Trial Outcomes & Findings for Antineoplaston Therapy in Treating Patients With Brain Stem Glioma (NCT NCT00003459)

NCT ID: NCT00003459

Last Updated: 2018-03-14

Results Overview

Objective response rate per Response Assessment in Neuro-Oncology (RANO) for target lesions and assessed by MRI: Complete Response (CR), disappearance of all disease sustained for at least four weeks; Partial Response (PR), \>=50% decrease in the sum of the products of of the greatest perpendicular diameters of all measurable enhancing lesions, sustained for at least four weeks.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

12 months

Results posted on

2018-03-14

Participant Flow

Fourty patients were recruited between March 1996 and January 2007. All study subjects were seen at the Burzynski Clinic in Houston, TX

Participant milestones

Participant milestones
Measure
Antineoplaston Therapy
Antineoplaston therapy (Atengenal + Astugenal) by IV infusion every four hours for at least 12 months. Study subjects receive increasing dosages of Atengenal and Astugenal until the maximum tolerated dosage is reached. Antineoplaston therapy (Atengenal + Astugenal): Patients with a brain stem glioma will receive Antineoplaston therapy (Atengenal + Astugenal)
Overall Study
STARTED
40
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Antineoplaston Therapy in Treating Patients With Brain Stem Glioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Antineoplaston Therapy
n=40 Participants
Antineoplaston therapy (Atengenal + Astugenal) by IV infusion every four hours for at least 12 months. Study subjects receive increasing dosages of Atengenal and Astugenal until the maximum tolerated dosage is reached. Antineoplaston therapy (Atengenal + Astugenal): Patients with a brain stem glioma will receive Antineoplaston therapy (Atengenal + Astugenal)
Age, Continuous
11.2 Years
n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Objective response rate per Response Assessment in Neuro-Oncology (RANO) for target lesions and assessed by MRI: Complete Response (CR), disappearance of all disease sustained for at least four weeks; Partial Response (PR), \>=50% decrease in the sum of the products of of the greatest perpendicular diameters of all measurable enhancing lesions, sustained for at least four weeks.

Outcome measures

Outcome measures
Measure
Antineoplaston Therapy
n=31 Participants
Antineoplaston therapy (Atengenal + Astugenal) by IV infusion every four hours for at least 12 months. Study subjects receive increasing dosages of Atengenal and Astugenal until the maximum tolerated dosage is reached. Antineoplaston therapy (Atengenal + Astugenal): Patients with a brain stem glioma will receive Antineoplaston therapy (Atengenal + Astugenal)
Number of Participants With Objective Response
Complete Response
5 Participants
Number of Participants With Objective Response
Partial Response
4 Participants
Number of Participants With Objective Response
Stable Disease
8 Participants
Number of Participants With Objective Response
Progressive Disease
14 Participants

SECONDARY outcome

Timeframe: 6 months, 12 months, 24 months, 36 months, 48 months, 60 months

Population: All study subjects receiving any Antineoplaston therapy

6 months, 12 months, 24 months, 36 months, 48 months, 60 months overall survival

Outcome measures

Outcome measures
Measure
Antineoplaston Therapy
n=40 Participants
Antineoplaston therapy (Atengenal + Astugenal) by IV infusion every four hours for at least 12 months. Study subjects receive increasing dosages of Atengenal and Astugenal until the maximum tolerated dosage is reached. Antineoplaston therapy (Atengenal + Astugenal): Patients with a brain stem glioma will receive Antineoplaston therapy (Atengenal + Astugenal)
Percentage of Participants Who Survived
6 months overall survival
62.5 Percentage of participants
Percentage of Participants Who Survived
12 months overall survival
37.5 Percentage of participants
Percentage of Participants Who Survived
24 months overall survival
27.5 Percentage of participants
Percentage of Participants Who Survived
36 months overall survival
25.0 Percentage of participants
Percentage of Participants Who Survived
48 months overall survival
20.0 Percentage of participants
Percentage of Participants Who Survived
60 months overall survival
20.0 Percentage of participants

