Trial Outcomes & Findings for Zalutumumab in Non-curable Patients With SCCHN (NCT NCT00542308)

NCT ID: NCT00542308

Last Updated: 2023-08-03

Results Overview

OS was defined as time from start of treatment until date of death of any cause.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

90 participants

Primary outcome timeframe

From randomization until death, assessed up to 21 months

Results posted on

2023-08-03

Participant Flow

All participants attending Visit 2 were included in the FAS irrespective of their compliance with the planned course of zalutumumab.

Participant milestones

Participant milestones
Measure
Zalutumumab 4-16 mg/kg
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Overall Study
STARTED
90
Overall Study
COMPLETED
90
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Zalutumumab in Non-curable Patients With SCCHN

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Zalutumumab 4-16 mg/kg
n=90 Participants
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
70 Participants
n=99 Participants
Age, Categorical
>=65 years
20 Participants
n=99 Participants
Age, Continuous
59.1 years
STANDARD_DEVIATION 8.7 • n=99 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
Sex: Female, Male
Male
72 Participants
n=99 Participants
Region of Enrollment
Portugal
10 participants
n=99 Participants
Region of Enrollment
United States
22 participants
n=99 Participants
Region of Enrollment
Czech Republic
6 participants
n=99 Participants
Region of Enrollment
Slovakia
4 participants
n=99 Participants
Region of Enrollment
Peru
4 participants
n=99 Participants
Region of Enrollment
Austria
3 participants
n=99 Participants
Region of Enrollment
Israel
12 participants
n=99 Participants
Region of Enrollment
Chile
8 participants
n=99 Participants
Region of Enrollment
Germany
11 participants
n=99 Participants
Region of Enrollment
Colombia
1 participants
n=99 Participants
Region of Enrollment
Italy
9 participants
n=99 Participants

PRIMARY outcome

Timeframe: From randomization until death, assessed up to 21 months

Population: All participants attending Visit 2 were included in the full analysis set irrespective of their compliance with the planned course of zalutumumab.

OS was defined as time from start of treatment until date of death of any cause.

Outcome measures

Outcome measures
Measure
Zalutumumab 4-16 mg/kg
n=90 Participants
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Overall Survival (OS)
5.3 months
Interval 4.1 to 7.1

SECONDARY outcome

Timeframe: During treatment and two weeks after end of treatment, assessed up to 21 months.

Population: All participants attending Visit 2 were included in the full analysis set irrespective of their compliance with the planned course of zalutumumab. Overall number of participants analyzed are number of participants with data available for analysis of best response.

Objective Tumour response according to Response Evaluation Criteria in Solid Tumours (RECIST v 1.0). Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the longest diameter of target lesions; Overall Response (OR), CR+PR. Stable disease is Responses not fulfilling CR, PR or progressive disease (PD). PD is At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started, OR the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Zalutumumab 4-16 mg/kg
n=88 Participants
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Objective Tumour Response
Complete response
1 participants
Objective Tumour Response
Partial response
4 participants
Objective Tumour Response
Stable response
30 participants
Objective Tumour Response
Progressive disease
33 participants
Objective Tumour Response
Not evaluable
20 participants

SECONDARY outcome

Timeframe: During treatment and two weeks after end of treatment, assessed up to 21 months

Population: All participants attending Visit 2 were included in the full analysis set irrespective of their compliance with the planned course of zalutumumab. Overall number of participants analyzed are the number of participants with a response.

DOR is defined among responders, as the time from the initial documentation of response to the date of disease progression or death, whichever occurs earlier.

Outcome measures

Outcome measures
Measure
Zalutumumab 4-16 mg/kg
n=5 Participants
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Duration of Response
NA days
Median and 95% confidence interval were not estimable due to insufficient number of participants with response.

SECONDARY outcome

Timeframe: During treatment and two weeks after end of treatment, assessed up to 21 months

Population: All participants attending Visit 2 were included in the full analysis set irrespective of their compliance with the planned course of zalutumumab.

PFS is defined as the time from start of treatment until disease progression or death.

Outcome measures

Outcome measures
Measure
Zalutumumab 4-16 mg/kg
n=90 Participants
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Progression Free Survival (PFS)
8.6 months
Interval 8.0 to 10.4

