Trial Outcomes & Findings for A Phase 3 Study to Evaluate Marqibo® in the Treatment of Subjects ≥ 60 Years Old With Newly Diagnosed ALL (NCT NCT01439347)

NCT ID: NCT01439347

Last Updated: 2021-09-09

Results Overview

Overall survival was defined as the time from the date of study randomization until death from any cause. Observations censored at the date of the last follow-up for subjects not known to have died.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

26 participants

Primary outcome timeframe

36 months

Results posted on

2021-09-09

Participant Flow

Participant milestones

Participant milestones
Measure
Vincristine Sulfate Injection (VSI)
VSI dosed at 1.4 mg/m\^2 with a 2 mg dose cap as an intravenous (IV) infusion over 10 minutes.
Marqibo
Marqibo dosed at 2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.
Overall Study
STARTED
13
13
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
13
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Vincristine Sulfate Injection (VSI)
VSI dosed at 1.4 mg/m\^2 with a 2 mg dose cap as an intravenous (IV) infusion over 10 minutes.
Marqibo
Marqibo dosed at 2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.
Overall Study
Death
10
9
Overall Study
Withdrawal by Subject
0
1
Overall Study
Physician Decision
1
0
Overall Study
Sponsor Terminated Study
2
3

Baseline Characteristics

A Phase 3 Study to Evaluate Marqibo® in the Treatment of Subjects ≥ 60 Years Old With Newly Diagnosed ALL

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vincristine Sulfate Injection (VSI)
n=13 Participants
VSI dosed at 1.4 mg/m\^2 with a 2 mg dose cap as an intravenous (IV) infusion over 10 minutes.
Marqibo
n=13 Participants
Marqibo dosed at 2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.
Total
n=26 Participants
Total of all reporting groups
Age, Continuous
67 years
n=5 Participants
67 years
n=7 Participants
67 years
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
11 Participants
n=7 Participants
24 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 36 months

Population: Data for this outcome measure was not collected due to early termination of study.

Overall survival was defined as the time from the date of study randomization until death from any cause. Observations censored at the date of the last follow-up for subjects not known to have died.

Outcome measures

Outcome data not reported

Adverse Events

Vincristine Sulfate Injection (VSI)

Serious events: 8 serious events
Other events: 12 other events
Deaths: 10 deaths

Marqibo

Serious events: 12 serious events
Other events: 13 other events
Deaths: 9 deaths

Serious adverse events

Serious adverse events
Measure
Vincristine Sulfate Injection (VSI)
n=13 participants at risk
VSI dosed at 1.4 mg/m\^2 with a 2 mg dose cap as an IV infusion over 10 minutes.
Marqibo
n=13 participants at risk
Marqibo dosed at 2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.
Hepatobiliary disorders
Hepatic Failure
7.7%
1/13 • 2 years
15.4%
2/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Injury, poisoning and procedural complications
Subdural Haemorrhage
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Investigations
Blood Bilirubin Increased
15.4%
2/13 • 2 years
0.00%
0/13 • 2 years
Blood and lymphatic system disorders
Febrile Neutropenia
30.8%
4/13 • 2 years
30.8%
4/13 • 2 years
Infections and infestations
Sepsis
30.8%
4/13 • 2 years
7.7%
1/13 • 2 years
Infections and infestations
Pneumonia
7.7%
1/13 • 2 years
23.1%
3/13 • 2 years
Infections and infestations
Septic Shock
15.4%
2/13 • 2 years
15.4%
2/13 • 2 years
Infections and infestations
Bacteraemia
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Gastrointestinal disorders
Constipation
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
General disorders
Pyrexia
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Psychiatric disorders
Mental Status Changes
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Gastrointestinal disorders
Ileus
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Gastrointestinal disorders
Rectal Haemorrhage
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
General disorders
Mucosal Inflammation
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
General disorders
Systemic Inflammatory Response Syndrome
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Injury, poisoning and procedural complications
Femur Fracture
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Nervous system disorders
Metabolic Encephalopathy
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Bronchial Secretion Retention
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Respiratory Distress
0.00%
0/13 • 2 years
7.7%
1/13 • 2 years
Blood and lymphatic system disorders
Neutropenia
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Cardiac disorders
Cardiac Arrest
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Gastrointestinal disorders
Diarrhoea
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
General disorders
Asthenia
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Infections and infestations
Aspergillus Infection
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Infections and infestations
Cellulitis Orbital
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Infections and infestations
Lung Infection
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Injury, poisoning and procedural complications
Fibula Fracture
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Investigations
Transaminases Increased
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Nervous system disorders
Dizziness
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Nervous system disorders
Presyncope
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
7.7%
1/13 • 2 years
0.00%
0/13 • 2 years

