Trial Outcomes & Findings for Temsirolimus and Cixutumumab in Treating Patients With Locally Advanced, Metastatic, or Recurrent Soft Tissue Sarcoma or Bone Sarcoma (NCT NCT01016015)

NCT ID: NCT01016015

Last Updated: 2015-07-30

Results Overview

From study entry until recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurement recorded on study), death or date of last contact, assessed at 12 weeks

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

178 participants

Primary outcome timeframe

From study entry until recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurement recorded on study), death or date of last contact, assessed at 12 weeks

Results posted on

2015-07-30

Participant Flow

Participant milestones

Participant milestones
Measure
Cixutumumab and Temsirolimus
Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, 22, 29, and 36. Courses repeat every 42 days in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
178
Overall Study
COMPLETED
159
Overall Study
NOT COMPLETED
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Cixutumumab and Temsirolimus
Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, 22, 29, and 36. Courses repeat every 42 days in the absence of disease progression or unacceptable toxicity.
Overall Study
Not Treated
3
Overall Study
Withdrawal by Subject
1
Overall Study
Adverse Event
15

Baseline Characteristics

Temsirolimus and Cixutumumab in Treating Patients With Locally Advanced, Metastatic, or Recurrent Soft Tissue Sarcoma or Bone Sarcoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cixutumumab and Temsirolimus
n=178 Participants
Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, 22, 29, and 36. Courses repeat every 42 days in the absence of disease progression or unacceptable toxicity.
Age, Categorical
<=18 years
4 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
144 Participants
n=5 Participants
Age, Categorical
>=65 years
30 Participants
n=5 Participants
Sex: Female, Male
Female
80 Participants
n=5 Participants
Sex: Female, Male
Male
98 Participants
n=5 Participants
Region of Enrollment
United States
178 participants
n=5 Participants

PRIMARY outcome

Timeframe: From study entry until recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurement recorded on study), death or date of last contact, assessed at 12 weeks

From study entry until recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurement recorded on study), death or date of last contact, assessed at 12 weeks

Outcome measures

Outcome measures
Measure
Cixutumumab and Temsirolimus
n=159 Participants
Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, 22, 29, and 36. Courses repeat every 42 days in the absence of disease progression or unacceptable toxicity.
Progression-free Survival Rate, Defined as CR + PR + SD, as Assessed by RECIST Criteria
Partial Response
4 participants
Progression-free Survival Rate, Defined as CR + PR + SD, as Assessed by RECIST Criteria
Progression of Disease
57 participants
Progression-free Survival Rate, Defined as CR + PR + SD, as Assessed by RECIST Criteria
Stable Disease
98 participants

