Trial Outcomes & Findings for Safety and Efficacy of PD0332991 (Palbociclib), a Cyclin-dependent Kinase 4 and 6 Inhibitor, in Patients With Oligodendroglioma or Recurrent Oligoastrocytoma Anaplastic With the Activity of the Protein RB Preserved (NCT NCT02530320)

NCT ID: NCT02530320

Last Updated: 2024-11-22

Results Overview

Percentage of patients who have progressed / no progress after 6 months of treatment

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

34 participants

Primary outcome timeframe

6 months

Results posted on

2024-11-22

Participant Flow

A total of 79 patients were screened and eventually 34 patients fulfilled all the inclusion and exclusion criteria.

Participant milestones

Participant milestones
Measure
Palbociclib (PD0332991)
Palbociclib will be administrated orally at a dose of 125 mg/day during 21 days followed by a break of 7 days. All patients included will be treated in the same arm. Treatment will be administrated until disease progression, unacceptable adverse side effects or study end. Palbociclib: Palbociclib will be administered orally at a dose of 125 mg/day, until disease progression, unacceptable adverse side effects or study end.
Overall Study
STARTED
34
Overall Study
COMPLETED
34
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy of PD0332991 (Palbociclib), a Cyclin-dependent Kinase 4 and 6 Inhibitor, in Patients With Oligodendroglioma or Recurrent Oligoastrocytoma Anaplastic With the Activity of the Protein RB Preserved

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 Participants
All patients included in the study received treatment with the experimental drug, Palbociclib, at a dose of 125 mg/day on days 1-21 in 28-day cycles. The IMP was administered for 21 days followed by 7 days off. Treatment cycles continued until there was unacceptable toxicity, tumor progression, withdrawal of consent or death.
Age, Continuous
50.7 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
23 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
34 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
ECOG, Categorical
ECOG 0
10 Participants
n=5 Participants
ECOG, Categorical
ECOG 1
19 Participants
n=5 Participants
ECOG, Categorical
ECOG 2
5 Participants
n=5 Participants
Prior treatment Temozolomide
Temozolamide
30 Participants
n=5 Participants
Prior treatment Temozolomide
Nitrosoureas
23 Participants
n=5 Participants
Prior treatment Temozolomide
Radiotherapy
34 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Percentage of patients who have progressed / no progress after 6 months of treatment

Outcome measures

Outcome measures
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 Participants
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Progression-free Survival (PFS) at Six Months (PFS6m)
21 Percentage of participants
Interval 11.0 to 41.0

SECONDARY outcome

Timeframe: Three years

Population: Palbociclib will be administrated orally at a dose of 125 mg/day during 21 days followed by a break of 7 days. All patients included will be treated in the same arm. Treatment will be administrated until disease progression, unacceptable adverse side effects or study end. Palbociclib: Palbociclib will be administered orally at a dose of 125 mg/day, until disease progression, unacceptable adverse side effects or study end.

Type, incidence, severity, frequency, severity and relationship with IMP of reported adverse events, physical examinations and laboratory tests. Toxicity will be classified and tabulated by NCI-CTCAE v 4.0.

Outcome measures

Outcome measures
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 Participants
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
Adverse envents (any)
33 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
Adverse events (≥ Grade 3)
25 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
TRAEs (any)
29 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
TRAEs (≥ Grade 3)
22 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
SAE (any)
7 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
SAE no related
7 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
Toxicity (any)
29 Participants
Safety and Tolerability of Oral Administration of PD0332991 (Reported Adverse Events, Physical Examinations and Laboratory Tests. Toxicity Will be Classified and Tabulated by NCI-CTCAE v 4.0.)
Toxicity grade≥3
22 Participants

SECONDARY outcome

Timeframe: 30 months

Population: Patients with recurrent anaplastic (Grade III) oligodendrogliomas

According to RANO criteria, assessed by the PI of each center. There will be a central review.

Outcome measures

Outcome measures
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 Participants
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Anti-tumor Response According to RANO Criteria
No evaluated
1 Participants
Anti-tumor Response According to RANO Criteria
Stable disease (SD)
13 Participants
Anti-tumor Response According to RANO Criteria
Progression disease (PD)
20 Participants

SECONDARY outcome

Timeframe: With a median follow-up of 12 (0.9-52.2) months

Time from randomization to death by any cause.

