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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

109 participants

Primary outcome timeframe

From the date of randomization until the first date that recurrent or progressive disease is objectively documented.

Results posted on

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

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

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

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

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

Serious events: 11 serious events
Other events: 12 other events
Deaths: 0 deaths

Placebo Plus Docetaxel or Pemetrexed

Serious events: 11 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

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

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

Phone: 410-328-1160

Results disclosure agreements

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