Trial Outcomes & Findings for Evaluation of Votrient in Angiosarcoma (NCT NCT02212015)

NCT ID: NCT02212015

Last Updated: 2022-03-22

Results Overview

The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

26 participants

Primary outcome timeframe

6 Month

Results posted on

2022-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
Pazopanib + Paclitaxel
Paclitaxel administered every 28 days at day 1, day 8 and day 15 as a 2h intravenous infusion in a dose of 70mg/m2 in combination with pazopanib in a daily oral dose of 800mg (2x400mg) in the treatment of patients with advanced or metastatic angiosarcoma.
Overall Study
STARTED
26
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
1

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
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel administered every 28 days at day 1, day 8 and day 15 as a 2h intravenous infusion in a dose of 70mg/m2 in combination with pazopanib in a daily oral dose of 800mg (2x400mg) Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Age, Continuous
57.8 years
STANDARD_DEVIATION 13.5 • n=26 Participants
Sex: Female, Male
Female
23 Participants
n=26 Participants
Sex: Female, Male
Male
3 Participants
n=26 Participants
Subgroup 1 for Analyses
cutaneous angiosarcoma
18 Participants
n=26 Participants
Subgroup 1 for Analyses
visceral angiosarcoma
8 Participants
n=26 Participants
Subgroup 2 for Analyses
primary angiosarcoma
13 Participants
n=26 Participants
Subgroup 2 for Analyses
secondary angiosarcoma
13 Participants
n=26 Participants

PRIMARY outcome

Timeframe: 6 Month

The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Rate of Progression-free Survival
12 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Subgroup 1 (categorizing total number of 12 participants showing PFR survival after 6 months into cutaneous AS versus visceral AS)

Rate of progression-free survival for Subgroup 1 categorizing the 12 participants who showed PFS after 6 months into cutaneous angiosarcoma versus visceral angiosarcoma The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=12 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Rate of Progression-free Survival, Subgroup 1 Analysis
cutaneous angiosarcoma
11 Participants
Rate of Progression-free Survival, Subgroup 1 Analysis
visceral angiosarcoma
1 Participants

PRIMARY outcome

Timeframe: 6 months

Rate of progression-free survival for Subgroup 1 categorizing the 12 participants who showed PFS after 6 months into primary angiosarcoma versus secondary angiosarcoma. The diagnosis of progession is based on tumor measurements assessed 182 days +/- 32 days after start of treatment (with imaging date as reference date) and according to the RECIST Version 1.1 criteria based on a predefined set of target lesions and non-target lesions.

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=12 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Rate of Progression-free Survival, Subgroup 2 Analysis
primary angiosarcoma
6 Participants
Rate of Progression-free Survival, Subgroup 2 Analysis
secondary angiosarcoma
6 Participants

SECONDARY outcome

Timeframe: from start of treatment until death within study's actual observation time for OS (22 months).

Survival time of patient from start of treatment until death

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Overall Survival
21.6 months
Interval 20.5 to
The upper bound of the 95% CI could not be estimated, because of too low number of events resulting in the curve representing the upper limit of confidence interval lying above 0.5.

SECONDARY outcome

Timeframe: from start of treatment until death within study's actual observation time for OS (22 months)

Population: Overall number of participants analyzed is 26. Thereof, 18 show cutaneous angiosarcoma, and 8 show cutaneos angiosarcoma.

Survival time of patients from start of treatment until death, Subgroup 1 categorizing 26 overall participants into 18 cutaneous angiosarcoma versus 8 visceral angiosarcomas

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Overall Survival, Subgroup 1 Analysis
cutaneous angiosarcoma
21.6 months
Interval 10.0 to 21.6
Overall Survival, Subgroup 1 Analysis
visceral angiosaroma
20.5 months
Interval 2.8 to
The upper bound of the 95% CI could not be estimated, because of too low number of events resulting in the curve representing the upper limit of confidence interval lying above 0.5.

SECONDARY outcome

Timeframe: from start of treatment until death within study's actual observation time for OS (22 months)

Population: Overall number of participants analyzed is 26. Thereof, 13 show cutaneous angiosarcoma, and 13 show cutaneos angiosarcoma

Survival time of patients from start of treatment until death, Subgroup 2 categorizing 26 overall participants into 13 primary cutaneous angiosarcoma versus 13 secondary angiosarcomas

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Overall Survival, Subgroup 2 Analysis
primary angiosarcoma
20.5 months
Interval 10.0 to
The upper bound of the 95% CI could not be estimated, because of too low number of events resulting in the curve representing the upper limit of confidence interval lying above 0.5.
Overall Survival, Subgroup 2 Analysis
secondary angiosarcoma
21.6 months
The upper and lower bound of the 95% CI could not be estimated, because of too low number of events resulting in curves representing the upper as well as the lower limit of confidence interval lying above 0.5.

