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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

35 participants

Primary outcome timeframe

6 months

Results posted on

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

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

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 months

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

Outcome measures

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 years

Use 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

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 years

NCI 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

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 years

Population: 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

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 years

Using 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

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 years

Population: 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

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 year

PFS 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

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 events: 0 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Mark Gilbert, MD

Adult Brain Tumor Consortium (ABTC)

Phone: 410-955-8837

Results disclosure agreements

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

Restriction type: LTE60