Trial Outcomes & Findings for Oxaliplatin and Capecitabine in the Treatment of Relapsed/Refractory Carcinoma of Unknown Primary Site (NCT NCT00193609)

NCT ID: NCT00193609

Last Updated: 2013-11-11

Results Overview

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

48 participants

Primary outcome timeframe

18 months

Results posted on

2013-11-11

Participant Flow

Participant milestones

Participant milestones
Measure
Oxaliplatin/Capecitabine
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Overall Study
STARTED
48
Overall Study
COMPLETED
44
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Oxaliplatin/Capecitabine
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Overall Study
Lack of Efficacy
2
Overall Study
Adverse Event
2

Baseline Characteristics

Oxaliplatin and Capecitabine in the Treatment of Relapsed/Refractory Carcinoma of Unknown Primary Site

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=48 Participants
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Age Continuous
59 years
n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
Sex: Female, Male
Male
21 Participants
n=5 Participants
Region of Enrollment
United States
48 participants
n=5 Participants

PRIMARY outcome

Timeframe: 18 months

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Intervention
n=44 Participants
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Progression Free Survival
3.7 months
Interval 2.6 to 9.7

SECONDARY outcome

Timeframe: 18 months

Length of time, in months, that patients were alive from their first date of protocol treatment until death.

Outcome measures

Outcome measures
Measure
Intervention
n=44 Participants
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Overall Survival
9.7 months
Interval 5.6 to 13.5

Adverse Events

Intervention

Serious events: 23 serious events
Other events: 47 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intervention
n=48 participants at risk
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Gastrointestinal disorders
vomiting
6.2%
3/48 • Number of events 3
General disorders
fever
2.1%
1/48 • Number of events 1
Musculoskeletal and connective tissue disorders
pain
2.1%
1/48 • Number of events 1
Hepatobiliary disorders
pancreatitis
2.1%
1/48 • Number of events 1
Gastrointestinal disorders
pain
2.1%
1/48 • Number of events 1
Respiratory, thoracic and mediastinal disorders
pulmonary embolism
2.1%
1/48 • Number of events 1
Gastrointestinal disorders
dehydration
8.3%
4/48 • Number of events 4
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
disease progression
18.8%
9/48 • Number of events 9
Musculoskeletal and connective tissue disorders
Fall
2.1%
1/48 • Number of events 1
Gastrointestinal disorders
Upper GI hemorrhage
2.1%
1/48 • Number of events 1
Musculoskeletal and connective tissue disorders
left hip fracture
2.1%
1/48 • Number of events 1
Gastrointestinal disorders
adenocarcinoma of recturm
2.1%
1/48 • Number of events 1
Gastrointestinal disorders
diarrhea
4.2%
2/48 • Number of events 2
Gastrointestinal disorders
paralytic ileus
2.1%
1/48 • Number of events 1
Cardiac disorders
cardiopulmonary arrest
2.1%
1/48 • Number of events 1
Cardiac disorders
CAD with ventricular tachycardia
2.1%
1/48 • Number of events 1
Gastrointestinal disorders
5-FU enteritis
2.1%
1/48 • Number of events 1
Cardiac disorders
hypertension
2.1%
1/48 • Number of events 1
Surgical and medical procedures
intrathecal catheter
2.1%
1/48 • Number of events 1

Other adverse events

Other adverse events
Measure
Intervention
n=48 participants at risk
All patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Skin and subcutaneous tissue disorders
Alopecia
16.7%
8/48 • Number of events 20
Blood and lymphatic system disorders
Anemia
29.2%
14/48 • Number of events 26
Gastrointestinal disorders
Anorexia
39.6%
19/48 • Number of events 48
Psychiatric disorders
Mood Alteration - Anxiety
8.3%
4/48 • Number of events 6
Musculoskeletal and connective tissue disorders
Arthralgia
6.2%
3/48 • Number of events 9
General disorders
Cold Sensitivity
27.1%
13/48 • Number of events 23
Gastrointestinal disorders
Constipation
29.2%
14/48 • Number of events 29
Gastrointestinal disorders
Dehydration
22.9%
11/48 • Number of events 15
Gastrointestinal disorders
Diarrhea
52.1%
25/48 • Number of events 46
Nervous system disorders
Dizziness
8.3%
4/48 • Number of events 7
Blood and lymphatic system disorders
Edema - NOS
29.2%
14/48 • Number of events 39
General disorders
Fatigue
70.8%
34/48 • Number of events 120
General disorders
Fever
8.3%
4/48 • Number of events 4
Skin and subcutaneous tissue disorders
Hand-Foot
16.7%
8/48 • Number of events 25
General disorders
Pain - Head
6.2%
3/48 • Number of events 3
Metabolism and nutrition disorders
Hyperglycemia
6.2%
3/48 • Number of events 4
Immune system disorders
Allergic Reaction
6.2%
3/48 • Number of events 4
Metabolism and nutrition disorders
Hypomagnesemia
6.2%
3/48 • Number of events 4
Infections and infestations
Infection - NOS
10.4%
5/48 • Number of events 7
Gastrointestinal disorders
Mucositis/Stomatitis
12.5%
6/48 • Number of events 10
Musculoskeletal and connective tissue disorders
Myalgia
6.2%
3/48 • Number of events 3
Gastrointestinal disorders
Nausea
72.9%
35/48 • Number of events 71
Nervous system disorders
Neuropathy
52.1%
25/48 • Number of events 62
Blood and lymphatic system disorders
Neutrophils
8.3%
4/48 • Number of events 12
General disorders
Pain
33.3%
16/48 • Number of events 42
Respiratory, thoracic and mediastinal disorders
Pulmonary - NOS
14.6%
7/48 • Number of events 14
Skin and subcutaneous tissue disorders
Rash/Desquamation
16.7%
8/48 • Number of events 16
Gastrointestinal disorders
Taste Alteration
8.3%
4/48 • Number of events 12
Blood and lymphatic system disorders
Platelets
35.4%
17/48 • Number of events 59
Gastrointestinal disorders
Vomiting
47.9%
23/48 • Number of events 39
Metabolism and nutrition disorders
Weight Loss
6.2%
3/48 • Number of events 7

Additional Information

John Hainsworth, MD

Sarah Cannon Research Institute

Phone: 1-877-691-7274

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor can review/embargo results communications prior to public release for a period that is \>60 days but ≤180 days from date submitted to sponsor, who may require changes to the communication in order to remove specifically identified confidential information (other than study data) and/or delay the proposed publication to enable the sponsor to seek patent protection for inventions. The PI may not publish its results until 18 mos. after the trial has been completed at all sites.
  • Publication restrictions are in place

Restriction type: OTHER