Trial Outcomes & Findings for Bevacizumab/Tarceva and Tarceva/Sulindac in Squamous Cell Carcinoma of the Head and Neck (NCT NCT00392665)

NCT ID: NCT00392665

Last Updated: 2017-04-13

Results Overview

The primary outcome will be measured by median progression-free survival (PFS), determined by the Kaplan-Meier method for both Arm A and Arm B. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

1 year

Results posted on

2017-04-13

Participant Flow

Participant milestones

Participant milestones
Measure
Erlotinib + Bevacizumab
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Overall Study
STARTED
18
18
Overall Study
COMPLETED
1
3
Overall Study
NOT COMPLETED
17
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Erlotinib + Bevacizumab
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Overall Study
Death
16
14
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Bevacizumab/Tarceva and Tarceva/Sulindac in Squamous Cell Carcinoma of the Head and Neck

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Erlotinib + Bevacizumab
n=18 Participants
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 Participants
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
57 years
n=5 Participants
57 years
n=7 Participants
57 years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
16 Participants
n=7 Participants
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
17 Participants
n=7 Participants
35 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
11 Participants
n=7 Participants
28 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
18 Participants
n=5 Participants
18 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

The primary outcome will be measured by median progression-free survival (PFS), determined by the Kaplan-Meier method for both Arm A and Arm B. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=18 Participants
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 Participants
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Efficacy of Erlotinib Plus Bevacizumab (Arm A) or Erlotinib Plus Sulindac (Arm B) as Measured by Progression-free Survival.
9.38 months
Interval 4.28 to
the available data does not allow for calculation of an upper bound using the K-M method
7.01 months
Interval 2.24 to 11.38

SECONDARY outcome

Timeframe: 2 years

Population: Two of eighteen patients in both arms had radiographic partial responses, for an overall response rate of 11% for both arms, (95% CI 1.2%, 34.7%). The identical results below are not typos or placeholder values.

Overall response rate (complete plus partial response=ORR), as determined by RECIST. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=18 Participants
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 Participants
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Overall Response Rate (ORR)
11.1 percentage of participants
Interval 1.2 to 34.7
11.1 percentage of participants
Interval 1.2 to 34.7

SECONDARY outcome

Timeframe: 2 years

Median overall survival (OS), determined by the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=18 Participants
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 Participants
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Duration of Overall Survival
9.38 months
Interval 4.28 to 14.54
8.82 months
Interval 2.24 to 14.14

SECONDARY outcome

Timeframe: 2 years

Toxicities by Grades 1 or 2 and Grades 3 or 4 in each arm. Grade 4 = life-threatening, Grade 3 = serious, Grade 2 = moderate, Grade 1 = Mild

