Trial Outcomes & Findings for A Pilot Study of Ruxolitinib in Secondary Hemophagocytic Syndrome (NCT NCT02400463)

NCT ID: NCT02400463

Last Updated: 2021-01-25

Results Overview

Number of Patients Alive at 2 Months after the first administration of ruxolitinib.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

2 Months

Results posted on

2021-01-25

Participant Flow

Participant milestones

Participant milestones
Measure
Ruxolitinib
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Overall Study
STARTED
6
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Pilot Study of Ruxolitinib in Secondary Hemophagocytic Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ruxolitinib
n=6 Participants
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Age, Continuous
38 years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 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: 2 Months

Number of Patients Alive at 2 Months after the first administration of ruxolitinib.

Outcome measures

Outcome measures
Measure
Ruxolitinib
n=6 Participants
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Overall Survival at 2 Months
6 Participants

SECONDARY outcome

Timeframe: 2 Months

Complete response is defined as complete normalization of all quantifiable symptoms and laboratory abnormalities. A partial response is defined as at least a 25% improvement in two or more quantifiable symptoms/laboratory markers.

Outcome measures

Outcome measures
Measure
Ruxolitinib
n=6 Participants
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Percentage of Patients With a Response to Treatment With Ruxolitinib
100 percentage of participants

SECONDARY outcome

Timeframe: Up to 3 years (Due to funding and other constraints, participant follow-up was discontinued in 2020. Thus, not all participants were followed for a full three years.)

Duration will be calculated from the date of the determination of partial response or better until the date of progression, death, or additional non-protocol therapy.

Outcome measures

Outcome measures
Measure
Ruxolitinib
n=6 Participants
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Duration of Response
17.25 months
Interval 3.5 to 35.5

SECONDARY outcome

Timeframe: Up to 3 years (Due to funding and other constraints, participant follow-up was discontinued in 2020. Thus, not all participants were followed for a full three years.)

Progressive Disease is defined as at least a 50% worsening in two or more quantifiable laboratory markers. Calculated from the first administration of ruxolitinib until the date of progression or death.

Outcome measures

Outcome measures
Measure
Ruxolitinib
n=6 Participants
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Progression Free Survival Time
17.25 months
Interval 3.5 to 35.5

SECONDARY outcome

Timeframe: Up to 30 days after last treatment administration

Incidence and grade of adverse events (AEs) unlikely, possibly or probably related to treatment (tx) with ruxolitinib. Graded per Common Terminology Criteria for Adverse Events (CTCAE) v.4. Grade refers to the severity of the AE, from mild (grade 1) to life-threatening (grade 4).

Outcome measures

Outcome measures
Measure
Ruxolitinib
n=6 Participants
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Regimen Related Toxicities
Grade 1
5 Adverse Events
Regimen Related Toxicities
Grade 2
3 Adverse Events
Regimen Related Toxicities
Grade 3
1 Adverse Events
Regimen Related Toxicities
Grade 4
1 Adverse Events

Adverse Events

Ruxolitinib

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ruxolitinib
n=6 participants at risk
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Blood and lymphatic system disorders
Febrile neutropenia
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Musculoskeletal and connective tissue disorders
Arthritis
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Musculoskeletal and connective tissue disorders
Back pain
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)

Other adverse events

Other adverse events
Measure
Ruxolitinib
n=6 participants at risk
Ruxolitinib 15 mg by mouth twice daily. For patients unable to ingest tablets, ruxolitinib suspended in water may be administered through a nasogastric (NG) or percutaneous endoscopy gastrostomy (PEG) tube.
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
33.3%
2/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Endocrine disorders
Cushingoid
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Gastrointestinal disorders
Abdominal pain
33.3%
2/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Gastrointestinal disorders
Constipation
33.3%
2/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Gastrointestinal disorders
Dysphagia
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Gastrointestinal disorders
Nausea
33.3%
2/6 • Number of events 3 • Up to 30 days after last treatment administration (13.5 months)
General disorders
Fatigue
50.0%
3/6 • Number of events 4 • Up to 30 days after last treatment administration (13.5 months)
General disorders
Fever
16.7%
1/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
General disorders
General disorders and administration site conditions - Other, specify
33.3%
2/6 • Number of events 4 • Up to 30 days after last treatment administration (13.5 months)
General disorders
Localized edema
50.0%
3/6 • Number of events 3 • Up to 30 days after last treatment administration (13.5 months)
General disorders
Non-cardiac chest pain
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
General disorders
Pain
16.7%
1/6 • Number of events 3 • Up to 30 days after last treatment administration (13.5 months)
Infections and infestations
Infections and infestations - Other, specify
33.3%
2/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Infections and infestations
Sinusitis
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Infections and infestations
Skin infection
16.7%
1/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Infections and infestations
Tooth infection
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Infections and infestations
Upper respiratory infection
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Infections and infestations
Vaginal infection
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Injury, poisoning and procedural complications
Ankle fracture
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Investigations
Cholesterol high
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Musculoskeletal and connective tissue disorders
Back pain
16.7%
1/6 • Number of events 3 • Up to 30 days after last treatment administration (13.5 months)
Musculoskeletal and connective tissue disorders
Chest wall pain
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
1/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Nervous system disorders
Dizziness
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Nervous system disorders
Headache
66.7%
4/6 • Number of events 6 • Up to 30 days after last treatment administration (13.5 months)
Nervous system disorders
Peripheral sensory neuropathy
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Psychiatric disorders
Agitation
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Psychiatric disorders
Anxiety
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Psychiatric disorders
Depression
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Psychiatric disorders
Insomnia
33.3%
2/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Psychiatric disorders
Psychiatric disorders - Other, specify
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Reproductive system and breast disorders
Irregular menstruation
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Respiratory, thoracic and mediastinal disorders
Nasal congestion
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Respiratory, thoracic and mediastinal disorders
Pneumonitis
33.3%
2/6 • Number of events 2 • Up to 30 days after last treatment administration (13.5 months)
Respiratory, thoracic and mediastinal disorders
Sore throat
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Skin and subcutaneous tissue disorders
Alopecia
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Skin and subcutaneous tissue disorders
Erythroderma
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Skin and subcutaneous tissue disorders
Rash maculo-papular
33.3%
2/6 • Number of events 4 • Up to 30 days after last treatment administration (13.5 months)
Vascular disorders
Hot flashes
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)
Vascular disorders
Hypertension
16.7%
1/6 • Number of events 1 • Up to 30 days after last treatment administration (13.5 months)

Additional Information

Ryan Wilcox

University of Michigan Rogel Cancer Center

Phone: 734-615-1482

Results disclosure agreements

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