Trial Outcomes & Findings for Cetuximab & Celecoxib for Metastatic Colorectal Cancer or Colorectal Cancer That Cannot Be Removed by Surgery (NCT NCT00466505)

NCT ID: NCT00466505

Last Updated: 2012-12-19

Results Overview

Number of days from study enrollment to evidence of progressive disease radiographically, with progression defined under RECIST criteria as at least 20% increase in sum of longest diameter of target lesions

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

On study date to off study date in this study with median 9.76 months

Results posted on

2012-12-19

Participant Flow

Study recruitment period was May 2005 through January 2007.

A total of 18 people signed consent to participate in this study. One was determined ineligible, for a total of 17 patients on study.

Participant milestones

Participant milestones
Measure
Therapeutic Intervention
Overall Study
STARTED
17
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Therapeutic Intervention
Overall Study
disease progression
13
Overall Study
Adverse Event
4

Baseline Characteristics

Cetuximab & Celecoxib for Metastatic Colorectal Cancer or Colorectal Cancer That Cannot Be Removed by Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Therapeutic Intervention
n=17 Participants
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=93 Participants
Age, Categorical
>=65 years
5 Participants
n=93 Participants
Age Continuous
60 years
STANDARD_DEVIATION 1 • n=93 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
Sex: Female, Male
Male
10 Participants
n=93 Participants
Region of Enrollment
United States
17 participants
n=93 Participants

PRIMARY outcome

Timeframe: On study date to off study date in this study with median 9.76 months

Number of days from study enrollment to evidence of progressive disease radiographically, with progression defined under RECIST criteria as at least 20% increase in sum of longest diameter of target lesions

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Progression-free Survival (PFS)
55 Days
Interval 10.0 to 295.0

SECONDARY outcome

Timeframe: On study date to off study date in this study with median 9.76 months

Number of patients in each response category according to RECIST criteria: Progressive disease (PD): \>=20% increase in sum of longest diameter (LD) of target lesion(s), taking as reference smallest sum LD recorded since treatment started. Complete response (CR): disappearance of all target lesions. Partial response (PR): \>=30% decrease in sum of LD of target lesion(s), taking as reference baseline sum LD. Stable disease (SD): neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD.

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Patient Response to Treatment
Partial Response
2 participants
Patient Response to Treatment
Progressive Disease
7 participants
Patient Response to Treatment
Stable Disease
4 participants
Patient Response to Treatment
Unknown
4 participants

SECONDARY outcome

Timeframe: On study date to off study date in this study with median 9.76 months

Median survival time in months, from on-study date to date of death

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Overall Survival
8.54 Months
Interval 5.58 to 10.74

SECONDARY outcome

Timeframe: 1 year from on-study date

Percent of patients who remain alive one year from on-study date

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
One Year Survival Rate
17.6 Percentage of participants
Interval 6.32 to 49.3

SECONDARY outcome

Timeframe: On study date to off study date in this study with median 9.76 months

Number of patients with worst-grade toxicity response of each grade (grade 1 to 5) following NCI Common Toxicity Criteria, with grade 1=mild adverse event; 2=moderate adverse event; 3=severe and undesirable adverse event; 4=life-threatening or disabling adverse event; 5=death.

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Number of Patients With Each Worst-grade Toxicity Response
No. of patients with worst-grade toxicity of 1
0 patients
Number of Patients With Each Worst-grade Toxicity Response
No. of patients with worst-grade toxicity of 2
0 patients
Number of Patients With Each Worst-grade Toxicity Response
No. of patients with worst-grade toxicity of 3
1 patients
Number of Patients With Each Worst-grade Toxicity Response
No. of patients with worst-grade toxicity of 4
1 patients
Number of Patients With Each Worst-grade Toxicity Response
No. of patients with worst-grade toxicity of 5
0 patients

SECONDARY outcome

Timeframe: on-study week 5

Measurement in ng/mL of a stable metabolite of prostaglandin E2 (PGE-M) in urine during treatment cycle 1

