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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00866697
Other study ID # 110655
Secondary ID 2008-004672-50CP
Status Completed
Phase Phase 3
First received
Last updated
Start date May 26, 2009
Est. completion date August 24, 2017

Study information

Verified date January 2021
Source Novartis
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This was a study to determine whether therapy with pazopanib was effective and safe in women with epithelial ovarian, fallopian tube, or primary peritoneal cancer whose cancer had not progressed on first line chemotherapy.


Description:

This was a randomized, two-arm, placebo controlled, double-blind, multicenter, intergroup Phase III study in women with non-bulky FIGO (International Federation of Gynecology and Obstetrics) Stage II - IV ovarian, fallopian tube, or primary peritoneal cancer that had not progressed (i.e., complete response (CR), partial response (PR), stable disease (SD) after completing their first-line chemotherapy for advanced ovarian cancer. Approximately 900 subjects were to be enrolled into the study. Study was closed following 3rd overall survival (OS) interim analysis as planned per protocol, which confirmed futility.


Recruitment information / eligibility

Status Completed
Enrollment 940
Est. completion date August 24, 2017
Est. primary completion date July 8, 2012
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - written informed consent - At least 18 years old. - Histologically confirmed, FIGO stage II-IV epithelial ovarian, fallopian tube or primary peritoneal carcinoma that was treated with surgical debulking and at least five cycles of platinum-taxane doublet chemotherapy. - Study randomization at least 3 weeks and not more than 12 weeks from the date of the last chemotherapy dose, and all major toxicities from the previous chemotherapy must have resolved. - No evidence of disease progression - ECOG status of 0 or 2 - Able to swallow and retain oral medication. - Adequate hematologic, hepatic, and renal system function as follows: Hematologic - Absolute neutrophil count (ANC) at least 1.5 X 10^9/L - Hemoglobin at least 9 g/dL (or 5.59 mmol/L) - Platelets at least 100 X 10^9/L - Prothrombin time (PT) or international normalized ratio (INR) up to 1.2 X ULN - Activated partial thromboplastin time (aPTT) up to 1.2 X ULN Hepatic - Total bilirubin up to 1.5 X ULN - AST and ALT up to 2.5 X ULN Renal - Serum creatinine up to 1.5 mg/dL Or, if greater than 1.5 mg/dL: Calculated creatinine clearance at least 50 mL/min Urine Protein - Urine protein is 0, trace, or +1 determined by dipstick urinalysis, or < 1.0 gram determined by 24- hour urine protein analysis. - Non-childbearing potential (i.e., physiologically incapable of becoming pregnant) OR childbearing potential, and agrees to use adequate contraception. Exclusion Criteria: - Either (a) bulky disease, or (b) any residual disease which in the opinion of the investigator will need imminent second-line therapy - Synchronous primary endometrial carcinoma, or a past history of primary endometrial carcinoma, are excluded unless certain conditions are met. - Clinically significant gastrointestinal abnormalities - Prolongation of corrected QT interval (QTc) > 480 msecs - History of any one or more cardiovascular conditions within the past 6 months prior to randomization - Cardiac angioplasty or stenting - Myocardial infarction - Unstable angina - Symptomatic peripheral vascular disease - Class III or IV congestive heart failure - Poorly controlled hypertension - History of cerebrovascular accident (including transient ischemic attacks), pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months prior to randomization - Major surgery (including interval debulking) or trauma within 28 days, or minor surgical procedures within 7 days, prior to randomization, or has any non-healing wound, fracture, or ulcer. - Evidence of active bleeding or bleeding diathesis. - Hemoptysis within 6 weeks prior to randomization. - Endobronchial metastases. - Serious and/or unstable pre-existing medical (e.g., uncontrolled infection), psychiatric, or other condition that could interfere with subject's safety, provision of informed consent, or compliance to study procedures. - Investigational or anti-VEGF anticancer therapy prior to study randomization. - Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib - Invasive malignancies that showed activity of disease within 5 years prior to randomization

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Pazopanib
Pazopanib 800 mg tablet daily for 104 weeks (24 months)
Placebo
Matching placebo 800 mg tablet daily, for 104 weeks (24 months).

