Trial Outcomes & Findings for Gemcitabine and Imatinib Mesylate in Treating Patients With Recurrent or Metastatic Non-Small Cell Lung Cancer (NCT NCT00323362)

NCT ID: NCT00323362

Last Updated: 2014-05-22

Results Overview

Response is considered Partial Response or Complete Response as per RECIST criteria. Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

2 years

Results posted on

2014-05-22

Participant Flow

Seventeen patients were enrolled from April 2006 through October 2007 at Rutgers Cancer Institute of New Jersey, a comprehensive cancer cancert, and two of its affiliate hospitals within the CINJ Oncology Group.

Participant milestones

Participant milestones
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
Overall Study
STARTED
17
Overall Study
COMPLETED
17
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gemcitabine and Imatinib Mesylate in Treating Patients With Recurrent or Metastatic Non-Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
n=17 Participants
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Age, Continuous
59.5 years
STANDARD_DEVIATION 8.5 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Region of Enrollment
United States
17 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Population: Fourteen subjects were evaluable for response. Three subjects were not assessed.

Response is considered Partial Response or Complete Response as per RECIST criteria. Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.

Outcome measures

Outcome measures
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
n=14 Participants
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
Percentage of Patients Who Meet Critieria for Response
0 percentage of patients who responded

SECONDARY outcome

Timeframe: 2 years

Population: The study was closed early due to toxicity and insufficient data were collected to analyze this outcome measure.

Outcome measures

Outcome measures
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
n=14 Participants
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
Time to Progression
2.77 months
Standard Deviation 2.07

SECONDARY outcome

Timeframe: 3 years

Population: The study was closed early due to toxicity and insufficient data were collected to analyze this outcome measure.

Accrual duration is 2 years with an additional year for assessment of 1-year survival. Outcome measure time frame is about 3 years.

Outcome measures

Outcome measures
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
n=17 Participants
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
1-year Survival
35 percentage of patients

Adverse Events

Gemcitabine Hydrochloride and Imatinib Mesylate

Serious events: 10 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
n=17 participants at risk
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
Blood and lymphatic system disorders
Hemoglobin
5.9%
1/17 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Platelets
11.8%
2/17 • Number of events 2 • 2 years
General disorders
Fatigue (asthenia, lethargy, malaise)
5.9%
1/17 • Number of events 1 • 2 years
Vascular disorders
Hemorrhage, pulmonary/upper respiratory - Nose
5.9%
1/17 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
17.6%
3/17 • Number of events 3 • 2 years
General disorders
Death not associated with CTCAE term - Disease progression NOS
23.5%
4/17 • Number of events 4 • 2 years
General disorders
Other toxicity
5.9%
1/17 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
17.6%
3/17 • Number of events 3 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
5.9%
1/17 • Number of events 1 • 2 years
Psychiatric disorders
Confusion
5.9%
1/17 • Number of events 1 • 2 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Skin (cellulitis)
11.8%
2/17 • Number of events 2 • 2 years
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
5.9%
1/17 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Pneumonia
5.9%
1/17 • Number of events 2 • 2 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Urinary tract NOS
5.9%
1/17 • Number of events 1 • 2 years

