Carboplatin, Paclitaxel and Gemcitabine Hydrochloride With or Without Bevacizumab After Surgery in Treating Patients With Recurrent Ovarian, Epithelial, Primary Peritoneal, or Fallopian Tube Cancer

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Active, not recruiting
CT.gov ID
NCT00565851
Collaborator
NRG Oncology (Other)
1,052
718
4
1.5

Study Details

Study Description

Brief Summary

This randomized phase III trial studies carboplatin, paclitaxel and gemcitabine hydrochloride when given together with or without bevacizumab after surgery to see how well it works in treating patients with ovarian, epithelial, primary peritoneal, or fallopian tube cancer that has come back. Drugs used in chemotherapy, such as carboplatin, paclitaxel and gemcitabine hydrochloride work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Immunotherapy with monoclonal antibodies, such as bevacizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. It is not yet known whether combination chemotherapy is more effective when given with or without bevacizumab after surgery in treating patients with ovarian, epithelial, primary peritoneal, or fallopian tube cancer.

Detailed Description

PRIMARY OBJECTIVES:
  1. To determine if surgical secondary cytoreduction in addition to adjuvant chemotherapy increases the duration of overall survival in patients with recurrent platinum sensitive epithelial ovarian cancer, peritoneal primary or fallopian tube cancer.

  2. To determine if the addition of bevacizumab to the second-line and maintenance phases of treatment increases the duration of overall survival relative to second-line paclitaxel and carboplatin alone in patients with recurrent platinum sensitive epithelial ovarian cancer, peritoneal primary or fallopian tube cancer.

SECONDARY OBJECTIVES:
  1. To determine if the addition of bevacizumab to the second-line and maintenance phase of treatment increases the duration of progression-free survival relative to second-line paclitaxel and carboplatin alone in patients with recurrent platinum sensitive epithelial ovarian cancer, peritoneal primary or fallopian tube cancer.

  2. To prospectively determine the incidence of carboplatin and paclitaxel hypersensitivity in these patients undergoing retreatment with both agents as first recurrence therapy.

  3. To determine if surgical secondary cytoreduction in addition to adjuvant chemotherapy increases quality of life (QOL) in patients with recurrent platinum-sensitive epithelial ovarian cancer, peritoneal primary or fallopian tube cancer, as measured by the Functional Assessment of Cancer Therapy-Ovarian (FACT-O) trial outcome index and Rand Short Form (SF)-36 physical functioning scale.

  4. To determine if the addition of bevacizumab to the second-line and maintenance phases of treatment increases QOL relative to second-line paclitaxel and carboplatin alone in patients with recurrent platinum-sensitive epithelial ovarian, peritoneal primary or fallopian tube cancer.

TRANSLATIONAL RESEARCH OBJECTIVES:
  1. To define molecular and biochemical profiles associated with the duration of progression-free survival in platinum-sensitive recurrent ovarian, peritoneal primary or fallopian tube carcinoma treated with combination chemotherapy with or without bevacizumab followed with or without maintenance bevacizumab therapy in the presence or absence of secondary surgical cytoreduction.

  2. To identify molecular determinants that predict sensitivity or resistance to carboplatin and paclitaxel with or without bevacizumab followed with or without maintenance bevacizumab therapy.

  3. To bank deoxyribonucleic acid (DNA) from whole blood for research and evaluate the association between single nucleotide polymorphisms (SNPs) and measures of clinical outcome including overall survival, progression-free survival and adverse events.

OUTLINE: Patients are assigned to 1 of 4 treatment groups. Patients who are not candidates for surgical cytoreduction (i.e., those for whom complete cytoreduction in the estimation of the investigator is impossible or a medical infirmity precludes exploration and debulking) are eligible to receive chemotherapy after randomization.

Patients who are eligible for surgery undergo abdominal exploration with cytoreduction. Patients are then randomized to 1 of 4 treatment arms.

ARM I: Patients receive paclitaxel intravenously (IV) over 3 hours or docetaxel IV over 1 hour and carboplatin IV over 60 minutes on day 1.

ARM II: Patients receive chemotherapy as in Arm I and bevacizumab IV over 30-90 minutes on day 1.

ARM III: Patients receive gemcitabine hydrochloride IV over 60 minutes on days 1 and 8 and carboplatin as in Arm I.

ARM IV: Patients receive gemcitabine hydrochloride IV as in Arm III, bevacizumab IV and carboplatin IV as in Arm II.

In all arms, courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Patients with measurable disease achieving a clinical response (CR) receive 6-8 courses of therapy. Patients with stable disease or partial regression receive a maximum of 8 courses.

Patients without measurable lesions as determined by a computed tomography (CT) scan prior to initiating study treatment continue therapy for 6 courses or, if cancer antigen (CA)-125 normalizes, for 2 courses beyond CA-125 normalization, whichever is greater. Patients in Arm II then receive a maintenance regimen comprising bevacizumab IV over 30-90 minutes. Treatment with bevacizumab alone repeats every 3 weeks in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then yearly for 5 years.

Study Design

Study Type:
Interventional
Actual Enrollment :
1052 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase III Randomized Controlled Clinical Trial of Carboplatin and Paclitaxel (or Gemcitabine) Alone or in Combination With Bevacizumab (NSC #704865) Followed by Bevacizumab and Secondary Cytoreductive Surgery in Platinum-Sensitive, Recurrent Ovarian, Peritoneal Primary and Fallopian Tube Cancer. NCI-Supplied Agents: Bevacizumab (NSC #704865)
Actual Study Start Date :
Dec 6, 2007
Actual Primary Completion Date :
Apr 30, 2019

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Arm I (paclitaxel, docetaxel, carboplatin)

Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days.

Drug: Carboplatin
Given IV
Other Names:
  • Blastocarb
  • Carboplat
  • Carboplatin Hexal
  • Carboplatino
  • Carboplatinum
  • Carbosin
  • Carbosol
  • Carbotec
  • CBDCA
  • Displata
  • Ercar
  • JM-8
  • Nealorin
  • Novoplatinum
  • Paraplatin
  • Paraplatin AQ
  • Paraplatine
  • Platinwas
  • Ribocarbo
  • Drug: Docetaxel
    Given IV
    Other Names:
  • Docecad
  • RP56976
  • Taxotere
  • Taxotere Injection Concentrate
  • Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Paclitaxel
    Given IV
    Other Names:
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol
  • Taxol Konzentrat
  • Other: Quality-of-Life Assessment
    Ancillary studies
    Other Names:
  • Quality of Life Assessment
  • Experimental: Arm II (paclitaxel, docetaxel, carboplatin, bevacizumab)

    Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days.

    Biological: Bevacizumab
    Given IV
    Other Names:
  • Anti-VEGF
  • Anti-VEGF Humanized Monoclonal Antibody
  • Anti-VEGF rhuMAb
  • Avastin
  • Immunoglobulin G1 (Human-Mouse Monoclonal rhuMab-VEGF Gamma-Chain Anti-Human Vascular Endothelial Growth Factor), Disulfide With Human-Mouse Monoclonal rhuMab-VEGF Light Chain, Dimer
  • Recombinant Humanized Anti-VEGF Monoclonal Antibody
  • rhuMab-VEGF
  • Drug: Carboplatin
    Given IV
    Other Names:
  • Blastocarb
  • Carboplat
  • Carboplatin Hexal
  • Carboplatino
  • Carboplatinum
  • Carbosin
  • Carbosol
  • Carbotec
  • CBDCA
  • Displata
  • Ercar
  • JM-8
  • Nealorin
  • Novoplatinum
  • Paraplatin
  • Paraplatin AQ
  • Paraplatine
  • Platinwas
  • Ribocarbo
  • Drug: Docetaxel
    Given IV
    Other Names:
  • Docecad
  • RP56976
  • Taxotere
  • Taxotere Injection Concentrate
  • Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Paclitaxel
    Given IV
    Other Names:
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol
  • Taxol Konzentrat
  • Other: Quality-of-Life Assessment
    Ancillary studies
    Other Names:
  • Quality of Life Assessment
  • Experimental: Arm III (gemcitabine hydrochloride, carboplatin)

    Patients receive gemcitabine hydrochloride IV over 60 minutes on days 1 and 8 and carboplatin as in Arm I.

    Drug: Carboplatin
    Given IV
    Other Names:
  • Blastocarb
  • Carboplat
  • Carboplatin Hexal
  • Carboplatino
  • Carboplatinum
  • Carbosin
  • Carbosol
  • Carbotec
  • CBDCA
  • Displata
  • Ercar
  • JM-8
  • Nealorin
  • Novoplatinum
  • Paraplatin
  • Paraplatin AQ
  • Paraplatine
  • Platinwas
  • Ribocarbo
  • Drug: Gemcitabine Hydrochloride
    Given IV
    Other Names:
  • dFdCyd
  • Difluorodeoxycytidine Hydrochloride
  • FF 10832
  • FF-10832
  • FF10832
  • Gemcitabine HCI
  • Gemzar
  • LY-188011
  • LY188011
  • Other: Laboratory Biomarker Analysis
    Correlative studies

    Other: Quality-of-Life Assessment
    Ancillary studies
    Other Names:
  • Quality of Life Assessment
  • Experimental: Arm IV (gemcitabine hydrochloride, bevacizumab, carboplatin)

    Patients receive gemcitabine hydrochloride IV as in Arm III, bevacizumab IV and carboplatin IV as in Arm II.

    Biological: Bevacizumab
    Given IV
    Other Names:
  • Anti-VEGF
  • Anti-VEGF Humanized Monoclonal Antibody
  • Anti-VEGF rhuMAb
  • Avastin
  • Immunoglobulin G1 (Human-Mouse Monoclonal rhuMab-VEGF Gamma-Chain Anti-Human Vascular Endothelial Growth Factor), Disulfide With Human-Mouse Monoclonal rhuMab-VEGF Light Chain, Dimer
  • Recombinant Humanized Anti-VEGF Monoclonal Antibody
  • rhuMab-VEGF
  • Drug: Carboplatin
    Given IV
    Other Names:
  • Blastocarb
  • Carboplat
  • Carboplatin Hexal
  • Carboplatino
  • Carboplatinum
  • Carbosin
  • Carbosol
  • Carbotec
  • CBDCA
  • Displata
  • Ercar
  • JM-8
  • Nealorin
  • Novoplatinum
  • Paraplatin
  • Paraplatin AQ
  • Paraplatine
  • Platinwas
  • Ribocarbo
  • Drug: Gemcitabine Hydrochloride
    Given IV
    Other Names:
  • dFdCyd
  • Difluorodeoxycytidine Hydrochloride
  • FF 10832
  • FF-10832
  • FF10832
  • Gemcitabine HCI
  • Gemzar
  • LY-188011
  • LY188011
  • Other: Laboratory Biomarker Analysis
    Correlative studies

    Other: Quality-of-Life Assessment
    Ancillary studies
    Other Names:
  • Quality of Life Assessment
  • Outcome Measures

    Primary Outcome Measures

    1. To Determine if Surgical Secondary Cytoreduction in Addition to Adjuvant Chemotherapy Increases the Duration of Overall Survival in Patients With Recurrent Platinum Sensitive Epithelial Ovarian Cancer, Peritoneal Primary or Fallopian Tube Cancer [The time frame is 82.5 months (median duration of follow-up)]

      The treatment regimens will be compared with a logrank procedure which includes all of the patients categorized by their randomly assigned treatment. The logrank test will be stratified by the secondary surgical debulking status (randomized to undergo cytoreduction, vs randomized to not undergo secondary cytoreduction vs not a candidate or did not consent to secondary surgical cytoreduction) and the duration of treatment free-interval prior to enrolling onto this study (6-12 months vs > 12 months). The median duration of follow-up is calculated by the reverse Kaplan-Meier method.

    2. To Determine if the Addition of Bevacizumab Increases the Duration of Overall Survival Relative to Second-line Paclitaxel and Carboplatin Alone in Patients With Recurrent Platinum Sensitive Epithelial Ovarian, Peritoneal Primary or Fallopian Tube Cancer [The time frame is 82.5 months (median duration of follow-up).]

      The treatment regimens will be compared with a logrank procedure which includes all of the patients categorized by their randomly assigned treatment. The logrank test will be stratified by the secondary surgical debulking status (randomized to undergo cytoreduction, vs randomized to not undergo secondary cytoreduction vs not a candidate or did not consent to secondary surgical cytoreduction) and the duration of treatment free-interval prior to enrolling onto this study (6-12 months vs > 12 months). The median duration of follow-up is calculated by the reverse Kaplan-Meier method.

    Secondary Outcome Measures

    1. Progression-free Survival (Chemotherapy Analysis) [Radiographic assessment of disease was conducted during chemotherapy and then every 6 months during the maintenance / surveillance phase]

      Progression-free survival was defined as the time from randomization to cancer progression as shown on radiography, according to the RECIST version 1.0 criteria, an increase in the CA125 level according to Gynecologic Cancer InterGroup (GCIG) criteria, global deterioration of health, or death from any cause.

    2. Progression Free Survival (Surgery Analysis) [Radiographic assessment of disease (in patients with measurable and non-measurable disease) was conducted Every three months for two years and then every 6 months after completion of chemotherapy during the maintenance/surveillance phase.]

      Progression-free survival was defined as the time from randomization to cancer progression as shown on radiography, according to the RECIST version 1.0 criteria, an increase in the CA125 level according to Gynecologic Cancer InterGroup (GCIG) criteria, global deterioration of health, or death from any cause.

    3. Summary of Adverse Events (CTCAE Version 4.0) [During treatment period and up to 100 days after stopping the study treatment, a median duration of 82.5 months]

      Number of treated patients with at least one adverse event reported (assessed by Common Terminology Criteria for Adverse Events (version 4.0))

    4. Patient Reported Quality of Life (Chemotherapy Analysis) [1. Prior to cycle 1 (baseline), 2. Prior to cycle 3 (6 weeks post cycle 1), 3. Prior to cycle 6 (15 weeks post cycle 1), 4. 6 months post cycle 1, 5. 12 months post cycle 1.]

      Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). The FACT-O TOI score ranges 0-100 with a large score suggests better QOL.

    5. Patient Reported Physical Function (Chemotherapy Analysis) [1. Prior to cycle 1 (baseline), 2. Prior to cycle 3 (6 weeks post cycle 1), 3. Prior to cycle 6 (15 weeks post cycle 1), 4. 6 months post cycle 1, 5. 12 months post cycle 1.]

      Patient reported physical functioning was measured with physical functioning subscale of the RAND SF-36. The Physical Functioning Subscale consists of 10 items concerning activities of daily living: walking, climbing stairs, bathing, dressing, and performance of physical activities. Each item is rated on a three-point scale of limitation of activity due to the patients' health from 1=limited a lot to 3=not limited. The total PF score is the summation of item scores and then rescaled to 0-100. A larger score suggests better physical functioning.

    6. Patient Reported Quality of Life (Surgery Analysis) [1. Prior to surgery, 2. 6 weeks post-surgery, 3. 15 weeks post-surgery, 4. 6 months post-surgery, 5. 12 months post-surgery.]

      Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). The FACT-O TOI score ranges 0-100 with a large score suggests better QOL.

    7. Patient Reported Physical Functioning (Surgery Analysis) [1. Prior to surgery (baseline), 2. 6 weeks post-surgery, 3. 15 weeks post-surgery 4. 6 months post-surgery, 5. 12 months post-surgery]

      Patient reported physical functioning was measured with physical functioning subscale of the RAND SF-36. The Physical Functioning subscale consists of 10 items concerning activities of daily living: walking, climbing stairs, bathing, dressing, and performance of physical activities. Each item is rated on a three-point scale of limitation of activity due to the patients' health from 1=limited a lot to 3=not limited. The total PF score is the summation of item scores and then rescaled to 0-100. A larger score suggests better physical functioning. This measure was completed by US patients only.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patients enrolled after August 28, 2011 must be candidates for cytoreductive surgery and consent to have their surgical treatment determined by randomization

    • Patients must have histologic diagnosis of epithelial ovarian carcinoma, peritoneal primary or fallopian tube carcinoma, which is now recurrent

    • Patients with the following histologic epithelial cell types are eligible: serous adenocarcinoma, endometrioid adenocarcinoma, mucinous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial carcinoma, transitional cell carcinoma, malignant Brenner's tumor, or adenocarcinoma not otherwise specified (N.O.S.)

