Trial Outcomes & Findings for Study of Gemcitabine, Irinotecan and Panitumumab in Patients With Advanced and Metastatic Biliary Tract Adenocarcinoma (NCT NCT00948935)

NCT ID: NCT00948935

Last Updated: 2020-03-11

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

35 participants

Primary outcome timeframe

5 months

Results posted on

2020-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
Chemotherapy
Gemcitabine (Days 1, 8), irinotecan (days 1, 8) and panitumumab (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities. Gemcitabine, Irinotecan, Panitumumab: Gemcitabine 1000 mg/m2 over 100 minutes(Days 1, 8), irinotecan 100 mg/m2 IV over 60 minutes(days 1, 8) and panitumumab 9 mg/kg IV (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities.
Overall Study
STARTED
35
Overall Study
COMPLETED
35
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Gemcitabine, Irinotecan and Panitumumab in Patients With Advanced and Metastatic Biliary Tract Adenocarcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chemotherapy
n=35 Participants
Gemcitabine (Days 1, 8), irinotecan (days 1, 8) and panitumumab (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities. Gemcitabine, Irinotecan, Panitumumab: Gemcitabine 1000 mg/m2 over 100 minutes(Days 1, 8), irinotecan 100 mg/m2 IV over 60 minutes(days 1, 8) and panitumumab 9 mg/kg IV (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
Age, Categorical
>=65 years
15 Participants
n=5 Participants
Age, Continuous
62 years
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
Region of Enrollment
United States
35 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 months

Outcome measures

Outcome measures
Measure
Chemotherapy
n=35 Participants
Gemcitabine (Days 1, 8), irinotecan (days 1, 8) and panitumumab (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities. Gemcitabine, Irinotecan, Panitumumab: Gemcitabine 1000 mg/m2 over 100 minutes(Days 1, 8), irinotecan 100 mg/m2 IV over 60 minutes(days 1, 8) and panitumumab 9 mg/kg IV (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities.
Progression Free Survival Rate at Five Months
69 percentage of participants

SECONDARY outcome

Timeframe: 5 months

Outcome measures

Outcome measures
Measure
Chemotherapy
n=35 Participants
Gemcitabine (Days 1, 8), irinotecan (days 1, 8) and panitumumab (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities. Gemcitabine, Irinotecan, Panitumumab: Gemcitabine 1000 mg/m2 over 100 minutes(Days 1, 8), irinotecan 100 mg/m2 IV over 60 minutes(days 1, 8) and panitumumab 9 mg/kg IV (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities.
Response Rate From Combination Chemotherapy
Complete Response
2 Participants
Response Rate From Combination Chemotherapy
Partial Response
9 Participants
Response Rate From Combination Chemotherapy
Stable Disease
15 Participants
Response Rate From Combination Chemotherapy
Progressive Disease
2 Participants
Response Rate From Combination Chemotherapy
Not Assessable
7 Participants

