Trial Outcomes & Findings for Lenalidomide and Doxorubicin Hydrochloride Liposome in Recurrent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer (NCT NCT00903630)

NCT ID: NCT00903630

Last Updated: 2017-12-28

Results Overview

The maximum tolerated dose (MTD) reflects the highest dose of Lenalidomide when combined with fixed dose Liposomal Doxorubicin at which no more than one out of 6 participants experiences a dose limiting toxicity (DLT).

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

15 participants

Primary outcome timeframe

1 cycle (28 days)

Results posted on

2017-12-28

Participant Flow

Fifteen subjects were enrolled in this combined phase l/ll study - 11 subjects in phase l and 4 in phase ll. Six of the subjects enrolled in phase 1 were treated at the maximum tolerated dose (MTD) and their data was included in the phase 2 analysis as allowed by the protocol.

Participant milestones

Participant milestones
Measure
Phase 1 - Dose Level 1
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days
Phase 1 - Dose Level 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days
Phase 2 - Dose Level 1
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days
Phase l
STARTED
6
5
0
Phase l
COMPLETED
6
5
0
Phase l
NOT COMPLETED
0
0
0
Phase 2
STARTED
6
0
4
Phase 2
COMPLETED
6
0
3
Phase 2
NOT COMPLETED
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase 1 - Dose Level 1
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days
Phase 1 - Dose Level 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days
Phase 2 - Dose Level 1
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days
Phase 2
Adverse Event
0
0
1

Baseline Characteristics

Lenalidomide and Doxorubicin Hydrochloride Liposome in Recurrent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1 - Dose Level 1
n=6 Participants
Phase 1 - Dose Level 2
n=5 Participants
Phase 2
n=4 Participants
Total
n=15 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
15 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
5 participants
n=7 Participants
4 participants
n=5 Participants
15 participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 cycle (28 days)

The maximum tolerated dose (MTD) reflects the highest dose of Lenalidomide when combined with fixed dose Liposomal Doxorubicin at which no more than one out of 6 participants experiences a dose limiting toxicity (DLT).

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Level 1
n=11 Participants
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase I - Dose Level 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 1 - Maximum Tolerated Dose (MTD) of Lenalidomide When Combined With Fixed Dose Liposomal Doxorubicin in Women With Recurrent Epithelial Ovarian, Fallopian Tube, and Primary Peritoneal Cancer
10 milligrams (mg)

PRIMARY outcome

Timeframe: within 5 weeks of starting treatment

DLT is defined as the inability to complete cycle 1 and/or begin cycle 2 within 7 days of the planned start due to a grade 4 or greater hemtologic toxicity or a grade 3 or greater non-hematologic toxicity. Grading was based on Common Toxicity Criteria (CTC) Version 4.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Level 1
n=6 Participants
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase I - Dose Level 2
n=5 Participants
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 1 - Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)
0 participants
2 participants

PRIMARY outcome

Timeframe: 3 months after starting treatment

Partial response is defined as: At least a 30% decrease in the sum of the longest diameters of target lesions, taking as reference the baseline sum longest diameter. To be assigned a status of partial response, changes in tumor measurements must be confirmed by repeat assessments performed no less than four weeks after the criteria for response are first met. Complete response is defined as: The disappearance of all target lesions. To be assigned a status of complete response, changes in tumor measurements must be confirmed by repeat assessments performed no less than four weeks after the criteria for response are first met.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Level 1
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase I - Dose Level 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
n=9 Participants
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2 - Number of Subjects Achieving a Partial or Complete Response
1 participants

SECONDARY outcome

Timeframe: 3 months after starting treatment

Progression is defined as: At least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, or the appearance of one or more new lesion(s).

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Level 1
n=9 Participants
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase I - Dose Level 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2 - Number of Subjects Who Are Progression-Free and Alive
8 participants

SECONDARY outcome

Timeframe: 6 months after starting treatment

Progression is defined as: At least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurement, or the appearance of one or more new lesion(s).

