Trial Outcomes & Findings for Elesclomol Sodium and Paclitaxel in Treating Patients With Recurrent or Persistent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer (NCT NCT00888615)

NCT ID: NCT00888615

Last Updated: 2021-10-20

Results Overview

Proportion of Participants with Object Response (per response evaluation criteria in solid tumors criteria (RECIST V1.1) for target lesions as assessed by MRI: Complete Response (CR), disappearance of all target lesions, Partial Response (PR), \>= 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

58 participants

Primary outcome timeframe

Up to 5 years

Results posted on

2021-10-20

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Overall Study
STARTED
58
Overall Study
COMPLETED
56
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Overall Study
No treatment
2

Baseline Characteristics

Elesclomol Sodium and Paclitaxel in Treating Patients With Recurrent or Persistent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Age, Customized
20-29 years
0 Participants
n=5 Participants
Age, Customized
30-39 years
0 Participants
n=5 Participants
Age, Customized
40-49 years
6 Participants
n=5 Participants
Age, Customized
50-59 years
12 Participants
n=5 Participants
Age, Customized
60-69 years
22 Participants
n=5 Participants
Age, Customized
70-79 years
14 Participants
n=5 Participants
Age, Customized
>= 80 years
2 Participants
n=5 Participants
Sex: Female, Male
Female
56 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Cell Type
Adenocarcinoma, nos
8 Participants
n=5 Participants
Cell Type
Clear cell
2 Participants
n=5 Participants
Cell Type
Endometrioid
2 Participants
n=5 Participants
Cell Type
Serous
44 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 5 years

Proportion of Participants with Object Response (per response evaluation criteria in solid tumors criteria (RECIST V1.1) for target lesions as assessed by MRI: Complete Response (CR), disappearance of all target lesions, Partial Response (PR), \>= 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Proportion of Participants With Objective Response
0.196 Proportion of participants
Interval 0.114 to 0.304

PRIMARY outcome

Timeframe: Up to 5 years

Duration of objective response (months)

Outcome measures

Outcome measures
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Duration of Objective Response
9.2 months
Interval 5.5 to 14.9

PRIMARY outcome

Timeframe: Up to 5 years

The frequency of patients who experienced at least one adverse effect (with a grade of 1 or higher). Adverse effects are defined as any unfavorable and unintended sign, symptom, or disease that occurs in a patient administered a medical treatment, whether the event is considered related or unrelated to the medical treatment.

Outcome measures

Outcome measures
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Number of Participants Who Experienced at Least One Adverse Event
56 Participants

PRIMARY outcome

Timeframe: Up to 5 years

The number of participants who experienced at least one grade three (or higher) adverse effect. The severity of observed adverse effects is graded using the NCI CTCAE version 4.0.

Outcome measures

Outcome measures
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
The Number of Participants Who Experienced at Least One Grade 3 Adverse Event
26 Participants

SECONDARY outcome

Timeframe: From start of treatment to time of progression or death, whichever occurs first, assessed up to 5 years

Progression-free survival (median, in months) will be analyzed by Kaplan-Meier analysis (progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions (also a 5 mm absolute increase is also required), or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Progression-free Survival (Median)
3.6 months
Interval 2.03 to 5.65

SECONDARY outcome

Timeframe: From start of treatment to time of death or the date of last contact, assessed up to 5 years

Overall survival (median, in months) will be analyzed by Kaplan-Meier analysis.

