman-LaRoche
phone: 800-821-8590


No publications provided


Responsible Party: Genentech
ClinicalTrials.gov Identifier: NCT00473590     History of Changes
Other Study ID Numbers: AVF4064g
Study First Received: May 14, 2007
Results First Received: March 31, 2011
Last Updated: December 13, 2011
Health Authority: United States: Food and Drug Administration