Locations

Country Name City State
Australia Novartis Investigative Site Adelaide South Australia
Australia Novartis Investigative Site Camperdown New South Wales
Australia Novartis Investigative Site Herston Queensland
Australia Novartis Investigative Site Hobart Tasmania
Australia Novartis Investigative Site Liverpool New South Wales
Australia Novartis Investigative Site Malvern Victoria
Australia Novartis Investigative Site Melbourne
Australia Novartis Investigative Site Nedlands Western Australia
Australia Novartis Investigative Site Parkville Victoria
Australia Novartis Investigative Site Randwick New South Wales
Australia Novartis Investigative Site South Brisbane Queensland
Australia Novartis Investigative Site Waratah New South Wales
Australia Novartis Investigative Site Wodonga Victoria
Austria Novartis Investigative Site Graz
Austria Novartis Investigative Site Graz
Austria Novartis Investigative Site Innsbruck
Austria Novartis Investigative Site Klagenfurt Am Woerthersee
Austria Novartis Investigative Site Korneuburg
Austria Novartis Investigative Site Krems
Austria Novartis Investigative Site Leoben
Austria Novartis Investigative Site Linz
Austria Novartis Investigative Site Linz
Austria Novartis Investigative Site Oberpullendorf
Austria Novartis Investigative Site Wien
Austria Novartis Investigative Site Wien
Austria Novartis Investigative Site Wien
Belgium Novartis Investigative Site Bonheiden
Belgium Novartis Investigative Site Duffel
Belgium Novartis Investigative Site Gent
Belgium Novartis Investigative Site Kortrijk
Belgium Novartis Investigative Site Leuven
Belgium Novartis Investigative Site Libramont
Belgium Novartis Investigative Site Liege
Belgium Novartis Investigative Site Namur
Belgium Novartis Investigative Site Oostende
China Novartis Investigative Site Beijing
China Novartis Investigative Site Beijing
China Novartis Investigative Site Beijing
China Novartis Investigative Site Beijing
China Novartis Investigative Site Guangzhou Guangdong
China Novartis Investigative Site Hangzhou Zhejiang
China Novartis Investigative Site Hangzhou Zhejiang
China Novartis Investigative Site Jinan Shandong
China Novartis Investigative Site Nanjing Jiangsu
China Novartis Investigative Site Shanghai
China Novartis Investigative Site Shanghai
China Novartis Investigative Site Shenyang Liaoning
China Novartis Investigative Site Tianjin
Denmark Novartis Investigative Site Aalborg
Denmark Novartis Investigative Site Herlev
Denmark Novartis Investigative Site Herning
Denmark Novartis Investigative Site Koebenhavn Oe
France Novartis Investigative Site ANGERS Cedex 2
France Novartis Investigative Site Avignon cedex
France Novartis Investigative Site Besancon Cedex
France Novartis Investigative Site Bordeaux
France Novartis Investigative Site Bordeaux
France Novartis Investigative Site Bordeaux
France Novartis Investigative Site Bourg en Bresse Cedex
France Novartis Investigative Site Brest Cedex
France Novartis Investigative Site Brive La Gaillarde
France Novartis Investigative Site Caen Cedex 05
France Novartis Investigative Site Clermont-Ferrand cedex
France Novartis Investigative Site Colmar Cedex
France Novartis Investigative Site Dax Cedex
France Novartis Investigative Site Grenoble Cedex
France Novartis Investigative Site Grenoble Cedex 09
France Novartis Investigative Site La Roche sur Yon Cedex 9
France Novartis Investigative Site Le Chesnay Cedex
France Novartis Investigative Site Le Mans
France Novartis Investigative Site Lille
France Novartis Investigative Site Lille Cedex
France Novartis Investigative Site Lorient cedex
France Novartis Investigative Site Lyon Cedex 08
France Novartis Investigative Site Marseille cedex
France Novartis Investigative Site Metz Cedex 03
France Novartis Investigative Site Mont de Marsan
France Novartis Investigative Site Montpellier
France Novartis Investigative Site Montpellier cedex 5
France Novartis Investigative Site Mougins Cedex 2
France Novartis Investigative Site Nancy
France Novartis Investigative Site Nantes Cedex 2
France Novartis Investigative Site Nice Cedex 2
France Novartis Investigative Site Nimes
France Novartis Investigative Site Orleans
