Trial Outcomes & Findings for MEK Inhibitor PD-0325901 Trial in Adolescents and Adults With NF1 (NCT NCT02096471)

NCT ID: NCT02096471

Last Updated: 2019-01-10

Results Overview

Response is assessed by the NCI-POB at the time that follow-up 3D-MRI scans are performed (after course 4, 8, 12, and then after completion of every 6 courses thereafter). For the purpose of determining the level of response (complete, partial, etc.) measurements from the follow-up scans are compared to the target lesion size in the pretreatment MRI scan using 3D data analysis.Complete Response (CR): A complete resolution of the target plexiform neurofibroma for ≥ 4 weeks Partial Response (PR): A ≥20% reduction in the volume of the target plexiform neurofibroma lesion for ≥4 weeks. Stable Disease (SD): A \<20% increase, and \< 20% decrease in the volume of the target plexiform neurofibroma lesion for ≥4 weeks. Progressive Disease (PD): A ≥ 20% increase in the volume (by 3D-MRI) of the target plexiform neurofibroma compared to the pretreatment volume..

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

19 participants

Primary outcome timeframe

baseline to 24 months

Results posted on

2019-01-10

Participant Flow

The study required at least 1 partial or complete response within the first 9 patients in order to complete recruitment.

Unit of analysis: Target Lesion

Participant milestones

Participant milestones
Measure
Agent PD-0325901
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Overall Study
STARTED
19 19
Overall Study
COMPLETED
6 6
Overall Study
NOT COMPLETED
13 13

Reasons for withdrawal

Reasons for withdrawal
Measure
Agent PD-0325901
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Overall Study
Adverse Event
1
Overall Study
Lack of Efficacy
7
Overall Study
Withdrawal by Subject
3
Overall Study
Non-Compliant
2

Baseline Characteristics

MEK Inhibitor PD-0325901 Trial in Adolescents and Adults With NF1

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Agent PD-0325901
n=19 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Age, Categorical
<=18 years
3 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
24.9 years
STANDARD_DEVIATION 6.4 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 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
5 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
19 Participants
n=5 Participants
MRI at Baseline
1 Target Number of Plexiform Neurofibromas
17 Participants
n=5 Participants
MRI at Baseline
1 Target and non target Plexiform Neurofibromas
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline to 24 months

Population: All 19 participants enrolled equivalent to intention to treat population

Response is assessed by the NCI-POB at the time that follow-up 3D-MRI scans are performed (after course 4, 8, 12, and then after completion of every 6 courses thereafter). For the purpose of determining the level of response (complete, partial, etc.) measurements from the follow-up scans are compared to the target lesion size in the pretreatment MRI scan using 3D data analysis.Complete Response (CR): A complete resolution of the target plexiform neurofibroma for ≥ 4 weeks Partial Response (PR): A ≥20% reduction in the volume of the target plexiform neurofibroma lesion for ≥4 weeks. Stable Disease (SD): A \<20% increase, and \< 20% decrease in the volume of the target plexiform neurofibroma lesion for ≥4 weeks. Progressive Disease (PD): A ≥ 20% increase in the volume (by 3D-MRI) of the target plexiform neurofibroma compared to the pretreatment volume..

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=19 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Percent of Participants With a 20% or More Change in Target Tumor Volume
Complete response
0 Participants
Percent of Participants With a 20% or More Change in Target Tumor Volume
Partial response
8 Participants
Percent of Participants With a 20% or More Change in Target Tumor Volume
Stable response
11 Participants
Percent of Participants With a 20% or More Change in Target Tumor Volume
Progressive Disease
0 Participants

SECONDARY outcome

Timeframe: baseline to 24 months

Population: ITT

Number of Evaluable Patients at 24 Months: Any subject with ≥ one dose of PD-0325901 and had a ≥ Grade 3 associated toxicity is evaluable for toxicity. In the absence of a ≥ Grade 3 toxicity, any subject who completed one full course of therapy is evaluable for toxicity. Evaluable For Response - Subjects who have completed at least two courses of therapy and have had their first follow-up MRI evaluation. Subjects who did not respond and are later found to have a target tumor other than a plexiform neurofibroma (e.g. malignant peripheral nerve sheath tumor) are not evaluable for response. Evaluable for Pharmacokinetics - Any subject who has at least 4 samples drawn for pharmacokinetics is evaluable for pharmacokinetics. Evaluable for Pharmacodynamics - Any subject who has a dermal neurofibroma biopsy for pharmacodynamics prior to starting therapy plus at least one other dermal neurofibroma biopsy is evaluable for

