Trial Outcomes & Findings for Gemcitabine and Irinotecan in Treating Patients With Cancer of Unknown Primary (NCT NCT00066781)
NCT ID: NCT00066781
Last Updated: 2017-04-04
Results Overview
The primary endpoint is confirmed response rate. If measurable disease is present, a confirmed tumor response is defined to be either a CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart. All registered patients meeting the eligibility criteria that have signed a consent form and have begun treatment will be evaluable for response.
COMPLETED
PHASE2
31 participants
Up to 2 years
2017-04-04
Participant Flow
Participant milestones
| Measure |
Cohort I
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, 15, and 22. Irinotecan dose may be escalated or de-escalated after course 1 depending on toxicity. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
|
Cohort II
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, and 15. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
|---|---|---|
|
Overall Study
STARTED
|
14
|
17
|
|
Overall Study
COMPLETED
|
14
|
17
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Gemcitabine and Irinotecan in Treating Patients With Cancer of Unknown Primary
Baseline characteristics by cohort
| Measure |
Cohort I
n=14 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, 15, and 22. Irinotecan dose may be escalated or de-escalated after course 1 depending on toxicity. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
|
Cohort II
n=17 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, and 15. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
Total
n=31 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
62 years
STANDARD_DEVIATION 9 • n=99 Participants
|
61 years
STANDARD_DEVIATION 15 • n=107 Participants
|
62 years
STANDARD_DEVIATION 12 • n=206 Participants
|
|
Sex: Female, Male
Female
|
6 Participants
n=99 Participants
|
8 Participants
n=107 Participants
|
14 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
8 Participants
n=99 Participants
|
9 Participants
n=107 Participants
|
17 Participants
n=206 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
1 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
1 Participants
n=206 Participants
|
|
Race (NIH/OMB)
White
|
13 Participants
n=99 Participants
|
15 Participants
n=107 Participants
|
28 Participants
n=206 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
1 Participants
n=206 Participants
|
PRIMARY outcome
Timeframe: Up to 2 yearsPopulation: All evaluable patients
The primary endpoint is confirmed response rate. If measurable disease is present, a confirmed tumor response is defined to be either a CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart. All registered patients meeting the eligibility criteria that have signed a consent form and have begun treatment will be evaluable for response.
Outcome measures
| Measure |
Cohort I
n=11 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, 15, and 22. Irinotecan dose may be escalated or de-escalated after course 1 depending on toxicity. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
|
Cohort II
n=15 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, and 15. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
|---|---|---|
|
Confirmed Response Rate (Partial or Complete Response for 2 Consecutive Evaluations at Least 4 Weeks Apart) as Measured by RECIST Criteria
|
9 percentage of patients with response
Interval 0.0 to 41.0
|
13 percentage of patients with response
Interval 2.0 to 40.0
|
SECONDARY outcome
Timeframe: Up to 2 yearsOverall survival time is defined as the time from registration to death due\> to any cause. The distribution of survival time will be estimated using\> the method of Kaplan-Meier . Overall survival will be calculated for\> all evaluable patients combined and by group (ie. for patients with or\> without the UGT1A1\*28 polymorphism).
Outcome measures
| Measure |
Cohort I
n=11 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, 15, and 22. Irinotecan dose may be escalated or de-escalated after course 1 depending on toxicity. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
|
Cohort II
n=15 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, and 15. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
|---|---|---|
|
Overall Survival
|
4 Months
Interval 2.2 to 15.6
|
9.3 Months
Interval 4.1 to 12.1
|
SECONDARY outcome
Timeframe: Up to 2 yearsTime to disease progression is defined as the time from registration to documentation of disease progression. If a patient dies without a documentation of disease progression, the patient will be considered to have had tumor progression at the time of their death unless there is sufficient documented evidence to conclude no progression occurred prior to death. If the patient is declared to be a major treatment violation, the patient will be censored on the date the treatment violation was declared to have occurred. In the case of a patient starting treatment and then never returning for any evaluations, the patient will be censored for progression on day 1 post-registration. The distribution of time to progression will be estimated using the method of Kaplan-Meier. Time to disease progression will be calculated for all evaluable patients combined and by group (ie. for patients with or without the UGT1A1\*28 polymorphism).