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Urinary PGE-M : Treatment Cycle 1
Stable or PR (n=6)
30.42 ng/mL
Standard Deviation 17.15
Urinary PGE-M : Treatment Cycle 1
Progressive Disease (n=11)
21.94 ng/mL
Standard Deviation 17.13

SECONDARY outcome

Timeframe: on-study week 5

Measurement in ng/mL of tumor growth factor-alpha (TGF-alpha) in serum samples during treatment cycle 1

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Serum TGF-alpha: Treatment Cycle 1
Stable or PR (n=5)
26.38 ng/mL
Standard Deviation 17.15
Serum TGF-alpha: Treatment Cycle 1
Progressive Disease (n=10)
25.90 ng/mL
Standard Deviation 10.93

SECONDARY outcome

Timeframe: on-study week 9

Measurement in ng/mL of a stable metabolite of prostaglandin E2 (PGE-M) in urine during treatment cycle 2

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Urinary PGE-M : Treatment Cycle 2
Stable or PR (n=6)
28.42 ng/mL
Standard Deviation 25.73
Urinary PGE-M : Treatment Cycle 2
Progressive Disease (n=4)
29.76 ng/mL
Standard Deviation 41.34

SECONDARY outcome

Timeframe: on-study week 9

Measurement in ng/mL of tumor growth factor-alpha (TGF-alpha) in serum samples during treatment cycle 2

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=17 Participants
Serum TGF-alpha: Treatment Cycle 2
Stable or PR (n=6)
48.02 ng/mL
Standard Deviation 16.94
Serum TGF-alpha: Treatment Cycle 2
Progressive Disease (n=4)
49.95 ng/mL
Standard Deviation 27.27

Adverse Events

Therapeutic Intervention

Serious events: 2 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Therapeutic Intervention
n=17 participants at risk
Renal and urinary disorders
Hemorrhage, bladder
5.9%
1/17 • Number of events 1
Nervous system disorders
neurology, brain mets
5.9%
1/17 • Number of events 1

