Trial Outcomes & Findings for Irinotecan and Etoposide in Treating Patients With Recurrent, Locally Advanced, or Metastatic Breast Cancer (NCT NCT00693719)

NCT ID: NCT00693719

Last Updated: 2015-11-20

Results Overview

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

31 participants

Primary outcome timeframe

Measured time from the start of treatment to the time the patient is first recorded as having disease progression or dies. If no progression or death while being followed via tumor assessment, censored at last date known alive, assesed up to 13 months

Results posted on

2015-11-20

Participant Flow

Participant milestones

Participant milestones
Measure
Etoposide/Irinotecan
Irinotecan hydrochloride : Irinotecan 100 mg/m2 IV days 1 and 15, 28 day/Cycle Etoposide : 50 mg PO x14 days followed by 2 weeks off, 28 day/Cycle
Overall Study
STARTED
31
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Irinotecan and Etoposide in Treating Patients With Recurrent, Locally Advanced, or Metastatic Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Etoposide/Irinotecan
n=31 Participants
Irinotecan hydrochloride : Irinotecan 100 mg/m2 IV days 1 and 15, 28 day/Cycle Etoposide : 50 mg PO x14 days followed by 2 weeks off, 28 day/Cycle
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
Age, Continuous
54.68 years
STANDARD_DEVIATION 11.33 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
31 participants
n=5 Participants

PRIMARY outcome

Timeframe: Measured time from the start of treatment to the time the patient is first recorded as having disease progression or dies. If no progression or death while being followed via tumor assessment, censored at last date known alive, assesed up to 13 months

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Etoposide/Irinotecan
n=31 Participants
Irinotecan hydrochloride : Irinotecan 100 mg/m2 IV days 1 and 15, 28 day/Cycle Etoposide : 50 mg PO x14 days followed by 2 weeks off, 28 day/Cycle
Median Time to Progression
149 Days
Standard Error 33.83

SECONDARY outcome

Timeframe: Measured from the start of protocol therapy until the date of death from any cause or will be censored at the date the patient was last known to be alive, assesed up to 13 months

Still alive for a certain period of time after they were diagnosed with or started treatment

Outcome measures

Outcome measures
Measure
Etoposide/Irinotecan
n=31 Participants
Irinotecan hydrochloride : Irinotecan 100 mg/m2 IV days 1 and 15, 28 day/Cycle Etoposide : 50 mg PO x14 days followed by 2 weeks off, 28 day/Cycle
Overall Survival
149 Days
Interval 82.703 to 215.297

Adverse Events

Etoposide/Irinotecan

Serious events: 4 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Etoposide/Irinotecan
n=31 participants at risk
Irinotecan hydrochloride : Irinotecan 100 mg/m2 IV days 1 and 15, 28 day/Cycle Etoposide : 50 mg PO x14 days followed by 2 weeks off, 28 day/Cycle
Gastrointestinal disorders
Pain
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Dehydration
3.2%
1/31 • Number of events 1 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Dyspnea
3.2%
1/31 • Number of events 1 • Adverse events were assessed at the end of each 28-day cycle of treatment
Blood and lymphatic system disorders
Bleeding
3.2%
1/31 • Number of events 1 • Adverse events were assessed at the end of each 28-day cycle of treatment

