Trial Outcomes & Findings for Depletion of Myeloid Derived Suppressor Cells to Enhance Anti PD-1 Therapy (NCT NCT03302247)

NCT ID: NCT03302247

Last Updated: 2020-10-28

Results Overview

Immunosuppression in terms of number of circulating MDSC in the blood by comparing within each arm reduction in the number of MDSCs after each cycle of treatment

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

2 years

Results posted on

2020-10-28

Participant Flow

Participant milestones

Participant milestones
Measure
Nivolumab+Gemcitabine
Nivolumab infusion on day 1 and 15 with the addition of gencitabine on day 1, 8 and 15 of 28 day cycle Nivolumab: Monoclonal antibody against non small cell lung cancer Nivolumab+Gemcitabine: Gemcitabine is added to the Nivolumab treatment
Overall Study
STARTED
3
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Nivolumab+Gemcitabine
Nivolumab infusion on day 1 and 15 with the addition of gencitabine on day 1, 8 and 15 of 28 day cycle Nivolumab: Monoclonal antibody against non small cell lung cancer Nivolumab+Gemcitabine: Gemcitabine is added to the Nivolumab treatment
Overall Study
the study has closed prematurely
2
Overall Study
Death
1

Baseline Characteristics

Depletion of Myeloid Derived Suppressor Cells to Enhance Anti PD-1 Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nivolumab+Gemcitabine
n=3 Participants
Nivolumab infusion on day 1 and 15 with the addition of gencitabine on day 1, 8 and 15 of 28 day cycle Nivolumab: Monoclonal antibody against non small cell lung cancer Nivolumab+Gemcitabine: Gemcitabine is added to the Nivolumab treatment
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 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
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
1 Participants
n=5 Participants
Race (NIH/OMB)
White
2 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
Region of Enrollment
United States
3 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Population: The study has closed prematurely. Insufficient data for analysis

Immunosuppression in terms of number of circulating MDSC in the blood by comparing within each arm reduction in the number of MDSCs after each cycle of treatment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

Population: The study has closed prematurely. Data was not collected

Evaluate if MDSC elimination by gemcitabine results in increase in T-cell activity

Outcome measures

Outcome data not reported

Adverse Events

Nivolumab+Gemcitabine

Serious events: 3 serious events
Other events: 3 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Nivolumab+Gemcitabine
n=3 participants at risk
Nivolumab infusion on day 1 and 15 with the addition of gencitabine on day 1, 8 and 15 of 28 day cycle Nivolumab: Monoclonal antibody against non small cell lung cancer Nivolumab+Gemcitabine: Gemcitabine is added to the Nivolumab treatment
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
33.3%
1/3 • 1 year
Investigations
Elevated CPK
33.3%
1/3 • 1 year
Musculoskeletal and connective tissue disorders
Myalgia
33.3%
1/3 • 1 year
General disorders
Intractable leg pain
33.3%
1/3 • 1 year
General disorders
Intractable right hip pain
33.3%
1/3 • 1 year
General disorders
Intractable lower back pain
33.3%
1/3 • 1 year

