Trial Outcomes & Findings for Pembrolizumab vs Topotecan in Patients With Small Cell Lung Cancer (NCT NCT02963090)

NCT ID: NCT02963090

Last Updated: 2023-02-15

Results Overview

This phase II study will determine if there is a benefit in progression free survival (PFS) for SCLC patients receiving pembrolizumab (Experimental arm) as compared to topotecan (Control arm) in the second-line settingSCLC patients receiving pembrolizumab (Experimental arm) as compared to topotecan (Control arm) in the second-line setting. RECIST Version 1.1 was used in this study for assessment for tumor response. Progression (PD): At least one of the following must be true: a. At least one new malignant lesion, which also includes any lymph node that was normal at baseline (\< 1.0 cm short axis) and increased to ≥ 1.0 cm short axis during follow-up. b. At least a 20% increase in PBSD (sum of the longest diameter for all target lesions plus the sum of the short axis of all the target lymph nodes at current evaluation) taking as reference the MSD. In addition, the PBSD must also demonstrate an absolute increase of at least 0.5 cm from the MSD.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

4.2 months

Results posted on

2023-02-15

Participant Flow

Participant milestones

Participant milestones
Measure
Topotecan (Arm A)
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab (Arm B)
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Non-cross Over Phase
STARTED
3
6
Non-cross Over Phase
COMPLETED
2
6
Non-cross Over Phase
NOT COMPLETED
1
0
Cross Over Phase
STARTED
2
0
Cross Over Phase
COMPLETED
2
0
Cross Over Phase
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Topotecan (Arm A)
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab (Arm B)
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Non-cross Over Phase
Patient deterioration before starting protocol treatment
1
0

Baseline Characteristics

Pembrolizumab vs Topotecan in Patients With Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Topotecan
n=1 Participants
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab
n=6 Participants
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Crossover
n=2 Participants
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle. Then at progression of disease by RECIST 1.1. Patients then receive pembrolizumab 200 mg IV every 21-day cycle.
Total
n=9 Participants
Total of all reporting groups
Age, Continuous
82 years
n=5 Participants
71 years
n=7 Participants
63.5 years
n=5 Participants
69 years
n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
5 Participants
n=7 Participants
1 Participants
n=5 Participants
7 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
6 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
6 Participants
n=7 Participants
1 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 4.2 months

Population: All patients that were treated and evaluated for disease. Crossover patients were analyzed using their time on Arm A.

This phase II study will determine if there is a benefit in progression free survival (PFS) for SCLC patients receiving pembrolizumab (Experimental arm) as compared to topotecan (Control arm) in the second-line settingSCLC patients receiving pembrolizumab (Experimental arm) as compared to topotecan (Control arm) in the second-line setting. RECIST Version 1.1 was used in this study for assessment for tumor response. Progression (PD): At least one of the following must be true: a. At least one new malignant lesion, which also includes any lymph node that was normal at baseline (\< 1.0 cm short axis) and increased to ≥ 1.0 cm short axis during follow-up. b. At least a 20% increase in PBSD (sum of the longest diameter for all target lesions plus the sum of the short axis of all the target lymph nodes at current evaluation) taking as reference the MSD. In addition, the PBSD must also demonstrate an absolute increase of at least 0.5 cm from the MSD.

Outcome measures

Outcome measures
Measure
Topotecan (Arm A + Crossover Patients)
n=2 Participants
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab
n=6 Participants
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Progression Free Survival
1.4 Months
Insufficient number of participants with events below the level of detection to determine the lower and upper limits of the Confidence Intervals.
1.5 Months
Interval 1.1 to
insufficient number of participants with events below the level of detection to determine the upper limits of the Confidence Intervals

SECONDARY outcome

Timeframe: 20 months

Overall survival will be calculated from the time a patient is registered until the time of death or discontinuation of followup

Outcome measures

Outcome measures
Measure
Topotecan (Arm A + Crossover Patients)
n=2 Participants
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab
n=6 Participants
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Overall Survival (OS)
NA Months
Interval 3.1 to
Not enough events to calculate median or upper limit
10.7 Months
Interval 3.6 to
Not enough events to calculate upper limit

SECONDARY outcome

Timeframe: 4.2 months

RECIST Version 1.1\* will be used in this study for assessment for tumor response. Complete Response (CR): All of the following must be true: 1. Disappearance of all target lesions. 2. Each target lymph node must have reduction in short axis to \< 1.0 cm. • Partial Response (PR): At least a 30% decrease in PBSD (sum of the longest diameter for all target lesions plus the sum of the short axis of all the target lymph nodes at current evaluation) taking as reference the BSD

