Trial Outcomes & Findings for Nab-Paclitaxel to Paclitaxel in Advanced Urothelial Cancer Progressing on or After Platinum Containing Regimen. (NCT NCT02033993)

NCT ID: NCT02033993

Last Updated: 2023-08-22

Results Overview

PFS is defined as the time from randomization to the first observation of disease progression or death due to any cause.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

199 participants

Primary outcome timeframe

42 months

Results posted on

2023-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Overall Study
STARTED
99
100
Overall Study
COMPLETED
96
91
Overall Study
NOT COMPLETED
3
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1
n=99 Participants
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 Participants
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Total
n=199 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=100 Participants
0 Participants
n=199 Participants
Age, Categorical
Between 18 and 65 years
38 Participants
n=99 Participants
43 Participants
n=100 Participants
81 Participants
n=199 Participants
Age, Categorical
>=65 years
61 Participants
n=99 Participants
57 Participants
n=100 Participants
118 Participants
n=199 Participants
Age, Continuous
67 Years
n=99 Participants
68 Years
n=100 Participants
67 Years
n=199 Participants
Sex: Female, Male
Female
29 Participants
n=99 Participants
26 Participants
n=100 Participants
55 Participants
n=199 Participants
Sex: Female, Male
Male
70 Participants
n=99 Participants
74 Participants
n=100 Participants
144 Participants
n=199 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Canada
79 participants
n=99 Participants
81 participants
n=100 Participants
160 participants
n=199 Participants
Region of Enrollment
Australia
20 participants
n=99 Participants
19 participants
n=100 Participants
39 participants
n=199 Participants

PRIMARY outcome

Timeframe: 42 months

Population: ITT population.

PFS is defined as the time from randomization to the first observation of disease progression or death due to any cause.

Outcome measures

Outcome measures
Measure
Arm 1
n=99 Participants
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 Participants
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Progression-Free Survival
3.35 Months
Interval 2.69 to 4.3
3.02 Months
Interval 2.14 to 4.4

SECONDARY outcome

Timeframe: 42 months

Population: ITT piopulation

Time from randomization to the date of death due to any causes, or censored at last contact date.

Outcome measures

Outcome measures
Measure
Arm 1
n=99 Participants
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 Participants
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Overall Survival
7.46 Months
Interval 6.44 to 8.64
8.77 Months
Interval 6.11 to 10.61

SECONDARY outcome

Timeframe: 42 months

Population: ITT population

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest diameter since the treatment started. Clinical Benefit Rate = OR + SD \> 12 weeks.

Outcome measures

Outcome measures
Measure
Arm 1
n=99 Participants
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 Participants
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Clinical Benefit Rate
50.5 percentage of participants
Interval 42.2 to 58.8
43 percentage of participants
Interval 34.9 to 51.1

SECONDARY outcome

Timeframe: 42 months

Population: ITT population

Time from the date of randomkization to the date of objective response according to RECIST Response Criteria was first achieved.

Outcome measures

Outcome measures
Measure
Arm 1
n=99 Participants
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 Participants
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Time to Response
17.5 Months
Interval 5.49 to 17.5
35.8 Months
Interval 0.03 to 42.0

SECONDARY outcome

Timeframe: 42 months

Population: Patients with baseline and at least 1 after treatment evaluation.

Quality of life will be assessed using the EORTC-C15-PAL questionnaire plus additional study specific questions. Changes in quality of life scores while on treatment (compared to baseline scores) will be examined using descriptive analyses and inferential statistics. The primary test to compare treatment arms will be the NCIC CTG Quality of Life Committee suggested response analyses. A change score of 10 points from baseline was defined as clinically relevant. Patients were considered improved if reported a score 10-points or better than baseline at any time point in QoL assessment. Conversely, patients were considered worsened if reported a score minus 10-points or worse than baseline at any time point in QOL assessment without the above-defined improvement being observed. Patients whose scores were between 10-point changes from baseline at every QoL assessment were considered as stable.

Outcome measures

Outcome measures
Measure
Arm 1
n=85 Participants
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=75 Participants
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Health Related Quality of Life Evaluated Using EORTC-C15-Pal
Improved
28 Participants
22 Participants
Health Related Quality of Life Evaluated Using EORTC-C15-Pal
Stable
7 Participants
13 Participants
Health Related Quality of Life Evaluated Using EORTC-C15-Pal
Worsen
50 Participants
40 Participants

Adverse Events

Arm 1

Serious events: 28 serious events
Other events: 96 other events
Deaths: 72 deaths

