Trial Outcomes & Findings for Axitinib (AG-013736) in Patients With Progressive, Recurrent/Metastatic Adenoid Cystic Carcinoma (NCT NCT01558661)

NCT ID: NCT01558661

Last Updated: 2017-11-28

Results Overview

Best overall response rate documented by RECIST v1.1 criteria of patients with progressive, recurrent/metastatic ACC treated with axitinib. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI and/or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 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; Complete Response (CR), Disappearance of all target lesions

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

33 participants

Primary outcome timeframe

2 years

Results posted on

2017-11-28

Participant Flow

Protocol Open to Accrual 03-15-2012, Protocol Closed to Accrual 08-27-2013, Primary Completion Date 08-25-2016, Recruitment Location is the medical clinic

Participant milestones

Participant milestones
Measure
AG-013736 (AXITINIB)
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Overall Study
STARTED
33
Overall Study
First Stage
18
Overall Study
Second Stage
15
Overall Study
COMPLETED
33
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Axitinib (AG-013736) in Patients With Progressive, Recurrent/Metastatic Adenoid Cystic Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AG-013736 (AXITINIB)
n=33 Participants
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Age, Continuous
56 years
n=93 Participants
Sex: Female, Male
Female
15 Participants
n=93 Participants
Sex: Female, Male
Male
18 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
4 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
Race (NIH/OMB)
White
28 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
Region of Enrollment
United States
33 participants
n=93 Participants

PRIMARY outcome

Timeframe: 2 years

Population: One patient enrolled in the second stage was determined to be ineligible and was replaced after two doses. This patient was considered evaluable for Best Overall Response, but not for Progression Free Survival.

Best overall response rate documented by RECIST v1.1 criteria of patients with progressive, recurrent/metastatic ACC treated with axitinib. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI and/or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 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; Complete Response (CR), Disappearance of all target lesions

Outcome measures

Outcome measures
Measure
AG-013736 (AXITINIB)
n=33 Participants
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Overall Response Rate
Complete Response
0 Participants
Overall Response Rate
Partial Response
3 Participants
Overall Response Rate
Stable Disease
25 Participants
Overall Response Rate
Progressive Disease
4 Participants
Overall Response Rate
Non-evaluable
1 Participants

SECONDARY outcome

Timeframe: 2 years

Population: One patient enrolled in the second stage was determined to be ineligible and was replaced after two doses. This patient was considered evaluable for Best Overall Response, but not Progression Free Survival.

Progression-free survival (PFS) is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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"

Outcome measures

Outcome measures
Measure
AG-013736 (AXITINIB)
n=32 Participants
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Median Progression-free Survival (PFS).
5.7 months
Interval 5.3 to 9.1

SECONDARY outcome

Timeframe: 2 years

Population: MYB immunohistochemistry (IHC) was carried out on tumors from 33 patients. MYB quantification was assessed as: 2+ for strong staining in \>50% of cancer cells, 1+ for weak or strong staining in \<50% of the cells and 0 for \<5% staining.

Outcome measures

Outcome measures
Measure
AG-013736 (AXITINIB)
n=33 Participants
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
MYB Immunohistochemistry (IHC)
MYB IHC Testing Not Done
7 Participants
MYB Immunohistochemistry (IHC)
MYB IHC Score 0
13 Participants
MYB Immunohistochemistry (IHC)
MYB IHC Score +1
8 Participants
MYB Immunohistochemistry (IHC)
MYB IHC Score +2
5 Participants

SECONDARY outcome

Timeframe: 2 years

Population: One patient enrolled in the second stage was determined to be ineligible and was replaced after two doses. This patient was considered evaluable for Best Overall Response, but not Progression Free Survival.

Next generation sequencing the t(6;9) translocation (MYBNFIB gene product) status will be analyzed by Fluorescent In-Situ Hybridization (FISH) assay and correlated to clinical response. The number of participants with NGS will be recorded.

