Trial Outcomes & Findings for Effect of Flutamide on Biomarkers in Blood and Tissue Samples From Patients at High Risk of Ovarian Cancer (NCT NCT00699907)

NCT ID: NCT00699907

Last Updated: 2018-07-24

Results Overview

CSF-1 levels were measured by immunohistochemistry (IHC). The modified H-Score assess extent of nuclear immunoreactivity applicable to steroid receptors. The modified H-scores total range is 0-300. A lower modified H-score indicates weakly staining nuclei. A higher modified H-score indicated strongly staining nuclei. This applies to all measures.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

127 participants

Primary outcome timeframe

Surgery

Results posted on

2018-07-24

Participant Flow

Participants were recruited from the medical clinic prior to oophorectomy. Participants were recruited from January 2007 until June 2011.

Participants were assigned to groups immediately after being enrolled.

Participant milestones

Participant milestones
Measure
Treatment Arm
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Overall Study
STARTED
14
57
56
Overall Study
COMPLETED
12
47
48
Overall Study
NOT COMPLETED
2
10
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Arm
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Overall Study
Withdrawal by Subject
2
1
0
Overall Study
No usable sample
0
9
8

Baseline Characteristics

Effect of Flutamide on Biomarkers in Blood and Tissue Samples From Patients at High Risk of Ovarian Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Arm
n=12 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy. flutamide: Patients receive oral flutamide (125 MG/DAY) once daily for 6 weeks in the absence of unacceptable toxicity.
High Risk Arm
n=47 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=48 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Total
n=107 Participants
Total of all reporting groups
Age, Continuous
45.2 years
n=99 Participants
46.9 years
n=107 Participants
51.7 years
n=206 Participants
48.9 years
n=7 Participants
Sex: Female, Male
Female
12 Participants
n=99 Participants
47 Participants
n=107 Participants
48 Participants
n=206 Participants
107 Participants
n=7 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Region of Enrollment
United States
12 participants
n=99 Participants
47 participants
n=107 Participants
48 participants
n=206 Participants
107 participants
n=7 Participants

PRIMARY outcome

Timeframe: Surgery

Population: The Overall Number of Participants Analyzed represents all participants with a modified Histo-score that could be evaluated

CSF-1 levels were measured by immunohistochemistry (IHC). The modified H-Score assess extent of nuclear immunoreactivity applicable to steroid receptors. The modified H-scores total range is 0-300. A lower modified H-score indicates weakly staining nuclei. A higher modified H-score indicated strongly staining nuclei. This applies to all measures.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=7 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=24 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=15 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Colony Stimulating Factor (CSF-1) Expression in Ovarian Endosalpingiosis
5 Modified H-Score
Interval 0.0 to 210.0
130 Modified H-Score
Interval 0.0 to 300.0
50 Modified H-Score
Interval 5.0 to 270.0

PRIMARY outcome

Timeframe: Surgery

Population: The Overall Number of Participants Analyzed represents all participants with a modified Histo-score that could be evaluated

CSF-1 levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=8 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=42 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=39 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Colony Stimulating Factor (CSF-1) Expression in Ovarian Epithelium
0 Histo-score (H-Score)
Interval 0.0 to 30.0
50 Histo-score (H-Score)
Interval 0.0 to 210.0
0 Histo-score (H-Score)
Interval 0.0 to 120.0

PRIMARY outcome

Timeframe: Surgery

CSF-1 levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=11 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=45 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=43 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Colony Stimulating Factor (CSF-1) Expression in Ovarian Stroma
5 Histo-score (H-Score)
Interval 0.0 to 80.0
40 Histo-score (H-Score)
Interval 5.0 to 160.0
35 Histo-score (H-Score)
Interval 5.0 to 180.0

PRIMARY outcome

Timeframe: Surgery

Population: The Overall Number of Participants Analyzed represents all participants with a modified Histo-score that could be evaluated

CSF-1R levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=6 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=21 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=16 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Colony Stimulating Factor-1 Receptor (CSF-1R) Expression in Ovarian Endosalpingiosis
15 Histo-score (H-Score)
Interval 0.0 to 60.0
160 Histo-score (H-Score)
Interval 5.0 to 285.0
75 Histo-score (H-Score)
Interval 5.0 to 195.0

