Trial Outcomes & Findings for Novel Epothilone Plus Capecitabine Versus Capecitabine Alone in Patients With Advanced Breast Cancer (NCT NCT00080301)

NCT ID: NCT00080301

Last Updated: 2020-11-02

Results Overview

PFS defined as the time in months from randomization to date of progression. Patients who died without a reported prior progression were considered to have progressed on date of death; those who didn't progress or die were censored on date of last tumor assessment. Median PFS time with 95% CI estimated using the Kaplan Meier product limit method.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

752 participants

Primary outcome timeframe

based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity

Results posted on

2020-11-02

Participant Flow

Participant milestones

Participant milestones
Measure
Ixabepilone + Capecitabine
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
Capecitabine 1250 mg/m2 BID x 14 days
Overall Study
STARTED
375
377
Overall Study
Never Treated
5
10
Overall Study
Still on Treatment
0
1
Overall Study
COMPLETED
370
366
Overall Study
NOT COMPLETED
5
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Ixabepilone + Capecitabine
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
Capecitabine 1250 mg/m2 BID x 14 days
Overall Study
Randomized but Never Treated
5
10
Overall Study
Still on Treatment as of CSR date
0
1

Baseline Characteristics

Novel Epothilone Plus Capecitabine Versus Capecitabine Alone in Patients With Advanced Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ixabepilone + Capecitabine
n=375 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=377 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Total
n=752 Participants
Total of all reporting groups
Age, Customized
<65 years
336 participants
n=5 Participants
322 participants
n=7 Participants
658 participants
n=5 Participants
Age, Customized
>= 65 years
39 participants
n=5 Participants
54 participants
n=7 Participants
93 participants
n=5 Participants
Age, Customized
<50 years
135 participants
n=5 Participants
145 participants
n=7 Participants
280 participants
n=5 Participants
Age, Customized
>= 50 years
240 participants
n=5 Participants
231 participants
n=7 Participants
471 participants
n=5 Participants
Age, Customized
Unknown
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Age, Continuous
53.0 years
n=5 Participants
52.0 years
n=7 Participants
53.0 years
n=5 Participants
Sex: Female, Male
Female
375 Participants
n=5 Participants
376 Participants
n=7 Participants
751 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
83 participants
n=5 Participants
87 participants
n=7 Participants
170 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
11 participants
n=5 Participants
11 participants
n=7 Participants
22 participants
n=5 Participants
Race/Ethnicity, Customized
White
257 participants
n=5 Participants
247 participants
n=7 Participants
504 participants
n=5 Participants
Race/Ethnicity, Customized
Other
23 participants
n=5 Participants
32 participants
n=7 Participants
55 participants
n=5 Participants
Disease Sites
Ascites
14 participants
n=5 Participants
14 participants
n=7 Participants
28 participants
n=5 Participants
Disease Sites
Bone
168 participants
n=5 Participants
162 participants
n=7 Participants
330 participants
n=5 Participants
Disease Sites
Breast
61 participants
n=5 Participants
63 participants
n=7 Participants
124 participants
n=5 Participants
Disease Sites
Chest Wall
53 participants
n=5 Participants
53 participants
n=7 Participants
106 participants
n=5 Participants
Disease Sites
Effusion
57 participants
n=5 Participants
55 participants
n=7 Participants
112 participants
n=5 Participants
Disease Sites
Lymph Node
250 participants
n=5 Participants
249 participants
n=7 Participants
499 participants
n=5 Participants
Disease Sites
Other
20 participants
n=5 Participants
18 participants
n=7 Participants
38 participants
n=5 Participants
Disease Sites
Peritoneum
7 participants
n=5 Participants
14 participants
n=7 Participants
21 participants
n=5 Participants
Disease Sites
Pleura
29 participants
n=5 Participants
35 participants
n=7 Participants
64 participants
n=5 Participants
Disease Sites
Skin/Soft Tissue
60 participants
n=5 Participants
62 participants
n=7 Participants
122 participants
n=5 Participants
Disease Sites
Visceral, Liver
245 participants
n=5 Participants
228 participants
n=7 Participants
473 participants
n=5 Participants
Disease Sites
Visceral, Lung
180 participants
n=5 Participants
174 participants
n=7 Participants
354 participants
n=5 Participants
Disease Sites
Visceral, Other
34 participants
n=5 Participants
28 participants
n=7 Participants
62 participants
n=5 Participants
Disease Sites at Baseline
Liver ± Lung ± Skin/Soft Tissue ± Bone
245 participants
n=5 Participants
228 participants
n=7 Participants
473 participants
n=5 Participants
Disease Sites at Baseline
Lung ± Skin/Soft Tissue ± Bone
71 participants
n=5 Participants
87 participants
n=7 Participants
158 participants
n=5 Participants
Disease Sites at Baseline
Skin/Soft Tissue ± Bone
49 participants
n=5 Participants
52 participants
n=7 Participants
101 participants
n=5 Participants
Disease Sites at Baseline
Bone
0 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
Disease Sites at Baseline
Other
6 participants
n=5 Participants
5 participants
n=7 Participants
11 participants
n=5 Participants
Karnofsky Performance Status
100
108 Units on a scale
n=5 Participants
105 Units on a scale
n=7 Participants
213 Units on a scale
n=5 Participants
Karnofsky Performance Status
90
145 Units on a scale
n=5 Participants
132 Units on a scale
n=7 Participants
277 Units on a scale
n=5 Participants
Karnofsky Performance Status
80
86 Units on a scale
n=5 Participants
102 Units on a scale
n=7 Participants
188 Units on a scale
n=5 Participants
Karnofsky Performance Status
70
33 Units on a scale
n=5 Participants
34 Units on a scale
n=7 Participants
67 Units on a scale
n=5 Participants
Karnofsky Performance Status
<70
0 Units on a scale
n=5 Participants
1 Units on a scale
n=7 Participants
1 Units on a scale
n=5 Participants
Karnofsky Performance Status
Not reported
3 Units on a scale
n=5 Participants
3 Units on a scale
n=7 Participants
6 Units on a scale
n=5 Participants
Menopausal Status
Premenopausal
54 participants
n=5 Participants
51 participants
n=7 Participants
105 participants
n=5 Participants
Menopausal Status
Perimenopausal
19 participants
n=5 Participants
23 participants
n=7 Participants
42 participants
n=5 Participants
Menopausal Status
Postmenopausal
288 participants
n=5 Participants
289 participants
n=7 Participants
577 participants
n=5 Participants
Menopausal Status
Not reported
14 participants
n=5 Participants
14 participants
n=7 Participants
28 participants
n=5 Participants
Number of Disease Sites
1 disease site
39 participants
n=5 Participants
34 participants
n=7 Participants
73 participants
n=5 Participants
Number of Disease Sites
2 disease sites
85 participants
n=5 Participants
98 participants
n=7 Participants
183 participants
n=5 Participants
Number of Disease Sites
3 disease sites
110 participants
n=5 Participants
121 participants
n=7 Participants
231 participants
n=5 Participants
Number of Disease Sites
4 disease sites
79 participants
n=5 Participants
69 participants
n=7 Participants
148 participants
n=5 Participants
Number of Disease Sites
≥5 disease sites
58 participants
n=5 Participants
53 participants
n=7 Participants
111 participants
n=5 Participants
Presence of All Lesions
Subjects with at least 1 lesion
371 participants
n=5 Participants
375 participants
n=7 Participants
746 participants
n=5 Participants
Presence of All Lesions
Subjects with no lesions
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
Visceral Disease in Liver and/or Lung
Yes
316 participants
n=5 Participants
315 participants
n=7 Participants
631 participants
n=5 Participants
Visceral Disease in Liver and/or Lung
No
55 participants
n=5 Participants
60 participants
n=7 Participants
115 participants
n=5 Participants
Visceral Disease in Liver and/or Lung
Missing
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity

