Trial Outcomes & Findings for Dasatinib in Treating Patients With Relapsed Small Cell Lung Cancer (NCT NCT00470054)

NCT ID: NCT00470054

Last Updated: 2015-05-05

Results Overview

Percentage of patients who were alive and progression free at 6-weeks. The 6-week progression free survival was estimated using the Kaplan Meier method. Progressive Disease was defined by the Response Evaluation Criteria In Solid Tumors (RECIST) criteria as 20% increase in sum of longest diameter of target lesions.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

44 participants

Primary outcome timeframe

6 weeks

Results posted on

2015-05-05

Participant Flow

Between July 2007 and December 2008, 45 participants were recruited.

One(1) participant cancelled before receiving any protocol related therapy and 1 participant was deemed ineligible. All participants receiving treatment were analyzed for adverse events and only eligible (43) participants were analyzed for al other endpoints.

Participant milestones

Participant milestones
Measure
Dasatinib
Pts receive oral dasatinib 70 mg twice daily
Overall Study
STARTED
44
Overall Study
COMPLETED
43
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Dasatinib
Pts receive oral dasatinib 70 mg twice daily
Overall Study
Ineligible
1

Baseline Characteristics

Dasatinib in Treating Patients With Relapsed Small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dasatinib
n=43 Participants
Pts receive oral dasatinib 70 mg twice daily
Age, Continuous
64 years
n=99 Participants
Sex: Female, Male
Female
26 Participants
n=99 Participants
Sex: Female, Male
Male
17 Participants
n=99 Participants
Region of Enrollment
United States
43 participants
n=99 Participants
ECOG Performance Status
0 - Fully Active
12 participants
n=99 Participants
ECOG Performance Status
1 - Ambulatory, restricted strenuous activity
31 participants
n=99 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: All eligible participants were analyzed.

Percentage of patients who were alive and progression free at 6-weeks. The 6-week progression free survival was estimated using the Kaplan Meier method. Progressive Disease was defined by the Response Evaluation Criteria In Solid Tumors (RECIST) criteria as 20% increase in sum of longest diameter of target lesions.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Pts receive oral dasatinib 70 mg twice daily
6 Week Progression Free Survival
43 percentage of participants
Interval 30.0 to 61.0

SECONDARY outcome

Timeframe: Time from registration to progression (up to 3 years)

Population: All eligible participants were analyzed.

PFS was defined as the time from registration until disease progression or death, whichever occurs first. The median PFS with 95% CI was estimated using the Kaplan-Meier method. Progression is defined as in the primary outcome measure.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Pts receive oral dasatinib 70 mg twice daily
Progression Free Survival (PFS)
5.9 weeks
Interval 5.7 to 6.6

SECONDARY outcome

Timeframe: Assessed every 2 cycles (up to 3 years)

Population: All eligible participants were analyzed.

Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria: * Complete Response (CR): disappearance of all target lesions; * Partial Response (PR) 30% decrease in sum of longest diameter of target lesions; * Progressive Disease (PD): 20% increase in sum of longest diameter of target lesions; * Stable Disease (SD): small changes that do not meet above criteria.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Pts receive oral dasatinib 70 mg twice daily
Response to Therapy
Complete Response
0 participants
Response to Therapy
Partial Response
0 participants
Response to Therapy
Stable Disease
7 participants
Response to Therapy
Progression
28 participants
Response to Therapy
Inadequately assessed
8 participants

SECONDARY outcome

Timeframe: Time from registration to death (up to 3 years)

Population: All eligible participants were analyzed.

Overall survival (OS) was defined as the time from registration to death of any cause. Surviving patients were censored at the date of last follow-up. The median OS with 95% CI was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Dasatinib
n=43 Participants
Pts receive oral dasatinib 70 mg twice daily
Overall Survival
17 weeks
Interval 14.6 to 29.7

SECONDARY outcome

Timeframe: Assessed during treatment

Population: All 44 participants who received treatment were analyzed (including ineligible participants).

The National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 was used to evaluate toxicity. Grade 1: mild; Grade 2: moderate; Grade 3: Severe; Grade 4: Life Threatening; Grade 5: Death.

Outcome measures

Outcome measures
Measure
Dasatinib
n=44 Participants
Pts receive oral dasatinib 70 mg twice daily
Number of Participants With Grade 3 or Higher Adverse Events
12 participants