France Novartis Investigative Site Paris
France Novartis Investigative Site Paris
France Novartis Investigative Site Paris cedex 05
France Novartis Investigative Site Paris Cedex 10
France Novartis Investigative Site Paris Cedex 20
France Novartis Investigative Site Paris Cedex 4
France Novartis Investigative Site Perigueux Cedex
France Novartis Investigative Site Perin Sur Mer
France Novartis Investigative Site Pierre-Benite Cedex
France Novartis Investigative Site Reims Cedex
France Novartis Investigative Site Rouen
France Novartis Investigative Site Saint-Herblain
France Novartis Investigative Site Saint-Priest en Jarez
France Novartis Investigative Site Strasbourg
France Novartis Investigative Site Strasbourg Cedex
France Novartis Investigative Site Suresnes
France Novartis Investigative Site Thonon-les-Bains
France Novartis Investigative Site Vandoeuvre-Les-Nancy
Germany Novartis Investigative Site Bayreuth Bayern
Germany Novartis Investigative Site Berlin
Germany Novartis Investigative Site Berlin
Germany Novartis Investigative Site Berlin
Germany Novartis Investigative Site Berlin
Germany Novartis Investigative Site Bonn Nordrhein-Westfalen
Germany Novartis Investigative Site Bonn Nordrhein-Westfalen
Germany Novartis Investigative Site Bonn Nordrhein-Westfalen
Germany Novartis Investigative Site Bonn Nordrhein-Westfalen
Germany Novartis Investigative Site Braunschweig Niedersachsen
Germany Novartis Investigative Site Chemnitz Sachsen
Germany Novartis Investigative Site Coburg Bayern
Germany Novartis Investigative Site Cuxhaven Niedersachsen
Germany Novartis Investigative Site Darmstadt Hessen
Germany Novartis Investigative Site Deggendorf Bayern
Germany Novartis Investigative Site Detmold Nordrhein-Westfalen
Germany Novartis Investigative Site Dortmund Nordrhein-Westfalen
Germany Novartis Investigative Site Dresden Sachsen
Germany Novartis Investigative Site Dresden Sachsen
Germany Novartis Investigative Site Duesseldorf Nordrhein-Westfalen
Germany Novartis Investigative Site Ebersberg Bayern
Germany Novartis Investigative Site Eggenfelden Bayern
Germany Novartis Investigative Site Essen Nordrhein-Westfalen
Germany Novartis Investigative Site Essen Nordrhein-Westfalen
Germany Novartis Investigative Site Essen Nordrhein-Westfalen
Germany Novartis Investigative Site Esslingen Baden-Wuerttemberg
Germany Novartis Investigative Site Flensburg Schleswig-Holstein
Germany Novartis Investigative Site Frankfurt Hessen
Germany Novartis Investigative Site Frankfurt am Main Hessen
Germany Novartis Investigative Site Freiburg Baden-Wuerttemberg
Germany Novartis Investigative Site Freiburg Baden-Wuerttemberg
Germany Novartis Investigative Site Fuerth Bayern
Germany Novartis Investigative Site Fulda Hessen
Germany Novartis Investigative Site Georgsmarienhuette Niedersachsen
Germany Novartis Investigative Site Gera Thueringen
Germany Novartis Investigative Site Gifhorn Niedersachsen
Germany Novartis Investigative Site Goettingen Niedersachsen
Germany Novartis Investigative Site Goslar Niedersachsen
Germany Novartis Investigative Site Greifswald Mecklenburg-Vorpommern
Germany Novartis Investigative Site Halle Sachsen-Anhalt
Germany Novartis Investigative Site Hamburg
Germany Novartis Investigative Site Hamburg
Germany Novartis Investigative Site Hamburg
Germany Novartis Investigative Site Hannover Niedersachsen
Germany Novartis Investigative Site Hannover Niedersachsen
Germany Novartis Investigative Site Hannover Niedersachsen
Germany Novartis Investigative Site Hildesheim Niedersachsen
Germany Novartis Investigative Site Karlsruhe Baden-Wuerttemberg
Germany Novartis Investigative Site Karlsruhe Baden-Wuerttemberg
Germany Novartis Investigative Site Kassel Hessen
Germany Novartis Investigative Site Kiel Schleswig-Holstein
Germany Novartis Investigative Site Koeln Nordrhein-Westfalen
Germany Novartis Investigative Site Leer Niedersachsen
Germany Novartis Investigative Site Leipzg Sachsen
Germany Novartis Investigative Site Lich Hessen
Germany Novartis Investigative Site Limburg Hessen
Germany Novartis Investigative Site Luebeck Schleswig-Holstein
Germany Novartis Investigative Site Lueneburg Niedersachsen