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=19 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Evaluable Participants Treated With PD-0325901
Evaluable
8 Participants
Evaluable Participants Treated With PD-0325901
Failed to Achieve Comp/Partial Response
11 Participants

SECONDARY outcome

Timeframe: Baseline to 24 Months

Number and Percent of Participants with AEs and SAEs

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=19 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Toxicity of PD-0325901
SAEs
2 participants
Toxicity of PD-0325901
AEs
19 participants

SECONDARY outcome

Timeframe: Baseline to 24 Months

Population: All participants were evaluated and the two with non-Plexiform Neurofibromas were assessed.

radiographic response based on volumetric MRI measurements of up to 2 Non Target Plexiform Neurofibromas classified as complete, partial, stable or progressive

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=19 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
The Objective Response Rate of up to 2 Non-Target Plexiform Neurofibromas to PD-0325901
Complete response
0 participants
The Objective Response Rate of up to 2 Non-Target Plexiform Neurofibromas to PD-0325901
Partial response
0 participants
The Objective Response Rate of up to 2 Non-Target Plexiform Neurofibromas to PD-0325901
Stable response
2 participants
The Objective Response Rate of up to 2 Non-Target Plexiform Neurofibromas to PD-0325901
Progressive Disease
0 participants

SECONDARY outcome

Timeframe: Day 1; Course 1

Population: 18 of the 19 participants had PK samples drawn.

Mean and Standard Deviation AUC Estimates of the levels of PD-0325901 over 12-Hours for both the Parent and Metabolite Compound, based on samples at Pre-dose, .5 Hr. Post dose, 1.0 Hr.Post dose, 2.0 Hr.Post dose, 3.0 Hr. Post dose, 4.0 Hr.Post dose, 6.0 Hr. Post dose, 8.0 Hr. Post dose, 10.0-12.0 Hr. Post dose.

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=18 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Area Under the Curve for the Parent Compound
219.1 ng/mL*hr/(mg/m^2Parent)
Standard Deviation 41.4

SECONDARY outcome

Timeframe: Baseline to 12 Months

Population: NRS-11 are on a scale of 0-10 with 0 being no pain, higher scores are greater intensity. BPI pain interference scale yields a total score (each item 0-10 and total score=mean all items) higher scores are more pain interference.Remaining items are initially a 5-point Likert scale (0-4) and transformed to a 0-100 scale with higher scores better QOL.

The PedsQL™ NF1 Module asks how much of a problem each item has been during the past one month. A 5-point response scale: 0= never a problem...4= almost always a problem). Items are reverse scored and linearly transformed to a scale of 0-100 Higher scores = better HRQOL. The total scale score is the sum of items divided by the number answered. Subscale scores are computed similarly. If more than 50% of the items in the scale are missing, the scale score is not computed. The Numerical Rating Scale-11 (NRS-11) is a self-report segmented 11-point numeric scale that assesses pain intensity with 0 representing "no pain" at the right end of the line and 10 representing "worst pain you can imagine". The Brief Pain Inventory (BPI)-Pain Interference Scale is a 7-item self-report questionnaire asking (general activity, mood, walking, normal work, relations with other people, sleep, and enjoyment of life) in the past week with 0 = no interference and 10 = completely interferes.