Other adverse events

Other adverse events
Measure
Vincristine Sulfate Injection (VSI)
n=13 participants at risk
VSI dosed at 1.4 mg/m\^2 with a 2 mg dose cap as an IV infusion over 10 minutes.
Marqibo
n=13 participants at risk
Marqibo dosed at 2.25 mg/m\^2 (without any dose cap) as an IV infusion over 60 minutes.
Blood and lymphatic system disorders
Anaemia
69.2%
9/13 • 2 years
46.2%
6/13 • 2 years
Blood and lymphatic system disorders
Febrile Neutropenia
46.2%
6/13 • 2 years
53.8%
7/13 • 2 years
Blood and lymphatic system disorders
Neutropenia
30.8%
4/13 • 2 years
46.2%
6/13 • 2 years
Blood and lymphatic system disorders
Thrombocytopenia
53.8%
7/13 • 2 years
69.2%
9/13 • 2 years
Gastrointestinal disorders
Constipation
76.9%
10/13 • 2 years
69.2%
9/13 • 2 years
Gastrointestinal disorders
Diarrhoea
69.2%
9/13 • 2 years
38.5%
5/13 • 2 years
Gastrointestinal disorders
Nausea
61.5%
8/13 • 2 years
76.9%
10/13 • 2 years
Gastrointestinal disorders
Vomiting
38.5%
5/13 • 2 years
53.8%
7/13 • 2 years
General disorders
Asthenia
30.8%
4/13 • 2 years
53.8%
7/13 • 2 years
General disorders
Fatigue
53.8%
7/13 • 2 years
23.1%
3/13 • 2 years
General disorders
Oedema Peripheral
23.1%
3/13 • 2 years
69.2%
9/13 • 2 years
Hepatobiliary disorders
Hyperbilirubinaemia
46.2%
6/13 • 2 years
46.2%
6/13 • 2 years
Investigations
Alanine Aminotransferase Increased
38.5%
5/13 • 2 years
53.8%
7/13 • 2 years
Investigations
Aspartate Aminotransferase Increased
38.5%
5/13 • 2 years
53.8%
7/13 • 2 years
Investigations
Blood Alkaline Phosphatase Increased
38.5%
5/13 • 2 years
38.5%
5/13 • 2 years
Investigations
Blood Bilirubin Increased
23.1%
3/13 • 2 years
53.8%
7/13 • 2 years
Metabolism and nutrition disorders
Decreased Appetite
30.8%
4/13 • 2 years
46.2%
6/13 • 2 years
Metabolism and nutrition disorders
Hyperglycaemia
38.5%
5/13 • 2 years
38.5%
5/13 • 2 years
Metabolism and nutrition disorders
Hypocalcaemia
38.5%
5/13 • 2 years
53.8%
7/13 • 2 years
Metabolism and nutrition disorders
Hypokalelmia
46.2%
6/13 • 2 years
69.2%
9/13 • 2 years
Metabolism and nutrition disorders
Hyponatraemia
38.5%
5/13 • 2 years
61.5%
8/13 • 2 years
Metabolism and nutrition disorders
Hypophosphataemia
46.2%
6/13 • 2 years
46.2%
6/13 • 2 years
Nervous system disorders
Headache
46.2%
6/13 • 2 years
38.5%
5/13 • 2 years
Psychiatric disorders
Anxiety
38.5%
5/13 • 2 years
38.5%
5/13 • 2 years
Psychiatric disorders
Insomnia
30.8%
4/13 • 2 years
46.2%
6/13 • 2 years
Vascular disorders
Hypotension
38.5%
5/13 • 2 years
53.8%
7/13 • 2 years
Gastrointestinal disorders
Abdominal Pain
30.8%
4/13 • 2 years
23.1%
3/13 • 2 years
General disorders
Mucosal Inflammation
23.1%
3/13 • 2 years
38.5%
5/13 • 2 years
General disorders
Pyrexia
23.1%
3/13 • 2 years
23.1%
3/13 • 2 years
Investigations
Lipase Increased
30.8%
4/13 • 2 years
30.8%
4/13 • 2 years
Metabolism and nutrition disorders
Hypoalbuminaemia
30.8%
4/13 • 2 years
30.8%
4/13 • 2 years
Metabolism and nutrition disorders
Hypomagnesaemia
30.8%
4/13 • 2 years
38.5%
5/13 • 2 years
Musculoskeletal and connective tissue disorders
Arthralgia
30.8%
4/13 • 2 years
15.4%
2/13 • 2 years
Musculoskeletal and connective tissue disorders
Pain In Extremity
23.1%
3/13 • 2 years
30.8%
4/13 • 2 years
Nervous system disorders
Dizziness
23.1%
3/13 • 2 years
46.2%
6/13 • 2 years
Nervous system disorders
Neuropathy Peripheral
30.8%
4/13 • 2 years
30.8%
4/13 • 2 years
Nervous system disorders
Paraesthesia
30.8%
4/13 • 2 years
15.4%
2/13 • 2 years
Psychiatric disorders
Confusional State
15.4%
2/13 • 2 years
30.8%
4/13 • 2 years
Renal and urinary disorders
Renal Injury
7.7%
1/13 • 2 years
38.5%
5/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
23.1%
3/13 • 2 years
30.8%
4/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
23.1%
3/13 • 2 years
23.1%
3/13 • 2 years
Skin and subcutaneous tissue disorders
Rash
15.4%
2/13 • 2 years
38.5%
5/13 • 2 years
Blood and lymphatic system disorders
Coagulopathy
0.00%
0/13 • 2 years
23.1%
3/13 • 2 years
Cardiac disorders
Atrial Fibrillation
15.4%
2/13 • 2 years
15.4%
2/13 • 2 years
Cardiac disorders
Palpitations
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Cardiac disorders
Tachycardia
7.7%
1/13 • 2 years
15.4%
2/13 • 2 years
Eye disorders
Vision Blurred
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Gastrointestinal disorders
Dyspepsia
0.00%
0/13 • 2 years
30.8%
4/13 • 2 years
Gastrointestinal disorders
Flatulence
7.7%
1/13 • 2 years
15.4%
2/13 • 2 years
Gastrointestinal disorders
Abdominal Distension
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
General disorders
Chest Pain
7.7%
1/13 • 2 years
23.1%
3/13 • 2 years
General disorders
Chills
23.1%
3/13 • 2 years
15.4%
2/13 • 2 years
General disorders
Gait Disturbance
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
General disorders
Malaise
7.7%
1/13 • 2 years
23.1%
3/13 • 2 years
General disorders
Oedema
15.4%
2/13 • 2 years
23.1%
3/13 • 2 years
Infections and infestations
Candida Infection
