Trial Outcomes & Findings for Nelfinavir, Radiation Therapy, Cisplatin, and Etoposide in Treating Patients With Stage III Non-Small Cell Lung Cancer That Cannot Be Removed By Surgery (NCT NCT00589056)

NCT ID: NCT00589056

Last Updated: 2020-04-24

Results Overview

Any grade III or higher toxicity during chemoradiation, per CTCAE

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

55 participants

Primary outcome timeframe

90 days

Results posted on

2020-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
Single Arm
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Overall Study
STARTED
55
Overall Study
COMPLETED
52
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nelfinavir, Radiation Therapy, Cisplatin, and Etoposide in Treating Patients With Stage III Non-Small Cell Lung Cancer That Cannot Be Removed By Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm
n=55 Participants
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=5 Participants
Age, Categorical
>=65 years
18 Participants
n=5 Participants
Age, Continuous
60.9 years
STANDARD_DEVIATION 8.6 • n=5 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
55 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
Race (NIH/OMB)
White
47 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
55 participants
n=5 Participants

PRIMARY outcome

Timeframe: 90 days

Any grade III or higher toxicity during chemoradiation, per CTCAE

Outcome measures

Outcome measures
Measure
Single Arm
n=55 Participants
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Dose-limiting Toxicity
0 Dose-limiting toxicities

PRIMARY outcome

Timeframe: 90 days

As determined by dose escalation rules

Outcome measures

Outcome measures
Measure
Single Arm
n=55 Participants
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Maximum Tolerated Dose of Nelfinavir
1250 mg PO twice daily

SECONDARY outcome

Timeframe: 90 days

Tumor size as determined by imaging

Outcome measures

Outcome measures
Measure
Single Arm
n=55 Participants
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Clinical Response of Tumor
94 percentage of participants
Interval 86.0 to 100.0

Adverse Events

Single Arm

Serious events: 21 serious events
Other events: 40 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Single Arm
n=55 participants at risk
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Blood and lymphatic system disorders
ANC
5.5%
3/55 • Number of events 4
Metabolism and nutrition disorders
Alanine aminotransferase increased
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Anorexia
1.8%
1/55 • Number of events 1
Cardiac disorders
Atrial fibrillation
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Chest Pain
5.5%
3/55 • Number of events 3
Blood and lymphatic system disorders
Decreased ANC
3.6%
2/55 • Number of events 3
Gastrointestinal disorders
Dehydration
5.5%
3/55 • Number of events 3
General disorders
Diffuse Muscle Pain
1.8%
1/55 • Number of events 1
Nervous system disorders
Dizziness
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Esophagitis
3.6%
2/55 • Number of events 3
General disorders
Fatigue
3.6%
2/55 • Number of events 2
Infections and infestations
Febrile neutropenia
5.5%
3/55 • Number of events 3
Blood and lymphatic system disorders
Hemoglobin
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
dysphagia
1.8%
1/55 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
1.8%
1/55 • Number of events 3
Metabolism and nutrition disorders
Hypokalemia
1.8%
1/55 • Number of events 2
Metabolism and nutrition disorders
Hyponatremia
1.8%
1/55 • Number of events 1
Cardiac disorders
Hypotension
1.8%
1/55 • Number of events 1
Infections and infestations
Infection, Anal/perianal
1.8%
1/55 • Number of events 1
Infections and infestations
Infection, Lung (pneumonia)
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Leukocytes
16.4%
9/55 • Number of events 12
Gastrointestinal disorders
Nausea
1.8%
1/55 • Number of events 1
General disorders
Neutropenic Fever
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Neutrophils
3.6%
2/55 • Number of events 4
General disorders
Pain in extremity
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Platelets
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonia
5.5%
3/55 • Number of events 3
Nervous system disorders
Syncope
1.8%
1/55 • Number of events 1
Vascular disorders
Thrombosis/thrombus/embolism
3.6%
2/55 • Number of events 2