Population: PFS was analyzed on all randomized patients on an intention to treat basis.

PFS defined as the time in months from randomization to date of progression. Patients who died without a reported prior progression were considered to have progressed on date of death; those who didn't progress or die were censored on date of last tumor assessment. Median PFS time with 95% CI estimated using the Kaplan Meier product limit method.

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=375 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=377 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Progression-free Survival (PFS) Per Independent Radiology Review Committee (IRRC)
5.85 Months
Interval 5.45 to 6.97
4.17 Months
Interval 3.81 to 4.5

SECONDARY outcome

Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity

Population: The analysis of ORR was conducted on all randomized patients on an intent to treat basis.

Participants with best response of "Complete" or "Partial" according to Response Evaluation Criteria in Solid Tumors (RECIST) a 4-item scale wherein complete response=disappearance of all target lesions and partial response=30% decrease in the sum of the longest diameter of target lesions

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=375 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=377 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Overall Response Rate (ORR) Per IRRC
34.7 percent
Interval 29.9 to 39.7
14.3 percent
Interval 10.9 to 18.3

SECONDARY outcome

Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity

Population: Results for duration of response apply to only those subjects with a response (defined as complete or partial response).

Computed for all patients with a best response of "Partial" or "Complete" per RECIST (a 4-item scale as described in previous outcome measure), calculated from the time when these criteria were first met until the first date of documented progression or death.

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=130 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=54 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Duration of Response Per IRRC
6.4 months
Interval 5.6 to 7.1
5.6 months
Interval 4.2 to 7.5

SECONDARY outcome

Timeframe: based on assessments every 6 weeks while on treatment until documented disease progression/unacceptable toxicity

Population: Results for time to response apply to only those subjects with a response (defined as complete or partial response)

Time to response was summarized using descriptive statistics and was defined as the time from first dose of study treatment until measurement criteria were first met for Partial Response or Complete Response.

