Trial Outcomes & Findings for Doxorubicin Beads in Treating Patients With Unresectable Liver Metastases From Neuroendocrine Tumors (NCT NCT00730483)

NCT ID: NCT00730483

Last Updated: 2017-08-25

Results Overview

Safety was assessed at each DEB-TACE procedure and at every follow-up thereafter according to National Cancer Institute Common Toxicity Criteria (CTCAE) v3.0. The study was prematurely terminated due to high incidence of biloma and liver abscess. Safety data below is based off of 13 patients enrolled on protocol at 1 month post initial treatment.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

13 participants

Primary outcome timeframe

1 month after initial DEB-TACE treatment

Results posted on

2017-08-25

Participant Flow

13 patients were enrolled on this protocol at Johns Hopkins University. This study was terminated early due to high incidence of bilomas in patients receiving TACE treatment.

Participant milestones

Participant milestones
Measure
Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)
Patients were treated with DEB-TACE loaded with doxorubicin up to four procedures in 6 months as indicated, for a maximum of six procedures during the course of 2 years. Follow-up clinical examinations, laboratory assessments, and imaging took place 1 month after each DEB-TACE treatment and then every 2 to 3 months for a period of 2 years. Each DEB-TACE procedure used a maximum of 100mg doxorubicin loaded onto 100-300um LC Beads.
Overall Study
STARTED
13
Overall Study
1 Month After First DEB-TACE
13
Overall Study
6 Months After First DEB-TACE
10
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Doxorubicin Beads in Treating Patients With Unresectable Liver Metastases From Neuroendocrine Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)
n=13 Participants
Patients were treated with DEB-TACE loaded with doxorubicin up to four procedures in 6 months as indicated, for a maximum of six procedures during the course of 2 years. Follow-up clinical examinations, laboratory assessments, and imaging took place 1 month after each DEB-TACE treatment and then every 2 to 3 months for a period of 2 years. Each DEB-TACE procedure used a maximum of 100mg doxorubicin loaded onto 100-300um LC Beads.
Age, Continuous
64 years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Region of Enrollment
United States
13 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 month after initial DEB-TACE treatment

Safety was assessed at each DEB-TACE procedure and at every follow-up thereafter according to National Cancer Institute Common Toxicity Criteria (CTCAE) v3.0. The study was prematurely terminated due to high incidence of biloma and liver abscess. Safety data below is based off of 13 patients enrolled on protocol at 1 month post initial treatment.

Outcome measures

Outcome measures
Measure
Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)
n=13 Participants
Patients were treated with DEB-TACE loaded with doxorubicin up to four procedures in 6 months as indicated, for a maximum of six procedures during the course of 2 years. Follow-up clinical examinations, laboratory assessments, and imaging took place 1 month after each DEB-TACE treatment and then every 2 to 3 months for a period of 2 years. Each DEB-TACE procedure used a maximum of 100mg doxorubicin loaded onto 100-300um LC Beads.
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Hypoalbuminemia
5 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Anemia
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Lymphopenia
2 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Hypotension
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Edema
2 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Increased INR
2 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Fatigue
9 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Fever
4 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Night sweats
6 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Alopecia
3 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Dry skin
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Ascites
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Anorexia
5 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Biloma
6 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Constipation
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Diarrhea
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Nausea
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Taste alteration
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Hematoma
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Increased ALT
5 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Increased AST
5 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Increased AP
8 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Hyperbilirubinemia
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Liver abscess
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Hyperglycemia
5 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Hyponatremia
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Neuropathy
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Abdominal nonspecific pain
5 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Right upper quadrant pain
6 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Pain - other
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Dyspnea
1 number of adverse events
Safety - Number of CTCAE v3.0 Events 1 Month Post DEB-TACE
Dyspnea on exertion
1 number of adverse events

SECONDARY outcome

Timeframe: 12 months

Population: 13 patients were analyzed for 1 month post-treatment; 10 patients for 6 months post-treatment; and 6 patients at the 12 month post-treatment time point.

Study was terminated and full outcome not assessed. The results below are based on 13 patients at 1 month post DEB-TACE, 10 patients at 6 months, and 6 patients at 12 months. RECIST: Complete Response (CR): Disappearance of all targeted lesions Partial Response (PR): At least 30% decrease in the sum of longest diameter (LD) of targeted lesions Progressive Disease (PD): At least 20% increase in the sum of LD of targeted lesions Stable Disease (SD): Cases that are not applicable for PD or PR. EASL: CR: Absence of any enhancement in target lesion PR: Greater than 50% decrease from baseline enhancement in target lesion PD: Greater than 25% increase in target lesion SD: All other cases

