Trial Outcomes & Findings for Antineoplaston Therapy in Treating Children With Primitive Neuroectodermal Tumors (NCT NCT00003460)

NCT ID: NCT00003460

Last Updated: 2017-08-24

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

13 participants

Primary outcome timeframe

12 months

Results posted on

2017-08-24

Participant Flow

Thirteen patients were recruited between April 1996 and January 2005. 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 dose is reached. Antineoplaston therapy (Atengenal + Astugenal): Children with a primitive neuroectodermal tumor that has not responded to standard therapy will receive Antineoplaston therapy (Atengenal + Astugenal).
Overall Study
STARTED
13
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Antineoplaston Therapy in Treating Children With Primitive Neuroectodermal Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Antineoplaston Therapy
n=13 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 dose is reached. Antineoplaston therapy (Atengenal + Astugenal): Children with a primitive neuroectodermal tumor that has not responded to standard therapy will receive Antineoplaston therapy (Atengenal + Astugenal).
Age, Continuous
6.1 Years
n=93 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
Sex: Female, Male
Male
10 Participants
n=93 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=12 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 dose is reached. Antineoplaston therapy (Atengenal + Astugenal): Children with a primitive neuroectodermal tumor that has not responded to standard therapy will receive Antineoplaston therapy (Atengenal + Astugenal).
Number of Participants With Objective Response
Complete Response
3 Participants
Number of Participants With Objective Response
Partial Response
1 Participants
Number of Participants With Objective Response
Stable Disease
1 Participants
Number of Participants With Objective Response
Progressive Disease
7 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=13 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 dose is reached. Antineoplaston therapy (Atengenal + Astugenal): Children with a primitive neuroectodermal tumor that has not responded to standard therapy will receive Antineoplaston therapy (Atengenal + Astugenal).
Percentage of Participants Who Survived
6 months overall survival
61.5 Percentage of participants
Percentage of Participants Who Survived
12 months overall survival
61.5 Percentage of participants
Percentage of Participants Who Survived
24 months overall survival
53.8 Percentage of participants
Percentage of Participants Who Survived
36 months overall survival
46.2 Percentage of participants
Percentage of Participants Who Survived
48 months overall survival
38.5 Percentage of participants
Percentage of Participants Who Survived
60 months overall survival
38.5 Percentage of participants

Adverse Events

Antineoplaston Therapy

Serious events: 10 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Antineoplaston Therapy
n=13 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 dose is reached. Antineoplaston therapy (Atengenal + Astugenal): Children with a primitive neuroectodermal tumor that has not responded to standard therapy will receive Antineoplaston therapy (Atengenal + Astugenal).
General disorders
Fatigue (asthenia, lethargy, malaise)
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Edema/Fluid retention
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Blood
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Lung (pneumonia)
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection with normal ANC: Lung (pneumonia)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
Lung (pneumonia)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Ear and labyrinth disorders
Middle ear (otitis media)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection: NOS
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypernatremia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypokalemia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Seizure
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Somnolence/depressed level of consciousness
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Speech impairment
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Vascular disorders
Thrombosis/thrombus/embolism
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing

Other adverse events

Other adverse events
Measure
Antineoplaston Therapy
n=13 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 dose is reached. Antineoplaston therapy (Atengenal + Astugenal): Children with a primitive neuroectodermal tumor that has not responded to standard therapy will receive Antineoplaston therapy (Atengenal + Astugenal).
General disorders
Allergic reaction/hypersensitivity (including drug fever)
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Hemoglobin
38.5%
5/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Leukocytes (total WBC)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Lymphopenia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Blood and lymphatic system disorders
Platelets
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Cardiac disorders
Supraventricular and nodal arrhythmia: Sinus tachycardia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Central venous catheter infection
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Non-functional central venous catheter
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Central venous catheter: Other
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Central venous catheter: Thrombosis/embolism
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Fatigue (asthenia, lethargy, malaise)
61.5%
8/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Fever
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Rigors/chills
30.8%
4/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Weight gain
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Skin and subcutaneous tissue disorders
Pruritus/itching
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
General disorders
Edema/Fluid retention
38.5%
5/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Endocrine disorders
Cushingoid appearance
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Anorexia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Diarrhea
38.5%
5/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Dysphagia (difficulty swallowing)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Nausea
30.8%
4/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Gastrointestinal disorders
Vomiting
53.8%
7/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Bladder (urinary)
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Blood
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Bronchus
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Eye NOS
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Lung (pneumonia)
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Middle ear (otitis)
30.8%
4/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Mucosa
38.5%
5/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Stomach
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection (documented clinically): Upper airway
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection with normal ANC: Lung (pneumonia)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection: NOS
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Infection: Skin
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Skin and subcutaneous tissue disorders
Hypertrychosis
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Alkaline phosphatase
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Infections and infestations
Hyperglycemia
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypernatremia
30.8%
4/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypocalcemia
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypoglycemia
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypokalemia
92.3%
12/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypomagnesemia
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hyponatremia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Hypophosphatemia
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
SGOT
23.1%
3/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
SGPT
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Investigations
Uric acid, serum-high (hyperuricemia)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Ataxia (incoordination)
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Confusion
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Dizziness
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Hydrocephalus
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Seizure
38.5%
5/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Somnolence/depressed level of consciousness
53.8%
7/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Speech impairment
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Tremor
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Eye disorders
Diplopia
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Eye disorders
Vision-blurred vision
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Musculoskeletal and connective tissue disorders
Pain: Extremity-limb
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Nervous system disorders
Pain: Head/headache
46.2%
6/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Musculoskeletal and connective tissue disorders
Pain: Joint
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Musculoskeletal and connective tissue disorders
Pain: Muscle
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
15.4%
2/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Renal and urinary disorders
Incontinence, urinary
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Renal and urinary disorders
Urinary frequency/urgency
7.7%
1/13 • 8 years, 10 months
Adverse event data was collected through regular patient assessment and regular laboratory testing
Vascular disorders
Thrombosis/thrombus/embolism
7.7%
1/13 • 8 years, 10 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