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=19 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Daily Activities (Baseline - 12 mo.)
6.66 score on a scale
Standard Error 5.05
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Emotional Functioning (Baseline - 12 mo.)
-2.34 score on a scale
Standard Error 6.46
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Social Functioning (Baseline - 12 mo.)
-6.24 score on a scale
Standard Error 6.79
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Cognitive Functioning (Baseline - 12 mo.)
-0.17 score on a scale
Standard Error 6.37
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Communication Functioning (Baseline - 12 mo.)
0.68 score on a scale
Standard Error 7.99
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Worry (Baseline - 12 mo.)
-10.97 score on a scale
Standard Error 8.16
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Paresthesias (Baseline - 12 mo.)
-3.74 score on a scale
Standard Error 6.58
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Skin Irritation (Baseline - 12 mo.)
-4.21 score on a scale
Standard Error 5.51
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Sensation (Baseline - 12 mo.)
-6.27 score on a scale
Standard Error 5.72
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Fatigue (Baseline - 12 mo.)
-0.71 score on a scale
Standard Error 8.52
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Treatment Anxiety (Baseline - 12 mo.)
-1.07 score on a scale
Standard Error 7.53
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Overall Tumor Pain Change (Baseline - 12 mo.)
1.38 score on a scale
Standard Error 0.84
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Most Important Tumor Pain (Baseline - 12 mo.)
2.10 score on a scale
Standard Error 0.80
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Brief Pain Inventory (Baseline - 12 mo.)
0.89 score on a scale
Standard Error 0.66
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Total Functioning (Baseline - 12 mo.)
-3.77 score on a scale
Standard Error 3.60
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Physical Functioning (Baseline - 12 mo.)
-3.55 score on a scale
Standard Error 6.87
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Pain and Hurt (Baseline - 12 mo.)
-13.06 score on a scale
Standard Error 8.29
Quality of Life Using the Pain Subscale of the NRS-11 and PedsQL™ NF1 for Subjects Receiving PD-0325901 Using Age-based Assessments
Movement and Balance (Baseline - 12 mo.)
-12.98 score on a scale
Standard Error 6.35

SECONDARY outcome

Timeframe: Day 1; Course 1

Population: 18 of the 19 participants had PK samples collected and the metabolite compound AUC was computed and summarized.

Mean 12-Hour AUC Estimates of the Parent and Metabolite Compound, based on samples at Pre-dose, .5 Hr. Post dose, 1.0 Hr.Post dose, 2.0 Hr.Post dose, 3.0 Hr. Post dose, 4.0 Hr.Post dose, 6.0 Hr. Post dose, 8.0 Hr. Post dose, 10.0-12.0 Hr. Post dose.

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=18 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Area Under the Curve for the Metabolite Compound
91.1 ng/mL*hr/(mg/m^2 Metabolite)
Standard Deviation 49.5

SECONDARY outcome

Timeframe: Day 1; Course 1

Population: 18 of the 19 participants had PK samples collected and the metabolite compound AUC was computed and summarized.

Half life Estimates of PD-0325901 of the Parent and Metabolite Compound, based on samples at Pre-dose, .5 Hr. Post dose, 1.0 Hr.Post dose, 2.0 Hr.Post dose, 3.0 Hr. Post dose, 4.0 Hr.Post dose, 6.0 Hr. Post dose, 8.0 Hr. Post dose, 10.0-12.0 Hr. Post dose.

Outcome measures

Outcome measures
Measure
Agent PD-0325901
n=18 Participants
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Mean Half-Life for the PD-0325901 Concentrations
6.1 hours
Standard Deviation 3.5

Adverse Events

Agent PD-0325901

Serious events: 2 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Agent PD-0325901
n=19 participants at risk
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Gastrointestinal disorders
Abdominal Pain
5.3%
1/19 • Number of events 1 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Back Pain
5.3%
1/19 • Number of events 1 • Baseline to 24 Months
Pregnancy, puerperium and perinatal conditions
Pregnancy, puerperium and perinatal conditions, other
5.3%
1/19 • Number of events 1 • Baseline to 24 Months

