Trial Outcomes & Findings for Cetuximab, Chemotherapy, and Radiation Therapy for Operable Stage III or IV Head and Neck Cancer (NCT NCT00089297)

NCT ID: NCT00089297

Last Updated: 2023-06-29

Results Overview

Event-free survival rate at 1 year was defined as the proportion of patients who did not have disease progression, primary site surgery, or death after being followed for 1 year.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

74 participants

Primary outcome timeframe

Assessed at 1 year.

Results posted on

2023-06-29

Participant Flow

The study was activated on December 15, 2004, accrued its first patient on January 6, 2005, and was closed to accrual on February 6, 2006 after accruing 74 patients.

Participant milestones

Participant milestones
Measure
Cetuximab/Paclitaxel/Carboplatin
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Overall Study
STARTED
74
Overall Study
Treated
70
Overall Study
Eligible
63
Overall Study
COMPLETED
36
Overall Study
NOT COMPLETED
38

Reasons for withdrawal

Reasons for withdrawal
Measure
Cetuximab/Paclitaxel/Carboplatin
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Overall Study
Adverse Event
9
Overall Study
Death
1
Overall Study
Withdrawal by Subject
12
Overall Study
Disease progression
2
Overall Study
Ineligible
11
Overall Study
Secondary malignancy
1
Overall Study
IRB approval not ready
1
Overall Study
Non-compliance
1

Baseline Characteristics

Cetuximab, Chemotherapy, and Radiation Therapy for Operable Stage III or IV Head and Neck Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cetuximab/Paclitaxel/Carboplatin
n=63 Participants
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Age, Continuous
57 years
n=99 Participants
Sex: Female, Male
Female
14 Participants
n=99 Participants
Sex: Female, Male
Male
49 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Assessed at 1 year.

Population: Only eligible patients are included in the analysis.

Event-free survival rate at 1 year was defined as the proportion of patients who did not have disease progression, primary site surgery, or death after being followed for 1 year.

Outcome measures

Outcome measures
Measure
Cetuximab/Paclitaxel/Carboplatin
n=63 Participants
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Event-free Survival Rate at 1 Year
0.79 proportion of patients
Interval 0.69 to 0.89

SECONDARY outcome

Timeframe: Assessed at weeks 7, 14, 18, 20, and then every every 3 months if patient is < 2 years from study entry and every 6 months if patient is 2-5 years from study entry

Population: Only eligible patients are included in this analysis.

Per RECIST criteria, Complete response (CR)= disappearance of all target and nontarget lesions Partial response (PR)= \>=30% decrease in the sum of the longest diameters of target lesions from baseline, and persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker level above the normal limits. Objective response = CR + PR.

Outcome measures

Outcome measures
Measure
Cetuximab/Paclitaxel/Carboplatin
n=63 Participants
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Proportion of Patients With Objective Response by RECIST
0.86 proportion of patients
Interval 0.75 to 0.93

SECONDARY outcome

Timeframe: Assessed at weeks 7, 14, 18, 20, and then every every 3 months if patient is < 2 years from study entry and every 6 months if patient is 2-5 years from study entry

Population: Only eligible patients are included in the analysis.

Progression-free survival was defined as the time from registration to documented progression or death without progression. Progression is defined as at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum longest diameter recorded since the baseline measurements, or the appearance of one or more new lesion(s) or unequivocal progression of existing nontarget lesions.

Outcome measures

Outcome measures
Measure
Cetuximab/Paclitaxel/Carboplatin
n=63 Participants
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Progression-free Survival
47.5 Months
Interval 32.6 to
The upper limit of the 95% confidence interval was not calculable because an insufficient number of participants reached the event at the final time point for assessment.

SECONDARY outcome

Timeframe: Weekly during treatment, and then every every 3 months if patient is < 2 years from study entry and every 6 months if patient is 2-5 years from study entry

Population: Only eligible patients are included in the analysis.

Overall survival is defined as the time from registration to death of any causes.

Outcome measures

Outcome measures
Measure
Cetuximab/Paclitaxel/Carboplatin
n=63 Participants
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Overall Survival
49.4 Months
Interval 47.5 to
The upper limit of the 95% confidence interval was not calculable because an insufficient number of participants reached the event at the final time point for assessment.

