Trial Outcomes & Findings for A Phase II Study of Neo-Adjuvant Gemcitabine, Cisplatin and Bevacizumab in Stage IIIA (N2) Non-Squamous Cell Non-Small Cell Lung Cancer (NCT NCT00924209)

NCT ID: NCT00924209

Last Updated: 2018-11-30

Results Overview

Complete response is defined as a disappearance of all target lesions and was assessed by the RECIST (Response Evaluation Criteria in Solid Tumors) criteria.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

7 participants

Primary outcome timeframe

25 weeks

Results posted on

2018-11-30

Participant Flow

Participant milestones

Participant milestones
Measure
Stage IIIA Lung Cancer Patients
Non-squamous cell non small cell lung cancer treated with 1250 mg/m\^2 gemcitabine dose for two doses on day 1 and day 8 every 21 days,80 mg/m\^2 cisplatin day 1 every 21 days for 3 cycles, 7.5 mg/kg bevacizumab on day 1 every 21 days for first 2 cycles only, and 100 mg/m\^2 intravenous, and 100 mg/m\^2 etoposide intravenous per day for consecutive 3 days on days 1 to 3 every 3 weeks for 4 cycles
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Phase II Study of Neo-Adjuvant Gemcitabine, Cisplatin and Bevacizumab in Stage IIIA (N2) Non-Squamous Cell Non-Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stage IIIA Lung Cancer Patients
n=7 Participants
Non-squamous cell non small cell lung cancer treated with 1250 mg/m\^2 gemcitabine dose for two doses on day 1 and day 8 every 21 days,80 mg/m\^2 cisplatin day 1 every 21 days for 3 cycles, 7.5 mg/kg bevacizumab on day 1 every 21 days for first 2 cycles only, and 100 mg/m\^2 intravenous, and 100 mg/m\^2 etoposide intravenous per day for consecutive 3 days on days 1 to 3 every 3 weeks for 4 cycles
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Age, Continuous
55.76 years
STANDARD_DEVIATION 6.03 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 25 weeks

Population: No goals were met because of low accrual for which the study was closed.

Complete response is defined as a disappearance of all target lesions and was assessed by the RECIST (Response Evaluation Criteria in Solid Tumors) criteria.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Date treatment consent signed to date off study, approximately 38 months

Here is the number of participants with adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v3.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. For the detailed list of adverse events see the adverse event module.

Outcome measures

Outcome measures
Measure
Stage IIIA Lung Cancer Patients
n=7 Participants
Non-squamous cell non small cell lung cancer treated with 1250 mg/m\^2 gemcitabine dose for two doses on day 1 and day 8 every 21 days,80 mg/m\^2 cisplatin day 1 every 21 days for 3 cycles, 7.5 mg/kg bevacizumab on day 1 every 21 days for first 2 cycles only, and 100 mg/m\^2 intravenous, and 100 mg/m\^2 etoposide intravenous per day for consecutive 3 days on days 1 to 3 every 3 weeks for 4 cycles
Number of Participants With Serious and Non-Serious Adverse Events
7 Participants

SECONDARY outcome

Timeframe: The time between the first day of treatment to the day of disease progression

Population: No goals were met because of low accrual for which the study was closed.

Progression free survival is defined as the time between the first day of treatment to the day of disease progression. Progression will be assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Length of time a participant lives with disease following treatment

Population: No goals were met because of low accrual for which the study was closed.

Median survival is the length of time a participant lives with disease following treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: The time between the first day of treatment to the day of death

Population: No goals were met because of low accrual for which the study was closed.

Overall survival is defined as the time between the first day of treatment to the day of death.