Other adverse events

Other adverse events
Measure
Agent PD-0325901
n=19 participants at risk
The primary aim of the study will be to assess quantitative radiographic response in a target lesion. Subjects will receive PD-0325901 by mouth on a bid dosing schedule of 2 mg/m2/dose with a maximum dose of 4 mg bid. Each course is 4 weeks duration, and subjects will receive drug on a 3 week on/1 week off schedule. Subjects may receive additional courses beyond course 8 only if there is at least 15% reduction in volume of the target tumor. Subjects who have a 20% or greater reduction in target tumor volume at the end of 12 courses can continue on therapy for up to an additional year (maximum of 24 total courses). However, subjects who do not achieve at least 15% reduction in volume of the target tumor after 8 courses (\~8 months) will be considered treatment failures and taken off study. PD-0325901
Metabolism and nutrition disorders
Hypoalbuminemia
26.3%
5/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypocalcemia
21.1%
4/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hyerkalemia
5.3%
1/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypoglycemia
5.3%
1/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypokalemia
21.1%
4/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypomagnesemia
21.1%
4/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hyponatremia
10.5%
2/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypophosphatemia
10.5%
2/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Arthralgia
5.3%
1/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Back Pain
15.8%
3/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Fibrosis Deep Connective Tissue
5.3%
1/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Flank Pain
5.3%
1/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorders - Other, Hip Pain
5.3%
1/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Myalgia
5.3%
1/19 • Baseline to 24 Months
Musculoskeletal and connective tissue disorders
Pain in Extremity
21.1%
4/19 • Baseline to 24 Months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (inc cysts and polyps) - Other, Cyst
5.3%
1/19 • Baseline to 24 Months
Blood and lymphatic system disorders
Anemia
15.8%
3/19 • Baseline to 24 Months
Blood and lymphatic system disorders
Hemolysis
5.3%
1/19 • Baseline to 24 Months
Cardiac disorders
Sinus Tachycardia
5.3%
1/19 • Baseline to 24 Months
Ear and labyrinth disorders
Ear Pain
10.5%
2/19 • Baseline to 24 Months
Ear and labyrinth disorders
Vertigo
5.3%
1/19 • Baseline to 24 Months
Eye disorders
Eye Disorder - Other, Pigment Changes
5.3%
1/19 • Baseline to 24 Months
Eye disorders
Eye Disorder - Other, Subconjunctival Hemmorrhage of the Eye
5.3%
1/19 • Baseline to 24 Months
Eye disorders
Eye Disorders - Other, Choroidal Space Macular
5.3%
1/19 • Baseline to 24 Months
Eye disorders
Eye Disorders - Other, Nuclear Lens Opacification
5.3%
1/19 • Baseline to 24 Months
Eye disorders
Eye Disorders - Other, Optic Nerve Drusen
5.3%
1/19 • Baseline to 24 Months
Eye disorders
Eye Pain
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Abdominal Distension
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Abdominal Pain
15.8%
3/19 • Baseline to 24 Months
Gastrointestinal disorders
Bloating
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Constipation
21.1%
4/19 • Baseline to 24 Months
Gastrointestinal disorders
Diarrhea
31.6%
6/19 • Baseline to 24 Months
Gastrointestinal disorders
Dry Mouth
10.5%
2/19 • Baseline to 24 Months
Gastrointestinal disorders
Dyspepsia
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Gastritis
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Gastroesophageal Reflux Disease
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Gastrointestinal disorders - Other, Blood in Stool
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Gastrointestinal disorders - Other, Duodenitis
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Gastroparesis
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Mucositis oral
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Nausea
63.2%
12/19 • Baseline to 24 Months
Gastrointestinal disorders
Oral Pain
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Rectal hemmorrhage
5.3%
1/19 • Baseline to 24 Months
Gastrointestinal disorders
Vomitting
36.8%
7/19 • Baseline to 24 Months
General disorders
Chills
5.3%
1/19 • Baseline to 24 Months
General disorders
Edema Face
5.3%
1/19 • Baseline to 24 Months
General disorders
Edema Limbs
10.5%
2/19 • Baseline to 24 Months
General disorders
Fatigue
57.9%
11/19 • Baseline to 24 Months
General disorders
Flu-like Symptoms
15.8%
3/19 • Baseline to 24 Months
General disorders
Localized Edema
5.3%
1/19 • Baseline to 24 Months
General disorders
Pain
10.5%
2/19 • Baseline to 24 Months
Infections and infestations
Conjunctivitis Infective
5.3%
1/19 • Baseline to 24 Months