Outcome measures

Outcome measures
Measure
AG-013736 (AXITINIB)
n=33 Participants
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Number of Participants With Next Generation Sequencing (NGS)
No NGS sequencing
22 Participants
Number of Participants With Next Generation Sequencing (NGS)
NGS sequencing
11 Participants

Adverse Events

AG-013736 (AXITINIB)

Serious events: 10 serious events
Other events: 33 other events
Deaths: 25 deaths

Serious adverse events

Serious adverse events
Measure
AG-013736 (AXITINIB)
n=33 participants at risk
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Investigations
Alanine aminotransferase increased
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Alkaline Phosphatase Increased
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Aspartate aminotransferase increased
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Blood bilirubin increased
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Psychiatric disorders
Confusion
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Eye disorders
Corneal Ulcer
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Respiratory, thoracic and mediastinal disorders
Cough
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
General disorders
Death NOS
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
General disorders
Fatigue
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
General disorders
Fever
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Injury, poisoning and procedural complications
Fracture
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Vascular disorders
Hypertension
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypoalbuminemia
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypocalcemia
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypokalemia
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hyponatremia
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Vascular disorders
Hypotension
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Infections and infestations
Infections and infestations - Other
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Nervous system disorders
Intracranial hemorrhage
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Nervous system disorders
Lethargy
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Infections and infestations
Lung infection
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Musculoskeletal and connective tissue disorders
Neck Pain
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
General disorders
Non-cardiac chest pain
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Nervous system disorders
Seizure
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Cardiac disorders
Sinus bradycardia
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Infections and infestations
Urinary tract infection
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Weight loss
3.0%
1/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).

Other adverse events

Other adverse events
Measure
AG-013736 (AXITINIB)
n=33 participants at risk
This is a single-arm phase II study evaluating the clinical efficacy of axitinib in the treatment of patients with progressive, recurrent/metastatic adenoid cystic carcinoma (ACC).
Vascular disorders
Hypertension
97.0%
32/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
General disorders
Fatigue
90.9%
30/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Anorexia
54.5%
18/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Diarrhea
54.5%
18/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hyperglycemia
54.5%
18/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Weight loss
54.5%
18/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
51.5%
17/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Nausea
48.5%
16/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Alanine aminotransferase increased
45.5%
15/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Alkaline phosphatase increased
42.4%
14/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Oral pain
42.4%
14/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Musculoskeletal and connective tissue disorders
Myalgia
39.4%
13/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Mucositis oral
36.4%
12/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Blood and lymphatic system disorders
Anemia
33.3%
11/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Aspartate aminotransferase increased
27.3%
9/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Platelet count decreased
27.3%
9/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
White blood cell decreased
27.3%
9/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Musculoskeletal and connective tissue disorders
Arthralgia
24.2%
8/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Dysphagia
24.2%
8/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Blood bilirubin increased
21.2%
7/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Constipation
21.2%
7/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypoglycemia
21.2%
7/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Endocrine disorders
Hypothyroidism
21.2%
7/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Hemoglobin increased
18.2%
6/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypoalbuminemia
18.2%
6/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Vomiting
18.2%
6/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Abdominal pain
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Dyspepsia
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Respiratory, thoracic and mediastinal disorders
Epistaxis
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Nervous system disorders
Headache
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Respiratory, thoracic and mediastinal disorders
Hoarseness
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hyponatremia
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Nervous system disorders
Peripheral sensory neuropathy
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Skin and subcutaneous tissue disorders
Rash maculo-papular
15.2%
5/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
General disorders
Pain
12.1%
4/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Musculoskeletal and connective tissue disorders
Pain in extremity
12.1%
4/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Renal and urinary disorders
Proteinuria
12.1%
4/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Skin and subcutaneous tissue disorders
Alopecia
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hyperkalemia
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypernatremia
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypokalemia
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypophosphatemia
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Respiratory, thoracic and mediastinal disorders
Sore throat
9.1%
3/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Musculoskeletal and connective tissue disorders
Chest wall pain
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Skin and subcutaneous tissue disorders
Dry skin
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Gastrointestinal disorders
Gastroesophageal reflux disease
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Metabolism and nutrition disorders
Hypocalcemia
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).
Investigations
Serum amylase increased
6.1%
2/33 • Up to 2 years
Toxicity will be graded using Common Terminology Criteria for Adverse Events version 4.0 (CTCAE version 4.0).

Additional Information

Dr. Alan Ho, MD, PhD

Memorial Sloan Kettering Cancer Center

Phone: 646-888-4235

Results disclosure agreements

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