Germany Novartis Investigative Site Magdeburg Sachsen-Anhalt
Germany Novartis Investigative Site Magdeburg Sachsen-Anhalt
Germany Novartis Investigative Site Mainz Rheinland-Pfalz
Germany Novartis Investigative Site Mannheim Baden-Wuerttemberg
Germany Novartis Investigative Site Marburg Hessen
Germany Novartis Investigative Site Muenchen Bayern
Germany Novartis Investigative Site Muenchen Bayern
Germany Novartis Investigative Site Muenchen Bayern
Germany Novartis Investigative Site Mutlangen Baden-Wuerttemberg
Germany Novartis Investigative Site Neuss Nordrhein-Westfalen
Germany Novartis Investigative Site Nordhausen Thueringen
Germany Novartis Investigative Site Offenbach Hessen
Germany Novartis Investigative Site Offenbach Hessen
Germany Novartis Investigative Site Oldenburg Niedersachsen
Germany Novartis Investigative Site Quedlinburg Sachsen-Anhalt
Germany Novartis Investigative Site Radebeul Sachsen
Germany Novartis Investigative Site Reutlingen Baden-Wuerttemberg
Germany Novartis Investigative Site Rostock Mecklenburg-Vorpommern
Germany Novartis Investigative Site Salzgitter Niedersachsen
Germany Novartis Investigative Site Salzwedel Sachsen-Anhalt
Germany Novartis Investigative Site Schwaebisch Hall Baden-Wuerttemberg
Germany Novartis Investigative Site Schweinfurt Bayern
Germany Novartis Investigative Site Suhl Thueringen
Germany Novartis Investigative Site Trier Rheinland-Pfalz
Germany Novartis Investigative Site Troisdorf Nordrhein-Westfalen
Germany Novartis Investigative Site Tuebingen Baden-Wuerttemberg
Germany Novartis Investigative Site Ulm Baden-Wuerttemberg
Germany Novartis Investigative Site Viersen Nordrhein-Westfalen
Germany Novartis Investigative Site Wiesbaden Hessen
Germany Novartis Investigative Site Wiesbaden Hessen
Germany Novartis Investigative Site Wolfsburg Niedersachsen
Germany Novartis Investigative Site Zwickau Sachsen
Hong Kong Novartis Investigative Site Hong Kong
Hong Kong Novartis Investigative Site Kowloon
Ireland Novartis Investigative Site Dublin
Ireland Novartis Investigative Site Dublin
Ireland Novartis Investigative Site Dublin
Ireland Novartis Investigative Site Dublin
Ireland Novartis Investigative Site Waterford
Ireland Novartis Investigative Site Wilton, Cork
Italy Novartis Investigative Site Avellino Campania
Italy Novartis Investigative Site Aviano (PN) Friuli-Venezia-Giulia
Italy Novartis Investigative Site Bari Puglia
Italy Novartis Investigative Site Bologna Emilia-Romagna
Italy Novartis Investigative Site Bologna Emilia-Romagna
Italy Novartis Investigative Site Brescia Lombardia
Italy Novartis Investigative Site Campobasso Molise
Italy Novartis Investigative Site Carpi (MO) Emilia-Romagna
Italy Novartis Investigative Site Como Lombardia
Italy Novartis Investigative Site Faenza (RA) Emilia-Romagna
Italy Novartis Investigative Site Milano Lombardia
Italy Novartis Investigative Site Milano Lombardia
Italy Novartis Investigative Site Milano Lombardia
Italy Novartis Investigative Site Milano Lombardia
Italy Novartis Investigative Site Milano Lombardia
Italy Novartis Investigative Site Monza Lombardia
Italy Novartis Investigative Site Napoli Campania
Italy Novartis Investigative Site Palermo Sicilia
Italy Novartis Investigative Site Perugia Umbria
Italy Novartis Investigative Site Potenza Basilicata
Italy Novartis Investigative Site Reggio Emilia Emilia-Romagna
Italy Novartis Investigative Site Roma Lazio
Italy Novartis Investigative Site Roma Lazio
Italy Novartis Investigative Site Roma Lazio
Italy Novartis Investigative Site Sondrio Lombardia
Italy Novartis Investigative Site Torino Piemonte
Italy Novartis Investigative Site Torino Piemonte
Italy Novartis Investigative Site Varese Lombardia
Italy Novartis Investigative Site Vicenza Veneto
Japan Novartis Investigative Site Ehime
Japan Novartis Investigative Site Fukuoka
Japan Novartis Investigative Site Hiroshima
Japan Novartis Investigative Site Hiroshima
Japan Novartis Investigative Site Hokkaido
Japan Novartis Investigative Site Iwate
Japan Novartis Investigative Site Kagoshima
Japan Novartis Investigative Site Miyagi
Japan Novartis Investigative Site Osaka
Japan Novartis Investigative Site Saitama