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=130 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=54 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Time to Response Per IRRC
11.7 weeks
Interval 4.4 to 61.4
12.0 weeks
Interval 4.3 to 41.9

SECONDARY outcome

Timeframe: from date of randomization until death

Population: Overall survival was analyzed on all randomized patients on an intent to treat basis.

OS was defined as the time from randomization to death. Participants who did not die at the time of the analysis were censored at the latest follow-up date. Median OS with 95% CI was estimated using the Kaplan Meier product limit method.

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=375 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=377 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Overall Survival (OS)
12.9 Months
Interval 11.5 to 14.2
11.1 Months
Interval 10.0 to 12.5

SECONDARY outcome

Timeframe: safety was assessed on a continual basis every cycle while on-treatment and every 4 weeks post treatment until toxicities resolved or were deemed irreversible.

Population: All treated participants; all participants who received at least 1 dose of study therapy.Participants with baseline hepatic impairment (combination arm, n = 29; capecitabine arm, n = 35), defined as Grade ≥2 AST, ALT or Grade ≥1 total bilirubin, were contraindicated due to disproportionate number of toxic deaths.

Laboratory values, adverse events, and other symptoms were graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTC) Version 3.0

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=369 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=368 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Treatment-related Safety Summary
Deaths on-study or within 30 days of last dose
33 Participants
40 Participants
Treatment-related Safety Summary
Treatment-related Serious Adverse Events (SAEs)
91 Participants
31 Participants
Treatment-related Safety Summary
Treatment-related Adverse Events (AEs)
357 Participants
330 Participants
Treatment-related Safety Summary
Treatment-related AEs leading to Discontinuation
137 Participants
25 Participants

SECONDARY outcome

Timeframe: Baseline and prior to each 21-day cycle of treatment, and at first posttreatment follow-up assessment.

Population: Analysis was conducted on all randomized participants on an intent to treat basis.(Note: while table only reports data up to 24 wks, which represents most results, statistical analysis includes ALL assessments through study and follow-up; a few participants were assessed after more than 100 weeks.)

Quality of life, as measured by the FBSI, an 8-item, participant-reported instrument to measure symptoms. Each item has 5 possible responses ranging from 0 (not at all) to 4 (very much). The scoring was conducted according to the Functional Assessment of Chronic Illness Therapy manual, Version 4; higher scores reflect fewer symptoms.

Outcome measures

Outcome measures
Measure
Ixabepilone + Capecitabine
n=375 Participants
Ixabepilone 40 mg/m2 administered as a 3-hour intravenous (IV) infusion on Day 1 of each 21-day cycle, plus oral capecitabine 1000 mg/m2 twice a day (BID) x 14 days
Capecitabine
n=377 Participants
Capecitabine 1250 mg/m2 BID x 14 days
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 3 (n=282; n=273)
-0.4 units on a scale
Interval -0.97 to 0.2
0.3 units on a scale
Interval -0.28 to 0.84
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 6 (n=227; n=214)
-0.2 units on a scale
Interval -0.9 to 0.48
1.1 units on a scale
Interval 0.3 to 1.83
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 9 (n=194; n=184)
-0.6 units on a scale
Interval -1.31 to 0.19
1.8 units on a scale
Interval 0.97 to 2.58
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 12 (n=173; n=158)
-1.3 units on a scale
Interval -2.19 to -0.42
1.4 units on a scale
Interval 0.55 to 2.18
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 15 (n=148; n=145)
-0.7 units on a scale
Interval -1.65 to 0.27
1.7 units on a scale
Interval 0.73 to 2.72
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 18 (n=122; n=121)
-1.0 units on a scale
Interval -2.18 to 0.13
1.7 units on a scale
Interval 0.76 to 2.63
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 21 (n=116; n=101)
-0.7 units on a scale
Interval -1.63 to 0.28
1.1 units on a scale
Interval 0.01 to 2.21
Symptom Assessment Score Changes From Baseline for Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI)
Week 24 (n=95; n=82)
-0.8 units on a scale
Interval -1.89 to 0.38
2.3 units on a scale
Interval 1.13 to 3.41

Adverse Events

Capecitabine

Serious events: 127 serious events
Other events: 350 other events
Deaths: 0 deaths

