Trial Outcomes & Findings for Pazopanib in Treating Patients With Recurrent Glioblastoma (NCT NCT00459381)
NCT ID: NCT00459381
Last Updated: 2017-03-15
Results Overview
Calculated from study registration till 6month time point. Progression defined by Macdonald criteria Progression imaging features: 25% of more increase in enhancing lesions; any new lesions clinical features: clinical deterioration
COMPLETED
PHASE2
35 participants
6 months
2017-03-15
Participant Flow
Subjects accrued between June 2007 to January 2008 at 4 NABTC Cancer Centers using their outpatient facilities. Survival follow-up extended to June 2009
Participant milestones
| Measure |
Treatment (Pazopanib Hydrochloride)
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Overall Study
STARTED
|
35
|
|
Overall Study
COMPLETED
|
35
|
|
Overall Study
NOT COMPLETED
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Pazopanib in Treating Patients With Recurrent Glioblastoma
Baseline characteristics by cohort
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Age, Continuous
|
53 years
n=39 Participants
|
|
Sex: Female, Male
Female
|
13 Participants
n=39 Participants
|
|
Sex: Female, Male
Male
|
22 Participants
n=39 Participants
|
|
Karnofsky Performance Status Scale
90-100
|
26 participants
n=39 Participants
|
|
Karnofsky Performance Status Scale
60-80
|
9 participants
n=39 Participants
|
|
Prior Radiotherapy
|
35 participants
n=39 Participants
|
|
Time from Radiotherapy to study enrollment
|
10 months
n=39 Participants
|
|
Number of Prior chemotherapy reginmens
1
|
24 participants
n=39 Participants
|
|
Number of Prior chemotherapy reginmens
2
|
9 participants
n=39 Participants
|
|
Number of Prior chemotherapy reginmens
3
|
2 participants
n=39 Participants
|
|
Surgery for recurrence for current progression prior to enrollment
Yes
|
8 participants
n=39 Participants
|
|
Surgery for recurrence for current progression prior to enrollment
No
|
27 participants
n=39 Participants
|
PRIMARY outcome
Timeframe: 6 monthsCalculated from study registration till 6month time point. Progression defined by Macdonald criteria Progression imaging features: 25% of more increase in enhancing lesions; any new lesions clinical features: clinical deterioration
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
6 Months Progression-free Survival
|
3 percent
Interval 0.001 to 15.0
|
PRIMARY outcome
Timeframe: 2 yearsUse NCI Common toxicity Criteria Adverse Event Version 3.0 to grade toxicities. Any patient who received at least one dose of pazopanib was evaluable for toxicity. Calculated the number of participants who had an event that was related to pazopanib that caused the patient to stop treatment due to this event.
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Number of Participants Discontinuing Treatment Due to Toxicity
thrombotic/embolic
|
3 Participants
|
|
Number of Participants Discontinuing Treatment Due to Toxicity
CNS hemorrhage
|
1 Participants
|
SECONDARY outcome
Timeframe: Up to 2 yearsNCI Common Toxicity Criteria (CTCAE) version 3.0. All patients that received at least one dose of pazopanib were evaluable. All events recorded that were related to drug were calculated per patient.
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Most Common Toxicities Experienced After at Least One Dose of Pazopanib
hypertension
|
37 percentage of participants
|
|
Most Common Toxicities Experienced After at Least One Dose of Pazopanib
fatigue
|
34 percentage of participants
|
|
Most Common Toxicities Experienced After at Least One Dose of Pazopanib
elevated ALT
|
40 percentage of participants
|
SECONDARY outcome
Timeframe: 2 yearsPopulation: 34 pts had follow-up scans and wee evaluable for objective radiographic response (ORR)
The Macdonald criteria, roughly similarly to other systems, divides response into 4 types of response based on imaging (MRI) and clinical features 1: complete response; 2: partial response; 3:stable disease; 4:progression Complete response imaging features: disappearance of all enhancing disease (measurable and non-measurable) sustained for at least 4 weeks; no new lesions clinical features; no corticosteroids; clinically stable or improved Partial response imaging features: 50% or more decrease of all measurable enhancing lesions sustained for at least 4 weeks: no new lesions clinical features: stable or reduced corticosteroids; clinically stable or improved Stable disease imaging features: does not qualify for complete response, partial response or progression clinical features: clinically stable Progression imaging features: 25% of more increase in enhancing lesions; any new lesions clinical features: clinical deterioration
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=34 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Overall Radiographic Response (ORR) Rate
|
5.9 percent
Interval 0.7 to 21.0
|
SECONDARY outcome
Timeframe: 3 yearsUsing the Macdonald criteria, the best MRI image response while the patient was on active treatment. 1: complete response; 2: partial response; 3:stable disease; 4:progression Complete response imaging features: disappearance of all enhancing disease (measurable and non-measurable) sustained for at least 4 weeks; no new lesions clinical features; no corticosteroids; clinically stable or improved Partial response imaging features: 50% or more decrease of all measurable enhancing lesions sustained for at least 4 weeks: no new lesions clinical features: stable or reduced corticosteroids; clinically stable or improved Stable disease imaging features: does not qualify for complete response, partial response or progression clinical features: clinically stable Progression imaging features: 25% of more increase in enhancing lesions; any new lesions clinical features: clinical deterioration
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=34 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Best Radiographic Response
Progressive Disease
|
32 percentage of participants
|
|
Best Radiographic Response
Stable Disease
|
62 percentage of participants
|
|
Best Radiographic Response
Partial Response
|
6 percentage of participants
|
SECONDARY outcome
Timeframe: From date of registration to date of death due to any cause, assessed up to 2 yearsPopulation: All 35 patients were included in an intent to treat analysis for PFS and OS.
