Trial Outcomes & Findings for Single Agent Versus Combination Chemotherapy to Treat High-risk Elderly With Non-small Cell Lung Cancer (NCT NCT02590003)

NCT ID: NCT02590003

Last Updated: 2018-02-28

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

90 days

Results posted on

2018-02-28

Participant Flow

Participant milestones

Participant milestones
Measure
Platinum-based Doublet Chemotherapy
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Overall Study
STARTED
1
2
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Platinum-based Doublet Chemotherapy
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Overall Study
Death
1
2

Baseline Characteristics

Single Agent Versus Combination Chemotherapy to Treat High-risk Elderly With Non-small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Total
n=3 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 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
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 90 days

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Treatment Failure-free Survival
0 Participants
0 Participants

SECONDARY outcome

Timeframe: start of treatment to disease progression/recurrence, up to 12 months

Population: The study was terminated after only 3 patients were randomized and all 3 did not respond to treatment.

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Overall Response Rate
0 Participants
0 Participants

SECONDARY outcome

Timeframe: start of treatment to disease progression, up to 12 months

Population: The study was terminated after only 3 patients were randomized and all 3 did not respond to treatment.

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Progression-free Survival
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 12 months

Population: The study was terminated after only 3 patients were randomized and all 3 did not respond to treatment.

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Overall Survival
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to week 13

Adverse events were characterized using Common Terminology Criteria for Adverse Events (CTCAE)

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Grade 3-5 Adverse Events
Overall
0 Participants
2 Participants
Grade 3-5 Adverse Events
Grade 3
0 Participants
2 Participants
Grade 3-5 Adverse Events
Grade 4
0 Participants
0 Participants
Grade 3-5 Adverse Events
Grade 5
0 Participants
0 Participants

SECONDARY outcome

Timeframe: baseline

The FACT-L is measure of symptoms associated with lung cancer. The higher the score, the greater the symptoms. A maximum score of 136 could be obtained.

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
n=1 Participants
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Symptom Assessment (Measured by FACT-L Symptom Assessment Scale)
89 units on a scale
Standard Deviation NA
Standard deviation is not calculated.
44 units on a scale
Standard Deviation 26.9

SECONDARY outcome

Timeframe: week 6

Population: Only 2 patients were assessed at this timepoint.

The higher the score, the greater the symptoms. The FACT-L is measure of symptoms associated with lung cancer. The higher the score, the greater the symptoms. A maximum score of 136 could be obtained. Symptoms were measured following 2 21-day cycles of chemotherapy.

Outcome measures

Outcome measures
Measure
Platinum-based Doublet Chemotherapy
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Single Agent Chemotherapy
n=2 Participants
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Symptom Assessment (Measured by FACT-L Symptom Assessment Scale)
60.5 units on a scale
Standard Deviation 19.1

SECONDARY outcome

Timeframe: week 12

Population: The study was terminated after only 3 patients were randomized and all 3 did not respond to treatment, these data were not collected at week 12

The FACT-L is measure of symptoms associated with lung cancer. The higher the score, the greater the symptoms. Symptoms were measured following 4 21-day cycles of chemotherapy.

Outcome measures

Outcome data not reported

Adverse Events

Single Agent Chemotherapy

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

Platinum-based Doublet Chemotherapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Single Agent Chemotherapy
n=2 participants at risk
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Platinum-based Doublet Chemotherapy
n=1 participants at risk
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Blood and lymphatic system disorders
Hyponatremia
50.0%
1/2 • Number of events 1
0.00%
0/1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
50.0%
1/2 • Number of events 1
0.00%
0/1
Skin and subcutaneous tissue disorders
Edema limbs
50.0%
1/2 • Number of events 1
0.00%
0/1
Respiratory, thoracic and mediastinal disorders
Dyspnea
50.0%
1/2 • Number of events 1
0.00%
0/1
Respiratory, thoracic and mediastinal disorders
Non-cardiac chest pain
50.0%
1/2 • Number of events 1
0.00%
0/1
Blood and lymphatic system disorders
Thromboembolic event
50.0%
1/2 • Number of events 1
0.00%
0/1