    • Patients must have had a complete response to front-line platinum-taxane therapy (at least three cycles)

    • A complete response to front-line chemotherapy must include: negative physical exam, negative pelvic exam and normalization of CA125, if elevated at baseline; although not required, any radiographic assessment of disease status (e.g. CT, magnetic resonance imaging [MRI], positron emission tomography [PET]/CT, etc) obtained following the completion of primary therapy should be considered negative for disease

    • All patients must have also had a treatment-free interval without clinical evidence of progressive disease of at least 6 months from completion of front-line chemotherapy (both platinum and taxane); front-line therapy may have included a biologic agent (i.e. bevacizumab)

    • Front-line treatment may include maintenance therapy following complete clinical or pathological response; however, maintenance cytotoxic chemotherapy must be discontinued for a minimum of 6 months prior to documentation of recurrent disease; patients receiving maintenance biological therapy or hormonal therapy are ELIGIBLE provided their recurrence is documented more than 6 months from primary cytotoxic chemotherapy completion (includes maintenance chemotherapy) AND a minimum 4 weeks has elapsed since their last infusion of biological therapy

    • Patients must have clinically evident recurrent disease for the purpose of this study

    • Measurable disease (Response Evaluation Criteria in Solid Tumors [RECIST]) is defined as at least one lesion that can be accurately measured in at least one dimension (longest dimension to be recorded); each lesion must be more than or equal to 20 mm when measured by conventional techniques, MRI or CT, or more than or equal to 10 mm when measured by spiral CT

    • Absolute neutrophil count (ANC) greater than or equal to 1,500/mm^3, equivalent to Common Toxicity Criteria for Adverse Events version (v)4.0 (CTCAE) grade 1

    • Platelets greater than or equal to 100,000/mm^3 (CTCAE grade 0-1)

    • Creatinine (non-isotope dilution mass spectrometry [IDMS]) =< 1.5 x institutional upper limit normal (ULN), CTCAE grade 1

    • Total bilirubin =< 1.5 ULN (CTCAE grade 1)

    • Serum glutamic oxaloacetic transaminase (SGOT)/aspartate aminotransferase (AST) =< 2.5 times the upper limit of normal in the absence of liver metastasis; SGOT/AST < 5.0 times ULN in the presence of liver metastasis

    • Alkaline phosphatase =< 2.5 times the upper limit of normal in the absence of liver metastasis; alkaline phosphatase < 5.0 times ULN in the presence of liver metastasis

    • This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients must have a urine protein-to-creatinine ratio (UPCR) < 1.0 mg/dL

    • This eligibility criterion does not apply to patients enrolled after August 28, 2011; patients who are not candidates for surgical cytoreduction are eligible for the chemotherapy randomization; patients are not considered candidates for surgical cytoreduction if complete cytoreduction in the estimation of the investigator is impossible or a medical infirmity precludes exploration and debulking

    • Patients must have met the pre-entry requirements as specified

    • Patients must have signed an approved informed consent and authorization permitting release of personal health information

    • Patients must have a Gynecologic Oncology Group (GOG) performance status of 0, 1, or 2

    Exclusion Criteria:
    • Patients who have received more than one previous regimen of chemotherapy (maintenance is not considered a second regimen)

    • Patients receiving concurrent immunotherapy, or radiotherapy

    • Patients who have received prior radiotherapy to any portion of the abdominal cavity or pelvis are excluded

    • Patients whom have already undergone secondary cytoreduction for recurrent disease are excluded

    • Patients with a prior histologic diagnosis of borderline, low malignant potential (grade 0) epithelial carcinoma that was surgically resected and who subsequently developed an unrelated, new invasive epithelial ovarian or peritoneal primary cancer are eligible provided that they meet the criteria listed above

    • Patients who require parenteral hydration or nutrition and have evidence of partial bowel obstruction or perforation

    • Patients who have received prior chemotherapy for any abdominal or pelvic tumor (other than ovarian, fallopian tube, and primary peritoneal) are excluded

    • Patients with synchronous primary endometrial cancer, or a past history of primary endometrial cancer, are excluded, unless all of the following conditions are met: stage not greater than I-B; no more than superficial myometrial invasion, without vascular or lymphatic invasion; no poorly differentiated subtypes, including papillary serous, clear cell or other International Federation of Gynecology and Obstetrics (FIGO) grade 3 lesions

    • Patients with uncontrolled infection

    • Patients with concurrent severe medical problems unrelated to the malignancy that would significantly limit full compliance with the study or expose the patient to extreme risk or decreased life expectancy

    • Patients with >= grade 2 peripheral neuropathy

    • Patients with a history of allergic reactions to carboplatin and/or paclitaxel or chemically similar compounds; patients with allergic (hypersensitivity) reactions to these chemotherapeutic agents are NOT excluded IF they were successfully retreated following a desensitization program or protocol

    • This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients with known hypersensitivity to Chinese hamster ovary cell products or other recombinant human or humanized antibodies

    • Patients of childbearing potential, not practicing adequate contraception, patients who are pregnant or patients who are nursing are not eligible for this trial; to date, no fetal studies in animal or humans have been performed; the possibility of harm to a fetus is likely; bevacizumab specifically inhibits VEGF, which is responsible for the formation of new blood vessels during development, and antibodies can cross the placenta; therefore, bevacizumab should not be administered to pregnant women; in addition, there are unknown immediate and long-term consequences of chemotherapy administration to these women; in addition, surgical exploration as mandated by randomization during pregnancy may cause imminent mortal consequences; further, it is not known whether bevacizumab is excreted in human milk; because many drugs are excreted in human milk, bevacizumab should not be administered to nursing women; subjects will be apprised of the large potential risk to a developing fetus

    • Patients with other invasive malignancies, with the exception of non-melanoma skin cancer, who had (or have) any evidence of the other cancer present within the last 5 years or whose previous cancer treatment contraindicates this protocol therapy

    • This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients with active bleeding or pathologic conditions that carry high risk of bleeding such as a known bleeding disorder, coagulopathy, or tumor involving major vessels

    • This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients with a history or evidence upon physical examination of central nervous system (CNS) disease, including primary brain tumor, seizures not controlled with standard medical therapy, any brain metastases or a history of stroke within 5 years of the first date of treatment on this study

    • This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients with clinically significant cardiovascular disease; this includes:

    • Patients with significant cardiac conduction abnormalities, i.e. PR interval > 0.24 seconds (sec) or 2nd or 3rd degree atrioventricular (AV) block

    • Uncontrolled hypertension, defined as systolic > 150 mm Hg or diastolic > 90 mm Hg

    • Myocardial infarction, cardiac arrhythmia or unstable angina < 6 months prior to registration

    • New York Heart Association (NYHA) grade II or greater congestive heart failure

    • Serious cardiac arrhythmia requiring medication

    • Grade II or greater peripheral vascular disease (exception: episodes of ischemia < 24 hours [hrs] in duration, that are managed non-surgically and without permanent deficit)

    • History of cerebrovascular attack (CVA) within six months

    • This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients who have had a major surgical procedure, open biopsy, dental extractions or other dental surgery/procedure that results in an open wound, or significant traumatic injury within 28 days prior to the first date of treatment on this study, or anticipation of need for major surgical procedure during the course of the study; patients with placement of vascular access device or core biopsy within 7 days prior to the first date of treatment on this study

    • Patients undergoing pre-treatment secondary cytoreduction will undergo therapy with bevacizumab on cycle #2

    • Patients undergoing pre-treatment surgery for purposes other than cytoreduction may also participate provided they meet eligibility; patients randomized to arms containing bevacizumab must wait a minimum of 28 days since that procedure to begin protocol treatment; patients who undergo an uncomplicated port placement must wait a minimum of 7 days to begin protocol treatment

