Trial Outcomes & Findings for A Phase II Study of UCN-01 in Metastatic Melanoma (NCT NCT00072189)

NCT ID: NCT00072189

Last Updated: 2015-03-02

Results Overview

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

Up to 7 years

Results posted on

2015-03-02

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Overall Study
STARTED
17
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

A Phase II Study of UCN-01 in Metastatic Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1
n=17 Participants
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Age, Continuous
53 years
n=99 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
Sex: Female, Male
Male
6 Participants
n=99 Participants
Region of Enrollment
United States
17 participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to 7 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Outcome measures

Outcome measures
Measure
Arm 1
n=16 Participants
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Response Rate
0 percentage of responding participants

SECONDARY outcome

Timeframe: Up to 7 years

Estimated using the product-limit method of Kaplan and Meier.

Outcome measures

Outcome measures
Measure
Arm 1
n=17 Participants
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Overall Survival
7.3 months
Interval 3.4 to 18.4

SECONDARY outcome

Timeframe: From the date of study registration to the first documentation of progressive tumor, assessed up to 7 years

Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Arm 1
n=17 Participants
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Progression-free Survival
1.3 months
Interval 1.2 to 3.0

Adverse Events

Arm 1

Serious events: 7 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1
n=17 participants at risk
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Gastrointestinal disorders
Haematemesis
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Blood and lymphatic system disorders
Hemoglobin decreased
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Blood and lymphatic system disorders
Packed red blood cell transfusion
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Cardiac disorders
Arrhythmia supraventricular
5.9%
1/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Diarrhea
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
General symptom
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Creatinine increased
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.

Other adverse events

Other adverse events
Measure
Arm 1
n=17 participants at risk
Patients receive UCN-01 IV at 90 mg/m2 over 3 hours on cycle 1, reduced to 45 mg/m2 over 3 hours for subsequent cycles. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. 7-hydroxystaurosporine: Given IV laboratory biomarker analysis: Correlative studies pharmacological study: Correlative studies
Blood and lymphatic system disorders
Hemoglobin decreased
41.2%
7/17 • Number of events 16 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Blood and lymphatic system disorders
Packed red blood cell transfusion
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Cardiac disorders
Arrhythmia supraventricular
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Cardiac disorders
Sinus tachycardia
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Ear and labyrinth disorders
Hearing loss
5.9%
1/17 • Number of events 5 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Ear and labyrinth disorders
Middle ear inflammation
5.9%
1/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Abdominal pain
17.6%
3/17 • Number of events 4 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Constipation
11.8%
2/17 • Number of events 4 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Diarrhea
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Dyspepsia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Gastritis
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Nausea
64.7%
11/17 • Number of events 12 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Gastrointestinal disorders
Vomiting
35.3%
6/17 • Number of events 7 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Fatigue
64.7%
11/17 • Number of events 25 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Fever
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
General symptom
41.2%
7/17 • Number of events 7 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Oedema NOS
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
General disorders
Pain
11.8%
2/17 • Number of events 4 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Infections and infestations
Infection NOS
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Alanine aminotransferase increased
11.8%
2/17 • Number of events 4 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Alkaline phosphatase increased
11.8%
2/17 • Number of events 3 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Aspartate aminotransferase increased
23.5%
4/17 • Number of events 7 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Creatinine increased
23.5%
4/17 • Number of events 5 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Hyperbilirubinemia
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Hypercholesterolemia
29.4%
5/17 • Number of events 16 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Leukopenia
17.6%
3/17 • Number of events 11 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Lymphopenia
17.6%
3/17 • Number of events 13 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Neutrophil count decreased
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Platelet count decreased
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Investigations
Weight loss
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Anorexia
17.6%
3/17 • Number of events 4 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Blood bicarbonate decreased
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Dehydration
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyperglycemia
88.2%
15/17 • Number of events 31 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyperkalemia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypermagnesemia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypertriglyceridemia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyperuricemia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypoalbuminemia
47.1%
8/17 • Number of events 11 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypocalcemia
23.5%
4/17 • Number of events 6 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypokalemia
17.6%
3/17 • Number of events 3 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypomagnesemia
17.6%
3/17 • Number of events 3 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hyponatremia
35.3%
6/17 • Number of events 6 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Metabolism and nutrition disorders
Hypophosphatemia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Musculoskeletal disorder
5.9%
1/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Musculoskeletal and connective tissue disorders
Myalgia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
11.8%
2/17 • Number of events 3 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Depressed level of consciousness
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Dizziness
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Headache
29.4%
5/17 • Number of events 5 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Neurological disorder NOS
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Nervous system disorders
Peripheral sensory neuropathy
11.8%
2/17 • Number of events 5 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Psychiatric disorders
Anxiety
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Psychiatric disorders
Confusion
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Psychiatric disorders
Insomnia
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Cough
17.6%
3/17 • Number of events 4 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
17.6%
3/17 • Number of events 3 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
5.9%
1/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Alopecia
5.9%
1/17 • Number of events 11 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Erythema multiforme
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Rash desquamating
17.6%
3/17 • Number of events 3 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Skin and subcutaneous tissue disorders
Skin discolouration
5.9%
1/17 • Number of events 1 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Vascular disorders
Hypertension
5.9%
1/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.
Vascular disorders
Hypotension
11.8%
2/17 • Number of events 2 • Collected over a period of 24 months.
"Other Adverse Events" include all events that were not severe adverse events regardless of grade or relation to treatment.

Additional Information

DCC Project Administrator

California Cancer Consortium

Phone: : 626-256-4673

Results disclosure agreements

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

Restriction type: LTE60