Trial Outcomes & Findings for Poly-ICLC in Treating Patients With Recurrent or Progressive Anaplastic Glioma (NCT NCT00058123)

NCT ID: NCT00058123

Last Updated: 2018-08-21

Results Overview

Measurable: Bidimensionally measurable lesions w/ clearly defined margins by MRI Evaluable: Unidimensionally measurable lesions, masses w/margins not clearly defined. Complete Response (CR): Complete disappearance of all measurable/evaluable disease. No new lesions. No evidence of non-evaluable disease. Patients on minimal/no steroids. Partial Response (PR): \>/= to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. Responders must be on same/decreasing doses of dexamethasone. Stable/No Response: Does not qualify for CR, PR, or progression. Progression: 25% increase in the sum of products of all measurable lesions over smallest sum observed (over BL if no decrease), OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). ORR = CR + PR

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

55 participants

Primary outcome timeframe

2 years

Results posted on

2018-08-21

Participant Flow

55 patients enrolled between 7/14/2003 and 12/192005 at Outpatient Clinical Centers

Participant milestones

Participant milestones
Measure
Poly-ICLC Recurrent Gliomas
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection poly ICLC
Overall Study
STARTED
55
Overall Study
COMPLETED
45
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Poly-ICLC Recurrent Gliomas
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection poly ICLC
Overall Study
Wrong histology
9
Overall Study
Received >3 prior treatments
1

Baseline Characteristics

Poly-ICLC in Treating Patients With Recurrent or Progressive Anaplastic Glioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Poly-ICLC Recurrent Gliomas
n=45 Participants
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection poly ICLC
Age, Customized
43 years
n=99 Participants
Sex: Female, Male
Female
23 Participants
n=99 Participants
Sex: Female, Male
Male
22 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
Race (NIH/OMB)
White
40 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Karnofsky Performance Status Scale
90 units on a scale
n=99 Participants
Histology
Anaplastic Astrocytoma
32 participants
n=99 Participants
Histology
Anaplastic Oligodendroglioma
10 participants
n=99 Participants
Histology
Anaplastic Mixed Oligoastrocytoma
3 participants
n=99 Participants

PRIMARY outcome

Timeframe: 2 years

Measurable: Bidimensionally measurable lesions w/ clearly defined margins by MRI Evaluable: Unidimensionally measurable lesions, masses w/margins not clearly defined. Complete Response (CR): Complete disappearance of all measurable/evaluable disease. No new lesions. No evidence of non-evaluable disease. Patients on minimal/no steroids. Partial Response (PR): \>/= to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. Responders must be on same/decreasing doses of dexamethasone. Stable/No Response: Does not qualify for CR, PR, or progression. Progression: 25% increase in the sum of products of all measurable lesions over smallest sum observed (over BL if no decrease), OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). ORR = CR + PR

Outcome measures

Outcome measures
Measure
Poly-ICLC Recurrent Gliomas
n=45 Participants
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection Drug Poly-ICLC poly ICLC
Proportion of Participants With Objective Response Rate (ORR)
5 Participants

PRIMARY outcome

Timeframe: 6 months

Participants evaluated from date of study entry to the 6 month scan for progression

Outcome measures

Outcome measures
Measure
Poly-ICLC Recurrent Gliomas
n=45 Participants
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection Drug Poly-ICLC poly ICLC
Percentage of Participants With Progression Free Survival
24 percentage of participants

SECONDARY outcome

Timeframe: 2 years

Toxicities defined by Common Terminology Criteria for Adverse Events (CTCAE) v4.0

Outcome measures

Outcome measures
Measure
Poly-ICLC Recurrent Gliomas
n=45 Participants
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection Drug Poly-ICLC poly ICLC
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Elevated Sodium
1 Participants
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Tremors
2 Participants
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Dyspnea
1 Participants
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Elevated Alanin Aminotransferase
4 Participants
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Hypoxia
1 Participants
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Leukopenia
2 Participants
Number if Participants With Grade 3 and 4 Toxicities Associated With Poly-ICLC in Recurrent Gliomas
Muscle Weakness
1 Participants

SECONDARY outcome

Timeframe: 2 years

Population: Survival time was known for all 45 patients and 13 patients were censored as they were alive at last contact

based on date of study entry

Outcome measures

Outcome measures
Measure
Poly-ICLC Recurrent Gliomas
n=45 Participants
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection Drug Poly-ICLC poly ICLC
Overall Survival
43 weeks
Interval 27.4 to 106.0

Adverse Events

Poly-ICLC Recurrent Gliomas

Serious events: 0 serious events
Other events: 45 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Poly-ICLC Recurrent Gliomas
n=45 participants at risk
Poly-ICLC 20ug/kg 3 times a week 4 week cycles (Monday-Wednesday-Friday) Intramuscular injection poly ICLC
General disorders
fatigue
62.2%
28/45 • Number of events 28 • 2 years
Skin and subcutaneous tissue disorders
injection site reaction
6.7%
3/45 • Number of events 3 • 2 years
Investigations
Elevated Alanine Transferase
28.9%
13/45 • Number of events 13 • 2 years
Investigations
Granulocytopenia
15.6%
7/45 • Number of events 7 • 2 years
Investigations
Leukopenia
28.9%
13/45 • Number of events 13 • 2 years
Investigations
Lymphocytopenia
11.1%
5/45 • Number of events 5 • 2 years

Additional Information

Susan Chang, MD

North American Brain Tumor Consortium

Phone: 410-955-8837

Results disclosure agreements

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