Trial Outcomes & Findings for Ph II Adjuvant Carboplatin/Docetaxel in Curatively Resected Stage I-IIIA NSCLC (NCT NCT00280735)

NCT ID: NCT00280735

Last Updated: 2017-07-11

Results Overview

Feasibility was based on the percentage of patients completing four cycles of the carboplatin/docetaxel regimen to a high fraction of patients with curatively resected stage IIIIA non-small cell lung cancer within 12 weeks.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

75 participants

Primary outcome timeframe

12 weeks from initiating adjuvant therapy

Results posted on

2017-07-11

Participant Flow

Of the 75 participants screened for eligibility, 72 went on to treatment and 3 participants withdrew consent prior to treatment.

Participant milestones

Participant milestones
Measure
Single Arm Trial
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Overall Study
STARTED
75
Overall Study
Received Treatment
72
Overall Study
Received Adequate Exposure
57
Overall Study
COMPLETED
57
Overall Study
NOT COMPLETED
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Single Arm Trial
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Overall Study
Adverse Event
5
Overall Study
Lack of Efficacy
3
Overall Study
Withdrawal by Subject
8
Overall Study
Intercurrent Illness
2

Baseline Characteristics

Ph II Adjuvant Carboplatin/Docetaxel in Curatively Resected Stage I-IIIA NSCLC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm Trial
n=72 Participants
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Age, Continuous
65 years
n=99 Participants
Sex: Female, Male
Female
48 Participants
n=99 Participants
Sex: Female, Male
Male
24 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
Race/Ethnicity, Customized
Ethnicity · White
60 Participants
n=99 Participants
Race/Ethnicity, Customized
Ethnicity · African American
7 Participants
n=99 Participants
Race/Ethnicity, Customized
Ethnicity · Latino
2 Participants
n=99 Participants
Race/Ethnicity, Customized
Ethnicity · Asian
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Ethnicity · Unknown or Not Reported
2 Participants
n=99 Participants
Region of Enrollment
United States
72 participants
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) Performance status
0
28 Participants
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) Performance status
1
43 Participants
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) Performance status
2
1 Participants
n=99 Participants
Stage
Stage I
29 Participants
n=99 Participants
Stage
Stage II
26 Participants
n=99 Participants
Stage
Stage IIIA
16 Participants
n=99 Participants
Stage
Stage IIIB
1 Participants
n=99 Participants
Histology
Adenocarcinoma
32 Participants
n=99 Participants
Histology
Squamous cell carcinoma
30 Participants
n=99 Participants
Histology
Non-small cell-not otherwise specified
7 Participants
n=99 Participants
Histology
Large cell carcinoma
3 Participants
n=99 Participants
Type of surgery
Wedge resection
2 Participants
n=99 Participants
Type of surgery
Lobectomy
52 Participants
n=99 Participants
Type of surgery
Bi-lobectomy
7 Participants
n=99 Participants
Type of surgery
Pneumonectomy
11 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 12 weeks from initiating adjuvant therapy

Population: Patients assigned to treatment

Feasibility was based on the percentage of patients completing four cycles of the carboplatin/docetaxel regimen to a high fraction of patients with curatively resected stage IIIIA non-small cell lung cancer within 12 weeks.

Outcome measures

Outcome measures
Measure
Single Arm Trial
n=72 Participants
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Grade 4 %
Percentage of patients receiving treatment who developed this toxicity
Grade 3/4 %
Percentage of patients receiving treatment who developed this toxicity
Number of Participants Who Completed Four Cycles of the Carboplatin/Docetaxel Regimen
57 Participants

SECONDARY outcome

Timeframe: Up to 5 years

Patterns were assessed with a staging chest computerized tomography (CT), bone or positron emission tomography (PET) scan and brain magnetic resonance imaging (MRI)/CT scan at recurrence.

