Trial Outcomes & Findings for Dasatinib in Treating Patients With Previously Treated Malignant Mesothelioma (NCT NCT00509041)

NCT ID: NCT00509041

Last Updated: 2016-08-11

Results Overview

Percentage of participants who were alive and progression free at 24 weeks. The 24 week progression free survival, with 95% confidence interval, was estimated using the Kaplan Meier method.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

46 participants

Primary outcome timeframe

24 weeks

Results posted on

2016-08-11

Participant Flow

Between September 2007 to August 2009, 46 participants were recruited.

Three (3) participants withdrew from the study before treatment initiation; therefore 43 participants were eligible for evaluation

Participant milestones

Participant milestones
Measure
Dasatinib
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Overall Study
STARTED
43
Overall Study
COMPLETED
43
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dasatinib in Treating Patients With Previously Treated Malignant Mesothelioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dasatinib
n=43 Participants
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Age, Continuous
68 years
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
31 Participants
n=5 Participants
Region of Enrollment
United States
43 participants
n=5 Participants
ECOG Performance Score
0 - Fully Active
19 participants
n=5 Participants
ECOG Performance Score
1 - Ambulatory, restricted strenuous activity
24 participants
n=5 Participants
Site of origin
Pleura
36 participants
n=5 Participants
Site of origin
Peritoneum
6 participants
n=5 Participants
Site of origin
Other
1 participants
n=5 Participants
Histology
Epithelial
33 participants
n=5 Participants
Histology
Biphasic
5 participants
n=5 Participants
Histology
Sarcomatoid
2 participants
n=5 Participants
Histology
Not reported
3 participants
n=5 Participants
Prior chemotherapy
Yes
43 participants
n=5 Participants
Prior chemotherapy
No
0 participants
n=5 Participants
Prior radiation
Yes
6 participants
n=5 Participants
Prior radiation
No
37 participants
n=5 Participants
Prior surgery
Yes
23 participants
n=5 Participants
Prior surgery
No
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 weeks

Percentage of participants who were alive and progression free at 24 weeks. The 24 week progression free survival, with 95% confidence interval, was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
24 Week Progression Free Survival
23 percentage of participants
Interval 13.5 to 40.0

SECONDARY outcome

Timeframe: Duration of study until progression (up to 3 years)

Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria: * Complete Response (CR): disappearance of all target lesions; * Partial Response (PR) 30% decrease in sum of longest diameter of target lesions; * Progressive Disease (PD): 20% increase in sum of longest diameter of target lesions; * Stable Disease (SD): small changes that do not meet above criteria. Overall tumor response is the total number of CR and PRs.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Number of Participants With Overall Tumor Response
Complete Response
0 participants
Number of Participants With Overall Tumor Response
Partial Response
2 participants

SECONDARY outcome

Timeframe: Time from registration to death (up to 3 years)

Overall survival (OS) was defined as the time from registration to death of any cause. Surviving patients were censored at the date of last follow-up. The median OS with 95% CI was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Overall Survival
26.1 weeks
Interval 18.6 to 36.7

SECONDARY outcome

Timeframe: Time from registration to progression or death (up to 3 years)

Progression free survival (PFS) was defined as the time from registration to progression or death of any cause. Progression free and alive patients were censored at the date of last follow-up. The median PFS with 95% CI was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Progression Free Survival
9.1 weeks
Interval 7.4 to 16.9

