Trial Outcomes & Findings for AZD0530 Phase II Study in Patients With Advanced Ovarian Cancer (NCT NCT00610714)

NCT ID: NCT00610714

Last Updated: 2012-12-18

Results Overview

Number of responders (complete (CR) or partial (PR) responders). CR = disappearance of all target lesions PR = 30% decrease in the sum of the longest diamete. Analysis was based on August 31, 2009 data cut-off , and was performed with patients who had measurable disease and received AZD0530 175mg or Placebo 175mg.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

211 participants

Primary outcome timeframe

Response is evaluated from randomization to objective disease progression per RECIST criteria or death due to any cause in the absence of progression (conducted when a minimum of 78 progression free survival events had occurred)

Results posted on

2012-12-18

Participant Flow

Patients were recruited at 58 cancer clinics in 12 countries (Bulgaria, Canada, Denmark, France, Netherlands, Norway, Peru, Portugal, Romania, Russia, Spain and UK) between April 2008 and March 2009.

Following enrolment there was a 28 day screening period, after which if all inclusion/exclusion criteria were met, patients were randomized to treatment.

Participant milestones

Participant milestones
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Overall Study
STARTED
105
106
Overall Study
COMPLETED
79
82
Overall Study
NOT COMPLETED
26
24

Reasons for withdrawal

Reasons for withdrawal
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Overall Study
Adverse Event
3
1
Overall Study
Death
12
18
Overall Study
Withdrawal by Subject
9
3
Overall Study
Study completion at 120 PFS events
2
2

Baseline Characteristics

AZD0530 Phase II Study in Patients With Advanced Ovarian Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
n=105 Participants
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
n=106 Participants
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Total
n=211 Participants
Total of all reporting groups
Age Continuous
57.4 Years
STANDARD_DEVIATION 9.9 • n=5 Participants
59.1 Years
STANDARD_DEVIATION 10.2 • n=7 Participants
58.265 Years
STANDARD_DEVIATION 10.077 • n=5 Participants
Sex/Gender, Customized
Female
105 Participants
n=5 Participants
106 Participants
n=7 Participants
211 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
94 Participants
n=5 Participants
99 Participants
n=7 Participants
193 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Body Surface Area (BSA)
1.758 m^2
STANDARD_DEVIATION 0.17 • n=5 Participants
1.766 m^2
STANDARD_DEVIATION 0.206 • n=7 Participants
1.762 m^2
STANDARD_DEVIATION 0.189 • n=5 Participants
World Health Organization (WHO) Performance Status
0
60 Participants
n=5 Participants
63 Participants
n=7 Participants
123 Participants
n=5 Participants
World Health Organization (WHO) Performance Status
1
41 Participants
n=5 Participants
42 Participants
n=7 Participants
83 Participants
n=5 Participants
World Health Organization (WHO) Performance Status
2
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
World Health Organization (WHO) Performance Status
3
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
World Health Organization (WHO) Performance Status
4
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Primary Tumour Location (Number of Participants)
Ovary
98 Participants
n=5 Participants
98 Participants
n=7 Participants
196 Participants
n=5 Participants
Primary Tumour Location (Number of Participants)
Peritoneum
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Primary Tumour Location (Number of Participants)
Uterine/fallopian tube
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Primary Tumour Location (Number of Participants)
Site cannot be determined
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Primary Tumour Location (Number of Participants)
Unavailable
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Tumour Grade
Well Differentiated (G1)
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Tumour Grade
Mod. Differentiated (G2)
29 Participants
n=5 Participants
25 Participants
n=7 Participants
54 Participants
n=5 Participants
Tumour Grade
Unavailable (G3)
45 Participants
n=5 Participants
53 Participants
n=7 Participants
98 Participants
n=5 Participants
Tumour Grade
Undifferentiated (G4)
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Tumour Grade
Unassessable (GX)
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Tumour Grade
Missing
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Response is evaluated from randomization to objective disease progression per RECIST criteria or death due to any cause in the absence of progression (conducted when a minimum of 78 progression free survival events had occurred)

Number of responders (complete (CR) or partial (PR) responders). CR = disappearance of all target lesions PR = 30% decrease in the sum of the longest diamete. Analysis was based on August 31, 2009 data cut-off , and was performed with patients who had measurable disease and received AZD0530 175mg or Placebo 175mg.

