Trial Outcomes & Findings for Vinflunine in the Treatment of Patients With Relapsed Extensive Small Cell Lung Cancer (NCT NCT00284154)

NCT ID: NCT00284154

Last Updated: 2013-03-13

Results Overview

Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. Partial Response (PR) = At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters. The final response criteria assigned represented the best response obtained during treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

51 participants

Primary outcome timeframe

18 months

Results posted on

2013-03-13

Participant Flow

Participant milestones

Participant milestones
Measure
Vinflunine
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Overall Study
STARTED
51
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
42

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vinflunine in the Treatment of Patients With Relapsed Extensive Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vinflunine
n=51 Participants
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
33 Participants
n=5 Participants
Age, Categorical
>=65 years
18 Participants
n=5 Participants
Age Continuous
61 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
Region of Enrollment
United States
51 participants
n=5 Participants

PRIMARY outcome

Timeframe: 18 months

Population: All patients were assessed for response.

Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. Partial Response (PR) = At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters. The final response criteria assigned represented the best response obtained during treatment.

Outcome measures

Outcome measures
Measure
Vinflunine
n=51 Participants
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
19.6 percentage of participants
Interval 10.0 to 33.0

SECONDARY outcome

Timeframe: 18 months

Population: All patients were assessed for response. Only patients with objective response were analyzed for response duration.

The Response Duration was calculated from time of initial measured response to date of first observation of progressive disease.

Outcome measures

Outcome measures
Measure
Vinflunine
n=10 Participants
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Duration of Response, the Length of Time, in Months, That Protocol Treatment Produced an Objective Improvement in Patients' Disease
2.7 Months
Interval 1.9 to 3.9

SECONDARY outcome

Timeframe: 18 months

Population: All patients were assessed for overall survival.

Overall survival was measured from the date of study entry until the date of death.

Outcome measures

Outcome measures
Measure
Vinflunine
n=51 Participants
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
4.9 Months
Interval 3.2 to 6.5

SECONDARY outcome

Timeframe: 18 months

Population: All patients were assessed for progression free survival.

Progression free survival was defined as the interval between the start date of treatment and the date of occurrence of progressive disease or death.

Outcome measures

Outcome measures
Measure
Vinflunine
n=51 Participants
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
1.6 Months
Interval 1.3 to 3.9

Adverse Events

Vinflunine

Serious events: 31 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vinflunine
n=51 participants at risk
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Gastrointestinal disorders
Constipation
2.0%
1/51 • Number of events 1
General disorders
Death not associated with CTCAE term - Disease Progression NOS
21.6%
11/51 • Number of events 11
Gastrointestinal disorders
Diarrhea
2.0%
1/51 • Number of events 1
Gastrointestinal disorders
Dysphagia
2.0%
1/51 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.0%
1/51 • Number of events 1
General disorders
Failure to thrive
2.0%
1/51 • Number of events 1
General disorders
Fatigue
2.0%
1/51 • Number of events 1
Infections and infestations
Febrile Neutropenia
3.9%
2/51 • Number of events 2
Blood and lymphatic system disorders
Hemoglobin
3.9%
2/51 • Number of events 2
Metabolism and nutrition disorders
Hyponatremia
2.0%
1/51 • Number of events 1
Infections and infestations
Infection - Other (Pneumonia)
3.9%
2/51 • Number of events 2
Nervous system disorders
Altered Mental Status
2.0%
1/51 • Number of events 1
Gastrointestinal disorders
Nausea
2.0%
1/51 • Number of events 1
Nervous system disorders
Neuropathy
2.0%
1/51 • Number of events 1
Blood and lymphatic system disorders
Neutrophils
7.8%
4/51 • Number of events 4
Gastrointestinal disorders
Obstruction, GI - Small Bowel NOS
2.0%
1/51 • Number of events 1
Gastrointestinal disorders
Pain - abdomen
3.9%
2/51 • Number of events 2
Musculoskeletal and connective tissue disorders
Pain - joint
2.0%
1/51 • Number of events 1
General disorders
Pain - Other (Pain Syndrome)
2.0%
1/51 • Number of events 1
Endocrine disorders
Pancreatic endocrine: glucose intolerance
2.0%
1/51 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumothorax
2.0%
1/51 • Number of events 1
Cardiac disorders
Supraventricular and nodal arrhythmia - Atrial Fibrillation
2.0%
1/51 • Number of events 1
Musculoskeletal and connective tissue disorders
Systemic lupus erythematosus
2.0%
1/51 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
2.0%
1/51 • Number of events 1
Blood and lymphatic system disorders
Leukocytes
3.9%
2/51 • Number of events 2
Blood and lymphatic system disorders
Platelets
3.9%
2/51 • Number of events 2