Infections and infestations
Mucosal Infection
5.3%
1/19 • Baseline to 24 Months
Infections and infestations
Paronychia
10.5%
2/19 • Baseline to 24 Months
Infections and infestations
Sinusitis
5.3%
1/19 • Baseline to 24 Months
Infections and infestations
Tooth Infection
5.3%
1/19 • Baseline to 24 Months
Infections and infestations
Upper Respiratory Infection
15.8%
3/19 • Baseline to 24 Months
Investigations
Alkaline Phosphatase Increased
5.3%
1/19 • Baseline to 24 Months
Investigations
Aspartate Aminotransferase Increased
10.5%
2/19 • Baseline to 24 Months
Nervous system disorders
Dizziness
31.6%
6/19 • Baseline to 24 Months
Nervous system disorders
Headache
42.1%
8/19 • Baseline to 24 Months
Nervous system disorders
Movements involuntary
5.3%
1/19 • Baseline to 24 Months
Nervous system disorders
Paresthesia
10.5%
2/19 • Baseline to 24 Months
Nervous system disorders
Seizure
10.5%
2/19 • Baseline to 24 Months
Nervous system disorders
Spasticity
5.3%
1/19 • Baseline to 24 Months
Nervous system disorders
Syncope
5.3%
1/19 • Baseline to 24 Months
Psychiatric disorders
Agitation
5.3%
1/19 • Baseline to 24 Months
Psychiatric disorders
Anxiety
5.3%
1/19 • Baseline to 24 Months
Psychiatric disorders
Confusion
5.3%
1/19 • Baseline to 24 Months
Psychiatric disorders
Insomnia
5.3%
1/19 • Baseline to 24 Months
Renal and urinary disorders
Cystitis noninfective
5.3%
1/19 • Baseline to 24 Months
Renal and urinary disorders
Urinary incontinence
5.3%
1/19 • Baseline to 24 Months
Reproductive system and breast disorders
Irregular menstruation
5.3%
1/19 • Baseline to 24 Months
Reproductive system and breast disorders
Reproductive system and breast disorders - other, breakthrough bleeding
5.3%
1/19 • Baseline to 24 Months
Respiratory, thoracic and mediastinal disorders
Cough
10.5%
2/19 • Baseline to 24 Months
Respiratory, thoracic and mediastinal disorders
Epistaxis
10.5%
2/19 • Baseline to 24 Months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
10.5%
2/19 • Baseline to 24 Months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Alpecia
10.5%
2/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Dry Skin
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Hirsutism
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Hyperhidrosis
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Night sweats
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Pruritus
15.8%
3/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Rash maculopapular
10.5%
2/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Rash acneiform
94.7%
18/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Rash pustular
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, Bleeding and oozing from ear
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, Erythema hallux
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, Erythema
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, Hemangiomas
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, Oily Skin
5.3%
1/19 • Baseline to 24 Months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, Pustular Dermatosis
5.3%
1/19 • Baseline to 24 Months
Vascular disorders
Hypertension
10.5%
2/19 • Baseline to 24 Months
Vascular disorders
Vascular disorder - Other, Hot Flashes
5.3%
1/19 • Baseline to 24 Months
Investigations
Blood Bilirubin Increased
5.3%
1/19 • Baseline to 24 Months
Investigations
CPK Increased
31.6%
6/19 • Baseline to 24 Months
Investigations
Creatinine Increased
5.3%
1/19 • Baseline to 24 Months
Investigations
Hemoglobin Increased
5.3%
1/19 • Baseline to 24 Months
Investigations
Hiatal Hernia
5.3%
1/19 • Baseline to 24 Months
Investigations
Indigestion
5.3%
1/19 • Baseline to 24 Months
Investigations
Investigations - Other, Total Protein Serum High
5.3%
1/19 • Baseline to 24 Months
Investigations
Lymphocyte Count Decreased
10.5%
2/19 • Baseline to 24 Months
Investigations
Lymphocyte Count Increased
5.3%
1/19 • Baseline to 24 Months
Investigations
Neutrophil Count Decreased
5.3%
1/19 • Baseline to 24 Months
Investigations
Platelet Count Decreased
10.5%
2/19 • Baseline to 24 Months
Investigations
Weight Gain
15.8%
3/19 • Baseline to 24 Months
Investigations
White Blood Cell Count Decreased
5.3%
1/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Anorexia
5.3%
1/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Dehydration
5.3%
1/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypercalcemia
5.3%
1/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hyperglycemia
21.1%
4/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypermagnesemia
10.5%
2/19 • Baseline to 24 Months
Metabolism and nutrition disorders
Hypernatermia
5.3%
1/19 • Baseline to 24 Months

Additional Information

Gary Cutter, PhD

The Univ of Alabama at Birmingham

Phone: 205.975-5048

Results disclosure agreements

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

Restriction type: GT60