Trial Outcomes & Findings for Ruxolitinib in Operable Head and Neck Cancer (NCT NCT03153982)

NCT ID: NCT03153982

Last Updated: 2024-10-30

Results Overview

Measured clinical ruxolitinib response of quantitative change in tumor size measured as a proportional percent (range -100% to +100%) from baseline to day 14-21 by group.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Up to 4 weeks

Results posted on

2024-10-30

Participant Flow

Participant milestones

Participant milestones
Measure
Neoadjuvant Ruxolitinib
Participants will take 15 mg or 20 mg of ruxolitinib by mouth twice daily for up to 4 weeks during the pre-operative window for 14-21 days, or up to 28 days for delays in planned surgery. Dose will be assigned based on participant platelet count at baseline. The last dose will be taken the morning of planned surgery. Ruxolitinib will be dispensed in 5 mg tablets. Participants will either take three tables (15 mg) in the morning and evening, or four tablets in the morning and evening (20 mg). Participants will be asked to fill out a drug diary indicating when doses of study drug are taken and any side effects they experience.
Overall Study
STARTED
16
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ruxolitinib in Operable Head and Neck Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neoadjuvant Ruxolitinib
n=16 Participants
Participants will take 15 mg or 20 mg of ruxolitinib by mouth twice daily for up to 4 weeks during the pre-operative window for 14-21 days, or up to 28 days for delays in planned surgery. Dose will be assigned based on participant platelet count at baseline. The last dose will be taken the morning of planned surgery. Ruxolitinib will be dispensed in 5 mg tablets. Participants will either take three tables (15 mg) in the morning and evening, or four tablets in the morning and evening (20 mg). Participants will be asked to fill out a drug diary indicating when doses of study drug are taken and any side effects they experience.
Age, Customized
40-49 years old
1 Participants
n=5 Participants
Age, Customized
50-59 years old
6 Participants
n=5 Participants
Age, Customized
60-69 years old
3 Participants
n=5 Participants
Age, Customized
70-79 years old
5 Participants
n=5 Participants
Age, Customized
80-89 years old
1 Participants
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 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
2 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
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 4 weeks

Population: Data not collected

Measured clinical ruxolitinib response of quantitative change in tumor size measured as a proportional percent (range -100% to +100%) from baseline to day 14-21 by group.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 weeks

The number of participants with treatment-related adverse events, defined as definite, probable or possibly related to the study intervention and classified according to NCI CTCAE version 4 will be reported.

Outcome measures

Outcome measures
Measure
Neoadjuvant Ruxolitinib
n=16 Participants
Participants will take 15 mg or 20 mg of ruxolitinib by mouth twice daily for up to 4 weeks during the pre-operative window for 14-21 days, or up to 28 days for delays in planned surgery. Dose will be assigned based on participant platelet count at baseline. The last dose will be taken the morning of planned surgery. Ruxolitinib will be dispensed in 5 mg tablets. Participants will either take three tables (15 mg) in the morning and evening, or four tablets in the morning and evening (20 mg). Participants will be asked to fill out a drug diary indicating when doses of study drug are taken and any side effects they experience.
Number of Participants With Treatment-related Adverse Events
1 Participants

SECONDARY outcome

Timeframe: Up to 12 weeks.

The number of participants with documented surgical complications will be reported.

Outcome measures

Outcome measures
Measure
Neoadjuvant Ruxolitinib
n=16 Participants
Participants will take 15 mg or 20 mg of ruxolitinib by mouth twice daily for up to 4 weeks during the pre-operative window for 14-21 days, or up to 28 days for delays in planned surgery. Dose will be assigned based on participant platelet count at baseline. The last dose will be taken the morning of planned surgery. Ruxolitinib will be dispensed in 5 mg tablets. Participants will either take three tables (15 mg) in the morning and evening, or four tablets in the morning and evening (20 mg). Participants will be asked to fill out a drug diary indicating when doses of study drug are taken and any side effects they experience.
Number of Participants With Documented Surgical Complications
0 Participants

SECONDARY outcome

Timeframe: Up to 12 weeks

Population: Hospital stay length data not collected

The median length of hospital stay following the standard of care, surgical procedure will be reported.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 12 weeks

Population: Ki-67 proliferative index data not collected

A high Ki-67 proliferation index means many cells are dividing quickly and that the cancer is likely to grow and spread. A Ki-67 proliferation index over 30% is typically considered high. The Ki-67 proliferative index will be measured at baseline and post-treatment tumor tissue.

Outcome measures

Outcome data not reported

Adverse Events

Neoadjuvant Ruxolitinib

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

Serious adverse events

Serious adverse events
Measure
Neoadjuvant Ruxolitinib
n=16 participants at risk
Participants will take 15 mg or 20 mg of ruxolitinib by mouth twice daily for up to 4 weeks during the pre-operative window for 14-21 days, or up to 28 days for delays in planned surgery. Dose will be assigned based on participant platelet count at baseline. The last dose will be taken the morning of planned surgery. Ruxolitinib will be dispensed in 5 mg tablets. Participants will either take three tables (15 mg) in the morning and evening, or four tablets in the morning and evening (20 mg). Participants will be asked to fill out a drug diary indicating when doses of study drug are taken and any side effects they experience.
Infections and infestations
Skin infection
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Infections and infestations
Urinary tract infection
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Musculoskeletal and connective tissue disorders
Trismus
6.2%
1/16 • Number of events 1 • Up to 12 weeks

Other adverse events

Other adverse events
Measure
Neoadjuvant Ruxolitinib
n=16 participants at risk
Participants will take 15 mg or 20 mg of ruxolitinib by mouth twice daily for up to 4 weeks during the pre-operative window for 14-21 days, or up to 28 days for delays in planned surgery. Dose will be assigned based on participant platelet count at baseline. The last dose will be taken the morning of planned surgery. Ruxolitinib will be dispensed in 5 mg tablets. Participants will either take three tables (15 mg) in the morning and evening, or four tablets in the morning and evening (20 mg). Participants will be asked to fill out a drug diary indicating when doses of study drug are taken and any side effects they experience.
Gastrointestinal disorders
Oral hemorrhage
12.5%
2/16 • Number of events 2 • Up to 12 weeks
General disorders
Fatigue
6.2%
1/16 • Number of events 1 • Up to 12 weeks
General disorders
General disorders and administration site conditions - Other
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Infections and infestations
Non-cardiac chest pain
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Infections and infestations
Kidney infection
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Investigations
Aspartate aminotransferase increased
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Investigations
Weight Loss
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Musculoskeletal and connective tissue disorders
Back pain
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Investigations
Pain in extremity
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Cardiac disorders
Atrial fibrillation
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Nervous system disorders
Dysarthria
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Respiratory, thoracic and mediastinal disorders
Sleep apnea
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Vascular disorders
Hypertension
6.2%
1/16 • Number of events 1 • Up to 12 weeks
Skin and subcutaneous tissue disorders
Tissue sloughing off tumor
6.2%
1/16 • Number of events 1 • Up to 12 weeks

Additional Information

WIlliam Ryan, MD

University of California, San Francisco

Phone: (415) 502-1877

Results disclosure agreements

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