Japan Novartis Investigative Site Tokyo
Japan Novartis Investigative Site Tokyo
Japan Novartis Investigative Site Tokyo
Japan Novartis Investigative Site Tokyo
Japan Novartis Investigative Site Tottori
Korea, Republic of Novartis Investigative Site Goyang-si, Gyeonggi-do
Korea, Republic of Novartis Investigative Site Kangnam-Ku ,Seoul
Korea, Republic of Novartis Investigative Site Seoul
Korea, Republic of Novartis Investigative Site Seoul
Korea, Republic of Novartis Investigative Site Seoul
Norway Novartis Investigative Site Bergen
Norway Novartis Investigative Site Oslo
Norway Novartis Investigative Site Stavanger
Norway Novartis Investigative Site Tromso
Spain Novartis Investigative Site Alcorcon (Madrid)
Spain Novartis Investigative Site Barcelona
Spain Novartis Investigative Site Barcelona
Spain Novartis Investigative Site Barcelona
Spain Novartis Investigative Site Barcelona
Spain Novartis Investigative Site Cartagena (Murcia)
Spain Novartis Investigative Site Elche
Spain Novartis Investigative Site Lerida
Spain Novartis Investigative Site Madrid
Spain Novartis Investigative Site Madrid
Spain Novartis Investigative Site Madrid
Spain Novartis Investigative Site Madrid
Spain Novartis Investigative Site Madrid
Spain Novartis Investigative Site Murcia (El Palmar)
Spain Novartis Investigative Site Palma de Mallorca
Spain Novartis Investigative Site Pamplona
Spain Novartis Investigative Site Sabadell (Barcelona)
Spain Novartis Investigative Site San Sebastian
Spain Novartis Investigative Site Santiago de Compostela
Spain Novartis Investigative Site Terrassa
Spain Novartis Investigative Site Valencia
Spain Novartis Investigative Site Valencia
Spain Novartis Investigative Site Zaragoza
Sweden Novartis Investigative Site Linkoping
Sweden Novartis Investigative Site Lund
Sweden Novartis Investigative Site Stockholm
Sweden Novartis Investigative Site Uppsala
Taiwan Novartis Investigative Site Taipei
Taiwan Novartis Investigative Site Taipei
United States Novartis Investigative Site Anaheim California
United States Novartis Investigative Site Annandale Virginia
United States Novartis Investigative Site Augusta Georgia
United States Novartis Investigative Site Baldwin Park California
United States Novartis Investigative Site Bellflower California
United States Novartis Investigative Site Bronx New York
United States Novartis Investigative Site Duarte California
United States Novartis Investigative Site Fontana California
United States Novartis Investigative Site Hayward California
United States Novartis Investigative Site Houston Texas
United States Novartis Investigative Site Irvine California
United States Novartis Investigative Site Long Beach California
United States Novartis Investigative Site Los Angeles California
United States Novartis Investigative Site Los Angeles California
United States Novartis Investigative Site Los Angeles California
United States Novartis Investigative Site Morristown New Jersey
United States Novartis Investigative Site New York New York
United States Novartis Investigative Site New York New York
United States Novartis Investigative Site Oakland California
United States Novartis Investigative Site Ontario California
United States Novartis Investigative Site Orange California
United States Novartis Investigative Site Panorama City California
United States Novartis Investigative Site Riverside California
United States Novartis Investigative Site Roseville California
United States Novartis Investigative Site Sacramento California
United States Novartis Investigative Site Sacramento California
United States Novartis Investigative Site San Diego California
United States Novartis Investigative Site San Diego California
United States Novartis Investigative Site San Francisco California
United States Novartis Investigative Site San Jose California
United States Novartis Investigative Site Santa Clara California
United States Novartis Investigative Site South San Francisco California
United States Novartis Investigative Site Vallejo California
United States Novartis Investigative Site Walnut Creek California
United States Novartis Investigative Site Woodland Hills California