Adverse Events

Dasatinib

Serious events: 15 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dasatinib
n=43 participants at risk
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Blood and lymphatic system disorders
Hemoglobin decreased
18.6%
8/43 • Number of events 11
Cardiac disorders
Pericardial effusion
4.7%
2/43 • Number of events 2
Eye disorders
Watering eyes
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Abdominal distension
4.7%
2/43 • Number of events 2
Gastrointestinal disorders
Abdominal pain
4.7%
2/43 • Number of events 2
Gastrointestinal disorders
Constipation
11.6%
5/43 • Number of events 5
Gastrointestinal disorders
Diarrhea
16.3%
7/43 • Number of events 7
Gastrointestinal disorders
Dry mouth
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Dyspepsia
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Flatulence
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Hemorrhoids
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Nausea
16.3%
7/43 • Number of events 8
Gastrointestinal disorders
Peritoneal pain
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Small intestinal obstruction
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Vomiting
9.3%
4/43 • Number of events 4
General disorders
Chest pain
7.0%
3/43 • Number of events 3
General disorders
Chills
2.3%
1/43 • Number of events 1
General disorders
Disease progression
2.3%
1/43 • Number of events 1
General disorders
Edema limbs
7.0%
3/43 • Number of events 3
General disorders
Fatigue
23.3%
10/43 • Number of events 13
General disorders
Fever
2.3%
1/43 • Number of events 1
General disorders
Injection site reaction
2.3%
1/43 • Number of events 1
General disorders
Localized edema
2.3%
1/43 • Number of events 1
General disorders
Sudden death
2.3%
1/43 • Number of events 1
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
2.3%
1/43 • Number of events 1
Infections and infestations
Pleural infection
2.3%
1/43 • Number of events 1
Infections and infestations
Pneumonia
7.0%
3/43 • Number of events 3
Infections and infestations
Sinusitis
2.3%
1/43 • Number of events 1
Investigations
Alanine aminotransferase increased
4.7%
2/43 • Number of events 2
Investigations
Alkaline phosphatase increased
4.7%
2/43 • Number of events 2
Investigations
Aspartate aminotransferase increased
7.0%
3/43 • Number of events 3
Investigations
Creatinine increased
7.0%
3/43 • Number of events 3
Investigations
INR increased
2.3%
1/43 • Number of events 1
Investigations
Leukocyte count decreased
2.3%
1/43 • Number of events 1
Investigations
Lymphocyte count decreased
7.0%
3/43 • Number of events 4
Investigations
Weight loss
9.3%
4/43 • Number of events 4
Metabolism and nutrition disorders
Anorexia
14.0%
6/43 • Number of events 6
Metabolism and nutrition disorders
Blood glucose increased
9.3%
4/43 • Number of events 4
Metabolism and nutrition disorders
Dehydration
4.7%
2/43 • Number of events 2
Metabolism and nutrition disorders
Serum albumin decreased
16.3%
7/43 • Number of events 8
Metabolism and nutrition disorders
Serum calcium decreased
14.0%
6/43 • Number of events 7
Metabolism and nutrition disorders
Serum glucose decreased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum magnesium increased
4.7%
2/43 • Number of events 2
Metabolism and nutrition disorders
Serum potassium decreased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum potassium increased
4.7%
2/43 • Number of events 2
Metabolism and nutrition disorders
Serum sodium decreased
14.0%
6/43 • Number of events 6
Musculoskeletal and connective tissue disorders
Arthralgia
7.0%
3/43 • Number of events 3
Musculoskeletal and connective tissue disorders
Back pain
2.3%
1/43 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
4.7%
2/43 • Number of events 2
Musculoskeletal and connective tissue disorders
Pain in extremity
2.3%
1/43 • Number of events 1
Nervous system disorders
Dizziness
2.3%
1/43 • Number of events 1
Nervous system disorders
Dysgeusia
4.7%
2/43 • Number of events 2
Nervous system disorders
Headache
2.3%
1/43 • Number of events 1
Nervous system disorders
Peripheral motor neuropathy
4.7%
2/43 • Number of events 2
Nervous system disorders
Peripheral sensory neuropathy
2.3%
1/43 • Number of events 1
Psychiatric disorders
Confusion
2.3%
1/43 • Number of events 1
Psychiatric disorders
Insomnia
2.3%
1/43 • Number of events 1
Psychiatric disorders
Psychosis
4.7%
2/43 • Number of events 2
Renal and urinary disorders
Glomerular filtration rate decreased
2.3%
1/43 • Number of events 1
Renal and urinary disorders
Urogenital disorder
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
7.0%
3/43 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.6%
5/43 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
9.3%
4/43 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
2.3%
1/43 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
2.3%
1/43 • Number of events 1

