Trial Outcomes & Findings for Carboplatin, Paclitaxel, and Temozolomide for Patients With Metastatic Melanoma (NCT NCT01009515)

NCT ID: NCT01009515

Last Updated: 2017-10-18

Results Overview

Tumor response is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by physical exam and/or computerized tomography (CT): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The Objective Response Rate (ORR) is the sum of the percentages of patients achieving CR or PR.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

19 participants

Primary outcome timeframe

6 months

Results posted on

2017-10-18

Participant Flow

Subjects were recruited from sites in the New Mexico Cancer Care Alliance from October, 2009 to March, 2013.

Participant milestones

Participant milestones
Measure
Chemotherapy Combination
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Overall Study
STARTED
19
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Chemotherapy Combination
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Carboplatin, Paclitaxel, and Temozolomide for Patients With Metastatic Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chemotherapy Combination
n=19 Participants
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Race/Ethnicity, Customized
White non-Hispanic
14 participants
n=5 Participants
Race/Ethnicity, Customized
White Hispanic
4 participants
n=5 Participants
Race/Ethnicity, Customized
Black
1 participants
n=5 Participants
Region of Enrollment
United States
19 participants
n=5 Participants
Site of Metastasis
Brain
1 participants
n=5 Participants
Site of Metastasis
Bone
8 participants
n=5 Participants
Site of Metastasis
Liver
7 participants
n=5 Participants
Site of Metastasis
Lung
14 participants
n=5 Participants
Site of Metastasis
Other visceral organs
12 participants
n=5 Participants
Site of Metastasis
Regional Lymph Nodes
10 participants
n=5 Participants
Previous Therapy
Surgery
16 participants
n=5 Participants
Previous Therapy
Radiation
8 participants
n=5 Participants
Previous Therapy
Chemotherapy
4 participants
n=5 Participants
Previous Therapy
Interferon
5 participants
n=5 Participants
Previous Therapy
Immune Vaccines
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: The 16 patients who completed treatment were evaluable for the endpoint of overall response rate.

Tumor response is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by physical exam and/or computerized tomography (CT): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. The Objective Response Rate (ORR) is the sum of the percentages of patients achieving CR or PR.

Outcome measures

Outcome measures
Measure
Chemotherapy Combination
n=16 Participants
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Objective Response Rate (ORR)
Complete response (CR)
1 participants
Objective Response Rate (ORR)
Partial response (PR)
3 participants
Objective Response Rate (ORR)
Stable disease
0 participants
Objective Response Rate (ORR)
Progressive disease (PD)
12 participants
Objective Response Rate (ORR)
ORR (CR + PR)
4 participants

SECONDARY outcome

Timeframe: 2 years

Population: The 16 patients who completed treatment were evaluable for survival analysis.

The time from treatment initiation to death by any cause.

Outcome measures

Outcome measures
Measure
Chemotherapy Combination
n=16 Participants
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Overall Survival
47 weeks
Interval 24.0 to 69.0

SECONDARY outcome

Timeframe: Up to 30 days after last on-study treatment, for up to 2 years

Population: All patients who had received at least one dose of on-study treatment were evaluable for toxicity.

All toxicities encountered during the study by patients who receive at least one on-study treatment will be graded according to the NCI CTCAE (Version 3.0). The number of patients experiencing adverse events will be reported according to grade.

