Trial Outcomes & Findings for Vinflunine in Hormone Refractory Prostate Cancer (HRPC) (NCT NCT00545766)

NCT ID: NCT00545766

Last Updated: 2021-12-16

Results Overview

Defined as the percentage of patients with an objective decrease in PSA and/or experience an objective benefit from treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

41 participants

Primary outcome timeframe

18 months

Results posted on

2021-12-16

Participant Flow

Participant milestones

Participant milestones
Measure
Vinflunine
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Overall Study
STARTED
41
Overall Study
COMPLETED
36
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vinflunine in Hormone Refractory Prostate Cancer (HRPC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vinflunine
n=41 Participants
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
34 Participants
n=5 Participants
Age, Continuous
72 years
STANDARD_DEVIATION 8.4 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
41 Participants
n=5 Participants
Region of Enrollment
United States
41 participants
n=5 Participants

PRIMARY outcome

Timeframe: 18 months

Population: Five patients did not receive two full cycles of vinflunine and were not included in the analysis

Defined as the percentage of patients with an objective decrease in PSA and/or experience an objective benefit from treatment.

Outcome measures

Outcome measures
Measure
Vinflunine
n=36 Participants
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Protein-specific Antigen (PSA) Response Rate
3 percentage of patients
Interval -2.57 to 8.57

SECONDARY outcome

Timeframe: 18 months

Population: 38 patients with serial PSA evaluations were included in the analysis. 3 patients only had baseline evaluations and were not included in analysis.

Time to PSA Progression is defined as the time from the first dose administration to the date when criteria for PSA progression (for Progressive Disease) are initially met.

Outcome measures

Outcome measures
Measure
Vinflunine
n=38 Participants
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Time to PSA Progression
12.2 weeks
Interval 2.7 to 57.1

SECONDARY outcome

Timeframe: 18 months

Progression free survival is defined as the time from the first day of treatment until the day tumor progression was documented. Response categories were assigned after completion of two weeks of vinflunine therapy using Response Evaluation Criteria in Solid Tumors (RECIST). Progressive disease is defined as an increase in \>=25% of of serum PSA above baseline value documented by at least two successive values separated by at least one week.

Outcome measures

Outcome measures
Measure
Vinflunine
n=36 Participants
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Progression Free Survival
2.1 months
Interval 1.4 to 2.9

SECONDARY outcome

Timeframe: 18 months

OS is defined as the time from the first treatment until date of death due to any cause. In the absence of confirmation of death or lack of data beyond follow-up period, the survival time was censored to last date the participant was known to be alive. Number of participants experiencing overall survival is reported here.

Outcome measures

Outcome measures
Measure
Vinflunine
n=41 Participants
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Number of Participants Experiencing Overall Survival (OS)
15 Participants

Adverse Events

Vinflunine

Serious events: 11 serious events
Other events: 33 other events
Deaths: 26 deaths

Serious adverse events

Serious adverse events
Measure
Vinflunine
n=41 participants at risk
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
General disorders
Pain - abdomen
4.9%
2/41 • Number of events 2 • 18 months
Blood and lymphatic system disorders
Hemoglobin
2.4%
1/41 • Number of events 1 • 18 months
Infections and infestations
Infection - Pneumonia
2.4%
1/41 • Number of events 1 • 18 months
Cardiac disorders
Cardiac arrhythmia
2.4%
1/41 • Number of events 1 • 18 months
Cardiac disorders
Cardiac ischemia
2.4%
1/41 • Number of events 1 • 18 months
Gastrointestinal disorders
Dehydration
7.3%
3/41 • Number of events 4 • 18 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Disease progression
7.3%
3/41 • Number of events 3 • 18 months
Blood and lymphatic system disorders
Febrile neutropenia
2.4%
1/41 • Number of events 1 • 18 months
Renal and urinary disorders
Renal failure
2.4%
1/41 • Number of events 1 • 18 months
General disorders
Pain - back
2.4%
1/41 • Number of events 1 • 18 months