Outcome measures

Outcome measures
Measure
Erlotinib + Bevacizumab
n=18 Participants
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 Participants
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Number of Participants With Toxicities According to Severity
Fatigue · Grades 1 or 2
10 Participants
8 Participants
Number of Participants With Toxicities According to Severity
Fatigue · Grades 3 or 4
0 Participants
1 Participants
Number of Participants With Toxicities According to Severity
Fatigue · Did not have
8 Participants
9 Participants
Number of Participants With Toxicities According to Severity
Rash · Grades 1 or 2
14 Participants
15 Participants
Number of Participants With Toxicities According to Severity
Rash · Grades 3 or 4
4 Participants
1 Participants
Number of Participants With Toxicities According to Severity
Rash · Did not have
0 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Diarrhea · Grades 1 or 2
8 Participants
9 Participants
Number of Participants With Toxicities According to Severity
Diarrhea · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Diarrhea · Did not have
10 Participants
9 Participants
Number of Participants With Toxicities According to Severity
Hypertension · Grades 1 or 2
4 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Hypertension · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Hypertension · Did not have
14 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Oral cavity pain · Grades 1 or 2
0 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Oral cavity pain · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Oral cavity pain · Did not have
18 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Dry skin · Grades 1 or 2
0 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Dry skin · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dry skin · Did not have
18 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Hearing problems · Grades 1 or 2
0 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Hearing problems · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Hearing problems · Did not have
18 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Dyspepsia · Grades 1 or 2
0 Participants
3 Participants
Number of Participants With Toxicities According to Severity
Dyspepsia · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dyspepsia · Did not have
18 Participants
15 Participants
Number of Participants With Toxicities According to Severity
Dry mouth · Grades 1 or 2
0 Participants
3 Participants
Number of Participants With Toxicities According to Severity
Dry mouth · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dry mouth · Did not have
18 Participants
15 Participants
Number of Participants With Toxicities According to Severity
Constipation · Grades 1 or 2
2 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Constipation · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Constipation · Did not have
16 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Anorexia · Grades 1 or 2
6 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Anorexia · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Anorexia · Did not have
12 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Dehydration · Grades 1 or 2
2 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dehydration · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dehydration · Did not have
16 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Dyspnea · Grades 1 or 2
2 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dyspnea · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Dyspnea · Did not have
16 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Mucositis · Grades 1 or 2
4 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Mucositis · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Mucositis · Did not have
14 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Neuropathy-sensory · Grades 1 or 2
0 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Neuropathy-sensory · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Neuropathy-sensory · Did not have
18 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Hemmorrhage · Grades 1 or 2
8 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Hemmorrhage · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Hemmorrhage · Did not have
10 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Nausea · Grades 1 or 2
4 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Nausea · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Nausea · Did not have
14 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Vomiting · Grades 1 or 2
2 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Vomiting · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Vomiting · Did not have
16 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Insomnia · Grades 1 or 2
2 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Insomnia · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Insomnia · Did not have
16 Participants
18 Participants
Number of Participants With Toxicities According to Severity
Pruritus · Grades 1 or 2
0 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Pruritus · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Pruritus · Did not have
18 Participants
16 Participants
Number of Participants With Toxicities According to Severity
Hypomagnesemia · Grades 1 or 2
2 Participants
2 Participants
Number of Participants With Toxicities According to Severity
Hypomagnesemia · Grades 3 or 4
0 Participants
0 Participants
Number of Participants With Toxicities According to Severity
Hypomagnesemia · Did not have
16 Participants
16 Participants

Adverse Events

Erlotinib + Bevacizumab

Serious events: 4 serious events
Other events: 18 other events
Deaths: 0 deaths

Erlotinib + Sulindac

Serious events: 5 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Erlotinib + Bevacizumab
n=18 participants at risk
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 participants at risk
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Respiratory, thoracic and mediastinal disorders
Aspiration
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Dehydration
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/18
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
0.00%
0/18
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Vomiting
5.6%
1/18 • Number of events 1
0.00%
0/18
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/18
5.6%
1/18 • Number of events 1
Vascular disorders
Vascular access-Thrombosis/embolism
0.00%
0/18
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Colitis
0.00%
0/18
5.6%
1/18 • Number of events 1
Musculoskeletal and connective tissue disorders
Nonneuropathic right-side muscle weak
5.6%
1/18 • Number of events 1
0.00%
0/18