Outcome measures

Outcome measures
Measure
Chemotherapy Combination
n=19 Participants
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Safety Profile
Fatigue (Grade 1-2)
9 participants
Safety Profile
Fatigue (Grade 3-4)
1 participants
Safety Profile
Fever (Grade 1-2)
0 participants
Safety Profile
Fever (Grade 3-4)
1 participants
Safety Profile
Weight loss (Grade 1-2)
0 participants
Safety Profile
Weight loss (Grade 3-4)
1 participants
Safety Profile
Anorexia (Grade 1-2)
1 participants
Safety Profile
Anorexia (Grade 3-4)
0 participants
Safety Profile
Diarrhea (Grade 1-2)
5 participants
Safety Profile
Diarrhea (Grade 3-4)
1 participants
Safety Profile
Aspartate aminotransferase increased (Grade 1-2)
2 participants
Safety Profile
Aspartate aminotransferase increased (Grade 3-4)
1 participants
Safety Profile
Vomiting (Grade 1-2)
2 participants
Safety Profile
Vomiting (Grade 3-4)
1 participants
Safety Profile
Gastrointestinal Bleed (Grade 1-2)
0 participants
Safety Profile
Gastrointestinal Bleed (Grade 3-4)
1 participants
Safety Profile
Nausea (Grade 1-2)
12 participants
Safety Profile
Nausea (Grade 3-4)
0 participants
Safety Profile
Alanine aminotransferase increased (Grade 1-2)
2 participants
Safety Profile
Alanine aminotransferase increased (Grade 3-4)
0 participants
Safety Profile
Hyperbilirubinemia (Grade 1-2)
1 participants
Safety Profile
Hyperbilirubinemia (Grade 3-4)
0 participants
Safety Profile
Neutropenia (Grade 1-2)
3 participants
Safety Profile
Neutropenia (Grade 3-4)
2 participants
Safety Profile
Anemia (Grade 1-2)
4 participants
Safety Profile
Anemia (Grade 3-4)
0 participants
Safety Profile
Lymphopenia (Grade 1-2)
4 participants
Safety Profile
Lymphopenia (Grade 3-4)
1 participants
Safety Profile
Leukopenia (Grade 1-2)
7 participants
Safety Profile
Leukopenia (Grade 3-4)
0 participants
Safety Profile
Thrombocytopenia (Grade 1-2)
3 participants
Safety Profile
Thrombocytopenia (Grade 3-4)
0 participants
Safety Profile
Hyperglycemia (Grade 1-2)
3 participants
Safety Profile
Hyperglycemia (Grade 3-4)
1 participants
Safety Profile
Hypophosphatemia (Grade 1-2)
0 participants
Safety Profile
Hypophosphatemia (Grade 3-4)
1 participants
Safety Profile
Hypokalemia (Grade 1-2)
3 participants
Safety Profile
Hypokalemia (Grade 3-4)
0 participants
Safety Profile
Hyponatremia (Grade 1-2)
3 participants
Safety Profile
Hyponatremia (Grade 3-4)
0 participants
Safety Profile
Chest wall pain (Grade 1-2)
1 participants
Safety Profile
Chest wall pain (Grade 3-4)
1 participants
Safety Profile
Bone pain (Grade 1-2)
2 participants
Safety Profile
Bone pain (Grade 3-4)
0 participants
Safety Profile
Muscle weakness, lower limb (Grade 1-2)
2 participants
Safety Profile
Muscle weakness, lower limb (Grade 3-4)
0 participants
Safety Profile
Joint pain (Grade 1-2)
1 participants
Safety Profile
Joint pain (Grade 3-4)
0 participants
Safety Profile
Drowsiness (Grade 1-2)
0 participants
Safety Profile
Drowsiness (Grade 3-4)
1 participants
Safety Profile
Peripheral Sensory Neuropathy (Grade 1-2)
3 participants
Safety Profile
Peripheral Sensory Neutropenia (Grade 3-4)
0 participants
Safety Profile
Pericardial effusion (Grade 1-2)
0 participants
Safety Profile
Pericardial effusion (Grade 3-4)
1 participants
Safety Profile
Edema limbs (Grade 1-2)
1 participants
Safety Profile
Edema limbs (Grade 3-4)
0 participants
Safety Profile
Alopecia (Grade 1-2)
8 participants
Safety Profile
Alopecia (Grade 3-4)
0 participants
Safety Profile
Rash (Grade 1-2)
4 participants
Safety Profile
Rash (Grade 3-4)
0 participants
Safety Profile
Dry mouth (Grade 1-2)
3 participants
Safety Profile
Dry mouth (Grade 3-4)
0 participants

SECONDARY outcome

Timeframe: 2 years

Population: The 16 patients who completed treatment were evaluable for progression-free survival.

