Trial Outcomes & Findings for Ganetespib and Ziv-Aflibercept in Refractory Gastrointestinal Carcinomas, Non-Squamous Non-Small Cell Lung Carcinomas, Urothelial Carcinomas, and Sarcomas (NCT NCT02192541)

NCT ID: NCT02192541

Last Updated: 2018-03-29

Results Overview

Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

5 participants

Primary outcome timeframe

Date treatment consent signed to date off study, approximately 12 months and 44 days

Results posted on

2018-03-29

Participant Flow

The escalation of dose was not performed as planned for this study due to toxicity and early termination of the trial.

Participant milestones

Participant milestones
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Overall Study
STARTED
2
3
Overall Study
Treated
2
3
Overall Study
Evaluable for Response
1
3
Overall Study
COMPLETED
2
3
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ganetespib and Ziv-Aflibercept in Refractory Gastrointestinal Carcinomas, Non-Squamous Non-Small Cell Lung Carcinomas, Urothelial Carcinomas, and Sarcomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=2 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Total
n=5 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
59 years
n=5 Participants
60 years
n=7 Participants
60 years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
2 participants
n=5 Participants
3 participants
n=7 Participants
5 participants
n=5 Participants
Diagnosis
Colon adenocarcinomas
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Diagnosis
Small bowel adenocarcinomas
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Diagnosis
Rectal adenocarcinomas
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
0: Fully active
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1: Restricted in physically strenuous activity
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
2: Unable to carry out any work activities
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
3: Capable of only limited self-care
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
4: Completely disabled
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
5: Dead
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Number of Prior Therapies
6.5 prior therapies
n=5 Participants
8 prior therapies
n=7 Participants
8 prior therapies
n=5 Participants

PRIMARY outcome

Timeframe: Date treatment consent signed to date off study, approximately 12 months and 44 days

Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcome measures

Outcome measures
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=2 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Number of Participants With Serious and Non-serious Adverse Events Regardless of Attribution Assessed by the Common Terminology Criteria in Adverse Events (CTCAE) v4.0
2 Participants
3 Participants

PRIMARY outcome

Timeframe: Date treatment consent signed to date off study, approximately 12 months and 44 days

Adverse Events were graded according to Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0. Grade refers to the severity of the Adverse Event. Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 Moderate; minimal, local or noninvasive intervention indicated. Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to adverse event (AE). AEs were considered possibly attributable to both study drugs, except where otherwise noted. Star (\*) symbol indicates that the AE is possibly related to Ziv-aflibercept and unlikely to be related to Ganetespib.

Outcome measures

Outcome measures
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=2 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 3 Abdominal Pain
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Alanine Aminotransferase Increased
0 Participants
1 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Hypocalcemia
0 Participants
1 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Infusion Related Reaction
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Lymphocycte Count Decreased
0 Participants
1 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 3 Alkaline Phosphtase Increased
0 Participants
1 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 3 Gastritis*
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Anorexia
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Diarrhea
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 EKG QT Corrected Interval Prolonged
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Fatigue
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 2 Hypertension*
0 Participants
1 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 5 Small Intestinal Perforation*
1 Participants
0 Participants
Number of Participants With Grade 2 or Greater Adverse Events Possibly, Probably, or Definitely Related to Administration of the Study Drugs
Grade 5 Sudden Death Not Otherwise Specified*
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Cycle one (28 days)

Population: An MTD was not established because no MTD data were collected. The trial was terminated before the MTD was reached due to the decision of the drug supplier to suspend further clinical development of ganetespib.

MTD is defined as the dose level at which no more than 1 of 6 patients experience a dose limiting toxicity (DLT) during the first cycle of the treatment, and the dose level below that at which at least 2 (of \<6) patients have a DLT as a result of the drug. Determination of DLT is based on the first cycle of treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Cycle 2, Day 7

Population: Data were not collected from any participant. Biopsies were to be collected from an expansion cohort treated at the maximum tolerated dose, after the conclusion of the dose escalation phase. Trial was closed before the MTD was established, patients were not enrolled to an expansion phase, and samples for pharmacodynamics analysis were not obtained.

To determine whether the combination of ganetespib and ziv-aflibercept modulated intratumoral Hypoxia-inducible factor 1 (HIF-1)-alpha expression, tumor biopsies were to be analyzed for change in HIF-1-alpha expression by immunofluorescence assay (IFA). Paired pre-and post-combination treatment samples were to be compared for qualitative changes in levels of HIF-1- alpha expression. Cores were to be normalized against the percentage of tumor within the sample.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Cycle 1 Day 16

Population: Data were not collected from any participant for this Outcome Measure. As the trial was closed before the maximum tolerated dose (MTD) was established, patients were not enrolled to an expansion phase, and samples for pharmacodynamics analysis were not obtained.

To evaluate for tumor distribution of EGFR, patients were to undergo 89Zr-immuno-positron emission tomography (PET) imaging with 89Zr-labeled EGFR-targeting panitumumab antibody evaluate modulation of EGFR client protein prior to and after treatment with the combination of ganetespib and ziv-aflibercept. Panitumumab is a fully human monoclonal antibody that targets EGFR and competes with endogenous ligands to block stimulation of EGFR. 89z-immuno-PET imaging with panitumumab as a targeting ligand allows for quantification of EGFR within tumors.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and every 2 months up to 5 months

Radiologic response assessments by computed tomography (CT) scans were performed at baseline and every two cycles to evaluate tumor response based on the Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1. Per Response Evaluation Criteria In Solid Tumors Criteria for 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 a Partial Response nor sufficient increase to qualify for Progressive Disease (PD); PD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions.