Adverse Events

Chemotherapy

Serious events: 21 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Chemotherapy
n=35 participants at risk
Gemcitabine (Days 1, 8), irinotecan (days 1, 8) and panitumumab (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities. Gemcitabine, Irinotecan, Panitumumab: Gemcitabine 1000 mg/m2 over 100 minutes(Days 1, 8), irinotecan 100 mg/m2 IV over 60 minutes(days 1, 8) and panitumumab 9 mg/kg IV (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities.
Cardiac disorders
Cardiac Arrhythmia
2.9%
1/35 • Number of events 1
General disorders
Fatigue
2.9%
1/35 • Number of events 1
General disorders
Fever
11.4%
4/35 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Respiratory Arrest
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Dehydration
14.3%
5/35 • Number of events 6
Gastrointestinal disorders
Diarrhea
5.7%
2/35 • Number of events 2
Gastrointestinal disorders
Free Air
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Obstruction, GI
8.6%
3/35 • Number of events 5
Infections and infestations
Abdomen NOS
2.9%
1/35 • Number of events 1
Infections and infestations
Febrile Neutropenia
2.9%
1/35 • Number of events 1
Infections and infestations
Neurological Meningitis
2.9%
1/35 • Number of events 1
Infections and infestations
Sepsis
2.9%
1/35 • Number of events 1
Infections and infestations
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophils (ANC <1.0 x 10e
2.9%
1/35 • Number of events 1
Infections and infestations
Infection with normal ANC or Grade 1 or 2 neutrophils
2.9%
1/35 • Number of events 1
Infections and infestations
Infection with unknown ANC
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Hyperbilirubinemia
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Hypercalcemia
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Hypomagnesemia
2.9%
1/35 • Number of events 1
Nervous system disorders
Confusion
2.9%
1/35 • Number of events 1
Nervous system disorders
Encephalopathy
2.9%
1/35 • Number of events 2
Nervous system disorders
Syncope (fainting)
2.9%
1/35 • Number of events 2
General disorders
Pain
2.9%
1/35 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.9%
1/35 • Number of events 1
Reproductive system and breast disorders
chronic obstructive pulmonary disease
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
2.9%
1/35 • Number of events 1
Renal and urinary disorders
Renal Failure
2.9%
1/35 • Number of events 1
Vascular disorders
Peripheral arterial ischemia
2.9%
1/35 • Number of events 2
Vascular disorders
Thrombosis/thombus/embolism
11.4%
4/35 • Number of events 8

