Trial Outcomes & Findings for Maximum Tolerated Dose, Safety and Efficacy of Docetaxel / Cisplatin + STI571 (NCT NCT02127372)

NCT ID: NCT02127372

Last Updated: 2014-09-15

Results Overview

To determine the maximum tolerated dose (MTD) of STI571, docetaxel, and cisplatin, when administered in combination for the treatment of patients with chemo-naïve recurrent and metastatic (stage IV) NSCLC.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

43 participants

Primary outcome timeframe

After cycle 1, day 22

Results posted on

2014-09-15

Participant Flow

Patients with Advanced Non-Small Cell Lung Cancer were enrolled from November 2004 to April 2009. The study was closed due to poor accrual.

Overall, 72 subject signed a consent form and 43 went on to start treatment on study. Of the 24 subjects who signed a consent form for Phase 1, 9 were screen failures and did not start study treatment. Of the 48 subjects who signed a consent form for Phase 2, 20 were screen failures and did not start study treatment.

Participant milestones

Participant milestones
Measure
Phase 1
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Overall Study
STARTED
15
28
Overall Study
Started Study Treatment
15
28
Overall Study
COMPLETED
14
28
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase 1
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Maximum Tolerated Dose, Safety and Efficacy of Docetaxel / Cisplatin + STI571

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1
n=15 Participants
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
n=28 Participants
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Total
n=43 Participants
Total of all reporting groups
Age, Continuous
52.0 years
STANDARD_DEVIATION 12.5 • n=5 Participants
60.0 years
STANDARD_DEVIATION 9.5 • n=7 Participants
57.7 years
STANDARD_DEVIATION 11.3 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
11 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
17 Participants
n=7 Participants
27 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
28 participants
n=7 Participants
43 participants
n=5 Participants

PRIMARY outcome

Timeframe: After cycle 1, day 22

Population: One patient only received the lead-in dose of STI571 prior to withdrawing from the study without a DLT. This subject is not included in the DLT determination.

To determine the maximum tolerated dose (MTD) of STI571, docetaxel, and cisplatin, when administered in combination for the treatment of patients with chemo-naïve recurrent and metastatic (stage IV) NSCLC.

Outcome measures

Outcome measures
Measure
Phase 1
n=14 Participants
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Phase 1 - Maximum Tolerated Dose (MTD) of STI571
400 mg

PRIMARY outcome

Timeframe: After cycle 1, day 22

Population: One patient only received the lead-in dose of STI571 prior to withdrawing from the study without a DLT. This subject is not included in the DLT determination.

To determine the maximum tolerated dose (MTD) of STI571, docetaxel, and cisplatin when administered in combination for the treatment of patients with chemo-naïve recurrent and metastatic (stage IV) NSCLC.

Outcome measures

Outcome measures
Measure
Phase 1
n=14 Participants
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Phase 1 - Maximum Tolerated Dose (MTD) of Docetaxel and Cisplatin
Docetaxel
60 mg/m2
Phase 1 - Maximum Tolerated Dose (MTD) of Docetaxel and Cisplatin
Cisplatin
60 mg/m2

PRIMARY outcome

Timeframe: After Cycle 6, approximately 18 weeks.

The percentage of patients with a complete or partial response. Responses for the Phase II portion of the trial will be by Response Evaluation Criteria In Solid Tumors (RECIST) criteria as follows: Complete Response (CR): disappearance of all target lesions; Partial Response (PR): at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
Phase 1
n=28 Participants
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Phase II - Radiographic Response
25 percentage of participants
Interval 11.0 to 45.0

SECONDARY outcome

Timeframe: 1 year

Phase II: Percentage of patients alive 1 year from the start of protocol treatment.

Outcome measures

Outcome measures
Measure
Phase 1
n=28 Participants
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Phase 2: 1 Year Survival
61 percentage of participants
Interval 40.0 to 76.0

SECONDARY outcome

Timeframe: Day 7

Population: Because the study was terminated prior to completion, correlative studies were not run.