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Anchorage Associates in Radiation Medicine Anchorage Alaska United States 98508
    2 Anchorage Radiation Therapy Center Anchorage Alaska United States 99504
    3 Alaska Breast Care and Surgery LLC Anchorage Alaska United States 99508
    4 Alaska Oncology and Hematology LLC Anchorage Alaska United States 99508
    5 Alaska Regional Hospital Anchorage Alaska United States 99508
    6 Alaska Women's Cancer Care Anchorage Alaska United States 99508
    7 Anchorage Oncology Centre Anchorage Alaska United States 99508
    8 Katmai Oncology Group Anchorage Alaska United States 99508
    9 Providence Alaska Medical Center Anchorage Alaska United States 99508
    10 CHI Saint Vincent Cancer Center Hot Springs Hot Springs Arkansas United States 71913
    11 Sutter Auburn Faith Hospital Auburn California United States 95602
    12 Sutter Cancer Centers Radiation Oncology Services-Auburn Auburn California United States 95603
    13 Alta Bates Summit Medical Center-Herrick Campus Berkeley California United States 94704
    14 Providence Saint Joseph Medical Center/Disney Family Cancer Center Burbank California United States 91505
    15 Mills-Peninsula Medical Center Burlingame California United States 94010
    16 Sutter Cancer Centers Radiation Oncology Services-Cameron Park Cameron Park California United States 95682
    17 John Muir Medical Center-Concord Campus Concord California United States 94520
    18 Sutter Davis Hospital Davis California United States 95616
    19 UC San Diego Moores Cancer Center La Jolla California United States 92093
    20 Long Beach Memorial Medical Center-Todd Cancer Institute Long Beach California United States 90806
    21 Kaiser Permanente Los Angeles Medical Center Los Angeles California United States 90027
    22 UCLA / Jonsson Comprehensive Cancer Center Los Angeles California United States 90095
    23 Memorial Medical Center Modesto California United States 95355
    24 Palo Alto Medical Foundation-Camino Division Mountain View California United States 94040
    25 Palo Alto Medical Foundation-Gynecologic Oncology Mountain View California United States 94040
    26 Sutter Cancer Research Consortium Novato California United States 94945
    27 UC Irvine Health/Chao Family Comprehensive Cancer Center Orange California United States 92868
    28 Palo Alto Medical Foundation Health Care Palo Alto California United States 94301
    29 Stanford Cancer Institute Palo Alto Palo Alto California United States 94304
    30 Sutter Cancer Centers Radiation Oncology Services-Roseville Roseville California United States 95661
    31 Sutter Roseville Medical Center Roseville California United States 95661
    32 Sutter Medical Center Sacramento Sacramento California United States 95816
    33 California Pacific Medical Center-Pacific Campus San Francisco California United States 94115
    34 UCSF Medical Center-Mount Zion San Francisco California United States 94115
    35 Palo Alto Medical Foundation-Santa Cruz Santa Cruz California United States 95065
    36 Sutter Pacific Medical Foundation Santa Rosa California United States 95403
    37 Palo Alto Medical Foundation-Sunnyvale Sunnyvale California United States 94086
    38 Sutter Cancer Centers Radiation Oncology Services-Vacaville Vacaville California United States 95687
    39 Sutter Solano Medical Center/Cancer Center Vallejo California United States 94589
    40 John Muir Medical Center-Walnut Creek Walnut Creek California United States 94598
    41 Rocky Mountain Cancer Centers-Aurora Aurora Colorado United States 80012
    42 The Medical Center of Aurora Aurora Colorado United States 80012
    43 University of Colorado Hospital Aurora Colorado United States 80045
    44 Boulder Community Hospital Boulder Colorado United States 80301
    45 Rocky Mountain Cancer Centers-Boulder Boulder Colorado United States 80304
    46 Penrose-Saint Francis Healthcare Colorado Springs Colorado United States 80907
    47 Rocky Mountain Cancer Centers-Penrose Colorado Springs Colorado United States 80907
    48 Porter Adventist Hospital Denver Colorado United States 80210
    49 Colorado Blood Cancer Institute Denver Colorado United States 80218
    50 Presbyterian - Saint Lukes Medical Center - Health One Denver Colorado United States 80218
    51 Rocky Mountain Cancer Centers-Midtown Denver Colorado United States 80218
    52 SCL Health Saint Joseph Hospital Denver Colorado United States 80218
    53 Rocky Mountain Cancer Centers-Rose Denver Colorado United States 80220
    54 Rose Medical Center Denver Colorado United States 80220
    55 Western States Cancer Research NCORP Denver Colorado United States 80222
    56 Mercy Medical Center Durango Colorado United States 81301
    57 Southwest Oncology PC Durango Colorado United States 81301
    58 Rocky Mountain Gynecologic Oncology PC Englewood Colorado United States 80110
    59 Mountain Blue Cancer Care Center - Swedish Englewood Colorado United States 80113
    60 Swedish Medical Center Englewood Colorado United States 80113
    61 Mountain Blue Cancer Care Center Golden Colorado United States 80401
    62 Saint Mary's Hospital and Regional Medical Center Grand Junction Colorado United States 81501
    63 North Colorado Medical Center Greeley Colorado United States 80631
    64 Rocky Mountain Cancer Centers-Greenwood Village Greenwood Village Colorado United States 80111
    65 Rocky Mountain Cancer Centers-Lakewood Lakewood Colorado United States 80228
    66 Saint Anthony Hospital Lakewood Colorado United States 80228
    67 Rocky Mountain Cancer Centers-Littleton Littleton Colorado United States 80120
    68 Littleton Adventist Hospital Littleton Colorado United States 80122
    69 Rocky Mountain Cancer Centers-Sky Ridge Lone Tree Colorado United States 80124
    70 Sky Ridge Medical Center Lone Tree Colorado United States 80124
    71 Longmont United Hospital Longmont Colorado United States 80501
    72 Rocky Mountain Cancer Centers-Longmont Longmont Colorado United States 80501
    73 McKee Medical Center Loveland Colorado United States 80539
    74 Parker Adventist Hospital Parker Colorado United States 80138
    75 Rocky Mountain Cancer Centers-Parker Parker Colorado United States 80138
    76 Saint Mary Corwin Medical Center Pueblo Colorado United States 81004
    77 Rocky Mountain Cancer Centers - Pueblo Pueblo Colorado United States 81008
    78 North Suburban Medical Center Thornton Colorado United States 80229
    79 Rocky Mountain Cancer Centers-Thornton Thornton Colorado United States 80260
    80 SCL Health Lutheran Medical Center Wheat Ridge Colorado United States 80033
    81 Hartford HealthCare - Saint Vincent's Medical Center Bridgeport Connecticut United States 06606
    82 University of Connecticut Farmington Connecticut United States 06030
    83 Hartford Hospital Hartford Connecticut United States 06102
    84 Smilow Cancer Hospital Care Center at Saint Francis Hartford Connecticut United States 06105
    85 Middlesex Hospital Middletown Connecticut United States 06457
    86 The Hospital of Central Connecticut New Britain Connecticut United States 06050
    87 Beebe Medical Center Lewes Delaware United States 19958
    88 Christiana Gynecologic Oncology LLC Newark Delaware United States 19713
    89 Delaware Clinical and Laboratory Physicians PA Newark Delaware United States 19713
    90 Helen F Graham Cancer Center Newark Delaware United States 19713
    91 Medical Oncology Hematology Consultants PA Newark Delaware United States 19713
    92 Christiana Care Health System-Christiana Hospital Newark Delaware United States 19718
    93 Beebe Health Campus Rehoboth Beach Delaware United States 19971
    94 TidalHealth Nanticoke / Allen Cancer Center Seaford Delaware United States 19973
    95 Christiana Care Health System-Wilmington Hospital Wilmington Delaware United States 19801
    96 MedStar Washington Hospital Center Washington District of Columbia United States 20010
    97 AdventHealth Altamonte Altamonte Springs Florida United States 32701
    98 Florida Gynecologic Oncology Fort Myers Florida United States 33905
    99 AdventHealth Kissimmee Kissimmee Florida United States 34744
    100 AdventHealth Medical Group Urology at Orlando Orlando Florida United States 32803
    101 AdventHealth Orlando Orlando Florida United States 32803
    102 AdventHealth East Orlando Orlando Florida United States 32822
    103 Women's Cancer Associates Saint Petersburg Florida United States 33713
    104 AdventHealth Winter Park Winter Park Florida United States 32792
    105 Augusta University Medical Center Augusta Georgia United States 30912
    106 John B Amos Cancer Center Columbus Georgia United States 31904
    107 Dekalb Medical Center Decatur Georgia United States 30033
    108 Northeast Georgia Medical Center-Gainesville Gainesville Georgia United States 30501
    109 Low Country Cancer Care Savannah Georgia United States 31404
    110 Memorial Health University Medical Center Savannah Georgia United States 31404
    111 Summit Cancer Care-Memorial Savannah Georgia United States 31404
    112 Lewis Cancer and Research Pavilion at Saint Joseph's/Candler Savannah Georgia United States 31405
    113 Saint Alphonsus Cancer Care Center-Boise Boise Idaho United States 83706
    114 Saint Luke's Cancer Institute - Boise Boise Idaho United States 83712
    115 Saint Alphonsus Cancer Care Center-Caldwell Caldwell Idaho United States 83605
    116 Walter Knox Memorial Hospital Emmett Idaho United States 83617
    117 Saint Luke's Cancer Institute - Fruitland Fruitland Idaho United States 83619
    118 Idaho Urologic Institute-Meridian Meridian Idaho United States 83642
    119 Saint Luke's Cancer Institute - Meridian Meridian Idaho United States 83642
    120 Saint Alphonsus Medical Center-Nampa Nampa Idaho United States 83686
    121 Saint Luke's Cancer Institute - Nampa Nampa Idaho United States 83686
    122 Saint Luke's Cancer Institute - Twin Falls Twin Falls Idaho United States 83301
    123 Northwest Community Hospital Arlington Heights Illinois United States 60005
    124 Rush - Copley Medical Center Aurora Illinois United States 60504
    125 Saint Joseph Medical Center Bloomington Illinois United States 61701
    126 Illinois CancerCare-Bloomington Bloomington Illinois United States 61704
    127 Illinois CancerCare-Canton Canton Illinois United States 61520
    128 Memorial Hospital of Carbondale Carbondale Illinois United States 62902
    129 SIH Cancer Institute Carterville Illinois United States 62918
    130 Illinois CancerCare-Carthage Carthage Illinois United States 62321
    131 Centralia Oncology Clinic Centralia Illinois United States 62801
    132 Northwestern University Chicago Illinois United States 60611
    133 Rush University Medical Center Chicago Illinois United States 60612
    134 University of Illinois Chicago Illinois United States 60612
    135 University of Chicago Comprehensive Cancer Center Chicago Illinois United States 60637
    136 Carle on Vermilion Danville Illinois United States 61832
    137 Cancer Care Specialists of Illinois - Decatur Decatur Illinois United States 62526
    138 Decatur Memorial Hospital Decatur Illinois United States 62526
    139 Carle Physician Group-Effingham Effingham Illinois United States 62401
    140 Crossroads Cancer Center Effingham Illinois United States 62401
    141 Illinois CancerCare-Eureka Eureka Illinois United States 61530
    142 Illinois CancerCare-Galesburg Galesburg Illinois United States 61401
    143 Western Illinois Cancer Treatment Center Galesburg Illinois United States 61401
    144 Northwestern Medicine Cancer Center Delnor Geneva Illinois United States 60134
    145 Sudarshan K Sharma MD Limited-Gynecologic Oncology Hinsdale Illinois United States 60521
    146 Duly Health and Care Joliet Joliet Illinois United States 60435
    147 Illinois CancerCare-Kewanee Clinic Kewanee Illinois United States 61443
    148 Illinois CancerCare-Macomb Macomb Illinois United States 61455
    149 Carle Physician Group-Mattoon/Charleston Mattoon Illinois United States 61938
    150 Good Samaritan Regional Health Center Mount Vernon Illinois United States 62864
    151 UC Comprehensive Cancer Center at Silver Cross New Lenox Illinois United States 60451
    152 Cancer Care Center of O'Fallon O'Fallon Illinois United States 62269
    153 Illinois CancerCare-Ottawa Clinic Ottawa Illinois United States 61350
    154 Radiation Oncology of Northern Illinois Ottawa Illinois United States 61350
    155 Illinois CancerCare-Pekin Pekin Illinois United States 61554
    156 OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center Pekin Illinois United States 61554
    157 Illinois CancerCare-Peoria Peoria Illinois United States 61615
    158 OSF Saint Francis Radiation Oncology at Peoria Cancer Center Peoria Illinois United States 61615
    159 Methodist Medical Center of Illinois Peoria Illinois United States 61636
    160 OSF Saint Francis Medical Center Peoria Illinois United States 61637
    161 Illinois CancerCare-Peru Peru Illinois United States 61354
    162 Valley Radiation Oncology Peru Illinois United States 61354
    163 Illinois CancerCare-Princeton Princeton Illinois United States 61356
    164 Central Illinois Hematology Oncology Center Springfield Illinois United States 62702
    165 Southern Illinois University School of Medicine Springfield Illinois United States 62702
    166 Springfield Clinic Springfield Illinois United States 62702
    167 Memorial Medical Center Springfield Illinois United States 62781
    168 Southwest Illinois Health Services LLP Swansea Illinois United States 62226
    169 Carle Cancer Center Urbana Illinois United States 61801
    170 The Carle Foundation Hospital Urbana Illinois United States 61801
    171 Northwestern Medicine Cancer Center Warrenville Warrenville Illinois United States 60555
    172 Rush-Copley Healthcare Center Yorkville Illinois United States 60560
    173 Elkhart Clinic Elkhart Indiana United States 46514-2098
    174 Michiana Hematology Oncology PC-Elkhart Elkhart Indiana United States 46514
    175 Elkhart General Hospital Elkhart Indiana United States 46515
    176 Indiana University/Melvin and Bren Simon Cancer Center Indianapolis Indiana United States 46202
    177 Saint Vincent Hospital and Health Care Center Indianapolis Indiana United States 46260
    178 Community Howard Regional Health Kokomo Indiana United States 46904
    179 IU Health La Porte Hospital La Porte Indiana United States 46350
    180 Franciscan Saint Anthony Health-Michigan City Michigan City Indiana United States 46360
    181 Woodland Cancer Care Center Michigan City Indiana United States 46360
    182 Michiana Hematology Oncology PC-Mishawaka Mishawaka Indiana United States 46545
    183 Saint Joseph Regional Medical Center-Mishawaka Mishawaka Indiana United States 46545
    184 The Community Hospital Munster Indiana United States 46321
    185 Michiana Hematology Oncology PC-Plymouth Plymouth Indiana United States 46563
    186 Reid Health Richmond Indiana United States 47374
    187 Memorial Hospital of South Bend South Bend Indiana United States 46601
    188 Michiana Hematology Oncology PC-South Bend South Bend Indiana United States 46601
    189 South Bend Clinic South Bend Indiana United States 46617
    190 Northern Indiana Cancer Research Consortium South Bend Indiana United States 46628
    191 Michiana Hematology Oncology PC-Westville Westville Indiana United States 46391
    192 Medical Oncology and Hematology Associates-West Des Moines Clive Iowa United States 50325
    193 Mercy Cancer Center-West Lakes Clive Iowa United States 50325
    194 Alegent Health Mercy Hospital Council Bluffs Iowa United States 51503
    195 Greater Regional Medical Center Creston Iowa United States 50801
    196 Iowa Methodist Medical Center Des Moines Iowa United States 50309
    197 Iowa-Wide Oncology Research Coalition NCORP Des Moines Iowa United States 50309
    198 Medical Oncology and Hematology Associates-Des Moines Des Moines Iowa United States 50309
    199 Medical Oncology and Hematology Associates-Laurel Des Moines Iowa United States 50314
    200 Mercy Medical Center - Des Moines Des Moines Iowa United States 50314
    201 Iowa Lutheran Hospital Des Moines Iowa United States 50316
    202 University of Iowa/Holden Comprehensive Cancer Center Iowa City Iowa United States 52242
    203 Abben Cancer Center Spencer Iowa United States 51301
    204 Methodist West Hospital West Des Moines Iowa United States 50266-7700
    205 Mercy Medical Center-West Lakes West Des Moines Iowa United States 50266
    206 Cancer Center of Kansas - Chanute Chanute Kansas United States 66720
    207 Cancer Center of Kansas - Dodge City Dodge City Kansas United States 67801
    208 Cancer Center of Kansas - El Dorado El Dorado Kansas United States 67042
    209 Cancer Center of Kansas - Fort Scott Fort Scott Kansas United States 66701
    210 Cancer Center of Kansas-Independence Independence Kansas United States 67301
    211 Providence Medical Center Kansas City Kansas United States 66112
    212 University of Kansas Cancer Center Kansas City Kansas United States 66160
    213 Cancer Center of Kansas-Kingman Kingman Kansas United States 67068
    214 Lawrence Memorial Hospital Lawrence Kansas United States 66044
    215 Kansas Institute of Medicine Cancer and Blood Center Lenexa Kansas United States 66219
    216 Minimally Invasive Surgery Hospital Lenexa Kansas United States 66219
    217 Cancer Center of Kansas-Liberal Liberal Kansas United States 67905
    218 Cancer Center of Kansas-Manhattan Manhattan Kansas United States 66502
    219 Cancer Center of Kansas - McPherson McPherson Kansas United States 67460
    220 Cancer Center of Kansas - Newton Newton Kansas United States 67114
    221 Menorah Medical Center Overland Park Kansas United States 66209
    222 Saint Luke's South Hospital Overland Park Kansas United States 66213
    223 Cancer Center of Kansas - Parsons Parsons Kansas United States 67357
    224 Kansas City NCI Community Oncology Research Program Prairie Village Kansas United States 66208
    225 Cancer Center of Kansas - Pratt Pratt Kansas United States 67124
    226 Cancer Center of Kansas - Salina Salina Kansas United States 67401
    227 Cancer Center of Kansas - Wellington Wellington Kansas United States 67152
    228 Associates In Womens Health Wichita Kansas United States 67208
    229 Cancer Center of Kansas-Wichita Medical Arts Tower Wichita Kansas United States 67208
    230 Ascension Via Christi Hospitals Wichita Wichita Kansas United States 67214
    231 Cancer Center of Kansas - Wichita Wichita Kansas United States 67214
    232 Wesley Medical Center Wichita Kansas United States 67214
    233 Wichita NCI Community Oncology Research Program Wichita Kansas United States 67214
    234 Cancer Center of Kansas - Winfield Winfield Kansas United States 67156
    235 Flaget Memorial Hospital Bardstown Kentucky United States 40004
    236 Commonwealth Cancer Center-Corbin Corbin Kentucky United States 40701
    237 Oncology Hematology Care Inc-Crestview Crestview Hills Kentucky United States 41017
    238 Saint Joseph Radiation Oncology Resource Center Lexington Kentucky United States 40504
    239 Saint Joseph Hospital East Lexington Kentucky United States 40509
    240 Jewish Hospital Louisville Kentucky United States 40202
    241 The James Graham Brown Cancer Center at University of Louisville Louisville Kentucky United States 40202