Other adverse events

Other adverse events
Measure
Vinflunine
n=41 participants at risk
Vinflunine : Vinflunine 320 mg/m2 will be administered as a 20 minute IV infusion q3w. Patients will be evaluated for toxicity after each cycle of therapy. Response to vinflunine will be assessed every 6 weeks (every 2 cycles) of treatment. A maximum of 6 cycles of therapy are planned.
Gastrointestinal disorders
Abdominal pain
22.0%
9/41 • Number of events 10 • 18 months
Skin and subcutaneous tissue disorders
Alopecia
19.5%
8/41 • Number of events 11 • 18 months
Blood and lymphatic system disorders
ANC
73.2%
30/41 • Number of events 50 • 18 months
Gastrointestinal disorders
Anorexia
34.1%
14/41 • Number of events 23 • 18 months
Musculoskeletal and connective tissue disorders
Arthralgia
17.1%
7/41 • Number of events 9 • 18 months
Musculoskeletal and connective tissue disorders
Bone pain
26.8%
11/41 • Number of events 20 • 18 months
Gastrointestinal disorders
Constipation
53.7%
22/41 • Number of events 36 • 18 months
Gastrointestinal disorders
Dehydration
7.3%
3/41 • Number of events 6 • 18 months
Nervous system disorders
Depression
4.9%
2/41 • Number of events 4 • 18 months
Gastrointestinal disorders
Diarrhea
22.0%
9/41 • Number of events 9 • 18 months
Gastrointestinal disorders
Dyspepsia
14.6%
6/41 • Number of events 6 • 18 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
19.5%
8/41 • Number of events 14 • 18 months
Vascular disorders
Edema
14.6%
6/41 • Number of events 12 • 18 months
General disorders
Fatigue
80.5%
33/41 • Number of events 72 • 18 months
Infections and infestations
Febrile Neutropenia
9.8%
4/41 • Number of events 5 • 18 months
Nervous system disorders
Headache
12.2%
5/41 • Number of events 9 • 18 months
Blood and lymphatic system disorders
HGB
75.6%
31/41 • Number of events 76 • 18 months
Endocrine disorders
Hot flashes
9.8%
4/41 • Number of events 5 • 18 months
Infections and infestations
Infection without Neutropenia
9.8%
4/41 • Number of events 5 • 18 months
Skin and subcutaneous tissue disorders
Injection Site Reaction
17.1%
7/41 • Number of events 10 • 18 months
Musculoskeletal and connective tissue disorders
Myalgia
19.5%
8/41 • Number of events 11 • 18 months
Gastrointestinal disorders
Nausea
41.5%
17/41 • Number of events 27 • 18 months
General disorders
Pain
4.9%
2/41 • Number of events 3 • 18 months
Musculoskeletal and connective tissue disorders
Pain (back)
7.3%
3/41 • Number of events 3 • 18 months
Blood and lymphatic system disorders
PLT
31.7%
13/41 • Number of events 21 • 18 months
Skin and subcutaneous tissue disorders
Rash
4.9%
2/41 • Number of events 2 • 18 months
Nervous system disorders
Sensory Neuropathy
17.1%
7/41 • Number of events 15 • 18 months
Gastrointestinal disorders
Stomatitis
4.9%
2/41 • Number of events 2 • 18 months
Renal and urinary disorders
Urinary frequency
4.9%
2/41 • Number of events 2 • 18 months
Gastrointestinal disorders
Vomiting
22.0%
9/41 • Number of events 11 • 18 months
Blood and lymphatic system disorders
WBC
78.0%
32/41 • Number of events 59 • 18 months
General disorders
Weakness
22.0%
9/41 • Number of events 13 • 18 months
General disorders
Weight Loss
17.1%
7/41 • Number of events 9 • 18 months

Additional Information

John Hainsworth, MD

Sarah Cannon Research Institute

Phone: 1-877-691-7274

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor can review/embargo results communications prior to public release for a period that is \>60 days but ≤180 days from date submitted to sponsor, who may require changes to the communication in order to remove specifically identified confidential information (other than study data) and/or delay the proposed publication to enable the sponsor to seek patent protection for inventions. The PI may not publish its results until 18 mos. after the trial has been completed at all sites.
  • Publication restrictions are in place

Restriction type: OTHER