Outcome measures

Outcome measures
Measure
Topotecan (Arm A + Crossover Patients)
n=2 Participants
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab
n=6 Participants
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Overall Response Percentage
0 percentage of participants
0 percentage of participants

Adverse Events

Topotecan

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

Pembrolizumab

Serious events: 4 serious events
Other events: 5 other events
Deaths: 2 deaths

Crossover

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

Serious adverse events

Serious adverse events
Measure
Topotecan
n=3 participants at risk
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab
n=6 participants at risk
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Crossover
n=2 participants at risk
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle. Then at progression of disease by RECIST 1.1. Patients then receive pembrolizumab 200 mg IV every 21-day cycle.
Cardiac disorders
Atrial fibrillation
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Eye disorders
Eye disorders - Other, specify
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Constipation
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Nausea
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Pancreatitis
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Hepatobiliary disorders
Bile duct stenosis
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Anorexia
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, mal, uncpec - Oth spec
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Nervous system disorders
Encephalopathy
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Nervous system disorders
Stroke
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Renal and urinary disorders
Acute kidney injury
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Respiratory, thoracic and mediastinal disorders
Resp, thoracic, mediastinal - Oth spec
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
33.3%
2/6 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Vascular disorders
Hypertension
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.

Other adverse events

Other adverse events
Measure
Topotecan
n=3 participants at risk
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle.
Pembrolizumab
n=6 participants at risk
Pembrolizumab IV 200mg infusion Day 1 of every 21 day cycle.
Crossover
n=2 participants at risk
Topotecan IV at 1.25 mg/m2 Days 1-5 of every 21 day cycle. Then at progression of disease by RECIST 1.1. Patients then receive pembrolizumab 200 mg IV every 21-day cycle.
Blood and lymphatic system disorders
Anemia
33.3%
1/3 • Number of events 3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
33.3%
2/6 • Number of events 7 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Cardiac disorders
Cardiac disorders - Other, specify
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Cardiac disorders
Sinus tachycardia
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Ear and labyrinth disorders
Ear pain
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Ear and labyrinth disorders
Hearing impaired
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Ear and labyrinth disorders
Middle ear inflammation
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Endocrine disorders
Adrenal insufficiency
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Abdominal pain
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Constipation
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Diarrhea
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Nausea
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Gastrointestinal disorders
Vomiting
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
General disorders
Fatigue
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
33.3%
2/6 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
100.0%
2/2 • Number of events 4 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
General disorders
Non-cardiac chest pain
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Infections and infestations
Lung infection
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Infections and infestations
Sepsis
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Infections and infestations
Upper respiratory infection
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Infections and infestations
Urinary tract infection
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Alanine aminotransferase increased
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Alkaline phosphatase increased
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Aspartate aminotransferase increased
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Blood bilirubin increased
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Creatinine increased
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
100.0%
2/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Lymphocyte count decreased
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Neutrophil count decreased
33.3%
1/3 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Platelet count decreased
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
Weight loss
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
100.0%
2/2 • Number of events 4 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Investigations
White blood cell decreased
33.3%
1/3 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Dehydration
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
100.0%
2/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Hypertriglyceridemia
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Hypoalbuminemia
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
33.3%
2/6 • Number of events 3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Hypokalemia
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
33.3%
2/6 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
33.3%
2/6 • Number of events 5 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Metabolism and nutrition disorders
Metabolism, nutrition disord - Oth spec
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Musculoskeletal and connective tissue disorders
Back pain
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Nervous system disorders
Headache
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Nervous system disorders
Paresthesia
33.3%
1/3 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Renal and urinary disorders
Acute kidney injury
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Renal and urinary disorders
Urinary retention
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Respiratory, thoracic and mediastinal disorders
Hoarseness
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
16.7%
1/6 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/2 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
Vascular disorders
Hypotension
0.00%
0/3 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
0.00%
0/6 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.
50.0%
1/2 • Number of events 1 • 20 months
The crossover arm consists of two of the Arm A patients after they progressed and chose to cross to Arm B treatment.

Additional Information

Thomas Stinchcombe, MD

Duke Cancer Institute

Phone: (919) 668-6688

Results disclosure agreements

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