Other adverse events

Other adverse events
Measure
Etoposide/Irinotecan
n=31 participants at risk
Irinotecan hydrochloride : Irinotecan 100 mg/m2 IV days 1 and 15, 28 day/Cycle Etoposide : 50 mg PO x14 days followed by 2 weeks off, 28 day/Cycle
Gastrointestinal disorders
Nausea
71.0%
22/31 • Number of events 36 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Diarrhea
41.9%
13/31 • Number of events 33 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Vomiting
32.3%
10/31 • Number of events 18 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Anorexia
19.4%
6/31 • Number of events 7 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Constipation
19.4%
6/31 • Number of events 7 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) - Oral cavity
19.4%
6/31 • Number of events 6 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Ascites (non-malignant)
12.9%
4/31 • Number of events 4 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Dehydration
12.9%
4/31 • Number of events 5 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Distension/bloating, abdominal
12.9%
4/31 • Number of events 7 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Gastrointestinal - Other (Specify, __)
12.9%
4/31 • Number of events 11 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
9.7%
3/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Heartburn/dyspepsia
9.7%
3/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Hemorrhoids
9.7%
3/31 • Number of events 4 • Adverse events were assessed at the end of each 28-day cycle of treatment
Gastrointestinal disorders
Taste alteration (dysgeusia)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
80.6%
25/31 • Number of events 78 • Adverse events were assessed at the end of each 28-day cycle of treatment
Blood and lymphatic system disorders
Hemoglobin
67.7%
21/31 • Number of events 74 • Adverse events were assessed at the end of each 28-day cycle of treatment
Blood and lymphatic system disorders
Leukocytes (total WBC)
61.3%
19/31 • Number of events 77 • Adverse events were assessed at the end of each 28-day cycle of treatment
Blood and lymphatic system disorders
Platelets
35.5%
11/31 • Number of events 34 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
48.4%
15/31 • Number of events 40 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
41.9%
13/31 • Number of events 34 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
38.7%
12/31 • Number of events 19 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Alkaline phosphatase
35.5%
11/31 • Number of events 18 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
AST, SGOT(serum glutamic oxaloacetic transaminase)
35.5%
11/31 • Number of events 23 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
ALT, SGPT (serum glutamic pyruvic transaminase)
29.0%
9/31 • Number of events 17 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
19.4%
6/31 • Number of events 7 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
16.1%
5/31 • Number of events 11 • Adverse events were assessed at the end of each 28-day cycle of treatment
Metabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)
6.5%
2/31 • Number of events 13 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Other (Specify, __)
32.3%
10/31 • Number of events 15 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Abdomen NOS
25.8%
8/31 • Number of events 17 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Bone
22.6%
7/31 • Number of events 9 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Throat/pharynx/larynx
16.1%
5/31 • Number of events 7 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Back
12.9%
4/31 • Number of events 5 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Pelvis
12.9%
4/31 • Number of events 6 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Chest/thorax NOS
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Extremity-limb
6.5%
2/31 • Number of events 4 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Head/headache
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Joint
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain- Rectum
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Pain - Stomach
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Fatigue (asthenia, lethargy, malaise)
45.2%
14/31 • Number of events 21 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Weight loss
12.9%
4/31 • Number of events 4 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Insomnia
9.7%
3/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Sweating (diaphoresis)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Dizziness
19.4%
6/31 • Number of events 6 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Confusion
9.7%
3/31 • Number of events 4 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Neuropathy: sensory
9.7%
3/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Psychiatric disorders
Mood alteration - Anxiety
6.5%
2/31 • Number of events 5 • Adverse events were assessed at the end of each 28-day cycle of treatment
General disorders
Neurology - Other (Specify, __)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
32.3%
10/31 • Number of events 17 • Adverse events were assessed at the end of each 28-day cycle of treatment
Respiratory, thoracic and mediastinal disorders
Cough
22.6%
7/31 • Number of events 7 • Adverse events were assessed at the end of each 28-day cycle of treatment
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (Specify, __)
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria (e.g., hoarseness, loss or alteration in voice, laryngitis)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Infections and infestations
Febrile neutropenia (fever of unknown origin without clinically or microbiologically documented infe
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Infections and infestations
Infection - Other (Specify, __)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Infections and infestations
Infection with unknown ANC - Upper airway NOS
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other (Specify, __)
12.9%
4/31 • Number of events 5 • Adverse events were assessed at the end of each 28-day cycle of treatment
Skin and subcutaneous tissue disorders
Flushing
9.7%
3/31 • Number of events 5 • Adverse events were assessed at the end of each 28-day cycle of treatment
Skin and subcutaneous tissue disorders
Rash/desquamation
9.7%
3/31 • Number of events 5 • Adverse events were assessed at the end of each 28-day cycle of treatment
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Blood and lymphatic system disorders
Edema: limb
16.1%
5/31 • Number of events 6 • Adverse events were assessed at the end of each 28-day cycle of treatment
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - Other (Specify, __)
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Endocrine disorders
Hot flashes/flushes
9.7%
3/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Vascular disorders
Thrombosis/thrombus/embolism
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
6.5%
2/31 • Number of events 2 • Adverse events were assessed at the end of each 28-day cycle of treatment
Cardiac disorders
Cardiopulmonary arrest, cause unknown (non-fatal)
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment
Hepatobiliary disorders
Liver dysfunction/failure (clinical)
6.5%
2/31 • Number of events 3 • Adverse events were assessed at the end of each 28-day cycle of treatment

Additional Information

Dr. Robert Livingston

University of Arizona Cancer Center

Phone: 520/626-4175

Results disclosure agreements

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