Other adverse events

Other adverse events
Measure
Single Arm
n=55 participants at risk
Nelfinavir cisplatin etoposide nelfinavir mesylate protein expression analysis immunohistochemistry staining method laboratory biomarker analysis biopsy radiation therapy
Blood and lymphatic system disorders
ANC
7.3%
4/55 • Number of events 12
Blood and lymphatic system disorders
AST Transaminase
1.8%
1/55 • Number of events 1
General disorders
Abdominal Pain
3.6%
2/55 • Number of events 2
Skin and subcutaneous tissue disorders
Acne
1.8%
1/55 • Number of events 1
Metabolism and nutrition disorders
Alanine aminotransferase increased
1.8%
1/55 • Number of events 2
Metabolism and nutrition disorders
Alkaline phosphatase increased
7.3%
4/55 • Number of events 4
Metabolism and nutrition disorders
Alkalosis
3.6%
2/55 • Number of events 2
Skin and subcutaneous tissue disorders
Alopecia
9.1%
5/55 • Number of events 5
General disorders
Altered Taste
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Anemia
1.8%
1/55 • Number of events 2
Metabolism and nutrition disorders
Anorexia
43.6%
24/55 • Number of events 41
Psychiatric disorders
Anxiety
14.5%
8/55 • Number of events 10
Blood and lymphatic system disorders
Aspartate aminotransferase increased
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Back Pain
5.5%
3/55 • Number of events 4
Gastrointestinal disorders
Bloating
1.8%
1/55 • Number of events 1
Eye disorders
Blurred Vision
3.6%
2/55 • Number of events 2
Musculoskeletal and connective tissue disorders
Bone pain
1.8%
1/55 • Number of events 1
Infections and infestations
Cellulitis at hangnail
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Chest Congestion
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Chest Pain
20.0%
11/55 • Number of events 11
General disorders
Chills
3.6%
2/55 • Number of events 2
Metabolism and nutrition disorders
Cholesterol
1.8%
1/55 • Number of events 1
Nervous system disorders
Confusion / Forgetfulness
1.8%
1/55 • Number of events 1
Infections and infestations
Conjunctivitis
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Constipation
47.3%
26/55 • Number of events 42
Respiratory, thoracic and mediastinal disorders
Cough
30.9%
17/55 • Number of events 28
Metabolism and nutrition disorders
Cramping
1.8%
1/55 • Number of events 1
Metabolism and nutrition disorders
Creatinine
5.5%
3/55 • Number of events 7
Respiratory, thoracic and mediastinal disorders
dyspnea on exertion
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Decreased ALC
1.8%
1/55 • Number of events 5
Blood and lymphatic system disorders
Decreased ANC
18.2%
10/55 • Number of events 17
General disorders
Decreased Albumin
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Decreased Leukocytes
7.3%
4/55 • Number of events 11
General disorders
Decreased Magnesium
3.6%
2/55 • Number of events 4
Blood and lymphatic system disorders
Decreased Platelets
7.3%
4/55 • Number of events 4
Blood and lymphatic system disorders
Decreased WBC
7.3%
4/55 • Number of events 5
Blood and lymphatic system disorders
Decreased hemoglobin
9.1%
5/55 • Number of events 11
Blood and lymphatic system disorders
Decreased leukocytes
10.9%
6/55 • Number of events 13
Blood and lymphatic system disorders
Decreased platelets
5.5%
3/55 • Number of events 5
Gastrointestinal disorders
Dehydration
40.0%
22/55 • Number of events 34
Psychiatric disorders
Depression
16.4%
9/55 • Number of events 11
Skin and subcutaneous tissue disorders
Dermatitis
10.9%
6/55 • Number of events 7
Injury, poisoning and procedural complications
Dermatitis radiation
14.5%
8/55 • Number of events 12
Skin and subcutaneous tissue disorders
Desquamation
1.8%
1/55 • Number of events 1
General disorders
Diaphoresis
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Diarrhea
43.6%
24/55 • Number of events 45
General disorders
Difficulty Swallowing
3.6%
2/55 • Number of events 2
Nervous system disorders
Dizziness
21.8%
12/55 • Number of events 14
Skin and subcutaneous tissue disorders
Dry Skin
3.6%
2/55 • Number of events 2
Gastrointestinal disorders
Dry mouth
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Dysgeusia
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Dyspepsia
29.1%
16/55 • Number of events 29
Gastrointestinal disorders
Dysphagia
40.0%
22/55 • Number of events 38
Respiratory, thoracic and mediastinal disorders
Dyspnea
30.9%
17/55 • Number of events 23
Renal and urinary disorders
Dysuria
1.8%
1/55 • Number of events 1
Infections and infestations
Esophagitis
1.8%
1/55 • Number of events 1
Ear and labyrinth disorders
Ear Pain
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Ear, nose and throat examination abnormal
1.8%
1/55 • Number of events 1
General disorders
Edema
10.9%
6/55 • Number of events 6
General disorders
Epigastrum