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Level 1
n=9 Participants
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 10 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase I - Dose Level 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: 15 mg daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
liposomal doxorubicin: 40mg/m2 IV Day 1 every 28 days plus lenalidomide: maximum tolerated dose from Phase I portion of the study (10mg) daily on Days 1-28 every 28 days Lenalidomide: administered by mouth at the assigned dose daily for each 28 day cycle liposomal doxorubicin: administered at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2 - Number of Subjects Who Are Progression-Free and Alive
5 participants

Adverse Events

Phase 1 - Dose Level 1

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Phase 1 - Dose Level 2

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Phase 2

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Phase 1 - Dose Level 1
n=6 participants at risk
Patients treated with a combination of lenalidomide and liposomal doxorubicin for recurrent epithelia ovarian, fallopian tube or primary peritoneal cancer. Lenalidomide: Administered by mouth at the assigned dose of 10 mg daily of each 28 day cycle pegylated liposomal doxorubicin hydrochloride: Liposomal doxorubicin at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 1 - Dose Level 2
n=5 participants at risk
Patients treated with a combination of lenalidomide and liposomal doxorubicin for recurrent epithelia ovarian, fallopian tube or primary peritoneal cancer. Lenalidomide: Administered by mouth at the assigned dose of 15 mg daily of each 28 day cycle pegylated liposomal doxorubicin hydrochloride: Liposomal doxorubicin at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
n=4 participants at risk
Patients treated with a combination of lenalidomide and liposomal doxorubicin for recurrent epithelia ovarian, fallopian tube or primary peritoneal cancer. Lenalidomide: Administered by mouth at the assigned dose of 10 mg daily of each 28 day cycle pegylated liposomal doxorubicin hydrochloride: Liposomal doxorubicin at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
General disorders
fever
0.00%
0/6
0.00%
0/5
25.0%
1/4 • Number of events 1
Blood and lymphatic system disorders
febrile neutropenia
0.00%
0/6
20.0%
1/5 • Number of events 1
0.00%
0/4