Adverse Events

Cixutumumab and Temsirolimus

Serious events: 83 serious events
Other events: 62 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cixutumumab and Temsirolimus
n=175 participants at risk
Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, 22, 29, and 36. Courses repeat every 42 days in the absence of disease progression or unacceptable toxicity.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.9%
5/175 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Pneumothorax
1.7%
3/175 • Number of events 3
Gastrointestinal disorders
Proctitis
0.57%
1/175 • Number of events 1
Skin and subcutaneous tissue disorders
Rash acneiform
0.57%
1/175 • Number of events 1
Skin and subcutaneous tissue disorders
Rash maculo papular
0.57%
1/175 • Number of events 1
Renal and urinary disorders
Renal and urinary disorder
1.7%
3/175 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Resp, thoracic & mediastinal disorder Other, spec
0.57%
1/175 • Number of events 1
Skin and subcutaneous tissue disorders
Skin infection
0.57%
1/175 • Number of events 1
Skin and subcutaneous tissue disorders
Skin ulceration
0.57%
1/175 • Number of events 2
Cardiac disorders
Supraventricular tachycardia
0.57%
1/175 • Number of events 1
Surgical and medical procedures
Surgical and medical procedures
0.57%
1/175 • Number of events 1
Nervous system disorders
Syncope
0.57%
1/175 • Number of events 1
Vascular disorders
Thromboembolic event
1.7%
3/175 • Number of events 3
Infections and infestations
Urinary tract infection
2.3%
4/175 • Number of events 7
Gastrointestinal disorders
Vomiting
0.57%
1/175 • Number of events 1
Investigations
White blood cell decreased
4.0%
7/175 • Number of events 10
Gastrointestinal disorders
Abdominal pain
1.7%
3/175 • Number of events 6
Investigations
Alanine aminotransferase increased
1.1%
2/175 • Number of events 2
Investigations
Alkaline phosphatase increased
0.57%
1/175 • Number of events 1
Blood and lymphatic system disorders
Anemia
2.3%
4/175 • Number of events 4
Metabolism and nutrition disorders
Anorexia
0.57%
1/175 • Number of events 1
Gastrointestinal disorders
Ascites
0.57%
1/175 • Number of events 1
Investigations
Aspartate aminotransferase increased
1.1%
2/175 • Number of events 2
Musculoskeletal and connective tissue disorders
Back pain
0.57%
1/175 • Number of events 1
Blood and lymphatic system disorders
Blood and lymph system disorder
0.57%
1/175 • Number of events 1
Investigations
Blood Bilirubin increase
0.57%
1/175 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
0.57%
1/175 • Number of events 1
Cardiac disorders
Cardiac arrest
0.57%
1/175 • Number of events 1
Infections and infestations
Catheter related infection
0.57%
1/175 • Number of events 1
Gastrointestinal disorders
Colitis
1.7%
3/175 • Number of events 3
Gastrointestinal disorders
Colonic fistula
0.57%
1/175 • Number of events 1
Gastrointestinal disorders
Colonic obstruction
0.57%
1/175 • Number of events 1
Gastrointestinal disorders
Colonic perforation
0.57%
1/175 • Number of events 1
Psychiatric disorders
Confusion
0.57%
1/175 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
1.1%
2/175 • Number of events 2
General disorders
Death NOS
6.3%
11/175 • Number of events 11
Metabolism and nutrition disorders
Dehydration
2.9%
5/175 • Number of events 5
Gastrointestinal disorders
Diarrhea
5.1%
9/175 • Number of events 10
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.4%
6/175 • Number of events 7
General disorders
Edema-Limb
0.57%
1/175 • Number of events 1
Investigations
Electrocardiogram QT corrected interval prolonged
0.57%
1/175 • Number of events 1
Eye disorders
Eye disorder
0.57%
1/175 • Number of events 1
General disorders
Fatigue
0.57%
1/175 • Number of events 1
General disorders
Fever
1.7%
3/175 • Number of events 3
Injury, poisoning and procedural complications
Fracture
1.1%
2/175 • Number of events 2
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.57%
1/175 • Number of events 1
Metabolism and nutrition disorders
Glucose intolerance
0.57%
1/175 • Number of events 1
Hepatobiliary disorders
Hepatobiliary disorder
1.1%
2/175 • Number of events 2
Metabolism and nutrition disorders
Hyperglycemia
1.1%
2/175 • Number of events 2
Metabolism and nutrition disorders
Hypertriglyceridemia
2.3%
4/175 • Number of events 4
Metabolism and nutrition disorders
Hypoalbuminemia
1.1%
2/175 • Number of events 2
Metabolism and nutrition disorders
Hypocalcemia
1.1%
2/175 • Number of events 2
Metabolism and nutrition disorders
Hypokalemia
0.57%
1/175 • Number of events 1
Metabolism and nutrition disorders
Hypomagnesemia
1.1%
2/175 • Number of events 2
Metabolism and nutrition disorders
Hyponatremia
4.0%
7/175 • Number of events 7
Metabolism and nutrition disorders
Hypophosphatemia
0.57%
1/175 • Number of events 1
Metabolism and nutrition disorders
Hypotension
0.57%
1/175 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.1%
2/175 • Number of events 2
Infections and infestations
Infection and Infestations
1.7%
3/175 • Number of events 3
Nervous system disorders
Intracranial hemorrhage
0.57%
1/175 • Number of events 2
General disorders
Localized edema
0.57%
1/175 • Number of events 1
Infections and infestations
Lung Infection
4.0%
7/175 • Number of events 8
Investigations
Lymphocyte count decrease
0.57%
1/175 • Number of events 1
Infections and infestations
Mucosal infection
1.1%
2/175 • Number of events 2
Gastrointestinal disorders
Mucositis-Oral
6.9%
12/175 • Number of events 14
Musculoskeletal and connective tissue disorders
Muscle weakness lower limbs
0.57%
1/175 • Number of events 1
Gastrointestinal disorders
Nausea
0.57%
1/175 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
3.4%
6/175 • Number of events 8
General disorders
Non-cardiac chest pain
0.57%
1/175 • Number of events 1
General disorders
Pain
2.9%
5/175 • Number of events 5
Musculoskeletal and connective tissue disorders
Pain in extremity
1.1%
2/175 • Number of events 2
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
0.57%
1/175 • Number of events 1
Infections and infestations
Paronychia
1.1%
2/175 • Number of events 2
Cardiac disorders
Pericardial effusion
1.1%
2/175 • Number of events 2
Investigations
Platelet count decreased
5.7%
10/175 • Number of events 10

Other adverse events

Other adverse events
Measure
Cixutumumab and Temsirolimus
n=175 participants at risk
Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, 22, 29, and 36. Courses repeat every 42 days in the absence of disease progression or unacceptable toxicity.
Investigations
Activated partial thromboplastin time prolonged
8.0%
14/175 • Number of events 25
Investigations
Alanine aminotransferase
18.3%
32/175 • Number of events 60
Investigations
Alkaline phosphatase increased
18.3%
32/175 • Number of events 175
Investigations
Aspartate aminotransferase increased
17.7%
31/175 • Number of events 132
Investigations
Blood Bilirubin increased
6.9%
12/175 • Number of events 29
Investigations
Cholesterol, High
23.4%
41/175 • Number of events 139
Investigations
Creatinine increased
10.9%
19/175 • Number of events 192
Metabolism and nutrition disorders
Hyperglycemia
34.9%
61/175 • Number of events 915
Metabolism and nutrition disorders
Hyperkalemia
4.6%
8/175 • Number of events 21
Metabolism and nutrition disorders
Hypertriglyceridemia
22.9%
40/175 • Number of events 159
Metabolism and nutrition disorders
Hypoalbuminemia
29.1%
51/175 • Number of events 509
Metabolism and nutrition disorders
Hypocalcemia
14.9%
26/175 • Number of events 157
Metabolism and nutrition disorders
Hypokalemia
8.6%
15/175 • Number of events 57
Investigations
Hyponatremia
17.1%
30/175 • Number of events 133
Metabolism and nutrition disorders
Hypophosphatemia
10.9%
19/175 • Number of events 52
Metabolism and nutrition disorders
INR increased
17.7%
31/175 • Number of events 107
Investigations
Lymphocyte count decrease
10.3%
18/175 • Number of events 98
Investigations
Neutrophil count decrease
12.0%
21/175 • Number of events 59
Investigations
Platelet Count decrease
28.6%
50/175 • Number of events 404
Investigations
White blood cell decrease
25.1%
44/175 • Number of events 285

Additional Information

Dr. William Tap

Memorial Sloan Kettering Cancer Center

Phone: 646-888-4163

Results disclosure agreements

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

Restriction type: LTE60