SECONDARY outcome

Timeframe: determined every 8 weeks during first 6 month then every 12 weeks in follow-up period until progression or death or end of overall study observation period (22 months), then evaluated as BOR

Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Response Rate (RR)
CR
2 Participants
Response Rate (RR)
PR
7 Participants
Response Rate (RR)
SD
6 Participants
Response Rate (RR)
PD
10 Participants
Response Rate (RR)
NE
1 Participants

SECONDARY outcome

Timeframe: determined every 8 weeks during first 6 month then every 12 weeks in follow-up period until progression or death or end of overall study observation period (22 months), then evaluated as BOR

Population: Total number of participants analyzed is 26. Thereof, 18 show cutaneous AS, and 8 show visceral angiosarcoma

Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies for Subgroup 1 which is the analysis of cutaneous angiosarcoma versus visceral angiosarcoma

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Response Rate (RR), Subgroup1 Analysis
cutaneous angiosarcoma · CR
2 Participants
Response Rate (RR), Subgroup1 Analysis
cutaneous angiosarcoma · PR
6 Participants
Response Rate (RR), Subgroup1 Analysis
cutaneous angiosarcoma · SD
4 Participants
Response Rate (RR), Subgroup1 Analysis
cutaneous angiosarcoma · PD
6 Participants
Response Rate (RR), Subgroup1 Analysis
cutaneous angiosarcoma · NE
0 Participants
Response Rate (RR), Subgroup1 Analysis
visceral angiosarcoma · CR
0 Participants
Response Rate (RR), Subgroup1 Analysis
visceral angiosarcoma · PR
1 Participants
Response Rate (RR), Subgroup1 Analysis
visceral angiosarcoma · SD
2 Participants
Response Rate (RR), Subgroup1 Analysis
visceral angiosarcoma · PD
4 Participants
Response Rate (RR), Subgroup1 Analysis
visceral angiosarcoma · NE
1 Participants

SECONDARY outcome

Timeframe: determined every 8 weeks during first 6 month then every 12 weeks in follow-up period until progression or death or end of overall study observation period (22 months), then evaluated as BOR

Population: Total number of participants analyzed is 26. Thereof, 13 show primary angiosarcoma, and 13 show secondary angiosarcoma

Measurable skin lesions will be evaluated clinically and documented photographically, all other target lesions will be evaluated radiologically by CT or MRI according to RECIST Version 1.1. RR is given as 'Best overall response" BOR" defined as CR (complete remission), PR (partial) remission), SD (stable diesease) and PD (progressive disease) or NE (not evaluated) and provided by absolute and relative frequencies for Subgroup 2 which is the analysis of primary angiosarcoma versus secondary angiosarcoma

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Response Rate (RR), Subgroup 2 Analysis
primary angiosarcoma · NE
0 Participants
Response Rate (RR), Subgroup 2 Analysis
secondary angiosarcoma · CR
2 Participants
Response Rate (RR), Subgroup 2 Analysis
primary angiosarcoma · CR
0 Participants
Response Rate (RR), Subgroup 2 Analysis
primary angiosarcoma · PR
5 Participants
Response Rate (RR), Subgroup 2 Analysis
primary angiosarcoma · SD
3 Participants
Response Rate (RR), Subgroup 2 Analysis
primary angiosarcoma · PD
5 Participants
Response Rate (RR), Subgroup 2 Analysis
secondary angiosarcoma · PR
2 Participants
Response Rate (RR), Subgroup 2 Analysis
secondary angiosarcoma · SD
3 Participants
Response Rate (RR), Subgroup 2 Analysis
secondary angiosarcoma · PD
5 Participants
Response Rate (RR), Subgroup 2 Analysis
secondary angiosarcoma · NE
1 Participants

SECONDARY outcome

Timeframe: 30 days after EOS of last patient or end of overall study observation period (22 months)

Number of patients in which adverse events occur during treatment according to Common Toxicity Criteria for Adverse Effects, Version 4.0

Outcome measures

Outcome measures
Measure
Pazopanib + Paclitaxel
n=26 Participants
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800mg daily/once per day Pazopanib + Paclitaxel: pazopanib in combination with paclitaxel in the treatment of patients with advanced or metastatic angiosarcoma.
Adverse Events and Serious Adverse Events
Patients with AEs
25 Participants
Adverse Events and Serious Adverse Events
Patients with SAEs
10 Participants

Adverse Events

Pazopanib + Paclitaxel

Serious events: 10 serious events
Other events: 25 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Pazopanib + Paclitaxel
n=26 participants at risk
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800 mg daily/once per day in the treatment of patients with advanced or metastatic angiosarcoma.
Nervous system disorders
Lumbar spinal stenosis
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Cardiac disorders
Palpitation
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Infections and infestations
Erysipelas
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Cardiac disorders
Tachycardia
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Gastrointestinal bleeding
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Fever of unknown origin
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Hepatobiliary disorders
ALT increased
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Reduced general condition
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Respiratory, thoracic and mediastinal disorders
Pneumothorax
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Dehydration
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Blood and lymphatic system disorders
Neutropenia
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Musculoskeletal and connective tissue disorders
Pain in thoracic spine
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Hepatobiliary disorders
Bilirubin increased
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Hepatobiliary disorders
GOT increased
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months
Hepatobiliary disorders
GPT increased
3.8%
1/26 • Number of events 1 • Adverse Events were collected over the study observation period which was 22 months