Outcome measures

Outcome measures
Measure
Single Arm Trial
n=19 Participants
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Grade 4 %
Percentage of patients receiving treatment who developed this toxicity
Grade 3/4 %
Percentage of patients receiving treatment who developed this toxicity
Patterns of Recurrence in Patients Treated With This Regimen
intrathoracic relapse
4 Participants
Patterns of Recurrence in Patients Treated With This Regimen
intrathoracic and distant relapse
5 Participants
Patterns of Recurrence in Patients Treated With This Regimen
distant relapse only without brain
2 Participants
Patterns of Recurrence in Patients Treated With This Regimen
distant relapse within the brain
8 Participants

SECONDARY outcome

Timeframe: Day 1 of treatment to 30 days after treatment discontinuation

Population: Patients receiving treatment

Safety determinations are based on the rate of drug-related adverse events (AEs) reported based upon the toxicity as measured by the NCI Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0).

Outcome measures

Outcome measures
Measure
Single Arm Trial
n=72 Participants
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Grade 4 %
n=72 Participants
Percentage of patients receiving treatment who developed this toxicity
Grade 3/4 %
n=72 Participants
Percentage of patients receiving treatment who developed this toxicity
Toxicity in Patients Treated With This Regimen
Neutropenia
24 percentage of participants
42 percentage of participants
65 percentage of participants
Toxicity in Patients Treated With This Regimen
Fatigue/asthenia
5.5 percentage of participants
0 percentage of participants
5.5 percentage of participants
Toxicity in Patients Treated With This Regimen
Thrombocytopenia
1 percentage of participants
0 percentage of participants
1 percentage of participants
Toxicity in Patients Treated With This Regimen
Febrile Neutorpenia
3 percentage of participants
8 percentage of participants
11 percentage of participants
Toxicity in Patients Treated With This Regimen
Nausea
1 percentage of participants
0 percentage of participants
1 percentage of participants
Toxicity in Patients Treated With This Regimen
Vomiting
1 percentage of participants
0 percentage of participants
1 percentage of participants
Toxicity in Patients Treated With This Regimen
Diarrhea
3 percentage of participants
0 percentage of participants
3 percentage of participants
Toxicity in Patients Treated With This Regimen
Infusional reactions
4 percentage of participants
0 percentage of participants
4 percentage of participants
Toxicity in Patients Treated With This Regimen
Dehydration
1 percentage of participants
0 percentage of participants
1 percentage of participants
Toxicity in Patients Treated With This Regimen
Syncope
5.5 percentage of participants
0 percentage of participants
5.5 percentage of participants
Toxicity in Patients Treated With This Regimen
Arrythmia
0 percentage of participants
1 percentage of participants
1 percentage of participants
Toxicity in Patients Treated With This Regimen
Proteinuria
0 percentage of participants
1 percentage of participants
1 percentage of participants
Toxicity in Patients Treated With This Regimen
Infection
0 percentage of participants
3 percentage of participants
3 percentage of participants
Toxicity in Patients Treated With This Regimen
Dyspnea
0 percentage of participants
1 percentage of participants
1 percentage of participants

SECONDARY outcome

Timeframe: The time between the start of treatment to disease progression or death or the date of last contact, measured up to 18 months

Population: Participants receiving treatment

Relapse-free survival rate at 18 months. Patients were determined to have progression either by radiographic and/or pathological assessment by local physician per local standard of care monitoring for disease recurrence.

Outcome measures

Outcome measures
Measure
Single Arm Trial
n=72 Participants
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Grade 4 %
Percentage of patients receiving treatment who developed this toxicity
Grade 3/4 %
Percentage of patients receiving treatment who developed this toxicity
Progression Free Survival
86 percentage of participants

SECONDARY outcome

Timeframe: The time between the start of treatment to disease progression or death or the date of last contact, measured up to 18 months

Population: Participants receiving treatment

Overall survival rate at 18 months.

