Trial Outcomes & Findings for Cabozantinib-S-Malate in Treating Patients With Recurrent or Progressive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (NCT NCT02315430)

NCT ID: NCT02315430

Last Updated: 2020-03-10

Results Overview

Progression-free survival (PFS) was defined as the period from study entry until disease progression, death, or the last date of contact. Progression was based on RECIST 1.1. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

Every 8 weeks during treatment, assessesd up to 6 months for progression free survival.

Results posted on

2020-03-10

Participant Flow

The study was activated on 4/1/2015 and closed to accrual on 10/31/2016.

Participant milestones

Participant milestones
Measure
Cabozantinib
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cabozantinib-S-Malate in Treating Patients With Recurrent or Progressive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cabozantinib
n=13 Participants
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Age, Continuous
58 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 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
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Every 8 weeks during treatment, assessesd up to 6 months for progression free survival.

Population: Eligible and Treated Patients

Progression-free survival (PFS) was defined as the period from study entry until disease progression, death, or the last date of contact. Progression was based on RECIST 1.1. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 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.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=13 Participants
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
The Percentage of Patients Who Survive Progression Free for at Least 6 Months
23 percentage of participants
Interval 7.0 to 49.0

PRIMARY outcome

Timeframe: Every 8 weeks during treatment;assessed up to 20 months.

Population: Eligible and Treated Patients

Complete and Partial Tumor Response by RECIST 1.1. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=13 Participants
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Objective Tumor Response
0 percentage of participants
Interval 0.0 to 21.0

SECONDARY outcome

Timeframe: Every cycle while on treatment, up to 30 days after treatment ends, an average of 14 months.

Population: Eligible and Treated Patients

Grade 3 or higher adverse events were graded by CTC AE v 4.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=13 Participants
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Number of Participants With Grade 3 or Higher Adverse Events
Nausea
3 participants
Number of Participants With Grade 3 or Higher Adverse Events
Pain
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Alanine aminotransferase increased
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Alkaline phosphatase increased
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Platelet count decreased
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Hypoalbuminemia
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Hyponatremia
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Back pain
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Bone pain
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Syncope
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Pleural effusion
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Hypertension
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Vomiting
3 participants
Number of Participants With Grade 3 or Higher Adverse Events
Thromboembolic Event
3 participants
Number of Participants With Grade 3 or Higher Adverse Events
Fatigue
2 participants
Number of Participants With Grade 3 or Higher Adverse Events
Dehydration
2 participants
Number of Participants With Grade 3 or Higher Adverse Events
Dyspnea
2 participants
Number of Participants With Grade 3 or Higher Adverse Events
Abdominal Pain
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Diarrhea
1 participants
Number of Participants With Grade 3 or Higher Adverse Events
Gastrointestinal Pain
1 participants

SECONDARY outcome

Timeframe: Tumor scan done every 8 weeks during treatment, Average progression free survival was 3.6 months.

Population: Eligible and Treated Patients

Progression-free survival (PFS) was defined as the period from study entry until disease progression, death, or the last date of contact. Progression was based on RECIST 1.1

Outcome measures

Outcome measures
Measure
Cabozantinib
n=13 Participants
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Progression-free Survival
3.6 months
Interval 1.8 to 7.9

SECONDARY outcome

Timeframe: Every cycle during treatment, up to 20.1 months.

Population: Eligible and Treated Patients

Overall survival is defined as the duration of time from study entry to time of death or the date of last contact.

Outcome measures

Outcome measures
Measure
Cabozantinib
n=13 Participants
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Overall Survival
8.1 Months
Interval 2.7 to
Length of overall survival was not reached at time of analysis, but is \>20.1 months

Adverse Events

Cabozantinib

Serious events: 6 serious events
Other events: 13 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Cabozantinib
n=13 participants at risk
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Gastrointestinal disorders
Vomiting
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Gastrointestinal Pain
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Nausea
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Alanine Aminotransferase Increased
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hyponatremia
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Syncope
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Vascular disorders
Thromboembolic Event
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.

Other adverse events

Other adverse events
Measure
Cabozantinib
n=13 participants at risk
Cabozantinib (XL184) 60 mg once a day continuously, repeated in 4 week cycles until disease progression or adverse effects prohibit further therapy
Blood and lymphatic system disorders
Anemia
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Cardiac disorders
Ventricular Tachycardia
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Cardiac disorders
Chest Pain - Cardiac
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Ear and labyrinth disorders
Vertigo
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Ear and labyrinth disorders
Tinnitus
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Endocrine disorders
Hypothyroidism
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Eye disorders
Floaters
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Dysphagia
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Dyspepsia
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Dry Mouth
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Constipation
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Diarrhea
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Vomiting
61.5%
8/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Bloating
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Abdominal Pain
53.8%
7/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Mucositis Oral
53.8%
7/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Oral Pain
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Abdominal Distension
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Nausea
76.9%
10/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Pancreatitis
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Gastrointestinal disorders
Gastroesophageal Reflux Disease
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
General disorders
Pain
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
General disorders
Fatigue
84.6%
11/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
General disorders
Fever
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Infections and infestations
Upper Respiratory Infection
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Infections and infestations
Lung Infection
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Injury, poisoning and procedural complications
Bruising
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Weight Loss
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Weight Gain
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Platelet Count Decreased
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Lipase Increased
30.8%
4/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Creatinine Increased
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Neutrophil Count Decreased
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Cardiac Troponin I Increased
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Blood Bilirubin Increased
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
White Blood Cell Decreased
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Aspartate Aminotransferase Increased
53.8%
7/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Alkaline Phosphatase Increased
53.8%
7/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Alanine Aminotransferase Increased
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Investigations
Activated Partial Thromboplastin Time Prolonged
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hypophosphatemia
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hyponatremia
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hypomagnesemia
30.8%
4/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hypocalcemia
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hypoalbuminemia
30.8%
4/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Hyperglycemia
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Dehydration
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Metabolism and nutrition disorders
Anorexia
46.2%
6/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Pain In Extremity
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Myalgia
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Flank Pain
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Bone Pain
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Back Pain
30.8%
4/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Musculoskeletal and connective tissue disorders
Arthralgia
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Peripheral Sensory Neuropathy
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Memory Impairment
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Hypersomnia
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Headache
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Dysgeusia
61.5%
8/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Syncope
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Nervous system disorders
Dizziness
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Psychiatric disorders
Insomnia
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Psychiatric disorders
Depression
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Psychiatric disorders
Anxiety
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Renal and urinary disorders
Urinary Incontinence
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Renal and urinary disorders
Proteinuria
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Sore Throat
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Pleuritic Pain
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Productive Cough
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Hoarseness
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Dyspnea
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Cough
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Respiratory, thoracic and mediastinal disorders
Allergic Rhinitis
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Skin and subcutaneous tissue disorders
Skin Induration
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysesthesia Syndrome
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Skin and subcutaneous tissue disorders
Nail Discoloration
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Skin and subcutaneous tissue disorders
Dry Skin
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Skin and subcutaneous tissue disorders
Alopecia
23.1%
3/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Vascular disorders
Thromboembolic Event
38.5%
5/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Vascular disorders
Hypotension
7.7%
1/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Vascular disorders
Hypertension
46.2%
6/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.
Vascular disorders
Flushing
15.4%
2/13 • Study Treatment and up to 30 days after study treatment an average of 14 months.

Additional Information

Linda Gedeon on behalf of William Brady, PhD

NRG Oncology

Phone: 716-845-1169

Results disclosure agreements

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

Restriction type: LTE60