Other adverse events

Other adverse events
Measure
Erlotinib + Bevacizumab
n=18 participants at risk
erlotinib plus bevacizumab Bevacizumab: Given intravenously on day one of each 3 week cycle erlotinib: Given orally once a day
Erlotinib + Sulindac
n=18 participants at risk
erlotinib plus sulindac erlotinib: Given orally once a day Sulindac: Given orally twice a day
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
72.2%
13/18 • Number of events 24
61.1%
11/18 • Number of events 18
General disorders
Fatigue
72.2%
13/18 • Number of events 21
66.7%
12/18 • Number of events 19
Gastrointestinal disorders
Diarrhea w/o prior colostomy
38.9%
7/18 • Number of events 10
44.4%
8/18 • Number of events 10
Gastrointestinal disorders
Nausea
38.9%
7/18 • Number of events 9
27.8%
5/18 • Number of events 8
Gastrointestinal disorders
Dry mouth
38.9%
7/18 • Number of events 8
44.4%
8/18 • Number of events 14
Gastrointestinal disorders
Dysphagia
33.3%
6/18 • Number of events 7
27.8%
5/18 • Number of events 6
Gastrointestinal disorders
Constipation
27.8%
5/18 • Number of events 10
16.7%
3/18 • Number of events 3
General disorders
Oral cavity- pain
27.8%
5/18 • Number of events 9
11.1%
2/18 • Number of events 5
Cardiac disorders
Hypertension
27.8%
5/18 • Number of events 7
0.00%
0/18
General disorders
Head/headache
27.8%
5/18 • Number of events 5
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Anorexia
22.2%
4/18 • Number of events 6
11.1%
2/18 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Cough
22.2%
4/18 • Number of events 5
16.7%
3/18 • Number of events 4
Blood and lymphatic system disorders
Hemorrhage-other
22.2%
4/18 • Number of events 5
5.6%
1/18 • Number of events 1
Metabolism and nutrition disorders
Hypomagnesemia
22.2%
4/18 • Number of events 5
16.7%
3/18 • Number of events 3
General disorders
Pain-other
22.2%
4/18 • Number of events 5
11.1%
2/18 • Number of events 2
Blood and lymphatic system disorders
Hemoglobin
22.2%
4/18 • Number of events 4
11.1%
2/18 • Number of events 4
Gastrointestinal disorders
Muco/stomatitis by exam- oral cavity
22.2%
4/18 • Number of events 4
5.6%
1/18 • Number of events 2
Blood and lymphatic system disorders
Nose- hemorrhage
22.2%
4/18 • Number of events 4
16.7%
3/18 • Number of events 4
Metabolism and nutrition disorders
Hypoalbuminemia
16.7%
3/18 • Number of events 4
16.7%
3/18 • Number of events 5
Metabolism and nutrition disorders
Hyponatremia
16.7%
3/18 • Number of events 4
0.00%
0/18
Nervous system disorders
Neuropathy-sensory
16.7%
3/18 • Number of events 4
22.2%
4/18 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
16.7%
3/18 • Number of events 4
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Dehydration
16.7%
3/18 • Number of events 3
5.6%
1/18 • Number of events 2
General disorders
Rigors/chills
16.7%
3/18 • Number of events 3
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Skin-other
16.7%
3/18 • Number of events 3
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Vomiting
16.7%
3/18 • Number of events 3
11.1%
2/18 • Number of events 3
General disorders
Throat/pharynx/larynx- pain
11.1%
2/18 • Number of events 4
0.00%
0/18
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
2/18 • Number of events 3
16.7%
3/18 • Number of events 4
Gastrointestinal disorders
GI-other
11.1%
2/18 • Number of events 3
11.1%
2/18 • Number of events 3
Nervous system disorders
Anxiety
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 3
Metabolism and nutrition disorders
AST- SGOT
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
General disorders
Back- pain
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
Nervous system disorders
Dizziness
11.1%
2/18 • Number of events 2
0.00%
0/18
Blood and lymphatic system disorders
Edema head and neck
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
Blood and lymphatic system disorders
Edema limb
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
Musculoskeletal and connective tissue disorders
Extremity-lower (gait/walking)
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 2
Infections and infestations
Infection-other
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
General disorders
Insomnia
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
Eye disorders
Ocular-other
11.1%
2/18 • Number of events 2
5.6%
1/18 • Number of events 1
General disorders
Pain NOS
11.1%
2/18 • Number of events 2
27.8%
5/18 • Number of events 6
General disorders
Sweating
11.1%
2/18 • Number of events 2
0.00%
0/18
Metabolism and nutrition disorders
Alkaline phosphatase
5.6%
1/18 • Number of events 2
16.7%
3/18 • Number of events 4
General disorders
Neck- pain
5.6%
1/18 • Number of events 2
11.1%
2/18 • Number of events 3
Gastrointestinal disorders
Salivary
5.6%
1/18 • Number of events 2
11.1%
2/18 • Number of events 2
General disorders
Abdomen- pain
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Metabolism and nutrition disorders
ALT- SGPT
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Metabolism and nutrition disorders
Bilirubin
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Chelitis
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 2
Metabolism and nutrition disorders
Creatinine
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 2
Nervous system disorders
Depression
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
5.6%
1/18 • Number of events 1
11.1%
2/18 • Number of events 2
Gastrointestinal disorders
Dyspepsia
5.6%
1/18 • Number of events 1
16.7%
3/18 • Number of events 4
Endocrine disorders
Hyopthyroidism
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Metabolism and nutrition disorders
Hyperkalemia
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus/itching
5.6%
1/18 • Number of events 1
11.1%
2/18 • Number of events 3
Renal and urinary disorders
Renal/GU-other
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Ulceration
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Ear and labyrinth disorders
Hearing-other
0.00%
0/18
16.7%
3/18 • Number of events 4
Musculoskeletal and connective tissue disorders
Musculoskeletal/soft tissue-other
0.00%
0/18
11.1%
2/18 • Number of events 5
Musculoskeletal and connective tissue disorders
Trismus
0.00%
0/18
11.1%
2/18 • Number of events 2

Additional Information

Lori J. Wirth, MD

Massachusetts General Hospital

Phone: 617-724-4000

Results disclosure agreements

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