Trial Outcomes & Findings for Randomized Phase 2 Study With Gemcitabine Alone and Combination Therapy for Patients With Advanced Biliary Tract Cancer (NCT NCT00380588)

NCT ID: NCT00380588

Last Updated: 2009-11-20

Results Overview

Percentage of patients alive at 1 year.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

84 participants

Primary outcome timeframe

1 year

Results posted on

2009-11-20

Participant Flow

Participant milestones

Participant milestones
Measure
Gemcitabine + Cisplatin
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Overall Study
STARTED
42
42
Overall Study
Received at Least One Dose of Study Drug
41
42
Overall Study
COMPLETED
3
2
Overall Study
NOT COMPLETED
39
40

Reasons for withdrawal

Reasons for withdrawal
Measure
Gemcitabine + Cisplatin
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Overall Study
Unequivocal Disease Progression
25
34
Overall Study
Next Cycle Not Started
4
0
Overall Study
Adverse Event
7
3
Overall Study
Withdrawal by Subject
1
3
Overall Study
Physician Decision
2
0

Baseline Characteristics

Randomized Phase 2 Study With Gemcitabine Alone and Combination Therapy for Patients With Advanced Biliary Tract Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gemcitabine + Cisplatin
n=41 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Total
n=83 Participants
Total of all reporting groups
Age Continuous
63.7 years
STANDARD_DEVIATION 10.1 • n=5 Participants
67.0 years
STANDARD_DEVIATION 6.9 • n=7 Participants
65.4 years
STANDARD_DEVIATION 8.7 • n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
21 Participants
n=7 Participants
44 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
21 Participants
n=7 Participants
39 Participants
n=5 Participants
Region of Enrollment
Japan
41 participants
n=5 Participants
42 participants
n=7 Participants
83 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
0 - Fully Active
34 participants
n=5 Participants
28 participants
n=7 Participants
62 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 - Ambulatory, Restricted Strenuous Activity
7 participants
n=5 Participants
14 participants
n=7 Participants
21 participants
n=5 Participants
Primary Tumor
Extrahepatic Bile Duct
8 participants
n=5 Participants
11 participants
n=7 Participants
19 participants
n=5 Participants
Primary Tumor
Intrahepatic Bile Duct
14 participants
n=5 Participants
14 participants
n=7 Participants
28 participants
n=5 Participants
Primary Tumor
Gallbladder
15 participants
n=5 Participants
17 participants
n=7 Participants
32 participants
n=5 Participants
Primary Tumor
Papilla
4 participants
n=5 Participants
0 participants
n=7 Participants
4 participants
n=5 Participants
Tumor Histological Type
Adenocarcinoma
39 participants
n=5 Participants
41 participants
n=7 Participants
80 participants
n=5 Participants
Tumor Histological Type
Adenosquamous Cancer
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Body Surface Area
1.555 square meter (m^2)
STANDARD_DEVIATION 0.195 • n=5 Participants
1.523 square meter (m^2)
STANDARD_DEVIATION 0.158 • n=7 Participants
1.539 square meter (m^2)
STANDARD_DEVIATION 0.177 • n=5 Participants
Height
159.80 centimeters (cm)
STANDARD_DEVIATION 8.75 • n=5 Participants
156.67 centimeters (cm)
STANDARD_DEVIATION 8.62 • n=7 Participants
158.21 centimeters (cm)
STANDARD_DEVIATION 8.77 • n=5 Participants
Weight
54.97 kilograms (kg)
STANDARD_DEVIATION 12.31 • n=5 Participants
53.91 kilograms (kg)
STANDARD_DEVIATION 9.50 • n=7 Participants
54.43 kilograms (kg)
STANDARD_DEVIATION 10.92 • n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Population: Number of patients who received at least one dose of study drug.

Percentage of patients alive at 1 year.

Outcome measures

Outcome measures
Measure
Gemcitabine + Cisplatin
n=41 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Percentage of Patients Alive at 1 Year (1-Year Survival Rate)
39 percentage of participants
31 percentage of participants

SECONDARY outcome

Timeframe: baseline to measured progressive disease (up to 2 years)

Population: Number of patients who received at least one dose of study drug.