Adverse Events

Cetuximab/Paclitaxel/Carboplatin

Serious events: 64 serious events
Other events: 70 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cetuximab/Paclitaxel/Carboplatin
n=70 participants at risk
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Immune system disorders
Allergic reaction
4.3%
3/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Blood and lymphatic system disorders
Anemia
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Leukocytes, decreased
40.0%
28/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Lymphopenia
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Neutrophils, decreased
44.3%
31/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
General disorders
Fatigue
8.6%
6/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Weight loss
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Injury, poisoning and procedural complications
Burn
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Rash/desquamation
4.3%
3/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
11.4%
8/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Injury, poisoning and procedural complications
Radiation dermatitis
22.9%
16/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Anorexia
18.6%
13/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Dehydration
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Diarrhea w/o prior colostomy
4.3%
3/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Dry mouth
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Dysphagia
28.6%
20/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Esophagitis
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Muco/stomatitis by exam, oral cavity
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Muco/stomatitis (symptom) oral cavity
50.0%
35/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Muco/stomatitis (symptom) pharynx
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Nausea
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Vomiting
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Blood and lymphatic system disorders
Febrile neutropenia
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, bladder
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, catheter
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, colon
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, foreign body
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, mucosa
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, oral cavity
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, pharynx
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, skin
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, urinary tract
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection w/ unk ANC wound
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Blood bilirubin increased
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypocalcemia
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Creatinine, increased
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hyperglycemia
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypomagnesemia
4.3%
3/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypophosphatemia
4.3%
3/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hyperkalemia
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypokalemia
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hyponatremia
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Nervous system disorders
Neuropathy-motor
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Esophagus, pain
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Oral cavity, pain
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Throat/pharynx/larynx, pain
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Bronchospasm, wheezing
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.9%
2/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Obstruction, airway-larynx
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
4.3%
3/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Vascular disorders
Thrombosis/thrombus/embolism
1.4%
1/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.

Other adverse events

Other adverse events
Measure
Cetuximab/Paclitaxel/Carboplatin
n=70 participants at risk
Induction: Cetuximab (C225) 400 mg/m2 at wk 1 then 250 mg/m2 for 5 weeks. Paclitaxel (P) 90 mg/m2 IV and carboplatin (C) AUC = 2 IV were given weekly. Restaging biopsy of primary site scheduled at wk 7. Concurrent chemoradiation: Radiation at 200cGy/d/5 wks for a total of 50Gy and C225 at 250 mg/m2/wk. P following C225 at 30 mg/m2/wk and C following P at AUC = 1/week. Patients with a negative biopsy continued concurrent therapy to complete radiation (68-72Gy). Restaging biopsy of primary site: Patients with positive biopsy at wk 7 or patients without a clinical complete response at the primary site after induction therapy had re-biopsy at wk 14. If the biopsy was negative, the patients continued concurrent therapy to complete radiation (68-72 Gy). If positive, resection of the primary site was done. Additional concurrent chemoradiation: C225 at 250mg/m2/wk IV followed by P 30mg/m2/wk IV followed by C AUC = 1/wk and RT for 3 wks.
Blood and lymphatic system disorders
Anemia
88.6%
62/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Leukocytes, decreased
87.1%
61/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Lymphopenia
7.1%
5/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Neutrophils, decreased
50.0%
35/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Platelets, decreased
27.1%
19/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Vascular disorders
Hypotension
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
General disorders
Fatigue
78.6%
55/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
General disorders
Fever w/o neutropenia
18.6%
13/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Psychiatric disorders
Insomnia
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Weight loss
60.0%
42/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Activated partial thromboplastin time prolonged
7.1%
5/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Dry skin
22.9%
16/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Alopecia
64.3%
45/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Nail changes
11.4%
8/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Pruritus/itching
15.7%
11/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Rash/desquamation
34.3%
24/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
91.4%
64/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Injury, poisoning and procedural complications
Radiation dermatitis
62.9%
44/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Anorexia
40.0%
28/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Constipation
37.1%
26/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Dehydration
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Diarrhea w/o prior colostomy
22.9%
16/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Dry mouth
71.4%
50/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Dysphagia
68.6%
48/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Dyspepsia
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Muco/stomatitis (symptom) oral cavity
72.9%
51/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Nausea
44.3%
31/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Nervous system disorders
Taste disturbance
30.0%
21/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Vomiting
27.1%
19/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Nose, hemorrhage
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, oral cavity
8.6%
6/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Infections and infestations
Infection Gr0-2 neut, ungual
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
General disorders
Edema limb
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypoalbuminemia
11.4%
8/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Alanine aminotransferase increased
51.4%
36/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Aspartate aminotransferase increased
44.3%
31/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Blood bilirubin increased
12.9%
9/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypocalcemia
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Investigations
Creatinine, increased
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hyperglycemia
12.9%
9/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypomagnesemia
21.4%
15/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hypokalemia
12.9%
9/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Metabolism and nutrition disorders
Hyponatremia
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Musculoskeletal and connective tissue disorders
Trismus
8.6%
6/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Nervous system disorders
Dizziness
11.4%
8/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Psychiatric disorders
Depression
20.0%
14/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Nervous system disorders
Neuropathy-sensory
34.3%
24/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Eye disorders
Dry eye syndrome
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Eye disorders
Ocular surface disease
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Eye disorders
Vision-blurred
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Nervous system disorders
Head/headache
15.7%
11/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Musculoskeletal and connective tissue disorders
Joint, pain
17.1%
12/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Musculoskeletal and connective tissue disorders
Muscle, pain
17.1%
12/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Musculoskeletal and connective tissue disorders
Neck, pain
5.7%
4/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Gastrointestinal disorders
Oral cavity, pain
14.3%
10/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Throat/pharynx/larynx, pain
10.0%
7/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
7.1%
5/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Cough
12.9%
9/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria
12.9%
9/70 • Assessed weekly while on treatment and for 30 days after the end of treatment.

Additional Information

Study Statistician

ECOG Statistical Office

Phone: 617-632-3012

Results disclosure agreements

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