Outcome measures

Outcome measures
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 Participants
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Overall Survival (Median)
13.3 months
Interval 10.38 to 19.45

Adverse Events

Treatment (Paclitaxel, Elesclomol Sodium)

Serious events: 18 serious events
Other events: 56 other events
Deaths: 43 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 participants at risk
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Cardiac disorders
Atrial Fibrillation
1.8%
1/56
Cardiac disorders
Pericardial Effusion
1.8%
1/56
Gastrointestinal disorders
Colonic Hemorrhage
1.8%
1/56
Gastrointestinal disorders
Bloating
1.8%
1/56
Gastrointestinal disorders
Small Intestinal Obstruction
3.6%
2/56
Gastrointestinal disorders
Ileus
1.8%
1/56
Gastrointestinal disorders
Nausea
1.8%
1/56
Infections and infestations
Skin Infection
1.8%
1/56
Infections and infestations
Lung Infection
1.8%
1/56
Metabolism and nutrition disorders
Hyperglycemia
5.4%
3/56
Metabolism and nutrition disorders
Dehydration
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
3.6%
2/56
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Dyspnea
1.8%
1/56
Surgical and medical procedures
Surgical And Medical Procedures - Other
1.8%
1/56

Other adverse events

Other adverse events
Measure
Treatment (Paclitaxel, Elesclomol Sodium)
n=56 participants at risk
Patients receive paclitaxel IV over 1 hour and elesclomol sodium IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: Patients who are currently on treatment must not be dosed with elesclomol sodium after 12/31/2015. All other study procedures, with the exception of elesclomol sodium administration and paclitaxel administration, should continue in accordance with protocol requirements. Any treatment given after 12/31/2015, including continuation of paclitaxel, will be considered off study. Elesclomol Sodium: Given IV Paclitaxel: Given IV
Blood and lymphatic system disorders
Blood And Lymphatic System Disorders - Other
1.8%
1/56
Blood and lymphatic system disorders
Anemia
94.6%
53/56
Cardiac disorders
Supraventricular Tachycardia
1.8%
1/56
Cardiac disorders
Palpitations
1.8%
1/56
Cardiac disorders
Cardiac Disorders - Other
1.8%
1/56
Cardiac disorders
Ventricular Arrhythmia
1.8%
1/56
Cardiac disorders
Sinus Tachycardia
3.6%
2/56
Cardiac disorders
Chest Pain - Cardiac
1.8%
1/56
Ear and labyrinth disorders
Tinnitus
5.4%
3/56
Ear and labyrinth disorders
Hearing Impaired
3.6%
2/56
Eye disorders
Watering Eyes
1.8%
1/56
Eye disorders
Flashing Lights
1.8%
1/56
Eye disorders
Blurred Vision
5.4%
3/56
Eye disorders
Floaters
1.8%
1/56
Gastrointestinal disorders
Dyspepsia
5.4%
3/56
Gastrointestinal disorders
Dry Mouth
3.6%
2/56
Gastrointestinal disorders
Colonic Obstruction
3.6%
2/56
Gastrointestinal disorders
Constipation
44.6%
25/56
Gastrointestinal disorders
Diarrhea
26.8%
15/56
Gastrointestinal disorders
Vomiting
26.8%
15/56
Gastrointestinal disorders
Upper Gastrointestinal Hemorrhage
1.8%
1/56
Gastrointestinal disorders
Bloating
12.5%
7/56
Gastrointestinal disorders
Stomach Pain
3.6%
2/56
Gastrointestinal disorders
Small Intestinal Obstruction
1.8%
1/56
Gastrointestinal disorders
Abdominal Pain
39.3%
22/56
Gastrointestinal disorders
Rectal Hemorrhage
1.8%
1/56
Gastrointestinal disorders
Oral Dysesthesia
3.6%
2/56
Gastrointestinal disorders
Mucositis Oral
10.7%
6/56
Gastrointestinal disorders
Lower Gastrointestinal Hemorrhage
1.8%
1/56
Gastrointestinal disorders