Response Evaluation Criteria In Solid Tumors - define when cancer patients improve ("respond"), stay the same ("stabilize"), or worsen ("progression") during treatments. Complete response (CR) = disappearance of all target lesions; Partial Response (PR) = 30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD) = 20% increase in the sum of the longest diameter of target lesions; Stable Disease (SD) = small changes that do not meet above criteria.

Outcome measures

Outcome measures
Measure
Gemcitabine + Cisplatin
n=41 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Tumor Response
Progressive Disease
9 participants
17 participants
Tumor Response
Not Evaluable
4 participants
4 participants
Tumor Response
Complete Response
0 participants
0 participants
Tumor Response
Partial Response
8 participants
5 participants
Tumor Response
Stable Disease
20 participants
16 participants

SECONDARY outcome

Timeframe: baseline to measured progressive disease (up to 2 years)

Population: Number of patients who received at least one dose of study drug.

The period from study entry until disease progression, death or date of last contact.

Outcome measures

Outcome measures
Measure
Gemcitabine + Cisplatin
n=41 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Progression Free Survival
5.8 months
Interval 4.1 to 8.2
3.7 months
Interval 2.1 to 5.3

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline to date of death due to any cause (up to 2 years)

Data of patients lost to follow-up were censored at the last date of confirmation of their survival.

Outcome measures

Outcome measures
Measure
Gemcitabine + Cisplatin
n=41 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 Participants
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Survival Time
11.2 months
Interval 9.1 to 12.5
7.7 months
Interval 6.1 to 11.0

Adverse Events

Gemcitabine + Cisplatin

Serious events: 9 serious events
Other events: 41 other events
Deaths: 0 deaths

Gemcitabine

Serious events: 17 serious events
Other events: 42 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Gemcitabine + Cisplatin
n=41 participants at risk
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 participants at risk
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Blood and lymphatic system disorders
Anaemia
2.4%
1/41 • Number of events 1
0.00%
0/42
Gastrointestinal disorders
Duodenal stenosis
2.4%
1/41 • Number of events 1
0.00%
0/42
Gastrointestinal disorders
Gastric haemorrhage
0.00%
0/41
2.4%
1/42 • Number of events 1
Gastrointestinal disorders
Gastrointestinal perforation
0.00%
0/41
2.4%
1/42 • Number of events 1
Gastrointestinal disorders
Peritonitis
0.00%
0/41
2.4%
1/42 • Number of events 1
Hepatobiliary disorders
Cholangitis
9.8%
4/41 • Number of events 4
19.0%
8/42 • Number of events 19
Hepatobiliary disorders
Haemobilia
2.4%
1/41 • Number of events 1
0.00%
0/42
Hepatobiliary disorders
Jaundice cholestatic
4.9%
2/41 • Number of events 2
9.5%
4/42 • Number of events 4
Infections and infestations
Abdominal abscess
0.00%
0/41
2.4%
1/42 • Number of events 1
Infections and infestations
Liver abscess
4.9%
2/41 • Number of events 3
0.00%
0/42
Injury, poisoning and procedural complications
Stent occlusion
0.00%
0/41
2.4%
1/42 • Number of events 10
Investigations
Blood bilirubin increased
0.00%
0/41
2.4%
1/42 • Number of events 7
Investigations
Neutrophil count decreased
0.00%
0/41
2.4%
1/42 • Number of events 1
Investigations
Platelet count decreased
2.4%
1/41 • Number of events 1
0.00%
0/42
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant ascites
0.00%
0/41
2.4%
1/42 • Number of events 1
Nervous system disorders
Cerebral infarction
2.4%
1/41 • Number of events 1
0.00%
0/42
Renal and urinary disorders
Renal failure acute
2.4%
1/41 • Number of events 1
0.00%
0/42
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
2.4%
1/41 • Number of events 1
2.4%
1/42 • Number of events 1

