Trial Outcomes & Findings for Treatment of Cancer-associated Anorexia Using Megestrol Acetate Concentrated Suspension (NCT NCT00637806)

NCT ID: NCT00637806

Last Updated: 2016-05-02

Results Overview

The Nutrition Data System for Research (NDSR) was used to determine nutrient and caloric value for foods and beverages consumed and recorded by subjects over a 3-day assessment period prior to each visit. Total number of calories consumed during each 3-day assessment was averaged over available values to determine the week's daily caloric intake value.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

4 participants

Primary outcome timeframe

8 weeks

Results posted on

2016-05-02

Participant Flow

After screening, eligible subjects were randomized to treatment in the double-blind phase. After completing the double-blind phase or discontinuing due to specific weight loss criteria, eligible subjects could enter an open-label extension phase.

Participant milestones

Participant milestones
Measure
DB MA-CS 550 mg/Day
Megestrol acetate concentrated suspension (MA-CS; 110 mg/mL) administered orally once every 24 hours (q24h), for a daily dose of 550 mg per day (5 mL dose) in the 8-week double-blind (DB) phase
DB MA-CS 300 mg/Day
MA-CS (60 mg/mL) administered orally q24h, for a daily dose of 300 mg per day (5 mL dose) in the 8-week DB phase
DB Placebo
Placebo suspension administered orally q24h (5 mL dose) in the 8-week DB phase
OL MA-CS 550 mg/Day
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 4-week open-label (OL) extension phase
Double-blind Phase
STARTED
2
0
2
0
Double-blind Phase
COMPLETED
0
0
1
0
Double-blind Phase
NOT COMPLETED
2
0
1
0
Extension Phase
STARTED
0
0
0
1
Extension Phase
COMPLETED
0
0
0
0
Extension Phase
NOT COMPLETED
0
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
DB MA-CS 550 mg/Day
Megestrol acetate concentrated suspension (MA-CS; 110 mg/mL) administered orally once every 24 hours (q24h), for a daily dose of 550 mg per day (5 mL dose) in the 8-week double-blind (DB) phase
DB MA-CS 300 mg/Day
MA-CS (60 mg/mL) administered orally q24h, for a daily dose of 300 mg per day (5 mL dose) in the 8-week DB phase
DB Placebo
Placebo suspension administered orally q24h (5 mL dose) in the 8-week DB phase
OL MA-CS 550 mg/Day
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 4-week open-label (OL) extension phase
Double-blind Phase
Study Discontinued
2
0
1
0
Extension Phase
Study Discontinued
0
0
0
1

Baseline Characteristics

Treatment of Cancer-associated Anorexia Using Megestrol Acetate Concentrated Suspension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DB MA-CS 550 mg/Day
n=2 Participants
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 8-week DB phase
DB MA-CS 300 mg/Day
MA-CS (60 mg/mL) administered orally q24h, for a daily dose of 300 mg per day (5 mL dose) in the 8-week DB phase
DB Placebo
n=2 Participants
Placebo suspension administered orally q24h (5 mL dose) in the 8-week DB phase
Total
n=4 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
1 participants
n=99 Participants
0 participants
n=206 Participants
1 participants
n=7 Participants
Age, Categorical
>=65 years
1 participants
n=99 Participants
2 participants
n=206 Participants
3 participants
n=7 Participants
Gender
Female
1 participants
n=99 Participants
0 participants
n=206 Participants
1 participants
n=7 Participants
Gender
Male
1 participants
n=99 Participants
2 participants
n=206 Participants
3 participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 participants
n=99 Participants
2 participants
n=206 Participants
4 participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Race (NIH/OMB)
Asian
0 participants
n=99 Participants
1 participants
n=206 Participants
1 participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Race (NIH/OMB)
Black or African American
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Race (NIH/OMB)
White
2 participants
n=99 Participants
1 participants
n=206 Participants
3 participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 participants
n=99 Participants
0 participants
n=206 Participants
0 participants
n=7 Participants
Region of Enrollment
United States
2 participants
n=99 Participants
2 participants
n=206 Participants
4 participants
n=7 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: Results not analyzed due to early termination of the study

The Nutrition Data System for Research (NDSR) was used to determine nutrient and caloric value for foods and beverages consumed and recorded by subjects over a 3-day assessment period prior to each visit. Total number of calories consumed during each 3-day assessment was averaged over available values to determine the week's daily caloric intake value.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Week 1, 2, 3, 4, 6, and 8

Population: Results not analyzed due to early termination of the study

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Week 4 and Week 8

Population: Results not analyzed due to early termination of the study

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Weeks 1, 2, 3, 4, 6 and 8

Population: Results not analyzed due to early termination of the study

Subjects marked 6 items on a visual analog scale (VAS) appetite scale including feeling not hungry to hungry, not nauseated to nauseated, empty to full, not satiated to satiated; weak to strong desire to eat; and ability to eat none to a large amount of food

Outcome measures

Outcome data not reported

Adverse Events

DB MA-CS 550 mg/Day

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

DB MA-CS 300 mg/Day

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

DB Placebo

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

OL MA-CS 550 mg/Day

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DB MA-CS 550 mg/Day
n=2 participants at risk
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 8-week DB phase
DB MA-CS 300 mg/Day
MA-CS (60 mg/mL) administered orally q24h, for a daily dose of 300 mg per day (5 mL dose) in the 8-week DB phase
DB Placebo
n=2 participants at risk
Placebo suspension administered orally q24h (5 mL dose) in the 8-week DB phase
OL MA-CS 550 mg/Day
n=1 participants at risk
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 4-week OL extension phase
Injury, poisoning and procedural complications
Accident at home
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
100.0%
1/1 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Injury, poisoning and procedural complications
Rib fracture
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
100.0%
1/1 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Injury, poisoning and procedural complications
Concussion
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
100.0%
1/1 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)

Other adverse events

Other adverse events
Measure
DB MA-CS 550 mg/Day
n=2 participants at risk
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 8-week DB phase
DB MA-CS 300 mg/Day
MA-CS (60 mg/mL) administered orally q24h, for a daily dose of 300 mg per day (5 mL dose) in the 8-week DB phase
DB Placebo
n=2 participants at risk
Placebo suspension administered orally q24h (5 mL dose) in the 8-week DB phase
OL MA-CS 550 mg/Day
n=1 participants at risk
MA-CS (110 mg/mL) administered orally q24h, for a daily dose of 550 mg per day (5 mL dose) in the 4-week OL extension phase
Psychiatric disorders
Insomnia
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
100.0%
1/1 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
General disorders
Chest pain
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
100.0%
1/1 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Gastrointestinal disorders
Vomiting
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
100.0%
1/1 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Gastrointestinal disorders
Abdominal pain
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
Gastrointestinal disorders
Nausea
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
General disorders
Fatigue
50.0%
1/2 • Number of events 1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0/0 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/2 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)
0.00%
0/1 • Approximately 98 days (from informed consent through 7 days following the last dose of study drug or up until the last protocol-specified study visit, whichever occurred later)

Additional Information

M. Todd Kirby, PhD

Endo Pharmaceuticals Inc.

Phone: (484) 216-6491

Results disclosure agreements

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

Restriction type: OTHER