Trial Outcomes & Findings for Pazopanib Hydrochloride in Treating Patients With Advanced Angiosarcoma (NCT NCT01462630)

NCT ID: NCT01462630

Last Updated: 2022-08-19

Results Overview

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 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. PFS was estimated using the method of Kaplan and Meier.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

3 months

Results posted on

2022-08-19

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Enzyme Inhibitor Therapy)
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Overall Study
STARTED
29
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Enzyme Inhibitor Therapy)
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Overall Study
Did not initiate therapy
3
Overall Study
Death
1
Overall Study
Protocol Violation
2
Overall Study
Adverse Event
1

Baseline Characteristics

Pazopanib Hydrochloride in Treating Patients With Advanced Angiosarcoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Enzyme Inhibitor Therapy)
n=29 Participants
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Age, Continuous
66 years
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Region of Enrollment
United States
29 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months

Population: Of the 26 patients who started therapy, response was not evaluable in 8 patients due to lab abnormalities at C1D1 (n=1), consent withdrawal (n=2), toxicity (n=4), and non-compliance (n=1)

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 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. PFS was estimated using the method of Kaplan and Meier.

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=18 Participants
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
PFS Rate
54.6 percentage of patients
Interval 36.0 to 82.9

PRIMARY outcome

Timeframe: 3 months

Population: 7 of 29 patients were not evaluable for response

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Standard estimates of the binomial proportion will be used to estimate and place confidence bounds on the several response rates.

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=22 Participants
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Response Rate Defined as CR
0 Participants

PRIMARY outcome

Timeframe: 3 months

Population: 7 of 29 patients were not evaluable for response

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Partial Response: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Standard estimates of the binomial proportion will be used to estimate and place confidence bounds on the several response rates.

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=22 Participants
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Response Rate Defined as Partial Response (PR)
1 Participants

SECONDARY outcome

Timeframe: Up to 107 weeks

Estimated using the method of Kaplan and Meier.

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=22 Participants
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Overall Survival of Patients Treated With Pazopanib Hydrochloride
69.8 weeks
Interval 42.3 to 106.7

SECONDARY outcome

Timeframe: Up to 2 years

Population: All patients initially enrolled were followed for toxicities

Toxicities related/unrelated to study treatment with \>10% frequency

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=29 Participants
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Evaluation of Toxicity of Pazopanib Hydrochloride in This Patient Population
189 toxicities

SECONDARY outcome

Timeframe: Up to 2 years

Population: No data collected for comparison

Descriptive statistics will include mean, SD, median, minimum, and maximum for continuous variables and the numbers and percentages for categorical variables. Summary statistics for changes in SUVs, tumor to background ratios, lesion size, and comparison scores will be analyzed and presented.

Outcome measures

Outcome data not reported

Adverse Events

Treatment (Enzyme Inhibitor Therapy)

Serious events: 13 serious events
Other events: 29 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Enzyme Inhibitor Therapy)
n=29 participants at risk
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Blood and lymphatic system disorders
anemia
3.4%
1/29 • Number of events 1 • 2 years
Investigations
Bilirubin increase
6.9%
2/29 • 2 years
Investigations
alanine aminotransferase increase
13.8%
4/29 • 2 years
Investigations
Aspartate aminotransferase increase
6.9%
2/29 • 2 years
Gastrointestinal disorders
abdominal pain
6.9%
2/29 • 2 years
Blood and lymphatic system disorders
low platelet
3.4%
1/29 • 2 years
Renal and urinary disorders
Urinary tract infection
3.4%
1/29 • 2 years
General disorders
Death
3.4%
1/29 • 2 years
Cardiac disorders
pericardial effusion
6.9%
2/29 • 2 years
General disorders
edema
3.4%
1/29 • 2 years
Skin and subcutaneous tissue disorders
rash
3.4%
1/29 • 2 years
Cardiac disorders
cardiac arrest/death
3.4%
1/29 • 2 years
Cardiac disorders
Acute coronary syndrome
3.4%
1/29 • 2 years
Gastrointestinal disorders
colitis
3.4%
1/29 • 2 years
Gastrointestinal disorders
dysphagia
3.4%
1/29 • 2 years
Gastrointestinal disorders
diarrhea
3.4%
1/29 • 2 years