Other adverse events

Other adverse events
Measure
Pazopanib + Paclitaxel
n=26 participants at risk
Paclitaxel i.v. infusion over 6 cycles, administered on day 1, day 8, day 15 of every cycle with a dosage of 70mg/m2 in combination with Pazopanib taken orally with a dosage of 800 mg daily/once per day in the treatment of patients with advanced or metastatic angiosarcoma.
Hepatobiliary disorders
ALT increased
15.4%
4/26 • Number of events 12 • Adverse Events were collected over the study observation period which was 22 months
Hepatobiliary disorders
AST increased
15.4%
4/26 • Number of events 12 • Adverse Events were collected over the study observation period which was 22 months
Product Issues
Allergic reation to a drug
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Reduced general condition
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Skin and subcutaneous tissue disorders
Alopecia
30.8%
8/26 • Number of events 9 • Adverse Events were collected over the study observation period which was 22 months
Blood and lymphatic system disorders
Anemia
11.5%
3/26 • Number of events 6 • Adverse Events were collected over the study observation period which was 22 months
Musculoskeletal and connective tissue disorders
Inappetance
15.4%
4/26 • Number of events 4 • Adverse Events were collected over the study observation period which was 22 months
Vascular disorders
Hypertension
46.2%
12/26 • Number of events 17 • Adverse Events were collected over the study observation period which was 22 months
Skin and subcutaneous tissue disorders
Rash
11.5%
3/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Abdominal pain
19.2%
5/26 • Number of events 6 • Adverse Events were collected over the study observation period which was 22 months
Hepatobiliary disorders
Bilirubin increased
7.7%
2/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Diarrhea
61.5%
16/26 • Number of events 29 • Adverse Events were collected over the study observation period which was 22 months
Respiratory, thoracic and mediastinal disorders
Bronchitis
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
19.2%
5/26 • Number of events 6 • Adverse Events were collected over the study observation period which was 22 months
Nervous system disorders
Dysgeusia
42.3%
11/26 • Number of events 21 • Adverse Events were collected over the study observation period which was 22 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.7%
2/26 • Number of events 4 • Adverse Events were collected over the study observation period which was 22 months
Psychiatric disorders
Insomnia
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Emesis
11.5%
3/26 • Number of events 8 • Adverse Events were collected over the study observation period which was 22 months
Infections and infestations
Acute nasopharyngitis
11.5%
3/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
Infections and infestations
Erysipels
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Skin and subcutaneous tissue disorders
Erythema
7.7%
2/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Fever
15.4%
4/26 • Number of events 4 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Pain foot
15.4%
4/26 • Number of events 4 • Adverse Events were collected over the study observation period which was 22 months
Investigations
Weight loss
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Skin and subcutaneous tissue disorders
Hand-foot syndrome
19.2%
5/26 • Number of events 11 • Adverse Events were collected over the study observation period which was 22 months
Cardiac disorders
Tachycardia
11.5%
3/26 • Number of events 5 • Adverse Events were collected over the study observation period which was 22 months
Respiratory, thoracic and mediastinal disorders
Cough
15.4%
4/26 • Number of events 6 • Adverse Events were collected over the study observation period which was 22 months
Nervous system disorders
Headache
19.2%
5/26 • Number of events 6 • Adverse Events were collected over the study observation period which was 22 months
Blood and lymphatic system disorders
Leukopenia
23.1%
6/26 • Number of events 28 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Meteorism
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Fatigue
46.2%
12/26 • Number of events 26 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Mucositis
15.4%
4/26 • Number of events 6 • Adverse Events were collected over the study observation period which was 22 months
Skin and subcutaneous tissue disorders
Nail dystrophia
7.7%
2/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
Nervous system disorders
Neuropathia
30.8%
8/26 • Number of events 8 • Adverse Events were collected over the study observation period which was 22 months
Blood and lymphatic system disorders
Neutropenia
19.2%
5/26 • Number of events 18 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Obstipation
15.4%
4/26 • Number of events 7 • Adverse Events were collected over the study observation period which was 22 months
Musculoskeletal and connective tissue disorders
Dorsalgia
11.5%
3/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
Nervous system disorders
Vertigo
11.5%
3/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Stomatitis
23.1%
6/26 • Number of events 12 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Thoracical pain
7.7%
2/26 • Number of events 2 • Adverse Events were collected over the study observation period which was 22 months
Gastrointestinal disorders
Nausea
30.8%
8/26 • Number of events 14 • Adverse Events were collected over the study observation period which was 22 months
General disorders
Oedema leg
26.9%
7/26 • Number of events 11 • Adverse Events were collected over the study observation period which was 22 months
Metabolism and nutrition disorders
Exsikkosis
7.7%
2/26 • Number of events 3 • Adverse Events were collected over the study observation period which was 22 months

Additional Information

Prof. Dr. med. Peter Hohenberger

Universität Heidelberg/Universitätsmedizin Mannheim

Phone: +49 0621 383 2609

Results disclosure agreements

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