    242 Saints Mary and Elizabeth Hospital Louisville Kentucky United States 40215
    243 UofL Health Medical Center Northeast Louisville Kentucky United States 40245
    244 Jewish Hospital Medical Center South Shepherdsville Kentucky United States 40165
    245 Baton Rouge General Medical Center Baton Rouge Louisiana United States 70806
    246 Hematology/Oncology Clinic PLLC Baton Rouge Louisiana United States 70809
    247 Woman's Hospital Baton Rouge Louisiana United States 70817
    248 West Jefferson Medical Center Marrero Louisiana United States 70072
    249 Tulane University Health Sciences Center New Orleans Louisiana United States 70112
    250 Greater Baltimore Medical Center Baltimore Maryland United States 21204
    251 Sinai Hospital of Baltimore Baltimore Maryland United States 21215
    252 MedStar Franklin Square Medical Center/Weinberg Cancer Institute Baltimore Maryland United States 21237
    253 Walter Reed National Military Medical Center Bethesda Maryland United States 20889-5600
    254 Christiana Care - Union Hospital Elkton Maryland United States 21921
    255 Northwest Hospital Center Randallstown Maryland United States 21133
    256 UMass Memorial Medical Center - Memorial Division Worcester Massachusetts United States 01605
    257 UMass Memorial Medical Center - University Campus Worcester Massachusetts United States 01655
    258 Michigan Cancer Research Consortium NCORP Ann Arbor Michigan United States 48106
    259 Saint Joseph Mercy Hospital Ann Arbor Michigan United States 48106
    260 University of Michigan Comprehensive Cancer Center Ann Arbor Michigan United States 48109
    261 Bronson Battle Creek Battle Creek Michigan United States 49017
    262 Spectrum Health Big Rapids Hospital Big Rapids Michigan United States 49307
    263 Saint Joseph Mercy Brighton Brighton Michigan United States 48114
    264 Trinity Health IHA Medical Group Hematology Oncology - Brighton Brighton Michigan United States 48114
    265 Henry Ford Cancer Institute-Downriver Brownstown Michigan United States 48183
    266 Saint Joseph Mercy Canton Canton Michigan United States 48188
    267 Trinity Health IHA Medical Group Hematology Oncology - Canton Canton Michigan United States 48188
    268 Caro Cancer Center Caro Michigan United States 48723
    269 Saint Joseph Mercy Chelsea Chelsea Michigan United States 48118
    270 Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital Chelsea Michigan United States 48118
    271 Hematology Oncology Consultants-Clarkston Clarkston Michigan United States 48346
    272 Newland Medical Associates-Clarkston Clarkston Michigan United States 48346
    273 Henry Ford Macomb Hospital-Clinton Township Clinton Township Michigan United States 48038
    274 Beaumont Hospital - Dearborn Dearborn Michigan United States 48124
    275 Henry Ford Medical Center-Fairlane Dearborn Michigan United States 48126
    276 Wayne State University/Karmanos Cancer Institute Detroit Michigan United States 48201
    277 Henry Ford Hospital Detroit Michigan United States 48202
    278 Ascension Saint John Hospital Detroit Michigan United States 48236
    279 Great Lakes Cancer Management Specialists-Doctors Park East China Township Michigan United States 48054
    280 Green Bay Oncology - Escanaba Escanaba Michigan United States 49829
    281 Weisberg Cancer Treatment Center Farmington Hills Michigan United States 48334
    282 Genesee Cancer and Blood Disease Treatment Center Flint Michigan United States 48503
    283 Genesee Hematology Oncology PC Flint Michigan United States 48503
    284 Genesys Hurley Cancer Institute Flint Michigan United States 48503
    285 Hurley Medical Center Flint Michigan United States 48503
    286 Genesys Regional Medical Center Grand Blanc Michigan United States 48439
    287 Cancer Research Consortium of West Michigan NCORP Grand Rapids Michigan United States 49503
    288 Mercy Health Saint Mary's Grand Rapids Michigan United States 49503
    289 Spectrum Health at Butterworth Campus Grand Rapids Michigan United States 49503
    290 Academic Hematology Oncology Specialists Grosse Pointe Woods Michigan United States 48236
    291 Great Lakes Cancer Management Specialists-Van Elslander Cancer Center Grosse Pointe Woods Michigan United States 48236
    292 Michigan Breast Specialists-Grosse Pointe Woods Grosse Pointe Woods Michigan United States 48236
    293 Green Bay Oncology - Iron Mountain Iron Mountain Michigan United States 49801
    294 Allegiance Health Jackson Michigan United States 49201
    295 Bronson Methodist Hospital Kalamazoo Michigan United States 49007
    296 West Michigan Cancer Center Kalamazoo Michigan United States 49007
    297 Borgess Medical Center Kalamazoo Michigan United States 49048
    298 Sparrow Hospital Lansing Michigan United States 48912
    299 Hope Cancer Clinic Livonia Michigan United States 48154
    300 Trinity Health Saint Mary Mercy Livonia Hospital Livonia Michigan United States 48154
    301 Great Lakes Cancer Management Specialists-Macomb Medical Campus Macomb Michigan United States 48044
    302 Michigan Breast Specialists-Macomb Township Macomb Michigan United States 48044
    303 Saint Mary's Oncology/Hematology Associates of Marlette Marlette Michigan United States 48453
    304 Mercy Health Partners-Hackley Campus Muskegon Michigan United States 49442
    305 Mercy Health Mercy Campus Muskegon Michigan United States 49444
    306 Lakeland Hospital Niles Niles Michigan United States 49120
    307 Henry Ford Medical Center-Columbus Novi Michigan United States 48377
    308 McLaren Cancer Institute-Northern Michigan Petoskey Michigan United States 49770
    309 21st Century Oncology-Pontiac Pontiac Michigan United States 48341
    310 Hope Cancer Center Pontiac Michigan United States 48341
    311 Newland Medical Associates-Pontiac Pontiac Michigan United States 48341
    312 Saint Joseph Mercy Oakland Pontiac Michigan United States 48341
    313 Lake Huron Medical Center Port Huron Michigan United States 48060
    314 Spectrum Health Reed City Hospital Reed City Michigan United States 49677
    315 Great Lakes Cancer Management Specialists-Rochester Hills Rochester Hills Michigan United States 48309
    316 William Beaumont Hospital-Royal Oak Royal Oak Michigan United States 48073
    317 Ascension Saint Mary's Hospital Saginaw Michigan United States 48601
    318 Oncology Hematology Associates of Saginaw Valley PC Saginaw Michigan United States 48604
    319 Lakeland Medical Center Saint Joseph Saint Joseph Michigan United States 49085
    320 Marie Yeager Cancer Center Saint Joseph Michigan United States 49085
    321 Bhadresh Nayak MD PC-Sterling Heights Sterling Heights Michigan United States 48312
    322 Munson Medical Center Traverse City Michigan United States 49684
    323 Advanced Breast Care Center PLLC Warren Michigan United States 48088
    324 Great Lakes Cancer Management Specialists-Macomb Professional Building Warren Michigan United States 48093
    325 Macomb Hematology Oncology PC Warren Michigan United States 48093
    326 Michigan Breast Specialists-Warren Warren Michigan United States 48093
    327 Saint John Macomb-Oakland Hospital Warren Michigan United States 48093
    328 Henry Ford West Bloomfield Hospital West Bloomfield Michigan United States 48322
    329 Saint Mary's Oncology/Hematology Associates of West Branch West Branch Michigan United States 48661
    330 Metro Health Hospital Wyoming Michigan United States 49519
    331 Huron Gastroenterology PC Ypsilanti Michigan United States 48106
    332 Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus Ypsilanti Michigan United States 48197
    333 Sanford Joe Lueken Cancer Center Bemidji Minnesota United States 56601
    334 Fairview Ridges Hospital Burnsville Minnesota United States 55337
    335 Mercy Hospital Coon Rapids Minnesota United States 55433
    336 Saint Luke's Hospital of Duluth Duluth Minnesota United States 55805
    337 Fairview Southdale Hospital Edina Minnesota United States 55435
    338 Unity Hospital Fridley Minnesota United States 55432
    339 Hutchinson Area Health Care Hutchinson Minnesota United States 55350
    340 Fairview Clinics and Surgery Center Maple Grove Maple Grove Minnesota United States 55369
    341 Minnesota Oncology Hematology PA-Maplewood Maplewood Minnesota United States 55109
    342 Saint John's Hospital - Healtheast Maplewood Minnesota United States 55109
    343 Abbott-Northwestern Hospital Minneapolis Minnesota United States 55407
    344 Hennepin County Medical Center Minneapolis Minnesota United States 55415
    345 Health Partners Inc Minneapolis Minnesota United States 55454
    346 New Ulm Medical Center New Ulm Minnesota United States 56073
    347 North Memorial Medical Health Center Robbinsdale Minnesota United States 55422
    348 Metro Minnesota Community Oncology Research Consortium Saint Louis Park Minnesota United States 55416
    349 Park Nicollet Clinic - Saint Louis Park Saint Louis Park Minnesota United States 55416
    350 Regions Hospital Saint Paul Minnesota United States 55101
    351 United Hospital Saint Paul Minnesota United States 55102
    352 Saint Francis Regional Medical Center Shakopee Minnesota United States 55379
    353 Lakeview Hospital Stillwater Minnesota United States 55082
    354 Ridgeview Medical Center Waconia Minnesota United States 55387
    355 Rice Memorial Hospital Willmar Minnesota United States 56201
    356 Minnesota Oncology Hematology PA-Woodbury Woodbury Minnesota United States 55125
    357 Fairview Lakes Medical Center Wyoming Minnesota United States 55092
    358 Saint Dominic-Jackson Memorial Hospital Jackson Mississippi United States 39216
    359 University of Mississippi Medical Center Jackson Mississippi United States 39216
    360 Singing River Hospital Pascagoula Mississippi United States 39581
    361 Central Care Cancer Center - Bolivar Bolivar Missouri United States 65613
    362 Parkland Health Center-Bonne Terre Bonne Terre Missouri United States 63628
    363 Cox Cancer Center Branson Branson Missouri United States 65616
    364 Saint Francis Medical Center Cape Girardeau Missouri United States 63703
    365 Southeast Cancer Center Cape Girardeau Missouri United States 63703
    366 University of Missouri - Ellis Fischel Columbia Missouri United States 65212
    367 Centerpoint Medical Center LLC Independence Missouri United States 64057
    368 Capital Region Southwest Campus Jefferson City Missouri United States 65109
    369 Freeman Health System Joplin Missouri United States 64804
    370 Mercy Hospital Joplin Joplin Missouri United States 64804
    371 Saint Luke's Hospital of Kansas City Kansas City Missouri United States 64111
    372 Heartland Hematology and Oncology Associates Incorporated Kansas City Missouri United States 64118
    373 Research Medical Center Kansas City Missouri United States 64132
    374 Saint Luke's East - Lee's Summit Lee's Summit Missouri United States 64086
    375 Liberty Radiation Oncology Center Liberty Missouri United States 64068
    376 Delbert Day Cancer Institute at PCRMC Rolla Missouri United States 65401
    377 Mercy Clinic-Rolla-Cancer and Hematology Rolla Missouri United States 65401
    378 Heartland Regional Medical Center Saint Joseph Missouri United States 64506
    379 SSM Health Saint Louis University Hospital Saint Louis Missouri United States 63104
    380 Saint Louis Cancer and Breast Institute-South City Saint Louis Missouri United States 63109
    381 Washington University School of Medicine Saint Louis Missouri United States 63110
    382 Missouri Baptist Medical Center Saint Louis Missouri United States 63131
    383 Mercy Hospital Saint Louis Saint Louis Missouri United States 63141
    384 Sainte Genevieve County Memorial Hospital Sainte Genevieve Missouri United States 63670
    385 Cancer Research for the Ozarks NCORP Springfield Missouri United States 65804
    386 Mercy Hospital Springfield Springfield Missouri United States 65804
    387 CoxHealth South Hospital Springfield Missouri United States 65807
    388 Missouri Baptist Sullivan Hospital Sullivan Missouri United States 63080
    389 Missouri Baptist Outpatient Center-Sunset Hills Sunset Hills Missouri United States 63127
    390 Saint Patrick Hospital - Community Hospital Missoula Montana United States 59802
    391 CHI Health Saint Francis Grand Island Nebraska United States 68803
    392 Heartland Hematology and Oncology Kearney Nebraska United States 68845
    393 CHI Health Good Samaritan Kearney Nebraska United States 68847
    394 Saint Elizabeth Regional Medical Center Lincoln Nebraska United States 68510
    395 Nebraska Methodist Hospital Omaha Nebraska United States 68114
    396 Alegent Health Immanuel Medical Center Omaha Nebraska United States 68122
    397 Hematology and Oncology Consultants PC Omaha Nebraska United States 68122
    398 Alegent Health Bergan Mercy Medical Center Omaha Nebraska United States 68124
    399 Alegent Health Lakeside Hospital Omaha Nebraska United States 68130
    400 Creighton University Medical Center Omaha Nebraska United States 68131
    401 Midlands Community Hospital Papillion Nebraska United States 68046
    402 Women's Cancer Center of Nevada Las Vegas Nevada United States 89106
    403 Center of Hope at Renown Medical Center Reno Nevada United States 89502
    404 Renown Regional Medical Center Reno Nevada United States 89502
    405 Cooper Hospital University Medical Center Camden New Jersey United States 08103
    406 Hackensack University Medical Center Hackensack New Jersey United States 07601
    407 The Cancer Institute of New Jersey Hamilton Hamilton New Jersey United States 08690
    408 Morristown Medical Center Morristown New Jersey United States 07960
    409 Virtua Memorial Mount Holly New Jersey United States 08060
    410 Jersey Shore Medical Center Neptune New Jersey United States 07753
    411 Rutgers Cancer Institute of New Jersey New Brunswick New Jersey United States 08903
    412 Saint Luke's Hospital-Warren Campus Phillipsburg New Jersey United States 08865
    413 Overlook Hospital Summit New Jersey United States 07902
    414 MD Anderson Cancer Center at Cooper-Voorhees Voorhees New Jersey United States 08043
    415 Virtua Voorhees Voorhees New Jersey United States 08043
    416 University of New Mexico Cancer Center Albuquerque New Mexico United States 87102
    417 Southwest Gynecologic Oncology Associates Inc Albuquerque New Mexico United States 87106
    418 Memorial Medical Center - Las Cruces Las Cruces New Mexico United States 88011
    419 Women's Cancer Care Associates LLC Albany New York United States 12208
    420 Island Gynecologic Oncology Brightwaters New York United States 11718
    421 State University of New York Downstate Medical Center Brooklyn New York United States 11203
    422 New York-Presbyterian/Brooklyn Methodist Hospital Brooklyn New York United States 11215
    423 Roswell Park Cancer Institute Buffalo New York United States 14263
    424 Northwell Health/Center for Advanced Medicine Lake Success New York United States 11042
    425 North Shore University Hospital Manhasset New York United States 11030
    426 Long Island Jewish Medical Center New Hyde Park New York United States 11040
    427 Laura and Isaac Perlmutter Cancer Center at NYU Langone New York New York United States 10016
    428 Mount Sinai Hospital New York New York United States 10029
    429 NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center New York New York United States 10032
    430 Memorial Sloan Kettering Cancer Center New York New York United States 10065
    431 University of Rochester Rochester New York United States 14642
    432 Stony Brook University Medical Center Stony Brook New York United States 11794
    433 State University of New York Upstate Medical University Syracuse New York United States 13210
    434 Randolph Hospital Asheboro North Carolina United States 27203
    435 AdventHealth Infusion Center Asheville Asheville North Carolina United States 28803
    436 Cone Health Cancer Center at Alamance Regional Burlington North Carolina United States 27215
    437 UNC Lineberger Comprehensive Cancer Center Chapel Hill North Carolina United States 27599
    438 Carolinas Medical Center/Levine Cancer Institute Charlotte North Carolina United States 28203
    439 Novant Health Presbyterian Medical Center Charlotte North Carolina United States 28204
    440 Oncology Specialists of Charlotte Charlotte North Carolina United States 28207
    441 Southern Oncology Specialists-Charlotte Charlotte North Carolina United States 28262
    442 Duke University Medical Center Durham North Carolina United States 27710
    443 Cone Health Cancer Center Greensboro North Carolina United States 27403
    444 AdventHealth Hendersonville Hendersonville North Carolina United States 28792
    445 Novant Health Cancer Institute - Huntersville Huntersville North Carolina United States 28078
    446 Southern Oncology Specialists-Huntersville Huntersville North Carolina United States 28078
    447 Matthews Radiation Oncology Center Matthews North Carolina United States 28105
    448 Novant Health Cancer Institute - Matthews Matthews North Carolina United States 28105
    449 Cone Heath Cancer Center at Mebane Mebane North Carolina United States 27302
    450 Novant Health Cancer Institute - Mooresville Mooresville North Carolina United States 28117
    451 FirstHealth of the Carolinas-Moore Regional Hospital Pinehurst North Carolina United States 28374
    452 Duke Raleigh Hospital Raleigh North Carolina United States 27609
    453 Annie Penn Memorial Hospital Reidsville North Carolina United States 27320
    454 Southeast Clinical Oncology Research Consortium NCORP Winston-Salem North Carolina United States 27104
    455 Wake Forest University Health Sciences Winston-Salem North Carolina United States 27157
    456 Sanford Bismarck Medical Center Bismarck North Dakota United States 58501
    457 Sanford Broadway Medical Center Fargo North Dakota United States 58122
    458 Sanford Clinic North-Fargo Fargo North Dakota United States 58122
    459 Sanford Roger Maris Cancer Center Fargo North Dakota United States 58122
    460 Summa Health System - Akron Campus Akron Ohio United States 44304
    461 Cleveland Clinic Akron General Akron Ohio United States 44307
    462 Strecker Cancer Center-Belpre Belpre Ohio United States 45714
    463 Aultman Health Foundation Canton Ohio United States 44710
    464 Dayton Physicians LLC-Miami Valley South Centerville Ohio United States 45459
    465 Miami Valley Hospital South Centerville Ohio United States 45459
    466 Adena Regional Medical Center Chillicothe Ohio United States 45601
    467 Oncology Hematology Care Inc-Eden Park Cincinnati Ohio United States 45202
    468 Oncology Hematology Care Inc-Mercy West Cincinnati Ohio United States 45211
    469 University of Cincinnati Cancer Center-UC Medical Center Cincinnati Ohio United States 45219
    470 Good Samaritan Hospital - Cincinnati Cincinnati Ohio United States 45220
    471 Oncology Hematology Care Inc-Anderson Cincinnati Ohio United States 45230
    472 Oncology Hematology Care Inc-Kenwood Cincinnati Ohio United States 45236
    473 Bethesda North Hospital Cincinnati Ohio United States 45242
    474 Oncology Hematology Care Inc-Blue Ash Cincinnati Ohio United States 45242
    475 TriHealth Cancer Institute-Westside Cincinnati Ohio United States 45247
    476 TriHealth Cancer Institute-Anderson Cincinnati Ohio United States 45255