Other adverse events

Other adverse events
Measure
Dasatinib
n=43 participants at risk
Use of dasatinib (50 mg orally twice a day) in treatment of pts with previously treated malignant mesothelioma
Blood and lymphatic system disorders
Hemoglobin decreased
55.8%
24/43 • Number of events 64
Cardiac disorders
Pericardial effusion
2.3%
1/43 • Number of events 1
Cardiac disorders
Pericarditis
2.3%
1/43 • Number of events 1
Cardiac disorders
Ventricular tachycardia
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Abdominal distension
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Abdominal pain
9.3%
4/43 • Number of events 4
Gastrointestinal disorders
Ascites
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Constipation
9.3%
4/43 • Number of events 5
Gastrointestinal disorders
Diarrhea
32.6%
14/43 • Number of events 19
Gastrointestinal disorders
Dyspepsia
7.0%
3/43 • Number of events 3
Gastrointestinal disorders
Gastritis
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Gastrointestinal disorder
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Hemorrhoids
2.3%
1/43 • Number of events 1
Gastrointestinal disorders
Nausea
25.6%
11/43 • Number of events 19
Gastrointestinal disorders
Stomach pain
2.3%
1/43 • Number of events 2
Gastrointestinal disorders
Vomiting
14.0%
6/43 • Number of events 9
General disorders
Chest pain
7.0%
3/43 • Number of events 5
General disorders
Chills
7.0%
3/43 • Number of events 3
General disorders
Disease progression
4.7%
2/43 • Number of events 2
General disorders
Edema limbs
4.7%
2/43 • Number of events 7
General disorders
Fatigue
55.8%
24/43 • Number of events 57
General disorders
Fever
9.3%
4/43 • Number of events 5
General disorders
Injection site reaction
2.3%
1/43 • Number of events 1
General disorders
Localized edema
2.3%
1/43 • Number of events 2
General disorders
Pain
2.3%
1/43 • Number of events 1
General disorders
Visceral edema
2.3%
1/43 • Number of events 1
Immune system disorders
Hypersensitivity
2.3%
1/43 • Number of events 1
Infections and infestations
Gingival infection
2.3%
1/43 • Number of events 1
Infections and infestations
Pneumonia
2.3%
1/43 • Number of events 1
Infections and infestations
Rhinitis infective
2.3%
1/43 • Number of events 2
Infections and infestations
Sinusitis
2.3%
1/43 • Number of events 2
Infections and infestations
Upper aerodigestive tract infection
2.3%
1/43 • Number of events 3
Injury, poisoning and procedural complications
Arterial injury
2.3%
1/43 • Number of events 1
Investigations
Alanine aminotransferase increased
4.7%
2/43 • Number of events 5
Investigations
Alkaline phosphatase increased
4.7%
2/43 • Number of events 6
Investigations
Aspartate aminotransferase increased
7.0%
3/43 • Number of events 6
Investigations
Creatinine increased
2.3%
1/43 • Number of events 1
Investigations
Electrocardiogram QTc interval prolonged
2.3%
1/43 • Number of events 1
Investigations
INR increased
2.3%
1/43 • Number of events 1
Investigations
Leukocyte count decreased
2.3%
1/43 • Number of events 1
Investigations
Lymphocyte count decreased
14.0%
6/43 • Number of events 9
Investigations
Platelet count decreased
7.0%
3/43 • Number of events 3
Investigations
Weight loss
16.3%
7/43 • Number of events 18
Metabolism and nutrition disorders
Anorexia
25.6%
11/43 • Number of events 13
Metabolism and nutrition disorders
Blood glucose increased
14.0%
6/43 • Number of events 10
Metabolism and nutrition disorders
Dehydration
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum albumin decreased
11.6%
5/43 • Number of events 6
Metabolism and nutrition disorders
Serum calcium decreased
9.3%
4/43 • Number of events 4
Metabolism and nutrition disorders
Serum calcium increased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum glucose decreased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum magnesium decreased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum magnesium increased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum phosphate decreased
9.3%
4/43 • Number of events 4
Metabolism and nutrition disorders
Serum potassium decreased
4.7%
2/43 • Number of events 4
Metabolism and nutrition disorders
Serum potassium increased
2.3%
1/43 • Number of events 1
Metabolism and nutrition disorders
Serum sodium decreased
23.3%
10/43 • Number of events 10
Metabolism and nutrition disorders
Serum sodium increased
2.3%
1/43 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
4.7%
2/43 • Number of events 3
Musculoskeletal and connective tissue disorders
Back pain
7.0%
3/43 • Number of events 4
Musculoskeletal and connective tissue disorders
Bone pain
2.3%
1/43 • Number of events 1
Musculoskeletal and connective tissue disorders
Chest wall pain
11.6%
5/43 • Number of events 5
Musculoskeletal and connective tissue disorders
Pain in extremity
2.3%
1/43 • Number of events 1
Nervous system disorders
Dizziness
7.0%
3/43 • Number of events 7
Nervous system disorders
Dysgeusia
4.7%
2/43 • Number of events 3
Nervous system disorders
Headache
18.6%
8/43 • Number of events 10
Nervous system disorders
Memory impairment
2.3%
1/43 • Number of events 1
Nervous system disorders
Neurological disorder NOS
2.3%
1/43 • Number of events 1
Nervous system disorders
Peripheral sensory neuropathy
7.0%
3/43 • Number of events 3
Psychiatric disorders
Anxiety
2.3%
1/43 • Number of events 1
Psychiatric disorders
Confusion
2.3%
1/43 • Number of events 1
Psychiatric disorders
Depression
2.3%
1/43 • Number of events 1
Psychiatric disorders
Insomnia
7.0%
3/43 • Number of events 3
Renal and urinary disorders
Urogenital disorder
2.3%
1/43 • Number of events 6
Reproductive system and breast disorders
Breast pain
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
4.7%
2/43 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Cough
14.0%
6/43 • Number of events 16
Respiratory, thoracic and mediastinal disorders
Dyspnea
44.2%
19/43 • Number of events 40
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.3%
1/43 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.7%
2/43 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Pleural effusion
18.6%
8/43 • Number of events 18
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.3%
1/43 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
2.3%
1/43 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
2.3%
1/43 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
4.7%
2/43 • Number of events 2
Skin and subcutaneous tissue disorders
Rash acneiform
4.7%
2/43 • Number of events 2
Skin and subcutaneous tissue disorders
Rash desquamating
9.3%
4/43 • Number of events 7
Skin and subcutaneous tissue disorders
Skin disorder
4.7%
2/43 • Number of events 2
Vascular disorders
Thrombosis
4.7%
2/43 • Number of events 2

Additional Information

Arkadiusz Dudek, MD, PhD

University of Minnesota Masonic Cancer Center

Results disclosure agreements

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