Trial Outcomes & Findings for A Placebo-Controlled Study of Saracatinib (AZD0530) in Patients With Recurrent Osteosarcoma Localized to the Lung (NCT NCT00752206)

NCT ID: NCT00752206

Last Updated: 2020-01-18

Results Overview

To determine if the addition of saracatinib to pulmonary metastasectomy, versus placebo and pulmonary metastasectomy, results in a change in progression free survival.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

38 participants

Primary outcome timeframe

Evaluation for recurrence/progression will be made every 3 months for the 1st year, then every 6 months up to 2 years, then every year up to 5 years after starting treatment.

Results posted on

2020-01-18

Participant Flow

Participant milestones

Participant milestones
Measure
Saracatinib
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Overall Study
STARTED
19
19
Overall Study
COMPLETED
10
8
Overall Study
NOT COMPLETED
9
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Saracatinib
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Overall Study
Disease progression
8
11
Overall Study
Pregnancy
1
0

Baseline Characteristics

38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saracatinib
n=18 Participants
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=19 Participants
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Total
n=37 Participants
Total of all reporting groups
Age, Customized
Age
23.89 years
STANDARD_DEVIATION 8.53 • n=5 Participants
26.63 years
STANDARD_DEVIATION 12.07 • n=7 Participants
25.30 years
STANDARD_DEVIATION 10.45 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
11 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
14 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Histology types
Osteoblastic sub-type
9 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
12 Participants
n=7 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
21 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
Histology types
Chondroblastic
6 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
3 Participants
n=7 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
9 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
Histology types
Telangiectatic
3 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
1 Participants
n=7 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
4 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
Histology types
Fibroblastic
0 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
3 Participants
n=7 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.
3 Participants
n=5 Participants • 38 subjects were randomized to receive therapy. One subject was taken off study for pregnancy, therefore 37 subjects were included in the analysis.

PRIMARY outcome

Timeframe: Evaluation for recurrence/progression will be made every 3 months for the 1st year, then every 6 months up to 2 years, then every year up to 5 years after starting treatment.

Population: 38 subjects were randomized to receive therapy. One randomized subject was subsequently taken off-study for pregnancy; therefore 37 subjects were included in the analysis.

To determine if the addition of saracatinib to pulmonary metastasectomy, versus placebo and pulmonary metastasectomy, results in a change in progression free survival.

Outcome measures

Outcome measures
Measure
Saracatinib
n=18 Participants
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=19 Participants
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Progression Free Survival Rate Among Patients Treated With Saracatinib and Placebo.
19.4 months
Interval 0.0 to 60.0
8.6 months
Interval 0.0 to 60.0

SECONDARY outcome

Timeframe: 5 year overall survival

To determine if the addition of saracatinib to pulmonary metastasectomy, versus placebo and pulmonary metastasectomy, results in a change in overall survival.

Outcome measures

Outcome measures
Measure
Saracatinib
n=18 Participants
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=19 Participants
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Change in Overall Survival With the Addition of Saracatinib to Pulmonary Metastasectomy, Versus Placebo and Pulmonary Metastasectomy
NA months
Interval 45.0 to 70.0
Median overall survival (OS) not reached in either group and the curves overlapped.
NA months
Interval 45.0 to 70.0
Median overall survival (OS) not reached in either group and the curves overlapped.

SECONDARY outcome

Timeframe: Up to 12 months

Population: Did not perform time to progression analysis, but rather evaluated PFS. There was no data to report for time to treatment failure.

To determine if the addition of saracatinib to pulmonary metastasectomy, versus placebo and pulmonary metastasectomy, results in a change in the time to treatment failure. Time to treatment failure is the time from randomization to treatment discontinuation.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 months

To perform microarray analysis of tumor samples to identify a gene signature that predicts for recurrence of osteosarcoma using methodology that relies on preparation of RNA, followed by cDNA. Fluorescent labeling followed by hybridization to a DNA chip allows for quantitative scanning for hybridized complexes.

Outcome measures

Outcome measures
Measure
Saracatinib
n=18 Participants
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=19 Participants
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Number of Genes Identified for Prediction of Recurrence of Osteosarcoma
0 identified genes
0 identified genes

SECONDARY outcome

Timeframe: Up to 12 months

Population: This testing was not performed.

To evaluate tumor samples for biomarkers related to activation of Src and Src substrates.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 months

Population: This testing was not performed.

To establish cell lines and murine xenografts from recurrent tumor samples.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 months

To perform sequencing analysis of DNA and RNA in tumor samples compared to normal blood to detect mutations that may be causative for recurrent osteosarcoma. The methodology uses transcriptome sequencing, exon re-sequencing and mate-pair end sequencing, allowing us to detect translocations. The availability of matched normal DNA in the blood will allow us to determine which changes are unique to the tumor.

Outcome measures

Outcome measures
Measure
Saracatinib
n=18 Participants
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=19 Participants
Placebo Administered once daily, oral dose of 175 mg for a 28 day cycle.
Number of Mutations Identified That May be Causative For Recurrent Osteosarcoma
0 identified mutations
0 identified mutations

Adverse Events

Saracatinib

Serious events: 3 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saracatinib
n=37 participants at risk;n=18 participants at risk
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=37 participants at risk;n=19 participants at risk
Administered once daily, oral dose of 175 mg for a 28 day cycle.
Respiratory, thoracic and mediastinal disorders
Lung Nodules
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Infections and infestations
Pharyngitis
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma Multiforme
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain Mass
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years

Other adverse events

Other adverse events
Measure
Saracatinib
n=37 participants at risk;n=18 participants at risk
Saracatinib: Oral Agent Administered once daily, oral dose of 175 mg for a 28 day cycle.
Placebo
n=37 participants at risk;n=19 participants at risk
Administered once daily, oral dose of 175 mg for a 28 day cycle.
Gastrointestinal disorders
Abdominal pain
16.7%
3/18 • 5 years
10.5%
2/19 • 5 years
Skin and subcutaneous tissue disorders
Acne
11.1%
2/18 • 5 years
5.3%
1/19 • 5 years
Investigations
Alanine Aminotransferase increased
16.7%
3/18 • 5 years
15.8%
3/19 • 5 years
Investigations
Alkaline Phosphatase increased
22.2%
4/18 • 5 years
15.8%
3/19 • 5 years
Immune system disorders
Allergic reaction
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Skin and subcutaneous tissue disorders
Alopecia
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Investigations
Amylase increased
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Metabolism and nutrition disorders
Anorexia
5.6%
1/18 • 5 years
10.5%
2/19 • 5 years
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Investigations
Aspartate aminotransferase increased
27.8%
5/18 • 5 years
10.5%
2/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Asthma
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Musculoskeletal and connective tissue disorders
Back pain
5.6%
1/18 • 5 years
5.3%
1/19 • 5 years
Reproductive system and breast disorders
Breast pain
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Injury, poisoning and procedural complications
Bruising
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
General disorders
Chest pain
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
General disorders
Flu like symptoms
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
3/18 • 5 years
21.1%
4/19 • 5 years
Investigations
CPK increased
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Investigations
Creatinine increased
11.1%
2/18 • 5 years
10.5%
2/19 • 5 years
Psychiatric disorders
Depression
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Skin and subcutaneous tissue disorders
Dermatology/Skin- Other
11.1%
2/18 • 5 years
0.00%
0/19 • 5 years
Gastrointestinal disorders
Diarrhea
33.3%
6/18 • 5 years
21.1%
4/19 • 5 years
Nervous system disorders
Dizziness
11.1%
2/18 • 5 years
0.00%
0/19 • 5 years
Skin and subcutaneous tissue disorders
Dry skin
11.1%
2/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Endocrine disorders
Hyperparathyroidism
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Gastroenteritis
5.6%
1/18 • 5 years
5.3%
1/19 • 5 years
Ear and labyrinth disorders
External ear pain
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Eye disorders
Eye pain
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
General disorders
Fatigue
22.2%
4/18 • 5 years
26.3%
5/19 • 5 years
General disorders
Fever
11.1%
2/18 • 5 years
5.3%
1/19 • 5 years
Vascular disorders
Flushing
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Injury, poisoning and procedural complications
Fracture
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Gastrointestinal disorders
Gastrointestinal- Other
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Gastrointestinal disorders
Gingival pain
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Nervous system disorders
Headache
16.7%
3/18 • 5 years
26.3%
5/19 • 5 years
Ear and labyrinth disorders
Hearing impaired
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Gastrointestinal disorders
Heartburn
11.1%
2/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
11.1%
2/18 • 5 years
5.3%
1/19 • 5 years
Vascular disorders
Hot flashes
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Investigations
Hyperbilirubinemia
5.6%
1/18 • 5 years
5.3%
1/19 • 5 years
Metabolism and nutrition disorders
Hyperglycemia
27.8%
5/18 • 5 years
21.1%
4/19 • 5 years
Metabolism and nutrition disorders
Hypermagnesemia
16.7%
3/18 • 5 years
5.3%
1/19 • 5 years
Vascular disorders
Hypertension
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Metabolism and nutrition disorders
Hypertriglyceridemia
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Metabolism and nutrition disorders
Hypoalbuminemia
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Metabolism and nutrition disorders
Hypocalcemia
11.1%
2/18 • 5 years
0.00%
0/19 • 5 years
Metabolism and nutrition disorders
Hypoglycemia
11.1%
2/18 • 5 years
10.5%
2/19 • 5 years
Metabolism and nutrition disorders
Hypokalemia
5.6%
1/18 • 5 years
10.5%
2/19 • 5 years
Metabolism and nutrition disorders
Hypomagnesemia
5.6%
1/18 • 5 years
10.5%
2/19 • 5 years
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/18 • 5 years
10.5%
2/19 • 5 years
Metabolism and nutrition disorders
Hypophosphatemia
38.9%
7/18 • 5 years
36.8%
7/19 • 5 years
Infections and infestations
Upper respiratory infection
16.7%
3/18 • 5 years
15.8%
3/19 • 5 years
Psychiatric disorders
Insomnia
5.6%
1/18 • 5 years
5.3%
1/19 • 5 years
Gastrointestinal disorders
Constipation
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Musculoskeletal and connective tissue disorders
Joint pain
11.1%
2/18 • 5 years
5.3%
1/19 • 5 years
Musculoskeletal and connective tissue disorders
Groin pain
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Investigations
Leukopenia
27.8%
5/18 • 5 years
10.5%
2/19 • 5 years
Investigations
Lymphopenia
11.1%
2/18 • 5 years
10.5%
2/19 • 5 years
Gastrointestinal disorders
Mucositis
0.00%
0/18 • 5 years
10.5%
2/19 • 5 years
Musculoskeletal and connective tissue disorders
Muscle weakness
11.1%
2/18 • 5 years
0.00%
0/19 • 5 years
Musculoskeletal and connective tissue disorders
Myalgia
5.6%
1/18 • 5 years
10.5%
2/19 • 5 years
Skin and subcutaneous tissue disorders
Nail thinning
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Gastrointestinal disorders
Nausea
33.3%
6/18 • 5 years
15.8%
3/19 • 5 years
Investigations
Neutropenia
16.7%
3/18 • 5 years
0.00%
0/19 • 5 years
Eye disorders
Ocular-Other
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Nervous system disorders
Oculomotor nerve disorder
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Infections and infestations
Middle ear infection
5.6%
1/18 • 5 years
5.3%
1/19 • 5 years
Musculoskeletal and connective tissue disorders
Pain in extremity
5.6%
1/18 • 5 years
21.1%
4/19 • 5 years
Musculoskeletal and connective tissue disorders
Muscle pain
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Musculoskeletal and connective tissue disorders
Neck pain
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Gastrointestinal disorders
Stomach pain
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Cardiac disorders
Palpitations
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Nervous system disorders
Peripheral sensory neuropathy
5.6%
1/18 • 5 years
5.3%
1/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
11.1%
2/18 • 5 years
10.5%
2/19 • 5 years
Investigations
Thrombocytopenia
22.2%
4/18 • 5 years
15.8%
3/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Nervous system disorders
Concentration impairment
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Renal and urinary disorders
Proteinuria
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Skin and subcutaneous tissue disorders
Pruritus
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Investigations
Activated partial thromboplastin time prolonged
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Pulmonary- Other
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Skin and subcutaneous tissue disorders
Rash
22.2%
4/18 • 5 years
15.8%
3/19 • 5 years
Gastrointestinal disorders
Rectal hemorrhage
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Rhinitis
16.7%
3/18 • 5 years
10.5%
2/19 • 5 years
General disorders
Rigors/chills
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Ulceration in right nare
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Investigations
Vitamin D deficiency
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Gastrointestinal disorders
Vomiting
11.1%
2/18 • 5 years
5.3%
1/19 • 5 years
Investigations
Weight loss
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Voice Alteration
5.6%
1/18 • 5 years
0.00%
0/19 • 5 years
Blood and lymphatic system disorders
Anemia
16.7%
3/18 • 5 years
10.5%
2/19 • 5 years
Reproductive system and breast disorders
Sexual-Other
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years
Respiratory, thoracic and mediastinal disorders
Small groundglass focus of airspace disease
0.00%
0/18 • 5 years
5.3%
1/19 • 5 years

Additional Information

SARC

SARC

Phone: (734) 930-7600

Results disclosure agreements

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