calculated from study registration until date of death or patient censored at the last date known alive
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Overall Survival
|
35 weeks
Interval 24.0 to 47.0
|
SECONDARY outcome
Timeframe: 1 yearPFS for patients who died on treatment or within 30 days of the end of treatment w/out progression date, was date of death. All other pts without documented progression were censored at the date of last follow-up prior to start new treatment. All 35 patients were included in an intent to treat analysis for PFS and OS. 3 pts censored for PFS, all less than 2 wks after study registration.
Outcome measures
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 Participants
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Time to Progression or Progression Free Survival
|
12 weeks
Interval 8.0 to 14.0
|
Adverse Events
Treatment (Pazopanib Hydrochloride)
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Treatment (Pazopanib Hydrochloride)
n=35 participants at risk
Patients receive oral pazopanib hydrochloride daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Other: laboratory biomarker analysis
pazopanib hydrochloride: Given orally
laboratory biomarker analysis: Correlative studies
|
|---|---|
|
Blood and lymphatic system disorders
anemia
|
14.3%
5/35 • Number of events 5 • 2 years
|
|
Blood and lymphatic system disorders
Leukopenia
|
20.0%
7/35 • Number of events 7 • 2 years
|
|
Blood and lymphatic system disorders
lymphopenia
|
34.3%
12/35 • Number of events 12 • 2 years
|
|
Blood and lymphatic system disorders
neutropenia
|
14.3%
5/35 • Number of events 5 • 2 years
|
|
Investigations
Thrombocytopenia
|
25.7%
9/35 • Number of events 9 • 2 years
|
|
Vascular disorders
arterial hypertension
|
37.1%
13/35 • Number of events 13 • 2 years
|
|
General disorders
fatigue
|
34.3%
12/35 • Number of events 12 • 2 years
|
|
Investigations
weight loss
|
5.7%
2/35 • Number of events 2 • 2 years
|
|
Metabolism and nutrition disorders
anorexia
|
5.7%
2/35 • Number of events 2 • 2 years
|
|
Gastrointestinal disorders
constipation
|
5.7%
2/35 • Number of events 2 • 2 years
|
|
Gastrointestinal disorders
diarrhea
|
14.3%
5/35 • Number of events 5 • 2 years
|
|
Gastrointestinal disorders
abdominal distension
|
5.7%
2/35 • Number of events 2 • 2 years
|
|
Gastrointestinal disorders
flatulence
|
8.6%
3/35 • Number of events 3 • 2 years
|
|
Gastrointestinal disorders
dyspepsia
|
11.4%
4/35 • Number of events 4 • 2 years
|
|
Nervous system disorders
Intracranial hemorrhage
|
8.6%
3/35 • Number of events 3 • 2 years
|
|
Respiratory, thoracic and mediastinal disorders
epistaxis
|
11.4%
4/35 • Number of events 4 • 2 years
|
|
Investigations
elevated ALT
|
40.0%
14/35 • Number of events 14 • 2 years
|
|
Investigations
elevated AST
|
22.9%
8/35 • Number of events 8 • 2 years
|
|
Investigations
hyperbilirubinemia
|
20.0%
7/35 • Number of events 7 • 2 years
|
|
Metabolism and nutrition disorders
hypermagnesemia
|
8.6%
3/35 • Number of events 3 • 2 years
|
|
Metabolism and nutrition disorders
hypoalbuminemia
|
8.6%
3/35 • Number of events 3 • 2 years
|
|
Metabolism and nutrition disorders
hypophosphatemia
|
8.6%
3/35 • Number of events 3 • 2 years
|
|
Metabolism and nutrition disorders
proteinuria
|
5.7%
2/35 • Number of events 2 • 2 years
|
|
Gastrointestinal disorders
abdominal pain
|
5.7%
2/35 • Number of events 2 • 2 years
|
|
Musculoskeletal and connective tissue disorders
pain in extremity
|
11.4%
4/35 • Number of events 4 • 2 years
|
|
Vascular disorders
thromboembolic event
|
5.7%
2/35 • Number of events 2 • 2 years
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: LTE60