Other adverse events

Other adverse events
Measure
Chemotherapy
n=35 participants at risk
Gemcitabine (Days 1, 8), irinotecan (days 1, 8) and panitumumab (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities. Gemcitabine, Irinotecan, Panitumumab: Gemcitabine 1000 mg/m2 over 100 minutes(Days 1, 8), irinotecan 100 mg/m2 IV over 60 minutes(days 1, 8) and panitumumab 9 mg/kg IV (day 1) every 3 weeks as a cycle. Continue until disease progression or unacceptable toxicities.
Metabolism and nutrition disorders
hypoglymcemia
34.3%
12/35 • Number of events 30
Musculoskeletal and connective tissue disorders
carpal tunel
2.9%
1/35 • Number of events 1
Nervous system disorders
hand tremors
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
2.9%
1/35 • Number of events 1
Nervous system disorders
headache
31.4%
11/35 • Number of events 12
Gastrointestinal disorders
bloating
14.3%
5/35 • Number of events 5
Gastrointestinal disorders
abdominal cramping
2.9%
1/35 • Number of events 2
Gastrointestinal disorders
abdominal fullness
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
abdominal pain
45.7%
16/35 • Number of events 18
Metabolism and nutrition disorders
acidosis
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
acne-form
5.7%
2/35 • Number of events 2
Vascular disorders
acute arterial occulsion LLE
2.9%
1/35 • Number of events 1
General disorders
infusion reaction
8.6%
3/35 • Number of events 3
Renal and urinary disorders
acute renal failure
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Hypoalbuminemia
80.0%
28/35 • Number of events 107
Metabolism and nutrition disorders
alkaline phosphatase (high)
62.9%
22/35 • Number of events 59
Metabolism and nutrition disorders
alkalosis
2.9%
1/35 • Number of events 1
Immune system disorders
allergic rhinitis
2.9%
1/35 • Number of events 1
Immune system disorders
tape allergy
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
alopecia
54.3%
19/35 • Number of events 20
Metabolism and nutrition disorders
Alanine Aminotransferase (high)
45.7%
16/35 • Number of events 35
Metabolism and nutrition disorders
amylase (high)
2.9%
1/35 • Number of events 1
Blood and lymphatic system disorders
neutropenia
57.1%
20/35 • Number of events 90
Gastrointestinal disorders
anorexia
37.1%
13/35 • Number of events 17
Psychiatric disorders
anxiety
25.7%
9/35 • Number of events 10
Infections and infestations
ascending cholangitis
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
ascites
11.4%
4/35 • Number of events 4
Metabolism and nutrition disorders
Aspartate Aminotransferase (high)
68.6%
24/35 • Number of events 55
Respiratory, thoracic and mediastinal disorders
atelectasis
2.9%
1/35 • Number of events 1
Blood and lymphatic system disorders
edema
48.6%
17/35 • Number of events 42
Musculoskeletal and connective tissue disorders
back pain
34.3%
12/35 • Number of events 22
Gastrointestinal disorders
belching
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Metabolic Acidosis
31.4%
11/35 • Number of events 14
Metabolism and nutrition disorders
bilirubin (high)
48.6%
17/35 • Number of events 32
Vascular disorders
hemorrhoids
2.9%
1/35 • Number of events 1
Eye disorders
blurred vision
8.6%
3/35 • Number of events 3
Musculoskeletal and connective tissue disorders
Body Aches
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
low calcium
80.0%
28/35 • Number of events 94
Metabolism and nutrition disorders
high calcium
5.7%
2/35 • Number of events 3
Infections and infestations
cellulitis
2.9%
1/35 • Number of events 1
Nervous system disorders
cerebro-vascular ischemia
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
cheliosis
8.6%
3/35 • Number of events 3
General disorders
Chills
11.4%
4/35 • Number of events 6
Immune system disorders
cold (respiratory)
2.9%
1/35 • Number of events 1
Psychiatric disorders
confusion
8.6%
3/35 • Number of events 3
Respiratory, thoracic and mediastinal disorders
congestion
5.7%
2/35 • Number of events 2
Infections and infestations
conjuctivitis
8.6%
3/35 • Number of events 5
Gastrointestinal disorders
constipation
65.7%
23/35 • Number of events 33
Skin and subcutaneous tissue disorders
contact dermatitis
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
cough
37.1%
13/35 • Number of events 17
Metabolism and nutrition disorders
high creatinine
20.0%
7/35 • Number of events 8
Gastrointestinal disorders
decreased appetite
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
dehydration
37.1%
13/35 • Number of events 17
Psychiatric disorders
dementia
2.9%
1/35 • Number of events 1
Psychiatric disorders
depression
22.9%
8/35 • Number of events 14
Blood and lymphatic system disorders
dermal changes
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
diarrhea
71.4%
25/35 • Number of events 51
General disorders
dizziness
34.3%
12/35 • Number of events 17
Respiratory, thoracic and mediastinal disorders
