Trial Outcomes & Findings for Bortezomib With or Without Irinotecan in Treating Patients With Cancer of the Gastroesophageal Junction or Stomach (NCT NCT00061932)

NCT ID: NCT00061932

Last Updated: 2021-02-02

Results Overview

CT or MRI imaging scans of measurable lesions were obtained at baseline and every 8 weeks thereafter. Responses were classified according to RECIST criteria (version 1.0)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

41 participants

Primary outcome timeframe

Up to 6 years

Results posted on

2021-02-02

Participant Flow

A total of 41 patients were enrolled from 6 institutions between April 2003 and September 2006

Participant milestones

Participant milestones
Measure
Stratum 1 (Previously Untreated)
Patients receive bortezomib IV 1.3 mg/m2 over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV 125 mg/m2 over 90 minutes on days 1 and 8. bortezomib: Given IV (1.3 mg/m2) irinotecan: Given IV (125 mg/m2)
Stratum 2 (Previously Treated)
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
Overall Study
STARTED
29
12
Overall Study
COMPLETED
16
8
Overall Study
NOT COMPLETED
13
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Stratum 1 (Previously Untreated)
Patients receive bortezomib IV 1.3 mg/m2 over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV 125 mg/m2 over 90 minutes on days 1 and 8. bortezomib: Given IV (1.3 mg/m2) irinotecan: Given IV (125 mg/m2)
Stratum 2 (Previously Treated)
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
Overall Study
Withdrawal by Subject
13
4

Baseline Characteristics

Bortezomib With or Without Irinotecan in Treating Patients With Cancer of the Gastroesophageal Junction or Stomach

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stratum 1 (Previously Untreated)
n=29 Participants
Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV over 90 minutes on days 1 and 8. bortezomib: Given IV irinotecan: Given IV
Stratum 2 (Previously Treated)
n=12 Participants
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
Total
n=41 Participants
Total of all reporting groups
Age, Continuous
58.5 years
n=99 Participants
54.5 years
n=107 Participants
56.5 years
n=206 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
7 Participants
n=107 Participants
14 Participants
n=206 Participants
Sex: Female, Male
Male
22 Participants
n=99 Participants
5 Participants
n=107 Participants
27 Participants
n=206 Participants
Race/Ethnicity, Customized
White
24 participants
n=99 Participants
9 participants
n=107 Participants
33 participants
n=206 Participants
Race/Ethnicity, Customized
Asian
2 participants
n=99 Participants
2 participants
n=107 Participants
4 participants
n=206 Participants
Race/Ethnicity, Customized
Black
3 participants
n=99 Participants
0 participants
n=107 Participants
3 participants
n=206 Participants
Race/Ethnicity, Customized
Unknown
0 participants
n=99 Participants
1 participants
n=107 Participants
1 participants
n=206 Participants

PRIMARY outcome

Timeframe: Up to 6 years

CT or MRI imaging scans of measurable lesions were obtained at baseline and every 8 weeks thereafter. Responses were classified according to RECIST criteria (version 1.0)

Outcome measures

Outcome measures
Measure
Stratum 1 (Previously Untreated)
n=29 Participants
Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV over 90 minutes on days 1 and 8. bortezomib: Given IV irinotecan: Given IV
Stratum 2 (Previously Treated)
n=12 Participants
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
True Response Rate Evaluated for the Combination of Irinotecan and PS341 by Response Evaluation Criteria in Solid Tumors (RECIST)
3 participants
Interval 2.2 to 27.4
1 participants
Interval 0.2 to 38.5

SECONDARY outcome

Timeframe: Baseline to 6 years

Number of Participants with a Change in Gene Expression from Pre to Post Treatment

Outcome measures

Outcome measures
Measure
Stratum 1 (Previously Untreated)
n=10 Participants
Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV over 90 minutes on days 1 and 8. bortezomib: Given IV irinotecan: Given IV
Stratum 2 (Previously Treated)
n=2 Participants
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
Change in Patterns of Gene Expression Pre- and Post-treatment Performed by GeneChip Analysis
2 Participants
2 Participants

Adverse Events

Stratum 1 (Previously Untreated)

Serious events: 24 serious events
Other events: 25 other events
Deaths: 0 deaths

Stratum 2 (Previously Treated)