Sponsors (2)

Lead Sponsor Collaborator
Novartis Pharmaceuticals GlaxoSmithKline

Countries where clinical trial is conducted

United States,  Australia,  Austria,  Belgium,  China,  Denmark,  France,  Germany,  Hong Kong,  Ireland,  Italy,  Japan,  Korea, Republic of,  Norway,  Spain,  Sweden,  Taiwan, 

Outcome

Type Measure Description Time frame Safety issue
Primary Investigator-assessed Progression-free Survival (PFS) PFS is the interval between the date of randomization and the date of progression, defined by Response Evaluation Criteria in Solid Tumors (RECIST), or death due to any cause. Per RECIST, for target lesions (TLs), disease progression (PD) is defined as >=20% increase in the sum of the longest diameters (LD) of TLs, taking as a reference, the smallest sum LD recorded since the treatment started or the appearance of >=1 new lesions. For non-target lesions (NTLs), PD is defined as the appearance of >=1 new lesions and/or unequivocal progression of existing NTLs. Participants (par.) who did not progress/die were censored at the date of last adequate assessment (LAA). Par. who started a new anti-cancer therapy (ACT) prior to radiological progression/death were censored at the date of LAA prior to the new ACT. Par. who progressed/died after an extended period (>=12 months) without adequate assessment (AA) were censored at the date of their last visit with AA prior to progression/death. From the date of randomization until the date of progression or death due to any cause (median time of follow-up was 17.9 months for pazopanib and 12.3 months for placebo)
Secondary Overall Survival - Median Overall surival is defined as the interval between the date of randomization and the date of death due to any cause. For participants who did not die, the time to death was censored at the time of last contact. From the date of randomization until the date of death due to any cause up to approximately 25 months
Secondary Overall Survival: Number of Participants Experiencing Death Overall surival is defined as the interval between the date of randomization and the date of death due to any cause. For participants who did not die, the time to death was censored at the time of last contact. From the date of randomization until the date of death due to any cause up to approximately 25 months
Secondary Progression-free Survival Per Gynecologic Cancer Intergroup (GCIG) Criteria Progression-free survival by GCIG criteria is defined as the time from the date of randomization to the earliest date of disease progression per GCIG criteria or death due to any cause. Progression is defined according to RECIST but can also be based upon serum CA-125. Progression or recurrence based on serum CA-125 levels are defined on the basis of a progressive serial elevation of serum CA-125, according to the following criteria: (1) participants (par.) with elevated CA-125 pretreatment and normalization of CA-125 must show evidence of CA-125 >=2x the upper normal limit (UNL) on two occasions at least one week apart or; (2) par. with elevated CA-125 pretreatment, which never normalizes, must show evidence of CA-125 >=2x the nadir value on two occasions at least one week apart or; (3) par. with CA-125 in the normal range pretreatment must show evidence of CA-125 >=2x the UNL on two occasions at least one week apart. From the date of randomization until the date of progression per GCIG criteria or death due to any cause (median time of follow-up was 16.8 months for pazopanib and 11.9 months for placebo)
Secondary 3-year Progression-free Survival 3-year progression-free survival is defined as the percentage of participants who are progression-free at 3 years from randomization. Progression-free survival is defined as the time from the date of randomization to the earliest date of disease progression (defined by RECIST) or death due to any cause. Per RECIST, for target lesions, disease progression (PD) is defined as at least a 20% increase in the sum of the longest diameters (LD) of target lesions, taking as a reference, the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. For non-target lesions, PD is defined as the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. Up to 3 years after randomization