Ixabepilone + Capecitabine

Serious events: 151 serious events
Other events: 360 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Capecitabine
n=368 participants at risk
Ixabepilone + Capecitabine
n=369 participants at risk
Investigations
HAEMOGLOBIN DECREASED
0.27%
1/368
0.27%
1/369
Investigations
GRIP STRENGTH DECREASED
0.00%
0/368
0.27%
1/369
Investigations
PLATELET COUNT DECREASED
0.54%
2/368
0.54%
2/369
Investigations
NEUTROPHIL COUNT DECREASED
0.00%
0/368
0.27%
1/369
Investigations
GRANULOCYTE COUNT DECREASED
0.00%
0/368
0.27%
1/369
Investigations
WHITE BLOOD CELL COUNT DECREASED
0.00%
0/368
0.27%
1/369
Cardiac disorders
ATRIAL FLUTTER
0.00%
0/368
0.27%
1/369
Cardiac disorders
CARDIAC ARREST
0.00%
0/368
0.27%
1/369
Cardiac disorders
CARDIOMYOPATHY
0.00%
0/368
0.27%
1/369
Cardiac disorders
ANGINA PECTORIS
0.00%
0/368
0.27%
1/369
Cardiac disorders
CARDIAC FAILURE
0.00%
0/368
0.27%
1/369
Cardiac disorders
ATRIAL FIBRILLATION
0.00%
0/368
0.27%
1/369
Cardiac disorders
MYOCARDIAL ISCHAEMIA
0.27%
1/368
0.27%
1/369
Cardiac disorders
PERICARDIAL EFFUSION
0.27%
1/368
0.00%
0/369
Cardiac disorders
MYOCARDIAL INFARCTION
0.00%
0/368
0.27%
1/369
Cardiac disorders
CARDIOPULMONARY FAILURE
0.00%
0/368
0.27%
1/369
Cardiac disorders
VENTRICULAR DYSFUNCTION
0.00%
0/368
0.81%
3/369
Cardiac disorders
CARDIO-RESPIRATORY ARREST
0.54%
2/368
0.27%
1/369
Cardiac disorders
ACUTE MYOCARDIAL INFARCTION
0.00%
0/368
0.27%
1/369
Cardiac disorders
ARRHYTHMIA SUPRAVENTRICULAR
0.00%
0/368
0.27%
1/369
Vascular disorders
THROMBOSIS
0.00%
0/368
0.81%
3/369
Vascular disorders
VASCULITIS
0.00%
0/368
0.27%
1/369
Vascular disorders
HYPOTENSION
0.54%
2/368
0.81%
3/369
Vascular disorders
LYMPHOEDEMA
0.27%
1/368
0.00%
0/369
Vascular disorders
HYPERTENSION
0.00%
0/368
0.27%
1/369
Vascular disorders
THROMBOPHLEBITIS
0.27%
1/368
0.00%
0/369
Vascular disorders
HYPOVOLAEMIC SHOCK
0.00%
0/368
0.27%
1/369
Vascular disorders
POOR VENOUS ACCESS
0.27%
1/368
0.54%
2/369
Vascular disorders
DEEP VEIN THROMBOSIS
1.1%
4/368
0.00%
0/369
Vascular disorders
JUGULAR VEIN THROMBOSIS
0.27%
1/368
0.00%
0/369
Psychiatric disorders
ANXIETY
0.27%
1/368
0.00%
0/369
Psychiatric disorders
DEPRESSION
0.00%
0/368
0.27%
1/369
Psychiatric disorders
DISORIENTATION
0.27%
1/368
0.00%
0/369
Psychiatric disorders
CONFUSIONAL STATE
0.54%
2/368
0.54%
2/369
Hepatobiliary disorders
HEPATIC FAILURE
1.1%
4/368
0.27%
1/369
Hepatobiliary disorders
ACUTE HEPATIC FAILURE
0.00%
0/368
0.27%
1/369
Hepatobiliary disorders
HEPATOCELLULAR DAMAGE
0.27%
1/368
0.00%
0/369
Immune system disorders
HYPERSENSITIVITY
0.00%
0/368
0.54%
2/369
Immune system disorders
TYPE IV HYPERSENSITIVITY REACTION
0.00%
0/368
0.27%
1/369
Nervous system disorders
APHASIA
0.27%
1/368
0.00%
0/369
Nervous system disorders
SYNCOPE
0.27%
1/368
0.27%
1/369
Nervous system disorders
HEADACHE
0.27%
1/368
0.27%
1/369
Nervous system disorders
LETHARGY
0.00%
0/368
0.27%
1/369
Nervous system disorders
DIZZINESS
0.00%
0/368
1.1%
4/369
Nervous system disorders
NEURALGIA
0.00%
0/368
0.27%
1/369
Nervous system disorders
CONVULSION
0.54%
2/368
0.00%
0/369
Nervous system disorders
SOMNOLENCE
0.00%
0/368
0.27%
1/369
Nervous system disorders
PARAESTHESIA
0.00%
0/368
0.27%
1/369
Nervous system disorders
HYPOAESTHESIA
0.00%
0/368
0.27%
1/369
Nervous system disorders
MENTAL IMPAIRMENT
0.00%
0/368
0.27%
1/369
Nervous system disorders
CEREBRAL ISCHAEMIA
0.00%
0/368
0.27%
1/369
Nervous system disorders
COGNITIVE DISORDER
0.27%
1/368
0.27%
1/369
Nervous system disorders
CEREBRAL HAEMORRHAGE
0.00%
0/368
0.27%
1/369
Nervous system disorders
COORDINATION ABNORMAL
