Trial Outcomes & Findings for Bortezomib and Doxil for the Treatment of Patients With Acute Myelogenous Leukemia (NCT NCT01736943)

NCT ID: NCT01736943

Last Updated: 2021-02-24

Results Overview

The time from first day of treatment to the first observation of disease progression or death due to any cause. If a patient has not progressed or died, progression-free survival is censored at the time of last follow-up.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

25 participants

Primary outcome timeframe

Up to 2 years

Results posted on

2021-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Bortezomib + Doxil
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Overall Study
STARTED
25
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bortezomib and Doxil for the Treatment of Patients With Acute Myelogenous Leukemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bortezomib + Doxil
n=25 Participants
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
Age, Categorical
>=65 years
11 Participants
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 years

The time from first day of treatment to the first observation of disease progression or death due to any cause. If a patient has not progressed or died, progression-free survival is censored at the time of last follow-up.

Outcome measures

Outcome measures
Measure
Bortezomib + Doxil
n=10 Participants
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Progression Free Survival
21 days
Interval 17.0 to
Upper value of the confidence interval was not reached.

SECONDARY outcome

Timeframe: Up to two years

Overall survival wil be measured as the time from start of treatment to the Date of death or the last date the patient was known to be alive

Outcome measures

Outcome measures
Measure
Bortezomib + Doxil
n=10 Participants
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Overall Survival
50 Days
Interval 41.0 to
Upper value of the confidence interval was not reached.

SECONDARY outcome

Timeframe: Up to two years

Toxicity will be evaluated based on the standard NCI Common Toxicity Criteria for Adverse Effects CTCAE) V.4.0 grading criteria.

Outcome measures

Outcome measures
Measure
Bortezomib + Doxil
n=25 Participants
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Abdominal pain
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Alanine aminotransferase increased
3 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Anemia
17 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Constipation
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Hypokalemia
3 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Hyponatremia
7 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Hypotension
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Infections and infestations - Other, bacteremia
3 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Insomnia
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Lymphocyte count decreased
12 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Malaise
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Mucositis oral
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Nausea
15 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Neutrophil count decreased
10 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Peripheral sensory neuropathy
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Platelet count decreased
18 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Respiratory, thoracic and mediastinal disorders - Other, tachypnea
3 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Skin and subcutaneous tissue disorders - Other, Ecchymoses
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Vomiting
8 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
White blood cell decreased
14 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Anorexia
7 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Aspartate aminotransferase increased
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Chills
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Cough
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Diarrhea
9 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Dizziness
8 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Dyspnea
10 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Edema limbs
3 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Epitaxis
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Fatigue
15 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Febrile neutopenia
12 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Gastrointestinal disorders - Other, gum tenderness
3 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Generalized muscle weakness
4 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Headache
5 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Hypoalbuminemia
6 participants
Toxicity Information Recorded Will Include the Type, Severity, Time of Onset, Time of Resolution, and the Probable Association With the Study Regimen.
Hypocalcemia
4 participants

Adverse Events

Bortezomib + Doxil

Serious events: 10 serious events
Other events: 18 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Bortezomib + Doxil
n=25 participants at risk
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Cardiac disorders
Atrial fibrillation
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Musculoskeletal and connective tissue disorders
Back pain
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Infections and infestations
Bronchial infection
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
bronchopulmonary hemorrhage
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Infections and infestations
Catheter related infection
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Blood and lymphatic system disorders
Febrile neutropenia
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Injury, poisoning and procedural complications
Fracture
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Cardiac disorders
Heart failure
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Infections and infestations
Infections and infestations - Other, Bacteremia
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
neoplasms benign, malignant and unspecified (incl cysts and polyps) - other, specify
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Rectal hemorrhage
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Cardiac disorders
Sinus bradycardia
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Nervous system disorders
Vasovagal reaction
4.0%
1/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.

Other adverse events

Other adverse events
Measure
Bortezomib + Doxil
n=25 participants at risk
Bortezomib will be given subcutaneously at 1.5mg/m2 on days 1, 4, 8 and 11 of a 3 week cycle. Doxil will be administered once every three weeks as a single intravenous infusion at a dose of 40 mg/m2 (day 4 of each cycle). Bortezomib: Bortezomib will be given twice a week subcutaneously (under the skin) for two weeks in every 3 week cycle. Doxil: Doxil or LipoDox will also be given through a venous catheter (inside your vein). Doxil or LipoDox will be given over 60 to 90 minutes on Day 4 of every 21-day cycle.
Gastrointestinal disorders
Abdominal pain
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Alanine aminotransferase increased
12.0%
3/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Blood and lymphatic system disorders
Anemia
68.0%
17/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
Anorexia
28.0%
7/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Aspartate aminotransferase increased
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Bloating
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Blood bilirubin increased
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Injury, poisoning and procedural complications
Bruising
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Infections and infestations
Catheter related infection
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
General disorders
Chills
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Colitis
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Constipation
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Cough
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Creatinine increased
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
Dehydration
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Diarrhea
36.0%
9/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Nervous system disorders
Dizziness
32.0%
8/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Dyspnea
40.0%
10/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
General disorders
Edema limbs
12.0%
3/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Epitaxis
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Injury, poisoning and procedural complications
Fall
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
General disorders
Fatigue
60.0%
15/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Blood and lymphatic system disorders
Febrile neutropenia
48.0%
12/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
General disorders
Fever
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Gastrointestinal disorders - Other, Gum tenderness
12.0%
3/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Nervous system disorders
Headache
20.0%
5/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Cardiac disorders
Heart failure
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Vascular disorders
Hematoma
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
Hypoalbuminemia
24.0%
6/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
Hypocalcemia
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
hypokalemia
12.0%
3/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
Hyponatremia
28.0%
7/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Metabolism and nutrition disorders
Hypophosphatemia
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Injury, poisoning and procedural complications
Infusion related reaction
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Psychiatric disorders
Insomnia
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Nervous system disorders
Lethargy
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Lymphocyte count decreased
48.0%
12/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
General disorders
Malaise
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Mucositis oral
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other: body/pain sore
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Nausea
60.0%
15/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
neutrophil count decreased
40.0%
10/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
General disorders
Pain
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Musculoskeletal and connective tissue disorders
Pain extremity
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Nervous system disorders
Peripheral sensory neuropathy
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Platelet count decreased
72.0%
18/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Nervous system disorders
presyncope
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
12.0%
3/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify: Tachypnea
12.0%
3/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Cardiac disorders
Sinus tachycardia
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify: Ecchymoses
16.0%
4/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Sore throat
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Gastrointestinal disorders
Vomiting
32.0%
8/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Weight gain
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
Weight loss
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Respiratory, thoracic and mediastinal disorders
Wheezing
8.0%
2/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.
Investigations
White blood cell decreased
56.0%
14/25 • Up to 30 days after discontinuation of study drugs.
Incidence of adverse events.

Additional Information

Analyst

University of California, Davis

Phone: 916-734-8053

Results disclosure agreements

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