Trial Outcomes & Findings for Panobinostat & Bortezomib in Pancreatic Cancer Progressing on Gemcitabine Therapy (NCT NCT01056601)

NCT ID: NCT01056601

Last Updated: 2017-12-28

Results Overview

Median number of months before disease progressed in patient on gemcitabine when treated with the combination of panobinostat and bortezomib. Progression free survival is measured from randomization until the subject has documented disease progression by an objective measure. Subjects must be alive with no more than 20% increase in tumor size to qualify for progression free survival. Changes in tumor size are defined by RECIST criteria.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

7 participants

Primary outcome timeframe

Up to 1 Year

Results posted on

2017-12-28

Participant Flow

Participant milestones

Participant milestones
Measure
Pancreatic Cancer Patients
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Panobinostat & Bortezomib in Pancreatic Cancer Progressing on Gemcitabine Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pancreatic Cancer Patients
n=7 Participants
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Age, Continuous
58 years
STANDARD_DEVIATION 13 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Region of Enrollment
United States
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 1 Year

Median number of months before disease progressed in patient on gemcitabine when treated with the combination of panobinostat and bortezomib. Progression free survival is measured from randomization until the subject has documented disease progression by an objective measure. Subjects must be alive with no more than 20% increase in tumor size to qualify for progression free survival. Changes in tumor size are defined by RECIST criteria.

Outcome measures

Outcome measures
Measure
Pancreatic Cancer Patients
n=7 Participants
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Progression-Free Survival
2.1 Months
Interval 1.7 to 2.3

SECONDARY outcome

Timeframe: Up to 1 Year

Number of patients whose tumor has responded to study therapy is determined using Response Evaluation Criteria In Solid Tumors. Progressive Disease (PD) is assessed if the sum of the diameters has increased by ≥ 20% and ≥ 5 mm from nadir (including baseline if it is the smallest sum). Objective response is measured by tumor reduction as defined in the RECIST criteria. Tumor shrinkage must be at least 30% to qualify as an objective response.

Outcome measures

Outcome measures
Measure
Pancreatic Cancer Patients
n=7 Participants
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Number of Participants by Tumor Response
Progressive Disease
5 Participants
Number of Participants by Tumor Response
No data available
2 Participants
Number of Participants by Tumor Response
Objective Response
0 Participants

SECONDARY outcome

Timeframe: Up to 1 Year

Duration of response is calculated as (Date of First Disease Progression or Death as a Result of any Cause whichever Comes First - Date of First Objective Status Assessment of Confirmed Complete or Partial Response as defined by RECIST criteria).

Outcome measures

Outcome measures
Measure
Pancreatic Cancer Patients
n=7 Participants
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Duration of Response
0 Weeks

Adverse Events

Pancreatic Cancer Patients

Serious events: 4 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pancreatic Cancer Patients
n=7 participants at risk
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Metabolism and nutrition disorders
Dehyration
14.3%
1/7 • Number of events 1 • Overall Study
General disorders
Fever
14.3%
1/7 • Number of events 1 • Overall Study
Investigations
INR Increased
14.3%
1/7 • Number of events 1 • Overall Study
Vascular disorders
Thromboembolic event
28.6%
2/7 • Number of events 2 • Overall Study
Gastrointestinal disorders
Upper gastrointestinal hemorrhage
14.3%
1/7 • Number of events 1 • Overall Study

Other adverse events

Other adverse events
Measure
Pancreatic Cancer Patients
n=7 participants at risk
Pancreatic cancer patients who received treatment with bortezomib (1.3 mg/m\^2 administered intravenously twice daily on days 1 and 8 for 2 weeks followed by 10 day rest period) and panobinostat (20 milligrams administered orally 3 times weekly for 2 weeks on Days 1,3,5,8,10 and 12 followed by 9 day rest period) after progressing on gemcitabine.
Blood and lymphatic system disorders
Alkaline phosphatase increased
14.3%
1/7 • Number of events 1 • Overall Study
Blood and lymphatic system disorders
Anemia
71.4%
5/7 • Number of events 6 • Overall Study
Gastrointestinal disorders
Anorexia
28.6%
2/7 • Number of events 2 • Overall Study
Blood and lymphatic system disorders
Blood bilirubin increased
14.3%
1/7 • Number of events 1 • Overall Study
Cardiac disorders
Cardiac disorder, other
14.3%
1/7 • Number of events 1 • Overall Study
Gastrointestinal disorders
Constipation
42.9%
3/7 • Number of events 4 • Overall Study
Renal and urinary disorders
Creatinine increased
28.6%
2/7 • Number of events 2 • Overall Study
Metabolism and nutrition disorders
Dehydration
14.3%
1/7 • Number of events 1 • Overall Study
Gastrointestinal disorders
Diarrhea
71.4%
5/7 • Number of events 6 • Overall Study
Eye disorders
Dry eye
14.3%
1/7 • Number of events 1 • Overall Study
Gastrointestinal disorders
Dry mouth
14.3%
1/7 • Number of events 1 • Overall Study
Respiratory, thoracic and mediastinal disorders
Dyspnea
14.3%
1/7 • Number of events 1 • Overall Study
Endocrine disorders
Edema limbs
28.6%
2/7 • Number of events 2 • Overall Study
Eye disorders
Eye disorder, other
14.3%
1/7 • Number of events 1 • Overall Study
General disorders
Fatigue
42.9%
3/7 • Number of events 4 • Overall Study
Blood and lymphatic system disorders
GGT increased
14.3%
1/7 • Number of events 1 • Overall Study
Renal and urinary disorders
Hyperglycemia
14.3%
1/7 • Number of events 1 • Overall Study
Blood and lymphatic system disorders
Hypoalbuminemia
14.3%
1/7 • Number of events 1 • Overall Study
Blood and lymphatic system disorders
Hypokalemia
28.6%
2/7 • Number of events 2 • Overall Study
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
14.3%
1/7 • Number of events 1 • Overall Study
Respiratory, thoracic and mediastinal disorders
Lung infection
14.3%
1/7 • Number of events 1 • Overall Study
Gastrointestinal disorders
Nausea
71.4%
5/7 • Number of events 5 • Overall Study
Blood and lymphatic system disorders
Neutrophil count decreased
14.3%
1/7 • Number of events 3 • Overall Study
Nervous system disorders
Peripheral sensory neuropathy
14.3%
1/7 • Number of events 1 • Overall Study
Blood and lymphatic system disorders
Platelet count decreased
100.0%
7/7 • Number of events 10 • Overall Study
Gastrointestinal disorders
Rectal hemorrhage
14.3%
1/7 • Number of events 1 • Overall Study
Cardiac disorders
Sinus tachycardia
14.3%
1/7 • Number of events 1 • Overall Study
Skin and subcutaneous tissue disorders
Skin ulceration
14.3%
1/7 • Number of events 1 • Overall Study
Gastrointestinal disorders
Vomiting
42.9%
3/7 • Number of events 3 • Overall Study
Gastrointestinal disorders
Weight loss
42.9%
3/7 • Number of events 3 • Overall Study
Blood and lymphatic system disorders
White blood cell decreased
14.3%
1/7 • Number of events 2 • Overall Study

Additional Information

Arkaduisz Dudek, M.D.

Masonic Cancer Center, University of Minnesota

Phone: 612-624-0123

Results disclosure agreements

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