Trial Outcomes & Findings for AZD0530 in Treating Patients With Extensive Stage Small Cell Lung Cancer (NCT NCT00528645)

NCT ID: NCT00528645

Last Updated: 2017-12-07

Results Overview

The progression-free survival (PFS) rate at 12 weeks will be estimated by calculating the number of patients that are alive and progression-free at 12 weeks post-registration divided by the total number of evaluable patients and multiplied by 100. All patients meeting the eligibility criteria who have signed a consent form, begun AZD0530 treatment, and are not lost to follow-up before 12 weeks, will be considered evaluable for the 12-week progression-free survival (PFS) rate. Progression is defined using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Progression is defined as having a new lesion or having at least a 20% increase in the sum of the longest diameter of target lesions from baseline.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

12 weeks

Results posted on

2017-12-07

Participant Flow

24 patients were enrolled from 13 medical clinics from February 5, 2008 to August 21, 2008.

One patient cancelled prior to treatment initiation and is excluded in the analysis.

Participant milestones

Participant milestones
Measure
Treatment (Saracatinib)
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. saracatinib : saracatinib 175mg given orally daily with re-treatment every 3 weeks
Overall Study
STARTED
23
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Saracatinib)
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. saracatinib : saracatinib 175mg given orally daily with re-treatment every 3 weeks
Overall Study
Adverse Event
3

Baseline Characteristics

AZD0530 in Treating Patients With Extensive Stage Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Saracatinib)
n=23 Participants
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. Blood samples are obtained at baseline and periodically during study to determine levels of circulating tumor cells for defined translational studies. saracatinib : saracatinib 175mg given orally daily with re-treatment every 3 weeks
Age, Continuous
58 years
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

The progression-free survival (PFS) rate at 12 weeks will be estimated by calculating the number of patients that are alive and progression-free at 12 weeks post-registration divided by the total number of evaluable patients and multiplied by 100. All patients meeting the eligibility criteria who have signed a consent form, begun AZD0530 treatment, and are not lost to follow-up before 12 weeks, will be considered evaluable for the 12-week progression-free survival (PFS) rate. Progression is defined using the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Progression is defined as having a new lesion or having at least a 20% increase in the sum of the longest diameter of target lesions from baseline.

Outcome measures

Outcome measures
Measure
Treatment (Saracatinib)
n=23 Participants
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. saracatinib: saracatinib 175mg given orally daily with re-treatment every 3 weeks
Progression-free Survival Rate at 12 Weeks
26 percentage of participants
Interval 10.0 to 48.0

SECONDARY outcome

Timeframe: From registration to death due to any cause, assessed up to 2 years

Overall Survival time is defined as the time from registration to death due to any cause. The distribution of survival time will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Treatment (Saracatinib)
n=23 Participants
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. saracatinib: saracatinib 175mg given orally daily with re-treatment every 3 weeks
Overall Survival
7.8 months
Interval 6.9 to 10.6

SECONDARY outcome

Timeframe: After every other 21-day cycle, up to 2 years.

Response was assessed using the RECIST v1.1 criteria. Patients were evaluated after every other cycle (after cycle 2, 4, 6, etc...) and when progression is suspected. A Complete Response (CR) is defined as the disappearance of all target lesions. A Partial Response (PR) is defined as at least a 20% decrease in the sum of the longest diameter of target lesions from baseline. A confirmed response is defined as a CR or PR as the objective status on 2 consecutive evaluations at least 4 weeks apart..

Outcome measures

Outcome measures
Measure
Treatment (Saracatinib)
n=23 Participants
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. saracatinib: saracatinib 175mg given orally daily with re-treatment every 3 weeks
Confirmed Tumor Response (Defined as Complete or Partial Response on 2 Consecutive Evaluations at Least 4 Weeks Apart)
Complete Response (CR)
0 Participants
Confirmed Tumor Response (Defined as Complete or Partial Response on 2 Consecutive Evaluations at Least 4 Weeks Apart)
Partial Response (PR)
0 Participants

SECONDARY outcome

Timeframe: From registration to documentation of disease progression or death, assessed up to 2 years

Progression Free Survival (PFS) is defined as the time from registration to documentation of disease progression or death, whichever occurs first. The distribution of time to progression will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Treatment (Saracatinib)
n=23 Participants
Patients receive oral AZD0530 once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. saracatinib: saracatinib 175mg given orally daily with re-treatment every 3 weeks
Progression Free Survival
1.5 months
Interval 1.3 to 1.6

Adverse Events

Treatment (Saracatinib)