dry cough
2.9%
1/35 • Number of events 2
Eye disorders
dry eye
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
dry mouth
8.6%
3/35 • Number of events 4
Skin and subcutaneous tissue disorders
dry skin
28.6%
10/35 • Number of events 15
Respiratory, thoracic and mediastinal disorders
dyspnea
37.1%
13/35 • Number of events 18
Gastrointestinal disorders
Dysgeusia
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Dyspepsia
5.7%
2/35 • Number of events 2
Gastrointestinal disorders
dysphagia
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
electrolyte imbalance
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
elevated LTF
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
epistaxis
11.4%
4/35 • Number of events 5
Reproductive system and breast disorders
erectile dysfunction
5.7%
2/35 • Number of events 3
Skin and subcutaneous tissue disorders
exostosis
2.9%
1/35 • Number of events 1
Infections and infestations
eye infection
5.7%
2/35 • Number of events 3
Injury, poisoning and procedural complications
fall
2.9%
1/35 • Number of events 1
General disorders
fatigue
74.3%
26/35 • Number of events 39
Infections and infestations
febrile neutropenia
8.6%
3/35 • Number of events 3
General disorders
Fever
20.0%
7/35 • Number of events 11
Gastrointestinal disorders
flatulance
14.3%
5/35 • Number of events 5
Eye disorders
floater
2.9%
1/35 • Number of events 2
General disorders
flu-like symptoms
2.9%
1/35 • Number of events 1
Vascular disorders
Flush
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
Foot pain
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
fracture
5.7%
2/35 • Number of events 2
Infections and infestations
fungal infection
22.9%
8/35 • Number of events 9
General disorders
aches
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
hypergylcemia
77.1%
27/35 • Number of events 150
Gastrointestinal disorders
heartburn
11.4%
4/35 • Number of events 4
Renal and urinary disorders
hematuria
2.9%
1/35 • Number of events 1
Blood and lymphatic system disorders
anemia
91.4%
32/35 • Number of events 173
Hepatobiliary disorders
Hepatic Encephalopathy
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
herituism
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
hiccups
5.7%
2/35 • Number of events 3
Respiratory, thoracic and mediastinal disorders
hoarseness
2.9%
1/35 • Number of events 1
Vascular disorders
hot flashes
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
Hyperesthesia
2.9%
1/35 • Number of events 1
Vascular disorders
hypertension
14.3%
5/35 • Number of events 5
Skin and subcutaneous tissue disorders
hypertochosis
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
hypokalemia
2.9%
1/35 • Number of events 2
Metabolism and nutrition disorders
Hypomagnesemia
62.9%
22/35 • Number of events 54
Respiratory, thoracic and mediastinal disorders
hypoxia
2.9%
1/35 • Number of events 1
Infections and infestations
skin infection
14.3%
5/35 • Number of events 6
Infections and infestations
sinus infection
2.9%
1/35 • Number of events 1
Infections and infestations
finger infection
2.9%
1/35 • Number of events 1
Psychiatric disorders
insomnia
34.3%
12/35 • Number of events 12
Skin and subcutaneous tissue disorders
itching
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
IV infiltration
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
karatoses
2.9%
1/35 • Number of events 2
Renal and urinary disorders
kidney stone
2.9%
1/35 • Number of events 1
Infections and infestations
toe infection
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
leg cramps
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
leg ulceration
2.9%
1/35 • Number of events 1
Blood and lymphatic system disorders
Leukocytosis
65.7%
23/35 • Number of events 151
Nervous system disorders
light headedness
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
loss of appetite
8.6%
3/35 • Number of events 3
Investigations
lymphopenia
22.9%
8/35 • Number of events 79
Metabolism and nutrition disorders
hypermagnesemia
5.7%
2/35 • Number of events 3
Gastrointestinal disorders
mouth sores
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
mucositis
25.7%
9/35 • Number of events 16
Musculoskeletal and connective tissue disorders
muscle cramping
5.7%
2/35 • Number of events 2
Gastrointestinal disorders
nausea
71.4%
25/35 • Number of events 35
Blood and lymphatic system disorders
neutropenic fever
8.6%
3/35 • Number of events 3
Investigations
Neutrophil count decreased
11.4%
4/35 • Number of events 6
General disorders
night sweats
11.4%
4/35 • Number of events 4
Nervous system disorders
numbness
2.9%
1/35 • Number of events 1
Infections and infestations
oral thrush
2.9%
1/35 • Number of events 1
Infections and infestations
occular infection
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
hypertrichosis
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