0.27%
1/368
0.27%
1/369
Nervous system disorders
INTERCOSTAL NEURALGIA
0.27%
1/368
0.00%
0/369
Nervous system disorders
LOSS OF CONSCIOUSNESS
0.00%
0/368
0.27%
1/369
Nervous system disorders
NEUROPATHY PERIPHERAL
0.00%
0/368
0.54%
2/369
Nervous system disorders
PARESIS CRANIAL NERVE
0.27%
1/368
0.00%
0/369
Nervous system disorders
SPINAL CORD COMPRESSION
0.27%
1/368
0.27%
1/369
Nervous system disorders
MARCHIAFAVA-BIGNAMI DISEASE
0.27%
1/368
0.00%
0/369
Nervous system disorders
PERIPHERAL MOTOR NEUROPATHY
0.27%
1/368
0.81%
3/369
Nervous system disorders
PERIPHERAL SENSORY NEUROPATHY
0.00%
0/368
1.4%
5/369
Gastrointestinal disorders
ILEUS
0.27%
1/368
0.81%
3/369
Gastrointestinal disorders
NAUSEA
1.4%
5/368
2.2%
8/369
Gastrointestinal disorders
ASCITES
0.54%
2/368
0.27%
1/369
Gastrointestinal disorders
COLITIS
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
MELAENA
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
VOMITING
2.2%
8/368
3.3%
12/369
Gastrointestinal disorders
CHEILITIS
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
DIARRHOEA
4.1%
15/368
3.8%
14/369
Gastrointestinal disorders
DYSPEPSIA
0.00%
0/368
0.27%
1/369
Gastrointestinal disorders
ENTERITIS
0.54%
2/368
0.00%
0/369
Gastrointestinal disorders
GASTRITIS
0.27%
1/368
0.27%
1/369
Gastrointestinal disorders
STOMATITIS
0.27%
1/368
0.81%
3/369
Gastrointestinal disorders
CONSTIPATION
0.54%
2/368
0.27%
1/369
Gastrointestinal disorders
HAEMATEMESIS
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
OESOPHAGITIS
0.00%
0/368
0.27%
1/369
Gastrointestinal disorders
PANCREATITIS
0.00%
0/368
0.27%
1/369
Gastrointestinal disorders
PEPTIC ULCER
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
ABDOMINAL PAIN
1.1%
4/368
1.1%
4/369
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
EROSIVE OESOPHAGITIS
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
GASTROINTESTINAL ULCER
0.00%
0/368
0.27%
1/369
Gastrointestinal disorders
GASTROINTESTINAL HAEMORRHAGE
0.54%
2/368
0.00%
0/369
Gastrointestinal disorders
GASTROINTESTINAL OBSTRUCTION
0.27%
1/368
0.00%
0/369
Gastrointestinal disorders
LARGE INTESTINAL OBSTRUCTION
0.00%
0/368
0.27%
1/369
Gastrointestinal disorders
LOWER GASTROINTESTINAL HAEMORRHAGE
0.00%
0/368
0.54%
2/369
Infections and infestations
SEPSIS
0.00%
0/368
1.4%
5/369
Infections and infestations
MYIASIS
0.27%
1/368
0.00%
0/369
Infections and infestations
CYSTITIS
0.00%
0/368
0.27%
1/369
Infections and infestations
INFECTION
0.54%
2/368
0.27%
1/369
Infections and infestations
PNEUMONIA
0.82%
3/368
4.6%
17/369
Infections and infestations
CELLULITIS
0.00%
0/368
0.81%
3/369
Infections and infestations
ERYSIPELAS
0.27%
1/368
0.27%
1/369
Infections and infestations
LARYNGITIS
0.00%
0/368
0.27%
1/369
Infections and infestations
PARONYCHIA
0.00%
0/368
0.27%
1/369
Infections and infestations
BACTERAEMIA
0.27%
1/368
0.00%
0/369
Infections and infestations
SEPTIC SHOCK
0.27%
1/368
0.27%
1/369
Infections and infestations
HERPES ZOSTER
0.54%
2/368
0.54%
2/369
Infections and infestations
GASTROENTERITIS
0.27%
1/368
0.54%
2/369
Infections and infestations
LOBAR PNEUMONIA
0.00%
0/368
0.27%
1/369
Infections and infestations
PERITONEAL INFECTION
0.27%
1/368
0.00%
0/369
Infections and infestations
NEUTROPENIC INFECTION
0.00%
0/368
0.27%
1/369
Infections and infestations
ENTEROCOLITIS INFECTIOUS
0.00%
0/368
0.27%
1/369
Infections and infestations
PNEUMONIA STAPHYLOCOCCAL
0.00%
0/368
0.27%
1/369
Infections and infestations
GASTROINTESTINAL INFECTION
0.27%
1/368
0.00%
0/369
Infections and infestations
RESPIRATORY TRACT INFECTION
0.27%
1/368