Adverse Events

Dasatinib

Serious events: 14 serious events
Other events: 39 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dasatinib
n=44 participants at risk
Pts receive oral dasatinib 70 mg twice daily
Blood and lymphatic system disorders
Hemoglobin
27.3%
12/44 • Number of events 16
All 44 participants who received treatment were analyzed (including ineligible participants).
Blood and lymphatic system disorders
Lymph node pain
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Cardiac disorders
Cardiac ischemia/infarction
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Cardiac disorders
Left ventricular diastolic dysfunction
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Cardiac disorders
Left ventricular systolic dysfunction
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Cardiac disorders
Pericardial effusion
6.8%
3/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Constipation
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Diarrhea
13.6%
6/44 • Number of events 6
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Dry mouth
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Nausea
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Pain
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Vomiting
6.8%
3/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Death not associated with CTCAE term
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Edema: limb
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Fatigue
27.3%
12/44 • Number of events 15
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Fever
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Alanine aminotransferase increased
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Alkaline phosphatase
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Aspartate aminotransferase increased
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Blood bilirubin increased
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Cholesterol serum-high (hypercholesteremia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Creatinine
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Leukocytes (total WBC)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Lymphopenia
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Neutrophils/granulocytes (ANC/AGC)
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Platelet count decreased
11.4%
5/44 • Number of events 7
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Prolonged QTc interval
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
4.5%
2/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Anorexia
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Calcium serum-low (hypocalcemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Dehydration
6.8%
3/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Glucose serum-high (hyperglycemia)
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Magnesium serum-high (hypermagnesemia)
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Magnesium serum-low (hypomagnesemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Phosphate serum-low (hypophosphatemia)
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Potassium serum-high (hyperkalemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Potassium serum-low (hypokalemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Sodium serum-low (hyponatremia)
11.4%
5/44 • Number of events 5
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Back pain
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Headache
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Peripheral motor neuropathy
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Peripheral sensory neuropathy
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Psychiatric disorders
Anxiety
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Psychiatric disorders
Confusion
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Psychiatric disorders
Depression
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Cough
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
18.2%
8/44 • Number of events 8
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Pleural effusion
13.6%
6/44 • Number of events 8
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Tracheal stenosis
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Alopecia
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Pruritus
6.8%
3/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Rash/desquamation
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Vascular disorders
Flushing
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Vascular disorders
Hypotension
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).

Other adverse events

Other adverse events
Measure
Dasatinib
n=44 participants at risk
Pts receive oral dasatinib 70 mg twice daily
Blood and lymphatic system disorders
Hemoglobin
54.5%
24/44 • Number of events 45
All 44 participants who received treatment were analyzed (including ineligible participants).
Blood and lymphatic system disorders
Lymphatics - Other
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Cardiac disorders
Sinus tachycardia
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Eye disorders
Cataract
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Eye disorders
Ocular/Visual - Other
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Abdominal distension
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Constipation
13.6%
6/44 • Number of events 8
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Diarrhea
25.0%
11/44 • Number of events 13
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Dyspepsia
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Dysphagia
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Nausea
11.4%
5/44 • Number of events 7
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Pain
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Gastrointestinal disorders
Vomiting
18.2%
8/44 • Number of events 8
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Death NOS
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Death not associated with CTCAE term
11.4%
5/44 • Number of events 8
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Edema: limb
9.1%
4/44 • Number of events 5
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Edema:head and neck
6.8%
3/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Fatigue
77.3%
34/44 • Number of events 62
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Fever
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
General disorders
Syndromes - Other
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Alanine aminotransferase increased
9.1%
4/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Alkaline phosphatase
9.1%
4/44 • Number of events 5
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Aspartate aminotransferase increased
11.4%
5/44 • Number of events 6
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Bilirubin (hyperbilirubinemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Blood bilirubin increased
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Creatinine
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
INR (International Normalized Ratio of prothrombin time)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Lymphopenia
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Neutrophils/granulocytes (ANC/AGC)
9.1%
4/44 • Number of events 6
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Platelet count decreased
13.6%
6/44 • Number of events 13
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Prolonged QTc interval
2.3%
1/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Investigations
Weight loss
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
6.8%
3/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Anorexia
15.9%
7/44 • Number of events 8
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Calcium serum-high (hypercalcemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Dehydration
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Glucose serum-high (hyperglycemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Potassium serum-low (hypokalemia)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Metabolism and nutrition disorders
Sodium serum-low (hyponatremia)
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Arthralgia
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Arthritis (non-septic)
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Back pain
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Chest wall pain
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Muscle weakness, generalized or specific area (not due to neuropathy)
4.5%
2/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Musculoskeletal and connective tissue disorders
Pain in extremity
4.5%
2/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Dysgeusia
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Headache
6.8%
3/44 • Number of events 4
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Peripheral motor neuropathy
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Nervous system disorders
Peripheral sensory neuropathy
25.0%
11/44 • Number of events 15
All 44 participants who received treatment were analyzed (including ineligible participants).
Psychiatric disorders
Insomnia
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Reproductive system and breast disorders
Breast pain
2.3%
1/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Atelectasis
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Cough
15.9%
7/44 • Number of events 7
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
20.5%
9/44 • Number of events 11
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Pleural effusion
6.8%
3/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.3%
1/44 • Number of events 1
All 44 participants who received treatment were analyzed (including ineligible participants).
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Alopecia
4.5%
2/44 • Number of events 2
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Dry skin
4.5%
2/44 • Number of events 3
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Pruritus
11.4%
5/44 • Number of events 7
All 44 participants who received treatment were analyzed (including ineligible participants).
Skin and subcutaneous tissue disorders
Rash/desquamation
27.3%
12/44 • Number of events 19
All 44 participants who received treatment were analyzed (including ineligible participants).

Additional Information

Antonius Miller

Wake Forest University

Results disclosure agreements

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

Restriction type: LTE60