Serious events: 6 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Saracatinib)
n=23 participants at risk
saracatinib : saracatinib 175mg given orally daily with re-treatment every 3 weeks
Blood and lymphatic system disorders
Hemoglobin decreased
4.3%
1/23 • Number of events 1
Cardiac disorders
Atrial fibrillation
4.3%
1/23 • Number of events 1
Gastrointestinal disorders
Constipation
4.3%
1/23 • Number of events 1
Gastrointestinal disorders
Diarrhea
4.3%
1/23 • Number of events 1
Gastrointestinal disorders
Nausea
8.7%
2/23 • Number of events 2
Gastrointestinal disorders
Vomiting
8.7%
2/23 • Number of events 2
General disorders
Edema limbs
8.7%
2/23 • Number of events 2
General disorders
Fatigue
4.3%
1/23 • Number of events 1
Infections and infestations
Pneumonia
4.3%
1/23 • Number of events 1
Investigations
Aspartate aminotransferase increased
4.3%
1/23 • Number of events 1
Investigations
Bilirubin increased
4.3%
1/23 • Number of events 1
Investigations
Leukocyte count decreased
4.3%
1/23 • Number of events 1
Investigations
Platelet count decreased
13.0%
3/23 • Number of events 3
Metabolism and nutrition disorders
Anorexia
4.3%
1/23 • Number of events 1
Metabolism and nutrition disorders
Serum albumin decreased
4.3%
1/23 • Number of events 1
Metabolism and nutrition disorders
Serum calcium decreased
4.3%
1/23 • Number of events 1
Metabolism and nutrition disorders
Serum potassium decreased
4.3%
1/23 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
4.3%
1/23 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.7%
2/23 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.3%
1/23 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
4.3%
1/23 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Saracatinib)
n=23 participants at risk
saracatinib : saracatinib 175mg given orally daily with re-treatment every 3 weeks
Blood and lymphatic system disorders
Hemoglobin decreased
87.0%
20/23 • Number of events 39
Gastrointestinal disorders
Diarrhea
26.1%
6/23 • Number of events 26
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
4.3%
1/23 • Number of events 1
Gastrointestinal disorders
Nausea
39.1%
9/23 • Number of events 12
Gastrointestinal disorders
Vomiting
30.4%
7/23 • Number of events 9
General disorders
Fatigue
69.6%
16/23 • Number of events 45
General disorders
Fever
4.3%
1/23 • Number of events 1
Hepatobiliary disorders
Hepatic failure
4.3%
1/23 • Number of events 1
Infections and infestations
Bladder infection
4.3%
1/23 • Number of events 1
Infections and infestations
Skin infection
4.3%
1/23 • Number of events 1
Investigations
Alanine aminotransferase increased
4.3%
1/23 • Number of events 1
Investigations
Alkaline phosphatase increased
4.3%
1/23 • Number of events 1
Investigations
Aspartate aminotransferase increased
8.7%
2/23 • Number of events 2
Investigations
Bilirubin increased
4.3%
1/23 • Number of events 1
Investigations
Creatinine increased
34.8%
8/23 • Number of events 19
Investigations
Laboratory test abnormal
4.3%
1/23 • Number of events 1
Investigations
Leukocyte count decreased
21.7%
5/23 • Number of events 5
Investigations
Neutrophil count decreased
4.3%
1/23 • Number of events 2
Investigations
Platelet count decreased
30.4%
7/23 • Number of events 8
Investigations
Weight loss
4.3%
1/23 • Number of events 1
Metabolism and nutrition disorders
Anorexia
17.4%
4/23 • Number of events 4
Metabolism and nutrition disorders
Blood glucose increased
13.0%
3/23 • Number of events 3
Metabolism and nutrition disorders
Serum albumin decreased
4.3%
1/23 • Number of events 1
Metabolism and nutrition disorders
Serum phosphate decreased
4.3%
1/23 • Number of events 1
Metabolism and nutrition disorders
Serum sodium decreased
8.7%
2/23 • Number of events 2
Musculoskeletal and connective tissue disorders
Bone pain
4.3%
1/23 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
21.7%
5/23 • Number of events 5
Nervous system disorders
Headache
8.7%
2/23 • Number of events 2
Nervous system disorders
Taste alteration
8.7%
2/23 • Number of events 2
Renal and urinary disorders
Protein urine positive
26.1%
6/23 • Number of events 18
Respiratory, thoracic and mediastinal disorders
Respiratory tract hemorrhage
4.3%
1/23 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
17.4%
4/23 • Number of events 6
Vascular disorders
Hot flashes
4.3%
1/23 • Number of events 1

Additional Information

Julian R. Molina, M.D., Ph.D.

Mayo Clinic

Phone: 507-284-8318

Results disclosure agreements

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

Restriction type: LTE60