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
Erythema
9.1%
5/55 • Number of events 5
General disorders
Esophageal Pain
14.5%
8/55 • Number of events 10
Gastrointestinal disorders
Esophagitis
61.8%
34/55 • Number of events 63
General disorders
Facial Erythema
1.8%
1/55 • Number of events 1
General disorders
Fatigue
60.0%
33/55 • Number of events 71
General disorders
Feet Tingling
1.8%
1/55 • Number of events 1
General disorders
Fever
10.9%
6/55 • Number of events 8
Gastrointestinal disorders
Flatulence
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Flushing
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Other GI
5.5%
3/55 • Number of events 3
General disorders
Giddiness
1.8%
1/55 • Number of events 1
Injury, poisoning and procedural complications
Hand Laceration
1.8%
1/55 • Number of events 1
General disorders
Hand Tremors
1.8%
1/55 • Number of events 1
General disorders
Headache
16.4%
9/55 • Number of events 10
Ear and labyrinth disorders
Hearing Loss
1.8%
1/55 • Number of events 1
Cardiac disorders
Heart palpitations / A-fib / Chest pains
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Heartburn
14.5%
8/55 • Number of events 9
General disorders
Heavy chest
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Hematuria
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Hemoglobin
45.5%
25/55 • Number of events 70
Blood and lymphatic system disorders
Hemoptysis
7.3%
4/55 • Number of events 5
Injury, poisoning and procedural complications
Hemorrhage
5.5%
3/55 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hiccough
5.5%
3/55 • Number of events 5
General disorders
Hiccups
3.6%
2/55 • Number of events 3
General disorders
Hoarseness
12.7%
7/55 • Number of events 7
Metabolism and nutrition disorders
Hyperbilirubinemia
7.3%
4/55 • Number of events 4
Blood and lymphatic system disorders
Hypercalcemia
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Hypercholesterolemia
1.8%
1/55 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
47.3%
26/55 • Number of events 80
Metabolism and nutrition disorders
Hyperkalemia
9.1%
5/55 • Number of events 7
General disorders
Hyperpigmentation in RT Field
1.8%
1/55 • Number of events 1
Cardiac disorders
Hypertension
1.8%
1/55 • Number of events 1
Metabolism and nutrition disorders
Hypoalbuminemia
47.3%
26/55 • Number of events 66
General disorders
Hypoantremia
1.8%
1/55 • Number of events 1
Metabolism and nutrition disorders
Hypocalcemia
47.3%
26/55 • Number of events 57
Blood and lymphatic system disorders
Hypoglycemia
14.5%
8/55 • Number of events 12
Blood and lymphatic system disorders
Hypokalemia
29.1%
16/55 • Number of events 26
Blood and lymphatic system disorders
Hypomagnesemia
16.4%
9/55 • Number of events 20
Blood and lymphatic system disorders
Hyponatremia
56.4%
31/55 • Number of events 62
Cardiac disorders
Hypotension
14.5%
8/55 • Number of events 9
Endocrine disorders
Increased ALT
10.9%
6/55 • Number of events 6
Blood and lymphatic system disorders
Increased Alk Phosphates
7.3%
4/55 • Number of events 5
Blood and lymphatic system disorders
Increased Creatinine
3.6%
2/55 • Number of events 2
General disorders
Increased DOE
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Increased Triglycerides
1.8%
1/55 • Number of events 1
Infections and infestations
Infected L Eye
1.8%
1/55 • Number of events 1
Psychiatric disorders
Insomnia
16.4%
9/55 • Number of events 9
Blood and lymphatic system disorders
Intermittent Decreased Magnesium
1.8%
1/55 • Number of events 1
Reproductive system and breast disorders
Irregular Menses
1.8%
1/55 • Number of events 1
General disorders
Jaw Pain
1.8%
1/55 • Number of events 1
General disorders
Joint pain
1.8%
1/55 • Number of events 2
General disorders
L Arm Pain
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
LLE DVT
1.8%
1/55 • Number of events 1
Cardiac disorders
Left bundle branch block
1.8%
1/55 • Number of events 1
General disorders
Left side burning sensation
1.8%
1/55 • Number of events 1
General disorders
Leg Cramps
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Leukocytes
43.6%
24/55 • Number of events 72
Blood and lymphatic system disorders
Leukopenia
1.8%
1/55 • Number of events 3
General disorders
Light headedness
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Loose Stool
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Lymphopenia
9.1%
5/55 • Number of events 16
Metabolism and nutrition disorders
decreased total protein
3.6%
2/55 • Number of events 2
Psychiatric disorders
Mood Alteration
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness
3.6%
2/55 • Number of events 2
General disorders
Myalgia
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Nausea
54.5%
30/55 • Number of events 59
General disorders
Neck Swelling
1.8%
1/55 • Number of events 1
