Trial Outcomes & Findings for Fat Emulsion in Preventing Hypersensitivity Reactions in Patients With Cancer Receiving Carboplatin or Oxaliplatin (NCT NCT03122886)

NCT ID: NCT03122886

Last Updated: 2024-12-17

Results Overview

The primary endpoint is the time to healthcare provider reported hypersensitivity reactions from either carboplatin or oxaliplatin. Kaplan Meier curves will be constructed and a log-rank test will be used to compare time-to-hypersensitivity reaction between treatment arms. Data will be censored based on last infusion with no hypersensitivity reaction with a maximum study treatment duration of 2 years per patient.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

19 participants

Primary outcome timeframe

Up to 2 years

Results posted on

2024-12-17

Participant Flow

Participant milestones

Participant milestones
Measure
Group I (Fat Emulsion)
Patients receive fat emulsion IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II (Placebo)
Patients receive placebo IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
10
9
Overall Study
COMPLETED
9
7
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Group I (Fat Emulsion)
Patients receive fat emulsion IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II (Placebo)
Patients receive placebo IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Overall Study
Withdrawal by Subject
1
2

Baseline Characteristics

Fat Emulsion in Preventing Hypersensitivity Reactions in Patients With Cancer Receiving Carboplatin or Oxaliplatin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group I (Fat Emulsion)
n=10 Participants
Patients receive fat emulsion IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II (Placebo)
n=9 Participants
Patients receive placebo IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
67.5 years
n=5 Participants
66 years
n=7 Participants
66 years
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 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
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
ECOG Performance Status
0
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
ECOG Performance Status
1
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 years

Population: Evaluable participants are included in this analysis (i.e. exclude Withdrawals).

The primary endpoint is the time to healthcare provider reported hypersensitivity reactions from either carboplatin or oxaliplatin. Kaplan Meier curves will be constructed and a log-rank test will be used to compare time-to-hypersensitivity reaction between treatment arms. Data will be censored based on last infusion with no hypersensitivity reaction with a maximum study treatment duration of 2 years per patient.

Outcome measures

Outcome measures
Measure
Group I (Fat Emulsion)
n=9 Participants
Patients receive fat emulsion IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II (Placebo)
n=7 Participants
Patients receive placebo IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Time-to-carboplatin or Oxaliplatin Acute Hypersensitivity Reaction
4.4 months
Interval 1.4 to 4.4
NA months
Interval 2.8 to
The median and 95% confidence interval upper limit was not evaluable (i.e. insufficient number of events observed to ascertain these summary statistics).

Adverse Events

Group I (Fat Emulsion)

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Group II (Placebo)

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

Serious adverse events

Serious adverse events
Measure
Group I (Fat Emulsion)
n=9 participants at risk
Patients receive fat emulsion IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II (Placebo)
n=7 participants at risk
Patients receive placebo IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/9 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
14.3%
1/7 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
Gastrointestinal disorders
Dysphagia
0.00%
0/9 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
14.3%
1/7 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
General disorders
Gen disord and admin site conds-Oth spec
0.00%
0/9 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
14.3%
1/7 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
1/9 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
0.00%
0/7 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).

Other adverse events

Other adverse events
Measure
Group I (Fat Emulsion)
n=9 participants at risk
Patients receive fat emulsion IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Group II (Placebo)
n=7 participants at risk
Patients receive placebo IV immediately before each dose of either carboplatin or oxaliplatin. Treatment continues for up to 2 years in the absence of disease progression or unacceptable toxicity.
Immune system disorders
Allergic reaction
33.3%
3/9 • Number of events 3 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
14.3%
1/7 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
Investigations
Alkaline phosphatase increased
22.2%
2/9 • Number of events 4 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
14.3%
1/7 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
Investigations
Aspartate aminotransferase increased
11.1%
1/9 • Number of events 1 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).
0.00%
0/7 • Up to 2 years
Evaluable participants are included in this analysis (i.e. exclude Withdrawals).

Additional Information

Aminah Jatoi, MD

Mayo Clinic

Phone: 507/284-2511

Results disclosure agreements

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