A Randomized Phase II Evaluation of Weekly Ixabepilone With or Without Biweekly Bevacizumab in Recurrent or Persistent Platinum-resistant/Refractory Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancers

Trial ID # NCT03093155
Phase II
Drug Class Chemotherapy
Drug Name Ixabepilone
Alternate Drug Names Ixempra, Epothilone-B, epothilone B lactam, BMS-247550, Azaepothilone B
Drugs in Trial Bevacizumab, Ixabepilone
Eligible Participant

Platinum resistant, refractory or persistent ovarian cancer; median 3 prior therapies; 18% Pt-Rf, 55% w/ prior Bev

Patients Enrolled

78

Therapy Setting

Recurrence

Study Design

Open-Label, Randomized

Endpoints

ORR, PFS, OS, evaluated per RECIST

Efficacy

Ixa+Bev (n=39) vs Ixa (n=37):

ORR: 33 vs 8%, p=0.004
PFS: 5.5 vs 2.2 months, HR: 0.31 (0.20-0.49, p<0.001)
OS: 10.3 vs 6.0 months, HR: 0.56 (0.38-0.84, p=0.02)

Clinically Significant Adverse Events

Serious AE: 1 bowel perforation in Ixa+Bev arm
Grade 3-4 AE:

Conclusion

Ixabepilone+bevacizumab is a well-tolerated, effective combination for treatment of platinum/taxane resistant ovarian cancer that extends both PFS/OS relative to ixabepilone monotherapy and prior receipt of bevacizumab should not preclude use of ixabepilone+bevacizumab

Reference

Roque DM et al. Randomised phase II trial of weekly ixabepilone ± biweekly bevacizumab for platinum-resistant or refractory ovarian/fallopian tube/primary peritoneal cancer. Br J Cancer (2022) 126(12):1695-1703
https://pubmed.ncbi.nlm.nih.gov/35149854/

Roque DM et al. Randomized phase II trial of weekly ixabepilone ± biweekly bevacizumab for platinum-resistant or refractory ovarian / fallopian tube / primary peritoneal cancer (NCT03093155): updated survival and subgroup analyses. SGO 2024, Poster
https://www.clearityfoundation.org/wp-content/uploads/2024/05/Roque-et-al.-Ixabepilone-poster-SGO-2024.pdf

Contact Us
Contact Us

We are here to help! Send us a message below or give us a call at (858) 657-0282.

Agree to SMS