Trial Outcomes & Findings for Fenretinide in Treating Patients With Biochemically Recurrent Hormone-Naïve Prostate Cancer (NCT NCT00080899)

NCT ID: NCT00080899

Last Updated: 2015-03-06

Results Overview

PSA normalization (PSA-N) was recorded as the best PSA response when a PSA level was undetectable (\< 0.1 ng/ml), and was then subsequently confirmed by a second measurement ≥ 4 weeks later. PSA partial response (PSA-PR) was recorded if the PSA decreased by ≥ 50% from pre-treatment or baseline values and was confirmed by a second measurement made ≥ 4 weeks later. Response = PSA-N + PSA-PR.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

Baseline to 5 years

Results posted on

2015-03-06

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1
Patients received Fenretinide (N-(4-hydroxyphenyl) retinamide \[4-HPR\]) at a dose of 900 mg/m2 twice daily for the maximal practical dose of 1800 mg/m2/day for 1 week, every 3 weeks, for 1 year.
Overall Study
STARTED
23
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1
Patients received Fenretinide (N-(4-hydroxyphenyl) retinamide \[4-HPR\]) at a dose of 900 mg/m2 twice daily for the maximal practical dose of 1800 mg/m2/day for 1 week, every 3 weeks, for 1 year.
Overall Study
Adverse Event
1

Baseline Characteristics

Fenretinide in Treating Patients With Biochemically Recurrent Hormone-Naïve Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1
n=23 Participants
Patients received Fenretinide (N-(4-hydroxyphenyl) retinamide \[4-HPR\]) at a dose of 900 mg/m2 twice daily for the maximal practical dose of 1800 mg/m2/day for 1 week, every 3 weeks, for 1 year.
Age, Continuous
69 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 5 years

PSA normalization (PSA-N) was recorded as the best PSA response when a PSA level was undetectable (\< 0.1 ng/ml), and was then subsequently confirmed by a second measurement ≥ 4 weeks later. PSA partial response (PSA-PR) was recorded if the PSA decreased by ≥ 50% from pre-treatment or baseline values and was confirmed by a second measurement made ≥ 4 weeks later. Response = PSA-N + PSA-PR.

Outcome measures

Outcome measures
Measure
Arm 1
n=22 Participants
Patients received Fenretinide (N-(4-hydroxyphenyl) retinamide \[4-HPR\]) at a dose of 900 mg/m2 twice daily for the maximal practical dose of 1800 mg/m2/day for 1 week, every 3 weeks, for 1 year.
PSA Response
0 participants

SECONDARY outcome

Timeframe: From the start of treatment until the date of the first documentation of PSA progression, assessed up to 5 years

Was summarized using the product-limit (Kaplan-Meier) method. In patients whose PSA levels initially decreased, PSA progression was defined as a 25% increase over the nadir (postenrollment PSA value up to that point), and an increase in the absolute value in the PSA value of 5 ng/mL, relative to the lowest postenrollment PSA value up to that point, including the baseline PSA level - and which was confirmed by second value 3-4 weeks later. A best response of PSA-PD was recorded for those patients who did not achieve a confirmed PSA-N or PSA-PR and who experienced PSA progression within 3 months of start of treatment.

Outcome measures

Outcome measures
Measure
Arm 1
n=23 Participants
Patients received Fenretinide (N-(4-hydroxyphenyl) retinamide \[4-HPR\]) at a dose of 900 mg/m2 twice daily for the maximal practical dose of 1800 mg/m2/day for 1 week, every 3 weeks, for 1 year.
Time to PSA Progression
4.6 months
Interval 3.2 to 8.2

Adverse Events

Arm 1

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm 1
n=23 participants at risk
Patients received Fenretinide (N-(4-hydroxyphenyl) retinamide \[4-HPR\]) at a dose of 900 mg/m2 twice daily for the maximal practical dose of 1800 mg/m2/day for 1 week, every 3 weeks, for 1 year.
Blood and lymphatic system disorders
Hemoglobin decreased
17.4%
4/23 • Number of events 23 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Cardiac disorders
Arrhythmia supraventricular
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Cardiac disorders
Sinus tachycardia
4.3%
1/23 • Number of events 2 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Dry eye syndrome
13.0%
3/23 • Number of events 15 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Eye disorder
8.7%
2/23 • Number of events 2 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Flashing vision
34.8%
8/23 • Number of events 51 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Night blindness
43.5%
10/23 • Number of events 45 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Photophobia
21.7%
5/23 • Number of events 13 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Proptosis
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Eye disorders
Vision blurred
13.0%
3/23 • Number of events 5 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Abdominal distension
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Abdominal pain
8.7%
2/23 • Number of events 6 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Cheilitis
4.3%
1/23 • Number of events 4 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Constipation
17.4%
4/23 • Number of events 9 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Diarrhea
34.8%
8/23 • Number of events 30 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Dry mouth
8.7%
2/23 • Number of events 2 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Dysphagia
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Flatulence
26.1%
6/23 • Number of events 18 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Nausea
21.7%
5/23 • Number of events 11 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Rectal hemorrhage
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Chills
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Disease progression
8.7%
2/23 • Number of events 2 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Edema limbs
8.7%
2/23 • Number of events 4 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Fatigue
13.0%
3/23 • Number of events 22 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Flu-like symptoms
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Irritability
4.3%
1/23 • Number of events 2 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Infections and infestations
Skin infection
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Alanine aminotransferase increased
8.7%
2/23 • Number of events 4 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Alkaline phosphatase increased
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Amylase increased
13.0%
3/23 • Number of events 11 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Aspartate aminotransferase increased
13.0%
3/23 • Number of events 11 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Bilirubin increased
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Creatinine increased
13.0%
3/23 • Number of events 7 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Hyperbilirubinemia
17.4%
4/23 • Number of events 17 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Hypercholesterolemia
8.7%
2/23 • Number of events 5 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Lipase increased
13.0%
3/23 • Number of events 5 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Lymphopenia
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Platelet count decreased
8.7%
2/23 • Number of events 17 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Anorexia
8.7%
2/23 • Number of events 8 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypercalcemia
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyperglycemia
13.0%
3/23 • Number of events 11 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyperkalemia
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypermagnesemia
4.3%
1/23 • Number of events 3 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypernatremia
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypertriglyceridemia
39.1%
9/23 • Number of events 24 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyperuricemia
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypocalcemia
8.7%
2/23 • Number of events 6 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyponatremia
13.0%
3/23 • Number of events 11 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypophosphatemia
13.0%
3/23 • Number of events 3 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Arthritis
17.4%
4/23 • Number of events 23 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Back pain
17.4%
4/23 • Number of events 16 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Joint pain
21.7%
5/23 • Number of events 18 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Myalgia
17.4%
4/23 • Number of events 17 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Neck pain
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Dizziness
17.4%
4/23 • Number of events 9 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Headache
13.0%
3/23 • Number of events 5 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Peripheral sensory neuropathy
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Trigeminal nerve disorder
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Psychiatric disorders
Depression
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Reproductive system and breast disorders
Breast pain
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Dry skin
52.2%
12/23 • Number of events 46 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Photosensitivity
8.7%
2/23 • Number of events 14 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Pruritus
4.3%
1/23 • Number of events 1 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Rash desquamating
17.4%
4/23 • Number of events 4 • Adverse events were collected over a period of 2 years and 9 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.

Additional Information

DCC Project Administrator

California Cancer Consortium

Phone: 626-256-4673

Results disclosure agreements

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

Restriction type: LTE60