Outcome measures

Outcome measures
Measure
Single Arm Trial
n=72 Participants
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Grade 4 %
Percentage of patients receiving treatment who developed this toxicity
Grade 3/4 %
Percentage of patients receiving treatment who developed this toxicity
Overall Survival
86 percentage of participants

Adverse Events

Single Arm Trial

Serious events: 19 serious events
Other events: 63 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Single Arm Trial
n=72 participants at risk
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Cardiac disorders
Cardiac ischemia/infarction
2.8%
2/72 • Number of events 2 • 30 days following cessation of treatment
Vascular disorders
Hypotension
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment
Cardiac disorders
Supraventricular and nodal arrhythmia - Atrial fibrillation
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment
Cardiac disorders
Supraventricular and nodal arrhythmia - Supraventricular arrhythmia not otherwise specified (NOS)
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Dehydration
2.8%
2/72 • Number of events 2 • 30 days following cessation of treatment
Gastrointestinal disorders
Diarrhea
4.2%
3/72 • Number of events 3 • 30 days following cessation of treatment
Gastrointestinal disorders
Nausea
2.8%
2/72 • Number of events 2 • 30 days following cessation of treatment
Gastrointestinal disorders
Vomiting
2.8%
2/72 • Number of events 2 • 30 days following cessation of treatment
Blood and lymphatic system disorders
Febrile neutropenia
11.1%
8/72 • Number of events 9 • 30 days following cessation of treatment
Infections and infestations
Infections, Other (Specify, _Neutropenic sepsis)
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment
Nervous system disorders
Syncope (fainting)
2.8%
2/72 • Number of events 3 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment
Investigations
Neutrophils/granulocytes (ANC/AGC)
8.3%
6/72 • Number of events 8 • 30 days following cessation of treatment
Investigations
Leukocytes (total WBC)
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
1.4%
1/72 • Number of events 1 • 30 days following cessation of treatment