General disorders
Neuropathy
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Neutrophils
16.4%
9/55 • Number of events 19
General disorders
Night Sweats
3.6%
2/55 • Number of events 2
General disorders
Nosebleed
3.6%
2/55 • Number of events 2
Gastrointestinal disorders
Odynophagia
7.3%
4/55 • Number of events 5
Infections and infestations
Oral Mucositis
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Orthostatic Hypotension
14.5%
8/55 • Number of events 8
General disorders
Pain
14.5%
8/55 • Number of events 8
Skin and subcutaneous tissue disorders
Palmar Rash
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Pancytopemia
1.8%
1/55 • Number of events 1
Cardiac disorders
Pericarditis
1.8%
1/55 • Number of events 1
Nervous system disorders
Peripheral sensory neuropathy
5.5%
3/55 • Number of events 3
Injury, poisoning and procedural complications
Pharyngeal hemorrhage
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Platelets
21.8%
12/55 • Number of events 29
Respiratory, thoracic and mediastinal disorders
Pneumonitis
1.8%
1/55 • Number of events 1
Renal and urinary disorders
Poor bladder function
1.8%
1/55 • Number of events 1
Renal and urinary disorders
Proteinuria
3.6%
2/55 • Number of events 2
Skin and subcutaneous tissue disorders
Pruritis
5.5%
3/55 • Number of events 3
Respiratory, thoracic and mediastinal disorders
R Thoracic Pain
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
Rad Derm
3.6%
2/55 • Number of events 3
Injury, poisoning and procedural complications
Radiation Dermatitis
9.1%
5/55 • Number of events 9
Skin and subcutaneous tissue disorders
Radiation recall reaction (dermatologic)
1.8%
1/55 • Number of events 2
Skin and subcutaneous tissue disorders
Rash
14.5%
8/55 • Number of events 8
Reproductive system and breast disorders
Rectal Pain 2d Herpes
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Reflux
5.5%
3/55 • Number of events 3
Infections and infestations
Respiratory Infection
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
SOB
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Salivary Gland Changes
1.8%
1/55 • Number of events 1
General disorders
Severe headache
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Shoulder Pain
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Sinus congestion
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
Skin Rash / Dryness (XRT Derm)
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
Skin Sensation - burning
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
Skin in rad portal
1.8%
1/55 • Number of events 1
General disorders
Sleepiness
1.8%
1/55 • Number of events 1
General disorders
Sore R Cheek in Mouth
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Sore Throat
7.3%
4/55 • Number of events 4
Gastrointestinal disorders
Stomach cramping
3.6%
2/55 • Number of events 2
Eye disorders
Stye
1.8%
1/55 • Number of events 1
Renal and urinary disorders
Suprapubic Pain 2d UTI
1.8%
1/55 • Number of events 1
General disorders
Sweating
5.5%
3/55 • Number of events 3
General disorders
Swelling of Ankles
1.8%
1/55 • Number of events 1
Nervous system disorders
Syncope
1.8%
1/55 • Number of events 1
Cardiac disorders
Systolic Blood Pressure
1.8%
1/55 • Number of events 1
Cardiac disorders
Tachycardia - A-fib
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Taste Alteration
5.5%
3/55 • Number of events 3
Gastrointestinal disorders
Throat pain
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Thrombocytopenia
9.1%
5/55 • Number of events 10
Gastrointestinal disorders
Thrush
7.3%
4/55 • Number of events 4
Ear and labyrinth disorders
Tinnitus
14.5%
8/55 • Number of events 9
Eye disorders
Tunnel Vision
1.8%
1/55 • Number of events 1
General disorders
Upper Abdominal Pain
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection
1.8%
1/55 • Number of events 1
Renal and urinary disorders
Urinary frequency
3.6%
2/55 • Number of events 2
General disorders
Voice Change
14.5%
8/55 • Number of events 12
Gastrointestinal disorders
Vomiting
21.8%
12/55 • Number of events 17
Blood and lymphatic system disorders
WBC Decreased
1.8%
1/55 • Number of events 4
General disorders
Weakness
3.6%
2/55 • Number of events 2
General disorders
Weight Gain
3.6%
2/55 • Number of events 2
General disorders
Weight Loss
41.8%
23/55 • Number of events 34
Respiratory, thoracic and mediastinal disorders
Wheezing
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
XRT Dermatitis
14.5%
8/55 • Number of events 9
Injury, poisoning and procedural complications
Full extravasation - AC fossa
1.8%
1/55 • Number of events 1

Additional Information

Ramesh Rengan, M.D., Ph.D.

University of Pennsylvania

Phone: (215) 662-2428

Results disclosure agreements

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