The change in Gd-MRI perfusion/permeability measurement between pre and post 7-day of STI571 treatment.

Outcome measures

Outcome data not reported

Adverse Events

Phase 1

Serious events: 9 serious events
Other events: 15 other events
Deaths: 0 deaths

Phase 2

Serious events: 15 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Phase 1
n=15 participants at risk
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
n=28 participants at risk
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Blood and lymphatic system disorders
Febrile neutropenia
13.3%
2/15
7.1%
2/28
Cardiac disorders
Myocardial infarction
0.00%
0/15
7.1%
2/28
Gastrointestinal disorders
Diarrhea
6.7%
1/15
3.6%
1/28
Gastrointestinal disorders
Nausea
13.3%
2/15
7.1%
2/28
Gastrointestinal disorders
Stomach pain
0.00%
0/15
3.6%
1/28
Gastrointestinal disorders
Vomiting
13.3%
2/15
3.6%
1/28
General disorders
Edema face
6.7%
1/15
0.00%
0/28
General disorders
Fever
6.7%
1/15
0.00%
0/28
Infections and infestations
Bronchial infection
0.00%
0/15
3.6%
1/28
Infections and infestations
Lung infection
6.7%
1/15
10.7%
3/28
Injury, poisoning and procedural complications
Postoperative hemorrhage
0.00%
0/15
3.6%
1/28
Investigations
Creatinine increased
6.7%
1/15
0.00%
0/28
Investigations
Neutrophil count decreased
6.7%
1/15
0.00%
0/28
Metabolism and nutrition disorders
Dehydration
13.3%
2/15
14.3%
4/28
Metabolism and nutrition disorders
Hypokalemia
6.7%
1/15
0.00%
0/28
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/15
3.6%
1/28
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/15
3.6%
1/28
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/15
3.6%
1/28
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/15
3.6%
1/28
Psychiatric disorders
Agitation
0.00%
0/15
3.6%
1/28
Psychiatric disorders
Confusion
0.00%
0/15
3.6%
1/28
Reproductive system and breast disorders
Pelvic pain
0.00%
0/15
3.6%
1/28
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
6.7%
1/15
3.6%
1/28
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.7%
1/15
3.6%
1/28
Respiratory, thoracic and mediastinal disorders
Pleural effusion
6.7%
1/15
0.00%
0/28
Vascular disorders
Thromboembolic event
6.7%
1/15
17.9%
5/28

