Trial Outcomes & Findings for Irinotecan and Carboplatin as First-Line Therapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer (NCT NCT00469898)

NCT ID: NCT00469898

Last Updated: 2012-07-27

Results Overview

Patient response to treatment: 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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

1.66 months (average duration, on treatment date to best response date)

Results posted on

2012-07-27

Participant Flow

Recruitment Period = 2/18/2004 through 1/23/2007

A total of 54 people signed consent to take part in the study. Of those, 3 were found to be ineligible and 1 withdrew before beginning the study.

Participant milestones

Participant milestones
Measure
Therapeutic Intervention
Overall Study
STARTED
50
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
25

Reasons for withdrawal

Reasons for withdrawal
Measure
Therapeutic Intervention
Overall Study
Adverse Event
7
Overall Study
Withdrawal by Subject
4
Overall Study
Death
4
Overall Study
Disease progression
9
Overall Study
Decreased performance status
1

Baseline Characteristics

Irinotecan and Carboplatin as First-Line Therapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Therapeutic Intervention
n=50 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
39 Participants
n=5 Participants
Age, Categorical
>=65 years
11 Participants
n=5 Participants
Age Continuous
59.5 years
STANDARD_DEVIATION 1 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
Sex: Female, Male
Male
31 Participants
n=5 Participants
Region of Enrollment
United States
45 participants
n=5 Participants
Region of Enrollment
Canada
5 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1.66 months (average duration, on treatment date to best response date)

Patient response to treatment: 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=50 Participants
Patient Response
Complete Response
2 participants
Patient Response
Not Assessed
1 participants
Patient Response
Not Evaluable
2 participants
Patient Response
Partial Response
27 participants
Patient Response
Progressive Disease
12 participants
Patient Response
Stable Disease
1 participants
Patient Response
Unknown
5 participants

SECONDARY outcome

Timeframe: date off treatment or progression of disease, up to 18 weeks

Number of participants with adverse events, according to grade of event, using the NCI Common Toxicity Criteria (version 2.0) grading system to assign a grade to each event

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=50 Participants
Number of Patients With Adverse Events
Grade 1
13 participants
Number of Patients With Adverse Events
Grade 2
26 participants
Number of Patients With Adverse Events
Grade 3
29 participants
Number of Patients With Adverse Events
Grade 4
10 participants
Number of Patients With Adverse Events
Grade 5
4 participants

SECONDARY outcome

Timeframe: 9.9 months (on study date to progression)

Population: Patients who has progression

Time to progression in months

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=40 Non censoring patients
Time to Progression
5 Months
Interval 1.0 to 17.0

SECONDARY outcome

Timeframe: On study date to death

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=50 Participants
Overall Survival
9 Months
Interval 0.0 to 42.0

Adverse Events

Therapeutic Intervention

Serious events: 26 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Therapeutic Intervention
n=50 participants at risk
Gastrointestinal disorders
Abdominal pain
4.0%
2/50 • Number of events 2
Metabolism and nutrition disorders
Anorexia
2.0%
1/50 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthritis pain
2.0%
1/50 • Number of events 1
Cardiac disorders
Asystole/Possible PE
2.0%
1/50 • Number of events 1
Musculoskeletal and connective tissue disorders
Back and shoulder pain
2.0%
1/50 • Number of events 1
Musculoskeletal and connective tissue disorders
Bone pain
2.0%
1/50 • Number of events 1
Cardiac disorders
Cardiac infarction
2.0%
1/50 • Number of events 1
Psychiatric disorders
Confusion
2.0%
1/50 • Number of events 1
Gastrointestinal disorders
Constipation
2.0%
1/50 • Number of events 1
General disorders
Death due to disease progression
4.0%
2/50 • Number of events 2
General disorders
Death, unknown cause
2.0%
1/50 • Number of events 1
Investigations
Decrease in platelet count
10.0%
5/50 • Number of events 5
Investigations
Decreased neutrophil count
12.0%
6/50 • Number of events 6
Metabolism and nutrition disorders
Dehydration
10.0%
5/50 • Number of events 5
Gastrointestinal disorders
Diarrhea
6.0%
3/50 • Number of events 3
Nervous system disorders
Dizziness
4.0%
2/50 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.0%
4/50 • Number of events 4
Nervous system disorders
Fainting
2.0%
1/50 • Number of events 1
General disorders
Fatigue
8.0%
4/50 • Number of events 4
Metabolism and nutrition disorders
Hypomagnesemia
6.0%
3/50 • Number of events 3
Vascular disorders
Hypotension
4.0%
2/50 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.0%
1/50 • Number of events 1
Investigations
Decreased hemoglobin
8.0%
4/50 • Number of events 4
Musculoskeletal and connective tissue disorders
Left proximal humerus fracture
2.0%
1/50 • Number of events 1
Gastrointestinal disorders
Nausea
16.0%
8/50 • Number of events 8
Gastrointestinal disorders
Peri-rectal abscess
2.0%
1/50 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonia
2.0%
1/50 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Post-obstructive pneumonitis
2.0%
1/50 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
2.0%
1/50 • Number of events 1
Vascular disorders
Thrombosis/embolism
2.0%
1/50 • Number of events 1
Nervous system disorders
Tremor
2.0%
1/50 • Number of events 1
Gastrointestinal disorders
Vomiting
10.0%
5/50 • Number of events 5
Investigations
Weight loss
4.0%
2/50 • Number of events 2

Other adverse events

Adverse event data not reported

Additional Information

Leora Horn, M.D.

Vanderbilt-Ingram Cancer Center

Phone: 615-322-4967

Results disclosure agreements

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