Secondary Change From Baseline in the European Organization for the Research and Treatment of Cancer (EORTC) QLQ-C30 Global Health Status Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25 The EORTC QLQ-C30 is a self-reported, 30-item cancer-specific instrument that assesses 15 domains: 5 functional scales (physical, role, emotional, cognitive, and social functioning), 9 symptom scales (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties), and a global health status, or quality of life. Global health status is assessed using a 7-item Likert scale, ranging from 1 to 7 ("poor" to "excellent"). Participants were asked to respond to the following questions using the 7-item Likert scale: "How would you rate your overall health during the past week"; "How would you rate your overall quality of life during the past week?" Data are transformed to a scale ranging from 0 to 100. Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures analysis of covariance (ANCOVA). Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Attitude to Disease/Treatment Functional Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25 The OV (ovarian)-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses attitude to disease/treatment functional symptoms, among others. Participants were asked to indicate the extent to which they experienced attention to disease/treatment functional problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: How much has your disease been a burden to you?; How much has your treatment been a burden to you?; Were you worried about your future health? Data are transformed to a scale ranging from 0 to 100. Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Body Image Functional Score on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25 The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses body image symptoms, among others. Participants were asked to indicate the extent to which they experienced body image problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Have you felt physically less attractive as a result of your disease or treatment?; Have you been dissatisfied with your body? Data are transformed to a scale ranging from 0 to 100. Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Peripheral Neuropathy (PN) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25 The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses peripheral neuropathy symptoms, among others. Participants were asked to indicate the extent to which they experienced peripheral neuropathy symptoms or problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Did you have tingling hands or feet?; Have you had numbness in your fingers or toes?; Have you felt weak in your arms or legs? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Abdominal (AB)/Gastrointestinal (GI) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25 The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses AB/GI symptoms, among others. Participants were asked to indicate the extent to which they experienced AB/GI symptoms or problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Did you have abdominal pain?; Did you have a bloated feeling in your abdomen/stomach?; Did you have problems with your clothes feeling too tight?; Did you experience any change in bowel habit as a result of your disease or treatment?; Were you troubled by passing wind/gas/flatulence?; Have you felt full too quickly after beginning to eat?; Have you had indigestion/heartburn? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Hormonal/Menopausal Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25 The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses hormonal/menopausal symptoms, among others. Participants were asked to indicate the extent to which they experienced hormonal/menopausal symptoms or problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Did you have hot flashes?; Did you have night sweats? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Sexuality Functional on Day 1 of Week 13 and Months 7, 10, 13, 16, and 25 The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses sexual functioning symptoms, among others. Participants were asked to indicate the extent to which they experienced sexual functioning problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: To what extent were you interested in sex?; To what extent were you sexually active?; If sexually active, to what extent was sex enjoyable for you?; If sexually active, did you have a dry vagina during sexual activity? Higher scores represent better functioning (better quality of life). Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Data were not analyzed due to low compliance (<50% at Baseline). Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in QLQ-OV-28 Module Other Chemotherapy Side Effects (SE) Symptoms Score at Week 13 and Months 7, 10, 13, 16, and 25 The OV-28 module is a 28-item addition to the EORTC QLQ-C30 that focuses on issues specific to ovarian cancer. It assesses other chemotherapy SE symptoms, among others. Participants were asked to indicate the extent to which they experienced other chemotherapy SE symptoms/problems in the week prior to assessment. Participants responded on a scale of 1-4 (1=not at all, 2=a little, 3=quite a bit, 4=very much) to the following questions: Have you lost any hair?; If yes, were you upset by the loss of your hair?; Did food/drink taste different from usual?; Did you have aches or pains in your muscles or joints?; Did you have problems with hearing?; Did you urinate frequently?; Have you had skin problems (e.g., itchy, dry)? Data are transformed to a scale from 0 to 100. Lower scores represent better health (fewer symptoms) for symptom scales. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Data were not analyzed due to low compliance (<50% at Baseline). Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in the EuroQOL EQ-5D (Five Dimensions) Thermometer Score at Week 13 and Months 7, 10, 13, 16, and 25 The EuroQol (EQ-5D) questionnaire is a 2-page, generic, preference-based quality of life measure comprised of a 5-item health status measure and a visual analogue scale (VAS) and is used to generate two scores: the utility score and the thermometer score The thermometer score is based on a vertical VAS. The VAS is designed like a thermometer scale on which the best health state the participant can imagine is referenced at 100, and the worst health state the participant can imagine is marked by 0. Based on how good or bad the current health state is, the participant is asked to draw a line across the thermometer scale. For example, a line drawn across 46 on the scale of 0 to 100 would be coded 46. A negative adjusted mean change from Baseline represents a worsening of quality of life. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Change From Baseline in the EQ-5D (Five Dimensions) Utility Score at Week 13 and Months 7, 10, 13, 16, and 25 The EQ-5D utility score captures health status across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety and/or depression. Participants indicated the level of perceived problems in each of the five dimensions on three levels: 1, no problems; 2, some problems; 3, an extreme problem. Unique health states were defined by combining response levels from each of the five dimensions. For example, state 11111 indicates no problem on any of the five dimensions, whereas state 11223 indicates no problems with mobility or self-care; some problems with performing usual activities, moderate pain/discomfort; and extreme anxiety/depression. Responses are typically converted into health utilities or valuations on a scale ranging from 0 (worst health) to 1 (perfect health). A negative adjusted mean change from Baseline represents a worsening of quality of life. Mean changes from Baseline were calculated via mixed model-repeated measures ANCOVA. Baseline; Week 13; Months 7, 10, 13, 16, and 25
Secondary Number of Participants With the Indicated Grade 2, 3, and 4 On-therapy Adverse Events Occurring in >=10% of Participants in Either Treatment Arm An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AEs were graded according to the Common Terminiology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the AE. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life threatening; Grade 5, death. From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Secondary Number of Participants With the Indicated On-therapy Hematology Grade Shifts From Baseline Grade Hematology toxicities were graded according to the Common Terminiology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the toxicity. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each toxicity based on this general guideline: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life threatening; Grade 5, death. Participants with a missing Baseline grade were assumed to have a Baseline grade of 0. WBC=White blood cell. From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Secondary Number of Participants With the Indicated On-therapy Chemistry Grade Shifts From Baseline Grade Hematology toxicities were graded according to the Common Terminiology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the toxicity. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each toxicity based on this general guideline: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life threatening; Grade 5, death. Participants with a missing Baseline grade were assumed to have a Baseline grade of 0. From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
Secondary Number of Participants With the Indicated Treatment-emergent Thyroid-stimulating Hormone (TSH) Elevations Above 5 Million Units Per Liter (MU/L) Participants were assessed for thyroid function abnormalities. Clinical hypothyroidism is defined as 5 From the date of the first dose of study drug to the date of the last dose plus 28 days (average of 9.8 months for pazopanib and 12.6 months for placebo)
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