periorbital hair changes
5.7%
2/35 • Number of events 2
Skin and subcutaneous tissue disorders
xerosis back
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
buttock pain
2.9%
1/35 • Number of events 1
General disorders
chest pain
2.9%
1/35 • Number of events 2
Hepatobiliary disorders
Hepatic pain
2.9%
1/35 • Number of events 2
Musculoskeletal and connective tissue disorders
Joint Pain
2.9%
1/35 • Number of events 1
Ear and labyrinth disorders
Ear Pain
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
shoulder pain
5.7%
2/35 • Number of events 3
Nervous system disorders
Solar Plexis Pain
2.9%
1/35 • Number of events 2
Musculoskeletal and connective tissue disorders
forearm pain
2.9%
1/35 • Number of events 2
Musculoskeletal and connective tissue disorders
Upper Quadrant Pain
11.4%
4/35 • Number of events 4
Musculoskeletal and connective tissue disorders
Scapula pain
2.9%
1/35 • Number of events 1
Injury, poisoning and procedural complications
stent pain
2.9%
1/35 • Number of events 1
Cardiac disorders
palpitations
11.4%
4/35 • Number of events 4
Infections and infestations
paronychia
5.7%
2/35 • Number of events 5
Vascular disorders
Pulmonary Embolism
11.4%
4/35 • Number of events 5
Cardiac disorders
Pericardial effusion
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Hypophosphatemia
22.9%
8/35 • Number of events 20
Investigations
Platelet count decreased
71.4%
25/35 • Number of events 81
Reproductive system and breast disorders
Pleural effusion
2.9%
1/35 • Number of events 1
Infections and infestations
pneumonia
2.9%
1/35 • Number of events 1
Skin and subcutaneous tissue disorders
poison ivy
2.9%
1/35 • Number of events 2
Metabolism and nutrition disorders
Hypokalemia
51.4%
18/35 • Number of events 58
Skin and subcutaneous tissue disorders
Pruritis
2.9%
1/35 • Number of events 2
Investigations
Activated partial thromboplastin time prolonged
8.6%
3/35 • Number of events 9
Skin and subcutaneous tissue disorders
rash
94.3%
33/35 • Number of events 135
Renal and urinary disorders
rectal bleeding
8.6%
3/35 • Number of events 3
Renal and urinary disorders
rectal fissure
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
reflux
2.9%
1/35 • Number of events 2
Renal and urinary disorders
renal failure
2.9%
1/35 • Number of events 1
Infections and infestations
respiratory infection
2.9%
1/35 • Number of events 2
Immune system disorders
rhinitis
5.7%
2/35 • Number of events 2
General disorders
rigors
2.9%
1/35 • Number of events 1
Eye disorders
scratched cornea
2.9%
1/35 • Number of events 1
Immune system disorders
seasonal allergy
2.9%
1/35 • Number of events 1
Infections and infestations
sepsis
8.6%
3/35 • Number of events 3
Infections and infestations
septic shock
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
shortness of breath
8.6%
3/35 • Number of events 4
Nervous system disorders
sinus headache
2.9%
1/35 • Number of events 1
Vascular disorders
sinus tachcardia
2.9%
1/35 • Number of events 1
Infections and infestations
sinusitus
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
small bowel obstruction
5.7%
2/35 • Number of events 4
Metabolism and nutrition disorders
Hypernatremia
8.6%
3/35 • Number of events 3
Metabolism and nutrition disorders
Hyponatremia
65.7%
23/35 • Number of events 66
Nervous system disorders
somnolence
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
sore throat
11.4%
4/35 • Number of events 4
General disorders
sweating
8.6%
3/35 • Number of events 4
Nervous system disorders
syncope
5.7%
2/35 • Number of events 2
Gastrointestinal disorders
taste alteration
14.3%
5/35 • Number of events 5
Vascular disorders
deep vein thrombosis
5.7%
2/35 • Number of events 2
Blood and lymphatic system disorders
thrombocytosis
2.9%
1/35 • Number of events 1
Vascular disorders
thrombosis
5.7%
2/35 • Number of events 2
Infections and infestations
thrush
11.4%
4/35 • Number of events 7
Skin and subcutaneous tissue disorders
trichomegaly
11.4%
4/35 • Number of events 4
Metabolism and nutrition disorders
Hypertriglyceridemia
2.9%
1/35 • Number of events 1
Respiratory, thoracic and mediastinal disorders
upper respiratory congestion
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
upset stomach
2.9%
1/35 • Number of events 1
Infections and infestations
urinary tract infection
11.4%
4/35 • Number of events 5
Injury, poisoning and procedural complications
vessel injury
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
vomiting
40.0%
14/35 • Number of events 24
Investigations
weight loss
28.6%
10/35 • Number of events 13
Infections and infestations
yeast infection
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Hyperkalemia
11.4%
4/35 • Number of events 7

Additional Information

Bruce Giantonio

Abramson Cancer Center

Phone: (215) 615-5858

Results disclosure agreements

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