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- W1514453574 abstract "OBJECTIVE: To examine the incidence of ATEs in AVAglio.BACKGROUND: A significant PFS improvement (co-primary endpoint) was achieved in patients treated with BEV+RT/TMZ versus placebo (Plb+RT/TMZ). AVAglio safety data are presented, with a focus on ATEs.DESIGN/METHODS: Patients (蠅18 years/histologically confirmed glioblastoma) received BEV+RT/TMZ or Plb+RT/TMZ (6wks). After a 28-day break, patients received BEV+TMZ or Plb+TMZ (x6), then BEV or Plb until progression/unacceptable toxicity. Adverse events (AEs) of special interest for BEV were predefined. Statistical analyses: exploratory, non-protocol specified.RESULTS: Safety population: n=461 BEV+RT/TMZ; n=450 Plb+RT/TMZ. BEV or Plb administrations: median 19.0 (range 1-59) vs 12 (range 1-63) infusions, respectively. For BEV+RT/TMZ versus Plb+RT/TMZ, respectively: grade 蠅3 AEs were 66.8% vs 51.3%; grade 蠅3 AEs of special interest for BEV were 32.5% vs 15.8%; ATEs (any grade) were 5.9% (27/461 patients) vs 1.6% (7/450); grade 蠅3 ATEs were 4.8% (22/461) and 1.3% (6/450). Of the latter, 19/22 (86.4%) and 3/6 (50%) patients had 蠅1 co-morbidity risk factor. Two fatal ATEs occurred: myocardial infarction (BEV+RT/TMZ); cerebrovascular accident (Plb+RT/TMZ). ATE event rates were similar between arms until approximately 12 months, after which the rate in the BEV+RT/TMZ arm increased. Grade 蠅3 ATEs resolved in 15/22 (68%; BEV+RT/TMZ; 10/15 with sequelae) and 3/6 (50%; Plb+RT/TMZ; 2/3 with sequelae) patients. Most ATEs were classified as stroke (19/27 BEV+RT/TMZ; 6/7 Plb+RT/TMZ). Eleven strokes occurred in patients <65 years in the BEV+RT/TMZ arm (seven following 1.2-1.7 years of treatment without progression), nine of which resolved. Nine grade 蠅3 ATEs (BEV+RT/TMZ) occurred in patients 蠅65 years (vs 0 with Plb+RT/TMZ), five with a history of hypertension. In patients who experienced ATEs, median OS was 25.0 (BEV+RT/TMZ; n=27) and 11.2 months (Plb+RT/TMZ; n=7).CONCLUSION: More ATEs were reported in the BEV+RT/TMZ versus Plb+RT/TMZ arm. ATEs in the BEV+RT/TMZ arm tended to occur late in the study and may be related to prolonged treatment duration/co-morbidities, however the majority resolved (two-thirds with sequelae). Study supported by: F. Hoffmann-La Roche Ltd Disclosure: Dr. Mason has received personal compensation for activities with Roche Diagnostics Corporation. Dr. Cloughsey has received personal compensation for activities with F. Hoffman-La Roche, Genentech Inc., Merck & Co. Inc., Merck & Co. Inc., Serono Inc., Celgene, Tocagen, Apogenix, and Newgen. Dr. Wick has received personal compensation for activities with Roche Diagnostics Corp., Merck Sharp & Dohme Ltd. Dr. Wick has received personal compensation in an editorial capacity for CNS Oncology. Dr. Wick has received research support from Boehringer Ingelheim Pharmaceuticals Inc., Apogenix, and Merck Sharp & Dohme Ltd. Dr. Henrisksson has received personal compensation for activities with F. Hoffmann-La Roche. Dr. Saran has received personal compensation for activities with Roche Diagnostics Corp. Dr. Nishikawa has received personal compensation for activities with F. Hoffman–La Roche. Dr. Dhar has received personal compensation for activities with Genentech Inc. as an employee. Dr. Revil has received personal compensation for activities with F. Hoffmann-La Roche as an employee. Dr. Garcia has received personal compensation for activities with F. Hoffmann-La Roche Ltd. as an employee. Dr. Chinot has received personal compensation for activities with F. Hoffmann-La Roche, AstraZeneca Pharmaceuticals, and Merck Sharp & Dohme Ltd. Dr. Chinot has received research support from F. Hoffmann-La Roche and Schering-Plough Corporation." @default.
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- W1514453574 date "2014-04-08" @default.
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- W1514453574 title "Overview of Arterial Thromboembolic Events (ATEs) in AVAglio, a Randomized, Placebo-controlled Phase III Trial of Bevacizumab, Radiotherapy and Temozolomide (BEV+RT/TMZ) for Newly Diagnosed Glioblastoma (S22.003)" @default.
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