Trial Outcomes & Findings for Immunotherapy of the Paraneoplastic Syndromes (NCT NCT00378326)

NCT ID: NCT00378326

Last Updated: 2023-09-18

Results Overview

Survival in patients with paraneoplastic disease who are treated with Tacrolimus, from time of tacrolimus treatment

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

through study completion, median 3 years of follow up

Results posted on

2023-09-18

Participant Flow

Participant milestones

Participant milestones
Measure
Tacrolimus
Tacrolimus at doses of 0.15- 0.3mg/kg/day in two divided oral doses, in conjunction with, initially, up to 60mg/day of oral prednisone
Overall Study
STARTED
26
Overall Study
COMPLETED
26
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Immunotherapy of the Paraneoplastic Syndromes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tacrolimus
n=26 Participants
Tacrolimus at doses of 0.15- 0.3mg/kg/day in two divided oral doses, in conjunction with, initially, up to 60mg/day of oral prednisone
Age, Continuous
59.5 years
n=93 Participants
Sex: Female, Male
Female
25 Participants
n=93 Participants
Sex: Female, Male
Male
1 Participants
n=93 Participants

PRIMARY outcome

Timeframe: through study completion, median 3 years of follow up

Survival in patients with paraneoplastic disease who are treated with Tacrolimus, from time of tacrolimus treatment

Outcome measures

Outcome measures
Measure
Pre-treatment
n=26 Participants
White blood cell (WBC) count in CSF pre-treatment
Post-treatment
White blood cell (WBC) count in CSF post-treatment
Survival of Patients With Paraneoplastic Disease Who Are Treated With Tacrolimus
48 months
Interval 22.0 to 72.0

SECONDARY outcome

Timeframe: White blood cell count in CSF was measured at two time points, pre- and post-treatment

Population: 19 treatment events in 16 patients at which both pre- and post-treatment CSF samples available. The data are reported below, separately for pre-treatment samples and post-treatment samples.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=19 Treatment events
White blood cell (WBC) count in CSF pre-treatment
Post-treatment
n=19 Treatment events
White blood cell (WBC) count in CSF post-treatment
Cerebrospinal Fluid (CSF) Pleocytosis
3 cells/mm^3
Interval 0.0 to 51.0
3 cells/mm^3
Interval 0.0 to 41.0

Adverse Events

All Patients

Serious events: 3 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Patients
n=26 participants at risk
All patients enrolled
Surgical and medical procedures
Hospitalization, search for primary tumor
3.8%
1/26 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Infection
3.8%
1/26 • Number of events 1
Nervous system disorders
Ataxia and weakness
3.8%
1/26 • Number of events 1

Other adverse events

Other adverse events
Measure
All Patients
n=26 participants at risk
All patients enrolled
General disorders
Albumin, serum low
11.5%
3/26 • Number of events 3
General disorders
ALT, serum high
3.8%
1/26 • Number of events 1
Respiratory, thoracic and mediastinal disorders
aspiration
3.8%
1/26 • Number of events 1
General disorders
AST, serum high
3.8%
1/26 • Number of events 1
General disorders
BUN, serum high
15.4%
4/26 • Number of events 6
General disorders
calcium, serum low
7.7%
2/26 • Number of events 2
Gastrointestinal disorders
constipation
7.7%
2/26 • Number of events 2
Gastrointestinal disorders
diarrhea
7.7%
2/26 • Number of events 2
General disorders
dizziness
3.8%
1/26 • Number of events 1
Gastrointestinal disorders
swallowing difficulty
3.8%
1/26 • Number of events 1
General disorders
glucose, serum high
19.2%
5/26 • Number of events 6
Blood and lymphatic system disorders
HCT, low
11.5%
3/26 • Number of events 3
General disorders
headache
11.5%
3/26 • Number of events 3
Blood and lymphatic system disorders
hgb, low
15.4%
4/26 • Number of events 4
Nervous system disorders
dysarthria
3.8%
1/26 • Number of events 1
Nervous system disorders
tremor
11.5%
3/26 • Number of events 5
General disorders
insomnia
3.8%
1/26 • Number of events 1
General disorders
hot flashes
3.8%
1/26 • Number of events 1
Blood and lymphatic system disorders
lymphocytes, low
3.8%
1/26 • Number of events 1
General disorders
depression
3.8%
1/26 • Number of events 1
Blood and lymphatic system disorders
neutrophils, high
3.8%
1/26 • Number of events 1
Nervous system disorders
numbness/tingling
3.8%
1/26 • Number of events 1
Blood and lymphatic system disorders
platelets, low
3.8%
1/26 • Number of events 1
General disorders
potassium, serum high
3.8%
1/26 • Number of events 1
General disorders
potassium, serum low
7.7%
2/26 • Number of events 2
General disorders
PTT, high
7.7%
2/26 • Number of events 2
Blood and lymphatic system disorders
RBC low
15.4%
4/26 • Number of events 4
General disorders
blurred vision
3.8%
1/26 • Number of events 1
Gastrointestinal disorders
vomiting
3.8%
1/26 • Number of events 1
Blood and lymphatic system disorders
WBC high
7.7%
2/26 • Number of events 2
Blood and lymphatic system disorders
WBC, low
11.5%
3/26 • Number of events 3

Additional Information

Robert B. Darnell, MD, PhD

Rockefeller University

Phone: 212-327-7474

Results disclosure agreements

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