    477 Case Western Reserve University Cleveland Ohio United States 44106
    478 MetroHealth Medical Center Cleveland Ohio United States 44109
    479 Cleveland Clinic Cancer Center/Fairview Hospital Cleveland Ohio United States 44111
    480 Cleveland Clinic Foundation Cleveland Ohio United States 44195
    481 Ohio State University Comprehensive Cancer Center Columbus Ohio United States 43210
    482 Mount Carmel East Hospital Columbus Ohio United States 43213
    483 Columbus Oncology and Hematology Associates Inc Columbus Ohio United States 43214
    484 Riverside Methodist Hospital Columbus Ohio United States 43214
    485 Columbus NCI Community Oncology Research Program Columbus Ohio United States 43215
    486 Grant Medical Center Columbus Ohio United States 43215
    487 The Mark H Zangmeister Center Columbus Ohio United States 43219
    488 Mount Carmel Health Center West Columbus Ohio United States 43222
    489 Doctors Hospital Columbus Ohio United States 43228
    490 Grandview Hospital Dayton Ohio United States 45405
    491 Good Samaritan Hospital - Dayton Dayton Ohio United States 45406
    492 Miami Valley Hospital Dayton Ohio United States 45409
    493 Dayton Physician LLC-Miami Valley Hospital North Dayton Ohio United States 45415
    494 Miami Valley Hospital North Dayton Ohio United States 45415
    495 Dayton NCI Community Oncology Research Program Dayton Ohio United States 45459
    496 Delaware Health Center-Grady Cancer Center Delaware Ohio United States 43015
    497 Delaware Radiation Oncology Delaware Ohio United States 43015
    498 Grady Memorial Hospital Delaware Ohio United States 43015
    499 Oncology Hematology Care Inc-Healthplex Fairfield Ohio United States 45014
    500 Armes Family Cancer Center Findlay Ohio United States 45840
    501 Blanchard Valley Hospital Findlay Ohio United States 45840
    502 Orion Cancer Care Findlay Ohio United States 45840
    503 Atrium Medical Center-Middletown Regional Hospital Franklin Ohio United States 45005-1066
    504 Dayton Physicians LLC-Atrium Franklin Ohio United States 45005
    505 Dayton Physicians LLC-Wayne Greenville Ohio United States 45331
    506 Wayne Hospital Greenville Ohio United States 45331
    507 Greater Dayton Cancer Center Kettering Ohio United States 45409
    508 First Dayton Cancer Care Kettering Ohio United States 45420
    509 Kettering Medical Center Kettering Ohio United States 45429
    510 Fairfield Medical Center Lancaster Ohio United States 43130
    511 Lancaster Radiation Oncology Lancaster Ohio United States 43130
    512 OhioHealth Mansfield Hospital Mansfield Ohio United States 44903
    513 Marietta Memorial Hospital Marietta Ohio United States 45750
    514 OhioHealth Marion General Hospital Marion Ohio United States 43302
    515 Hillcrest Hospital Cancer Center Mayfield Heights Ohio United States 44124
    516 UH Seidman Cancer Center at Lake Health Mentor Campus Mentor Ohio United States 44060
    517 Dayton Physicians LLC-Signal Point Middletown Ohio United States 45042
    518 Knox Community Hospital Mount Vernon Ohio United States 43050
    519 Licking Memorial Hospital Newark Ohio United States 43055
    520 Newark Radiation Oncology Newark Ohio United States 43055
    521 Southern Ohio Medical Center Portsmouth Ohio United States 45662
    522 Dayton Physicians LLC-Wilson Sidney Ohio United States 45365
    523 Springfield Regional Cancer Center Springfield Ohio United States 45504
    524 Springfield Regional Medical Center Springfield Ohio United States 45505
    525 Dayton Physicians LLC-Upper Valley Troy Ohio United States 45373
    526 Upper Valley Medical Center Troy Ohio United States 45373
    527 Saint Ann's Hospital Westerville Ohio United States 43081
    528 Wright-Patterson Medical Center Wright-Patterson Air Force Base Ohio United States 45433
    529 Genesis Healthcare System Cancer Care Center Zanesville Ohio United States 43701
    530 University of Oklahoma Health Sciences Center Oklahoma City Oklahoma United States 73104
    531 Natalie Warren Bryant Cancer Center at Saint Francis Tulsa Oklahoma United States 74136
    532 Warren Clinic-Tulsa South Tulsa Oklahoma United States 74136
    533 Oklahoma Cancer Specialists and Research Institute-Tulsa Tulsa Oklahoma United States 74146
    534 Warren Clinic Oncology-Tulsa Tulsa Oklahoma United States 74146
    535 Saint Alphonsus Medical Center-Baker City Baker City Oregon United States 97814
    536 Saint Charles Health System Bend Oregon United States 97701
    537 Clackamas Radiation Oncology Center Clackamas Oregon United States 97015
    538 Providence Cancer Institute Clackamas Clinic Clackamas Oregon United States 97015
    539 Bay Area Hospital Coos Bay Oregon United States 97420
    540 Providence Milwaukie Hospital Milwaukie Oregon United States 97222
    541 Providence Newberg Medical Center Newberg Oregon United States 97132
    542 Saint Alphonsus Medical Center-Ontario Ontario Oregon United States 97914
    543 Providence Willamette Falls Medical Center Oregon City Oregon United States 97045
    544 Legacy Good Samaritan Hospital and Medical Center Portland Oregon United States 97210
    545 Providence Portland Medical Center Portland Oregon United States 97213
    546 Providence Saint Vincent Medical Center Portland Oregon United States 97225
    547 Compass Oncology Rose Quarter Portland Oregon United States 97227
    548 Oregon Health and Science University Portland Oregon United States 97239
    549 Jefferson Abington Hospital Abington Pennsylvania United States 19001
    550 Lehigh Valley Hospital-Cedar Crest Allentown Pennsylvania United States 18103
    551 Saint Luke's University Hospital-Bethlehem Campus Bethlehem Pennsylvania United States 18015
    552 Lehigh Valley Hospital - Muhlenberg Bethlehem Pennsylvania United States 18017
    553 Geisinger Medical Center Danville Pennsylvania United States 17822
    554 Geisinger Medical Center-Cancer Center Hazleton Hazleton Pennsylvania United States 18201
    555 Penn State Milton S Hershey Medical Center Hershey Pennsylvania United States 17033-0850
    556 Armstrong Center for Medicine and Health Kittanning Pennsylvania United States 16201
    557 University of Pennsylvania/Abramson Cancer Center Philadelphia Pennsylvania United States 19104
    558 Pennsylvania Hospital Philadelphia Pennsylvania United States 19107
    559 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111
    560 Temple University Hospital Philadelphia Pennsylvania United States 19140
    561 West Penn Hospital Pittsburgh Pennsylvania United States 15224
    562 Community Medical Center Scranton Pennsylvania United States 18510
    563 Geisinger Medical Group State College Pennsylvania United States 16801
    564 Reading Hospital West Reading Pennsylvania United States 19611
    565 Geisinger Wyoming Valley/Henry Cancer Center Wilkes-Barre Pennsylvania United States 18711
    566 Women and Infants Hospital Providence Rhode Island United States 02905
    567 Medical University of South Carolina Charleston South Carolina United States 29425
    568 Black Hills Obstetrics and Gynecology Rapid City South Dakota United States 57701
    569 Rapid City Regional Hospital Rapid City South Dakota United States 57701
    570 Sanford Cancer Center Oncology Clinic Sioux Falls South Dakota United States 57104
    571 Avera Cancer Institute Sioux Falls South Dakota United States 57105
    572 Sanford USD Medical Center - Sioux Falls Sioux Falls South Dakota United States 57117-5134
    573 Bristol Regional Medical Center Bristol Tennessee United States 37620
    574 Wellmont Medical Associates Oncology and Hematology-Bristol Bristol Tennessee United States 37620
    575 Memorial Hospital Chattanooga Tennessee United States 37404
    576 Pulmonary Medicine Center of Chattanooga-Hixson Hixson Tennessee United States 37343
    577 Wellmont Medical Associates Oncology and Hematology-Johnson City Johnson City Tennessee United States 37604
    578 Ballad Health Cancer Care - Kingsport Kingsport Tennessee United States 37660
    579 Wellmont Holston Valley Hospital and Medical Center Kingsport Tennessee United States 37660
    580 Memorial GYN Plus Ooltewah Tennessee United States 37363
    581 Texas Tech University Health Sciences Center-Amarillo Amarillo Texas United States 79106
    582 The Don and Sybil Harrington Cancer Center Amarillo Texas United States 79106
    583 Dell Seton Medical Center at The University of Texas Austin Texas United States 78701
    584 Saint Joseph Regional Cancer Center Bryan Texas United States 77802
    585 MD Anderson in The Woodlands Conroe Texas United States 77384
    586 Parkland Memorial Hospital Dallas Texas United States 75235
    587 UT Southwestern/Simmons Cancer Center-Dallas Dallas Texas United States 75390
    588 Brooke Army Medical Center Fort Sam Houston Texas United States 78234
    589 University of Texas Medical Branch Galveston Texas United States 77555-0565
    590 Lyndon Baines Johnson General Hospital Houston Texas United States 77026-1967
    591 Houston Methodist Hospital Houston Texas United States 77030
    592 M D Anderson Cancer Center Houston Texas United States 77030
    593 Memorial Hermann Texas Medical Center Houston Texas United States 77030
    594 Methodist Willowbrook Hospital Houston Texas United States 77070
    595 MD Anderson West Houston Houston Texas United States 77079
    596 MD Anderson League City League City Texas United States 77573
    597 MD Anderson in Sugar Land Sugar Land Texas United States 77478
    598 Houston Methodist Sugar Land Hospital Sugar Land Texas United States 77479
    599 American Fork Hospital / Huntsman Intermountain Cancer Center American Fork Utah United States 84003
    600 McKay-Dee Hospital Center Ogden Utah United States 84403
    601 Utah Valley Regional Medical Center Provo Utah United States 84604
    602 Saint George Regional Medical Center Saint George Utah United States 84770
    603 Huntsman Cancer Institute/University of Utah Salt Lake City Utah United States 84112
    604 LDS Hospital Salt Lake City Utah United States 84143
    605 Central Vermont Medical Center/National Life Cancer Treatment Berlin Vermont United States 05602
    606 University of Vermont Medical Center Burlington Vermont United States 05401
    607 University of Vermont and State Agricultural College Burlington Vermont United States 05405
    608 Wellmont Medical Associates-Bristol Bristol Virginia United States 24201
    609 University of Virginia Cancer Center Charlottesville Virginia United States 22908
    610 Southwest VA Regional Cancer Center Norton Virginia United States 24273
    611 Virginia Commonwealth University/Massey Cancer Center Richmond Virginia United States 23298
    612 Carilion Clinic Gynecological Oncology Roanoke Virginia United States 24016
    613 Providence Regional Cancer System-Aberdeen Aberdeen Washington United States 98520
    614 Cancer Care Center at Island Hospital Anacortes Washington United States 98221
    615 Swedish Cancer Institute-Eastside Oncology Hematology Bellevue Washington United States 98005
    616 PeaceHealth Saint Joseph Medical Center Bellingham Washington United States 98225
    617 PeaceHealth Medical Group PC Bellingham Washington United States 98226
    618 Harrison HealthPartners Hematology and Oncology-Bremerton Bremerton Washington United States 98310
    619 Harrison Medical Center Bremerton Washington United States 98310
    620 Highline Medical Center-Main Campus Burien Washington United States 98166
    621 Providence Regional Cancer System-Centralia Centralia Washington United States 98531
    622 Swedish Cancer Institute-Edmonds Edmonds Washington United States 98026
    623 Saint Elizabeth Hospital Enumclaw Washington United States 98022
    624 Providence Regional Cancer Partnership Everett Washington United States 98201
    625 Saint Francis Hospital Federal Way Washington United States 98003
    626 Swedish Cancer Institute-Issaquah Issaquah Washington United States 98029
    627 Kadlec Clinic Hematology and Oncology Kennewick Washington United States 99336
    628 Providence Regional Cancer System-Lacey Lacey Washington United States 98503
    629 Saint Clare Hospital Lakewood Washington United States 98499
    630 PeaceHealth Saint John Medical Center Longview Washington United States 98632
    631 Skagit Regional Health Cancer Care Center Mount Vernon Washington United States 98274
    632 Harrison HealthPartners Hematology and Oncology-Poulsbo Poulsbo Washington United States 98370
    633 Virginia Mason Medical Center Seattle Washington United States 98101
    634 Minor and James Medical PLLC Seattle Washington United States 98104
    635 Pacific Gynecology Specialists Seattle Washington United States 98104
    636 Swedish Medical Center-Ballard Campus Seattle Washington United States 98107
    637 Fred Hutchinson Cancer Research Center Seattle Washington United States 98109
    638 Seattle Cancer Care Alliance Seattle Washington United States 98109
    639 Kaiser Permanente Washington Seattle Washington United States 98112
    640 Swedish Medical Center-First Hill Seattle Washington United States 98122-4307
    641 Swedish Medical Center-Cherry Hill Seattle Washington United States 98122-5711
    642 University of Washington Medical Center - Northwest Seattle Washington United States 98133
    643 Women's Cancer Center of Seattle Seattle Washington United States 98133
    644 University of Washington Medical Center - Montlake Seattle Washington United States 98195
    645 Olympic Medical Cancer Care Center Sequim Washington United States 98384
    646 Providence Regional Cancer System-Shelton Shelton Washington United States 98584
    647 MultiCare Deaconess Cancer and Blood Specialty Center - Valley Spokane Valley Washington United States 99216
    648 Cancer Care Northwest - Spokane South Spokane Washington United States 99202
    649 MultiCare Deaconess Cancer and Blood Specialty Center - Downtown Spokane Washington United States 99204
    650 Cancer Care Northwest-Valley Spokane Washington United States 99216
    651 Cancer Care Northwest-North Spokane Spokane Washington United States 99218
    652 Evergreen Hematology and Oncology PS Spokane Washington United States 99218
    653 MultiCare Deaconess Cancer and Blood Specialty Center - North Spokane Washington United States 99218
    654 Franciscan Research Center-Northwest Medical Plaza Tacoma Washington United States 98405
    655 MultiCare Tacoma General Hospital Tacoma Washington United States 98405
    656 Northwest Medical Specialties PLLC Tacoma Washington United States 98405
    657 Saint Joseph Medical Center Tacoma Washington United States 98405
    658 PeaceHealth Southwest Medical Center Vancouver Washington United States 98664
    659 Compass Oncology Vancouver Vancouver Washington United States 98684
    660 Providence Saint Mary Regional Cancer Center Walla Walla Washington United States 99362
    661 Wenatchee Valley Hospital and Clinics Wenatchee Washington United States 98801
    662 Cancer Institutes of Washington PLLC Yakima Washington United States 98902
    663 North Star Lodge Cancer Center at Yakima Valley Memorial Hospital Yakima Washington United States 98902
    664 Providence Regional Cancer System-Yelm Yelm Washington United States 98597
    665 Aurora Health Center-Fond du Lac Fond Du Lac Wisconsin United States 54937
    666 Aurora Cancer Care-Grafton Grafton Wisconsin United States 53024
    667 Green Bay Oncology at Saint Vincent Hospital Green Bay Wisconsin United States 54301-3526
    668 Saint Vincent Hospital Cancer Center Green Bay Green Bay Wisconsin United States 54301
    669 Green Bay Oncology Limited at Saint Mary's Hospital Green Bay Wisconsin United States 54303
    670 Saint Vincent Hospital Cancer Center at Saint Mary's Green Bay Wisconsin United States 54303
    671 Aurora BayCare Medical Center Green Bay Wisconsin United States 54311
    672 Gundersen Lutheran Medical Center La Crosse Wisconsin United States 54601
    673 University of Wisconsin Carbone Cancer Center Madison Wisconsin United States 53792
    674 Aurora Bay Area Medical Group-Marinette Marinette Wisconsin United States 54143
    675 Bay Area Medical Center Marinette Wisconsin United States 54143
    676 Aurora Saint Luke's Medical Center Milwaukee Wisconsin United States 53215
    677 Medical College of Wisconsin Milwaukee Wisconsin United States 53226
    678 Aurora Sinai Medical Center Milwaukee Wisconsin United States 53233
    679 Cancer Center of Western Wisconsin New Richmond Wisconsin United States 54017
    680 Saint Vincent Hospital Cancer Center at Oconto Falls Oconto Falls Wisconsin United States 54154
    681 Vince Lombardi Cancer Clinic - Oshkosh Oshkosh Wisconsin United States 54904
    682 Vince Lombardi Cancer Clinic-Sheboygan Sheboygan Wisconsin United States 53081
    683 Saint Vincent Hospital Cancer Center at Sturgeon Bay Sturgeon Bay Wisconsin United States 54235-1495
    684 Green Bay Oncology - Sturgeon Bay Sturgeon Bay Wisconsin United States 54235
    685 Aurora Medical Center in Summit Summit Wisconsin United States 53066
    686 Vince Lombardi Cancer Clinic-Two Rivers Two Rivers Wisconsin United States 54241
    687 Aspirus Regional Cancer Center Wausau Wisconsin United States 54401
    688 Aurora West Allis Medical Center West Allis Wisconsin United States 53227
    689 Cheyenne Regional Medical Center-West Cheyenne Wyoming United States 82001
    690 Tohoku University School of Medicine Sendai Aoba-ku Japan 980-8574
    691 Kure National Hospital Kure Hiroshima Japan 737
    692 Hokkaido University Hospital Sapporo Hokkaido Japan 060-8648
    693 Iwate Medical University Hospital Shiwa-gun Iwate Japan 028-3695
    694 Kagoshima City Hospital Kagoshima City Kagoshima Japan 890-8760
    695 Niigata University Medical and Dental Hospital Niigata City Niigata Japan 951-8520
    696 Shizuoka Cancer Center Shizuoka City Suntou Japan 411-8777
    697 Keio University Shinjuku-ku Tokyo Japan 160-8582
    698 Hiroshima University Hospital Hiroshima City Japan 734-8551
    699 Shikoku Cancer Center Matsuyama Japan 791-0280
    700 National Kyushu Cancer Center Minami-ku Japan 811 1395
    701 Jikei University School of Medicine Minato-ku, Tokyo Japan 105-8461
    702 Kindai University Osaka Japan 589 8511
    703 Saitama Medical University International Medical Center Saitama Japan 350-1298
    704 National Cancer Center Hospital Tokyo Japan 104 0045
    705 Tottori University Tottori Japan 680-8550
    706 Keimyung University-Dongsan Medical Center Dalseo-gu Daegu Korea, Republic of 42601
    707 National Cancer Center-Korea Goyang-si Gyeonggi-do Korea, Republic of 410-769
    708 Samsung Medical Center Seoul Korea Korea, Republic of 135-710
    709 Catholic University of Korea-Seoul Saint Mary's Hospital Seoul Korea Korea, Republic of 137-040
    710 Seoul National University Bundang Hospital Seongnam City Kyeonggi-do Korea, Republic of 463-707
    711 Gachon University Gil Hospital Incheon Korea, Republic of 405-760
    712 Asan Medical Center Seoul Korea, Republic of 05505
    713 Gangnam Severance Hospital Seoul Korea, Republic of 06273
    714 Seoul National University Hospital Seoul Korea, Republic of 110-744
    715 Kyung Hee University Hospital at Gangdong Seoul Korea, Republic of 134-727
    716 Korea Cancer Center Hospital Seoul Korea, Republic of 139-706
    717 Ewha Woman's University Seoul Korea, Republic of 158-710
    718 Ajou University Hospital Suwon Korea, Republic of 443-721