Outcome measures

Outcome measures
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=1 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Number of Participants According to Best Response Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1)
Complete Response
0 Participants
0 Participants
Number of Participants According to Best Response Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1)
Partial Response
0 Participants
0 Participants
Number of Participants According to Best Response Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1)
Stable Disease
0 Participants
3 Participants
Number of Participants According to Best Response Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1)
Progressive Disease
1 Participants
0 Participants

SECONDARY outcome

Timeframe: up to 5 months

Population: The number of participants who were evaluable for response

The number of 28-day treatment cycles (ganetespib on days 1, 8, and 15; ziv-aflibercept on days 1 and 15) administered to each evaluable patient. Number represents treatment cycles that were started; not all cycles were completed.

Outcome measures

Outcome measures
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=1 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Number of Cycles on Treatment
1 cycles
Interval 1.0 to 1.0
4 cycles
Interval 4.0 to 5.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Cycle one (28 days)

A DLT is defined as an adverse event that is related (possibly, probably, or definitely) to administration of study drugs during cycle one and is a Grade ≥ 3 non-hematological toxicity. Grade ≥3 non-hematological toxicity felt to be related to study medications are: Grade 3 diarrhea if it is refractory to treatment; Grade 3 nausea and vomiting if it is refractory to anti-emetic therapy and unable to be corrected; rise in creatinine to Grade 3, not corrected to Grade 1 or less within 48 hours with intravenous (IV) fluids; Any Grade 4 corrected QT interval (QTc) prolongation; Grade 4 neutropenia ≥5 days or febrile neutropenia,...).

Outcome measures

Outcome measures
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=2 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 Participants
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Number of Participants Who Had a Dose Limiting Toxicity (DLT)
0 Participants
0 Participants

Adverse Events

Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg

Serious events: 1 serious events
Other events: 2 other events
Deaths: 1 deaths

Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg

Serious events: 2 serious events
Other events: 3 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=2 participants at risk
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 participants at risk
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Gastrointestinal disorders
Rectal perforation
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Small intestinal perforation
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
General disorders
Sudden death Not Otherwise Specified
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days

Other adverse events

Other adverse events
Measure
Dose Level 1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 4 mg/kg
n=2 participants at risk
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was started at a dose level of 100 mg/m\^2 and ziv-aflibercept at 4 mg/kg.
Dose Level -1: Ganetespib 100 mg/m^2 + Ziv-Aflibercept 3 mg/kg
n=3 participants at risk
Ganetespib was administered intravenously, over 1 hour, weekly, on days 1, 8, and 15 of each 28-day cycle. Ziv-aflibercept was administered intravenously, over 1 hour, every 2 weeks, on days 1 and 15 of each 28-day cycle. Ganetespib was administered at a level of 100 mg/m\^2 and ziv-aflibercept at 3 mg/kg.
Gastrointestinal disorders
Abdominal pain
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Activated partial thromboplastin time prolonged
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Alanine aminotransferase increased
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Alkaline phosphatase increased
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Blood and lymphatic system disorders
Anemia
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Anorexia
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
66.7%
2/3 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Aspartate aminotransferase increased
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
66.7%
2/3 • Number of events 3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Musculoskeletal and connective tissue disorders
Back pain
50.0%
1/2 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Eye disorders
Blurred vision
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Injury, poisoning and procedural complications
Bruising
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Constipation
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Creatinine increased
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
66.7%
2/3 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Dehydration
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Diarrhea
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Nervous system disorders
Dizziness
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Cardiac disorders
Electrocardiogram QT corrected interval prolonged
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Infections and infestations
Eye infection
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
General disorders
Fatigue
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Gastritis
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Gastrointestinal pain
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Renal and urinary disorders
Hematuria
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
66.7%
2/3 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Hemorrhoidal hemorrhage
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hypercalcemia
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Vascular disorders
Hypertension
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hyperuricemia
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hypoalbuminemia
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hypocalcemia
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Metabolism and nutrition disorders
Hypophosphatemia
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
General disorders
Infusion related reaction
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Lymphocyte count decreased
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Nausea
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
66.7%
2/3 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Oral pain
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Platelet count decreased
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
66.7%
2/3 • Number of events 2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Renal and urinary disorders
Proteinuria
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Rectal hemorrhage
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Serum amylase increased
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Infections and infestations
Urinary tract infection
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Gastrointestinal disorders
Vomiting
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Investigations
Weight loss
0.00%
0/2 • Date treatment consent signed to date off study, approximately 12 months and 44 days
33.3%
1/3 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
Musculoskeletal and connective tissue disorders
Shoulder pain
50.0%
1/2 • Number of events 1 • Date treatment consent signed to date off study, approximately 12 months and 44 days
0.00%
0/3 • Date treatment consent signed to date off study, approximately 12 months and 44 days

Additional Information

Alice P. Chen, M.D.

National Cancer Institute

Phone: (240) 781-3320

Results disclosure agreements

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