Outcome measures
| Measure |
Cohort I
n=11 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, 15, and 22. Irinotecan dose may be escalated or de-escalated after course 1 depending on toxicity. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
|
Cohort II
n=15 Participants
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, and 15. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
|---|---|---|
|
Time to Disease Progression
|
3.7 Months
Interval 1.7 to 7.8
|
3.4 Months
Interval 1.6 to 9.3
|
Adverse Events
Cohort I
Cohort II
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Cohort I
n=14 participants at risk
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, 15, and 22. Irinotecan dose may be escalated or de-escalated after course 1 depending on toxicity. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
|
Cohort II
n=17 participants at risk
Patients receive gemcitabine IV over 30 minutes and irinotecan IV over 90 minutes on days 1, 8, and 15. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
|---|---|---|
|
Blood and lymphatic system disorders
Febrile neutropenia
|
7.1%
1/14 • Number of events 1
|
11.8%
2/17 • Number of events 2
|
|
Blood and lymphatic system disorders
Hemoglobin decreased
|
28.6%
4/14 • Number of events 5
|
17.6%
3/17 • Number of events 3
|
|
Blood and lymphatic system disorders
Hemolysis
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Cardiac disorders
Myocardial ischemia
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Gastrointestinal disorders
Abdominal pain
|
7.1%
1/14 • Number of events 1
|
29.4%
5/17 • Number of events 5
|
|
Gastrointestinal disorders
Colitis
|
14.3%
2/14 • Number of events 2
|
0.00%
0/17
|
|
Gastrointestinal disorders
Constipation
|
7.1%
1/14 • Number of events 2
|
0.00%
0/17
|
|
Gastrointestinal disorders
Diarrhea
|
64.3%
9/14 • Number of events 13
|
70.6%
12/17 • Number of events 14
|
|
Gastrointestinal disorders
Dyspepsia
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Gastrointestinal disorders
Gastrointestinal pain
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Gastrointestinal disorders
Ileus
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Gastrointestinal disorders
Mucositis oral
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Gastrointestinal disorders
Nausea
|
50.0%
7/14 • Number of events 9
|
41.2%
7/17 • Number of events 8
|
|
Gastrointestinal disorders
Small intestinal obstruction
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Gastrointestinal disorders
Vomiting
|
42.9%
6/14 • Number of events 7
|
47.1%
8/17 • Number of events 9
|
|
General disorders
Edema limbs
|
0.00%
0/14
|
17.6%
3/17 • Number of events 6
|
|
General disorders
Fatigue
|
42.9%
6/14 • Number of events 10
|
41.2%
7/17 • Number of events 14
|
|
General disorders
Multi-organ failure
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
General disorders
Sudden death
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Hepatobiliary disorders
Bile duct stenosis
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Immune system disorders
Hypersensitivity
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Infections and infestations
Bronchitis
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Infections and infestations
Pneumonia
|
0.00%
0/14
|
11.8%
2/17 • Number of events 2
|
|
Infections and infestations
Skin infection
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Investigations
Alanine aminotransferase increased
|
0.00%
0/14
|
11.8%
2/17 • Number of events 2
|
|
Investigations
Alkaline phosphatase increased
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Investigations
Aspartate aminotransferase increased
|
0.00%
0/14
|
11.8%
2/17 • Number of events 2
|
|
Investigations
Blood bilirubin increased
|
7.1%
1/14 • Number of events 1
|
11.8%
2/17 • Number of events 2
|
|
Investigations
Creatinine increased
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Investigations
Leukocyte count decreased
|
28.6%
4/14 • Number of events 8
|
17.6%
3/17 • Number of events 3
|
|
Investigations
Lymphocyte count decreased
|
0.00%
0/14
|
11.8%
2/17 • Number of events 5
|
|
Investigations
Neutrophil count decreased
|
28.6%
4/14 • Number of events 7
|
11.8%
2/17 • Number of events 2
|
|
Investigations
Platelet count decreased
|
21.4%
3/14 • Number of events 4
|
17.6%
3/17 • Number of events 4
|
|
Investigations
Weight gain
|
14.3%
2/14 • Number of events 3
|
11.8%
2/17 • Number of events 3
|
|
Investigations
Weight loss
|
21.4%
3/14 • Number of events 4
|
29.4%
5/17 • Number of events 6
|
|
Metabolism and nutrition disorders
Anorexia
|
71.4%
10/14 • Number of events 14
|
70.6%
12/17 • Number of events 19
|
|
Metabolism and nutrition disorders
Blood glucose increased
|
7.1%
1/14 • Number of events 1
|
11.8%
2/17 • Number of events 3
|
|
Metabolism and nutrition disorders
Dehydration
|
14.3%
2/14 • Number of events 2
|
11.8%
2/17 • Number of events 2
|
|
Metabolism and nutrition disorders
Serum calcium decreased
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Metabolism and nutrition disorders
Serum potassium decreased
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Metabolism and nutrition disorders
Serum sodium decreased
|
7.1%
1/14 • Number of events 1
|
11.8%
2/17 • Number of events 2
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Nervous system disorders
Dysgeusia
|
0.00%
0/14
|
5.9%
1/17 • Number of events 2
|
|
Nervous system disorders
Headache
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Nervous system disorders
Peripheral sensory neuropathy
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Nervous system disorders
Syncope vasovagal
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Renal and urinary disorders
Renal failure
|
0.00%
0/14
|
5.9%
1/17 • Number of events 1
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
21.4%
3/14 • Number of events 3
|
11.8%
2/17 • Number of events 2
|
|
Respiratory, thoracic and mediastinal disorders
Hypoxia
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Skin and subcutaneous tissue disorders
Alopecia
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Skin and subcutaneous tissue disorders
Dry skin
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Skin and subcutaneous tissue disorders
Rash desquamating
|
42.9%
6/14 • Number of events 10
|
11.8%
2/17 • Number of events 4
|
|
Vascular disorders
Peripheral ischemia
|
7.1%
1/14 • Number of events 1
|
0.00%
0/17
|
|
Vascular disorders
Thrombosis
|
0.00%
0/14
|
5.9%
1/17 • Number of events 3
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place