Outcome measures

Outcome measures
Measure
Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)
n=13 Participants
Patients were treated with DEB-TACE loaded with doxorubicin up to four procedures in 6 months as indicated, for a maximum of six procedures during the course of 2 years. Follow-up clinical examinations, laboratory assessments, and imaging took place 1 month after each DEB-TACE treatment and then every 2 to 3 months for a period of 2 years. Each DEB-TACE procedure used a maximum of 100mg doxorubicin loaded onto 100-300um LC Beads.
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 1 month post-TACE · Complete Response (CR)
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 1 month post-TACE · Partial Response (PR)
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 1 month post-TACE · Stable Disease (SD)
13 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 1 month post-TACE · Progressive Disease
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 1 month post-TACE · Complete Response (CR)
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 1 month post-TACE · Partial Response (PR)
8 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 1 month post-TACE · Stable Disease (SD)
5 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 1 month post-TACE · Progressive Disease
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 6 months post-TACE · Complete Response (CR)
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 6 months post-TACE · Partial Response (PR)
1 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 6 months post-TACE · Stable Disease (SD)
8 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 6 months post-TACE · Progressive Disease
1 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 6 months post-TACE · Complete Response (CR)
1 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 6 months post-TACE · Partial Response (PR)
3 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 6 months post-TACE · Stable Disease (SD)
6 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 6 months post-TACE · Progressive Disease
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 12 months post-TACE · Complete Response (CR)
0 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 12 months post-TACE · Partial Response (PR)
1 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 12 months post-TACE · Stable Disease (SD)
4 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
RECIST 12 months post-TACE · Progressive Disease
1 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 12 months post-TACE · Complete Response (CR)
2 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 12 months post-TACE · Partial Response (PR)
1 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 12 months post-TACE · Stable Disease (SD)
3 Participants
Tumor Response (Efficacy) - by Response Evaluation Criteria in Solid Tumors (RECIST) and the European Association for the Study of the Liver (EASL) Criteria
EASL 12 months post-TACE · Progressive Disease
0 Participants

SECONDARY outcome

Timeframe: overall survival

Survival outcomes not assessed due to premature termination of study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Time to progression, 12 months

Biochemical response not assessed due to premature termination of study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Duration of study participation, average of 12 months

Symptomatic response not assessed due to premature termination of study. Scoring system for assessing symptom severity in patients with neuroendocrine/carcinoid syndrome was as follows: 1. \- No symptoms - Patient completely asymptomatic 2. \- Mild symptoms - Patient with symptoms of diarrhea, flushing, or asthma up to 4 times weekly 3. \- Symptoms impact daily living - symptoms of diarrhea, flushing, or asthma up 5-7 weekly 4. \- Severe symptoms - multiple daily symptoms of diarrhea, flushing, or asthma; symptoms require significant reorganization of daily activities 5. \- Disabling symptoms - Patient disabled by multiple attacks and severe symptoms; unable to leave home or requires hospitalization

Outcome measures

Outcome data not reported

Adverse Events

Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)

Serious events: 7 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)
n=13 participants at risk
Patients were treated with DEB-TACE loaded with doxorubicin up to four procedures in 6 months as indicated, for a maximum of six procedures during the course of 2 years. Follow-up clinical examinations, laboratory assessments, and imaging took place 1 month after each DEB-TACE treatment and then every 2 to 3 months for a period of 2 years. Each DEB-TACE procedure used a maximum of 100mg doxorubicin loaded onto 100-300um LC Beads.
Gastrointestinal disorders
Liver biloma requiring drainage
30.8%
4/13 • Number of events 4 • 12 months
Gastrointestinal disorders
Gastric varices
7.7%
1/13 • Number of events 1 • 12 months
Hepatobiliary disorders
Liver abscess
15.4%
2/13 • Number of events 2 • 12 months
Hepatobiliary disorders
Biliary stricture
7.7%
1/13 • Number of events 1 • 12 months