Other adverse events

Other adverse events
Measure
Nivolumab+Gemcitabine
n=3 participants at risk
Nivolumab infusion on day 1 and 15 with the addition of gencitabine on day 1, 8 and 15 of 28 day cycle Nivolumab: Monoclonal antibody against non small cell lung cancer Nivolumab+Gemcitabine: Gemcitabine is added to the Nivolumab treatment
Blood and lymphatic system disorders
Anemia
100.0%
3/3 • Number of events 6 • 1 year
Gastrointestinal disorders
Constipation
100.0%
3/3 • Number of events 8 • 1 year
Gastrointestinal disorders
Nausea
66.7%
2/3 • Number of events 6 • 1 year
Gastrointestinal disorders
Abdominal pain
33.3%
1/3 • Number of events 2 • 1 year
Gastrointestinal disorders
Diarrhea
33.3%
1/3 • Number of events 3 • 1 year
Gastrointestinal disorders
Dry mouth
33.3%
1/3 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastroesophageal reflux disease
33.3%
1/3 • Number of events 1 • 1 year
Gastrointestinal disorders
Vomiting
33.3%
1/3 • Number of events 1 • 1 year
General disorders
Fatigue
100.0%
3/3 • Number of events 6 • 1 year
General disorders
Chills
66.7%
2/3 • Number of events 3 • 1 year
General disorders
Fever
66.7%
2/3 • Number of events 2 • 1 year
General disorders
Edema limbs
33.3%
1/3 • Number of events 2 • 1 year
General disorders
Pain
33.3%
1/3 • Number of events 1 • 1 year
Investigations
Aspartate aminotransferase increased
100.0%
3/3 • Number of events 3 • 1 year
Investigations
Platelet count decreased
100.0%
3/3 • Number of events 8 • 1 year
Investigations
Creatinine increased
66.7%
2/3 • Number of events 2 • 1 year
Investigations
Neutrophil count decreased
66.7%
2/3 • Number of events 7 • 1 year
Investigations
Weight loss
66.7%
2/3 • Number of events 3 • 1 year
Investigations
White blood cell decreased
66.7%
2/3 • Number of events 6 • 1 year
Investigations
Alanine aminotransferase increased
33.3%
1/3 • Number of events 1 • 1 year
Investigations
Alkaline phosphatase increased
33.3%
1/3 • Number of events 1 • 1 year
Investigations
Lymphocyte count decreased
33.3%
1/3 • Number of events 7 • 1 year
Metabolism and nutrition disorders
Hypoalbuminemia
100.0%
3/3 • Number of events 4 • 1 year
Metabolism and nutrition disorders
Hypocalcemia
100.0%
3/3 • Number of events 5 • 1 year
Investigations
Anorexia
66.7%
2/3 • Number of events 2 • 1 year
Metabolism and nutrition disorders
Hyperglycemia
33.3%
1/3 • Number of events 1 • 1 year
Metabolism and nutrition disorders
Hypoantremia
33.3%
1/3 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Arthralgia
66.7%
2/3 • Number of events 3 • 1 year
Musculoskeletal and connective tissue disorders
Myalgia
33.3%
1/3 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Pain in extremity
33.3%
1/3 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnea
100.0%
3/3 • Number of events 7 • 1 year
Respiratory, thoracic and mediastinal disorders
Cough
66.7%
2/3 • Number of events 5 • 1 year
Respiratory, thoracic and mediastinal disorders
Nasal congestion
33.3%
1/3 • Number of events 1 • 1 year
Infections and infestations
Lip infection
33.3%
1/3 • Number of events 1 • 1 year
Infections and infestations
Upper respiratory infection
33.3%
1/3 • Number of events 1 • 1 year
Psychiatric disorders
Anxiety
66.7%
2/3 • Number of events 2 • 1 year
Psychiatric disorders
Insomnia
66.7%
2/3 • Number of events 2 • 1 year
Renal and urinary disorders
Renal and urinary disorders - other
33.3%
1/3 • Number of events 1 • 1 year
Renal and urinary disorders
Urinary frequency
33.3%
1/3 • Number of events 1 • 1 year
Vascular disorders
Hypertension
66.7%
2/3 • Number of events 2 • 1 year
Endocrine disorders
Hypothyroidism
33.3%
1/3 • Number of events 1 • 1 year
Nervous system disorders
Headache
33.3%
1/3 • Number of events 4 • 1 year
Nervous system disorders
Peripheral sensory neuropathy
33.3%
1/3 • Number of events 1 • 1 year
Skin and subcutaneous tissue disorders
Pruritus
33.3%
1/3 • Number of events 3 • 1 year
Skin and subcutaneous tissue disorders
Rash maculo-papular
33.3%
1/3 • Number of events 2 • 1 year

Additional Information

Martin Edelman

Fox Chase Cancer Center

Phone: 215-728-5682

Results disclosure agreements

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