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Bevacizumab (Avastin) and Erlotinib (Tarceva) in Previously Treated Mesothelioma

Verified by Dana-Farber Cancer Institute January 2007

Sponsors and Collaborators:

Dana-Farber Cancer Institute
Massachusetts General Hospital
University of Chicago

Information provided by:

Dana-Farber Cancer Institute Identifier:



The purpose of this study is to determine whether the combination of the investigational drugs Avastin and Tarceva are effective in patients with mesothelioma who have previously been treated with chemotherapy.





 Drug: Erlotinib (Tarceva, OSI-774)
 Drug: Bevacizumab (Avastin)

Phase II

MedlinePlus related topics:  Mesothelioma

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study

Official Title: Phase II Study of Bevacizumab (Avastin) and Erlotinib (Tarceva) in Previously Treated Malignant Mesothelioma

Further study details as provided by Dana-Farber Cancer Institute:

Primary Outcomes: To determine the response to the combination of bevacizumab and erlotinib in previously treated malignant mesothelioma
Secondary Outcomes: To determine the time to tumor progression; to determine the duration of response; to determine the median and overall survival of patients; to determine the safety of the drugs administered
Expected Total Enrollment:  37

Study start: February 2004

Each cycle of study treatment lasts 21 days. The patient will take erlotinib by mouth once daily. On day 1 of every cycle, the patient will receive bevacizumab intravenously over a 30-90 minute time period.

CT scan(s), MRI(s) and/or x-ray(s) of the cancer site will be performed every 6 weeks (2 cycles) to assess the extent of the response to treatment.

Bloodwork will be performed before the first dose of erlotinib and bevacizumab at Cycle 1, Cycle 2, Cycle 3, and at the end of treatment.

At the completion of the treatment a physical exam, vital signs, blood tests, urine tests and standard radiologic testing will be performed.

The duration of study depends upon how the patients' mesothelioma responds to treatment as well as how well the patient tolerates the medication.


Ages Eligible for Study:  18 Years and above,  Genders Eligible for Study:  Both


Inclusion Criteria:

  • Mesothelioma that has been previously treated with at least one chemotherapy regimen

  • 18 years of age or older

  • Must at least be able to walk and capable of taking care of oneself although unable to carry out work activities

  • Four or more weeks since last major surgery

  • Four or more weeks since last radiation therapy

  • Three or more weeks since last chemotherapy

  • Life expectancy of 12 weeks or more

  • Blood tests that show kidneys, liver and bone marrow to be working adequately

  • Able to comply with study and/or follow-up procedures

Exclusion Criteria:

  • Prior exposure to Tarceva (OSI-774, erlotinib), trastuzumab, ZD1839 or C225

  • Receiving anticoagulation medication other than low dose Coumadin

  • Clinically significant heart disease such as uncontrolled hypertension, previous heart attack within past 12 months, uneven heartbeat, etc.

  • History of central nervous system disease such as seizures not controlled with standard medical therapy, brain metastases or history of stroke

  • Major surgery within 28 days of screening

  • Daily treatment with aspirin or anti-inflammatory medications

  • Pregnant or lactating (pertaining to women only)

  • Serious or nonhealing wound, ulcer or bone fracture

  • Difficulty swallowing

  • A disease or disorder that interferes with ability to digest and absorb food

  • History of coughing up more than 1/4 teaspoon of blood

  • A medical condition that could make it unsafe for patient to participate in this study

Location and Contact Information

Please refer to this study by identifier  NCT00137826

Pasi Janne, MD, PhD      617-632-6049 
Joan Lucca, RN      617-632-5403 

      The University of Chicago, Chicago,  Illinois,  60637,  United States; Recruiting

Hedy Kindler, MD 
Tamara Guterz 
Oyewale Abidoye, MD,  Sub-Investigator
Kathryn Bylow, MD,  Sub-Investigator
Robert Doebele, MD,  Sub-Investigator
Gregory Friberg, MD,  Sub-Investigator
Melinda Gordon, MD,  Sub-Investigator
Ou (James) Jin, MD,  Sub-Investigator
Justin Kline, MD,  Sub-Investigator
Michael Maitland, MD,  Sub-Investigator
Blasé Polite, MD,  Sub-Investigator
Thomas Roberts, MD,  Sub-Investigator
Ravi Salgia, MD,  Sub-Investigator
Ursina Teitelbaum, MD,  Sub-Investigator
Peter Tothy, MD,  Sub-Investigator
Hedy Kindler, MD,  Principal Investigator

      Dana-Farber Cancer Institute, Boston,  Massachusetts,  02115,  United States; Recruiting

Pasi A. Janne, MD, PhD  617-632-6049 
Joan Lucca, RN  617-632-5403 
Pasi A Janne, MD, PhD,  Principal Investigator
Pamela Calarese, NP,  Sub-Investigator
Bruce E Johnson, MD,  Sub-Investigator
David Kwiatkowski, MD, PhD,  Sub-Investigator
Michael Rabin, MD,  Sub-Investigator
Geoffrey Shapiro, MD, PhD,  Sub-Investigator
Arthur Skarin, MD,  Sub-Investigator

      Massachusetts General Hospital, Boston,  Massachusetts,  02114,  United States; Recruiting

Panos Fidias, MD  617-726-9298 
Patricia Ostler, RN  617-724-7829 
Panos Fidias, MD,  Principal Investigator
Geoffrey Liu, MD,  Sub-Investigator
Thomas Lynch, MD,  Sub-Investigator
Jennifer Temel, MD,  Sub-Investigator

Study chairs or principal investigators

Pasi A Janne, MD, PhD,  Principal Investigator,  Dana-Farber Cancer Institute

More Information

Dana-Farber Cancer Institute Lowe Thoracic Oncology Program


Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32.

Perez-Soler R, Chachoua A, Hammond LA, Rowinsky EK, Huberman M, Karp D, Rigas J, Clark GM, Santabarbara P, Bonomi P. Determinants of tumor response and survival with erlotinib in patients with non--small-cell lung cancer. J Clin Oncol. 2004 Aug 15;22(16):3238-47.

Study ID Numbers:  03-369
Last Updated:  January 18, 2007
Record first received:  August 29, 2005 Identifier:  NCT00137826
Health Authority: United States: Food and Drug Administration processed this record on 2007-01-30