PRIMARY outcome

Timeframe: Surgery

CSF-1R levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=12 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=41 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=36 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Colony Stimulating Factor-1 Receptor (CSF-1R) Expression in Ovarian Epithelium
0 Histo-score (H-Score)
Interval 0.0 to 160.0
40 Histo-score (H-Score)
Interval 0.0 to 270.0
20 Histo-score (H-Score)
Interval 2.0 to 270.0

PRIMARY outcome

Timeframe: Surgery

Population: The Overall Number of Participants Analyzed represents all participants with a modified Histo-score that could be evaluated

CSF-1R levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=12 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=42 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=42 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Colony Stimulating Factor-1 Receptor (CSF-1R) Expression in Ovarian Stroma
20 Histo-score (H-Score)
Interval 0.0 to 40.0
40 Histo-score (H-Score)
Interval 0.0 to 210.0
53 Histo-score (H-Score)
Interval 0.0 to 195.0

PRIMARY outcome

Timeframe: Surgery

ErbB4 levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=7 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=19 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=9 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Tyrosine Kinase V-erb-b2 Erythroblastic Leukemia Viral Oncogene Homolog-4 (ErbB4) Expression in Ovarian Endosalpingiosis
5 Histo-score (H-Score)
Interval 0.0 to 30.0
60 Histo-score (H-Score)
Interval 5.0 to 270.0
10 Histo-score (H-Score)
Interval 5.0 to 270.0

PRIMARY outcome

Timeframe: Surgery

Population: The Overall Number of Participants Analyzed represents all participants with a modified Histo-score that could be evaluated

ErbB4 levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=8 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=33 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=20 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Tyrosine Kinase V-erb-b2 Erythroblastic Leukemia Viral Oncogene Homolog-4 (ErbB4) Expression in Ovarian Epithelium
0 Histo-score (H-Score)
Interval 0.0 to 15.0
55 Histo-score (H-Score)
Interval 0.0 to 270.0
0 Histo-score (H-Score)
Interval 0.0 to 285.0

PRIMARY outcome

Timeframe: Surgery

Population: The Overall Number of Participants Analyzed represents all participants with a modified Histo-score that could be evaluated

ErbB4 levels were measured by immunohistochemistry (IHC).

Outcome measures

Outcome measures
Measure
Treatment Arm
n=11 Participants
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=36 Participants
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=23 Participants
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Tyrosine Kinase V-erb-b2 Erythroblastic Leukemia Viral Oncogene Homolog-4 (ErbB4) Expression in Ovarian Stroma
10 Histo-score (H-Score)
Interval 0.0 to 60.0
90 Histo-score (H-Score)
Interval 10.0 to 285.0
30 Histo-score (H-Score)
Interval 10.0 to 255.0

Adverse Events

Treatment Arm

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

High Risk Arm

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

Low Risk Arm

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment Arm
n=12 participants at risk
Patients received oral flutamide (125 MG) once daily for 6 weeks in the absence of unacceptable toxicity. Patients then underwent risk-reducing salpingo-oophorectomy.
High Risk Arm
n=47 participants at risk
High risk patients underwent risk-reducing salpingo-oophorectomy.
Low Risk Arm
n=48 participants at risk
Low risk patients underwent salpingo-oophorectomy for a medical indication.
Skin and subcutaneous tissue disorders
Burn
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Gastrointestinal disorders
Constipation
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Gastrointestinal disorders
Diarrhea
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Endocrine disorders
Endocrine
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Blood and lymphatic system disorders
Hemoglobin
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
General disorders
Hot flashes
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Musculoskeletal and connective tissue disorders
Pain - Muscle
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
General disorders
Pain - Other
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Blood and lymphatic system disorders
Hyponatremia
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Renal and urinary disorders
Urinary frequency/urgency
8.3%
1/12 • Number of events 1
0.00%
0/47
0.00%
0/48
Renal and urinary disorders
Urine color change
25.0%
3/12 • Number of events 3
0.00%
0/47
0.00%
0/48
Musculoskeletal and connective tissue disorders
Musculoskeletal/Soft Tissue - other
8.3%
1/12 • Number of events 2
0.00%
0/47
0.00%
0/48
Gastrointestinal disorders
Nausea
16.7%
2/12 • Number of events 2
0.00%
0/47
0.00%
0/48
General disorders
Pain - Head/headache
16.7%
2/12 • Number of events 2
0.00%
0/47
0.00%
0/48

Additional Information

Dr. Setsuko K. Chambers

University of Arizona

Phone: 520-626-0950

Results disclosure agreements

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