Trial Outcomes & Findings for Gemcitabine and Docetaxel in Treating Patients With Relapsed or Refractory Ovarian Epithelial or Peritoneal Cancer (NCT NCT00227721)

NCT ID: NCT00227721

Last Updated: 2020-12-02

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

Disease status by Response Evaluation Criteria In Solid Tumors Criteria (RECIST) or Gynecological Cancer Intergroup (GCIG) CA-125 criteria was assessed every two cycles from enrollment up to progression, death, or five years (whichever occurred first).

Results posted on

2020-12-02

Participant Flow

Participant milestones

Participant milestones
Measure
Docetaxel & Gemcitabine Hydrochloride
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Overall Study
STARTED
30
Overall Study
COMPLETED
29
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Docetaxel & Gemcitabine Hydrochloride
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Overall Study
On study, but never treated.
1

Baseline Characteristics

Gemcitabine and Docetaxel in Treating Patients With Relapsed or Refractory Ovarian Epithelial or Peritoneal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Docetaxel & Gemcitabine Hydrochloride
n=29 Participants
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Age, Continuous
57.5 years
n=5 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants

PRIMARY outcome

Timeframe: Disease status by Response Evaluation Criteria In Solid Tumors Criteria (RECIST) or Gynecological Cancer Intergroup (GCIG) CA-125 criteria was assessed every two cycles from enrollment up to progression, death, or five years (whichever occurred first).

Outcome measures

Outcome measures
Measure
Docetaxel & Gemcitabine Hydrochloride
n=29 Participants
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Response Rate to the Combination of Gemcitabine and Docetaxel in Patients With Platinum Sensitive and Resistant Epithelial Ovarian or Peritoneal Cancer.
62 percentage of participants with CR or PR
Interval 47.0 to 75.0

SECONDARY outcome

Timeframe: Every two cycles until disease progression or death, assessed up to 5 years

Progression-free survival estimated using Kaplan-Meier's product-limit method.

Outcome measures

Outcome measures
Measure
Docetaxel & Gemcitabine Hydrochloride
n=30 Participants
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Progression-free Survival
7.2 months
Interval 0.03 to 28.9

Adverse Events

Docetaxel & Gemcitabine Hydrochloride

Serious events: 14 serious events
Other events: 24 other events
Deaths: 25 deaths

Serious adverse events

Serious adverse events
Measure
Docetaxel & Gemcitabine Hydrochloride
n=29 participants at risk
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Investigations
Absolute neutrophil count (ANC)
48.3%
14/29 • Number of events 14 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
White Blood Count (WBC)
34.5%
10/29 • Number of events 10 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Platelets
24.1%
7/29 • Number of events 7 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
General disorders
Fatigue
20.7%
6/29 • Number of events 6 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Hemoglobin (HGB)
10.3%
3/29 • Number of events 3 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
General disorders
Pain
10.3%
3/29 • Number of events 3 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Respiratory, thoracic and mediastinal disorders
Dyspnea
10.3%
3/29 • Number of events 3 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Diarrhea
6.9%
2/29 • Number of events 2 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Vomiting
6.9%
2/29 • Number of events 2 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Infections and infestations
Infection w/o Neutropenia
6.9%
2/29 • Number of events 2 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Nausea
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Elevated Aspartate aminotransferase (AST)
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Elevated total bilirubin
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Metabolism and nutrition disorders
Abnormal magnesium
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Respiratory, thoracic and mediastinal disorders
Hypoxia
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Respiratory, thoracic and mediastinal disorders
Fluid Retention Syndrome
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Ileus
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Metabolism and nutrition disorders
Anorexia
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Ascites
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Mucositis
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Metabolism and nutrition disorders
Hyperglycemia
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Respiratory, thoracic and mediastinal disorders
Pneumonitis
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Renal and urinary disorders
Hydronephrosis
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Skin and subcutaneous tissue disorders
Abnormal electrolytes
3.4%
1/29 • Number of events 1 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).

Other adverse events

Other adverse events
Measure
Docetaxel & Gemcitabine Hydrochloride
n=29 participants at risk
Docetaxel, 40 mg/m2, 30 min IV infusion on Days 1 and 8, of a 21 day cycle Gemcitabine hydrochloride, 800mg/m2 30 min IV infusion on Days1 and 8, of a 21 day cycle Docetaxel: 40 mg/m2, 30 minute IV infusion, Days 1 and 8, Every 21 days Gemcitabine hydrochloride: 800mg/m2, 30 minute IV infusion, Days 1 and 8, every 21 days
Infections and infestations
Absolute neutrophil count (ANC)
31.0%
9/29 • Number of events 9 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Blood and lymphatic system disorders
WBC
51.7%
15/29 • Number of events 15 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Blood and lymphatic system disorders
Platelets
51.7%
15/29 • Number of events 15 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
General disorders
Fatigue
72.4%
21/29 • Number of events 21 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Hemoglobin (HGB)
82.8%
24/29 • Number of events 24 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
General disorders
Pain
55.2%
16/29 • Number of events 16 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Respiratory, thoracic and mediastinal disorders
Dyspnea
34.5%
10/29 • Number of events 10 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Diarrhea
31.0%
9/29 • Number of events 9 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Vomiting
17.2%
5/29 • Number of events 5 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Nausea
44.8%
13/29 • Number of events 13 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Elevated aspartate aminotransferase (AST)
20.7%
6/29 • Number of events 6 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Elevated total bilirubin (hyperbilirubinemia)
10.3%
3/29 • Number of events 3 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Metabolism and nutrition disorders
Abnormal magnesium
17.2%
5/29 • Number of events 5 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Bloating
6.9%
2/29 • Number of events 2 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Blood and lymphatic system disorders
Hemorrhage
13.8%
4/29 • Number of events 4 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
General disorders
Fever
10.3%
3/29 • Number of events 3 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Gastrointestinal disorders
Constipation
44.8%
13/29 • Number of events 13 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Elevated Alanine Aminotransferase (ALT)
24.1%
7/29 • Number of events 7 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Elevated creatinine/bun
17.2%
5/29 • Number of events 5 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Nervous system disorders
Sensory Neuropathy
62.1%
18/29 • Number of events 18 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Investigations
Albumin
6.9%
2/29 • Number of events 2 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Metabolism and nutrition disorders
Glucose
6.9%
2/29 • Number of events 2 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).
Skin and subcutaneous tissue disorders
Alopecia
34.5%
10/29 • Number of events 10 • From enrollment up to progression, death, or five years (whichever occurred first).
30 patients were consented but one was never treated with any drug. Therefore, all AEs are from the 29 treated patients but the all-cause mortality is from all patients (intend to treat).

Additional Information

Robert Morris, M.D.

Barbara Ann Karmanos Cancer Institute

Phone: 313-576-9436

Results disclosure agreements

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