Trial Outcomes & Findings for Study of Capecitabine to Treat Recurrent High Grade Gliomas (NCT NCT00717197)

NCT ID: NCT00717197

Last Updated: 2013-07-02

Results Overview

Gadolinium-contrasted MRIs were used to assess radiographic response every 2 cycles (\~6 weeks). Tumor progression was defined by increasing tumor size, new areas of tumor, or unequivocal neurologic deterioration.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

From date of first dose of study drug until month 6.

Results posted on

2013-07-02

Participant Flow

Participants were recruited from the investigator's clinical practice from October 2008 thru June 2011.

30 participants were enrolled in the study. 7 were excluded from participation prior to group assignment \[5 were unable to purchase study drug; 1 had rapid tumor growth; and, 1 was withdrawn by the investigator for mental health reasons\].

Participant milestones

Participant milestones
Measure
Capecitabine
Capecitabine (1,000-1,250 mg/m2) was taken by mouth twice daily for 14 out of 21 consecutive days until disease progression or unacceptable toxicity.
Overall Study
STARTED
30
Overall Study
COMPLETED
23
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Capecitabine
Capecitabine (1,000-1,250 mg/m2) was taken by mouth twice daily for 14 out of 21 consecutive days until disease progression or unacceptable toxicity.
Overall Study
Unable to purchase study drug
5
Overall Study
Tumor Progression
1
Overall Study
Physician Decision
1

Baseline Characteristics

Study of Capecitabine to Treat Recurrent High Grade Gliomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Capecitabine
n=30 Participants
Capecitabine (1,000-1,250 mg/m2) was taken by mouth twice daily for 14 out of 21 consecutive days until disease progression or unacceptable toxicity.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
Age Continuous
51.5 years
STANDARD_DEVIATION 12.6 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=5 Participants

PRIMARY outcome

Timeframe: From date of first dose of study drug until month 6.

Population: Per protocol

Gadolinium-contrasted MRIs were used to assess radiographic response every 2 cycles (\~6 weeks). Tumor progression was defined by increasing tumor size, new areas of tumor, or unequivocal neurologic deterioration.

Outcome measures

Outcome measures
Measure
Capecitabine
n=23 Participants
Capecitabine (1,000-1,250 mg/m2) was taken by mouth twice daily for 14 out of 21 consecutive days until disease progression or unacceptable toxicity.
Percentage of Participants With Progression-free Survival.
21.7 percentage of participants with PFS6
Interval 7.46 to 43.7

Adverse Events

Capecitabine

Serious events: 21 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Capecitabine
n=23 participants at risk
Capecitabine (1,000-1,250 mg/m2) was taken by mouth twice daily for 14 out of 21 consecutive days until disease progression or unacceptable toxicity.
Nervous system disorders
Mental Status
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Death
91.3%
21/23 • Number of events 21 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Fever
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Musculoskeletal and connective tissue disorders
Gait
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Skin and subcutaneous tissue disorders
Rash
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Hyponatremia
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Musculoskeletal and connective tissue disorders
Muscle Weakness
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Vomiting
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Dairrhea
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Ataxia
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Levetiracetam, Low Level
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Phenytoin, High Level
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.

Other adverse events

Other adverse events
Measure
Capecitabine
n=23 participants at risk
Capecitabine (1,000-1,250 mg/m2) was taken by mouth twice daily for 14 out of 21 consecutive days until disease progression or unacceptable toxicity.
Metabolism and nutrition disorders
Hypoalbuminemia
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
ALT
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Mood Alteration
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Speech Impairement
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
AST
13.0%
3/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Ataxia
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Bilirubin
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Eye disorders
Blindness
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Eye disorders
Blurred Vision
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Hypocalcemia
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Cholesterol
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Cognitive Disturbance
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Confusion
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Constipation
26.1%
6/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Diarrhea
26.1%
6/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Dizziness
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Dysphagia
13.0%
3/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Edema
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Fatigue
43.5%
10/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Hyperglycemia
21.7%
5/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Skin and subcutaneous tissue disorders
Hand-foot Skin Reaction
21.7%
5/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Heartburn
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Blood and lymphatic system disorders
Hemoglobin
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Headache
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Infections and infestations
Infection
13.0%
3/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Insomnia
13.0%
3/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Hypokalemia
13.0%
3/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Blood and lymphatic system disorders
Lymphopenia
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Nausea
21.7%
5/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Gastrointestinal disorders
Vomiting
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Neuropathy
34.8%
8/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
General disorders
Pain
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Hypophosphatemia
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Blood and lymphatic system disorders
Platelets
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Skin and subcutaneous tissue disorders
Rash
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Seizure
17.4%
4/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Metabolism and nutrition disorders
Hyponatremia
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Blood and lymphatic system disorders
Leukocytes
8.7%
2/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Musculoskeletal and connective tissue disorders
Muscle Weakness
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.
Nervous system disorders
Somnolence
4.3%
1/23 • Adverse events were collected beginning with the first dose of study drug and continuing until 14 days after the last dose of study drug.

Additional Information

Erin M. Dunbar, MD

University of Florida

Phone: (352) 273-9000

Results disclosure agreements

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