The time from treatment initiation to disease progression or death by any cause. Progression is evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.0). Target lesions are assessed by physical exam or computerized tomography (CT): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient decrease in the sum of the longest diameter of target lesions to qualify for PR nor sufficient increase in the sum of the longest diameter of target lesions to qualify for Progressive Disease; Progressive Disease (PD), 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Chemotherapy Combination
n=16 Participants
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Time to Progression
31 weeks
Interval 19.0 to 58.0

Adverse Events

Chemotherapy Combination

Serious events: 6 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Chemotherapy Combination
n=19 participants at risk
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Cardiac disorders
Cardiac ischemia/infarction
5.3%
1/19 • Number of events 1
General disorders
Death
5.3%
1/19 • Number of events 1
General disorders
Fever
5.3%
1/19 • Number of events 1
Gastrointestinal disorders
Gastrointestinal hemorrhage
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Induration
5.3%
1/19 • Number of events 1
Cardiac disorders
Pericardial effusion
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Skin infection
5.3%
1/19 • Number of events 1
Gastrointestinal disorders
Vomiting
5.3%
1/19 • Number of events 1

Other adverse events

Other adverse events
Measure
Chemotherapy Combination
n=19 participants at risk
Chemotherapy Combination of paclitaxel, carboplatin, temozolomide: Carboplatin at an AUC of 5 on Day 1, paclitaxel at 175 mg/m2 on Day 1, and temozolomide at 125 mg/m2 Day 2-Day 6, on a 28 day cycle. Paclitaxel, carboplatin, temozolomide: Combination chemotherapy was administered for up to 6 cycles
Immune system disorders
Allergic reaction
5.3%
1/19 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Nasal congestion
10.5%
2/19 • Number of events 3
Blood and lymphatic system disorders
Hemoglobin levels decreased
21.1%
4/19 • Number of events 7
Blood and lymphatic system disorders
Leukopenia (leukocytes decreased)
36.8%
7/19 • Number of events 8
Blood and lymphatic system disorders
Lymphopenia (lymphocytes decreased)
26.3%
5/19 • Number of events 5
Blood and lymphatic system disorders
Neutrophils decreased
15.8%
3/19 • Number of events 6
Blood and lymphatic system disorders
Platelets decreased
26.3%
5/19 • Number of events 5
Cardiac disorders
Hypotension (Low blood pressure)
5.3%
1/19 • Number of events 1
Cardiac disorders
Atrial tachycardia
5.3%
1/19 • Number of events 1
Cardiac disorders
Palpitations
5.3%
1/19 • Number of events 1
General disorders
Sinus tachycardia
15.8%
3/19 • Number of events 5
General disorders
Fatigue
52.6%
10/19 • Number of events 12
General disorders
Fever
5.3%
1/19 • Number of events 1
General disorders
Rigors/chills
5.3%
1/19 • Number of events 1
General disorders
Weight loss
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Alopecia (Hair loss)
42.1%
8/19 • Number of events 8
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other: Folliculitis
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
5.3%
1/19 • Number of events 2
Skin and subcutaneous tissue disorders
Skin hypopigmentation
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Nail changes
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus (Itching)
5.3%
1/19 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
21.1%
4/19 • Number of events 5
Skin and subcutaneous tissue disorders
Increased sweating
10.5%
2/19 • Number of events 2
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
5.3%
1/19 • Number of events 1
Gastrointestinal disorders
Abdominal distention
5.3%
1/19 • Number of events 2
Gastrointestinal disorders
Anorexia (Decreased appetite)
5.3%
1/19 • Number of events 2
Gastrointestinal disorders
Ascites
5.3%
1/19 • Number of events 1
Gastrointestinal disorders
Constipation
21.1%
4/19 • Number of events 4
Gastrointestinal disorders
Dehydration
5.3%
1/19 • Number of events 1
Gastrointestinal disorders
Diarrhea
26.3%
5/19 • Number of events 6
Gastrointestinal disorders
Dry mouth
15.8%
3/19 • Number of events 3
Gastrointestinal disorders