Adverse Events

Antineoplaston Therapy

Serious events: 25 serious events
Other events: 40 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Antineoplaston Therapy
n=40 participants at risk
Antineoplaston therapy (Atengenal + Astugenal) by IV infusion every four hours for at least 12 months. Study subjects receive increasing dosages of Atengenal and Astugenal until the maximum tolerated dosage is reached. Antineoplaston therapy (Atengenal + Astugenal): Patients with a brain stem glioma will receive Antineoplaston therapy (Atengenal + Astugenal)
Cardiac disorders
Hypotension
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Central venous catheter infection
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Fatigue (asthenia, lethargy, malaise)
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Fever
5.0%
2/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Dehydration
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Diarrhea
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Incontinence, anal
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Leak, GI: Stomach
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Nausea
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Vomiting
5.0%
2/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Hemorrhage, CNS
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Hepatobiliary disorders
Pancreatitis
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Blood
5.0%
2/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Lung (pneumonia)
17.5%
7/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Soft tissue NOS
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Upper airway NOS
5.0%
2/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypernatremia
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypocalcemia
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypophosphatemia
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Musculoskeletal and connective tissue disorders
Extremity-upper (function)
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Confusion
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Hydrocephalus
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Seizure
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Somnolence/depressed level of consciousness
17.5%
7/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Pain: Abdomen NOS
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Pain: Head/headache
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
ARDS
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Vascular disorders
Thrombosis/thrombus/embolism
2.5%
1/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing

Other adverse events

Other adverse events
Measure
Antineoplaston Therapy
n=40 participants at risk
Antineoplaston therapy (Atengenal + Astugenal) by IV infusion every four hours for at least 12 months. Study subjects receive increasing dosages of Atengenal and Astugenal until the maximum tolerated dosage is reached. Antineoplaston therapy (Atengenal + Astugenal): Patients with a brain stem glioma will receive Antineoplaston therapy (Atengenal + Astugenal)
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
15.0%
6/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Hemoglobin
37.5%
15/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Leukocytes (total WBC)
20.0%
8/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Lymphopenia
22.5%
9/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
17.5%
7/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Platelets
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Cardiac disorders
Hypertension
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Central Venous Catheter Infection
17.5%
7/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Central Venous Catheter Non-functional
22.5%
9/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Central Venous Catheter Other
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Central Venous Catheter Pain
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Dehydration
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Fatigue (asthenia, lethargy, malaise)
55.0%
22/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Fever
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Insomnia
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Rigors/chills
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Weight gain
20.0%
8/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Edema/Fluid retention
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Endocrine disorders
Cushingoid appearance
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Diarrhea
32.5%
13/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Nausea
40.0%
16/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Taste alteration (dysgeusia)
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Vomiting
52.5%
21/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Renal and urinary disorders
Hemorrhage, GU: Urinary NOS
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Bladder (urinary)
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Lung (pneumonia)
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Mucosa
17.5%
7/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Sinus
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Upper airway NOS
20.0%
8/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Albumin, serum-low (hypoalbuminemia)
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypercholesteremia
15.0%
6/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hyperglycemia
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypernatremia
52.5%
21/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypocalcemia
20.0%
8/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypoglycemia
32.5%
13/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypokalemia
82.5%
33/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypomagnesemia
22.5%
9/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypophosphatemia
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Proteinuria
17.5%
7/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
SGOT
22.5%
9/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
SGPT
35.0%
14/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Ataxia (incoordination)
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Confusion
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Dizziness
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Mood alteration: Agitation
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Neurology - Other
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Neuropathy: cranial: CN VII Motor-face; Sensory-taste
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Neuropathy: motor
7.5%
3/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Somnolence/depressed level of consciousness
50.0%
20/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Speech impairment
12.5%
5/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Eye disorders
Diplopia
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Pain: Abdomen NOS
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Pain: Head/headache
32.5%
13/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Pain: Joint
30.0%
12/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
Cough
15.0%
6/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Renal and urinary disorders
Incontinence, urinary
10.0%
4/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Renal and urinary disorders
Urinary frequency/urgency
45.0%
18/40 • 10 years, 9 months
Adverse event data was collected through regular patient assessment and regular laboratory testing

Additional Information

S. R. Burzynski, MD, PhD

Burzynski Research Institute, Inc.

Phone: 713-335-5664

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place