Abdominal Distension
12.5%
7/56
Gastrointestinal disorders
Nausea
53.6%
30/56
Gastrointestinal disorders
Gastroesophageal Reflux Disease
3.6%
2/56
Gastrointestinal disorders
Ascites
8.9%
5/56
Gastrointestinal disorders
Flatulence
3.6%
2/56
General disorders
Pain
8.9%
5/56
General disorders
Flu Like Symptoms
1.8%
1/56
General disorders
Edema Limbs
16.1%
9/56
General disorders
Facial Pain
1.8%
1/56
General disorders
Edema Face
1.8%
1/56
General disorders
Fatigue
73.2%
41/56
General disorders
Fever
14.3%
8/56
General disorders
Gait Disturbance
1.8%
1/56
General disorders
Chills
1.8%
1/56
Infections and infestations
Upper Respiratory Infection
7.1%
4/56
Infections and infestations
Tooth Infection
1.8%
1/56
Infections and infestations
Skin Infection
3.6%
2/56
Infections and infestations
Nail Infection
1.8%
1/56
Infections and infestations
Lung Infection
1.8%
1/56
Infections and infestations
Esophageal Infection
1.8%
1/56
Infections and infestations
Device Related Infection
1.8%
1/56
Infections and infestations
Urinary Tract Infection
14.3%
8/56
Infections and infestations
Bronchial Infection
5.4%
3/56
Infections and infestations
Enterocolitis Infectious
1.8%
1/56
Injury, poisoning and procedural complications
Spinal Fracture
1.8%
1/56
Injury, poisoning and procedural complications
Fracture
1.8%
1/56
Injury, poisoning and procedural complications
Fall
1.8%
1/56
Injury, poisoning and procedural complications
Bruising
1.8%
1/56
Investigations
Investigations - Other
3.6%
2/56
Investigations
Weight Loss
5.4%
3/56
Investigations
Weight Gain
7.1%
4/56
Investigations
Platelet Count Decreased
17.9%
10/56
Investigations
Lymphocyte Count Decreased
8.9%
5/56
Investigations
Ejection Fraction Decreased
1.8%
1/56
Investigations
Creatinine Increased
12.5%
7/56
Investigations
Cholesterol High
5.4%
3/56
Investigations
Neutrophil Count Decreased
48.2%
27/56
Investigations
Blood Bilirubin Increased
3.6%
2/56
Investigations
White Blood Cell Decreased
66.1%
37/56
Investigations
Aspartate Aminotransferase Increased
8.9%
5/56
Investigations
Alkaline Phosphatase Increased
16.1%
9/56
Investigations
Alanine Aminotransferase Increased
14.3%
8/56
Metabolism and nutrition disorders
Metabolism And Nutrition Disorders - Other
3.6%
2/56
Metabolism and nutrition disorders
Hypophosphatemia
1.8%
1/56
Metabolism and nutrition disorders
Hyponatremia
12.5%
7/56
Metabolism and nutrition disorders
Hypomagnesemia
25.0%
14/56
Metabolism and nutrition disorders
Hypokalemia
19.6%
11/56
Metabolism and nutrition disorders
Hypoglycemia
5.4%
3/56
Metabolism and nutrition disorders
Hypocalcemia
16.1%
9/56
Metabolism and nutrition disorders
Hypoalbuminemia
23.2%
13/56
Metabolism and nutrition disorders
Hypertriglyceridemia
5.4%
3/56
Metabolism and nutrition disorders
Hypermagnesemia
5.4%
3/56
Metabolism and nutrition disorders
Hyperkalemia
1.8%
1/56
Metabolism and nutrition disorders
Hyperglycemia
32.1%
18/56
Metabolism and nutrition disorders
Hypercalcemia
1.8%
1/56
Metabolism and nutrition disorders
Glucose Intolerance
1.8%
1/56
Metabolism and nutrition disorders
Dehydration
5.4%
3/56
Metabolism and nutrition disorders
Anorexia
39.3%
22/56
Musculoskeletal and connective tissue disorders
Pain In Extremity
12.5%
7/56
Musculoskeletal and connective tissue disorders
Neck Pain
3.6%
2/56
Musculoskeletal and connective tissue disorders
Myalgia
8.9%
5/56
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
14.3%
8/56
Musculoskeletal and connective tissue disorders
Back Pain
