Trial Outcomes & Findings for ABI-007 in Treating Patients With Persistent or Recurrent Cervical Cancer (NCT NCT00309959)

NCT ID: NCT00309959

Last Updated: 2019-01-08

Results Overview

RECIST 1.0 defines complete response as the disappearance of all target lesions and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart. Partial response is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required. These patients will have their response classified according to the definitions stated above. Complete and partial responses are included in the objective tumor response rate.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

37 participants

Primary outcome timeframe

CT scan or MRI if used to follow lesion for measurable disease every other cycle for the first 6 months; then every 3 months x 2; then every 6 months until disease progression for up to 5 years.

Results posted on

2019-01-08

Participant Flow

This trial was opened to patient entry on November 6, 2006 and was closed to accrual on February 1, 2011.

Participant milestones

Participant milestones
Measure
ABI-007
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
Overall Study
STARTED
37
Overall Study
COMPLETED
35
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
ABI-007
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
Overall Study
Ineligible - no prior chemotherapy
2

Baseline Characteristics

ABI-007 in Treating Patients With Persistent or Recurrent Cervical Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ABI-007
n=35 Participants
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
Age, Customized
<40 years
6 participants
n=5 Participants
Age, Customized
40-49 years
15 participants
n=5 Participants
Age, Customized
50-59 years
10 participants
n=5 Participants
Age, Customized
60-69 years
3 participants
n=5 Participants
Age, Customized
>70 yeats
1 participants
n=5 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
30 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: CT scan or MRI if used to follow lesion for measurable disease every other cycle for the first 6 months; then every 3 months x 2; then every 6 months until disease progression for up to 5 years.

Population: Eligible and treated patients

RECIST 1.0 defines complete response as the disappearance of all target lesions and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart. Partial response is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required. In the case where the ONLY target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required. These patients will have their response classified according to the definitions stated above. Complete and partial responses are included in the objective tumor response rate.

Outcome measures

Outcome measures
Measure
ABI-007
n=35 Participants
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
Grade 1 (CTCAE v 3.0)
Number of patients who experienced a grade 1 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Grade 2 (CTCAE v 3.0)
Number of patients who experienced a grade 2 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Grade 3 (CTCAE v 3.0)
Number of patients who experienced a grade 3 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Grade 4 (CTCAE v 3.0)
Number of patients who experienced a grade 4 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Proportion of Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0
Partial response
10 participants
Proportion of Patients With Objective Tumor Response Rate (Complete Response [CR] or Partial Response [PR]) Using RECIST Version 1.0
Complete response
0 participants

PRIMARY outcome

Timeframe: Up to 5 yearsAssessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up

Outcome measures

Outcome measures
Measure
ABI-007
n=35 Participants
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
Grade 1 (CTCAE v 3.0)
n=35 Participants
Number of patients who experienced a grade 1 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Grade 2 (CTCAE v 3.0)
n=35 Participants
Number of patients who experienced a grade 2 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Grade 3 (CTCAE v 3.0)
n=35 Participants
Number of patients who experienced a grade 3 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Grade 4 (CTCAE v 3.0)
n=35 Participants
Number of patients who experienced a grade 4 event using Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Leukopenia
11 participants
10 participants
12 participants
3 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Thrombocytopenia
30 participants
4 participants
0 participants
1 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Neutropenia
20 participants
6 participants
6 participants
1 participants
2 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Anemia
3 participants
6 participants
22 participants
4 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Nausea/Vomiting
15 participants
11 participants
9 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Other gastrointestinal
13 participants
10 participants
10 participants
2 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Genitourinary
34 participants
1 participants
0 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Neurotoxicity
15 participants
11 participants
8 participants
1 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Pain
20 participants
9 participants
4 participants
2 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Pulmonary
31 participants
1 participants
2 participants
2 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Cardiovascular
34 participants
0 participants
1 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Fatigue
8 participants
7 participants
15 participants
5 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Metabolic
24 participants
5 participants
2 participants
4 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Dermatologic
30 participants
1 participants
3 participants
1 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Alopecia
17 participants
3 participants
15 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Musculoskeletal
32 participants
2 participants
1 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Auditory
34 participants
0 participants
1 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Infection
27 participants
0 participants
4 participants
4 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
SGOT
34 participants
1 participants
0 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Alkaline phosphatase
34 participants
1 participants
0 participants
0 participants
0 participants
Frequency and Severity of Observed Adverse Effects Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Lymphatics
31 participants
2 participants
2 participants
0 participants
0 participants

Adverse Events

ABI-007

Serious events: 17 serious events
Other events: 34 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ABI-007
n=35 participants at risk
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
General disorders
Fever
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
General disorders
Death No Ctcae Term - Death Nos
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Gastrointestinal disorders
Mucositis (Clinical Exam) - Oral Cavity
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Gastrointestinal disorders
Dehydration
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Gastrointestinal disorders
Prolapse Of Stoma, Gi
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Vascular disorders
Hemorrhage, Gi - Rectum
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Infections and infestations
Infection with Normal Or Grade 1 Or 2 Absolute Neutrophil Count: Blood
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Infections and infestations
Inf W/Nml Or Gr 1 Or 2 Anc: Wound
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Infections and infestations
Inf W/Nml Or Gr 1 Or 2 Anc: Urinary Tract Nos
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Blood and lymphatic system disorders
Edema: Limb
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Metabolism and nutrition disorders
Creatinine
5.7%
2/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Musculoskeletal and connective tissue disorders
Gait/Walking
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Nervous system disorders
Neurology - Other
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
General disorders
Pain: Extremity-Limb
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
General disorders
Pain: Back
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.7%
2/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Renal and urinary disorders
Cystitis
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up

Other adverse events

Other adverse events
Measure
ABI-007
n=35 participants at risk
ABI-007 125 mg/m2 IV weekly on day 1, 8, and 15 every 28 days (one cycle) until disease progression or adverse effects prohibit further therapy
Blood and lymphatic system disorders
Leukopenia
71.4%
25/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Blood and lymphatic system disorders
Thrombocytopenia
14.3%
5/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Blood and lymphatic system disorders
Neutropenia
42.9%
15/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Blood and lymphatic system disorders
Anemia
91.4%
32/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Gastrointestinal disorders
Nausea/vomiting
57.1%
20/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Gastrointestinal disorders
Other gastrointestinal
62.9%
22/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Renal and urinary disorders
GU
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Nervous system disorders
Neurotoxicity
57.1%
20/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
General disorders
Pain
42.9%
15/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Respiratory, thoracic and mediastinal disorders
Pulmonary
14.3%
5/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Cardiac disorders
Cardiovascular
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
General disorders
Constitutional (Fatigue)
77.1%
27/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Metabolism and nutrition disorders
Metabolic
31.4%
11/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Skin and subcutaneous tissue disorders
Dermatologic
14.3%
5/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Skin and subcutaneous tissue disorders
Alopecia
51.4%
18/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Musculoskeletal and connective tissue disorders
Musculoskeletal
8.6%
3/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Ear and labyrinth disorders
Auditory
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Infections and infestations
Infection
22.9%
8/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Investigations
SGOT
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Investigations
Alkaline phosphatase
2.9%
1/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up
Blood and lymphatic system disorders
Lymphatics
11.4%
4/35 • Assessed every cycle while on treatment, 30 days after the last cycle of treatment, and up to 5 years in follow-up

Additional Information

Angela Kuras on behalf of James Kauderer

NRG Oncology

Phone: 716-845-5702

Results disclosure agreements

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

Restriction type: LTE60