Outcome measures

Outcome data not reported

Adverse Events

Stage IIIA Lung Cancer Patients

Serious events: 3 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Stage IIIA Lung Cancer Patients
n=7 participants at risk
Non-squamous cell non small cell lung cancer treated with 1250 mg/m\^2 gemcitabine dose for two doses on day 1 and day 8 every 21 days,80 mg/m\^2 cisplatin day 1 every 21 days for 3 cycles, 7.5 mg/kg bevacizumab on day 1 every 21 days for first 2 cycles only, and 100 mg/m\^2 intravenous, and 100 mg/m\^2 etoposide intravenous per day for consecutive 3 days on days 1 to 3 every 3 weeks for 4 cycles
Gastrointestinal disorders
Diarrhea
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Respiratory, thoracic and mediastinal disorders
Hypoxia
14.3%
1/7 • Number of events 2 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Nausea
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (Specify, embolism )
28.6%
2/7 • Number of events 2 • Date treatment consent signed to date off study, approximately 38 months.
Nervous system disorders
Seizure
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
14.3%
1/7 • Number of events 4 • Date treatment consent signed to date off study, approximately 38 months.
Vascular disorders
Thrombosis/thrombus/embolism
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.

Other adverse events

Other adverse events
Measure
Stage IIIA Lung Cancer Patients
n=7 participants at risk
Non-squamous cell non small cell lung cancer treated with 1250 mg/m\^2 gemcitabine dose for two doses on day 1 and day 8 every 21 days,80 mg/m\^2 cisplatin day 1 every 21 days for 3 cycles, 7.5 mg/kg bevacizumab on day 1 every 21 days for first 2 cycles only, and 100 mg/m\^2 intravenous, and 100 mg/m\^2 etoposide intravenous per day for consecutive 3 days on days 1 to 3 every 3 weeks for 4 cycles
Investigations
ALT, SGPT (serum glutamic pyruvic transaminase)
28.6%
2/7 • Number of events 5 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
AST, SGOT(serum glutamic oxaloacetic transaminase)
14.3%
1/7 • Number of events 4 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
28.6%
2/7 • Number of events 10 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Anorexia
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
CPK (creatine phosphokinase)
14.3%
1/7 • Number of events 2 • Date treatment consent signed to date off study, approximately 38 months.
Cardiac disorders
Cardiac troponin I (cTnI)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Cardiac disorders
Cardiac troponin I (cTnT)
14.3%
1/7 • Number of events 2 • Date treatment consent signed to date off study, approximately 38 months.
Hepatobiliary disorders
cholecystitis
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
Creatinine
14.3%
1/7 • Number of events 3 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Distension/bloating, abdominal
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Nervous system disorders
Dizziness
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
General disorders
Fatigue (asthenia, lethargy, malaise)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Blood and lymphatic system disorders
Febrile neutropenia
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Heartburn/dyspepsia
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
Hemoglobin
28.6%
2/7 • Number of events 14 • Date treatment consent signed to date off study, approximately 38 months.
Vascular disorders
Hypertension
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Vascular disorders
Hypotension
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Psychiatric disorders
Insomnia
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Cardiac disorders
left ventricular systolic dysfunction
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
Leukocytes
85.7%
6/7 • Number of events 10 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
Lymphopenia
28.6%
2/7 • Number of events 5 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Magnesium, serum-high (hypermagnesemia)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam)::Oral cavity
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Nausea
57.1%
4/7 • Number of events 10 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
Neutrophils/granulocytes (ANC/AGC)
85.7%
6/7 • Number of events 17 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
PTT (Partial Thromboplastin Time)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Pain::Abdomen NOS
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Musculoskeletal and connective tissue disorders
Pain: Back
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Musculoskeletal and connective tissue disorders
Pain::Chest wall
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Cardiac disorders
Pericardial effusion (non-malignant)
14.3%
1/7 • Number of events 2 • Date treatment consent signed to date off study, approximately 38 months.
Vascular disorders
Phlebitis (including superficial thrombosis)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
14.3%
1/7 • Number of events 3 • Date treatment consent signed to date off study, approximately 38 months.
Investigations
Platelets
57.1%
4/7 • Number of events 9 • Date treatment consent signed to date off study, approximately 38 months.
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Skin and subcutaneous tissue disorders
Rash/desquamation
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Vascular disorders
Thrombosis/embolism (vascular access-related)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Metabolism and nutrition disorders
Uric acid, serum-high (hyperuricemia)
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.
Gastrointestinal disorders
Vomiting
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, approximately 38 months.

Additional Information

Caryn Steakley, Deputy Clinical Director

National Cancer Institute, National Institutes of Health

Phone: 240-858-3749

Results disclosure agreements

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