Other adverse events

Other adverse events
Measure
Therapeutic Intervention
n=17 participants at risk
Metabolism and nutrition disorders
hypoalbuminemia
11.8%
2/17 • Number of events 2
Investigations
alkaline phosphatase
23.5%
4/17 • Number of events 5
General disorders
allergic reaction
17.6%
3/17 • Number of events 3
Metabolism and nutrition disorders
ALT, SGPT
11.8%
2/17 • Number of events 2
Psychiatric disorders
anorexia
23.5%
4/17 • Number of events 4
Blood and lymphatic system disorders
AST, SGOT
17.6%
3/17 • Number of events 3
Metabolism and nutrition disorders
hyperbilirubinemia
17.6%
3/17 • Number of events 3
Metabolism and nutrition disorders
hypocalcemia
17.6%
3/17 • Number of events 4
General disorders
edema
11.8%
2/17 • Number of events 3
Eye disorders
cataract
5.9%
1/17 • Number of events 1
Gastrointestinal disorders
constipation
23.5%
4/17 • Number of events 4
Respiratory, thoracic and mediastinal disorders
cough
23.5%
4/17 • Number of events 4
Skin and subcutaneous tissue disorders
dermatologic general
41.2%
7/17 • Number of events 8
Gastrointestinal disorders
diarrhea
41.2%
7/17 • Number of events 8
Nervous system disorders
dizziness
11.8%
2/17 • Number of events 2
Respiratory, thoracic and mediastinal disorders
dyspnea
17.6%
3/17 • Number of events 4
General disorders
fatigue
70.6%
12/17 • Number of events 13
Gastrointestinal disorders
dyspepsi
17.6%
3/17 • Number of events 3
Investigations
hemoglobin
41.2%
7/17 • Number of events 11
Gastrointestinal disorders
hemorrhage, rectum
17.6%
3/17 • Number of events 3
Renal and urinary disorders
hemorrhage, bladder
23.5%
4/17 • Number of events 4
Respiratory, thoracic and mediastinal disorders
hemorrhage, pulmonary
5.9%
1/17 • Number of events 1
Gastrointestinal disorders
hemorrhoids
5.9%
1/17 • Number of events 1
Vascular disorders
hot flashes
5.9%
1/17 • Number of events 1
Vascular disorders
hypotension
5.9%
1/17 • Number of events 1
Respiratory, thoracic and mediastinal disorders
hiccoughs
5.9%
1/17 • Number of events 1
Gastrointestinal disorders
anal incontinence
5.9%
1/17 • Number of events 1
Infections and infestations
infection
17.6%
3/17 • Number of events 3
Infections and infestations
infection with normal ANC
5.9%
1/17 • Number of events 1
Psychiatric disorders
insomnia
23.5%
4/17 • Number of events 4
Blood and lymphatic system disorders
leukocytes
5.9%
1/17 • Number of events 1
Metabolism and nutrition disorders
hypomagnesiumia
35.3%
6/17 • Number of events 6
Metabolism and nutrition disorders
hypercholesterolemia
5.9%
1/17 • Number of events 1
Psychiatric disorders
agitation
11.8%
2/17 • Number of events 2
Psychiatric disorders
depression
11.8%
2/17 • Number of events 2
Musculoskeletal and connective tissue disorders
muscle weakness
11.8%
2/17 • Number of events 2
Gastrointestinal disorders
reflux
11.8%
2/17 • Number of events 2
Metabolism and nutrition disorders
hyperglycemia
23.5%
4/17 • Number of events 5
Skin and subcutaneous tissue disorders
nail changes
11.8%
2/17 • Number of events 3
Nervous system disorders
restless leg
11.8%
2/17 • Number of events 2
Skin and subcutaneous tissue disorders
balanitis
11.8%
2/17 • Number of events 2
Nervous system disorders
peripheral neuropathy
29.4%
5/17 • Number of events 5
Eye disorders
eye irritation
11.8%
2/17 • Number of events 3
Gastrointestinal disorders
pain, abdominal
47.1%
8/17 • Number of events 8
Musculoskeletal and connective tissue disorders
pain, back
17.6%
3/17 • Number of events 3
Musculoskeletal and connective tissue disorders
pain, extremity
5.9%
1/17 • Number of events 1
Nervous system disorders
pain, head
5.9%
1/17 • Number of events 1
Musculoskeletal and connective tissue disorders
pain, muscle
5.9%
1/17 • Number of events 1
Musculoskeletal and connective tissue disorders
pain, rib cage
11.8%
2/17 • Number of events 2
Gastrointestinal disorders
pain, rectum
11.8%
2/17 • Number of events 2
Investigations
platelets
11.8%
2/17 • Number of events 2
Skin and subcutaneous tissue disorders
pruritus, itching
29.4%
5/17 • Number of events 5
Skin and subcutaneous tissue disorders
rash, desquamation
88.2%
15/17 • Number of events 20
Skin and subcutaneous tissue disorders
hand, foot rash
5.9%
1/17 • Number of events 1
Metabolism and nutrition disorders
hypokalemia
29.4%
5/17 • Number of events 5
Renal and urinary disorders
urinary frequency
11.8%
2/17 • Number of events 2
Renal and urinary disorders
urinary retention
11.8%
2/17 • Number of events 2
Metabolism and nutrition disorders
hyponatremia
5.9%
1/17 • Number of events 1
Vascular disorders
diaphoresis, sweating
11.8%
2/17 • Number of events 2
Nervous system disorders
tremor
5.9%
1/17 • Number of events 1
Gastrointestinal disorders
vomiting
5.9%
1/17 • Number of events 1
Reproductive system and breast disorders
vaginal discharge
5.9%
1/17 • Number of events 1
Respiratory, thoracic and mediastinal disorders
hoarseness
5.9%
1/17 • Number of events 1
Eye disorders
blurred vision
11.8%
2/17 • Number of events 2
Gastrointestinal disorders
flatulence
5.9%
1/17 • Number of events 1
General disorders
fever
11.8%
2/17 • Number of events 2

Additional Information

Jordan Berlin, MD

Vanderbilt-Ingram Cancer center

Phone: 615-343-4128

Results disclosure agreements

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