Other adverse events

Other adverse events
Measure
Gemcitabine + Cisplatin
n=41 participants at risk
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Gemcitabine
n=42 participants at risk
Gemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Blood and lymphatic system disorders
Anaemia
9.8%
4/41 • Number of events 6
4.8%
2/42 • Number of events 2
Gastrointestinal disorders
Abdominal distension
4.9%
2/41 • Number of events 3
9.5%
4/42 • Number of events 4
Gastrointestinal disorders
Abdominal pain
14.6%
6/41 • Number of events 7
7.1%
3/42 • Number of events 3
Gastrointestinal disorders
Abdominal pain upper
2.4%
1/41 • Number of events 2
9.5%
4/42 • Number of events 6
Gastrointestinal disorders
Ascites
7.3%
3/41 • Number of events 3
2.4%
1/42 • Number of events 1
Gastrointestinal disorders
Constipation
36.6%
15/41 • Number of events 30
33.3%
14/42 • Number of events 17
Gastrointestinal disorders
Diarrhoea
31.7%
13/41 • Number of events 31
26.2%
11/42 • Number of events 20
Gastrointestinal disorders
Nausea
68.3%
28/41 • Number of events 100
42.9%
18/42 • Number of events 54
Gastrointestinal disorders
Stomatitis
12.2%
5/41 • Number of events 5
11.9%
5/42 • Number of events 6
Gastrointestinal disorders
Vomiting
48.8%
20/41 • Number of events 50
23.8%
10/42 • Number of events 26
General disorders
Fatigue
58.5%
24/41 • Number of events 67
50.0%
21/42 • Number of events 104
General disorders
Malaise
17.1%
7/41 • Number of events 11
14.3%
6/42 • Number of events 10
General disorders
Oedema
2.4%
1/41 • Number of events 2
14.3%
6/42 • Number of events 7
General disorders
Oedema peripheral
9.8%
4/41 • Number of events 5
11.9%
5/42 • Number of events 5
General disorders
Pyrexia
43.9%
18/41 • Number of events 28
59.5%
25/42 • Number of events 88
Hepatobiliary disorders
Cholangitis
7.3%
3/41 • Number of events 3
11.9%
5/42 • Number of events 5
Infections and infestations
Nasopharyngitis
17.1%
7/41 • Number of events 10
26.2%
11/42 • Number of events 15
Investigations
Alanine aminotransferase increased
51.2%
21/41 • Number of events 34
52.4%
22/42 • Number of events 67
Investigations
Aspartate aminotransferase increased
53.7%
22/41 • Number of events 35
52.4%
22/42 • Number of events 74
Investigations
Blood albumin decreased
22.0%
9/41 • Number of events 16
52.4%
22/42 • Number of events 49
Investigations
Blood alkaline phosphatase increased
31.7%
13/41 • Number of events 18
40.5%
17/42 • Number of events 29
Investigations
Blood amylase increased
7.3%
3/41 • Number of events 3
7.1%
3/42 • Number of events 4
Investigations
Blood bilirubin increased
19.5%
8/41 • Number of events 13
28.6%
12/42 • Number of events 18
Investigations
Blood chloride decreased
14.6%
6/41 • Number of events 13
11.9%
5/42 • Number of events 6
Investigations
Blood cholesterol decreased
0.00%
0/41
7.1%
3/42 • Number of events 3
Investigations
Blood cholinesterase decreased
7.3%
3/41 • Number of events 3
4.8%
2/42 • Number of events 2
Investigations
Blood creatinine increased
19.5%
8/41 • Number of events 30
14.3%
6/42 • Number of events 8
Investigations
Blood glucose increased
12.2%
5/41 • Number of events 8
11.9%
5/42 • Number of events 6
Investigations
Blood lactate dehydrogenase increased
36.6%
15/41 • Number of events 30
35.7%
15/42 • Number of events 37
Investigations
Blood potassium decreased
17.1%
7/41 • Number of events 17
9.5%
4/42 • Number of events 5
Investigations
Blood potassium increased
17.1%
7/41 • Number of events 27
14.3%
6/42 • Number of events 24
Investigations
Blood sodium decreased
31.7%
13/41 • Number of events 35
19.0%
8/42 • Number of events 11
Investigations
Blood urea increased
12.2%
5/41 • Number of events 20
21.4%
9/42 • Number of events 19
Investigations
C-reactive protein increased
26.8%
11/41 • Number of events 17
52.4%
22/42 • Number of events 40
Investigations