Other adverse events

Other adverse events
Measure
Phase 1
n=15 participants at risk
Eligible subjects will be enrolled in the Phase I portion of the study to determine the MTD of STI571 in combination with docetaxel plus cisplatin, given every three weeks. STI will be given intermittently for 7 days (Day -5 to Day 2) When MTD is established, Phase II study will evaluate for combined modality safety, tolerability and efficacy (response rate vs. historical control). All subjects will start with STI571 therapy alone for 7 days; pre and post STI571 treatment (Days -8 and 0)
Phase 2
n=28 participants at risk
The objective of this two-stage Phase II study is to determine whether the combination of STI571, docetaxel, and cisplatin merits inclusion in a randomized study for chemotherapy-naïve patients with advanced NSCLC. The dose for the Phase 2 portion of the trial will be IV Docetaxel / Cisplatin 60 / 60 mg/m2 and 400 mg STI571 PO QD
Blood and lymphatic system disorders
Anemia
46.7%
7/15
60.7%
17/28
Cardiac disorders
Myocardial infarction
6.7%
1/15
0.00%
0/28
Cardiac disorders
Ventricular tachycardia
6.7%
1/15
0.00%
0/28
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
6.7%
1/15
3.6%
1/28
Ear and labyrinth disorders
Tinnitus
0.00%
0/15
7.1%
2/28
Eye disorders
Blurred vision
6.7%
1/15
14.3%
4/28
Eye disorders
Dry eye
0.00%
0/15
3.6%
1/28
Eye disorders
Eye disorders - Other, specify
0.00%
0/15
7.1%
2/28
Eye disorders
Flashing lights
6.7%
1/15
3.6%
1/28
Eye disorders
Watering eyes
13.3%
2/15
14.3%
4/28
Gastrointestinal disorders
Abdominal distension
6.7%
1/15
0.00%
0/28
Gastrointestinal disorders
Abdominal pain
0.00%
0/15
3.6%
1/28
Gastrointestinal disorders
Cheilitis
13.3%
2/15
0.00%
0/28
Gastrointestinal disorders
Constipation
53.3%
8/15
21.4%
6/28
Gastrointestinal disorders
Diarrhea
40.0%
6/15
35.7%
10/28
Gastrointestinal disorders
Dry mouth
13.3%
2/15
0.00%
0/28
Gastrointestinal disorders
Dyspepsia
20.0%
3/15
17.9%
5/28
Gastrointestinal disorders
Hemorrhoids
0.00%
0/15
3.6%
1/28
Gastrointestinal disorders
Mucositis oral
40.0%
6/15
25.0%
7/28
Gastrointestinal disorders
Nausea
86.7%
13/15
46.4%
13/28
Gastrointestinal disorders
Vomiting
40.0%
6/15
28.6%
8/28
General disorders
Chills
6.7%
1/15
3.6%
1/28
General disorders
Edema face
20.0%
3/15
7.1%
2/28
General disorders
Edema limbs
33.3%
5/15
35.7%
10/28
General disorders
Edema trunk
6.7%
1/15
3.6%
1/28
General disorders
Fatigue
73.3%
11/15
64.3%
18/28
General disorders
Fever
20.0%
3/15
3.6%
1/28
General disorders
Non-cardiac chest pain
13.3%
2/15
10.7%
3/28
Immune system disorders
Allergic reaction
0.00%
0/15
7.1%
2/28
Infections and infestations
Gum infection
6.7%
1/15
0.00%
0/28
Infections and infestations
Infections and infestations - Other, specify
6.7%
1/15
0.00%
0/28
Infections and infestations
Sinusitis
6.7%
1/15
0.00%
0/28
Infections and infestations
Tooth infection
0.00%
0/15
3.6%
1/28
Infections and infestations
Upper respiratory infection
6.7%
1/15
7.1%
2/28
Infections and infestations
Urinary tract infection
0.00%
0/15
3.6%
1/28
Investigations
Alanine aminotransferase increased
6.7%
1/15
7.1%
2/28
Investigations
Alkaline phosphatase increased
0.00%
0/15
28.6%
8/28
Investigations
Aspartate aminotransferase increased
0.00%
0/15
7.1%
2/28
Investigations
Creatinine increased
6.7%
1/15
10.7%
3/28
Investigations
Neutrophil count decreased
26.7%
4/15
21.4%
6/28
Investigations
Platelet count decreased
6.7%
1/15
14.3%
4/28
Investigations
Weight gain
6.7%
1/15
0.00%
0/28
Investigations
Weight loss
0.00%
0/15
3.6%
1/28
Investigations
White blood cell decreased
26.7%
4/15
21.4%
6/28
Metabolism and nutrition disorders
Anorexia
73.3%
11/15
50.0%
14/28
Metabolism and nutrition disorders
Dehydration