Other adverse events

Other adverse events
Measure
Vinflunine
n=51 participants at risk
Patients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
Skin and subcutaneous tissue disorders
Alopecia
13.7%
7/51 • Number of events 14
Blood and lymphatic system disorders
Hemoglobin
54.9%
28/51 • Number of events 58
Gastrointestinal disorders
Anorexia
31.4%
16/51 • Number of events 30
Metabolism and nutrition disorders
AST
5.9%
3/51 • Number of events 4
Gastrointestinal disorders
Constipation
58.8%
30/51 • Number of events 53
Respiratory, thoracic and mediastinal disorders
Cough
15.7%
8/51 • Number of events 13
Gastrointestinal disorders
Dehydration
9.8%
5/51 • Number of events 6
Gastrointestinal disorders
Diarrhea
23.5%
12/51 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Dyspnea
37.3%
19/51 • Number of events 31
Blood and lymphatic system disorders
Edema
5.9%
3/51 • Number of events 3
General disorders
Fatigue
58.8%
30/51 • Number of events 71
General disorders
Fever
13.7%
7/51 • Number of events 8
Metabolism and nutrition disorders
Hyperglycemia
19.6%
10/51 • Number of events 25
Cardiac disorders
Hypertension
5.9%
3/51 • Number of events 5
Metabolism and nutrition disorders
Hypoalbuminemia
9.8%
5/51 • Number of events 8
Metabolism and nutrition disorders
Hypocalcemia
7.8%
4/51 • Number of events 4
Metabolism and nutrition disorders
Hypokalemia
7.8%
4/51 • Number of events 8
Metabolism and nutrition disorders
Hyponatremia
15.7%
8/51 • Number of events 15
General disorders
Insomnia
7.8%
4/51 • Number of events 8
Blood and lymphatic system disorders
Leukopenia
29.4%
15/51 • Number of events 30
Gastrointestinal disorders
Mucositis
7.8%
4/51 • Number of events 11
Gastrointestinal disorders
Nausea
47.1%
24/51 • Number of events 39
Gastrointestinal disorders
Nausea (intermittent)
7.8%
4/51 • Number of events 7
Nervous system disorders
Neuropathy (sensory)
5.9%
3/51 • Number of events 4
Blood and lymphatic system disorders
Neutropenia
41.2%
21/51 • Number of events 47
General disorders
Pain
5.9%
3/51 • Number of events 5
Gastrointestinal disorders
Pain (abdominal)
11.8%
6/51 • Number of events 6
Musculoskeletal and connective tissue disorders
Pain (bone)
5.9%
3/51 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Pain (chest)
5.9%
3/51 • Number of events 5
Nervous system disorders
Pain (headache)
5.9%
3/51 • Number of events 5
Musculoskeletal and connective tissue disorders
Pain (jaw)
7.8%
4/51 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Sore throat
5.9%
3/51 • Number of events 3
Blood and lymphatic system disorders
Thrombocytopenia
21.6%
11/51 • Number of events 21
Gastrointestinal disorders
Vomiting
31.4%
16/51 • Number of events 23
Gastrointestinal disorders
Vomiting (intermittent)
5.9%
3/51 • Number of events 5
General disorders
Weakness
19.6%
10/51 • Number of events 17
General disorders
Weight Loss
13.7%
7/51 • Number of events 16

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