Other adverse events

Other adverse events
Measure
Phase 1 - Dose Level 1
n=6 participants at risk
Patients treated with a combination of lenalidomide and liposomal doxorubicin for recurrent epithelia ovarian, fallopian tube or primary peritoneal cancer. Lenalidomide: Administered by mouth at the assigned dose of 10 mg daily of each 28 day cycle pegylated liposomal doxorubicin hydrochloride: Liposomal doxorubicin at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 1 - Dose Level 2
n=5 participants at risk
Patients treated with a combination of lenalidomide and liposomal doxorubicin for recurrent epithelia ovarian, fallopian tube or primary peritoneal cancer. Lenalidomide: Administered by mouth at the assigned dose of 15 mg daily of each 28 day cycle pegylated liposomal doxorubicin hydrochloride: Liposomal doxorubicin at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Phase 2
n=4 participants at risk
Patients treated with a combination of lenalidomide and liposomal doxorubicin for recurrent epithelia ovarian, fallopian tube or primary peritoneal cancer. Lenalidomide: Administered by mouth at the assigned dose of 10 mg daily of each 28 day cycle pegylated liposomal doxorubicin hydrochloride: Liposomal doxorubicin at a fixed dose of 40 mg/m\^2 intravenously (IV) on day 1 of each 28 day cycle
Blood and lymphatic system disorders
Anemia
0.00%
0/6
20.0%
1/5
25.0%
1/4
Endocrine disorders
Hypothyroidism
0.00%
0/6
0.00%
0/5
25.0%
1/4
Eye disorders
Blurred vision
0.00%
0/6
20.0%
1/5
0.00%
0/4
Gastrointestinal disorders
Abdominal pain
33.3%
2/6
0.00%
0/5
50.0%
2/4
Gastrointestinal disorders
Constipation
33.3%
2/6
40.0%
2/5
25.0%
1/4
Gastrointestinal disorders
Diarrhea
16.7%
1/6
40.0%
2/5
25.0%
1/4
Gastrointestinal disorders
Dry mouth
0.00%
0/6
0.00%
0/5
25.0%
1/4
Gastrointestinal disorders
Dyspepsia
16.7%
1/6
0.00%
0/5
25.0%
1/4
Gastrointestinal disorders
Mucositis, oral
0.00%
0/6
20.0%
1/5
0.00%
0/4
Gastrointestinal disorders
Nausea
16.7%
1/6
0.00%
0/5
75.0%
3/4
Gastrointestinal disorders
Stomach pain
0.00%
0/6
0.00%
0/5
25.0%
1/4
Gastrointestinal disorders
Toothache
0.00%
0/6
0.00%
0/5
25.0%
1/4
Gastrointestinal disorders
Vomiting
16.7%
1/6
0.00%
0/5
0.00%
0/4
Gastrointestinal disorders
Anal pain
0.00%
0/6
20.0%
1/5
0.00%
0/4
General disorders
Edema, limbs
16.7%
1/6
0.00%
0/5
25.0%
1/4
General disorders
Fatigue
33.3%
2/6
60.0%
3/5
50.0%
2/4
General disorders
Pain NOS
0.00%
0/6
0.00%
0/5
50.0%
2/4
General disorders
Chills
0.00%
0/6
20.0%
1/5
0.00%
0/4
Infections and infestations
Bronchial infection
16.7%
1/6
0.00%
0/5
0.00%
0/4
Infections and infestations
Sinusitis
0.00%
0/6
0.00%
0/5
25.0%
1/4
Investigations
Lymphocyte count decreased
0.00%
0/6
0.00%
0/5
25.0%
1/4
Investigations
Neutrophil count decreased
33.3%
2/6
20.0%
1/5
50.0%
2/4
Investigations
Platelet count decreased
0.00%
0/6
20.0%
1/5
25.0%
1/4
Investigations
White blood cell count decreased
0.00%
0/6
0.00%
0/5
50.0%
2/4
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/6
0.00%
0/5
25.0%
1/4
Metabolism and nutrition disorders
Dehydration
16.7%
1/6
0.00%
0/5
0.00%
0/4
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/6
0.00%
0/5
25.0%
1/4
Musculoskeletal and connective tissue disorders
Muscle cramps, foot
16.7%
1/6
0.00%
0/5
0.00%
0/4
Nervous system disorders
Ataxia
0.00%
0/6
20.0%
1/5
0.00%
0/4
Nervous system disorders
Dizziness
0.00%
0/6
20.0%
1/5
25.0%
1/4
Nervous system disorders
Dysgeusia
16.7%
1/6
0.00%
0/5
0.00%
0/4
Nervous system disorders
Headache
0.00%
0/6
0.00%
0/5
25.0%
1/4
Nervous system disorders
Peripheral sensory neuropathy
16.7%
1/6
0.00%
0/5
0.00%
0/4
Psychiatric disorders
Confusion
0.00%
0/6
20.0%
1/5
0.00%
0/4
Psychiatric disorders
Depression
0.00%
0/6
0.00%
0/5
25.0%
1/4
Psychiatric disorders
Insomnia
16.7%
1/6
0.00%
0/5
50.0%
2/4
Renal and urinary disorders
Burning with urination, intermittent
0.00%
0/6
0.00%
0/5
25.0%
1/4
Renal and urinary disorders
Bladder discomfort NOS
0.00%
0/6
0.00%
0/5
25.0%
1/4
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/6
20.0%
1/5
0.00%
0/4
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.7%
1/6
20.0%
1/5
0.00%
0/4
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/6
0.00%
0/5
25.0%
1/4
Respiratory, thoracic and mediastinal disorders
Shortness of breath with intermittent wheezing
16.7%
1/6
0.00%
0/5
0.00%
0/4
Skin and subcutaneous tissue disorders
Alopecia
16.7%
1/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Night sweats
0.00%
0/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Plantar palmar erythrodysesthesia syndrome
0.00%
0/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Rash maculopapular
16.7%
1/6
20.0%
1/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Rash pruritic
0.00%
0/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Red spots, hands
0.00%
0/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.00%
0/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Skin pain
0.00%
0/6
0.00%
0/5
25.0%
1/4
Infections and infestations
Infection, toe
0.00%
0/6
0.00%
0/5
25.0%
1/4
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/6
20.0%
1/5
0.00%
0/4
Skin and subcutaneous tissue disorders
Pruritis
33.3%
2/6
0.00%
0/5
0.00%
0/4
Skin and subcutaneous tissue disorders
Rash, lower extremeities
0.00%
0/6
0.00%
0/5
25.0%
1/4
Vascular disorders
Hypertension
0.00%
0/6
0.00%
0/5
25.0%
1/4
Vascular disorders
Hypotension
0.00%
0/6
20.0%
1/5
0.00%
0/4
Vascular disorders
Phlebitis, arm
0.00%
0/6
0.00%
0/5
25.0%
1/4
Musculoskeletal and connective tissue disorders
Hip pain
0.00%
0/6
20.0%
1/5
0.00%
0/4

Additional Information

Dr. Levi Downs, Jr

University of Minnesota, Dept. of OBGYN

Phone: 612-626-3111

Results disclosure agreements

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