Trial Outcomes & Findings for Ph II Atrasentan + DOXIL in Recurrent Ovarian/Fallopian/Peritoneal Serous Papillary Adenocarcinoma (NCT NCT00653328)

NCT ID: NCT00653328

Last Updated: 2012-05-23

Results Overview

Tumor progression is determined by appropriate imaging techniques according to RECIST criteria or by CA-125 serum level \>=2x baseline and \>=70 IU/ml, confirmed by a second determination at least 28 days after the first determination

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

15 participants

Primary outcome timeframe

Date on study to the date of measured progressive disease, every 2 cycles (2 months)

Results posted on

2012-05-23

Participant Flow

Recruitment period = 5/28/2003 through 9/15/2006

A total of 16 people signed consent to take part in this study; of those, one withdrew consent before beginning treatment.

Participant milestones

Participant milestones
Measure
Altrasentan + Doxil
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Overall Study
STARTED
15
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Altrasentan + Doxil
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Overall Study
Withdrawal by Subject
1
Overall Study
Adverse Event
2
Overall Study
Disease progression
10
Overall Study
Drug manufacturer no longing making drug
2

Baseline Characteristics

Ph II Atrasentan + DOXIL in Recurrent Ovarian/Fallopian/Peritoneal Serous Papillary Adenocarcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Altrasentan + Doxil
n=15 Participants
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
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
8 Participants
n=5 Participants
Age Continuous
66 years
STANDARD_DEVIATION 1 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants

PRIMARY outcome

Timeframe: Date on study to the date of measured progressive disease, every 2 cycles (2 months)

Population: Patients available for measurement of tumor response. One patient withdrew after beginning treatment.

Tumor progression is determined by appropriate imaging techniques according to RECIST criteria or by CA-125 serum level \>=2x baseline and \>=70 IU/ml, confirmed by a second determination at least 28 days after the first determination

Outcome measures

Outcome measures
Measure
Altrasentan + Doxil
n=14 Participants
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Median Time to Tumor Progression
1 Months
Full Range 2.9 • Interval 0.0 to 11.0

SECONDARY outcome

Timeframe: At month 2 and monthly thereafter to cessation of treatment

Population: Patients who were available for measurement of tumor response.One patient withdrew after beginning treatment and was not available for measurement.

Patient response to treatment: Progressive disease (PD): \>=20% increase in sum of longest diameter (LD) of target lesion(s), taking as reference smallest sum LD recorded since treatment started, or appearance of \>= 1 new lesions, and/or 2x CA-125 levels to \>=70 IU/ml, confirmed by second measurement after 28 days Complete response (CR): disappearance of all target lesions Partial response (PR): \>=30% decrease in sum of LD of target lesion(s), taking as reference baseline sum LD Stable disease (SD): neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD

Outcome measures

Outcome measures
Measure
Altrasentan + Doxil
n=14 Participants
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Number of Patients With Objective Response
Complete Response
0 participants
Number of Patients With Objective Response
Partial Response
0 participants
Number of Patients With Objective Response
Stable Disease
3 participants
Number of Patients With Objective Response
Progressive Disease
11 participants

SECONDARY outcome

Timeframe: Date on study to date of death from any cause

Population: All patients who received treatment. Two patients alive at last follow-up.

Outcome measures

Outcome measures
Measure
Altrasentan + Doxil
n=13 Participants
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Overall Survival
10 Months
Interval 1.0 to 33.0

SECONDARY outcome

Timeframe: Weekly for 2 weeks, then monthly for 5 months

Not all participants necessarily have an adverse event, thus not everyone will be accounted for in worst-grade toxicities. Likewise, one participant can potentially have more than one event in various grades 1-5 which accounts for the difference in number of patients analyzed and total number in the worst-grade toxicity tables. Tables represent the number of patients with worst-grade toxicity at each of five grades (grade 1, least severe; to grade 5, most severe) following NCI Common Toxicity Criteria

Outcome measures

Outcome measures
Measure
Altrasentan + Doxil
n=15 Participants
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Number of Patients With Worst Grade Toxicities
Number of participants with worst grade toxicity 1
5 participants
Number of Patients With Worst Grade Toxicities
Number of participants with worst grade toxicity 2
3 participants
Number of Patients With Worst Grade Toxicities
Number of participants with worst grade toxicity 3
3 participants
Number of Patients With Worst Grade Toxicities
Number of participants with worst grade toxicity 4
0 participants
Number of Patients With Worst Grade Toxicities
Number of participants with worst grade toxicity 5
0 participants

Adverse Events

Altrasentan + Doxil

Serious events: 5 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Altrasentan + Doxil
n=15 participants at risk
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Cardiac disorders
Pericardial effusion
6.7%
1/15 • Number of events 1
Vascular disorders
Thromboembolism
6.7%
1/15 • Number of events 1
General disorders
Fatigue
20.0%
3/15 • Number of events 5
Metabolism and nutrition disorders
Dehydration
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Nausea
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
Vomiting
13.3%
2/15 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnea
13.3%
2/15 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hypoxia
6.7%
1/15 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pleural effusion
13.3%
2/15 • Number of events 2
General disorders
Death
6.7%
1/15 • Number of events 1
General disorders
edema
6.7%
1/15 • Number of events 2
General disorders
fever
13.3%
2/15 • Number of events 2
General disorders
fatigue
13.3%
2/15 • Number of events 3
Metabolism and nutrition disorders
Hypoalbuminemia
6.7%
1/15 • Number of events 1
Metabolism and nutrition disorders
Hyponatremia
6.7%
1/15 • Number of events 2
Reproductive system and breast disorders
pelvic pain
6.7%
1/15 • Number of events 1
Renal and urinary disorders
urinary frequency
6.7%
1/15 • Number of events 1
Investigations
hemoglobin
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
abdominal cramping
6.7%
1/15 • Number of events 1
Vascular disorders
hot flashes
6.7%
1/15 • Number of events 1