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Infections and infestations
Cellulitis
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Infections and infestations
Oral Candidiasis
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Investigations
Blood Creatinine Increased
0.00%
0/13 • 2 years
38.5%
5/13 • 2 years
Investigations
Transaminases Increased
7.7%
1/13 • 2 years
23.1%
3/13 • 2 years
Investigations
White Blood Cell Count Decreased
15.4%
2/13 • 2 years
23.1%
3/13 • 2 years
Investigations
Blood Phosphorus Increased
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
Investigations
Weight Decreased
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Investigations
Alkaline Phosphatase Increased
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Investigations
Amylase Increased
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
Investigations
Blood Fibrinogen Decreased
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Metabolism and nutrition disorders
Acidosis
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Metabolism and nutrition disorders
Fluid Overload
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Metabolism and nutrition disorders
Hypermagnesaemia
7.7%
1/13 • 2 years
15.4%
2/13 • 2 years
Metabolism and nutrition disorders
Hypernatraemia
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Metabolism and nutrition disorders
Metabolic Acidosis
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Musculoskeletal and connective tissue disorders
Back Pain
15.4%
2/13 • 2 years
23.1%
3/13 • 2 years
Musculoskeletal and connective tissue disorders
Muscular Weakness
15.4%
2/13 • 2 years
15.4%
2/13 • 2 years
Musculoskeletal and connective tissue disorders
Neck Pain
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Nervous system disorders
Dysgeusia
15.4%
2/13 • 2 years
15.4%
2/13 • 2 years
Nervous system disorders
Hypoaesthesia
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
Nervous system disorders
Neuralgia
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Nervous system disorders
Neuropathy
0.00%
0/13 • 2 years
23.1%
3/13 • 2 years
Nervous system disorders
Syncope
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Psychiatric disorders
Depression
15.4%
2/13 • 2 years
15.4%
2/13 • 2 years
Psychiatric disorders
Mental Status Changes
15.4%
2/13 • 2 years
23.1%
3/13 • 2 years
Psychiatric disorders
Agitation
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Cough
23.1%
3/13 • 2 years
15.4%
2/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
7.7%
1/13 • 2 years
15.4%
2/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Respiratory Alkalosis
7.7%
1/13 • 2 years
15.4%
2/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Tachypnoea
7.7%
1/13 • 2 years
23.1%
3/13 • 2 years
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/13 • 2 years
23.1%
3/13 • 2 years
Skin and subcutaneous tissue disorders
Rash Generalised
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Skin and subcutaneous tissue disorders
Erythema
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Skin and subcutaneous tissue disorders
Hyperhidrosis
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Vascular disorders
Deep Vein Thrombosis
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Vascular disorders
Hypertension
0.00%
0/13 • 2 years
15.4%
2/13 • 2 years
Vascular disorders
Orthostatic Hypotension
15.4%
2/13 • 2 years
15.4%
2/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
30.8%
4/13 • 2 years
7.7%
1/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Respiratory, thoracic and mediastinal disorders
Wheezing
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Renal and urinary disorders
Dysuria
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
Renal and urinary disorders
Urinary Incontinence
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Infections and infestations
Bacteraemia
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
Infections and infestations
Pneumonia
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
General disorders
Chest Discomfort
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
General disorders
Generalised Oedema
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
General disorders
Pain
23.1%
3/13 • 2 years
7.7%
1/13 • 2 years
Injury, poisoning and procedural complications
Contusion
15.4%
2/13 • 2 years
7.7%
1/13 • 2 years
Injury, poisoning and procedural complications
Procedural Pain
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Gastrointestinal disorders
Oral Pain
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Gastrointestinal disorders
Stomatitis
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Nervous system disorders
Hepatic Encephalopathy
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years
Nervous system disorders
Lethargy
7.7%
1/13 • 2 years
7.7%
1/13 • 2 years

Additional Information

Gajanan Bhat, PhD

Spectrum Pharmaceuticals

Phone: 949-743-9219

Results disclosure agreements

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