Trial Outcomes & Findings for Eloxatin® Plus Gemcitabine Chemotherapy for Mesothelioma (NCT NCT00859469)

NCT ID: NCT00859469

Last Updated: 2019-10-30

Results Overview

Radiologic response by RECIST criteria will be compared between baseline and at 2 months. Disease assessment: Two objective status determinations of CR before progression are required for a best response of CR. Two determinations of PR or better before progression, but not qualifying for a CR, are required for a best response of PR. Two determinations of stable/no response or better before progression, but not qualifying as CR or PR are required for a best response of stable/no response.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

Two months

Results posted on

2019-10-30

Participant Flow

Patients will be screened using standard health care assessments and tests. All of these tests must be done within 4 weeks before patients begin treatment.

Patients who are deemed eligible will start the treatment cycle, defined as an interval of 14 days, and comprising of treatment with Gemcitabine followed immediately by Oxaliplatin.

Participant milestones

Participant milestones
Measure
Oxaliplatin and Gemcitabine
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Overall Study
STARTED
29
Overall Study
6 Cycles
16
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Oxaliplatin and Gemcitabine
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Overall Study
Adverse Event
2
Overall Study
Lack of Efficacy
9
Overall Study
Withdrawal by Subject
1
Overall Study
Death
16

Baseline Characteristics

Eloxatin® Plus Gemcitabine Chemotherapy for Mesothelioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oxaliplatin and Gemcitabine
n=29 Participants
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
Age, Categorical
>=65 years
13 Participants
n=5 Participants
Age, Continuous
63.0 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants
Primary Site
Pleural
16 participants
n=5 Participants
Primary Site
Peritoneal
13 participants
n=5 Participants
Pathologic Subtype
Epithelioid
19 participants
n=5 Participants
Pathologic Subtype
Sarcomatoid
3 participants
n=5 Participants
Pathologic Subtype
Biphasic
7 participants
n=5 Participants
Prior chemotherapy regimens
0
11 participants
n=5 Participants
Prior chemotherapy regimens
1 or more
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: Two months

Population: intention to treat principle

Radiologic response by RECIST criteria will be compared between baseline and at 2 months. Disease assessment: Two objective status determinations of CR before progression are required for a best response of CR. Two determinations of PR or better before progression, but not qualifying for a CR, are required for a best response of PR. Two determinations of stable/no response or better before progression, but not qualifying as CR or PR are required for a best response of stable/no response.

Outcome measures

Outcome measures
Measure
Oxaliplatin and Gemcitabine
n=29 Participants
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Best Response
Complete Response
0 participants
Best Response
Partial Response
7 participants
Best Response
Stable Disease
11 participants
Best Response
Progressive Disease
11 participants

SECONDARY outcome

Timeframe: 50 months

Population: ITT

Outcome measures

Outcome measures
Measure
Oxaliplatin and Gemcitabine
n=29 Participants
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Overall Survival
8 months
Interval 4.0 to 14.0

SECONDARY outcome

Timeframe: 50 months

Time to radiologic disease progression or death

Outcome measures

Outcome measures
Measure
Oxaliplatin and Gemcitabine
n=29 Participants
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Progression-free Survival
5 months
Interval 2.0 to 7.0

Adverse Events

Oxaliplatin and Gemcitabine

Serious events: 11 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Oxaliplatin and Gemcitabine
n=28 participants at risk
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Blood and lymphatic system disorders
Anemia
10.7%
3/28 • 50 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.6%
1/28 • 50 months
Hepatobiliary disorders
Elevated alkaline phosphatase
10.7%
3/28 • 50 months
Blood and lymphatic system disorders
Thrombocytopenia
3.6%
1/28 • 50 months
Blood and lymphatic system disorders
Leukopenia
10.7%
3/28 • 50 months
Hepatobiliary disorders
Elevated AST
10.7%
3/28 • 50 months
Hepatobiliary disorders
Elevated ALT
10.7%
3/28 • 50 months
Hepatobiliary disorders
Elevated Bilirubin
3.6%
1/28 • 50 months

Other adverse events

Other adverse events
Measure
Oxaliplatin and Gemcitabine
n=28 participants at risk
The study drugs will be administered in the following manner: Gemcitabine, at 1000 mg/m² IV infusion over 90 minutes, then Oxaliplatin, at 100 mg/m² IV infusion over 2 hours.
Gastrointestinal disorders
Nausea/Vomiting
31.0%
9/29 • 50 months
Gastrointestinal disorders
Diarrhea
6.9%
2/29 • 50 months
Nervous system disorders
Peripheral neuropathy
37.9%
11/29 • 50 months
General disorders
Fever
6.9%
2/29 • 50 months
Skin and subcutaneous tissue disorders
Alopecia
6.9%
2/29 • 50 months
Nervous system disorders
Vertigo
6.9%
2/29 • 50 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
14.3%
4/28 • 50 months
Blood and lymphatic system disorders
Leukopenia
19.2%
5/26 • 50 months
Blood and lymphatic system disorders
Thrombocytopenia
57.1%
16/28 • 50 months
Blood and lymphatic system disorders
Anemia
88.5%
23/26 • 50 months
Hepatobiliary disorders
Elevated alkaline phosphatase
57.7%
15/26 • 50 months
Hepatobiliary disorders
Elevated AST
50.0%
13/26 • 50 months
Hepatobiliary disorders
Elevated ALT
53.8%
14/26 • 50 months

Additional Information

Joshua Leinwand

Columbia University

Phone: 212-305-4076

Results disclosure agreements

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