0.54%
2/369
Infections and infestations
GENITOURINARY TRACT INFECTION
0.27%
1/368
0.00%
0/369
Infections and infestations
LOWER RESPIRATORY TRACT INFECTION
0.00%
0/368
0.27%
1/369
Renal and urinary disorders
HAEMATURIA
0.27%
1/368
0.00%
0/369
Renal and urinary disorders
RENAL FAILURE
0.27%
1/368
0.27%
1/369
Renal and urinary disorders
RENAL IMPAIRMENT
0.27%
1/368
0.00%
0/369
Renal and urinary disorders
URINARY RETENTION
0.27%
1/368
0.00%
0/369
Renal and urinary disorders
RENAL FAILURE ACUTE
0.27%
1/368
0.00%
0/369
Metabolism and nutrition disorders
ANOREXIA
0.54%
2/368
0.54%
2/369
Metabolism and nutrition disorders
DEHYDRATION
0.82%
3/368
2.2%
8/369
Metabolism and nutrition disorders
HYPOKALAEMIA
0.00%
0/368
0.81%
3/369
Metabolism and nutrition disorders
HYPOVOLAEMIA
0.00%
0/368
0.27%
1/369
Metabolism and nutrition disorders
HYPOCALCAEMIA
0.00%
0/368
0.27%
1/369
Metabolism and nutrition disorders
HYPOGLYCAEMIA
0.27%
1/368
0.00%
0/369
Metabolism and nutrition disorders
HYPONATRAEMIA
0.00%
0/368
0.81%
3/369
Metabolism and nutrition disorders
HYPERCALCAEMIA
0.27%
1/368
0.27%
1/369
Metabolism and nutrition disorders
HYPERGLYCAEMIA
0.00%
0/368
0.54%
2/369
Metabolism and nutrition disorders
METABOLIC ACIDOSIS
0.00%
0/368
0.27%
1/369
Metabolism and nutrition disorders
DIABETIC KETOACIDOSIS
0.27%
1/368
0.00%
0/369
Blood and lymphatic system disorders
ANAEMIA
0.82%
3/368
3.0%
11/369
Blood and lymphatic system disorders
LEUKOPENIA
0.00%
0/368
1.6%
6/369
Blood and lymphatic system disorders
NEUTROPENIA
0.00%
0/368
4.9%
18/369
Blood and lymphatic system disorders
COAGULOPATHY
0.82%
3/368
0.00%
0/369
Blood and lymphatic system disorders
LYMPHADENOPATHY
0.00%
0/368
0.27%
1/369
Blood and lymphatic system disorders
THROMBOCYTOPENIA
0.54%
2/368
1.9%
7/369
Blood and lymphatic system disorders
BONE MARROW FAILURE
0.00%
0/368
0.27%
1/369
Blood and lymphatic system disorders
FEBRILE NEUTROPENIA
1.1%
4/368
4.1%
15/369
Blood and lymphatic system disorders
DISSEMINATED INTRAVASCULAR COAGULATION
0.00%
0/368
0.27%
1/369
Skin and subcutaneous tissue disorders
RASH
0.00%
0/368
0.27%
1/369
Skin and subcutaneous tissue disorders
SKIN ULCER
0.27%
1/368
0.00%
0/369
Skin and subcutaneous tissue disorders
ERYTHEMA MULTIFORME
0.00%
0/368
0.27%
1/369
Skin and subcutaneous tissue disorders
PALMAR-PLANTAR ERYTHRODYSAESTHESIA SYNDROME
0.27%
1/368
1.4%
5/369
Reproductive system and breast disorders
UTERINE HAEMORRHAGE
0.27%
1/368
0.00%
0/369
Injury, poisoning and procedural complications
FALL
0.00%
0/368
0.54%
2/369
Injury, poisoning and procedural complications
OVERDOSE
0.27%
1/368
0.00%
0/369
Injury, poisoning and procedural complications
HIP FRACTURE
0.27%
1/368
0.00%
0/369
Injury, poisoning and procedural complications
ANKLE FRACTURE
0.27%
1/368
0.27%
1/369
Injury, poisoning and procedural complications
FEMUR FRACTURE
0.27%
1/368
0.00%
0/369
Injury, poisoning and procedural complications
VASCULAR ACCESS COMPLICATION
0.00%
0/368
0.27%
1/369
Injury, poisoning and procedural complications
POST LUMBAR PUNCTURE SYNDROME
0.27%
1/368
0.00%
0/369
Musculoskeletal and connective tissue disorders
MYALGIA
0.00%
0/368
0.81%
3/369
Musculoskeletal and connective tissue disorders
TRISMUS
0.00%
0/368
0.27%
1/369
Musculoskeletal and connective tissue disorders
BACK PAIN
0.27%
1/368
0.27%
1/369
Musculoskeletal and connective tissue disorders
BONE PAIN
0.82%
3/368
0.27%
1/369
Musculoskeletal and connective tissue disorders
ARTHRALGIA
0.27%
1/368
0.27%
1/369
Musculoskeletal and connective tissue disorders
MUSCLE SPASMS
0.00%
0/368
0.27%
1/369