Outcome measures

Outcome measures
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
n=88 Participants
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
n=87 Participants
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Objective Response Rate as Evaluated by Response Evaluation Criteria In Solid Tumors ( RECIST)
47 Participants
45 Participants

SECONDARY outcome

Timeframe: Date of randomization to earliest date of objective disease progression or death due to any cause (conducted when a minimum of 78 progression free survival events had occurred)

Interval between date of randomization and earliest date of objective disease progression per RECIST criteria or death due to any cause in the absence of progression. Analysis was based on August 31, 2009 data cut-off (78 PFS events analysis) and was performed with patients in ITT analysis set who received AZD0530 175mg or Placebo 175mg.

Outcome measures

Outcome measures
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
n=96 Participants
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
n=93 Participants
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Progression-free Survival (PFS) as Evaluated by RECIST
8.28 Months
Interval 0.0 to 11.04
7.79 Months
Interval 0.72 to 12.12

SECONDARY outcome

Timeframe: Date of randomization to death due to any cause

Interval between date of randomization and death due to any cause. Analysis was based on January 31, 2010 data cut-off and was performed with patients in ITT analysis set who received AZD0530 175mg or Placebo 175mg. At this time, data were still immature and median overall survival was not reached. Number of deaths is presented instead

Outcome measures

Outcome measures
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
n=96 Participants
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
n=93 Participants
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Overall Survival (Number of Deaths)
12 Participants
14 Participants

Adverse Events

AZD0530 , Paclitaxel , Carboplatin i.v.

Serious events: 46 serious events
Other events: 102 other events
Deaths: 0 deaths