Other adverse events

Other adverse events
Measure
Drug-eluting Bead Transarterial Chemoembolization (DEB-TACE)
n=13 participants at risk
Patients were treated with DEB-TACE loaded with doxorubicin up to four procedures in 6 months as indicated, for a maximum of six procedures during the course of 2 years. Follow-up clinical examinations, laboratory assessments, and imaging took place 1 month after each DEB-TACE treatment and then every 2 to 3 months for a period of 2 years. Each DEB-TACE procedure used a maximum of 100mg doxorubicin loaded onto 100-300um LC Beads.
Gastrointestinal disorders
Abdominal pain
69.2%
9/13 • Number of events 25 • 12 months
Skin and subcutaneous tissue disorders
Alopecia
23.1%
3/13 • Number of events 3 • 12 months
Blood and lymphatic system disorders
Anemia
23.1%
3/13 • Number of events 5 • 12 months
Metabolism and nutrition disorders
Anorexia
46.2%
6/13 • Number of events 8 • 12 months
Psychiatric disorders
Anxiety
7.7%
1/13 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Back pain
7.7%
1/13 • Number of events 1 • 12 months
Gastrointestinal disorders
Bloating
15.4%
2/13 • Number of events 2 • 12 months
Cardiac disorders
Bradycardia
7.7%
1/13 • Number of events 1 • 12 months
General disorders
Chills
7.7%
1/13 • Number of events 1 • 12 months
Hepatobiliary disorders
Cholecystitis
7.7%
1/13 • Number of events 1 • 12 months
General disorders
Pain - coccyx
7.7%
1/13 • Number of events 1 • 12 months
Psychiatric disorders
Confusion
7.7%
1/13 • Number of events 1 • 12 months
Gastrointestinal disorders
Constipation
46.2%
6/13 • Number of events 8 • 12 months
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
1/13 • Number of events 1 • 12 months
Eye disorders
Decreased vision
7.7%
1/13 • Number of events 1 • 12 months
Psychiatric disorders
Depression
7.7%
1/13 • Number of events 1 • 12 months
Gastrointestinal disorders
Diarrhea
23.1%
3/13 • Number of events 5 • 12 months
Gastrointestinal disorders
Dry mouth
7.7%
1/13 • Number of events 1 • 12 months
Skin and subcutaneous tissue disorders
Dry skin
15.4%
2/13 • Number of events 2 • 12 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
15.4%
2/13 • Number of events 2 • 12 months
General disorders
Edema - bilateral extremities
23.1%
3/13 • Number of events 3 • 12 months
Investigations
Elevated ALT
76.9%
10/13 • Number of events 14 • 12 months
General disorders
Elevated alkaline phosphatase
84.6%
11/13 • Number of events 20 • 12 months
Investigations
Elevated AST
84.6%
11/13 • Number of events 15 • 12 months
Investigations
Elevated INR
38.5%
5/13 • Number of events 5 • 12 months
General disorders
Fatigue
100.0%
13/13 • Number of events 27 • 12 months
General disorders
Fever
46.2%
6/13 • Number of events 6 • 12 months
Gastrointestinal disorders
Flatulence
15.4%
2/13 • Number of events 2 • 12 months
Vascular disorders
Flushing
7.7%
1/13 • Number of events 1 • 12 months
General disorders
Pain - general
15.4%
2/13 • Number of events 2 • 12 months
General disorders
Edema - hands
7.7%
1/13 • Number of events 2 • 12 months
Nervous system disorders
Headache
7.7%
1/13 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Hiccups
7.7%
1/13 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Hoarseness
7.7%
1/13 • Number of events 1 • 12 months
Investigations
Hyperbilirubinemia
15.4%
2/13 • Number of events 4 • 12 months
Investigations
Hyperglycemia
69.2%
9/13 • Number of events 12 • 12 months
Metabolism and nutrition disorders
Hyperkalemia
7.7%
1/13 • Number of events 1 • 12 months
Metabolism and nutrition disorders
Hypernatremia
7.7%
1/13 • Number of events 1 • 12 months
Vascular disorders
Hypertension
7.7%
1/13 • Number of events 1 • 12 months
Metabolism and nutrition disorders
Hypoalbuminemia
53.8%
7/13 • Number of events 9 • 12 months
Metabolism and nutrition disorders
Hypocalcemia
15.4%
2/13 • Number of events 2 • 12 months
Metabolism and nutrition disorders
Hypoglycemia
7.7%
1/13 • Number of events 1 • 12 months
Metabolism and nutrition disorders
Hyponatremia
7.7%
1/13 • Number of events 1 • 12 months
General disorders
Hypothermia
7.7%
1/13 • Number of events 1 • 12 months
Psychiatric disorders
Insomnia
23.1%
3/13 • Number of events 3 • 12 months
Skin and subcutaneous tissue disorders
Itching
7.7%
1/13 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Joint pain
7.7%
1/13 • Number of events 1 • 12 months
Eye disorders
Left eye swelling
7.7%
1/13 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Leg pain
7.7%
1/13 • Number of events 1 • 12 months
Blood and lymphatic system disorders
Leukocytopenia
7.7%
1/13 • Number of events 2 • 12 months
Investigations
Lymphopenia
30.8%
4/13 • Number of events 5 • 12 months
Gastrointestinal disorders
Nausea
38.5%
5/13 • Number of events 8 • 12 months
Nervous system disorders
Neuropathy
7.7%
1/13 • Number of events 1 • 12 months
Skin and subcutaneous tissue disorders
Night sweats
53.8%
7/13 • Number of events 12 • 12 months
Cardiac disorders
Palpitations
7.7%
1/13 • Number of events 1 • 12 months
Gastrointestinal disorders
Pancreatitis
7.7%
1/13 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Right flank pain
7.7%
1/13 • Number of events 1 • 12 months
Vascular disorders
Hematoma
7.7%
1/13 • Number of events 1 • 12 months
Nervous system disorders
Dysgeusia
7.7%
1/13 • Number of events 1 • 12 months
Investigations
Thrombocytopenia
7.7%
1/13 • Number of events 1 • 12 months
Gastrointestinal disorders
Vomiting
23.1%
3/13 • Number of events 5 • 12 months
Investigations
Weight loss
7.7%
1/13 • Number of events 1 • 12 months

Additional Information

Jean-Francois Geschwind, MD

Yale University

Phone: 203-785-5865

Results disclosure agreements

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