Other adverse events

Other adverse events
Measure
Treatment (Enzyme Inhibitor Therapy)
n=29 participants at risk
Patients receive pazopanib hydrochloride PO QD. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given PO laboratory biomarker analysis: Correlative studies positron emission tomography: Correlative studies computed tomography: Correlative studies fludeoxyglucose F 18: Correlative studies
Infections and infestations
Rhinitis
3.4%
1/29 • 2 years
Blood and lymphatic system disorders
Low hemoglobin
31.0%
9/29 • 2 years
Blood and lymphatic system disorders
Low absolute neutrophil count
10.3%
3/29 • 2 years
Investigations
Low white blood cell count
24.1%
7/29 • 2 years
Investigations
Lymphocyte count decrease
13.8%
4/29 • 2 years
General disorders
Edema
10.3%
3/29 • 2 years
Vascular disorders
Hypertension
48.3%
14/29 • 2 years
Vascular disorders
Ortho-hypotension
6.9%
2/29 • 2 years
Cardiac disorders
Palpitation
3.4%
1/29 • 2 years
Nervous system disorders
Dizzeness
27.6%
8/29 • 2 years
General disorders
Fatigue
62.1%
18/29 • 2 years
Psychiatric disorders
Anxiety
3.4%
1/29 • 2 years
General disorders
Chills
3.4%
1/29 • 2 years
Skin and subcutaneous tissue disorders
Alopecia
3.4%
1/29 • 2 years
Skin and subcutaneous tissue disorders
Hair color changes
3.4%
1/29 • 2 years
Skin and subcutaneous tissue disorders
Rash
10.3%
3/29 • 2 years
Skin and subcutaneous tissue disorders
Pruritis
3.4%
1/29 • 2 years
Immune system disorders
Palmer-Planter erythrodysesthia syndrome
3.4%
1/29 • 2 years
General disorders
Hemorrhage
3.4%
1/29 • 2 years
Gastrointestinal disorders
Nausea
48.3%
14/29 • 2 years
Gastrointestinal disorders
Vomiting
34.5%
10/29 • 2 years
Gastrointestinal disorders
Diarrhea
44.8%
13/29 • 2 years
Metabolism and nutrition disorders
Dehydration
3.4%
1/29 • 2 years
Gastrointestinal disorders
Dysphagia
10.3%
3/29 • 2 years
Gastrointestinal disorders
Heart burn
3.4%
1/29 • 2 years
Gastrointestinal disorders
Constipation
27.6%
8/29 • 2 years
Gastrointestinal disorders
Anorexia
31.0%
9/29 • 2 years
Gastrointestinal disorders
Mucositis
27.6%
8/29 • 2 years
Investigations
Weight lose
6.9%
2/29 • 2 years
Nervous system disorders
Dysgeusia
20.7%
6/29 • 2 years
Nervous system disorders
confusion
3.4%
1/29 • 2 years
Nervous system disorders
Insomnia
6.9%
2/29 • 2 years
Psychiatric disorders
Depression
10.3%
3/29 • 2 years
Nervous system disorders
Neuropathy-Motor
13.8%
4/29 • 2 years
Nervous system disorders
Neuropathy-Sensory
6.9%
2/29 • 2 years
Nervous system disorders
Blurred vision
10.3%
3/29 • 2 years
General disorders
Pain
48.3%
14/29 • 2 years
Nervous system disorders
Headache
48.3%
14/29 • 2 years
Musculoskeletal and connective tissue disorders
Myal-arthralgia
20.7%
6/29 • 2 years
Respiratory, thoracic and mediastinal disorders
cough
24.1%
7/29 • 2 years
Respiratory, thoracic and mediastinal disorders
Nose bleeding
20.7%
6/29 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
17.2%
5/29 • 2 years
Endocrine disorders
Hypothyroidism
3.4%
1/29 • 2 years
Investigations
Alkaline phosphatase increase
20.7%
6/29 • 2 years
Investigations
Hyperbilirubinemia
27.6%
8/29 • 2 years
Investigations
SGOT increase
34.5%
10/29 • 2 years
Investigations
SGPT increase
34.5%
10/29 • 2 years
Metabolism and nutrition disorders
Hypomagnesemia
3.4%
1/29 • 2 years
Infections and infestations
Infection without neutropenia
10.3%
3/29 • 2 years
Metabolism and nutrition disorders
Hypophosphatemia
6.9%
2/29 • 2 years
Metabolism and nutrition disorders
Hyperglycemia
27.6%
8/29 • 2 years
Metabolism and nutrition disorders
Hyperkalemia
6.9%
2/29 • 2 years
Metabolism and nutrition disorders
Hypoalbuminemia
10.3%
3/29 • 2 years
Investigations
Hyponatremia
13.8%
4/29 • 2 years
Metabolism and nutrition disorders
Hypernatremia
3.4%
1/29 • 2 years
Metabolism and nutrition disorders
Hypocalcemia
10.3%
3/29 • 2 years
Metabolism and nutrition disorders
Hypokalemia
13.8%
4/29 • 2 years
Investigations
Elevated creatinine
13.8%
4/29 • 2 years
Renal and urinary disorders
Urinary tract infection
10.3%
3/29 • 2 years
Respiratory, thoracic and mediastinal disorders
Pleural effusion
3.4%
1/29 • 2 years
Blood and lymphatic system disorders
Thrombocytopenia
34.5%
10/29 • 2 years
Investigations
Transaminitis
44.8%
13/29 • 2 years

Additional Information

Protocol Development Coordinator

Fox Chase Cancer Center

Phone: 215-728-4097

Results disclosure agreements

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