Serious events: 8 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Stratum 1 (Previously Untreated)
n=29 participants at risk
Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV over 90 minutes on days 1 and 8. bortezomib: Given IV irinotecan: Given IV
Stratum 2 (Previously Treated)
n=12 participants at risk
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
Blood and lymphatic system disorders
Anemia
17.2%
5/29 • Number of events 5
8.3%
1/12 • Number of events 1
Investigations
Leukocytopenia
27.6%
8/29 • Number of events 8
0.00%
0/12
Investigations
Neutropenia
27.6%
8/29 • Number of events 8
0.00%
0/12
Investigations
Thrombocytopenia
10.3%
3/29 • Number of events 3
16.7%
2/12 • Number of events 2
Metabolism and nutrition disorders
Hypoalbuminemia
13.8%
4/29 • Number of events 4
0.00%
0/12
Gastrointestinal disorders
Anorexia
3.4%
1/29 • Number of events 1
8.3%
1/12 • Number of events 1
Cardiac disorders
Heart stoppage
3.4%
1/29 • Number of events 1
0.00%
0/12
Cardiac disorders
Cardiac ischemia/infarction
3.4%
1/29 • Number of events 1
0.00%
0/12
Gastrointestinal disorders
Dehydration
17.2%
5/29 • Number of events 5
25.0%
3/12 • Number of events 3
Gastrointestinal disorders
Diarrhea
27.6%
8/29 • Number of events 8
0.00%
0/12
Gastrointestinal disorders
Abdominal distension
0.00%
0/29
8.3%
1/12 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/29
8.3%
1/12 • Number of events 1
General disorders
Edema: trunk/genital
0.00%
0/29
8.3%
1/12 • Number of events 1
General disorders
Fatigue
17.2%
5/29 • Number of events 5
8.3%
1/12 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
13.8%
4/29 • Number of events 4
0.00%
0/12
Renal and urinary disorders
Hemorrhage, GU: Urinary NOS
0.00%
0/29
8.3%
1/12 • Number of events 1
Metabolism and nutrition disorders
Hypocalcemia
6.9%
2/29 • Number of events 2
0.00%
0/12
Vascular disorders
Hypotension
6.9%
2/29 • Number of events 2
0.00%
0/12
Infections and infestations
Infection: Lung
0.00%
0/29
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Malabsorption
0.00%
0/29
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Nausea
17.2%
5/29 • Number of events 5
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Obstruction: Small bowel NOS
13.8%
4/29 • Number of events 4
8.3%
1/12 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain: right hip
0.00%
0/29
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Abdominal pain
10.3%
3/29 • Number of events 3
8.3%
1/12 • Number of events 1
Skin and subcutaneous tissue disorders
Rash: desquamation
6.9%
2/29 • Number of events 2
0.00%
0/12
Gastrointestinal disorders
Vomiting
20.7%
6/29 • Number of events 6
8.3%
1/12 • Number of events 1

Other adverse events

Other adverse events
Measure
Stratum 1 (Previously Untreated)
n=29 participants at risk
Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11 and irinotecan IV over 90 minutes on days 1 and 8. bortezomib: Given IV irinotecan: Given IV
Stratum 2 (Previously Treated)
n=12 participants at risk
(closed to accrual as of 9/19/2006): Patients receive bortezomib as in stratum 1. bortezomib: Given IV irinotecan: Given IV
General disorders
Fever (in the absence of neutropenia)
10.3%
3/29 • Number of events 3
0.00%
0/12
Gastrointestinal disorders
Flatulence
13.8%
4/29 • Number of events 4
0.00%
0/12
Skin and subcutaneous tissue disorders
Alopecia
10.3%
3/29 • Number of events 3
8.3%
1/12 • Number of events 1
Nervous system disorders
Neuropathy: Sensory
13.8%
4/29 • Number of events 4
0.00%
0/12
General disorders
Chills
13.8%
4/29 • Number of events 4
0.00%
0/12
General disorders
Edema:limbs
13.8%
4/29 • Number of events 4
25.0%
3/12 • Number of events 3
Gastrointestinal disorders
Constipation
17.2%
5/29 • Number of events 5
41.7%
5/12 • Number of events 5
Psychiatric disorders
Insomnia
10.3%
3/29 • Number of events 3
0.00%
0/12
Skin and subcutaneous tissue disorders
Rash: desquamation
10.3%
3/29 • Number of events 3
8.3%
1/12 • Number of events 1

Additional Information

Rutvi Patel

Montefiore Medical Center

Phone: 718-379-6861

Results disclosure agreements

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

Restriction type: LTE60