Other adverse events

Other adverse events
Measure
Single Agent Chemotherapy
n=2 participants at risk
-Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Nab-paclitaxel
Platinum-based Doublet Chemotherapy
n=1 participants at risk
* Carboplatin AUC 5 30 minute infusion IV on day 1 * Nab-paclitaxel 100mg/mg2 30 minute infusion IV on days 1, 8 of a 21 day cycle Carboplatin Nab-paclitaxel
Blood and lymphatic system disorders
Anemia
100.0%
2/2 • Number of events 4
0.00%
0/1
Metabolism and nutrition disorders
Anorexia
50.0%
1/2 • Number of events 1
0.00%
0/1
Blood and lymphatic system disorders
Blood disorder
50.0%
1/2 • Number of events 2
0.00%
0/1
Musculoskeletal and connective tissue disorders
Bone pain
50.0%
1/2 • Number of events 1
0.00%
0/1
Nervous system disorders
Confusion
50.0%
1/2 • Number of events 1
0.00%
0/1
Gastrointestinal disorders
Constipation
100.0%
2/2 • Number of events 3
0.00%
0/1
Respiratory, thoracic and mediastinal disorders
Cough
100.0%
2/2 • Number of events 2
0.00%
0/1
Blood and lymphatic system disorders
Creatinine Increase
50.0%
1/2 • Number of events 1
0.00%
0/1
Respiratory, thoracic and mediastinal disorders
Dyspnea
100.0%
2/2 • Number of events 3
0.00%
0/1
Skin and subcutaneous tissue disorders
Edema Limbs
50.0%
1/2 • Number of events 1
0.00%
0/1
General disorders
Epistaxis
50.0%
1/2 • Number of events 1
0.00%
0/1
Eye disorders
Eye Pain
50.0%
1/2 • Number of events 1
0.00%
0/1
General disorders
Fatigue
100.0%
2/2 • Number of events 2
0.00%
0/1
Metabolism and nutrition disorders
Hyperglycemia
50.0%
1/2 • Number of events 2
0.00%
0/1
Blood and lymphatic system disorders
Hyperkalemia
50.0%
1/2 • Number of events 1
0.00%
0/1
Vascular disorders
Hypertension
100.0%
2/2 • Number of events 3
0.00%
0/1
Blood and lymphatic system disorders
Hypoalbuminemia
100.0%
2/2 • Number of events 2
0.00%
0/1
Blood and lymphatic system disorders
Hypocalcemia
50.0%
1/2 • Number of events 1
0.00%
0/1
Blood and lymphatic system disorders
Hyponatremia
100.0%
2/2 • Number of events 6
0.00%
0/1
Vascular disorders
Hypotension
50.0%
1/2 • Number of events 1
0.00%
0/1
General disorders
Insomnia
100.0%
2/2 • Number of events 3
0.00%
0/1
Blood and lymphatic system disorders
Lymphocyte count decreased
100.0%
2/2 • Number of events 7
0.00%
0/1
Infections and infestations
Mucositis oral
50.0%
1/2 • Number of events 1
0.00%
0/1
Respiratory, thoracic and mediastinal disorders
Non-cardiac chest pain
50.0%
1/2 • Number of events 1
0.00%
0/1
General disorders
Pain
50.0%
1/2 • Number of events 1
0.00%
0/1
Nervous system disorders
Peripheral sensory neuropathy
50.0%
1/2 • Number of events 1
0.00%
0/1
Skin and subcutaneous tissue disorders
Skin infection
50.0%
1/2 • Number of events 1
0.00%
0/1
Blood and lymphatic system disorders
White blood cell decreased
50.0%
1/2 • Number of events 1
0.00%
0/1

Additional Information

Rogerio C. Lilenbaum, MD, Professor of Medicine (Medical Oncology); Chief Medical Officer of Smilow

Yale University

Phone: (203) 200-5864

Results disclosure agreements

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