    Sponsors and Collaborators

    • National Cancer Institute (NCI)
    • NRG Oncology

    Investigators

    • Principal Investigator: Robert L Coleman, NRG Oncology

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT00565851
    Other Study ID Numbers:
    • NCI-2009-00587
    • NCI-2009-00587
    • 09-0205
    • GOG-0213
    • CDR0000546714
    • GOG-0213
    • GOG-0213
    • U10CA180868
    • U10CA027469
    First Posted:
    Nov 30, 2007
    Last Update Posted:
    Aug 9, 2022
    Last Verified:
    Jul 1, 2022

    Study Results

    Participant Flow

    Recruitment Details At the beginning of the study participants could be randomized to chemotherapy. On August 29, 2011 randomization to chemotherapy ended and participants could only be randomized to surgery.
    Pre-assignment Detail
    Arm/Group Title Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)
    Arm/Group Description Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery.
    Period Title: Surgical Assignment
    STARTED 316 456 33 165 6 34 5 37
    Randomized - Yes Surgery 0 0 33 165 0 0 5 37
    Randomized - no Surgery 33 172 0 0 6 34 0 0
    Not Surgical Candidate 283 284 0 0 0 0 0 0
    COMPLETED 313 454 31 154 6 34 5 35
    NOT COMPLETED 3 2 2 11 0 0 0 2
    Period Title: Surgical Assignment
    STARTED 316 456 33 165 6 34 5 37
    Randomized to Chemo 310 311 27 26 0 0 0 0
    Pre-specified Chemo 6 145 6 139 6 34 5 37
    COMPLETED 307 433 30 129 6 31 5 34
    NOT COMPLETED 9 23 3 36 0 3 0 3