13.3%
2/15
10.7%
3/28
Metabolism and nutrition disorders
Hyperglycemia
13.3%
2/15
42.9%
12/28
Metabolism and nutrition disorders
Hyperkalemia
6.7%
1/15
7.1%
2/28
Metabolism and nutrition disorders
Hypermagnesemia
0.00%
0/15
10.7%
3/28
Metabolism and nutrition disorders
Hypoalbuminemia
13.3%
2/15
50.0%
14/28
Metabolism and nutrition disorders
Hypocalcemia
13.3%
2/15
21.4%
6/28
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/15
7.1%
2/28
Metabolism and nutrition disorders
Hypomagnesemia
20.0%
3/15
14.3%
4/28
Metabolism and nutrition disorders
Hyponatremia
26.7%
4/15
25.0%
7/28
Musculoskeletal and connective tissue disorders
Arthralgia
6.7%
1/15
25.0%
7/28
Musculoskeletal and connective tissue disorders
Back pain
20.0%
3/15
10.7%
3/28
Musculoskeletal and connective tissue disorders
Bone pain
20.0%
3/15
0.00%
0/28
Musculoskeletal and connective tissue disorders
Chest wall pain
20.0%
3/15
3.6%
1/28
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/15
10.7%
3/28
Musculoskeletal and connective tissue disorders
Muscle weakness left-sided
0.00%
0/15
3.6%
1/28
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
13.3%
2/15
10.7%
3/28
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
6.7%
1/15
0.00%
0/28
Musculoskeletal and connective tissue disorders
Myalgia
20.0%
3/15
10.7%
3/28
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/15
10.7%
3/28
Nervous system disorders
Dizziness
13.3%
2/15
0.00%
0/28
Nervous system disorders
Dysgeusia
46.7%
7/15
53.6%
15/28
Nervous system disorders
Extrapyramidal disorder
6.7%
1/15
0.00%
0/28
Nervous system disorders
Headache
20.0%
3/15
7.1%
2/28
Nervous system disorders
Peripheral sensory neuropathy
33.3%
5/15
14.3%
4/28
Nervous system disorders
Tremor
0.00%
0/15
3.6%
1/28
Psychiatric disorders
Anxiety
13.3%
2/15
0.00%
0/28
Psychiatric disorders
Depression
20.0%
3/15
0.00%
0/28
Psychiatric disorders
Insomnia
46.7%
7/15
28.6%
8/28
Renal and urinary disorders
Renal and urinary disorders - Other, specify
0.00%
0/15
7.1%
2/28
Renal and urinary disorders
Urinary frequency
6.7%
1/15
0.00%
0/28
Renal and urinary disorders
Urinary tract pain
6.7%
1/15
0.00%
0/28
Reproductive system and breast disorders
Breast pain
0.00%
0/15
3.6%
1/28
Reproductive system and breast disorders
Pelvic pain
0.00%
0/15
3.6%
1/28
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
6.7%
1/15
17.9%
5/28
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
0.00%
0/15
3.6%
1/28
Respiratory, thoracic and mediastinal disorders
Bronchospasm
6.7%
1/15
0.00%
0/28
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
5/15
32.1%
9/28
Respiratory, thoracic and mediastinal disorders
Dyspnea
46.7%
7/15
21.4%
6/28
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/15
3.6%
1/28
Respiratory, thoracic and mediastinal disorders
Hiccups
13.3%
2/15
0.00%
0/28
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
6.7%
1/15
0.00%
0/28
Respiratory, thoracic and mediastinal disorders
Voice alteration
0.00%
0/15
3.6%
1/28
Skin and subcutaneous tissue disorders
Alopecia
73.3%
11/15
60.7%
17/28
Skin and subcutaneous tissue disorders
Dry skin
13.3%
2/15
0.00%
0/28
Skin and subcutaneous tissue disorders
Erythema multiforme
6.7%
1/15
14.3%
4/28
Skin and subcutaneous tissue disorders
Hyperhidrosis
13.3%
2/15
3.6%
1/28
Skin and subcutaneous tissue disorders
Nail loss
13.3%
2/15
3.6%
1/28
Skin and subcutaneous tissue disorders
Pain of skin
0.00%
0/15
3.6%
1/28
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
0.00%
0/15
3.6%
1/28
Vascular disorders
Hypotension
0.00%
0/15
3.6%
1/28

Additional Information

Gordana Vlahovic, MD

Duke University Medical Center

Phone: 919-681-4047

Results disclosure agreements

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