Trial Outcomes & Findings for Chemoradiation and Tetrathiomolybdate (TM) in Patients With Esophageal Carcinoma (NCT NCT00176800)

NCT ID: NCT00176800

Last Updated: 2016-08-22

Results Overview

To measure the time recurrence in patients with esophageal cancer treated with preoperative chemoradiation, surgery, and post-operative tetrathiomolybdate.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

69 participants

Primary outcome timeframe

8 years

Results posted on

2016-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
Chemoradiation and Tetrathiomolybdate (TM)
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
Overall Study
STARTED
69
Overall Study
COMPLETED
69
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chemoradiation and Tetrathiomolybdate (TM) in Patients With Esophageal Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chemoradiation and Tetrathiomolybdate (TM)
n=69 Participants
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
Age, Continuous
60 years
n=99 Participants
Sex: Female, Male
Female
67 Participants
n=99 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 8 years

To measure the time recurrence in patients with esophageal cancer treated with preoperative chemoradiation, surgery, and post-operative tetrathiomolybdate.

Outcome measures

Outcome measures
Measure
Chemoradiation and Tetrathiomolybdate (TM)
n=69 Participants
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
Median Recurrence Free Survival Time
23.1 months
Interval 12.7 to 60.1

SECONDARY outcome

Timeframe: 8 years

To measure the survival time in patients treated with preoperative chemoradiation, surgery, and post-operative tetrathiomolybdate.

Outcome measures

Outcome measures
Measure
Chemoradiation and Tetrathiomolybdate (TM)
n=69 Participants
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
Median Overall Survival Time
31.5 months
Interval 17.1 to 62.4

SECONDARY outcome

Timeframe: 8 years

Outcome measures

Outcome measures
Measure
Chemoradiation and Tetrathiomolybdate (TM)
n=69 Participants
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
Percentage of Patients That Require Dose Modification Due to Toxicity
Leukopenia
22 percentage of patients
Percentage of Patients That Require Dose Modification Due to Toxicity
Vomiting
6 percentage of patients

Adverse Events

Chemoradiation and Tetrathiomolybdate (TM)

Serious events: 28 serious events
Other events: 67 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Chemoradiation and Tetrathiomolybdate (TM)
n=69 participants at risk
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
General disorders
Anorexia
2.9%
2/69
Investigations
Bilirubin
1.4%
1/69
Cardiac disorders
Cardiac-ischemia/infarction
1.4%
1/69
Cardiac disorders
Cardiovascular/Arrhythmia-Other
1.4%
1/69
Infections and infestations
Catheter-related infection
1.4%
1/69
Musculoskeletal and connective tissue disorders
Chest pain (non-cardiac and non-pleuritic)
1.4%
1/69
Gastrointestinal disorders
Colitis
1.4%
1/69
Metabolism and nutrition disorders
Dehydration
1.4%
1/69
Nervous system disorders
Depressed level of consciousness
1.4%
1/69
Skin and subcutaneous tissue disorders
Dermatology/Skin-Other
1.4%
1/69
Gastrointestinal disorders
Diarrhea (no colostomy)
4.3%
3/69
Blood and lymphatic system disorders
Febrile neutropenia
2.9%
2/69
Gastrointestinal disorders
Gastrointestinal-Other
2.9%
2/69
Investigations
Hypokalemia
1.4%
1/69
Cardiac disorders
Hypotension
1.4%
1/69
Gastrointestinal disorders
Ileus (or neuroconstipation)
1.4%
1/69
Infections and infestations
Infection without neutropenia
2.9%
2/69
Gastrointestinal disorders
Melena/GI bleeding
1.4%
1/69
Gastrointestinal disorders
Nausea
5.8%
4/69
Injury, poisoning and procedural complications
Operative injury of vein/artery
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Pulmonary-Other
1.4%
1/69
Cardiac disorders
Supraventricular arrhythmias
1.4%
1/69
Vascular disorders
Thrombosis/embolism
1.4%
1/69
Vascular disorders
Thrombotic microangiopathy
2.9%
2/69
Injury, poisoning and procedural complications
Wound-non-infectious
1.4%
1/69

Other adverse events

Other adverse events
Measure
Chemoradiation and Tetrathiomolybdate (TM)
n=69 participants at risk
Paclitaxel is administered intravenously over 1 hour on Days 1, 8, 15, and 22. Cisplatin will then be administered intravenously over 1 hour on Days 1 and 22. Tetrathiomolybdate (TM): Tetrathiomolybdate: 20mg p.o. per day with largest meal. This will be started 4-6 weeks post-op, and continued x 2 years or until progression of disease is documented. Radiation: Radiation treatments will be administered twice per day with each dose separated by more than 6 hours, on Days 1-5, 8-12 and 15-19. Surgery: The persons's esophagus will be surgically removed (esophagectomy) on approximately Day #50.
Blood and lymphatic system disorders
Anemia
44.9%
31/69
Blood and lymphatic system disorders
Leukopenia
78.3%
54/69
Blood and lymphatic system disorders
Neutopenia
27.5%
19/69
Blood and lymphatic system disorders
Thrombocytopenia
17.4%
12/69
Gastrointestinal disorders
Nausea
43.5%
30/69
Gastrointestinal disorders
Vomiting
31.9%
22/69
Gastrointestinal disorders
Diarrhea
10.1%
7/69
Gastrointestinal disorders
Constipation
27.5%
19/69

Additional Information

Dr. Susan Urba, M.D.

University of Michigan Comprehensive Cancer Center

Phone: 734-615-4762

Results disclosure agreements

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