Carboplatin ,Paclitaxel

Serious events: 26 serious events
Other events: 104 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
n=105 participants at risk
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
n=106 participants at risk
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Injury, poisoning and procedural complications
Blood Creatinine Increased
0.95%
1/105
0.00%
0/106
Injury, poisoning and procedural complications
Haemoglobin Decreased
0.00%
0/105
0.94%
1/106
Metabolism and nutrition disorders
Dehydration
0.00%
0/105
1.9%
2/106
Metabolism and nutrition disorders
Decreased Appetite
0.95%
1/105
0.00%
0/106
Metabolism and nutrition disorders
Hypokalaemia
0.95%
1/105
0.00%
0/106
Metabolism and nutrition disorders
Hyponatraemia
0.95%
1/105
0.00%
0/106
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Paraneoplastic Syndrome
0.95%
1/105
0.00%
0/106
Nervous system disorders
Cerebral Haemorrhage
0.00%
0/105
0.94%
1/106
Nervous system disorders
Presyncope
0.00%
0/105
0.94%
1/106
Nervous system disorders
Somnolence
0.00%
0/105
0.94%
1/106
Renal and urinary disorders
Renal Colic
0.95%
1/105
0.00%
0/106
Renal and urinary disorders
Renal Failure Acute
0.95%
1/105
0.00%
0/106
Reproductive system and breast disorders
Female Genital Tract Fistula
0.00%
0/105
0.94%
1/106
Reproductive system and breast disorders
Vaginal Haemorrhage
0.95%
1/105
0.00%
0/106
Respiratory, thoracic and mediastinal disorders
Acute Pulmonary Oedema
0.95%
1/105
0.00%
0/106
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Distress Syndrome
0.95%
1/105
0.00%
0/106
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.95%
1/105
0.00%
0/106
Respiratory, thoracic and mediastinal disorders
Lung Disorder
0.95%
1/105
0.00%
0/106
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.95%
1/105
0.00%
0/106
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.95%
1/105
0.94%
1/106
Vascular disorders
Hot Flush
0.00%
0/105
0.94%
1/106
Blood and lymphatic system disorders
Febrile Neutropenia
13.3%
14/105
1.9%
2/106
Blood and lymphatic system disorders
Anaemia
2.9%
3/105
0.00%
0/106
Blood and lymphatic system disorders
Thrombocytopenia
2.9%
3/105
0.00%
0/106
Blood and lymphatic system disorders
Neutropenia
0.95%
1/105
1.9%
2/106
Blood and lymphatic system disorders
Febrile Bone Marrow Aplasia
0.95%
1/105
0.94%
1/106
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/105
0.94%
1/106
Cardiac disorders
Atrial Fibrillation
1.9%
2/105
0.00%
0/106
Cardiac disorders
Pericardial Effusion
0.00%
0/105
0.94%
1/106
Gastrointestinal disorders
Ileus
2.9%
3/105
0.00%
0/106
Gastrointestinal disorders
Vomiting
2.9%
3/105
0.94%
1/106
Gastrointestinal disorders
Ascites
0.95%
1/105
1.9%
2/106
Gastrointestinal disorders
Intestinal Obstruction
1.9%
2/105
0.00%
0/106
Gastrointestinal disorders
Abdominal Hernia
0.00%
0/105
0.94%
1/106
Gastrointestinal disorders
Abdominal Pain
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Constipation
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Diarrhoea
0.95%
1/105
0.94%
1/106
Gastrointestinal disorders
Faeces Discoloured
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Intestinal Fistula
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Lower Gastrointestinal Haemorrhage
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Nausea
0.95%
1/105
0.00%
0/106
Gastrointestinal disorders
Subileus
0.00%
0/105
0.94%
1/106
Gastrointestinal disorders
Umbilical Hernia
0.00%
0/105
0.94%
1/106
General disorders
Pyrexia
3.8%
4/105
0.94%
1/106
General disorders
Asthenia
1.9%
2/105
0.00%
0/106
Immune system disorders
Drug Hypersensitivity
3.8%
4/105
4.7%
5/106
Immune system disorders
Anaphylactic Shock
0.00%
0/105
0.94%
1/106
Infections and infestations
Abdominal Infection
0.00%
0/105
0.94%
1/106
Infections and infestations
Abdominal Wall Abscess
0.95%
1/105
0.00%
0/106
Infections and infestations
Cellulitis
0.95%
1/105
0.00%
0/106
Infections and infestations
Device Related Infection
0.00%
0/105
0.94%
1/106
Infections and infestations
Device Related Sepsis
0.95%
1/105
0.00%
0/106
Infections and infestations
Enteritis Infectious
0.95%
1/105
0.00%
0/106
Infections and infestations
Escherichia Infection
0.95%
1/105
0.00%
0/106
Infections and infestations
Neutropenic Infection
0.95%
1/105
0.00%
0/106
Infections and infestations
Septic Shock
0.00%
0/105
0.94%
1/106
Infections and infestations
Staphylococcal Bacteraemia
0.00%
0/105
0.94%
1/106
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/105
0.94%
1/106
Infections and infestations
Urosepsis
0.95%
1/105
0.00%
0/106
Injury, poisoning and procedural complications
Operative Haemorrhage
0.00%
0/105
0.94%
1/106
Injury, poisoning and procedural complications
Tibia Fracture
0.00%
0/105
0.94%
1/106
Injury, poisoning and procedural complications
Aspartate Aminotransferase Increased
0.95%
1/105
0.00%
0/106