Arm 2

Serious events: 19 serious events
Other events: 97 other events
Deaths: 67 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1
n=99 participants at risk
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 participants at risk
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Blood and lymphatic system disorders
Febrile neutropenia
6.1%
6/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Cardiac disorders
Myocardial infarction
1.0%
1/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Cardiac disorders
Sinus tachycardia
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Abdominal pain
2.0%
2/99 • 42 months
The CTC version 4.0
2.0%
2/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Constipation
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Gastric perforation
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Typhlitis
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
General disorders
Death NOS
1.0%
1/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
General disorders
Edema limbs
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
General disorders
Fatigue
1.0%
1/99 • 42 months
The CTC version 4.0
2.0%
2/100 • 42 months
The CTC version 4.0
General disorders
Fever
0.00%
0/99 • 42 months
The CTC version 4.0
3.0%
3/100 • 42 months
The CTC version 4.0
General disorders
Pain
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Immune system disorders
Allergic reaction
1.0%
1/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Immune system disorders
Anaphylaxis
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Infections and infestations
Device related infection
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Infections and infestations
Kidney infection
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Infections and infestations
Lung infection
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Infections and infestations
Sepsis
3.0%
3/99 • 42 months
The CTC version 4.0
4.0%
4/100 • 42 months
The CTC version 4.0
Infections and infestations
Skin infection
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Infections and infestations
Urinary tract infection
7.1%
7/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Injury, poisoning and procedural complications
Fall
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Investigations
Blood bilirubin increased
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Metabolism and nutrition disorders
Dehydration
2.0%
2/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Metabolism and nutrition disorders
Hypercalcemia
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Muscle weakness right-sided
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Nervous system disorders
Other nervous system disorders
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Nervous system disorders
Peripheral motor neuropathy
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Psychiatric disorders
Confusion
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Acute kidney injury
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Hematuria
1.0%
1/99 • 42 months
The CTC version 4.0
2.0%
2/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Other renal and urinary disorders
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Urinary tract obstruction
2.0%
2/99 • 42 months
The CTC version 4.0
2.0%
2/100 • 42 months
The CTC version 4.0
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/99 • 42 months
The CTC version 4.0
2.0%
2/100 • 42 months
The CTC version 4.0
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.0%
1/99 • 42 months
The CTC version 4.0
0.00%
0/100 • 42 months
The CTC version 4.0
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0