Other adverse events

Other adverse events
Measure
Altrasentan + Doxil
n=15 participants at risk
Atrasentan, 10 mg orally everyday continuously beginning on Day 1. Doxil. 50 mg/m2 intravenously every 28 days
Blood and lymphatic system disorders
Hemoglobin
46.7%
7/15 • Number of events 50
General disorders
fatigue
66.7%
10/15 • Number of events 34
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hypoalbuminemia
6.7%
1/15 • Number of events 1
Metabolism and nutrition disorders
Hyponatremia
6.7%
1/15 • Number of events 2
Reproductive system and breast disorders
pelvic pain
13.3%
2/15 • Number of events 2
Renal and urinary disorders
Urinary urgency
6.7%
1/15 • Number of events 2
Gastrointestinal disorders
Nausea
33.3%
5/15 • Number of events 8
Gastrointestinal disorders
Vomiting
26.7%
4/15 • Number of events 5
Gastrointestinal disorders
Abdominal Pain
26.7%
4/15 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Dyspnea
53.3%
8/15 • Number of events 11
Vascular disorders
Hot flashes
13.3%
2/15 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Allergic Rhinitis
20.0%
3/15 • Number of events 5
Blood and lymphatic system disorders
Leukocytes
26.7%
4/15 • Number of events 29
Investigations
neutrophils, granulocytes
13.3%
2/15 • Number of events 25
Investigations
platelets
6.7%
1/15 • Number of events 14
Cardiac disorders
arrhythmias
6.7%
1/15 • Number of events 1
General disorders
edema
53.3%
8/15 • Number of events 13
Vascular disorders
hypotension
13.3%
2/15 • Number of events 2
General disorders
fever
13.3%
2/15 • Number of events 2
General disorders
rigors, chills
6.7%
1/15 • Number of events 1
Vascular disorders
sweating
6.7%
1/15 • Number of events 1
Investigations
weight gain
26.7%
4/15 • Number of events 4
Skin and subcutaneous tissue disorders
alopecia
26.7%
4/15 • Number of events 11
Injury, poisoning and procedural complications
bruising
6.7%
1/15 • Number of events 1
Skin and subcutaneous tissue disorders
rash
20.0%
3/15 • Number of events 8
Infections and infestations
infectious wound
6.7%
1/15 • Number of events 2
Endocrine disorders
endrocrine
6.7%
1/15 • Number of events 1
Psychiatric disorders
anorexia
13.3%
2/15 • Number of events 3
Gastrointestinal disorders
constipation
40.0%
6/15 • Number of events 8
Gastrointestinal disorders
dehydration
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
diarrhea
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
dysphagia
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
GI other
46.7%
7/15 • Number of events 12
Gastrointestinal disorders
mouth dryness
6.7%
1/15 • Number of events 1
General disorders
hemorrhage
6.7%
1/15 • Number of events 1
Investigations
alkaline phosphatase
13.3%
2/15 • Number of events 2
Hepatobiliary disorders
SGOT
13.3%
2/15 • Number of events 5
Hepatobiliary disorders
SGPT
13.3%
2/15 • Number of events 3
Infections and infestations
infection without neutropenia
13.3%
2/15 • Number of events 2
Metabolism and nutrition disorders
hyperglycemia
33.3%
5/15 • Number of events 11
Metabolism and nutrition disorders
hypocalcemia
6.7%
1/15 • Number of events 1
Metabolism and nutrition disorders
hypokalemia
6.7%
1/15 • Number of events 2
Metabolism and nutrition disorders
metabolic, other
20.0%
3/15 • Number of events 5
Musculoskeletal and connective tissue disorders
arthritis
6.7%
1/15 • Number of events 1
Nervous system disorders
dizziness
6.7%
1/15 • Number of events 1
Psychiatric disorders
insomnia
20.0%
3/15 • Number of events 7
Psychiatric disorders
mood alteration
26.7%
4/15 • Number of events 6
Nervous system disorders
neuropathy
46.7%
7/15 • Number of events 12
Eye disorders
dry eye
13.3%
2/15 • Number of events 3
Eye disorders
tearing
6.7%
1/15 • Number of events 2
Musculoskeletal and connective tissue disorders
arthralgia
6.7%
1/15 • Number of events 2
Nervous system disorders
headache
26.7%
4/15 • Number of events 7
Cardiac disorders
chest pain
6.7%
1/15 • Number of events 1
Musculoskeletal and connective tissue disorders
neck pain
6.7%
1/15 • Number of events 12
Respiratory, thoracic and mediastinal disorders
pleuritic pain
6.7%
1/15 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
tumor pain
6.7%
1/15 • Number of events 1
Respiratory, thoracic and mediastinal disorders
cough
26.7%
4/15 • Number of events 4
Respiratory, thoracic and mediastinal disorders
hypoxia
6.7%
1/15 • Number of events 1
Respiratory, thoracic and mediastinal disorders
pulmonary, other
13.3%
2/15 • Number of events 2
Investigations
creatinine
13.3%
2/15 • Number of events 2
Renal and urinary disorders
dysuria
13.3%
2/15 • Number of events 2
Renal and urinary disorders
Renal, other
13.3%
2/15 • Number of events 2
General disorders
constitutional symptoms
6.7%
1/15 • Number of events 1
Musculoskeletal and connective tissue disorders
pain
13.3%
2/15 • Number of events 5

Additional Information

Marta Crispens, M.D.

Vanderbilt-Ingram Cancer Center

Phone: 800-811-8480

Results disclosure agreements

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