    Baseline Characteristics

    Arm/Group Title Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab)) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)) Total
    Arm/Group Description Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Bevacizumab: Given IV Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Carboplatin: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Total of all reporting groups
    Overall Participants 316 456 33 165 6 34 5 37 1052
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    60.9
    (10.0)
    59.0
    (10.3)
    58.7
    (10.0)
    57.1
    (10.5)
    72.1
    (7.4)
    58.7
    (8.2)
    60.7
    (9.3)
    61.1
    (9.5)
    59.4
    (10.2)
    Age, Customized (Count of Participants)
    < 40 years
    4
    1.3%
    14
    3.1%
    0
    0%
    7
    4.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    25
    2.4%
    40 - 49 years
    40
    12.7%
    68
    14.9%
    6
    18.2%
    37
    22.4%
    0
    0%
    6
    17.6%
    1
    20%
    6
    16.2%
    164
    15.6%
    50 - 59 years
    102
    32.3%
    170
    37.3%
    11
    33.3%
    57
    34.5%
    1
    16.7%
    14
    41.2%
    1
    20%
    9
    24.3%
    365
    34.7%
    60 - 69 years
    111
    35.1%
    143
    31.4%
    10
    30.3%
    44
    26.7%
    0
    0%
    12
    35.3%
    2
    40%
    13
    35.1%
    335
    31.8%
    70 - 79 years
    52
    16.5%
    54
    11.8%
    6
    18.2%
    19
    11.5%
    5
    83.3%
    2
    5.9%
    1
    20%
    9
    24.3%
    148
    14.1%
    ≥ 80 years
    7
    2.2%
    7
    1.5%
    0
    0%
    1
    0.6%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    15
    1.4%
    Sex: Female, Male (Count of Participants)
    Female
    316
    100%
    456
    100%
    33
    100%
    165
    100%
    6
    100%
    34
    100%
    5
    100%
    37
    100%
    1052
    100%
    Male
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    14
    4.4%
    22
    4.8%
    0
    0%
    6
    3.6%
    0
    0%
    0
    0%
    0
    0%
    4
    10.8%
    46
    4.4%
    Not Hispanic or Latino
    272
    86.1%
    409
    89.7%
    30
    90.9%
    155
    93.9%
    6
    100%
    34
    100%
    5
    100%
    32
    86.5%
    943
    89.6%
    Unknown or Not Reported
    30
    9.5%
    25
    5.5%
    3
    9.1%
    4
    2.4%
    0
    0%
    0
    0%
    0
    0%
    1
    2.7%
    63
    6%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    1
    0.3%
    5
    1.1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    6
    0.6%
    Asian
    39
    12.3%
    136
    29.8%
    6
    18.2%
    101
    61.2%
    0
    0%
    14
    41.2%
    1
    20%
    10
    27%
    307
    29.2%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    1
    0.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.1%
    Black or African American
    15
    4.7%
    17
    3.7%
    1
    3%
    4
    2.4%
    1
    16.7%
    3
    8.8%
    1
    20%
    2
    5.4%
    44
    4.2%
    White
    255
    80.7%
    294
    64.5%
    26
    78.8%
    57
    34.5%
    5
    83.3%
    17
    50%
    3
    60%
    25
    67.6%
    682
    64.8%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    6
    1.9%
    3
    0.7%
    0
    0%
    3
    1.8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    12
    1.1%
    Region of Enrollment (Count of Participants)
    South Korea
    20
    6.3%
    108
    23.7%
    4
    12.1%
    90
    54.5%
    0
    0%
    11
    32.4%
    0
    0%
    9
    24.3%
    242
    23%
    United States
    284
    89.9%
    324
    71.1%
    29
    87.9%
    67
    40.6%
    6
    100%
    23
    67.6%
    5
    100%
    28
    75.7%
    766
    72.8%
    Japan
    12
    3.8%
    24
    5.3%
    0
    0%
    7
    4.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    43
    4.1%
    Russia
    0
    0%
    0
    0%
    0
    0%
    1
    0.6%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.1%
    Histology (Count of Participants)
    Serous
    252
    79.7%
    383
    84%
    30
    90.9%
    142
    86.1%
    5
    83.3%
    30
    88.2%
    4
    80%
    35
    94.6%
    881
    83.7%
    Endometrioid
    25
    7.9%
    24
    5.3%
    0
    0%
    9
    5.5%
    1
    16.7%
    2
    5.9%
    0
    0%
    2
    5.4%
    63
    6%
    Clear Cell
    13
    4.1%
    14
    3.1%
    1
    3%
    5
    3%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    33
    3.1%
    Mucinous
    2
    0.6%
    2
    0.4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    4
    0.4%
    Other
    24
    7.6%
    33
    7.2%
    2
    6.1%
    9
    5.5%
    0
    0%
    2
    5.9%
    1
    20%
    0
    0%
    71
    6.7%

    Outcome Measures

    1. Primary Outcome
    Title To Determine if Surgical Secondary Cytoreduction in Addition to Adjuvant Chemotherapy Increases the Duration of Overall Survival in Patients With Recurrent Platinum Sensitive Epithelial Ovarian Cancer, Peritoneal Primary or Fallopian Tube Cancer
    Description The treatment regimens will be compared with a logrank procedure which includes all of the patients categorized by their randomly assigned treatment. The logrank test will be stratified by the secondary surgical debulking status (randomized to undergo cytoreduction, vs randomized to not undergo secondary cytoreduction vs not a candidate or did not consent to secondary surgical cytoreduction) and the duration of treatment free-interval prior to enrolling onto this study (6-12 months vs > 12 months). The median duration of follow-up is calculated by the reverse Kaplan-Meier method.
    Time Frame The time frame is 82.5 months (median duration of follow-up)

    Outcome Measure Data

    Analysis Population Description
    All patients who were eligible for the surgery analysis (data were combined and analyzed according to randomized surgical assignment, regardless of chemotherapy regimen, as pre-specified in the study protocol)
    Arm/Group Title No Cytoreductive Surgery Cytoreductive Surgery
    Arm/Group Description All patients enrolled in the study who did not receive cytoreductive surgery and included in the surgery analysis All patients enrolled in the study who received secondary cytoreductive surgery and were included in the surgery analysis
    Measure Participants 245 240
    Median (95% Confidence Interval) [Months]
    64.7
    50.6
    2. Primary Outcome
    Title To Determine if the Addition of Bevacizumab Increases the Duration of Overall Survival Relative to Second-line Paclitaxel and Carboplatin Alone in Patients With Recurrent Platinum Sensitive Epithelial Ovarian, Peritoneal Primary or Fallopian Tube Cancer
    Description The treatment regimens will be compared with a logrank procedure which includes all of the patients categorized by their randomly assigned treatment. The logrank test will be stratified by the secondary surgical debulking status (randomized to undergo cytoreduction, vs randomized to not undergo secondary cytoreduction vs not a candidate or did not consent to secondary surgical cytoreduction) and the duration of treatment free-interval prior to enrolling onto this study (6-12 months vs > 12 months). The median duration of follow-up is calculated by the reverse Kaplan-Meier method.
    Time Frame The time frame is 82.5 months (median duration of follow-up).

    Outcome Measure Data

    Analysis Population Description
    All patients who were enrolled between December 10, 2007 and August 26, 2011 and received paclitaxel and carboplatin (with or without bevacizumab) (data were combined and analyzed according to randomized chemotherapy regimen, regardless of surgical assignment, as pre-specified in the study protocol).
    Arm/Group Title Paclitaxel and Carboplatin Chemotherapy Paclitaxel and Carboplatin Chemotherapy With Bevacizumab
    Arm/Group Description All patients who received paclitaxel and carboplatin chemotherapy and were included in the chemotherapy analysis All patients who received paclitaxel and carboplatin chemotherapy with bevacizumab followed by bevacizumab maintenance therapy and were included in the chemotherapy analysis
    Measure Participants 337 337
    Median (95% Confidence Interval) [Months]
    37.3
    42.2
    3. Secondary Outcome
    Title Progression-free Survival (Chemotherapy Analysis)
    Description Progression-free survival was defined as the time from randomization to cancer progression as shown on radiography, according to the RECIST version 1.0 criteria, an increase in the CA125 level according to Gynecologic Cancer InterGroup (GCIG) criteria, global deterioration of health, or death from any cause.
    Time Frame Radiographic assessment of disease was conducted during chemotherapy and then every 6 months during the maintenance / surveillance phase

    Outcome Measure Data

    Analysis Population Description
    All patients who were enrolled and eligible for the chemotherapy analysis (data were combined and analyzed according to randomized chemotherapy regimen, regardless of surgical assignment, as pre-specified in the study protocol).
    Arm/Group Title Paclitaxel and Carboplatin Chemotherapy Paclitaxel and Carboplatin Chemotherapy With Bevacizumab
    Arm/Group Description All patients who received paclitaxel and carboplatin chemotherapy and were included in the chemotherapy analysis All patients who received paclitaxel and carboplatin chemotherapy with bevacizumab followed by bevacizumab maintenance therapy and were included in the chemotherapy analysis
    Measure Participants 337 337
    Median (95% Confidence Interval) [Months]
    10.4
    13.8
    4. Secondary Outcome
    Title Progression Free Survival (Surgery Analysis)
    Description Progression-free survival was defined as the time from randomization to cancer progression as shown on radiography, according to the RECIST version 1.0 criteria, an increase in the CA125 level according to Gynecologic Cancer InterGroup (GCIG) criteria, global deterioration of health, or death from any cause.
    Time Frame Radiographic assessment of disease (in patients with measurable and non-measurable disease) was conducted Every three months for two years and then every 6 months after completion of chemotherapy during the maintenance/surveillance phase.

    Outcome Measure Data

    Analysis Population Description
    All randomized patients who were eligible for the surgery analysis (data were combined and analyzed according to randomized surgical assignment, regardless of chemotherapy regimen, as pre-specified in the study protocol).
    Arm/Group Title No Cytoreductive Surgery Cytoreductive Surgery
    Arm/Group Description All patients enrolled in the study who did not receive cytoreductive surgery and included in the surgery analysis All patients enrolled in the study who received secondary cytoreductive surgery and were included in the surgery analysis
    Measure Participants 245 240
    Median (95% Confidence Interval) [Months]
    16.2
    18.9
    5. Secondary Outcome
    Title Summary of Adverse Events (CTCAE Version 4.0)
    Description Number of treated patients with at least one adverse event reported (assessed by Common Terminology Criteria for Adverse Events (version 4.0))
    Time Frame During treatment period and up to 100 days after stopping the study treatment, a median duration of 82.5 months

    Outcome Measure Data

    Analysis Population Description
    Eligible and treated participants
    Arm/Group Title Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab)) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab))
    Arm/Group Description Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Bevacizumab: Given IV Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Carboplatin: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies
    Measure Participants 316 456 33 165 6 34 5 37
    Count of Participants [Participants]
    304
    96.2%
    376
    82.5%
    29
    87.9%
    77
    46.7%
    3
    50%
    9
    26.5%
    3
    60%
    9
    24.3%
    6. Secondary Outcome
    Title Patient Reported Quality of Life (Chemotherapy Analysis)
    Description Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). The FACT-O TOI score ranges 0-100 with a large score suggests better QOL.
    Time Frame 1. Prior to cycle 1 (baseline), 2. Prior to cycle 3 (6 weeks post cycle 1), 3. Prior to cycle 6 (15 weeks post cycle 1), 4. 6 months post cycle 1, 5. 12 months post cycle 1.

    Outcome Measure Data

    Analysis Population Description
    Provided baseline and at least one follow-up assessment (data were combined and analyzed according to randomized chemotherapy regimen, regardless of surgical assignment, as pre-specified in the study protocol).
    Arm/Group Title Paclitaxel and Carboplatin Chemotherapy Paclitaxel and Carboplatin Chemotherapy With Bevacizumab
    Arm/Group Description All patients who received paclitaxel and carboplatin chemotherapy and were included in the chemotherapy analysis All patients who received paclitaxel and carboplatin chemotherapy with bevacizumab followed by bevacizumab maintenance therapy and were included in the chemotherapy analysis
    Measure Participants 298 302
    Prior to cycle 1 (baseline)
    75.8
    (0.8)
    75.3
    (0.9)
    Prior to cycle 3
    74.2
    (1.0)
    73.4
    (0.9)
    Prior to cycle 6
    73.3
    (1.0)
    72.3
    (1.0)
    6 months post cycle 1
    77.1
    (1.0)
    77.2
    (1.0)
    12 months post cycle 1
    77.0
    (1.1)
    77.8
    (1.0)
    7. Secondary Outcome
    Title Patient Reported Physical Function (Chemotherapy Analysis)
    Description Patient reported physical functioning was measured with physical functioning subscale of the RAND SF-36. The Physical Functioning Subscale consists of 10 items concerning activities of daily living: walking, climbing stairs, bathing, dressing, and performance of physical activities. Each item is rated on a three-point scale of limitation of activity due to the patients' health from 1=limited a lot to 3=not limited. The total PF score is the summation of item scores and then rescaled to 0-100. A larger score suggests better physical functioning.
    Time Frame 1. Prior to cycle 1 (baseline), 2. Prior to cycle 3 (6 weeks post cycle 1), 3. Prior to cycle 6 (15 weeks post cycle 1), 4. 6 months post cycle 1, 5. 12 months post cycle 1.

    Outcome Measure Data

    Analysis Population Description
    Provided baseline and at least one follow-up assessments (data were combined and analyzed according to randomized chemotherapy regimen, regardless of surgical assignment, as pre-specified in the study protocol).
    Arm/Group Title Paclitaxel and Carboplatin Chemotherapy Paclitaxel and Carboplatin Chemotherapy With Bevacizumab
    Arm/Group Description All patients who received paclitaxel and carboplatin chemotherapy and were included in the chemotherapy analysis All patients who received paclitaxel and carboplatin chemotherapy with bevacizumab followed by bevacizumab maintenance therapy and were included in the chemotherapy analysis
    Measure Participants 298 302
    Prior to cycle 1 (baseline)
    71.5
    (1.6)
    69.4
    (1.7)
    Prior to cycle 3
    73.2
    (2.1)
    69.8
    (2.1)
    Prior to cycle 6
    71.5
    (2.2)
    64.6
    (2.2)
    6 months post cycle 1
    71.6
    (2.2)
    70.2
    (2.1)
    12 months post cycle 1
    71.8
    (2.2)
    70.7
    (2.2)
    8. Secondary Outcome
    Title Patient Reported Quality of Life (Surgery Analysis)
    Description Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for ovarian cancer (FACT-O TOI). The FACT-O TOI is a scale for assessing general QOL of ovarian cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Ovarian Cancer subscale (11 items). Each item in the FACT-O TOI was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). The FACT-O TOI score ranges 0-100 with a large score suggests better QOL.
    Time Frame 1. Prior to surgery, 2. 6 weeks post-surgery, 3. 15 weeks post-surgery, 4. 6 months post-surgery, 5. 12 months post-surgery.

    Outcome Measure Data

    Analysis Population Description
    Provided baseline and at least one follow-up assessment (data were combined and analyzed according to randomized surgical assignment, regardless of chemotherapy regimen, as pre-specified in the study protocol).
    Arm/Group Title No Cytoreductive Surgery Cytoreductive Surgery
    Arm/Group Description All patients enrolled in the study who did not receive cytoreductive surgery and included in the surgery analysis All patients enrolled in the study who received secondary cytoreductive surgery and were included in the surgery analysis
    Measure Participants 215 206
    Prior to surgery
    74.5
    (1.0)
    74.2
    (1.0)
    6 weeks post-surgery
    69.3
    (1.3)
    68.4
    (1.3)
    15 weeks post-surgery
    68.7
    (1.3)
    68.8
    (1.3)
    6 months post-surgery
    72.6
    (1.3)
    73.5
    (1.3)
    12 months post-surgery
    74.0
    (1.4)
    75.6
    (1.3)
    9. Secondary Outcome
    Title Patient Reported Physical Functioning (Surgery Analysis)
    Description Patient reported physical functioning was measured with physical functioning subscale of the RAND SF-36. The Physical Functioning subscale consists of 10 items concerning activities of daily living: walking, climbing stairs, bathing, dressing, and performance of physical activities. Each item is rated on a three-point scale of limitation of activity due to the patients' health from 1=limited a lot to 3=not limited. The total PF score is the summation of item scores and then rescaled to 0-100. A larger score suggests better physical functioning. This measure was completed by US patients only.
    Time Frame 1. Prior to surgery (baseline), 2. 6 weeks post-surgery, 3. 15 weeks post-surgery 4. 6 months post-surgery, 5. 12 months post-surgery

    Outcome Measure Data

    Analysis Population Description
    US patients who provided baseline and ≥ 1 follow-up assessments (data were combined and analyzed according to randomized surgical assignment, regardless of chemotherapy regimen, as pre-specified in the study protocol).
    Arm/Group Title No Cytoreductive Surgery Cytoreductive Surgery
    Arm/Group Description All patients enrolled in the study who did not receive cytoreductive surgery and included in the surgery analysis All patients enrolled in the study who received secondary cytoreductive surgery and were included in the surgery analysis
    Measure Participants 104 113
    Prior to surgery (baseline)
    73.4
    (2.3)
    71.7
    (2.3)
    6 weeks post-surgery
    73.2
    (2.1)
    69.8
    (2.1)
    15 weeks post-surgery
    71.5
    (2.2)
    64.6
    (2.2)
    6 months post-surgery
    71.6
    (2.2)
    70.2
    (2.1)
    12 months post-surgery
    71.8
    (2.2)
    70.7
    (2.2)