Other adverse events

Other adverse events
Measure
Gemcitabine Hydrochloride and Imatinib Mesylate
n=17 participants at risk
gemcitabine hydrochloride : 1000 mg/m2 given intravenously at a FDR of 10 mg/m2/min on Days 3 and 10, every 21 days. imatinib mesylate : 400 mg/day orally, given Days 1-5 and 8-12 every 21 days
Blood and lymphatic system disorders
Leukocytes (total WBC)
64.7%
11/17 • Number of events 27 • 2 years
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
64.7%
11/17 • Number of events 30 • 2 years
Blood and lymphatic system disorders
Platelets
52.9%
9/17 • Number of events 13 • 2 years
Blood and lymphatic system disorders
Hemoglobin
47.1%
8/17 • Number of events 15 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
52.9%
9/17 • Number of events 11 • 2 years
Respiratory, thoracic and mediastinal disorders
Cough
41.2%
7/17 • Number of events 7 • 2 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
17.6%
3/17 • Number of events 3 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other
11.8%
2/17 • Number of events 2 • 2 years
General disorders
Fatigue (asthenia, lethargy, malaise)
47.1%
8/17 • Number of events 9 • 2 years
General disorders
Insomnia
11.8%
2/17 • Number of events 2 • 2 years
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
5.9%
1/17 • Number of events 1 • 2 years
General disorders
Weight loss
5.9%
1/17 • Number of events 1 • 2 years
General disorders
Pain - Bone
23.5%
4/17 • Number of events 4 • 2 years
General disorders
Pain - Head/headache
11.8%
2/17 • Number of events 3 • 2 years
General disorders
Pain - Muscle
11.8%
2/17 • Number of events 3 • 2 years
General disorders
Pain - Back
5.9%
1/17 • Number of events 1 • 2 years
General disorders
Pain - Extremity-limb
5.9%
1/17 • Number of events 1 • 2 years
General disorders
Pain - Joint
5.9%
1/17 • Number of events 1 • 2 years
General disorders
Pain - other
5.9%
1/17 • Number of events 1 • 2 years
Gastrointestinal disorders
Nausea
29.4%
5/17 • Number of events 7 • 2 years
Gastrointestinal disorders
Constipation
11.8%
2/17 • Number of events 3 • 2 years
Gastrointestinal disorders
Anorexia
5.9%
1/17 • Number of events 1 • 2 years
Gastrointestinal disorders
Diarrhea
5.9%
1/17 • Number of events 1 • 2 years
Gastrointestinal disorders
Gastritis (including bile reflux gastritis)
5.9%
1/17 • Number of events 1 • 2 years
Gastrointestinal disorders
Taste alteration (dysgeusia)
5.9%
1/17 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
11.8%
2/17 • Number of events 2 • 2 years
Skin and subcutaneous tissue disorders
Rash/desquamation
5.9%
1/17 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
5.9%
1/17 • Number of events 1 • 2 years
Skin and subcutaneous tissue disorders
Skin breakdown/decubitus ulcer
5.9%
1/17 • Number of events 1 • 2 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Skin (cellulitis)
11.8%
2/17 • Number of events 2 • 2 years
Infections and infestations
Infection - Other
5.9%
1/17 • Number of events 3 • 2 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Lung (pneumonia)
5.9%
1/17 • Number of events 2 • 2 years
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils - Urinary tract NOS
5.9%
1/17 • Number of events 1 • 2 years
Infections and infestations
Infection with unknown ANC - Skin (cellulitis)
5.9%
1/17 • Number of events 1 • 2 years
Nervous system disorders
Neuropathy: sensory
11.8%
2/17 • Number of events 2 • 2 years
Psychiatric disorders
Confusion
5.9%
1/17 • Number of events 1 • 2 years
Nervous system disorders
Dizziness
5.9%
1/17 • Number of events 1 • 2 years
Psychiatric disorders
Mood alteration - Anxiety
5.9%
1/17 • Number of events 1 • 2 years
Psychiatric disorders
Mood alteration - Depression
5.9%
1/17 • Number of events 1 • 2 years
Vascular disorders
Hemorrhage, pulmonary/upper respiratory - Nose
11.8%
2/17 • Number of events 2 • 2 years
Respiratory, thoracic and mediastinal disorders
Hemorrhage, pulmonary/upper respiratory - Bronchopulmonary NOS
5.9%
1/17 • Number of events 1 • 2 years
Vascular disorders
Hemorrhage/Bleeding - Other
5.9%
1/17 • Number of events 2 • 2 years
Blood and lymphatic system disorders
Edema: limb
17.6%
3/17 • Number of events 7 • 2 years
Renal and urinary disorders
Bladder spasms
5.9%
1/17 • Number of events 1 • 2 years
Renal and urinary disorders
Incontinence, urinary
5.9%
1/17 • Number of events 1 • 2 years
Renal and urinary disorders
Renal/Genitourinary - Other
5.9%
1/17 • Number of events 1 • 2 years
Cardiac disorders
Hypotension
5.9%
1/17 • Number of events 1 • 2 years
General disorders
Death not associated with CTCAE term - Disease progression NOS
5.9%
1/17 • Number of events 1 • 2 years
Investigations
Potassium, serum-low (hypokalemia)
5.9%
1/17 • Number of events 1 • 2 years
Vascular disorders
Vascular - Other
5.9%
1/17 • Number of events 1 • 2 years

Additional Information

Dr. Joseph Aisner, MD

Rutgers Cancer Institute of New Jersey

Results disclosure agreements

  • Principal investigator is a sponsor employee The CINJ PI, and all co-authors, prior to submission or use, must review any abstract or manuscript.
  • Publication restrictions are in place

Restriction type: OTHER