Adverse Events

Zalutumumab 4-16 mg/kg

Serious events: 83 serious events
Other events: 90 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Zalutumumab 4-16 mg/kg
n=90 participants at risk
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Blood and lymphatic system disorders
ANAEMIA
3.3%
3/90 • Number of events 3 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Cardiac disorders
CARDIAC ARREST
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Cardiac disorders
MYOCARDIAL INFARCTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
CONSTIPATION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
DYSPHAGIA
5.6%
5/90 • Number of events 6 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
OESOPHAGEAL FISTULA
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
VOMITING
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
DISEASE PROGRESSION
61.1%
55/90 • Number of events 55 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
GENERAL PHYSICAL HEALTH DETERIORATION
2.2%
2/90 • Number of events 3 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
INFUSION RELATED REACTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
OEDEMA
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
PAIN
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
PERFORMANCE STATUS DECREASED
2.2%
2/90 • Number of events 2 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
SUDDEN DEATH
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
ABSCESS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
CATHETER RELATED INFECTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
EYE INFECTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
LUNG INFECTION
2.2%
2/90 • Number of events 2 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
PNEUMONIA
7.8%
7/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
SEPSIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
SKIN INFECTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
SOFT TISSUE INFECTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
STAPHYLOCOCCAL SEPSIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
UROSEPSIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
WOUND INFECTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Injury, poisoning and procedural complications
FALL
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Injury, poisoning and procedural complications
FEMUR FRACTURE
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Injury, poisoning and procedural complications
SPINAL FRACTURE
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Investigations
ALANINE AMINOTRANSFERASE INCREASED
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Investigations
LYMPHOCYTE COUNT DECREASED
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Investigations
WEIGHT DECREASED
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
DEHYDRATION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
ELECTROLYTE IMBALANCE
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
HYPOKALAEMIA
4.4%
4/90 • Number of events 4 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
HYPOMAGNESAEMIA
4.4%
4/90 • Number of events 4 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
HYPONATRAEMIA
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Musculoskeletal and connective tissue disorders
MUSCULAR WEAKNESS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO LUNG
2.2%
2/90 • Number of events 2 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NEOPLASM PROGRESSION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
TUMOUR HAEMORRHAGE
6.7%
6/90 • Number of events 6 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Nervous system disorders
CEREBRAL INFARCTION
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Nervous system disorders
CEREBRAL ISCHAEMIA
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Nervous system disorders
FACIAL PARESIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Nervous system disorders
QUADRIPARESIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Renal and urinary disorders
RENAL TUBULAR DISORDER
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
10.0%
9/90 • Number of events 9 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
HYDROPNEUMOTHORAX
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
2.2%
2/90 • Number of events 2 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
PNEUMONIA ASPIRATION
3.3%
3/90 • Number of events 3 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
PNEUMOTHORAX
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
2.2%
2/90 • Number of events 2 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
RESPIRATORY ACIDOSIS
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Skin and subcutaneous tissue disorders
RASH
1.1%
1/90 • Number of events 1 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks

Other adverse events

Other adverse events
Measure
Zalutumumab 4-16 mg/kg
n=90 participants at risk
Zalutumumab iv infusion once weekly. The dose was titrated until grade 2 rash occurred.
Blood and lymphatic system disorders
ANAEMIA
11.1%
10/90 • Number of events 10 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Eye disorders
CONJUNCTIVITIS
6.7%
6/90 • Number of events 7 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
CONSTIPATION
11.1%
10/90 • Number of events 10 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
DIARRHOEA
13.3%
12/90 • Number of events 15 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
NAUSEA
17.8%
16/90 • Number of events 22 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Gastrointestinal disorders
VOMITING
16.7%
15/90 • Number of events 20 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
ASTHENIA
18.9%
17/90 • Number of events 23 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
FATIGUE
21.1%
19/90 • Number of events 26 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
MUCOSAL INFLAMMATION
10.0%
9/90 • Number of events 12 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
OEDEMA PERIPHERAL
5.6%
5/90 • Number of events 5 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
PAIN
12.2%
11/90 • Number of events 14 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
General disorders
PYREXIA
20.0%
18/90 • Number of events 31 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
BRONCHITIS
7.8%
7/90 • Number of events 9 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
FOLLICULITIS
6.7%
6/90 • Number of events 6 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
PARONYCHIA
8.9%
8/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Infections and infestations
RESPIRATORY TRACT INFECTION
5.6%
5/90 • Number of events 7 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Investigations
HAEMOGLOBIN DECREASED
8.9%
8/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Investigations
WEIGHT DECREASED
7.8%
7/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
ANOREXIA
7.8%
7/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
DECREASED APPETITE
6.7%
6/90 • Number of events 6 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Metabolism and nutrition disorders
HYPOMAGNESAEMIA
20.0%
18/90 • Number of events 26 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL PAIN
7.8%
7/90 • Number of events 7 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Musculoskeletal and connective tissue disorders
NECK PAIN
10.0%
9/90 • Number of events 10 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
TUMOUR HAEMORRHAGE
5.6%
5/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Nervous system disorders
DIZZINESS
5.6%
5/90 • Number of events 7 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Nervous system disorders
HEADACHE
17.8%
16/90 • Number of events 19 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Psychiatric disorders
INSOMNIA
11.1%
10/90 • Number of events 10 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
COUGH
7.8%
7/90 • Number of events 7 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
15.6%
14/90 • Number of events 16 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Respiratory, thoracic and mediastinal disorders
RHONCHI
5.6%
5/90 • Number of events 6 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Skin and subcutaneous tissue disorders
PRURITUS
11.1%
10/90 • Number of events 10 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Skin and subcutaneous tissue disorders
RASH
75.6%
68/90 • Number of events 85 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Skin and subcutaneous tissue disorders
SKIN FISSURES
14.4%
13/90 • Number of events 14 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Vascular disorders
HYPERTENSION
5.6%
5/90 • Number of events 5 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks
Vascular disorders
HYPOTENSION
8.9%
8/90 • Number of events 8 • From first dose until the end of the safety follow-up period (30 days after last dose) up to 93.58 weeks

Additional Information

Eva Järlid Westerberg, VP Clinical Operations

Genmab A/S

Phone: +45 7020 2728

Results disclosure agreements

  • Principal investigator is a sponsor employee The site and the PI may be required to withhold the publication for up to 90 days. Subject to a reasoned request from the sponsor, the publication may be further delayed for a period up to 6 months from the date of first submission to the sponsor. The sponsor has the right to require deletion of any trade secret, proprietary, or confidential information supplied by the sponsor to the site or the PI. The sponsor shall not otherwise have the right to censor publications.
  • Publication restrictions are in place

Restriction type: OTHER