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
0.27%
1/368
0.54%
2/369
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL PAIN
0.27%
1/368
0.00%
0/369
Musculoskeletal and connective tissue disorders
PATHOLOGICAL FRACTURE
0.27%
1/368
0.27%
1/369
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL CHEST PAIN
0.00%
0/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
HYPOXIA
0.00%
0/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
1.9%
7/368
3.8%
14/369
Respiratory, thoracic and mediastinal disorders
DYSPHONIA
0.00%
0/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
HYDROTHORAX
0.27%
1/368
0.00%
0/369
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
1.1%
4/368
0.00%
0/369
Respiratory, thoracic and mediastinal disorders
PNEUMOTHORAX
0.27%
1/368
0.54%
2/369
Respiratory, thoracic and mediastinal disorders
LUNG DISORDER
0.00%
0/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
PLEURITIC PAIN
0.27%
1/368
0.00%
0/369
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
2.4%
9/368
1.6%
6/369
Respiratory, thoracic and mediastinal disorders
HYDROPNEUMOTHORAX
0.27%
1/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
0.27%
1/368
0.54%
2/369
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
0.27%
1/368
1.1%
4/369
Respiratory, thoracic and mediastinal disorders
PULMONARY HAEMORRHAGE
0.27%
1/368
0.00%
0/369
Respiratory, thoracic and mediastinal disorders
ACUTE PULMONARY OEDEMA
0.00%
0/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
PHARYNGOLARYNGEAL PAIN
0.00%
0/368
0.27%
1/369
Respiratory, thoracic and mediastinal disorders
ACUTE RESPIRATORY DISTRESS SYNDROME
0.27%
1/368
0.00%
0/369
General disorders
PAIN
0.00%
0/368
0.54%
2/369
General disorders
DEATH
0.27%
1/368
0.54%
2/369
General disorders
CHILLS
0.00%
0/368
0.27%
1/369
General disorders
FATIGUE
0.27%
1/368
0.81%
3/369
General disorders
PYREXIA
0.82%
3/368
2.4%
9/369
General disorders
ASTHENIA
0.54%
2/368
0.81%
3/369
General disorders
CHEST PAIN
0.27%
1/368
0.27%
1/369
General disorders
SUDDEN DEATH
0.00%
0/368
0.27%
1/369
General disorders
GENERALISED OEDEMA
0.27%
1/368
0.00%
0/369
General disorders
MUCOSAL INFLAMMATION
0.82%
3/368
1.1%
4/369
General disorders
PERFORMANCE STATUS DECREASED
0.00%
0/368
0.27%
1/369
General disorders
GENERAL PHYSICAL HEALTH DETERIORATION
0.27%
1/368
0.27%
1/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CANCER PAIN
0.27%
1/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER
0.27%
1/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTATIC PAIN
0.27%
1/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CERVIX CARCINOMA
0.27%
1/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
INFECTED NEOPLASM
0.00%
0/368
0.27%
1/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT ASCITES
0.27%
1/368
0.27%
1/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO BONE
0.00%
0/368
0.27%
1/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NEOPLASM MALIGNANT
0.27%
1/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO LIVER
0.54%
2/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO MENINGES
0.00%
0/368
0.27%
1/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT PLEURAL EFFUSION
0.54%
2/368
0.54%
2/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT NEOPLASM PROGRESSION
9.8%
36/368
5.1%
19/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PERICARDIAL EFFUSION MALIGNANT
1.1%
4/368
0.00%
0/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO CENTRAL NERVOUS SYSTEM
2.2%
8/368
1.9%
7/369
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
RENAL CELL CARCINOMA STAGE UNSPECIFIED
0.27%
1/368
0.00%
0/369