10.7%
6/56
Musculoskeletal and connective tissue disorders
Arthritis
1.8%
1/56
Musculoskeletal and connective tissue disorders
Arthralgia
8.9%
5/56
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms Benign, Malignant And Unspecified (Incl
1.8%
1/56
Nervous system disorders
Tremor
1.8%
1/56
Nervous system disorders
Somnolence
1.8%
1/56
Nervous system disorders
Peripheral Sensory Neuropathy
53.6%
30/56
Nervous system disorders
Peripheral Motor Neuropathy
7.1%
4/56
Nervous system disorders
Paresthesia
7.1%
4/56
Nervous system disorders
Neuralgia
1.8%
1/56
Nervous system disorders
Headache
12.5%
7/56
Nervous system disorders
Extrapyramidal Disorder
1.8%
1/56
Nervous system disorders
Dysphasia
1.8%
1/56
Nervous system disorders
Dysgeusia
8.9%
5/56
Nervous system disorders
Dizziness
3.6%
2/56
Nervous system disorders
Concentration Impairment
1.8%
1/56
Nervous system disorders
Akathisia
1.8%
1/56
Psychiatric disorders
Insomnia
25.0%
14/56
Psychiatric disorders
Depression
16.1%
9/56
Psychiatric disorders
Delirium
1.8%
1/56
Psychiatric disorders
Confusion
3.6%
2/56
Psychiatric disorders
Anxiety
8.9%
5/56
Renal and urinary disorders
Renal And Urinary Disorders - Other
1.8%
1/56
Renal and urinary disorders
Urinary Urgency
1.8%
1/56
Renal and urinary disorders
Urinary Incontinence
1.8%
1/56
Renal and urinary disorders
Urinary Tract Pain
5.4%
3/56
Renal and urinary disorders
Urinary Frequency
10.7%
6/56
Renal and urinary disorders
Proteinuria
3.6%
2/56
Renal and urinary disorders
Hematuria
3.6%
2/56
Renal and urinary disorders
Chronic Kidney Disease
1.8%
1/56
Reproductive system and breast disorders
Pelvic Pain
1.8%
1/56
Reproductive system and breast disorders
Breast Pain
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Sore Throat
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Sinus Disorder
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Pneumonitis
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
7.1%
4/56
Respiratory, thoracic and mediastinal disorders
Pleuritic Pain
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Laryngopharyngeal Dysesthesia
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Hoarseness
1.8%
1/56
Respiratory, thoracic and mediastinal disorders
Epistaxis
7.1%
4/56
Respiratory, thoracic and mediastinal disorders
Dyspnea
30.4%
17/56
Respiratory, thoracic and mediastinal disorders
Cough
17.9%
10/56
Skin and subcutaneous tissue disorders
Scalp Pain
1.8%
1/56
Skin and subcutaneous tissue disorders
Rash Acneiform
7.1%
4/56
Skin and subcutaneous tissue disorders
Pruritus
3.6%
2/56
Skin and subcutaneous tissue disorders
Rash Maculo-Papular
5.4%
3/56
Skin and subcutaneous tissue disorders
Nail Ridging
1.8%
1/56
Skin and subcutaneous tissue disorders
Nail Loss
1.8%
1/56
Skin and subcutaneous tissue disorders
Nail Discoloration
5.4%
3/56
Skin and subcutaneous tissue disorders
Erythema Multiforme
1.8%
1/56
Skin and subcutaneous tissue disorders
Dry Skin
3.6%
2/56
Skin and subcutaneous tissue disorders
Alopecia
44.6%
25/56
Vascular disorders
Thromboembolic Event
5.4%
3/56
Vascular disorders
Lymphedema
3.6%
2/56
Vascular disorders
Hypotension
1.8%
1/56
Vascular disorders
Hypertension
7.1%
4/56
Vascular disorders
Hot Flashes
8.9%
5/56
Vascular disorders
Flushing
1.8%
1/56

Additional Information

Christopher Purdy on behalf of James Kauderer

NRG Oncology

Phone: (716)845-1300

Results disclosure agreements

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

Restriction type: LTE60