Outcome measures

Outcome measures
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 Participants
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Overall Survival (OS)
32 months
Interval 11.0 to
upper limit of confidence interval not estimable due to an insufficient number of participants with events

SECONDARY outcome

Timeframe: 30 months

Population: Percentage of patients decreasing doses of corticosteroids during treatment. Corticoids evolution

Percentage of patients decreasing doses of corticosteroids during treatment. Corticoids evolution

Outcome measures

Outcome measures
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 Participants
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Changes in the Use of Glucocorticoids
No corticoids
21 Participants
Changes in the Use of Glucocorticoids
NA or not reported
7 Participants
Changes in the Use of Glucocorticoids
Decrease
1 Participants
Changes in the Use of Glucocorticoids
Increase
3 Participants
Changes in the Use of Glucocorticoids
Stable
2 Participants

Adverse Events

Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.

Serious events: 7 serious events
Other events: 24 other events
Deaths: 16 deaths

Serious adverse events

Serious adverse events
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 participants at risk
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Nervous system disorders
Ataxia - G2
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Cognitive disturbance - G3
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Seizure - G2
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Dysphasia - G3
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Surgical and medical procedures
Surgical and medical procedures - Other, glioma exeresis - G1
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Cognitive impairment - G3
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
General disorders and administration site conditions - Other, clinical deterioration - G3
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Metabolism and nutrition disorders
Hyperglycaemia - G4
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Confusion - G3
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Musculoskeletal and connective tissue disorders
Muscle weakness left-sided - G2
2.9%
1/34 • Number of events 1 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.

Other adverse events

Other adverse events
Measure
Patients With Recurrent Anaplastic (Grade III) Oligodendrogliomas.
n=34 participants at risk
Patients with recurrent anaplastic (Grade III) oligodendrogliomas ith preservation of activity of the RB protein.
Immune system disorders
Neutrophil count decreased
70.6%
24/34 • Number of events 24 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Respiratory, thoracic and mediastinal disorders
Fatigue
58.8%
20/34 • Number of events 20 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Blood and lymphatic system disorders
Platelet count decreased
50.0%
17/34 • Number of events 17 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Blood and lymphatic system disorders
Anaemia
23.5%
8/34 • Number of events 8 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Gastrointestinal disorders
Diarrhoea
20.6%
7/34 • Number of events 7 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Gastrointestinal disorders
Nausea
17.6%
6/34 • Number of events 6 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Nervous system disorders
Cognitive disturbance
14.7%
5/34 • Number of events 5 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Nervous system disorders
Seizure
11.8%
4/34 • Number of events 4 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Flu like symptoms
14.7%
5/34 • Number of events 5 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Gastrointestinal disorders
Dyspepsia
14.7%
5/34 • Number of events 5 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Nervous system disorders
Cephalea
14.7%
5/34 • Number of events 5 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Skin and subcutaneous tissue disorders
Pruritus
11.8%
4/34 • Number of events 4 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Gastrointestinal disorders
Vomiting
8.8%
3/34 • Number of events 3 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Musculoskeletal and connective tissue disorders
Muscle weakness left-sided
8.8%
3/34 • Number of events 3 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
General disorders
Fever
8.8%
3/34 • Number of events 3 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.8%
3/34 • Number of events 3 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Nervous system disorders
Dizziness
8.8%
3/34 • Number of events 3 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Psychiatric disorders
Confusion
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Nervous system disorders
Cognitive impairment
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Blood and lymphatic system disorders
White blood cell decreased
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Renal and urinary disorders
Urinary incontinence
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - other, Lip wound
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Gastrointestinal disorders
Dysphagia
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.
Musculoskeletal and connective tissue disorders
Back pain
5.9%
2/34 • Number of events 2 • Adverse events will be monitored from first dose of study treatment until 30+/-3 days after end of treatment, an average of three years Events will be followed up until resolved or deemed irreversible, which what happens later.

Additional Information

A responsibility person designate by sponsor

MFAR

Phone: 934344412

Results disclosure agreements

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