    Adverse Events

    Time Frame During treatment period and up to 100 days after stopping the study treatment, a median duration of 82.5 months.
    Adverse Event Reporting Description Eligible and treated participants were affected if they experienced grade 1 - 5 adverse event. Adverse events were not collected in a manner that allow them to be attributed to an intervention (i.e. surgery or chemotherapy).
    Arm/Group Title Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)
    Arm/Group Description Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery.
    All Cause Mortality
    Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 253/316 (80.1%) 299/456 (65.6%) 28/33 (84.8%) 56/165 (33.9%) 4/6 (66.7%) 14/34 (41.2%) 4/5 (80%) 21/37 (56.8%)
    Serious Adverse Events
    Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 37/316 (11.7%) 104/456 (22.8%) 1/33 (3%) 24/165 (14.5%) 0/6 (0%) 1/34 (2.9%) 2/5 (40%) 2/37 (5.4%)
    Blood and lymphatic system disorders
    Myelodysplasia 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neutrophils 3/316 (0.9%) 4/456 (0.9%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Platelets 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Blood/Bone Marrow - Other 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Leukocytes 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardiac disorders
    S/N Arrhythmia: Atrial Fibrillation 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardiac Ischemia/Infarction 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypertension 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Lt Ventricular Systolic Dysfunction 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypotension 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardipulmonary Arrest 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Eye disorders
    Blurred Vision 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Gastrointestinal disorders
    Fistula, Gi - Colon/Cecum/Appendix 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Obstruction, Gi - Ileum 2/316 (0.6%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Perforation, Gi - Colon 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Dental: Periodontal 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Fistula, Gi - Small Bowel Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Obstruction, Gi - Colon 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Perforation, Gi - Cecum 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ulcer,gi - Stomach 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ileus 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Obstruction, Gi - Small Bowel Nos 1/316 (0.3%) 6/456 (1.3%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Colitis 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Perforation, Gi - Small Bowel Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vomiting 2/316 (0.6%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dehydration 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Constipation 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Nausea 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Diarrhea 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    General disorders
    Death No Ctcae Term - Disease Progression Nos 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Death No Ctcae Term - Death Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Death No Ctcae Term - Sudden Death 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain - Other 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Chest /Thorax Nos 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Head/Headache 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Back 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Abdominal Pain Nos 0/316 (0%) 5/456 (1.1%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hepatobiliary disorders
    Hepatobiliary/Pancreas - Other 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Immune system disorders
    Allergic Reaction/Hypersensitivity 1/316 (0.3%) 8/456 (1.8%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Infections and infestations
    Inf W/Gr 3 Or 4 Anc: Blood 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Foreign Body 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Soft Tissue Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Blood 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Wound 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Febrile Neutropenia 7/316 (2.2%) 14/456 (3.1%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Urinary Tract Nos 2/316 (0.6%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Abdomen Nos 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Infection - Other 0/316 (0%) 1/456 (0.2%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Bronchus 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Sinus 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Pelvis Nos 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Liver 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Urinary Tract Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Foreign Body 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Catheter-Related 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Foreign Body 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Upper Airway Nos 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Eye Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Kidney 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Catheter-Related 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Metabolism and nutrition disorders
    Cholesterol,serum High 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Alt 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hyponatremia 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hyperglycemia 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypokalemia 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Musculoskeletal and connective tissue disorders
    Musculoskeletal/St: Other 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Muscle Weakness - Right-Sided 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    2nd Mal: Poss. Related To Cancer Rx 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Nervous system disorders
    Syncope 2/316 (0.6%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neurology - Other 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mood Alteration - Depression 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cns Ischemia 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Confusion 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Memory Impairment 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neuropathy-Sensory 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neuropathy-Motor 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Renal and urinary disorders
    Renal Failure 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Reproductive system and breast disorders
    Vaginal Dryness 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Respiratory, thoracic and mediastinal disorders
    Hypoxia 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dyspnea 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Skin and subcutaneous tissue disorders
    Ulceration 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vascular disorders
    Hemorrhage, Gi - Rectum 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Upper Gi Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage/Pulmonary - Nose 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Stomach 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Cns 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vascular - Other 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Thrombosis/Thrombus/Embolism 4/316 (1.3%) 6/456 (1.3%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Other (Not Including Serious) Adverse Events
    Arm I (no Surgery; Carboplatin and Paclitaxel) Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm III (Surgery; Carboplatin and Paclitaxel) Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) Arm V (no Surgery; Carboplatin and Gemcitabine) Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab) Arm VII (Surgery; Carboplatin and Gemcitabine) Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 304/316 (96.2%) 376/456 (82.5%) 29/33 (87.9%) 77/165 (46.7%) 3/6 (50%) 9/34 (26.5%) 3/5 (60%) 9/37 (24.3%)
    Blood and lymphatic system disorders
    Neutrophils 282/316 (89.2%) 363/456 (79.6%) 28/33 (84.8%) 72/165 (43.6%) 3/6 (50%) 7/34 (20.6%) 3/5 (60%) 8/37 (21.6%)
    Platelets 173/316 (54.7%) 264/456 (57.9%) 22/33 (66.7%) 52/165 (31.5%) 3/6 (50%) 7/34 (20.6%) 3/5 (60%) 8/37 (21.6%)
    Blood/Bone Marrow - Other 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Leukocytes 276/316 (87.3%) 350/456 (76.8%) 28/33 (84.8%) 67/165 (40.6%) 3/6 (50%) 9/34 (26.5%) 3/5 (60%) 9/37 (24.3%)
    Lymphopenia 21/316 (6.6%) 31/456 (6.8%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemoglobin 279/316 (88.3%) 316/456 (69.3%) 29/33 (87.9%) 67/165 (40.6%) 3/6 (50%) 9/34 (26.5%) 3/5 (60%) 9/37 (24.3%)
    Lymphedema-Related Fibrosis 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Lymphatics - Other 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Edema: Trunk/Genital 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Edema: Limb 40/316 (12.7%) 44/456 (9.6%) 3/33 (9.1%) 8/165 (4.8%) 1/6 (16.7%) 1/34 (2.9%) 0/5 (0%) 3/37 (8.1%)
    Edema: Head And Neck 1/316 (0.3%) 8/456 (1.8%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardiac disorders
    Prolonged Qtc Interval 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    S/N Arrhythmia: Atrial Fibrillation 2/316 (0.6%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Palpitations 12/316 (3.8%) 19/456 (4.2%) 1/33 (3%) 4/165 (2.4%) 1/6 (16.7%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Cardiac Arrhythmia - Other 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ventricular Arrhythmia - Tachycardia 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    S/N Arrhythmia: Sinus Tachycardia 5/316 (1.6%) 15/456 (3.3%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Supraventricular Tachycardia 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    S/N Arrhythmia: Sinus Bradycardia 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ventricular Arrhythmia - Pvcs 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ventricular Arrhythmia - Fibrillation 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardiac Ischemia/Infarction 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypertension 10/316 (3.2%) 147/456 (32.2%) 0/33 (0%) 22/165 (13.3%) 0/6 (0%) 1/34 (2.9%) 1/5 (20%) 5/37 (13.5%)
    Restrictive Cardiomyopathy 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Left Venticular Diastolic Dysfunction 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardiac General - Other 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardiac Troponin I (Ctni) 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypotension 3/316 (0.9%) 12/456 (2.6%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cardipulmonary Arrest 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ear and labyrinth disorders
    Otitis Middle Ear 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Auditory/Ear - Other 1/316 (0.3%) 3/456 (0.7%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hearing (Without Monitoring Program) 5/316 (1.6%) 12/456 (2.6%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Tinnitus 15/316 (4.7%) 23/456 (5%) 1/33 (3%) 2/165 (1.2%) 1/6 (16.7%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Hearing (Monitoring Program) 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Endocrine disorders
    Hot Flashes 27/316 (8.5%) 45/456 (9.9%) 5/33 (15.2%) 8/165 (4.8%) 0/6 (0%) 2/34 (5.9%) 0/5 (0%) 1/37 (2.7%)
    Diabetes 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Adh Secrection Abnormality 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypoparathyroidism 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Adrenal Insufficiency 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hyperthyroidism 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Endocrine - Other 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypothyroidism 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Eye disorders
    Ocular/Visual - Other 6/316 (1.9%) 11/456 (2.4%) 1/33 (3%) 2/165 (1.2%) 1/6 (16.7%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Scleral Necrosis 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Watery Eye 7/316 (2.2%) 7/456 (1.5%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dry Eye 1/316 (0.3%) 5/456 (1.1%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ocular Surface Disease 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cataract 0/316 (0%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Photophobia 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Flashing Lights/Floaters 6/316 (1.9%) 19/456 (4.2%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Diplopia 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Blurred Vision 36/316 (11.4%) 55/456 (12.1%) 2/33 (6.1%) 4/165 (2.4%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 1/37 (2.7%)
    Eyelid Dysfunction 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Gastrointestinal disorders
    Proctitis 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Salivary Gland Changes 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Flatulence 5/316 (1.6%) 11/456 (2.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Ulcer,gi - Esophagus 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Perforation, Gi - Colon 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dental: Periodontal 0/316 (0%) 10/456 (2.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Fistula, Gi - Small Bowel Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Fistula, Gi - Rectum 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Gastritis 4/316 (1.3%) 5/456 (1.1%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Esophagitis 2/316 (0.6%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Perforation, Gi - Cecum 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Hemorrhoids 1/316 (0.3%) 22/456 (4.8%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Heartburn 28/316 (8.9%) 51/456 (11.2%) 3/33 (9.1%) 8/165 (4.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mucositis (Functional/Sympt) - Esophagus 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ulcer,gi - Stomach 0/316 (0%) 5/456 (1.1%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dental: Teeth 0/316 (0%) 7/456 (1.5%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mucositis (Functional/Sympt) - Trachea 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ascites 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Leak, Gi - Rectum 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ileus 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Dysphagia 6/316 (1.9%) 20/456 (4.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Distention 18/316 (5.7%) 27/456 (5.9%) 3/33 (9.1%) 6/165 (3.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Taste Alteration 36/316 (11.4%) 46/456 (10.1%) 3/33 (9.1%) 10/165 (6.1%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Incontinence, Anal 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dry Mouth 6/316 (1.9%) 17/456 (3.7%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Mucositis (Functional/Sympt) - Stomach 2/316 (0.6%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mucositis (Functional/Sympt) - Rectum 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mucositis (Functional/Sympt) - Oral Cavity 32/316 (10.1%) 69/456 (15.1%) 2/33 (6.1%) 8/165 (4.8%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Obstruction, Gi - Small Bowel Nos 3/316 (0.9%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Fistula, Gi - Oral Cavity 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Colitis 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Perforation, Gi - Small Bowel Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mucositis (Clinical Exam) - Oral Cavity 23/316 (7.3%) 67/456 (14.7%) 0/33 (0%) 14/165 (8.5%) 0/6 (0%) 4/34 (11.8%) 1/5 (20%) 0/37 (0%)
    Mucositis (Clinical Exam) - Larynx 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vomiting 75/316 (23.7%) 125/456 (27.4%) 7/33 (21.2%) 16/165 (9.7%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 4/37 (10.8%)
    Anorexia 78/316 (24.7%) 129/456 (28.3%) 10/33 (30.3%) 19/165 (11.5%) 0/6 (0%) 3/34 (8.8%) 1/5 (20%) 1/37 (2.7%)
    Dehydration 12/316 (3.8%) 20/456 (4.4%) 1/33 (3%) 5/165 (3%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 1/37 (2.7%)
    Constipation 167/316 (52.8%) 193/456 (42.3%) 20/33 (60.6%) 39/165 (23.6%) 2/6 (33.3%) 2/34 (5.9%) 1/5 (20%) 3/37 (8.1%)
    Stricture, Gi - Stomach 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Nausea 182/316 (57.6%) 223/456 (48.9%) 19/33 (57.6%) 42/165 (25.5%) 1/6 (16.7%) 3/34 (8.8%) 1/5 (20%) 6/37 (16.2%)
    Gastrointestinal - Other 3/316 (0.9%) 10/456 (2.2%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Diarrhea 98/316 (31%) 148/456 (32.5%) 11/33 (33.3%) 30/165 (18.2%) 0/6 (0%) 3/34 (8.8%) 0/5 (0%) 4/37 (10.8%)
    Ulcer,gi - Small Bowel Nos 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mucositis (Clinical Exam) - Pharynx 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    General disorders
    Constitutional Symptoms - Other 0/316 (0%) 5/456 (1.1%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Sweating 10/316 (3.2%) 8/456 (1.8%) 2/33 (6.1%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Weight Gain 18/316 (5.7%) 27/456 (5.9%) 1/33 (3%) 6/165 (3.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Fever 31/316 (9.8%) 45/456 (9.9%) 1/33 (3%) 13/165 (7.9%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Weight Loss 12/316 (3.8%) 54/456 (11.8%) 1/33 (3%) 6/165 (3.6%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Rigors/Chills 7/316 (2.2%) 14/456 (3.1%) 1/33 (3%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Fatigue 245/316 (77.5%) 297/456 (65.1%) 25/33 (75.8%) 48/165 (29.1%) 2/6 (33.3%) 5/34 (14.7%) 3/5 (60%) 5/37 (13.5%)
    Insomnia 47/316 (14.9%) 67/456 (14.7%) 4/33 (12.1%) 13/165 (7.9%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 3/37 (8.1%)
    Pain - Other 6/316 (1.9%) 22/456 (4.8%) 2/33 (6.1%) 3/165 (1.8%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Urethra 3/316 (0.9%) 3/456 (0.7%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Perineum 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Pelvis 10/316 (3.2%) 11/456 (2.4%) 2/33 (6.1%) 4/165 (2.4%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Breast 4/316 (1.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Vagina 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Chest /Thorax Nos 6/316 (1.9%) 23/456 (5%) 1/33 (3%) 5/165 (3%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Pain: Chest Wall 10/316 (3.2%) 17/456 (3.7%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Throat/Pharynx/Larynx 9/316 (2.8%) 31/456 (6.8%) 1/33 (3%) 4/165 (2.4%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 1/37 (2.7%)
    Pain: Pleura 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Larynx 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Eye 0/316 (0%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Head/Headache 59/316 (18.7%) 142/456 (31.1%) 7/33 (21.2%) 19/165 (11.5%) 2/6 (33.3%) 4/34 (11.8%) 1/5 (20%) 2/37 (5.4%)
    Pain: Neck 1/316 (0.3%) 33/456 (7.2%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Pain: Extremity-Limb 41/316 (13%) 97/456 (21.3%) 7/33 (21.2%) 13/165 (7.9%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 1/37 (2.7%)
    Pain: Buttock 1/316 (0.3%) 5/456 (1.1%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Back 35/316 (11.1%) 65/456 (14.3%) 3/33 (9.1%) 13/165 (7.9%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 2/37 (5.4%)
    Pain: Joint 99/316 (31.3%) 166/456 (36.4%) 4/33 (12.1%) 28/165 (17%) 1/6 (16.7%) 2/34 (5.9%) 0/5 (0%) 3/37 (8.1%)
    Pain: Bone 19/316 (6%) 33/456 (7.2%) 3/33 (9.1%) 8/165 (4.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Kidney 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Bladder 1/316 (0.3%) 4/456 (0.9%) 2/33 (6.1%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Pain Nos 4/316 (1.3%) 8/456 (1.8%) 0/33 (0%) 7/165 (4.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Stomach 3/316 (0.9%) 9/456 (2%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Rectum 1/316 (0.3%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Oral Cavity 2/316 (0.6%) 13/456 (2.9%) 1/33 (3%) 4/165 (2.4%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Esophagus 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Dental/Teeth/Peridontal 0/316 (0%) 9/456 (2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 2/37 (5.4%)
    Pain: Abdominal Pain Nos 84/316 (26.6%) 127/456 (27.9%) 16/33 (48.5%) 36/165 (21.8%) 2/6 (33.3%) 2/34 (5.9%) 1/5 (20%) 4/37 (10.8%)
    Pain: Scalp 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Oral - Gums 0/316 (0%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Skin 0/316 (0%) 2/456 (0.4%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Lip 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Middle Ear 5/316 (1.6%) 8/456 (1.8%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Pain: External Ear 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Cardiac/ Heart 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Pain: Face 0/316 (0%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Tumor 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Muscle 55/316 (17.4%) 107/456 (23.5%) 4/33 (12.1%) 23/165 (13.9%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Pain: Anus 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Neuralgia 0/316 (0%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pain: Sinus 0/316 (0%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Cytokine Release Syndrome 4/316 (1.3%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Flu-Like Syndrome 1/316 (0.3%) 17/456 (3.7%) 0/33 (0%) 4/165 (2.4%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hepatobiliary disorders
    Hepatobiliary/Pancreas - Other 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cholecystitis 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Liver Dysfunction 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Immune system disorders
    Allergy/Immunology - Other 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Allergic Reaction/Hypersensitivity 76/316 (24.1%) 86/456 (18.9%) 6/33 (18.2%) 16/165 (9.7%) 1/6 (16.7%) 0/34 (0%) 1/5 (20%) 3/37 (8.1%)
    Vasculitis 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Rhinitis 13/316 (4.1%) 62/456 (13.6%) 1/33 (3%) 8/165 (4.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Autoimmune Reaction 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Infections and infestations
    Inf W/Gr 3 Or 4 Anc: Blood 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Skin (Cellulitis) 2/316 (0.6%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Middle Ear 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Vulva 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Upper Airway Nos 10/316 (3.2%) 20/456 (4.4%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Nose 2/316 (0.6%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Lung(Pneumonia) 4/316 (1.3%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Larynx 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Eye Nos 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Meninges 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Brain 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Soft Tissue Nos 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Joint 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Blood 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Wound 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Oral Cavity-Gums 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Otitis Media Nos 2/316 (0.6%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Skin(Cellulitis) 6/316 (1.9%) 7/456 (1.5%) 1/33 (3%) 1/165 (0.6%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Catheter-Related 0/316 (0%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Febrile Neutropenia 2/316 (0.6%) 9/456 (2%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Lip/Perioral 0/316 (0%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Lung (Pneumonia) 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Nose 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Sinus 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Dental-Tooth 0/316 (0%) 7/456 (1.5%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Colon 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Urinary Tract Nos 19/316 (6%) 25/456 (5.5%) 3/33 (9.1%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Ungual (Nails) 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Stomach 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Infection - Other 7/316 (2.2%) 14/456 (3.1%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Bladder (Urinary) 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Opportunisitic Inf Assoc. W/Gr 2 Lymphopenia 2/316 (0.6%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Colitis, Infectious (Eg.C. Difficile) 1/316 (0.3%) 4/456 (0.9%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Oral Cavity-Gums 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Conjunctiva 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Bronchus 5/316 (1.6%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Appendix 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Inf Unknown Anc: Upper Airway Nos 0/316 (0%) 7/456 (1.5%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Pharynx 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Vagina 0/316 (0%) 10/456 (2.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Sinus 5/316 (1.6%) 20/456 (4.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Pharynx 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Bronchus 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Eye Nos 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Soft Tissue Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Urinary Tract Nos 6/316 (1.9%) 10/456 (2.2%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Bladder (Urinary) 2/316 (0.6%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Catheter-Related 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Inf Unknown Anc: Oral Cavity-Gums 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Foreign Body 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Dental-Tooth 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Abdomen Nos 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Skin (Cellulitis) 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Inf Unknown Anc: Middle Ear 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Vulva 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Inf W/Gr 3 Or 4 Anc: Vagina 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Upper Airway Nos 4/316 (1.3%) 6/456 (1.3%) 0/33 (0%) 4/165 (2.4%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Anal/Perianal 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Sinus 1/316 (0.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Pharynx 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Nose 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Lung (Pneumonia) 2/316 (0.6%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Bronchus 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Joint 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: Bladder 3/316 (0.9%) 8/456 (1.8%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Gr 3 Or 4 Anc: Urinary Tract Nos 6/316 (1.9%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Inf W/Nml Or Gr 1 Or 2 Anc: External Ear 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Metabolism and nutrition disorders
    Ast 30/316 (9.5%) 62/456 (13.6%) 2/33 (6.1%) 6/165 (3.6%) 0/6 (0%) 2/34 (5.9%) 1/5 (20%) 3/37 (8.1%)
    Gfr 2/316 (0.6%) 7/456 (1.5%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Metabolic/Laboratory - Other 10/316 (3.2%) 14/456 (3.1%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cholesterol,serum High 2/316 (0.6%) 17/456 (3.7%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Proteinuria 3/316 (0.9%) 70/456 (15.4%) 0/33 (0%) 17/165 (10.3%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Creatinine 17/316 (5.4%) 52/456 (11.4%) 1/33 (3%) 5/165 (3%) 0/6 (0%) 2/34 (5.9%) 2/5 (40%) 1/37 (2.7%)
    Hypoalbuminemia 20/316 (6.3%) 43/456 (9.4%) 1/33 (3%) 4/165 (2.4%) 0/6 (0%) 3/34 (8.8%) 1/5 (20%) 0/37 (0%)
    Ggt 2/316 (0.6%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Alt 27/316 (8.5%) 41/456 (9%) 1/33 (3%) 5/165 (3%) 0/6 (0%) 0/34 (0%) 2/5 (40%) 3/37 (8.1%)
    Alkaline Phosphatase 22/316 (7%) 35/456 (7.7%) 2/33 (6.1%) 1/165 (0.6%) 0/6 (0%) 1/34 (2.9%) 1/5 (20%) 3/37 (8.1%)
    Bilirubin 3/316 (0.9%) 12/456 (2.6%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Lipase 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypermagnesemia 1/316 (0.3%) 13/456 (2.9%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypophosphatemia 13/316 (4.1%) 22/456 (4.8%) 3/33 (9.1%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hyponatremia 19/316 (6%) 60/456 (13.2%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 1/34 (2.9%) 1/5 (20%) 2/37 (5.4%)
    Hyperuricemia 0/316 (0%) 5/456 (1.1%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypertriglyceridemia 3/316 (0.9%) 11/456 (2.4%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Cpk 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Bicarbonate, Serum-Low 3/316 (0.9%) 7/456 (1.5%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Amylase 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypernatremia 5/316 (1.6%) 5/456 (1.1%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 1/37 (2.7%)
    Hypocalcemia 16/316 (5.1%) 48/456 (10.5%) 1/33 (3%) 6/165 (3.6%) 0/6 (0%) 2/34 (5.9%) 1/5 (20%) 1/37 (2.7%)
    Hyperkalemia 10/316 (3.2%) 26/456 (5.7%) 0/33 (0%) 8/165 (4.8%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 1/37 (2.7%)
    Hyperglycemia 74/316 (23.4%) 111/456 (24.3%) 5/33 (15.2%) 10/165 (6.1%) 1/6 (16.7%) 3/34 (8.8%) 2/5 (40%) 2/37 (5.4%)
    Hypokalemia 33/316 (10.4%) 48/456 (10.5%) 3/33 (9.1%) 7/165 (4.2%) 0/6 (0%) 2/34 (5.9%) 1/5 (20%) 1/37 (2.7%)
    Hypoglycemia 7/316 (2.2%) 21/456 (4.6%) 1/33 (3%) 3/165 (1.8%) 0/6 (0%) 2/34 (5.9%) 1/5 (20%) 0/37 (0%)
    Hypercalcemia 6/316 (1.9%) 20/456 (4.4%) 0/33 (0%) 5/165 (3%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hypomagnesemia 51/316 (16.1%) 104/456 (22.8%) 8/33 (24.2%) 13/165 (7.9%) 0/6 (0%) 1/34 (2.9%) 1/5 (20%) 1/37 (2.7%)
    Musculoskeletal and connective tissue disorders
    Musculoskeletal/St: Other 1/316 (0.3%) 11/456 (2.4%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 2/34 (5.9%) 0/5 (0%) 0/37 (0%)
    Soft Tissue Necrosis - Abdomen 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Osteoporosis 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Joint-Function 2/316 (0.6%) 4/456 (0.9%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Joint Effusion 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Fracture 1/316 (0.3%) 2/456 (0.4%) 1/33 (3%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Extremity-Upper (Function) 0/316 (0%) 0/456 (0%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Gait/Walking 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cervical Spine Rom 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Arthritis 3/316 (0.9%) 20/456 (4.4%) 1/33 (3%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Muscle Weakness - Whole Body/Generalized 15/316 (4.7%) 32/456 (7%) 4/33 (12.1%) 6/165 (3.6%) 0/6 (0%) 2/34 (5.9%) 0/5 (0%) 1/37 (2.7%)
    Muscle Weakness - Right-Sided 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Muscle Weakness - Left-Sided 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Muscle Weakness - Extremity-Upper 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Muscle Weakness - Extremity-Lower 8/316 (2.5%) 15/456 (3.3%) 4/33 (12.1%) 2/165 (1.2%) 0/6 (0%) 2/34 (5.9%) 0/5 (0%) 0/37 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    2nd Mal: Poss. Related To Cancer Rx 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Nervous system disorders
    Syncope 3/316 (0.9%) 8/456 (1.8%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Involuntary Movement 5/316 (1.6%) 2/456 (0.4%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neurology - Other 1/316 (0.3%) 5/456 (1.1%) 0/33 (0%) 0/165 (0%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mental Status 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Encephalopathy 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Mood Alteration - Depression 42/316 (13.3%) 51/456 (11.2%) 5/33 (15.2%) 12/165 (7.3%) 1/6 (16.7%) 1/34 (2.9%) 0/5 (0%) 1/37 (2.7%)
    Mood Alteration - Anxiety 39/316 (12.3%) 57/456 (12.5%) 3/33 (9.1%) 13/165 (7.9%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Mood Alteration - Agitation 4/316 (1.3%) 1/456 (0.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Tremor 4/316 (1.3%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Speech Impairment 0/316 (0%) 5/456 (1.1%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Seizure 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Irritability 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Somnolence 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cognitive Disturbance 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cns Ischemia 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ataxia 2/316 (0.6%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Confusion 1/316 (0.3%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Memory Impairment 7/316 (2.2%) 16/456 (3.5%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dizziness 24/316 (7.6%) 51/456 (11.2%) 4/33 (12.1%) 8/165 (4.8%) 1/6 (16.7%) 2/34 (5.9%) 0/5 (0%) 0/37 (0%)
    Neuropathy,cranial - Cn Xii Motor-Tongue 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Neuropathy,cranial - Cn Viii Hearing/Balance 2/316 (0.6%) 1/456 (0.2%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neuropathy,cranial - Cn Vii Motor-Face 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neuropathy,cranial - Cn Iii Pupil 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neuropathy,cranial - Cn I Smell 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Neuropathy-Sensory 237/316 (75%) 272/456 (59.6%) 18/33 (54.5%) 55/165 (33.3%) 3/6 (50%) 4/34 (11.8%) 1/5 (20%) 5/37 (13.5%)
    Neuropathy-Motor 15/316 (4.7%) 14/456 (3.1%) 2/33 (6.1%) 5/165 (3%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Renal and urinary disorders
    Renal/Genitourinary - Other 2/316 (0.6%) 10/456 (2.2%) 1/33 (3%) 0/165 (0%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cystitis 0/316 (0%) 10/456 (2.2%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Urinary Color Change 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Urinary Retention 2/316 (0.6%) 6/456 (1.3%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Obstruction, Gu - Urethra 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Obstruction, Gu - Ureter 3/316 (0.9%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Incontinence, Urinary 16/316 (5.1%) 20/456 (4.4%) 1/33 (3%) 3/165 (1.8%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Bladder Spasm 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Renal Failure 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 0/37 (0%)
    Urinary Frequency 25/316 (7.9%) 35/456 (7.7%) 3/33 (9.1%) 4/165 (2.4%) 1/6 (16.7%) 1/34 (2.9%) 1/5 (20%) 0/37 (0%)
    Reproductive system and breast disorders
    Libido 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Vaginal Dryness 4/316 (1.3%) 7/456 (1.5%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Sexual/Reproductive Function: Other 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vaginitis 2/316 (0.6%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vaginal Discharge 4/316 (1.3%) 10/456 (2.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Respiratory, thoracic and mediastinal disorders
    Pulmonary: Other 3/316 (0.9%) 10/456 (2.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Airway Obstruction - Larynx 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Airway Obstruction - Bronchus 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Nasal/Paranasal Reactions 8/316 (2.5%) 50/456 (11%) 1/33 (3%) 7/165 (4.2%) 1/6 (16.7%) 1/34 (2.9%) 0/5 (0%) 2/37 (5.4%)
    Edema, Larynx 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Bronchospasm 3/316 (0.9%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Aspiration 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Voice Changes 6/316 (1.9%) 55/456 (12.1%) 0/33 (0%) 8/165 (4.8%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Cough 53/316 (16.8%) 110/456 (24.1%) 5/33 (15.2%) 14/165 (8.5%) 1/6 (16.7%) 2/34 (5.9%) 0/5 (0%) 1/37 (2.7%)
    Pneumonitis 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pleural Effusion 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dyspnea 80/316 (25.3%) 110/456 (24.1%) 4/33 (12.1%) 15/165 (9.1%) 2/6 (33.3%) 1/34 (2.9%) 1/5 (20%) 2/37 (5.4%)
    Skin and subcutaneous tissue disorders
    Nail Changes 9/316 (2.8%) 39/456 (8.6%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Injection Site Reaction 3/316 (0.9%) 9/456 (2%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hair Loss/Alopecia (Scalp Or Body) 245/316 (77.5%) 289/456 (63.4%) 21/33 (63.6%) 47/165 (28.5%) 2/6 (33.3%) 3/34 (8.8%) 1/5 (20%) 2/37 (5.4%)
    Erythema Multiforme 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Cheilitis 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Wound Complication, Non-Infectious 0/316 (0%) 8/456 (1.8%) 2/33 (6.1%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 1/5 (20%) 1/37 (2.7%)
    Bruising 11/316 (3.5%) 15/456 (3.3%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Acne 2/316 (0.6%) 9/456 (2%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Rash 49/316 (15.5%) 87/456 (19.1%) 4/33 (12.1%) 10/165 (6.1%) 0/6 (0%) 3/34 (8.8%) 1/5 (20%) 2/37 (5.4%)
    Dry Skin 5/316 (1.6%) 25/456 (5.5%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 1/37 (2.7%)
    Decubitus 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Telangiectasia 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Pruritus 25/316 (7.9%) 46/456 (10.1%) 2/33 (6.1%) 10/165 (6.1%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Burn 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Urticaria 5/316 (1.6%) 23/456 (5%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Flushing 11/316 (3.5%) 21/456 (4.6%) 1/33 (3%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hand-Foot 2/316 (0.6%) 5/456 (1.1%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dermatology/Skin - Other 10/316 (3.2%) 23/456 (5%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hyperpigmentation 1/316 (0.3%) 10/456 (2.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ulceration 1/316 (0.3%) 9/456 (2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 1/37 (2.7%)
    Vascular disorders
    Inr 1/316 (0.3%) 9/456 (2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Dic 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Thrombotic Microangiopathy 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Ptt 1/316 (0.3%) 7/456 (1.5%) 1/33 (3%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gu - Urinary Nos 0/316 (0%) 5/456 (1.1%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gu - Vagina 8/316 (2.5%) 9/456 (2%) 1/33 (3%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gu - Urethra 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage/Pulmonary - Lung 1/316 (0.3%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Rectum 6/316 (1.9%) 19/456 (4.2%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage/Pulmonary - Respiratory Tract Nos 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Stoma 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Varices (Rectal) 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage/Pulmonary - Nose 8/316 (2.5%) 116/456 (25.4%) 0/33 (0%) 13/165 (7.9%) 0/6 (0%) 3/34 (8.8%) 0/5 (0%) 0/37 (0%)
    Hematoma 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Anus 0/316 (0%) 6/456 (1.3%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gu - Ureter 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Lower Gi Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Oral Cavity 2/316 (0.6%) 17/456 (3.7%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gu - Bladder 1/316 (0.3%) 2/456 (0.4%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Stomach 1/316 (0.3%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage, Gi - Colon 0/316 (0%) 3/456 (0.7%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Petechiae 0/316 (0%) 4/456 (0.9%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Hemorrhage/Bleeding - Other 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 3/165 (1.8%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Vascular - Other 0/316 (0%) 2/456 (0.4%) 0/33 (0%) 1/165 (0.6%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Visceral Arterial Ischemia 0/316 (0%) 0/456 (0%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Vein Injury - Extremity-Lower 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Artery Injury - Other Nos 0/316 (0%) 1/456 (0.2%) 0/33 (0%) 0/165 (0%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Thrombosis/Embolism (Vascular Access-Related) 1/316 (0.3%) 3/456 (0.7%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 1/34 (2.9%) 0/5 (0%) 0/37 (0%)
    Thrombosis/Thrombus/Embolism 0/316 (0%) 11/456 (2.4%) 0/33 (0%) 2/165 (1.2%) 0/6 (0%) 0/34 (0%) 0/5 (0%) 0/37 (0%)
    Phlebitis 1/316 (0.3%) 5/456 (1.1%) 0/33 (0%) 1/165 (0.6%) 1/6 (16.7%) 0/34 (0%) 0/5 (0%) 0/37 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    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.

    Results Point of Contact

    Name/Title Christopher Purdy on behalf of Austin Miller PhD
    Organization NRG Oncology
    Phone (716) 845-1300 ext 2296
    Email purdyc@nrgoncology.org
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT00565851
    Other Study ID Numbers:
    • NCI-2009-00587
    • NCI-2009-00587
    • 09-0205
    • GOG-0213
    • CDR0000546714
    • GOG-0213
    • GOG-0213
    • U10CA180868
    • U10CA027469
    First Posted:
    Nov 30, 2007
    Last Update Posted:
    Aug 9, 2022
    Last Verified:
    Jul 1, 2022