Other adverse events

Other adverse events
Measure
Arm 1
n=99 participants at risk
Nab-Paclitaxel - 260mg/m2: q21 days Nab-Paclitaxel
Arm 2
n=100 participants at risk
Paclitaxel - 175mg/m2: q21 days Paclitaxel
Gastrointestinal disorders
Nausea
46.5%
46/99 • 42 months
The CTC version 4.0
44.0%
44/100 • 42 months
The CTC version 4.0
Blood and lymphatic system disorders
Febrile neutropenia
7.1%
7/99 • 42 months
The CTC version 4.0
4.0%
4/100 • 42 months
The CTC version 4.0
Ear and labyrinth disorders
Hearing impaired
3.0%
3/99 • 42 months
The CTC version 4.0
8.0%
8/100 • 42 months
The CTC version 4.0
Ear and labyrinth disorders
Tinnitus
5.1%
5/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Eye disorders
Blurred vision
7.1%
7/99 • 42 months
The CTC version 4.0
4.0%
4/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Abdominal pain
19.2%
19/99 • 42 months
The CTC version 4.0
29.0%
29/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Constipation
58.6%
58/99 • 42 months
The CTC version 4.0
55.0%
55/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Diarrhea
34.3%
34/99 • 42 months
The CTC version 4.0
27.0%
27/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Dyspepsia
10.1%
10/99 • 42 months
The CTC version 4.0
9.0%
9/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Gastroesophageal reflux disease
5.1%
5/99 • 42 months
The CTC version 4.0
8.0%
8/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Mucositis oral
14.1%
14/99 • 42 months
The CTC version 4.0
8.0%
8/100 • 42 months
The CTC version 4.0
Gastrointestinal disorders
Vomiting
22.2%
22/99 • 42 months
The CTC version 4.0
19.0%
19/100 • 42 months
The CTC version 4.0
General disorders
Chills
7.1%
7/99 • 42 months
The CTC version 4.0
2.0%
2/100 • 42 months
The CTC version 4.0
General disorders
Edema limbs
22.2%
22/99 • 42 months
The CTC version 4.0
22.0%
22/100 • 42 months
The CTC version 4.0
General disorders
Fatigue
71.7%
71/99 • 42 months
The CTC version 4.0
80.0%
80/100 • 42 months
The CTC version 4.0
General disorders
Fever
15.2%
15/99 • 42 months
The CTC version 4.0
13.0%
13/100 • 42 months
The CTC version 4.0
General disorders
Flu like symptoms
10.1%
10/99 • 42 months
The CTC version 4.0
3.0%
3/100 • 42 months
The CTC version 4.0
General disorders
Non-cardiac chest pain
3.0%
3/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
General disorders
Pain
9.1%
9/99 • 42 months
The CTC version 4.0
12.0%
12/100 • 42 months
The CTC version 4.0
Infections and infestations
Upper respiratory infection
4.0%
4/99 • 42 months
The CTC version 4.0
9.0%
9/100 • 42 months
The CTC version 4.0
Infections and infestations
Urinary tract infection
21.2%
21/99 • 42 months
The CTC version 4.0
17.0%
17/100 • 42 months
The CTC version 4.0
Investigations
Weight loss
14.1%
14/99 • 42 months
The CTC version 4.0
9.0%
9/100 • 42 months
The CTC version 4.0
Metabolism and nutrition disorders
Anorexia
46.5%
46/99 • 42 months
The CTC version 4.0
44.0%
44/100 • 42 months
The CTC version 4.0
Metabolism and nutrition disorders
Dehydration
9.1%
9/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Metabolism and nutrition disorders
Hypomagnesemia
4.0%
4/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Arthralgia
25.3%
25/99 • 42 months
The CTC version 4.0
26.0%
26/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Back pain
21.2%
21/99 • 42 months
The CTC version 4.0
34.0%
34/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Bone pain
11.1%
11/99 • 42 months
The CTC version 4.0
16.0%
16/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Flank pain
6.1%
6/99 • 42 months
The CTC version 4.0
8.0%
8/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
6.1%
6/99 • 42 months
The CTC version 4.0
9.0%
9/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
12.1%
12/99 • 42 months
The CTC version 4.0
7.0%
7/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Myalgia
21.2%
21/99 • 42 months
The CTC version 4.0
22.0%
22/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Other musculoskeletal and connective tissue disorder
0.00%
0/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Musculoskeletal and connective tissue disorders
Pain in extremity
17.2%
17/99 • 42 months
The CTC version 4.0
29.0%
29/100 • 42 months
The CTC version 4.0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
5.1%
5/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Nervous system disorders
Dizziness
16.2%
16/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Nervous system disorders
Dysgeusia
15.2%
15/99 • 42 months
The CTC version 4.0
15.0%
15/100 • 42 months
The CTC version 4.0
Nervous system disorders
Headache
13.1%
13/99 • 42 months
The CTC version 4.0
13.0%
13/100 • 42 months
The CTC version 4.0
Nervous system disorders
Paresthesia
10.1%
10/99 • 42 months
The CTC version 4.0
3.0%
3/100 • 42 months
The CTC version 4.0
Nervous system disorders
Peripheral motor neuropathy
6.1%
6/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Nervous system disorders
Peripheral sensory neuropathy
72.7%
72/99 • 42 months
The CTC version 4.0
64.0%
64/100 • 42 months
The CTC version 4.0
Psychiatric disorders
Anxiety
17.2%
17/99 • 42 months
The CTC version 4.0
17.0%
17/100 • 42 months
The CTC version 4.0
Psychiatric disorders
Depression
7.1%
7/99 • 42 months
The CTC version 4.0
12.0%
12/100 • 42 months
The CTC version 4.0
Psychiatric disorders
Insomnia
37.4%
37/99 • 42 months
The CTC version 4.0
24.0%
24/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Hematuria
11.1%
11/99 • 42 months
The CTC version 4.0
11.0%
11/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Other renal and urinary disorders
1.0%
1/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Urinary frequency
7.1%
7/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Urinary incontinence
0.00%
0/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Urinary tract obstruction
15.2%
15/99 • 42 months
The CTC version 4.0
11.0%
11/100 • 42 months
The CTC version 4.0
Renal and urinary disorders
Urinary tract pain
5.1%
5/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Reproductive system and breast disorders
Pelvic pain
12.1%
12/99 • 42 months
The CTC version 4.0
13.0%
13/100 • 42 months
The CTC version 4.0
Respiratory, thoracic and mediastinal disorders
Cough
19.2%
19/99 • 42 months
The CTC version 4.0
27.0%
27/100 • 42 months
The CTC version 4.0
Respiratory, thoracic and mediastinal disorders
Dyspnea
31.3%
31/99 • 42 months
The CTC version 4.0
32.0%
32/100 • 42 months
The CTC version 4.0
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.0%
2/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Skin and subcutaneous tissue disorders
Alopecia
62.6%
62/99 • 42 months
The CTC version 4.0
62.0%
62/100 • 42 months
The CTC version 4.0
Skin and subcutaneous tissue disorders
Dry skin
3.0%
3/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Skin and subcutaneous tissue disorders
Other skin and subcutaneous tissue disorders
5.1%
5/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Skin and subcutaneous tissue disorders
Pruritus
8.1%
8/99 • 42 months
The CTC version 4.0
5.0%
5/100 • 42 months
The CTC version 4.0
Skin and subcutaneous tissue disorders
Rash acneiform
5.1%
5/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Skin and subcutaneous tissue disorders
Rash maculo-papular
10.1%
10/99 • 42 months
The CTC version 4.0
14.0%
14/100 • 42 months
The CTC version 4.0
Vascular disorders
Hot flashes
5.1%
5/99 • 42 months
The CTC version 4.0
6.0%
6/100 • 42 months
The CTC version 4.0
Vascular disorders
Hypertension
6.1%
6/99 • 42 months
The CTC version 4.0
3.0%
3/100 • 42 months
The CTC version 4.0
Vascular disorders
Hypotension
5.1%
5/99 • 42 months
The CTC version 4.0
1.0%
1/100 • 42 months
The CTC version 4.0
Vascular disorders
Thromboembolic event
9.1%
9/99 • 42 months
The CTC version 4.0
10.0%
10/100 • 42 months
The CTC version 4.0

Additional Information

Dr. Wendy Parulekar

Canadian Cancer Trials Group

Phone: 613-533-6430

Results disclosure agreements

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