Creatinine renal clearance decreased
12.2%
5/41 • Number of events 19
0.00%
0/42
Investigations
Gamma-glutamyltransferase increased
46.3%
19/41 • Number of events 32
50.0%
21/42 • Number of events 47
Investigations
Glucose urine present
7.3%
3/41 • Number of events 6
9.5%
4/42 • Number of events 12
Investigations
Haematocrit decreased
58.5%
24/41 • Number of events 41
54.8%
23/42 • Number of events 48
Investigations
Haemoglobin decreased
85.4%
35/41 • Number of events 69
85.7%
36/42 • Number of events 94
Investigations
Neutrophil count decreased
82.9%
34/41 • Number of events 164
69.0%
29/42 • Number of events 115
Investigations
Neutrophil count increased
24.4%
10/41 • Number of events 15
38.1%
16/42 • Number of events 27
Investigations
Platelet count decreased
80.5%
33/41 • Number of events 167
76.2%
32/42 • Number of events 125
Investigations
Platelet count increased
12.2%
5/41 • Number of events 14
45.2%
19/42 • Number of events 54
Investigations
Protein total decreased
22.0%
9/41 • Number of events 26
38.1%
16/42 • Number of events 28
Investigations
Protein urine present
26.8%
11/41 • Number of events 20
26.2%
11/42 • Number of events 20
Investigations
Red blood cell count decreased
75.6%
31/41 • Number of events 52
78.6%
33/42 • Number of events 55
Investigations
Weight decreased
31.7%
13/41 • Number of events 18
31.0%
13/42 • Number of events 16
Investigations
Weight increased
12.2%
5/41 • Number of events 10
11.9%
5/42 • Number of events 5
Investigations
White blood cell count decreased
87.8%
36/41 • Number of events 153
69.0%
29/42 • Number of events 122
Investigations
White blood cell count increased
29.3%
12/41 • Number of events 22
54.8%
23/42 • Number of events 39
Investigations
White blood cells urine positive
2.4%
1/41 • Number of events 1
7.1%
3/42 • Number of events 3
Metabolism and nutrition disorders
Anorexia
80.5%
33/41 • Number of events 110
61.9%
26/42 • Number of events 66
Musculoskeletal and connective tissue disorders
Pain in extremity
7.3%
3/41 • Number of events 3
0.00%
0/42
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain
7.3%
3/41 • Number of events 6
11.9%
5/42 • Number of events 5
Nervous system disorders
Dizziness
2.4%
1/41 • Number of events 1
11.9%
5/42 • Number of events 7
Nervous system disorders
Dysgeusia
9.8%
4/41 • Number of events 5
7.1%
3/42 • Number of events 3
Nervous system disorders
Headache
9.8%
4/41 • Number of events 5
16.7%
7/42 • Number of events 16
Nervous system disorders
Hypoaesthesia
9.8%
4/41 • Number of events 4
4.8%
2/42 • Number of events 2
Renal and urinary disorders
Haematuria
17.1%
7/41 • Number of events 21
19.0%
8/42 • Number of events 23
Respiratory, thoracic and mediastinal disorders
Cough
4.9%
2/41 • Number of events 2
7.1%
3/42 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hiccups
2.4%
1/41 • Number of events 1
7.1%
3/42 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.9%
2/41 • Number of events 2
11.9%
5/42 • Number of events 5
Skin and subcutaneous tissue disorders
Alopecia
26.8%
11/41 • Number of events 11
7.1%
3/42 • Number of events 3
Skin and subcutaneous tissue disorders
Pruritus
12.2%
5/41 • Number of events 5
4.8%
2/42 • Number of events 4
Skin and subcutaneous tissue disorders
Rash
26.8%
11/41 • Number of events 15
21.4%
9/42 • Number of events 10
Surgical and medical procedures
Bile duct stent insertion
12.2%
5/41 • Number of events 5
19.0%
8/42 • Number of events 10
Surgical and medical procedures
Catheter placement
12.2%
5/41 • Number of events 14
28.6%
12/42 • Number of events 35
Vascular disorders
Angiopathy
7.3%
3/41 • Number of events 11
7.1%
3/42 • Number of events 4
Vascular disorders
Hypertension
0.00%
0/41
7.1%
3/42 • Number of events 8

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

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

Restriction type: GT60