Other adverse events

Other adverse events
Measure
AZD0530 , Paclitaxel , Carboplatin i.v.
n=105 participants at risk
AZD0530 175 mg in combination with Carboplatin AUC 6.0 mg/mL/min plus Paclitaxel 175 mg/m2 i.v.; Applies to the group receiving AZD0530 :An initial cohort of patients enrolled in the study were randomised to the 125 mg dose level; once confirmation of the tolerability of AZD0530 175 mg was available from a phase I dose escalation study (D8180C00023), all patients subsequently enrolled were randomised at the 175 mg dose level
Carboplatin ,Paclitaxel
n=106 participants at risk
Carboplatin AUC 6.0 mg/mL/min, Paclitaxel 175 mg/m2 i.v;
Blood and lymphatic system disorders
Neutropenia
42.9%
45/105
35.8%
38/106
Blood and lymphatic system disorders
Anaemia
38.1%
40/105
32.1%
34/106
Blood and lymphatic system disorders
Thrombocytopenia
26.7%
28/105
29.2%
31/106
Blood and lymphatic system disorders
Leukopenia
16.2%
17/105
7.5%
8/106
Blood and lymphatic system disorders
Febrile Neutropenia
6.7%
7/105
0.00%
0/106
Gastrointestinal disorders
Nausea
64.8%
68/105
60.4%
64/106
Gastrointestinal disorders
Diarrhoea
41.9%
44/105
34.0%
36/106
Gastrointestinal disorders
Vomiting
41.0%
43/105
36.8%
39/106
Gastrointestinal disorders
Constipation
25.7%
27/105
28.3%
30/106
Gastrointestinal disorders
Abdominal Pain
14.3%
15/105
20.8%
22/106
Gastrointestinal disorders
Abdominal Pain Upper
12.4%
13/105
9.4%
10/106
Gastrointestinal disorders
Stomatitis
5.7%
6/105
9.4%
10/106
General disorders
Fatigue
35.2%
37/105
39.6%
42/106
General disorders
Asthenia
34.3%
36/105
28.3%
30/106
General disorders
Pyrexia
21.0%
22/105
10.4%
11/106
General disorders
Oedema Peripheral
2.9%
3/105
8.5%
9/106
General disorders
Mucosal Inflammation
5.7%
6/105
6.6%
7/106
General disorders
Malaise
2.9%
3/105
5.7%
6/106
Immune system disorders
Drug Hypersensitivity
15.2%
16/105
22.6%
24/106
Infections and infestations
Nasopharyngitis
7.6%
8/105
14.2%
15/106
Infections and infestations
Urinary Tract Infection
10.5%
11/105
8.5%
9/106
Infections and infestations
Cystitis
7.6%
8/105
1.9%
2/106
Infections and infestations
Weight Decreased
5.7%
6/105
4.7%
5/106
Metabolism and nutrition disorders
Decreased Appetite
31.4%
33/105
20.8%
22/106
Metabolism and nutrition disorders
Hypokalaemia
10.5%
11/105
1.9%
2/106
Metabolism and nutrition disorders
Hypocalcaemia
7.6%
8/105
0.94%
1/106
Metabolism and nutrition disorders
Hypomagnesaemia
2.9%
3/105
5.7%
6/106
Musculoskeletal and connective tissue disorders
Myalgia
15.2%
16/105
24.5%
26/106
Musculoskeletal and connective tissue disorders
Arthralgia
18.1%
19/105
23.6%
25/106
Musculoskeletal and connective tissue disorders
Back Pain
4.8%
5/105
12.3%
13/106
Musculoskeletal and connective tissue disorders
Bone Pain
0.00%
0/105
8.5%
9/106
Musculoskeletal and connective tissue disorders
Pain In Extremity
4.8%
5/105
8.5%
9/106
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
5.7%
6/105
7.5%
8/106
Nervous system disorders
Peripheral Sensory Neuropathy
26.7%
28/105
24.5%
26/106
Nervous system disorders
Neuropathy Peripheral
16.2%
17/105
22.6%
24/106
Nervous system disorders
Headache
8.6%
9/105
13.2%
14/106
Nervous system disorders
Paraesthesia
7.6%
8/105
13.2%
14/106
Nervous system disorders
Dizziness
4.8%
5/105
10.4%
11/106
Nervous system disorders
Dysgeusia
7.6%
8/105
5.7%
6/106
Psychiatric disorders
Anxiety
0.95%
1/105
14.2%
15/106
Psychiatric disorders
Insomnia
5.7%
6/105
8.5%
9/106
Respiratory, thoracic and mediastinal disorders
Dyspnoea
8.6%
9/105
17.9%
19/106
Respiratory, thoracic and mediastinal disorders
Cough
10.5%
11/105
16.0%
17/106
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.6%
9/105
5.7%
6/106
Skin and subcutaneous tissue disorders
Alopecia
52.4%
55/105
60.4%
64/106
Skin and subcutaneous tissue disorders
Rash
14.3%
15/105
12.3%
13/106
Skin and subcutaneous tissue disorders
Pruritus
2.9%
3/105
8.5%
9/106
Skin and subcutaneous tissue disorders
Erythema
6.7%
7/105
2.8%
3/106
Vascular disorders
Hypertension
2.9%
3/105
5.7%
6/106

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee An Investigator agrees to provide a copy of the publication to AZ for review at least 60 days in advance of submission for publication. Investigators in multicenter (MC) studies agree to postpone MC publications until the earlier of the date of the first AZ-authorized MC publication or a period up to 18 months from study completion at all sites.
  • Publication restrictions are in place

Restriction type: OTHER