Other adverse events

Other adverse events
Measure
Capecitabine
n=368 participants at risk
Ixabepilone + Capecitabine
n=369 participants at risk
Eye disorders
LACRIMATION INCREASED
5.7%
21/368
5.7%
21/369
Investigations
WEIGHT DECREASED
11.7%
43/368
23.8%
88/369
Investigations
HAEMOGLOBIN DECREASED
1.1%
4/368
5.7%
21/369
Investigations
NEUTROPHIL COUNT DECREASED
1.6%
6/368
7.3%
27/369
Investigations
WHITE BLOOD CELL COUNT DECREASED
0.82%
3/368
6.2%
23/369
Psychiatric disorders
INSOMNIA
6.8%
25/368
16.5%
61/369
Nervous system disorders
HEADACHE
11.1%
41/368
17.1%
63/369
Nervous system disorders
DIZZINESS
9.8%
36/368
13.0%
48/369
Nervous system disorders
DYSGEUSIA
3.8%
14/368
11.4%
42/369
Nervous system disorders
PARAESTHESIA
6.0%
22/368
19.2%
71/369
Nervous system disorders
HYPOAESTHESIA
2.4%
9/368
7.9%
29/369
Nervous system disorders
NEUROPATHY PERIPHERAL
1.4%
5/368
7.9%
29/369
Nervous system disorders
PERIPHERAL MOTOR NEUROPATHY
2.2%
8/368
18.4%
68/369
Nervous system disorders
PERIPHERAL SENSORY NEUROPATHY
8.2%
30/368
37.7%
139/369
Gastrointestinal disorders
NAUSEA
44.6%
164/368
56.6%
209/369
Gastrointestinal disorders
VOMITING
28.8%
106/368
42.8%
158/369
Gastrointestinal disorders
DIARRHOEA
39.9%
147/368
48.5%
179/369
Gastrointestinal disorders
DYSPEPSIA
9.5%
35/368
9.2%
34/369
Gastrointestinal disorders
STOMATITIS
10.6%
39/368
16.5%
61/369
Gastrointestinal disorders
CONSTIPATION
15.5%
57/368
32.5%
120/369
Gastrointestinal disorders
ABDOMINAL PAIN
13.9%
51/368
18.4%
68/369
Gastrointestinal disorders
ABDOMINAL DISTENSION
3.3%
12/368
5.1%
19/369
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
8.4%
31/368
12.2%
45/369
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
4.3%
16/368
6.2%
23/369
Metabolism and nutrition disorders
ANOREXIA
18.8%
69/368
34.4%
127/369
Metabolism and nutrition disorders
DECREASED APPETITE
2.2%
8/368
5.7%
21/369
Blood and lymphatic system disorders
ANAEMIA
2.7%
10/368
5.1%
19/369
Blood and lymphatic system disorders
LEUKOPENIA
0.27%
1/368
6.0%
22/369
Blood and lymphatic system disorders
NEUTROPENIA
2.4%
9/368
13.8%
51/369
Skin and subcutaneous tissue disorders
RASH
7.3%
27/368
12.2%
45/369
Skin and subcutaneous tissue disorders
ALOPECIA
4.3%
16/368
32.8%
121/369
Skin and subcutaneous tissue disorders
DRY SKIN
6.8%
25/368
6.2%
23/369
Skin and subcutaneous tissue disorders
ERYTHEMA
4.6%
17/368
6.8%
25/369
Skin and subcutaneous tissue disorders
PRURITUS
4.1%
15/368
5.7%
21/369
Skin and subcutaneous tissue disorders
NAIL DISORDER
9.8%
36/368
20.6%
76/369
Skin and subcutaneous tissue disorders
SKIN HYPERPIGMENTATION
14.4%
53/368
11.1%
41/369
Skin and subcutaneous tissue disorders
PALMAR-PLANTAR ERYTHRODYSAESTHESIA SYNDROME
62.0%
228/368
63.7%
235/369
Musculoskeletal and connective tissue disorders
MYALGIA
6.5%
24/368
35.2%
130/369
Musculoskeletal and connective tissue disorders
BACK PAIN
14.4%
53/368
12.5%
46/369
Musculoskeletal and connective tissue disorders
BONE PAIN
5.2%
19/368
7.0%
26/369
Musculoskeletal and connective tissue disorders
ARTHRALGIA
6.8%
25/368
23.6%
87/369
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
8.2%
30/368
19.0%
70/369
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL PAIN
4.3%
16/368
11.1%
41/369
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL CHEST PAIN
5.4%
20/368
5.4%
20/369
Respiratory, thoracic and mediastinal disorders
COUGH
16.0%
59/368
19.8%
73/369
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
18.2%
67/368
16.5%
61/369
General disorders
PAIN
2.2%
8/368
7.3%
27/369
General disorders
FATIGUE
26.4%
97/368
43.4%
160/369
General disorders
PYREXIA
12.8%
47/368
15.2%
56/369
General disorders
ASTHENIA
15.5%
57/368
27.4%
101/369
General disorders
CHEST PAIN
5.2%
19/368
6.0%
22/369
General disorders
OEDEMA PERIPHERAL
12.5%
46/368
13.8%
51/369
General disorders
MUCOSAL INFLAMMATION
10.6%
39/368
16.0%
59/369

Additional Information

Bristol-Myers Squibb Study Director

Bristol-Myers Squibb

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER