Trial Outcomes & Findings for 0822GCC: Phase 2 Study of Efficacy and Safety of Apricoxib/Placebo With Docetaxel or Pemetrexed in Non-Small Cell Lung Cancer (NCT NCT00771953)
NCT ID: NCT00771953
Last Updated: 2019-10-30
Results Overview
For determining progression-free survival, progression was determined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0). Progression was defined 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.
COMPLETED
PHASE2
109 participants
From the date of randomization until the first date that recurrent or progressive disease is objectively documented.
2019-10-30
Participant Flow
University Medical Centers and Hospital Based Oncology Programs recruited participants from November 2011 through August 2011
110 patients started a 5 day run in period with 400mg apricoxib. 7 did not complete due to AEs, and 23 did not have at least 50% drop in PGE-M (randomization requirement). Of the remaining 80, 2 withdrew, 2 were ineligible by physician discretion, 1 died and 3 had progressive disease. Thus, 72 patients were randomized.
Participant milestones
| Measure |
Apricoxib Plus Docetaxel or Pemetrexed
Apricoxib 400mg qd and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
Placebo Plus Docetaxel or Pemetrexed
Placebo and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
|---|---|---|
|
Overall Study
STARTED
|
36
|
36
|
|
Overall Study
COMPLETED
|
26
|
26
|
|
Overall Study
NOT COMPLETED
|
10
|
10
|
Reasons for withdrawal
| Measure |
Apricoxib Plus Docetaxel or Pemetrexed
Apricoxib 400mg qd and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
Placebo Plus Docetaxel or Pemetrexed
Placebo and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
|---|---|---|
|
Overall Study
Adverse Event
|
5
|
3
|
|
Overall Study
Death
|
2
|
2
|
|
Overall Study
Progression before active Tx
|
1
|
2
|
|
Overall Study
Sponsor decision
|
1
|
0
|
|
Overall Study
Other complicating disease
|
1
|
0
|
|
Overall Study
Withdrawal by Subject
|
0
|
3
|
Baseline Characteristics
0822GCC: Phase 2 Study of Efficacy and Safety of Apricoxib/Placebo With Docetaxel or Pemetrexed in Non-Small Cell Lung Cancer
Baseline characteristics by cohort
| Measure |
Apricoxib Plus Docetaxel or Pemetrexed
n=36 Participants
Apricoxib 400mg qd and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
Placebo Plus Docetaxel or Pemetrexed
n=36 Participants
Placebo and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
Total
n=72 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Customized
|
62 years
n=5 Participants
|
66 years
n=7 Participants
|
64 years
n=5 Participants
|
|
Sex: Female, Male
Female
|
16 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
32 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
20 Participants
n=5 Participants
|
20 Participants
n=7 Participants
|
40 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: From the date of randomization until the first date that recurrent or progressive disease is objectively documented.For determining progression-free survival, progression was determined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0). Progression was defined 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
| Measure |
Apricoxib Plus Docetaxel
n=17 Participants
Apricoxib 400mg qd plus docetaxel 75mg/m2 q21 days
|
Placebo Plus Docetaxel
n=20 Participants
Placebo plus docetaxel 75mg/m2 q21 days
|
Apricoxib Plus Pemetrexed
n=19 Participants
Apricoxib 400mg qd plus pemetrexed 500mg/m2 q21 days
|
Placebo Plus Pemetrexed
n=16 Participants
Placebo plus pemetrexed 500mg/m2 q21 days
|
|---|---|---|---|---|
|
Progression Free Survival
|
75 days
Interval 47.0 to 104.0
|
97 days
Interval 48.0 to 216.0
|
103 days
Interval 62.0 to 225.0
|
98 days
Interval 37.0 to 197.0
|
Adverse Events
Apricoxib Plus Docetaxel or Pemetrexed
Placebo Plus Docetaxel or Pemetrexed
Serious adverse events
| Measure |
Apricoxib Plus Docetaxel or Pemetrexed
n=36 participants at risk
Apricoxib 400mg qd and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
Placebo Plus Docetaxel or Pemetrexed
n=36 participants at risk
Placebo and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
|---|---|---|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Death
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
General disorders
Abdominal pain
|
0.00%
0/36
|
5.6%
2/36 • Number of events 2
|
|
Blood and lymphatic system disorders
Febrile neutropenia
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
Blood and lymphatic system disorders
Neutropenia
|
0.00%
0/36
|
5.6%
2/36 • Number of events 3
|
|
Nervous system disorders
Aseptic meningitis
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Cardiac disorders
Atrial flutter
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Respiratory, thoracic and mediastinal disorders
Bronchitis
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
General disorders
Chest pain
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
Gastrointestinal disorders
Colonic perforation
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Respiratory, thoracic and mediastinal disorders
CPOD exacerbation
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
General disorders
Coumadin toxicity
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Hepatobiliary disorders
Creatinine increase
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
General disorders
Dehydration
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
5.6%
2/36 • Number of events 2
|
0.00%
0/36
|
|
Blood and lymphatic system disorders
Granulocytopenia
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
General disorders
Headache
|
2.8%
1/36 • Number of events 1
|
2.8%
1/36 • Number of events 1
|
|
General disorders
Hyperkalemia
|
2.8%
1/36 • Number of events 2
|
0.00%
0/36
|
|
General disorders
Hypernatremia
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
Hepatobiliary disorders
Hypoglycemia
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
General disorders
Hyponatremia
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
General disorders
Hypoxia
|
2.8%
1/36 • Number of events 1
|
2.8%
1/36 • Number of events 1
|
|
Infections and infestations
Infection
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Infections and infestations
Pneumonia
|
0.00%
0/36
|
2.8%
1/36 • Number of events 1
|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
|
2.8%
1/36 • Number of events 1
|
0.00%
0/36
|
|
Blood and lymphatic system disorders
Thrombosis
|
0.00%
0/36
|
5.6%
2/36 • Number of events 2
|
Other adverse events
| Measure |
Apricoxib Plus Docetaxel or Pemetrexed
n=36 participants at risk
Apricoxib 400mg qd and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
Placebo Plus Docetaxel or Pemetrexed
n=36 participants at risk
Placebo and either docetaxel 75mg/m2 or pemetrexed 500mg/m2 q21 days
|
|---|---|---|
|
General disorders
Hyponatremia
|
5.6%
2/36 • Number of events 3
|
0.00%
0/36
|
|
Blood and lymphatic system disorders
Leukopenia
|
8.3%
3/36 • Number of events 3
|
0.00%
0/36
|
|
Blood and lymphatic system disorders
Lymphopenia
|
2.8%
1/36 • Number of events 1
|
8.3%
3/36 • Number of events 3
|
|
Blood and lymphatic system disorders
Neutropenia
|
25.0%
9/36 • Number of events 9
|
25.0%
9/36 • Number of events 10
|
|
Blood and lymphatic system disorders
Lowered WBC count
|
5.6%
2/36 • Number of events 3
|
2.8%
1/36 • Number of events 1
|
Additional Information
Michelle Medeiros
University of Maryland Baltimore Greenebaum Cancer Center
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place