Other adverse events

Other adverse events
Measure
Single Arm Trial
n=72 participants at risk
adjuvant carboplatin plus docetaxel carboplatin area under curve (AUC) = 6 IV on day 1 every 3 weeks for 4 cycles docetaxel 75 mg/m² IV on day 1 every 3 weeks for 4 cycles carboplatin: Carboplatin will be given intravenously,once,every 3 weeks. The carboplatin area under curve (AUC) dose will be calculated using the Calvert Equation 19 as follows: Carboplatin dose (mg) = 6x (GFR + 25) docetaxel: 75 mg/m² intravenously, once, every 3 weeks
Immune system disorders
Allergic reaction/hypersensitivity (including drug fever)
8.3%
6/72 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
2.8%
2/72 • 30 days following cessation of treatment
Blood and lymphatic system disorders
Hemoglobin
5.6%
4/72 • 30 days following cessation of treatment
Investigations
Leukocytes (total WBC)
5.6%
4/72 • 30 days following cessation of treatment
Investigations
Neutrophils/granulocytes (ANC/AGC)
58.3%
42/72 • 30 days following cessation of treatment
Investigations
Platelets
1.4%
1/72 • 30 days following cessation of treatment
Cardiac disorders
Supraventricular and nodal arrhythmia - Supraventricular arrhythmia NOS
1.4%
1/72 • 30 days following cessation of treatment
Cardiac disorders
Cardiac ischemia/infarction
4.2%
3/72 • 30 days following cessation of treatment
General disorders
Constitutional Symptoms - Other (Specify- Weakness)
1.4%
1/72 • 30 days following cessation of treatment
General disorders
Fatigue (asthenia, lethargy, malaise)
20.8%
15/72 • 30 days following cessation of treatment
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
1.4%
1/72 • 30 days following cessation of treatment
Psychiatric disorders
Insomnia
4.2%
3/72 • 30 days following cessation of treatment
Skin and subcutaneous tissue disorders
Dry skin
2.8%
2/72 • 30 days following cessation of treatment
Vascular disorders
Flushing
4.2%
3/72 • 30 days following cessation of treatment
Skin and subcutaneous tissue disorders
Hair loss/alopecia (scalp or body)
25.0%
18/72 • 30 days following cessation of treatment
Skin and subcutaneous tissue disorders
Rash/desquamation
1.4%
1/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Anorexia
5.6%
4/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Constipation
1.4%
1/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Dehydration
2.8%
2/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Diarrhea
12.5%
9/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Heartburn/dyspepsia
6.9%
5/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Mucositis/stomatitis (functional/symptomatic) - Oral cavity
2.8%
2/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Nausea
18.1%
13/72 • 30 days following cessation of treatment
Nervous system disorders
Taste alteration (dysgeusia)
5.6%
4/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Ulcer, GI - Stomach
1.4%
1/72 • 30 days following cessation of treatment
Gastrointestinal disorders
Vomiting
2.8%
2/72 • 30 days following cessation of treatment
Blood and lymphatic system disorders
Febrile neutropenia
1.4%
1/72 • 30 days following cessation of treatment
General disorders
Edema: limb
4.2%
3/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
1.4%
1/72 • 30 days following cessation of treatment
Investigations
ALT, SGPT (serum glutamic pyruvic transaminase)
1.4%
1/72 • 30 days following cessation of treatment
Investigations
AST, SGOT(serum glutamic oxaloacetic transaminase)
1.4%
1/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
1.4%
1/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Glucose, serum-high (hyperglycemia)
2.8%
2/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
2.8%
2/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
1.4%
1/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
1.4%
1/72 • 30 days following cessation of treatment
Renal and urinary disorders
Proteinuria
1.4%
1/72 • 30 days following cessation of treatment
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
1.4%
1/72 • 30 days following cessation of treatment
Nervous system disorders
Dizziness
1.4%
1/72 • 30 days following cessation of treatment
Psychiatric disorders
Mood alteration - Anxiety
1.4%
1/72 • 30 days following cessation of treatment
Nervous system disorders
Neuropathy: motor
1.4%
1/72 • 30 days following cessation of treatment
Nervous system disorders
Neuropathy: sensory
4.2%
3/72 • 30 days following cessation of treatment
Nervous system disorders
Syncope (fainting)
1.4%
1/72 • 30 days following cessation of treatment
Eye disorders
Dry eye syndrome
1.4%
1/72 • 30 days following cessation of treatment
Musculoskeletal and connective tissue disorders
Pain - Back
2.8%
2/72 • 30 days following cessation of treatment
Musculoskeletal and connective tissue disorders
Pain - bone
4.2%
3/72 • 30 days following cessation of treatment
General disorders
Pain -Chest
4.2%
3/72 • 30 days following cessation of treatment
Musculoskeletal and connective tissue disorders
Pain - Joint
4.2%
3/72 • 30 days following cessation of treatment
Musculoskeletal and connective tissue disorders
Pain - Muscle
5.6%
4/72 • 30 days following cessation of treatment
General disorders
Pain - Other (Specify, _Thoracotomy site)
2.8%
2/72 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Cough
5.6%
4/72 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
6.9%
5/72 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Hiccoughs (hiccups, singultus)
1.4%
1/72 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory - Other (Specify, _paranasal sinus reaction; runny nose/chills)
2.8%
2/72 • 30 days following cessation of treatment
Renal and urinary disorders
Renal/Genitourinary - Other (Specify, __UTI)
1.4%
1/72 • 30 days following cessation of treatment
Respiratory, thoracic and mediastinal disorders
Voice changes/dysarthria (e.g., hoarseness, loss or alteration in voice, laryngitis)
1.4%
1/72 • 30 days following cessation of treatment

Additional Information

Robin V. Johnson

UNC Lineberger Comprehensive Cancer

Phone: 919-966-1125

Results disclosure agreements

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

Restriction type: GT60