Dyspepsia (Indigestion)
5.3%
1/19 • Number of events 3
Gastrointestinal disorders
Nausea
68.4%
13/19 • Number of events 24
Gastrointestinal disorders
Taste alteration
5.3%
1/19 • Number of events 1
Gastrointestinal disorders
Vomiting
10.5%
2/19 • Number of events 2
Renal and urinary disorders
Bladder hemorrhage
5.3%
1/19 • Number of events 1
Infections and infestations
Bladder infection
5.3%
1/19 • Number of events 1
Infections and infestations
Infection
5.3%
1/19 • Number of events 1
Infections and infestations
Upper respiratory infection
5.3%
1/19 • Number of events 1
Blood and lymphatic system disorders
Edema limbs
10.5%
2/19 • Number of events 3
Blood and lymphatic system disorders
Localized edema
5.3%
1/19 • Number of events 3
Investigations
Alanine aminotransferase increased
10.5%
2/19 • Number of events 2
Investigations
Alkaline phosphatase increased
21.1%
4/19 • Number of events 4
Investigations
Aspartate aminotransferase increased
15.8%
3/19 • Number of events 7
Investigations
Creatinine increased
15.8%
3/19 • Number of events 3
Investigations
Hyperbilirubinemia (high bilirubin levels)
5.3%
1/19 • Number of events 1
Investigations
Hypercalcemia (high calcium levels)
5.3%
1/19 • Number of events 1
Investigations
Hyperglycemia (high blood sugar)
36.8%
7/19 • Number of events 9
Investigations
Hyperkalemia (high potassium levels)
5.3%
1/19 • Number of events 1
Investigations
Hypermagnesemia (high magnesium levels)
5.3%
1/19 • Number of events 1
Investigations
Hypoalbuminemia (low albumin protein levels)
10.5%
2/19 • Number of events 3
Investigations
Hypocalcemia (low calcium levels)
5.3%
1/19 • Number of events 1
Investigations
Hypokalemia (low potassium levels)
21.1%
4/19 • Number of events 4
Investigations
Hypomagnesemia (low magnesium levels)
10.5%
2/19 • Number of events 2
Investigations
Hyponatremia (low sodium levels)
21.1%
4/19 • Number of events 5
Investigations
Hypophosphatemia (low phosphate levels)
5.3%
1/19 • Number of events 1
Investigations
Increased lactate dehydrogenase levels
21.1%
4/19 • Number of events 6
Investigations
Laboratory test abnormal
5.3%
1/19 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
10.5%
2/19 • Number of events 2
Musculoskeletal and connective tissue disorders
Musculoskeletal disorder
10.5%
2/19 • Number of events 2
Psychiatric disorders
Anxiety
10.5%
2/19 • Number of events 2
Psychiatric disorders
Depressed level of consciousness
5.3%
1/19 • Number of events 3
Psychiatric disorders
Depression
10.5%
2/19 • Number of events 2
General disorders
Headache
5.3%
1/19 • Number of events 1
Psychiatric disorders
Insomnia
5.3%
1/19 • Number of events 1
Nervous system disorders
Peripheral sensory neuropathy
15.8%
3/19 • Number of events 5
General disorders
Ear, nose and throat examination abnormal
5.3%
1/19 • Number of events 1
General disorders
Abdominal pain
5.3%
1/19 • Number of events 2
General disorders
Back pain
5.3%
1/19 • Number of events 1
General disorders
Bone pain
15.8%
3/19 • Number of events 6
General disorders
Buttock pain
5.3%
1/19 • Number of events 1
General disorders
Chest wall pain
5.3%
1/19 • Number of events 2
General disorders
Joint pain
5.3%
1/19 • Number of events 3
General disorders
Neck pain
5.3%
1/19 • Number of events 2
General disorders
Pain - Other
15.8%
3/19 • Number of events 5
General disorders
Pain in extremity
10.5%
2/19 • Number of events 2
General disorders
Pharyngolaryngeal pain (throat pain)
10.5%
2/19 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Cough
15.8%
3/19 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
15.8%
3/19 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Hypoxia (low blood oxygen)
5.3%
1/19 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
5.3%
1/19 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Voice alteration
10.5%
2/19 • Number of events 3
Renal and urinary disorders
Urinary frequency increased
5.3%
1/19 • Number of events 3
Renal and urinary disorders
Urinary frequency decreased
5.3%
1/19 • Number of events 1
Reproductive system and breast disorders
Erectile dysfunction
5.3%
1/19 • Number of events 1

Additional Information

Montaser Shaheen, MD, PhD

University of New Mexico

Phone: 505-925-0404

Results disclosure agreements

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