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A Phase II Study of Bevacizumab in Combination With Temozolomide in Patients With Advanced Neuroendocrine Tumors

Phase 2
18 Years
Not Enrolling
Neuroendocrine Tumors

Thank you

Trial Information

A Phase II Study of Bevacizumab in Combination With Temozolomide in Patients With Advanced Neuroendocrine Tumors

Patients will receive temozolomide orally once daily for one week, followed by a one-week
rest period. This one-week on/one week off schedule will continue for the duration of
treatment unless significant side effects develop.

Bevacizumab will be administered intravenously every other week. After eight weeks (two
cycles), a CT scan will be performed to see how treatment affected tumor growth.

Bactrim, an antibiotic, and acyclovir, an antiviral medicine, will be given in order to help
prevent infection.

Blood tests will be done every other week to evaluate any side effects.

Once the study has been completed, a physical exam, vital signs, blood tests, and CT scan
will be performed.

Patients will remain on the study as long as they continue to receive benefit from the
treatment and there are no serious side effects.

Inclusion Criteria:

- Histologically documented locally unresectable or metastatic neuroendocrine tumor
excluding small cell carcinoma

- Measurable disease > 1cm by spiral computed tomography (CT) or > 2cm by other
radiographic technique

- ECOG performance status of 0-2

- Life expectancy of > 12 weeks

- Prior treatment with chemotherapy is allowed

- Total bilirubin < 2.0mg/dl

- AST < 5x upper limit of normal (ULN)

- Serum creatinine < 2.0mg/dl

- Absolute neutrophil count > 1,000/mm3

- Platelets > 100,000/mm3

- International Normalized Ratio (INR) < 1.5

Exclusion Criteria:

- Prior treatment with temozolomide, decarbazine or bevacizumab

- Clinically apparent central nervous system metastases or carcinomatous meningitis

- Clinically significant cardiovascular disease

- Major surgery, open biopsy, or significant traumatic injury within 28 days

- Pregnant or breast-feeding women

- Chronic, daily treatment with aspirin or nonsteroidal anti-inflammatory medication

- Serious, nonhealing wound, ulcer or bone fracture

- Evidence of bleeding diathesis or coagulopathy

- History of other disease or metabolic dysfunction

Type of Study:


Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

To assess the response to bevacizumab in combination with temozolomide in patients with metastatic neuroendocrine tumors

Outcome Time Frame:

2 years

Safety Issue:


Principal Investigator

Matthew H. Kulke, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Dana-Farber Cancer Institute


United States: Food and Drug Administration

Study ID:




Start Date:

November 2004

Completion Date:

December 2012

Related Keywords:

  • Neuroendocrine Tumors
  • Metastatic Neuroendocrine Tumor
  • Advanced Neuroendocrine tumor
  • Bevacizumab
  • Temozolomide
  • Neuroendocrine Tumors



Beth Israel Deaconess Medical Center Boston, Massachusetts  02215
Massachusetts General Hospital Boston, Massachusetts  02114-2617
Dana-Farber Cancer Insitute Boston, Massachusetts  02115